code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
APC,0701,Sr89 strontium,,,5158.68,6920.09,4
APC,0702,"Inj, human-lans, per i.u",,,1.57,2.11,4
APC,0703,Inj daxibotulinumtoxina-lanm,,,3.87,5.19,4
APC,0704,"Inj, aflibercept hd, 1 mg",,,397.8,533.63,4
APC,0705,Inj avacincaptad pegol 0.1mg,,,131.75,176.74,4
APC,0706,Inj talquetamab-tgvs 0.25 mg,,,90.07,120.83,4
APC,0707,"Cantharidin top, applicator",,,833.08,1117.53,4
APC,0708,"Inj, elranatamab-bcmm, 1 mg",,,230.55,309.28,4
APC,0709,Flortaucipir inj 1 millicuri,,,4615.81,6191.86,4
APC,0710,Inj velmanase alfa-tycv 1 mg,,,578.59,776.15,4
APC,0711,"Inj, artesunate, 1mg",,,64.48,86.5,4
APC,0713,Inj roctavian ml 2x10^13vc g,,,15387.97,20642.12,4
APC,0714,Inj delandistrogene mox rokl,,,4136280.62,5548596.37,4
APC,0715,Pegunigalsidase alfa-iwxj,,,286.5,384.33,4
APC,0716,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1290.34,1730.92,4
APC,0717,"Instill adstiladrin, tx dose",,,78918.02,105864.25,4
APC,0718,"Inj, carmustine (accord)",,,323.11,433.43,4
APC,0719,Inj cyclophos frindovyx 5 mg,,,11.2,15.03,4
APC,0720,"Inj glofitamab gxbm, 2.5 mg",,,3447.02,4623.98,4
APC,0721,Inj rozanolixizum-noli 1 mg,,,28.82,38.66,4
APC,0722,"Dexmedetomidine film, 1 mcg",,,0.8,1.07,4
APC,0723,Inj efgart-alfa 2mg hya-qvfc,,,41.97,56.3,4
APC,0725,Inj secukinumab intrav 1mg,,,22.2,29.78,4
APC,0726,Dexrazoxane HCl injection,,,39.92,53.55,4
APC,0727,"Inj, adzynma, 10 iu",,,44.27,59.39,4
APC,0728,"Inj, mirikizumab-mrkz, 1 mg",,,60.06,80.57,4
APC,0729,"Inj, motixafortide, 0.25 mg",,,31.37,42.09,4
APC,0730,Inj melphalan (hepzato) 1 mg,,,980.13,1314.79,4
APC,0731,Sargramostim injection,,,69.79,93.61,4
APC,0732,"Inj, brixadi, 7 days or less",,,526.06,705.68,4
APC,0733,"Inj brixadi, more than 7 day",,,2104.25,2822.73,4
APC,0734,"Inj, levothyroxine, freskabi",,,8.83,11.84,4
APC,0735,"Inj, levothyroxine, hikma",,,6.39,8.57,4
APC,0736,Amphotericin b liposome inj,,,28.14,37.75,4
APC,0737,"Inj, cipaglucosidase, 5 mg",,,111.72,149.87,4
APC,0738,Rasburicase,,,468.4,628.33,4
APC,0739,"Inj, rykindo, 0.5 mg",,,16.21,21.75,4
APC,0740,Inj hydroxocobalamin iv 25mg,,,6.45,8.65,4
APC,0741,Inj cyclophosphamd (ingenus),,,1.44,1.93,4
APC,0742,Outpatient Services,,,72.56,97.34,4
APC,0743,"Inj, cyclophosphamide, nos",,,0.78,1.04,4
APC,0744,Inst tauro 1.35mg/hep 100u,,,9.56,12.82,4
APC,0745,"Inj, toripalimab-tpzi, 1 mg",,,49.14,65.92,4
APC,0746,"Inj, betibeglogene autotemce",,,3671109.68,4924594.76,4
APC,0747,"Inj, zolbetuximab-clzb, 2 mg",,,41.75,56.01,4
APC,0748,"Inj, lovotibeglogene autotem",,,4057629.04,5443089.54,4
APC,0749,Inj travoprost intra impl,,,242.92,325.87,4
APC,0750,"Inj, nithiodote, 3mg / 125mg",,,2.69,3.61,4
APC,0752,Dactinomycin injection,,,376.88,505.57,4
APC,0753,Inj cefazolin (wg crit care),,,1.25,1.67,4
APC,0754,Daptomycin (xellia) unrefrig,,,0.06,0.09,4
APC,0755,Oral methotrexate (jylamvo),,,23.05,30.92,4
APC,0756,Oral methotrexate (xatmep),,,28.19,37.82,4
APC,0757,"Docetaxel (docivyx), 1 mg",,,61.06,81.91,4
APC,0759,"Naltrexone, depot form",,,5.27,7.07,4
APC,0760,Tc-99m graphite crucible,,,408.83,548.42,4
APC,0761,"Inj, focinvez, 1mg",,,3.57,4.79,4
APC,0762,"Bupivacaine implant, 1 mg",,,3.28,4.41,4
APC,0763,"Inj, bupivacaine liposome",,,1.86,2.49,4
APC,0764,Ketorolac tromethamine inj,,,0.43,0.58,4
APC,0765,"Inj, donanemab-azbt, 2 mg",,,5.15,6.91,4
APC,0766,Outpatient Services,,,998.23,1339.08,4
APC,0767,"Inj, nogapendekin pmln 1 mcg",,,117.09,157.08,4
APC,0768,"Inj, tarlatamab-dlle, 1 mg",,,1950.2,2616.09,4
APC,0769,"In111 ibritumomab, dx",,,992.86,1331.87,4
APC,0770,In111 oxyquinoline,,,961.28,1289.51,4
APC,0771,In111 pentetate,,,889.93,1193.79,4
APC,0772,"Inj, pegulicianine, 1 mg",,,45.34,60.83,4
APC,0773,"Inj, beqvez, per tx dose",,,4615812.67,6191862.64,4
APC,0774,Tc99m bicisate,,,850.75,1141.24,4
APC,0775,Technetium tc99m arcitumomab,,,1007.16,1351.04,4
APC,0776,Technetium tc-99m auto wbc,,,1294.32,1736.26,4
APC,0777,Indium in-111 auto wbc,,,1283.21,1721.35,4
APC,0778,"Inj, vasopressin (baxter)",,,3.65,4.9,4
APC,0779,Indium in-111 pentetreotide,,,2382.07,3195.42,4
APC,0780,Iodine i-123 iobenguane,,,2581.38,3462.79,4
APC,0781,Iodine i-123 ioflupane,,,1726.91,2316.56,4
APC,0782,"Inj, pemrydi rtu, 10 mg",,,99.66,133.68,4
APC,0784,"Inj, tyenne, 1 mg",,,5.83,7.83,4
APC,0785,"Inj, cyclophosphamd, sandoz",,,5.24,7.03,4
APC,0786,"Inj, tofidence, 1 mg",,,7.21,9.67,4
APC,0788,"Inj cefazolin sodium, hikma",,,1.14,1.53,4
APC,0789,Inj daptomycin (xellia),,,0.05,0.07,4
APC,0790,"Inj, methylpred acetate 1 mg",,,0.15,0.2,4
APC,0792,"Inj, glycopyrrolate, 0.1 mg",,,0.54,0.72,4
APC,0793,Inj glycopyrrolate fres kabi,,,2.3,3.09,4
APC,0794,"Inj, bumetanide, 0.5 mg",,,0.76,1.01,4
APC,0796,Inj meropenem (wg crit care),,,2.02,2.71,4
APC,0797,"Inj, immphentiv, 20 mcg",,,0.16,0.22,4
APC,0798,"Inj, sezaby, 1 mg",,,1.42,1.91,4
APC,0799,Inj fluphenazine hcl 1.25 mg,,,9.24,12.4,4
APC,0800,Leuprolide acetate,,,2161.22,2899.15,4
APC,0801,"Inj, methylpred sod succ 5mg",,,0.32,0.43,4
APC,0803,Hydroxocobalamin im 10mcg,,,0.01,0.01,4
APC,0804,"Capecitabine, oral, 50 mg",,,0.07,0.09,4
APC,0805,"Hiv prep, inj, cabotegravir",,,8.75,11.74,4
APC,0806,"Hiv prep, ftc/tdf 200/300mg",,,2.16,2.9,4
APC,0807,Aldesleukin injection,,,6595.59,8847.62,4
APC,0808,"Hiv prep, ftc/taf 200/25mg",,,88.68,118.95,4
APC,0810,Outpatient Services,,,913.4,1225.27,4
APC,0811,"Inj, nyposi 1 mcg",,,0.68,0.92,4
APC,0812,Carmustine injection,,,216.04,289.8,4
APC,0813,"Injection, imetelstat, 1 mg",,,70.95,95.17,4
APC,0814,"Inj, magtrace per study dose",,,14158.36,18992.68,4
APC,0815,"Inj, palonosetron (posfrea)",,,73.2,98.19,4
APC,0816,"Inj, tislelizumab-jsgr",,,71.43,95.83,4
APC,0817,"Inj, adalimumab, 1 mg",,,114.12,153.09,4
APC,0818,"Inj, crovalimab-akkz, 10 mg",,,686.17,920.45,4
APC,0819,"Inj, alyglo, 500 mg",,,163.14,218.84,4
APC,0820,Daunorubicin injection,,,24.59,32.98,4
APC,0821,Indigotindisulfonate sod 1mg,,,12.39,16.62,4
APC,0822,"Inj, romiplostim 1 microgram",,,13.68,18.35,4
APC,0824,"Inj, exagamglogene autotem",,,2901367.96,3892027.95,4
APC,0825,Nelarabine injection,,,78.85,105.78,4
APC,0826,"Inj adalimumab-fkjp, 1 mg",,,108.41,145.43,4
APC,0827,Floxuridine injection,,,5132.82,6885.4,4
APC,0828,"Inj adalimumab-aaty, 1 mg",,,54.21,72.71,4
APC,0829,"Inj adalimumab-ryvk, 1 mg",,,13.23,17.75,4
APC,0830,"Inj adalimumab-adbm, 1 mg",,,12.98,17.41,4
APC,0831,Obecbtge autol up to 400 mil,,,336388.23,451246.59,4
APC,0833,"Inj, idacio, 1 mg",,,11.09,14.88,4
APC,0834,"Inj, abrilada, 1 mg",,,33.13,44.44,4
APC,0835,"Datopotamab deruxtecan, 1 mg",,,62.68,84.08,4
APC,0837,"Inj, treosulfan, 50 mg",,,39.09,52.43,4
APC,0839,Inj axatilimab-csfr 0.1 mg,,,67.28,90.25,4
APC,0840,Inj melpha hydroch nos 50 mg,,,134.41,180.3,4
APC,0841,"Inj, docetaxel (beizray) 1mg",,,65.28,87.57,4
APC,0842,"Inj, melphalan (apotex) 1 mg",,,80.59,108.11,4
APC,0843,Pegaspargase injection,,,35363.92,47438.78,4
APC,0844,Pentostatin injection,,,3165.0,4245.67,4
APC,0845,"Inj, atidarsagene autotemcel",,,5446285.7,7305897.23,4
APC,0846,"Inj, eculizumab-aeeb, 2 mg",,,51.61,69.24,4
APC,0847,Inj thiotepa nos 1 mg,,,15.22,20.42,4
APC,0848,Inj nivolumab 2 mg hyaluron,,,33.26,44.62,4
APC,0852,"Inj, eculizumab-aagh, 2 mg",,,39.01,52.33,4
APC,0853,Inj zenocutuzumab-zbco 1 mg,,,40.58,54.44,4
APC,0855,"Inj ustekinumab-stba, 1 mg",,,2.99,4.02,4
APC,0856,Outpatient Services,,,30143.89,40436.4,4
APC,0857,"Inj ustekinumab-kfce, 1 mg",,,3.94,5.29,4
APC,0858,Inj cladribine per 1 mg,,,12.1,16.23,4
APC,0859,"Inj ustekinumab-aekn, 1 mg",,,59.47,79.77,4
APC,0864,Mitoxantrone hydrochl,,,36.83,49.4,4
APC,0872,"Inj. denosumab-bbdz, 1 mg",,,34.26,45.96,4
APC,0874,Synvisc or synvisc-one,,,11.31,15.17,4
APC,0875,Euflexxa inj per dose,,,142.43,191.07,4
APC,0877,Orthovisc inj per dose,,,121.55,163.05,4
APC,0887,Azathioprine parenteral,,,279.9,375.47,4
APC,0890,Lymphocyte immune globulin,,,6237.08,8366.71,4
APC,0901,Alpha 1 proteinase inhibitor,,,6.45,8.65,4
APC,0902,"Injection,onabotulinumtoxinA",,,8.09,10.85,4
APC,0903,Cytomegalovirus imm IV /vial,,,2251.23,3019.9,4
APC,0925,Factor viii,,,1.41,1.89,4
APC,0927,Factor viii recombinant,,,1.91,2.56,4
APC,0928,Factor ix complex,,,2.12,2.84,4
APC,0929,Anti-inhibitor,,,3.05,4.09,4
APC,0931,Factor IX non-recombinant,,,1.66,2.23,4
APC,0932,Factor ix recombinant nos,,,2.33,3.13,4
APC,0943,Octagam injection,,,60.19,80.74,4
APC,0944,Gammagard liquid injection,,,59.47,79.77,4
APC,0946,Hepagam b im injection,,,89.16,119.6,4
APC,0947,Flebogamma injection,,,69.37,93.06,4
APC,0948,Gamunex-C/Gammaked,,,59.76,80.16,4
APC,0963,"Albumin (human), 5%, 250 ml",,,66.04,88.58,4
APC,0964,"Albumin (human), 25%, 20 ml",,,26.41,35.43,4
APC,1015,Injection glatiramer acetate,,,199.55,267.69,4
APC,1064,"I131 iodide cap, rx",,,28.78,38.6,4
APC,1138,"Hepagam b intravenous, inj",,,89.16,119.6,4
APC,1139,Protein c concentrate,,,1.87,2.51,4
APC,1142,Supprelin LA implant,,,56684.16,76038.73,4
APC,1150,"I131 iodide sol, rx",,,25.98,34.85,4
APC,1168,"Inj, temsirolimus",,,40.17,53.88,4
APC,1178,Busulfan injection,,,2.29,3.07,4
APC,1203,Verteporfin injection,,,14.37,19.28,4
APC,1207,"Octreotide injection, depot",,,264.01,354.15,4
APC,1213,Antihemophilic viii/vwf comp,,,1.53,2.05,4
APC,1214,Inj IVIG privigen 500 mg,,,62.75,84.17,4
APC,1232,Mitomycin injection,,,35.17,47.18,4
APC,1235,Valrubicin injection,,,1712.93,2297.81,4
APC,1237,Inj iron dextran,,,22.43,30.09,4
APC,1253,Triamcinolone a inj prs-free,,,30.49,40.9,4
APC,1263,Antithrombin iii injection,,,5.08,6.82,4
APC,1268,Xyntha inj,,,1.92,2.57,4
APC,1274,Edetate calcium disodium inj,,,8030.48,10772.45,4
APC,1281,Bevacizumab injection,,,2.27,3.05,4
APC,1289,AbobotulinumtoxinA,,,11.41,15.3,4
APC,1295,Sm 153 lexidronam,,,5368.41,7201.44,4
APC,1296,Degarelix injection,,,5.42,7.27,4
APC,1297,"Ferumoxytol, non-esrd",,,0.38,0.51,4
APC,1311,Canakinumab injection,,,175.42,235.32,4
APC,1312,Hizentra injection,,,17.57,23.57,4
APC,1327,Imiglucerase injection,,,53.86,72.25,4
APC,1331,Olanzapine long-acting inj,,,3.63,4.87,4
APC,1340,"Collagenase, clost hist inj",,,91.03,122.11,4
APC,1352,Wilate injection,,,1.58,2.12,4
APC,1353,Belimumab injection,,,69.68,93.47,4
APC,1413,Lumizyme injection,,,257.06,344.83,4
APC,1415,Glassia injection,,,7.11,9.53,4
APC,1416,Factor XIII anti-hem factor,,,13.41,17.99,4
APC,1417,Gel-one,,,651.96,874.57,4
APC,1420,Aflibercept injection,,,982.93,1318.55,4
APC,1421,Imported lipodox inj,,,657.98,882.65,4
APC,1426,Eribulin mesylate injection,,,130.12,174.55,4
APC,1431,Outpatient Services,,,6045.35,8109.51,4
APC,1433,Calcitonin salmon injection,,,1039.87,1394.93,4
APC,1440,Inj desmopressin acetate,,,4.84,6.5,4
APC,1442,Non-HEU TC-99M add-on/dose,,,12.44,16.69,4
APC,1443,Icatibant injection,,,144.83,194.29,4
APC,1446,Visualization adjunct,,,9.78,13.12,4
APC,1458,Phentolaine mesylate inj,,,543.08,728.52,4
APC,1468,"Inj, abilify maintena, 1 mg",,,9.0,12.08,4
APC,1469,Inj filgrastim excl biosimil,,,1.23,1.64,4
APC,1471,"Injection, Pertuzumab, 1 mg",,,21.02,28.19,4
APC,1472,Inj beta interferon im 1 mcg,,,71.5,95.92,4
APC,1474,Certolizumab pegol inj 1mg,,,5.58,7.49,4
APC,1475,Golimumab for iv use 1mg,,,13.72,18.41,4
APC,1476,Obinutuzumab inj,,,97.62,130.95,4
APC,1478,Inj human fibrinogen con nos,,,1.89,2.54,4
APC,1480,"Elosulfase alfa, injection",,,381.7,512.03,4
APC,1482,"Darbepoetin alfa, esrd use",,,3.73,5.0,4
APC,1485,"Ferumoxytol, esrd use",,,0.38,0.51,4
APC,1486,Factor ix fc fusion recomb,,,4.51,6.05,4
APC,1488,"Injection, ramucirumab",,,92.63,124.26,4
APC,1489,Inj vedolizumab iv 1 mg,,,27.45,36.82,4
APC,1490,Inj pembrolizumab,,,72.86,97.74,4
APC,1491,New Technology  - Level 1A ($0-$10),,,6.22,8.35,4
APC,1492,New Technology  - Level 1B ($11-$20),,,19.28,25.86,4
APC,1493,New Technology  - Level 1C ($21-$30),,,31.73,42.56,4
APC,1494,New Technology  - Level 1D ($31-$40),,,44.17,59.25,4
APC,1495,New Technology  - Level 1E ($41-$50),,,56.61,75.94,4
APC,1496,New Technology  - Level 1A ($0-$10),,,6.22,8.35,4
APC,1497,New Technology  - Level 1B ($11-$20),,,19.28,25.86,4
APC,1498,New Technology  - Level 1C ($21-$30),,,31.73,42.56,4
APC,1499,New Technology  - Level 1D ($31-$40),,,44.17,59.25,4
APC,1500,New Technology  - Level 1E ($41-$50),,,56.61,75.94,4
APC,1502,New Technology - Level 2 ($51 - $100),,,93.93,126.01,4
APC,1503,New Technology - Level 3 ($101 - $200),,,187.24,251.18,4
APC,1504,New Technology - Level 4 ($201 - $300),,,311.66,418.08,4
APC,1505,New Technology - Level 5 ($301 - $400),,,436.07,584.97,4
APC,1506,New Technology - Level 6 ($401 - $500),,,560.49,751.87,4
APC,1507,New Technology - Level 7 ($501 - $600),,,684.91,918.77,4
APC,1508,New Technology - Level 8 ($601 - $700),,,809.32,1085.66,4
APC,1509,New Technology - Level 9 ($701 - $800),,,933.74,1252.56,4
APC,1510,New Technology - Level 10 ($801 - $900),,,1058.16,1419.46,4
APC,1511,New Technology - Level 11 ($901 - $1000),,,1182.56,1586.35,4
APC,1512,New Technology - Level 12 ($1001 - $1100),,,1306.98,1753.25,4
APC,1513,New Technology - Level 13 ($1101 - $1200),,,1431.4,1920.15,4
APC,1514,New Technology - Level 14 ($1201- $1300),,,1555.81,2087.04,4
APC,1515,New Technology - Level 15 ($1301 - $1400),,,1680.23,2253.94,4
APC,1516,New Technology - Level 16  ($1401 - $1500),,,1804.65,2420.84,4
APC,1517,New Technology - Level 17 ($1501-$1600),,,1929.06,2587.73,4
APC,1518,New Technology - Level 18 ($1601-$1700),,,2053.48,2754.63,4
APC,1519,New Technology - Level 19 ($1701-$1800),,,2177.9,2921.53,4
APC,1520,New Technology - Level 20 ($1801-$1900),,,2302.3,3088.42,4
APC,1521,New Technology - Level 21 ($1901-$2000),,,2426.72,3255.32,4
APC,1522,New Technology - Level 22 ($2001-$2500),,,2799.97,3756.01,4
APC,1523,New Technology - Level 23 ($2501-$3000),,,3422.04,4590.49,4
APC,1524,New Technology - Level 24 ($3001-$3500),,,4044.13,5424.98,4
APC,1525,New Technology - Level 25 ($3501-$4000),,,4666.2,6259.46,4
APC,1526,New Technology - Level 26 ($4001-$4500),,,5288.28,7093.94,4
APC,1527,New Technology - Level 27 ($4501-$5000),,,5910.35,7928.42,4
APC,1528,New Technology - Level 28 ($5001-$5500),,,6532.44,8762.91,4
APC,1529,New Technology - Level 29 ($5501-$6000),,,7154.51,9597.39,4
APC,1530,New Technology - Level 30 ($6001-$6500),,,7776.58,10431.87,4
APC,1531,New Technology - Level 31 ($6501-$7000),,,8398.67,11266.36,4
APC,1532,New Technology - Level 32 ($7001-$7500),,,9020.74,12100.84,4
APC,1533,New Technology - Level 33 ($7501-$8000),,,9642.82,12935.32,4
APC,1534,New Technology - Level 34 ($8001-$8500),,,10264.9,13769.81,4
APC,1535,New Technology - Level 35 ($8501-$9000),,,10886.97,14604.29,4
APC,1536,New Technology - Level 36 ($9001-$9500),,,11509.05,15438.77,4
APC,1537,New Technology - Level 37 ($9501-$10000),,,12131.12,16273.24,4
APC,1539,New Technology - Level 2 ($51 - $100),,,93.93,126.01,4
APC,1540,New Technology - Level 3 ($101 - $200),,,187.24,251.18,4
APC,1541,New Technology - Level 4 ($201 - $300),,,311.66,418.08,4
APC,1542,New Technology - Level 5 ($301 - $400),,,436.07,584.97,4
APC,1543,New Technology - Level 6 ($401 - $500),,,560.49,751.87,4
APC,1544,New Technology - Level 7 ($501 - $600),,,684.91,918.77,4
APC,1545,New Technology - Level 8 ($601 - $700),,,809.32,1085.66,4
APC,1546,New Technology - Level 9 ($701 - $800),,,933.74,1252.56,4
APC,1547,New Technology - Level 10 ($801 - $900),,,1058.16,1419.46,4
APC,1548,New Technology - Level 11 ($901 - $1000),,,1182.56,1586.35,4
APC,1549,New Technology - Level 12 ($1001 - $1100),,,1306.98,1753.25,4
APC,1550,New Technology - Level 13 ($1101 - $1200),,,1431.4,1920.15,4
APC,1551,New Technology - Level 14 ($1201- $1300),,,1555.81,2087.04,4
APC,1552,New Technology - Level 15 ($1301 - $1400),,,1680.23,2253.94,4
APC,1553,New Technology - Level 16 ($1401 - $1500),,,1804.65,2420.84,4
APC,1554,New Technology - Level 17 ($1501-$1600),,,1929.06,2587.73,4
APC,1555,New Technology - Level 18 ($1601-$1700),,,2053.48,2754.63,4
APC,1556,New Technology - Level 19 ($1701-$1800),,,2177.9,2921.53,4
APC,1557,New Technology - Level 20 ($1801-$1900),,,2302.3,3088.42,4
APC,1558,New Technology - Level 21 ($1901-$2000),,,2426.72,3255.32,4
APC,1559,New Technology - Level 22 ($2001-$2500),,,2799.97,3756.01,4
APC,1560,New Technology - Level 23 ($2501-$3000),,,3422.04,4590.49,4
APC,1561,New Technology - Level 24 ($3001-$3500),,,4044.13,5424.98,4
APC,1562,New Technology - Level 25 ($3501-$4000),,,4666.2,6259.46,4
APC,1563,New Technology - Level 26 ($4001-$4500),,,5288.28,7093.94,4
APC,1564,New Technology - Level 27 ($4501-$5000),,,5910.35,7928.42,4
APC,1565,New Technology - Level 28 ($5001-$5500),,,6532.44,8762.91,4
APC,1566,New Technology - Level 29 ($5501-$6000),,,7154.51,9597.39,4
APC,1567,New Technology - Level 30 ($6001-$6500),,,7776.58,10431.87,4
APC,1568,New Technology - Level 31 ($6501-$7000),,,8398.67,11266.36,4
APC,1569,New Technology - Level 32 ($7001-$7500),,,9020.74,12100.84,4
APC,1570,New Technology - Level 33 ($7501-$8000),,,9642.82,12935.32,4
APC,1571,New Technology - Level 34 ($8001-$8500),,,10264.9,13769.81,4
APC,1572,New Technology - Level 35 ($8501-$9000),,,10886.97,14604.29,4
APC,1573,New Technology - Level 36 ($9001-$9500),,,11509.05,15438.77,4
APC,1574,New Technology - Level 37 ($9501-$10000),,,12131.12,16273.24,4
APC,1575,"New Technology - Level 38 ($10,001-$15,000)",,,15552.56,20862.91,4
APC,1576,"New Technology - Level 39 ($15,001-$20,000)",,,21773.33,29207.74,4
APC,1577,"New Technology - Level 40 ($20,001-$25,000)",,,27994.1,37552.57,4
APC,1578,"New Technology - Level 41 ($25,001-$30,000)",,,34214.87,45897.4,4
APC,1579,"New Technology - Level 42 ($30,001-$40,000)",,,43546.02,58414.63,4
APC,1580,"New Technology - Level 43 ($40,001-$50,000)",,,55987.57,75104.29,4
APC,1581,"New Technology - Level 44 ($50,001-$60,000)",,,68429.11,91793.95,4
APC,1582,"New Technology - Level 45 ($60,001-$70,000)",,,80870.66,108483.6,4
APC,1583,"New Technology - Level 46 ($70,001-$80,000)",,,93312.2,125173.26,4
APC,1584,"New Technology - Level 47 ($80,001-$90,000)",,,105753.74,141862.92,4
APC,1585,"New Technology - Level 48 ($90,001-$100,000)",,,118195.29,158552.58,4
APC,1589,"New Technology - Level 38 ($10,001-$15,000)",,,15552.56,20862.91,4
APC,1590,"New Technology - Level 39 ($15,001-$20,000)",,,21773.33,29207.74,4
APC,1591,"New Technology - Level 40 ($20,001-$25,000)",,,27994.1,37552.57,4
APC,1592,"New Technology - Level 41 ($25,001-$30,000)",,,34214.87,45897.4,4
APC,1593,"New Technology - Level 42 ($30,001-$40,000)",,,43546.02,58414.63,4
APC,1594,"New Technology - Level 43 ($40,001-$50,000)",,,55987.57,75104.29,4
APC,1595,"New Technology - Level 44 ($50,001-$60,000)",,,68429.11,91793.95,4
APC,1596,"New Technology - Level 45 ($60,001-$70,000)",,,80870.66,108483.6,4
APC,1597,"New Technology - Level 46 ($70,001-$80,000)",,,93312.2,125173.26,4
APC,1598,"New Technology - Level 47 ($80,001-$90,000)",,,105753.74,141862.92,4
APC,1599,"New Technology - Level 48 ($90,001-$100,000)",,,118195.29,158552.58,4
APC,1608,Etanercept injection,,,1344.78,1803.95,4
APC,1609,"Rho(D) immune globulin h, sd",,,38.29,51.36,4
APC,1613,Trastuzumab injection,,,94.78,127.14,4
APC,1630,"Hep b ig, im",,,162.57,218.07,4
APC,1643,"Y90 ibritumomab, rx",,,70698.51,94838.22,4
APC,1656,Factor VIII FC Fusion Recomb,,,3.01,4.04,4
APC,1658,"Injection, belinostat, 10mg",,,64.75,86.85,4
APC,1660,"Injection, oritavancin",,,35.48,47.6,4
APC,1662,Inj tedizolid phosphate,,,2.38,3.19,4
APC,1664,Florbetapir f18,,,2730.45,3662.75,4
APC,1670,Tetanus immune globulin inj,,,717.93,963.07,4
APC,1675,P32 Na phosphate,,,222.85,298.95,4
APC,1683,Basiliximab,,,5813.27,7798.19,4
APC,1685,"Darbepoetin alfa, non-esrd",,,3.73,5.0,4
APC,1686,"Epoetin alfa, non-esrd",,,9.55,12.81,4
APC,1687,Digoxin immune fab (ovine),,,6181.68,8292.39,4
APC,1688,Ethanolamine oleate,,,646.36,867.06,4
APC,1689,Fomepizole,,,7.5,10.06,4
APC,1690,Hemin,,,42.51,57.02,4
APC,1694,Ziconotide injection,,,12.6,16.9,4
APC,1696,Palifermin injection,,,44.68,59.94,4
APC,1700,Inj secretin synthetic human,,,54.48,73.09,4
APC,1701,Treprostinil injection,,,69.03,92.6,4
APC,1704,"Humate-P, inj",,,1.85,2.48,4
APC,1705,Factor viia recomb novoseven,,,3.29,4.42,4
APC,1710,Clofarabine injection,,,18.31,24.56,4
APC,1712,Paclitaxel protein bound,,,15.08,20.23,4
APC,1745,Radium ra223 dichloride ther,,,213.72,286.7,4
APC,1746,Factor xiii recomb a-subunit,,,22.76,30.53,4
APC,1747,Monovisc inj per dose,,,657.63,882.18,4
APC,1748,Inj tbo filgrastim 1 microg,,,0.37,0.49,4
APC,1761,Outpatient Services,,,1.94,2.6,4
APC,1809,"Injection, alemtuzumab",,,3036.61,4073.45,4
APC,1822,"Injection, zarxio",,,0.46,0.61,4
APC,1823,"Injection, dalbavancin",,,19.35,25.95,4
APC,1824,Ceftaroline fosamil inj,,,5.28,7.08,4
APC,1825,Ceftazidime and avibactam,,,130.57,175.16,4
APC,1826,Hyqvia 100mg immuneglobulin,,,22.87,30.69,4
APC,1827,Factor viii recomb obizur,,,4.02,5.39,4
APC,1829,Penicillin g benzathine inj,,,36.45,48.9,4
APC,1832,Dimethyl sulfoxide 50% 50 ml,,,924.28,1239.87,4
APC,1836,Penicillin g procaine inj,,,58.71,78.76,4
APC,1844,Factor viii pegylated recomb,,,2.68,3.6,4
APC,1846,Factor viii nuwiq recomb 1iu,,,1.46,1.96,4
APC,1847,"Injection, inflectra",,,24.48,32.84,4
APC,1848,Artiss fibrin sealant,,,176.76,237.11,4
APC,1849,Foscarnet sodium injection,,,19.39,26.01,4
APC,1850,Gamma globulin 1 cc inj,,,60.25,80.82,4
APC,1851,Gamma globulin > 10 cc inj,,,207.85,278.82,4
APC,1852,Interferon beta-1a inj,,,2741.05,3676.97,4
APC,1853,Minocycline hydrochloride,,,3.32,4.45,4
APC,1856,Factor viii recomb novoeight,,,1.89,2.53,4
APC,1857,"Inj, factor x, (human), 1iu",,,12.33,16.54,4
APC,1859,Argatroban nonesrd use 1mg,,,0.92,1.23,4
APC,1861,"Inj., bendeka 1 mg",,,16.32,21.9,4
APC,1901,"New Technology - Level 49 ($100,001-$115,000)",,,133747.21,179414.64,4
APC,1902,"New Technology - Level 49 ($100,001-$115,000)",,,133747.21,179414.64,4
APC,1903,"New Technology - Level 50 ($115,001-$130,000)",,,152409.53,204449.12,4
APC,1904,"New Technology - Level 50 ($115,001-$130,000)",,,152409.53,204449.12,4
APC,1905,"New Technology - Level 51 ($130,001-$145,000)",,,171071.84,229483.61,4
APC,1906,"New Technology - Level 51 ($130,001-$145,000)",,,171071.84,229483.61,4
APC,1907,"New Technology - Level 52 ($145,001-$160,000)",,,189734.16,254518.1,4
APC,1908,"New Technology - Level 52 ($145,001-$160,000)",,,189734.16,254518.1,4
APC,2062,"Inj zanidatamab-hrii, 2 mg",,,31.2,41.86,4
APC,2064,"Inj marstacim-hncq, 0.5 mg",,,63.1,84.64,4
APC,2065,"Flurpiridaz f18, diag, 1 mci",,,659.4,884.55,4
APC,2066,Inj bortezomib boruzu 0.1 mg,,,32.61,43.75,4
APC,2067,Afamitresgene autoleucel,,,958770.23,1286138.33,4
APC,2068,"Inj, aflibercept-ayyh, 1 mg",,,1081.27,1450.47,4
APC,2069,"Inj, testosterone, azmiro",,,1.65,2.21,4
APC,2070,"Inj, eculizumab, 2 mg",,,55.7,74.72,4
APC,2071,Inj ocrelizumab 1mg hya-ocsq,,,58.78,78.84,4
APC,2072,"Inj, erzofri, 1 mg",,,21.33,28.62,4
APC,2073,Inj atezolizumb 5mg hya-tqjs,,,39.36,52.8,4
APC,2075,Inj acetaminoph 10mg/ibu 3mg,,,0.27,0.36,4
APC,2076,"Inj, pemetrexed dipotassium",,,103.62,139.0,4
APC,2616,"Brachytx, non-str,Yttrium-90",,,21754.17,29182.04,4
APC,2632,Iodine I-125 sodium iodide,,,259.5,348.1,4
APC,2634,"Brachytx, non-str, HA, I-125",,,202.6,271.78,4
APC,2635,"Brachytx, non-str, HA, P-103",,,86.32,115.8,4
APC,2636,"Brachy linear, non-str,P-103",,,65.83,88.31,4
APC,2638,"Brachytx, stranded, I-125",,,46.08,61.82,4
APC,2639,"Brachytx, non-stranded,I-125",,,43.69,58.61,4
APC,2640,"Brachytx, stranded, P-103",,,86.71,116.32,4
APC,2641,"Brachytx, non-stranded,P-103",,,99.25,133.13,4
APC,2642,"Brachytx, stranded, C-131",,,134.19,180.01,4
APC,2643,"Brachytx, non-stranded,C-131",,,120.14,161.16,4
APC,2645,"Brachytx, non-str, Gold-198",,,1080.33,1449.21,4
APC,2646,"Brachytx, non-str, HDR Ir-192",,,425.99,571.44,4
APC,2647,"Brachytx, NS, Non-HDRIr-192",,,702.33,942.13,4
APC,2648,"Brachytx planar, p-103",,,5.84,7.83,4
APC,2698,"Brachytx, stranded, NOS",,,46.08,61.82,4
APC,2699,"Brachytx, non-stranded, NOS",,,43.69,58.61,4
APC,2731,"Immune globulin, powder",,,101.65,136.36,4
APC,2770,Quinupristin/dalfopristin,,,5.3,7.11,4
APC,4001,Echo guidance radiotherapy,,,173.37,232.56,4
APC,4002,Stereoscopic x-ray guidance,,,65.61,88.01,4
APC,4003,"Radiation treatment delivery, MeV <= 5; simple",,,180.52,242.16,4
APC,4004,"Radiation treatment delivery, 6-10 MeV; simple",,,146.33,196.29,4
APC,4005,"Radiation treatment delivery, 11-19 MeV; simple",,,146.33,196.29,4
APC,4006,"Radiation treatment delivery, MeV>=20; simple",,,145.53,195.22,4
APC,4007,"Radiation treatment delivery, MeV<=5; intermediate",,,259.64,348.3,4
APC,4008,"Radiation treatment delivery, 6-10 MeV; intermediate",,,201.6,270.44,4
APC,4009,"Radiation treatment delivery, 11-19 MeV; intermediate",,,203.19,272.56,4
APC,4010,"Radiation treatment delivery, MeV >=20; intermediate",,,199.99,268.28,4
APC,4011,"Radiation treatment delivery, MeV<=5; complex",,,265.6,356.29,4
APC,4012,"Radiation treatment delivery, 6-10 MeV; complex",,,266.0,356.83,4
APC,4013,"Radiation treatment delivery, 11-19 MeV; complex",,,267.21,358.45,4
APC,4014,"Radiation treatment delivery, MeV >=20; complex",,,265.6,356.29,4
APC,4015,Radiation tx delivery imrt,,,414.72,556.32,4
APC,4016,Delivery comp imrt,,,413.12,554.18,4
APC,5012,Clinic Visits and Related Services,,,160.33,215.07,4
APC,5021,Level 1 Type A ED Visits,,,109.55,146.96,4
APC,5022,Level 2 Type A ED Visits,,,197.02,264.29,4
APC,5023,Level 3 Type A ED Visits,,,344.49,462.12,4
APC,5024,Level 4 Type A ED Visits,,,529.78,710.68,4
APC,5025,Level 5 Type A ED Visits,,,762.79,1023.24,4
APC,5031,Level 1 Type B ED Visits,,,104.59,140.31,4
APC,5032,Level 2 Type B ED Visits,,,137.68,184.69,4
APC,5033,Level 3 Type B ED Visits,,,232.14,311.41,4
APC,5034,Level 4 Type B ED Visits,,,355.26,476.57,4
APC,5035,Level 5 Type B ED Visits,,,502.5,674.08,4
APC,5041,Critical Care,,,1048.34,1406.29,4
APC,5045,Trauma Response with Critical Care,,,1646.23,2208.33,4
APC,5051,Level 1 Skin Procedures,,,247.22,331.63,4
APC,5052,Level 2 Skin Procedures,,,497.08,666.8,4
APC,5053,Level 3 Skin Procedures,,,761.58,1021.62,4
APC,5054,Level 4 Skin Procedures,,,2275.85,3052.92,4
APC,5055,Level 5 Skin Procedures,,,4554.81,6110.03,4
APC,5061,Hyperbaric Oxygen,,,171.57,230.15,4
APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,875.37,1174.26,4
APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,2015.82,2704.12,4
APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,3560.83,4776.66,4
APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,4764.22,6390.94,4
APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,8113.7,10884.08,4
APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,11905.37,15970.41,4
APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,21646.24,29037.25,4
APC,5101,Level 1 Strapping and Cast Application,,,196.32,263.35,4
APC,5102,Level 2 Strapping and Cast Application,,,330.42,443.25,4
APC,5111,Level 1 Musculoskeletal Procedures,,,298.45,400.36,4
APC,5112,Level 2 Musculoskeletal Procedures,,,1991.16,2671.04,4
APC,5113,Level 3 Musculoskeletal Procedures,,,4036.8,5415.14,4
APC,5114,Level 4 Musculoskeletal Procedures,,,8887.9,11922.64,4
APC,5115,Level 5 Musculoskeletal Procedures,,,16008.31,21474.28,4
APC,5116,Level 6 Musculoskeletal Procedures,,,22880.05,30692.35,4
APC,5151,Level 1 Airway Endoscopy,,,241.54,324.01,4
APC,5152,Level 2 Airway Endoscopy,,,483.12,648.08,4
APC,5153,Level 3 Airway Endoscopy,,,2145.51,2878.09,4
APC,5154,Level 4 Airway Endoscopy,,,4587.14,6153.39,4
APC,5155,Level 5 Airway Endoscopy,,,8612.62,11553.36,4
APC,5161,Level 1 ENT Procedures,,,288.92,387.57,4
APC,5162,Level 2 ENT Procedures,,,633.59,849.93,4
APC,5163,Level 3 ENT Procedures,,,1842.95,2472.21,4
APC,5164,Level 4 ENT Procedures,,,4034.88,5412.57,4
APC,5165,Level 5 ENT Procedures,,,7359.99,9873.03,4
APC,5166,Cochlear Implant Procedure,,,39573.84,53086.16,4
APC,5181,Level 1 Vascular Procedures,,,769.21,1031.86,4
APC,5182,Level 2 Vascular Procedures,,,1932.72,2592.64,4
APC,5183,Level 3 Vascular Procedures,,,3915.97,5253.06,4
APC,5184,Level 4 Vascular Procedures,,,6725.53,9021.93,4
APC,5191,Level 1 Endovascular Procedures,,,4001.72,5368.09,4
APC,5192,Level 2 Endovascular Procedures,,,7093.57,9515.64,4
APC,5193,Level 3 Endovascular Procedures,,,14109.42,18927.02,4
APC,5194,Level 4 Endovascular Procedures,,,22340.93,29969.15,4
APC,5200,Implantation Wireless PA Pressure Monitor,,,35369.23,47445.9,4
APC,5211,Level 1 Electrophysiologic Procedures,,,1510.39,2026.11,4
APC,5212,Level 2 Electrophysiologic Procedures,,,9440.77,12664.28,4
APC,5213,Level 3 Electrophysiologic Procedures,,,30521.97,40943.57,4
APC,5221,Level 1 Pacemaker and Similar Procedures,,,4527.85,6073.87,4
APC,5222,Level 2 Pacemaker and Similar Procedures,,,10296.6,13812.33,4
APC,5223,Level 3 Pacemaker and Similar Procedures,,,13020.48,17466.27,4
APC,5224,Level 4 Pacemaker and Similar Procedures,,,23727.47,31829.12,4
APC,5231,Level 1 ICD and Similar Procedures,,,27926.53,37461.92,4
APC,5232,Level 2 ICD and Similar Procedures,,,39889.55,53509.67,4
APC,5241,Level 1 Blood Product Exchange and Related Services,,,543.92,729.63,4
APC,5242,Level 2 Blood Product Exchange and Related Services,,,2039.52,2735.91,4
APC,5243,Level 3 Blood Product Exchange and Related Services,,,5829.08,7819.39,4
APC,5244,Level 4 Blood Product Exchange and Related Services,,,73582.19,98706.52,4
APC,5301,Level 1 Upper GI Procedures,,,1166.47,1564.75,4
APC,5302,Level 2 Upper GI Procedures,,,2360.15,3166.01,4
APC,5303,Level 3 Upper GI Procedures,,,4733.42,6349.63,4
APC,5311,Level 1 Lower GI Procedures,,,1134.31,1521.61,4
APC,5312,Level 2 Lower GI Procedures,,,1466.96,1967.85,4
APC,5313,Level 3 Lower GI Procedures,,,3411.96,4576.96,4
APC,5331,Complex GI Procedures,,,7406.21,9935.03,4
APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,4390.69,5889.88,4
APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,7763.22,10413.93,4
APC,5361,Level 1 Laparoscopy and Related Services,,,7258.85,9737.35,4
APC,5362,Level 2 Laparoscopy and Related Services,,,12953.17,17375.97,4
APC,5371,Level 1 Urology and Related Services,,,302.59,405.91,4
APC,5372,Level 2 Urology and Related Services,,,830.43,1113.98,4
APC,5373,Level 3 Urology and Related Services,,,2548.66,3418.89,4
APC,5374,Level 4 Urology and Related Services,,,4291.05,5756.21,4
APC,5375,Level 5 Urology and Related Services,,,6324.81,8484.39,4
APC,5376,Level 6 Urology and Related Services,,,11504.88,15433.17,4
APC,5377,Level 7 Urology and Related Services,,,16164.58,21683.91,4
APC,5378,Level 8 Urology and Related Services,,,25043.04,33593.88,4
APC,5401,Dialysis,,,870.56,1167.81,4
APC,5411,Level 1 Gynecologic Procedures,,,250.29,335.75,4
APC,5412,Level 2 Gynecologic Procedures,,,378.46,507.68,4
APC,5413,Level 3 Gynecologic Procedures,,,1083.34,1453.24,4
APC,5414,Level 4 Gynecologic Procedures,,,3955.82,5306.52,4
APC,5415,Level 5 Gynecologic Procedures,,,6141.7,8238.76,4
APC,5416,Level 6 Gynecologic Procedures,,,9200.29,12341.69,4
APC,5431,Level 1 Nerve Procedures,,,2429.55,3259.11,4
APC,5432,Level 2 Nerve Procedures,,,7967.66,10688.18,4
APC,5441,Level 1 Nerve Injections,,,367.27,492.67,4
APC,5442,Level 2 Nerve Injections,,,861.6,1155.8,4
APC,5443,Level 3 Nerve Injections,,,1107.66,1485.86,4
APC,5461,Level 1 Neurostimulator and Related Procedures,,,4278.66,5739.59,4
APC,5462,Level 2 Neurostimulator and Related Procedures,,,8165.26,10953.26,4
APC,5463,Level 3 Neurostimulator and Related Procedures,,,15514.99,20812.52,4
APC,5464,Level 4 Neurostimulator and Related Procedures,,,26680.13,35789.95,4
APC,5465,Level 5 Neurostimulator and Related Procedures,,,37913.84,50859.37,4
APC,5471,Implantation of Drug Infusion Device,,,21989.33,29497.49,4
APC,5481,Laser Eye Procedures,,,682.55,915.6,4
APC,5491,Level 1 Intraocular Procedures,,,2837.58,3806.46,4
APC,5492,Level 2 Intraocular Procedures,,,5005.06,6714.01,4
APC,5493,Level 3 Intraocular Procedures,,,6419.48,8611.38,4
APC,5494,Level 4 Intraocular Procedures,,,17778.1,23848.36,4
APC,5495,Level 5 Intraocular Procedures,,,19116.22,25643.37,4
APC,5496,Level 6 Intraocular Procedures,,,20424.59,27398.48,4
APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,371.92,498.9,4
APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,1205.01,1616.45,4
APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,2902.56,3893.62,4
APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,4691.71,6293.67,4
APC,5521,Level 1 Imaging without Contrast,,,109.54,146.94,4
APC,5522,Level 2 Imaging without Contrast,,,132.31,177.48,4
APC,5523,Level 3 Imaging without Contrast,,,300.74,403.42,4
APC,5524,Level 4 Imaging without Contrast,,,682.17,915.09,4
APC,5571,Level 1 Imaging with Contrast,,,221.48,297.1,4
APC,5572,Level 2 Imaging with Contrast,,,444.33,596.04,4
APC,5573,Level 3 Imaging with Contrast,,,982.95,1318.57,4
APC,5591,Level 1 Nuclear Medicine and Related Services,,,499.94,670.64,4
APC,5592,Level 2 Nuclear Medicine and Related Services,,,669.69,898.35,4
APC,5593,Level 3 Nuclear Medicine and Related Services,,,1624.22,2178.8,4
APC,5594,Level 4 Nuclear Medicine and Related Services,,,1814.71,2434.34,4
APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,165.19,221.59,4
APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,455.45,610.97,4
APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,1702.33,2283.58,4
APC,5621,Level 1 Radiation Therapy,,,136.23,182.75,4
APC,5622,Level 2 Radiation Therapy,,,327.18,438.9,4
APC,5623,Level 3 Radiation Therapy,,,719.71,965.45,4
APC,5624,Level 4 Radiation Therapy,,,863.2,1157.94,4
APC,5625,Level 5 Radiation Therapy,,,1586.93,2128.78,4
APC,5626,Level 6 Radiation Therapy,,,2184.62,2930.55,4
APC,5627,Level 7 Radiation Therapy,,,9510.93,12758.4,4
APC,5661,Therapeutic Nuclear Medicine,,,278.85,374.06,4
APC,5671,Level 1 Pathology,,,66.48,89.17,4
APC,5672,Level 2 Pathology,,,213.2,286.0,4
APC,5673,Level 3 Pathology,,,447.54,600.35,4
APC,5674,Level 4 Pathology,,,1016.35,1363.38,4
APC,5691,Level 1 Drug Administration,,,57.4,77.0,4
APC,5692,Level 2 Drug Administration,,,88.55,118.79,4
APC,5693,Level 3 Drug Administration,,,262.13,351.63,4
APC,5694,Level 4 Drug Administration,,,412.67,553.58,4
APC,5721,Level 1 Diagnostic Tests and Related Services,,,194.66,261.12,4
APC,5722,Level 2 Diagnostic Tests and Related Services,,,387.42,519.71,4
APC,5723,Level 3 Diagnostic Tests and Related Services,,,660.15,885.55,4
APC,5724,Level 4 Diagnostic Tests and Related Services,,,1265.79,1697.99,4
APC,5731,Level 1 Minor Procedures,,,30.48,40.88,4
APC,5732,Level 2 Minor Procedures,,,48.84,65.51,4
APC,5733,Level 3 Minor Procedures,,,73.9,99.13,4
APC,5734,Level 4 Minor Procedures,,,160.37,215.13,4
APC,5735,Level 5 Minor Procedures,,,496.47,665.98,4
APC,5741,Level 1 Electronic Analysis of Devices,,,46.4,62.24,4
APC,5742,Level 2 Electronic Analysis of Devices,,,114.2,153.2,4
APC,5743,Level 3 Electronic Analysis of Devices,,,373.14,500.54,4
APC,5771,Cardiac Rehabilitation,,,156.65,210.13,4
APC,5781,Resuscitation and Cardioversion,,,814.16,1092.15,4
APC,5791,Pulmonary Treatment,,,253.05,339.46,4
APC,5801,Ventilation Initiation and Management,,,822.51,1103.35,4
APC,5811,Manipulation Therapy,,,31.47,42.22,4
APC,5821,Level 1 Health and Behavior Services,,,37.07,49.72,4
APC,5822,Level 2 Health and Behavior Services,,,115.09,154.39,4
APC,5823,Level 3 Health and Behavior Services,,,199.9,268.16,4
APC,5851,Intensive Outpatient (3 services) for CMHCs,,,138.4,185.65,4
APC,5852,Intensive Outpatient (4 or more services) for CMHCs,,,209.42,280.93,4
APC,5853,Partial Hospitalization (3 services) for CMHCs,,,138.4,185.65,4
APC,5854,Partial Hospitalization (4 or more services) for CMHCs,,,209.42,280.93,4
APC,5861,Intensive Outpatient (3 services) for Hospital-based IOPs,,,334.92,449.27,4
APC,5862,Intensive Outpatient (4 or more services) for Hospital-based IOPs,,,508.29,681.85,4
APC,5863,Partial Hospitalization (3 services) for Hospital-based PHPs,,,334.92,449.27,4
APC,5864,Partial Hospitalization (4 or more services) for Hospital-based PHPs,,,508.29,681.85,4
APC,5871,Dental Procedures,,,2068.57,2774.87,4
APC,5881,Ancillary Outpatient Services When Patient Dies,,,16812.0,22552.39,4
APC,7043,Infliximab not biosimil 10mg,,,38.79,52.04,4
APC,7046,Doxorubicin inj 10mg,,,135.97,182.39,4
APC,7048,Alteplase recombinant,,,117.14,157.14,4
APC,7308,Aminolevulinic acid hcl top,,,490.04,657.36,4
APC,8004,Ultrasound Composite,,,381.33,511.54,4
APC,8005,CT and CTA without Contrast Composite,,,279.38,374.77,4
APC,8006,CT and CTA with Contrast Composite,,,541.35,726.2,4
APC,8007,MRI and MRA without Contrast Composite,,,672.17,901.69,4
APC,8008,MRI and MRA with Contrast Composite,,,1063.54,1426.68,4
APC,8010,Mental Health Services Composite,,,508.29,681.85,4
APC,8011,Comprehensive Observation Services,,,3294.19,4418.97,4
APC,9002,Tenecteplase injection,,,213.92,286.96,4
APC,9003,Rsv mab im 50mg,,,895.63,1201.44,4
APC,9004,"Injection, inclisiran, 1 mg",,,15.37,20.61,4
APC,9005,Reteplase injection,,,3613.74,4847.64,4
APC,9006,Tacrolimus injection,,,326.25,437.65,4
APC,9008,"Inj tezepelumab-ekko, 1mg",,,22.77,30.54,4
APC,9009,"Inj, vutrisiran, 1 mg",,,6200.69,8317.88,4
APC,9010,Inj efgartigimod 2mg,,,40.31,54.07,4
APC,9012,Arsenic trioxide injection,,,7.29,9.77,4
APC,9013,Inj risankizumab-rzaa 1 mg,,,18.46,24.77,4
APC,9016,"Inj., triptorelin xr 3.75 mg",,,4694.01,6296.76,4
APC,9017,"Inj. byooviz, 0.1 mg",,,77.33,103.73,4
APC,9018,"Inj, rimabotulinumtoxinB",,,16.6,22.27,4
APC,9020,Argatroban nonesrd (accord),,,2.26,3.03,4
APC,9022,Argatroban nonesrd (auromed),,,1.8,2.42,4
APC,9024,Amphotericin b lipid complex,,,12.81,17.19,4
APC,9025,"Inj glucagon hcl, fresenius",,,180.26,241.8,4
APC,9026,"Inj, bortezomib, dr. reddy’s",,,6.11,8.19,4
APC,9027,"Inj, bortezomib freseniuskab",,,20.53,27.54,4
APC,9028,Inj inotuzumab ozogam 0.1 mg,,,3356.79,4502.96,4
APC,9029,"Inj., guselkumab, 1 mg",,,93.14,124.94,4
APC,9032,Baclofen 10 MG injection,,,218.75,293.44,4
APC,9033,Cidofovir injection,,,658.62,883.51,4
APC,9034,"Inj cuvitru, 100 mg",,,21.88,29.35,4
APC,9035,Axicabtagene ciloleucel car+,,,663229.42,889686.34,4
APC,9036,"Injection, renflexis",,,31.17,41.81,4
APC,9038,Inj estrogen conjugate,,,486.14,652.14,4
APC,9042,Glucagon hydrochloride,,,243.59,326.77,4
APC,9043,"Inj, afstyla, 1 i.u.",,,1.96,2.64,4
APC,9044,Ibutilide fumarate injection,,,272.54,365.6,4
APC,9045,Idursulfase injection,,,694.93,932.22,4
APC,9046,"Inj., fibryga, 1 mg",,,1.5,2.02,4
APC,9048,"Inj, alymsys, 10 mg",,,53.0,71.1,4
APC,9049,"Inj, oliceridine 0.1 mg",,,1.62,2.17,4
APC,9050,"Leuprolide inj, camcevi, 1mg",,,63.96,85.79,4
APC,9051,"Inj, lanreotide, (cipla) 1mg",,,30.42,40.81,4
APC,9052,Fluciclovine f-18,,,333.96,447.98,4
APC,9053,Fluorodopa f-18 diag per mci,,,620.37,832.19,4
APC,9054,Lutetium lu 177 vipivotide,,,314.99,422.55,4
APC,9055,Gallium locametz 1 millicuri,,,1086.69,1457.74,4
APC,9056,Gallium Ga-68,,,63.56,85.27,4
APC,9057,Inj nivol relatlimab 3mg/1mg,,,245.91,329.87,4
APC,9059,Vonvendi inj 1 iu vwf:rco,,,2.3,3.08,4
APC,9067,Lutetium lu 177 dotatat ther,,,389.03,521.86,4
APC,9068,Smallpox&monkeypox vac 0.5ml,,,0.01,0.02,4
APC,9070,Inj luxturna 1 billion vec g,,,3935.45,5279.19,4
APC,9071,Capsaicin 8% patch,,,4.21,5.64,4
APC,9073,Buprenorph xr 100 mg or less,,,2459.14,3298.8,4
APC,9075,"Inj, kovaltry, 1 i.u.",,,1.97,2.64,4
APC,9077,Epoetin beta non esrd,,,1.76,2.36,4
APC,9078,Testosterone undecanoate 1mg,,,2.48,3.33,4
APC,9079,"Genvisc 850, inj, 1mg",,,7.49,10.05,4
APC,9080,Fludarabine phosphate inj,,,89.14,119.58,4
APC,9087,"Inj, clevidipine, 1 mg",,,3.58,4.81,4
APC,9088,Peng benzathine/procaine inj,,,21.61,28.99,4
APC,9094,Radiesse injection,,,414.83,556.47,4
APC,9095,"Inj, sculptra, 0.5mg",,,1.24,1.67,4
APC,9096,Inj retacrit esrd on dialysi,,,0.94,1.26,4
APC,9097,Inj retacrit non-esrd use,,,9.41,12.63,4
APC,9099,"Inj fosnetupitant, palonoset",,,754.4,1011.98,4
APC,9101,Vaccinia vrs vac 0.3 ml perq,,,0.01,0.02,4
APC,9102,"Inj, fulvestrant (teva)",,,57.49,77.12,4
APC,9103,"Inj, fulvestrant (fresenius)",,,4.13,5.55,4
APC,9104,Antithymocyte globuln rabbit,,,1239.67,1662.94,4
APC,9105,Inj pemetrexed (teva) 10mg,,,4.72,6.33,4
APC,9106,"Inj, bupivacaine (posimir)",,,0.64,0.85,4
APC,9107,Outpatient Services,,,2.38,3.2,4
APC,9108,Thyrotropin injection,,,2629.19,3526.92,4
APC,9109,"Inj, elahere, 1 mg",,,86.49,116.03,4
APC,9110,"Inj, tremelimumab-actl, 1 mg",,,175.63,235.6,4
APC,9111,Inj teclistamab cqyv 0.5 mg,,,41.39,55.52,4
APC,9112,Inj teplizumab mzwv 5 mcg,,,46.84,62.84,4
APC,9113,Inj olipudase alfa-rpcp 1mg,,,489.98,657.28,4
APC,9114,Inj eflapegrastim-xnst 0.1mg,,,26.27,35.24,4
APC,9115,"Inj, spesolimab-sbzo, 1 mg",,,81.78,109.7,4
APC,9116,Outpatient Services,,,0.75,1.0,4
APC,9117,"Inj, cimerli, 0.1 mg",,,107.64,144.39,4
APC,9118,"Inj, fylnetra, 0.5 mg",,,185.64,249.03,4
APC,9119,"Inj, pedmark, 100 mg",,,118.37,158.78,4
APC,9120,"Injection, Fulvestrant",,,8.68,11.64,4
APC,9122,Triptorelin pamoate,,,612.0,820.96,4
APC,9123,"Inj pemetrexed, hospira 10mg",,,6.13,8.22,4
APC,9125,"Risperidone, long acting",,,13.61,18.26,4
APC,9126,Natalizumab injection,,,30.02,40.26,4
APC,9127,Inj pemetrexed (accord) 10mg,,,12.11,16.25,4
APC,9129,"Inj, stimufend, 0.5 mg",,,285.05,382.38,4
APC,9131,"Inj, Ado-trastuzumab Emt 1mg",,,52.07,69.85,4
APC,9132,Prothrombin complex kcentra,,,2.66,3.57,4
APC,9133,"Rabies ig, im/sc",,,331.49,444.67,4
APC,9134,"Rabies ig, heat treated",,,432.12,579.67,4
APC,9135,"Varicella-zoster ig, im",,,2936.07,3938.58,4
APC,9136,Inj leu acet lutr dpt 7.5 mg,,,274.64,368.41,4
APC,9138,"Inj, hemgenix, per tx dose",,,4585040.59,6150583.56,4
APC,9139,"Rabies vaccine, im",,,388.21,520.77,4
APC,9140,"Rabies vaccine, id",,,329.04,441.39,4
APC,9141,Inj onase abepar-xioi treat,,,3050810.31,4092496.76,4
APC,9142,Fecal microbiota jslm 1 ml,,,79.66,106.86,4
APC,9144,"Inj, panzyga, 500 mg",,,92.64,124.27,4
APC,9145,"Inj, invega hafyera/trinza",,,16.12,21.62,4
APC,9146,"Inj, ixinity, 1 i.u.",,,2.38,3.19,4
APC,9149,"Inj ublituximab-xiiy, 1 mg",,,89.46,120.01,4
APC,9150,"Inj mosunetuzumab-axgb, 1 mg",,,812.12,1089.41,4
APC,9154,"Inj, vivimusta, 1 mg",,,34.91,46.83,4
APC,9155,Inj lenacapavir (hiv tx) 1mg,,,27.4,36.76,4
APC,9156,Outpatient Services,,,12.87,17.26,4
APC,9157,"Lecanemab-irmb, for iv inj",,,1.65,2.21,4
APC,9158,"Inj, pegcetacoplan, 1mg",,,176.56,236.84,4
APC,9159,"Inj, vegzelma, 10 mg",,,54.27,72.8,4
APC,9166,"Inj, fosaprepitant (teva)",,,1.41,1.89,4
APC,9171,Factor ix idelvion inj,,,6.65,8.92,4
APC,9173,"Injection, fulphila",,,129.03,173.08,4
APC,9174,"Inj, durolane 1 mg",,,8.32,11.16,4
APC,9178,"Inj., meropenem, vaborbactam",,,2.71,3.64,4
APC,9179,"Inj., aristada initio, 1 mg",,,4.05,5.43,4
APC,9180,"Inj., patisiran, 0.1 mg",,,124.19,166.6,4
APC,9181,"Inj., perseris, 0.5 mg",,,15.1,20.26,4
APC,9182,"Inj mogamulizumab-kpkc, 1 mg",,,309.17,414.73,4
APC,9183,"Inj., plazomicin, 5 mg",,,4.45,5.96,4
APC,9186,"Inj., rituximab, 10 mg",,,94.47,126.73,4
APC,9187,"Injection, burosumab-twza 1m",,,599.14,803.72,4
APC,9188,Outpatient Services,,,1299.07,1742.63,4
APC,9189,"Inj., ibalizumab-uiyk, 10 mg",,,98.77,132.49,4
APC,9193,Nivestym,,,0.36,0.48,4
APC,9194,Tisagenlecleucel car-pos t,,,719525.05,965203.87,4
APC,9195,"Injection, udenyca 0.5 mg",,,169.26,227.05,4
APC,9196,"Inj, trivisc 1 mg",,,6.77,9.09,4
APC,9198,"Inj andexxa, 10 mg",,,163.68,219.56,4
APC,9200,"Inj, remdesivir, 1 mg",,,8.37,11.23,4
APC,9201,Rabies ig ht&sol human im/sc,,,294.99,395.71,4
APC,9202,"Difelikefalin, esrd on dialy",,,0.1,0.13,4
APC,9203,Inj cyclophosphamd auromedic,,,0.98,1.31,4
APC,9204,"Inj tisotu vedotin-tftv, 1mg",,,234.71,314.85,4
APC,9205,Inj lon tesirin-lpyl 0.075mg,,,269.66,361.74,4
APC,9206,Inj plasminogen tvmh 1mg,,,40.19,53.92,4
APC,9208,Agalsidase beta injection,,,286.48,384.3,4
APC,9209,Laronidase injection,,,49.62,66.56,4
APC,9213,Inj. pemetrexed nos 10mg,,,4.65,6.23,4
APC,9214,Bevacizumab injection,,,90.88,121.92,4
APC,9215,Cetuximab injection,,,97.62,130.96,4
APC,9217,Leuprolide acetate suspnsion,,,193.37,259.39,4
APC,9219,Procainamide hcl injection,,,241.76,324.31,4
APC,9225,Fluocinolone acetonide implt,,,422.72,567.05,4
APC,9230,Abatacept injection,,,55.36,74.26,4
APC,9233,Ranibizumab injection,,,113.36,152.06,4
APC,9235,Panitumumab injection,,,214.68,287.98,4
APC,9237,"Inj, lanreotide acetate",,,45.61,61.18,4
APC,9239,Buprenorphine xr over 100 mg,,,2459.14,3298.8,4
APC,9240,"Injection, ixabepilone",,,172.53,231.44,4
APC,9241,Inj sirolimus prot part 1 mg,,,105.17,141.08,4
APC,9243,"Inj, bendamustine hcl, 1mg",,,2.3,3.09,4
APC,9246,"Inj, abilify asimtufii, 1 mg",,,7.51,10.07,4
APC,9247,"Inj, amisulpride, 1 mg",,,12.02,16.12,4
APC,9250,Inj epcoritamab-bysp 0.16 mg,,,69.25,92.89,4
APC,9251,C1 esterase inhibitor inj,,,81.77,109.69,4
APC,9252,Plerixafor injection,,,148.64,199.39,4
APC,9253,Temozolomide injection,,,12.93,17.35,4
APC,9254,Flotufolastat f18 diag 1 mci,,,835.1,1120.24,4
APC,9255,"Inj, invega sustenna, 1 mg",,,18.77,25.17,4
APC,9256,Dexamethasone intra implant,,,255.39,342.6,4
APC,9257,"Inj., emicizumab-kxwh 0.5 mg",,,71.46,95.85,4
APC,9258,Telavancin injection,,,9.29,12.46,4
APC,9259,Pralatrexate injection,,,483.76,648.94,4
APC,9260,Ofatumumab injection,,,77.43,103.87,4
APC,9261,"Ustekinumab sub cu inj, 1 mg",,,196.18,263.16,4
APC,9262,Inj tofersen intrathec 1 mg,,,193.27,259.26,4
APC,9263,Ecallantide injection,,,721.59,967.98,4
APC,9264,Tocilizumab injection,,,7.2,9.66,4
APC,9266,"Inj, uzedy, 1 mg",,,31.2,41.85,4
APC,9267,"Inj, rezafungin, 1 mg",,,13.21,17.72,4
APC,9269,"C-1 esterase, berinert",,,94.39,126.61,4
APC,9270,Gammaplex IVIG,,,77.72,104.25,4
APC,9271,Velaglucerase alfa,,,473.01,634.51,4
APC,9272,"Inj, denosumab",,,36.38,48.8,4
APC,9273,Sipuleucel-T auto CD54+,,,69605.42,93371.9,4
APC,9274,Crotalidae Poly Immune Fab,,,2315.54,3106.17,4
APC,9276,Cabazitaxel injection,,,282.55,379.02,4
APC,9277,Altuviiio per factor viii iu,,,5.81,7.8,4
APC,9278,Incobotulinumtoxin A,,,6.6,8.86,4
APC,9280,"Inj, retifanlimab-dlwr, 1 mg",,,37.3,50.04,4
APC,9281,"Injection, pegloticase",,,4527.31,6073.14,4
APC,9284,Ipilimumab injection,,,228.2,306.11,4
APC,9285,Inj allopurinol sodium 1 mg,,,5.65,7.58,4
APC,9286,Belatacept injection,,,4.84,6.49,4
APC,9287,Brentuximab vedotin inj,,,321.63,431.45,4
APC,9294,"Inj, taliglucerase alfa 10 u",,,51.09,68.53,4
APC,9295,"Injection, Carfilzomib, 1 mg",,,68.54,91.94,4
APC,9296,"Inj, ziv-aflibercept, 1mg",,,9.93,13.32,4
APC,9299,Inj. jivi 1 iu,,,3.3,4.42,4
APC,9300,Omalizumab injection,,,50.47,67.7,4
APC,9301,"Aminolevulinic acid, 10% gel",,,2.25,3.02,4
APC,9302,"Inj daunorubicin, cytarabine",,,317.37,425.74,4
APC,9304,"Inj., cemiplimab-rwlc, 1 mg",,,35.7,47.89,4
APC,9305,"Inj., lumoxiti, 0.01 mg",,,29.11,39.04,4
APC,9306,"Inj., tildrakizumab, 1 mg",,,157.06,210.69,4
APC,9308,Dexametha opth insert 0.1 mg,,,126.26,169.38,4
APC,9309,Inj. tagraxofusp-erzs 10 mcg,,,433.73,581.83,4
APC,9310,"Inj., emapalumab-lzsg, 1 mg",,,474.82,636.94,4
APC,9311,"Inj., omadacycline, 1 mg",,,4.99,6.69,4
APC,9312,"Inj., ravulizumab-cwvz 10 mg",,,280.17,375.84,4
APC,9313,Inj. belrapzo/bendamustine,,,14.92,20.02,4
APC,9314,"Inj. herceptin hylecta, 10mg",,,78.35,105.1,4
APC,9319,Somatropin injection,,,60.86,81.65,4
APC,9320,Carbidopa levodopa ent 100ml,,,302.51,405.81,4
APC,9323,Gallium ga-68 dotatoc,,,5.04,6.76,4
APC,9324,Phenylep ketorolac opth soln,,,121.2,162.58,4
APC,9327,Inj. romosozumab-aqqg 1 mg,,,14.93,20.03,4
APC,9328,"Inj., yutiq, 0.01 mg",,,662.61,888.86,4
APC,9329,Inj mvasi 10 mg,,,35.89,48.15,4
APC,9330,"Inj., kanjinti, 10 mg",,,53.84,72.22,4
APC,9331,"Inj, polatuzumab vedotin 1mg",,,169.49,227.36,4
APC,9335,Oral busulfan,,,104.77,140.54,4
APC,9336,Inj truxima 10 mg,,,38.79,52.04,4
APC,9338,"Inj., triluron, 1 mg",,,12.65,16.96,4
APC,9340,"Inj, brolucizumab-dbll, 1 mg",,,430.72,577.79,4
APC,9341,Inj  ogivri 10 mg,,,55.48,74.42,4
APC,9343,Inj givosiran 0.5 mg,,,145.8,195.59,4
APC,9345,Inj pegfilgrastim-bmez 0.5mg,,,34.82,46.71,4
APC,9346,Mometasone sinus sinuva,,,14.11,18.93,4
APC,9347,Inj luspatercept-aamt 0.25mg,,,52.21,70.03,4
APC,9348,"Inj., zirabev, 10 mg",,,29.77,39.94,4
APC,9349,Inj herzuma 10 mg,,,96.41,129.33,4
APC,9350,"Inj., trazimera, 10 mg",,,35.6,47.76,4
APC,9351,Inj bimatoprost itc imp 1mcg,,,264.21,354.43,4
APC,9353,Inj fam-trastu deru-nxki 1mg,,,37.33,50.07,4
APC,9354,Inj recombin esperoct per iu,,,2.81,3.77,4
APC,9355,Inj. teprotumumab-trbw 10 mg,,,446.76,599.31,4
APC,9357,Inj. eptinezumab-jjmr 1 mg,,,24.69,33.12,4
APC,9358,Inj xipere 1 mg,,,59.72,80.11,4
APC,9359,Inj crizanlizumab-tmca 5mg,,,161.21,216.26,4
APC,9361,Inj. cetirizine hcl 0.5mg,,,20.4,27.37,4
APC,9362,Inj imip 4 cilas 4 releb 2mg,,,3.25,4.36,4
APC,9364,Inj enfort vedo-ejfv 0.25mg,,,45.61,61.19,4
APC,9366,Fiasp for insulin pump use,,,9.66,12.95,4
APC,9367,"Inj ruxience, 10 mg",,,32.97,44.23,4
APC,9370,Fluoroestradiol f 18,,,620.42,832.26,4
APC,9372,"Inj. xembify, 100 mg",,,18.55,24.89,4
APC,9374,Mitomycin instillation,,,394.92,529.76,4
APC,9375,"Inj., evomela, 1 mg",,,21.61,28.99,4
APC,9376,Sacituzumab govitecan-hziy,,,45.11,60.51,4
APC,9377,Inj. isatuximab-irfc 10 mg,,,103.09,138.29,4
APC,9378,"Daratumumab, hyaluronidase",,,68.01,91.24,4
APC,9381,"Inj. avsola, 10 mg",,,25.99,34.86,4
APC,9382,Inj ontruzant 10 mg,,,27.35,36.69,4
APC,9383,Copper cu 64 dotatate diag,,,740.4,993.2,4
APC,9385,"Inj., tafasitamab-cxix",,,17.51,23.49,4
APC,9388,Inj. fe derisomaltose 10 mg,,,23.58,31.63,4
APC,9389,"Inj. lurbinectedin, 0.1 mg",,,256.45,344.02,4
APC,9390,"Pertuzu, trastuzu, 10 mg",,,78.86,105.79,4
APC,9391,Brexucabtagene car pos t,,,609287.27,817325.87,4
APC,9392,Inj. asceniv,,,617.73,828.65,4
APC,9394,"Inj. inebilizumab-cdon, 1 mg",,,615.15,825.19,4
APC,9396,"Afamelanotide implant, 1 mg",,,3662.07,4912.47,4
APC,9398,Covid-19 Vaccine Administration,,,51.65,69.29,4
APC,9399,"Pneumococcal, Influenza, Hepatitis B, and/or Covid-19 Vaccine Home Administration",,,45.85,61.51,4
APC,9406,"Inj, nyvepria",,,164.28,220.37,4
APC,9407,"Inj. lumasiran, 0.5 mg",,,409.46,549.26,4
APC,9408,"Inj. naxitamab-gqgk, 1 mg",,,853.37,1144.75,4
APC,9409,Gallium ga-68 psma-11 ucsf,,,665.51,892.75,4
APC,9410,"Gallium ga-68 psma-11, ucla",,,463.04,621.14,4
APC,9411,"Inj. riabni, 10 mg",,,37.22,49.93,4
APC,9413,lisocabtagene car pos t,,,673878.36,903971.32,4
APC,9414,"Inj, cabote rilpivir 2mg 3mg",,,29.4,39.44,4
APC,9415,"Injection, trilaciclib, 1mg",,,6.71,9.0,4
APC,9416,"Inj, evinacumab-dgnb, 5 mg",,,236.08,316.69,4
APC,9418,"Inj. margetuximab-cmkb, 5 mg",,,62.77,84.2,4
APC,9419,Inj fensolvi 0.25 mg,,,174.71,234.37,4
APC,9421,"Inj, granisetron, xr, 0.1 mg",,,6.17,8.28,4
APC,9422,Idecabtagene vicleucel car,,,673411.54,903345.11,4
APC,9426,"Inj, cefiderocol, 10 mg",,,2.99,4.01,4
APC,9427,"Injection, oritavancin 10 mg",,,51.51,69.1,4
APC,9428,Inj romidepsin non-lyo 0.1mg,,,35.48,47.59,4
APC,9429,Inj romidepsin lyophil 0.1mg,,,38.66,51.86,4
APC,9430,"Piflu f-18, dia 1 millicurie",,,413.61,554.83,4
APC,9431,"Inj, dostarlimab-gxly, 10 mg",,,303.35,406.93,4
APC,9432,"Inj, amivantamab-vmjw",,,27.63,37.06,4
APC,9433,Inj aval alfa-nqpt 4mg,,,100.47,134.77,4
APC,9434,Inj anifrolumab-fnia 1mg,,,22.52,30.21,4
APC,9436,Inj pegfilgrast ex bio 0.5mg,,,72.66,97.47,4
APC,9437,"Inj, aspara, rylaze, 0.1 mg",,,68.8,92.29,4
APC,9438,"Injection, aducanumab-avwa, 2 mg",,,7.44,9.98,4
APC,9439,"Inj, susvimo 0.1 mg",,,97.58,130.9,4
APC,9440,"Instill, bupivac and meloxic",,,1.0,1.35,4
APC,9441,Inj Ferric Carboxymaltos 1mg,,,1.42,1.91,4
APC,9442,"Inj. pemetrexed, 10 mg",,,65.62,88.02,4
APC,9443,Gallium illuccix 1 millicure,,,1211.36,1624.97,4
APC,9444,"Inj, sutimlimab-jome, 10 mg",,,22.53,30.22,4
APC,9445,"Injection, ruconest",,,45.71,61.31,4
APC,9446,"Inj, tebentafusp-tebn, 1 mcg",,,270.09,362.31,4
APC,9447,"Inj, releuko 1 mcg",,,0.51,0.68,4
APC,9448,"Oral netupitant, palonosetro",,,509.51,683.48,4
APC,9449,"Injection, blinatumomab",,,203.05,272.39,4
APC,9450,Fluocinol acet intravit imp,,,619.33,830.8,4
APC,9451,"Injection, peramivir",,,2.09,2.8,4
APC,9452,Inj ceftolozane tazobactam,,,11.36,15.23,4
APC,9453,"Injection, nivolumab",,,41.06,55.08,4
APC,9454,"Inj, pasireotide long acting",,,701.44,940.95,4
APC,9455,"Injection, siltuximab",,,201.5,270.3,4
APC,9456,"Injection, isavuconazonium",,,1.26,1.69,4
APC,9458,florbetaben f18 diagnostic,,,1584.75,2125.86,4
APC,9459,Flutemetamol f18 diagnostic,,,2322.32,3115.26,4
APC,9460,"Injection, cangrelor",,,24.64,33.06,4
APC,9461,Choline c-11,,,2566.62,3442.98,4
APC,9463,"Inj., aprepitant, 1 mg",,,2.21,2.96,4
APC,9466,"Inj., benralizumab, 1 mg",,,209.18,280.6,4
APC,9467,"Inj rituximab, hyaluronidase",,,45.99,61.69,4
APC,9468,Factor ix recomb gly rebinyn,,,5.7,7.64,4
APC,9469,Inj triamcinolone ace xr 1mg,,,22.66,30.39,4
APC,9470,Aripirazole lauroxil 1 mg,,,4.15,5.56,4
APC,9471,"Hyaluronan, hymo or hymo one",,,21.7,29.11,4
APC,9472,Inj talimogene laherparepvec,,,91.5,122.75,4
APC,9473,"Injection, mepolizumab, 1mg",,,38.97,52.28,4
APC,9474,Inj irinotecan liposome 1 mg,,,81.19,108.91,4
APC,9475,"Injection, necitumumab, 1 mg",,,7.13,9.56,4
APC,9476,"Injection, daratumumab 10 mg",,,86.89,116.55,4
APC,9477,"Injection, elotuzumab, 1mg",,,9.8,13.15,4
APC,9478,Inj sebelipase alfa 1 mg,,,671.46,900.73,4
APC,9480,Injection trabectedin 0.1mg,,,476.59,639.33,4
APC,9481,"Injection, reslizumab",,,13.16,17.65,4
APC,9482,Outpatient Services,,,31.16,41.8,4
APC,9483,"Inj, atezolizumab,10 mg",,,113.24,151.91,4
APC,9487,"Ustekinumab, iv inject,1 mg",,,16.53,22.18,4
APC,9489,"Inj, nusinersen, 0.1mg",,,1551.38,2081.09,4
APC,9490,"Inj, bezlotoxumab, 10 mg",,,49.55,66.47,4
APC,9491,"Injection, avelumab, 10 mg",,,124.79,167.4,4
APC,9492,"Inj., durvalumab, 10 mg",,,106.06,142.28,4
APC,9493,"Injection, edaravone, 1 mg",,,23.44,31.44,4
APC,9494,"Injection, ocrelizumab",,,74.28,99.64,4
APC,9495,Gemtuzumab ozogamicin inj,,,294.39,394.9,4
APC,9496,"Inj, faricimab-svoa, 0.1mg",,,42.9,57.54,4
APC,9498,Ciltacabtagene car-pos t,,,688488.68,923570.27,4
APC,9500,"Platelets, irradiated",,,168.93,226.61,4
APC,9501,Platelet pheres leukoreduced,,,606.03,812.96,4
APC,9502,Platelet pheresis irradiated,,,731.13,980.77,4
APC,9503,Fr frz plasma donor retested,,,60.87,81.66,4
APC,9504,RBC deglycerolized,,,813.36,1091.07,4
APC,9505,RBC irradiated,,,185.65,249.04,4
APC,9507,"Platelets, pheresis",,,494.09,662.8,4
APC,9508,Plasma 1 donor frz w/in 8 hr,,,104.87,140.68,4
APC,9509,"Frozen plasma, pooled, sd",,,77.52,104.0,4
APC,9510,Whole blood for transfusion,,,280.08,375.71,4
APC,9511,Cryoprecipitate each unit,,,79.09,106.09,4
APC,9512,RBC leukocytes reduced,,,226.44,303.76,4
APC,9513,"Plasma, frz between 8-24hour",,,88.45,118.65,4
APC,9514,"Plasma protein fract,5%,50ml",,,10.04,13.47,4
APC,9515,"Platelets, each unit",,,94.51,126.78,4
APC,9516,Plaelet rich plasma unit,,,693.4,930.15,4
APC,9517,Red blood cells unit,,,179.56,240.87,4
APC,9518,Washed red blood cells unit,,,493.77,662.37,4
APC,9519,"Plasmaprotein fract,5%,250ml",,,91.71,123.03,4
APC,9520,Blood split unit,,,176.42,236.65,4
APC,9521,Platelets leukoreduced irrad,,,255.54,342.79,4
APC,9522,RBC leukoreduced irradiated,,,318.25,426.92,4
APC,9523,Cryoprecipitatereducedplasma,,,183.26,245.84,4
APC,9524,"Blood, l/r, cmv-neg",,,214.25,287.4,4
APC,9525,"Platelets, hla-m, l/r, unit",,,967.32,1297.61,4
APC,9526,Platelets leukocytes reduced,,,156.48,209.91,4
APC,9527,"Blood, l/r, froz/degly/wash",,,301.63,404.63,4
APC,9528,"Plt, aph/pher, l/r, cmv-neg",,,282.73,379.27,4
APC,9529,"Blood, l/r, irradiated",,,104.72,140.47,4
APC,9530,Plate pheres leukoredu irrad,,,840.63,1127.65,4
APC,9531,"Plt, pher, l/r cmv-neg, irr",,,571.35,766.44,4
APC,9532,"RBC, frz/deg/wsh, l/r, irrad",,,603.88,810.07,4
APC,9533,"RBC, l/r, cmv-neg, irrad",,,277.27,371.95,4
APC,9534,Pathogen reduced plasma pool,,,69.8,93.64,4
APC,9535,Pathogen reduced plasma sing,,,363.95,488.22,4
APC,9536,Platelets pheresis path redu,,,730.66,980.14,4
APC,9537,Blood component/product noc,,,60.87,81.66,4
APC,9538,Plasma cryo redu path each,,,168.15,225.57,4
APC,9539,Cryo fib comp path redu each,,,390.38,523.67,4
APC,9540,Covid-19 convalescent plasma,,,529.54,710.35,4
APC,9541,Rbc o2 co2 reduced,,,606.03,812.96,4
APR-DRG,001-1,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,56047.25,128418.63,4
APR-DRG,001-2,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,63125.79,144637.39,4
APR-DRG,001-3,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,92585.23,232078.93,4
APR-DRG,001-4,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,121619.11,278660.59,4
APR-DRG,0011,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,154027.92,154027.92,1
APR-DRG,0012,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,187450.26,187450.26,1
APR-DRG,0013,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,232323.07,232323.07,1
APR-DRG,0014,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,420685.25,420685.25,1
APR-DRG,002-1,HEART AND/OR LUNG TRANSPLANT,,,83369.1,191020.0,4
APR-DRG,002-2,HEART AND/OR LUNG TRANSPLANT,,,97249.15,222822.75,4
APR-DRG,002-3,HEART AND/OR LUNG TRANSPLANT,,,131044.3,300256.12,4
APR-DRG,002-4,HEART AND/OR LUNG TRANSPLANT,,,274712.8,629437.51,4
APR-DRG,0021,HEART AND/OR LUNG TRANSPLANT,,,237415.73,237415.73,1
APR-DRG,0022,HEART AND/OR LUNG TRANSPLANT,,,309712.71,309712.71,1
APR-DRG,0023,HEART AND/OR LUNG TRANSPLANT,,,401254.36,401254.36,1
APR-DRG,0024,HEART AND/OR LUNG TRANSPLANT,,,742013.27,742013.27,1
APR-DRG,004-1,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,43736.78,100212.18,4
APR-DRG,004-2,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,65496.57,150069.45,4
APR-DRG,004-3,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,94679.52,216935.08,4
APR-DRG,004-4,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,122621.09,280956.39,4
APR-DRG,0041,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,132856.65,132856.65,1
APR-DRG,0042,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,175383.28,175383.28,1
APR-DRG,0043,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,217049.36,217049.36,1
APR-DRG,0044,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,377505.72,377505.72,1
APR-DRG,005-1,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,30607.65,111872.53,4
APR-DRG,005-2,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,58797.39,134719.9,4
APR-DRG,005-3,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,83398.06,191086.35,4
APR-DRG,005-4,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,128592.93,309291.12,4
APR-DRG,0051,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,76803.1,76803.1,1
APR-DRG,0052,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,143673.48,143673.48,1
APR-DRG,0053,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,253849.69,253849.69,1
APR-DRG,0054,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,345879.4,345879.4,1
APR-DRG,006-1,PANCREAS TRANSPLANT,,,55143.73,126348.43,4
APR-DRG,006-2,PANCREAS TRANSPLANT,,,70154.14,160741.14,4
APR-DRG,006-3,PANCREAS TRANSPLANT,,,80812.99,185163.29,4
APR-DRG,006-4,PANCREAS TRANSPLANT,,,113057.27,262076.89,4
APR-DRG,0061,PANCREAS TRANSPLANT,,,164752.69,164752.69,1
APR-DRG,0062,PANCREAS TRANSPLANT,,,204166.78,204166.78,1
APR-DRG,0063,PANCREAS TRANSPLANT,,,241442.34,241442.34,1
APR-DRG,0064,PANCREAS TRANSPLANT,,,283692.82,283692.82,1
APR-DRG,007-1,ALLOGENEIC BONE MARROW TRANSPLANT,,,60697.1,139072.63,4
APR-DRG,007-2,ALLOGENEIC BONE MARROW TRANSPLANT,,,68543.06,157049.73,4
APR-DRG,007-3,ALLOGENEIC BONE MARROW TRANSPLANT,,,87627.04,200776.03,4
APR-DRG,007-4,ALLOGENEIC BONE MARROW TRANSPLANT,,,126139.61,289018.22,4
APR-DRG,0071,ALLOGENEIC BONE MARROW TRANSPLANT,,,168727.92,168727.92,1
APR-DRG,0072,ALLOGENEIC BONE MARROW TRANSPLANT,,,206438.04,206438.04,1
APR-DRG,0073,ALLOGENEIC BONE MARROW TRANSPLANT,,,272338.69,272338.69,1
APR-DRG,0074,ALLOGENEIC BONE MARROW TRANSPLANT,,,577943.45,577943.45,1
APR-DRG,008-1,AUTOLOGOUS BONE MARROW TRANSPLANT,,,16589.65,38011.14,4
APR-DRG,008-2,AUTOLOGOUS BONE MARROW TRANSPLANT,,,22076.41,50582.72,4
APR-DRG,008-3,AUTOLOGOUS BONE MARROW TRANSPLANT,,,42061.02,96372.58,4
APR-DRG,008-4,AUTOLOGOUS BONE MARROW TRANSPLANT,,,74871.56,171549.97,4
APR-DRG,0081,AUTOLOGOUS BONE MARROW TRANSPLANT,,,77637.96,77637.96,1
APR-DRG,0082,AUTOLOGOUS BONE MARROW TRANSPLANT,,,96957.55,96957.55,1
APR-DRG,0083,AUTOLOGOUS BONE MARROW TRANSPLANT,,,119481.72,119481.72,1
APR-DRG,0084,AUTOLOGOUS BONE MARROW TRANSPLANT,,,198620.3,198620.3,1
APR-DRG,009-1,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,37166.95,85159.01,4
APR-DRG,009-2,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,45287.05,103764.25,4
APR-DRG,009-3,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,62090.99,142266.4,4
APR-DRG,009-4,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,117662.35,269594.63,4
APR-DRG,0091,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,149138.62,149138.62,1
APR-DRG,0092,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,184331.3,184331.3,1
APR-DRG,0093,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,202764.64,202764.64,1
APR-DRG,0094,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,223041.11,223041.11,1
APR-DRG,011-1,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,24335.21,90726.33,4
APR-DRG,011-2,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,35814.56,214760.34,4
APR-DRG,011-3,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,67613.47,254143.08,4
APR-DRG,011-4,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,108960.17,325615.96,4
APR-DRG,0111,CAR-T,,,550000.0,550000.0,1
APR-DRG,0112,CAR-T,,,550000.0,550000.0,1
APR-DRG,0113,CAR-T,,,550000.0,550000.0,1
APR-DRG,0114,CAR-T,,,550000.0,550000.0,1
APR-DRG,020-1,OPEN CRANIOTOMY FOR TRAUMA,,,14800.94,33912.76,4
APR-DRG,020-2,OPEN CRANIOTOMY FOR TRAUMA,,,18419.85,42204.61,4
APR-DRG,020-3,OPEN CRANIOTOMY FOR TRAUMA,,,28096.99,64377.41,4
APR-DRG,020-4,OPEN CRANIOTOMY FOR TRAUMA,,,51061.47,116994.94,4
APR-DRG,0201,OPEN CRANIOTOMY FOR TRAUMA,,,45258.13,45258.13,1
APR-DRG,0202,OPEN CRANIOTOMY FOR TRAUMA,,,47580.76,47580.76,1
APR-DRG,0203,OPEN CRANIOTOMY FOR TRAUMA,,,81352.03,81352.03,1
APR-DRG,0204,OPEN CRANIOTOMY FOR TRAUMA,,,120821.78,120821.78,1
APR-DRG,021-1,OPEN CRANIOTOMY EXCEPT TRAUMA,,,14517.15,33262.51,4
APR-DRG,021-2,OPEN CRANIOTOMY EXCEPT TRAUMA,,,16371.49,37511.28,4
APR-DRG,021-3,OPEN CRANIOTOMY EXCEPT TRAUMA,,,26854.65,61530.88,4
APR-DRG,021-4,OPEN CRANIOTOMY EXCEPT TRAUMA,,,51257.43,117443.92,4
APR-DRG,0211,OPEN CRANIOTOMY EXCEPT TRAUMA,,,44530.3,44530.3,1
APR-DRG,0212,OPEN CRANIOTOMY EXCEPT TRAUMA,,,54304.62,54304.62,1
APR-DRG,0213,OPEN CRANIOTOMY EXCEPT TRAUMA,,,106323.0,106323.0,1
APR-DRG,0214,OPEN CRANIOTOMY EXCEPT TRAUMA,,,162629.14,162629.14,1
APR-DRG,022-1,VENTRICULAR SHUNT PROCEDURES,,,8850.84,20279.54,4
APR-DRG,022-2,VENTRICULAR SHUNT PROCEDURES,,,9604.74,22006.91,4
APR-DRG,022-3,VENTRICULAR SHUNT PROCEDURES,,,13839.51,31709.86,4
APR-DRG,022-4,VENTRICULAR SHUNT PROCEDURES,,,42073.57,96401.34,4
APR-DRG,0221,VENTRICULAR SHUNT PROCEDURES,,,31106.13,31106.13,1
APR-DRG,0222,VENTRICULAR SHUNT PROCEDURES,,,41871.58,41871.58,1
APR-DRG,0223,VENTRICULAR SHUNT PROCEDURES,,,55597.59,55597.59,1
APR-DRG,0224,VENTRICULAR SHUNT PROCEDURES,,,109197.92,109197.92,1
APR-DRG,023-1,SPINAL PROCEDURES,,,10514.05,24090.38,4
APR-DRG,023-2,SPINAL PROCEDURES,,,14453.44,33116.53,4
APR-DRG,023-3,SPINAL PROCEDURES,,,29637.61,67907.36,4
APR-DRG,023-4,SPINAL PROCEDURES,,,58230.35,138059.65,4
APR-DRG,0231,SPINAL PROCEDURES,,,34163.02,34163.02,1
APR-DRG,0232,SPINAL PROCEDURES,,,43577.7,43577.7,1
APR-DRG,0233,SPINAL PROCEDURES,,,99716.88,99716.88,1
APR-DRG,0234,SPINAL PROCEDURES,,,142545.34,142545.34,1
APR-DRG,024-1,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,7455.98,17083.56,4
APR-DRG,024-2,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,9989.89,22889.4,4
APR-DRG,024-3,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,16383.07,37537.82,4
APR-DRG,024-4,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,31105.83,71271.43,4
APR-DRG,0241,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,18497.56,18497.56,1
APR-DRG,0242,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,25450.47,25450.47,1
APR-DRG,0243,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,76950.81,76950.81,1
APR-DRG,0244,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,90721.76,90721.76,1
APR-DRG,026-1,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,8692.53,19916.81,4
APR-DRG,026-2,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,11664.69,26726.79,4
APR-DRG,026-3,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,21650.71,49607.34,4
APR-DRG,026-4,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,36872.53,84484.43,4
APR-DRG,0261,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,22513.47,22513.47,1
APR-DRG,0262,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,50412.87,50412.87,1
APR-DRG,0263,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,62366.4,62366.4,1
APR-DRG,0264,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,92269.47,92269.47,1
APR-DRG,027-1,OTHER OPEN CRANIOTOMY,,,11668.55,26735.63,4
APR-DRG,027-2,OTHER OPEN CRANIOTOMY,,,13583.7,31123.75,4
APR-DRG,027-3,OTHER OPEN CRANIOTOMY,,,16585.78,38002.29,4
APR-DRG,027-4,OTHER OPEN CRANIOTOMY,,,46804.5,107241.12,4
APR-DRG,0271,OTHER OPEN CRANIOTOMY,,,38889.62,38889.62,1
APR-DRG,0272,OTHER OPEN CRANIOTOMY,,,52258.13,52258.13,1
APR-DRG,0273,OTHER OPEN CRANIOTOMY,,,84036.44,84036.44,1
APR-DRG,0274,OTHER OPEN CRANIOTOMY,,,115589.97,115589.97,1
APR-DRG,029-1,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,16724.81,39687.64,4
APR-DRG,029-2,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,18187.22,41671.58,4
APR-DRG,029-3,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,18796.32,43067.2,4
APR-DRG,029-4,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,34337.65,78676.37,4
APR-DRG,0291,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,29016.84,29016.84,1
APR-DRG,0292,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,56800.64,56800.64,1
APR-DRG,0293,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,69062.42,69062.42,1
APR-DRG,0294,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,110184.77,110184.77,1
APR-DRG,030-1,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,16038.24,39650.04,4
APR-DRG,030-2,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,19663.16,45053.35,4
APR-DRG,030-3,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,26433.78,60566.56,4
APR-DRG,030-4,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,36173.65,82883.12,4
APR-DRG,0301,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,48447.73,48447.73,1
APR-DRG,0302,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,72014.41,72014.41,1
APR-DRG,0303,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,74050.2,74050.2,1
APR-DRG,0304,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,90760.3,90760.3,1
APR-DRG,040-1,SPINAL DISORDERS AND INJURIES,,,8537.11,19560.72,4
APR-DRG,040-2,SPINAL DISORDERS AND INJURIES,,,12753.63,31409.06,4
APR-DRG,040-3,SPINAL DISORDERS AND INJURIES,,,17994.91,43332.61,4
APR-DRG,040-4,SPINAL DISORDERS AND INJURIES,,,22950.01,52584.36,4
APR-DRG,0401,SPINAL DISORDERS AND INJURIES,,,14509.49,14509.49,1
APR-DRG,0402,SPINAL DISORDERS AND INJURIES,,,20777.38,20777.38,1
APR-DRG,0403,SPINAL DISORDERS AND INJURIES,,,50885.96,50885.96,1
APR-DRG,0404,SPINAL DISORDERS AND INJURIES,,,63301.87,63301.87,1
APR-DRG,041-1,NERVOUS SYSTEM MALIGNANCY,,,7342.07,16822.57,4
APR-DRG,041-2,NERVOUS SYSTEM MALIGNANCY,,,8345.02,19120.58,4
APR-DRG,041-3,NERVOUS SYSTEM MALIGNANCY,,,9097.95,20845.74,4
APR-DRG,041-4,NERVOUS SYSTEM MALIGNANCY,,,16982.41,45834.1,4
APR-DRG,0411,NERVOUS SYSTEM MALIGNANCY,,,17063.31,17063.31,1
APR-DRG,0412,NERVOUS SYSTEM MALIGNANCY,,,18611.02,18611.02,1
APR-DRG,0413,NERVOUS SYSTEM MALIGNANCY,,,32865.77,32865.77,1
APR-DRG,0414,NERVOUS SYSTEM MALIGNANCY,,,46707.37,46707.37,1
APR-DRG,042-1,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,7181.14,20505.13,4
APR-DRG,042-2,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,9022.17,23533.02,4
APR-DRG,042-3,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,12167.99,41846.31,4
APR-DRG,042-4,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,22394.02,70902.07,4
APR-DRG,0421,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,19863.31,19863.31,1
APR-DRG,0422,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,47047.73,47047.73,1
APR-DRG,0423,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,51752.93,51752.93,1
APR-DRG,0424,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,56926.94,56926.94,1
APR-DRG,043-1,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,7979.17,18282.33,4
APR-DRG,043-2,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,10960.02,25112.21,4
APR-DRG,043-3,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,20387.93,48282.5,4
APR-DRG,043-4,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,30307.52,69442.31,4
APR-DRG,0431,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,27135.18,27135.18,1
APR-DRG,0432,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,38707.67,38707.67,1
APR-DRG,0433,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,54475.87,54475.87,1
APR-DRG,0434,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,99586.3,99586.3,1
APR-DRG,044-1,INTRACRANIAL HEMORRHAGE,,,6529.29,14960.28,4
APR-DRG,044-2,INTRACRANIAL HEMORRHAGE,,,9751.85,23170.29,4
APR-DRG,044-3,INTRACRANIAL HEMORRHAGE,,,12917.65,34109.61,4
APR-DRG,044-4,INTRACRANIAL HEMORRHAGE,,,19487.92,53893.71,4
APR-DRG,0441,INTRACRANIAL HEMORRHAGE,,,19576.46,19576.46,1
APR-DRG,0442,INTRACRANIAL HEMORRHAGE,,,39035.19,39035.19,1
APR-DRG,0443,INTRACRANIAL HEMORRHAGE,,,69749.58,69749.58,1
APR-DRG,0444,INTRACRANIAL HEMORRHAGE,,,95255.71,95255.71,1
APR-DRG,045-1,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,5155.67,11812.96,4
APR-DRG,045-2,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,6745.52,15455.71,4
APR-DRG,045-3,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,10084.49,23106.15,4
APR-DRG,045-4,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,19144.79,43865.64,4
APR-DRG,0451,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,15372.18,15372.18,1
APR-DRG,0452,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,21188.39,21188.39,1
APR-DRG,0453,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,30960.57,30960.57,1
APR-DRG,0454,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,46974.95,46974.95,1
APR-DRG,046-1,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,5549.51,12715.35,4
APR-DRG,046-2,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,6997.46,16032.98,4
APR-DRG,046-3,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,8540.01,19567.35,4
APR-DRG,046-4,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,14786.47,33879.59,4
APR-DRG,0461,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,13068.81,13068.81,1
APR-DRG,0462,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,22937.32,22937.32,1
APR-DRG,0463,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,28843.44,28843.44,1
APR-DRG,0464,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,50815.32,50815.32,1
APR-DRG,047-1,TRANSIENT ISCHEMIA,,,5294.67,12131.45,4
APR-DRG,047-2,TRANSIENT ISCHEMIA,,,6042.78,13845.56,4
APR-DRG,047-3,TRANSIENT ISCHEMIA,,,8391.35,19226.74,4
APR-DRG,047-4,TRANSIENT ISCHEMIA,,,11565.26,26498.98,4
APR-DRG,0472,TRANSIENT ISCHEMIA,,,11814.38,11814.38,1
APR-DRG,0473,TRANSIENT ISCHEMIA,,,24067.6,24067.6,1
APR-DRG,0474,TRANSIENT ISCHEMIA,,,38131.83,38131.83,1
APR-DRG,048-1,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,5125.74,11744.39,4
APR-DRG,048-2,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,6264.8,14354.26,4
APR-DRG,048-3,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,8922.27,20443.21,4
APR-DRG,048-4,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,15522.02,35564.94,4
APR-DRG,0481,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,15607.65,15607.65,1
APR-DRG,0482,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,21445.27,21445.27,1
APR-DRG,0483,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,29990.84,29990.84,1
APR-DRG,0484,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,44335.5,44335.5,1
APR-DRG,049-1,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,7409.64,16977.39,4
APR-DRG,049-2,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,13420.22,32521.57,4
APR-DRG,049-3,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,15321.24,35104.9,4
APR-DRG,049-4,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,29852.87,68400.58,4
APR-DRG,0491,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,24457.2,24457.2,1
APR-DRG,0492,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,34088.09,34088.09,1
APR-DRG,0493,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,42708.59,42708.59,1
APR-DRG,0494,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,84092.1,84092.1,1
APR-DRG,050-1,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,5494.49,12589.28,4
APR-DRG,050-2,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,9512.07,21794.58,4
APR-DRG,050-3,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,18559.82,42525.32,4
APR-DRG,050-4,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,21143.93,48446.17,4
APR-DRG,0501,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,23810.72,23810.72,1
APR-DRG,0502,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,29663.32,29663.32,1
APR-DRG,0503,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,63650.8,63650.8,1
APR-DRG,0504,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,89645.01,89645.01,1
APR-DRG,051-1,VIRAL MENINGITIS,,,3957.73,9068.18,4
APR-DRG,051-2,VIRAL MENINGITIS,,,6020.58,13794.68,4
APR-DRG,051-3,VIRAL MENINGITIS,,,10296.86,23592.74,4
APR-DRG,051-4,VIRAL MENINGITIS,,,19247.12,44100.08,4
APR-DRG,0511,VIRAL MENINGITIS,,,11152.91,11152.91,1
APR-DRG,0512,VIRAL MENINGITIS,,,21839.16,21839.16,1
APR-DRG,0513,VIRAL MENINGITIS,,,29487.78,29487.78,1
APR-DRG,0514,VIRAL MENINGITIS,,,57241.62,57241.62,1
APR-DRG,052-1,ALTERATION IN CONSCIOUSNESS,,,3043.59,6973.65,4
APR-DRG,052-2,ALTERATION IN CONSCIOUSNESS,,,5104.51,11695.73,4
APR-DRG,052-3,ALTERATION IN CONSCIOUSNESS,,,9318.04,21350.02,4
APR-DRG,052-4,ALTERATION IN CONSCIOUSNESS,,,17207.44,39426.66,4
APR-DRG,0521,ALTERATION IN CONSCIOUSNESS,,,14372.49,14372.49,1
APR-DRG,0522,ALTERATION IN CONSCIOUSNESS,,,15907.35,15907.35,1
APR-DRG,0523,ALTERATION IN CONSCIOUSNESS,,,29316.53,29316.53,1
APR-DRG,0524,ALTERATION IN CONSCIOUSNESS,,,49074.95,49074.95,1
APR-DRG,053-1,SEIZURE,,,3772.39,8643.52,4
APR-DRG,053-2,SEIZURE,,,4861.25,11138.37,4
APR-DRG,053-3,SEIZURE,,,7389.37,16930.95,4
APR-DRG,053-4,SEIZURE,,,15753.7,36095.76,4
APR-DRG,0531,SEIZURE,,,13302.15,13302.15,1
APR-DRG,0532,SEIZURE,,,14558.72,14558.72,1
APR-DRG,0533,SEIZURE,,,27133.04,27133.04,1
APR-DRG,0534,SEIZURE,,,54854.77,54854.77,1
APR-DRG,054-1,MIGRAINE AND OTHER HEADACHES,,,5241.58,12009.8,4
APR-DRG,054-2,MIGRAINE AND OTHER HEADACHES,,,5372.86,12310.6,4
APR-DRG,054-3,MIGRAINE AND OTHER HEADACHES,,,8390.39,19224.53,4
APR-DRG,054-4,MIGRAINE AND OTHER HEADACHES,,,12395.42,28401.08,4
APR-DRG,0541,MIGRAINE AND OTHER HEADACHES,,,12657.81,12657.81,1
APR-DRG,0542,MIGRAINE AND OTHER HEADACHES,,,14554.44,14554.44,1
APR-DRG,0543,MIGRAINE AND OTHER HEADACHES,,,21969.74,21969.74,1
APR-DRG,0544,MIGRAINE AND OTHER HEADACHES,,,34537.63,34537.63,1
APR-DRG,055-1,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,4267.59,9778.15,4
APR-DRG,055-2,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,6882.59,15769.78,4
APR-DRG,055-3,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,12947.57,29666.2,4
APR-DRG,055-4,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,23755.6,58489.73,4
APR-DRG,0551,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,9530.28,9530.28,1
APR-DRG,0552,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,24196.04,24196.04,1
APR-DRG,0553,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,36352.93,36352.93,1
APR-DRG,0554,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,97422.07,97422.07,1
APR-DRG,056-1,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,4955.85,11355.12,4
APR-DRG,056-2,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,6643.19,15221.26,4
APR-DRG,056-3,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,9626.94,22057.78,4
APR-DRG,056-4,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,17998.98,41240.29,4
APR-DRG,0561,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,14824.17,14824.17,1
APR-DRG,0562,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,18822.95,18822.95,1
APR-DRG,0563,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,31949.56,31949.56,1
APR-DRG,0564,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,54899.73,54899.73,1
APR-DRG,057-1,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,3766.6,8630.25,4
APR-DRG,057-2,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,5401.82,12376.95,4
APR-DRG,057-3,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,9674.24,22166.16,4
APR-DRG,057-4,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,20139.05,46143.74,4
APR-DRG,0571,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,11116.52,11116.52,1
APR-DRG,0572,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,19343.13,19343.13,1
APR-DRG,0573,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,31607.05,31607.05,1
APR-DRG,0574,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,50744.68,50744.68,1
APR-DRG,058-1,OTHER DISORDERS OF NERVOUS SYSTEM,,,6982.43,17353.39,4
APR-DRG,058-2,OTHER DISORDERS OF NERVOUS SYSTEM,,,10162.68,23285.3,4
APR-DRG,058-3,OTHER DISORDERS OF NERVOUS SYSTEM,,,12013.16,27525.23,4
APR-DRG,058-4,OTHER DISORDERS OF NERVOUS SYSTEM,,,16244.07,37219.33,4
APR-DRG,0581,OTHER DISORDERS OF NERVOUS SYSTEM,,,16466.06,16466.06,1
APR-DRG,0582,OTHER DISORDERS OF NERVOUS SYSTEM,,,22560.56,22560.56,1
APR-DRG,0583,OTHER DISORDERS OF NERVOUS SYSTEM,,,32653.84,32653.84,1
APR-DRG,0584,OTHER DISORDERS OF NERVOUS SYSTEM,,,36566.99,36566.99,1
APR-DRG,059-1,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,4542.7,10408.5,4
APR-DRG,059-2,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,7460.8,17094.62,4
APR-DRG,059-3,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,8024.54,18386.28,4
APR-DRG,059-4,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,13775.8,31563.88,4
APR-DRG,0591,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,12400.92,12400.92,1
APR-DRG,0592,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,20066.68,20066.68,1
APR-DRG,0593,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,32506.13,32506.13,1
APR-DRG,0594,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,50524.19,50524.19,1
APR-DRG,073-1,ORBIT AND EYE PROCEDURES,,,5303.36,12151.35,4
APR-DRG,073-2,ORBIT AND EYE PROCEDURES,,,8862.42,20306.08,4
APR-DRG,073-3,ORBIT AND EYE PROCEDURES,,,17233.5,39486.37,4
APR-DRG,073-4,ORBIT AND EYE PROCEDURES,,,33241.07,76163.82,4
APR-DRG,0731,ORBIT AND EYE PROCEDURES,,,20404.9,20404.9,1
APR-DRG,0732,ORBIT AND EYE PROCEDURES,,,26246.8,26246.8,1
APR-DRG,0733,ORBIT AND EYE PROCEDURES,,,45855.38,45855.38,1
APR-DRG,0734,ORBIT AND EYE PROCEDURES,,,84929.1,84929.1,1
APR-DRG,082-1,EYE INFECTIONS AND OTHER EYE DISORDERS,,,4361.23,9992.69,4
APR-DRG,082-2,EYE INFECTIONS AND OTHER EYE DISORDERS,,,5425.95,12432.25,4
APR-DRG,082-3,EYE INFECTIONS AND OTHER EYE DISORDERS,,,7332.42,16800.45,4
APR-DRG,082-4,EYE INFECTIONS AND OTHER EYE DISORDERS,,,15713.15,36002.87,4
APR-DRG,0821,EYE INFECTIONS AND OTHER EYE DISORDERS,,,15489.92,15489.92,1
APR-DRG,0822,EYE INFECTIONS AND OTHER EYE DISORDERS,,,21353.22,21353.22,1
APR-DRG,0823,EYE INFECTIONS AND OTHER EYE DISORDERS,,,30046.5,30046.5,1
APR-DRG,0824,EYE INFECTIONS AND OTHER EYE DISORDERS,,,76454.17,76454.17,1
APR-DRG,089-1,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,12245.8,28058.26,4
APR-DRG,089-2,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,15919.73,36476.18,4
APR-DRG,089-3,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,31215.87,71523.57,4
APR-DRG,089-4,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,48515.01,111160.34,4
APR-DRG,0891,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,31836.1,31836.1,1
APR-DRG,0892,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,35695.74,35695.74,1
APR-DRG,0893,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,73756.92,73756.92,1
APR-DRG,0894,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,134329.43,134329.43,1
APR-DRG,091-1,OTHER MAJOR HEAD AND NECK PROCEDURES,,,10459.03,23964.31,4
APR-DRG,091-2,OTHER MAJOR HEAD AND NECK PROCEDURES,,,13917.7,31889.01,4
APR-DRG,091-3,OTHER MAJOR HEAD AND NECK PROCEDURES,,,26542.85,60816.49,4
APR-DRG,091-4,OTHER MAJOR HEAD AND NECK PROCEDURES,,,54116.65,123995.13,4
APR-DRG,0911,OTHER MAJOR HEAD AND NECK PROCEDURES,,,31782.59,31782.59,1
APR-DRG,0912,OTHER MAJOR HEAD AND NECK PROCEDURES,,,81557.54,81557.54,1
APR-DRG,0913,OTHER MAJOR HEAD AND NECK PROCEDURES,,,100757.24,100757.24,1
APR-DRG,0914,OTHER MAJOR HEAD AND NECK PROCEDURES,,,154199.17,154199.17,1
APR-DRG,092-1,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,9379.82,21491.57,4
APR-DRG,092-2,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,12368.39,28339.15,4
APR-DRG,092-3,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,19578.21,44858.71,4
APR-DRG,092-4,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,43530.2,99738.87,4
APR-DRG,0921,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,27918.67,27918.67,1
APR-DRG,0922,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,34749.56,34749.56,1
APR-DRG,0923,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,67641.02,67641.02,1
APR-DRG,0924,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,116703.12,116703.12,1
APR-DRG,095-1,CLEFT LIP AND PALATE REPAIR,,,4383.43,10043.56,4
APR-DRG,095-2,CLEFT LIP AND PALATE REPAIR,,,6628.72,15188.09,4
APR-DRG,095-3,CLEFT LIP AND PALATE REPAIR,,,12895.57,30935.75,4
APR-DRG,095-4,CLEFT LIP AND PALATE REPAIR,,,19274.15,44162.01,4
APR-DRG,0951,CLEFT LIP AND PALATE REPAIR,,,21295.42,21295.42,1
APR-DRG,0952,CLEFT LIP AND PALATE REPAIR,,,24544.97,24544.97,1
APR-DRG,0953,CLEFT LIP AND PALATE REPAIR,,,32358.43,32358.43,1
APR-DRG,0954,CLEFT LIP AND PALATE REPAIR,,,58517.46,58517.46,1
APR-DRG,097-1,TONSIL AND ADENOID PROCEDURES,,,4829.4,11065.39,4
APR-DRG,097-2,TONSIL AND ADENOID PROCEDURES,,,5833.31,13365.61,4
APR-DRG,097-3,TONSIL AND ADENOID PROCEDURES,,,10820.05,24791.51,4
APR-DRG,097-4,TONSIL AND ADENOID PROCEDURES,,,22016.56,50445.59,4
APR-DRG,0971,TONSIL AND ADENOID PROCEDURES,,,12587.16,12587.16,1
APR-DRG,0972,TONSIL AND ADENOID PROCEDURES,,,22466.37,22466.37,1
APR-DRG,0973,TONSIL AND ADENOID PROCEDURES,,,32574.64,32574.64,1
APR-DRG,0974,TONSIL AND ADENOID PROCEDURES,,,56830.61,56830.61,1
APR-DRG,098-1,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,6116.14,14013.65,2
APR-DRG,098-1,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,8526.95,8526.95,2
APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,11153.08,25554.56,2
APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,13915.44,13915.44,2
APR-DRG,098-3,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,17421.73,39917.66,2
APR-DRG,098-3,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,21773.69,21773.69,2
APR-DRG,098-4,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,28156.84,64514.54,2
APR-DRG,098-4,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,37211.57,37211.57,2
APR-DRG,0981,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,16523.86,16523.86,1
APR-DRG,0982,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,40531.52,40531.52,1
APR-DRG,0983,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,45288.1,45288.1,1
APR-DRG,0984,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,86350.51,86350.51,1
APR-DRG,110-1,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,6291.83,14416.19,4
APR-DRG,110-2,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,6731.04,15422.53,4
APR-DRG,110-3,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,11554.64,26474.65,4
APR-DRG,110-4,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,18815.63,43111.43,4
APR-DRG,1101,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,18626.0,18626.0,1
APR-DRG,1102,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,20886.56,20886.56,1
APR-DRG,1103,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,31455.06,31455.06,1
APR-DRG,1104,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,53347.74,53347.74,1
APR-DRG,111-1,VERTIGO AND OTHER LABYRINTH DISORDERS,,,4298.48,9848.92,4
APR-DRG,111-2,VERTIGO AND OTHER LABYRINTH DISORDERS,,,4599.65,10538.99,4
APR-DRG,111-3,VERTIGO AND OTHER LABYRINTH DISORDERS,,,5964.59,13666.4,4
APR-DRG,111-4,VERTIGO AND OTHER LABYRINTH DISORDERS,,,9931.01,22754.48,4
APR-DRG,1111,VERTIGO AND OTHER LABYRINTH DISORDERS,,,16650.16,16650.16,1
APR-DRG,1112,VERTIGO AND OTHER LABYRINTH DISORDERS,,,21670.04,21670.04,1
APR-DRG,1113,VERTIGO AND OTHER LABYRINTH DISORDERS,,,27347.11,27347.11,1
APR-DRG,1114,VERTIGO AND OTHER LABYRINTH DISORDERS,,,37371.89,37371.89,1
APR-DRG,113-1,INFECTIONS OF UPPER RESPIRATORY TRACT,,,2567.7,5883.26,4
APR-DRG,113-2,INFECTIONS OF UPPER RESPIRATORY TRACT,,,4154.65,9519.37,4
APR-DRG,113-3,INFECTIONS OF UPPER RESPIRATORY TRACT,,,5729.06,13126.74,4
APR-DRG,113-4,INFECTIONS OF UPPER RESPIRATORY TRACT,,,11224.51,25718.23,4
APR-DRG,1131,INFECTIONS OF UPPER RESPIRATORY TRACT,,,11148.63,11148.63,1
APR-DRG,1132,INFECTIONS OF UPPER RESPIRATORY TRACT,,,12109.79,12109.79,1
APR-DRG,1133,INFECTIONS OF UPPER RESPIRATORY TRACT,,,19236.1,19236.1,1
APR-DRG,1134,INFECTIONS OF UPPER RESPIRATORY TRACT,,,34154.45,34154.45,1
APR-DRG,114-1,DENTAL DISEASES AND DISORDERS,,,3999.57,9871.04,4
APR-DRG,114-2,DENTAL DISEASES AND DISORDERS,,,5262.82,12058.46,4
APR-DRG,114-3,DENTAL DISEASES AND DISORDERS,,,8420.76,22095.38,4
APR-DRG,114-4,DENTAL DISEASES AND DISORDERS,,,15705.43,35985.17,4
APR-DRG,1141,DENTAL DISEASES AND DISORDERS,,,8571.26,8571.26,1
APR-DRG,1142,DENTAL DISEASES AND DISORDERS,,,14879.82,14879.82,1
APR-DRG,1143,DENTAL DISEASES AND DISORDERS,,,21697.87,21697.87,1
APR-DRG,1144,DENTAL DISEASES AND DISORDERS,,,48248.65,48248.65,1
APR-DRG,115-1,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,3984.76,9130.1,4
APR-DRG,115-2,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,6004.17,13757.08,4
APR-DRG,115-3,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,10010.49,23159.23,4
APR-DRG,115-4,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,18440.71,58929.87,4
APR-DRG,1151,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,13685.33,13685.33,1
APR-DRG,1152,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,15260.86,15260.86,1
APR-DRG,1153,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,23072.18,23072.18,1
APR-DRG,1154,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,44363.33,44363.33,1
APR-DRG,120-1,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,11858.71,27171.35,4
APR-DRG,120-2,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,14732.41,33755.73,4
APR-DRG,120-3,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,20871.72,47822.46,4
APR-DRG,120-4,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,51267.08,117466.04,4
APR-DRG,1201,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,41511.95,41511.95,1
APR-DRG,1202,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,58543.15,58543.15,1
APR-DRG,1203,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,74182.92,74182.92,1
APR-DRG,1204,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,136874.7,136874.7,1
APR-DRG,121-1,OTHER RESPIRATORY AND CHEST PROCEDURES,,,9131.74,20923.16,4
APR-DRG,121-2,OTHER RESPIRATORY AND CHEST PROCEDURES,,,11566.22,26501.19,4
APR-DRG,121-3,OTHER RESPIRATORY AND CHEST PROCEDURES,,,21655.54,49618.4,4
APR-DRG,121-4,OTHER RESPIRATORY AND CHEST PROCEDURES,,,43173.04,98920.52,4
APR-DRG,1211,OTHER RESPIRATORY AND CHEST PROCEDURES,,,36725.4,36725.4,1
APR-DRG,1212,OTHER RESPIRATORY AND CHEST PROCEDURES,,,48524.8,48524.8,1
APR-DRG,1213,OTHER RESPIRATORY AND CHEST PROCEDURES,,,65907.07,65907.07,1
APR-DRG,1214,OTHER RESPIRATORY AND CHEST PROCEDURES,,,106907.4,106907.4,1
APR-DRG,130-1,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,28493.26,67314.61,4
APR-DRG,130-2,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,29385.66,67330.09,4
APR-DRG,130-3,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,43584.18,100720.88,4
APR-DRG,130-4,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,58280.81,143000.7,4
APR-DRG,1301,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,71498.51,71498.51,1
APR-DRG,1302,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,74685.98,74685.98,1
APR-DRG,1303,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,100187.82,100187.82,1
APR-DRG,1304,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,201364.64,201364.64,1
APR-DRG,131-1,CYSTIC FIBROSIS - PULMONARY DISEASE,,,7625.87,17472.82,4
APR-DRG,131-2,CYSTIC FIBROSIS - PULMONARY DISEASE,,,10692.63,24499.55,4
APR-DRG,131-3,CYSTIC FIBROSIS - PULMONARY DISEASE,,,14242.04,32632.16,4
APR-DRG,131-4,CYSTIC FIBROSIS - PULMONARY DISEASE,,,18526.04,42447.91,4
APR-DRG,1311,CYSTIC FIBROSIS - PULMONARY DISEASE,,,20745.27,20745.27,1
APR-DRG,1312,CYSTIC FIBROSIS - PULMONARY DISEASE,,,34747.42,34747.42,1
APR-DRG,1313,CYSTIC FIBROSIS - PULMONARY DISEASE,,,46429.08,46429.08,1
APR-DRG,1314,CYSTIC FIBROSIS - PULMONARY DISEASE,,,57588.41,57588.41,1
APR-DRG,132-1,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,3413.3,7820.75,4
APR-DRG,132-2,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,4819.74,11043.27,4
APR-DRG,132-3,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,5827.52,13352.33,4
APR-DRG,132-4,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,9899.15,22681.5,4
APR-DRG,1321,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,12244.66,12244.66,1
APR-DRG,1322,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,21708.58,21708.58,1
APR-DRG,1323,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,37945.59,37945.59,1
APR-DRG,1324,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,55255.08,55255.08,1
APR-DRG,133-1,RESPIRATORY FAILURE,,,3985.72,9132.32,4
APR-DRG,133-2,RESPIRATORY FAILURE,,,5490.63,12580.43,4
APR-DRG,133-3,RESPIRATORY FAILURE,,,10927.2,25037.01,4
APR-DRG,133-4,RESPIRATORY FAILURE,,,17774.12,46506.47,4
APR-DRG,1331,RESPIRATORY FAILURE,,,12760.56,12760.56,1
APR-DRG,1332,RESPIRATORY FAILURE,,,17786.86,17786.86,1
APR-DRG,1333,RESPIRATORY FAILURE,,,27942.22,27942.22,1
APR-DRG,1334,RESPIRATORY FAILURE,,,47790.55,47790.55,1
APR-DRG,134-1,PULMONARY EMBOLISM,,,4704.87,10780.07,4
APR-DRG,134-2,PULMONARY EMBOLISM,,,6654.78,15247.8,4
APR-DRG,134-3,PULMONARY EMBOLISM,,,9532.34,21841.03,4
APR-DRG,134-4,PULMONARY EMBOLISM,,,15458.31,35418.96,4
APR-DRG,1341,PULMONARY EMBOLISM,,,12953.22,12953.22,1
APR-DRG,1342,PULMONARY EMBOLISM,,,20501.23,20501.23,1
APR-DRG,1343,PULMONARY EMBOLISM,,,32726.62,32726.62,1
APR-DRG,1344,PULMONARY EMBOLISM,,,59144.68,59144.68,1
APR-DRG,135-1,MAJOR CHEST AND RESPIRATORY TRAUMA,,,5551.44,12719.77,4
APR-DRG,135-2,MAJOR CHEST AND RESPIRATORY TRAUMA,,,6460.75,14803.24,4
APR-DRG,135-3,MAJOR CHEST AND RESPIRATORY TRAUMA,,,8854.7,20288.38,4
APR-DRG,135-4,MAJOR CHEST AND RESPIRATORY TRAUMA,,,16604.13,38044.31,4
APR-DRG,1351,MAJOR CHEST AND RESPIRATORY TRAUMA,,,13347.1,13347.1,1
APR-DRG,1352,MAJOR CHEST AND RESPIRATORY TRAUMA,,,15855.97,15855.97,1
APR-DRG,1353,MAJOR CHEST AND RESPIRATORY TRAUMA,,,21449.55,21449.55,1
APR-DRG,1354,MAJOR CHEST AND RESPIRATORY TRAUMA,,,43029.69,43029.69,1
APR-DRG,136-1,RESPIRATORY MALIGNANCY,,,5487.73,12573.8,4
APR-DRG,136-2,RESPIRATORY MALIGNANCY,,,6791.85,15561.87,4
APR-DRG,136-3,RESPIRATORY MALIGNANCY,,,11184.93,25627.55,4
APR-DRG,136-4,RESPIRATORY MALIGNANCY,,,17937.09,46148.16,4
APR-DRG,1361,RESPIRATORY MALIGNANCY,,,16898.48,16898.48,1
APR-DRG,1362,RESPIRATORY MALIGNANCY,,,22479.22,22479.22,1
APR-DRG,1363,RESPIRATORY MALIGNANCY,,,34559.04,34559.04,1
APR-DRG,1364,RESPIRATORY MALIGNANCY,,,62636.12,62636.12,1
APR-DRG,137-1,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,5382.51,12332.72,4
APR-DRG,137-2,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,6838.38,15785.26,4
APR-DRG,137-3,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,7407.71,16972.97,4
APR-DRG,137-4,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,12963.01,29701.59,4
APR-DRG,1371,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,14678.6,14678.6,1
APR-DRG,1372,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,15905.21,15905.21,1
APR-DRG,1373,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,28708.58,28708.58,1
APR-DRG,1374,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,58245.6,58245.6,1
APR-DRG,138-1,BRONCHIOLITIS AND RSV PNEUMONIA,,,2841.84,6511.39,4
APR-DRG,138-2,BRONCHIOLITIS AND RSV PNEUMONIA,,,3711.58,8504.18,4
APR-DRG,138-3,BRONCHIOLITIS AND RSV PNEUMONIA,,,5421.12,12421.19,4
APR-DRG,138-4,BRONCHIOLITIS AND RSV PNEUMONIA,,,12515.11,28675.34,4
APR-DRG,1381,BRONCHIOLITIS AND RSV PNEUMONIA,,,8494.19,8494.19,1
APR-DRG,1382,BRONCHIOLITIS AND RSV PNEUMONIA,,,16735.79,16735.79,1
APR-DRG,1383,BRONCHIOLITIS AND RSV PNEUMONIA,,,27021.73,27021.73,1
APR-DRG,1384,BRONCHIOLITIS AND RSV PNEUMONIA,,,43796.05,43796.05,1
APR-DRG,139-1,OTHER PNEUMONIA,,,4106.39,9408.78,4
APR-DRG,139-2,OTHER PNEUMONIA,,,5398.92,12370.32,4
APR-DRG,139-3,OTHER PNEUMONIA,,,6548.6,15004.51,4
APR-DRG,139-4,OTHER PNEUMONIA,,,11122.19,25483.78,4
APR-DRG,1391,OTHER PNEUMONIA,,,10626.31,10626.31,1
APR-DRG,1392,OTHER PNEUMONIA,,,15905.21,15905.21,1
APR-DRG,1393,OTHER PNEUMONIA,,,27627.54,27627.54,1
APR-DRG,1394,OTHER PNEUMONIA,,,81086.59,81086.59,1
APR-DRG,140-1,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5092.92,11669.19,4
APR-DRG,140-2,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5833.31,13365.61,4
APR-DRG,140-3,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,7082.41,16227.61,4
APR-DRG,140-4,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,10218.67,23413.59,4
APR-DRG,1401,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,12799.09,12799.09,1
APR-DRG,1402,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,13783.8,13783.8,1
APR-DRG,1403,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,22078.91,22078.91,1
APR-DRG,1404,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,37907.06,37907.06,1
APR-DRG,141-1,ASTHMA,,,3059.04,7009.04,4
APR-DRG,141-2,ASTHMA,,,4303.31,9859.98,4
APR-DRG,141-3,ASTHMA,,,5060.1,11593.99,4
APR-DRG,141-4,ASTHMA,,,8594.07,19691.21,4
APR-DRG,1411,ASTHMA,,,8977.99,8977.99,1
APR-DRG,1412,ASTHMA,,,13175.85,13175.85,1
APR-DRG,1413,ASTHMA,,,16952.0,16952.0,1
APR-DRG,1414,ASTHMA,,,33126.93,33126.93,1
APR-DRG,142-1,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,5638.32,12918.83,4
APR-DRG,142-2,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,6640.3,15214.63,4
APR-DRG,142-3,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,11496.72,26341.94,4
APR-DRG,142-4,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,18733.01,49280.0,4
APR-DRG,1421,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,15018.97,15018.97,1
APR-DRG,1422,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,21034.26,21034.26,1
APR-DRG,1423,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,46137.95,46137.95,1
APR-DRG,1424,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,72611.66,72611.66,1
APR-DRG,143-1,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,4551.39,10428.4,4
APR-DRG,143-2,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6076.56,13922.97,4
APR-DRG,143-3,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,10100.9,23143.75,4
APR-DRG,143-4,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,17462.9,44668.5,4
APR-DRG,1431,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,15378.6,15378.6,1
APR-DRG,1432,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,21267.6,21267.6,1
APR-DRG,1433,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,31838.24,31838.24,1
APR-DRG,1434,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,41820.21,41820.21,1
APR-DRG,144-1,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,3627.6,8311.76,4
APR-DRG,144-2,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,3824.52,8762.95,4
APR-DRG,144-3,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,8070.87,18492.44,4
APR-DRG,144-4,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,16229.59,43421.08,4
APR-DRG,1441,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,8622.63,8622.63,1
APR-DRG,1442,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,17103.99,17103.99,1
APR-DRG,1443,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,25037.32,25037.32,1
APR-DRG,1444,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,40724.18,40724.18,1
APR-DRG,145-1,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,2791.65,6396.38,4
APR-DRG,145-2,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,5297.57,12138.08,4
APR-DRG,145-3,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,5653.76,12954.22,4
APR-DRG,145-4,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,7068.89,16196.65,4
APR-DRG,1451,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,11351.99,11351.99,1
APR-DRG,1452,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,15477.07,15477.07,1
APR-DRG,1453,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,19107.66,19107.66,1
APR-DRG,1454,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,33313.17,33313.17,1
APR-DRG,160-1,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,19273.18,44159.8,4
APR-DRG,160-2,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,22383.38,51286.06,4
APR-DRG,160-3,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,32952.45,75502.51,4
APR-DRG,160-4,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,81427.88,186572.17,4
APR-DRG,1601,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,72194.23,72194.23,1
APR-DRG,1602,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,111929.42,111929.42,1
APR-DRG,1603,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,143375.92,143375.92,1
APR-DRG,1604,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,326191.62,326191.62,1
APR-DRG,161-1,IMPLANTABLE HEART ASSIST SYSTEMS,,,106065.23,243022.67,4
APR-DRG,161-2,IMPLANTABLE HEART ASSIST SYSTEMS,,,111647.56,255813.22,4
APR-DRG,161-3,IMPLANTABLE HEART ASSIST SYSTEMS,,,139053.4,318607.01,4
APR-DRG,161-4,IMPLANTABLE HEART ASSIST SYSTEMS,,,178071.79,408008.16,4
APR-DRG,1611,IMPLANTABLE HEART ASSIST SYSTEMS,,,335544.23,335544.23,1
APR-DRG,1612,IMPLANTABLE HEART ASSIST SYSTEMS,,,335544.23,335544.23,1
APR-DRG,1613,IMPLANTABLE HEART ASSIST SYSTEMS,,,496458.69,496458.69,1
APR-DRG,1614,IMPLANTABLE HEART ASSIST SYSTEMS,,,616967.93,616967.93,1
APR-DRG,162-1,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,25143.17,57609.45,4
APR-DRG,162-2,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,29463.85,67509.25,4
APR-DRG,162-3,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,38723.01,88724.35,4
APR-DRG,162-4,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,64987.86,148903.86,4
APR-DRG,1621,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,94874.67,94874.67,1
APR-DRG,1622,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,110418.11,110418.11,1
APR-DRG,1623,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,171883.28,171883.28,1
APR-DRG,1624,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,223698.29,223698.29,1
APR-DRG,163-1,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,24461.67,56047.96,4
APR-DRG,163-2,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,26493.62,60703.69,4
APR-DRG,163-3,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,33527.76,76820.71,4
APR-DRG,163-4,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,56400.55,129228.13,4
APR-DRG,1631,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,67206.46,67206.46,1
APR-DRG,1632,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,80555.7,80555.7,1
APR-DRG,1633,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,107455.41,107455.41,1
APR-DRG,1634,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,168830.68,168830.68,1
APR-DRG,165-1,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,25070.77,57443.57,4
APR-DRG,165-2,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,30529.54,69951.02,4
APR-DRG,165-3,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,36931.41,84619.34,4
APR-DRG,165-4,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,54983.49,125981.28,4
APR-DRG,1651,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,80074.05,80074.05,1
APR-DRG,1652,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,84015.03,84015.03,1
APR-DRG,1653,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,90056.01,90056.01,1
APR-DRG,1654,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,138645.03,138645.03,1
APR-DRG,166-1,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,21136.21,48428.48,4
APR-DRG,166-2,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,23669.16,54232.11,4
APR-DRG,166-3,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,29585.48,67787.93,4
APR-DRG,166-4,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,44410.56,101755.98,4
APR-DRG,1661,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,58179.24,58179.24,1
APR-DRG,1662,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,71376.49,71376.49,1
APR-DRG,1663,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,93440.42,93440.42,1
APR-DRG,1664,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,116416.27,116416.27,1
APR-DRG,167-1,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,24285.51,24285.51,2
APR-DRG,167-1,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,17801.1,40786.88,2
APR-DRG,167-2,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,31076.58,31076.58,2
APR-DRG,167-2,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,21198.95,48572.24,2
APR-DRG,167-3,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,40768.5,40768.5,2
APR-DRG,167-3,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,27318.96,62594.74,2
APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,65685.91,65685.91,2
APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,57780.93,132390.93,2
APR-DRG,1671,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,53977.09,53977.09,1
APR-DRG,1672,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,75651.42,75651.42,1
APR-DRG,1673,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,101360.91,101360.91,1
APR-DRG,1674,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,144673.17,144673.17,1
APR-DRG,169-1,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,21123.66,48399.73,4
APR-DRG,169-2,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,23261.8,53298.75,4
APR-DRG,169-3,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,29332.57,67208.45,4
APR-DRG,169-4,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,60424.64,155171.96,4
APR-DRG,1691,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,68700.65,68700.65,1
APR-DRG,1692,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,70042.85,70042.85,1
APR-DRG,1693,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,76458.45,76458.45,1
APR-DRG,1694,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,164883.27,164883.27,1
APR-DRG,170-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,21455.72,49160.57,4
APR-DRG,170-2,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,23842.87,55842.26,4
APR-DRG,170-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,27585.38,63205.18,4
APR-DRG,170-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,38786.72,88870.33,4
APR-DRG,1701,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,59827.56,59827.56,1
APR-DRG,1702,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,59827.56,59827.56,1
APR-DRG,1703,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,80446.53,80446.53,1
APR-DRG,1704,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,111270.09,111270.09,1
APR-DRG,171-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,13783.52,31581.58,4
APR-DRG,171-2,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,15203.48,34835.06,4
APR-DRG,171-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,17980.64,41198.27,4
APR-DRG,171-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,29212.87,66934.19,4
APR-DRG,1711,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,32578.92,32578.92,1
APR-DRG,1712,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,41225.1,41225.1,1
APR-DRG,1713,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,49879.84,49879.84,1
APR-DRG,1714,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,93748.68,93748.68,1
APR-DRG,174-1,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,13514.2,30964.5,4
APR-DRG,174-2,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,14765.23,33830.93,4
APR-DRG,174-3,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,17702.64,40561.28,4
APR-DRG,174-4,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,27560.28,63147.67,4
APR-DRG,1741,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,26968.21,26968.21,1
APR-DRG,1742,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,35387.48,35387.48,1
APR-DRG,1743,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,45279.54,45279.54,1
APR-DRG,1744,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,73551.42,73551.42,1
APR-DRG,175-1,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,16357.97,37480.32,4
APR-DRG,175-2,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,17084.84,39145.76,4
APR-DRG,175-3,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,22765.64,52161.91,4
APR-DRG,175-4,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,31857.8,72994.39,4
APR-DRG,1751,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,34231.52,34231.52,1
APR-DRG,1752,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,50036.11,50036.11,1
APR-DRG,1753,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,58785.05,58785.05,1
APR-DRG,1754,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,79521.76,79521.76,1
APR-DRG,176-1,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,15160.04,34735.53,4
APR-DRG,176-2,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,15330.89,35127.01,4
APR-DRG,176-3,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,23077.43,52876.31,4
APR-DRG,176-4,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,41252.15,100026.39,4
APR-DRG,1761,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,37630.91,37630.91,1
APR-DRG,1762,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,62407.07,62407.07,1
APR-DRG,1763,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,73964.57,73964.57,1
APR-DRG,1764,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,103512.29,103512.29,1
APR-DRG,177-1,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,10268.86,23528.6,4
APR-DRG,177-2,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,12792.16,29310.11,4
APR-DRG,177-3,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,22505.47,55740.52,4
APR-DRG,177-4,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,33708.28,77234.31,4
APR-DRG,1771,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,31367.3,31367.3,1
APR-DRG,1772,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,41505.53,41505.53,1
APR-DRG,1773,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,56473.12,56473.12,1
APR-DRG,1774,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,86641.64,86641.64,1
APR-DRG,178-1,EXTERNAL HEART ASSIST DEVICES,,,48290.3,48290.3,2
APR-DRG,178-1,EXTERNAL HEART ASSIST SYSTEMS,,,49660.82,113785.69,2
APR-DRG,178-2,EXTERNAL HEART ASSIST DEVICES,,,52633.68,52633.68,2
APR-DRG,178-2,EXTERNAL HEART ASSIST SYSTEMS,,,51734.29,118536.53,2
APR-DRG,178-3,EXTERNAL HEART ASSIST DEVICES,,,65291.63,65291.63,2
APR-DRG,178-3,EXTERNAL HEART ASSIST SYSTEMS,,,52654.22,120644.33,2
APR-DRG,178-4,EXTERNAL HEART ASSIST DEVICES,,,80517.12,80517.12,2
APR-DRG,178-4,EXTERNAL HEART ASSIST SYSTEMS,,,80114.11,183561.98,2
APR-DRG,1781,EXTERNAL HEART ASSIST SYSTEMS,,,118306.49,118306.49,1
APR-DRG,1782,EXTERNAL HEART ASSIST SYSTEMS,,,120342.27,120342.27,1
APR-DRG,1783,EXTERNAL HEART ASSIST SYSTEMS,,,163834.34,163834.34,1
APR-DRG,1784,EXTERNAL HEART ASSIST SYSTEMS,,,212025.2,212025.2,1
APR-DRG,179-1,DEFIBRILLATOR IMPLANTS,,,28124.98,64441.55,4
APR-DRG,179-2,DEFIBRILLATOR IMPLANTS,,,31873.24,73029.77,4
APR-DRG,179-3,DEFIBRILLATOR IMPLANTS,,,40474.06,92736.47,4
APR-DRG,179-4,DEFIBRILLATOR IMPLANTS,,,53793.27,123254.19,4
APR-DRG,1791,DEFIBRILLATOR IMPLANTS,,,66962.42,66962.42,1
APR-DRG,1792,DEFIBRILLATOR IMPLANTS,,,72699.43,72699.43,1
APR-DRG,1793,DEFIBRILLATOR IMPLANTS,,,97501.28,97501.28,1
APR-DRG,1794,DEFIBRILLATOR IMPLANTS,,,146111.7,146111.7,1
APR-DRG,180-1,OTHER CIRCULATORY SYSTEM PROCEDURES,,,7450.19,17070.29,4
APR-DRG,180-2,OTHER CIRCULATORY SYSTEM PROCEDURES,,,12283.44,28144.52,4
APR-DRG,180-3,OTHER CIRCULATORY SYSTEM PROCEDURES,,,16787.53,38464.54,4
APR-DRG,180-4,OTHER CIRCULATORY SYSTEM PROCEDURES,,,37057.87,84909.08,4
APR-DRG,1801,OTHER CIRCULATORY SYSTEM PROCEDURES,,,31848.95,31848.95,1
APR-DRG,1802,OTHER CIRCULATORY SYSTEM PROCEDURES,,,33953.23,33953.23,1
APR-DRG,1803,OTHER CIRCULATORY SYSTEM PROCEDURES,,,39619.59,39619.59,1
APR-DRG,1804,OTHER CIRCULATORY SYSTEM PROCEDURES,,,87767.63,87767.63,1
APR-DRG,181-1,LOWER EXTREMITY ARTERIAL PROCEDURES,,,10218.67,23413.59,2
APR-DRG,181-1,LOWER EXTREMITY VASCULAR PROCEDURES,,,17645.85,17645.85,2
APR-DRG,181-2,LOWER EXTREMITY ARTERIAL PROCEDURES,,,15379.16,35237.6,2
APR-DRG,181-2,LOWER EXTREMITY VASCULAR PROCEDURES,,,23613.66,23613.66,2
APR-DRG,181-3,LOWER EXTREMITY ARTERIAL PROCEDURES,,,26054.41,59697.34,2
APR-DRG,181-3,LOWER EXTREMITY VASCULAR PROCEDURES,,,31788.39,31788.39,2
APR-DRG,181-4,LOWER EXTREMITY ARTERIAL PROCEDURES,,,46856.63,107360.56,2
APR-DRG,181-4,LOWER EXTREMITY VASCULAR PROCEDURES,,,47369.26,47369.26,2
APR-DRG,1811,LOWER EXTREMITY ARTERIAL PROCEDURES,,,40968.22,40968.22,1
APR-DRG,1812,LOWER EXTREMITY ARTERIAL PROCEDURES,,,56708.59,56708.59,1
APR-DRG,1813,LOWER EXTREMITY ARTERIAL PROCEDURES,,,85890.26,85890.26,1
APR-DRG,1814,LOWER EXTREMITY ARTERIAL PROCEDURES,,,111967.95,111967.95,1
APR-DRG,182-1,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,15061.48,38944.49,4
APR-DRG,182-2,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,18617.35,45301.06,4
APR-DRG,182-3,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,23989.01,61241.15,4
APR-DRG,182-4,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,38214.62,106183.91,4
APR-DRG,1821,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,32895.74,32895.74,1
APR-DRG,1822,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,60977.1,60977.1,1
APR-DRG,1823,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,69362.12,69362.12,1
APR-DRG,1824,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,91796.38,91796.38,1
APR-DRG,183-1,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,27227.25,62384.62,4
APR-DRG,183-2,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,27614.34,63271.53,4
APR-DRG,183-3,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,30389.57,69630.31,4
APR-DRG,183-4,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,43201.04,98984.66,4
APR-DRG,1831,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,95118.71,95118.71,1
APR-DRG,1832,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,105590.89,105590.89,1
APR-DRG,1833,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,129185.39,129185.39,1
APR-DRG,1834,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,182319.06,182319.06,1
APR-DRG,190-1,ACUTE MYOCARDIAL INFARCTION,,,5164.36,11832.86,4
APR-DRG,190-2,ACUTE MYOCARDIAL INFARCTION,,,5793.73,13274.92,4
APR-DRG,190-3,ACUTE MYOCARDIAL INFARCTION,,,7589.19,17388.78,4
APR-DRG,190-4,ACUTE MYOCARDIAL INFARCTION,,,17523.09,40149.9,4
APR-DRG,1901,ACUTE MYOCARDIAL INFARCTION,,,14353.22,14353.22,1
APR-DRG,1902,ACUTE MYOCARDIAL INFARCTION,,,18155.06,18155.06,1
APR-DRG,1903,ACUTE MYOCARDIAL INFARCTION,,,24485.03,24485.03,1
APR-DRG,1904,ACUTE MYOCARDIAL INFARCTION,,,40315.31,40315.31,1
APR-DRG,191-1,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,5553.37,12724.2,4
APR-DRG,191-2,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,6287.0,14405.13,4
APR-DRG,191-3,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,8365.29,19167.03,4
APR-DRG,191-4,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,18221.97,41751.2,4
APR-DRG,1911,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,13216.52,13216.52,1
APR-DRG,1912,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,16814.99,16814.99,1
APR-DRG,1913,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,35543.75,35543.75,1
APR-DRG,1914,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,57132.45,57132.45,1
APR-DRG,192-1,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,5970.38,13679.67,4
APR-DRG,192-2,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,7599.81,17413.11,4
APR-DRG,192-3,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,13226.54,30305.4,4
APR-DRG,192-4,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,24544.68,56238.17,4
APR-DRG,1921,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,19696.34,19696.34,1
APR-DRG,1922,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,23954.14,23954.14,1
APR-DRG,1923,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,36950.17,36950.17,1
APR-DRG,1924,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,64813.19,64813.19,1
APR-DRG,193-1,ACUTE AND SUBACUTE ENDOCARDITIS,,,8748.51,20045.09,4
APR-DRG,193-2,ACUTE AND SUBACUTE ENDOCARDITIS,,,10088.35,23115.0,4
APR-DRG,193-3,ACUTE AND SUBACUTE ENDOCARDITIS,,,14354.98,32890.93,4
APR-DRG,193-4,ACUTE AND SUBACUTE ENDOCARDITIS,,,22800.92,52871.88,4
APR-DRG,1931,ACUTE AND SUBACUTE ENDOCARDITIS,,,25152.92,25152.92,1
APR-DRG,1932,ACUTE AND SUBACUTE ENDOCARDITIS,,,27663.93,27663.93,1
APR-DRG,1933,ACUTE AND SUBACUTE ENDOCARDITIS,,,39283.51,39283.51,1
APR-DRG,1934,ACUTE AND SUBACUTE ENDOCARDITIS,,,57213.79,57213.79,1
APR-DRG,194-1,HEART FAILURE,,,5389.27,12348.2,4
APR-DRG,194-2,HEART FAILURE,,,6766.75,15504.37,4
APR-DRG,194-3,HEART FAILURE,,,8996.6,20613.51,4
APR-DRG,194-4,HEART FAILURE,,,15783.62,36164.32,4
APR-DRG,1941,HEART FAILURE,,,12694.2,12694.2,1
APR-DRG,1942,HEART FAILURE,,,16720.8,16720.8,1
APR-DRG,1943,HEART FAILURE,,,28241.91,28241.91,1
APR-DRG,1944,HEART FAILURE,,,78650.5,78650.5,1
APR-DRG,196-1,CARDIAC ARREST AND SHOCK,,,3217.34,7371.76,4
APR-DRG,196-2,CARDIAC ARREST AND SHOCK,,,5666.06,13058.17,4
APR-DRG,196-3,CARDIAC ARREST AND SHOCK,,,8761.06,20073.84,4
APR-DRG,196-4,CARDIAC ARREST AND SHOCK,,,17183.22,46612.63,4
APR-DRG,1961,CARDIAC ARREST AND SHOCK,,,11015.91,11015.91,1
APR-DRG,1962,CARDIAC ARREST AND SHOCK,,,13098.78,13098.78,1
APR-DRG,1963,CARDIAC ARREST AND SHOCK,,,18827.23,18827.23,1
APR-DRG,1964,CARDIAC ARREST AND SHOCK,,,53420.52,53420.52,1
APR-DRG,197-1,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,5031.01,12529.56,4
APR-DRG,197-2,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,6138.34,14064.52,4
APR-DRG,197-3,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,9771.73,22389.55,4
APR-DRG,197-4,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,16919.78,38767.55,4
APR-DRG,1971,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,12552.91,12552.91,1
APR-DRG,1972,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,20589.0,20589.0,1
APR-DRG,1973,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,36021.12,36021.12,1
APR-DRG,1974,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,50177.4,50177.4,1
APR-DRG,198-1,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,3128.54,7168.28,4
APR-DRG,198-2,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,4587.11,10510.24,4
APR-DRG,198-3,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,6052.43,13867.67,4
APR-DRG,198-4,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,13245.69,30882.67,4
APR-DRG,1981,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,9652.3,9652.3,1
APR-DRG,1982,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,12118.36,12118.36,1
APR-DRG,1983,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,17589.92,17589.92,1
APR-DRG,1984,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,33236.1,33236.1,1
APR-DRG,199-1,HYPERTENSION,,,4272.42,9789.21,4
APR-DRG,199-2,HYPERTENSION,,,5667.28,12985.18,4
APR-DRG,199-3,HYPERTENSION,,,7852.72,17992.59,4
APR-DRG,199-4,HYPERTENSION,,,11202.31,25667.36,4
APR-DRG,1991,HYPERTENSION,,,11578.91,11578.91,1
APR-DRG,1992,HYPERTENSION,,,11893.58,11893.58,1
APR-DRG,1993,HYPERTENSION,,,16134.26,16134.26,1
APR-DRG,1994,HYPERTENSION,,,40165.47,40165.47,1
APR-DRG,200-1,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,4478.03,10260.31,4
APR-DRG,200-2,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,4834.22,11076.44,4
APR-DRG,200-3,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,10482.58,32455.22,4
APR-DRG,200-4,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,18544.8,88266.52,4
APR-DRG,2001,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,11799.4,11799.4,1
APR-DRG,2002,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,13308.57,13308.57,1
APR-DRG,2003,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,31078.31,31078.31,1
APR-DRG,2004,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,46533.97,46533.97,1
APR-DRG,201-1,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,4173.96,9563.61,4
APR-DRG,201-2,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,5153.74,11808.53,4
APR-DRG,201-3,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,7887.47,18072.21,4
APR-DRG,201-4,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,11639.59,26669.28,4
APR-DRG,2011,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,10911.02,10911.02,1
APR-DRG,2012,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,13925.08,13925.08,1
APR-DRG,2013,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,19495.12,19495.12,1
APR-DRG,2014,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,54336.73,54336.73,1
APR-DRG,203-1,CHEST PAIN,,,3565.82,8170.2,4
APR-DRG,203-2,CHEST PAIN,,,4184.58,9587.94,4
APR-DRG,203-3,CHEST PAIN,,,4907.59,11244.54,4
APR-DRG,203-4,CHEST PAIN,,,9260.12,21217.32,4
APR-DRG,2031,CHEST PAIN,,,10542.82,10542.82,1
APR-DRG,2032,CHEST PAIN,,,12465.14,12465.14,1
APR-DRG,2033,CHEST PAIN,,,18356.28,18356.28,1
APR-DRG,2034,CHEST PAIN,,,28907.66,28907.66,1
APR-DRG,204-1,SYNCOPE AND COLLAPSE,,,4832.29,11072.02,4
APR-DRG,204-2,SYNCOPE AND COLLAPSE,,,6019.61,13792.47,4
APR-DRG,204-3,SYNCOPE AND COLLAPSE,,,7392.27,16937.58,4
APR-DRG,204-4,SYNCOPE AND COLLAPSE,,,10310.37,23623.7,4
APR-DRG,2041,SYNCOPE AND COLLAPSE,,,11880.74,11880.74,1
APR-DRG,2042,SYNCOPE AND COLLAPSE,,,14122.03,14122.03,1
APR-DRG,2043,SYNCOPE AND COLLAPSE,,,23778.61,23778.61,1
APR-DRG,2044,SYNCOPE AND COLLAPSE,,,36620.51,36620.51,1
APR-DRG,205-1,CARDIOMYOPATHY,,,4045.57,9269.44,4
APR-DRG,205-2,CARDIOMYOPATHY,,,5290.81,12122.6,4
APR-DRG,205-3,CARDIOMYOPATHY,,,9733.12,22301.08,4
APR-DRG,205-4,CARDIOMYOPATHY,,,12591.37,28850.07,4
APR-DRG,2051,CARDIOMYOPATHY,,,12313.16,12313.16,1
APR-DRG,2052,CARDIOMYOPATHY,,,16459.64,16459.64,1
APR-DRG,2053,CARDIOMYOPATHY,,,25165.76,25165.76,1
APR-DRG,2054,CARDIOMYOPATHY,,,46045.9,46045.9,1
APR-DRG,206-1,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,5809.05,21812.28,4
APR-DRG,206-2,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,7360.93,22243.57,4
APR-DRG,206-3,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,11177.56,33346.55,4
APR-DRG,206-4,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,18178.53,41651.68,4
APR-DRG,2061,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,12315.3,12315.3,1
APR-DRG,2062,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,21274.02,21274.02,1
APR-DRG,2063,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,31170.35,31170.35,1
APR-DRG,2064,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,53078.01,53078.01,1
APR-DRG,207-1,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,4519.53,10355.41,4
APR-DRG,207-2,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,6381.6,14621.88,4
APR-DRG,207-3,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,8030.33,18399.55,4
APR-DRG,207-4,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,16107.0,36905.26,4
APR-DRG,2071,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,11885.02,11885.02,1
APR-DRG,2072,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,14460.25,14460.25,1
APR-DRG,2073,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,20837.32,20837.32,1
APR-DRG,2074,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,43177.39,43177.39,1
APR-DRG,220-1,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,9905.91,22696.98,4
APR-DRG,220-2,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,14950.57,34255.58,4
APR-DRG,220-3,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,22382.41,51283.85,4
APR-DRG,220-4,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,55495.62,142925.5,4
APR-DRG,2201,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,23463.93,23463.93,1
APR-DRG,2202,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,37217.76,37217.76,1
APR-DRG,2203,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,54366.7,54366.7,1
APR-DRG,2204,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,148684.79,148684.79,1
APR-DRG,222-1,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,5568.82,12759.59,4
APR-DRG,222-2,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,8648.12,19815.07,4
APR-DRG,222-3,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,20691.21,47408.86,4
APR-DRG,222-4,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,38799.2,131492.96,4
APR-DRG,2221,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,22275.85,22275.85,1
APR-DRG,2222,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,27702.46,27702.46,1
APR-DRG,2223,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,51793.61,51793.61,1
APR-DRG,2224,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,97357.85,97357.85,1
APR-DRG,223-1,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,8263.93,18934.79,4
APR-DRG,223-2,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,12219.73,27998.54,4
APR-DRG,223-3,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,17023.07,39004.21,4
APR-DRG,223-4,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,24085.2,55185.37,4
APR-DRG,2231,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,26876.16,26876.16,1
APR-DRG,2232,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,33242.53,33242.53,1
APR-DRG,2233,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,54026.33,54026.33,1
APR-DRG,2234,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,95371.31,95371.31,1
APR-DRG,224-1,PERITONEAL ADHESIOLYSIS,,,8849.87,20277.32,4
APR-DRG,224-2,PERITONEAL ADHESIOLYSIS,,,11209.06,25682.84,4
APR-DRG,224-3,PERITONEAL ADHESIOLYSIS,,,17189.1,39384.63,4
APR-DRG,224-4,PERITONEAL ADHESIOLYSIS,,,30576.84,70059.39,4
APR-DRG,2241,PERITONEAL ADHESIOLYSIS,,,30326.93,30326.93,1
APR-DRG,2242,PERITONEAL ADHESIOLYSIS,,,30999.1,30999.1,1
APR-DRG,2243,PERITONEAL ADHESIOLYSIS,,,58776.49,58776.49,1
APR-DRG,2244,PERITONEAL ADHESIOLYSIS,,,96315.35,96315.35,1
APR-DRG,226-1,ANAL AND PERINEAL PROCEDURES,,,6586.24,15090.77,4
APR-DRG,226-2,ANAL AND PERINEAL PROCEDURES,,,8714.73,19967.68,4
APR-DRG,226-3,ANAL AND PERINEAL PROCEDURES,,,12785.4,29294.63,4
APR-DRG,226-4,ANAL AND PERINEAL PROCEDURES,,,26177.01,59978.24,4
APR-DRG,2261,ANAL AND PERINEAL PROCEDURES,,,18771.57,18771.57,1
APR-DRG,2262,ANAL AND PERINEAL PROCEDURES,,,20019.58,20019.58,1
APR-DRG,2263,ANAL AND PERINEAL PROCEDURES,,,39510.42,39510.42,1
APR-DRG,2264,ANAL AND PERINEAL PROCEDURES,,,66213.19,66213.19,1
APR-DRG,227-1,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,9127.88,20914.31,4
APR-DRG,227-2,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,11455.22,26246.84,4
APR-DRG,227-3,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,15728.6,36038.25,4
APR-DRG,227-4,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,26987.86,61836.11,4
APR-DRG,2271,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,24407.96,24407.96,1
APR-DRG,2272,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,29727.54,29727.54,1
APR-DRG,2273,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,45089.02,45089.02,1
APR-DRG,2274,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,105124.22,105124.22,1
APR-DRG,228-1,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,6760.0,15488.89,4
APR-DRG,228-2,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,7677.03,17590.05,4
APR-DRG,228-3,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,12367.42,28336.94,4
APR-DRG,228-4,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,22306.15,51109.12,4
APR-DRG,2281,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,22023.25,22023.25,1
APR-DRG,2282,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,26347.42,26347.42,1
APR-DRG,2283,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,36552.01,36552.01,1
APR-DRG,2284,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,73264.57,73264.57,1
APR-DRG,229-1,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,8544.84,19578.41,4
APR-DRG,229-2,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,10215.77,23406.95,4
APR-DRG,229-3,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,18007.67,41260.2,4
APR-DRG,229-4,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,31295.03,71704.94,4
APR-DRG,2291,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,19672.79,19672.79,1
APR-DRG,2292,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,28331.82,28331.82,1
APR-DRG,2293,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,57740.4,57740.4,1
APR-DRG,2294,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,123688.14,123688.14,1
APR-DRG,230-1,MAJOR SMALL BOWEL PROCEDURES,,,9911.7,22710.25,4
APR-DRG,230-2,MAJOR SMALL BOWEL PROCEDURES,,,12692.73,29082.3,4
APR-DRG,230-3,MAJOR SMALL BOWEL PROCEDURES,,,19677.64,45086.52,4
APR-DRG,230-4,MAJOR SMALL BOWEL PROCEDURES,,,36692.02,84070.83,4
APR-DRG,2301,MAJOR SMALL BOWEL PROCEDURES,,,25424.79,25424.79,1
APR-DRG,2302,MAJOR SMALL BOWEL PROCEDURES,,,38857.51,38857.51,1
APR-DRG,2303,MAJOR SMALL BOWEL PROCEDURES,,,67095.15,67095.15,1
APR-DRG,2304,MAJOR SMALL BOWEL PROCEDURES,,,128511.08,128511.08,1
APR-DRG,231-1,MAJOR LARGE BOWEL PROCEDURES,,,11322.0,25941.62,4
APR-DRG,231-2,MAJOR LARGE BOWEL PROCEDURES,,,13336.58,30557.54,4
APR-DRG,231-3,MAJOR LARGE BOWEL PROCEDURES,,,18345.53,42034.31,4
APR-DRG,231-4,MAJOR LARGE BOWEL PROCEDURES,,,31410.86,71970.34,4
APR-DRG,2311,MAJOR LARGE BOWEL PROCEDURES,,,31283.81,31283.81,1
APR-DRG,2312,MAJOR LARGE BOWEL PROCEDURES,,,38241.0,38241.0,1
APR-DRG,2313,MAJOR LARGE BOWEL PROCEDURES,,,53067.31,53067.31,1
APR-DRG,2314,MAJOR LARGE BOWEL PROCEDURES,,,90077.42,90077.42,1
APR-DRG,232-1,GASTRIC FUNDOPLICATION,,,7173.14,16435.51,4
APR-DRG,232-2,GASTRIC FUNDOPLICATION,,,8762.99,20078.27,4
APR-DRG,232-3,GASTRIC FUNDOPLICATION,,,16633.08,38110.66,4
APR-DRG,232-4,GASTRIC FUNDOPLICATION,,,33790.28,83635.11,4
APR-DRG,2321,GASTRIC FUNDOPLICATION,,,16645.88,16645.88,1
APR-DRG,2322,GASTRIC FUNDOPLICATION,,,35128.46,35128.46,1
APR-DRG,2323,GASTRIC FUNDOPLICATION,,,54501.56,54501.56,1
APR-DRG,2324,GASTRIC FUNDOPLICATION,,,84789.96,84789.96,1
APR-DRG,233-1,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,7128.74,16333.77,4
APR-DRG,233-2,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,9368.24,21465.03,4
APR-DRG,233-3,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,13305.7,30486.76,4
APR-DRG,233-4,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,29209.01,66925.34,4
APR-DRG,2331,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,22183.8,22183.8,1
APR-DRG,2332,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,28383.2,28383.2,1
APR-DRG,2333,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,42464.55,42464.55,1
APR-DRG,2334,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,73572.82,73572.82,1
APR-DRG,234-1,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,5513.79,12633.52,4
APR-DRG,234-2,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,7154.8,16393.49,4
APR-DRG,234-3,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,11920.49,27312.9,4
APR-DRG,234-4,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,20301.22,46515.31,4
APR-DRG,2341,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,19615.0,19615.0,1
APR-DRG,2342,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,21355.36,21355.36,1
APR-DRG,2343,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,40567.91,40567.91,1
APR-DRG,2344,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,65919.92,65919.92,1
APR-DRG,240-1,DIGESTIVE MALIGNANCY,,,6689.53,15327.43,4
APR-DRG,240-2,DIGESTIVE MALIGNANCY,,,7267.74,16652.27,4
APR-DRG,240-3,DIGESTIVE MALIGNANCY,,,10289.13,23575.04,4
APR-DRG,240-4,DIGESTIVE MALIGNANCY,,,19297.61,48941.6,4
APR-DRG,2401,DIGESTIVE MALIGNANCY,,,13062.39,13062.39,1
APR-DRG,2402,DIGESTIVE MALIGNANCY,,,16864.23,16864.23,1
APR-DRG,2403,DIGESTIVE MALIGNANCY,,,36684.73,36684.73,1
APR-DRG,2404,DIGESTIVE MALIGNANCY,,,48392.08,48392.08,1
APR-DRG,241-1,PEPTIC ULCER AND GASTRITIS,,,4459.69,10218.28,4
APR-DRG,241-2,PEPTIC ULCER AND GASTRITIS,,,5738.71,13148.85,4
APR-DRG,241-3,PEPTIC ULCER AND GASTRITIS,,,9263.02,21223.95,4
APR-DRG,241-4,PEPTIC ULCER AND GASTRITIS,,,19863.94,45513.39,4
APR-DRG,2411,PEPTIC ULCER AND GASTRITIS,,,15569.12,15569.12,1
APR-DRG,2412,PEPTIC ULCER AND GASTRITIS,,,16335.48,16335.48,1
APR-DRG,2413,PEPTIC ULCER AND GASTRITIS,,,23425.4,23425.4,1
APR-DRG,2414,PEPTIC ULCER AND GASTRITIS,,,61734.9,61734.9,1
APR-DRG,242-1,MAJOR ESOPHAGEAL DISORDERS,,,4427.83,10145.3,4
APR-DRG,242-2,MAJOR ESOPHAGEAL DISORDERS,,,5394.1,12359.26,4
APR-DRG,242-3,MAJOR ESOPHAGEAL DISORDERS,,,8380.73,19202.41,4
APR-DRG,242-4,MAJOR ESOPHAGEAL DISORDERS,,,17525.99,40156.53,4
APR-DRG,2421,MAJOR ESOPHAGEAL DISORDERS,,,13907.96,13907.96,1
APR-DRG,2422,MAJOR ESOPHAGEAL DISORDERS,,,14336.09,14336.09,1
APR-DRG,2423,MAJOR ESOPHAGEAL DISORDERS,,,28417.45,28417.45,1
APR-DRG,2424,MAJOR ESOPHAGEAL DISORDERS,,,68818.39,68818.39,1
APR-DRG,243-1,OTHER ESOPHAGEAL DISORDERS,,,4371.84,10017.02,4
APR-DRG,243-2,OTHER ESOPHAGEAL DISORDERS,,,5167.25,11839.5,4
APR-DRG,243-3,OTHER ESOPHAGEAL DISORDERS,,,7891.33,18081.06,4
APR-DRG,243-4,OTHER ESOPHAGEAL DISORDERS,,,13411.88,30730.05,4
APR-DRG,2431,OTHER ESOPHAGEAL DISORDERS,,,11857.19,11857.19,1
APR-DRG,2432,OTHER ESOPHAGEAL DISORDERS,,,16007.96,16007.96,1
APR-DRG,2433,OTHER ESOPHAGEAL DISORDERS,,,32420.51,32420.51,1
APR-DRG,2434,OTHER ESOPHAGEAL DISORDERS,,,43738.25,43738.25,1
APR-DRG,244-1,DIVERTICULITIS AND DIVERTICULOSIS,,,4431.69,10154.14,4
APR-DRG,244-2,DIVERTICULITIS AND DIVERTICULOSIS,,,5633.49,12907.77,4
APR-DRG,244-3,DIVERTICULITIS AND DIVERTICULOSIS,,,7923.18,18154.04,4
APR-DRG,244-4,DIVERTICULITIS AND DIVERTICULOSIS,,,13272.88,30411.56,4
APR-DRG,2441,DIVERTICULITIS AND DIVERTICULOSIS,,,12687.77,12687.77,1
APR-DRG,2442,DIVERTICULITIS AND DIVERTICULOSIS,,,14199.09,14199.09,1
APR-DRG,2443,DIVERTICULITIS AND DIVERTICULOSIS,,,20646.8,20646.8,1
APR-DRG,2444,DIVERTICULITIS AND DIVERTICULOSIS,,,45472.2,45472.2,1
APR-DRG,245-1,INFLAMMATORY BOWEL DISEASE,,,4368.95,10010.38,4
APR-DRG,245-2,INFLAMMATORY BOWEL DISEASE,,,5933.7,13595.63,4
APR-DRG,245-3,INFLAMMATORY BOWEL DISEASE,,,8997.56,20615.72,4
APR-DRG,245-4,INFLAMMATORY BOWEL DISEASE,,,12507.39,28657.64,4
APR-DRG,2451,INFLAMMATORY BOWEL DISEASE,,,11897.87,11897.87,1
APR-DRG,2452,INFLAMMATORY BOWEL DISEASE,,,15778.91,15778.91,1
APR-DRG,2453,INFLAMMATORY BOWEL DISEASE,,,32452.62,32452.62,1
APR-DRG,2454,INFLAMMATORY BOWEL DISEASE,,,39309.2,39309.2,1
APR-DRG,246-1,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,5329.42,12211.07,4
APR-DRG,246-2,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6766.75,15504.37,4
APR-DRG,246-3,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,9456.08,21666.3,4
APR-DRG,246-4,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,15468.93,35443.29,4
APR-DRG,2461,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,13186.55,13186.55,1
APR-DRG,2462,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,13974.32,13974.32,1
APR-DRG,2463,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,26734.88,26734.88,1
APR-DRG,2464,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,40439.47,40439.47,1
APR-DRG,247-1,INTESTINAL OBSTRUCTION,,,3755.98,8605.92,4
APR-DRG,247-2,INTESTINAL OBSTRUCTION,,,4842.91,11096.35,4
APR-DRG,247-3,INTESTINAL OBSTRUCTION,,,7916.43,18138.56,4
APR-DRG,247-4,INTESTINAL OBSTRUCTION,,,16568.15,38665.81,4
APR-DRG,2471,INTESTINAL OBSTRUCTION,,,9701.53,9701.53,1
APR-DRG,2472,INTESTINAL OBSTRUCTION,,,13167.29,13167.29,1
APR-DRG,2473,INTESTINAL OBSTRUCTION,,,19563.62,19563.62,1
APR-DRG,2474,INTESTINAL OBSTRUCTION,,,36513.48,36513.48,1
APR-DRG,248-1,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,4502.16,10315.6,4
APR-DRG,248-2,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,6007.06,13763.72,4
APR-DRG,248-3,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,10015.95,22949.12,4
APR-DRG,248-4,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,14197.63,32530.42,4
APR-DRG,2481,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,12379.52,12379.52,1
APR-DRG,2482,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,16412.55,16412.55,1
APR-DRG,2483,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,29494.21,29494.21,1
APR-DRG,2484,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,99815.35,99815.35,1
APR-DRG,249-1,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,3519.48,8064.04,4
APR-DRG,249-2,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,4845.81,11102.98,4
APR-DRG,249-3,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,7539.96,17275.98,4
APR-DRG,249-4,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,12776.71,29274.72,4
APR-DRG,2491,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,9515.3,9515.3,1
APR-DRG,2492,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,14316.83,14316.83,1
APR-DRG,2493,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,25296.34,25296.34,1
APR-DRG,2494,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,40486.57,40486.57,1
APR-DRG,251-1,ABDOMINAL PAIN,,,4260.83,9762.66,4
APR-DRG,251-2,ABDOMINAL PAIN,,,5159.53,11821.8,4
APR-DRG,251-3,ABDOMINAL PAIN,,,7334.35,16804.88,4
APR-DRG,251-4,ABDOMINAL PAIN,,,12090.38,27702.17,4
APR-DRG,2511,ABDOMINAL PAIN,,,9622.33,9622.33,1
APR-DRG,2512,ABDOMINAL PAIN,,,11606.73,11606.73,1
APR-DRG,2513,ABDOMINAL PAIN,,,20201.54,20201.54,1
APR-DRG,2514,ABDOMINAL PAIN,,,30949.86,30949.86,1
APR-DRG,252-1,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,4565.87,10461.58,4
APR-DRG,252-2,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,6061.12,13887.58,4
APR-DRG,252-3,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,9266.88,21232.8,4
APR-DRG,252-4,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,19153.57,49952.37,4
APR-DRG,2521,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,13000.31,13000.31,1
APR-DRG,2522,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,17044.05,17044.05,1
APR-DRG,2523,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,23896.34,23896.34,1
APR-DRG,2524,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,48062.41,48062.41,1
APR-DRG,253-1,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,5402.78,12379.16,4
APR-DRG,253-2,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,6363.26,14579.86,4
APR-DRG,253-3,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,8166.44,18711.4,4
APR-DRG,253-4,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,18596.32,43706.39,4
APR-DRG,2531,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,11936.4,11936.4,1
APR-DRG,2532,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,12764.84,12764.84,1
APR-DRG,2533,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,24988.09,24988.09,1
APR-DRG,2534,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,52570.67,52570.67,1
APR-DRG,254-1,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,4226.08,9683.04,4
APR-DRG,254-2,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,5772.49,13226.26,4
APR-DRG,254-3,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,9288.12,21281.46,4
APR-DRG,254-4,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,16121.48,36938.44,4
APR-DRG,2541,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,10906.73,10906.73,1
APR-DRG,2542,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,14680.74,14680.74,1
APR-DRG,2543,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,22729.68,22729.68,1
APR-DRG,2544,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,59761.2,59761.2,1
APR-DRG,260-1,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,13190.82,30223.56,4
APR-DRG,260-2,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,15105.01,34609.46,4
APR-DRG,260-3,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,23975.16,54933.23,4
APR-DRG,260-4,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,46054.46,105522.59,4
APR-DRG,2601,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,36928.77,36928.77,1
APR-DRG,2602,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,41344.98,41344.98,1
APR-DRG,2603,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,54394.53,54394.53,1
APR-DRG,2604,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,198808.68,198808.68,1
APR-DRG,261-1,MAJOR BILIARY TRACT PROCEDURES,,,10244.73,23473.3,4
APR-DRG,261-2,MAJOR BILIARY TRACT PROCEDURES,,,13408.02,30721.21,4
APR-DRG,261-3,MAJOR BILIARY TRACT PROCEDURES,,,20346.59,46619.27,4
APR-DRG,261-4,MAJOR BILIARY TRACT PROCEDURES,,,50571.86,121559.99,4
APR-DRG,2611,MAJOR BILIARY TRACT PROCEDURES,,,37740.08,37740.08,1
APR-DRG,2612,MAJOR BILIARY TRACT PROCEDURES,,,48734.58,48734.58,1
APR-DRG,2613,MAJOR BILIARY TRACT PROCEDURES,,,66667.01,66667.01,1
APR-DRG,2614,MAJOR BILIARY TRACT PROCEDURES,,,126899.15,126899.15,1
APR-DRG,263-1,CHOLECYSTECTOMY,,,7749.43,17755.93,4
APR-DRG,263-2,CHOLECYSTECTOMY,,,9225.37,21137.69,4
APR-DRG,263-3,CHOLECYSTECTOMY,,,11688.82,26782.08,4
APR-DRG,263-4,CHOLECYSTECTOMY,,,18606.16,42631.48,4
APR-DRG,2631,CHOLECYSTECTOMY,,,24568.52,24568.52,1
APR-DRG,2632,CHOLECYSTECTOMY,,,29519.89,29519.89,1
APR-DRG,2633,CHOLECYSTECTOMY,,,39140.08,39140.08,1
APR-DRG,2634,CHOLECYSTECTOMY,,,78170.99,78170.99,1
APR-DRG,264-1,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,7910.63,18125.29,4
APR-DRG,264-2,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,9100.85,20852.38,4
APR-DRG,264-3,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,13294.11,30460.22,4
APR-DRG,264-4,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,39260.68,89956.3,4
APR-DRG,2641,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,28856.29,28856.29,1
APR-DRG,2642,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,30579.53,30579.53,1
APR-DRG,2643,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,47490.85,47490.85,1
APR-DRG,2644,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,134635.55,134635.55,1
APR-DRG,279-1,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,3640.15,8340.51,4
APR-DRG,279-2,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,5346.8,12250.88,4
APR-DRG,279-3,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,9146.22,20956.33,4
APR-DRG,279-4,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,21004.93,48127.68,4
APR-DRG,2791,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,15111.02,15111.02,1
APR-DRG,2792,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,16463.92,16463.92,1
APR-DRG,2793,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,36205.22,36205.22,1
APR-DRG,2794,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,66189.64,66189.64,1
APR-DRG,280-1,ALCOHOLIC LIVER DISEASE,,,4238.63,9711.79,4
APR-DRG,280-2,ALCOHOLIC LIVER DISEASE,,,5469.39,12531.78,4
APR-DRG,280-3,ALCOHOLIC LIVER DISEASE,,,9263.02,21223.95,4
APR-DRG,280-4,ALCOHOLIC LIVER DISEASE,,,23040.75,52792.26,4
APR-DRG,2801,ALCOHOLIC LIVER DISEASE,,,12625.7,12625.7,1
APR-DRG,2802,ALCOHOLIC LIVER DISEASE,,,17442.21,17442.21,1
APR-DRG,2803,ALCOHOLIC LIVER DISEASE,,,35374.64,35374.64,1
APR-DRG,2804,ALCOHOLIC LIVER DISEASE,,,70995.45,70995.45,1
APR-DRG,281-1,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,4503.12,10317.81,4
APR-DRG,281-2,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,7221.41,16546.1,4
APR-DRG,281-3,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,9511.1,21792.37,4
APR-DRG,281-4,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,13582.74,31121.53,4
APR-DRG,2811,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,16797.87,16797.87,1
APR-DRG,2812,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,17564.23,17564.23,1
APR-DRG,2813,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,39065.16,39065.16,1
APR-DRG,2814,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,46944.98,46944.98,1
APR-DRG,282-1,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,4770.51,10930.47,4
APR-DRG,282-2,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,5915.36,13553.6,4
APR-DRG,282-3,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,9210.89,21104.52,4
APR-DRG,282-4,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,23905.65,54773.99,4
APR-DRG,2821,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,12039.15,12039.15,1
APR-DRG,2822,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,17465.76,17465.76,1
APR-DRG,2823,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,24814.69,24814.69,1
APR-DRG,2824,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,80352.34,80352.34,1
APR-DRG,283-1,OTHER DISORDERS OF THE LIVER,,,3844.79,8809.4,4
APR-DRG,283-2,OTHER DISORDERS OF THE LIVER,,,5469.39,12531.78,4
APR-DRG,283-3,OTHER DISORDERS OF THE LIVER,,,8077.63,18507.92,4
APR-DRG,283-4,OTHER DISORDERS OF THE LIVER,,,17812.68,40813.42,4
APR-DRG,2831,OTHER DISORDERS OF THE LIVER,,,11700.92,11700.92,1
APR-DRG,2832,OTHER DISORDERS OF THE LIVER,,,15609.79,15609.79,1
APR-DRG,2833,OTHER DISORDERS OF THE LIVER,,,19518.67,19518.67,1
APR-DRG,2834,OTHER DISORDERS OF THE LIVER,,,46915.01,46915.01,1
APR-DRG,284-1,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,5242.54,12012.01,4
APR-DRG,284-2,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,6364.22,14582.07,4
APR-DRG,284-3,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,9019.76,20666.59,4
APR-DRG,284-4,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,16839.66,38583.98,4
APR-DRG,2841,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,17121.11,17121.11,1
APR-DRG,2842,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,18865.76,18865.76,1
APR-DRG,2843,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,24168.21,24168.21,1
APR-DRG,2844,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,47037.03,47037.03,1
APR-DRG,299-1,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,40711.72,40711.72,2
APR-DRG,299-2,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,47840.29,47840.29,2
APR-DRG,299-3,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,63853.3,63853.3,2
APR-DRG,299-4,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,81445.52,81445.52,2
APR-DRG,2991,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,63971.9,63971.9,1
APR-DRG,2992,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,83955.09,83955.09,1
APR-DRG,2993,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,164307.43,164307.43,1
APR-DRG,2994,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,196428.25,196428.25,1
APR-DRG,300-1,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,29790.7,29790.7,2
APR-DRG,300-2,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,32626.36,32626.36,2
APR-DRG,300-3,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,42072.25,42072.25,2
APR-DRG,300-4,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,61584.35,61584.35,2
APR-DRG,3001,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,60390.55,60390.55,1
APR-DRG,3002,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,63107.07,63107.07,1
APR-DRG,3003,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,105571.62,105571.62,1
APR-DRG,3004,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,154533.12,154533.12,1
APR-DRG,303-1,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,26038.97,59661.96,4
APR-DRG,303-2,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,30726.46,70402.21,4
APR-DRG,303-3,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,39591.78,90714.93,4
APR-DRG,303-4,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,68874.16,157808.36,4
APR-DRG,3031,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,115236.76,115236.76,1
APR-DRG,3032,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,117486.61,117486.61,1
APR-DRG,3033,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,156085.1,156085.1,1
APR-DRG,3034,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,225888.2,225888.2,1
APR-DRG,304-1,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,19327.24,44283.66,4
APR-DRG,304-2,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,22303.26,51102.48,4
APR-DRG,304-3,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,33697.66,77209.98,4
APR-DRG,304-4,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,43396.03,99431.43,4
APR-DRG,3041,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,58637.34,58637.34,1
APR-DRG,3042,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,88360.6,88360.6,1
APR-DRG,3043,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,94024.82,94024.82,1
APR-DRG,3044,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,166034.96,166034.96,1
APR-DRG,305-1,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,8888.48,20365.79,4
APR-DRG,305-2,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,11362.55,26034.51,4
APR-DRG,305-3,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,17323.27,39692.07,4
APR-DRG,305-4,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,37954.92,94008.22,4
APR-DRG,3051,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,24031.21,24031.21,1
APR-DRG,3052,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,33719.9,33719.9,1
APR-DRG,3053,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,45031.22,45031.22,1
APR-DRG,3054,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,93785.07,93785.07,1
APR-DRG,308-1,HIP AND FEMUR FRACTURE REPAIR,,,9769.8,22385.12,4
APR-DRG,308-2,HIP AND FEMUR FRACTURE REPAIR,,,12743.89,29199.52,4
APR-DRG,308-3,HIP AND FEMUR FRACTURE REPAIR,,,16901.44,38725.53,4
APR-DRG,308-4,HIP AND FEMUR FRACTURE REPAIR,,,23506.02,53858.32,4
APR-DRG,3081,HIP AND FEMUR FRACTURE REPAIR,,,24523.56,24523.56,1
APR-DRG,3082,HIP AND FEMUR FRACTURE REPAIR,,,34957.21,34957.21,1
APR-DRG,3083,HIP AND FEMUR FRACTURE REPAIR,,,52315.93,52315.93,1
APR-DRG,3084,HIP AND FEMUR FRACTURE REPAIR,,,81615.34,81615.34,1
APR-DRG,309-1,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,9683.89,22188.28,4
APR-DRG,309-2,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,13155.11,30141.73,4
APR-DRG,309-3,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,18236.45,41784.38,4
APR-DRG,309-4,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,38487.98,101282.67,4
APR-DRG,3091,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,25940.69,25940.69,1
APR-DRG,3092,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,32474.02,32474.02,1
APR-DRG,3093,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,74825.12,74825.12,1
APR-DRG,3094,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,96576.51,96576.51,1
APR-DRG,310-1,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,8823.81,20217.61,4
APR-DRG,310-2,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,10639.54,24377.91,4
APR-DRG,310-3,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,18899.61,43303.85,4
APR-DRG,310-4,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,34427.43,79423.94,4
APR-DRG,3101,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,19345.27,19345.27,1
APR-DRG,3102,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,33424.48,33424.48,1
APR-DRG,3103,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,59581.38,59581.38,1
APR-DRG,3104,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,86389.04,86389.04,1
APR-DRG,312-1,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,11918.81,11918.81,2
APR-DRG,312-1,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,12205.25,27965.37,2
APR-DRG,312-2,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,18750.88,18750.88,2
APR-DRG,312-2,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,13374.23,30643.8,2
APR-DRG,312-3,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,29618.27,29618.27,2
APR-DRG,312-3,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,29987.04,68708.01,2
APR-DRG,312-4,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,52854.48,52854.48,2
APR-DRG,312-4,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,52050.91,119261.98,2
APR-DRG,3121,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,31031.21,31031.21,1
APR-DRG,3122,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,46842.23,46842.23,1
APR-DRG,3123,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,73769.77,73769.77,1
APR-DRG,3124,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,132627.6,132627.6,1
APR-DRG,313-1,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,9878.88,22635.05,4
APR-DRG,313-2,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,12746.79,29206.16,4
APR-DRG,313-3,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,18471.02,42321.84,4
APR-DRG,313-4,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,38746.18,88777.43,4
APR-DRG,3131,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,27261.48,27261.48,1
APR-DRG,3132,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,38555.68,38555.68,1
APR-DRG,3133,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,45831.83,45831.83,1
APR-DRG,3134,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,91759.99,91759.99,1
APR-DRG,314-1,FOOT AND TOE PROCEDURES,,,8059.29,18465.9,4
APR-DRG,314-2,FOOT AND TOE PROCEDURES,,,8578.62,19655.82,4
APR-DRG,314-3,FOOT AND TOE PROCEDURES,,,11874.16,27206.74,4
APR-DRG,314-4,FOOT AND TOE PROCEDURES,,,22464.46,51471.85,4
APR-DRG,3141,FOOT AND TOE PROCEDURES,,,27073.1,27073.1,1
APR-DRG,3142,FOOT AND TOE PROCEDURES,,,27601.85,27601.85,1
APR-DRG,3143,FOOT AND TOE PROCEDURES,,,48047.43,48047.43,1
APR-DRG,3144,FOOT AND TOE PROCEDURES,,,69312.88,69312.88,1
APR-DRG,315-1,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,5345.83,12248.67,4
APR-DRG,315-2,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,11050.75,25320.11,4
APR-DRG,315-3,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,16336.74,37431.66,4
APR-DRG,315-4,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,22044.56,50509.73,4
APR-DRG,3151,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,20073.1,20073.1,1
APR-DRG,3152,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,35374.64,35374.64,1
APR-DRG,3153,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,55073.12,55073.12,1
APR-DRG,3154,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,93746.54,93746.54,1
APR-DRG,316-1,HAND AND WRIST PROCEDURES,,,6714.63,15384.93,4
APR-DRG,316-2,HAND AND WRIST PROCEDURES,,,7450.19,17070.29,4
APR-DRG,316-3,HAND AND WRIST PROCEDURES,,,13976.58,32023.93,4
APR-DRG,316-4,HAND AND WRIST PROCEDURES,,,29696.49,68042.28,4
APR-DRG,3161,HAND AND WRIST PROCEDURES,,,21777.08,21777.08,1
APR-DRG,3162,HAND AND WRIST PROCEDURES,,,29639.77,29639.77,1
APR-DRG,3163,HAND AND WRIST PROCEDURES,,,44913.48,44913.48,1
APR-DRG,3164,HAND AND WRIST PROCEDURES,,,72502.49,72502.49,1
APR-DRG,317-1,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,8034.19,18408.4,4
APR-DRG,317-2,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,11617.39,26618.41,4
APR-DRG,317-3,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,17760.55,40693.99,4
APR-DRG,317-4,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,32975.43,107252.18,4
APR-DRG,3171,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,20882.27,20882.27,1
APR-DRG,3172,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,33355.98,33355.98,1
APR-DRG,3173,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,51052.93,51052.93,1
APR-DRG,3174,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,77766.41,77766.41,1
APR-DRG,320-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,7893.26,18085.48,4
APR-DRG,320-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,9522.68,21818.91,4
APR-DRG,320-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,20343.7,46612.63,4
APR-DRG,320-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,25736.83,58969.68,4
APR-DRG,3201,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,18307.04,18307.04,1
APR-DRG,3202,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,34937.94,34937.94,1
APR-DRG,3203,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,37247.73,37247.73,1
APR-DRG,3204,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,85145.31,85145.31,1
APR-DRG,321-1,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,12782.5,29287.99,4
APR-DRG,321-2,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,15669.71,35903.34,4
APR-DRG,321-3,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,21780.06,49903.72,4
APR-DRG,321-4,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,41886.3,95972.26,4
APR-DRG,3211,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,31594.21,31594.21,1
APR-DRG,3212,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,38983.81,38983.81,1
APR-DRG,3213,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,82809.83,82809.83,1
APR-DRG,3214,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,119141.35,119141.35,1
APR-DRG,322-1,SHOULDER AND ELBOW JOINT REPLACEMENT,,,12217.8,27994.12,4
APR-DRG,322-2,SHOULDER AND ELBOW JOINT REPLACEMENT,,,13541.23,31026.43,4
APR-DRG,322-3,SHOULDER AND ELBOW JOINT REPLACEMENT,,,25531.22,58498.58,4
APR-DRG,322-4,SHOULDER AND ELBOW JOINT REPLACEMENT,,,34416.81,78857.73,4
APR-DRG,3221,SHOULDER AND ELBOW JOINT REPLACEMENT,,,23543.13,23543.13,1
APR-DRG,3222,SHOULDER AND ELBOW JOINT REPLACEMENT,,,26045.58,26045.58,1
APR-DRG,3223,SHOULDER AND ELBOW JOINT REPLACEMENT,,,56222.66,56222.66,1
APR-DRG,3224,SHOULDER AND ELBOW JOINT REPLACEMENT,,,91387.51,91387.51,1
APR-DRG,323-1,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,11848.09,27147.02,4
APR-DRG,323-2,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,14459.23,33129.8,4
APR-DRG,323-3,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,17959.41,41149.61,4
APR-DRG,323-4,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,28470.56,65233.35,4
APR-DRG,3231,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,30040.08,30040.08,1
APR-DRG,3232,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,41469.14,41469.14,1
APR-DRG,3233,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,54334.59,54334.59,1
APR-DRG,3234,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,95230.02,95230.02,1
APR-DRG,324-1,ELECTIVE HIP JOINT REPLACEMENT,,,9653.97,22119.71,4
APR-DRG,324-2,ELECTIVE HIP JOINT REPLACEMENT,,,11411.78,26147.31,4
APR-DRG,324-3,ELECTIVE HIP JOINT REPLACEMENT,,,14476.6,33169.61,4
APR-DRG,324-4,ELECTIVE HIP JOINT REPLACEMENT,,,28330.59,64912.65,4
APR-DRG,3241,ELECTIVE HIP JOINT REPLACEMENT,,,22819.58,22819.58,1
APR-DRG,3242,ELECTIVE HIP JOINT REPLACEMENT,,,25615.31,25615.31,1
APR-DRG,3243,ELECTIVE HIP JOINT REPLACEMENT,,,59652.02,59652.02,1
APR-DRG,3244,ELECTIVE HIP JOINT REPLACEMENT,,,88692.41,88692.41,1
APR-DRG,325-1,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,14906.16,34153.84,4
APR-DRG,325-2,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,16712.24,38292.03,4
APR-DRG,325-3,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,20429.61,46809.48,4
APR-DRG,325-4,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,35964.18,82403.17,4
APR-DRG,3251,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,50288.71,50288.71,1
APR-DRG,3252,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,63021.44,63021.44,1
APR-DRG,3253,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,85614.12,85614.12,1
APR-DRG,3254,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,113072.54,113072.54,1
APR-DRG,326-1,ELECTIVE KNEE JOINT REPLACEMENT,,,9636.59,22079.9,4
APR-DRG,326-2,ELECTIVE KNEE JOINT REPLACEMENT,,,11154.04,25556.77,4
APR-DRG,326-3,ELECTIVE KNEE JOINT REPLACEMENT,,,15205.41,34839.49,4
APR-DRG,326-4,ELECTIVE KNEE JOINT REPLACEMENT,,,28439.67,65162.58,4
APR-DRG,3261,ELECTIVE KNEE JOINT REPLACEMENT,,,24487.17,24487.17,1
APR-DRG,3262,ELECTIVE KNEE JOINT REPLACEMENT,,,33704.91,33704.91,1
APR-DRG,3263,ELECTIVE KNEE JOINT REPLACEMENT,,,45489.32,45489.32,1
APR-DRG,3264,ELECTIVE KNEE JOINT REPLACEMENT,,,79097.9,79097.9,1
APR-DRG,340-1,FRACTURE OF FEMUR,,,4295.58,9842.29,4
APR-DRG,340-2,FRACTURE OF FEMUR,,,5339.07,12233.19,4
APR-DRG,340-3,FRACTURE OF FEMUR,,,9048.45,23690.05,4
APR-DRG,340-4,FRACTURE OF FEMUR,,,13518.0,36184.23,4
APR-DRG,3401,FRACTURE OF FEMUR,,,12201.84,12201.84,1
APR-DRG,3402,FRACTURE OF FEMUR,,,15903.07,15903.07,1
APR-DRG,3403,FRACTURE OF FEMUR,,,22706.13,22706.13,1
APR-DRG,3404,FRACTURE OF FEMUR,,,33921.12,33921.12,1
APR-DRG,341-1,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,5362.24,12286.27,4
APR-DRG,341-2,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,6368.08,14590.91,4
APR-DRG,341-3,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,9770.77,24661.01,4
APR-DRG,341-4,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,16961.29,38862.66,4
APR-DRG,3411,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,13779.52,13779.52,1
APR-DRG,3412,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,16947.72,16947.72,1
APR-DRG,3413,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,25491.15,25491.15,1
APR-DRG,3414,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,46944.98,46944.98,1
APR-DRG,342-1,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,4293.65,9837.86,4
APR-DRG,342-2,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,6343.95,14535.62,4
APR-DRG,342-3,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,8612.41,19733.23,4
APR-DRG,342-4,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,18028.91,41308.85,4
APR-DRG,3421,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,14695.73,14695.73,1
APR-DRG,3422,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,17247.41,17247.41,1
APR-DRG,3423,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,26398.79,26398.79,1
APR-DRG,3424,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,45996.66,45996.66,1
APR-DRG,343-1,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,7275.47,16669.96,4
APR-DRG,343-2,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,8153.89,18682.65,4
APR-DRG,343-3,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,11860.64,27175.77,4
APR-DRG,343-4,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,22128.01,64269.03,4
APR-DRG,3431,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,20141.6,20141.6,1
APR-DRG,3432,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,23091.45,23091.45,1
APR-DRG,3433,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,38069.75,38069.75,1
APR-DRG,3434,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,58609.51,58609.51,1
APR-DRG,344-1,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,6710.11,16132.5,4
APR-DRG,344-2,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,8305.44,19029.9,4
APR-DRG,344-3,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,13357.14,31384.73,4
APR-DRG,344-4,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,20713.87,49142.87,4
APR-DRG,3441,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,16341.91,16341.91,1
APR-DRG,3442,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,25229.98,25229.98,1
APR-DRG,3443,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,42102.78,42102.78,1
APR-DRG,3444,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,44800.03,44800.03,1
APR-DRG,346-1,CONNECTIVE TISSUE DISORDERS,,,4962.61,11370.61,4
APR-DRG,346-2,CONNECTIVE TISSUE DISORDERS,,,8430.93,19317.42,4
APR-DRG,346-3,CONNECTIVE TISSUE DISORDERS,,,12786.36,29296.84,4
APR-DRG,346-4,CONNECTIVE TISSUE DISORDERS,,,20729.82,47497.33,4
APR-DRG,3461,CONNECTIVE TISSUE DISORDERS,,,11369.12,11369.12,1
APR-DRG,3462,CONNECTIVE TISSUE DISORDERS,,,28286.87,28286.87,1
APR-DRG,3463,CONNECTIVE TISSUE DISORDERS,,,29549.86,29549.86,1
APR-DRG,3464,CONNECTIVE TISSUE DISORDERS,,,108530.03,108530.03,1
APR-DRG,347-1,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,5425.95,12432.25,4
APR-DRG,347-2,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,7221.41,16546.1,4
APR-DRG,347-3,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,8409.69,19268.77,4
APR-DRG,347-4,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,14837.63,33996.81,4
APR-DRG,3471,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,15008.27,15008.27,1
APR-DRG,3472,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,16538.85,16538.85,1
APR-DRG,3473,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,33039.16,33039.16,1
APR-DRG,3474,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,37523.87,37523.87,1
APR-DRG,349-1,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,5329.42,12211.07,4
APR-DRG,349-2,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,7181.83,16455.42,4
APR-DRG,349-3,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,9453.18,21659.67,4
APR-DRG,349-4,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,15286.49,35025.27,4
APR-DRG,3491,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,13484.11,13484.11,1
APR-DRG,3492,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,17660.56,17660.56,1
APR-DRG,3493,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,27788.09,27788.09,1
APR-DRG,3494,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,54972.51,54972.51,1
APR-DRG,351-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,5063.6,11709.0,4
APR-DRG,351-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,6218.46,14248.09,4
APR-DRG,351-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,8645.23,19808.43,4
APR-DRG,351-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,17372.48,44126.62,4
APR-DRG,3511,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,12092.67,12092.67,1
APR-DRG,3512,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,14351.08,14351.08,1
APR-DRG,3513,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,25655.98,25655.98,1
APR-DRG,3514,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,44181.37,44181.37,1
APR-DRG,361-1,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,14221.4,32866.6,4
APR-DRG,361-2,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,18280.85,41886.12,4
APR-DRG,361-3,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,26121.28,60652.82,4
APR-DRG,361-4,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,47845.09,109625.39,4
APR-DRG,3611,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,37633.05,37633.05,1
APR-DRG,3612,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,46611.04,46611.04,1
APR-DRG,3613,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,62115.94,62115.94,1
APR-DRG,3614,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,124882.64,124882.64,1
APR-DRG,362-1,MASTECTOMY PROCEDURES,,,13148.35,30126.25,4
APR-DRG,362-2,MASTECTOMY PROCEDURES,,,14758.47,33815.45,4
APR-DRG,362-3,MASTECTOMY PROCEDURES,,,19217.19,44031.52,4
APR-DRG,362-4,MASTECTOMY PROCEDURES,,,32318.3,81487.51,4
APR-DRG,3621,MASTECTOMY PROCEDURES,,,29271.58,29271.58,1
APR-DRG,3622,MASTECTOMY PROCEDURES,,,39146.51,39146.51,1
APR-DRG,3623,MASTECTOMY PROCEDURES,,,53341.31,53341.31,1
APR-DRG,3624,MASTECTOMY PROCEDURES,,,81095.15,81095.15,1
APR-DRG,363-1,BREAST PROCEDURES EXCEPT MASTECTOMY,,,9792.97,22438.2,4
APR-DRG,363-2,BREAST PROCEDURES EXCEPT MASTECTOMY,,,13518.06,30973.35,4
APR-DRG,363-3,BREAST PROCEDURES EXCEPT MASTECTOMY,,,19897.73,45590.8,4
APR-DRG,363-4,BREAST PROCEDURES EXCEPT MASTECTOMY,,,29503.43,67599.93,4
APR-DRG,3631,BREAST PROCEDURES EXCEPT MASTECTOMY,,,25508.27,25508.27,1
APR-DRG,3632,BREAST PROCEDURES EXCEPT MASTECTOMY,,,44701.55,44701.55,1
APR-DRG,3633,BREAST PROCEDURES EXCEPT MASTECTOMY,,,59720.52,59720.52,1
APR-DRG,3634,BREAST PROCEDURES EXCEPT MASTECTOMY,,,82839.8,82839.8,1
APR-DRG,364-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,6155.72,14104.33,4
APR-DRG,364-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,9341.21,21403.1,4
APR-DRG,364-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,15205.41,34839.49,4
APR-DRG,364-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,28414.41,88405.86,4
APR-DRG,3641,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,16665.15,16665.15,1
APR-DRG,3642,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,25698.79,25698.79,1
APR-DRG,3643,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,38172.5,38172.5,1
APR-DRG,3644,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,98655.1,98655.1,1
APR-DRG,380-1,SKIN ULCERS,,,4918.2,11268.87,4
APR-DRG,380-2,SKIN ULCERS,,,7007.11,16055.09,4
APR-DRG,380-3,SKIN ULCERS,,,10349.05,27330.59,4
APR-DRG,380-4,SKIN ULCERS,,,17148.53,40660.81,4
APR-DRG,3801,SKIN ULCERS,,,13392.06,13392.06,1
APR-DRG,3802,SKIN ULCERS,,,18754.44,18754.44,1
APR-DRG,3803,SKIN ULCERS,,,25067.29,25067.29,1
APR-DRG,3804,SKIN ULCERS,,,38953.84,38953.84,1
APR-DRG,381-1,MAJOR SKIN DISORDERS,,,3492.46,8002.11,4
APR-DRG,381-2,MAJOR SKIN DISORDERS,,,6770.04,17534.75,4
APR-DRG,381-3,MAJOR SKIN DISORDERS,,,10556.52,24187.7,4
APR-DRG,381-4,MAJOR SKIN DISORDERS,,,21763.65,49866.12,4
APR-DRG,3811,MAJOR SKIN DISORDERS,,,8256.58,8256.58,1
APR-DRG,3812,MAJOR SKIN DISORDERS,,,16896.34,16896.34,1
APR-DRG,3813,MAJOR SKIN DISORDERS,,,27494.82,27494.82,1
APR-DRG,3814,MAJOR SKIN DISORDERS,,,56657.22,56657.22,1
APR-DRG,382-1,MALIGNANT BREAST DISORDERS,,,5389.27,12348.2,4
APR-DRG,382-2,MALIGNANT BREAST DISORDERS,,,6052.43,13867.67,4
APR-DRG,382-3,MALIGNANT BREAST DISORDERS,,,10393.39,23813.91,4
APR-DRG,382-4,MALIGNANT BREAST DISORDERS,,,12549.87,28754.96,4
APR-DRG,3821,MALIGNANT BREAST DISORDERS,,,13880.13,13880.13,1
APR-DRG,3822,MALIGNANT BREAST DISORDERS,,,18576.77,18576.77,1
APR-DRG,3823,MALIGNANT BREAST DISORDERS,,,25037.32,25037.32,1
APR-DRG,3824,MALIGNANT BREAST DISORDERS,,,71975.88,71975.88,1
APR-DRG,383-1,CELLULITIS AND OTHER SKIN INFECTIONS,,,4086.11,9362.34,4
APR-DRG,383-2,CELLULITIS AND OTHER SKIN INFECTIONS,,,5690.44,13038.27,4
APR-DRG,383-3,CELLULITIS AND OTHER SKIN INFECTIONS,,,9399.62,23086.25,4
APR-DRG,383-4,CELLULITIS AND OTHER SKIN INFECTIONS,,,13749.73,31504.17,4
APR-DRG,3831,CELLULITIS AND OTHER SKIN INFECTIONS,,,12552.91,12552.91,1
APR-DRG,3832,CELLULITIS AND OTHER SKIN INFECTIONS,,,17699.09,17699.09,1
APR-DRG,3833,CELLULITIS AND OTHER SKIN INFECTIONS,,,28385.34,28385.34,1
APR-DRG,3834,CELLULITIS AND OTHER SKIN INFECTIONS,,,65303.4,65303.4,1
APR-DRG,384-1,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,3882.44,8895.66,4
APR-DRG,384-2,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,5826.55,13350.12,4
APR-DRG,384-3,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,10855.83,27452.24,4
APR-DRG,384-4,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,16909.16,38743.22,4
APR-DRG,3841,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,15305.82,15305.82,1
APR-DRG,3842,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,15378.6,15378.6,1
APR-DRG,3843,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,22733.96,22733.96,1
APR-DRG,3844,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,47009.2,47009.2,1
APR-DRG,385-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,3582.23,8207.8,4
APR-DRG,385-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,5597.77,12825.94,4
APR-DRG,385-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,9398.57,25897.38,4
APR-DRG,385-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,15428.39,35350.4,4
APR-DRG,3851,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,10741.9,10741.9,1
APR-DRG,3852,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,16307.65,16307.65,1
APR-DRG,3853,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,16990.53,16990.53,1
APR-DRG,3854,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,40878.31,40878.31,1
APR-DRG,401-1,ADRENAL PROCEDURES,,,9013.97,20653.32,4
APR-DRG,401-2,ADRENAL PROCEDURES,,,15897.35,44779.09,4
APR-DRG,401-3,ADRENAL PROCEDURES,,,26007.11,59588.97,4
APR-DRG,401-4,ADRENAL PROCEDURES,,,40243.36,92207.86,4
APR-DRG,4011,ADRENAL PROCEDURES,,,28710.72,28710.72,1
APR-DRG,4012,ADRENAL PROCEDURES,,,38804.0,38804.0,1
APR-DRG,4013,ADRENAL PROCEDURES,,,73478.64,73478.64,1
APR-DRG,4014,ADRENAL PROCEDURES,,,138178.37,138178.37,1
APR-DRG,403-1,PROCEDURES FOR OBESITY,,,8086.32,18527.83,4
APR-DRG,403-2,PROCEDURES FOR OBESITY,,,9188.69,21053.65,4
APR-DRG,403-3,PROCEDURES FOR OBESITY,,,10835.49,24826.89,4
APR-DRG,403-4,PROCEDURES FOR OBESITY,,,34714.12,79538.95,4
APR-DRG,4031,PROCEDURES FOR OBESITY,,,24232.43,24232.43,1
APR-DRG,4032,PROCEDURES FOR OBESITY,,,26629.98,26629.98,1
APR-DRG,4033,PROCEDURES FOR OBESITY,,,47841.92,47841.92,1
APR-DRG,4034,PROCEDURES FOR OBESITY,,,111190.89,111190.89,1
APR-DRG,404-1,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,7520.65,17231.74,4
APR-DRG,404-2,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,9272.67,21246.07,4
APR-DRG,404-3,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,11778.59,26987.77,4
APR-DRG,404-4,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,42057.16,96363.74,4
APR-DRG,4041,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,15552.0,15552.0,1
APR-DRG,4042,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,25319.89,25319.89,1
APR-DRG,4043,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,57016.85,57016.85,1
APR-DRG,4044,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,107316.27,107316.27,1
APR-DRG,405-1,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,11745.77,26912.57,4
APR-DRG,405-2,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,14970.0,39280.68,4
APR-DRG,405-3,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,22309.91,67719.36,4
APR-DRG,405-4,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,41663.31,95461.34,4
APR-DRG,4051,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,26086.25,26086.25,1
APR-DRG,4052,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,34229.38,34229.38,1
APR-DRG,4053,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,50733.97,50733.97,1
APR-DRG,4054,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,123187.23,123187.23,1
APR-DRG,420-1,DIABETES,,,3824.52,8762.95,4
APR-DRG,420-2,DIABETES,,,4965.5,11377.24,4
APR-DRG,420-3,DIABETES,,,8427.07,19308.58,4
APR-DRG,420-4,DIABETES,,,15224.71,34883.72,4
APR-DRG,4201,DIABETES,,,9598.78,9598.78,1
APR-DRG,4202,DIABETES,,,13576.15,13576.15,1
APR-DRG,4203,DIABETES,,,26246.8,26246.8,1
APR-DRG,4204,DIABETES,,,46024.49,46024.49,1
APR-DRG,421-1,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,3868.14,10598.71,4
APR-DRG,421-2,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,6450.41,23493.21,4
APR-DRG,421-3,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,10119.84,28520.52,4
APR-DRG,421-4,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,17661.62,52482.62,4
APR-DRG,4211,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,11713.77,11713.77,1
APR-DRG,4212,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,22669.74,22669.74,1
APR-DRG,4213,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,35565.16,35565.16,1
APR-DRG,4214,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,50939.48,50939.48,1
APR-DRG,422-1,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,3080.27,7057.69,4
APR-DRG,422-2,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,4316.82,9890.95,4
APR-DRG,422-3,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,7008.08,16057.3,4
APR-DRG,422-4,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,12256.31,30561.96,4
APR-DRG,4221,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,7685.02,7685.02,1
APR-DRG,4222,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,11125.08,11125.08,1
APR-DRG,4223,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,24842.52,24842.52,1
APR-DRG,4224,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,43230.91,43230.91,1
APR-DRG,423-1,INBORN ERRORS OF METABOLISM,,,5170.15,11846.13,4
APR-DRG,423-2,INBORN ERRORS OF METABOLISM,,,7727.88,19388.2,4
APR-DRG,423-3,INBORN ERRORS OF METABOLISM,,,11805.25,30453.59,4
APR-DRG,423-4,INBORN ERRORS OF METABOLISM,,,18872.58,43241.92,4
APR-DRG,4231,INBORN ERRORS OF METABOLISM,,,15183.8,15183.8,1
APR-DRG,4232,INBORN ERRORS OF METABOLISM,,,17532.12,17532.12,1
APR-DRG,4233,INBORN ERRORS OF METABOLISM,,,29622.65,29622.65,1
APR-DRG,4234,INBORN ERRORS OF METABOLISM,,,74897.9,74897.9,1
APR-DRG,424-1,OTHER ENDOCRINE DISORDERS,,,4083.22,9355.7,4
APR-DRG,424-2,OTHER ENDOCRINE DISORDERS,,,6292.79,14418.4,4
APR-DRG,424-3,OTHER ENDOCRINE DISORDERS,,,7826.65,17932.87,4
APR-DRG,424-4,OTHER ENDOCRINE DISORDERS,,,15863.74,36347.9,4
APR-DRG,4241,OTHER ENDOCRINE DISORDERS,,,11840.07,11840.07,1
APR-DRG,4242,OTHER ENDOCRINE DISORDERS,,,23778.61,23778.61,1
APR-DRG,4243,OTHER ENDOCRINE DISORDERS,,,36033.97,36033.97,1
APR-DRG,4244,OTHER ENDOCRINE DISORDERS,,,52373.73,52373.73,1
APR-DRG,425-1,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,4508.92,10331.08,4
APR-DRG,425-2,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,5365.14,12292.91,4
APR-DRG,425-3,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,8347.16,19664.67,4
APR-DRG,425-4,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,11844.23,27138.17,4
APR-DRG,4251,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,12133.34,12133.34,1
APR-DRG,4252,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,14098.48,14098.48,1
APR-DRG,4253,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,19722.03,19722.03,1
APR-DRG,4254,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,42592.99,42592.99,1
APR-DRG,426-1,NON-HYPOVOLEMIC SODIUM DISORDERS,,,4485.75,10278.0,4
APR-DRG,426-2,NON-HYPOVOLEMIC SODIUM DISORDERS,,,5697.2,13053.75,4
APR-DRG,426-3,NON-HYPOVOLEMIC SODIUM DISORDERS,,,8991.77,20602.45,4
APR-DRG,426-4,NON-HYPOVOLEMIC SODIUM DISORDERS,,,16867.8,43518.39,4
APR-DRG,4261,NON-HYPOVOLEMIC SODIUM DISORDERS,,,9793.58,9793.58,1
APR-DRG,4262,NON-HYPOVOLEMIC SODIUM DISORDERS,,,15170.96,15170.96,1
APR-DRG,4263,NON-HYPOVOLEMIC SODIUM DISORDERS,,,27747.42,27747.42,1
APR-DRG,4264,NON-HYPOVOLEMIC SODIUM DISORDERS,,,47863.33,47863.33,1
APR-DRG,427-1,THYROID DISORDERS,,,4357.36,9983.84,4
APR-DRG,427-2,THYROID DISORDERS,,,4530.15,10379.74,4
APR-DRG,427-3,THYROID DISORDERS,,,8216.63,18826.42,4
APR-DRG,427-4,THYROID DISORDERS,,,16866.69,38645.91,4
APR-DRG,4271,THYROID DISORDERS,,,8802.45,8802.45,1
APR-DRG,4272,THYROID DISORDERS,,,19004.9,19004.9,1
APR-DRG,4273,THYROID DISORDERS,,,21096.34,21096.34,1
APR-DRG,4274,THYROID DISORDERS,,,69019.61,69019.61,1
APR-DRG,428-1,GENETIC DISORDERS,,,5126.68,5126.68,2
APR-DRG,428-2,GENETIC DISORDERS,,,8485.95,8485.95,2
APR-DRG,428-3,GENETIC DISORDERS,,,24097.31,24097.31,2
APR-DRG,428-4,GENETIC DISORDERS,,,44320.17,44320.17,2
APR-DRG,4281,GENETIC DISORDERS,,,12863.31,12863.31,1
APR-DRG,4282,GENETIC DISORDERS,,,21293.28,21293.28,1
APR-DRG,4283,GENETIC DISORDERS,,,60467.62,60467.62,1
APR-DRG,4284,GENETIC DISORDERS,,,111212.3,111212.3,1
APR-DRG,440-1,KIDNEY TRANSPLANT,,,42644.06,97708.48,4
APR-DRG,440-2,KIDNEY TRANSPLANT,,,53218.92,121938.2,4
APR-DRG,440-3,KIDNEY TRANSPLANT,,,62051.41,142175.71,4
APR-DRG,440-4,KIDNEY TRANSPLANT,,,76653.51,175632.86,4
APR-DRG,4401,KIDNEY TRANSPLANT,,,191556.07,191556.07,1
APR-DRG,4402,KIDNEY TRANSPLANT,,,209672.6,209672.6,1
APR-DRG,4403,KIDNEY TRANSPLANT,,,242915.12,242915.12,1
APR-DRG,4404,KIDNEY TRANSPLANT,,,364912.13,364912.13,1
APR-DRG,441-1,MAJOR BLADDER PROCEDURES,,,9625.97,22055.57,4
APR-DRG,441-2,MAJOR BLADDER PROCEDURES,,,15515.27,35549.46,4
APR-DRG,441-3,MAJOR BLADDER PROCEDURES,,,18501.91,42392.61,4
APR-DRG,441-4,MAJOR BLADDER PROCEDURES,,,48981.25,112228.62,4
APR-DRG,4411,MAJOR BLADDER PROCEDURES,,,45652.01,45652.01,1
APR-DRG,4412,MAJOR BLADDER PROCEDURES,,,64669.76,64669.76,1
APR-DRG,4413,MAJOR BLADDER PROCEDURES,,,79675.89,79675.89,1
APR-DRG,4414,MAJOR BLADDER PROCEDURES,,,124657.87,124657.87,1
APR-DRG,442-1,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,9614.39,22029.03,4
APR-DRG,442-2,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,11030.48,25273.67,4
APR-DRG,442-3,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,16953.56,38844.97,4
APR-DRG,442-4,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,34926.48,80025.54,4
APR-DRG,4421,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,32377.69,32377.69,1
APR-DRG,4422,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,37667.3,37667.3,1
APR-DRG,4423,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,55120.21,55120.21,1
APR-DRG,4424,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,111756.03,111756.03,1
APR-DRG,443-1,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,6866.18,15732.18,4
APR-DRG,443-2,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,9638.52,22084.32,4
APR-DRG,443-3,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,15117.56,34638.22,4
APR-DRG,443-4,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,27141.34,62187.77,4
APR-DRG,4431,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,26602.16,26602.16,1
APR-DRG,4432,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,29132.43,29132.43,1
APR-DRG,4433,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,51748.65,51748.65,1
APR-DRG,4434,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,92873.14,92873.14,1
APR-DRG,444-1,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,7949.25,18213.76,4
APR-DRG,444-2,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,9249.5,21192.99,4
APR-DRG,444-3,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,19210.44,44016.04,4
APR-DRG,444-4,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,37689.96,93342.49,4
APR-DRG,4441,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,27454.14,27454.14,1
APR-DRG,4442,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,34246.5,34246.5,1
APR-DRG,4443,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,58795.75,58795.75,1
APR-DRG,4444,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,89398.83,89398.83,1
APR-DRG,445-1,OTHER BLADDER PROCEDURES,,,7234.92,16577.07,4
APR-DRG,445-2,OTHER BLADDER PROCEDURES,,,8926.13,20452.05,4
APR-DRG,445-3,OTHER BLADDER PROCEDURES,,,13703.4,31398.0,4
APR-DRG,445-4,OTHER BLADDER PROCEDURES,,,28077.68,64333.17,4
APR-DRG,4451,OTHER BLADDER PROCEDURES,,,23712.25,23712.25,1
APR-DRG,4452,OTHER BLADDER PROCEDURES,,,35310.42,35310.42,1
APR-DRG,4453,OTHER BLADDER PROCEDURES,,,49235.5,49235.5,1
APR-DRG,4454,OTHER BLADDER PROCEDURES,,,73470.07,73470.07,1
APR-DRG,446-1,URETHRAL AND TRANSURETHRAL PROCEDURES,,,6094.9,13964.99,4
APR-DRG,446-2,URETHRAL AND TRANSURETHRAL PROCEDURES,,,6888.38,15783.05,4
APR-DRG,446-3,URETHRAL AND TRANSURETHRAL PROCEDURES,,,10803.64,24753.91,4
APR-DRG,446-4,URETHRAL AND TRANSURETHRAL PROCEDURES,,,27763.58,69563.96,4
APR-DRG,4461,URETHRAL AND TRANSURETHRAL PROCEDURES,,,16183.5,16183.5,1
APR-DRG,4462,URETHRAL AND TRANSURETHRAL PROCEDURES,,,19161.17,19161.17,1
APR-DRG,4463,URETHRAL AND TRANSURETHRAL PROCEDURES,,,42357.52,42357.52,1
APR-DRG,4464,URETHRAL AND TRANSURETHRAL PROCEDURES,,,69666.09,69666.09,1
APR-DRG,447-1,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,12769.4,12769.4,2
APR-DRG,447-1,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,11967.79,27421.28,2
APR-DRG,447-2,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,15864.75,15864.75,2
APR-DRG,447-2,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,14020.02,32123.46,2
APR-DRG,447-3,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,22338.3,22338.3,2
APR-DRG,447-3,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,15401.36,35288.47,2
APR-DRG,447-4,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,42338.25,42338.25,2
APR-DRG,447-4,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,52440.89,120155.53,2
APR-DRG,4471,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,32041.61,32041.61,1
APR-DRG,4472,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,39810.11,39810.11,1
APR-DRG,4473,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,56053.55,56053.55,1
APR-DRG,4474,"OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES",,,111122.39,111122.39,1
APR-DRG,448-1,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,13346.62,13346.62,2
APR-DRG,448-2,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,18949.6,18949.6,2
APR-DRG,448-3,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,25356.9,25356.9,2
APR-DRG,448-4,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,41110.21,41110.21,2
APR-DRG,4481,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,33490.84,33490.84,1
APR-DRG,4482,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,47478.01,47478.01,1
APR-DRG,4483,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,60850.8,60850.8,1
APR-DRG,4484,"OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES",,,96597.91,96597.91,1
APR-DRG,461-1,KIDNEY AND URINARY TRACT MALIGNANCY,,,6225.41,17884.21,4
APR-DRG,461-2,KIDNEY AND URINARY TRACT MALIGNANCY,,,7865.61,19589.47,4
APR-DRG,461-3,KIDNEY AND URINARY TRACT MALIGNANCY,,,11913.55,30112.98,4
APR-DRG,461-4,KIDNEY AND URINARY TRACT MALIGNANCY,,,18583.96,42580.61,4
APR-DRG,4611,KIDNEY AND URINARY TRACT MALIGNANCY,,,15620.5,15620.5,1
APR-DRG,4612,KIDNEY AND URINARY TRACT MALIGNANCY,,,24097.57,24097.57,1
APR-DRG,4613,KIDNEY AND URINARY TRACT MALIGNANCY,,,28479.53,28479.53,1
APR-DRG,4614,KIDNEY AND URINARY TRACT MALIGNANCY,,,56207.68,56207.68,1
APR-DRG,462-1,NEPHRITIS AND NEPHROSIS,,,3586.09,8216.65,4
APR-DRG,462-2,NEPHRITIS AND NEPHROSIS,,,6308.24,14453.79,4
APR-DRG,462-3,NEPHRITIS AND NEPHROSIS,,,9798.76,22451.47,4
APR-DRG,462-4,NEPHRITIS AND NEPHROSIS,,,25555.62,63481.65,4
APR-DRG,4621,NEPHRITIS AND NEPHROSIS,,,11339.15,11339.15,1
APR-DRG,4622,NEPHRITIS AND NEPHROSIS,,,16339.76,16339.76,1
APR-DRG,4623,NEPHRITIS AND NEPHROSIS,,,26636.41,26636.41,1
APR-DRG,4624,NEPHRITIS AND NEPHROSIS,,,61694.22,61694.22,1
APR-DRG,463-1,KIDNEY AND URINARY TRACT INFECTIONS,,,4066.81,9318.1,4
APR-DRG,463-2,KIDNEY AND URINARY TRACT INFECTIONS,,,5539.86,12693.23,4
APR-DRG,463-3,KIDNEY AND URINARY TRACT INFECTIONS,,,7809.28,17893.06,4
APR-DRG,463-4,KIDNEY AND URINARY TRACT INFECTIONS,,,13674.66,38836.12,4
APR-DRG,4631,KIDNEY AND URINARY TRACT INFECTIONS,,,10923.86,10923.86,1
APR-DRG,4632,KIDNEY AND URINARY TRACT INFECTIONS,,,14059.95,14059.95,1
APR-DRG,4633,KIDNEY AND URINARY TRACT INFECTIONS,,,23493.9,23493.9,1
APR-DRG,4634,KIDNEY AND URINARY TRACT INFECTIONS,,,54415.93,54415.93,1
APR-DRG,465-1,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,3631.46,8320.6,4
APR-DRG,465-2,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,4576.49,10485.91,4
APR-DRG,465-3,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,8825.74,20222.03,4
APR-DRG,465-4,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,10975.46,25147.6,4
APR-DRG,4651,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,13589.0,13589.0,1
APR-DRG,4652,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,13751.69,13751.69,1
APR-DRG,4653,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,21340.38,21340.38,1
APR-DRG,4654,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,44722.96,44722.96,1
APR-DRG,466-1,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,3959.66,9072.6,4
APR-DRG,466-2,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,5760.91,13199.72,4
APR-DRG,466-3,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,7506.17,17198.57,4
APR-DRG,466-4,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,15251.74,34945.65,4
APR-DRG,4661,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,14053.52,14053.52,1
APR-DRG,4662,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,16164.23,16164.23,1
APR-DRG,4663,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,28974.02,28974.02,1
APR-DRG,4664,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,70847.75,70847.75,1
APR-DRG,468-1,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,4442.31,10178.47,4
APR-DRG,468-2,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,6385.46,14630.73,4
APR-DRG,468-3,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,9758.15,22438.2,4
APR-DRG,468-4,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,14646.5,33558.88,4
APR-DRG,4681,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,11619.58,11619.58,1
APR-DRG,4682,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,18206.43,18206.43,1
APR-DRG,4683,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,27400.63,27400.63,1
APR-DRG,4684,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,37793.6,37793.6,1
APR-DRG,469-1,ACUTE KIDNEY INJURY,,,4121.83,9444.17,4
APR-DRG,469-2,ACUTE KIDNEY INJURY,,,5502.21,12606.97,4
APR-DRG,469-3,ACUTE KIDNEY INJURY,,,9033.28,20697.56,4
APR-DRG,469-4,ACUTE KIDNEY INJURY,,,17095.46,39170.09,4
APR-DRG,4691,ACUTE KIDNEY INJURY,,,9243.43,9243.43,1
APR-DRG,4692,ACUTE KIDNEY INJURY,,,17684.11,17684.11,1
APR-DRG,4693,ACUTE KIDNEY INJURY,,,28145.58,28145.58,1
APR-DRG,4694,ACUTE KIDNEY INJURY,,,75993.93,75993.93,1
APR-DRG,470-1,CHRONIC KIDNEY DISEASE,,,4684.04,13684.1,4
APR-DRG,470-2,CHRONIC KIDNEY DISEASE,,,5992.0,17607.74,4
APR-DRG,470-3,CHRONIC KIDNEY DISEASE,,,9485.04,21732.66,4
APR-DRG,470-4,CHRONIC KIDNEY DISEASE,,,13380.02,30657.07,4
APR-DRG,4701,CHRONIC KIDNEY DISEASE,,,14036.4,14036.4,1
APR-DRG,4702,CHRONIC KIDNEY DISEASE,,,22967.29,22967.29,1
APR-DRG,4703,CHRONIC KIDNEY DISEASE,,,38131.83,38131.83,1
APR-DRG,4704,CHRONIC KIDNEY DISEASE,,,44423.27,44423.27,1
APR-DRG,480-1,MAJOR MALE PELVIC PROCEDURES,,,9613.42,22026.82,2
APR-DRG,480-2,MAJOR MALE PELVIC PROCEDURES,,,10388.56,23802.85,2
APR-DRG,480-3,MAJOR MALE PELVIC PROCEDURES,,,16692.93,38247.79,2
APR-DRG,480-4,MAJOR MALE PELVIC PROCEDURES,,,35438.09,81197.77,2
APR-DRG,482-1,TRANSURETHRAL PROSTATECTOMY,,,5766.7,13212.99,4
APR-DRG,482-2,TRANSURETHRAL PROSTATECTOMY,,,6624.85,15179.24,4
APR-DRG,482-3,TRANSURETHRAL PROSTATECTOMY,,,17106.47,41445.98,4
APR-DRG,482-4,TRANSURETHRAL PROSTATECTOMY,,,25769.05,74336.92,4
APR-DRG,4821,TRANSURETHRAL PROSTATECTOMY,,,18769.43,18769.43,1
APR-DRG,4822,TRANSURETHRAL PROSTATECTOMY,,,23774.33,23774.33,1
APR-DRG,4823,TRANSURETHRAL PROSTATECTOMY,,,42924.8,42924.8,1
APR-DRG,4824,TRANSURETHRAL PROSTATECTOMY,,,64661.2,64661.2,1
APR-DRG,483-1,"PENIS, TESTES AND SCROTAL PROCEDURES",,,7317.94,16767.28,4
APR-DRG,483-2,"PENIS, TESTES AND SCROTAL PROCEDURES",,,10136.62,23225.59,4
APR-DRG,483-3,"PENIS, TESTES AND SCROTAL PROCEDURES",,,14652.29,33572.15,4
APR-DRG,483-4,"PENIS, TESTES AND SCROTAL PROCEDURES",,,28961.9,66359.14,4
APR-DRG,4831,"PENIS, TESTES AND SCROTAL PROCEDURES",,,22699.71,22699.71,1
APR-DRG,4832,"PENIS, TESTES AND SCROTAL PROCEDURES",,,29507.05,29507.05,1
APR-DRG,4833,"PENIS, TESTES AND SCROTAL PROCEDURES",,,47433.05,47433.05,1
APR-DRG,4834,"PENIS, TESTES AND SCROTAL PROCEDURES",,,83659.68,83659.68,1
APR-DRG,484-1,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,7129.71,16335.99,4
APR-DRG,484-2,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,9111.47,20876.71,4
APR-DRG,484-3,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,12532.49,28715.15,4
APR-DRG,484-4,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,35123.41,80476.74,4
APR-DRG,4841,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,28592.98,28592.98,1
APR-DRG,4842,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,34955.07,34955.07,1
APR-DRG,4843,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,53949.27,53949.27,1
APR-DRG,4844,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,93508.92,93508.92,1
APR-DRG,485-1,PROSTATECTOMY PROCEDURES,,,14166.72,14166.72,2
APR-DRG,485-2,PROSTATECTOMY PROCEDURES,,,15826.9,15826.9,2
APR-DRG,485-3,PROSTATECTOMY PROCEDURES,,,24387.5,24387.5,2
APR-DRG,485-4,PROSTATECTOMY PROCEDURES,,,50418.35,50418.35,2
APR-DRG,4851,PROSTATECTOMY PROCEDURES,,,34244.36,34244.36,1
APR-DRG,4852,PROSTATECTOMY PROCEDURES,,,39846.51,39846.51,1
APR-DRG,4853,PROSTATECTOMY PROCEDURES,,,61195.45,61195.45,1
APR-DRG,4854,PROSTATECTOMY PROCEDURES,,,126513.83,126513.83,1
APR-DRG,500-1,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,4546.56,10417.34,4
APR-DRG,500-2,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,5359.35,12279.64,4
APR-DRG,500-3,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,11153.38,25638.61,4
APR-DRG,500-4,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,16966.63,41160.67,4
APR-DRG,5001,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,13721.72,13721.72,1
APR-DRG,5002,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,18236.4,18236.4,1
APR-DRG,5003,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,25923.56,25923.56,1
APR-DRG,5004,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,42573.72,42573.72,1
APR-DRG,501-1,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,3954.83,9061.54,4
APR-DRG,501-2,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,5921.15,13566.87,4
APR-DRG,501-3,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,8179.95,18742.37,4
APR-DRG,501-4,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,16471.88,37741.3,4
APR-DRG,5011,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,11743.74,11743.74,1
APR-DRG,5012,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,17485.03,17485.03,1
APR-DRG,5013,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,22684.72,22684.72,1
APR-DRG,5014,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,43402.17,43402.17,1
APR-DRG,510-1,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,10519.84,24103.65,2
APR-DRG,510-2,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,11876.09,27211.16,2
APR-DRG,510-3,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,21198.95,48572.24,2
APR-DRG,510-4,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,43612.25,99926.86,2
APR-DRG,511-1,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,9297.77,21303.58,4
APR-DRG,511-2,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,11239.95,25753.62,4
APR-DRG,511-3,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,16608.95,38055.37,4
APR-DRG,511-4,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,36274.04,83113.14,4
APR-DRG,5111,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,34708.89,34708.89,1
APR-DRG,5112,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,41126.63,41126.63,1
APR-DRG,5113,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,62415.63,62415.63,1
APR-DRG,5114,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,116949.3,116949.3,1
APR-DRG,512-1,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,9655.9,22124.14,4
APR-DRG,512-2,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,11036.27,25286.94,4
APR-DRG,512-3,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,16071.28,36823.43,4
APR-DRG,512-4,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,33432.2,76601.75,4
APR-DRG,5121,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,33570.05,33570.05,1
APR-DRG,5122,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,39396.96,39396.96,1
APR-DRG,5123,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,62469.15,62469.15,1
APR-DRG,5124,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,116377.74,116377.74,1
APR-DRG,513-1,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,7263.88,16643.42,4
APR-DRG,513-2,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,9124.02,20905.46,4
APR-DRG,513-3,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,14744.96,33784.48,4
APR-DRG,513-4,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,25314.03,58000.93,4
APR-DRG,5131,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,22909.49,22909.49,1
APR-DRG,5132,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,24919.59,24919.59,1
APR-DRG,5133,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,49826.33,49826.33,1
APR-DRG,5134,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,93397.61,93397.61,1
APR-DRG,514-1,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6861.35,15721.12,4
APR-DRG,514-2,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,11251.54,25780.16,4
APR-DRG,514-3,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,18583.71,46769.67,4
APR-DRG,514-4,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,34115.63,78167.67,4
APR-DRG,5141,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,22335.79,22335.79,1
APR-DRG,5142,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,35447.42,35447.42,1
APR-DRG,5143,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,46632.44,46632.44,1
APR-DRG,5144,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,86063.66,86063.66,1
APR-DRG,517-1,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,6252.25,14325.5,4
APR-DRG,517-2,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,7936.7,18185.01,4
APR-DRG,517-3,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,11777.63,26985.56,4
APR-DRG,517-4,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,22576.44,51728.41,4
APR-DRG,5171,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,18816.52,18816.52,1
APR-DRG,5172,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,28368.21,28368.21,1
APR-DRG,5173,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,39114.4,39114.4,1
APR-DRG,5174,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,66949.58,66949.58,1
APR-DRG,518-1,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,7048.62,16150.2,4
APR-DRG,518-2,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,9510.14,21790.16,4
APR-DRG,518-3,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,19313.72,44252.69,4
APR-DRG,518-4,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,35510.49,81363.65,4
APR-DRG,5181,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,20225.09,20225.09,1
APR-DRG,5182,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,31821.12,31821.12,1
APR-DRG,5183,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,60033.06,60033.06,1
APR-DRG,5184,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,94114.73,94114.73,1
APR-DRG,519-1,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,6542.8,14991.24,4
APR-DRG,519-2,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,8195.4,18777.76,4
APR-DRG,519-3,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,17933.34,41089.89,4
APR-DRG,519-4,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,34303.87,78598.96,4
APR-DRG,5191,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,19709.19,19709.19,1
APR-DRG,5192,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,24264.54,24264.54,1
APR-DRG,5193,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,51874.95,51874.95,1
APR-DRG,5194,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,95574.67,95574.67,1
APR-DRG,520-1,OTHER GYN PROCEDURES FOR MALIGNANCY,,,13152.11,13152.11,2
APR-DRG,520-2,OTHER GYN PROCEDURES FOR MALIGNANCY,,,16695.37,16695.37,2
APR-DRG,520-3,OTHER GYN PROCEDURES FOR MALIGNANCY,,,24797.55,24797.55,2
APR-DRG,520-4,OTHER GYN PROCEDURES FOR MALIGNANCY,,,52252.02,52252.02,2
APR-DRG,5201,OTHER GYN PROCEDURES FOR MALIGNANCY,,,33002.77,33002.77,1
APR-DRG,5202,OTHER GYN PROCEDURES FOR MALIGNANCY,,,41892.99,41892.99,1
APR-DRG,5203,OTHER GYN PROCEDURES FOR MALIGNANCY,,,62222.97,62222.97,1
APR-DRG,5204,OTHER GYN PROCEDURES FOR MALIGNANCY,,,131114.14,131114.14,1
APR-DRG,530-1,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,4934.61,11306.47,4
APR-DRG,530-2,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,5900.88,13520.43,4
APR-DRG,530-3,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,11154.04,25556.77,4
APR-DRG,530-4,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,17540.7,51958.43,4
APR-DRG,5301,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,13128.75,13128.75,1
APR-DRG,5302,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,17371.57,17371.57,1
APR-DRG,5303,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,32525.4,32525.4,1
APR-DRG,5304,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,44014.4,44014.4,1
APR-DRG,531-1,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,3777.22,8654.58,4
APR-DRG,531-2,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,5928.87,13584.57,4
APR-DRG,531-3,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,7859.47,18008.07,4
APR-DRG,531-4,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,12862.62,29471.57,4
APR-DRG,5311,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,11058.72,11058.72,1
APR-DRG,5312,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,12749.85,12749.85,1
APR-DRG,5313,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,24089.0,24089.0,1
APR-DRG,5314,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,48034.58,48034.58,1
APR-DRG,532-1,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,3677.79,8426.77,4
APR-DRG,532-2,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,4783.06,10959.22,4
APR-DRG,532-3,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,6004.17,13757.08,4
APR-DRG,532-4,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,9931.97,22756.7,4
APR-DRG,5321,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,13612.55,13612.55,1
APR-DRG,5322,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,15143.13,15143.13,1
APR-DRG,5323,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,18666.68,18666.68,1
APR-DRG,5324,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,34937.94,34937.94,1
APR-DRG,539-1,CESAREAN SECTION WITH STERILIZATION,,,5781.18,13246.17,4
APR-DRG,539-2,CESAREAN SECTION WITH STERILIZATION,,,6625.82,15181.45,4
APR-DRG,539-3,CESAREAN SECTION WITH STERILIZATION,,,9250.47,21195.2,4
APR-DRG,539-4,CESAREAN SECTION WITH STERILIZATION,,,16708.38,38283.18,4
APR-DRG,5391,CESAREAN SECTION WITH STERILIZATION,,,13242.21,13242.21,1
APR-DRG,5392,CESAREAN SECTION WITH STERILIZATION,,,20188.7,20188.7,1
APR-DRG,5393,CESAREAN SECTION WITH STERILIZATION,,,27068.82,27068.82,1
APR-DRG,5394,CESAREAN SECTION WITH STERILIZATION,,,61028.48,61028.48,1
APR-DRG,540-1,CESAREAN SECTION WITHOUT STERILIZATION,,,5814.97,13323.58,4
APR-DRG,540-2,CESAREAN SECTION WITHOUT STERILIZATION,,,7457.91,17087.98,4
APR-DRG,540-3,CESAREAN SECTION WITHOUT STERILIZATION,,,9186.76,21049.22,4
APR-DRG,540-4,CESAREAN SECTION WITHOUT STERILIZATION,,,13662.86,31305.11,4
APR-DRG,5401,CESAREAN SECTION WITHOUT STERILIZATION,,,14511.63,14511.63,1
APR-DRG,5402,CESAREAN SECTION WITHOUT STERILIZATION,,,18516.83,18516.83,1
APR-DRG,5403,CESAREAN SECTION WITHOUT STERILIZATION,,,30954.15,30954.15,1
APR-DRG,5404,CESAREAN SECTION WITHOUT STERILIZATION,,,52153.24,52153.24,1
APR-DRG,541-1,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,6066.91,13900.85,4
APR-DRG,541-2,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,6426.0,14723.62,4
APR-DRG,541-3,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,6979.12,15990.95,4
APR-DRG,541-4,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,9791.04,22433.78,4
APR-DRG,5411,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,13642.52,13642.52,1
APR-DRG,5412,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,14815.6,14815.6,1
APR-DRG,5413,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,20257.2,20257.2,1
APR-DRG,5414,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,40946.81,40946.81,1
APR-DRG,542-1,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,4126.79,10508.02,4
APR-DRG,542-2,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,4798.64,11994.32,4
APR-DRG,542-3,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,7334.35,16804.88,4
APR-DRG,542-4,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,9403.95,22949.17,4
APR-DRG,5421,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,10211.01,10211.01,1
APR-DRG,5422,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,11653.83,11653.83,1
APR-DRG,5423,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,29988.7,29988.7,1
APR-DRG,5424,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,32987.79,32987.79,1
APR-DRG,543-1,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4012.75,9194.24,4
APR-DRG,543-2,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4496.37,10302.33,4
APR-DRG,543-3,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,8933.85,20469.75,4
APR-DRG,543-4,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,18680.44,45188.26,4
APR-DRG,5431,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,12377.38,12377.38,1
APR-DRG,5432,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,15689.0,15689.0,1
APR-DRG,5433,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,25955.67,25955.67,1
APR-DRG,5434,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,46874.34,46874.34,1
APR-DRG,547-1,ANTEPARTUM WITH O.R. PROCEDURE,,,4818.62,11600.63,4
APR-DRG,547-2,ANTEPARTUM WITH O.R. PROCEDURE,,,7892.29,18083.27,4
APR-DRG,547-3,ANTEPARTUM WITH O.R. PROCEDURE,,,12409.9,28434.26,4
APR-DRG,547-4,ANTEPARTUM WITH O.R. PROCEDURE,,,15362.75,35200.0,4
APR-DRG,5471,ANTEPARTUM WITH O.R. PROCEDURE,,,11259.95,11259.95,1
APR-DRG,5472,ANTEPARTUM WITH O.R. PROCEDURE,,,24444.36,24444.36,1
APR-DRG,5473,ANTEPARTUM WITH O.R. PROCEDURE,,,29862.4,29862.4,1
APR-DRG,5474,ANTEPARTUM WITH O.R. PROCEDURE,,,68015.64,68015.64,1
APR-DRG,548-1,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,3733.56,9006.25,4
APR-DRG,548-2,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,6932.78,15884.79,4
APR-DRG,548-3,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,13609.76,31183.46,4
APR-DRG,548-4,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,23284.0,53349.62,4
APR-DRG,5481,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,7158.41,7158.41,1
APR-DRG,5482,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,24519.28,24519.28,1
APR-DRG,5483,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,36926.63,36926.63,1
APR-DRG,5484,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,71314.41,71314.41,1
APR-DRG,560-1,VAGINAL DELIVERY,,,3567.44,8875.75,4
APR-DRG,560-2,VAGINAL DELIVERY,,,4141.51,10348.78,4
APR-DRG,560-3,VAGINAL DELIVERY,,,5842.7,13695.16,4
APR-DRG,560-4,VAGINAL DELIVERY,,,9500.48,21768.04,4
APR-DRG,5601,VAGINAL DELIVERY,,,8840.98,8840.98,1
APR-DRG,5602,VAGINAL DELIVERY,,,9964.84,9964.84,1
APR-DRG,5603,VAGINAL DELIVERY,,,19032.73,19032.73,1
APR-DRG,5604,VAGINAL DELIVERY,,,28194.82,28194.82,1
APR-DRG,561-1,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,2488.54,5701.89,4
APR-DRG,561-2,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,3261.75,7473.5,4
APR-DRG,561-3,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,5454.91,12498.6,4
APR-DRG,561-4,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,9490.83,21745.93,4
APR-DRG,5611,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,6610.4,6610.4,1
APR-DRG,5612,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,10624.17,10624.17,1
APR-DRG,5613,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,14430.28,14430.28,1
APR-DRG,5614,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,33728.46,33728.46,1
APR-DRG,564-1,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,3177.77,7281.08,4
APR-DRG,564-2,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,3790.73,8685.54,4
APR-DRG,564-3,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,5291.77,12124.81,4
APR-DRG,564-4,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,11771.83,26972.29,4
APR-DRG,5641,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,9592.36,9592.36,1
APR-DRG,5642,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,10093.28,10093.28,1
APR-DRG,5643,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,17759.03,17759.03,1
APR-DRG,5644,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,38172.5,38172.5,1
APR-DRG,566-1,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,2506.57,6586.59,4
APR-DRG,566-2,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,3590.57,11861.62,4
APR-DRG,566-3,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,6656.49,17578.99,4
APR-DRG,566-4,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,11698.47,26804.2,4
APR-DRG,5661,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,8596.95,8596.95,1
APR-DRG,5662,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,12940.37,12940.37,1
APR-DRG,5663,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,18155.06,18155.06,1
APR-DRG,5664,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,32546.81,32546.81,1
APR-DRG,580-1,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,2032.92,4657.95,4
APR-DRG,580-2,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,2732.76,6261.46,4
APR-DRG,580-3,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,4482.85,10271.37,4
APR-DRG,580-4,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,7883.61,18063.36,4
APR-DRG,5801,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,4718.05,4718.05,1
APR-DRG,5802,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,10562.09,10562.09,1
APR-DRG,5803,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,18673.1,18673.1,1
APR-DRG,5804,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,29280.14,29280.14,1
APR-DRG,581-1,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,929.58,2129.92,4
APR-DRG,581-2,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,986.54,2260.41,4
APR-DRG,581-3,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1013.56,2644.3,4
APR-DRG,581-4,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1208.56,4576.8,4
APR-DRG,5811,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,3187.46,3187.46,1
APR-DRG,5812,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,4247.1,4247.1,1
APR-DRG,5813,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,9309.79,9309.79,1
APR-DRG,5814,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,20828.76,20828.76,1
APR-DRG,583-1,NEONATE WITH ECMO,,,114417.01,262158.73,4
APR-DRG,583-2,NEONATE WITH ECMO,,,139843.01,320416.22,4
APR-DRG,583-3,NEONATE WITH ECMO,,,216626.83,496347.66,4
APR-DRG,583-4,NEONATE WITH ECMO,,,370559.36,849046.59,4
APR-DRG,5831,NEONATE WITH ECMO,,,461195.37,461195.37,1
APR-DRG,5832,NEONATE WITH ECMO,,,546601.84,546601.84,1
APR-DRG,5833,NEONATE WITH ECMO,,,871048.81,871048.81,1
APR-DRG,5834,NEONATE WITH ECMO,,,1442672.99,1442672.99,1
APR-DRG,588-1,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,88331.71,202390.61,4
APR-DRG,588-2,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,134194.08,307473.06,4
APR-DRG,588-3,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,165555.71,379330.61,4
APR-DRG,588-4,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,239719.71,549259.36,4
APR-DRG,5881,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,378625.29,378625.29,1
APR-DRG,5882,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,569265.16,569265.16,1
APR-DRG,5883,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,590256.6,590256.6,1
APR-DRG,5884,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,828746.95,828746.95,1
APR-DRG,589-1,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,192996.12,564951.73,4
APR-DRG,589-2,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,192996.12,451962.27,4
APR-DRG,589-3,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,167462.17,383698.81,4
APR-DRG,589-4,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,698.14,142522.96,4
APR-DRG,5891,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,128166.43,128166.43,1
APR-DRG,5892,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,106412.9,106412.9,1
APR-DRG,5893,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,71725.42,71725.42,1
APR-DRG,5894,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,1519.88,1519.88,1
APR-DRG,591-1,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,4023.75,187835.08,4
APR-DRG,591-2,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,90176.4,206617.26,4
APR-DRG,591-3,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,117288.78,268738.68,4
APR-DRG,591-4,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,225110.86,515786.74,4
APR-DRG,5911,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,3495.72,3495.72,1
APR-DRG,5912,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,128656.65,128656.65,1
APR-DRG,5913,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,228210.83,228210.83,1
APR-DRG,5914,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,469355.62,469355.62,1
APR-DRG,593-1,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,60769.5,284999.47,4
APR-DRG,593-2,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,122587.27,313497.87,4
APR-DRG,593-3,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,157665.52,394722.18,4
APR-DRG,593-4,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,220701.87,507724.91,4
APR-DRG,5931,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,152486.63,152486.63,1
APR-DRG,5932,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,306090.69,306090.69,1
APR-DRG,5933,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,391940.28,391940.28,1
APR-DRG,5934,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,561040.69,561040.69,1
APR-DRG,602-1,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,48168.33,115471.04,4
APR-DRG,602-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,76377.43,175000.3,4
APR-DRG,602-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,112365.44,303502.97,4
APR-DRG,602-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,161198.27,384897.58,4
APR-DRG,6021,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,120143.19,120143.19,1
APR-DRG,6022,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,205506.84,205506.84,1
APR-DRG,6023,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,347116.71,347116.71,1
APR-DRG,6024,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,419182.5,419182.5,1
APR-DRG,603-1,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,2754.7,63879.76,4
APR-DRG,603-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,38132.25,87370.76,4
APR-DRG,603-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,47716.23,146223.22,4
APR-DRG,603-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,116587.91,300483.93,4
APR-DRG,6031,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,92710.45,92710.45,1
APR-DRG,6032,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,103011.37,103011.37,1
APR-DRG,6033,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,121530.34,121530.34,1
APR-DRG,6034,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,292550.93,292550.93,1
APR-DRG,607-1,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,24774.42,56764.56,4
APR-DRG,607-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,57395.52,135934.16,4
APR-DRG,607-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,84265.41,234067.29,4
APR-DRG,607-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,119989.23,334489.59,4
APR-DRG,6071,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,89604.33,89604.33,1
APR-DRG,6072,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,169293.06,169293.06,1
APR-DRG,6073,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,258024.0,258024.0,1
APR-DRG,6074,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,318283.97,318283.97,1
APR-DRG,608-1,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,15293.84,52588.78,4
APR-DRG,608-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,35444.15,103532.02,4
APR-DRG,608-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,58758.15,141689.13,4
APR-DRG,608-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,58758.15,153864.81,4
APR-DRG,6081,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,38375.86,38375.86,1
APR-DRG,6082,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,90745.31,90745.31,1
APR-DRG,6083,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,147441.06,147441.06,1
APR-DRG,6084,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,147441.06,147441.06,1
APR-DRG,609-1,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,18005.74,41255.77,4
APR-DRG,609-2,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,33967.94,77829.27,4
APR-DRG,609-3,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,74869.63,171545.54,4
APR-DRG,609-4,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,192560.94,441206.53,4
APR-DRG,6091,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,101489.35,101489.35,1
APR-DRG,6092,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,126085.7,126085.7,1
APR-DRG,6093,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,196905.62,196905.62,1
APR-DRG,6094,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,410761.09,410761.09,1
APR-DRG,611-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,11272.19,41713.6,4
APR-DRG,611-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,25737.51,76553.09,4
APR-DRG,611-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,43956.38,224892.95,4
APR-DRG,611-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,101114.28,304381.04,4
APR-DRG,6111,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,32707.36,32707.36,1
APR-DRG,6112,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,85076.81,85076.81,1
APR-DRG,6113,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,166234.04,166234.04,1
APR-DRG,6114,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,256097.39,256097.39,1
APR-DRG,612-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,21525.22,49319.81,4
APR-DRG,612-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,33755.58,105460.66,4
APR-DRG,612-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,51272.1,131904.35,4
APR-DRG,612-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,74100.36,190942.59,4
APR-DRG,6121,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,61636.43,61636.43,1
APR-DRG,6122,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,116037.37,116037.37,1
APR-DRG,6123,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,179024.57,179024.57,1
APR-DRG,6124,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,184776.56,184776.56,1
APR-DRG,613-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,13425.39,30761.02,4
APR-DRG,613-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,24366.1,55828.99,4
APR-DRG,613-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,39219.17,89861.19,4
APR-DRG,613-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,60143.02,137803.08,4
APR-DRG,6131,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,42051.4,42051.4,1
APR-DRG,6132,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,65605.24,65605.24,1
APR-DRG,6133,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,119417.5,119417.5,1
APR-DRG,6134,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,161939.85,161939.85,1
APR-DRG,614-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,8476.48,44580.03,4
APR-DRG,614-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,21005.11,68997.75,4
APR-DRG,614-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,39764.57,91110.83,4
APR-DRG,614-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,48851.75,118766.55,4
APR-DRG,6141,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,41441.31,41441.31,1
APR-DRG,6142,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,58290.55,58290.55,1
APR-DRG,6143,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,103983.24,103983.24,1
APR-DRG,6144,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,122583.56,122583.56,1
APR-DRG,621-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,3388.7,23555.14,4
APR-DRG,621-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,12787.27,84241.13,4
APR-DRG,621-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,30003.09,117912.82,4
APR-DRG,621-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,69229.17,294863.87,4
APR-DRG,6211,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,17863.92,17863.92,1
APR-DRG,6212,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,56378.93,56378.93,1
APR-DRG,6213,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,106190.27,106190.27,1
APR-DRG,6214,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,209092.47,209092.47,1
APR-DRG,622-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,13201.53,49151.72,4
APR-DRG,622-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,20127.18,59106.81,4
APR-DRG,622-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,30619.22,81467.6,4
APR-DRG,622-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,43277.17,121818.77,4
APR-DRG,6221,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,66191.78,66191.78,1
APR-DRG,6222,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,79932.77,79932.77,1
APR-DRG,6223,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,110927.59,110927.59,1
APR-DRG,6224,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,112991.2,112991.2,1
APR-DRG,623-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,8022.61,18381.85,4
APR-DRG,623-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,15578.98,35695.43,4
APR-DRG,623-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,31495.04,78541.45,4
APR-DRG,623-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,41568.71,95244.59,4
APR-DRG,6231,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,23973.41,23973.41,1
APR-DRG,6232,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,39989.93,39989.93,1
APR-DRG,6233,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,79029.4,79029.4,1
APR-DRG,6234,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,104383.55,104383.55,1
APR-DRG,625-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,8914.92,41359.73,4
APR-DRG,625-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,13462.28,61809.57,4
APR-DRG,625-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,27206.33,74171.04,4
APR-DRG,625-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,34762.38,79649.54,4
APR-DRG,6251,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,56518.07,56518.07,1
APR-DRG,6252,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,73806.16,73806.16,1
APR-DRG,6253,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,81187.2,81187.2,1
APR-DRG,6254,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,117919.03,117919.03,1
APR-DRG,626-1,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1443.59,5239.64,4
APR-DRG,626-2,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,2387.76,7785.36,4
APR-DRG,626-3,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6758.48,17428.59,4
APR-DRG,626-4,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,21414.11,69716.57,4
APR-DRG,6261,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,4934.25,4934.25,1
APR-DRG,6262,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,13182.27,13182.27,1
APR-DRG,6263,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,39810.11,39810.11,1
APR-DRG,6264,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,53733.06,53733.06,1
APR-DRG,630-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,20317.63,46552.91,4
APR-DRG,630-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,38979.78,89312.68,4
APR-DRG,630-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,69465.88,159164.17,4
APR-DRG,630-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,93734.49,214769.77,4
APR-DRG,6301,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,56552.33,56552.33,1
APR-DRG,6302,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,99481.4,99481.4,1
APR-DRG,6303,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,252554.58,252554.58,1
APR-DRG,6304,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,465025.04,465025.04,1
APR-DRG,631-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,4300.27,14705.93,4
APR-DRG,631-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,28997.61,66440.97,4
APR-DRG,631-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,34836.71,79819.85,4
APR-DRG,631-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,121590.15,278594.24,4
APR-DRG,6311,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,10791.14,10791.14,1
APR-DRG,6312,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,63854.16,63854.16,1
APR-DRG,6313,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,152978.99,152978.99,1
APR-DRG,6314,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,404621.64,404621.64,1
APR-DRG,633-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,1839.97,5912.01,4
APR-DRG,633-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,6354.73,15526.48,4
APR-DRG,633-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,21403.59,62108.15,4
APR-DRG,633-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,68400.19,156722.39,4
APR-DRG,6331,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,7423.86,7423.86,1
APR-DRG,6332,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,22123.87,22123.87,1
APR-DRG,6333,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,109977.13,109977.13,1
APR-DRG,6334,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,256998.62,256998.62,1
APR-DRG,634-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,5406.36,16459.84,4
APR-DRG,634-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,9041.09,27372.62,4
APR-DRG,634-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,13490.07,30909.21,4
APR-DRG,634-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,37722.96,86432.98,4
APR-DRG,6341,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,20892.98,20892.98,1
APR-DRG,6342,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,32270.66,32270.66,1
APR-DRG,6343,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,72183.53,72183.53,1
APR-DRG,6344,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,134475.0,134475.0,1
APR-DRG,636-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,5299.12,14075.58,4
APR-DRG,636-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,8239.8,18879.5,4
APR-DRG,636-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,16773.05,38431.37,4
APR-DRG,636-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,26660.65,75588.77,4
APR-DRG,6361,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,14674.32,14674.32,1
APR-DRG,6362,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,16660.87,16660.87,1
APR-DRG,6363,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,54332.45,54332.45,1
APR-DRG,6364,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,68897.59,68897.59,1
APR-DRG,639-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,2570.7,8013.17,4
APR-DRG,639-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,4573.64,24512.83,4
APR-DRG,639-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,16126.56,50257.6,4
APR-DRG,639-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,23114.24,72379.52,4
APR-DRG,6391,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,10645.57,10645.57,1
APR-DRG,6392,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,23785.03,23785.03,1
APR-DRG,6393,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,45598.5,45598.5,1
APR-DRG,6394,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,51937.03,51937.03,1
APR-DRG,640-1,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1084.01,2678.43,4
APR-DRG,640-2,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1487.75,3644.96,4
APR-DRG,640-3,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,2779.93,8367.05,4
APR-DRG,640-4,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,19945.28,63152.1,4
APR-DRG,6401,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,3168.2,3168.2,1
APR-DRG,6402,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,4949.24,4949.24,1
APR-DRG,6403,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,10416.52,10416.52,1
APR-DRG,6404,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,50048.96,50048.96,1
APR-DRG,650-1,SPLENECTOMY,,,8327.64,19080.77,2
APR-DRG,650-1,SPLENIC PROCEDURES,,,14914.28,14914.28,2
APR-DRG,650-2,SPLENECTOMY,,,13132.91,30090.86,2
APR-DRG,650-2,SPLENIC PROCEDURES,,,20545.64,20545.64,2
APR-DRG,650-3,SPLENECTOMY,,,22070.62,50569.45,2
APR-DRG,650-3,SPLENIC PROCEDURES,,,26950.84,26950.84,2
APR-DRG,650-4,SPLENECTOMY,,,42095.77,96452.21,2
APR-DRG,650-4,SPLENIC PROCEDURES,,,42610.57,42610.57,2
APR-DRG,6501,SPLENIC PROCEDURES,,,37716.54,37716.54,1
APR-DRG,6502,SPLENIC PROCEDURES,,,45178.92,45178.92,1
APR-DRG,6503,SPLENIC PROCEDURES,,,67628.17,67628.17,1
APR-DRG,6504,SPLENIC PROCEDURES,,,131112.0,131112.0,1
APR-DRG,651-1,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,7146.12,16373.59,4
APR-DRG,651-2,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,8748.51,20045.09,4
APR-DRG,651-3,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,18147.64,41580.9,4
APR-DRG,651-4,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,46293.86,106071.11,4
APR-DRG,6511,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,24371.57,24371.57,1
APR-DRG,6512,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,35584.42,35584.42,1
APR-DRG,6513,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,55439.18,55439.18,1
APR-DRG,6514,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,117523.0,117523.0,1
APR-DRG,660-1,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,5996.2,13989.32,4
APR-DRG,660-2,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,7175.07,16439.94,4
APR-DRG,660-3,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,10298.79,23597.16,4
APR-DRG,660-4,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,22064.93,66040.64,4
APR-DRG,6601,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,17596.34,17596.34,1
APR-DRG,6602,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,21592.98,21592.98,1
APR-DRG,6603,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,33766.99,33766.99,1
APR-DRG,6604,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,37144.98,37144.98,1
APR-DRG,661-1,COAGULATION AND PLATELET DISORDERS,,,7390.37,17313.58,4
APR-DRG,661-2,COAGULATION AND PLATELET DISORDERS,,,8828.63,20228.67,4
APR-DRG,661-3,COAGULATION AND PLATELET DISORDERS,,,13627.35,53794.18,4
APR-DRG,661-4,COAGULATION AND PLATELET DISORDERS,,,23461.21,103390.47,4
APR-DRG,6611,COAGULATION AND PLATELET DISORDERS,,,20762.4,20762.4,1
APR-DRG,6612,COAGULATION AND PLATELET DISORDERS,,,21537.32,21537.32,1
APR-DRG,6613,COAGULATION AND PLATELET DISORDERS,,,39489.01,39489.01,1
APR-DRG,6614,COAGULATION AND PLATELET DISORDERS,,,69098.82,69098.82,1
APR-DRG,662-1,SICKLE CELL ANEMIA CRISIS,,,5059.14,11591.78,4
APR-DRG,662-2,SICKLE CELL ANEMIA CRISIS,,,7360.93,17806.8,4
APR-DRG,662-3,SICKLE CELL ANEMIA CRISIS,,,10969.67,25134.33,4
APR-DRG,662-4,SICKLE CELL ANEMIA CRISIS,,,15634.96,35823.71,4
APR-DRG,6621,SICKLE CELL ANEMIA CRISIS,,,12503.68,12503.68,1
APR-DRG,6622,SICKLE CELL ANEMIA CRISIS,,,15663.31,15663.31,1
APR-DRG,6623,SICKLE CELL ANEMIA CRISIS,,,28948.33,28948.33,1
APR-DRG,6624,SICKLE CELL ANEMIA CRISIS,,,54186.88,54186.88,1
APR-DRG,663-1,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,3854.44,8831.52,4
APR-DRG,663-2,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,5835.24,13370.03,4
APR-DRG,663-3,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,8066.05,18481.38,4
APR-DRG,663-4,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,17021.31,46409.15,4
APR-DRG,6631,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,12343.13,12343.13,1
APR-DRG,6632,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,15224.47,15224.47,1
APR-DRG,6633,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,28470.96,28470.96,1
APR-DRG,6634,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,46679.54,46679.54,1
APR-DRG,680-1,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,10757.3,24647.74,4
APR-DRG,680-2,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,14009.4,32099.13,4
APR-DRG,680-3,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,23056.19,52827.65,4
APR-DRG,680-4,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,49278.56,112909.84,4
APR-DRG,6801,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,31557.82,31557.82,1
APR-DRG,6802,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,40925.41,40925.41,1
APR-DRG,6803,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,84575.89,84575.89,1
APR-DRG,6804,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,161661.56,161661.56,1
APR-DRG,681-1,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,7399.99,16955.28,4
APR-DRG,681-2,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,10933.95,25052.49,4
APR-DRG,681-3,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,23384.39,53579.64,4
APR-DRG,681-4,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,51538.33,118087.54,4
APR-DRG,6811,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,22791.76,22791.76,1
APR-DRG,6812,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,31759.04,31759.04,1
APR-DRG,6813,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,64584.13,64584.13,1
APR-DRG,6814,"OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,126528.82,126528.82,1
APR-DRG,690-1,ACUTE LEUKEMIA,,,10375.04,23771.89,4
APR-DRG,690-2,ACUTE LEUKEMIA,,,18493.28,46030.94,4
APR-DRG,690-3,ACUTE LEUKEMIA,,,31301.58,85740.7,4
APR-DRG,690-4,ACUTE LEUKEMIA,,,54803.79,131041.76,4
APR-DRG,6901,ACUTE LEUKEMIA,,,23335.49,23335.49,1
APR-DRG,6902,ACUTE LEUKEMIA,,,88377.73,88377.73,1
APR-DRG,6903,ACUTE LEUKEMIA,,,155789.69,155789.69,1
APR-DRG,6904,ACUTE LEUKEMIA,,,190980.23,190980.23,1
APR-DRG,691-1,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,7149.01,16380.22,4
APR-DRG,691-2,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,11580.7,26534.36,4
APR-DRG,691-3,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,18290.36,42458.96,4
APR-DRG,691-4,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,32334.07,89832.44,4
APR-DRG,6911,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,21505.21,21505.21,1
APR-DRG,6912,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,33749.87,33749.87,1
APR-DRG,6913,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,68469.46,68469.46,1
APR-DRG,6914,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,86508.92,86508.92,1
APR-DRG,692-1,RADIOTHERAPY,,,5341.97,12239.82,4
APR-DRG,692-2,RADIOTHERAPY,,,12944.67,29659.57,4
APR-DRG,692-3,RADIOTHERAPY,,,14960.22,34277.7,4
APR-DRG,692-4,RADIOTHERAPY,,,29112.54,70543.77,4
APR-DRG,6921,RADIOTHERAPY,,,16125.7,16125.7,1
APR-DRG,6922,RADIOTHERAPY,,,36282.28,36282.28,1
APR-DRG,6923,RADIOTHERAPY,,,57164.56,57164.56,1
APR-DRG,6924,RADIOTHERAPY,,,73050.5,73050.5,1
APR-DRG,694-1,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,5691.41,13040.48,4
APR-DRG,694-2,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,6898.03,15805.17,4
APR-DRG,694-3,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,12152.16,27843.72,4
APR-DRG,694-4,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,19707.56,45155.09,4
APR-DRG,6941,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,16072.18,16072.18,1
APR-DRG,6942,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,19413.77,19413.77,1
APR-DRG,6943,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,33090.54,33090.54,1
APR-DRG,6944,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,98593.02,98593.02,1
APR-DRG,695-1,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,6604.58,15132.79,4
APR-DRG,695-2,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,9147.18,20958.54,4
APR-DRG,695-3,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,17897.63,41008.06,4
APR-DRG,695-4,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,44177.92,101222.95,4
APR-DRG,6951,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,28278.3,28278.3,1
APR-DRG,6952,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,52534.28,52534.28,1
APR-DRG,6953,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,117799.15,117799.15,1
APR-DRG,6954,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,129579.28,129579.28,1
APR-DRG,696-1,OTHER CHEMOTHERAPY,,,6045.67,13852.19,4
APR-DRG,696-2,OTHER CHEMOTHERAPY,,,7698.27,17638.71,4
APR-DRG,696-3,OTHER CHEMOTHERAPY,,,12307.83,28613.41,4
APR-DRG,696-4,OTHER CHEMOTHERAPY,,,23050.1,68449.24,4
APR-DRG,6961,OTHER CHEMOTHERAPY,,,14417.44,14417.44,1
APR-DRG,6962,OTHER CHEMOTHERAPY,,,19240.38,19240.38,1
APR-DRG,6963,OTHER CHEMOTHERAPY,,,21449.55,21449.55,1
APR-DRG,6964,OTHER CHEMOTHERAPY,,,50537.03,50537.03,1
APR-DRG,710-1,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,6817.91,15621.59,4
APR-DRG,710-2,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,10624.09,24342.52,4
APR-DRG,710-3,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,18243.2,41799.86,4
APR-DRG,710-4,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,44862.69,105646.45,4
APR-DRG,7101,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,29577.69,29577.69,1
APR-DRG,7102,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,40385.96,40385.96,1
APR-DRG,7103,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,66626.34,66626.34,1
APR-DRG,7104,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,149262.78,149262.78,1
APR-DRG,711-1,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,7628.77,17479.46,4
APR-DRG,711-2,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,10586.45,24256.26,4
APR-DRG,711-3,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,15996.95,36653.12,4
APR-DRG,711-4,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,38345.58,87859.56,4
APR-DRG,7111,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,25829.37,25829.37,1
APR-DRG,7112,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,32187.17,32187.17,1
APR-DRG,7113,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,58433.98,58433.98,1
APR-DRG,7114,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,99751.13,99751.13,1
APR-DRG,720-1,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,4928.82,11293.2,4
APR-DRG,720-2,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,6115.18,14011.44,4
APR-DRG,720-3,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,9341.21,21403.1,4
APR-DRG,720-4,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,19989.43,45800.92,4
APR-DRG,7201,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,14169.12,14169.12,1
APR-DRG,7202,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,18060.87,18060.87,1
APR-DRG,7203,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,30609.5,30609.5,1
APR-DRG,7204,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,81581.09,81581.09,1
APR-DRG,721-1,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,5598.74,12828.15,4
APR-DRG,721-2,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,6307.27,14451.57,4
APR-DRG,721-3,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,8952.19,20511.77,4
APR-DRG,721-4,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,16692.93,38247.79,4
APR-DRG,7211,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,15988.69,15988.69,1
APR-DRG,7212,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,17245.27,17245.27,1
APR-DRG,7213,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,32953.54,32953.54,1
APR-DRG,7214,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,58102.17,58102.17,1
APR-DRG,722-1,FEVER AND INFLAMMATORY CONDITIONS,,,3410.4,7814.11,4
APR-DRG,722-2,FEVER AND INFLAMMATORY CONDITIONS,,,5773.3,13374.45,4
APR-DRG,722-3,FEVER AND INFLAMMATORY CONDITIONS,,,7835.12,18974.6,4
APR-DRG,722-4,FEVER AND INFLAMMATORY CONDITIONS,,,10842.16,38371.65,4
APR-DRG,7221,FEVER AND INFLAMMATORY CONDITIONS,,,10266.67,10266.67,1
APR-DRG,7222,FEVER AND INFLAMMATORY CONDITIONS,,,15166.68,15166.68,1
APR-DRG,7223,FEVER AND INFLAMMATORY CONDITIONS,,,18418.36,18418.36,1
APR-DRG,7224,FEVER AND INFLAMMATORY CONDITIONS,,,25756.59,25756.59,1
APR-DRG,723-1,VIRAL ILLNESS,,,3411.37,7816.32,4
APR-DRG,723-2,VIRAL ILLNESS,,,4859.32,11133.95,4
APR-DRG,723-3,VIRAL ILLNESS,,,7232.99,16572.64,4
APR-DRG,723-4,VIRAL ILLNESS,,,13884.88,31813.81,4
APR-DRG,7231,VIRAL ILLNESS,,,11045.88,11045.88,1
APR-DRG,7232,VIRAL ILLNESS,,,14025.7,14025.7,1
APR-DRG,7233,VIRAL ILLNESS,,,20381.36,20381.36,1
APR-DRG,7234,VIRAL ILLNESS,,,39938.55,39938.55,1
APR-DRG,724-1,OTHER INFECTIOUS AND PARASITIC DISEASES,,,5080.42,12312.81,4
APR-DRG,724-2,OTHER INFECTIOUS AND PARASITIC DISEASES,,,7356.55,16855.75,4
APR-DRG,724-3,OTHER INFECTIOUS AND PARASITIC DISEASES,,,11220.65,25709.38,4
APR-DRG,724-4,OTHER INFECTIOUS AND PARASITIC DISEASES,,,22098.58,52164.12,4
APR-DRG,7241,OTHER INFECTIOUS AND PARASITIC DISEASES,,,12131.2,12131.2,1
APR-DRG,7242,OTHER INFECTIOUS AND PARASITIC DISEASES,,,20818.05,20818.05,1
APR-DRG,7243,OTHER INFECTIOUS AND PARASITIC DISEASES,,,32756.59,32756.59,1
APR-DRG,7244,OTHER INFECTIOUS AND PARASITIC DISEASES,,,57436.42,57436.42,1
APR-DRG,740-1,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,7747.85,22920.37,4
APR-DRG,740-2,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,12654.12,28993.83,4
APR-DRG,740-3,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,22401.72,51328.08,4
APR-DRG,740-4,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,52069.25,119304.01,4
APR-DRG,7401,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,19441.6,19441.6,1
APR-DRG,7402,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,29965.15,29965.15,1
APR-DRG,7403,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,61460.89,61460.89,1
APR-DRG,7404,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,145784.18,145784.18,1
APR-DRG,750-1,SCHIZOPHRENIA,,,11700.4,26808.62,2
APR-DRG,750-1,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,5295.96,5295.96,2
APR-DRG,750-2,SCHIZOPHRENIA,,,15200.58,34828.43,2
APR-DRG,750-2,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,6869.93,6869.93,2
APR-DRG,750-3,SCHIZOPHRENIA,,,28276.53,64788.79,2
APR-DRG,750-3,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,10264.93,10264.93,2
APR-DRG,750-4,SCHIZOPHRENIA,,,40849.57,93596.84,2
APR-DRG,750-4,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,21611.77,21611.77,2
APR-DRG,7501,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,24776.16,24776.16,1
APR-DRG,7502,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,28687.17,28687.17,1
APR-DRG,7503,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,42873.42,42873.42,1
APR-DRG,7504,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,46052.32,46052.32,1
APR-DRG,751-1,DEPRESSIVE DISORDERS,,,3695.71,3695.71,2
APR-DRG,751-1,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,6056.29,13876.52,2
APR-DRG,751-2,DEPRESSIVE DISORDERS,,,4701.91,4701.91,2
APR-DRG,751-2,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,8327.64,19080.77,2
APR-DRG,751-3,DEPRESSIVE DISORDERS,,,8603.7,8603.7,2
APR-DRG,751-3,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,11732.26,26881.61,2
APR-DRG,751-4,DEPRESSIVE DISORDERS,,,18109.52,18109.52,2
APR-DRG,751-4,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,26519.69,60763.41,2
APR-DRG,7511,DEPRESSIVE DISORDERS,,,14706.43,14706.43,1
APR-DRG,7512,DEPRESSIVE DISORDERS,,,17624.17,17624.17,1
APR-DRG,7513,DEPRESSIVE DISORDERS,,,26527.23,26527.23,1
APR-DRG,7514,DEPRESSIVE DISORDERS,,,45442.23,45442.23,1
APR-DRG,752-1,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,4182.64,9583.51,2
APR-DRG,752-1,PERSONALITY DISORDERS,,,3425.5,3425.5,2
APR-DRG,752-2,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6317.89,14475.9,2
APR-DRG,752-2,PERSONALITY DISORDERS,,,4463.24,4463.24,2
APR-DRG,752-3,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,13050.86,29902.86,2
APR-DRG,752-3,PERSONALITY DISORDERS,,,9262.94,9262.94,2
APR-DRG,752-4,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,35749.89,81912.16,2
APR-DRG,752-4,PERSONALITY DISORDERS,,,40500.39,40500.39,2
APR-DRG,7521,PERSONALITY DISORDERS,,,10859.64,10859.64,1
APR-DRG,7522,PERSONALITY DISORDERS,,,15447.1,15447.1,1
APR-DRG,7523,PERSONALITY DISORDERS,,,23243.44,23243.44,1
APR-DRG,7524,PERSONALITY DISORDERS,,,101626.36,101626.36,1
APR-DRG,753-1,BIPOLAR DISORDERS,,,4141.51,14907.2,4
APR-DRG,753-2,BIPOLAR DISORDERS,,,5196.08,23241.07,4
APR-DRG,753-3,BIPOLAR DISORDERS,,,8894.94,34175.96,4
APR-DRG,753-4,BIPOLAR DISORDERS,,,16602.85,60657.24,4
APR-DRG,7531,BIPOLAR DISORDERS,,,16919.89,16919.89,1
APR-DRG,7532,BIPOLAR DISORDERS,,,22723.25,22723.25,1
APR-DRG,7533,BIPOLAR DISORDERS,,,36357.21,36357.21,1
APR-DRG,7534,BIPOLAR DISORDERS,,,45348.04,45348.04,1
APR-DRG,754-1,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,4672.05,10704.87,2
APR-DRG,754-2,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,7295.74,16716.41,2
APR-DRG,754-3,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,11574.91,26521.09,2
APR-DRG,754-4,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,15053.85,34492.24,2
APR-DRG,755-1,ADJUSTMENT DISORDERS,,,2650.61,2650.61,2
APR-DRG,755-1,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5265.71,12065.1,2
APR-DRG,755-2,ADJUSTMENT DISORDERS,,,3569.54,3569.54,2
APR-DRG,755-2,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,8727.28,19996.43,2
APR-DRG,755-3,ADJUSTMENT DISORDERS,,,6616.54,6616.54,2
APR-DRG,755-3,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,13640.65,31254.24,2
APR-DRG,755-4,ADJUSTMENT DISORDERS,,,10502.55,10502.55,2
APR-DRG,755-4,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,23514.71,53878.23,2
APR-DRG,7551,ADJUSTMENT DISORDERS,,,8340.07,8340.07,1
APR-DRG,7552,ADJUSTMENT DISORDERS,,,13257.19,13257.19,1
APR-DRG,7553,ADJUSTMENT DISORDERS,,,16603.07,16603.07,1
APR-DRG,7554,ADJUSTMENT DISORDERS,,,26353.84,26353.84,1
APR-DRG,756-1,ACUTE ANXIETY AND DELIRIUM STATES,,,4781.13,10954.8,2
APR-DRG,756-1,ACUTE ANXIETY AND STRESS SYNDROMES,,,4051.09,4051.09,2
APR-DRG,756-2,ACUTE ANXIETY AND DELIRIUM STATES,,,5901.84,13522.64,2
APR-DRG,756-2,ACUTE ANXIETY AND STRESS SYNDROMES,,,6041.41,6041.41,2
APR-DRG,756-3,ACUTE ANXIETY AND DELIRIUM STATES,,,6661.54,15263.29,2
APR-DRG,756-3,ACUTE ANXIETY AND STRESS SYNDROMES,,,8545.88,8545.88,2
APR-DRG,756-4,ACUTE ANXIETY AND DELIRIUM STATES,,,14386.83,32963.92,2
APR-DRG,756-4,ACUTE ANXIETY AND STRESS SYNDROMES,,,13343.47,13343.47,2
APR-DRG,7561,ACUTE ANXIETY AND STRESS SYNDROMES,,,12268.2,12268.2,1
APR-DRG,7562,ACUTE ANXIETY AND STRESS SYNDROMES,,,16988.39,16988.39,1
APR-DRG,7563,ACUTE ANXIETY AND STRESS SYNDROMES,,,34863.02,34863.02,1
APR-DRG,7564,ACUTE ANXIETY AND STRESS SYNDROMES,,,54435.2,54435.2,1
APR-DRG,757-1,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,4491.63,4491.63,2
APR-DRG,757-1,ORGANIC MENTAL HEALTH DISTURBANCES,,,6885.48,15776.41,2
APR-DRG,757-2,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,6819.46,6819.46,2
APR-DRG,757-2,ORGANIC MENTAL HEALTH DISTURBANCES,,,9605.7,22009.12,2
APR-DRG,757-3,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,9848.58,9848.58,2
APR-DRG,757-3,ORGANIC MENTAL HEALTH DISTURBANCES,,,11992.89,27478.78,2
APR-DRG,757-4,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,23654.66,23654.66,2
APR-DRG,757-4,ORGANIC MENTAL HEALTH DISTURBANCES,,,29747.65,68159.5,2
APR-DRG,7571,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,14430.28,14430.28,1
APR-DRG,7572,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,25082.28,25082.28,1
APR-DRG,7573,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,36224.49,36224.49,1
APR-DRG,7574,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,59356.61,59356.61,1
APR-DRG,758-1,BEHAVIORAL DISORDERS,,,7189.55,16473.11,2
APR-DRG,758-1,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,4098.4,4098.4,2
APR-DRG,758-2,BEHAVIORAL DISORDERS,,,7193.42,16481.96,2
APR-DRG,758-2,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,5075.17,5075.17,2
APR-DRG,758-3,BEHAVIORAL DISORDERS,,,10346.09,23705.54,2
APR-DRG,758-3,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,8258.84,8258.84,2
APR-DRG,758-4,BEHAVIORAL DISORDERS,,,13411.88,30730.05,2
APR-DRG,758-4,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,27693.14,27693.14,2
APR-DRG,7581,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,17508.57,17508.57,1
APR-DRG,7582,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,21680.75,21680.75,1
APR-DRG,7583,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,25508.27,25508.27,1
APR-DRG,7584,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,69490.56,69490.56,1
APR-DRG,759-1,EATING DISORDERS,,,6325.61,14493.6,4
APR-DRG,759-2,EATING DISORDERS,,,8480.16,19430.22,4
APR-DRG,759-3,EATING DISORDERS,,,13054.72,29911.71,4
APR-DRG,759-4,EATING DISORDERS,,,29118.85,80702.33,4
APR-DRG,7591,EATING DISORDERS,,,18833.65,18833.65,1
APR-DRG,7592,EATING DISORDERS,,,53917.16,53917.16,1
APR-DRG,7593,EATING DISORDERS,,,65070.07,65070.07,1
APR-DRG,7594,EATING DISORDERS,,,73067.63,73067.63,1
APR-DRG,760-1,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,3897.58,3897.58,2
APR-DRG,760-1,OTHER MENTAL HEALTH DISORDERS,,,5748.36,13170.97,2
APR-DRG,760-2,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,5301.22,5301.22,2
APR-DRG,760-2,OTHER MENTAL HEALTH DISORDERS,,,11424.33,26176.06,2
APR-DRG,760-3,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,7208.48,7208.48,2
APR-DRG,760-3,OTHER MENTAL HEALTH DISORDERS,,,13641.62,31256.45,2
APR-DRG,760-4,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,14510.54,14510.54,2
APR-DRG,760-4,OTHER MENTAL HEALTH DISORDERS,,,20634.25,47278.37,2
APR-DRG,7601,OTHER MENTAL HEALTH DISORDERS,,,10333.03,10333.03,1
APR-DRG,7602,OTHER MENTAL HEALTH DISORDERS,,,13302.15,13302.15,1
APR-DRG,7603,OTHER MENTAL HEALTH DISORDERS,,,18088.7,18088.7,1
APR-DRG,7604,OTHER MENTAL HEALTH DISORDERS,,,40422.35,40422.35,1
APR-DRG,761-1,SCHIZOAFFECTIVE DISORDERS,,,6326.35,6326.35,2
APR-DRG,761-2,SCHIZOAFFECTIVE DISORDERS,,,6529.27,6529.27,2
APR-DRG,761-3,SCHIZOAFFECTIVE DISORDERS,,,11712.73,11712.73,2
APR-DRG,761-4,SCHIZOAFFECTIVE DISORDERS,,,23552.68,23552.68,2
APR-DRG,7611,SCHIZOAFFECTIVE DISORDERS,,,24200.32,24200.32,1
APR-DRG,7612,SCHIZOAFFECTIVE DISORDERS,,,32557.51,32557.51,1
APR-DRG,7613,SCHIZOAFFECTIVE DISORDERS,,,69411.35,69411.35,1
APR-DRG,7614,SCHIZOAFFECTIVE DISORDERS,,,139576.23,139576.23,1
APR-DRG,762-1,OBSESSIVE COMPULSIVE DISORDERS,,,5400.05,5400.05,2
APR-DRG,762-2,OBSESSIVE COMPULSIVE DISORDERS,,,6296.91,6296.91,2
APR-DRG,762-3,OBSESSIVE COMPULSIVE DISORDERS,,,10273.35,10273.35,2
APR-DRG,762-4,OBSESSIVE COMPULSIVE DISORDERS,,,15800.62,15800.62,2
APR-DRG,7621,OBSESSIVE COMPULSIVE DISORDERS,,,10125.39,10125.39,1
APR-DRG,7622,OBSESSIVE COMPULSIVE DISORDERS,,,11807.96,11807.96,1
APR-DRG,7623,OBSESSIVE COMPULSIVE DISORDERS,,,25778.0,25778.0,1
APR-DRG,7624,OBSESSIVE COMPULSIVE DISORDERS,,,39647.42,39647.42,1
APR-DRG,770-1,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,2620.12,7161.65,4
APR-DRG,770-2,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3817.76,8747.47,4
APR-DRG,770-3,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,5136.36,11768.72,4
APR-DRG,770-4,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,12445.61,28516.09,4
APR-DRG,7701,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,7610.1,7610.1,1
APR-DRG,7702,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,8885.94,8885.94,1
APR-DRG,7703,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,14102.76,14102.76,1
APR-DRG,7704,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,33037.02,33037.02,1
APR-DRG,772-1,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,4688.25,16037.4,4
APR-DRG,772-2,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,5511.5,19777.47,4
APR-DRG,772-3,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,8340.85,34215.77,4
APR-DRG,772-4,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,19822.44,45418.29,4
APR-DRG,7721,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,13364.23,13364.23,1
APR-DRG,7722,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,14074.93,14074.93,1
APR-DRG,7723,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,20929.37,20929.37,1
APR-DRG,7724,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,57802.48,57802.48,1
APR-DRG,773-1,OPIOID ABUSE AND DEPENDENCE,,,3183.68,8528.51,4
APR-DRG,773-2,OPIOID ABUSE AND DEPENDENCE,,,4482.17,15535.33,4
APR-DRG,773-3,OPIOID ABUSE AND DEPENDENCE,,,7394.2,16942.0,4
APR-DRG,773-4,OPIOID ABUSE AND DEPENDENCE,,,17983.35,48589.94,4
APR-DRG,7731,OPIOID ABUSE AND DEPENDENCE,,,10001.23,10001.23,1
APR-DRG,7732,OPIOID ABUSE AND DEPENDENCE,,,13449.85,13449.85,1
APR-DRG,7733,OPIOID ABUSE AND DEPENDENCE,,,15609.79,15609.79,1
APR-DRG,7734,OPIOID ABUSE AND DEPENDENCE,,,60024.5,60024.5,1
APR-DRG,774-1,COCAINE ABUSE AND DEPENDENCE,,,2741.45,6281.37,4
APR-DRG,774-2,COCAINE ABUSE AND DEPENDENCE,,,3216.38,7369.55,4
APR-DRG,774-3,COCAINE ABUSE AND DEPENDENCE,,,7245.28,16603.61,4
APR-DRG,774-4,COCAINE ABUSE AND DEPENDENCE,,,13787.38,31590.43,4
APR-DRG,7741,COCAINE ABUSE AND DEPENDENCE,,,7792.05,7792.05,1
APR-DRG,7742,COCAINE ABUSE AND DEPENDENCE,,,14503.07,14503.07,1
APR-DRG,7743,COCAINE ABUSE AND DEPENDENCE,,,16600.93,16600.93,1
APR-DRG,7744,COCAINE ABUSE AND DEPENDENCE,,,43010.42,43010.42,1
APR-DRG,775-1,ALCOHOL ABUSE AND DEPENDENCE,,,3847.69,8816.04,4
APR-DRG,775-2,ALCOHOL ABUSE AND DEPENDENCE,,,4749.28,10881.81,4
APR-DRG,775-3,ALCOHOL ABUSE AND DEPENDENCE,,,8236.9,18872.86,4
APR-DRG,775-4,ALCOHOL ABUSE AND DEPENDENCE,,,21839.91,50040.84,4
APR-DRG,7751,ALCOHOL ABUSE AND DEPENDENCE,,,10714.07,10714.07,1
APR-DRG,7752,ALCOHOL ABUSE AND DEPENDENCE,,,13270.04,13270.04,1
APR-DRG,7753,ALCOHOL ABUSE AND DEPENDENCE,,,24872.49,24872.49,1
APR-DRG,7754,ALCOHOL ABUSE AND DEPENDENCE,,,27359.95,27359.95,1
APR-DRG,776-1,OTHER DRUG ABUSE AND DEPENDENCE,,,3445.48,13303.68,4
APR-DRG,776-2,OTHER DRUG ABUSE AND DEPENDENCE,,,4501.09,14582.07,4
APR-DRG,776-3,OTHER DRUG ABUSE AND DEPENDENCE,,,7531.27,17256.07,4
APR-DRG,776-4,OTHER DRUG ABUSE AND DEPENDENCE,,,12641.57,28965.08,4
APR-DRG,7761,OTHER DRUG ABUSE AND DEPENDENCE,,,16553.83,16553.83,1
APR-DRG,7762,OTHER DRUG ABUSE AND DEPENDENCE,,,16635.18,16635.18,1
APR-DRG,7763,OTHER DRUG ABUSE AND DEPENDENCE,,,29952.31,29952.31,1
APR-DRG,7764,OTHER DRUG ABUSE AND DEPENDENCE,,,39651.7,39651.7,1
APR-DRG,792-1,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,10042.02,23008.84,4
APR-DRG,792-2,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,15685.16,35938.73,4
APR-DRG,792-3,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,22461.57,51465.21,4
APR-DRG,792-4,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,44472.34,101897.53,4
APR-DRG,7921,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,40933.97,40933.97,1
APR-DRG,7922,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,46257.82,46257.82,1
APR-DRG,7923,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,60371.29,60371.29,1
APR-DRG,7924,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,127468.57,127468.57,1
APR-DRG,793-1,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,8129.76,18627.36,4
APR-DRG,793-2,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,10370.22,23760.83,4
APR-DRG,793-3,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,17288.52,39612.44,4
APR-DRG,793-4,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,32827.92,75217.19,4
APR-DRG,7931,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,22928.76,22928.76,1
APR-DRG,7932,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,41612.56,41612.56,1
APR-DRG,7933,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,58134.28,58134.28,1
APR-DRG,7934,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,105804.95,105804.95,1
APR-DRG,794-1,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,5732.92,13135.58,4
APR-DRG,794-2,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,7369.1,16884.5,4
APR-DRG,794-3,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,16099.27,36887.57,4
APR-DRG,794-4,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,29195.5,66894.38,4
APR-DRG,7941,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,19298.18,19298.18,1
APR-DRG,7942,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,38962.41,38962.41,1
APR-DRG,7943,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,41661.8,41661.8,1
APR-DRG,7944,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,77608.0,77608.0,1
APR-DRG,810-1,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,4797.59,11476.77,4
APR-DRG,810-2,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,5688.51,13033.84,4
APR-DRG,810-3,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,8234.01,18866.23,4
APR-DRG,810-4,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,19643.53,46926.7,4
APR-DRG,8101,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,11392.67,11392.67,1
APR-DRG,8102,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,14954.75,14954.75,1
APR-DRG,8103,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,28860.57,28860.57,1
APR-DRG,8104,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,52652.02,52652.02,1
APR-DRG,811-1,ALLERGIC REACTIONS,,,3201.9,7336.37,4
APR-DRG,811-2,ALLERGIC REACTIONS,,,4849.67,11111.83,4
APR-DRG,811-3,ALLERGIC REACTIONS,,,8900.07,20392.34,4
APR-DRG,811-4,ALLERGIC REACTIONS,,,18337.8,42016.61,4
APR-DRG,8111,ALLERGIC REACTIONS,,,8078.9,8078.9,1
APR-DRG,8112,ALLERGIC REACTIONS,,,16570.96,16570.96,1
APR-DRG,8113,ALLERGIC REACTIONS,,,22611.94,22611.94,1
APR-DRG,8114,ALLERGIC REACTIONS,,,43716.84,43716.84,1
APR-DRG,812-1,POISONING OF MEDICINAL AGENTS,,,3665.22,8508.6,4
APR-DRG,812-2,POISONING OF MEDICINAL AGENTS,,,4236.7,9707.37,4
APR-DRG,812-3,POISONING OF MEDICINAL AGENTS,,,6624.85,15179.24,4
APR-DRG,812-4,POISONING OF MEDICINAL AGENTS,,,11845.2,27140.38,4
APR-DRG,8121,POISONING OF MEDICINAL AGENTS,,,7010.71,7010.71,1
APR-DRG,8122,POISONING OF MEDICINAL AGENTS,,,12223.25,12223.25,1
APR-DRG,8123,POISONING OF MEDICINAL AGENTS,,,17074.02,17074.02,1
APR-DRG,8124,POISONING OF MEDICINAL AGENTS,,,36639.78,36639.78,1
APR-DRG,813-1,OTHER COMPLICATIONS OF TREATMENT,,,4632.47,10614.19,4
APR-DRG,813-2,OTHER COMPLICATIONS OF TREATMENT,,,6360.36,14573.22,4
APR-DRG,813-3,OTHER COMPLICATIONS OF TREATMENT,,,9044.86,20724.1,4
APR-DRG,813-4,OTHER COMPLICATIONS OF TREATMENT,,,13289.29,30449.16,4
APR-DRG,8131,OTHER COMPLICATIONS OF TREATMENT,,,12191.14,12191.14,1
APR-DRG,8132,OTHER COMPLICATIONS OF TREATMENT,,,17551.39,17551.39,1
APR-DRG,8133,OTHER COMPLICATIONS OF TREATMENT,,,19818.36,19818.36,1
APR-DRG,8134,OTHER COMPLICATIONS OF TREATMENT,,,37425.4,37425.4,1
APR-DRG,815-1,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,3871.3,14152.99,4
APR-DRG,815-2,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,6036.16,20149.04,4
APR-DRG,815-3,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,10057.81,30117.4,4
APR-DRG,815-4,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,21462.47,84272.1,4
APR-DRG,8151,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,17641.29,17641.29,1
APR-DRG,8152,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,22755.36,22755.36,1
APR-DRG,8153,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,28284.73,28284.73,1
APR-DRG,8154,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,53215.01,53215.01,1
APR-DRG,816-1,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,3206.73,7347.43,4
APR-DRG,816-2,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,5096.78,11678.04,4
APR-DRG,816-3,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,6265.76,14356.47,4
APR-DRG,816-4,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,12559.52,28777.08,4
APR-DRG,8161,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,10228.14,10228.14,1
APR-DRG,8162,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,13845.88,13845.88,1
APR-DRG,8163,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,16414.69,16414.69,1
APR-DRG,8164,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,18056.59,18056.59,1
APR-DRG,817-1,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,3957.51,10030.29,4
APR-DRG,817-2,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,5648.18,16667.75,4
APR-DRG,817-3,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,7855.61,17999.22,4
APR-DRG,817-4,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,17051.06,39068.35,4
APR-DRG,8171,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,8273.71,8273.71,1
APR-DRG,8172,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,12831.2,12831.2,1
APR-DRG,8173,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,19490.84,19490.84,1
APR-DRG,8174,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,46994.22,46994.22,1
APR-DRG,841-1,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,18263.02,49613.98,4
APR-DRG,841-2,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,24647.97,56474.82,4
APR-DRG,841-3,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,63608.32,173834.7,4
APR-DRG,841-4,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,210345.46,542197.24,4
APR-DRG,8411,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,45827.55,45827.55,1
APR-DRG,8412,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,50410.73,50410.73,1
APR-DRG,8413,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,159610.79,159610.79,1
APR-DRG,8414,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,527815.28,527815.28,1
APR-DRG,842-1,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,11371.23,26054.41,4
APR-DRG,842-2,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,20063.04,59051.51,4
APR-DRG,842-3,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,38553.12,88335.08,4
APR-DRG,842-4,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,64416.4,147594.5,4
APR-DRG,8421,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,31457.2,31457.2,1
APR-DRG,8422,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,48942.23,48942.23,1
APR-DRG,8423,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,98642.26,98642.26,1
APR-DRG,8424,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,282258.57,282258.57,1
APR-DRG,843-1,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,3585.12,8214.44,4
APR-DRG,843-2,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,7050.55,16154.62,4
APR-DRG,843-3,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,8625.92,19764.2,4
APR-DRG,843-4,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,19000.0,43533.88,4
APR-DRG,8431,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,13788.08,13788.08,1
APR-DRG,8432,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,18122.95,18122.95,1
APR-DRG,8433,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,35659.35,35659.35,1
APR-DRG,8434,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,51763.64,51763.64,1
APR-DRG,844-1,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,3807.16,9550.34,4
APR-DRG,844-2,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,6609.18,16930.95,4
APR-DRG,844-3,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,11357.72,26023.45,4
APR-DRG,844-4,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,23536.91,66498.48,4
APR-DRG,8441,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,8999.39,8999.39,1
APR-DRG,8442,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,16427.53,16427.53,1
APR-DRG,8443,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,28655.06,28655.06,1
APR-DRG,8444,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,59061.2,59061.2,1
APR-DRG,850-1,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,11965.86,27416.85,4
APR-DRG,850-2,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,18311.74,41956.9,4
APR-DRG,850-3,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,28004.32,64165.08,4
APR-DRG,850-4,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,53709.29,123061.77,4
APR-DRG,8501,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,31457.2,31457.2,1
APR-DRG,8502,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,53619.6,53619.6,1
APR-DRG,8503,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,87480.78,87480.78,1
APR-DRG,8504,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,139995.8,139995.8,1
APR-DRG,851-1,GENDER RELATED PROCEDURES,,,16218.03,16218.03,2
APR-DRG,851-2,GENDER RELATED PROCEDURES,,,19258.71,19258.71,2
APR-DRG,851-3,GENDER RELATED PROCEDURES,,,27486.01,27486.01,2
APR-DRG,851-4,GENDER RELATED PROCEDURES,,,84621.84,84621.84,2
APR-DRG,8511,GENDER RELATED PROCEDURES,,,40696.35,40696.35,1
APR-DRG,8512,GENDER RELATED PROCEDURES,,,48325.72,48325.72,1
APR-DRG,8513,GENDER RELATED PROCEDURES,,,68970.38,68970.38,1
APR-DRG,8514,GENDER RELATED PROCEDURES,,,212339.88,212339.88,1
APR-DRG,860-1,REHABILITATION,,,8095.97,18549.95,4
APR-DRG,860-2,REHABILITATION,,,12180.61,30172.69,4
APR-DRG,860-3,REHABILITATION,,,15881.58,42660.23,4
APR-DRG,860-4,REHABILITATION,,,19390.95,44429.63,4
APR-DRG,8601,REHABILITATION,,,19178.3,19178.3,1
APR-DRG,8602,REHABILITATION,,,24923.87,24923.87,1
APR-DRG,8603,REHABILITATION,,,36659.04,36659.04,1
APR-DRG,8604,REHABILITATION,,,49415.32,49415.32,1
APR-DRG,861-1,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,4345.49,10888.45,4
APR-DRG,861-2,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,5893.16,13502.73,4
APR-DRG,861-3,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,8345.98,19122.79,4
APR-DRG,861-4,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,15058.32,40032.68,4
APR-DRG,8611,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,12747.71,12747.71,1
APR-DRG,8612,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,15258.72,15258.72,1
APR-DRG,8613,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,29282.28,29282.28,1
APR-DRG,8614,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,47362.41,47362.41,1
APR-DRG,862-1,OTHER AFTERCARE AND CONVALESCENCE,,,2159.6,14188.38,4
APR-DRG,862-2,OTHER AFTERCARE AND CONVALESCENCE,,,6485.11,19204.63,4
APR-DRG,862-3,OTHER AFTERCARE AND CONVALESCENCE,,,7063.39,23236.65,4
APR-DRG,862-4,OTHER AFTERCARE AND CONVALESCENCE,,,7063.39,29615.33,4
APR-DRG,8621,OTHER AFTERCARE AND CONVALESCENCE,,,12608.57,12608.57,1
APR-DRG,8622,OTHER AFTERCARE AND CONVALESCENCE,,,21342.52,21342.52,1
APR-DRG,8623,OTHER AFTERCARE AND CONVALESCENCE,,,24153.22,24153.22,1
APR-DRG,8624,OTHER AFTERCARE AND CONVALESCENCE,,,26567.91,26567.91,1
APR-DRG,863-1,NEONATAL AFTERCARE,,,9625.68,30480.13,4
APR-DRG,863-2,NEONATAL AFTERCARE,,,20530.0,47039.5,4
APR-DRG,863-3,NEONATAL AFTERCARE,,,40013.62,91681.46,4
APR-DRG,863-4,NEONATAL AFTERCARE,,,63159.58,144714.8,4
APR-DRG,8631,NEONATAL AFTERCARE,,,24153.22,24153.22,1
APR-DRG,8632,NEONATAL AFTERCARE,,,54039.17,54039.17,1
APR-DRG,8633,NEONATAL AFTERCARE,,,131773.47,131773.47,1
APR-DRG,8634,NEONATAL AFTERCARE,,,242075.98,242075.98,1
APR-DRG,890-1,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,7193.76,17919.6,4
APR-DRG,890-2,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,8233.04,18864.02,4
APR-DRG,890-3,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,12282.48,28142.31,4
APR-DRG,890-4,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,23577.45,54021.99,4
APR-DRG,8901,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,18050.16,18050.16,1
APR-DRG,8902,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,24814.69,24814.69,1
APR-DRG,8903,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,73671.3,73671.3,1
APR-DRG,8904,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,116178.66,116178.66,1
APR-DRG,892-1,HIV WITH MAJOR HIV RELATED CONDITION,,,5828.48,13354.55,4
APR-DRG,892-2,HIV WITH MAJOR HIV RELATED CONDITION,,,6468.48,14820.94,4
APR-DRG,892-3,HIV WITH MAJOR HIV RELATED CONDITION,,,9676.17,22170.58,4
APR-DRG,892-4,HIV WITH MAJOR HIV RELATED CONDITION,,,13965.0,31997.39,4
APR-DRG,8921,HIV WITH MAJOR HIV RELATED CONDITION,,,16217.75,16217.75,1
APR-DRG,8922,HIV WITH MAJOR HIV RELATED CONDITION,,,20338.54,20338.54,1
APR-DRG,8923,HIV WITH MAJOR HIV RELATED CONDITION,,,32608.89,32608.89,1
APR-DRG,8924,HIV WITH MAJOR HIV RELATED CONDITION,,,47925.41,47925.41,1
APR-DRG,893-1,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,6889.9,15844.98,4
APR-DRG,893-2,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,7490.73,17163.18,4
APR-DRG,893-3,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,10613.47,24318.19,4
APR-DRG,893-4,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,16202.56,37124.22,4
APR-DRG,8931,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,17288.08,17288.08,1
APR-DRG,8932,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,22556.28,22556.28,1
APR-DRG,8933,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,25441.91,25441.91,1
APR-DRG,8934,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,47364.55,47364.55,1
APR-DRG,894-1,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,5678.86,13011.73,4
APR-DRG,894-2,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,7170.63,16972.97,4
APR-DRG,894-3,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,9445.46,21641.97,4
APR-DRG,894-4,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,14598.23,33448.3,4
APR-DRG,8941,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,14483.8,14483.8,1
APR-DRG,8942,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,18150.77,18150.77,1
APR-DRG,8943,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,24326.62,24326.62,1
APR-DRG,8944,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,40642.84,40642.84,1
APR-DRG,910-1,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,25950.16,59458.48,4
APR-DRG,910-2,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,27536.48,64921.5,4
APR-DRG,910-3,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,32729.46,74991.6,4
APR-DRG,910-4,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,57574.35,131917.62,4
APR-DRG,9101,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,68929.7,68929.7,1
APR-DRG,9102,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,69096.68,69096.68,1
APR-DRG,9103,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,94440.11,94440.11,1
APR-DRG,9104,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,159901.93,159901.93,1
APR-DRG,911-1,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,13826.96,31681.11,4
APR-DRG,911-2,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,18443.99,42259.91,4
APR-DRG,911-3,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,25404.77,58208.84,4
APR-DRG,911-4,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,56083.93,128502.67,4
APR-DRG,9111,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,47433.05,47433.05,1
APR-DRG,9112,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,54283.21,54283.21,1
APR-DRG,9113,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,91498.83,91498.83,1
APR-DRG,9114,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,219127.95,219127.95,1
APR-DRG,912-1,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,13350.1,30588.5,4
APR-DRG,912-2,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,13539.3,31022.01,4
APR-DRG,912-3,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,24442.36,56003.72,4
APR-DRG,912-4,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,49503.48,113425.18,4
APR-DRG,9121,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,44855.68,44855.68,1
APR-DRG,9122,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,54388.1,54388.1,1
APR-DRG,9123,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,76713.19,76713.19,1
APR-DRG,9124,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,173824.87,173824.87,1
APR-DRG,930-1,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,6229.08,14272.42,4
APR-DRG,930-2,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,6623.89,15177.03,4
APR-DRG,930-3,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,10423.31,23882.48,4
APR-DRG,930-4,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,21398.77,49030.07,4
APR-DRG,9301,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,14314.69,14314.69,1
APR-DRG,9302,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,17255.97,17255.97,1
APR-DRG,9303,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,38600.63,38600.63,1
APR-DRG,9304,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,72682.3,72682.3,1
APR-DRG,950-1,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,9887.57,22654.96,4
APR-DRG,950-2,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,13925.42,31906.71,4
APR-DRG,950-3,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,24710.71,56618.59,4
APR-DRG,950-4,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,54397.95,128285.92,4
APR-DRG,9501,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,35770.66,35770.66,1
APR-DRG,9502,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,45059.05,45059.05,1
APR-DRG,9503,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,86455.4,86455.4,1
APR-DRG,9504,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,125621.17,125621.17,1
APR-DRG,951-1,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,7271.6,16661.11,4
APR-DRG,951-2,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,11164.66,25581.1,4
APR-DRG,951-3,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,19598.49,44905.16,4
APR-DRG,951-4,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,40582.18,92984.18,4
APR-DRG,9511,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,19105.52,19105.52,1
APR-DRG,9512,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,41959.35,41959.35,1
APR-DRG,9513,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,48711.04,48711.04,1
APR-DRG,9514,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,85173.14,85173.14,1
APR-DRG,952-1,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,7425.09,17012.78,4
APR-DRG,952-2,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,8651.02,19821.7,4
APR-DRG,952-3,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,17945.89,41118.64,4
APR-DRG,952-4,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,36812.03,89940.81,4
APR-DRG,9521,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,19150.47,19150.47,1
APR-DRG,9522,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,29016.84,29016.84,1
APR-DRG,9523,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,56503.09,56503.09,1
APR-DRG,9524,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,88343.48,88343.48,1
APR-DRG,`1,TRANSIENT ISCHEMIA,,,10251.69,10251.69,1
CDT,D0120,periodic oral evaluation - established patient,,,96.31,233.42,2
CDT,D0140,limited oral evaluation - problem focused,,,96.31,233.42,2
CDT,D0145,oral evaluation for a patient under three years of age and counseling with primary caregiver,,,89.89,89.89,2
CDT,D0150,comprehensive oral evaluation - new or established patient,,,96.31,233.42,4
CDT,D0160,"detailed and extensive oral evaluation - problem focused, by report",,,96.31,233.42,2
CDT,D0170,"re-evaluation - limited, problem focused (established patient; not post-operative visit)",,,96.31,233.42,2
CDT,D0171,re-evaluation – post-operative office visit,,,96.31,233.42,2
CDT,D0180,comprehensive periodontal evaluation - new or established patient,,,96.31,233.42,2
CDT,D0190,screening of a patient,,,67.37,67.37,2
CDT,D0191,assessment of a patient,,,96.31,233.42,2
CDT,D0210,intraoral – comprehensive series of radiographic images,,,178.53,432.69,2
CDT,D0220,intraoral - periapical first radiographic image,,,66.21,160.46,2
CDT,D0230,intraoral - periapical each additional radiographic image,,,1.0,1.0,2
CDT,D0240,intraoral - occlusal radiographic image,,,66.21,160.46,4
CDT,D0250,"extra-oral – 2D projection radiographic image created using a stationary radiation source, and detector",,,66.21,160.46,4
CDT,D0251,extra-oral posterior dental radiographic image,,,66.21,160.46,2
CDT,D0270,bitewing - single radiographic image,,,66.21,160.46,4
CDT,D0272,bitewings - two radiographic images,,,66.21,160.46,4
CDT,D0273,bitewings - three radiographic images,,,178.53,432.69,2
CDT,D0274,bitewings - four radiographic images,,,178.53,432.69,4
CDT,D0277,vertical bitewings - 7 to 8 radiographic images,,,178.53,432.69,4
CDT,D0310,sialography,,,178.53,432.69,2
CDT,D0320,"temporomandibular joint arthrogram, including injection",,,178.53,432.69,2
CDT,D0321,"other temporomandibular joint radiographic images, by report",,,66.21,160.46,2
CDT,D0322,tomographic survey,,,80.11,194.16,2
CDT,D0330,panoramic radiographic image,,,178.53,432.69,2
CDT,D0340,"2D cephalometric radiographic image – acquisition, measurement and analysis",,,66.21,160.46,2
CDT,D0350,2D oral/facial photographic image obtained intra-orally or extra-orally,,,66.21,160.46,2
CDT,D0364,cone beam CT capture and interpretation with limited field of view – less than one whole jaw,,,80.11,194.16,2
CDT,D0365,cone beam CT capture and interpretation with field of view of one full dental arch – mandible,,,80.11,194.16,2
CDT,D0366,"cone beam CT capture and interpretation with field of view of one full dental arch – maxilla, with or without cranium",,,80.11,194.16,2
CDT,D0367,cone beam CT capture and interpretation with field of view of both jaws; with or without cranium,,,80.11,194.16,2
CDT,D0368,cone beam CT capture and interpretation for TMJ series including two or more exposures,,,80.11,194.16,2
CDT,D0369,maxillofacial MRI capture and interpretation,,,80.11,194.16,2
CDT,D0370,maxillofacial ultrasound capture and interpretation,,,80.11,194.16,2
CDT,D0371,sialoendoscopy capture and interpretation,,,66.21,160.46,2
CDT,D0372,intraoral tomosynthesis – comprehensive series of radiographic images,,,170.83,170.83,2
CDT,D0373,intraoral tomosynthesis – bitewing radiographic image,,,35.0,35.0,2
CDT,D0374,intraoral tomosynthesis – periapical radiographic image,,,35.0,35.0,2
CDT,D0380,cone beam CT image capture with limited field of view – less than one whole jaw,,,80.11,194.16,2
CDT,D0381,cone beam CT image capture with field of view of one full dental arch – mandible,,,80.11,194.16,2
CDT,D0382,"cone beam CT image capture with field of view of one full dental arch – maxilla, with or without cranium",,,80.11,194.16,2
CDT,D0383,cone beam CT image capture with field of view of both jaws; with or without cranium,,,80.11,194.16,2
CDT,D0384,cone beam CT image capture for TMJ series including two or more exposures,,,80.11,194.16,2
CDT,D0385,maxillofacial MRI image capture,,,80.11,194.16,2
CDT,D0386,maxillofacial ultrasound image capture,,,80.11,194.16,2
CDT,D0387,intraoral tomosynthesis – comprehensive series of radiographic images – image capture only,,,105.9,105.9,2
CDT,D0388,intraoral tomosynthesis – bitewing radiographic image – image capture only,,,21.68,21.68,2
CDT,D0389,intraoral tomosynthesis – periapical radiographic image – image capture only,,,21.68,21.68,2
CDT,D0391,"interpretation of diagnostic image by a practitioner not associated with capture of the image, including report",,,456.93,456.93,2
CDT,D0393,virtual treatment simulation using 3D image volume or surface scan,,,66.21,160.46,2
CDT,D0394,digital subtraction of two or more images or image volumes of the same modality,,,66.21,160.46,2
CDT,D0395,fusion of two or more 3D image volumes of one or more modalities,,,66.21,160.46,2
CDT,D0396,3D printing of a 3D dental surface scan,,,148.61,148.61,2
CDT,D0411,HbA1c in-office point of service testing,,,17.92,17.92,2
CDT,D0412,blood glucose level test – in-office using a glucose meter,,,17.92,17.92,2
CDT,D0414,"laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and transmission of written report",,,238.92,238.92,2
CDT,D0415,collection of microorganisms for culture and sensitivity,,,145.67,145.67,2
CDT,D0416,viral culture,,,131.41,131.41,2
CDT,D0417,collection and preparation of saliva sample for laboratory analysis,,,143.0,143.0,2
CDT,D0418,analysis of saliva sample - laboratory,,,133.89,133.89,2
CDT,D0419,assessment of salivary flow by measurement,,,17.92,17.92,2
CDT,D0422,collection and preparation of genetic sample material for laboratory analysis and report,,,88.0,88.0,2
CDT,D0423,genetic test for susceptibility to diseases – specimen analysis,,,90.88,90.88,2
CDT,D0425,caries susceptibility tests,,,59.13,59.13,2
CDT,D0431,"adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions, not to include cytology or biopsy procedures",,,93.84,93.84,2
CDT,D0460,pulp vitality tests,,,546.65,1324.86,4
CDT,D0470,diagnostic casts,,,168.42,168.42,2
CDT,D0472,"accession of tissue, gross examination, preparation and transmission of written report",,,128.0,128.0,2
CDT,D0473,"accession of tissue, gross and microscopic examination, preparation and transmission of written report",,,238.92,238.92,2
CDT,D0474,"accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report",,,358.38,358.38,2
CDT,D0475,decalcification procedure,,,139.17,139.17,2
CDT,D0476,special stains for microorganisms,,,358.38,358.38,2
CDT,D0477,"special stains, not for microorganisms",,,358.38,358.38,2
CDT,D0478,immunohistochemical stains,,,196.27,196.27,2
CDT,D0479,"tissue in-situ hybridization, including interpretation",,,264.48,264.48,2
CDT,D0480,"accession of exfoliative cytologic smears, microscopic examination, preparation and transmission of written report",,,196.27,196.27,2
CDT,D0481,electron microscopy,,,490.09,490.09,2
CDT,D0482,direct immunofluorescence,,,163.36,163.36,2
CDT,D0483,indirect immunofluorescence,,,197.11,197.11,2
CDT,D0484,consultation on slides prepared elsewhere,,,298.65,298.65,2
CDT,D0485,"consultation, including preparation of slides from biopsy material supplied by referring source",,,402.88,402.88,2
CDT,D0486,"laboratory accession of transepithelial cytologic sample, microscopic examination, preparation and transmission of written report",,,356.89,356.89,2
CDT,D0502,"other oral pathology procedures, by report",,,230.38,230.38,2
CDT,D0600,"non-ionizing diagnostic procedure capable of quantifying,  monitoring, and recording changes in structure of enamel, dentin, and cementum",,,91.29,221.24,2
CDT,D0601,"caries risk assessment and documentation, with a finding of low risk",,,97.68,97.68,2
CDT,D0602,"caries risk assessment and documentation, with a finding of moderate risk",,,97.68,97.68,2
CDT,D0603,"caries risk assessment and documentation, with a finding of high risk",,,181.9,181.9,2
CDT,D0604,"antigen testing for a public health related pathogen, including coronavirus",,,17.92,17.92,2
CDT,D0605,"antibody testing for a public health related pathogen, including coronavirus",,,17.92,17.92,2
CDT,D0606,"molecular testing for a public health related pathogen, including coronavirus",,,17.92,17.92,2
CDT,D0701,panoramic radiographic image – image capture only,,,66.21,160.46,2
CDT,D0702,2-D cephalometric radiographic image – image capture only,,,66.21,160.46,2
CDT,D0703,2-D oral/facial photographic image obtained intra-orally or extra-orally – image capture only,,,66.21,160.46,2
CDT,D0705,extra-oral posterior dental radiographic image – image capture only,,,66.21,160.46,2
CDT,D0706,intraoral – occlusal radiographic image – image capture only,,,66.21,160.46,2
CDT,D0707,intraoral – periapical radiographic image – image capture only,,,66.21,160.46,2
CDT,D0708,intraoral – bitewing radiographic image – image capture only,,,66.21,160.46,2
CDT,D0709,intraoral – comprehensive series of radiographic images – image capture only,,,66.21,160.46,2
CDT,D0801,3D intraoral surface scan – direct,,,97.72,97.72,2
CDT,D0802,3D dental surface scan – indirect,,,97.72,97.72,2
CDT,D0803,3D facial surface scan – direct,,,97.72,97.72,2
CDT,D0804,3D facial surface scan – indirect,,,97.72,97.72,2
CDT,D0999,"unspecified diagnostic procedure, by report",,,11.7,11.7,2
CDT,D1110,prophylaxis - adult,,,96.31,233.42,2
CDT,D1120,prophylaxis - child,,,89.42,89.42,2
CDT,D1206,topical application of fluoride varnish,,,62.0,62.0,2
CDT,D1208,topical application of fluoride – excluding varnish,,,51.51,51.51,2
CDT,D1301,immunization counseling,,,42.05,42.05,2
CDT,D1310,nutritional counseling for control of dental disease,,,52.0,52.0,2
CDT,D1320,tobacco counseling for the control and prevention of oral disease,,,51.37,51.37,2
CDT,D1321,"counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use",,,59.73,59.73,2
CDT,D1330,oral hygiene instructions,,,64.84,64.84,2
CDT,D1351,sealant - per tooth,,,69.53,69.53,2
CDT,D1352,Outpatient Services - CDT,,,187.86,187.86,2
CDT,D1353,sealant repair – per tooth,,,69.53,69.53,2
CDT,D1354,application of caries arresting medicament – per tooth,,,1.0,1.0,2
CDT,D1355,caries preventive medicament application – per tooth,,,59.73,59.73,2
CDT,D1510,"space maintainer - fixed, unilateral – per quadrant",,,641.51,1554.77,4
CDT,D1516,"space maintainer - fixed - bilateral, maxillary",,,641.51,1554.77,2
CDT,D1517,"space maintainer - fixed - bilateral, mandibular",,,641.51,1554.77,2
CDT,D1520,"space maintainer - removable, unilateral - per quadrant",,,641.51,1554.77,4
CDT,D1526,"space maintainer - removable - bilateral, maxillary",,,641.51,1554.77,2
CDT,D1527,"space maintainer - removable - bilateral, mandibular",,,641.51,1554.77,2
CDT,D1551,re-cement or re-bond bilateral space maintainer - maxillary,,,641.51,1554.77,2
CDT,D1552,re-cement or re-bond bilateral space maintainer - mandibular,,,641.51,1554.77,2
CDT,D1553,re-cement or re-bond unilateral space maintainer - per quadrant,,,641.51,1554.77,2
CDT,D1556,removal of fixed unilateral space maintainer - per quadrant,,,93.84,93.84,2
CDT,D1557,removal of fixed bilateral space maintainer - maxillary,,,93.84,93.84,2
CDT,D1558,removal of fixed bilateral space maintainer - mandibular,,,93.84,93.84,2
CDT,D1575,"distal shoe space maintainer - fixed, unilateral - per quadrant",,,641.51,1554.77,2
CDT,D1701,Pfizer-BioNTech Covid-19 vaccine administration – first dose,,,40.0,47.78,3
CDT,D1702,Pfizer-BioNTech Covid-19 vaccine administration – second dose,,,40.0,47.78,3
CDT,D1703,Moderna Covid-19 vaccine administration – first dose,,,40.0,47.78,3
CDT,D1704,Moderna Covid-19 vaccine administration – second dose,,,40.0,47.78,3
CDT,D1705,Covid Codes - CDT,,,40.0,40.0,1
CDT,D1705,Outpatient Services - CDT,,,47.78,47.78,2
CDT,D1706,Covid Codes - CDT,,,40.0,40.0,1
CDT,D1706,Outpatient Services - CDT,,,47.78,47.78,2
CDT,D1707,Covid Codes - CDT,,,40.0,40.0,1
CDT,D1707,Outpatient Services - CDT,,,47.78,47.78,2
CDT,D1708,Pfizer-BioNTech Covid-19 vaccine administration – third dose,,,47.78,47.78,2
CDT,D1709,Pfizer-BioNTech Covid-19 vaccine administration – booster dose,,,47.78,47.78,2
CDT,D1710,Moderna Covid-19 vaccine administration – third dose,,,47.78,47.78,2
CDT,D1711,Moderna Covid-19 vaccine administration – booster dose,,,47.78,47.78,2
CDT,D1712,Outpatient Services - CDT,,,47.78,47.78,2
CDT,D1713,Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – first dose,,,47.78,47.78,2
CDT,D1714,Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – second dose,,,47.78,47.78,2
CDT,D1781,vaccine administration – human papillomavirus – Dose 1,,,47.78,47.78,2
CDT,D1782,vaccine administration – human papillomavirus – Dose 2,,,47.78,47.78,2
CDT,D1783,vaccine administration – human papillomavirus – Dose 3,,,47.78,47.78,2
CDT,D2140,"amalgam - one surface, primary or permanent",,,641.51,1554.77,2
CDT,D2150,"amalgam - two surfaces, primary or permanent",,,641.51,1554.77,2
CDT,D2160,"amalgam - three surfaces, primary or permanent",,,641.51,1554.77,2
CDT,D2161,"amalgam - four or more surfaces, primary or permanent",,,641.51,1554.77,2
CDT,D2330,"resin-based composite - one surface, anterior",,,641.51,1554.77,2
CDT,D2331,"resin-based composite - two surfaces, anterior",,,641.51,1554.77,2
CDT,D2332,"resin-based composite - three surfaces, anterior",,,641.51,1554.77,2
CDT,D2335,resin-based composite - four or more surfaces (anterior),,,641.51,1554.77,2
CDT,D2390,"resin-based composite crown, anterior",,,641.51,1554.77,2
CDT,D2391,"resin-based composite – one surface, posterior",,,641.51,1554.77,2
CDT,D2392,"resin-based composite - two surfaces, posterior",,,641.51,1554.77,2
CDT,D2393,"resin-based composite - three surfaces, posterior",,,641.51,1554.77,2
CDT,D2394,"resin-based composite - four or more surfaces, posterior",,,641.51,1554.77,2
CDT,D2410,gold foil - one surface,,,641.51,1554.77,2
CDT,D2420,gold foil - two surfaces,,,641.51,1554.77,2
CDT,D2430,gold foil - three surfaces,,,641.51,1554.77,2
CDT,D2510,inlay - metallic - one surface,,,641.51,1554.77,2
CDT,D2520,inlay - metallic - two surfaces,,,641.51,1554.77,2
CDT,D2530,inlay - metallic - three or more surfaces,,,641.51,1554.77,2
CDT,D2542,onlay - metallic - two surfaces,,,641.51,1554.77,2
CDT,D2543,onlay - metallic - three surfaces,,,641.51,1554.77,2
CDT,D2544,onlay - metallic - four or more surfaces,,,641.51,1554.77,2
CDT,D2610,inlay - porcelain/ceramic - one surface,,,641.51,1554.77,2
CDT,D2620,inlay - porcelain/ceramic - two surfaces,,,641.51,1554.77,2
CDT,D2630,inlay - porcelain/ceramic - three or more surfaces,,,641.51,1554.77,2
CDT,D2642,onlay - porcelain/ceramic - two surfaces,,,641.51,1554.77,2
CDT,D2643,onlay - porcelain/ceramic - three surfaces,,,641.51,1554.77,2
CDT,D2644,onlay - porcelain/ceramic - four or more surfaces,,,641.51,1554.77,2
CDT,D2650,inlay - resin-based composite - one surface,,,641.51,1554.77,2
CDT,D2651,inlay - resin-based composite - two surfaces,,,641.51,1554.77,2
CDT,D2652,inlay - resin-based composite - three or more surfaces,,,641.51,1554.77,2
CDT,D2662,onlay - resin-based composite - two surfaces,,,641.51,1554.77,2
CDT,D2663,onlay - resin-based composite - three surfaces,,,641.51,1554.77,2
CDT,D2664,onlay - resin-based composite - four or more surfaces,,,641.51,1554.77,2
CDT,D2710,crown - resin-based composite (indirect),,,641.51,1554.77,2
CDT,D2712,crown - ¾ resin-based composite (indirect),,,641.51,1554.77,2
CDT,D2720,crown - resin with high noble metal,,,641.51,1554.77,2
CDT,D2721,crown - resin with predominantly base metal,,,641.51,1554.77,2
CDT,D2722,crown - resin with noble metal,,,641.51,1554.77,2
CDT,D2740,crown - porcelain/ceramic,,,641.51,1554.77,2
CDT,D2750,crown - porcelain fused to high noble metal,,,641.51,1554.77,2
CDT,D2751,crown - porcelain fused to predominantly base metal,,,641.51,1554.77,2
CDT,D2752,crown - porcelain fused to noble metal,,,641.51,1554.77,2
CDT,D2753,crown - porcelain fused to titanium and titanium alloys,,,641.51,1554.77,2
CDT,D2780,crown - 3/4 cast high noble metal,,,641.51,1554.77,2
CDT,D2781,crown - 3/4 cast predominantly base metal,,,641.51,1554.77,2
CDT,D2782,crown - 3/4 cast noble metal,,,641.51,1554.77,2
CDT,D2783,crown - 3/4 porcelain/ceramic,,,641.51,1554.77,2
CDT,D2790,crown - full cast high noble metal,,,641.51,1554.77,2
CDT,D2791,crown - full cast predominantly base metal,,,641.51,1554.77,2
CDT,D2792,crown - full cast noble metal,,,641.51,1554.77,2
CDT,D2794,crown - titanium and titanium alloys,,,641.51,1554.77,2
CDT,D2799,interim crown – further treatment or completion of diagnosis necessary prior to final impression,,,641.51,1554.77,2
CDT,D2910,"re-cement or re-bond inlay, onlay, veneer or partial coverage restoration",,,641.51,1554.77,2
CDT,D2915,re-cement or re-bond indirectly fabricated or prefabricated post and core,,,641.51,1554.77,2
CDT,D2920,re-cement or re-bond crown,,,641.51,1554.77,2
CDT,D2921,"reattachment of tooth fragment, incisal edge or cusp",,,641.51,1554.77,2
CDT,D2928,prefabricated porcelain/ceramic crown – permanent tooth,,,641.51,1554.77,2
CDT,D2929,prefabricated porcelain/ceramic crown – primary tooth,,,641.51,1554.77,2
CDT,D2930,prefabricated stainless steel crown - primary tooth,,,641.51,1554.77,2
CDT,D2931,prefabricated stainless steel crown - permanent tooth,,,641.51,1554.77,2
CDT,D2932,prefabricated resin crown,,,641.51,1554.77,2
CDT,D2933,prefabricated stainless steel crown with resin window,,,641.51,1554.77,2
CDT,D2934,prefabricated esthetic coated stainless steel crown - primary tooth,,,641.51,1554.77,2
CDT,D2940,placement of interim direct restoration,,,641.51,1554.77,2
CDT,D2941,Outpatient Services - CDT,,,641.51,1554.77,2
CDT,D2949,restorative foundation for an indirect restoration,,,641.51,1554.77,2
CDT,D2950,"core buildup, including any pins when required",,,641.51,1554.77,2
CDT,D2951,"pin retention - per tooth, in addition to restoration",,,641.51,1554.77,2
CDT,D2952,"post and core in addition to crown, indirectly fabricated",,,641.51,1554.77,2
CDT,D2953,each additional indirectly fabricated post - same tooth,,,1.0,1.0,2
CDT,D2954,prefabricated post and core in addition to crown,,,641.51,1554.77,2
CDT,D2955,post removal,,,1.0,1.0,2
CDT,D2957,each additional prefabricated post - same tooth,,,641.51,1554.77,2
CDT,D2960,labial veneer (resin laminate) - direct,,,641.51,1554.77,2
CDT,D2961,labial veneer (resin laminate) - indirect,,,641.51,1554.77,2
CDT,D2962,labial veneer (porcelain laminate) - indirect,,,641.51,1554.77,2
CDT,D2971,additional procedures to customize a crown to fit under an existing partial denture framework,,,641.51,1554.77,2
CDT,D2975,coping,,,641.51,1554.77,2
CDT,D2976,band stabilization – per tooth,,,641.51,1554.77,2
CDT,D2980,crown repair necessitated by restorative material failure,,,641.51,1554.77,2
CDT,D2981,inlay repair necessitated by restorative material failure,,,641.51,1554.77,2
CDT,D2982,onlay repair necessitated by restorative material failure,,,641.51,1554.77,2
CDT,D2983,veneer repair necessitated by restorative material failure,,,641.51,1554.77,2
CDT,D2989,excavation of a tooth resulting in the determination of non-restorability,,,477.84,477.84,2
CDT,D2990,resin infiltration of incipient smooth surface lesions,,,641.51,1554.77,2
CDT,D2991,application of hydroxyapatite regeneration medicament – per tooth,,,8.72,8.72,2
CDT,D2999,"unspecified restorative procedure, by report",,,641.51,1554.77,4
CDT,D3110,pulp cap - direct (excluding final restoration),,,641.51,1554.77,2
CDT,D3120,pulp cap - indirect (excluding final restoration),,,641.51,1554.77,2
CDT,D3220,therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medicament,,,641.51,1554.77,2
CDT,D3221,"pulpal debridement, primary and permanent teeth",,,641.51,1554.77,2
CDT,D3222,partial pulpotomy for apexogenesis - permanent tooth with incomplete root development,,,641.51,1554.77,2
CDT,D3230,"pulpal therapy (resorbable filling) - anterior, primary tooth (excluding final restoration)",,,641.51,1554.77,2
CDT,D3240,"pulpal therapy (resorbable filling) - posterior, primary tooth (excluding final restoration)",,,641.51,1554.77,2
CDT,D3310,"endodontic therapy, anterior tooth (excluding final restoration)",,,641.51,1554.77,2
CDT,D3320,"endodontic therapy, premolar tooth (excluding final restoration)",,,641.51,1554.77,2
CDT,D3330,"endodontic therapy, molar tooth (excluding final restoration)",,,641.51,1554.77,2
CDT,D3331,treatment of root canal obstruction; non-surgical access,,,641.51,1554.77,2
CDT,D3332,"incomplete endodontic therapy; inoperable, unrestorable or fractured tooth",,,641.51,1554.77,2
CDT,D3333,internal root repair of perforation defects,,,641.51,1554.77,2
CDT,D3346,retreatment of previous root canal therapy - anterior,,,641.51,1554.77,2
CDT,D3347,retreatment of previous root canal therapy - premolar,,,641.51,1554.77,2
CDT,D3348,retreatment of previous root canal therapy - molar,,,641.51,1554.77,2
CDT,D3351,"apexification/recalcification – initial visit (apical closure / calcific repair of perforations, root resorption, etc.)",,,641.51,1554.77,2
CDT,D3352,apexification/recalcification – interim medication replacement,,,641.51,1554.77,2
CDT,D3353,"apexification/recalcification - final visit (includes completed root canal therapy - apical closure/calcific repair of perforations, root resorption, etc.)",,,641.51,1554.77,2
CDT,D3355,pulpal regeneration - initial visit,,,641.51,1554.77,2
CDT,D3356,pulpal regeneration - interim medication replacement,,,641.51,1554.77,2
CDT,D3357,pulpal regeneration - completion of treatment,,,641.51,1554.77,2
CDT,D3410,apicoectomy - anterior,,,641.51,1554.77,2
CDT,D3421,apicoectomy - premolar (first root),,,641.51,1554.77,2
CDT,D3425,apicoectomy - molar (first root),,,641.51,1554.77,2
CDT,D3426,apicoectomy (each additional root),,,1.0,1.0,2
CDT,D3427,Outpatient Services - CDT,,,641.51,1554.77,2
CDT,D3428,"bone graft in conjunction with periradicular surgery – per tooth, single site",,,641.51,1554.77,2
CDT,D3429,bone graft in conjunction with periradicular surgery – each additional contiguous tooth in the same surgical site,,,1.0,1.0,2
CDT,D3430,retrograde filling - per root,,,641.51,1554.77,2
CDT,D3431,biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery,,,641.51,1554.77,2
CDT,D3432,"guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery",,,641.51,1554.77,2
CDT,D3450,root amputation - per root,,,641.51,1554.77,2
CDT,D3460,endodontic endosseous implant,,,641.51,1554.77,4
CDT,D3470,intentional reimplantation (including necessary splinting),,,641.51,1554.77,2
CDT,D3471,surgical repair of root resorption - anterior,,,641.51,1554.77,2
CDT,D3472,surgical repair of root resorption – premolar,,,641.51,1554.77,2
CDT,D3473,surgical repair of root resorption – molar,,,641.51,1554.77,2
CDT,D3501,surgical exposure of root surface without apicoectomy or repair of root resorption – anterior,,,641.51,1554.77,2
CDT,D3502,surgical exposure of root surface without apicoectomy or repair of root resorption – premolar,,,641.51,1554.77,2
CDT,D3503,surgical exposure of root surface without apicoectomy or repair of root resorption – molar,,,641.51,1554.77,2
CDT,D3910,surgical procedure for isolation of tooth with rubber dam,,,641.51,1554.77,2
CDT,D3911,Intraorifice Barrier,,,641.51,1554.77,2
CDT,D3920,"hemisection (including any root removal), not including root canal therapy",,,641.51,1554.77,2
CDT,D3921,Decoronation or Submergence of An Erupted Tooth,,,641.51,1554.77,2
CDT,D3950,canal preparation and fitting of preformed dowel or post,,,641.51,1554.77,2
CDT,D3999,"unspecified endodontic procedure, by report",,,641.51,1554.77,4
CDT,D4210,gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant,,,2345.8,5685.3,2
CDT,D4211,gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant,,,2345.8,5685.3,2
CDT,D4212,"gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth",,,2345.8,5685.3,2
CDT,D4230,anatomical crown exposure – four or more contiguous teeth or tooth bounded spaces per quadrant,,,2345.8,5685.3,2
CDT,D4231,anatomical crown exposure – one to three teeth or tooth bounded spaces per quadrant,,,1111.14,2692.97,2
CDT,D4240,"gingival flap procedure, including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant",,,2345.8,5685.3,2
CDT,D4241,"gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant",,,1111.14,2692.97,2
CDT,D4245,apically positioned flap,,,1111.14,2692.97,2
CDT,D4249,clinical crown lengthening – hard tissue,,,641.51,1554.77,2
CDT,D4260,osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous teeth or tooth bounded spaces per quadrant,,,4266.79,10341.01,4
CDT,D4261,osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant,,,2345.8,5685.3,2
CDT,D4263,bone replacement graft – retained natural tooth – first site in quadrant,,,641.51,1554.77,4
CDT,D4264,bone replacement graft – retained natural tooth – each additional site in quadrant,,,1.0,1.0,2
CDT,D4265,"biologic materials to aid in soft and osseous tissue regeneration, per site",,,641.51,1554.77,2
CDT,D4266,"guided tissue regeneration, natural teeth – resorbable barrier, per site",,,1111.14,2692.97,2
CDT,D4267,"guided tissue regeneration, natural teeth – non-resorbable barrier, per site",,,1111.14,2692.97,2
CDT,D4268,"surgical revision procedure, per tooth",,,641.51,1554.77,4
CDT,D4270,pedicle soft tissue graft procedure,,,1111.14,2692.97,4
CDT,D4273,"autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft",,,1111.14,2692.97,4
CDT,D4274,"mesial/distal wedge procedure, single tooth (when not performed in conjunction with surgical procedures in the same anatomical area)",,,641.51,1554.77,2
CDT,D4275,"non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft",,,1111.14,2692.97,2
CDT,D4276,"combined connective tissue and pedicle graft, per tooth",,,1111.14,2692.97,2
CDT,D4277,"free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft",,,1111.14,2692.97,2
CDT,D4278,"free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,1.0,1.0,2
CDT,D4283,"autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,1.0,1.0,2
CDT,D4285,"non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) – each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,1.0,1.0,2
CDT,D4286,removal of non-resorbable barrier,,,96.31,233.42,2
CDT,D4320,Outpatient Services - CDT,,,96.31,233.42,2
CDT,D4321,Outpatient Services - CDT,,,96.31,233.42,2
CDT,D4322,Splint – Intra-Coronal; Natural Teeth or Prosthetic Crowns,,,641.51,1554.77,2
CDT,D4323,Splint – Extra-Coronal; Natural Teeth or Prosthetic Crowns,,,641.51,1554.77,2
CDT,D4341,periodontal scaling and root planing - four or more teeth per quadrant,,,641.51,1554.77,2
CDT,D4342,periodontal scaling and root planing - one to three teeth per quadrant,,,641.51,1554.77,2
CDT,D4346,"scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation",,,641.51,1554.77,2
CDT,D4355,full mouth debridement to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit,,,641.51,1554.77,4
CDT,D4381,"localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth",,,641.51,1554.77,4
CDT,D4910,periodontal maintenance,,,641.51,1554.77,2
CDT,D4920,unscheduled dressing change (by someone other than treating dentist or their staff),,,641.51,1554.77,2
CDT,D4921,gingival irrigation with a medicinal agent – per quadrant,,,96.31,233.42,2
CDT,D4999,"unspecified periodontal procedure, by report",,,177.97,431.34,2
CDT,D5110,complete denture - maxillary,,,641.51,1554.77,2
CDT,D5120,complete denture - mandibular,,,641.51,1554.77,2
CDT,D5130,immediate denture - maxillary,,,2393.7,2393.7,2
CDT,D5140,immediate denture - mandibular,,,2375.52,2375.52,2
CDT,D5211,"maxillary partial denture – resin base (including, retentive/clasping materials, rests, and teeth)",,,1736.36,1736.36,2
CDT,D5212,"mandibular partial denture – resin base (including, retentive/clasping materials, rests, and teeth)",,,1810.46,1810.46,2
CDT,D5213,"maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,641.51,1554.77,2
CDT,D5214,"mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,641.51,1554.77,2
CDT,D5221,"immediate maxillary partial denture - resin base (including retentive/clasping materials, rests and teeth)",,,2198.48,2198.48,2
CDT,D5222,"immediate mandibular partial denture - resin base (including retentive/clasping materials, rests and teeth)",,,2198.48,2198.48,2
CDT,D5223,"immediate maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,641.51,1554.77,2
CDT,D5224,"immediate mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,641.51,1554.77,2
CDT,D5225,"maxillary partial denture - flexible base (including retentive/clasping materials, rests, and teeth)",,,1821.77,1821.77,2
CDT,D5226,"mandibular partial denture - flexible base (including retentive/clasping materials, rests, and teeth)",,,1821.77,1821.77,2
CDT,D5227,"Immediate Maxillary Partial Denture - Flexible Base (Including Any Clasps, Rests and Teeth)",,,1641.44,1641.44,2
CDT,D5228,"Immediate Mandibular Partial Denture - Flexible Base (Including Any Clasps, Rests and Teeth)",,,1641.44,1641.44,2
CDT,D5282,"removable unilateral partial denture – one piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary",,,1189.01,1189.01,2
CDT,D5283,"removable unilateral partial denture – one piece cast metal (including rententive/clasping materias, rests, and teeth), mandibular",,,1189.01,1189.01,2
CDT,D5284,"removable unilateral partial denture – one piece flexible base (including retentive/clasping materials, rests, and teeth) – per quadrant",,,1027.12,1027.12,2
CDT,D5286,"removable unilateral partial denture – one piece resin (including retentive/clasping materials, rests, and teeth) – per quadrant",,,1027.12,1027.12,2
CDT,D5410,adjust complete denture - maxillary,,,126.32,126.32,2
CDT,D5411,adjust complete denture - mandibular,,,147.35,147.35,2
CDT,D5421,adjust partial denture - maxillary,,,122.95,122.95,2
CDT,D5422,adjust partial denture - mandibular,,,113.67,113.67,2
CDT,D5511,"repair broken complete denture base, mandibular",,,336.83,336.83,2
CDT,D5512,"repair broken complete denture base, maxillary",,,265.24,265.24,2
CDT,D5520,replace missing or broken teeth - complete denture - per tooth,,,226.51,226.51,2
CDT,D5611,"repair resin partial denture base, mandibular",,,277.03,277.03,2
CDT,D5612,"repair resin partial denture base, maxillary",,,277.03,277.03,2
CDT,D5621,"repair cast partial framework, mandibular",,,336.83,336.83,2
CDT,D5622,"repair cast partial framework, maxillary",,,248.41,248.41,2
CDT,D5630,repair or replace broken retentive clasping materials – per tooth,,,294.73,294.73,2
CDT,D5640,replace missing or broken teeth – partial denture – per tooth,,,225.67,225.67,2
CDT,D5650,add tooth to existing partial denture - per tooth,,,325.6,325.6,2
CDT,D5660,add clasp to existing partial denture - per tooth,,,374.73,374.73,2
CDT,D5670,replace all teeth and acrylic on cast metal framework (maxillary),,,1076.16,1076.16,2
CDT,D5671,replace all teeth and acrylic on cast metal framework (mandibular),,,1076.16,1076.16,2
CDT,D5710,rebase complete maxillary denture,,,829.21,829.21,2
CDT,D5711,rebase complete mandibular denture,,,829.21,829.21,2
CDT,D5720,rebase maxillary partial denture,,,707.35,707.35,2
CDT,D5721,rebase mandibular partial denture,,,707.35,707.35,2
CDT,D5725,Rebase Hybrid Prosthesis,,,631.41,631.41,2
CDT,D5730,reline complete maxillary denture (direct),,,447.43,447.43,2
CDT,D5731,reline complete mandibular denture (direct),,,447.43,447.43,2
CDT,D5740,reline maxillary partial denture (direct),,,492.6,492.6,2
CDT,D5741,reline mandibular partial denture (direct),,,395.92,395.92,2
CDT,D5750,reline complete maxillary denture (indirect),,,676.7,676.7,2
CDT,D5751,reline complete mandibular denture (indirect),,,685.79,685.79,2
CDT,D5760,reline maxillary partial denture (indirect),,,617.11,617.11,2
CDT,D5761,reline mandibular partial denture (indirect),,,617.11,617.11,2
CDT,D5765,Soft Liner for Complete or Partial Removable Denture – Indirect,,,559.67,559.67,2
CDT,D5810,interim complete denture (maxillary),,,1531.72,1531.72,2
CDT,D5811,interim complete denture (mandibular),,,1186.75,1186.75,2
CDT,D5820,"interim partial denture (including retentive/clasping materials, rests, and teeth), maxillary",,,853.24,853.24,2
CDT,D5821,"interim partial denture (including retentive/clasping materials, rests, and teeth), mandibular",,,853.24,853.24,2
CDT,D5850,"tissue conditioning, maxillary",,,221.84,221.84,2
CDT,D5851,"tissue conditioning, mandibular",,,221.84,221.84,2
CDT,D5862,"precision attachment, by report",,,759.41,759.41,2
CDT,D5863,overdenture – complete maxillary – natural tooth borne<br>,,,641.51,1554.77,2
CDT,D5864,overdenture – partial maxillary – natural tooth borne,,,641.51,1554.77,2
CDT,D5865,overdenture – complete mandibular – natural tooth borne,,,641.51,1554.77,2
CDT,D5866,overdenture – partial mandibular – natural tooth borne,,,641.51,1554.77,2
CDT,D5867,"replacement of replaceable part of semi-precision or precision attachment of natural tooth borne prosthesis, per attachment",,,324.21,324.21,2
CDT,D5875,modification of removable prosthesis following implant surgery,,,1334.21,1334.21,2
CDT,D5876,add metal substructure to acrylic complete denture – per arch,,,235.28,235.28,2
CDT,D5911,facial moulage (sectional),,,641.51,1554.77,4
CDT,D5912,facial moulage (complete),,,641.51,1554.77,4
CDT,D5913,nasal prosthesis,,,641.51,1554.77,2
CDT,D5914,auricular prosthesis,,,641.51,1554.77,2
CDT,D5915,orbital prosthesis,,,641.51,1554.77,2
CDT,D5916,ocular prosthesis,,,641.51,1554.77,2
CDT,D5919,facial prosthesis,,,641.51,1554.77,2
CDT,D5922,nasal septal prosthesis,,,641.51,1554.77,2
CDT,D5923,"ocular prosthesis, interim",,,641.51,1554.77,2
CDT,D5924,cranial prosthesis,,,641.51,1554.77,2
CDT,D5925,facial augmentation implant prosthesis,,,641.51,1554.77,2
CDT,D5926,"nasal prosthesis, replacement",,,641.51,1554.77,2
CDT,D5927,"auricular prosthesis, replacement",,,641.51,1554.77,2
CDT,D5928,"orbital prosthesis, replacement",,,641.51,1554.77,2
CDT,D5929,"facial prosthesis, replacement",,,641.51,1554.77,2
CDT,D5931,"obturator prosthesis, surgical",,,641.51,1554.77,2
CDT,D5932,"obturator prosthesis, definitive",,,641.51,1554.77,2
CDT,D5933,"obturator prosthesis, modification",,,641.51,1554.77,2
CDT,D5934,mandibular guidance prosthesis with guide flange,,,641.51,1554.77,2
CDT,D5935,mandibular guidance prosthesis without guide flange,,,641.51,1554.77,2
CDT,D5936,"obturator prosthesis, interim",,,641.51,1554.77,2
CDT,D5937,trismus appliance (not for TMD treatment),,,177.97,431.34,2
CDT,D5951,feeding aid,,,641.51,1554.77,2
CDT,D5952,"speech aid prosthesis, pediatric",,,641.51,1554.77,2
CDT,D5953,"speech aid prosthesis, adult",,,641.51,1554.77,2
CDT,D5954,palatal augmentation prosthesis,,,641.51,1554.77,2
CDT,D5955,"palatal lift prosthesis, definitive",,,641.51,1554.77,2
CDT,D5958,"palatal lift prosthesis, interim",,,641.51,1554.77,2
CDT,D5959,"palatal lift prosthesis, modification",,,641.51,1554.77,2
CDT,D5960,"speech aid prosthesis, modification",,,641.51,1554.77,2
CDT,D5982,surgical stent for soft tissue healing,,,641.51,1554.77,2
CDT,D5983,radiation carrier,,,641.51,1554.77,4
CDT,D5984,radiation shield,,,641.51,1554.77,4
CDT,D5985,radiation cone locator,,,641.51,1554.77,4
CDT,D5986,fluoride gel carrier,,,292.0,292.0,2
CDT,D5987,commissure splint,,,641.51,1554.77,4
CDT,D5988,surgical splint,,,641.51,1554.77,2
CDT,D5991,vesiculobullous disease medicament carrier,,,177.97,431.34,2
CDT,D5992,"adjust maxillofacial prosthetic appliance, by report",,,177.97,431.34,2
CDT,D5993,"maintenance and cleaning of a maxillofacial prosthesis (extra- or intra-oral) other than required adjustments, by report",,,177.97,431.34,2
CDT,D5995,periodontal medicament carrier with peripheral seal – laboratory processed – maxillary,,,164.0,164.0,2
CDT,D5996,periodontal medicament carrier with peripheral seal – laboratory processed – mandibular,,,164.0,164.0,2
CDT,D5999,"unspecified maxillofacial prosthesis, by report",,,641.51,1554.77,2
CDT,D6010,surgical placement of implant body: endosteal implant,,,3227.63,3227.63,2
CDT,D6011,surgical access to an implant body (second stage implant surgery),,,300.0,300.0,2
CDT,D6012,surgical placement of interim implant body for transitional prosthesis: endosteal implant,,,3099.69,3099.69,2
CDT,D6013,surgical placement of mini implant,,,3280.73,3280.73,2
CDT,D6040,surgical placement: eposteal implant,,,11287.21,11287.21,2
CDT,D6050,surgical placement: transosteal implant,,,8420.78,8420.78,2
CDT,D6051,placement of interim implant abutment<br>,,,746.63,746.63,2
CDT,D6055,connecting bar – implant supported or abutment supported,,,1332.64,1332.64,2
CDT,D6056,prefabricated abutment – includes modification and placement,,,861.61,861.61,2
CDT,D6057,custom fabricated abutment – includes placement,,,1076.16,1076.16,2
CDT,D6058,abutment supported porcelain/ceramic crown,,,1672.56,1672.56,2
CDT,D6059,abutment supported porcelain fused to metal crown (high noble metal),,,1739.74,1739.74,2
CDT,D6060,abutment supported porcelain fused to metal crown (predominantly base metal),,,1678.26,1678.26,2
CDT,D6061,abutment supported porcelain fused to metal crown (noble metal),,,1796.99,1796.99,2
CDT,D6062,abutment supported cast metal crown (high noble metal),,,1790.25,1790.25,2
CDT,D6063,abutment supported cast metal crown (predominantly base metal),,,1558.69,1558.69,2
CDT,D6064,abutment supported cast metal crown (noble metal),,,1630.26,1630.26,2
CDT,D6065,implant supported porcelain/ceramic crown,,,2044.56,2044.56,2
CDT,D6066,implant supported crown - porcelain fused to high noble alloys,,,2872.31,2872.31,2
CDT,D6067,"implant supported metal crown (titanium, titanium alloy, high noble metal)",,,1896.78,1896.78,2
CDT,D6068,abutment supported retainer for porcelain/ceramic FPD,,,1871.94,1871.94,2
CDT,D6069,abutment supported retainer for porcelain fused to metal FPD (high noble metal),,,1863.51,1863.51,2
CDT,D6070,abutment supported retainer for porcelain fused to metal FPD (predominantly base metal),,,1760.78,1760.78,2
CDT,D6071,abutment supported retainer for porcelain fused to metal FPD (noble metal),,,1796.99,1796.99,2
CDT,D6072,abutment supported retainer for cast metal FPD (high noble metal),,,1818.88,1818.88,2
CDT,D6073,abutment supported retainer for cast metal FPD (predominantly base metal),,,1660.57,1660.57,2
CDT,D6074,abutment supported retainer for cast metal FPD (noble metal),,,1765.0,1765.0,2
CDT,D6075,implant supported retainer for ceramic FPD,,,1941.22,1941.22,2
CDT,D6076,implant supported retainer for FPD - porcelain fused to high noble alloys,,,1891.73,1891.73,2
CDT,D6077,implant supported retainer for metal FPD - high noble alloys,,,1834.16,1834.16,2
CDT,D6080,"implant maintenance procedures when a full arch fixed hybrid prosthesis is removed and reinserted, including cleansing of prosthesis and abutments",,,294.8,294.8,2
CDT,D6081,"scaling and debridement of a single implant in the presence of mucositis, including inflammation, bleeding upon probing and increased pocket depths; includes cleaning of the implant surfaces, without ",,,79.16,79.16,2
CDT,D6082,implant supported crown - porcelain fused to predominantly base alloys,,,1472.46,1472.46,2
CDT,D6083,implant supported crown - porcelain fused to noble alloys,,,1516.13,1516.13,2
CDT,D6084,implant supported crown - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,2
CDT,D6085,interim implant crown,,,810.92,810.92,2
CDT,D6086,implant supported crown - predominantly base alloys,,,1368.65,1368.65,2
CDT,D6087,implant supported crown - noble alloys,,,1492.35,1492.35,2
CDT,D6088,implant supported crown - titanium and titanium alloys,,,1492.35,1492.35,2
CDT,D6089,accessing and retorquing loose implant screw - per screw,,,132.42,132.42,2
CDT,D6090,repair of implant/abutment supported prosthesis,,,362.8,362.8,2
CDT,D6091,"replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis, per attachment",,,750.87,750.87,2
CDT,D6092,re-cement or re-bond implant/abutment supported crown,,,144.83,144.83,2
CDT,D6093,re-cement or re-bond implant/abutment supported fixed partial denture,,,227.36,227.36,2
CDT,D6094,abutment supported crown - titanium and titanium alloys,,,1477.84,1477.84,2
CDT,D6095,Outpatient Services - CDT,,,734.0,734.0,2
CDT,D6096,remove broken implant retaining screw,,,244.06,244.06,2
CDT,D6097,abutment supported crown - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,2
CDT,D6098,implant supported retainer - porcelain fused to predominantly base alloys,,,1390.04,1390.04,2
CDT,D6099,implant supported retainer for FPD - porcelain fused to noble alloys,,,1516.13,1516.13,2
CDT,D6100,surgical removal of implant body,,,1263.12,1263.12,2
CDT,D6101,"debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure",,,1178.91,1178.91,2
CDT,D6102,"debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces, including flap entry and closure",,,1525.85,1525.85,2
CDT,D6103,bone graft for repair of peri-implant defect – does not include flap entry and closure,,,959.97,959.97,2
CDT,D6104,bone graft at time of implant placement,,,830.0,830.0,2
CDT,D6105,removal of implant body not requiring bone removal or flap elevation,,,552.0,552.0,2
CDT,D6106,"guided tissue regeneration – resorbable barrier, per implant",,,1097.0,1097.0,2
CDT,D6107,"guided tissue regeneration – non-resorbable barrier, per implant",,,1343.0,1343.0,2
CDT,D6110,implant /abutment supported removable denture for edentulous arch – maxillary,,,3028.97,3028.97,2
CDT,D6111,implant /abutment supported removable denture for edentulous arch – mandibular,,,3028.97,3028.97,2
CDT,D6112,implant /abutment supported removable denture for partially edentulous arch – maxillary,,,3028.97,3028.97,2
CDT,D6113,implant /abutment supported removable denture for partially edentulous arch – mandibular,,,3028.97,3028.97,2
CDT,D6114,implant /abutment supported fixed denture for edentulous arch – maxillary,,,7708.32,7708.32,2
CDT,D6115,implant /abutment supported fixed denture for edentulous arch – mandibular,,,7708.32,7708.32,2
CDT,D6116,implant /abutment supported fixed denture for partially edentulous arch – maxillary,,,3748.11,3748.11,2
CDT,D6117,implant /abutment supported fixed denture for partially edentulous arch – mandibular,,,3748.11,3748.11,2
CDT,D6118,implant/abutment supported interim fixed denture for edentulous arch – mandibular,,,2230.65,2230.65,2
CDT,D6119,implant/abutment supported interim fixed denture for edentulous arch – maxillary,,,2230.65,2230.65,2
CDT,D6120,implant supported retainer – porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,2
CDT,D6121,implant supported retainer for metal FPD – predominantly base alloys,,,1492.35,1492.35,2
CDT,D6122,implant supported retainer for metal FPD – noble alloys,,,1492.35,1492.35,2
CDT,D6123,implant supported retainer for metal FPD – titanium and titanium alloys,,,1492.35,1492.35,2
CDT,D6190,"radiographic/surgical implant index, by report",,,842.08,842.08,2
CDT,D6191,semi-precision abutment – placement,,,542.95,542.95,2
CDT,D6192,semi-precision attachment – placement,,,542.95,542.95,2
CDT,D6194,abutment supported retainer crown for FPD – titanium and titanium alloys,,,1523.31,1523.31,2
CDT,D6195,abutment supported retainer - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,2
CDT,D6197,"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis, per implant",,,132.42,132.42,2
CDT,D6198,Remove Interim Implant Component,,,99.57,99.57,2
CDT,D6205,pontic - indirect resin based composite,,,1127.7,1127.7,2
CDT,D6210,pontic - cast high noble metal,,,1321.65,1321.65,2
CDT,D6211,pontic - cast predominantly base metal,,,1321.65,1321.65,2
CDT,D6212,pontic - cast noble metal,,,1321.65,1321.65,2
CDT,D6214,pontic - titanium and titanium alloys,,,1321.65,1321.65,2
CDT,D6240,pontic - porcelain fused to high noble metal,,,1431.53,1431.53,2
CDT,D6241,pontic - porcelain fused to predominantly base metal,,,1337.71,1337.71,2
CDT,D6242,pontic - porcelain fused to noble metal,,,1337.71,1337.71,2
CDT,D6243,pontic - porcelain fused to titanium and titanium alloys,,,1337.71,1337.71,2
CDT,D6245,pontic - porcelain/ceramic,,,1347.34,1347.34,2
CDT,D6250,pontic - resin with high noble metal,,,1224.47,1224.47,2
CDT,D6251,pontic - resin with predominantly base metal,,,1224.47,1224.47,2
CDT,D6252,pontic - resin with noble metal,,,1224.47,1224.47,2
CDT,D6253,interim pontic - further treatment or completion of diagnosis necessary prior to final  impression,,,466.52,466.52,2
CDT,D6545,retainer - cast metal for resin bonded fixed prosthesis,,,641.51,1554.77,2
CDT,D6548,retainer - porcelain/ceramic for resin bonded fixed prosthesis,,,641.51,1554.77,2
CDT,D6549,retainer – for resin bonded fixed prosthesis,,,641.51,1554.77,2
CDT,D6600,"retainer inlay - porcelain/ceramic, two surfaces",,,641.51,1554.77,2
CDT,D6601,"retainer inlay - porcelain/ceramic, three or more surfaces",,,641.51,1554.77,2
CDT,D6602,"retainer inlay - cast high noble metal, two surfaces",,,641.51,1554.77,2
CDT,D6603,"retainer inlay - cast high noble metal, three or more surfaces",,,641.51,1554.77,2
CDT,D6604,"retainer inlay - cast predominantly base metal, two surfaces",,,641.51,1554.77,2
CDT,D6605,"retainer inlay - cast predominantly base metal, three or more surfaces",,,641.51,1554.77,2
CDT,D6606,"retainer inlay - cast noble metal, two surfaces",,,641.51,1554.77,2
CDT,D6607,"retainer inlay - cast noble metal, three or more surfaces",,,641.51,1554.77,2
CDT,D6608,"retainer onlay - porcelain/ceramic, two surfaces",,,641.51,1554.77,2
CDT,D6609,"retainer onlay - porcelain/ceramic, three or more surfaces",,,641.51,1554.77,2
CDT,D6610,"retainer onlay - cast high noble metal, two surfaces",,,641.51,1554.77,2
CDT,D6611,"retainer onlay - cast high noble metal, three or more surfaces",,,641.51,1554.77,2
CDT,D6612,"retainer onlay - cast predominantly base metal, two surfaces",,,641.51,1554.77,2
CDT,D6613,"retainer onlay - cast predominantly base metal, three or more surfaces",,,641.51,1554.77,2
CDT,D6614,"retainer onlay - cast noble metal, two surfaces",,,641.51,1554.77,2
CDT,D6615,"retainer onlay - cast noble metal, three or more surfaces",,,641.51,1554.77,2
CDT,D6624,retainer inlay - titanium,,,641.51,1554.77,2
CDT,D6634,retainer onlay - titanium,,,641.51,1554.77,2
CDT,D6710,retainer crown - indirect resin based composite,,,641.51,1554.77,2
CDT,D6720,retainer crown - resin with high noble metal,,,1301.34,1301.34,2
CDT,D6721,retainer crown - resin with predominantly base metal,,,1158.7,1158.7,2
CDT,D6722,retainer crown - resin with noble metal,,,1217.48,1217.48,2
CDT,D6740,retainer crown - porcelain/ceramic,,,1523.12,1523.12,2
CDT,D6750,retainer crown - porcelain fused to high noble metal,,,1505.2,1505.2,2
CDT,D6751,retainer crown - porcelain fused to predominantly base metal,,,1390.04,1390.04,2
CDT,D6752,retainer crown - porcelain fused to noble metal,,,1516.13,1516.13,2
CDT,D6753,retainer crown - porcelain fused to titanium and titanium alloys,,,1516.13,1516.13,2
CDT,D6780,retainer crown - 3/4 cast high noble metal,,,1492.35,1492.35,2
CDT,D6781,retainer crown - 3/4 cast predominantly base metal,,,1300.86,1300.86,2
CDT,D6782,retainer crown - 3/4 cast noble metal,,,1313.1,1313.1,2
CDT,D6783,retainer crown - 3/4 porcelain/ceramic,,,1278.04,1278.04,2
CDT,D6784,retainer crown ¾ - titanium and titanium alloys,,,1313.1,1313.1,2
CDT,D6790,retainer crown - full cast high noble metal,,,1492.35,1492.35,2
CDT,D6791,retainer crown - full cast predominantly base metal,,,1368.65,1368.65,2
CDT,D6792,retainer crown - full cast noble metal,,,1492.35,1492.35,2
CDT,D6793,interim retainer crown - further treatment or completion of diagnosis necessary prior to final impression,,,641.51,1554.77,2
CDT,D6794,retainer crown - titanium and titanium alloys,,,1368.65,1368.65,2
CDT,D6920,connector bar,,,641.51,1554.77,4
CDT,D6930,re-cement or re-bond fixed partial denture,,,641.51,1554.77,2
CDT,D6940,stress breaker,,,641.51,1554.77,2
CDT,D6950,precision attachment,,,641.51,1554.77,2
CDT,D6980,fixed partial denture repair necessitated by restorative material failure,,,321.18,321.18,2
CDT,D6985,"pediatric partial denture, fixed",,,1151.89,1151.89,2
CDT,D7111,"extraction, coronal remnants – primary tooth",,,641.51,1554.77,4
CDT,D7140,"extraction, erupted tooth or exposed root (elevation and/or forceps removal)",,,641.51,1554.77,4
CDT,D7210,"extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated",,,1111.14,2692.97,4
CDT,D7220,removal of impacted tooth - soft tissue,,,641.51,1554.77,4
CDT,D7230,removal of impacted tooth - partially bony,,,641.51,1554.77,4
CDT,D7240,removal of impacted tooth - completely bony,,,641.51,1554.77,4
CDT,D7241,"removal of impacted tooth - completely bony, with unusual surgical complications",,,641.51,1554.77,4
CDT,D7250,removal of residual tooth roots (cutting procedure),,,641.51,1554.77,4
CDT,D7251,"coronectomy – intentional partial tooth removal, impacted teeth only",,,1111.14,2692.97,2
CDT,D7260,oroantral fistula closure,,,641.51,1554.77,4
CDT,D7261,primary closure of a sinus perforation,,,641.51,1554.77,2
CDT,D7270,tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth,,,641.51,1554.77,2
CDT,D7272,tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization),,,641.51,1554.77,2
CDT,D7280,exposure of an unerupted tooth,,,641.51,1554.77,2
CDT,D7282,mobilization of erupted or malpositioned tooth to aid eruption,,,177.97,431.34,2
CDT,D7283,placement of device to facilitate eruption of impacted tooth,,,177.97,431.34,2
CDT,D7284,excisional biopsy of minor salivary glands,,,177.97,431.34,2
CDT,D7285,"incisional biopsy of oral tissue – hard (bone, tooth)",,,177.97,431.34,2
CDT,D7286,incisional biopsy of oral tissue-soft,,,651.0,651.0,2
CDT,D7287,exfoliative cytological sample collection,,,177.97,431.34,2
CDT,D7288,brush biopsy - transepithelial sample collection,,,177.97,431.34,2
CDT,D7290,surgical repositioning of teeth,,,611.05,611.05,2
CDT,D7291,"transseptal fiberotomy/supra crestal fiberotomy, by report",,,641.51,1554.77,4
CDT,D7292,placement of temporary anchorage device [screw retained plate] requiring flap,,,177.97,431.34,2
CDT,D7293,placement of temporary anchorage device requiring flap,,,177.97,431.34,2
CDT,D7294,placement of temporary anchorage device without flap,,,177.97,431.34,2
CDT,D7295,harvest of bone for use in autogenous grafting procedure,,,177.97,431.34,2
CDT,D7296,"corticotomy – one to three teeth or tooth spaces, per quadrant",,,641.51,1554.77,2
CDT,D7297,"corticotomy – four or more teeth or tooth spaces, per quadrant",,,641.51,1554.77,2
CDT,D7298,"Removal of Temporary Anchorage Device [Screw Retained Plate], Requiring Flap",,,641.51,1554.77,2
CDT,D7299,"Removal of Temporary Anchorage Device, Requiring Flap",,,641.51,1554.77,2
CDT,D7300,Removal of Temporary Anchorage Device Without Flap,,,177.97,431.34,2
CDT,D7310,"alveoloplasty in conjunction with extractions - four or more teeth or tooth spaces, per quadrant",,,1111.14,2692.97,2
CDT,D7311,"alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant",,,1111.14,2692.97,2
CDT,D7320,"alveoloplasty not in conjunction with extractions - four or more teeth or tooth spaces, per quadrant",,,177.97,431.34,2
CDT,D7321,"alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant",,,177.97,431.34,2
CDT,D7340,vestibuloplasty - ridge extension (secondary epithelialization),,,4266.79,10341.01,2
CDT,D7350,"vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)",,,4266.79,10341.01,2
CDT,D7410,excision of benign lesion up to 1.25 cm,,,1111.14,2692.97,2
CDT,D7411,excision of benign lesion greater than 1.25 cm,,,1111.14,2692.97,2
CDT,D7412,"excision of benign lesion, complicated",,,1111.14,2692.97,2
CDT,D7413,excision of malignant lesion up to 1.25 cm,,,1111.14,2692.97,2
CDT,D7414,excision of malignant lesion greater than 1.25 cm,,,1111.14,2692.97,2
CDT,D7415,"excision of malignant lesion, complicated",,,1111.14,2692.97,2
CDT,D7440,excision of malignant tumor - lesion diameter up to 1.25 cm,,,2345.8,5685.3,2
CDT,D7441,excision of malignant tumor - lesion diameter greater than 1.25 cm,,,2345.8,5685.3,2
CDT,D7450,removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,2345.8,5685.3,2
CDT,D7451,removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,2345.8,5685.3,2
CDT,D7460,removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,641.51,1554.77,2
CDT,D7461,removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,641.51,1554.77,2
CDT,D7465,"destruction of lesion(s) by physical or chemical method, by report",,,177.97,431.34,2
CDT,D7471,removal of lateral exostosis (maxilla or mandible),,,177.97,431.34,2
CDT,D7472,removal of torus palatinus,,,641.51,1554.77,2
CDT,D7473,removal of torus mandibularis,,,641.51,1554.77,2
CDT,D7485,reduction of osseous tuberosity,,,4266.79,10341.01,2
CDT,D7490,radical resection of maxilla or mandible,,,641.51,1554.77,2
CDT,D7509,marsupialization of odontogenic cyst,,,177.97,431.34,2
CDT,D7510,incision and drainage of abscess - intraoral soft tissue,,,512.62,1242.38,2
CDT,D7511,incision and drainage of abscess - intraoral soft tissue - complicated (includes drainage of multiple fascial spaces),,,512.62,1242.38,2
CDT,D7520,incision and drainage of abscess - extraoral soft tissue,,,512.62,1242.38,2
CDT,D7521,incision and drainage of abscess - extraoral soft tissue - complicated (includes drainage of multiple fascial spaces),,,512.62,1242.38,2
CDT,D7530,"removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue",,,641.51,1554.77,2
CDT,D7540,"removal of reaction producing foreign bodies, musculoskeletal system",,,641.51,1554.77,2
CDT,D7550,partial ostectomy/sequestrectomy for  removal of non-vital bone,,,641.51,1554.77,2
CDT,D7560,maxillary sinusotomy for removal of tooth fragment or foreign body,,,641.51,1554.77,2
CDT,D7610,"maxilla - open reduction (teeth immobilized, if present)",,,1111.14,2692.97,2
CDT,D7620,"maxilla - closed reduction (teeth immobilized, if present)",,,641.51,1554.77,2
CDT,D7630,"mandible - open reduction (teeth immobilized, if present)",,,1111.14,2692.97,2
CDT,D7640,"mandible - closed reduction (teeth immobilized, if present)",,,641.51,1554.77,2
CDT,D7650,malar and/or zygomatic arch - open reduction,,,641.51,1554.77,2
CDT,D7660,malar and/or zygomatic arch - closed reduction,,,177.97,431.34,2
CDT,D7670,"alveolus - closed reduction, may include stabilization of teeth",,,2345.8,5685.3,2
CDT,D7671,"alveolus - open reduction, may include stabilization of teeth",,,4266.79,10341.01,2
CDT,D7680,facial bones - complicated reduction with fixation and multiple surgical approaches,,,641.51,1554.77,2
CDT,D7710,maxilla - open reduction,,,2345.8,5685.3,2
CDT,D7720,maxilla - closed reduction,,,177.97,431.34,2
CDT,D7730,mandible - open reduction,,,2345.8,5685.3,2
CDT,D7740,mandible - closed reduction,,,641.51,1554.77,2
CDT,D7750,malar and/or zygomatic arch - open reduction,,,641.51,1554.77,2
CDT,D7760,malar and/or zygomatic arch - closed reduction,,,177.97,431.34,2
CDT,D7770,alveolus - open reduction stabilization of teeth,,,4266.79,10341.01,2
CDT,D7771,"alveolus, closed reduction stabilization of teeth",,,2345.8,5685.3,2
CDT,D7780,facial bones - complicated reduction with fixation and multiple approaches,,,177.97,431.34,2
CDT,D7810,open reduction of dislocation,,,1111.14,2692.97,2
CDT,D7820,closed reduction of dislocation,,,177.97,431.34,2
CDT,D7830,manipulation under anesthesia,,,177.97,431.34,2
CDT,D7840,condylectomy,,,1111.14,2692.97,2
CDT,D7850,"surgical discectomy, with/without implant",,,1111.14,2692.97,2
CDT,D7852,disc repair,,,1111.14,2692.97,2
CDT,D7854,synovectomy,,,1111.14,2692.97,2
CDT,D7856,myotomy,,,1111.14,2692.97,2
CDT,D7858,joint reconstruction,,,2345.8,5685.3,2
CDT,D7860,arthrotomy,,,2345.8,5685.3,2
CDT,D7865,arthroplasty,,,2345.8,5685.3,2
CDT,D7870,arthrocentesis,,,646.0,646.0,2
CDT,D7871,non-arthroscopic lysis and lavage,,,177.97,431.34,2
CDT,D7872,"arthroscopy - diagnosis, with or without biopsy",,,177.97,431.34,2
CDT,D7873,arthroscopy: lavage and lysis of adhesions,,,1111.14,2692.97,2
CDT,D7874,arthroscopy: disc repositioning and stabilization,,,2358.35,5715.72,2
CDT,D7875,arthroscopy: synovectomy,,,1111.14,2692.97,2
CDT,D7876,arthroscopy: discectomy,,,1111.14,2692.97,2
CDT,D7877,arthroscopy: debridement,,,1111.14,2692.97,2
CDT,D7880,"occlusal orthotic device, by report",,,177.97,431.34,2
CDT,D7881,occlusal orthotic device adjustment,,,120.0,120.0,2
CDT,D7899,"unspecified TMD therapy, by report",,,177.97,431.34,2
CDT,D7910,suture of recent small wounds up to 5 cm,,,747.4,747.4,2
CDT,D7911,complicated suture - up to 5 cm,,,1461.84,1461.84,2
CDT,D7912,complicated suture - greater than 5 cm,,,2630.65,2630.65,2
CDT,D7920,"skin graft (identify defect covered, location and type of graft)",,,177.97,431.34,2
CDT,D7921,collection and application of autologous blood concentrate product,,,177.97,431.34,2
CDT,D7922,"placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site",,,641.51,1554.77,2
CDT,D7939,indexing for osteotomy using dynamic robotic assisted or dynamic navigation,,,373.85,373.85,2
CDT,D7940,osteoplasty - for orthognathic deformities,,,641.51,1554.77,2
CDT,D7941,osteotomy - mandibular rami,,,1111.14,2692.97,2
CDT,D7943,osteotomy - mandibular rami with bone graft; includes obtaining the graft,,,2345.8,5685.3,2
CDT,D7944,osteotomy - segmented or subapical,,,1111.14,2692.97,2
CDT,D7945,osteotomy - body of mandible,,,1111.14,2692.97,2
CDT,D7946,LeFort I (maxilla - total),,,2345.8,5685.3,2
CDT,D7947,LeFort I (maxilla - segmented),,,2345.8,5685.3,2
CDT,D7948,LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion) - without bone graft,,,2345.8,5685.3,2
CDT,D7949,LeFort II or LeFort III - with bone graft,,,2345.8,5685.3,2
CDT,D7950,"osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla - autogenous or nonautogenous, by report",,,4266.79,10341.01,2
CDT,D7951,sinus augmentation with bone or bone substitutes via a lateral open approach,,,641.51,1554.77,2
CDT,D7952,sinus augmentation via a vertical approach,,,641.51,1554.77,2
CDT,D7953,bone replacement graft for ridge preservation - per site,,,641.51,1554.77,2
CDT,D7955,repair of maxillofacial soft and/or hard tissue defect,,,641.51,1554.77,2
CDT,D7956,"guided tissue regeneration, edentulous area – resorbable barrier, per site",,,1097.0,1097.0,2
CDT,D7957,"guided tissue regeneration, edentulous area – non-resorbable barrier, per site",,,1343.0,1343.0,2
CDT,D7960,Outpatient Services - CDT,,,177.97,431.34,2
CDT,D7961,buccal / labial frenectomy (frenulectomy),,,177.97,431.34,2
CDT,D7962,lingual frenectomy (frenulectomy),,,177.97,431.34,2
CDT,D7963,frenuloplasty,,,177.97,431.34,2
CDT,D7970,excision of hyperplastic tissue - per arch,,,641.51,1554.77,2
CDT,D7971,excision of pericoronal gingiva,,,177.97,431.34,2
CDT,D7972,surgical reduction of fibrous tuberosity,,,177.97,431.34,2
CDT,D7979,non – surgical sialolithotomy,,,177.97,431.34,2
CDT,D7980,surgical sialolithotomy,,,641.51,1554.77,2
CDT,D7981,"excision of salivary gland, by report",,,177.97,431.34,2
CDT,D7982,sialodochoplasty,,,1111.14,2692.97,2
CDT,D7983,closure of salivary fistula,,,177.97,431.34,2
CDT,D7990,emergency tracheotomy,,,1111.14,2692.97,2
CDT,D7991,coronoidectomy,,,1111.14,2692.97,2
CDT,D7993,surgical placement of craniofacial implant – extra oral,,,641.51,1554.77,2
CDT,D7994,surgical placement: zygomatic implant,,,641.51,1554.77,2
CDT,D7995,"synthetic graft - mandible or facial bones, by report",,,177.97,431.34,2
CDT,D7996,"implant-mandible for augmentation purposes (excluding alveolar ridge), by report",,,641.51,1554.77,2
CDT,D7997,"appliance removal (not by dentist who placed appliance), includes removal of archbar",,,177.97,431.34,2
CDT,D7998,intraoral placement of a fixation device not in conjunction with a fracture,,,177.97,431.34,2
CDT,D7999,"unspecified oral surgery procedure, by report",,,177.97,431.34,2
CDT,D8010,limited orthodontic treatment of the primary dentition,,,3180.0,3180.0,2
CDT,D8020,limited orthodontic treatment of the transitional dentition,,,3619.73,3619.73,2
CDT,D8030,limited orthodontic treatment of the adolescent dentition,,,4097.54,4097.54,2
CDT,D8040,limited orthodontic treatment of the adult dentition,,,4868.0,4868.0,2
CDT,D8070,comprehensive orthodontic treatment of the transitional dentition,,,6654.44,6654.44,2
CDT,D8080,comprehensive orthodontic treatment of the adolescent dentition,,,6654.44,6654.44,2
CDT,D8090,comprehensive orthodontic treatment of the adult dentition,,,6654.44,6654.44,2
CDT,D8210,removable appliance therapy,,,1336.16,1336.16,2
CDT,D8220,fixed appliance therapy,,,1336.16,1336.16,2
CDT,D8660,pre-orthodontic treatment examination to monitor growth and development,,,591.11,591.11,2
CDT,D8670,periodic orthodontic treatment visit,,,367.14,367.14,2
CDT,D8680,"orthodontic retention (removal of appliances, construction and placement of retainer(s))",,,906.7,906.7,2
CDT,D8681,removable orthodontic retainer adjustment,,,258.55,258.55,2
CDT,D8695,removal of fixed orthodontic appliances for reasons other than completion of treatment,,,477.84,477.84,2
CDT,D8696,repair of orthodontic appliance – maxillary,,,277.33,277.33,2
CDT,D8697,repair of orthodontic appliance – mandibular,,,277.33,277.33,2
CDT,D8698,re-cement or re-bond fixed retainer – maxillary,,,114.0,114.0,2
CDT,D8699,re-cement or re-bond fixed retainer – mandibular,,,114.0,114.0,2
CDT,D8701,"repair of fixed retainer, includes reattachment – maxillary",,,271.77,271.77,2
CDT,D8702,"repair of fixed retainer, includes reattachment – mandibular",,,271.77,271.77,2
CDT,D8703,replacement of lost or broken retainer – maxillary,,,681.34,681.34,2
CDT,D8704,replacement of lost or broken retainer – mandibular,,,681.34,681.34,2
CDT,D9110,palliative treatment of dental pain – per visit,,,1.0,1.0,2
CDT,D9120,fixed partial denture sectioning,,,280.4,280.4,2
CDT,D9130,temporomandibular joint dysfunction – non-invasive physical therapies,,,102.97,102.97,2
CDT,D9210,local anesthesia not in conjunction with operative or surgical procedures,,,75.79,75.79,2
CDT,D9211,regional block anesthesia,,,64.0,64.0,2
CDT,D9212,trigeminal division block anesthesia,,,100.2,100.2,2
CDT,D9215,local anesthesia in conjunction with operative or surgical procedures,,,60.63,60.63,2
CDT,D9219,"evaluation for moderate sedation, deep sedation or general anesthesia",,,113.67,113.67,2
CDT,D9222,"administration of deep sedation/general anesthesia – first 15 minute increment, or any portion thereof",,,361.68,361.68,2
CDT,D9223,"administration of deep sedation/general anesthesia – each subsequent 15 minute increment, or any portion thereof",,,361.68,361.68,2
CDT,D9230,administration of nitrous oxide,,,1.0,1.0,2
CDT,D9239,"administration of moderate sedation – intravenous – first 15 minute increment, or any portion thereof",,,323.36,323.36,2
CDT,D9243,"administration of moderate sedation – intravenous – each subsequent 15 minute increment, or any portion thereof",,,365.46,365.46,2
CDT,D9248,Outpatient Services - CDT,,,1.0,1.0,2
CDT,D9310,consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician,,,277.88,277.88,2
CDT,D9311,consultation with a medical health care professional,,,319.14,319.14,2
CDT,D9410,house/extended care facility call,,,365.46,365.46,2
CDT,D9420,hospital or ambulatory surgical center call,,,514.5,514.5,2
CDT,D9430,office visit for observation (during regularly scheduled hours) - no other services performed,,,85.03,85.03,2
CDT,D9440,office visit - after regularly scheduled hours,,,217.25,217.25,2
CDT,D9450,"case presentation, subsequent to detailed and extensive treatment planning",,,126.32,126.32,2
CDT,D9610,"therapeutic parenteral drug, single administration",,,93.28,93.28,2
CDT,D9612,"therapeutic parenteral drugs, two or more administrations, different medications",,,213.3,213.3,2
CDT,D9613,"infiltration of sustained release therapeutic drug, per quadrant",,,86.25,86.25,2
CDT,D9630,drugs or medicaments dispensed in the office for home use,,,62.32,62.32,2
CDT,D9910,application of desensitizing medicament,,,92.63,92.63,2
CDT,D9911,"application of desensitizing resin for cervical and/or root surface, per tooth",,,85.03,85.03,2
CDT,D9912,Pre-Visit Patient Screening,,,22.82,22.82,2
CDT,D9920,"behavior management, by report",,,145.0,145.0,2
CDT,D9930,"treatment of complications (post-surgical) - unusual circumstances, by report",,,641.51,1554.77,4
CDT,D9932,"cleaning and inspection of removable complete denture, maxillary",,,171.78,171.78,2
CDT,D9933,"cleaning and inspection of removable complete denture, mandibular",,,171.78,171.78,2
CDT,D9934,"cleaning and inspection of removable partial denture, maxillary",,,171.78,171.78,2
CDT,D9935,"cleaning and inspection of removable partial denture, mandibular",,,171.78,171.78,2
CDT,D9938,fabrication of a custom removable clear plastic temporary aesthetic appliance,,,853.24,853.24,2
CDT,D9939,placement of a custom removable clear plastic temporary aesthetic appliance,,,44.2,44.2,2
CDT,D9940,Outpatient Services - CDT,,,641.51,1554.77,2
CDT,D9941,fabrication of athletic mouthguard,,,247.46,247.46,2
CDT,D9942,repair and/or reline of occlusal guard,,,283.77,283.77,2
CDT,D9943,occlusal guard adjustment,,,641.51,1554.77,2
CDT,D9944,"occlusal guard – hard appliance, full arch",,,641.51,1554.77,2
CDT,D9945,"occlusal guard – soft appliance, full arch",,,641.51,1554.77,2
CDT,D9946,"occlusal guard – hard appliance, partial arch",,,641.51,1554.77,2
CDT,D9947,Custom Sleep Apnea Appliance Fabrication and Placement,,,703.8,703.8,2
CDT,D9948,Adjustment of Custom Sleep Apnea Appliance,,,86.25,86.25,2
CDT,D9949,Repair of Custom Sleep Apnea Appliance,,,160.08,160.08,2
CDT,D9950,occlusion analysis - mounted case,,,641.51,1554.77,2
CDT,D9951,occlusal adjustment - limited,,,641.51,1554.77,4
CDT,D9952,occlusal adjustment - complete,,,641.51,1554.77,4
CDT,D9953,reline custom sleep apnea appliance (indirect),,,160.08,160.08,2
CDT,D9954,fabrication and delivery of oral appliance therapy (OAT) morning repositioning device,,,703.8,703.8,2
CDT,D9955,oral appliance therapy (OAT) titration visit,,,89.6,89.6,2
CDT,D9956,administration of home sleep apnea test,,,17.92,17.92,2
CDT,D9957,screening for sleep related breathing disorders,,,27.42,27.42,2
CDT,D9961,duplicate/copy patient's records,,,29.87,29.87,2
CDT,D9970,enamel microabrasion,,,160.82,160.82,2
CDT,D9971,odontoplasty - per tooth,,,140.39,140.39,2
CDT,D9972,external bleaching - per arch - performed in office,,,502.15,502.15,2
CDT,D9973,external bleaching - per tooth,,,119.0,119.0,2
CDT,D9974,internal bleaching - per tooth,,,380.48,380.48,2
CDT,D9975,"external bleaching for home application, per arch; includes materials and fabrication of custom trays",,,399.15,399.15,2
CDT,D9990,certified translation or sign-language services – per visit,,,12.5,12.5,2
CDT,D9991,dental case management - addressing appointment compliance barriers,,,69.88,69.88,2
CDT,D9992,dental case management - care coordination,,,69.88,69.88,2
CDT,D9993,dental case management - motivational interviewing,,,69.88,69.88,2
CDT,D9994,dental case management - patient education to improve oral health literacy,,,96.0,96.0,2
CDT,D9995,teledentistry – synchronous; real-time encounter,,,319.14,319.14,2
CDT,D9996,teledentistry – asynchronous; information stored and forwarded to dentist for subsequent review,,,239.99,239.99,2
CDT,D9997,dental case management - patients with special health care needs,,,32.55,32.55,2
CPT,0001A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0001U,RBC DNA HEA 35 AG 11 BLD GRP,,,684.0,1977.98,15
CPT,0002A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0002M,LIVER DIS 10 ASSAYS W/ASH,,,478.23,1382.94,15
CPT,0002U,ONC CLRCT 3 UR METAB ALG PLP,,,23.75,68.68,15
CPT,0003A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0003M,LIVER DIS 10 ASSAYS W/NASH,,,478.23,1382.94,15
CPT,0003U,ONC OVAR 5 PRTN SER ALG SCOR,,,902.5,2609.84,15
CPT,0004A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0004M,SCOLIOSIS DNA ALYS,,,75.05,217.03,15
CPT,0005U,ONCO PRST8 3 GENE UR ALG,,,722.0,2087.87,15
CPT,0006M,ONC HEP GENE RISK CLASSIFIER,,,142.5,412.08,15
CPT,0007M,ONC GASTRO 51 GENE NOMOGRAM,,,356.25,1030.2,15
CPT,0007U,RX TEST PRSMV UR W/DEF CONF,,,108.71,314.36,15
CPT,0008U,HPYLORI DETCJ ABX RSTNC DNA,,,568.01,1642.58,15
CPT,0009U,ONC BRST CA ERBB2 AMP/NONAMP,,,101.65,293.95,15
CPT,00100,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00102,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00103,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00104,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0010U,NFCT DS STRN TYP WHL GEN SEQ,,,405.9,1173.77,15
CPT,0011A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0011M,ONC PRST8 CA MRNA 12 GEN ALG,,,722.0,2087.87,15
CPT,0011U,RX MNTR LC-MS/MS ORAL FLUID,,,108.71,314.36,15
CPT,00120,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00124,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00126,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0012A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0012M,ONC MRNA 5 GEN RSK URTHL CA,,,722.0,2087.87,15
CPT,0013A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0013M,ONC MRNA 5 GEN RECR URTHL CA,,,722.0,2087.87,15
CPT,00140,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00142,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00144,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00145,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00147,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00148,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0014M,Outpatient Services,,,167.38,185.0,9
CPT,0015M,ADRNL CORTCL TUM BCHM ASY 25,,,1240.1,3586.11,15
CPT,00160,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00162,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00164,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0016M,ONC BLADDER MRNA 219 GEN ALG,,,3315.15,9586.71,15
CPT,0016U,ONC HMTLMF NEO RNA BCR/ABL1,,,155.76,450.43,15
CPT,00170,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00172,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00174,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0017M,ONC DLBCL MRNA 20 GENES ALG,,,2384.7,6896.05,15
CPT,0017U,ONC HMTLMF NEO JAK2 MUT DNA,,,87.08,251.81,15
CPT,0018M,TRNSPLJ RNL MEAS CD154+CLL,,,608.69,1760.21,15
CPT,0018U,ONC THYR 10 MICRORNA SEQ ALG,,,2851.99,8247.34,15
CPT,00190,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0019M,CV DS PLASMA ALYS PRTN BMRK,,,676.78,1957.11,13
CPT,0019U,ONC RNA TISS PREDICT ALG,,,3491.25,10095.96,15
CPT,00210,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00212,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00216,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00218,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0021A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0021U,ONC PRST8 DETCJ 8 AUTOANTB,,,722.0,2087.87,15
CPT,00220,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00222,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0022A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0022U,TGSAP NSM LUNG NEO DNA&RNA23,,,1852.5,5357.04,15
CPT,0023U,ONC AML DNA DETCJ/NONDETCJ,,,236.08,682.71,15
CPT,0024U,GLYCA NUC MR SPECTRSC QUAN,,,32.48,93.93,15
CPT,0025U,TENOFOVIR LIQ CHROM UR QUAN,,,85.77,314.36,15
CPT,0026U,ONC THYR DNA&MRNA 112 GENES,,,3420.0,9889.92,15
CPT,0027U,JAK2 GENE TRGT SEQ ALYS,,,115.81,334.91,15
CPT,0029U,RX METAB ADVRS TRGT SEQ ALYS,,,705.16,2039.16,15
CPT,00300,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0030U,RX METAB WARF TRGT SEQ ALYS,,,127.42,368.48,15
CPT,0031A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0031A,Outpatient Services,,,39.44,43.6,9
CPT,0031U,CYP1A2 GENE,,,166.07,480.24,15
CPT,00320,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00322,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00326,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0032U,COMT GENE,,,166.07,480.24,15
CPT,0033U,Laboratory,,,715.99,960.48,4
CPT,0033U,Outpatient Services,,,332.14,367.1,9
CPT,0033U,Outpatient Services - CPT/HCPCS,,,349.62,349.62,2
CPT,0034A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0034A,Outpatient Services,,,39.44,43.6,9
CPT,0034U,TPMT NUDT15 GENES,,,442.86,1280.66,15
CPT,00350,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00352,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0035U,NEURO CSF PRION PRTN QUAL,,,513.94,1486.21,15
CPT,0036U,XOME TUM & NML SPEC SEQ ALYS,,,4541.0,13131.62,15
CPT,0037U,TRGT GEN SEQ DNA 324 GENES,,,3325.0,9615.2,15
CPT,0038U,VITAMIN D SRM MICROSAMP QUAN,,,28.12,81.32,15
CPT,0039U,DNA ANTB 2STRAND HI AVIDITY,,,13.05,37.75,15
CPT,00400,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00402,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00404,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00406,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0040U,BCR/ABL1 GENE MAJOR BP QUAN,,,389.41,1126.08,15
CPT,00410,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0041A,Covid Codes - CPT/HCPCS,,,40.69,40.69,1
CPT,0041U,B BRGDRFERI ANTB 5 PRTN IGM,,,16.35,47.28,15
CPT,0042A,Covid Codes - CPT/HCPCS,,,40.69,40.69,1
CPT,0042T,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0042U,B BRGDRFERI ANTB 12 PRTN IGG,,,16.35,47.28,15
CPT,0043U,TBRF B GRP ANTB 4 PRTN IGM,,,14.12,40.82,15
CPT,0044A,Covid Codes - CPT/HCPCS,,,40.69,40.69,1
CPT,0044U,TBRF B GRP ANTB 4 PRTN IGG,,,14.12,40.82,15
CPT,00450,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00454,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0045U,ONC BRST DUX CARC IS 12 GENE,,,3679.35,10639.91,15
CPT,0046U,FLT3 GENE ITD VARIANTS QUAN,,,387.06,1119.29,15
CPT,00470,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00472,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0047U,ONC PRST8 MRNA 17 GENE ALG,,,3679.35,10639.91,15
CPT,0048U,ONC SLD ORG NEO DNA 468 GENE,,,2773.62,8020.73,15
CPT,0049U,NPM1 GENE ANALYSIS QUAN,,,387.06,1119.29,15
CPT,00500,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0050U,TRGT GEN SEQ DNA 194 GENES,,,2770.77,8012.48,15
CPT,0051A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0051U,RX MNTR LC-MS/MS UR/BLD 31,,,193.71,678.34,15
CPT,00520,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00522,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00528,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00529,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0052A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0052U,LPOPRTN BLD W/5 MAJ CLASSES,,,32.17,93.02,15
CPT,00530,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00532,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00534,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00537,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00539,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0053A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,00541,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00548,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0054A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0054T,BONE SRGRY CMPTR FLUOR IMAGE,,,1.0,1.0,2
CPT,0054U,RX MNTR 14+ DRUGS & SBSTS,,,148.96,545.98,15
CPT,00550,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0055T,BONE SRGRY CMPTR CT/MRI IMAG,,,1.0,1.0,2
CPT,0055U,CARD HRT TRNSPL 96 DNA SEQ,,,3078.0,8900.93,15
CPT,00563,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00566,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0058U,ONC MERKEL CLL CARC SRM QUAN,,,306.81,887.24,15
CPT,0059U,ONC MERKEL CLL CARC SRM +/-,,,306.81,887.24,15
CPT,00600,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0060U,TWN ZYG GEN SEQ ALYS CHRMS2,,,721.1,2085.26,15
CPT,0061U,TC MEAS 5 BMRK SFDI M-S ALYS,,,23.85,68.95,15
CPT,00620,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00625,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00626,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0062U,AI SLE IGG&IGM ALYS 80 BMRK,,,361.68,1045.91,15
CPT,00630,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00635,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0063U,NEURO AUTISM 32 AMINES ALG,,,712.5,2060.4,15
CPT,00640,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0064A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0064U,ANTB TP TOTAL&RPR IA QUAL,,,29.76,86.07,15
CPT,0065U,SYFLS TST NONTREPONEMAL ANTB,,,17.19,49.7,15
CPT,0066U,Laboratory,,,31.31,42.0,4
CPT,0066U,Outpatient Services,,,14.53,16.05,9
CPT,00670,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0067U,ONC BRST IMHCHEM PRFL 4 BMRK,,,1802.15,5211.44,15
CPT,0068U,CANDIDA SPECIES PNL AMP PRB,,,135.5,391.83,15
CPT,0069U,ONC CLRCT MICRORNA MIR-31-3P,,,361.0,1043.94,15
CPT,00700,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00702,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0070U,CYP2D6 GEN COM&SLCT RAR VRNT,,,642.55,1858.12,15
CPT,0071A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0071T,US LEIOMYOMATA ABLATE <200,,,2277.87,5520.65,11
CPT,0071U,CYP2D6 FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,0072A,Covid Codes - CPT/HCPCS,,,40.01,40.01,1
CPT,0072T,FCSD US ABLTJ LEIOMYOM>=200,,,2277.87,5520.65,11
CPT,0072U,CYP2D6 GEN CYP2D6-2D7 HYBRID,,,428.36,1238.74,15
CPT,00730,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00731,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00732,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0073A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0073U,CYP2D6 GEN CYP2D7-2D6 HYBRID,,,428.36,1238.74,15
CPT,0074A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0074U,CYP2D6 NONDUPLICATED GENE,,,428.36,1238.74,15
CPT,00750,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00752,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00754,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00756,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0075T,SURG 0075T EXTRACRANIAL VERTEBRAL ARTERY STNT PLC INITIAL VESSEL,12305.0,9844.0,3417.1,11074.5,27
CPT,0075U,CYP2D6 5' GENE DUP/MLT,,,428.36,1238.74,15
CPT,0076T,SURG 0076T TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,4904.0,3923.2,1361.84,19426.22,27
CPT,0076U,CYP2D6 3' GENE DUP/MLT,,,428.36,1238.74,15
CPT,00770,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0077U,IG PARAPROTEIN QUAL BLD/UR,,,41.26,119.31,15
CPT,0078U,Laboratory,,,923.42,1238.74,4
CPT,0078U,Outpatient Services,,,428.36,473.46,9
CPT,0078U,Outpatient Services - CPT/HCPCS,,,450.91,450.91,2
CPT,00790,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00797,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00800,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00802,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0080U,ONC LNG 5 CLIN RSK FACTR ALG,,,3344.0,9670.14,15
CPT,00811,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00812,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00813,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0081A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,00820,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0082A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0082U,RX TEST DEF 90+ RX/SBSTS UR,,,234.57,678.34,15
CPT,00830,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00832,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00834,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00836,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0083A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0083U,ONC RSPSE CHEMO CNTRST TOMOG,,,158.98,459.74,15
CPT,00840,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00842,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0084U,RBC DNA GNOTYP 10 BLD GROUPS,,,684.0,1977.98,15
CPT,00851,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00860,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00862,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00865,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0086U,NFCT DS BACT&FNG ORG ID 6+,,,190.0,549.44,15
CPT,00870,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00872,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00873,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0087U,CRD HRT TRNSPL MRNA 1283 GEN,,,3001.45,8679.56,15
CPT,00880,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0088U,TRNSPLJ KDN ALGRFT REJ 1494,,,3001.45,8679.56,15
CPT,0089U,ONC MLNMA PRAME & LINC00518,,,722.0,2087.87,15
CPT,00902,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00906,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0090U,ONC CUTAN MLNMA MRNA 23 GENE,,,1852.5,5357.04,15
CPT,00910,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00912,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00914,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00916,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00918,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0091A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,00920,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00921,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00922,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00924,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00926,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00928,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0092A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0092U,ONC LNG 3 PRTN BMRK PLSM ALG,,,2363.6,6835.03,15
CPT,00930,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00938,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0093A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0093U,RX MNTR 65 COM DRUGS URINE,,,59.03,170.71,15
CPT,00940,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00942,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00944,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00948,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0094A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0094U,GENOME RAPID SEQUENCE ALYS,,,7203.09,20829.82,15
CPT,00950,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,00952,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0095T,RMVL ARTIFIC DISC ADDL CRVCL,,,13578.19,32908.19,2
CPT,0095U,EE 2 PRTN BMRK MBP ELISA EST,,,733.38,2120.78,15
CPT,0096U,HPV HI RISK TYPES MALE URINE,,,33.34,96.4,15
CPT,0098T,REV ARTIFIC DISC ADDL,,,13578.19,32908.19,2
CPT,0100T,PROSTH RETINA RECEIVE&GEN,,,1702.59,4126.4,2
CPT,0101T,ESW MUSCSKEL SYS NOS,,,171.82,416.42,11
CPT,0101U,HERED COLON CA DO 15 GENES,,,1656.75,4790.98,15
CPT,0102T,ESW PHY ANES LAT HMRL EPCNDL,,,2358.35,5715.72,11
CPT,0102U,HERED BRST CA RLTD DO 17 GEN,,,1238.75,3582.21,15
CPT,0103U,HERED OVA CA PNL 24 GENES,,,1656.75,4790.98,15
CPT,0104A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0105U,NEPH CKD MULT ECLIA TUM NEC,,,902.5,2609.84,15
CPT,0106T,TOUCH QUANT SENSORY TEST,,,29.23,70.83,11
CPT,0106U,GSTR EMPTG 7 TIMED BRTH SPEC,,,830.77,2402.4,15
CPT,0107T,VIBRATE QUANT SENSORY TEST,,,29.23,70.83,11
CPT,0107U,C DIFF TOX AG DETCJ IA STOOL,,,15.2,43.96,15
CPT,0108T,COOL QUANT SENSORY TEST,,,44.57,108.01,11
CPT,0108U,GI BARRETT ESOPH 9 PRTN BMRK,,,4702.5,13598.64,15
CPT,0109T,HEAT QUANT SENSORY TEST,,,29.23,70.83,11
CPT,0109U,ID ASPERGILLUS DNA 4 SPECIES,,,135.5,391.83,15
CPT,0110T,NOS QUANT SENSORY TEST,,,93.07,225.57,11
CPT,0110U,RX MNTR 1+ORAL ONC RX&SBSTS,,,25.75,74.48,15
CPT,01112,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0111A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0111U,ONC COLON CA KRAS&NRAS ALYS,,,648.18,1874.39,15
CPT,01120,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0112A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0112U,IADI 16S&18S RRNA GENES,,,338.32,978.36,15
CPT,01130,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0113A,Covid Codes - CPT/HCPCS,,,40.0,40.0,1
CPT,0113U,ONC PRST8 PCA3&TMPRSS2-ERG,,,722.0,2087.87,15
CPT,0114U,GI BARRETTS ESOPH VIM&CCNA1,,,1841.11,5324.1,15
CPT,0115U,RESPIR IADNA 18 VIRAL&2 BACT,,,261.58,756.44,15
CPT,01160,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0116U,RX MNTR NZM IA 35+ORAL FLU,,,234.57,678.34,15
CPT,01170,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01173,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0117U,PAIN MGMT 11 ENDOGENOUS ANAL,,,798.62,2309.43,15
CPT,0118U,TRNSPLJ DON-DRV CLL-FR DNA,,,2615.59,7563.73,15
CPT,0119U,CRD CERAMIDES LIQ CHROM PLSM,,,79.57,230.11,15
CPT,01200,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01202,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0120U,ONC B CLL LYMPHM MRNA 58 GEN,,,2384.7,6896.05,15
CPT,01210,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01214,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01215,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0121A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0121U,SC DIS VCAM-1 WHOLE BLOOD,,,483.74,1398.87,15
CPT,01220,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0122U,SC DIS P-SELECTIN WHL BLOOD,,,499.92,1445.66,15
CPT,01230,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0123U,MCHNL FRAGILITY RBC PRFLG,,,339.75,982.48,15
CPT,0124A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,01250,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01260,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01270,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0129U,HERED BRST CA RLTD DO PANEL,,,1238.75,3582.21,15
CPT,0130U,HERED COLON CA DO MRNA PNL,,,555.66,1606.84,15
CPT,0131U,Laboratory,,,1454.01,1950.51,4
CPT,0131U,Outpatient Services,,,674.5,745.5,9
CPT,0131U,Outpatient Services - CPT/HCPCS,,,710.0,710.0,2
CPT,01320,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0132U,Laboratory,,,1518.8,2037.43,4
CPT,0132U,Outpatient Services,,,704.56,778.72,9
CPT,0132U,Outpatient Services - CPT/HCPCS,,,741.64,741.64,2
CPT,0133U,HERED PRST8 CA RLTD DO 11,,,655.78,1896.36,15
CPT,01340,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0134A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0134U,HERED PAN CA MRNA PNL 18 GEN,,,710.97,2055.98,15
CPT,0135U,Laboratory,,,1434.68,1924.58,4
CPT,0135U,Outpatient Services,,,665.53,735.59,9
CPT,0135U,Outpatient Services - CPT/HCPCS,,,700.56,700.56,2
CPT,01360,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0136U,ATM MRNA SEQ ALYS,,,387.06,1119.29,15
CPT,0137U,PALB2 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,01380,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01382,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0138U,BRCA1 BRCA2 MRNA SEQ ALYS,,,444.91,1286.6,15
CPT,01390,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01392,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01400,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01402,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0140U,NFCT DS FUNGI DNA 15 TRGT,,,148.91,430.62,15
CPT,0141U,NFCT DS BACT&FNG GRAM POS,,,148.91,430.62,15
CPT,01420,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0142U,NFCT DS BACT&FNG GRAM NEG,,,148.91,430.62,15
CPT,01430,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01432,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01440,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0144A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,01462,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01464,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01470,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01472,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01474,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01480,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01482,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01484,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01486,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01490,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01500,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0151A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,01520,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01522,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0152U,NFCT DS DNA UNTRGT NGNRJ SEQ,,,2019.89,5841.1,15
CPT,0153U,ONC BREAST MRNA 101 GENES,,,3001.45,8679.56,15
CPT,0154A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0154U,ONC URTHL CA RNA FGFR3 GENE,,,458.03,1324.54,15
CPT,0155U,ONC BRST CA DNA PIK3CA GENE,,,261.09,755.01,15
CPT,0156U,COPY NUMBER SEQUENCE ALYS,,,1653.0,4780.13,15
CPT,0157U,APC MRNA SEQ ALYS,,,268.74,777.13,15
CPT,0158U,MLH1 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,0159U,MSH2 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,0160U,MSH6 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,01610,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0161U,PMS2 MRNA SEQ ALYS,,,268.74,777.13,15
CPT,01620,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01622,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0162U,HERED COLON CA TRGT MRNA PNL,,,462.21,1336.62,15
CPT,01630,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01638,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0163T,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,0163U,ONC CLRCT SCR 3 PRTN ALG,,,371.21,1073.47,15
CPT,0164A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0164T,REMOVE LUMB ARTIF DISC ADDL,,,13578.19,32908.19,2
CPT,0164U,GI IBS IA ANTI-CDTB&VINCULIN,,,106.42,307.74,15
CPT,01650,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0165T,REVISE LUMB ARTIF DISC ADDL,,,13578.19,32908.19,2
CPT,0165U,PEANUT ALLG ASMT EPI PRB ALL,,,440.57,1274.04,15
CPT,0166U,LIVER DS 10 BIOCHEM ASY SRM,,,478.23,1382.94,15
CPT,01670,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0167U,Outpatient Services,,,7.14,7.9,9
CPT,0167U,Outpatient Services - CPT/HCPCS,,,7.52,7.52,2
CPT,01680,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0169U,NUDT15&TPMT GENE COM VRNT,,,442.86,1280.66,15
CPT,0170U,NEURO ASD RNA NEXT GEN SEQ,,,1852.5,5357.04,15
CPT,01710,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01712,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01714,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01716,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0171A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0171U,TRGT GEN SEQ ALYS PNL DNA 23,,,1443.11,4173.16,15
CPT,0172A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0172U,ONC SLD TUM ALYS BRCA1 BRCA2,,,2878.5,8324.02,15
CPT,01730,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01732,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0173A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0173U,PSYC GEN ALYS PANEL 14 GENES,,,442.86,1280.66,15
CPT,01740,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01742,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01744,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0174A,Covid Codes - CPT/HCPCS,,,39.68,39.68,1
CPT,0174T,CAD CXR WITH INTERP,,,1.0,1.0,2
CPT,0174U,ONC SOLID TUMOR 30 PRTN TRGT,,,1240.1,3586.11,15
CPT,01758,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0175T,CAD CXR REMOTE,,,1.0,1.0,2
CPT,0175U,PSYC GEN ALYS PANEL 15 GENES,,,1269.29,3670.51,15
CPT,01760,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0176U,CDTB&VINCULIN IGG ANTB IA,,,60.98,176.34,15
CPT,01770,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01772,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0177U,ONC BRST CA DNA PIK3CA 11,,,261.09,755.01,15
CPT,01780,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01782,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0178U,PEANUT ALLG ASMT EPI CLIN RX,,,436.87,1263.33,15
CPT,0179U,ONC NONSM CLL LNG CA ALYS 23,,,1846.05,5338.39,15
CPT,0180U,ABO GNOTYP ABO 7 EXONS,,,261.09,755.01,15
CPT,01810,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0181U,CO GNOTYP AQP1 EXON 1,,,175.94,508.78,15
CPT,01820,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01829,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0182U,CROM GNOTYP CD55 EXONS 1-10,,,286.28,827.87,15
CPT,01830,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01832,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0183U,DI GNOTYP SLC4A1 EXON 19,,,175.94,508.78,15
CPT,01840,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01842,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01844,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0184T,EXC RECTAL TUMOR ENDOSCOPIC,,,4152.44,10063.9,11
CPT,0184U,DO GNOTYP ART4 EXON 2,,,175.94,508.78,15
CPT,01850,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01852,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0185U,FUT1 GNOTYP FUT1 EXON 4,,,175.94,508.78,15
CPT,01860,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0186U,FUT2 GNOTYP FUT2 EXON 2,,,175.94,508.78,15
CPT,0187U,FY GNOTYP ACKR1 EXONS 1-2,,,261.09,755.01,15
CPT,0188U,GE GNOTYP GYPC EXONS 1-4,,,261.09,755.01,15
CPT,0189U,GYPA GNOTYP NTRNS 1 5 EXON 2,,,261.09,755.01,15
CPT,0190T,Outpatient Services - CPT/HCPCS,,,1009.56,2446.77,2
CPT,0190U,GYPB GNOTYP NTRNS 1 5 SEUX 3,,,261.09,755.01,15
CPT,01916,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0191T,Outpatient Services - CPT/HCPCS,,,1697.9,4115.05,2
CPT,0191U,IN GNOTYP CD44 EXONS 2 3 6,,,261.09,755.01,15
CPT,01920,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01922,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01924,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01925,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01926,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0192U,JK GNOTYP SLC14A1 EXON 9,,,261.09,755.01,15
CPT,01930,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01931,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01932,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01933,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0193U,JR GNOTYP ABCG2 EXONS 2-26,,,268.74,777.13,15
CPT,0194U,KEL GNOTYP KEL EXON 8,,,175.94,508.78,15
CPT,01951,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01952,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01953,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01958,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0195T,Outpatient Services - CPT/HCPCS,,,171.82,416.42,2
CPT,0195U,KLF1 TARGETED SEQUENCING,,,356.49,1030.89,15
CPT,01960,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01961,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01962,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01963,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01965,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01966,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01967,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01968,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01969,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0196T,Outpatient Services - CPT/HCPCS,,,171.82,416.42,2
CPT,0196U,LU GNOTYP BCAM EXON 3,,,175.94,508.78,15
CPT,0197U,LW GNOTYP ICAM4 EXON 1,,,175.94,508.78,15
CPT,0198T,OCULAR BLOOD FLOW MEASURE,,,93.07,225.57,11
CPT,0198U,RHD&RHCE GNTYP RHD1-10&RHCE5,,,268.74,777.13,15
CPT,01991,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01992,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01996,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,01999,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0199U,SC GNOTYP ERMAP EXONS 4 12,,,261.09,755.01,15
CPT,0200T,PERQ SACRAL AUGMT UNILAT INJ,,,5212.43,12632.88,11
CPT,0200U,XK GNOTYP XK EXONS 1-3,,,261.09,755.01,15
CPT,0201T,PERQ SACRAL AUGMT BILAT INJ,,,5212.43,12632.88,11
CPT,0201U,YT GNOTYP ACHE EXON 2,,,175.94,508.78,15
CPT,0202T,POST VERT ARTHRPLST 1 LUMBAR,,,171.82,416.42,2
CPT,0202U,NFCT DS 22 TRGT SARS-COV-2,,,395.94,1144.98,16
CPT,0203U,AI IBD MRNA XPRSN PRFL 17,,,722.0,2087.87,15
CPT,0204U,Outpatient Services,,,2773.62,3065.58,9
CPT,0204U,Outpatient Services - CPT/HCPCS,,,2919.6,2919.6,2
CPT,0205U,OPH AMD ALYS 3 GENE VARIANTS,,,44.65,129.12,15
CPT,0206U,NEURO ALZHEIMER CELL AGGREGJ,,,2104.63,6086.15,15
CPT,0207T,CLEAR EYELID GLAND W/HEAT,,,93.07,225.57,11
CPT,0207U,NEURO ALZHEIMER QUAN IMAGING,,,1.0,1404.37,15
CPT,0208T,AUDIOMETRY AIR ONLY,,,29.23,70.83,13
CPT,0209T,AUDIOMETRY AIR & BONE,,,29.23,70.83,13
CPT,0209U,CYTOG CONST ALYS INTERROG,,,747.79,2162.46,15
CPT,0210T,SPEECH AUDIOMETRY THRESHOLD,,,29.23,70.83,13
CPT,0210U,SYPHILIS TST ANTB IA QUAN,,,17.7,51.18,15
CPT,0211T,SPEECH AUDIOM THRESH & RECOG,,,29.23,70.83,13
CPT,0211U,ONC PAN-TUM DNA&RNA GNRJ SEQ,,,8032.25,23227.58,15
CPT,0212T,COMPRE AUDIOMETRY EVALUATION,,,113.81,275.82,13
CPT,0212U,RARE DS GEN DNA ALYS PROBAND,,,5201.44,15041.47,15
CPT,0213T,NJX PARAVERT W/US CER/THOR,,,664.1,1609.51,13
CPT,0213U,RARE DS GEN DNA ALYS EA COMP,,,2574.45,7444.77,15
CPT,0214T,NJX PARAVERT W/US CER/THOR,,,1.0,1.0,2
CPT,0214U,RARE DS XOM DNA ALYS PROBAND,,,4963.37,14353.02,15
CPT,0215T,NJX PARAVERT W/US CER/THOR,,,1.0,1.0,2
CPT,0215U,RARE DS XOM DNA ALYS EA COMP,,,2445.92,7073.08,15
CPT,0216T,NJX PARAVERT W/US LUMB/SAC,,,664.1,1609.51,13
CPT,0216U,NEURO INH ATAXIA DNA 12 COM,,,1460.17,4222.5,15
CPT,0217T,NJX PARAVERT W/US LUMB/SAC,,,1.0,1.0,2
CPT,0217U,NEURO INH ATAXIA DNA 51 GENE,,,2088.43,6039.31,15
CPT,0218T,NJX PARAVERT W/US LUMB/SAC,,,1.0,1.0,2
CPT,0218U,NEURO MUSC DYS DMD SEQ ALYS,,,2165.05,6260.87,15
CPT,0219T,PLMT POST FACET IMPLT CERV,,,13578.19,32908.19,2
CPT,0219U,NFCT AGT HIV GNRJ SEQ ALYS,,,688.75,1991.72,15
CPT,0220T,PLMT POST FACET IMPLT THOR,,,5212.43,12632.88,2
CPT,0220U,ONC BRST CA AI ASSMT 12 FEAT,,,670.94,1940.21,15
CPT,0221T,PLMT POST FACET IMPLT LUMB,,,5212.43,12632.88,11
CPT,0221U,ABO GNOTYP NEXT GNRJ SEQ ABO,,,261.09,755.01,15
CPT,0222T,PLMT POST FACET IMPLT ADDL,,,1.0,1.0,2
CPT,0222U,RHD&RHCE GNTYP NEXT GNRJ SEQ,,,268.74,777.13,15
CPT,0223U,NFCT DS 22 TRGT SARS-COV-2,,,395.94,1144.98,16
CPT,0224U,ANTIBODY SARS-COV-2 TITER(S),,,42.13,141.29,16
CPT,0225U,NFCT DS DNA&RNA 21 SARSCOV2,,,395.94,1144.98,16
CPT,0226U,SVNT SARSCOV2 ELISA PLSM SRM,,,40.17,116.15,16
CPT,0227U,RX ASY PRSMV 30+RX/METABLT,,,59.03,170.71,15
CPT,0228T,Outpatient Services - CPT/HCPCS,,,503.85,1221.15,2
CPT,0228U,ONC PRST8 MA MOLEC PRFL ALG,,,164.38,475.35,15
CPT,0229T,Outpatient Services - CPT/HCPCS,,,503.85,1221.15,2
CPT,0229U,BCAT1&IKZF1 PRMTR MTHLN ALYS,,,364.8,1054.92,15
CPT,0230T,Outpatient Services - CPT/HCPCS,,,503.85,1221.15,2
CPT,0230U,AR FULL SEQUENCE ANALYSIS,,,286.28,827.87,15
CPT,0231T,Outpatient Services - CPT/HCPCS,,,503.85,1221.15,2
CPT,0231U,CACNA1A FULL GENE ANALYSIS,,,803.96,2324.87,15
CPT,0232T,NJX PLATELET PLASMA,,,290.3,703.57,11
CPT,0232U,CSTB FULL GENE ANALYSIS,,,261.09,755.01,15
CPT,0233U,FXN GENE ANALYSIS,,,261.09,755.01,15
CPT,0234T,SURG 0234T ATHRC RENAL ART,16632.0,13305.6,4618.71,19426.22,36
CPT,0234U,MECP2 FULL GENE ANALYSIS,,,501.48,1450.16,15
CPT,0235T,SURG 0235T ATHRC VISCERAL ART,13862.0,11089.6,3849.48,12475.8,27
CPT,0235U,PTEN FULL GENE ANALYSIS,,,570.0,1648.32,15
CPT,0236T,TRLUML PERIP ATHRC ABD AORTA,,,8015.42,19426.22,11
CPT,0236U,SMN1&SMN2 FULL GENE ANALYSIS,,,572.57,1655.74,15
CPT,0237T,SURG 0237T ATHRC BRACHIOCEPH EA VESL,19776.0,15820.8,5491.8,19426.22,36
CPT,0237U,CAR ION CHNLPTHY GEN SEQ PNL,,,555.66,1606.84,15
CPT,0238T,SURG 0238T ATHRC ILIAC ART EA VESL,25956.0,20764.8,7207.98,30964.11,36
CPT,0238U,ONC LNCH SYN GEN DNA SEQ ALY,,,555.66,1606.84,15
CPT,0239U,TRGT GEN SEQ ALYS PNL 311+,,,3325.0,9615.2,15
CPT,0240U,Covid Codes - CPT/HCPCS,,,142.63,142.63,1
CPT,0240U,Laboratory,,,292.09,391.83,4
CPT,0240U,Outpatient Services,,,135.5,149.76,9
CPT,0240U,Outpatient Services - CPT/HCPCS,,,142.63,142.63,2
CPT,0241U,Covid Codes - CPT/HCPCS,,,142.63,142.63,1
CPT,0241U,Laboratory,,,292.09,391.83,4
CPT,0241U,Outpatient Services,,,135.5,149.76,9
CPT,0241U,Outpatient Services - CPT/HCPCS,,,142.63,142.63,2
CPT,0242U,TRGT GEN SEQ ALYS PNL 55-74,,,4750.0,13736.0,15
CPT,0243U,OB PE BIOCHEM ASSAY PGF ALG,,,61.19,176.95,15
CPT,0244U,ONC SOLID ORGN DNA 257 GENES,,,3325.0,9615.2,15
CPT,0245U,ONC THYR MUT ALYS 10 GEN&37,,,1202.77,3478.15,15
CPT,0246U,RBC DNA GNOTYP 16 BLD GROUPS,,,684.0,1977.98,15
CPT,0247U,OB PRTRM BRTH IBP4 SHBG MEAS,,,712.5,2060.4,15
CPT,0248U,ONC SPHRD CELL CUL 12 RX PNL,,,2882.17,8334.62,15
CPT,0249T,Outpatient Services - CPT/HCPCS,,,145.86,353.51,2
CPT,0249U,ONC BRST ALYS 32 PHSPRTN ALG,,,2108.17,6096.39,15
CPT,0250U,ONC SLD ORG NEO DNA 505 GENE,,,2773.62,8020.73,15
CPT,0251U,HEPCIDIN-25 ELISA SERUM/PLSM,,,16.41,47.44,15
CPT,0252U,FTL ANEUPLOIDY STR ALYS DNA,,,721.1,2085.26,15
CPT,0253T,INSERT AQUEOUS DRAIN DEVICE,,,2962.36,7179.6,11
CPT,0253U,RPRDTVE MED RNA GEN PRFL 238,,,3001.45,8679.56,15
CPT,0254T,Outpatient Services - CPT/HCPCS,,,4164.42,10092.93,2
CPT,0254U,REPRDTVE MED ALYS 24 CHRMSM,,,721.1,2085.26,15
CPT,0255U,ANDROLOGY INFERTILITY ASSMT,,,30.02,86.81,15
CPT,0256U,TMA/TMAO PRFL LCMS/MS UR ALG,,,151.95,439.41,15
CPT,0257U,VLCAD LEUK NZM ACTV WHL BLD,,,676.85,1957.3,15
CPT,0258U,AI PSOR MRNA 50-100 GEN ALG,,,3491.25,10095.96,15
CPT,0259U,NEPH CKD NUC MRS MEAS GFR,,,50.07,144.8,15
CPT,0260U,RARE DS ID OPT GENOME MAPG,,,1200.35,3471.17,15
CPT,0261U,ONC CLRCT CA IMG ALYS W/AI,,,2387.59,6904.4,15
CPT,0262U,ONC SLD TUM RT-PCR 7 GEN,,,3040.0,8791.04,15
CPT,0263T,IM B1 MRW CEL THER CMPL,,,3371.81,8171.95,11
CPT,0263U,NEURO ASD MEAS 16 C METBLT,,,712.5,2060.4,15
CPT,0264T,IM B1 MRW CEL THER XCL HRVST,,,3371.81,8171.95,11
CPT,0264U,RARE DS ID OPT GENOME MAPG,,,1200.35,3471.17,15
CPT,0265T,IM B1 MRW CEL THER HRVST ONL,,,3371.81,8171.95,11
CPT,0265U,RAR DO WHL GN&MTCDRL DNA ALS,,,5202.01,15043.12,15
CPT,0266T,Outpatient Services,,,42750.48,47250.53,9
CPT,0266T,Outpatient Services - CPT/HCPCS,,,34376.0,83313.93,2
CPT,0266U,UNXPL CNST HRTBL DO GN XPRSN,,,3040.0,8791.04,15
CPT,0267T,Outpatient Services,,,3267.06,3610.96,9
CPT,0267T,Outpatient Services - CPT/HCPCS,,,2479.07,6008.29,2
CPT,0267U,RARE DO ID OPT GEN MAPG&SEQ,,,6402.36,18514.29,15
CPT,0268T,Outpatient Services,,,28949.91,31997.27,9
CPT,0268T,Outpatient Services - CPT/HCPCS,,,22624.56,54833.04,2
CPT,0268U,HEM AHUS GEN SEQ ALYS 15 GEN,,,577.76,1670.76,15
CPT,0269T,Outpatient Services,,,6083.87,6724.27,9
CPT,0269T,Outpatient Services - CPT/HCPCS,,,4853.51,11763.0,2
CPT,0269U,HEM AUT DM CGEN TRMBCTPNA 22,,,577.76,1670.76,15
CPT,0270T,Outpatient Services,,,3267.06,3610.96,9
CPT,0270T,Outpatient Services - CPT/HCPCS,,,2479.07,6008.29,2
CPT,0270U,HEM CGEN COAGJ DO 20 GENES,,,577.76,1670.76,15
CPT,0271T,Outpatient Services,,,3267.06,3610.96,9
CPT,0271T,Outpatient Services - CPT/HCPCS,,,2479.07,6008.29,2
CPT,0271U,HEM CGEN NEUTROPENIA 24 GEN,,,577.76,1670.76,15
CPT,0272T,Outpatient Services,,,148.64,164.28,9
CPT,0272T,Outpatient Services - CPT/HCPCS,,,113.81,275.82,2
CPT,0272U,HEM GENETIC BLD DO 60 GENES,,,577.76,1670.76,15
CPT,0273T,Outpatient Services,,,148.64,164.28,9
CPT,0273T,Outpatient Services - CPT/HCPCS,,,113.81,275.82,2
CPT,0273U,HEM GEN HYPRFIBRNLYSIS 9 GEN,,,577.76,1670.76,15
CPT,0274T,PRQ LAMOT/LAM DCMPR CRV/THRC,,,5212.43,12632.88,11
CPT,0274U,HEM GEN PLTLT DO 62 GENES,,,577.76,1670.76,15
CPT,0275T,Outpatient Services,,,6786.54,7500.92,9
CPT,0275T,Outpatient Services - CPT/HCPCS,,,5212.43,12632.88,2
CPT,0275U,HEM HEPRN NDUC TRMBCTPNA SRM,,,17.45,50.47,15
CPT,0276U,HEM INH THROMBOCYTOPENIA 42,,,2326.13,6726.68,15
CPT,0277U,HEM GEN PLTLT FUNCJ DO 40,,,577.76,1670.76,15
CPT,0278T,TEMPR,,,113.81,275.82,11
CPT,0278U,HEM GEN THROMBOSIS 14 GENES,,,577.76,1670.76,15
CPT,0279U,HEM VW FACTOR&CLGN III BNDG,,,10.95,31.68,15
CPT,0280U,HEM VW FACTOR&CLGN IV BNDG,,,16.41,47.44,15
CPT,0281U,HEM VWD PROPEPTIDE AG LVL,,,16.41,47.44,15
CPT,0282U,RBC DNA GNTYP 12 BLD GRP GEN,,,684.0,1977.98,15
CPT,0283U,VW FACTOR TYPE 2B EVAL PLSM,,,17.48,50.55,15
CPT,0284U,VW FACTOR TYPE 2N EVAL PLSM,,,16.41,47.44,15
CPT,0285U,ONC DS PROG&RSPSE MNTR RADJ,,,421.14,1217.86,15
CPT,0286U,CEP72 NUDT15&TPMT GENE ALYS,,,127.42,368.48,15
CPT,0287U,ONC THYR DNA&MRNA 112 GENES,,,3420.0,9889.92,15
CPT,0288U,ONC LUNG MRNA QUAN PCR 11&3,,,3679.35,10639.91,15
CPT,0289U,NEURO ALZHEIMER MRNA 24 GEN,,,722.0,2087.87,15
CPT,0290T,Outpatient Services - CPT/HCPCS,,,1702.59,4126.4,2
CPT,0290U,PAIN MGMT MRNA GEN XPRSN 36,,,722.0,2087.87,15
CPT,0291U,PSYC MOOD DO MRNA 144 GENES,,,1667.25,4821.34,15
CPT,0292U,PSYC STRS DO MRNA 72 GENES,,,1667.25,4821.34,15
CPT,0293U,PSYC SUICIDAL IDEA MRNA 54,,,722.0,2087.87,15
CPT,0294U,LNGVTY&MRTLTY RSK MRNA 18GEN,,,722.0,2087.87,15
CPT,0295U,ONC BRST DUX CARC 7 PROTEINS,,,5163.25,14931.03,15
CPT,0296U,ONC ORL&/OROP CA 20 MLC FEAT,,,1852.5,5357.04,15
CPT,0297U,ONC PAN TUM WHL GEN SEQ DNA,,,2773.62,8020.73,15
CPT,0298U,ONC PAN TUM WHL TRNS SEQ RNA,,,2773.62,8020.73,15
CPT,0299U,ONC PAN TUM WHL GEN OPT MAPG,,,1770.06,5118.64,15
CPT,0300U,ONC PAN TUM WHL GEN SEQ&OPT,,,3973.97,11491.89,15
CPT,0301U,IADNA BARTONELLA DDPCR,,,249.58,721.74,15
CPT,0302U,IADNA BRTNLA DDPCR FLWG LIQ,,,343.3,992.76,15
CPT,0303U,HEM RBC ADS WHL BLD HYPOXIC,,,2091.54,6048.29,15
CPT,0304U,HEM RBC ADS WHL BLD NORMOXIC,,,1972.01,5702.64,15
CPT,0305U,HEM RBC FNCLTY&DFRM SHR STRS,,,629.45,1820.24,15
CPT,0306U,ONC MRD NXT-GNRJ ALYS 1ST,,,3684.53,10654.88,15
CPT,0307U,ONC MRD NXT-GNRJ ALYS SBSQ,,,754.77,2182.62,15
CPT,0308T,INSJ OCULAR TELESCOPE PROSTH,,,12640.76,30636.23,11
CPT,0308U,CRD CAD ALYS 3 PRTN 3 PARAM,,,371.21,1073.47,15
CPT,0309U,CRD CV DS ALY 4 PRTN PLM ALG,,,371.21,1073.47,15
CPT,0310U,PED VSCLTS KD ALYS 3 BMRKS,,,371.21,1073.47,15
CPT,0311U,NFCT DS BCT QUAN ANTMCRB SC,,,7.68,22.2,15
CPT,0312T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0312U,AI DS SLE ALYS 8 IGG AUTOANT,,,798.62,2309.43,15
CPT,0313T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0313U,ONC PNCRS DNA&MRNA SEQ 74,,,3420.0,9889.92,15
CPT,0314T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0314U,ONC CUTAN MLNMA MRNA 35 GENE,,,1852.5,5357.04,15
CPT,0315T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0315U,ONC CUTAN SQ CLL CA MRNA 40,,,8075.0,23351.2,15
CPT,0316T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0316U,B BRGDRFERI LYME DS OSPA EVL,,,17.73,51.26,15
CPT,0317U,ONC LUNG CA 4-PRB FISH ASSAY,,,1928.5,5576.82,15
CPT,0318U,PED WHL GEN MTHYLTN ALYS 50+,,,1681.96,4863.86,15
CPT,0319U,NEPH RNA PRETRNSPL PERPH BLD,,,2517.5,7280.08,15
CPT,0320U,NEPH RNA PSTTRNSPL PERPH BLD,,,2517.5,7280.08,15
CPT,0321U,IADNA GU PTHGN 20BCT&FNG ORG,,,603.1,1744.03,15
CPT,0322U,NEURO ASD MEAS 14 ACYL CARN,,,712.5,2060.4,15
CPT,0323U,IADNA CNS PTHGN NEXT GEN SEQ,,,2019.89,5841.1,15
CPT,0326U,TRGT GEN SEQ ALYS PNL 83+,,,4750.0,13736.0,15
CPT,0327U,FTL ANEUPLOIDY TRSMY DNA SEQ,,,755.25,2184.02,15
CPT,0328U,DRUG ASSAY 120+ RX&METABLT,,,108.71,314.36,15
CPT,0329T,"Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report",,,83.9,83.9,2
CPT,0329U,ONC NEO XOME&TRNS SEQ ALYS,,,3266.08,9444.82,15
CPT,0330T,"Tear film imaging, unilateral or bilateral, with interpretation and report",,,29.23,70.83,11
CPT,0330U,IADNA VAG PTHGN PANEL 27 ORG,,,395.94,1144.98,15
CPT,0331T,HEART SYMP IMAGE PLNR,,,1034.58,2507.43,11
CPT,0331U,ONC HL NEO OPT GEN MAPPING,,,1770.06,5118.64,15
CPT,0332T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT",,,1034.58,2507.43,11
CPT,0332U,ONC PAN TUM GEN PRFLG 8 DNA,,,1084.96,3137.47,15
CPT,0333T,VISUAL EP SCR ACUITY AUTO,,,256.9,256.9,2
CPT,0333U,ONC LVR SURVEILANC HCC CFDNA,,,629.2,1819.53,15
CPT,0334U,ONC SLD ORGN TGSA DNA 84/+,,,2919.6,9615.2,15
CPT,0335T,INSJ SINUS TARSI IMPLANT,,,5212.43,12632.88,11
CPT,0335U,RARE DS WHL GEN SEQ FETAL,,,4963.37,14353.02,15
CPT,0336U,RARE DS WHL GEN SEQ BLD/SLV,,,2445.92,7073.08,15
CPT,0337U,ONC PLSM CELL DO&MYELOMA ID,,,2313.25,6689.43,15
CPT,0338T,SURG 0338T TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT,15116.0,12092.8,4164.42,13604.4,36
CPT,0338U,ONC SLD TUM CRCG TUM CL SLCT,,,2313.25,6689.43,15
CPT,0339T,SURG 0339T TRNSCTH RENAL SYMP DENRV BIL,19981.0,15984.8,4164.42,17982.9,36
CPT,0339U,ONC PRST8 MRNA HOXC6 & DLX1,,,722.0,2087.87,15
CPT,0340U,ONC PAN CA ALYS MRD PLASMA,,,3590.0,10769.02,15
CPT,0341U,FTL ANEUP DNA SEQ CMPR ALYS,,,1805.19,5220.23,15
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion,,,3371.81,8171.95,11
CPT,0342U,ONC PNCRTC CA MULT IA ECLIA,,,852.15,2464.24,15
CPT,0343U,ONC PRST8 XOM ALY 442 SNCRNA,,,722.0,2087.87,15
CPT,0344U,HEP NAFLD SEMIQ EVL 28 LIPID,,,752.56,2176.25,15
CPT,0345T,Transcatheter mitral valve repair percutaneous approach via the coronary sinus,,,3693.75,3693.75,2
CPT,0345U,PSYC GENOM ALYS PNL 15 GEN,,,1269.29,3670.51,15
CPT,0346U,Outpatient Services,,,88.6,97.92,9
CPT,0346U,Outpatient Services - CPT/HCPCS,,,93.26,93.26,2
CPT,0347T,INS BONE DEVICE FOR RSA,,,44.57,108.01,11
CPT,0347U,RX METAB/PCX DNA 16 GEN ALYS,,,1269.29,3670.51,15
CPT,0348T,RSA SPINE EXAM,,,80.11,194.16,11
CPT,0348U,RX METAB/PCX DNA 25 GEN ALYS,,,705.16,2039.16,15
CPT,0349T,RSA UPPER EXTR EXAM,,,80.11,194.16,11
CPT,0349U,RX METAB/PCX DNA 27GEN RX IA,,,705.16,2039.16,15
CPT,0350T,RSA LOWER EXTR EXAM,,,66.21,160.46,11
CPT,0350U,RX METAB/PCX DNA 27 GEN ALYS,,,1269.29,3670.51,15
CPT,0351T,INTRAOP OCT BRST/NODE SPEC,,,1.0,1.0,2
CPT,0351U,NFCT DS BCT/VIRAL TRAIL IP10,,,247.48,715.65,15
CPT,0352T,OCT BRST/NODE I&R PER SPEC,,,148.83,148.83,2
CPT,0352U,Outpatient Services,,,135.5,149.76,9
CPT,0352U,Outpatient Services - CPT/HCPCS,,,142.63,142.63,2
CPT,0353T,INTRAOP OCT BREAST CAVITY,,,1.0,1.0,2
CPT,0353U,Outpatient Services,,,66.67,73.69,9
CPT,0353U,Outpatient Services - CPT/HCPCS,,,70.18,70.18,2
CPT,0354T,OCT BREAST SURG CAVITY I&R,,,148.83,148.83,2
CPT,0354U,Outpatient Services,,,33.34,36.84,9
CPT,0354U,Outpatient Services - CPT/HCPCS,,,35.09,35.09,2
CPT,0355T,Outpatient Services - CPT/HCPCS,,,660.46,1600.7,2
CPT,0355U,APOL1 RISK VARIANTS,,,130.15,376.37,15
CPT,0356U,ONC OROP/ANAL 17 DNA DDPCR,,,1710.0,4944.96,15
CPT,0358T,BIA WHOLE BODY,,,0.08,25.71,11
CPT,0358U,NEURO ALYS ß-AMYL 1-42&1-40,,,247.48,715.65,15
CPT,0359T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0359U,ONC PRST8 CA ALYS ALL PSA,,,722.0,2087.87,15
CPT,0360T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0360U,ONC LUNG ELISA 7 AUTOANT ALG,,,743.78,2150.87,15
CPT,0361T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0361U,Laboratory,,,238.03,319.31,4
CPT,0361U,Outpatient Services,,,110.42,122.04,9
CPT,0362T,BHV ID SUPRT ASSMT EA 15 MIN,,,20.92,50.69,11
CPT,0362U,ONC PAP THYR CA RNA 82&10,,,3420.0,9889.92,15
CPT,0363T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0363U,ONC URTHL MRNA 5 GEN ALG,,,722.0,2087.87,15
CPT,0364T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0364U,ONC HL NEO GEN SEQ ALYS ALG,,,457.0,5514.32,15
CPT,0365T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0365U,ONC BLDR 10 UR HRBR URTHL CA,,,852.15,2464.24,15
CPT,0366T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0366U,ONC BLDR 10 PRB RECR BLDR CA,,,852.15,2464.24,15
CPT,0367T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0367U,ONC BLDR 10 FLWG TRURL RESCJ,,,857.07,2478.47,15
CPT,0368T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0368U,ONC CLRCT CA MUT&MTHYLTN MRK,,,390.75,1144.98,15
CPT,0369T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0369U,Laboratory,,,853.52,1144.98,4
CPT,0369U,Outpatient Services,,,395.94,437.62,9
CPT,0369U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,2
CPT,0370T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0370U,Laboratory,,,853.52,1144.98,4
CPT,0370U,Outpatient Services,,,395.94,437.62,9
CPT,0370U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,2
CPT,0371T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0371U,IADNA GU PTHGN SEMIQ DNA16&1,,,395.94,1144.98,15
CPT,0372T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0372U,NFCT DS GU PTHGN ARG DETCJ,,,395.94,1144.98,15
CPT,0373T,ADAPT BHV TX EA 15 MIN,,,20.92,50.69,11
CPT,0373U,Laboratory,,,853.52,1144.98,4
CPT,0373U,Outpatient Services,,,395.94,437.62,9
CPT,0373U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,2
CPT,0374T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0374U,Laboratory,,,853.52,1144.98,4
CPT,0374U,Outpatient Services,,,395.94,437.62,9
CPT,0374U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,2
CPT,0375T,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,0375U,ONC OVRN BCHM ASY 7 PRTN ALG,,,852.15,2464.24,15
CPT,0376T,Outpatient Services - CPT/HCPCS,,,1697.9,4115.05,2
CPT,0376U,ONC PRST8 CA IMG ALYS 128,,,670.94,1940.21,15
CPT,0377T,Outpatient Services - CPT/HCPCS,,,859.8,2083.81,2
CPT,0377U,CV DS QUAN ADVSRM/PLSM LPRTN,,,45.2,130.71,15
CPT,0378T,VISUAL FIELD ASSMNT REV/RPRT,,,58.64,58.64,2
CPT,0378U,RFC1 REPEAT XPNSJ VRNT ALYS,,,130.15,376.37,15
CPT,0379T,VIS FIELD ASSMNT TECH SUPPT,,,29.23,70.83,13
CPT,0379U,TGSAP SL OR NEO DNA523&RNA55,,,2189.7,9034.19,15
CPT,0380U,Outpatient Services,,,395.94,437.62,9
CPT,0380U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,2
CPT,0381U,MAPLE SYRUP UR DS MNTR QUAN,,,41.91,121.21,13
CPT,0382U,HYPRPHENYLALNINMIA MNTR QUAN,,,49.06,141.87,13
CPT,0383U,TYROSINEMIA TYP I MNTR QUAN,,,49.45,142.99,13
CPT,0384U,NEPH CKD RSK HI STG KDN DS,,,712.5,2060.4,15
CPT,0385U,NEPH CKD ALG RSK DBTC KDN DS,,,371.21,1073.47,15
CPT,0387T,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,0387U,ONC MLNMA AMBRA1&AMLO,,,901.08,2605.72,15
CPT,0388T,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,0388U,ONC NONSM CLL LNG CA 37 GEN,,,1943.21,9615.2,15
CPT,0389U,PED FBRL KD IFI27&MCEMP1 RNA,,,66.69,192.85,13
CPT,0390U,OB PE KDR ENG&RBP4 IA ALG,,,61.19,176.95,15
CPT,0391U,ONC SLD TUM DNA&RNA 437 GEN,,,3420.0,9889.92,15
CPT,0392U,RX METAB GEN-RX IA 16 GENES,,,1269.29,3670.51,15
CPT,0393U,NEU PRKSN MSFL a-SYNCLN PRTN,,,513.94,1486.21,15
CPT,0394T,Outpatient Services,,,249.83,276.13,9
CPT,0394T,Outpatient Services - CPT/HCPCS,,,195.81,474.57,2
CPT,0394U,PFAS 16 PFAS COMPND LC MS/MS,,,188.8,545.98,15
CPT,0395T,HDR ELCTR NTRST/NTRCV BRCHTX,,,522.39,1266.06,11
CPT,0395U,ONC LNG MULTIOMICS PLSM ALG,,,757.58,2190.75,15
CPT,0396T,Outpatient Services - CPT/HCPCS,,,1171.0,2838.05,2
CPT,0396U,Outpatient Services - CPT/HCPCS,,,759.05,759.05,2
CPT,0397T,ERCP W/OPTICAL ENDOMICROSCPY,,,1.0,1.0,2
CPT,0398T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0398U,GI BARET ESPH DNA MTHYLN ALY,,,1667.25,4821.34,15
CPT,0399T,Outpatient Services - CPT/HCPCS,,,178.53,432.69,2
CPT,0399U,NEURO CERE FOLATE DEFNCY SRM,,,285.0,824.16,13
CPT,0400U,OB XPND CAR SCR 145 GENES,,,979.42,4002.34,15
CPT,0401U,CRD C HRT DS 9 GEN 12 VRNTS,,,465.2,1345.25,15
CPT,0402T,COLGN CRS-LINK CRN&PACHYMTRY,,,1031.13,4126.4,14
CPT,0402U,NFCT AGT STI MULT AMP PRB TQ,,,135.5,391.83,15
CPT,0403T,DIABETES PREV STANDARD CURR,,,13.62,13.62,2
CPT,0403U,ONC PRST8 MRNA 18 GEN 1ST UR,,,722.0,2087.87,15
CPT,0404T,Outpatient Services - CPT/HCPCS,,,3623.98,8783.1,2
CPT,0404U,ONC BRST SEMIQ MEAS THYM KN,,,306.81,887.24,15
CPT,0405U,ONC PNCRTC 59 MTHLTN BLK MRK,,,1681.96,4863.86,15
CPT,0406T,Outpatient Services - CPT/HCPCS,,,297.51,721.05,2
CPT,0406U,ONC LUNG FLOW CYTMTRY 5 MRK,,,722.0,2087.87,15
CPT,0407T,Outpatient Services - CPT/HCPCS,,,297.51,721.05,2
CPT,0407U,NEPH DBTC CKD MULT ECLIA ALG,,,902.5,2609.84,15
CPT,0408T,INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD,65304.0,52243.2,18134.92,58773.6,36
CPT,0408U,IAAD BLK AC WV BSNSR SARSCV2,,,13.42,38.82,13
CPT,0409T,INSJ/RPLC CAR MODULJ PLS GN,,,17174.08,41623.23,11
CPT,0409U,ONC SLD TUM DNA 80 & RNA 36,,,2773.62,8020.73,15
CPT,0410T,INSJ/RPLC CAR MODULJ ATR ELT,,,6189.93,15001.95,11
CPT,0410U,ONC PNCRTC DNA WHL GN SEQ 5-,,,1102.0,3186.75,15
CPT,0411T,INSJ/RPLC CAR MODULJ VNT ELT,,,6189.93,15001.95,11
CPT,0411U,PSYC GENOM ALYS PNL 15 GEN,,,1269.29,3670.51,15
CPT,0412T,RMVL CARDIAC MODULJ PLS GEN,,,2861.21,6934.46,11
CPT,0412U,BETA AMYLOID Aß42/40 IMPRCIP,,,712.5,2060.4,13
CPT,0413T,RMVL CAR MODULJ TRANVNS ELT,,,2861.21,6934.46,11
CPT,0413U,ONC HL NEO OPT GEN MAPG DNA,,,1200.35,3471.17,15
CPT,0414T,RMVL & RPL CAR MODULJ PLS GN,,,17174.08,41623.23,11
CPT,0414U,ONC LNG AUG ALG ALY WHL SLD8,,,670.94,1940.21,15
CPT,0415T,REPOS CAR MODULJ TRANVNS ELT,,,457.71,1109.3,11
CPT,0415U,CV DS ACS BLD ALG 5 YR SCORE,,,371.21,1073.47,15
CPT,0416T,RELOC SKIN POCKET PLS GEN,,,1328.68,3220.2,11
CPT,0416U,Outpatient Services,,,395.94,437.62,9
CPT,0416U,Outpatient Services - CPT/HCPCS,,,416.78,416.78,2
CPT,0417T,PRGRMG EVAL CARDIAC MODULJ,,,27.49,66.61,11
CPT,0417U,RARE DS ALYS 335 NUC GENES,,,2700.4,7809.0,15
CPT,0418T,INTERRO EVAL CARDIAC MODULJ,,,27.49,66.61,11
CPT,0418U,ONC BRST AUG ALG ALY WHL SL8,,,670.94,1940.21,15
CPT,0419T,DSTRJ NEUROFIBROMA XTNSV,,,457.59,1109.03,11
CPT,0419U,NRPSYC GEN SEQ VRNT ALY 13,,,1269.29,3670.51,15
CPT,0420T,DSTRJ NEUROFIBROMA XTNSV,,,457.59,1109.03,11
CPT,0420U,ONC URTHL MRNA XPRSN 6 SNP,,,570.0,570.0,2
CPT,0421T,Outpatient Services,,,8784.79,9709.51,9
CPT,0421T,Outpatient Services - CPT/HCPCS,,,6712.06,16267.4,2
CPT,0421U,ONC CLRCT SCR SGL AMP 8 RNA,,,483.43,1397.97,15
CPT,0422T,TACTILE BREAST IMG UNI/BI,,,66.21,160.46,11
CPT,0422U,ONC PAN SOLID TUM ALYS DNA,,,3920.0,3920.0,2
CPT,0423U,PSYC GENOMIC ALYS PNL 26 GEN,,,237.5,1144.98,15
CPT,0424T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0424U,ONC PRST8 XOM ALYS 53 SNCRNA,,,369.21,2087.87,15
CPT,0425T,Outpatient Services - CPT/HCPCS,,,4982.98,12076.79,2
CPT,0425U,GENOM RPD SEQ ALYS EA CMPRTR,,,2709.95,2709.95,2
CPT,0426T,Outpatient Services - CPT/HCPCS,,,4982.98,12076.79,2
CPT,0426U,GENOME ULTRA-RAPID SEQ ALYS,,,5031.2,5031.2,2
CPT,0427T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0427U,MONOCYTE DSTRBJ WDTH WHL BLD,,,4.26,12.31,13
CPT,0428T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0428U,Outpatient Services - CPT/HCPCS,,,1399.63,1399.63,2
CPT,0429T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0429U,HPV OROP SWAB 14 HI-RISK TYP,,,33.34,96.4,13
CPT,0430T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0430U,GI MALABS AAT CALPRO PNCRTC,,,58.46,169.06,13
CPT,0431T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0431U,GLY RCPTR ALPHA1 IGG SRM/CSF,,,34.74,100.47,13
CPT,0432T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0432U,KLHL11 ANTB SR/CSF ASY QUAL,,,34.74,100.47,13
CPT,0433T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0433U,ONC PRST8 5 DNA REG MRK PCR,,,369.21,2087.87,15
CPT,0434U,RX METAB ADVRS VRNT ALYS 25,,,237.5,1144.98,15
CPT,0435U,ONC CHEMO RX CYTOX CSC 14 RX,,,1305.37,8334.62,15
CPT,0436U,ONC LNG PLSM ALYS 388 PRTN,,,570.0,570.0,2
CPT,0437T,IMPLTJ SYNTH RNFCMT ABDL WAL,,,1.0,1.0,2
CPT,0437U,PSYC ANXIETY DO MRNA 15 BMRK,,,722.0,2087.87,15
CPT,0438U,RX METAB ADVRS VRNT ALYS 33,,,237.5,1144.98,15
CPT,0439T,MYOCRD CONTRAST PRFUJ ECHO,,,1.0,1.0,2
CPT,0440T,SURG 0440T SURG CRYOABLATION UPPER EXT DISTAL PERIPH NERVE W IMAGING,6100.0,4880.0,1406.76,5490.0,36
CPT,0441T,SURG 0441T SURG CRYOABLATION LOWER EXT DISTAL PERIPH NERVE W IMAGING,5500.0,4400.0,1406.76,4950.0,36
CPT,0442T,SURG 0442T SURG CRYOABLATION PLEXUS TRUNCAL NERVE W IMAGING,10594.0,8475.2,2941.95,11763.0,36
CPT,0442U,NFCT DS RESPIR NFCTJ MXA&CRP,,,39.31,113.68,13
CPT,0443T,R-T SPCTRL ALYS PRST8 TISS,,,1.0,1.0,2
CPT,0444T,1ST PLMT DRUG ELUT OC INS,,,1.0,1.0,2
CPT,0444U,ONC SLD ORGN NEO TGSAP 361,,,2773.62,8020.73,13
CPT,0445T,SBSQT PLMT DRUG ELUT OC INS,,,1.0,1.0,2
CPT,0445U,ABETA42 & PTAU181 ECLIA CSF,,,247.48,715.65,13
CPT,0446T,INSJ IMPLTBL GLUCOSE SENSOR,,,55.92,3413.03,15
CPT,0446U,AI DS SLE ALYS 10 CYTOKINE,,,798.62,2309.43,13
CPT,0447T,RMVL IMPLTBL GLUCOSE SENSOR,,,65.58,353.51,15
CPT,0447U,AI DS SLE ALYS 11 CYTOKINE,,,798.62,2309.43,13
CPT,0448T,REMVL INSJ IMPLTBL GLUC SENS,,,93.2,3413.03,15
CPT,0449T,INSJ AQUEOUS DRAIN DEV 1ST,,,3808.04,9229.19,11
CPT,0449U,CAR SCR SEV INH COND 5 GENES,,,1733.64,5013.31,13
CPT,0450T,INSJ AQUEOUS DRAIN DEV EACH,,,1.0,1.0,2
CPT,0450U,Laboratory,,,88.94,119.31,4
CPT,0450U,Outpatient Services,,,41.26,45.6,9
CPT,0451U,Laboratory,,,88.94,119.31,4
CPT,0451U,Outpatient Services,,,41.26,45.6,9
CPT,0452U,ONC BLDR MTHYL PENK LTE-QMSP,,,182.4,527.46,13
CPT,0453T,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,0453U,ONC CLRCT CA CFDNA QPCR ASY,,,182.4,527.46,13
CPT,0454T,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,0454U,RARE DS ID OPT GENOME MAPG,,,1200.35,3471.17,13
CPT,0455U,NFCT AGT STI MULT AMP PRB UR,,,135.5,391.83,13
CPT,0457T,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,0457U,PFAS 9 CMPND LC-MS/MS PLS/SR,,,188.8,545.98,13
CPT,0458T,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,0458U,ONC BRST CA S100 A8&A9 ELISA,,,247.48,715.65,13
CPT,0459U,ABETA42 & TTAU ECLIA CSF,,,247.48,715.65,13
CPT,0460T,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,0462U,MELATONIN LVL TST SLP STD7/9,,,16.41,47.44,13
CPT,0464T,VISUAL EP TEST FOR GLAUCOMA,,,113.81,275.82,11
CPT,0464U,ONC CLRCT SCR QRTSA DNA MRK,,,562.32,1626.12,13
CPT,0465U,ONC URTHL CARC DNA QMSP 2GEN,,,1841.11,5324.1,13
CPT,0466T,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,0467T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0467U,ONC BLDR DNA NGS 60GEN&ANEUP,,,1443.11,4173.16,13
CPT,0468T,Outpatient Services - CPT/HCPCS,,,1406.76,3409.43,2
CPT,0468U,HEP NASH MIR-34A5P A2M YKL40,,,239.12,691.47,13
CPT,0469T,RTA POLARIZE SCAN OC SCR BI,,,72.44,72.44,2
CPT,0469U,RARE DS WHL GEN SEQ FTL SAMP,,,1138.04,3290.98,13
CPT,0471U,ONC CLRC CA 35 VRN KRAS&NRAS,,,722.0,2087.87,13
CPT,0472T,PRGRMG IO RTA ELTRD RA,,,217.62,527.43,11
CPT,0473T,REPRGRMG IO RTA ELTRD RA,,,70.53,170.94,11
CPT,0473U,ONC SLD TUM BLD/SLV 648 GENE,,,4275.0,12362.4,13
CPT,0474T,INSJ AQUEOUS DRG DEV IO RSVR,,,1697.9,4115.05,2
CPT,0474U,HERED PAN CA GSAP 88GENE NGS,,,1238.75,3582.21,13
CPT,0475U,HERED PRST8 CA GSAP 23 GENES,,,1238.75,3582.21,13
CPT,0476U,RX METAB PSYC 14GEN&CYP2D6,,,395.94,1144.98,13
CPT,0477U,RX METAB PSY 14&CYP2D6 GN-RX,,,395.94,1144.98,13
CPT,0479T,FXJL ABL LSR 1ST 100 SQ CM,,,457.59,1109.03,13
CPT,0479U,TAU PHOSPHORYLATED PTAU217,,,16.41,47.44,13
CPT,0480T,FXJL ABL LSR EA ADDL 100SQCM,,,1.0,1.0,2
CPT,0480U,NFCT DS CSF METAG NGS ALYS,,,2019.89,5841.1,13
CPT,0481T,NJX AUTOL WBC CONCENTRATE,,,290.3,703.57,11
CPT,0481U,IDH1 IDH2&TERT PROMOTER NGS,,,640.53,1852.27,13
CPT,0482T,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,0482U,OB PE BIOCHEM ASY SFLT1&PLGF,,,122.38,353.89,13
CPT,0483T,SURG 0483T TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH,15493.0,12394.4,4302.41,18052.08,27
CPT,0484T,SURG 0484T TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE,15957.0,12765.6,4431.26,18052.08,27
CPT,0485T,OCT MID EAR I&R UNILATERAL,,,29.23,70.83,11
CPT,0486T,OCT MID EAR I&R BILATERAL,,,29.23,70.83,11
CPT,0487U,ONC SOL TUM CFCDNA TGSAP 84,,,2773.62,8020.73,13
CPT,0488T,DIABETES PREV ONLINE/ELEC,,,44.0,44.0,2
CPT,0488U,OB FETAL AG NIPT CFDNA ALYS,,,721.1,2085.26,13
CPT,0489T,REGN CELL TX SCLDR HANDS,,,290.3,703.57,2
CPT,0490T,REGN CELL TX SCLDR H MLT INJ,,,290.3,703.57,2
CPT,0490U,ONC CUTAN/UVEAL MLNMA CD146,,,2313.25,6689.43,13
CPT,0491T,Outpatient Services - CPT/HCPCS,,,56.25,136.34,2
CPT,0491U,ONC SOL TUM CTC SLCT ER PRTN,,,2313.25,6689.43,13
CPT,0492T,Outpatient Services - CPT/HCPCS,,,56.25,136.34,2
CPT,0492U,ONC SOL TUM CTC SLCTN PD-L1,,,2313.25,6689.43,13
CPT,0493U,TRNSPL MED QUAN DD-CFDNA NGS,,,2615.59,7563.73,13
CPT,0494T,PREP & CANNULJ CDVR DON LUNG,,,1485.0,1485.0,2
CPT,0494U,RBC AG FTL RHD GENE ALYS NGS,,,721.1,2085.26,13
CPT,0495T,MNTR CDVR DON LNG 1ST 2 HRS,,,879.25,879.25,2
CPT,0495U,ONC PRST8 ALYS CRCG PLSM PRT,,,722.0,2087.87,13
CPT,0496T,MNTR CDVR DON LNG EA ADDL HR,,,439.63,439.63,2
CPT,0497U,ONC PRST8 MRNA RT-PCR 6GENES,,,3679.35,10639.91,13
CPT,0499T,Outpatient Services - CPT/HCPCS,,,497.71,1206.26,2
CPT,0499U,ONC CLRCT&LNG DNA NGS 8GENES,,,568.01,1642.58,13
CPT,0500T,Outpatient Services - CPT/HCPCS,,,52.95,52.95,2
CPT,0500U,AUTOINFLAM DS VEXAS SYND DNA,,,166.63,481.86,13
CPT,0502U,HPV E6/E7 MRK HI-RSK TYP CRV,,,33.34,96.4,13
CPT,0503U,NEURO ALZ DS ßAMYL&TAU PRTN,,,712.5,2060.4,13
CPT,0504U,NFCT DS UTI ID 17 PATH ORGS,,,395.94,1144.98,13
CPT,0505T,EV FEMPOP ARTL REVSC,,,8015.42,19426.22,11
CPT,0505U,NFCT DS VAG INFCTJ ID 32ORGS,,,645.78,1867.46,13
CPT,0506T,MAC PGMT OPT DNS MEAS HFP,,,44.57,108.01,11
CPT,0506U,GI BARRETTS ESOPHGL CELL 89,,,1841.11,5324.1,13
CPT,0507T,NEAR IFR 2IMG MIBMN GLND I&R,,,44.57,108.01,11
CPT,0507U,ONC OVR DNA WHOLE GEN W/5HMC,,,1102.0,3186.75,13
CPT,0509T,PATTERN ERG W/I&R,,,75.9,554.25,15
CPT,0510T,RMVL SINUS TARSI IMPLANT,,,2358.35,5715.72,13
CPT,0511T,RMVL&RINSJ SINUS TARSI IMPLT,,,5212.43,12632.88,13
CPT,0511U,ONC SOL TUM 3DMICROENVIR 36+,,,2882.17,8334.62,13
CPT,0512T,ESW INTEG WND HLG 1ST WND,,,145.86,353.51,13
CPT,0512U,ONC PRST8 ALYS DGTZ IMG MSI,,,670.94,1940.21,13
CPT,0513T,ESW INTEG WND HLG EA ADDL,,,1.0,1.0,2
CPT,0513U,ONC PRST8 ALG ALYS MSI&HRD,,,670.94,1940.21,13
CPT,0514U,GI IBD IA QUAN DETER ADL LVL,,,36.64,105.96,13
CPT,0515T,INSJ WCS LV COMPL SYS,,,17174.08,41623.23,11
CPT,0515U,GI IBD IA QUAN DETER IFX LVL,,,36.64,105.96,13
CPT,0516T,INSJ WCS LV ELTRD ONLY,,,7780.16,18856.05,11
CPT,0516U,RX METAB RXGENOMIC GNOTYP 40,,,395.94,1144.98,13
CPT,0517T,INSJ WCS LV BOTH COMPNT PG,,,7780.16,18856.05,11
CPT,0517U,THER RX MNTR 80+ PSYACTIV RX,,,234.57,678.34,13
CPT,0518T,RMVL PG WCS LV BATTERY ONLY,,,2861.21,6934.46,11
CPT,0518U,THER RX MNTR 90+ PN&MTL HLTH,,,234.57,678.34,13
CPT,0519T,RMV&RPLCMT PG WCS LV BOTH,,,7780.16,18856.05,11
CPT,0519U,THER RX MNTR MEDS P/D/A 110+,,,234.57,678.34,13
CPT,0520T,RMV&RPLCMT PG WCS LV BATTERY,,,7780.16,18856.05,11
CPT,0520U,THER RX MNTR 200+ RX/SBSTS,,,234.57,678.34,13
CPT,0521T,INTERROG DEV EVAL WCS IP,,,21.7,52.6,11
CPT,0522T,PRGRMG DEV EVAL WCS IP,,,27.49,66.61,11
CPT,0523T,NTRAPX C FFR W/3D FUNCJL MAP,,,1.0,1.0,2
CPT,0524T,EV CATH DIR CHEM ABLTJ W/IMG,,,2322.4,5628.59,11
CPT,0525T,INSJ/RPLCMT COMPL IIMS,,,7780.16,20024.72,11
CPT,0526T,INSJ/RPLCMT IIMS ELTRD ONLY,,,6189.93,15001.95,11
CPT,0527T,INSJ/RPLCMT IIMS IMPLT MNTR,,,6189.93,15001.95,11
CPT,0528T,PRGRMG DEV EVAL IIMS IP,,,27.49,66.61,11
CPT,0529T,INTERROG DEV EVAL IIMS IP,,,27.49,66.61,11
CPT,0530T,REMOVAL COMPLETE IIMS,,,2861.21,6934.46,11
CPT,0531T,REMOVAL IIMS ELECTRODE ONLY,,,2861.21,6934.46,11
CPT,0532T,REMOVAL IIMS IMPLT MNTR ONLY,,,2861.21,6934.46,11
CPT,0537T,Outpatient Services - CPT/HCPCS,,,234.56,234.56,2
CPT,0537U,ONC CLRCT CA CFDNA >2500 DMR,,,1420.25,1569.75,9
CPT,0540T,Outpatient Services - CPT/HCPCS,,,246.76,598.04,2
CPT,0541T,MYOCARDIAL IMAGING MCG,,,390.51,946.44,11
CPT,0542T,MYOCARDIAL IMAGING MCG I&R,,,66.21,160.46,2
CPT,0543T,TA MV RPR W/ARTIF CHORD TEND,,,7448.43,18052.08,2
CPT,0544T,TCAT MV ANNULUS RCNSTJ,,,7448.43,18052.08,2
CPT,0545T,TCAT TV ANNULUS RCNSTJ,,,7448.43,18052.08,2
CPT,0546T,RF SPECTRSC NTRAOP MRGN ASMT,,,1.0,1.0,2
CPT,0548T,Outpatient Services - CPT/HCPCS,,,3770.02,9137.05,2
CPT,0549T,Outpatient Services - CPT/HCPCS,,,497.71,1206.26,2
CPT,0550T,Outpatient Services - CPT/HCPCS,,,497.71,1206.26,2
CPT,0551T,Outpatient Services - CPT/HCPCS,,,44.57,108.01,2
CPT,0553T,Outpatient Services - CPT/HCPCS,,,8015.42,19426.22,2
CPT,0555T,B1 STR&FX RSK TRANSMIS DATA,,,21.7,52.6,11
CPT,0556T,B1 STR & FX RSK ASSESSMENT,,,178.53,432.69,11
CPT,0558T,CT SCAN F/BIOMCHN CT ALYS,,,66.21,160.46,11
CPT,0559T,ANTMC MDL 3D PRINT 1ST CMPNT,,,44.57,108.01,13
CPT,0560T,ANTMC MDL 3D PRINT EA ADDL,,,1.0,1.0,2
CPT,0561T,ANTMC GUIDE 3D PRINT 1ST GD,,,44.57,108.01,11
CPT,0562T,ANTMC GUIDE 3D PRINT EA ADDL,,,1.0,1.0,2
CPT,0563T,EVAC MEIBOMIAN GLND HEAT BI,,,44.57,108.01,11
CPT,0564T,Outpatient Services - CPT/HCPCS,,,39.48,95.68,2
CPT,0566T,AUTOL CELL IMPLT ADPS NJX,,,215.79,523.0,2
CPT,0567T,Outpatient Services - CPT/HCPCS,,,2277.87,5520.65,2
CPT,0569T,SURG 0569T TRANSCATH TRICUSPID VALVE RPR PERQ INIT PROSTH,33990.0,27192.0,7448.43,30591.0,27
CPT,0570T,SURG 0570T TRANSCATH TRICUSPID VALVE RPR PERQ EA ADDL PROSTH,12941.0,10352.8,3593.72,18052.08,27
CPT,0571T,INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE,43924.0,35139.2,12197.69,58094.34,36
CPT,0572T,INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,11338.0,9070.4,3148.56,15001.95,36
CPT,0573T,RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,4986.0,3988.8,1384.61,6934.46,36
CPT,0574T,REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD,4986.0,3988.8,1384.61,6934.46,36
CPT,0575T,PRGRMG DEV EVAL ICDS SS IP,,,27.49,66.61,11
CPT,0576T,INTERROG DEV EVAL ICDS SS IP,,,27.49,66.61,11
CPT,0577T,ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE,1663.0,1330.4,461.82,2101.58,36
CPT,0579T,REM INTERROG DEV ICDS TECH,,,27.49,66.61,11
CPT,0580T,RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY,4986.0,3988.8,1384.61,6934.46,36
CPT,0581T,ABLTJ MAL BRST TUM PERQ CRTX,,,2777.21,6730.88,11
CPT,0582T,TRURL ABLTJ MAL PRST8 TISS,,,2540.0,6155.96,2
CPT,0583T,TMPST AUTO TUBE DLVR SYS,,,1111.14,2692.97,11
CPT,0584T,PERQ ISLET CELL TRANSPLANT,,,4203.99,10188.81,2
CPT,0585T,LAPS ISLET CELL TRANSPLANT,,,4203.99,10188.81,2
CPT,0586T,OPEN ISLET CELL TRANSPLANT,,,4203.99,10188.81,2
CPT,0587T,PERQ IMPLTJ/RPLCMT ISDNS PTN,,,4982.98,12076.79,11
CPT,0588T,REVISION/REMOVAL ISDNS PTN,,,2479.07,6008.29,11
CPT,0589T,ELEC ALYS SMPL PRGRMG IINS,,,70.53,170.94,11
CPT,0590T,ELEC ALYS CPLX PRGRMG IINS,,,70.53,170.94,11
CPT,0591T,HLTH&WB COACHING INDIV 1ST,,,47.55,47.55,2
CPT,0592T,HLTH&WB COACHING INDIV F-UP,,,47.55,47.55,2
CPT,0593T,HLTH&WB COACHING GROUP,,,23.47,23.47,2
CPT,0594T,OSTEOT HUM XTRNL LNGTH DEV,,,5212.43,12632.88,11
CPT,0596T,TEMP FML IU VLV-PMP 1ST INSJ,,,497.71,1206.26,11
CPT,0597T,TEMP FML IU VALVE-PMP RPLCMT,,,497.71,1206.26,11
CPT,0598T,R-T FLUOR WOUND IMG 1ST SITE,,,228.69,554.25,13
CPT,0599T,R-T FLUOR WOUND IMG EA ADDL,,,1.0,1.0,2
CPT,0600T,ABLT IRE 1+ O/T LV/PRST8 PRQ,,,7499.97,18176.99,11
CPT,0601T,ABLTJ IRE 1+TUMORS OPEN,,,7499.97,18176.99,11
CPT,0604T,REM OCT RTA DEV SETUP&EDUCAJ,,,96.31,233.42,2
CPT,0605T,REM OCT RTA TECHL SPRT MIN 8,,,27.49,66.61,2
CPT,0609T,MRS DISC PAIN ACQUISJ DATA,,,178.53,432.69,11
CPT,0610T,MRS DISC PAIN TRANSMIS DATA,,,1.0,1.0,2
CPT,0611T,MRS DISC PAIN ALG ALYS DATA,,,178.53,432.69,11
CPT,0613T,PERQ TCAT INTRATRL SEPTL SHT,,,7448.43,18052.08,2
CPT,0614T,RMVL&RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG,30751.0,24600.8,8539.55,41623.23,36
CPT,0615T,AUTO ALYS BINOCULAR EYE MVMT,,,93.07,225.57,11
CPT,0616T,Outpatient Services - CPT/HCPCS,,,12640.76,30636.23,2
CPT,0617T,Outpatient Services - CPT/HCPCS,,,12640.76,30636.23,2
CPT,0618T,Outpatient Services - CPT/HCPCS,,,12640.76,30636.23,2
CPT,0619T,Outpatient Services,,,8784.79,9709.51,9
CPT,0619T,Outpatient Services - CPT/HCPCS,,,6712.06,16267.4,2
CPT,0620T,EVASC VEN ARTLZ TIBL/PRNL VN,,,21007.71,50914.43,11
CPT,0621T,TRABECULOSTOMY INTERNO LASER,,,423.51,4224.0,11
CPT,0622T,TRABECULOSTOMY INT LSR W/SCP,,,423.51,1026.42,2
CPT,0624T,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,0625T,Outpatient Services,,,902.98,998.03,9
CPT,0625T,Outpatient Services - CPT/HCPCS,,,726.09,1759.76,2
CPT,0627T,PERQ NJX ALGC FLUOR LMBR 1ST,,,9589.17,23240.38,11
CPT,0628T,PERQ NJX ALGC FLUOR LMBR EA,,,1.0,1.0,2
CPT,0629T,PERQ NJX ALGC CT LMBR 1ST,,,9589.17,23240.38,11
CPT,0630T,PERQ NJX ALGC CT LMBR EA,,,1.0,1.0,2
CPT,0631T,Outpatient Services,,,23.27,25.71,9
CPT,0631T,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,0632T,PERQ TCAT US ABLTJ NRV P-ART,,,12776.04,30964.11,11
CPT,0633T,CT BREAST W/3D UNI C-,,,80.11,194.16,11
CPT,0634T,CT BREAST W/3D UNI C+,,,133.87,324.44,11
CPT,0635T,CT BREAST W/3D UNI C-/C+,,,133.87,324.44,11
CPT,0636T,CT BREAST W/3D BI C-,,,178.53,432.69,11
CPT,0637T,CT BREAST W/3D BI C+,,,280.2,679.09,11
CPT,0638T,CT BREAST W/3D BI C-/C+,,,280.2,679.09,11
CPT,0640T,NCNTC IFR SPCTRSC O/T PAD 1,,,29.23,70.83,11
CPT,0643T,TCAT L VENTR RSTRJ DEV IMPLT,,,7448.43,18052.08,2
CPT,0644T,TRANSCATH REM DEBULK INTERCARD MASS VIA SUCTION DEVICE,6941.0,5552.8,1927.52,10092.93,36
CPT,0645T,TCAT IMPLTJ C SINS RDCTJ DEV,,,12776.04,30964.11,11
CPT,0646T,SURG 0646T TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH,33000.0,26400.0,7448.43,29700.0,27
CPT,0647T,INSJ GTUBE PERQ MAG GASTRPXY,,,1386.39,3360.07,11
CPT,0648T,QUAN MR ALYS TISS COMPOSITION WO MRI SAME SESS SINGLE ORGAN,2201.0,1760.8,611.22,1980.9,36
CPT,0649T,QUAN MR TISS W/MRI 1ORGN,,,726.09,1759.76,11
CPT,0650T,PRGRMG DEV EVAL SCRMS REMOTE,,,27.49,66.61,11
CPT,0651T,MAG CTRLD CAPSULE ENDOSCOPY,,,660.46,1600.7,11
CPT,0652T,EGD FLX TRANSNASAL DX BR/WA,,,1386.39,3360.07,11
CPT,0653T,EGD FLX TRANSNASAL BX 1/MLT,,,1386.39,3360.07,11
CPT,0654T,EGD FLX TRANSNASAL TUBE/CATH,,,2790.35,6762.7,11
CPT,0655T,TPRNL FOCAL ABLTJ MAL PRST8,,,2540.0,6155.96,11
CPT,0656T,ANT LMBR VRT BDY TETH <7 SEG,,,13578.19,32908.19,2
CPT,0657T,ANT LMBR VRT BDY TETH 8+ SEG,,,13578.19,32908.19,2
CPT,0658T,ELEC IMPD SPECTRSC 1+SKN LES,,,44.57,108.01,11
CPT,0659T,TCAT INTRA-C NFS SUPERSAT O2,,,4164.42,10092.93,2
CPT,0660T,IMPLT ANT SGM IO NBIO RX SYS,,,212.25,4224.0,12
CPT,0661T,RMVL&RIMPLTJ ANT SGM IMPLT,,,212.25,4224.0,11
CPT,0662T,Outpatient Services,,,1662.98,1838.03,9
CPT,0662T,Outpatient Services - CPT/HCPCS,,,955.26,2315.18,2
CPT,0665T,DON HYSTERECTOMY OPEN LIV,,,2277.87,5520.65,2
CPT,0666T,DON HYSTERECTOMY LAPS LIV,,,2277.87,5520.65,2
CPT,0671T,INSJ ANT SGM AQ DRG DEV 1+,,,3808.04,9229.19,11
CPT,0673T,ABLTJ B9 THYR NDUL PERQ LASR,,,1181.26,2862.91,11
CPT,0674T,LAPS INSJ NW/RPCMT PRM ISDSS,,,4982.98,31997.27,11
CPT,0675T,LAPS INSJ NW/RPCMT ISDSS 1LD,,,1406.76,13093.83,11
CPT,0676T,LAPS INSJ NW/RPCMT ISDSS EA,,,1406.76,3409.43,2
CPT,0677T,LAPS REPOS LEAD ISDSS 1ST LD,,,1406.76,10931.78,11
CPT,0678T,LAPS REPOS LEAD ISDSS EA ADD,,,1406.76,3409.43,2
CPT,0679T,LAPS RMVL LEAD ISDSS,,,1406.76,10931.78,11
CPT,0680T,INSJ/RPLCMT PG ONLY ISDSS,,,4982.98,22516.61,11
CPT,0681T,RLCJ PULSE GEN ONLY ISDSS,,,1406.76,3610.96,11
CPT,0682T,REMOVAL PULSE GEN ONLY ISDSS,,,1406.76,3610.96,11
CPT,0683T,PRGRMG DEV EVAL ISDSS IP,,,35.43,39.15,9
CPT,0685T,INTERROG DEV EVAL ISDSS IP,,,35.43,39.15,9
CPT,0686T,HISTOTRIPSY MAL HEPATCEL TIS,,,13368.68,32400.43,11
CPT,0689T,QUAN US TIS CHARAC W/O DX US,,,66.21,160.46,11
CPT,0690T,QUAN US TIS CHARAC W/DX US,,,1.0,1.0,2
CPT,0692T,THERAPEUTIC ULTRAFILTRATION,,,316.29,1721.24,11
CPT,0693T,COMPRE FUL BDY 3D MTN ALYS,,,267.75,648.92,11
CPT,0695T,BDY SRF MPG PM/CVDFB TM IMPL,,,1.0,1.0,2
CPT,0696T,BDY SURF MAPG PM/CVDFB F/UP,,,27.49,66.61,11
CPT,0697T,QUAN MR TIS WO MRI MLT ORGN,,,726.09,1759.76,11
CPT,0698T,QUAN MR TISS W/MRI MLT ORGN,,,726.09,1759.76,11
CPT,0699T,NJX PST CHMBR EYE MEDICATION,,,1697.9,4115.05,11
CPT,0703T,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,0707T,NJX B1 SUB MTRL SBCHDRL DFCT,,,2358.35,5715.72,11
CPT,0708T,ID CA IMMNTX PREP & 1ST NJX,,,34.6,83.87,2
CPT,0709T,ID CA IMMNTX EACH ADDL NJX,,,34.6,83.87,2
CPT,0712T,N-NVS ARTL PLAQ ALYS QUAN,,,66.21,160.46,11
CPT,0714T,TPLA B9 PRST8 HYPRPLSA<50ML,,,3770.02,9137.05,11
CPT,0715T,Outpatient Services - CPT/HCPCS,,,4164.42,10092.93,2
CPT,0716T,CAR ACOUS WAVFRM REC CAD RSK,,,44.57,108.01,11
CPT,0717T,ADRC THER PRTL RC TEAR,,,2613.94,6335.16,11
CPT,0718T,ADRC THER PRTL RC TEAR NJX,,,2613.94,6335.16,11
CPT,0719T,PST VRT JT RPLCMT LMBR 1 SGM,,,171.82,416.42,2
CPT,0720T,Outpatient Services,,,966.52,1068.26,9
CPT,0720T,Outpatient Services - CPT/HCPCS,,,761.78,1846.25,2
CPT,0721T,QUAN CT TISS CHARAC W/O CT,,,496.92,1204.34,11
CPT,0722T,QUAN CT TISS CHARAC W/CT,,,496.92,1204.34,11
CPT,0723T,QMRCP W/O DX MRI SM ANAT SES,,,726.09,1759.76,11
CPT,0724T,QMRCP W/DX MRI SAME ANATOMY,,,726.09,1759.76,11
CPT,0725T,VESTIBULAR DEV IMPLTJ UNI,,,2345.8,5685.3,2
CPT,0726T,RMVL IMPLT VSTIBULAR DEV UNI,,,1111.14,2692.97,2
CPT,0727T,RMVL&RPLCMT IMPLT VSTBLR DEV,,,2345.8,5685.3,2
CPT,0728T,DX ALYS VSTBLR IMPLT UNI 1ST,,,210.92,210.92,2
CPT,0729T,DX ALYS VSTBLR IMPLT UNI SBQ,,,210.92,210.92,2
CPT,0730T,TRABECULOTOMY LSR W/OCT GDN,,,1697.9,4115.05,2
CPT,0731T,AUGMNT AI-BASED FCL PHNT A/R,,,44.57,108.01,11
CPT,0733T,REM R-T MTN NREHAB THER SPLY,,,27.49,368.03,11
CPT,0735T,PREP TUM CAV IORT PRIM CRNOT,,,2345.8,5685.3,2
CPT,0736T,COLONIC LAVAGE 35+L WATER,,,148.64,164.28,9
CPT,0737T,XENOGRAFT IMPLTJ ARTCLR SURF,,,171.82,13510.16,11
CPT,0739T,ABLTJ MAL PRST8 MAG FLD NDCT,,,2540.0,6155.96,2
CPT,0740T,REM AUTON ALG NSLN CAL SETUP,,,44.57,108.01,11
CPT,0741T,REM AUTON ALG NSLN DATA COLL,,,27.49,66.61,11
CPT,0742T,AQMBF SPECT XERS/STRS & REST,,,1.0,1.0,2
CPT,0743T,B1 STR & FX RSK VRT FX ASSMT,,,229.63,253.81,9
CPT,0744T,INSJ BIOPROSTC VLV FEM VN,,,4003.89,9703.85,11
CPT,0745T,CAR ABLT RAD ARR N-INVAS LOC,,,5441.29,13187.56,2
CPT,0746T,CAR ABLT RAD ARR CNV LOC MAP,,,5441.29,13187.56,2
CPT,0747T,CAR ABLT RAD ARRHYT DLVR RAD,,,5441.29,13187.56,2
CPT,0748T,NJX STM CL PRDCT ANL SFT TIS,,,145.86,353.51,2
CPT,0764T,ASSTV ALG ECG RSK ASMT CNCRT,,,122.46,135.35,9
CPT,0765T,ASSTV ALG ECG RSK ASMT PREV,,,122.46,135.35,9
CPT,0766T,TC MAG STIMJ PN 1ST NERVE,,,113.81,326.97,11
CPT,0767T,TC MAG STIMJ PN EA ADDL NRV,,,1.0,1.0,2
CPT,0775T,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,0777T,R-T PRS SENSING EDRL GDN SYS,,,503.85,1221.15,2
CPT,0778T,SMMG CNCRNT APPL IMU SNR,,,113.81,275.82,11
CPT,0779T,GI MYOELECTRICAL ACTV STUDY,,,390.51,946.44,11
CPT,0780T,INSTLJ FECAL MICROBIOTA SSP,,,93.07,225.57,11
CPT,0781T,BRNCHSC RF DSTRJ PULM NRV BI,,,144.32,349.77,2
CPT,0782T,BRNCHSC RF DSTRJ PLM NRV UNI,,,144.32,349.77,2
CPT,0783T,TC AURICULR NEUROSTIMULATION,,,113.81,275.82,11
CPT,0784T,INS/RPLMT ELTRD RA SPI NSTIM,,,9924.97,24054.24,11
CPT,0785T,REVJ/RMVL NEA SPI W/NSTIM,,,2479.07,6008.29,11
CPT,0786T,INSJ/RPLCMT PRQ RA SAC NSTIM,,,9924.97,24054.24,2
CPT,0787T,REVJ/RMVL NEA SAC W/NSTIM,,,2479.07,6008.29,11
CPT,0788T,ELEC ALY SMP IINS SP/SAC NRV,,,70.53,170.94,11
CPT,0789T,ELEC ALY CPX IINS SP/SAC NRV,,,70.53,170.94,11
CPT,0790T,REVJ RPLCMT/RMVL VRT TETHRG,,,13578.19,32908.19,2
CPT,0793T,PRQ TCAT THRM ABLT NRV P-ART,,,12776.04,30964.11,11
CPT,0794T,PT SPEC ALG RX-ONC TX OPTION,,,44.57,108.01,11
CPT,0795T,TCAT INS 2CHMBR LDLS PM CMPL,,,14196.88,34407.66,11
CPT,0796T,TCAT INS 2CHMBR LDLS PM RA,,,14196.88,34407.66,11
CPT,0797T,TCAT INS 2CHMBR LDLS PM RV,,,14196.88,34407.66,11
CPT,0798T,TCAT RMV 2CHMBR LDLS PM CMPL,,,2322.4,5628.59,11
CPT,0799T,TCAT RMVL 2CHMBR LDLS PM RA,,,2322.4,5628.59,11
CPT,0800T,TCAT RMVL 2CHMBR LDLS PM RV,,,2322.4,5628.59,11
CPT,0801T,TCAT RMV&RPL 2CHMBR LDLS PM,,,14196.88,34407.66,11
CPT,0802T,TCAT RMV&RPL2CHMB LDLS PM RA,,,14196.88,34407.66,11
CPT,0803T,TCAT RMV&RPL2CHMB LDLS PM RV,,,14196.88,34407.66,11
CPT,0804T,PRGRMG EVL LDLS PM 2CHMBR IP,,,27.49,66.61,11
CPT,0805T,TCAT S&IVC PRSTC VL IMPL PRQ,,,7448.43,18052.08,2
CPT,0806T,TCAT S&IVC PRSTC VL IMPL OPN,,,7448.43,18052.08,2
CPT,0807T,PULM TISS VNTJ ALYS PREV CT,,,228.69,554.25,11
CPT,0808T,PULM TISS VNTJ ALYS W/CT,,,228.69,554.25,11
CPT,0809T,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,0810T,SUBRTA NJX RX AGT W/VTRC,,,3246.97,7869.38,11
CPT,0811T,REM MLT DAY UROFLOW SETUP,,,96.31,233.42,11
CPT,0812T,REM MLT DAY UROFLOW DEV SPLY,,,27.49,164.28,11
CPT,0813T,EGD VOL ADJMT BARIATRIC BALO,,,660.46,1600.7,11
CPT,0814T,PRQ NJX BIOD OSTEO MATRL FEM,,,1171.0,2838.05,2
CPT,0816T,OPN INSJ/RPLCMT INS PTN SUBQ,,,15938.46,38628.57,11
CPT,0817T,OPN INSJ/RPLCMT INS PTN SUBF,,,15938.46,38628.57,11
CPT,0818T,REVJ/RMVL INS PTN SUBQ,,,2479.07,6008.29,11
CPT,0819T,REVJ/RMVL INS PTN SUBF,,,2479.07,6008.29,11
CPT,0820T,MNTR PSYCHDLC MED 1STPHY/QHP,,,116.17,281.54,2
CPT,0821T,MNTR PSYCHDLC MED 2NDPHY/QHP,,,1.0,1.0,2
CPT,0822T,MNTR PSYCHDLC MED CLN STAFF,,,1.0,1.0,2
CPT,0823T,TCAT INS 1CHMBR LDLS PM RA,,,14196.88,34407.66,11
CPT,0824T,TCAT RMV 1CHMBR LDLS PM RA,,,2322.4,5628.59,11
CPT,0825T,TCAT RMV&RPL1CHMB LDLS PM RA,,,14196.88,34407.66,11
CPT,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,,,27.49,66.61,11
CPT,0827T,DGTZ GLS MCRSCP CYTP SMEARS,,,1.0,1.0,2
CPT,0828T,DGTZ GLS MCRSCP CYTP SMPL FL,,,1.0,1.0,2
CPT,0829T,DGTZ GLS MCRSCP CYTP CONCTRJ,,,1.0,1.0,2
CPT,0830T,DGTZ GLS MCRSCP CYTP SLCTV,,,1.0,1.0,2
CPT,0831T,DGTZ GLS MCRSCP CYTP C/V,,,1.0,1.0,2
CPT,0832T,DGTZ GLS MCRSCP CYTP OTH SCR,,,1.0,1.0,2
CPT,0833T,DGTZ GLS MCRSCP CYTP OTH PRP,,,1.0,1.0,2
CPT,0834T,DGTZ GLS MCRSCP CYTP OTH XTN,,,1.0,1.0,2
CPT,0835T,DGTZ GLS MCRSCP FNA 1ST EA,,,1.0,1.0,2
CPT,0836T,DGTZ GLS MCRSCP FNA EA ADDL,,,1.0,1.0,2
CPT,0837T,DGTZ GLS MCRSCP FNA I&R,,,1.0,1.0,2
CPT,0838T,DGTZ GLS MCRSCP CSLT SLD ELS,,,1.0,1.0,2
CPT,0839T,DGTZ GLS MCRSCP CSLT MAT PRP,,,1.0,1.0,2
CPT,0840T,DGTZ GLS MCRSCP CSLT COMPRE,,,1.0,1.0,2
CPT,0841T,DGTZ GLS MCRSCP PTH CSLT 1ST,,,1.0,1.0,2
CPT,0842T,DGTZ GLS MCRSCP PTH CSLT EA,,,1.0,1.0,2
CPT,0843T,DGTZ GLS MCRSCP CSLT CYT 1ST,,,1.0,1.0,2
CPT,0844T,DGTZ GLS MCRSCP CSLT CYT EA,,,1.0,1.0,2
CPT,0845T,DGTZ GLS MCRSCP IMFLUOR 1ST,,,1.0,1.0,2
CPT,0846T,DGTZ GLS MCRSCP IMFLUOR EA,,,1.0,1.0,2
CPT,0847T,DGTZ GLS MCRSCP XM ARCH TISS,,,1.0,1.0,2
CPT,0848T,DGTZ GLS MCRSCP ISH 1ST,,,1.0,1.0,2
CPT,0849T,DGTZ GLS MCRSCP ISH EA ADL 1,,,1.0,1.0,2
CPT,0850T,DGTZ GLS MCRSCP ISH EA MULT,,,1.0,1.0,2
CPT,0851T,DGTZ GLS MCRSCP MPHMTRC 1ST,,,1.0,1.0,2
CPT,0852T,DGTZ GLS MCRSCP MPHMTRC EA 1,,,1.0,1.0,2
CPT,0853T,DGTZ GLS MCRSCP MPHMTRC EA M,,,1.0,1.0,2
CPT,0854T,DGTZ GLS MCRSCP BLD SMR PRPH,,,1.0,1.0,2
CPT,0855T,DGTZ GLS MCRSCP B1 MAROW SMR,,,1.0,1.0,2
CPT,0856T,DGTZ GLS MCRSCP ELECTRON MIC,,,1.0,1.0,2
CPT,0857T,OPTO-ACOUSTIC IMG BREAST UNI,,,80.11,194.16,11
CPT,0858T,EXT TRNSCRANL MAG STIMJ MEAS,,,228.69,554.25,2
CPT,0859T,NCNTC IFR SPCTRSC O/T PAD EA,,,1.0,1.0,2
CPT,0861T,RMVL PG WCS LV BOTH COMPNT,,,2861.21,6934.46,11
CPT,0862T,RLCJ PG WCS LV BATTERY ONLY,,,1328.68,3220.2,11
CPT,0863T,RLCJ PG WCS LV TRNSMTR ONLY,,,1328.68,3220.2,11
CPT,0864T,LOW NTSTY ESWT CORPUS CVRNSM,,,180.07,436.41,11
CPT,0865T,QUAN MRI ALYS BRN W/O DX MRI,,,178.53,432.69,11
CPT,0866T,QUAN MRI ALYS BRN W/DX MRI,,,178.53,432.69,11
CPT,0867T,TPLA B9 PRST8 HYPRPLSA>=50ML,,,4829.44,5337.8,9
CPT,0868T,HI-RES GASTRIC EP MAPPING,,,504.07,557.13,9
CPT,0869T,NJX B1 SUB MTRL HW FIXJ AUG,,,3082.38,3406.84,9
CPT,0877T,AUGMNT ALYS CH CT ILD W/O CT,,,617.98,683.03,9
CPT,0878T,AUGMNT ALYS CH CT ILD W/CT,,,617.98,683.03,9
CPT,0881T,CRYOTHERAPY ORAL CAVITY,,,379.09,418.99,9
CPT,0884T,ESOPHAGOSCOPY FLEX TRNSORL 1ST TNDSC DILAT RX BALO CATH,5253.0,4202.4,1458.76,6250.45,36
CPT,0885T,COLONOSCOPY FLEX TRNSORL 1ST TNDSC DILAT RX BALO CATH,3914.0,3131.2,1086.92,6250.45,36
CPT,0886T,SIGOIMDOSCOPY FLEX TRNSORL 1ST TNDSC DILAT RX BALO CATH,3914.0,3131.2,1086.92,6250.45,36
CPT,0888T,HISTOTRIPSY MAL RENAL TISSUE,,,16625.48,18375.53,9
CPT,0889T,PRSNLZ TRGT DVL ARHFCMRIGTBS,,,902.98,998.03,9
CPT,0890T,ARHFCMRIGTBS 1ST TX DAY,,,3562.98,3938.03,9
CPT,0891T,ARHFCMRIGTBS SBSQ TX DAY,,,3562.98,3938.03,9
CPT,0892T,ARHFCMRIGTBS SBSQ PER TX DAY,,,3562.98,3938.03,9
CPT,0893T,N-INVAS ASSMT BLD OXYGNATION,,,56.43,62.37,9
CPT,0897T,N-INVAS AUGMNT ARRHYT ALYS,,,966.52,1068.26,9
CPT,0898T,N-INVAS PRST8 CANCER EST MAP,,,966.52,1068.26,9
CPT,0902T,QTC NTRVL AUGMNT ALG ALY ECG,,,122.46,135.35,9
CPT,0904T,ECG ALG 12 LD RDCD TRCG ONLY,,,56.43,62.37,9
CPT,0906T,COMS THER 1ST APPL<=50 SQ CM,,,188.77,208.64,9
CPT,0913T,PERQ TCAT THER RX DLVR INTRACAR RX BALLOON 1 MAJ C ART,20221.0,16176.8,5416.44,18198.9,36
CPT,0914T,PERQ TCAT THER RX DLVR INTRACAR RX BALLOON SEPARATE LESION,12143.0,9714.4,3372.11,10928.7,27
CPT,0915T,INSJ PERM CCM-D SYS PG&ELTRD,,,30458.5,33664.66,9
CPT,0916T,INSJ PERM CCM-D SYS PG ONLY,,,21323.88,23568.5,9
CPT,0917T,INSJ PERM CCM-D SYS 1 LEAD,,,7862.18,8689.78,9
CPT,0918T,INSJ PERM CCM-D SYS DUAL LD,,,7862.18,8689.78,9
CPT,0919T,RMVL PERM CCM-D SYS PG ONLY,,,3457.34,3821.27,9
CPT,0920T,RMVL PERM CCM-D SYS 1 PAC LD,,,3457.34,3821.27,9
CPT,0921T,RMVL PERM CCM-D SYS 1 DFB LD,,,3457.34,3821.27,9
CPT,0922T,RMVL PERM CCM-D SYS DUAL LD,,,3457.34,3821.27,9
CPT,0923T,RMVL&RPLCMT PERM CCM-D PG,,,21323.88,23568.5,9
CPT,0924T,RPOS PRV CCM-D TRNSVNS ELTRD,,,587.35,649.17,9
CPT,0925T,RLCJ SKIN POCKET CCM-D PG,,,1737.77,1920.69,9
CPT,0926T,PRGRMG DEV EVAL CCM-D IP,,,35.43,39.15,9
CPT,0927T,INTERROG DEV EVAL CCM-D IP,,,35.43,39.15,9
CPT,0929T,REM INTERROG DEV CCM-D TECH,,,35.43,39.15,9
CPT,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,,,1153.29,1274.69,9
CPT,0931T,EPHYS EVAL CCM-D LD SEPARATE,,,1153.29,1274.69,9
CPT,0932T,N-INVS DET HRT FAIL AUG ECHO,,,284.91,314.91,9
CPT,0933T,TCAT IMPL WRLS L ATR PRS SNR,,,3055.59,3377.23,9
CPT,0944T,3D CNTR SIMULA TRGT LVR LES,,,229.63,253.81,9
CPT,0946T,ORTHO IMPL MVMT ALYS PAIR CT,,,101.02,111.66,9
CPT,0949T,REM INTERROG DEV CCM TECH,,,35.43,39.15,9
CPT,0950T,ABLTJ B9 PRST8 TISSUE HIFU,,,8784.79,9709.51,9
CPT,0956T,PRT CRN CH CR&TUN ELT S-SCLP,,,21375.48,23625.53,9
CPT,0957T,REV S-SCLP ELTR RA RCVR&TLMT,,,1520.39,1680.43,9
CPT,0958T,RMV S-SCLP ELTR RA RCVR&TLMT,,,3082.38,3406.84,9
CPT,0959T,RMV/RPLC MAGNET COIL ASSEM,,,1539.23,1701.25,9
CPT,0960T,RPL S-SCLP ELTR RA RCVR&TLMT,,,21375.48,23625.53,9
CPT,0962T,ASSTV ALG ALYS ACOUS&ECG REC,,,122.46,135.35,9
CPT,0963T,ANOSC SBMCSL NJX BULKING AGT,,,1120.13,1238.03,9
CPT,0964T,I&CUST PREP JAW XPNSJ 1ARCH,,,3080.92,3405.22,9
CPT,0965T,I&CST PRP JW XPN DL ARCH NON,,,3080.92,3405.22,9
CPT,0966T,I&CST PRP JW XPN DL ARCH FXD,,,3080.92,3405.22,9
CPT,0967T,TRANAL INS TMP CLRC ANST DEV,,,1120.13,1238.03,9
CPT,0970T,ABLT B9 BRST TUM PERQ LSR EA,,,3637.82,4020.74,9
CPT,0971T,ABLT MAL BRST TUM PQ LSR UNI,,,3637.82,4020.74,9
CPT,0973T,SLCTV NZMTC DBRDMT T/A/L 1ST,,,379.55,419.51,9
CPT,0975T,SLCTV NZMTC DBRDMT S/N/HF 1,,,379.55,419.51,9
CPT,0977T,UPR GI BLD DETCJ SNR CAPSULE,,,890.68,984.44,9
CPT,0981T,TCAT IMPL WRLS IVC SNR,,,17058.88,18854.56,9
CPT,0982T,REM MNTR IMPL IVC SNR SET-UP,,,122.43,135.31,9
CPT,0983T,REM MNTR IMPL IVC SNR PHYS,,,35.43,39.15,9
CPT,10004,FNA BX W/O IMG GDN EA ADDL,,,1.0,51.61,15
CPT,10005,SURG 10005 FINE NDL ASPIR BX W US GDN 1ST LESION,2425.0,1940.0,71.9,2182.5,38
CPT,10006,SURG 10006 FINE NDL ASPIR BX W US GDN EA ADDL LESION,1246.0,996.8,1.0,1121.4,36
CPT,10007,SURG 10007 FINE NDL ASPIR BX W FLURO GDN 1ST LESION,2189.0,1751.2,88.21,1970.1,38
CPT,10008,SURG 10008 FINE NDL ASPIR BX W FLURO GDN EA ADDL LESION,1127.0,901.6,1.0,1014.3,36
CPT,10009,SURG 10009 FINE NDL ASPIR BX W CT GDN 1ST LESION,1496.0,1196.8,106.52,1346.4,38
CPT,10010,FNA BX W/CT GDN EA ADDL,,,1.0,234.7,15
CPT,10011,FNA BX W/MR GDN 1ST LES,,,512.62,1242.38,13
CPT,10012,FNA BX W/MR GDN EA ADDL,,,1.0,1.0,2
CPT,10021,ED 10021 FINE NDLE ASP WO IMAGING 1ST LES,779.0,623.2,54.26,704.12,38
CPT,10021,SURG 10021 FINE NDL ASPIR BX WO GDN 1ST LESION,779.0,623.2,54.26,704.12,38
CPT,10022,Outpatient Services - CPT/HCPCS,,,290.53,704.12,2
CPT,10030,SURG 10030 IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,2271.0,1816.8,132.15,2043.9,38
CPT,10035,SURG 10035 PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,1353.0,1082.4,82.22,1242.38,38
CPT,10036,SURG 10036 PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE,1281.0,1024.8,1.0,1152.9,36
CPT,10040,EXTRACTION,,,51.6,353.51,17
CPT,10060,ED 10060 I&D SKIN ABSCESS SMPL,742.0,593.6,107.19,667.8,38
CPT,10060,SURG 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL,742.0,593.6,107.19,667.8,38
CPT,10060,TX RM 10060 I&D ABSCESS SIMPLE,742.0,593.6,107.19,667.8,38
CPT,10061,ED 10061 I&D SKIN ABSCESS COMPL,1153.0,922.4,185.08,1037.7,38
CPT,10061,TX RM 10061 INC&DRNG ABSCESS MULT COMPLIC,1153.0,922.4,185.08,1037.7,38
CPT,10080,ED 10080 I&D PILONIDAL CYST SMPL,929.0,743.2,105.85,1242.38,38
CPT,10080,TX RM 10080 I &D PILONIDAL CYST SIMPLE,929.0,743.2,105.85,1242.38,38
CPT,10081,ED 10081 I&D PILONIDAL CYST COMPL,2259.0,1807.2,171.43,2033.1,38
CPT,10120,ED 10120 INC&REMV FB SMPL,1049.0,839.2,106.19,944.1,38
CPT,10120,SURG 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,1049.0,839.2,106.19,944.1,38
CPT,10120,TX RM 10120 INCISION  RMV FB SUBQ SMP,1049.0,839.2,106.19,944.1,38
CPT,10121,ED 10121 INC&REMV FB COMPL,3211.0,2568.8,183.75,2889.9,38
CPT,10121,SURG 10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL,3211.0,2568.8,183.75,2889.9,38
CPT,10121,TX RM 10121 INCIS & REMVL FB SUBQ TISSUES CMPL,3211.0,2568.8,183.75,2889.9,38
CPT,10140,ED 10140 I&D HEMATOMA FLUID,2744.0,2195.2,118.84,2862.91,38
CPT,10140,SURG 10140 DRAIN HEMATOMA SEROMA,2744.0,2195.2,118.84,2862.91,38
CPT,10160,ED 10160 PUNC DRAINAGE LESN,1350.0,1080.0,96.87,1215.0,38
CPT,10160,SURG 10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,1350.0,1080.0,96.87,1215.0,38
CPT,10180,ED 10180 I&D POSTOP WOUND INF,4044.0,3235.2,179.42,5017.59,38
CPT,10180,TX RM 10180 I&D COMP POSTOP INF WOUND,4044.0,3235.2,179.42,5017.59,38
CPT,11000,ED 11000 DEBR SKIN 10% BODY SURFACE,1087.0,869.6,27.3,1109.03,38
CPT,11000,TX RM 11000 DEBRIDE INFECT SKIN NECRO,1087.0,869.6,27.3,1109.03,38
CPT,11001,TX RM 11001 DEBRIDE ADDITIN 10% BODY,165.0,132.0,1.0,148.5,36
CPT,11004,DBRDMT SKIN XTRNL GENT&PER,,,400.87,971.56,15
CPT,11005,DBRDMT SKIN ABDOMINAL WALL,,,400.87,971.56,15
CPT,11006,DBRDMT SKIN XTRNL GENT PER,,,400.87,971.56,15
CPT,11008,ED 11008 REMV MESH ABD WALL INF,1725.0,1380.0,225.86,1552.5,36
CPT,11010,ED 11010 DEBR SKIN FX DISLOC,2490.0,1992.0,274.95,2241.0,38
CPT,11011,ED 11011 DEBRIDE SKIN MUSC AT FX SITE,2349.0,1879.2,295.59,2114.1,38
CPT,11012,ED 11012 DEBR ASSC WOP FX DISLOC,4395.0,3516.0,412.77,5017.59,38
CPT,11042,ED 11042 DEBR SKN SUBQ TISS 20 CM <,1807.0,1445.6,60.25,1626.3,38
CPT,11042,TX RM 11042 DEBRIDE SKIN & SUBQ TISSUE,1807.0,1445.6,60.25,1626.3,38
CPT,11043,ED 11043 DEBR SKN SUBCUTANS 20 CM <,1930.0,1544.0,152.46,1737.0,38
CPT,11043,TX RM 11043 DEBRIDMNT SUBQ TIS MUSCL,1930.0,1544.0,152.46,1737.0,38
CPT,11044,ED 11044 DEBR TO BONE 20 CM <,3240.0,2592.0,223.69,2916.0,38
CPT,11044,TX RM 11044 DEBR SKIN MUSCLE BONE,3240.0,2592.0,223.69,2916.0,38
CPT,11045,ED 11045 DEBR SKIN SUBQ TISSUE EA ADD 20 SQ CM,860.0,688.0,1.0,774.0,36
CPT,11045,TX RM 11045 DEBR SKN SUBQ TIS ADD20SQCM,860.0,688.0,1.0,774.0,36
CPT,11046,SURG 11046 DEBRIDEMENT MUSCLE FASCIA EA ADDL 20 SQ CM,882.0,705.6,1.0,793.8,36
CPT,11046,TX RM 11046 DBR MUSCLE FASC EA+20,882.0,705.6,1.0,793.8,36
CPT,11047,TX RM 11047 DBR BONE EA+20SQCM,2561.0,2048.8,1.0,2304.9,36
CPT,11055,ED 11055 PARING LESN BENIGN,489.0,391.2,15.31,440.1,38
CPT,11055,SURG 11055 PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,489.0,391.2,15.31,440.1,38
CPT,11055,TX RM 11055 PARING OR CUTTING BENIGN SINGLE LESION,489.0,391.2,15.31,440.1,38
CPT,11056,ED 11056 TRIM SKIN LESN 2 TO 4,503.0,402.4,21.64,452.7,38
CPT,11056,TX RM 11056 PARING CORN CALLUS 2-4 LESIONS,503.0,402.4,21.64,452.7,38
CPT,11057,PARNG/CUTG B9 HYPRKR LES >4,,,28.29,353.51,17
CPT,11100,Outpatient Services - CPT/HCPCS,,,145.86,353.51,2
CPT,11101,Outpatient Services - CPT/HCPCS,,,145.86,353.51,2
CPT,11102,ED 11102 TANGENTIAL BX SKIN SINGLE LESION,576.0,460.8,37.28,518.4,38
CPT,11102,SURG 11102 TANGENTIAL BX SKIN SINGLE LESION,576.0,460.8,37.28,518.4,38
CPT,11103,ED 11103 TANGENTIAL BX SKIN EA SEP OR ADDL LESION,421.0,336.8,1.0,378.9,36
CPT,11103,SURG 11103 TANGENTIAL BX SKIN EA SEP OR ADDL LESION,421.0,336.8,1.0,378.9,36
CPT,11104,ED 11104 PUNCH BX SKIN SINGLE LESION,611.0,488.8,46.27,704.12,38
CPT,11104,SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION,611.0,488.8,46.27,704.12,38
CPT,11104,TX RM 11104 PUNCH BX SKIN SINGLE LESION,611.0,488.8,46.27,704.12,38
CPT,11105,ED 11105 PUNCH BX SKIN EA SEP OR ADDL LESION,460.0,368.0,1.0,414.0,36
CPT,11105,SURG 11105 PUNCH BX SKIN EA SEP OR ADDL LESION,460.0,368.0,1.0,414.0,36
CPT,11106,ED 11106 INCISIONAL BX SKIN SINGLE LESION,545.0,436.0,55.92,1109.03,38
CPT,11106,SURG 11106 INCISIONAL BX SKIN SINGLE LESION,545.0,436.0,55.92,1109.03,38
CPT,11107,ED 11107 INCISIONAL BX SKIN EA SEP OR ADDL LESION,545.0,436.0,1.0,490.5,36
CPT,11107,SURG 11107 INCISIONAL BX SKIN EA SEP OR ADDL LESION,545.0,436.0,1.0,490.5,36
CPT,11200,ED 11200 SKIN TAG RMV <16,648.0,518.4,76.89,583.2,38
CPT,11200,SURG 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,648.0,518.4,76.89,583.2,38
CPT,11201,RMVL SKIN TAGS EA ADDL 10,,,1.0,18.05,15
CPT,11300,SHAVE SKIN LESION 0.5 CM/<,,,33.62,704.12,17
CPT,11301,SURG 11301 SHAVE SKIN LESN TRUNK ARMS LEGS DIAM 0.6-1.0 CM,370.0,296.0,50.6,353.51,38
CPT,11302,SHAVE SKIN LESION 1.1-2.0 CM,,,58.92,353.51,17
CPT,11303,SHAVE SKIN LESION >2.0 CM,,,70.24,704.12,17
CPT,11305,ED 11305 SHV LESN SNHFG .5 CM OR LE,323.0,258.4,36.95,353.51,38
CPT,11306,SHAVE SKIN LESION 0.6-1.0 CM,,,48.27,353.51,17
CPT,11307,SHAVE SKIN LESION 1.1-2.0 CM,,,61.58,353.51,17
CPT,11308,SHAVE SKIN LESION >2.0 CM,,,68.91,704.12,17
CPT,11310,SHAVE SKIN LESION 0.5 CM/<,,,44.94,353.51,17
CPT,11311,SHAVE SKIN LESION 0.6-1.0 CM,,,61.91,353.51,17
CPT,11312,SHAVE SKIN LESION 1.1-2.0 CM,,,73.23,704.12,17
CPT,11313,SHAVE SKIN LESION >2.0 CM,,,94.87,704.12,17
CPT,11400,ED 11400 EXC BNGN LSN .5 CM OR <TAL,954.0,763.2,84.88,1242.38,38
CPT,11400,SURG 11400 EXC LESN BGN TRUNK ARM <0.5CM,954.0,763.2,84.88,1242.38,38
CPT,11401,SURG 11401 EXC BENGN SKN LESN INC MARGN NO SKN TAG TRNK ARM LEG DIA 0.6-1.0,878.0,702.4,106.19,790.2,38
CPT,11402,ED 11402 EXC BND LSN 1.1-2.0 CM TAL,1524.0,1219.2,116.17,1371.6,38
CPT,11402,SURG 11402 EXC BENGN SKN LESN INC MARGN NO SKN TAG TRNK ARM LEG DIA 1.1-2.0,1524.0,1219.2,116.17,1371.6,38
CPT,11402,TX RM 11402 EXCISION LESION BENIGN TRUNK ARM LEG 1.1 TO 2.0CM,1524.0,1219.2,116.17,1371.6,38
CPT,11403,ED 11403 EXC BNGN LSN 2.1-3.0 CM TL,1997.0,1597.6,150.46,1797.3,38
CPT,11404,ED 11404 EXC BND LSN 3.1-4.0 CM TAL,2349.0,1879.2,165.44,2862.91,38
CPT,11406,ED 11406 ESC BNGN LSN >4.0 CM TAL,2764.0,2211.2,249.32,2862.91,38
CPT,11420,SURG 11420 EXC BNGN LSN SCLP NCK HNDS FT GENITAL <0.5CM,3364.0,2691.2,82.55,3027.6,38
CPT,11421,SURG 11421 EXC BNGN LSN SCALP NECK HANDS FEET GENITAL 0.6-1.0CM,1128.0,902.4,109.52,1242.38,38
CPT,11422,ED 11422 EXC BENIGN LSN 1.1-2.0,2639.0,2111.2,136.48,2862.91,38
CPT,11422,SURG 11422 EXC BNGN LSN S/N/H/F/G 1.1-2.0CM,2639.0,2111.2,136.48,2862.91,38
CPT,11423,SURG 11423 EXC BNGN LSN S/N/H/F/G 2.1-3.0CM,3462.0,2769.6,157.78,3115.8,38
CPT,11424,SURG 11424 EXC BNGN LSN S/N/H/F/G 3.1-4.0CM,3462.0,2769.6,181.75,3115.8,38
CPT,11426,SURG 11426 EXC BNGN LSN S/N/H/F/G >4.0 CM,4447.0,3557.6,268.3,5017.59,38
CPT,11440,EXC FACE-MM B9+MARG 0.5 CM/<,,,107.85,1242.38,17
CPT,11441,EXC FACE-MM B9+MARG 0.6-1 CM,,,134.15,1242.38,17
CPT,11442,EXC FACE-MM B9+MARG 1.1-2 CM,,,147.8,1242.38,17
CPT,11443,EXC FACE-MM B9+MARG 2.1-3 CM,,,179.75,2862.91,17
CPT,11444,EXC FACE-MM B9+MARG 3.1-4 CM,,,226.02,2862.91,17
CPT,11446,EXC FACE-MM B9+MARG >4 CM,,,317.23,5017.59,17
CPT,11450,EXC SKN HDRDNT AX SMPL/NTRM,,,264.3,5017.59,17
CPT,11451,EXC SKN HDRDNT AX COMPLEX,,,333.54,5017.59,17
CPT,11462,EXC SKN HDRDNT ING SMPL/NTRM,,,251.65,5017.59,17
CPT,11463,EXC SKN HDRDNT ING COMPLEX,,,335.21,5017.59,17
CPT,11470,EXC SKN H/P/P/U SMPL/NTRM,,,288.94,5017.59,17
CPT,11471,EXC SKN H/P/P/U COMPLEX,,,353.51,5017.59,17
CPT,11600,EXC TR-EXT MAL+MARG 0.5 CM/<,,,122.5,1242.38,17
CPT,11601,EXC TR-EXT MAL+MARG 0.6-1 CM,,,148.13,1242.38,17
CPT,11602,ED 11602 EXC LES MAL TRUNK ARM 1.1-2.0CM,1098.0,878.4,160.78,988.2,38
CPT,11603,EXC TR-EXT MAL+MARG 2.1-3 CM,,,192.07,1242.38,17
CPT,11604,EXC TR-EXT MAL+MARG 3.1-4 CM,,,211.38,1242.38,17
CPT,11606,EXC TR-EXT MAL+MARG >4 CM,,,314.9,2862.91,17
CPT,11620,SURG 11620 EXC MALIG LESN INC MARGIN SCLP NCK HND FT GENITAL EXC DIAM 0.5 C,4217.0,3373.6,123.5,3795.3,38
CPT,11621,ED 11621 EXC MALG LSN 0.6-1.0 CM SN,1802.0,1441.6,148.8,1621.8,38
CPT,11621,SURG 11621 EXC MALIG LESN INC MARGIN SCLP NCK HND FT GENITAL EXC DIAM 0.6-1,1802.0,1441.6,148.8,1621.8,38
CPT,11622,EXC S/N/H/F/G MAL+MRG 1.1-2,,,168.77,1242.38,17
CPT,11623,EXC S/N/H/F/G MAL+MRG 2.1-3,,,208.05,2862.91,17
CPT,11624,EXC S/N/H/F/G MAL+MRG 3.1-4,,,236.67,2862.91,17
CPT,11626,EXC S/N/H/F/G MAL+MRG >4 CM,,,289.27,5017.59,17
CPT,11640,EXC F/E/E/N/L MAL+MRG 0.5CM<,,,126.83,1242.38,17
CPT,11641,EXC F/E/E/N/L MAL+MRG 0.6-1,,,155.12,1242.38,17
CPT,11642,EXC F/E/E/N/L MAL+MRG 1.1-2,,,181.42,1242.38,17
CPT,11643,EXC F/E/E/N/L MAL+MRG 2.1-3,,,226.02,2862.91,17
CPT,11644,EXC F/E/E/N/L MAL+MRG 3.1-4,,,279.95,2862.91,17
CPT,11646,EXC F/E/E/N/L MAL+MRG >4 CM,,,386.47,5017.59,17
CPT,11719,ED 11719 TRIMMING NONDYSTROPHIC NAILS,141.0,112.8,7.32,126.9,38
CPT,11719,TX RM 11719 TRIM NAIL(S),141.0,112.8,7.32,126.9,38
CPT,11720,ED 11720 DEBR OF NAILS 1-5,557.0,445.6,13.98,501.3,38
CPT,11720,TX RM 11720 DEBRIDE NAILS 1-5,557.0,445.6,13.98,501.3,38
CPT,11721,SURG 11721 DEBRIDEMENT NAIL(S) ANY METHOD(S) 6+,557.0,445.6,23.3,501.3,38
CPT,11721,TX RM 11721 DEBRIDE NAILS 6+,557.0,445.6,23.3,501.3,38
CPT,11730,ED 11730 REMV OF NAIL PLATE,665.0,532.0,53.26,598.5,38
CPT,11730,SURG 11730 AVULSION NAIL PLATE PARTIAL COMP SMPL SNGL,665.0,532.0,53.26,598.5,38
CPT,11730,TX RM 11730 REMOV NAIL PLATE PART COMP SGL,665.0,532.0,53.26,598.5,38
CPT,11732,ED 11732 AVULSION NAIL PLATE SIMPLE EACH ADDL,270.0,216.0,1.0,243.0,36
CPT,11732,TX RM 11732 REMOV NAIL PLAT PART COMP ADDL,270.0,216.0,1.0,243.0,36
CPT,11740,ED 11740 DRAIN BLOOD UNDER NAIL,574.0,459.2,32.29,516.6,38
CPT,11750,ED 11750 REMV OF NAIL BED,1501.0,1200.8,101.86,1350.9,38
CPT,11750,SURG 11750 EXC NAIL NAIL MATRIX PERM REMVL,1501.0,1200.8,101.86,1350.9,38
CPT,11755,SURG 11755 BX NAIL UNIT (SEP PROC),1405.0,1124.0,59.92,1264.5,38
CPT,11760,ED 11760 RPR OF NAIL BED,891.0,712.8,109.52,1109.03,38
CPT,11760,SURG 11760 RPR NAIL BED,891.0,712.8,109.52,1109.03,38
CPT,11762,RECONSTRUCTION OF NAIL BED,,,186.74,3220.2,17
CPT,11765,ED 11765 EXC OF NAIL FOLD,665.0,532.0,93.2,704.12,38
CPT,11770,ED 11770 EXC PILONIDAL CYST SMPL,3802.0,3041.6,186.41,5017.59,38
CPT,11771,EXC PILONIDAL CYST XTNSV,,,453.38,5017.59,17
CPT,11772,EXC PILONIDAL CYST COMP,,,582.86,5017.59,17
CPT,11900,SURG 11900 INJECTION INTRALESIONAL UP TO 7 LESIONS,1063.0,850.4,29.63,956.7,38
CPT,11901,INJECT SKIN LESIONS >7,,,44.94,353.51,17
CPT,11920,CORRECT SKIN COLOR 6.0 CM/<,,,113.51,1109.03,17
CPT,11921,CORRECT SKN COLOR 6.1-20.0CM,,,130.15,1109.03,17
CPT,11922,CORRECT SKIN COLOR EA 20.0CM,,,1.0,60.81,15
CPT,11950,SUBQ NJX FILLING MATRL 1CC/<,,,51.6,353.51,17
CPT,11951,SUBQ NJX FIL MATRL 1.1-5.0CC,,,72.23,1109.03,17
CPT,11952,SUBQ NJX FIL MATRL 5.1-10CC,,,101.53,1109.03,17
CPT,11954,SUBQ NJX FIL MATRL>10.0 CC,,,110.85,1109.03,17
CPT,11960,INSERT TISSUE EXPANDER(S),,,1018.26,6335.16,17
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,564.22,12632.88,17
CPT,11971,RMVL TIS XPNDR WO INSJ IMPLT,,,555.57,5017.59,17
CPT,11976,ED 11976 REM IMPLANTABLE CONTRACEPTIVE CAP,902.0,721.6,92.21,1242.38,38
CPT,11980,IMPLANT HORMONE PELLET(S),,,54.92,703.57,17
CPT,11981,TX RM 11981 INSERTION DRUG DELIV IMPLANT,1554.0,1243.2,62.25,1398.6,38
CPT,11982,ED 11982 REM IMPL DRUG DELIV NON-BIO,569.0,455.2,72.57,703.57,38
CPT,11982,SURG 11982 REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,569.0,455.2,72.57,703.57,38
CPT,11982,TX RM 11982 REMOVAL DRUG DELIVERY IMPLANT,569.0,455.2,72.57,703.57,38
CPT,11983,REMOVE/INSERT DRUG IMPLANT,,,102.53,703.57,17
CPT,12001,ED 12001 RPR SUPERFCL WND 2.5CM OR<,740.0,592.0,44.61,666.0,38
CPT,12001,TX RM 12001 RPR SUPRFICIAL WND <= 2.5CM,740.0,592.0,44.61,666.0,38
CPT,12002,ED 12002 RPR SUPERFCL WND 2.6-7.5CM,762.0,609.6,58.59,685.8,38
CPT,12004,ED 12004 RPR SUPRFCL WND 7.6-12.5CM,762.0,609.6,73.23,685.8,38
CPT,12005,ED 12005 RPR SUPRFL WND 12.6-20.0CM,855.0,684.0,94.2,769.5,38
CPT,12006,ED 12006 RPR SUPRFL WND 20.1-30.0CM,976.0,780.8,115.17,878.4,38
CPT,12006,SURG 12006 SMPL RPR SUPERL WND SCLP NCK AXILLAE GENITAL TRNK EXTREM 20.1-30,976.0,780.8,115.17,878.4,38
CPT,12007,ED 12007 RPR SUPERFCL WND >30CM,949.0,759.2,143.14,854.1,38
CPT,12011,ED 12011 RPR SUPERFCL WND 2.5CM OR<,762.0,609.6,55.26,685.8,38
CPT,12011,TX RM 12011 REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM,762.0,609.6,55.26,685.8,38
CPT,12013,ED 12013 RPR SUPERFCL WND 2.6-5.0CM,785.0,628.0,57.59,706.5,38
CPT,12014,ED 12014 RPR SUPERFCL WND 5.1-7.5CM,785.0,628.0,74.56,706.5,38
CPT,12015,ED 12015 RPR SUPERFL WND 7.6-12.5CM,785.0,628.0,93.54,706.5,38
CPT,12016,ED 12016 SMPL RPR FACE 12.6-20.0 CM,864.0,691.2,126.83,777.6,38
CPT,12017,ED 12017 RPR SUPRFL WND 20.1-30.0CM,932.0,745.6,153.12,838.8,38
CPT,12018,RPR F/E/E/N/L/M >30.0 CM,,,145.86,353.51,17
CPT,12020,ED 12020 WND TX DEHISCENCE SUPERFCL,1963.0,1570.4,188.41,1766.7,38
CPT,12020,SURG 12020 TX SUPERL WND DEHISCENCE SMPL CLOSURE,1963.0,1570.4,188.41,1766.7,38
CPT,12021,ED 12021 WND TX DEHISCENCE WPACK,1624.0,1299.2,141.47,1461.6,38
CPT,12031,ED 12031 LYR CLSR OF WND 2.5CM OR <,1209.0,967.2,151.13,1088.1,38
CPT,12032,ED 12032 LYR CLSR OF WND 2.6-7.5CM,1209.0,967.2,189.74,1088.1,38
CPT,12034,ED 12034 LYR CLSR OF WND 7.6-12.5CM,1209.0,967.2,204.72,1088.1,38
CPT,12035,ED 12035 LYR CLSR OF WD 12.6-20.0CM,1209.0,967.2,241.0,1088.1,38
CPT,12036,ED 12036 LYR CLSR WD 20.1-30.0 CM,1209.0,967.2,281.95,1109.03,38
CPT,12037,ED 12037 LYR CLSR OF WND >30.0CM,4069.0,3255.2,327.55,3662.1,38
CPT,12041,ED 12041 LYR CLSR WND 2.5CM OR <NHF,1019.0,815.2,144.8,917.1,38
CPT,12041,SURG 12041 LAYER CLOSURE WNDS NECK HANDS FEET & OR EXT GENITALIA 2.5 CM <,1019.0,815.2,144.8,917.1,38
CPT,12042,ED 12042 LYR CLSR WND 2.6-7.5CM NHF,1111.0,888.8,195.06,999.9,38
CPT,12044,ED 12044 LYR CLSR WD 7.6-12.5CM NHF,1209.0,967.2,213.71,1109.03,38
CPT,12045,ED 12045 LYR CLR WD 12.6-20.0CM NHF,1209.0,967.2,273.62,1109.03,38
CPT,12046,INTMD RPR N-HF/GENIT20.1-30,,,318.89,1109.03,17
CPT,12047,ED 12047 LYR CLSR WND >30.0CM NHF,2435.0,1948.0,353.51,3220.2,38
CPT,12051,ED 12051 LYR CLSR OF WND 2.5CM OR <,1079.0,863.2,169.1,971.1,38
CPT,12052,ED 12052 LYR CLSR OF WND 2.6-5.0CM,1110.0,888.0,198.73,999.0,38
CPT,12053,ED 12053 LYR CLSR OF WND 5.1-7.5CM,1143.0,914.4,214.37,1028.7,38
CPT,12054,ED 12054 LYR CLSR OF WND 7.6-12.5CM,1209.0,967.2,219.36,1088.1,38
CPT,12055,ED 12055 LYR CLSR  WND 12.6-20.0CM,1209.0,967.2,290.53,1088.1,38
CPT,12056,INTMD RPR FACE/MM 20.1-30.0,,,290.53,704.12,17
CPT,12057,INTMD RPR FACE/MM >30.0 CM,,,290.53,704.12,17
CPT,13100,CMPLX RPR TRUNK 1.1-2.5 CM,,,199.06,1109.03,17
CPT,13101,ED 13101 RPR CMPLX TRUNK 2.6-7.5CM,1945.0,1556.0,245.0,1750.5,38
CPT,13102,ED 13102 RPR CPX TRK EA ADD 5CM OR <,1009.0,807.2,1.0,908.1,36
CPT,13120,ED 13120 RPR CMPLX WND 1.1-2.5CM,1686.0,1348.8,230.02,1517.4,38
CPT,13121,ED 13121 RPR CMPLX WND 2.6-7.5 CM,1945.0,1556.0,255.65,1750.5,38
CPT,13121,TX RM 13121 RPR CMPLX SCALP ARMS & OR LEGS 2.6 TO 7.5 CM,1945.0,1556.0,255.65,1750.5,38
CPT,13122,ED 13122 RPR CMPLX EACH ADD 5CM,1009.0,807.2,1.0,908.1,36
CPT,13131,ED 13131 RPR CPX WD OR LSN 1.1-2.5CM,1638.0,1310.4,240.0,1474.2,38
CPT,13132,ED 13132 RPR CPX WD OR LSN 2.6-7.5CM,1945.0,1556.0,299.59,1750.5,38
CPT,13133,ED 13133 RPR CX WD OR LN EA AD 5CM <,1638.0,1310.4,1.0,1474.2,36
CPT,13151,ED 13151 RPR CX WD OR LSN 1.1-2.5CM,1890.0,1512.0,275.62,1701.0,38
CPT,13152,ED 13152 RPR CX WD OR LSN 2.6-7.5CM,1945.0,1556.0,332.21,1750.5,38
CPT,13153,ED 13153 RPR CMPLX WND OR LSN EA ADD 5CM,1142.0,913.6,1.0,1027.8,36
CPT,13160,ED 13160 CLOSURE WOUND COMPLEX SECONDARY,4725.0,3780.0,795.24,4252.5,38
CPT,14000,TIS TRNFR TRUNK 10 SQ CM/<,,,505.97,3220.2,17
CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,654.43,3220.2,17
CPT,14020,TIS TRNFR S/A/L 10 SQ CM/<,,,567.88,3220.2,17
CPT,14021,TIS TRNFR S/A/L 10.1-30 SQCM,,,708.03,3220.2,17
CPT,14040,ED 14040 TRNSF TISS HD HND FT <10C,3088.0,2470.4,623.47,3220.2,38
CPT,14040,SURG 14040 TRNSFR TISS HND<10CM,3088.0,2470.4,623.47,3220.2,38
CPT,14041,TIS TRNFR F/C/C/M/N/A/G/H/F,,,760.29,3220.2,17
CPT,14060,ED 14060 TIS TRNFR E N E L 10 SQ CM <,3377.0,2701.6,664.09,3220.2,38
CPT,14061,TIS TRNFR E/N/E/L10.1-30SQCM,,,816.54,3220.2,17
CPT,14301,TIS TRNFR ANY 30.1-60 SQ CM,,,867.14,6335.16,17
CPT,14302,TIS TRNFR ADDL 30 SQ CM,,,1.0,213.04,15
CPT,14350,FILLETED FINGER/TOE FLAP,,,675.4,3220.2,17
CPT,15002,WOUND PREP TRK/ARM/LEG,,,217.37,3220.2,17
CPT,15003,WOUND PREP ADDL 100 CM,,,1.0,66.4,15
CPT,15004,SURG 15004 EXC OPN WNDS SCAR 100SQ CM,3818.0,3054.4,256.65,3436.2,38
CPT,15005,WND PREP F/N/HF/G ADDL CM,,,1.0,111.74,15
CPT,15011,HRV SKN CLL SSP AGRFT 1ST 25,,,1737.77,1920.69,9
CPT,15013,PREPJ SKN CLL SSP AGRFT 1ST,,,6887.98,7613.03,9
CPT,15015,APP SKN CL SSP AGRFT T/A/L 1,,,1737.77,1920.69,9
CPT,15017,APP SKN CLL SSP F/N/G/HF 1ST,,,1737.77,1920.69,9
CPT,15040,HARVEST CULTURED SKIN GRAFT,,,124.5,3220.2,17
CPT,15050,ED 15050 SKIN PINCH GRAFT,896.0,716.8,367.36,1109.03,38
CPT,15100,SPLT AGRFT T/A/L 1ST 100SQCM,,,716.01,3220.2,17
CPT,15101,SPLT AGRFT T/A/L EA ADDL 100,,,1.0,179.29,15
CPT,15110,EPIDRM AGRFT T/A/L 1ST 100,,,715.02,3220.2,17
CPT,15111,EPIDRM AGRFT T/A/L EA ADDL,,,1.0,107.47,15
CPT,15115,EPDRM AGRFT F/S/N/H/F/G/M 1,,,695.71,3220.2,17
CPT,15116,EPDRM AGRFT F/S/N/H/F/G/M EA,,,1.0,145.16,15
CPT,15120,SPLT AGRFT F/S/N/H/F/G/M 1ST,,,690.05,6335.16,17
CPT,15121,SPLT AGRFT F/S/N/H/F/G/M EA,,,1.0,200.06,15
CPT,15130,DRM AGRFT T/A/L 1ST 100 SQCM,,,598.18,3220.2,17
CPT,15131,DRM AGRFT T/A/L EA ADDL,,,1.0,94.32,15
CPT,15135,DRM AGRFT F/S/N/H/F/G/M 1ST,,,756.62,6335.16,17
CPT,15136,DRM AGRFT F/S/N/H/F/G/M EA,,,1.0,92.96,15
CPT,15150,TIS CLTR SKN AGRFT T/A/L 1ST,,,640.78,3220.2,17
CPT,15151,TIS CLTR SKN AGRFT T/A/L ADD,,,1.0,110.55,15
CPT,15152,TIS CLTR SKN AGRFT T/A/L EA,,,1.0,146.0,15
CPT,15155,TIS CLTR AGRFT F/S/N/H/F/G 1,,,727.66,6335.16,17
CPT,15156,TIS CLT AGRFT F/S/N/H/F/G AD,,,1.0,148.8,15
CPT,15157,TIS CLT AGRFT F/S/N/H/F/G EA,,,1.0,165.2,15
CPT,15200,FTH/GFT FR TRNK 20 SQ CM/<,,,674.07,3220.2,17
CPT,15201,FTH/GFT FR TRNK EACH ADDL,,,1.0,135.7,15
CPT,15220,FTH/GFT FR S/A/L 20 SQ CM/<,,,610.49,3220.2,17
CPT,15221,FTH/GFT FR S/A/L EACH ADDL,,,1.0,124.99,15
CPT,15240,FTH/GFT F/C/C/M/N/AX/G/H/F20,,,796.24,3220.2,17
CPT,15241,FTH/GFT F/C/C/M/N/A/G/H/F EA,,,1.0,169.85,15
CPT,15260,FTH/GFT FR N/E/E/L 20 SQCM/<,,,843.84,3220.2,17
CPT,15261,FTH/GFT FR N/E/E/L EACH ADDL,,,1.0,200.59,15
CPT,15271,TX RM 15271 SKIN SUB GRAFT TRNK ARM LEG,3152.0,2521.6,83.22,3220.2,38
CPT,15272,TX RM 15272 SKIN SUB GRAFT T A L ADD-ON,1065.0,852.0,1.0,958.5,36
CPT,15273,TX RM 15273 SKIN SUB GRFT T ARM LG CHILD,4709.0,3767.2,193.07,6335.16,38
CPT,15274,TX RM 15274 SKN SUB GRFT T A L CHILD ADD,1085.0,868.0,1.0,976.5,36
CPT,15275,TX RM 15275 SKIN SUB GRAFT FACE NK HF G,3273.0,2618.4,92.21,3220.2,38
CPT,15276,TX RM 15276 SKIN SUB GRAFT F N HF G ADDL,1094.0,875.2,1.0,984.6,36
CPT,15277,TX RM 15277 SKN SUB GRFT F N HF G CHILD,4462.0,3569.6,220.03,4015.8,38
CPT,15278,TX RM 15278 SKN SUB GRFT F N HF G CH ADD,1065.0,852.0,1.0,958.5,36
CPT,15570,SKIN PEDICLE FLAP TRUNK,,,729.0,3220.2,17
CPT,15572,SKIN PEDICLE FLAP ARMS/LEGS,,,737.32,6335.16,17
CPT,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,739.98,3220.2,17
CPT,15576,PEDICLE E/N/E/L/NTRORAL,,,646.44,3220.2,17
CPT,15600,DELAY FLAP TRUNK,,,214.04,6335.16,17
CPT,15610,DELAY FLAP ARMS/LEGS,,,246.33,3220.2,17
CPT,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,328.55,3220.2,17
CPT,15630,DELAY FLAP EYE/NOS/EAR/LIP,,,345.52,3220.2,17
CPT,15650,TRANSFER SKIN PEDICLE FLAP,,,406.11,3220.2,17
CPT,15730,MDFC FLAP W/PRSRV VASC PEDCL,,,911.74,6335.16,17
CPT,15731,FOREHEAD FLAP W/VASC PEDICLE,,,995.96,6335.16,17
CPT,15733,MUSC MYOQ/FSCQ FLP H&N PEDCL,,,1026.92,6335.16,17
CPT,15734,MUSCLE-SKIN GRAFT TRUNK,,,1498.27,6335.16,17
CPT,15736,MUSCLE-SKIN GRAFT ARM,,,1217.32,3220.2,17
CPT,15738,MUSCLE-SKIN GRAFT LEG,,,1264.59,6335.16,17
CPT,15740,ISLAND PEDICLE FLAP GRAFT,,,842.17,3220.2,17
CPT,15750,NEUROVASCULAR PEDICLE FLAP,,,935.38,6335.16,17
CPT,15756,FREE MYO/SKIN FLAP MICROVASC,,,457.59,2270.87,15
CPT,15757,FREE SKIN FLAP MICROVASC,,,457.59,2255.89,15
CPT,15758,FREE FASCIAL FLAP MICROVASC,,,457.59,2246.57,15
CPT,15760,COMPOSITE SKIN GRAFT,,,698.04,3220.2,17
CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,,,482.0,6335.16,17
CPT,15770,DERMA-FAT-FASCIA GRAFT,,,676.07,6335.16,17
CPT,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,513.96,6335.16,17
CPT,15772,GRFG AUTOL FAT LIPO EA ADDL,,,1.0,187.25,15
CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,502.97,3220.2,17
CPT,15774,GFRG AUTOL FAT LIPO EA ADDL,,,1.0,182.71,15
CPT,15775,HAIR TRNSPL 1-15 PUNCH GRFTS,,,253.32,704.12,17
CPT,15776,HAIR TRNSPL >15 PUNCH GRAFTS,,,290.53,704.12,17
CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,1.0,212.04,15
CPT,15778,IMPL ABSRB MSH/PRSTH DLY CLS,,,328.71,1109.03,15
CPT,15780,DERMABRASION TOTAL FACE,,,663.42,5017.59,17
CPT,15781,DERMABRASION SEGMENTAL FACE,,,427.74,1242.38,17
CPT,15782,DERMABRASION OTHER THAN FACE,,,370.82,5017.59,17
CPT,15783,DERMABRASION SUPRFL ANY SITE,,,290.53,704.12,17
CPT,15786,ABRASION LESION SINGLE,,,134.48,353.51,17
CPT,15787,ABRASION LESIONS ADD-ON,,,1.0,29.94,15
CPT,15788,CHEMICAL PEEL FACIAL EPIDRM,,,217.7,704.12,15
CPT,15789,CHEMICAL PEEL FACIAL DERMAL,,,411.43,1109.03,15
CPT,15792,CHEM PEEL NONFACIAL EPIDRM,,,211.71,1109.03,15
CPT,15793,CHEMICAL PEEL NONFACIAL DRM,,,290.53,704.12,15
CPT,15819,Outpatient Services - CPT/HCPCS,,,1328.68,3220.2,4
CPT,15819,Therapy,,,801.56,801.56,4
CPT,15820,BLEPHAROPLASTY LOWER EYELID,,,515.29,3220.2,17
CPT,15821,BLEPHARP LWR EYELID FAT PAD,,,549.58,3220.2,17
CPT,15822,BLEPHAROPLASTY UPPER EYELID,,,399.12,3220.2,17
CPT,15823,BLEPHARP UPR EYELID XCSV SKN,,,549.91,3220.2,17
CPT,15824,RHYTIDECTOMY FOREHEAD,,,1328.68,3220.2,11
CPT,15825,RHYTDCT NCK PLTYSML TGHTG,,,2613.94,6335.16,11
CPT,15826,RHYTIDECTOMY GLBLR FRN LINES,,,2613.94,6335.16,11
CPT,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,2613.94,6335.16,11
CPT,15829,RHYTIDECTOMY SMAS FLAP,,,2613.94,6335.16,13
CPT,15830,EXC EXCESSIVE SKIN ABDOMEN,,,1171.39,11515.15,17
CPT,15832,EXC EXCESSIVE SKIN THIGH,,,923.06,5017.59,17
CPT,15833,EXC EXCESSIVE SKIN LEG,,,878.46,5017.59,17
CPT,15834,EXC EXCESSIVE SKIN HIP,,,894.1,5017.59,17
CPT,15835,EXC EXCESSIVE SKIN BUTTOCK,,,931.72,5017.59,17
CPT,15836,EXC EXCESSIVE SKIN ARM,,,798.9,5017.59,17
CPT,15837,EXC EXCSV SKIN FOREARM/HAND,,,718.01,5017.59,17
CPT,15838,EXC EXCSV SUBMENTAL FAT PAD,,,651.77,5017.59,17
CPT,15839,EXC EXCESSIVE SKN OTHER AREA,,,740.98,5017.59,17
CPT,15840,NERVE PALSY FASCIAL GRAFT,,,1011.27,6335.16,17
CPT,15841,NERVE PALSY MUSCLE GRAFT,,,1773.89,6335.16,17
CPT,15842,NERVE PALSY MICROSURG GRAFT,,,1328.68,3220.2,17
CPT,15845,SKIN AND MUSCLE REPAIR FACE,,,1063.2,6335.16,17
CPT,15847,EXC SKIN ABD ADD-ON,,,1.0,1.0,2
CPT,15850,Outpatient Services - CPT/HCPCS,,,457.59,1109.03,2
CPT,15851,ED 15851 REMOVAL SUTURES OR STAPLES REQ ANESTHESIA,2602.0,2081.6,64.91,3220.2,38
CPT,15851,SURG 15851 REMOVAL SUTURES OR STAPLES REQ ANESTHESIA,2602.0,2081.6,64.91,3220.2,38
CPT,15851,TX RM 15851 REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA,2602.0,2081.6,64.91,3220.2,38
CPT,15852,ED 15852 DRESS CHNG WANES NOT FOR BURN,797.0,637.6,44.27,1109.03,38
CPT,15852,TX RM 15852 DRSG CHG WANES NOT FOR BURN,797.0,637.6,44.27,1109.03,38
CPT,15853,ED 15853 REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,239.0,191.2,1.0,215.1,36
CPT,15853,TX RM 15853 REMOVAL SUTURES/STAPLES NOT REQUIRING ANES,239.0,191.2,1.0,215.1,36
CPT,15854,TX RM 15854 REMOVAL SUTURES/ STAPLES NOT REQ ANES,450.0,360.0,1.0,405.0,36
CPT,15860,IV NJX TST VASC FLO FLAP/GRF,,,105.19,703.57,17
CPT,15876,SUCTION LIPECTOMY HEAD&NECK,,,2613.94,6335.16,13
CPT,15877,SUCTION LIPECTOMY TRUNK,,,2613.94,6335.16,13
CPT,15878,SUCTION LIPECTOMY UPR EXTREM,,,1328.68,3220.2,13
CPT,15879,SUCTION LIPECTOMY LWR EXTREM,,,2613.94,6335.16,13
CPT,15920,EXC COCCYGL PR ULC PRIM SUTR,,,634.13,5017.59,17
CPT,15922,EXC COCCYGL PR ULC FLAP CLSR,,,799.57,6335.16,17
CPT,15931,EXC SACRAL PR ULC PRIM SUTR,,,707.36,5017.59,17
CPT,15933,EXC SAC PR ULC PRIM STR OSTC,,,875.79,5017.59,17
CPT,15934,EXC SACRAL PR ULC SKN FLAP,,,985.98,6335.16,17
CPT,15935,EXC SAC PR ULC SKN FLP OSTC,,,1156.07,6335.16,17
CPT,15936,EXC SAC PR ULC PREP MUS FLAP,,,899.1,3220.2,17
CPT,15937,EXC SAC PR ULC PREP MUS OSTC,,,1036.91,3220.2,17
CPT,15940,EXC ISCHIAL PR ULC PRIM SUTR,,,711.69,5017.59,17
CPT,15941,EXC ISCH PR ULC PRM SUT OSTC,,,930.05,5017.59,17
CPT,15944,EXC ISCH PR ULC SKN FLP CLSR,,,936.04,6335.16,17
CPT,15945,EXC ISCH PR ULC SKN FLP OSTC,,,1021.93,3220.2,17
CPT,15946,EXC ISCH PR ULC PREP MUS FLP,,,1328.68,3220.2,17
CPT,15950,EXC TRCHNTR PR ULC PRIM SUTR,,,639.45,2862.91,17
CPT,15951,EXC TRCHNTR PR ULC OSTC,,,901.09,5017.59,17
CPT,15952,EXC TRCHNTR PR ULC FLP CLSR,,,918.07,3220.2,17
CPT,15953,EXC TRCHNTR PR ULC FLP OSTC,,,1010.94,6335.16,17
CPT,15956,EXC TRCHNTR PR ULC PREP FLAP,,,1187.7,3220.2,17
CPT,15958,EXC TRCHNTR PR ULC PREP OSTC,,,1175.05,6335.16,17
CPT,15999,UNLISTED PX EXC PRESSURE ULC,,,512.62,1242.38,13
CPT,16000,ED 16000 BURN FIRST DEGREE INIT TX,310.0,248.0,45.27,353.51,38
CPT,16000,TX RM 16000 BURN INITIAL 1ST DEGREE,310.0,248.0,45.27,353.51,38
CPT,16020,ED 16020 DRSG DEBRIDEMENT BURN<5% BSA,790.0,632.0,55.92,711.0,38
CPT,16020,TX RM 16020 DRESS DEB BURN <5% TOTAL SM,790.0,632.0,55.92,711.0,38
CPT,16025,ED 16025 BURN DRESS DEBRID MEDIUM,971.0,776.8,111.18,873.9,38
CPT,16025,TX RM 16025 DRESS DEB BURN 5-10% TOTAL MD,971.0,776.8,111.18,873.9,38
CPT,16030,ED 16030 BURN DRESS DEBRID LARGE,996.0,796.8,131.49,896.4,38
CPT,16030,TX RM 16030 DRESS DEBR BURN >10% TOTAL LRG,996.0,796.8,131.49,896.4,38
CPT,16035,ED 16035 ESCHAROTOMY INITIAL,1014.0,811.2,194.07,912.6,38
CPT,16036,ED 16036 ESCHAROTOMY EA ADD INCIS,511.0,408.8,56.25,459.9,36
CPT,17000,DESTRUCT PREMALG LESION,,,55.26,353.51,17
CPT,17003,DESTRUCT PREMALG LES 2-14,,,1.0,6.79,15
CPT,17004,DESTROY PREMAL LESIONS 15/>,,,98.2,704.12,17
CPT,17106,DSTR CUT VSC PRLF LES<10SQCM,,,276.62,704.12,17
CPT,17107,ED 17107 DEST LESN VASCULAR 10-50CM,820.0,656.0,336.2,1109.03,38
CPT,17108,DSTR CUT VSC PRLF LES>50SQCM,,,527.94,3220.2,17
CPT,17110,DESTRUCTION B9 LES UP TO 14,,,68.91,353.51,17
CPT,17111,DESTRUCTION B9 LESIONS 15/>,,,83.55,353.51,17
CPT,17250,ED 17250 CHEMICAL CAUTERY TISSUE,647.0,517.6,37.61,582.3,38
CPT,17250,SURG 17250 CHEMICAL CAUTERY GRANULATION TISSUE,647.0,517.6,37.61,582.3,38
CPT,17250,TX RM 17250 CHEM CAUT GRANULATION,647.0,517.6,37.61,582.3,38
CPT,17260,DSTRJ MAL LES T/A/L 0.5 CM/<,,,70.57,353.51,17
CPT,17261,DSTRJ MAL LES T/A/L .6-1.0CM,,,87.21,353.51,17
CPT,17262,DSTRJ MAL LES T/A/L 1.1-2.0,,,110.18,353.51,17
CPT,17263,DSTRJ MAL LES T/A/L 2.1-3.0,,,121.83,353.51,17
CPT,17264,DSTRJ MAL LES T/A/L 3.1-4.0,,,130.15,704.12,17
CPT,17266,DSTRJ MAL LES T/A/L >4.0 CM,,,152.46,704.12,17
CPT,17270,DSTR MAL LES S/N/H/F/G .5 /<,,,95.54,353.51,17
CPT,17271,DSTR MAL LES S/N/H/F/G 0.6-1,,,104.86,353.51,17
CPT,17272,DSTR MAL LES S/N/H/F/G 1.1-2,,,120.83,353.51,17
CPT,17273,DSTR MAL LES S/N/H/F/G 2.1-3,,,136.48,704.12,17
CPT,17274,DSTR MAL LES S/N/H/F/G 3.1-4,,,166.44,704.12,17
CPT,17276,DSTR MAL LES S/N/H/F/G >4.0,,,200.72,704.12,17
CPT,17280,DSTR MAL LS F/E/E/N/L/M .5/<,,,86.88,353.51,17
CPT,17281,DSTR MAL LS F/E/E/N/L/M .6-1,,,117.84,704.12,17
CPT,17282,DSTR MAL LS F/E/E/N/L/M1.1-2,,,135.81,704.12,17
CPT,17283,DSTR MAL LS F/E/E/N/L/M2.1-3,,,169.77,704.12,17
CPT,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,,,197.39,1109.03,17
CPT,17286,DSTR MAL LS F/E/E/N/L/M>4.0,,,267.96,1109.03,17
CPT,17311,MOHS 1 STAGE H/N/HF/G,,,350.18,1109.03,17
CPT,17312,MOHS ADDL STAGE,,,1.0,412.11,15
CPT,17313,MOHS 1 STAGE T/A/L,,,314.23,1109.03,17
CPT,17314,MOHS ADDL STAGE T/A/L,,,1.0,395.16,15
CPT,17315,MOHS SURG ADDL BLOCK,,,1.0,80.51,15
CPT,17340,CRYOTHERAPY FOR ACNE,,,44.57,108.01,17
CPT,17360,CHEMICAL EXFOLIATION ACNE,,,92.87,353.51,17
CPT,17380,ELECTROLYSIS EPILATION EA 30,,,457.59,1109.03,13
CPT,17999,ED 17999 SKIN MUC MEM SUBQ TISSUE UNLISTED PROCEDURE,4856.0,3884.8,145.86,4370.4,38
CPT,17999,SURG 17999 PERCUTANEOUS ABDOMINAL FAT PAD BX,2521.0,2016.8,145.86,2268.9,38
CPT,17999,SURG 17999 SKIN POCKET REVISION FOR ICD WO RELOCATION,4856.0,3884.8,145.86,4370.4,38
CPT,17999,SURG 17999 SKIN POCKET REVISION FOR PACEMAKER WO RELOCATION,4856.0,3884.8,145.86,4370.4,38
CPT,17999,SURG 17999 UNLISTED PROC SKIN MUCOUS MEMBRANE & SUBQ TISSUE,894.0,715.2,145.86,804.6,38
CPT,17999,SURG 17999 UNLSTD SKIN PROC WND BIOLOGIC IMPLANT,2821.0,2256.8,145.86,2538.9,38
CPT,17999,TX RM 17999 SKIN/MUC MEM/SUBQ TISSUE UNLISTED PROCEDURE,275.0,220.0,76.37,353.51,38
CPT,19000,SURG 19000 PUNCTURE ASPIRATION CYST BREAST,1667.0,1333.6,41.61,1500.3,76
CPT,19001,PUNCTURE ASPIR CYST BRST EA,,,1.0,25.65,15
CPT,19020,ED 19020 MASTOTOMY W EXPLORE DRAINAGE ABSCESS DEEP,3787.0,3029.6,316.9,3408.3,38
CPT,19030,NJX PX ONLY MAM DUCTO/GLCTO,,,1.0,161.58,15
CPT,19081,SURG 19081 BX BREAST W DVC STEREOTACTIC 1ST LSN,5045.0,4036.0,159.45,4540.5,38
CPT,19082,BX BREAST ADD LESION STRTCTC,,,1.0,372.96,15
CPT,19083,SURG 19083 BX BREAST W DVC US GUIDE 1ST LSN,4205.0,3364.0,150.79,3784.5,38
CPT,19084,SURG 19084 BX BREAST W DVC US GUIDE ADDL LSN,2910.0,2328.0,1.0,2619.0,36
CPT,19085,SURG 19085 BX BREAST W DVC MR GUIDE  1ST LSN,3773.0,3018.4,175.09,3395.7,38
CPT,19086,SURG 19086 BX BREAST W DVC MR GUIDE ADDL LSN,2384.0,1907.2,1.0,2145.6,36
CPT,19100,BX BREAST PERCUT W/O IMAGE,,,68.57,2862.91,17
CPT,19101,BIOPSY OF BREAST OPEN,,,224.36,6730.88,17
CPT,19105,CRYOSURG ABLATE FA EACH,,,208.71,6730.88,15
CPT,19110,NIPPLE EXPLORATION,,,356.18,6730.88,17
CPT,19112,EXCISE BREAST DUCT FISTULA,,,326.88,6730.88,17
CPT,19120,REMOVAL OF BREAST LESION,,,421.42,6730.88,17
CPT,19125,EXCISION BREAST LESION,,,466.03,6730.88,17
CPT,19126,EXCISION ADDL BREAST LESION,,,1.0,158.78,15
CPT,19260,Outpatient Services - CPT/HCPCS,,,177.97,431.34,2
CPT,19271,Outpatient Services - CPT/HCPCS,,,2070.3,5017.59,2
CPT,19272,Outpatient Services - CPT/HCPCS,,,2070.3,5017.59,2
CPT,19281,SURG 19281 PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE,1389.0,1111.2,96.2,2862.91,38
CPT,19282,PERQ DEVICE BREAST EA IMAG,,,1.0,169.16,15
CPT,19283,SURG 19283 PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE,2621.0,2096.8,97.2,2358.9,38
CPT,19284,PERQ DEV BREAST ADD STRTCTC,,,1.0,184.7,15
CPT,19285,SURG 19285 PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,2619.0,2095.2,82.22,2357.1,38
CPT,19286,SURG 19286 PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,1423.0,1138.4,1.0,1280.7,36
CPT,19287,SURG 19287 PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,1092.0,873.6,122.83,1242.38,38
CPT,19288,SURG 19288 PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,678.0,542.4,1.0,610.2,36
CPT,19294,PREPJ TUM CAV IORT PRTL MAST,,,1.0,162.78,15
CPT,19296,SURG 19296 PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,13779.0,11023.2,209.05,16645.86,38
CPT,19297,PLACE BREAST CATH FOR RAD,,,1.0,92.87,15
CPT,19298,PLACE BREAST RAD TUBE/CATHS,,,314.57,11515.15,17
CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,435.07,6730.88,17
CPT,19301,PARTIAL MASTECTOMY,,,663.42,6730.88,17
CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,910.75,11515.15,17
CPT,19303,MAST SIMPLE COMPLETE,,,961.34,11515.15,17
CPT,19304,Outpatient Services - CPT/HCPCS,,,2777.21,6730.88,2
CPT,19305,MAST RADICAL,,,982.82,11515.15,15
CPT,19306,MAST RAD URBAN TYPE,,,1049.43,11515.15,15
CPT,19307,MAST MOD RAD,,,1183.37,11515.15,17
CPT,19316,MASTOPEXY,,,794.24,11515.15,17
CPT,19318,BREAST REDUCTION,,,1092.83,11515.15,17
CPT,19324,Outpatient Services - CPT/HCPCS,,,1181.26,2862.91,2
CPT,19325,BREAST AUGMENTATION W/IMPLT,,,617.82,16645.86,17
CPT,19328,ED 19328 REMOVAL INTACT BREAST IMPLANT,6107.0,4885.6,556.23,6730.88,38
CPT,19330,RMVL RUPTURED BREAST IMPLANT,,,647.77,6730.88,17
CPT,19340,INSJ BREAST IMPLT SM D MAST,,,761.29,11515.15,17
CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,763.28,16645.86,17
CPT,19350,NIPPLE/AREOLA RECONSTRUCTION,,,675.4,6730.88,17
CPT,19355,CORRECT INVERTED NIPPLE(S),,,618.81,6730.88,17
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,1162.07,31117.37,17
CPT,19361,BRST RCNSTJ LATSMS DRSI FLAP,,,1365.04,11515.15,15
CPT,19364,BRST RCNSTJ FREE FLAP,,,2364.25,11515.15,15
CPT,19366,Outpatient Services - CPT/HCPCS,,,4751.25,11515.15,2
CPT,19367,BRST RCNSTJ 1 PDCL TRAM FLAP,,,1550.15,6730.88,15
CPT,19368,BRST RCNSTJ 1PDCL TRAM ANAST,,,1890.1,11515.15,15
CPT,19369,BRST RCNSTJ 2 PDCL TRAM FLAP,,,1757.06,6730.88,15
CPT,19370,REVJ PERI-IMPLT CAPSULE BRST,,,674.07,6730.88,17
CPT,19371,PERI-IMPLT CAPSLC BRST COMPL,,,713.35,6730.88,17
CPT,19380,REVJ RECONSTRUCTED BREAST,,,809.22,11515.15,17
CPT,19396,DESIGN CUSTOM BREAST IMPLANT,,,142.14,6730.88,17
CPT,19499,UNLISTED PROCEDURE BREAST,,,2777.21,6730.88,13
CPT,20005,Outpatient Services - CPT/HCPCS,,,1171.0,2838.05,2
CPT,20100,EXPL PENTRG WOUND NECK,,,400.87,971.56,17
CPT,20101,ED 20101 EXPLORE PENETRATING WOUND CHEST,3363.0,2690.4,209.71,3220.2,38
CPT,20102,ED 20102 EXPLORE PENETRATING WOUND ABDOMEN/BACK/FLANK,3575.0,2860.0,256.65,3220.2,38
CPT,20103,ED 20103 EXPLOR WND EXTREMITY,2614.0,2091.2,345.52,2862.91,38
CPT,20103,SURG 20103 EXPLORATION PENETRATING WND (SEP PROC) EXTREMITY,2614.0,2091.2,345.52,2862.91,38
CPT,20150,EXCISION EPIPHYSEAL BAR,,,1007.95,5715.72,17
CPT,20200,SURG 20200 BX MUSCLE SUPERL,3086.0,2468.8,95.2,2862.91,38
CPT,20205,SURG 20205 BX MUSCLE DEEP,6029.0,4823.2,155.12,5426.1,38
CPT,20206,SURG 20206 BIOPSY MUSCLE PERC NEEDLE,2521.0,2016.8,56.26,2862.91,38
CPT,20220,SURG 20220 BIOPSY BONE,2989.0,2391.2,85.55,2862.91,38
CPT,20225,SURG 20225 BIOP BONE TROCAR NDL DEEP,3394.0,2715.2,126.83,3054.6,38
CPT,20240,TX RM 20240 BIOPSY BONE OPEN SUPERFICIAL,4120.0,3296.0,139.14,5017.59,38
CPT,20245,BONE BIOPSY OPEN DEEP,,,341.2,5017.59,17
CPT,20250,BIOPSY VRT BDY OPEN THORACIC,,,394.12,5715.72,17
CPT,20251,BIOPSY VRT BDY OPEN LMBR/CRV,,,421.42,12632.88,17
CPT,20500,SURG 20500 INJ SINUS TRACT THERAPEUTIC,2070.0,1656.0,89.54,2692.97,38
CPT,20501,SURG 20501 INJ SINUS TRACT DIAGNOSTIC,687.0,549.6,1.0,618.3,36
CPT,20520,ED 20520 RMVL FB MUSC TEND SMPL,2361.0,1888.8,148.8,2862.91,38
CPT,20520,SURG 20520 REMVL FB IN MUSCLE TENDON SHEATH SMPL,2361.0,1888.8,148.8,2862.91,38
CPT,20525,ED 20525 REM FB MUSC TEND CPLX,4416.0,3532.8,247.99,5017.59,38
CPT,20526,SURG 20526 INJ CARPAL TUNNEL THERAPEUTIC,552.0,441.6,56.59,523.0,38
CPT,20527,NJX NZM PALMAR FASCIAL CORD,,,65.58,523.0,17
CPT,20550,ED 20550 INJECT SLG TENDON SHEATH LIGAMENT APONEUROSISA,1342.0,1073.6,38.61,1207.8,38
CPT,20550,SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS,1342.0,1073.6,38.61,1207.8,38
CPT,20550,TX RM 20550 INJ SINGLE TENDON LIGAMENT,1342.0,1073.6,38.61,1207.8,38
CPT,20551,ED 20551 INJ SGL TENDON ORIGIN INSRT,1136.0,908.8,38.28,1022.4,38
CPT,20551,SURG 20551 INJ SINGLE TENDON ORIGIN/INSERTION,1136.0,908.8,38.28,1022.4,38
CPT,20552,ED 20552 INJ 1-2 MUSC GRPS,1303.0,1042.4,36.62,1172.7,38
CPT,20552,SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,1303.0,1042.4,36.62,1172.7,38
CPT,20552,TX RM 20552 INJ TRIGGER PT 1-2 MUSCLE(S),1303.0,1042.4,36.62,1172.7,38
CPT,20553,ED 20553 INJ SIN MULTI TRIG+3 MUSCLE,1303.0,1042.4,41.61,1172.7,38
CPT,20553,SURG 20553 INJ SINGLE/MLT TRIGGER POINT 3/> MUSCLES,1303.0,1042.4,41.61,1172.7,38
CPT,20555,PLACE NDL MUSC/TIS FOR RT,,,332.88,5715.72,17
CPT,20560,DRY NEEDLING 1 OR 2 MUSCLE(S) 20560,42.0,33.6,14.65,52.6,36
CPT,20561,DRY NEEDLING 3 OR MORE MUSCLE(S) 20561,84.0,67.2,21.7,75.6,36
CPT,20600,ED 20600 ASP INJ JOINT BURSA SMALL WO US GUID,1369.0,1095.2,35.62,1232.1,38
CPT,20600,SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID,1369.0,1095.2,35.62,1232.1,38
CPT,20604,SURG 20604 ARTHROCENT ASP INJ JT BURSA SMALL W US,596.0,476.8,45.27,536.4,38
CPT,20605,ED 20605 ASP INJ JOINT BURSA INTERMED WO US GUID,1303.0,1042.4,36.62,1172.7,38
CPT,20605,SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID,1303.0,1042.4,36.62,1172.7,38
CPT,20605,TX RM 20605 ARTHRO ASP INJ JOINT BURSA INTERMED WO US GUID,1303.0,1042.4,36.62,1172.7,38
CPT,20606,ED 20606 ARTHRO ASP INJ JT BURSA INTERMED W US,1384.0,1107.2,51.6,1245.6,38
CPT,20606,SURG 20606 ARTHRO ASP INJ JT BURSA INTERMED W US,1384.0,1107.2,51.6,1245.6,38
CPT,20610,ED 20610 ASP INJ JOINT BURSA MAJOR WO US GUID,1423.0,1138.4,45.27,1280.7,38
CPT,20610,SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID,1423.0,1138.4,45.27,1280.7,38
CPT,20610,SURG 20610 INJ MAJOR JOINT BURSA WO US GUID,1423.0,1138.4,45.27,1280.7,38
CPT,20610,TX RM 20610 ARTHROCENT ASP INJ JOINT BURSA MAJOR WO US GUID,1423.0,1138.4,45.27,1280.7,38
CPT,20611,ED 20611 ARTHROCENT ASP INJ JT BURSA MAJOR W US,1520.0,1216.0,58.59,1368.0,38
CPT,20611,SURG 20611 ARTHROCENT ASP INJ JT BURSA MAJOR W US,1520.0,1216.0,58.59,1368.0,38
CPT,20612,ED 20612 ASP INJ GANGLION CYST(S),1147.0,917.6,40.94,1032.3,38
CPT,20612,SURG 20612 ASP OF GANGLION CYST(S),1147.0,917.6,40.94,1032.3,38
CPT,20615,SURG 20615 ASPIRATION & INJ TREAT BONE CYST,1446.0,1156.8,163.11,1301.4,38
CPT,20650,ED 20650 INS WIRE PIN W APPL SKEL TRACT INCL REM (SEP),4932.0,3945.6,168.43,5715.72,38
CPT,20660,APPLY REM FIXATION DEVICE,,,239.67,2838.05,17
CPT,20661,APPLICATION HALO CRANIAL,,,455.03,2838.05,15
CPT,20662,APPLICATION HALO PELVIC,,,529.94,2838.05,17
CPT,20663,APPLICATION HALO FEMORAL,,,489.66,5715.72,17
CPT,20664,APPL HALO CRANIAL 6+PINS,,,764.89,3392.43,17
CPT,20665,RMVL TONGS/HALO ANTHR INDIV,,,97.87,703.57,17
CPT,20670,ED 20670 RMVL IMPLANT SUPERFICIAL,3141.0,2512.8,145.8,2862.91,38
CPT,20670,SURG 20670 REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,3141.0,2512.8,145.8,2862.91,38
CPT,20680,ED 20680 REMV OF IMPLANT DEEP,4349.0,3479.2,423.08,5017.59,38
CPT,20680,SURG 20680 REMVL OF IMPLANT DEEP,4349.0,3479.2,423.08,5017.59,38
CPT,20690,APPL UNIPLN UNI EXT FIXJ SYS,,,600.51,12632.88,17
CPT,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,1134.77,23240.38,17
CPT,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,452.04,12632.88,17
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,346.86,2838.05,17
CPT,20696,APP MLTPLN UNI XTRNL FIX 1ST,,,1168.06,32908.19,17
CPT,20697,APP MLTPLN UNI XTRNL FIX XCH,,,1171.0,2838.05,17
CPT,20700,MNL PREP&INSJ DP RX DLVR DEV,,,1.0,83.88,15
CPT,20701,RMVL DEEP RX DELIVERY DEVICE,,,1.0,63.58,15
CPT,20702,MNL PREP&INSJ IMED RX DEV,,,1.0,141.14,15
CPT,20703,RMVL IMED RX DELIVERY DEVICE,,,1.0,103.19,15
CPT,20704,MNL PREP&INSJ I-ARTIC RX DEV,,,1.0,148.46,15
CPT,20705,RMVL I-ARTIC RX DELIVERY DEV,,,1.0,122.83,15
CPT,20802,REPLANTATION ARM COMPLETE,,,2378.43,23240.38,17
CPT,20805,REPLANT FOREARM COMPLETE,,,2070.3,19531.91,17
CPT,20808,REPLANTATION HAND COMPLETE,,,1171.0,19531.91,17
CPT,20816,REPLANTATION DIGIT COMPLETE,,,1171.0,7497.96,17
CPT,20822,REPLANTATION DIGIT COMPLETE,,,1171.0,2838.05,17
CPT,20824,REPLANTATION THUMB COMPLETE,,,1171.0,7497.96,17
CPT,20827,REPLANTATION THUMB COMPLETE,,,1171.0,7497.96,17
CPT,20838,REPLANTATION FOOT COMPLETE,,,1171.0,19531.91,17
CPT,20900,REMOVAL OF BONE FOR GRAFT,,,179.42,12632.88,17
CPT,20902,REMOVAL OF BONE FOR GRAFT,,,273.62,12632.88,17
CPT,20910,REMOVE CARTILAGE FOR GRAFT,,,457.59,1109.03,17
CPT,20912,REMOVE CARTILAGE FOR GRAFT,,,486.66,6335.16,17
CPT,20920,REMOVAL OF FASCIA FOR GRAFT,,,403.78,3220.2,17
CPT,20922,REMOVAL OF FASCIA FOR GRAFT,,,502.97,3220.2,17
CPT,20924,REMOVAL OF TENDON FOR GRAFT,,,509.96,12632.88,17
CPT,20926,Outpatient Services - CPT/HCPCS,,,457.59,1109.03,2
CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,1.0,1.0,2
CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,1.0,109.85,15
CPT,20932,OSTEOART ALGRFT W/SURF & B1,,,1.0,746.64,15
CPT,20933,HEMICRT INTRCLRY ALGRFT PRTL,,,1.0,684.72,15
CPT,20934,INTERCALARY ALGRFT COMPL,,,1.0,745.97,15
CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,1.0,1.0,2
CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,1.0,165.77,15
CPT,20938,SP BONE AGRFT STRUCT ADD-ON,,,1.0,182.75,15
CPT,20939,BONE MARROW ASPIR BONE GRFG,,,1.0,69.24,15
CPT,20950,ED 20950 FLUID PRESSURE MUSCLE,960.0,768.0,88.54,1242.38,38
CPT,20955,FIBULA BONE GRAFT MICROVASC,,,2132.92,5715.72,15
CPT,20956,ILIAC BONE GRAFT MICROVASC,,,1171.0,7497.96,17
CPT,20957,MT BONE GRAFT MICROVASC,,,1171.0,7497.96,17
CPT,20962,OTHER BONE GRAFT MICROVASC,,,2330.92,5715.72,15
CPT,20969,BONE/SKIN GRAFT MICROVASC,,,2358.35,5715.72,15
CPT,20970,BONE/SKIN GRAFT ILIAC CREST,,,1171.0,2838.05,15
CPT,20972,BONE/SKIN GRAFT METATARSAL,,,2829.44,12632.88,17
CPT,20973,BONE/SKIN GRAFT GREAT TOE,,,2988.22,12632.88,17
CPT,20974,ESTIM AID BONE HEALG N-INVAS,,,51.26,106.54,15
CPT,20975,ESTIM AID BONE HEALG INVASIV,,,1.0,176.09,15
CPT,20979,LW NTSTY US STIMJ BONE HEALG,,,21.7,52.6,17
CPT,20982,SURG 20982 ABLATION RF BONE TUMOR W IMAGING,10849.0,8679.2,360.17,23240.38,38
CPT,20983,SURG 20983 CRYOABLATION BONE TMR PERCUT W IMAGING,9330.0,7464.0,334.87,12632.88,38
CPT,20985,CPTR-ASST DIR MS PX,,,1.0,143.14,15
CPT,20999,SURG 20999 BERTOLOTTIS PSEUDOARTICULATION INJ W FLOURO,4131.0,3304.8,171.82,3717.9,38
CPT,20999,SURG 20999 BONE MARROW HARVEST PSIS,3816.0,3052.8,171.82,3434.4,38
CPT,20999,SURG 20999 CRYOABLATION BONE LESION,4066.0,3252.8,171.82,3659.4,38
CPT,20999,SURG 20999 PERCUTANEOUS DRAINAGE ABSCESS OF MUSCLE,3624.0,2899.2,171.82,3261.6,38
CPT,20999,SURG 20999 PSOAS MUSCLE ABCESS ASPIR,4154.0,3323.2,171.82,3738.6,38
CPT,21010,INCISION OF JAW JOINT,,,739.32,5685.3,17
CPT,21011,EXC FACE LES SC <2 CM,,,263.3,2862.91,17
CPT,21012,EXC FACE LES SBQ 2 CM/>,,,342.53,2862.91,17
CPT,21013,EXC FACE TUM DEEP < 2 CM,,,405.11,2862.91,17
CPT,21014,EXC FACE TUM DEEP 2 CM/>,,,525.28,5017.59,17
CPT,21015,RESECT FACE/SCALP TUM < 2 CM,,,700.37,5017.59,17
CPT,21016,RESECT FACE/SCALP TUM 2 CM/>,,,1008.61,5017.59,17
CPT,21025,EXCISION OF BONE LOWER JAW,,,662.09,10341.01,17
CPT,21026,EXCISION OF FACIAL BONE(S),,,429.74,10341.01,17
CPT,21029,CONTOUR OF FACE BONE LESION,,,628.14,5685.3,17
CPT,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,360.84,10341.01,17
CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,272.96,5685.3,17
CPT,21032,REMOVE EXOSTOSIS MAXILLA,,,261.31,5685.3,17
CPT,21034,EXCISE MAX/ZYGOMA MAL TUMOR,,,1124.78,10341.01,17
CPT,21040,EXCISE MANDIBLE LESION,,,362.17,5685.3,17
CPT,21044,REMOVAL OF JAW BONE LESION,,,863.81,10341.01,17
CPT,21045,EXTENSIVE JAW SURGERY,,,1062.05,6137.68,17
CPT,21046,REMOVE MANDIBLE CYST COMPLEX,,,984.31,10341.01,17
CPT,21047,EXCISE LWR JAW CYST W/REPAIR,,,1205.67,10341.01,17
CPT,21048,REMOVE MAXILLA CYST COMPLEX,,,992.97,10341.01,17
CPT,21049,EXCIS UPPR JAW CYST W/REPAIR,,,1145.76,10341.01,17
CPT,21050,REMOVAL OF JAW JOINT,,,860.81,10341.01,17
CPT,21060,REMOVE JAW JOINT CARTILAGE,,,780.26,10341.01,17
CPT,21070,REMOVE CORONOID PROCESS,,,614.49,10341.01,17
CPT,21073,ED 21073 MANIP TMJ TX WANEX,3814.0,3051.2,240.0,3432.6,38
CPT,21076,IMPRES&PREP SURG OBT PROSTH,,,701.37,2692.97,17
CPT,21077,IMPRES&PREP ORBITAL PROSTH,,,1725.62,10341.01,17
CPT,21079,IMPRES&PREP INTRM OBT PROSTH,,,1160.07,5685.3,17
CPT,21080,IMPRES&PREP DEF OBT PROSTH,,,1308.86,5685.3,17
CPT,21081,IMPRES&PREP MNDBL RES PROSTH,,,1201.68,10341.01,17
CPT,21082,IMPRES&PREP PALTL AUG PROSTH,,,1108.47,5685.3,17
CPT,21083,IMPRES&PREP PALTL LFT PROSTH,,,1024.59,5685.3,17
CPT,21084,IMPRES&PREP SP AID PROSTH,,,1185.37,5685.3,17
CPT,21085,IMPRES&PREP ORAL SURG SPLINT,,,177.97,481.34,17
CPT,21086,IMPRES&PREP AURICULAR PROSTH,,,1271.58,5685.3,17
CPT,21087,IMPRES&PREP NASAL PROSTH,,,1271.58,10341.01,17
CPT,21088,IMPRES&PREP FACIAL PROSTH,,,2345.8,5685.3,13
CPT,21089,UNLISTED MAXLFCL PROSTH PX,,,177.97,431.34,13
CPT,21100,MAXILLOFACIAL FIXATION,,,356.84,10341.01,17
CPT,21110,INTERDENTAL FIXATION,,,709.69,2692.97,17
CPT,21116,SURG 21116 INJ TMJ ARTHROGRAPHY,307.0,245.6,1.0,276.3,36
CPT,21120,GENIOPLASTY AUGMENTATION,,,509.63,10341.01,17
CPT,21121,GENIOP SLDG OSTEOT 1,,,529.27,5685.3,17
CPT,21122,GENIOP SLDG OSTEOT 2/>,,,749.3,10341.01,17
CPT,21123,GENIOP SLDG AUGMENTATION,,,841.51,5685.3,17
CPT,21125,AUGMENTATION MNDBLR PROSTC,,,666.08,10341.01,17
CPT,21127,AUGMENTATION MNDBLR B1 GRF,,,771.6,10341.01,17
CPT,21137,RDCTJ FOREHEAD CNTRG ONLY,,,752.63,5685.3,17
CPT,21138,RDCTJ FOREHEAD CNTRG&PROSTC,,,915.07,10341.01,17
CPT,21139,RDCTJ FOREHEAD CNTRG&SETBACK,,,1088.5,10341.01,17
CPT,21141,RCNSTJ MIDFACE LEFORT I 1PC,,,1323.18,10341.01,17
CPT,21142,RCNSTJ MIDFACE LEFORT I 2PCS,,,1357.8,10341.01,17
CPT,21143,RCNSTJ MDFACE LEFORT I 3/>PC,,,1399.41,10341.01,17
CPT,21145,RCNSTJ MDFC LEFORT I 1 W/GRF,,,1383.99,6137.68,17
CPT,21146,RCNSTJ MDFC LEFORT I 2 W/GRF,,,1445.7,6137.68,17
CPT,21147,RCNSTJ MDFC LEFORT I 3/>GRF,,,1519.67,6137.68,17
CPT,21150,RCNSTJ MDFC LEFRTII ANT NTRU,,,1639.74,10341.01,17
CPT,21151,RCNSTJ MDFC LEFRTII W/B1 GRF,,,1585.83,6137.68,17
CPT,21154,RCNSTJ MDFC LEFORT III W/O I,,,1707.52,6137.68,17
CPT,21155,RCNSTJ MDFC LEFORT III W/I,,,1892.13,6137.68,17
CPT,21159,RCNST MDFC LFRTIII ADVM WO I,,,2264.05,6137.68,17
CPT,21160,RCNST MDFC LFRTIII ADVM W/I,,,2345.8,6137.68,17
CPT,21172,RCNST SUPR-LAT ORB RM&LW FHD,,,2142.05,10341.01,17
CPT,21175,RCNST BFRNT SP ORB RM&LW FHD,,,2197.31,10341.01,17
CPT,21179,RCNSTJ FOREHEAD WITH GRAFTS,,,1329.51,6137.68,17
CPT,21180,RCNSTJ FOREHEAD W/AUTOGRAFT,,,1483.73,6137.68,17
CPT,21181,RCNST CNTRG B9 TUM CRNL XTRC,,,742.31,10341.01,17
CPT,21182,RECONSTRUCT CRANIAL BONE,,,1844.38,6137.68,17
CPT,21183,RECONSTRUCT CRANIAL BONE,,,2004.6,6137.68,17
CPT,21184,RECONSTRUCT CRANIAL BONE,,,2154.52,6137.68,17
CPT,21188,RECONSTRUCTION OF MIDFACE,,,1409.9,6137.68,17
CPT,21193,RECONST LWR JAW W/O GRAFT,,,1221.65,10341.01,17
CPT,21194,RECONST LWR JAW W/GRAFT,,,1412.06,10341.01,17
CPT,21195,RECONST LWR JAW W/O FIXATION,,,1329.5,10341.01,17
CPT,21196,RECONST LWR JAW W/FIXATION,,,1420.04,10341.01,17
CPT,21198,RECONSTR LWR JAW SEGMENT,,,1005.28,10341.01,17
CPT,21199,RECONSTR LWR JAW W/ADVANCE,,,1008.94,10341.01,17
CPT,21206,RECONSTRUCT UPPER JAW BONE,,,965.34,10341.01,17
CPT,21208,AUGMENTATION OF FACIAL BONES,,,735.32,10341.01,17
CPT,21209,REDUCTION OF FACIAL BONES,,,606.17,10341.01,17
CPT,21210,FACE BONE GRAFT,,,756.96,10341.01,17
CPT,21215,LOWER JAW BONE GRAFT,,,786.58,10341.01,17
CPT,21230,RIB CARTILAGE GRAFT,,,748.64,10341.01,17
CPT,21235,EAR CARTILAGE GRAFT,,,573.88,10341.01,17
CPT,21240,RECONSTRUCTION OF JAW JOINT,,,1041.57,10341.01,17
CPT,21242,RECONSTRUCTION OF JAW JOINT,,,1006.95,10341.01,17
CPT,21243,RECONSTRUCTION OF JAW JOINT,,,1666.04,32908.19,17
CPT,21244,RECONSTRUCTION OF LOWER JAW,,,1005.95,10341.01,17
CPT,21245,RECONSTRUCTION OF JAW,,,941.37,10341.01,17
CPT,21246,RECONSTRUCTION OF JAW,,,844.17,10341.01,17
CPT,21247,RECONSTRUCT LOWER JAW BONE,,,1412.3,6137.68,17
CPT,21248,RECONSTRUCTION OF JAW,,,790.25,10341.01,17
CPT,21249,RECONSTRUCTION OF JAW,,,1103.15,10341.01,17
CPT,21255,RECONSTRUCT LOWER JAW BONE,,,1326.51,10341.01,17
CPT,21256,RECONSTRUCTION OF ORBIT,,,1239.63,10341.01,17
CPT,21260,REVISE EYE SOCKETS,,,1364.45,10341.01,17
CPT,21261,REVISE EYE SOCKETS,,,2414.68,10341.01,17
CPT,21263,REVISE EYE SOCKETS,,,2234.26,10341.01,17
CPT,21267,REVISE EYE SOCKETS,,,1595.47,10341.01,17
CPT,21268,REVISE EYE SOCKETS,,,1766.77,6137.68,17
CPT,21270,AUGMENTATION CHEEK BONE,,,748.64,10341.01,17
CPT,21275,REVISION ORBITOFACIAL BONES,,,844.5,10341.01,17
CPT,21280,MEDIAL CANTHOPEXY,,,589.19,5685.3,17
CPT,21282,LATERAL CANTHOPEXY,,,401.45,5685.3,17
CPT,21295,REVISION OF JAW MUSCLE/BONE,,,200.06,2692.97,17
CPT,21296,REVISION OF JAW MUSCLE/BONE,,,411.43,5685.3,17
CPT,21299,ED 21299 SINUS FRACTURE,1533.0,1226.4,177.97,1379.7,38
CPT,21315,ED 21315 CLSD TX NSL BONE FX W MANIP WO STAB,3411.0,2728.8,59.58,3069.9,38
CPT,21320,ED 21320 CLSD TX NASAL BONE FX W MANIP WSTAB,4232.0,3385.6,94.87,5685.3,38
CPT,21325,ED 21325 TX FX NASAL SMP OPN,4825.0,3860.0,447.72,5685.3,38
CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,537.93,10341.01,17
CPT,21335,OPEN TX NOSE & SEPTAL FX,,,720.34,5685.3,17
CPT,21336,OPEN TX SEPTAL FX W/WO STABJ,,,640.12,5715.72,17
CPT,21337,ED 21337 CLSD TX NOSE FXW WO STABL,3863.0,3090.4,304.25,5685.3,38
CPT,21338,OPEN NASOETHMOID FX W/O FIXJ,,,673.74,10341.01,17
CPT,21339,OPEN NASOETHMOID FX W/ FIXJ,,,760.62,10341.01,17
CPT,21340,PERQ TX NASOETHMOID FX,,,756.96,5685.3,17
CPT,21343,OPEN TX DPRSD FRONT SINUS FX,,,968.91,5685.3,15
CPT,21344,OPEN TX COMPL FRONT SINUS FX,,,1229.41,6137.68,17
CPT,21345,ED 21345 CLD TX LFRT II FX WWIR FX,3527.0,2821.6,645.78,3174.3,38
CPT,21346,OPN TX NASOMAX FX W/FIXJ,,,1022.92,10341.01,17
CPT,21347,OPN TX NASOMAX FX MULTPLE,,,1038.57,10341.01,17
CPT,21348,OPN TX NASOMAX FX W/GRAFT,,,965.78,6137.68,17
CPT,21355,PERQ TX MALAR FRACTURE,,,331.88,5685.3,17
CPT,21356,OPN TX DPRSD ZYGOMATIC ARCH,,,406.11,10341.01,17
CPT,21360,OPN TX DPRSD MALAR FRACTURE,,,530.27,10341.01,17
CPT,21365,OPN TX COMPLX MALAR FX,,,1078.52,10341.01,17
CPT,21366,OPN TX COMPLX MALAR W/GRFT,,,1274.25,10341.01,17
CPT,21385,OPN TX ORBIT FX TRANSANTRAL,,,734.32,10341.01,17
CPT,21386,OPN TX ORBIT FX PERIORBITAL,,,694.04,10341.01,17
CPT,21387,OPN TX ORBIT FX COMBINED,,,766.28,10341.01,17
CPT,21390,OPN TX ORBIT PERIORBTL IMPLT,,,803.56,10341.01,17
CPT,21395,OPN TX ORBIT PERIORBT W/GRFT,,,1006.28,10341.01,17
CPT,21400,ED 21400 CLSD TX ORB FX BL WO MANP,2349.0,1879.2,172.43,2114.1,38
CPT,21401,CLOSED TX ORBIT W/MANIPULJ,,,333.54,2692.97,17
CPT,21406,OPN TX ORBIT FX W/O IMPLANT,,,586.86,10341.01,17
CPT,21407,OPN TX ORBIT FX W/IMPLANT,,,643.11,10341.01,17
CPT,21408,OPN TX ORBIT FX W/BONE GRFT,,,902.76,10341.01,17
CPT,21421,ED 21421 CLSD TX PALATAL OR MAX,7179.0,5743.2,544.25,6461.1,38
CPT,21422,OPTX PALATAL/MAX FRACTURE,,,624.14,10341.01,15
CPT,21423,OPTX PALATAL/MAX FX COMP,,,702.36,6137.68,17
CPT,21431,CLTX CRANIOFACIAL SEPARATION,,,629.04,6137.68,17
CPT,21432,OPTX CRANFCL SEP W/WIRING,,,634.4,6137.68,17
CPT,21433,OPTX CRANFCL SEP COMP MLT,,,1516.52,6137.68,17
CPT,21435,OPTX CRNFC SEP COMP INT&/XTR,,,1238.91,6137.68,17
CPT,21436,OPTX CRNFCL SEP COMP MLT INT,,,1785.18,6137.68,17
CPT,21440,ED 21440 CLSD TX MANDIBULAR OR MAX,5784.0,4627.2,606.83,5685.3,38
CPT,21445,OPTX MNDBLR/MAX ALV RIDGE FX,,,628.47,10341.01,17
CPT,21450,ED 21450 CLSD TX MANDIBLE WO MANIP,985.0,788.0,400.87,971.56,38
CPT,21451,ED 21451 CLSD TX MANDIBLE FX WMNIP,3488.0,2790.4,639.79,3139.2,38
CPT,21452,PERQ TX MNDBLR FX XTRNL FIXJ,,,457.37,10341.01,17
CPT,21453,CLTX MNDBLR FX NTRDNTL FIXJ,,,929.72,10341.01,17
CPT,21454,OPTX MNDBLR FX XTRNL FIXJ,,,489.66,10341.01,17
CPT,21461,OPTX MNDBLR FX WO NTRDNTL,,,1062.54,10341.01,17
CPT,21462,OPTX MNDBLR FX W/NTRDNTL,,,1158.4,10341.01,17
CPT,21465,OPTX MNDBLR CNDYLR FX,,,796.57,10341.01,17
CPT,21470,OPTX COMPLICATED MNDBLR FX,,,1164.4,10341.01,17
CPT,21480,ED 21480 CLSD TX TEMPMAND DISL,759.0,607.2,30.96,683.1,38
CPT,21485,CLTX TMPRMAND DISLC COMP,,,781.26,2692.97,17
CPT,21490,OPTX TMPRMAND DISLOCATION,,,785.25,5685.3,17
CPT,21497,INTERDENTAL WIRG OTH/THN FX,,,587.19,2692.97,17
CPT,21499,ED 21499 UNLSTD MUSCULSKL PRC HEAD,885.0,708.0,177.97,796.5,38
CPT,21501,ED 21501 I&D DEEP ABSCESS/HMTMA SOFT TISSUE NECK/THORAX,4222.0,3377.6,341.2,5017.59,38
CPT,21502,I&D DP ABS/HMTM NCK RIB OSTC,,,509.63,5715.72,17
CPT,21510,INC DEEP OPNG B1 CRTX THORAX,,,177.97,455.37,15
CPT,21550,SURG 21550 BIOPSY TISSUE NECK THORAX,3266.0,2612.8,156.45,2939.4,38
CPT,21552,EXC NECK LES SC 3 CM/>,,,451.38,5017.59,17
CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,735.65,5017.59,17
CPT,21555,EXC NECK LES SC < 3 CM,,,310.91,2862.91,17
CPT,21556,EXC NECK TUM DEEP < 5 CM,,,533.93,5017.59,17
CPT,21557,RESECT NECK THORAX TUMOR<5CM,,,961.34,5017.59,17
CPT,21558,RESECT NECK TUMOR 5 CM/>,,,1339.82,5017.59,17
CPT,21600,PARTIAL REMOVAL OF RIB,,,571.88,12632.88,17
CPT,21601,EXC CHEST WALL TUMOR W/RIBS,,,1147.09,5017.59,17
CPT,21602,EXC CH WAL TUM W/O LYMPHADEC,,,1326.08,7497.96,17
CPT,21603,EXC CH WAL TUM W/LYMPHADEC,,,1431.34,7497.96,17
CPT,21610,COSTOTRANSVERSECTOMY,,,1227.31,5715.72,17
CPT,21615,EXCISION 1ST &/CERVICAL RIB,,,529.35,7497.96,17
CPT,21616,EXC 1ST&/CRV RIB W/SYMPTH,,,598.66,7497.96,17
CPT,21620,OSTECTOMY STERNUM PARTIAL,,,177.97,504.64,15
CPT,21627,STERNAL DEBRIDEMENT,,,177.97,7497.96,17
CPT,21630,RADICAL RESECTION STERNUM,,,1155.94,7497.96,17
CPT,21632,Outpatient Services - CPT/HCPCS,,,2070.3,7497.96,4
CPT,21632,Therapy,,,1207.34,1207.34,4
CPT,21685,HYOID MYOTOMY & SUSPENSION,,,985.31,10341.01,17
CPT,21700,REVISION OF NECK MUSCLE,,,353.85,12632.88,17
CPT,21705,REVISION OF NECK MUSCLE/RIB,,,171.82,7497.96,17
CPT,21720,REVISION OF NECK MUSCLE,,,544.25,5715.72,17
CPT,21725,REVISION OF NECK MUSCLE,,,512.62,1242.38,17
CPT,21740,RECONSTRUCTION OF STERNUM,,,862.46,7497.96,17
CPT,21742,REPAIR STERN/NUSS W/O SCOPE,,,2358.35,5715.72,13
CPT,21743,REPAIR STERNUM/NUSS W/SCOPE,,,2358.35,5715.72,13
CPT,21750,REPAIR OF STERNUM SEPARATION,,,572.91,7497.96,17
CPT,21811,OPTX OF RIB FX W/FIXJ SCOPE,,,587.86,12632.88,17
CPT,21812,TREATMENT OF RIB FRACTURE,,,709.36,12632.88,17
CPT,21813,TREATMENT OF RIB FRACTURE,,,972.0,2838.05,17
CPT,21820,ED 21820 CLSD TX STERNUM FX,745.0,596.0,153.46,670.5,38
CPT,21825,TREAT STERNUM FRACTURE,,,482.37,7497.96,17
CPT,21899,SURG 21899 SCLRSIS FLD COL NCK THORX,351.0,280.8,97.47,431.34,38
CPT,21920,BIOPSY SOFT TISSUE OF BACK,,,155.45,2862.91,17
CPT,21925,BIOPSY SOFT TISSUE OF BACK,,,383.8,2862.91,17
CPT,21930,EXC BACK LES SC < 3 CM,,,369.49,2862.91,17
CPT,21931,EXC BACK LES SC 3 CM/>,,,474.01,2862.91,17
CPT,21932,EXC BACK TUM DEEP < 5 CM,,,667.08,5017.59,17
CPT,21933,EXC BACK TUM DEEP 5 CM/>,,,741.98,5017.59,17
CPT,21935,RESECT BACK TUM < 5 CM,,,1024.59,5017.59,17
CPT,21936,RESECT BACK TUM 5 CM/>,,,1416.05,5017.59,17
CPT,22010,I&D P-SPINE C/T/CERV-THOR,,,841.68,12632.88,17
CPT,22015,I&D ABSCESS P-SPINE L/S/LS,,,826.38,12632.88,17
CPT,22100,REMOVE PART OF NECK VERTEBRA,,,964.34,12632.88,17
CPT,22101,REMOVE PART THORAX VERTEBRA,,,889.44,12632.88,17
CPT,22102,REMOVE PART LUMBAR VERTEBRA,,,777.6,12632.88,17
CPT,22103,REMOVE EXTRA SPINE SEGMENT,,,1.0,133.48,15
CPT,22110,REMOVE PART OF NECK VERTEBRA,,,907.16,12632.88,17
CPT,22112,REMOVE PART THORAX VERTEBRA,,,966.98,12632.88,17
CPT,22114,REMOVE PART LUMBAR VERTEBRA,,,966.98,12632.88,17
CPT,22116,REMOVE EXTRA SPINE SEGMENT,,,116.52,12632.88,15
CPT,22206,INCIS SPINE 3 COLUMN THORAC,,,171.82,7497.96,17
CPT,22207,INCIS SPINE 3 COLUMN LUMBAR,,,171.82,7497.96,17
CPT,22208,INCIS SPINE 3 COLUMN ADL SEG,,,171.82,586.86,15
CPT,22210,INCIS 1 VERTEBRAL SEG CERV,,,171.82,7497.96,17
CPT,22212,INCIS 1 VERTEBRAL SEG THORAC,,,171.82,7497.96,17
CPT,22214,INCIS 1 VERTEBRAL SEG LUMBAR,,,171.82,7497.96,17
CPT,22216,INCIS ADDL SPINE SEGMENT,,,301.14,12632.88,15
CPT,22220,OSTEOT DSC ANT 1 VRT SGM CRV,,,171.82,7497.96,17
CPT,22222,OSTEOT DSC ANT 1VRT SGM THRC,,,171.82,7497.96,17
CPT,22224,OSTEOT DSC ANT 1VRT SGM LMBR,,,171.82,7497.96,17
CPT,22226,OSTEOT DSC ANT 1VRT SGM EA,,,171.82,416.42,15
CPT,22310,ED 22310 CLSD TX VERTEBRAL PROC,1102.0,881.6,171.82,991.8,38
CPT,22315,ED 22315 CLSD TX SPINE FX,3894.0,3115.2,788.91,5715.72,38
CPT,22318,TREAT ODONTOID FX W/O GRAFT,,,1384.15,13793.8,17
CPT,22319,TREAT ODONTOID FX W/GRAFT,,,1527.87,13793.8,17
CPT,22325,TREAT SPINE FRACTURE,,,1264.29,12632.88,15
CPT,22326,TREAT NECK SPINE FRACTURE,,,1281.03,12632.88,15
CPT,22327,TREAT THORAX SPINE FRACTURE,,,1311.42,12632.88,15
CPT,22328,TREAT EACH ADD SPINE FX,,,230.89,12632.88,15
CPT,22505,MANIPULATION OF SPINE,,,130.82,2838.05,17
CPT,22510,SURG 22510 PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,6631.0,5304.8,427.08,5967.9,38
CPT,22511,SURG 22511 PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,7345.0,5876.0,402.11,6610.5,38
CPT,22512,SURG 22512 VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,5327.0,4261.6,1.0,4794.3,36
CPT,22513,SURG 22513 KYPHOPLASTY PERC THORACIC W/IMG,17598.0,14078.4,506.3,15838.2,38
CPT,22514,SURG 22514 PERQ VERT AUGMENT CAVITY CREAT UNI/BIL CANNULATION LMBR,16958.0,13566.4,472.02,15262.2,38
CPT,22515,SURG 22515 KYPHOPLASTY PERC EA ADDL W/IMG,6411.0,5128.8,1.0,5769.9,36
CPT,22526,IDET SINGLE LEVEL,,,171.82,1883.95,15
CPT,22527,IDET 1 OR MORE LEVELS,,,150.46,1548.44,15
CPT,22532,ARTHRD LAT XTRCVTRY TQ THRC,,,1520.63,32908.19,17
CPT,22533,ARTHRD LAT XTRCVTRY TQ LMBR,,,1430.52,32908.19,17
CPT,22534,ARTHRD LAT XTRCVTRY TQ EA AD,,,298.92,32908.19,15
CPT,22548,ARTHRD ANT TORAL/XORAL C1-C2,,,1639.57,32908.19,17
CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,1714.31,23240.38,17
CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,1.0,394.46,15
CPT,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,1276.24,23240.38,17
CPT,22556,ARTHRD ANT NTRBD MIN DSC THC,,,1432.01,32908.19,17
CPT,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,1300.46,19531.91,17
CPT,22585,ARTHRD ANT NTRBD MIN DSC EA,,,1.0,322.56,15
CPT,22586,ARTHRD PRE-SAC NTRBDY L5-S1,,,1694.4,19531.91,17
CPT,22590,ARTHRD PST TQ CRANIOCERVICAL,,,1345.71,32908.19,17
CPT,22595,ARTHRD PST TQ ATLAS-AXIS,,,1287.46,32908.19,17
CPT,22600,ARTHRD PST TQ 1NTRSPC CRV,,,1113.35,19531.91,17
CPT,22610,ARTHRD PST TQ 1NTRSPC THRC,,,1099.88,32908.19,17
CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,1590.81,32908.19,18
CPT,22614,ARTHRD PST TQ 1NTRSPC EA ADD,,,1.0,389.46,15
CPT,22630,ARTHRD PST TQ 1NTRSPC LUM,,,1577.49,32908.19,17
CPT,22632,ARTHRD PST TQ 1NTRSPC LM EA,,,262.05,12632.88,15
CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,1820.49,32908.19,17
CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,1.0,482.34,15
CPT,22800,ARTHRD PST DFRM<6 VRT SGM,,,1177.24,32908.19,17
CPT,22802,ARTHRD PST DFRM 7-12 VRT SGM,,,1798.64,32908.19,17
CPT,22804,ARTHRD PST DFRM 13+ VRT SGM,,,2063.54,32908.19,17
CPT,22808,ARTHRD ANT DFRM 2-3 VRT SGM,,,1541.48,32908.19,17
CPT,22810,ARTHRD ANT DFRM 4-7 VRT SGM,,,1742.35,32908.19,17
CPT,22812,ARTHRD ANT DFRM 8+ VRT SGM,,,1910.56,32908.19,17
CPT,22818,KYPHECTOMY 1-2 SEGMENTS,,,1860.39,32908.19,17
CPT,22819,KYPHECTOMY 3 OR MORE,,,2141.86,32908.19,17
CPT,22830,EXPLORATION OF SPINAL FUSION,,,171.82,13793.8,17
CPT,22836,ANT THRC VRT BODY TETHRG <7,,,1520.91,32908.19,15
CPT,22837,ANT THRC VRT BODY TETHRG 8+,,,1675.02,32908.19,15
CPT,22838,REV RPLC/RMV THRC VRT TETHRG,,,1697.0,32908.19,15
CPT,22840,INSERT SPINE FIXATION DEVICE,,,1.0,752.3,15
CPT,22841,INSERT SPINE FIXATION DEVICE,,,171.82,416.42,2
CPT,22842,INSERT SPINE FIXATION DEVICE,,,1.0,759.29,15
CPT,22843,INSERT SPINE FIXATION DEVICE,,,171.82,813.21,15
CPT,22844,INSERT SPINE FIXATION DEVICE,,,171.82,976.99,15
CPT,22845,INSERT SPINE FIXATION DEVICE,,,1.0,723.0,15
CPT,22846,INSERT SPINE FIXATION DEVICE,,,621.33,12632.88,15
CPT,22847,INSERT SPINE FIXATION DEVICE,,,171.82,789.91,15
CPT,22848,INSERT PELV FIXATION DEVICE,,,171.82,416.42,15
CPT,22849,REINSERT SPINAL FIXATION,,,1113.59,19531.91,17
CPT,22850,REMOVE SPINE FIXATION DEVICE,,,171.82,13793.8,17
CPT,22852,REMOVE SPINE FIXATION DEVICE,,,171.82,13793.8,17
CPT,22853,INSJ BIOMECHANICAL DEVICE,,,1.0,256.31,15
CPT,22854,INSJ BIOMECHANICAL DEVICE,,,1.0,333.87,15
CPT,22855,REMOVAL ANTERIOR INSTRMJ,,,171.82,13793.8,17
CPT,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,1635.08,32908.19,18
CPT,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,1518.14,19531.91,17
CPT,22858,TOT DISC ARTHRP 2ND LVL CRV,,,1.0,502.97,15
CPT,22859,INSJ BIOMECHANICAL DEVICE,,,1.0,331.54,15
CPT,22860,TOT DISC ARTHRP 2NTRSPC LMBR,,,341.2,12632.88,15
CPT,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,1915.5,19531.91,17
CPT,22862,REV RPLCM RTHRP 1NTRSPC LMBR,,,1922.5,12632.88,15
CPT,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,1714.52,13793.8,17
CPT,22865,RMVL TOT ARTHRP 1NTRSPC LMBR,,,1878.13,12632.88,15
CPT,22867,INSJ STABLJ DEV W/DCMPRN,,,1080.85,32908.19,15
CPT,22868,INSJ STABLJ DEV W/DCMPRN,,,1.0,241.33,15
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,,,433.07,23240.38,15
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,,,1.0,116.17,15
CPT,22899,SURG 22899 FIDUCIAL MARKER PLACE BONE,1962.0,1569.6,171.82,1765.8,38
CPT,22899,SURG 22899 INJECTION SPINAL HARDWARE,1962.0,1569.6,171.82,1765.8,38
CPT,22899,SURG 22899 LUMB SCREW TIGHTENING W FLOURO,670.0,536.0,171.82,603.0,38
CPT,22900,EXC ABDL TUM DEEP < 5 CM,,,570.88,5017.59,17
CPT,22901,EXC ABDL TUM DEEP 5 CM/>,,,670.74,5017.59,17
CPT,22902,EXC ABD LES SC < 3 CM,,,338.2,2862.91,17
CPT,22903,EXC ABD LES SC 3 CM/>,,,444.39,5017.59,17
CPT,22904,RADICAL RESECT ABD TUMOR<5CM,,,1050.22,5017.59,17
CPT,22905,RAD RESECT ABD TUMOR 5 CM/>,,,1330.17,5017.59,17
CPT,22999,SURG 22999 SCLEROSIS FLUID COLL ABD,3696.0,2956.8,171.82,3326.4,38
CPT,23000,RMVL SBDLTD CLCREOUS DEP OPN,,,364.17,5017.59,17
CPT,23020,CAPSULAR CONTRACTURE RELEASE,,,699.04,5715.72,17
CPT,23030,I&D SHOULDER DEEP ABSC/HMTMA,,,257.31,5017.59,17
CPT,23031,I&D SHOULDER INFECTED BURSA,,,225.36,5017.59,17
CPT,23035,INCISION BONE CORTEX SHO,,,686.06,2838.05,17
CPT,23040,ARTHRT GH JT EXPL/DRG/RMV FB,,,726.0,5715.72,17
CPT,23044,ARTHRT AC SC JT EXP/RMVL FB,,,573.54,5715.72,17
CPT,23065,BIOPSY SHOULDER TISSUES,,,160.78,2862.91,17
CPT,23066,BIOPSY SHOULDER TISSUES,,,375.48,5017.59,17
CPT,23071,EXC SHOULDER LES SC 3 CM/>,,,424.75,2862.91,17
CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,702.37,5017.59,17
CPT,23075,EXC SHOULDER LES SC < 3 CM,,,334.21,2862.91,17
CPT,23076,EXC SHOULDER TUM DEEP < 5 CM,,,549.58,5017.59,17
CPT,23077,RAD RESCJ TUM SHOULDER<5 CM,,,1133.44,5017.59,17
CPT,23078,RAD RESCJ TUM SHOULDER 5CM/>,,,1436.69,5017.59,17
CPT,23100,ARTHROTOMY GLENHUMRL JT W/BX,,,516.95,5715.72,17
CPT,23101,ARTHRT ACRMCLV/STRNCLAV JT,,,467.69,5715.72,17
CPT,23105,ARTHROTOMY GLENOHUMERAL JT,,,651.44,12632.88,17
CPT,23106,ARTHROTOMY STRNCLAV JOINT,,,512.96,5715.72,17
CPT,23107,ARTHRT GLENHUMRL JT W/EXPL,,,674.74,12632.88,17
CPT,23120,CLAVICULECTOMY PARTIAL,,,599.18,5715.72,17
CPT,23125,CLAVICULECTOMY TOTAL,,,720.01,5715.72,17
CPT,23130,ACROMP/ACROMIONECTOMY PRTL,,,628.8,5715.72,17
CPT,23140,REMOVAL OF BONE LESION,,,565.89,5715.72,17
CPT,23145,REMOVAL OF BONE LESION,,,705.7,5715.72,17
CPT,23146,REMOVAL OF BONE LESION,,,634.79,12632.88,17
CPT,23150,REMOVAL OF HUMERUS LESION,,,677.4,5715.72,17
CPT,23155,REMOVAL OF HUMERUS LESION,,,807.22,12632.88,17
CPT,23156,REMOVAL OF HUMERUS LESION,,,689.05,12632.88,17
CPT,23170,SEQUESTRECTOMY CLAVICLE,,,575.54,5715.72,17
CPT,23172,SEQUESTRECTOMY SCAPULA,,,581.2,5715.72,17
CPT,23174,SQSTRCTMY HUMRL HEAD SRG NCK,,,775.6,12632.88,17
CPT,23180,PRTL EXCISION BONE CLAVICLE,,,669.74,12632.88,17
CPT,23182,PRTL EXCISION BONE SCAPULA,,,682.73,12632.88,17
CPT,23184,PRTL EXCISION BONE PROX HUM,,,751.3,12632.88,17
CPT,23190,OSTECTOMY SCAPULA PARTIAL,,,585.53,5715.72,17
CPT,23195,RESECTION HUMERAL HEAD,,,756.62,12632.88,17
CPT,23200,RADICAL RESCJ TUMOR CLAVICLE,,,1171.0,7497.96,17
CPT,23210,RADICAL RESCJ TUMOR SCAPULA,,,1171.0,7497.96,17
CPT,23220,RADICAL RESCJ TUMOR PROX HUM,,,1171.0,7497.96,17
CPT,23330,REMOVE SHOULDER FOREIGN BODY,,,170.1,2862.91,17
CPT,23333,REMOVE SHOULDER FB DEEP,,,482.34,5017.59,17
CPT,23334,SHOULDER PROSTHESIS REMOVAL,,,1064.2,5017.59,17
CPT,23335,SHOULDER PROSTHESIS REMOVAL,,,1109.97,2978.09,17
CPT,23350,SURG 23350 INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,815.0,652.0,1.0,733.5,36
CPT,23395,MUSCLE TRANSFER SHOULDER/ARM,,,1290.22,12632.88,17
CPT,23397,MUSCLE TRANSFERS,,,1146.75,12632.88,17
CPT,23400,FIXATION OF SHOULDER BLADE,,,979.98,12632.88,17
CPT,23405,INCISION OF TENDON & MUSCLE,,,622.81,12632.88,17
CPT,23406,INCISE TENDON(S) & MUSCLE(S),,,736.65,12632.88,17
CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,827.53,12632.88,17
CPT,23412,REPAIR ROTATOR CUFF CHRONIC,,,860.15,12632.88,17
CPT,23415,RELEASE OF SHOULDER LIGAMENT,,,707.69,12632.88,17
CPT,23420,REPAIR OF SHOULDER,,,982.98,12632.88,17
CPT,23430,REPAIR BICEPS TENDON,,,753.3,12632.88,17
CPT,23440,REMOVE/TRANSPLANT TENDON,,,765.95,12632.88,17
CPT,23450,REPAIR SHOULDER CAPSULE,,,952.36,12632.88,17
CPT,23455,REPAIR SHOULDER CAPSULE,,,991.97,12632.88,17
CPT,23460,REPAIR SHOULDER CAPSULE,,,1096.82,12632.88,17
CPT,23462,REPAIR SHOULDER CAPSULE,,,1073.19,12632.88,17
CPT,23465,REPAIR SHOULDER CAPSULE,,,1124.45,12632.88,17
CPT,23466,REPAIR SHOULDER CAPSULE,,,1130.78,12632.88,17
CPT,23470,RECONSTRUCT SHOULDER JOINT,,,1201.68,23240.38,17
CPT,23472,RECONSTRUCT SHOULDER JOINT,,,1445.68,32908.19,18
CPT,23473,REVIS RECONST SHOULDER JOINT,,,1607.45,23240.38,17
CPT,23474,REVIS RECONST SHOULDER JOINT,,,1511.33,23240.38,17
CPT,23480,REVISION OF COLLAR BONE,,,828.53,12632.88,17
CPT,23485,REVISION OF COLLAR BONE,,,960.34,23240.38,17
CPT,23490,REINFORCE CLAVICLE,,,868.8,12632.88,17
CPT,23491,REINFORCE SHOULDER BONES,,,1022.92,23240.38,17
CPT,23500,ED 23500 CLSD TX CLAVICLE FX,701.0,560.8,171.82,630.9,38
CPT,23505,ED 23505 CLSD TX CLVCLE FX WMANIP,2395.0,1916.0,347.19,2838.05,38
CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,729.99,12632.88,17
CPT,23520,ED 23520 CLSD TX CLAVICLE DISLOC,1805.0,1444.0,249.66,2838.05,38
CPT,23525,CLTX STRNCLAV DISLC W/MNPJ,,,171.82,416.42,17
CPT,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,585.86,12632.88,17
CPT,23532,OPTX STRCLV DSLC AQ/CHRN GRF,,,637.12,12632.88,17
CPT,23540,ED 23540 CLSD TX CLAVICLE DISLOC,759.0,607.2,171.82,683.1,38
CPT,23545,ED 23545 CLSD TX CLAVICLE DISLOC WMANIP,874.0,699.2,171.82,786.6,38
CPT,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,581.53,12632.88,17
CPT,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,658.76,12632.88,17
CPT,23570,ED 23570 CLSD TX SCAPULA FX,820.0,656.0,171.82,738.0,38
CPT,23575,ED 23575 CLSD TX SCAPULA FX WMANIP,2014.0,1611.2,393.46,2838.05,38
CPT,23585,OPTX SCAPULAR FX W/INT FIXJ,,,981.98,12632.88,17
CPT,23600,ED 23600 CLSD TX HUMERAL FX,796.0,636.8,171.82,716.4,38
CPT,23605,ED 23605 CLSD TX HUMERAL WMANIP,2858.0,2286.4,441.39,2838.05,38
CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,891.77,23240.38,17
CPT,23616,OPTX PRX HMRL FX FIX RPR RPL,,,1241.29,32908.19,17
CPT,23620,ED 23620 CLSD TX GT HUMERAL,685.0,548.0,171.82,616.5,38
CPT,23625,ED 23625 CLSD TX GT HUMERAL WMANIP,2843.0,2274.4,366.5,2838.05,38
CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,790.91,12632.88,17
CPT,23650,ED 23650 CLSD TX SHOULDER DISLOC W MANIP WO ANES,1007.0,805.6,171.82,906.3,38
CPT,23655,ED 23655 CLSD TX SLDR DSL WMNP ANS,3272.0,2617.6,419.42,2944.8,38
CPT,23660,OPTX ACUTE SHOULDER DISLC,,,595.18,12632.88,17
CPT,23665,ED 23665 CLSD TX SHLDR DSLOC WFX WMAN,2072.0,1657.6,414.76,2838.05,38
CPT,23670,OPTX SHO DISLC FX,,,881.12,12632.88,17
CPT,23675,ED 23675 CLSD TX SHR DISLC NECK FX,2072.0,1657.6,516.62,2838.05,38
CPT,23680,OPTX SHO DISLC NECK FX FIXJ,,,928.72,23240.38,17
CPT,23700,MNPJ ANES SHO JT FIXJ APRATS,,,198.39,2838.05,17
CPT,23800,ARTHRODESIS GLENOHUMERAL JT,,,1034.24,12632.88,17
CPT,23802,ARTHRD GLENOHUMERAL JT W/GRF,,,1289.89,23240.38,17
CPT,23900,INTERTHORACOSCPLR AMPUTATION,,,1210.53,23240.38,17
CPT,23920,DISARTICULATION SHOULDER,,,988.69,23240.38,17
CPT,23921,DISARTICULATION SHO SEC CLSR,,,481.67,3220.2,17
CPT,23929,SURG 23929 TENOTOMY SHOULDER PERC,5368.0,4294.4,171.82,4831.2,38
CPT,23930,I&D UPR A/E DP ABSC/HMTMA,,,217.37,5017.59,17
CPT,23931,ED 23931 I&D ELBOW BURSA,3175.0,2540.0,163.77,2862.91,38
CPT,23935,INC DP OPN B1 CRTX HUM/ELBW,,,523.95,5715.72,17
CPT,24000,ARTHRT ELBW EXPL DRG/RMVL FB,,,488.33,5715.72,17
CPT,24006,ARTHRT ELBW CAPSL EXC RLS,,,723.67,5715.72,17
CPT,24065,BIOPSY ARM/ELBOW SOFT TISSUE,,,164.11,2862.91,17
CPT,24066,BIOPSY ARM/ELBOW SOFT TISSUE,,,429.74,5017.59,17
CPT,24071,EXC ARM/ELBOW LES SC 3 CM/>,,,410.1,5017.59,17
CPT,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,698.37,5017.59,17
CPT,24075,EXC ARM/ELBOW LES SC < 3 CM,,,334.54,2862.91,17
CPT,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,553.9,5017.59,17
CPT,24077,RAD RESCJ TUM TISS A/E <5CM,,,1031.25,5017.59,17
CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,1327.84,5017.59,17
CPT,24100,ARTHRT ELBW SYNOVIAL BX ONLY,,,430.41,5715.72,17
CPT,24101,ARTHRT ELBW JT EXPL BX RMVL,,,513.29,5715.72,17
CPT,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,627.14,5715.72,17
CPT,24105,EXCISION OLECRANON BURSA,,,370.16,5715.72,17
CPT,24110,EXC/CURTG B1 CST/B9 TUM HUM,,,601.51,5715.72,17
CPT,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,747.3,12632.88,17
CPT,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,868.47,12632.88,17
CPT,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,542.92,5715.72,17
CPT,24125,EXC/CRTG B1 CST/TUM RDS AGRF,,,633.79,5715.72,17
CPT,24126,EXC/CRTG B1 CST/TUM RDS ALGR,,,661.09,12632.88,17
CPT,24130,EXCISION RADIAL HEAD,,,520.95,5715.72,17
CPT,24134,SEQUESTRECTOMY SHFT/DSTL HUM,,,757.29,12632.88,17
CPT,24136,SEQUESTRECTOMY RADIAL H/N,,,642.78,5715.72,17
CPT,24138,SEQUESTRECTOMY OLECRN PROCES,,,699.7,12632.88,17
CPT,24140,PARTIAL EXC BONE HUMERUS,,,712.35,5715.72,17
CPT,24145,PRTL EXC BONE RADIAL H/N,,,604.83,12632.88,17
CPT,24147,PRTL EXC BONE OLECRN PROCESS,,,638.79,5715.72,17
CPT,24149,RADICAL RESECTION OF ELBOW,,,1191.03,12632.88,17
CPT,24150,RAD RESCJ TUM DSTL/SHFT HUM,,,1545.54,12632.88,17
CPT,24152,RAD RESECTION TUM RADIAL H/N,,,1346.81,12632.88,17
CPT,24155,RESECTION OF ELBOW JOINT,,,859.82,5715.72,17
CPT,24160,RMVL PROSTHHUMRL&ULNAR CMPNT,,,1260.93,5715.72,17
CPT,24164,REMOVAL PROSTH RADIAL HEAD,,,733.99,5715.72,17
CPT,24200,ED 24200 RMVL FB ARM ELBOW,3220.0,2576.0,143.14,2898.0,38
CPT,24201,RMVL FB UPPER ARM/ELBW DEEP,,,408.44,5017.59,17
CPT,24220,SURG 24220 INJECTION ELBOW ARTHROGRAPHY,713.0,570.4,1.0,641.7,36
CPT,24300,ED 24300 MANIP ELBOW WANES,2629.0,2103.2,452.38,2838.05,38
CPT,24301,MUSC/TDN TRANSFER UPR A/E 1,,,759.62,12632.88,17
CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,589.85,5715.72,17
CPT,24310,TNOT OPN ELBW TO SHO EA TDN,,,483.67,5715.72,17
CPT,24320,TENOPLASTY ELBOW TO SHO 1,,,789.25,12632.88,17
CPT,24330,FLEXOR-PLASTY ELBOW,,,728.0,12632.88,17
CPT,24331,FLEXOR-PLASTY ELBW W/ADVMNT,,,794.24,12632.88,17
CPT,24332,TENOLYSIS TRICEPS,,,626.8,5715.72,17
CPT,24340,TENODESIS BICEPS TDN AT ELBW,,,606.83,12632.88,17
CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,761.62,12632.88,17
CPT,24342,REPAIR OF RUPTURED TENDON,,,782.59,12632.88,17
CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,726.0,5715.72,17
CPT,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,1114.8,12632.88,17
CPT,24345,REPR ELBW MED LIGMNT W/TISSU,,,722.67,12632.88,17
CPT,24346,RECONSTRUCT ELBOW MED LIGMNT,,,1114.8,23240.38,17
CPT,24357,SURG 24357 TENOTOMY ELBOW LAT MEDIAL PERCUTANEOUS,5822.0,4657.6,423.42,5715.72,38
CPT,24358,REPAIR ELBOW W/DEB OPEN,,,540.26,5715.72,17
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,673.74,5715.72,17
CPT,24360,RECONSTRUCT ELBOW JOINT,,,911.41,12632.88,17
CPT,24361,RECONSTRUCT ELBOW JOINT,,,1014.6,32908.19,17
CPT,24362,RECONSTRUCT ELBOW JOINT,,,1067.53,23240.38,17
CPT,24363,REPLACE ELBOW JOINT,,,1451.67,32908.19,17
CPT,24365,RECONSTRUCT HEAD OF RADIUS,,,650.77,23240.38,17
CPT,24366,RECONSTRUCT HEAD OF RADIUS,,,689.05,23240.38,17
CPT,24370,REVISE RECONST ELBOW JOINT,,,1537.55,23240.38,17
CPT,24371,REVISE RECONST ELBOW JOINT,,,1766.57,32908.19,17
CPT,24400,OSTEOT HUMERUS W/WO INT FIXJ,,,836.51,12632.88,17
CPT,24410,MLT OSTEOT RLGNM IMED RD HUM,,,1065.53,23240.38,17
CPT,24420,OSTEOPLASTY HUMERUS,,,1072.19,12632.88,17
CPT,24430,RPR NON/MAL HUMERUS WO GRAFT,,,1062.2,23240.38,17
CPT,24435,RPR NON/MAL HUM WITH AGRFT,,,1089.83,23240.38,17
CPT,24470,HEMIEPIPHYSEAL ARREST,,,682.73,5715.72,17
CPT,24495,DECOMPRESSION FASCT FOREARM,,,928.39,12632.88,17
CPT,24498,PROPH TX W/WO MTHYLMTHCRYLT,,,875.13,23240.38,17
CPT,24500,ED 24500 CLSD TX HUMERAL FX,880.0,704.0,171.82,792.0,38
CPT,24505,ED 24505 CLSD TX HUMERAL FX W MANIP,2013.0,1610.4,467.02,2838.05,38
CPT,24515,OPTX HUMRL SHFT FX PLATE/SCR,,,889.44,23240.38,17
CPT,24516,TX HUMRL SHAFT FX IMED IMPLT,,,866.47,23240.38,17
CPT,24530,ED 24530 CLSD TX HUMERAL FX,814.0,651.2,171.82,732.6,38
CPT,24535,ED 24535 CLSD TX HUMERAL FX W MANIP,2132.0,1705.6,588.52,2838.05,38
CPT,24538,PRQ SKEL FIX SPRCNDLR HUM FX,,,800.56,12632.88,17
CPT,24545,OPTX HUM FX WO NTRCNDYLR XTN,,,936.71,23240.38,17
CPT,24546,OPTX HUM FX W/NTRCNDYLR XTN,,,1044.23,23240.38,17
CPT,24560,ED 24560 CLSD TX HUMERAL WO MANIP,705.0,564.0,171.82,634.5,38
CPT,24565,ED 24565 TX FX HUMER EPICOND WMAN,2431.0,1944.8,510.63,2838.05,38
CPT,24566,PRQ SKEL FIX EPCNDYLR HUM FX,,,732.99,2838.05,17
CPT,24575,OPTX HUMERAL EPCNDYLR FX,,,743.64,23240.38,17
CPT,24576,ED 24576 CLSD TX HUMERAL FX,814.0,651.2,171.82,732.6,38
CPT,24577,ED 24577 TX FX HUMER CONDYLAR MAN CL,2871.0,2296.8,523.28,2838.05,38
CPT,24579,OPTX HUMRL CNDYLR FRACTURE,,,844.5,23240.38,17
CPT,24582,PRQ SKEL FIX HUMRL CNDYLR FX,,,829.86,12632.88,17
CPT,24586,OPTX PARTCLR FX&/DISLC ELBOW,,,1092.83,23240.38,17
CPT,24587,OPTX PARTCLR FX&/DSLC ELBW W,,,1095.16,23240.38,17
CPT,24600,ED 24600 CLSD TX ELBOW DISLOC W/O ANES,914.0,731.2,171.82,822.6,38
CPT,24605,ED 24605 CLSD TX ELBOW DISLOC W ANES,2903.0,2322.4,490.66,2838.05,38
CPT,24615,OPTX AQT/CHRNC ELBOW DISLC,,,722.67,12632.88,17
CPT,24620,ED 24620 CLSD TX ELBOW FX,2710.0,2168.0,602.17,2838.05,38
CPT,24635,OPTX MONTEGGIA FX DISLC ELBW,,,686.06,12632.88,17
CPT,24640,ED 24640 CLSD TX RADIAL HEAD ELB W MANIP,862.0,689.6,80.56,775.8,38
CPT,24650,ED 24650 CLSD TX RADIAL HEAD NECK,767.0,613.6,171.82,690.3,38
CPT,24655,ED 24655 CLSD TX RAD HEAD NECK FX WMAN,2133.0,1706.4,421.42,2838.05,38
CPT,24665,OPTX RADIAL HEAD/NECK FX,,,668.41,12632.88,17
CPT,24666,OPTX RADIAL HEAD/NCK FX RPLC,,,741.98,23240.38,17
CPT,24670,ED 24670 CLSD TX OLECRANON FX,693.0,554.4,171.82,623.7,38
CPT,24675,ED 24675 CLSD TX ULNA FX WMANIP,2132.0,1705.6,431.74,2838.05,38
CPT,24685,OPTX ULNAR FX PROX END W/FIX,,,664.75,12632.88,17
CPT,24800,ARTHRODESIS ELBW JOINT LOCAL,,,843.51,12632.88,17
CPT,24802,ARTHRD ELBOW JT AUTOG GRAFT,,,1009.61,23240.38,17
CPT,24900,AMPUTATION OF UPPER ARM,,,680.41,23240.38,17
CPT,24920,AMPUTATION OF UPPER ARM,,,651.72,23240.38,17
CPT,24925,AMPUTATION FOLLOW-UP SURGERY,,,579.87,5715.72,17
CPT,24930,AMPUTATION FOLLOW-UP SURGERY,,,686.12,23240.38,17
CPT,24931,AMPUTATE UPPER ARM & IMPLANT,,,820.6,23240.38,17
CPT,24935,REVISION OF AMPUTATION,,,1229.31,12632.88,17
CPT,24940,REVISION OF UPPER ARM,,,1004.9,13793.8,4
CPT,24999,SURG 24999 TENOTOMY HUMERUS OR ELBOW PERC,3703.0,2962.4,171.82,3332.7,38
CPT,25000,SURG 25000 INCIS EXTENSOR TENDON SHEATH WRIST,2721.0,2176.8,355.51,2838.05,38
CPT,25001,INCISE FLEXOR CARPI RADIALIS,,,357.17,5715.72,17
CPT,25020,DECOMPRESS FOREARM 1 SPACE,,,745.97,2838.05,17
CPT,25023,DECOMPRESS FOREARM 1 SPACE,,,1316.85,5715.72,17
CPT,25024,DECOMPRESS FOREARM 2 SPACES,,,788.58,5715.72,17
CPT,25025,DECOMPRESS FOREARM 2 SPACES,,,1171.0,2838.05,17
CPT,25028,ED 25028 I&D FOREARM & OR WRIST DEEP ABSCESS HEMATOMA,6043.0,4834.4,699.04,5715.72,38
CPT,25031,I&D FOREARM&/WRIST BURSA,,,377.81,2838.05,17
CPT,25035,INC DP BONE CRTX F/ARM&/WRST,,,600.17,12632.88,17
CPT,25040,ARTHRT RDCRPL/MIDCARPL JT,,,567.88,5715.72,17
CPT,25065,BIOPSY FOREARM SOFT TISSUES,,,159.11,2862.91,17
CPT,25066,SURG 25066 BX SOFT TISSUE FOREARM & OR WRIST DEEP (SUBFASCIAL IM),4400.0,3520.0,375.48,5017.59,38
CPT,25071,SURG 25071 EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,2950.0,2360.0,429.74,2862.91,38
CPT,25073,SURG 25073 EXC TUMR WRIST SUBFAS 3CM+,4929.0,3943.2,543.58,5017.59,38
CPT,25075,SURG 25075 EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,2761.0,2208.8,321.22,2862.91,38
CPT,25076,SURG 25076 EXC TUMOR SOFT TISSUE FOREARM&/WRIST SUBFASC <3CM,4553.0,3642.4,527.27,4097.7,38
CPT,25077,RESECT FOREARM/WRIST TUM<3CM,,,864.14,5017.59,17
CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,1170.39,5017.59,17
CPT,25085,INCISION OF WRIST CAPSULE,,,458.7,5715.72,17
CPT,25100,BIOPSY OF WRIST JOINT,,,359.17,5715.72,17
CPT,25101,EXPLORE/TREAT WRIST JOINT,,,416.09,5715.72,17
CPT,25105,REMOVE WRIST JOINT LINING,,,497.65,5715.72,17
CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,629.8,5715.72,17
CPT,25109,EXCISE TENDON FOREARM/WRIST,,,546.25,5715.72,17
CPT,25110,REMOVE WRIST TENDON LESION,,,354.84,2838.05,17
CPT,25111,SURG 25111 EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,2911.0,2328.8,334.21,2838.05,38
CPT,25112,SURG 25112 EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,5445.0,4356.0,400.78,4900.5,38
CPT,25115,SURG 25115 RADICAL EXC BURSA SYNOVIA WRIST FOREARM TENDON SHEATHS FLEXORS,3854.0,3083.2,767.61,3468.6,38
CPT,25116,SURG 25116 RADICAL EXC BURSA SYNOVIA WRIST FOREARM TENDON SHEATHS EXTENSORS,6367.0,5093.6,616.15,5730.3,38
CPT,25118,EXCISE WRIST TENDON SHEATH,,,392.79,2838.05,17
CPT,25119,PARTIAL REMOVAL OF ULNA,,,512.96,5715.72,17
CPT,25120,SURG 25120 EXC CURETTAGE BONE CYST BENIGN TUMOR RADIUS ULNA,5312.0,4249.6,512.29,5715.72,38
CPT,25125,REMOVE/GRAFT FOREARM LESION,,,606.83,2838.05,17
CPT,25126,REMOVE/GRAFT FOREARM LESION,,,611.16,5715.72,17
CPT,25130,REMOVAL OF WRIST LESION,,,461.7,5715.72,17
CPT,25135,REMOVE & GRAFT WRIST LESION,,,572.88,12632.88,17
CPT,25136,REMOVE & GRAFT WRIST LESION,,,508.63,12632.88,17
CPT,25145,REMOVE FOREARM BONE LESION,,,532.27,5715.72,17
CPT,25150,PARTIAL REMOVAL OF ULNA,,,576.87,5715.72,17
CPT,25151,PARTIAL REMOVAL OF RADIUS,,,594.51,5715.72,17
CPT,25170,RESECT RADIUS/ULNAR TUMOR,,,1469.31,12632.88,17
CPT,25210,REMOVAL OF WRIST BONE,,,503.97,5715.72,17
CPT,25215,REMOVAL OF WRIST BONES,,,630.13,5715.72,17
CPT,25230,PARTIAL REMOVAL OF RADIUS,,,443.06,5715.72,17
CPT,25240,PARTIAL REMOVAL OF ULNA,,,440.39,5715.72,17
CPT,25246,SURG 25246 INJECTION WRIST ARTHROGRAPHY,734.0,587.2,1.0,660.6,36
CPT,25248,ED 25248 EXPLORATION WREMVL DEEP FB FOREARM WRIST,2911.0,2328.8,433.4,2838.05,38
CPT,25250,REMOVAL OF WRIST PROSTHESIS,,,544.58,2838.05,17
CPT,25251,REMOVAL OF WRIST PROSTHESIS,,,729.66,5715.72,17
CPT,25259,MANIPULATE WRIST W/ANESTHES,,,444.72,2838.05,17
CPT,25260,SURG 25260 RPR TENDON MUSCLE FLEXOR FOREARM & OR WRIST PRIME SNGL EA TENDON,6078.0,4862.4,645.78,5715.72,38
CPT,25263,REPAIR FOREARM TENDON/MUSCLE,,,645.78,12632.88,17
CPT,25265,REPAIR FOREARM TENDON/MUSCLE,,,764.28,5715.72,17
CPT,25270,REPAIR FOREARM TENDON/MUSCLE,,,504.64,5715.72,17
CPT,25272,REPAIR FOREARM TENDON/MUSCLE,,,570.88,5715.72,17
CPT,25274,REPAIR FOREARM TENDON/MUSCLE,,,674.74,5715.72,17
CPT,25275,REPAIR FOREARM TENDON SHEATH,,,682.73,5715.72,17
CPT,25280,REVISE WRIST/FOREARM TENDON,,,576.54,5715.72,17
CPT,25290,INCISE WRIST/FOREARM TENDON,,,446.05,5715.72,17
CPT,25295,RELEASE WRIST/FOREARM TENDON,,,537.26,5715.72,17
CPT,25300,FUSION OF TENDONS AT WRIST,,,701.37,5715.72,17
CPT,25301,FUSION OF TENDONS AT WRIST,,,654.1,5715.72,17
CPT,25310,TRANSPLANT FOREARM TENDON,,,632.13,5715.72,17
CPT,25312,TRANSPLANT FOREARM TENDON,,,727.0,5715.72,17
CPT,25315,REVISE PALSY HAND TENDON(S),,,779.26,12632.88,17
CPT,25316,REVISE PALSY HAND TENDON(S),,,925.06,12632.88,17
CPT,25320,REPAIR/REVISE WRIST JOINT,,,1002.95,12632.88,17
CPT,25332,REVISE WRIST JOINT,,,854.49,5715.72,17
CPT,25335,CENTRALIZATION WRIST ON ULNA,,,952.36,5715.72,17
CPT,25337,RECONSTRUCT ULNA/RADIOULNAR,,,899.43,12632.88,17
CPT,25350,REVISION OF RADIUS,,,684.39,12632.88,17
CPT,25355,REVISION OF RADIUS,,,774.93,5715.72,17
CPT,25360,REVISION OF ULNA,,,666.75,12632.88,17
CPT,25365,REVISE RADIUS & ULNA,,,925.73,23240.38,17
CPT,25370,REVISE RADIUS OR ULNA,,,1020.93,5715.72,17
CPT,25375,REVISE RADIUS & ULNA,,,961.68,5715.72,17
CPT,25390,SHORTEN RADIUS OR ULNA,,,777.6,12632.88,17
CPT,25391,LENGTHEN RADIUS OR ULNA,,,1003.29,23240.38,17
CPT,25392,SHORTEN RADIUS & ULNA,,,1020.59,12632.88,17
CPT,25393,LENGTHEN RADIUS & ULNA,,,1135.1,12632.88,17
CPT,25394,REPAIR CARPAL BONE SHORTEN,,,794.24,5715.72,17
CPT,25400,REPAIR RADIUS OR ULNA,,,810.55,12632.88,17
CPT,25405,REPAIR/GRAFT RADIUS OR ULNA,,,1043.23,12632.88,17
CPT,25415,REPAIR RADIUS & ULNA,,,975.66,12632.88,17
CPT,25420,REPAIR/GRAFT RADIUS & ULNA,,,1172.39,12632.88,17
CPT,25425,REPAIR/GRAFT RADIUS OR ULNA,,,971.33,12632.88,17
CPT,25426,REPAIR/GRAFT RADIUS & ULNA,,,1128.78,5715.72,17
CPT,25430,VASC GRAFT INTO CARPAL BONE,,,742.98,5715.72,17
CPT,25431,REPAIR NONUNION CARPAL BONE,,,797.57,12632.88,17
CPT,25440,REPAIR NONU SCPHD CARPL B1,,,777.93,12632.88,17
CPT,25441,ARTHRP W/PROSTC DSTL RDS,,,946.36,23240.38,17
CPT,25442,ARTHRP W/PROSTC DSTL ULNA,,,818.21,32908.19,17
CPT,25443,ARTHRP PROSTC DSTL SCPH CRPL,,,795.9,12632.88,17
CPT,25444,ARTHRP W/PROSTC LUNATE,,,831.52,23240.38,17
CPT,25445,ARTHRP W/PROSTC TRAPEZIUM,,,729.99,12632.88,17
CPT,25446,ARTHRP W/PROSTC DST RDS&CRPS,,,1178.04,32908.19,17
CPT,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,,,842.84,5715.72,17
CPT,25448,ARTHRP NTRCRPL/CRP/MTCRP SSP,,,3082.38,3406.84,9
CPT,25449,REVJ ARTHRP WRIST JOINT,,,1039.57,12632.88,17
CPT,25450,EPIPHYSL ARRST DSTL RDS/ULNA,,,628.8,5715.72,17
CPT,25455,EPIPHYSL ARRST DSTL RDS&ULNA,,,741.31,5715.72,17
CPT,25490,PROPHYLACTIC TX RADIUS,,,729.33,12632.88,17
CPT,25491,PROPHYLACTIC TX ULNA,,,749.3,23240.38,17
CPT,25492,PROPHYLACTIC TX RADIUS&ULNA,,,915.74,5715.72,17
CPT,25500,ED 25500 CLSD TX RAD SHAFT FX,652.0,521.6,171.82,586.8,38
CPT,25505,ED 25505 CLSD TX RAD SHAFT FX W MANIP,1896.0,1516.8,477.01,2838.05,38
CPT,25515,OPTX RADIAL SHAFT FRACTURE,,,682.06,12632.88,17
CPT,25520,ED 25520 CLSD TX RADIAL SHAFT FX WDISLOC RADIO-ULNAR,2949.0,2359.2,560.56,2838.05,38
CPT,25525,OPTX RDL SHFT FX&CLTX RAD/UL,,,801.56,12632.88,17
CPT,25526,OPTX RDL SHFT FX&DSTL RAD/UL,,,967.0,12632.88,17
CPT,25530,ED 25530 CLSD TX ULNAR SHAFT FX,896.0,716.8,171.82,806.4,38
CPT,25535,ED 25535 CLSD TX ULNAR SHAFT FX WMANIP,1385.0,1108.0,171.82,1246.5,38
CPT,25545,OPTX ULNAR SHFT FX INT FIXJ,,,636.46,12632.88,17
CPT,25560,ED 25560 CLSD TX RAD ULNAR SHAFT,867.0,693.6,171.82,780.3,38
CPT,25565,ED 25565 CLSD TX RAD ULNAR SHAFT WMANIP,2069.0,1655.2,479.67,2838.05,38
CPT,25574,OPTX RDL&ULN SHFT FX RDS/ULN,,,686.39,12632.88,17
CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,914.74,12632.88,17
CPT,25600,ED 25600 CLSD TX DISTAL RADIAL FX,867.0,693.6,171.82,780.3,38
CPT,25605,ED 25605 CLSD TX DISTAL RADIAL WMANIP,2638.0,2110.4,526.61,2838.05,38
CPT,25606,PERQ SKEL FIXJ DSTL RDL FX,,,681.73,5715.72,17
CPT,25607,OPTX DST RD XARTC FX/EPI SEP,,,752.3,12632.88,17
CPT,25608,OPTX DST RD XART FX/EPI SEP2,,,839.84,12632.88,17
CPT,25609,OPTX DST RD XART FX/EP SEP3+,,,1063.2,12632.88,17
CPT,25622,ED 25622 CLSD TX NAVICULAR FX WO MANIP,720.0,576.0,171.82,648.0,38
CPT,25624,ED 25624 CLSD TX NAVICULAR FX WMANIP,2327.0,1861.6,461.36,2838.05,38
CPT,25628,OPTX CARPL SCPHD FX INT FIXJ,,,729.33,12632.88,17
CPT,25630,ED 25630 CLSD TX CARPAL BONE FX,683.0,546.4,171.82,614.7,38
CPT,25635,CLTX CARPL FX W/MNPJ EA B1,,,438.73,2838.05,17
CPT,25645,OPTX CRPL FX OTH/THN SCPH EA,,,582.2,5715.72,17
CPT,25650,ED 25650 CLSD TX ULNAR FX,787.0,629.6,171.82,708.3,38
CPT,25651,PERQ SKEL FIX ULNAR STYLD FX,,,502.97,5715.72,17
CPT,25652,OPTX ULNAR STYLOID FRACTURE,,,634.46,12632.88,17
CPT,25660,ED 25660 CLSD TX WRIST DISLOC,775.0,620.0,171.82,697.5,38
CPT,25670,OPTX RDCRPL/NTRCRPL DISLC 1+,,,617.82,12632.88,17
CPT,25671,PERQ SKEL FIX RAD/ULN DISLC,,,547.91,5715.72,17
CPT,25675,ED 25675 CLSD TX WRIST DISLOC WMANIP,775.0,620.0,171.82,697.5,38
CPT,25676,OPTX RAD/ULN DISLC AQT/CHRNC,,,641.78,12632.88,17
CPT,25680,ED 25680 CLSD TX TRANS-SCAPH FX DISLOC W MAN,557.0,445.6,171.82,544.92,38
CPT,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,745.31,12632.88,17
CPT,25690,ED 25690 CLSD TX LNTE DISLC WMANIP,2898.0,2318.4,506.64,2838.05,38
CPT,25695,OPTX LUNATE DISLOCATION,,,644.78,12632.88,17
CPT,25800,ARTHRD WRIST COMPLETE WO GRF,,,739.98,12632.88,17
CPT,25805,ARTHRD WRIST W/SLIDING GRAFT,,,857.15,12632.88,17
CPT,25810,ARTHRD WRST ILIAC/OTH AGRFT,,,876.79,23240.38,17
CPT,25820,ARTHRD WRIST LMTD W/O B1 GRF,,,658.76,12632.88,17
CPT,25825,ARTHRD WRIST WITH AUTOGRAFT,,,803.56,12632.88,17
CPT,25830,ARTHRD DST RAD/UL JT SGM RSC,,,1039.24,12632.88,17
CPT,25900,AMPUTATION OF FOREARM,,,644.14,13793.8,17
CPT,25905,AMPUTATION OF FOREARM,,,624.99,23240.38,17
CPT,25907,AMPUTATION FOLLOW-UP SURGERY,,,625.47,5715.72,17
CPT,25909,AMPUTATION FOLLOW-UP SURGERY,,,694.71,12632.88,17
CPT,25915,AMPUTATION OF FOREARM,,,1022.17,23240.38,17
CPT,25920,AMPUTATE HAND AT WRIST,,,650.98,7497.96,17
CPT,25922,AMPUTATE HAND AT WRIST,,,656.1,2838.05,17
CPT,25924,AMPUTATION FOLLOW-UP SURGERY,,,635.71,7497.96,17
CPT,25927,AMPUTATION OF HAND,,,767.56,3392.43,17
CPT,25929,AMPUTATION FOLLOW-UP SURGERY,,,609.49,3220.2,17
CPT,25931,AMPUTATION FOLLOW-UP SURGERY,,,807.22,5715.72,17
CPT,25999,UNLISTED PX FOREARM/WRIST,,,171.82,416.42,13
CPT,26010,ED 26010 DRN FINGER ABSCESS SIMPLE,748.0,598.4,143.14,673.2,38
CPT,26010,TX RM 26010 DRAINAGE FINGER ABSCESS SIMPLE,748.0,598.4,143.14,673.2,38
CPT,26011,ED 26011 DRN FINGER ABSCESS COMPL,2537.0,2029.6,187.41,2862.91,38
CPT,26011,SURG 26011 DRAINAGE FINGER ABSCESS CMPL,2537.0,2029.6,187.41,2862.91,38
CPT,26020,DRAIN HAND TENDON SHEATH,,,566.22,5715.72,17
CPT,26025,DRAINAGE OF PALM BURSA,,,427.41,5715.72,17
CPT,26030,DRAINAGE OF PALM BURSAS,,,500.64,5715.72,17
CPT,26034,TREAT HAND BONE LESION,,,561.89,2838.05,17
CPT,26035,DECOMPRESS FINGERS/HAND,,,872.13,5715.72,17
CPT,26037,ED 26037 DECOMPRESSIVE FASCIOTOMY HAND,4373.0,3498.4,570.21,5715.72,38
CPT,26040,SURG 26040 FASCIOTOMY PALMAR PERCUTANEOUS,2723.0,2178.4,324.89,2838.05,38
CPT,26045,SURG 26045 FASCIOTOMY PALMAR OPEN PARTIAL,7507.0,6005.6,483.0,6756.3,38
CPT,26055,ED 26055 TENDON SHEATH INCISION,3504.0,2803.2,298.92,3153.6,38
CPT,26055,SURG 26055 TENDON SHEATH INCISION,3504.0,2803.2,298.92,3153.6,38
CPT,26060,INCISION OF FINGER TENDON,,,261.97,2838.05,17
CPT,26070,SURG 26070 ARTHROTOMY CMC W EXPL REM FB,2723.0,2178.4,331.54,2838.05,38
CPT,26075,ED 26075 ARTHROTOMY METACARPOPHAL EA,5290.0,4232.0,347.19,5715.72,38
CPT,26075,SURG 26075 ARTHROTOMY METACARPOPHAL EA,5290.0,4232.0,347.19,5715.72,38
CPT,26080,ED 26080 ARTHMY REMV FB INTRPLN JNT,2744.0,2195.2,409.1,2838.05,38
CPT,26080,SURG 26080 ARTHROTOMY INTERPHALANGEAL HAND REM FB,2744.0,2195.2,409.1,2838.05,38
CPT,26100,BIOPSY HAND JOINT LINING,,,349.19,5715.72,17
CPT,26105,BIOPSY FINGER JOINT LINING,,,351.18,5715.72,17
CPT,26110,BIOPSY FINGER JOINT LINING,,,334.21,2838.05,17
CPT,26111,SURG 26111 EXC TUMR HAND FNGR SUBQ 1.5CM+,3086.0,2468.8,423.08,2862.91,38
CPT,26113,SURG 26113 EXC TUMR HND FNGR SUBFAC1.5CM+,5689.0,4551.2,556.23,5120.1,38
CPT,26115,SURG 26115 EXC HAND LES SC < 1.5 CM,2863.0,2290.4,339.53,2862.91,38
CPT,26116,SURG 26116 EXC TUMOR SOFT TISSUE VASC MALF HAND FINGER SUBFASC <1.5CM,3052.0,2441.6,534.26,2862.91,38
CPT,26117,RAD RESECT HAND TUMOR < 3 CM,,,752.63,5017.59,17
CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,1055.55,5017.59,17
CPT,26121,SURG 26121 FASCIECTOMY PALM W WO,6553.0,5242.4,610.16,5897.7,38
CPT,26123,SURG 26123 FASCIECTOMY PART PALMAR WRELEASE SNGL DIGIT WPROX IP JOINT WWO,8301.0,6640.8,850.16,7470.9,38
CPT,26125,SURG 26125 FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR,4070.0,3256.0,1.0,3663.0,36
CPT,26130,REMOVE WRIST JOINT LINING,,,480.34,5715.72,17
CPT,26135,REVISE FINGER JOINT EACH,,,563.89,5715.72,17
CPT,26140,SURG 26140 SYNOVEC PROX INTERPHALANGEAL JOINT W EXT RECON EACH,4417.0,3533.6,518.95,3975.3,38
CPT,26145,TENDON EXCISION PALM/FINGER,,,526.61,2838.05,17
CPT,26160,SURG 26160 EXC LESION TDN SHTH/JT CAPSL HAND/FNGR,3135.0,2508.0,324.22,2838.05,38
CPT,26170,SURG 26170 EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH,3509.0,2807.2,418.09,3158.1,38
CPT,26180,SURG 26180 EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,4172.0,3337.6,460.7,3754.8,38
CPT,26185,REMOVE FINGER BONE,,,570.21,2838.05,17
CPT,26200,SURG 26200 EXC CURETTAGE BONE CYST BENIGN TUMOR METACARPAL,5369.0,4295.2,460.7,4832.1,38
CPT,26205,REMOVE/GRAFT BONE LESION,,,615.49,12632.88,17
CPT,26210,SURG 26210 EXC CURETTAGE BONE CYST BENIGN TUMOR PHALANX FINGER,3504.0,2803.2,458.7,3153.6,38
CPT,26215,REMOVE/GRAFT FINGER LESION,,,578.2,5715.72,17
CPT,26230,PARTIAL REMOVAL OF HAND BONE,,,509.63,5715.72,17
CPT,26235,PARTIAL REMOVAL FINGER BONE,,,502.97,2838.05,17
CPT,26236,ED 26236 PART EXC DIST PHALANX,1989.0,1591.2,451.71,2838.05,38
CPT,26236,SURG 26236 PARTIAL EXC BONE DISTAL PHALANX FINGER,1989.0,1591.2,451.71,2838.05,38
CPT,26250,EXTENSIVE HAND SURGERY,,,1072.86,5715.72,17
CPT,26260,RESECT PROX FINGER TUMOR,,,804.89,5715.72,17
CPT,26262,RESECT DISTAL FINGER TUMOR,,,640.78,2838.05,17
CPT,26320,REMOVAL OF IMPLANT FROM HAND,,,357.51,2862.91,17
CPT,26340,ED 26340 MANIP FINGR JNT WANES EA,2395.0,1916.0,367.83,2838.05,38
CPT,26341,MANIPULAT PALM CORD POST INJ,,,79.22,416.42,17
CPT,26350,ED 26350 RPR FLEX TEND DIG PRIM,5083.0,4066.4,756.29,5715.72,38
CPT,26350,SURG 26350 REPAIR FINGER/HAND TENDON,5083.0,4066.4,756.29,5715.72,38
CPT,26352,REPAIR/GRAFT HAND TENDON,,,840.84,12632.88,17
CPT,26356,REPAIR FINGER/HAND TENDON,,,807.22,5715.72,17
CPT,26357,REPAIR FINGER/HAND TENDON,,,903.76,5715.72,17
CPT,26358,REPAIR/GRAFT HAND TENDON,,,995.63,12632.88,17
CPT,26370,REPAIR FINGER/HAND TENDON,,,791.91,5715.72,17
CPT,26372,REPAIR/GRAFT HAND TENDON,,,924.39,12632.88,17
CPT,26373,REPAIR FINGER/HAND TENDON,,,889.77,5715.72,17
CPT,26390,REVISE HAND/FINGER TENDON,,,886.78,12632.88,17
CPT,26392,REPAIR/GRAFT HAND TENDON,,,1010.61,12632.88,17
CPT,26410,ED 26410 RPR HAND TENDOR,4794.0,3835.2,609.49,4314.6,38
CPT,26412,REPAIR/GRAFT HAND TENDON,,,724.34,5715.72,17
CPT,26415,EXCISION HAND/FINGER TENDON,,,859.82,5715.72,17
CPT,26416,GRAFT HAND OR FINGER TENDON,,,930.39,5715.72,17
CPT,26418,ED 26418 RPR EXT TENDON FINGER EACH,5117.0,4093.6,633.79,4605.3,38
CPT,26418,SURG 26418 RPR EXTENSOR TENDON FINGER PRIME SECONDARY WO FREE GRAFT EA TEND,5117.0,4093.6,633.79,4605.3,38
CPT,26420,REPAIR/GRAFT FINGER TENDON,,,751.63,5715.72,17
CPT,26426,REPAIR FINGER/HAND TENDON,,,514.29,5715.72,17
CPT,26428,REPAIR/GRAFT FINGER TENDON,,,806.22,5715.72,17
CPT,26432,REPAIR FINGER TENDON,,,551.57,2838.05,17
CPT,26433,ED 26433 RPR EXTNSR TNDN DIST INSRT PRIM OR SECOND WO GRFT,4794.0,3835.2,579.54,5715.72,38
CPT,26434,REPAIR/GRAFT FINGER TENDON,,,705.03,5715.72,17
CPT,26437,REALIGNMENT OF TENDONS,,,675.74,5715.72,17
CPT,26440,RELEASE PALM/FINGER TENDON,,,658.43,2838.05,17
CPT,26442,RELEASE PALM & FINGER TENDON,,,1000.96,5715.72,17
CPT,26445,SURG 26445 TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH TENDON,3836.0,3068.8,611.82,5715.72,38
CPT,26449,RELEASE FOREARM/HAND TENDON,,,712.35,5715.72,17
CPT,26450,INCISION OF PALM TENDON,,,471.68,5715.72,17
CPT,26455,INCISION OF FINGER TENDON,,,468.69,2838.05,17
CPT,26460,INCISE HAND/FINGER TENDON,,,459.03,2838.05,17
CPT,26471,FUSION OF FINGER TENDONS,,,669.08,5715.72,17
CPT,26474,FUSION OF FINGER TENDONS,,,661.42,2838.05,17
CPT,26476,TENDON LENGTHENING,,,653.43,5715.72,17
CPT,26477,TENDON SHORTENING,,,638.12,5715.72,17
CPT,26478,LENGTHENING OF HAND TENDON,,,666.75,5715.72,17
CPT,26479,SHORTENING OF HAND TENDON,,,685.39,5715.72,17
CPT,26480,TRANSPLANT HAND TENDON,,,794.57,5715.72,17
CPT,26483,TRANSPLANT/GRAFT HAND TENDON,,,880.79,5715.72,17
CPT,26485,TRANSPLANT PALM TENDON,,,845.5,5715.72,17
CPT,26489,TRANSPLANT/GRAFT PALM TENDON,,,973.66,5715.72,17
CPT,26490,REVISE THUMB TENDON,,,848.5,5715.72,17
CPT,26492,TENDON TRANSFER WITH GRAFT,,,938.04,5715.72,17
CPT,26494,HAND TENDON/MUSCLE TRANSFER,,,852.16,5715.72,17
CPT,26496,REVISE THUMB TENDON,,,916.74,5715.72,17
CPT,26497,FINGER TENDON TRANSFER,,,915.41,5715.72,17
CPT,26498,FINGER TENDON TRANSFER,,,1188.36,5715.72,17
CPT,26499,CORRECTION CLAW FINGER OTHER,,,881.12,5715.72,17
CPT,26500,HAND TENDON RECONSTRUCTION,,,697.37,12632.88,17
CPT,26502,HAND TENDON RECONSTRUCTION,,,765.61,5715.72,17
CPT,26508,RELEASE THUMB CONTRACTURE,,,686.39,5715.72,17
CPT,26510,THUMB TENDON TRANSFER,,,649.44,5715.72,17
CPT,26516,FUSION OF KNUCKLE JOINT,,,752.63,5715.72,17
CPT,26517,FUSION OF KNUCKLE JOINTS,,,876.13,5715.72,17
CPT,26518,FUSION OF KNUCKLE JOINTS,,,887.11,12632.88,17
CPT,26520,RELEASE KNUCKLE CONTRACTURE,,,690.05,5715.72,17
CPT,26525,SURG 26525 CAPSULECTOMY CAPSULOTOMY INTERPHALANGEAL JOINT EACH JOINT,4080.0,3264.0,694.04,3672.0,38
CPT,26530,REVISE KNUCKLE JOINT,,,552.91,12632.88,17
CPT,26531,REVISE KNUCKLE WITH IMPLANT,,,642.45,12632.88,17
CPT,26535,REVISE FINGER JOINT,,,448.05,5715.72,17
CPT,26536,REVISE/IMPLANT FINGER JOINT,,,758.62,12632.88,17
CPT,26540,REPAIR HAND JOINT,,,708.36,5715.72,17
CPT,26541,REPAIR HAND JOINT WITH GRAFT,,,845.17,5715.72,17
CPT,26542,REPAIR HAND JOINT WITH GRAFT,,,731.33,5715.72,17
CPT,26545,RECONSTRUCT FINGER JOINT,,,744.31,5715.72,17
CPT,26546,REPAIR NONUNION HAND,,,1049.22,12632.88,17
CPT,26548,RECONSTRUCT FINGER JOINT,,,809.22,5715.72,17
CPT,26550,POLLICIZATION DIGIT,,,1658.05,5715.72,17
CPT,26551,GREAT TOE-HAND TRANSFER,,,1171.0,3289.8,15
CPT,26553,SINGLE TRANSFER TOE-HAND,,,1171.0,3267.83,15
CPT,26554,DOUBLE TRANSFER TOE-HAND,,,1171.0,3802.43,15
CPT,26555,POSITIONAL CHANGE OF FINGER,,,1394.75,12632.88,17
CPT,26556,TOE JOINT TRANSFER,,,1171.0,7497.96,17
CPT,26560,REPAIR OF WEB FINGER,,,645.11,2838.05,17
CPT,26561,REPAIR OF WEB FINGER,,,992.3,5715.72,17
CPT,26562,REPAIR OF WEB FINGER,,,1387.76,5715.72,17
CPT,26565,CORRECT METACARPAL FLAW,,,719.68,5715.72,17
CPT,26567,CORRECT FINGER DEFORMITY,,,728.33,5715.72,17
CPT,26568,LENGTHEN METACARPAL/FINGER,,,939.37,12632.88,17
CPT,26580,REPAIR CLEFT HAND,,,1550.86,5715.72,17
CPT,26587,RECONSTRUCT EXTRA FINGER,,,1053.22,5715.72,17
CPT,26590,REPAIR FINGER DEFORMITY,,,1171.0,2838.05,17
CPT,26591,REPAIR MUSCLES OF HAND,,,496.32,5715.72,17
CPT,26593,RELEASE MUSCLES OF HAND,,,653.43,5715.72,17
CPT,26596,EXCISION CONSTRICTING TISSUE,,,827.86,5715.72,17
CPT,26600,ED 26600 CLSD TX METACARPAL FX WO MANIP EA BONE,737.0,589.6,171.82,663.3,38
CPT,26605,ED 26605 CLSD TX METACARPAL FX WMANIP,1168.0,934.4,171.82,1051.2,38
CPT,26607,ED 26607 CLSD TX MTCRPAL FX WMANIP,4030.0,3224.0,518.62,5715.72,38
CPT,26608,TREAT METACARPAL FRACTURE,,,493.99,5715.72,17
CPT,26615,TREAT METACARPAL FRACTURE,,,586.86,5715.72,17
CPT,26641,ED 26641 CLSD TX CMC THUMB DISLOC,819.0,655.2,171.82,737.1,38
CPT,26645,ED 26645 TX FX THUMB WMAN CLSD,2011.0,1608.8,409.1,2838.05,38
CPT,26650,TREAT THUMB FRACTURE,,,493.65,5715.72,17
CPT,26665,TREAT THUMB FRACTURE,,,637.79,5715.72,17
CPT,26670,ED 26670 CLSD TX CMC DISLOC,771.0,616.8,171.82,693.9,38
CPT,26675,TREAT HAND DISLOCATION,,,437.06,2838.05,17
CPT,26676,PIN HAND DISLOCATION,,,522.95,5715.72,17
CPT,26685,TREAT HAND DISLOCATION,,,587.52,5715.72,17
CPT,26686,TREAT HAND DISLOCATION,,,633.13,5715.72,17
CPT,26700,ED 26700 CLSD TX KNUCKLE DISLOC W MANIP,771.0,616.8,171.82,693.9,38
CPT,26705,ED 26705 TX DISL (M-P) W ANES CLSD,2573.0,2058.4,411.1,2838.05,38
CPT,26706,PIN KNUCKLE DISLOCATION,,,458.7,5715.72,17
CPT,26715,TREAT KNUCKLE DISLOCATION,,,584.86,5715.72,17
CPT,26720,ED 26720 CLSD TX FINGER FX,581.0,464.8,171.82,522.9,38
CPT,26725,ED 26725 CLSD TX FINGER FX WMANIP,1260.0,1008.0,171.82,1134.0,38
CPT,26727,TREAT FINGER FRACTURE EACH,,,487.0,5715.72,17
CPT,26735,ED 26735 OPEN TX PHALAN SH FX,4923.0,3938.4,606.5,5715.72,38
CPT,26740,ED 26740 CLSD TX FINGER FX,697.0,557.6,171.82,627.3,38
CPT,26742,ED 26742 CLSD TX ARTICULAR FX W MC/IP JNT W MANIP EA,1806.0,1444.8,347.52,2838.05,38
CPT,26746,TREAT FINGER FRACTURE EACH,,,751.96,5715.72,17
CPT,26750,ED 26750 CLSD TX FINGER FX,737.0,589.6,171.82,663.3,38
CPT,26755,ED 26755 CLSD TX FINGER FX W MANIP EACH,826.0,660.8,171.82,743.4,38
CPT,26756,ED 26756 FIX PHALANX PERC DIST,4981.0,3984.8,436.07,5715.72,38
CPT,26765,ED 26765 OPEN TX DST PHALANGEAL W/O M,5138.0,4110.4,515.29,5715.72,38
CPT,26765,SURG 26765 OPEN TX DISTAL PHALANG FX FINGER THUMB WWO INT EXT FIX EACH,5138.0,4110.4,515.29,5715.72,38
CPT,26770,ED 26770 CLSD TX FINGER DISLOC W MANIP,770.0,616.0,171.82,693.0,38
CPT,26775,ED 26775 CLSD TX DISLOC IP JNT W MANIP W ANES,479.0,383.2,195.67,474.24,38
CPT,26776,PIN FINGER DISLOCATION,,,461.7,5715.72,17
CPT,26785,SURG 26785 OPEN TX INTERPHALANGEAL JOINT DISLOCATION,6412.0,5129.6,558.9,5770.8,38
CPT,26820,THUMB FUSION WITH GRAFT,,,839.84,12632.88,17
CPT,26841,FUSION OF THUMB,,,785.25,12632.88,17
CPT,26842,THUMB FUSION WITH GRAFT,,,842.17,12632.88,17
CPT,26843,FUSION OF HAND JOINT,,,792.24,12632.88,17
CPT,26844,FUSION/GRAFT OF HAND JOINT,,,870.47,12632.88,17
CPT,26850,FUSION OF KNUCKLE,,,743.64,12632.88,17
CPT,26852,FUSION OF KNUCKLE WITH GRAFT,,,843.84,12632.88,17
CPT,26860,FUSION OF FINGER JOINT,,,621.48,5715.72,17
CPT,26861,FUSION OF FINGER JNT ADD-ON,,,1.0,100.86,15
CPT,26862,FUSION/GRAFT OF FINGER JOINT,,,776.6,5715.72,17
CPT,26863,FUSE/GRAFT ADDED JOINT,,,1.0,225.02,15
CPT,26910,AMPUTATE METACARPAL BONE,,,770.61,5715.72,17
CPT,26951,ED 26951 AMP FINGR THMB WNEURECTMY,5157.0,4125.6,712.35,5715.72,38
CPT,26951,SURG 26951 AMP FINGER THUMB PRIM SECOND ANY JOINT SNGL W DIRECT CLOSE,5157.0,4125.6,712.35,5715.72,38
CPT,26952,ED 26952 AMP FINGR THMB SNGL WFLPS,4794.0,3835.2,692.38,5715.72,38
CPT,26989,SURG 26989 UNLISTED PROCEDURE HANDS/FINGERS,1165.0,932.0,171.82,1048.5,38
CPT,26990,DRAINAGE OF PELVIS LESION,,,688.39,5715.72,17
CPT,26991,DRAINAGE OF PELVIS BURSA,,,534.6,2838.05,17
CPT,26992,DRAINAGE OF BONE LESION,,,886.62,2838.05,15
CPT,27000,TENOTOMY ADDUCTOR HIP PERQ,,,395.12,2838.05,17
CPT,27001,TENOTOMY ADDUCTOR HIP OPEN,,,548.25,5715.72,17
CPT,27003,TNOT ADDUCTR SUBQ OPN NEURCT,,,609.49,12632.88,17
CPT,27005,TENOTOMY HIP FLEXOR OPEN,,,642.55,7497.96,17
CPT,27006,TENOTOMY ABDUCTOR&/XTNSR HIP,,,722.01,5715.72,17
CPT,27025,ED 27025 FASCIOTOMY HIP THIGH ANY TYPE,3981.0,3184.8,829.9,7497.96,38
CPT,27027,DCMPRN FASCT PEL COMPARTMENT,,,891.44,12632.88,17
CPT,27030,ARTHROTOMY HIP W/DRAINAGE,,,823.79,2838.05,15
CPT,27033,ARTHRT HIP EXPL/RMV LOOSE/FB,,,977.32,12632.88,17
CPT,27035,DENERVATION OF HIP JOINT,,,1128.11,5715.72,17
CPT,27036,CAPSULECTOMY/CAPSULOTOMY HIP,,,899.68,7497.96,17
CPT,27040,BIOPSY OF SOFT TISSUES,,,199.39,2862.91,17
CPT,27041,BIOPSY OF SOFT TISSUES,,,714.35,2862.91,17
CPT,27043,EXC HIP PELVIS LES SC 3 CM/>,,,473.68,5017.59,17
CPT,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,737.65,5017.59,17
CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,,,366.5,5017.59,17
CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,618.15,5017.59,17
CPT,27049,RESECT HIP/PELV TUM < 5 CM,,,1427.37,5017.59,17
CPT,27050,BIOPSY OF SACROILIAC JOINT,,,415.43,2838.05,17
CPT,27052,BIOPSY OF HIP JOINT,,,589.52,2838.05,17
CPT,27054,REMOVAL OF HIP JOINT LINING,,,614.03,3392.43,17
CPT,27057,BUTTOCK FASCIOTOMY W/DBRDMT,,,1012.61,2838.05,17
CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,1809.51,5017.59,17
CPT,27060,REMOVAL OF ISCHIAL BURSA,,,475.68,12632.88,17
CPT,27062,REMOVE FEMUR LESION/BURSA,,,462.7,5715.72,17
CPT,27065,REMOVE HIP BONE LES SUPER,,,532.27,12632.88,17
CPT,27066,REMOVE HIP BONE LES DEEP,,,824.2,5715.72,17
CPT,27067,REMOVE/GRAFT HIP BONE LESION,,,1043.23,12632.88,17
CPT,27070,PART REMOVE HIP BONE SUPER,,,775.59,7497.96,17
CPT,27071,PART REMOVAL HIP BONE DEEP,,,856.34,7497.96,17
CPT,27075,RESECT HIP TUMOR,,,1171.0,7497.96,17
CPT,27076,RESECT HIP TUM INCL ACETABUL,,,1171.0,7497.96,17
CPT,27077,RESECT HIP TUM W/INNOM BONE,,,2421.57,32908.19,17
CPT,27078,RSECT HIP TUM INCL FEMUR,,,1171.0,13793.8,17
CPT,27080,REMOVAL OF TAIL BONE,,,515.29,5715.72,17
CPT,27086,REMOVE HIP FOREIGN BODY,,,171.43,5017.59,17
CPT,27087,REMOVE HIP FOREIGN BODY,,,621.81,5715.72,17
CPT,27090,REMOVAL OF HIP PROSTHESIS,,,732.44,2978.09,17
CPT,27091,REMOVAL OF HIP PROSTHESIS,,,1171.0,2978.09,17
CPT,27093,SURG 27093 INJ HIP ARTHROGRAPHY W/O ANESTHESIA,993.0,794.4,1.0,893.7,36
CPT,27095,INJECTION FOR HIP X-RAY,,,1.0,300.72,15
CPT,27096,SURG 27096 INJ SI JOINT UNILAT,1140.0,912.0,82.22,1026.0,36
CPT,27097,REVISION OF HIP TENDON,,,692.38,5715.72,17
CPT,27098,TRANSFER TENDON TO PELVIS,,,705.03,5715.72,17
CPT,27100,TRANSFER OF ABDOMINAL MUSCLE,,,839.51,12632.88,17
CPT,27105,TRANSFER OF SPINAL MUSCLE,,,879.46,5715.72,17
CPT,27110,TRANSFER OF ILIOPSOAS MUSCLE,,,978.32,12632.88,17
CPT,27111,TRANSFER OF ILIOPSOAS MUSCLE,,,911.74,5715.72,17
CPT,27120,RECONSTRUCTION OF HIP SOCKET,,,1136.9,13793.8,17
CPT,27122,RECONSTRUCTION OF HIP SOCKET,,,968.37,13793.8,17
CPT,27125,PARTIAL HIP REPLACEMENT,,,993.2,13793.8,17
CPT,27130,TOTAL HIP ARTHROPLASTY,,,1285.9,23240.38,18
CPT,27132,TOTAL HIP ARTHROPLASTY,,,1453.85,23240.38,18
CPT,27134,REVISE HIP JOINT REPLACEMENT,,,1648.53,23240.38,17
CPT,27137,REVISE HIP JOINT REPLACEMENT,,,1274.61,23240.38,17
CPT,27138,REVISE HIP JOINT REPLACEMENT,,,1323.35,23240.38,17
CPT,27140,TRANSPLANT FEMUR RIDGE,,,792.22,13793.8,17
CPT,27146,INCISION OF HIP BONE,,,1121.14,7497.96,17
CPT,27147,REVISION OF HIP BONE,,,1171.0,7497.96,17
CPT,27151,INCISION OF HIP BONES,,,1171.0,7497.96,17
CPT,27156,REVISION OF HIP BONES,,,1171.0,7497.96,17
CPT,27158,REVISION OF PELVIS,,,1171.0,7497.96,17
CPT,27161,INCISION OF NECK OF FEMUR,,,1070.43,7497.96,17
CPT,27165,INCISION/FIXATION OF FEMUR,,,1171.0,7497.96,17
CPT,27170,REPAIR/GRAFT FEMUR HEAD/NECK,,,1024.06,7497.96,17
CPT,27175,TREAT SLIPPED EPIPHYSIS,,,591.83,7497.96,17
CPT,27176,TREAT SLIPPED EPIPHYSIS,,,815.62,13793.8,17
CPT,27177,TREAT SLIPPED EPIPHYSIS,,,981.7,7497.96,17
CPT,27178,TREAT SLIPPED EPIPHYSIS,,,815.62,7497.96,17
CPT,27179,REVISE HEAD/NECK OF FEMUR,,,985.31,12632.88,17
CPT,27181,TREAT SLIPPED EPIPHYSIS,,,985.81,7497.96,17
CPT,27185,REVISION OF FEMUR EPIPHYSIS,,,639.9,7497.96,17
CPT,27187,REINFORCE HIP BONES,,,878.67,7497.96,17
CPT,27197,ED 27197 CLSD TX PELVIC RING FX WO MANIPULATION,426.0,340.8,134.48,416.42,38
CPT,27198,CLSD TX PELVIC RING FX,,,171.82,416.42,17
CPT,27200,ED 27200 CLSD TX COCCYGEAL FX,769.0,615.2,171.82,692.1,38
CPT,27202,TREAT TAIL BONE FRACTURE,,,534.93,5715.72,17
CPT,27215,TREAT PELVIC FRACTURE(S),,,539.33,2838.05,15
CPT,27216,TREAT PELVIC RING FRACTURE,,,797.03,2838.05,15
CPT,27217,TREAT PELVIC RING FRACTURE,,,749.22,2838.05,15
CPT,27218,TREAT PELVIC RING FRACTURE,,,1025.55,2838.05,15
CPT,27220,ED 27220 CLSD TX HIP SOCKET FX,939.0,751.2,171.82,845.1,38
CPT,27222,ED 27222 TX FX ACETAB WMANIP CLSD,1740.0,1392.0,171.82,1566.0,38
CPT,27226,TREAT HIP WALL FRACTURE,,,923.75,7497.96,17
CPT,27227,TREAT HIP FRACTURE(S),,,1171.0,7497.96,17
CPT,27228,TREAT HIP FRACTURE(S),,,1171.0,7497.96,17
CPT,27230,ED 27230 CLSD TX FEMUR FX,789.0,631.2,171.82,710.1,38
CPT,27232,ED 27232 CLSD TX FEMUR FX WMANIP,938.0,750.4,171.82,1684.46,38
CPT,27235,TREAT THIGH FRACTURE,,,913.08,12632.88,17
CPT,27236,TREAT THIGH FRACTURE,,,1046.71,7497.96,17
CPT,27238,ED 27238 CLSD TX FEMUR FX,2071.0,1656.8,479.01,2838.05,38
CPT,27240,ED 27240 FX FEMUR TROCH WMAN CLSD,2034.0,1627.2,171.82,1830.6,38
CPT,27244,TREAT THIGH FRACTURE,,,1076.31,7497.96,17
CPT,27245,TREAT THIGH FRACTURE,,,1075.16,7497.96,17
CPT,27246,ED 27246 CLSD TX THIGH FX,1095.0,876.0,171.82,985.5,38
CPT,27248,TREAT THIGH FRACTURE,,,656.77,7497.96,17
CPT,27250,ED 27250 CLSD TX HIP DISLOC,912.0,729.6,171.82,820.8,38
CPT,27252,ED 27252 CLSD TX HIP DSLC TRM WANS,3305.0,2644.0,755.63,2974.5,38
CPT,27253,TREAT HIP DISLOCATION,,,826.98,3392.43,17
CPT,27254,TREAT HIP DISLOCATION,,,1112.54,3392.43,17
CPT,27256,TREAT HIP DISLOCATION,,,171.82,416.42,17
CPT,27257,TREAT HIP DISLOCATION,,,363.5,2838.05,17
CPT,27258,TREAT HIP DISLOCATION,,,976.59,3392.43,17
CPT,27259,TREAT HIP DISLOCATION,,,1171.0,3392.43,17
CPT,27265,ED 27265 CLSD TX HIP DISLOC WO ANES,1298.0,1038.4,171.82,1168.2,38
CPT,27266,ED 27266 CLSD TX HIP DISLOC WANES,4648.0,3718.4,592.18,4183.2,38
CPT,27267,ED 27267 CLSD TX FEMORAL FX PROX,4319.0,3455.2,452.71,5715.72,38
CPT,27268,CLTX THIGH FX W/MNPJ,,,171.82,3392.43,17
CPT,27269,OPTX THIGH FX,,,1083.04,2838.05,17
CPT,27275,MANIPULATION OF HIP JOINT,,,186.74,2838.05,17
CPT,27278,ARTHRD SI JT PLMT IARTIC DEV,,,467.02,32908.19,15
CPT,27279,ARTHRD SI JT PLMT TARTCLR DV,,,804.23,32908.19,18
CPT,27280,ARTHR SI JT OPN B1GRF INSTRM,,,1163.07,32908.19,17
CPT,27282,ARTHRODESIS SYMPHYSIS PUBIS,,,762.41,32908.19,17
CPT,27284,ARTHRODESIS HIP JOINT,,,1392.21,32908.19,17
CPT,27286,ARTHRD HIP JT SBTRCHC OSTEOT,,,1429.94,32908.19,17
CPT,27290,AMPUTATION OF LEG AT HIP,,,1416.05,32908.19,17
CPT,27295,AMPUTATION OF LEG AT HIP,,,1088.4,32908.19,17
CPT,27299,SURG 27299 INJ PROCEDURE PELVIS HIP,979.0,783.2,171.82,881.1,38
CPT,27301,ED 27301 I & D=D ABSC BURSA THIGH KNEE,4101.0,3280.8,515.62,5017.59,38
CPT,27301,TX RM 27301 I&D ABCESS HEMATOMA THIGH KNEE,4101.0,3280.8,515.62,5017.59,38
CPT,27303,DRAINAGE OF BONE LESION,,,572.06,2838.05,15
CPT,27305,INCISE THIGH TENDON & FASCIA,,,491.99,5715.72,17
CPT,27306,INCISION OF THIGH TENDON,,,348.85,5715.72,17
CPT,27307,INCISION OF THIGH TENDONS,,,413.76,5715.72,17
CPT,27310,EXPLORATION OF KNEE JOINT,,,741.98,5715.72,17
CPT,27323,BIOPSY THIGH SOFT TISSUES,,,176.09,2862.91,17
CPT,27324,BIOPSY THIGH SOFT TISSUES,,,417.76,5017.59,17
CPT,27325,NEURECTOMY HAMSTRING,,,574.88,3409.43,17
CPT,27326,NEURECTOMY POPLITEAL,,,532.93,3409.43,17
CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,,,320.23,2862.91,17
CPT,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,630.47,5017.59,17
CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,1044.56,5017.59,17
CPT,27330,BIOPSY KNEE JOINT LINING,,,432.74,5715.72,17
CPT,27331,EXPLORE/TREAT KNEE JOINT,,,486.33,5715.72,17
CPT,27332,REMOVAL OF KNEE CARTILAGE,,,656.1,5715.72,17
CPT,27333,REMOVAL OF KNEE CARTILAGE,,,600.17,5715.72,17
CPT,27334,REMOVE KNEE JOINT LINING,,,696.04,5715.72,17
CPT,27335,REMOVE KNEE JOINT LINING,,,775.6,12632.88,17
CPT,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,424.08,5017.59,17
CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,761.29,5017.59,17
CPT,27340,REMOVAL OF KNEECAP BURSA,,,384.47,5715.72,17
CPT,27345,REMOVAL OF KNEE CYST,,,495.98,5715.72,17
CPT,27347,REMOVE KNEE CYST,,,537.26,5715.72,17
CPT,27350,REMOVAL OF KNEECAP,,,664.42,12632.88,17
CPT,27355,REMOVE FEMUR LESION,,,617.48,5715.72,17
CPT,27356,REMOVE FEMUR LESION/GRAFT,,,749.97,23240.38,17
CPT,27357,REMOVE FEMUR LESION/GRAFT,,,827.53,12632.88,17
CPT,27358,REMOVE FEMUR LESION/FIXATION,,,1.0,271.29,15
CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,911.41,5715.72,17
CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,1563.51,5017.59,17
CPT,27365,RESECT FEMUR/KNEE TUMOR,,,1171.0,7497.96,17
CPT,27369,SURG 27369 INJ CONTRAST KNEE ARTHG OR CONTRAST ENHANCD CT/MRI KNEE,1087.0,869.6,1.0,978.3,36
CPT,27372,ED 27372 REMOVE FB THIGH KNEE DEEP,3880.0,3104.0,405.77,5017.59,38
CPT,27380,REPAIR OF KNEECAP TENDON,,,632.13,12632.88,17
CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,829.19,12632.88,17
CPT,27385,REPAIR OF THIGH MUSCLE,,,616.82,12632.88,17
CPT,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,865.48,12632.88,17
CPT,27390,INCISION OF THIGH TENDON,,,460.7,5715.72,17
CPT,27391,INCISION OF THIGH TENDONS,,,589.19,5715.72,17
CPT,27392,INCISION OF THIGH TENDONS,,,723.67,5715.72,17
CPT,27393,LENGTHENING OF THIGH TENDON,,,510.3,12632.88,17
CPT,27394,LENGTHENING OF THIGH TENDONS,,,665.08,12632.88,17
CPT,27395,LENGTHENING OF THIGH TENDONS,,,891.44,5715.72,17
CPT,27396,TRANSPLANT OF THIGH TENDON,,,628.47,12632.88,17
CPT,27397,TRANSPLANTS OF THIGH TENDONS,,,924.73,12632.88,17
CPT,27400,REVISE THIGH MUSCLES/TENDONS,,,705.7,12632.88,17
CPT,27403,REPAIR OF KNEE CARTILAGE,,,655.1,12632.88,17
CPT,27405,REPAIR OF KNEE LIGAMENT,,,686.06,12632.88,17
CPT,27407,REPAIR OF KNEE LIGAMENT,,,806.56,12632.88,17
CPT,27409,REPAIR OF KNEE LIGAMENTS,,,974.66,12632.88,17
CPT,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,1650.06,12632.88,17
CPT,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,1378.1,23240.38,17
CPT,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,986.97,12632.88,17
CPT,27418,REPAIR DEGENERATED KNEECAP,,,829.86,12632.88,17
CPT,27420,REVISION OF UNSTABLE KNEECAP,,,759.62,12632.88,17
CPT,27422,REVISION OF UNSTABLE KNEECAP,,,750.97,12632.88,17
CPT,27424,REVISION/REMOVAL OF KNEECAP,,,758.29,12632.88,17
CPT,27425,LAT RETINACULAR RELEASE OPEN,,,464.69,5715.72,17
CPT,27427,RECONSTRUCTION KNEE,,,717.35,12632.88,17
CPT,27428,RECONSTRUCTION KNEE,,,1126.45,23240.38,18
CPT,27429,RECONSTRUCTION KNEE,,,1269.59,23240.38,17
CPT,27430,REVISION OF THIGH MUSCLES,,,751.96,12632.88,17
CPT,27435,INCISION OF KNEE JOINT,,,816.88,5715.72,17
CPT,27437,REVISE KNEECAP,,,671.08,12632.88,17
CPT,27438,REVISE KNEECAP WITH IMPLANT,,,848.83,23240.38,17
CPT,27440,REVISION OF KNEE JOINT,,,806.56,23240.38,17
CPT,27441,REVISION OF KNEE JOINT,,,832.19,23240.38,17
CPT,27442,REVISION OF KNEE JOINT,,,876.13,23240.38,17
CPT,27443,REVISION OF KNEE JOINT,,,825.2,23240.38,17
CPT,27445,Outpatient Services,,,1098.12,1213.71,9
CPT,27445,Outpatient Services - CPT/HCPCS,,,9589.17,23240.38,4
CPT,27445,Therapy,,,1257.93,1257.93,4
CPT,27446,REVISION OF KNEE JOINT,,,1151.41,23240.38,17
CPT,27447,TOTAL KNEE ARTHROPLASTY,,,1283.9,23240.38,18
CPT,27448,INCISION OF THIGH,,,733.67,7497.96,17
CPT,27450,INCISION OF THIGH,,,887.01,7497.96,17
CPT,27454,REALIGNMENT OF THIGH BONE,,,1133.4,7497.96,17
CPT,27455,REALIGNMENT OF KNEE,,,847.72,7497.96,17
CPT,27457,REALIGNMENT OF KNEE,,,840.29,7497.96,17
CPT,27465,SHORTENING OF THIGH BONE,,,1092.47,7497.96,17
CPT,27466,LENGTHENING OF THIGH BONE,,,1040.33,7497.96,17
CPT,27468,Outpatient Services,,,1173.31,1296.82,9
CPT,27468,Outpatient Services - CPT/HCPCS,,,1171.0,7497.96,4
CPT,27468,Therapy,,,1344.15,1344.15,4
CPT,27470,REPAIR OF THIGH,,,1036.59,7497.96,17
CPT,27472,REPAIR/GRAFT OF THIGH,,,1108.26,7497.96,17
CPT,27475,SURGERY TO STOP LEG GROWTH,,,673.07,12632.88,17
CPT,27477,SURGERY TO STOP LEG GROWTH,,,742.64,12632.88,17
CPT,27479,SURGERY TO STOP LEG GROWTH,,,925.73,12632.88,17
CPT,27485,SURGERY TO STOP LEG GROWTH,,,681.06,12632.88,17
CPT,27486,REVISE/REPLACE KNEE JOINT,,,1227.4,23240.38,17
CPT,27487,REVISE/REPLACE KNEE JOINT,,,1523.82,23240.38,17
CPT,27488,REMOVAL OF KNEE PROSTHESIS,,,1053.82,7497.96,17
CPT,27495,REINFORCE THIGH,,,992.35,7497.96,17
CPT,27496,DECOMPRESSION OF THIGH/KNEE,,,559.9,5715.72,17
CPT,27497,DECOMPRESSION OF THIGH/KNEE,,,589.85,5715.72,17
CPT,27498,DECOMPRESSION OF THIGH/KNEE,,,667.41,2838.05,17
CPT,27499,DECOMPRESSION OF THIGH/KNEE,,,712.02,12632.88,17
CPT,27500,ED 27500 CLSD TX FEM SHAFT FX WO MANIP,1067.0,853.6,171.82,960.3,38
CPT,27501,ED 27501 CLSD TX SUPRACOND FX WO MANIP,816.0,652.8,171.82,734.4,38
CPT,27502,ED 27502 CLSD TX FMRL SHFT FX WMNP,3351.0,2680.8,760.62,3015.9,38
CPT,27503,TREATMENT OF THIGH FRACTURE,,,807.89,2838.05,17
CPT,27506,TREATMENT OF THIGH FRACTURE,,,1171.0,7497.96,17
CPT,27507,TREATMENT OF THIGH FRACTURE,,,848.22,2838.05,15
CPT,27508,ED 27508 CLSD TX FEM FX DIST WO MANIP,789.0,631.2,171.82,710.1,38
CPT,27509,TREATMENT OF THIGH FRACTURE,,,684.72,12632.88,17
CPT,27510,ED 27510 CLSD TX FEMORAL FX DISTAL WMAN,2337.0,1869.6,691.05,2838.05,38
CPT,27511,TREATMENT OF THIGH FRACTURE,,,869.18,2838.05,15
CPT,27513,TREATMENT OF THIGH FRACTURE,,,1073.25,2838.05,15
CPT,27514,TREATMENT OF THIGH FRACTURE,,,844.58,7497.96,17
CPT,27516,ED 27516 CLSD TX FEMORAL EPIPHYS WO MAN,421.0,336.8,171.82,499.65,38
CPT,27517,TREAT THIGH FX GROWTH PLATE,,,701.03,2838.05,17
CPT,27519,TREAT THIGH FX GROWTH PLATE,,,779.99,7497.96,17
CPT,27520,ED 27520 CLSD TX PATELLAR FX,859.0,687.2,171.82,773.1,38
CPT,27524,TREAT KNEECAP FRACTURE,,,761.95,12632.88,17
CPT,27530,ED 27530 CLSD TX TIBIAL FX PROX,959.0,767.2,171.82,863.1,38
CPT,27532,ED 27532 CLSD TX TBL FX W WO MANIP,4840.0,3872.0,591.85,5715.72,38
CPT,27535,TREAT KNEE FRACTURE,,,785.22,2838.05,15
CPT,27536,TREAT KNEE FRACTURE,,,1043.4,7497.96,17
CPT,27538,ED 27538 TX FX INTERCOND TUBER CLSD,722.0,577.6,171.82,649.8,38
CPT,27540,TREAT KNEE FRACTURE,,,723.01,7497.96,17
CPT,27550,ED 27550 CLSD TX KNEE DISLOC WO ANES,694.0,555.2,171.82,624.6,38
CPT,27552,ED 27552 CLSD TX KNEE DISLOC W ANES,3835.0,3068.0,646.11,3451.5,38
CPT,27556,TREAT KNEE DISLOCATION,,,767.07,7497.96,17
CPT,27557,TREAT KNEE DISLOCATION,,,910.74,7497.96,17
CPT,27558,TREAT KNEE DISLOCATION,,,1033.62,7497.96,17
CPT,27560,ED 27560 CLSD TX KNEECAP DISLOC WO ANES,785.0,628.0,171.82,706.5,38
CPT,27562,ED 27562 CLSD TX PAT DISLOCTN WANES,1628.0,1302.4,171.82,1465.2,38
CPT,27566,TREAT KNEECAP DISLOCATION,,,900.76,12632.88,17
CPT,27570,ED 27570 MANIP KNEE JOINT,2930.0,2344.0,156.45,2838.05,38
CPT,27580,FUSION OF KNEE,,,1290.82,13793.8,17
CPT,27590,AMPUTATE LEG AT THIGH,,,658.95,19531.91,17
CPT,27591,AMPUTATE LEG AT THIGH,,,849.62,19531.91,17
CPT,27592,AMPUTATE LEG AT THIGH,,,574.92,19531.91,17
CPT,27594,AMPUTATION FOLLOW-UP SURGERY,,,506.64,5715.72,17
CPT,27596,AMPUTATION FOLLOW-UP SURGERY,,,607.97,7497.96,17
CPT,27598,AMPUTATE LOWER LEG AT KNEE,,,595.13,13793.8,17
CPT,27599,SURG 27599 UNLISTED PROC FEMUR KNEE,6938.0,5550.4,171.82,6244.2,38
CPT,27600,DECOMPRESSION OF LOWER LEG,,,401.45,5715.72,17
CPT,27601,DECOMPRESSION OF LOWER LEG,,,446.39,5715.72,17
CPT,27602,DECOMPRESSION OF LOWER LEG,,,475.35,5715.72,17
CPT,27603,ED 27603 INCISION & DRAINAGE LEG ANKLE DEEP ABSCESS HEMATOMA,4017.0,3213.6,393.46,5017.59,38
CPT,27603,TX RM 27603 I&D ABSCESS HEMATOMA LEG ANKLE DEEP,4017.0,3213.6,393.46,5017.59,38
CPT,27604,DRAIN LOWER LEG BURSA,,,326.22,5715.72,17
CPT,27605,SURG 27605 TENOTOMY PERCUTANEOUS ACHILLES TENDON,2926.0,2340.8,183.75,2838.05,38
CPT,27606,INCISION OF ACHILLES TENDON,,,270.96,5715.72,17
CPT,27607,TREAT LOWER LEG BONE LESION,,,604.5,5715.72,17
CPT,27610,EXPLORE/TREAT ANKLE JOINT,,,651.77,5715.72,17
CPT,27612,EXPLORATION OF ANKLE JOINT,,,578.2,5715.72,17
CPT,27613,SURG 27613 BIOPSY SOFT TISSUE LEG ANKLE SUPERFICIAL,2444.0,1955.2,162.78,2862.91,38
CPT,27614,BIOPSY LOWER LEG SOFT TISSUE,,,420.42,5017.59,17
CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,1016.6,5017.59,17
CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,1261.26,5017.59,17
CPT,27618,EXC LEG/ANKLE TUM < 3 CM,,,310.24,2862.91,17
CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,475.68,5017.59,17
CPT,27620,EXPLORE/TREAT ANKLE JOINT,,,454.04,5715.72,17
CPT,27625,REMOVE ANKLE JOINT LINING,,,578.54,5715.72,17
CPT,27626,REMOVE ANKLE JOINT LINING,,,625.47,5715.72,17
CPT,27630,REMOVAL OF TENDON LESION,,,362.17,5715.72,17
CPT,27632,EXC LEG/ANKLE LES SC 3 CM/>,,,412.43,5017.59,17
CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,677.07,5017.59,17
CPT,27635,REMOVE LOWER LEG BONE LESION,,,586.19,5715.72,17
CPT,27637,REMOVE/GRAFT LEG BONE LESION,,,754.96,12632.88,17
CPT,27638,REMOVE/GRAFT LEG BONE LESION,,,748.64,12632.88,17
CPT,27640,PARTIAL REMOVAL OF TIBIA,,,837.51,5715.72,17
CPT,27641,PARTIAL REMOVAL OF FIBULA,,,657.76,5715.72,17
CPT,27645,RESECT TIBIA TUMOR,,,1536.81,7497.96,17
CPT,27646,RESECT FIBULA TUMOR,,,1339.01,7497.96,17
CPT,27647,RESECT TALUS/CALCANEUS TUM,,,991.3,5715.72,17
CPT,27648,SURG 27648 INJ ANKLE ARTHROGRAPHY,752.0,601.6,1.0,676.8,36
CPT,27650,REPAIR ACHILLES TENDON,,,663.75,12632.88,17
CPT,27652,REPAIR/GRAFT ACHILLES TENDON,,,676.4,12632.88,17
CPT,27654,REPAIR OF ACHILLES TENDON,,,722.01,12632.88,17
CPT,27656,REPAIR LEG FASCIA DEFECT,,,345.52,5715.72,17
CPT,27658,REPAIR OF LEG TENDON EACH,,,374.15,5715.72,17
CPT,27659,REPAIR OF LEG TENDON EACH,,,477.68,12632.88,17
CPT,27664,REPAIR OF LEG TENDON EACH,,,367.49,12632.88,17
CPT,27665,REPAIR OF LEG TENDON EACH,,,430.07,12632.88,17
CPT,27675,REPAIR LOWER LEG TENDONS,,,500.98,5715.72,17
CPT,27676,REPAIR LOWER LEG TENDONS,,,615.82,12632.88,17
CPT,27680,RELEASE OF LOWER LEG TENDON,,,426.08,5715.72,17
CPT,27681,RELEASE OF LOWER LEG TENDONS,,,513.96,5715.72,17
CPT,27685,TX RM 27685 LENGTHEN SHORTEN TENDON LEG ANKLE SINGLE,6640.0,5312.0,471.68,5976.0,38
CPT,27686,TX RM 27686 LENGTH SHORTEN TNDN LEG ANK MULTI TENDONS SAME INCIS,5849.0,4679.2,537.93,5715.72,38
CPT,27687,REVISION OF CALF TENDON,,,459.7,5715.72,17
CPT,27690,REVISE LOWER LEG TENDON,,,643.78,12632.88,17
CPT,27691,REVISE LOWER LEG TENDON,,,749.63,12632.88,17
CPT,27692,REVISE ADDITIONAL LEG TENDON,,,1.0,100.86,15
CPT,27695,REPAIR OF ANKLE LIGAMENT,,,492.32,12632.88,17
CPT,27696,REPAIR OF ANKLE LIGAMENTS,,,552.91,12632.88,17
CPT,27698,REPAIR OF ANKLE LIGAMENT,,,642.78,12632.88,17
CPT,27700,REVISION OF ANKLE JOINT,,,720.67,12632.88,17
CPT,27702,RECONSTRUCT ANKLE JOINT,,,966.67,32908.19,17
CPT,27703,RECONSTRUCTION ANKLE JOINT,,,980.2,23240.38,17
CPT,27704,REMOVAL OF ANKLE IMPLANT,,,573.21,5715.72,17
CPT,27705,OSTEOTOMY TIBIA,,,755.63,12632.88,17
CPT,27707,OSTEOTOMY FIBULA,,,412.77,5715.72,17
CPT,27709,OSTEOTOMY TIBIA & FIBULA,,,1149.42,23240.38,17
CPT,27712,OSTEOT MLT RELIGNMT IMED ROD,,,970.85,13793.8,17
CPT,27715,OSTPL TIBFIB LNGTH/SHRT,,,942.87,5715.72,15
CPT,27720,REPAIR OF TIBIA,,,879.46,12632.88,17
CPT,27722,REPAIR/GRAFT OF TIBIA,,,903.42,12632.88,17
CPT,27724,REPAIR/GRAFT OF TIBIA,,,1093.84,7497.96,17
CPT,27725,REPAIR OF LOWER LEG,,,1071.29,7497.96,17
CPT,27726,REPAIR FIBULA NONUNION,,,960.34,12632.88,17
CPT,27727,REPAIR OF LOWER LEG,,,915.65,7497.96,17
CPT,27730,REPAIR OF TIBIA EPIPHYSIS,,,598.51,5715.72,17
CPT,27732,REPAIR OF FIBULA EPIPHYSIS,,,464.03,5715.72,17
CPT,27734,REPAIR LOWER LEG EPIPHYSES,,,667.75,5715.72,17
CPT,27740,REPAIR OF LEG EPIPHYSES,,,718.01,5715.72,17
CPT,27742,REPAIR OF LEG EPIPHYSES,,,786.92,5715.72,17
CPT,27745,REINFORCE TIBIA,,,752.63,12632.88,17
CPT,27750,ED 27750 CLSD TX TIBIAL SHAFT FX WO MAN,948.0,758.4,171.82,853.2,38
CPT,27752,ED 27752 TX FX TIB SHAFT WMAN,2589.0,2071.2,502.64,2838.05,38
CPT,27756,TREATMENT OF TIBIA FRACTURE,,,587.52,12632.88,17
CPT,27758,TREATMENT OF TIBIA FRACTURE,,,904.42,23240.38,17
CPT,27759,TREATMENT OF TIBIA FRACTURE,,,1002.95,23240.38,17
CPT,27760,ED 27760 CLSD TX ANKLE FX WO MANIP,707.0,565.6,171.82,636.3,38
CPT,27762,ED 27762 CLSD TX ANKLE FX WMANIP,2567.0,2053.6,454.71,2838.05,38
CPT,27766,OPTX MEDIAL ANKLE FX,,,613.16,12632.88,17
CPT,27767,ED 27767 CLSD TX POST MALL FX WO,897.0,717.6,171.82,807.3,38
CPT,27768,ED 27768 CLOSED TX PST MALLEOLUS FX W MANJ,3001.0,2400.8,462.03,2838.05,38
CPT,27769,OPTX POST ANKLE FX,,,733.99,12632.88,17
CPT,27780,ED 27780 CLSD TX PROX FIB FX WO MANIP,832.0,665.6,171.82,748.8,38
CPT,27781,ED 27781 CLSD TX PRS FBLA FX WMANP,2880.0,2304.0,417.43,2838.05,38
CPT,27784,TREATMENT OF FIBULA FRACTURE,,,724.34,12632.88,17
CPT,27786,ED 27786 CLSD TX ANKLE FX WO MANIP,879.0,703.2,171.82,791.1,38
CPT,27788,ED 27788 CLSD TX ANKLE FX WMANIP,986.0,788.8,171.82,887.4,38
CPT,27788,SURG 27788 CLOSED TREAT DISTAL FIBULAR FX (LAT MALLEOLUS) WMANIP,986.0,788.8,171.82,887.4,38
CPT,27792,TREATMENT OF ANKLE FRACTURE,,,653.1,12632.88,17
CPT,27808,ED 27808 CLSD TX BIMAL FX WO MANIP,648.0,518.4,171.82,583.2,38
CPT,27810,ED 27810 CLSD TX BIMAL FX WMANIP,1967.0,1573.6,441.73,2838.05,38
CPT,27814,TREATMENT OF ANKLE FRACTURE,,,771.94,12632.88,17
CPT,27816,ED 27816 CLSD TX TRIMAL FX WO MANIP,738.0,590.4,171.82,664.2,38
CPT,27818,ED 27818 CLSD TX TRIMAL WMANIP,2039.0,1631.2,453.71,2838.05,38
CPT,27822,TREATMENT OF ANKLE FRACTURE,,,881.45,12632.88,17
CPT,27823,TREATMENT OF ANKLE FRACTURE,,,992.3,12632.88,17
CPT,27824,ED 27824 CLSD TX ART FX TIB WO MANIP,754.0,603.2,171.82,678.6,38
CPT,27825,ED 27825 CLSD TX ART FX TIB WMANIP,2880.0,2304.0,503.64,2838.05,38
CPT,27826,TREAT LOWER LEG FRACTURE,,,861.48,12632.88,17
CPT,27827,TREAT LOWER LEG FRACTURE,,,1128.11,23240.38,17
CPT,27828,TREAT LOWER LEG FRACTURE,,,1333.16,23240.38,17
CPT,27829,TREAT LOWER LEG JOINT,,,715.02,12632.88,17
CPT,27830,TREAT LOWER LEG DISLOCATION,,,171.82,416.42,17
CPT,27831,TREAT LOWER LEG DISLOCATION,,,421.09,5715.72,17
CPT,27832,TREAT LOWER LEG DISLOCATION,,,768.28,12632.88,17
CPT,27840,ED 27840 CLSD TX ANKLE DISLOC WO ANES,900.0,720.0,171.82,810.0,38
CPT,27842,ED 27842 CLD TX ANKLE DISLOC W ANES,2637.0,2109.6,502.97,2838.05,38
CPT,27846,TREAT ANKLE DISLOCATION,,,734.99,12632.88,17
CPT,27848,TREAT ANKLE DISLOCATION,,,795.57,12632.88,17
CPT,27860,FIXATION OF ANKLE JOINT,,,164.77,5715.72,17
CPT,27870,FUSION OF ANKLE JOINT OPEN,,,1012.94,23240.38,17
CPT,27871,FUSION OF TIBIOFIBULAR JOINT,,,698.37,23240.38,17
CPT,27880,AMPUTATION OF LOWER LEG,,,757.87,19531.91,17
CPT,27881,AMPUTATION OF LOWER LEG,,,707.24,7497.96,17
CPT,27882,AMPUTATION OF LOWER LEG,,,501.0,7497.96,17
CPT,27884,AMPUTATION FOLLOW-UP SURGERY,,,578.87,5715.72,17
CPT,27886,AMPUTATION FOLLOW-UP SURGERY,,,556.81,7497.96,17
CPT,27888,AMPUTATION OF FOOT AT ANKLE,,,479.62,13793.8,17
CPT,27889,ANKLE DISARTICULATION,,,638.45,12632.88,17
CPT,27892,DECOMPRESSION OF LEG,,,539.59,5715.72,17
CPT,27893,DECOMPRESSION OF LEG,,,624.14,12632.88,17
CPT,27894,DECOMPRESSION OF LEG,,,815.88,5715.72,17
CPT,27899,SURG 27899 TENOTOMY LEG OR ANKLE PERC,5000.0,4000.0,171.82,4500.0,38
CPT,28001,DRAINAGE OF BURSA OF FOOT,,,95.2,2862.91,17
CPT,28002,ED 28002 I&D FOOT ABSCESS,4863.0,3890.4,139.47,4376.7,38
CPT,28003,TREATMENT OF FOOT INFECTION,,,256.65,5715.72,17
CPT,28005,TREAT FOOT BONE LESION,,,573.54,5715.72,17
CPT,28008,SURG 28008 FASCIOTOMY FOOT&/TOE,5004.0,4003.2,296.59,5715.72,38
CPT,28010,INCISION OF TOE TENDON,,,210.38,2838.05,17
CPT,28011,INCISION OF TOE TENDONS,,,281.95,2838.05,17
CPT,28020,ED 28020 ARTHROTOMY FOOT JNT,4636.0,3708.8,368.83,5715.72,38
CPT,28022,EXPLORATION OF FOOT JOINT,,,330.54,5715.72,17
CPT,28024,EXPLORATION OF TOE JOINT,,,311.24,2838.05,17
CPT,28035,DECOMPRESSION OF TIBIA NERVE,,,361.84,3409.43,17
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,340.53,5017.59,17
CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,453.71,5017.59,17
CPT,28043,SURG 28043 EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,4516.0,3612.8,263.3,4064.4,38
CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,349.52,5017.59,17
CPT,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,700.37,5017.59,17
CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,1035.91,5017.59,17
CPT,28050,BIOPSY OF FOOT JOINT LINING,,,281.28,5715.72,17
CPT,28052,BIOPSY OF FOOT JOINT LINING,,,257.98,5715.72,17
CPT,28054,BIOPSY OF TOE JOINT LINING,,,236.01,5715.72,17
CPT,28055,NEURECTOMY FOOT,,,391.79,3409.43,17
CPT,28060,PARTIAL REMOVAL FOOT FASCIA,,,363.5,5715.72,17
CPT,28062,REMOVAL OF FOOT FASCIA,,,406.77,5715.72,17
CPT,28070,REMOVAL OF FOOT JOINT LINING,,,345.52,12632.88,17
CPT,28072,REMOVAL OF FOOT JOINT LINING,,,328.55,5715.72,17
CPT,28080,REMOVAL OF FOOT LESION,,,382.47,2838.05,17
CPT,28086,EXCISE FOOT TENDON SHEATH,,,353.51,5715.72,17
CPT,28088,EXCISE FOOT TENDON SHEATH,,,297.26,5715.72,17
CPT,28090,REMOVAL OF FOOT LESION,,,311.57,2838.05,17
CPT,28092,REMOVAL OF TOE LESIONS,,,275.62,2838.05,17
CPT,28100,REMOVAL OF ANKLE/HEEL LESION,,,421.75,5715.72,17
CPT,28102,REMOVE/GRAFT FOOT LESION,,,620.81,12632.88,17
CPT,28103,REMOVE/GRAFT FOOT LESION,,,389.13,12632.88,17
CPT,28104,REMOVAL OF FOOT LESION,,,357.84,5715.72,17
CPT,28106,REMOVE/GRAFT FOOT LESION,,,427.74,12632.88,17
CPT,28107,REMOVE/GRAFT FOOT LESION,,,348.19,12632.88,17
CPT,28108,REMOVAL OF TOE LESIONS,,,291.27,2838.05,17
CPT,28110,PART REMOVAL OF METATARSAL,,,296.59,5715.72,17
CPT,28111,PART REMOVAL OF METATARSAL,,,320.89,5715.72,17
CPT,28112,PART REMOVAL OF METATARSAL,,,315.9,5715.72,17
CPT,28113,PART REMOVAL OF METATARSAL,,,430.41,5715.72,17
CPT,28114,REMOVAL OF METATARSAL HEADS,,,842.51,5715.72,17
CPT,28116,REVISION OF FOOT,,,585.86,5715.72,17
CPT,28118,REMOVAL OF HEEL BONE,,,426.75,5715.72,17
CPT,28119,REMOVAL OF HEEL SPUR,,,367.83,5715.72,17
CPT,28120,PART REMOVAL OF ANKLE/HEEL,,,499.65,5715.72,17
CPT,28122,PARTIAL REMOVAL OF FOOT BONE,,,442.72,5715.72,17
CPT,28124,PARTIAL REMOVAL OF TOE,,,337.54,5715.72,17
CPT,28126,PARTIAL REMOVAL OF TOE,,,253.32,5715.72,17
CPT,28130,REMOVAL OF ANKLE BONE,,,622.81,12632.88,17
CPT,28140,REMOVAL OF METATARSAL,,,427.41,5715.72,17
CPT,28150,REMOVAL OF TOE,,,281.95,5715.72,17
CPT,28153,PARTIAL REMOVAL OF TOE,,,266.63,5715.72,17
CPT,28160,PARTIAL REMOVAL OF TOE,,,269.63,5715.72,17
CPT,28171,RESECT TARSAL TUMOR,,,1111.14,5715.72,17
CPT,28173,RESECT METATARSAL TUMOR,,,724.0,5715.72,17
CPT,28175,RESECT PHALANX OF TOE TUMOR,,,470.69,2838.05,17
CPT,28190,ED 28190 REMV FB FOOT,1977.0,1581.6,133.15,1779.3,38
CPT,28192,ED 28192 REMOVE FB FOOT DEEP,2896.0,2316.8,312.24,2862.91,38
CPT,28193,REMOVAL OF FOOT FOREIGN BODY,,,367.49,2862.91,17
CPT,28200,ED 28200 RPR TDN FLXR FOOT 1/2 W/O FREE GRAFT EA,6055.0,4844.0,329.88,5715.72,38
CPT,28202,REPAIR/GRAFT OF FOOT TENDON,,,430.74,12632.88,17
CPT,28208,REPAIR OF FOOT TENDON,,,324.55,5715.72,17
CPT,28210,REPAIR/GRAFT OF FOOT TENDON,,,427.41,12632.88,17
CPT,28220,RELEASE OF FOOT TENDON,,,308.24,2838.05,17
CPT,28222,RELEASE OF FOOT TENDONS,,,373.49,5715.72,17
CPT,28225,RELEASE OF FOOT TENDON,,,267.63,5715.72,17
CPT,28226,RELEASE OF FOOT TENDONS,,,406.77,5715.72,17
CPT,28230,INCISION OF FOOT TENDON(S),,,287.27,2838.05,17
CPT,28232,INCISION OF TOE TENDON,,,243.66,2838.05,17
CPT,28234,INCISION OF FOOT TENDON,,,272.96,2838.05,17
CPT,28238,REVISION OF FOOT TENDON,,,492.32,12632.88,17
CPT,28240,RELEASE OF BIG TOE,,,296.26,5715.72,17
CPT,28250,REVISION OF FOOT FASCIA,,,416.09,5715.72,17
CPT,28260,RELEASE OF MIDFOOT JOINT,,,544.92,5715.72,17
CPT,28261,REVISION OF FOOT TENDON,,,847.83,2838.05,17
CPT,28262,REVISION OF FOOT AND ANKLE,,,1111.47,12632.88,17
CPT,28264,RELEASE OF MIDFOOT JOINT,,,673.74,2838.05,17
CPT,28270,RELEASE OF FOOT CONTRACTURE,,,337.2,5715.72,17
CPT,28272,RELEASE OF TOE JOINT EACH,,,253.32,2838.05,17
CPT,28280,FUSION OF TOES,,,347.52,5715.72,17
CPT,28285,REPAIR OF HAMMERTOE,,,390.46,5715.72,17
CPT,28286,REPAIR OF HAMMERTOE,,,300.25,5715.72,17
CPT,28288,PARTIAL REMOVAL OF FOOT BONE,,,439.73,5715.72,17
CPT,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,465.36,5715.72,17
CPT,28291,CORRJ HALUX RIGDUS W/IMPLT,,,483.33,12632.88,15
CPT,28292,COR HLX VLGS RSC PRX PHLX BS,,,489.99,5715.72,17
CPT,28295,COR HLX VLGS PRX MTAR OSTEOT,,,606.83,5715.72,17
CPT,28296,COR HLX VLGS DSTL MTAR OSTEO,,,516.95,5715.72,17
CPT,28297,COR HLX VLGS JT ARTHRD,,,605.5,13510.16,17
CPT,28298,COR HLX VLGS PRX PHLX OSTEOT,,,511.96,12632.88,17
CPT,28299,COR HLX VLGS DOUBLE OSTEOT,,,599.51,12632.88,17
CPT,28300,INCISION OF HEEL BONE,,,655.76,12632.88,17
CPT,28302,INCISION OF ANKLE BONE,,,725.0,12632.88,17
CPT,28304,INCISION OF MIDFOOT BONES,,,618.48,12632.88,17
CPT,28305,INCISE/GRAFT MIDFOOT BONES,,,679.06,12632.88,17
CPT,28306,INCISION OF METATARSAL,,,411.43,12632.88,17
CPT,28307,INCISION OF METATARSAL,,,525.61,12632.88,17
CPT,28308,INCISION OF METATARSAL,,,392.13,5715.72,17
CPT,28309,INCISION OF METATARSALS,,,910.08,12632.88,17
CPT,28310,REVISION OF BIG TOE,,,367.16,12632.88,17
CPT,28312,REVISION OF TOE,,,348.85,5715.72,17
CPT,28313,REPAIR DEFORMITY OF TOE,,,365.5,5715.72,17
CPT,28315,REMOVAL OF SESAMOID BONE,,,328.55,5715.72,17
CPT,28320,REPAIR OF FOOT BONES,,,621.81,23240.38,17
CPT,28322,REPAIR OF METATARSALS,,,583.53,12632.88,17
CPT,28340,RESECT ENLARGED TOE TISSUE,,,410.1,5715.72,17
CPT,28341,RESECT ENLARGED TOE,,,487.33,5715.72,17
CPT,28344,REPAIR EXTRA TOE(S),,,281.61,5715.72,17
CPT,28345,REPAIR WEBBED TOE(S),,,364.17,2838.05,17
CPT,28360,RECONSTRUCT CLEFT FOOT,,,1107.48,12632.88,17
CPT,28400,ED 28400 CLSD TX HEEL FX,636.0,508.8,171.82,572.4,38
CPT,28405,CLTX CALCANEAL FX W/MNPJ,,,171.82,418.09,17
CPT,28406,PRQ SKEL FIX CLCNL FX W/MNPJ,,,601.51,12632.88,17
CPT,28415,OPTX CALCANEAL FRACTURE,,,1127.45,12632.88,17
CPT,28420,OPTX CALCANEAL FX W/BONE GRF,,,1304.87,23240.38,17
CPT,28430,ED 28430 CLSD TX TALUS FX WO MANIP,778.0,622.4,171.82,700.2,38
CPT,28435,ED 28435 CLSD TX TALUS WMANIP,2175.0,1740.0,339.53,2838.05,38
CPT,28436,PRQ SKEL FIX TALUS FX W/MNPJ,,,507.3,12632.88,17
CPT,28445,OPTX TALUS FRACTURE,,,1055.21,12632.88,17
CPT,28446,OPN OSTEOCHONDRL AGRFT TALUS,,,1230.97,12632.88,17
CPT,28450,ED 28450 TX TARSAL BONE WO MANIP,549.0,439.2,171.82,494.1,38
CPT,28455,TX TARSAL B1 FX W/MNPJ EACH,,,233.68,2838.05,17
CPT,28456,PRQ SKEL FIX TARSL FX W/MNPJ,,,379.48,12632.88,17
CPT,28465,OPTX TARSAL BONE FX EACH,,,648.44,12632.88,17
CPT,28470,ED 28470 CLSD TX METATARSAL FX WO MANIP,745.0,596.0,171.82,670.5,38
CPT,28475,ED 28475 CLSD TX METATARSAL FX WMANIP,1156.0,924.8,171.82,1040.4,38
CPT,28476,PRQ SKEL FIX METAR FX W/MNPJ,,,394.46,5715.72,17
CPT,28485,OPTX METATARSAL FX EACH,,,570.55,12632.88,17
CPT,28490,ED 28490 CLSD TX BIG TOE FX WO MANIP,672.0,537.6,128.82,604.8,38
CPT,28495,ED 28495 CLSD TX BIG TOE FX WMANIP,790.0,632.0,153.79,711.0,38
CPT,28496,TREAT BIG TOE FRACTURE,,,280.61,5715.72,17
CPT,28505,TREAT BIG TOE FRACTURE,,,500.98,5715.72,17
CPT,28510,ED 28510 CLSD TX TOE FX NOT GREAT TOE WO MANIP,702.0,561.6,124.83,631.8,38
CPT,28515,ED 28515 CLSD TX TOE FX NOT GREAT TOE W MANIP,812.0,649.6,148.13,730.8,38
CPT,28525,TREAT TOE FRACTURE,,,412.43,5715.72,17
CPT,28530,ED 28530 TREAT SESAMOID BONE FRACT,751.0,600.8,105.19,675.9,38
CPT,28531,TREAT SESAMOID BONE FRACTURE,,,183.75,12632.88,17
CPT,28540,ED 28540 CLSD TX FOOT DISLOC WO ANES,713.0,570.4,171.82,641.7,38
CPT,28545,ED 28545 TX DISL TARSAL W ANES CLSD,4419.0,3535.2,280.95,5715.72,38
CPT,28546,TREAT FOOT DISLOCATION,,,362.17,2838.05,17
CPT,28555,REPAIR FOOT DISLOCATION,,,668.75,12632.88,17
CPT,28570,ED 28570 CLSD TX FOOT DISLOC WO ANES,740.0,592.0,171.82,666.0,38
CPT,28575,ED 28575 TX DISL TALOTAR W ANES CLSD,4500.0,3600.0,350.85,5715.72,38
CPT,28576,TREAT FOOT DISLOCATION,,,398.12,12632.88,17
CPT,28585,REPAIR FOOT DISLOCATION,,,712.69,12632.88,17
CPT,28600,TREAT FOOT DISLOCATION,,,164.77,416.42,17
CPT,28605,ED 28605 TX DISL TARSOMET W ANES CLSD,477.0,381.6,171.82,429.3,38
CPT,28606,TREAT FOOT DISLOCATION,,,399.45,5715.72,17
CPT,28615,REPAIR FOOT DISLOCATION,,,836.85,12632.88,17
CPT,28630,ED 28630 CLSD TX TOE DISLOC WO ANES,746.0,596.8,112.18,671.4,38
CPT,28635,ED 28635 TX DISL METATARSOPH CLSD WITH ANES,3129.0,2503.2,132.15,2838.05,38
CPT,28636,TREAT TOE DISLOCATION,,,226.36,5715.72,17
CPT,28645,REPAIR TOE DISLOCATION,,,491.66,5715.72,17
CPT,28660,ED 28660 CLSD TX TOE DISLOC WO ANES,734.0,587.2,95.87,660.6,38
CPT,28665,TREAT TOE DISLOCATION,,,127.82,474.24,17
CPT,28666,TREAT TOE DISLOCATION,,,176.42,5715.72,17
CPT,28675,REPAIR OF TOE DISLOCATION,,,419.09,5715.72,17
CPT,28705,ARTHRODESIS PANTALAR,,,1222.32,32908.19,17
CPT,28715,ARTHRODESIS TRIPLE,,,945.03,23240.38,17
CPT,28725,ARTHRODESIS SUBTALAR,,,784.25,23240.38,17
CPT,28730,FUSION OF FOOT BONES,,,729.99,23240.38,17
CPT,28735,FUSION OF FOOT BONES,,,779.93,23240.38,17
CPT,28737,REVISION OF FOOT BONES,,,695.38,23240.38,17
CPT,28740,FUSION OF FOOT BONES,,,620.81,12632.88,17
CPT,28750,FUSION OF BIG TOE JOINT,,,580.2,12632.88,17
CPT,28755,FUSION OF BIG TOE JOINT,,,337.87,12632.88,17
CPT,28760,FUSION OF BIG TOE JOINT,,,576.21,12632.88,17
CPT,28800,AMPUTATION OF MIDFOOT,,,472.75,3392.43,17
CPT,28805,AMPUTATION THRU METATARSAL,,,704.7,5715.72,17
CPT,28810,AMPUTATION TOE & METATARSAL,,,424.08,5715.72,17
CPT,28820,AMPUTATION OF TOE,,,176.42,5715.72,17
CPT,28825,ED 28825 AMPUTATION TOE INTERPHALANGEAL JOINT,5603.0,4482.4,172.1,5715.72,38
CPT,28890,HI ENRGY ESWT PLANTAR FASCIA,,,225.02,2838.05,17
CPT,28899,UNLISTED PX FOOT/TOES,,,171.82,416.42,13
CPT,29000,APPL HALO TYPE BODY CAST,,,195.67,474.24,17
CPT,29010,APPL RISSER JACKET BODY ONLY,,,161.11,474.24,17
CPT,29015,APPL RISSR JACKET BDY W/HEAD,,,181.08,474.24,17
CPT,29035,APPL BODY CAST SHO TO HIPS,,,144.8,474.24,17
CPT,29040,APPL BDY CST SHO TO HIP HEAD,,,174.09,474.24,17
CPT,29044,APPL BDY CST SHO TO HIP 1THI,,,114.81,278.25,17
CPT,29046,APPL BDY CST SHO TO HIP B TH,,,188.74,474.24,17
CPT,29049,APPL CAST FIGURE-OF-EIGHT,,,70.24,474.24,17
CPT,29055,APPL CAST SHOULDER SPICA,,,138.48,474.24,17
CPT,29058,APPL CAST PLASTER VELPEAU,,,93.87,474.24,17
CPT,29065,ED 29065 APPL  CAST LONG ARM,458.0,366.4,68.57,474.24,38
CPT,29065,SERIAL CASTING-APPL LONG ARM CAST CPT 29065,458.0,366.4,68.57,474.24,38
CPT,29075,ED 29075 APPL CAST FOREARM ARM,445.0,356.0,62.91,474.24,38
CPT,29075,SERIAL CASTING-APPL SHORT ARM CAST CPT 29075,445.0,356.0,62.91,474.24,38
CPT,29085,ED 29085 APPLICATION CAST HAND/LOWER FOREARM (GAUNTLET),344.0,275.2,67.91,309.6,38
CPT,29085,SERIAL CASTING-APPL HAND LOWER FOREARM CAST CPT 29085,344.0,275.2,67.91,309.6,38
CPT,29086,TX RM 29086 APPLICATION CAST FINGER,350.0,280.0,49.6,315.0,38
CPT,29105,ED 29105 APPL SPLINT LONG ARM,500.0,400.0,41.61,450.0,38
CPT,29125,ED 29125 APPL SPLINT FOREARM,434.0,347.2,40.61,390.6,38
CPT,29126,ED 29126 APPL SPLINT ARM SHORT DYNAM,312.0,249.6,49.6,280.8,38
CPT,29130,ED 29130 APPL SPLINT FINGER,343.0,274.4,28.96,308.7,38
CPT,29131,ED 29131 APPL SPLINT FNGR DYNAM,330.0,264.0,34.62,297.0,38
CPT,29200,STRAPPING OF CHEST,265.0,212.0,17.98,278.25,38
CPT,29240,STRAPPING OF SHOULDER,258.0,206.4,17.64,232.2,38
CPT,29260,STRAPPING OF ELBOWWRIST,243.0,194.4,18.64,218.7,38
CPT,29280,ED 29280 STRAPPING HAND FINGER,237.0,189.6,19.97,213.3,38
CPT,29280,STRAPPING OF HAND FINGER,237.0,189.6,19.97,213.3,38
CPT,29305,APPL HIP SPICA CAST 1 LEG,,,159.11,474.24,17
CPT,29325,APPL HIP SPICA CAST1&1/2,,,178.09,474.24,17
CPT,29345,ED 29345 APPLICATION LONG LEG CAST,475.0,380.0,99.2,474.24,38
CPT,29355,APPL LONG LEG CAST WALKER,,,106.52,474.24,17
CPT,29358,ED 29358 APPLICATION LONG LEG CAST BRACE,551.0,440.8,103.52,495.9,38
CPT,29365,APPL CYLINDER CAST,,,88.21,474.24,17
CPT,29405,ED 29405 APPL CAST SHORT LEG,530.0,424.0,58.92,477.0,38
CPT,29405,TX RM 29405 APPL CAST SHORT LEG,530.0,424.0,58.92,477.0,38
CPT,29425,SERIAL CASTING-APPL SHORT LEG CAST CPT 29425,475.0,380.0,54.26,474.24,38
CPT,29435,APPL PATLLR TDN BEARING CAST,,,86.88,474.24,17
CPT,29440,ADDING WALKER TO PREV CAST,,,27.96,278.25,17
CPT,29445,TX RM 29445 CAST LEG RIGID CONTACT,535.0,428.0,98.2,481.5,38
CPT,29450,APPLICATION CLUBFOOT CAST,,,112.18,278.25,17
CPT,29505,ED 29505 APPL SPLINT LONG LEG,522.0,417.6,52.59,469.8,38
CPT,29505,SURG 29505 APPLN LONG LEG SPLINT (THIGH TO ANKLE TOES),522.0,417.6,52.59,469.8,38
CPT,29515,ED 29515 APPL SPLINT SHORT LEG,479.0,383.2,49.93,431.1,38
CPT,29520,STRAPPING OF HIP,234.0,187.2,17.98,225.57,38
CPT,29530,STRAPPING OF KNEE,259.0,207.2,17.64,233.1,38
CPT,29540,STRAPPING OF ANKLE FOOT,281.0,224.8,16.98,278.25,38
CPT,29550,ED 29550 STRAPPING TOES,243.0,194.4,10.98,218.7,38
CPT,29550,STRAPPING OF TOES,243.0,194.4,10.98,218.7,38
CPT,29580,TX RM 29580 STRAPPING UNNA BOOT,314.0,251.2,25.96,282.6,38
CPT,29581,TX RM 29581 MULTI-LAYER COMPRESS SYS LWR LEG,406.0,324.8,26.3,365.4,38
CPT,29584,APPL MLTLAY CMPRN SYS UP ARM,,,15.31,278.25,17
CPT,29700,ED 29700 RMVL BIVALVING CAST BODY,460.0,368.0,32.95,474.24,38
CPT,29700,TX RM 29700 UNNA BOOT REMOVE BILAT 29700,460.0,368.0,32.95,474.24,38
CPT,29705,ED 29705 REMV BIVALVING CAST,723.0,578.4,44.27,650.7,38
CPT,29710,RMVL/BIVLV SHO/HIP SPICA,,,81.89,474.24,17
CPT,29720,REPAIR SPICA BODY CST/JACKET,,,43.61,278.25,17
CPT,29730,WINDOWING OF CAST,,,44.61,278.25,17
CPT,29740,WEDGING OF CAST,,,68.57,474.24,17
CPT,29750,WEDGING OF CLUBFOOT CAST,,,76.56,474.24,17
CPT,29799,STRAPPING OF LOW BACK,281.0,224.8,78.03,278.25,38
CPT,29800,JAW ARTHROSCOPY/SURGERY,,,539.59,5715.72,17
CPT,29804,JAW ARTHROSCOPY/SURGERY,,,594.85,5715.72,17
CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,474.68,5715.72,17
CPT,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,1065.87,12632.88,17
CPT,29807,SHO ARTHRS SRG RPR SLAP LES,,,1040.9,12632.88,17
CPT,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,594.85,5715.72,17
CPT,29820,SHO ARTHRS SRG PRTL SYNVCT,,,540.26,12632.88,17
CPT,29821,SHO ARTHRS SRG COMPL SYNVCT,,,600.17,5715.72,17
CPT,29822,SHO ARTHRS SRG LMTD DBRDMT,,,549.24,5715.72,17
CPT,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,600.51,5715.72,17
CPT,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,685.39,5715.72,17
CPT,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,593.52,5715.72,17
CPT,29826,SHO ARTHRS SRG DECOMPRESSION,,,1.0,169.77,15
CPT,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,1073.85,12632.88,17
CPT,29828,SHO ARTHRS SRG BICP TENODSIS,,,922.4,12632.88,17
CPT,29830,ELBOW ARTHROSCOPY,,,463.69,5715.72,17
CPT,29834,ELBOW ARTHROSCOPY/SURGERY,,,498.98,5715.72,17
CPT,29835,ELBOW ARTHROSCOPY/SURGERY,,,517.95,5715.72,17
CPT,29836,ELBOW ARTHROSCOPY/SURGERY,,,592.52,12632.88,17
CPT,29837,ELBOW ARTHROSCOPY/SURGERY,,,532.6,5715.72,17
CPT,29838,ELBOW ARTHROSCOPY/SURGERY,,,603.5,5715.72,17
CPT,29840,WRIST ARTHROSCOPY,,,458.37,5715.72,17
CPT,29843,WRIST ARTHROSCOPY/SURGERY,,,495.65,5715.72,17
CPT,29844,WRIST ARTHROSCOPY/SURGERY,,,506.97,5715.72,17
CPT,29845,WRIST ARTHROSCOPY/SURGERY,,,595.18,5715.72,17
CPT,29846,WRIST ARTHROSCOPY/SURGERY,,,530.6,5715.72,17
CPT,29847,WRIST ARTHROSCOPY/SURGERY,,,552.91,12632.88,17
CPT,29848,WRIST ENDOSCOPY/SURGERY,,,521.95,2838.05,17
CPT,29850,KNEE ARTHROSCOPY/SURGERY,,,633.46,2838.05,17
CPT,29851,KNEE ARTHROSCOPY/SURGERY,,,936.71,2838.05,17
CPT,29855,TIBIAL ARTHROSCOPY/SURGERY,,,787.58,12632.88,17
CPT,29856,TIBIAL ARTHROSCOPY/SURGERY,,,998.96,23240.38,17
CPT,29860,HIP ARTHROSCOPY DX,,,663.09,12632.88,17
CPT,29861,HIP ARTHRO W/FB REMOVAL,,,721.01,12632.88,17
CPT,29862,HIP ARTHR0 W/DEBRIDEMENT,,,823.2,12632.88,17
CPT,29863,HIP ARTHR0 W/SYNOVECTOMY,,,822.53,5715.72,17
CPT,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,1060.87,12632.88,17
CPT,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,1285.56,23240.38,17
CPT,29868,MENISCAL TRNSPL KNEE W/SCPE,,,1671.03,12632.88,17
CPT,29870,ARTHRS KNEE DX W/WO SYN BX,,,417.43,5715.72,17
CPT,29871,ARTHRS KNEE SURG FOR INFCTJ,,,523.28,5715.72,17
CPT,29873,ARTHRS KNEE SURG W/LAT RLS,,,547.25,5715.72,17
CPT,29874,ARTHRS KNEE SURG RMV LOOS/FB,,,545.92,5715.72,17
CPT,29875,ARTHRS KNEE SURG SYNVCT LMTD,,,504.31,5715.72,17
CPT,29876,ARTHRS KNEE SURG SYNVCT MAJ,,,660.76,5715.72,17
CPT,29877,ARTHRS KNEE SURG DBRDMT/SHVG,,,628.8,5715.72,17
CPT,29879,ARTHRS KNE SRG ABRASJ ARTHRP,,,669.74,5715.72,17
CPT,29880,ARTHRS KNE SRG MNISECTMY M&L,,,569.88,5715.72,17
CPT,29881,ARTHRS KNE SRG MNISECTMY M/L,,,549.24,5715.72,17
CPT,29882,ARTHRS KNE SRG MNISC RPR M/L,,,695.71,5715.72,17
CPT,29883,ARTHRS KNE SRG MNISC RPR M&L,,,850.83,5715.72,17
CPT,29884,ARTHRS KNEE SURG LYSIS ADS,,,627.8,5715.72,17
CPT,29885,ARTHRS KNE SRG DRLG OST DISS,,,765.61,12632.88,17
CPT,29886,ARTHRS KNEE SURG DRLG OD LES,,,645.78,5715.72,17
CPT,29887,ARTHRS KNEE SRG DRLG OD FIXJ,,,762.95,12632.88,17
CPT,29888,ARTHRS AID ACL RPR/AGMNTJ,,,979.32,12632.88,17
CPT,29889,ARTHRS AID PCL RPR/AGMNTJ,,,1232.97,23240.38,17
CPT,29891,ARTHR ANK OSTCHN DF TAL&/TIB,,,680.4,5715.72,17
CPT,29892,ARTHRS AID RPR OD LES/TIB FX,,,646.11,12632.88,17
CPT,29893,ENDOSCOPIC PLANTR FASCIOTOMY,,,442.39,5715.72,17
CPT,29894,ANKLE ARTHROSCOPY/SURGERY,,,509.3,5715.72,17
CPT,29895,ANKLE ARTHROSCOPY/SURGERY,,,467.02,5715.72,17
CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,499.98,5715.72,17
CPT,29898,ANKLE ARTHROSCOPY/SURGERY,,,564.56,5715.72,17
CPT,29899,ANKLE ARTHROSCOPY/SURGERY,,,1009.28,12632.88,17
CPT,29900,MCP JOINT ARTHROSCOPY DX,,,514.96,5715.72,17
CPT,29901,MCP JOINT ARTHROSCOPY SURG,,,551.24,5715.72,17
CPT,29902,MCP JOINT ARTHROSCOPY SURG,,,584.2,2838.05,17
CPT,29904,SUBTALAR ARTHRO W/FB RMVL,,,648.11,5715.72,17
CPT,29905,SUBTALAR ARTHRO W/EXC,,,516.62,12632.88,17
CPT,29906,SUBTALAR ARTHRO W/DEB,,,658.76,5715.72,17
CPT,29907,SUBTALAR ARTHRO W/FUSION,,,885.78,23240.38,17
CPT,29914,HIP ARTHRO W/FEMOROPLASTY,,,997.96,12632.88,17
CPT,29915,HIP ARTHRO ACETABULOPLASTY,,,1022.92,12632.88,17
CPT,29916,HIP ARTHRO W/LABRAL REPAIR,,,1018.6,12632.88,17
CPT,29999,UNLISTED PX ARTHROSCOPY,,,171.82,416.42,13
CPT,30000,"ED 30000 DRAIN ABSCESS NASAL, INTERNAL APPROACH",305.0,244.0,122.17,431.34,38
CPT,30020,ED 30020 DRN ABSCESS HEMATOMA NASAL SEPTUM,1938.0,1550.4,123.83,1744.2,38
CPT,30100,INTRANASAL BIOPSY,,,68.57,2692.97,17
CPT,30110,REMOVAL OF NOSE POLYP(S),,,134.15,2692.97,17
CPT,30115,REMOVAL OF NOSE POLYP(S),,,469.69,5685.3,17
CPT,30117,REMOVAL OF INTRANASAL LESION,,,416.09,5685.3,17
CPT,30118,REMOVAL OF INTRANASAL LESION,,,713.68,5685.3,17
CPT,30120,REVISION OF NOSE,,,422.09,5685.3,17
CPT,30124,REMOVAL OF NOSE LESION,,,307.91,2692.97,17
CPT,30125,REMOVAL OF NOSE LESION,,,659.43,10341.01,17
CPT,30130,EXCISE INFERIOR TURBINATE,,,419.42,5685.3,17
CPT,30140,RESECT INFERIOR TURBINATE,,,177.42,5685.3,17
CPT,30150,RHINECTOMY PARTIAL,,,804.23,10341.01,17
CPT,30160,RHINECTOMY TOTAL,,,820.2,10341.01,17
CPT,30200,INJECTION TREATMENT OF NOSE,,,59.92,971.56,17
CPT,30210,NASAL SINUS THERAPY,,,103.86,2692.97,17
CPT,30220,INSERT NASAL SEPTAL BUTTON,,,129.49,2692.97,17
CPT,30300,ED 30300 REMV FB NOSE,634.0,507.2,93.07,570.6,38
CPT,30310,REMOVE NASAL FOREIGN BODY,,,209.71,5685.3,17
CPT,30320,REMOVE NASAL FOREIGN BODY,,,492.32,2692.97,17
CPT,30400,RECONSTRUCTION OF NOSE,,,1232.97,10341.01,17
CPT,30410,RECONSTRUCTION OF NOSE,,,1418.05,10341.01,17
CPT,30420,RECONSTRUCTION OF NOSE,,,1457.99,10341.01,17
CPT,30430,REVISION OF NOSE,,,1078.52,10341.01,17
CPT,30435,REVISION OF NOSE,,,1342.82,10341.01,17
CPT,30450,REVISION OF NOSE,,,1751.59,10341.01,17
CPT,30460,REVISION OF NOSE,,,830.52,10341.01,17
CPT,30462,REVISION OF NOSE,,,1594.8,10341.01,17
CPT,30465,REPAIR NASAL STENOSIS,,,1031.91,10341.01,17
CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,168.43,10341.01,17
CPT,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,150.13,10341.01,15
CPT,30520,REPAIR OF NASAL SEPTUM,,,680.06,5685.3,17
CPT,30540,RPR CHOANAL ATRESIA NTRANASL,,,744.31,10341.01,17
CPT,30545,RPR CHOANAL ATRESIA TRSNPLTN,,,1007.61,10341.01,17
CPT,30560,LYSIS INTRANASAL SYNECHIA,,,152.46,971.56,17
CPT,30580,REPAIR UPPER JAW FISTULA,,,460.7,10341.01,17
CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,384.8,10341.01,17
CPT,30620,INTRANASAL RECONSTRUCTION,,,679.73,10341.01,17
CPT,30630,REPAIR NASAL SEPTUM DEFECT,,,673.74,5685.3,17
CPT,30801,ABLATE INF TURBINATE SUPERF,,,153.12,2692.97,17
CPT,30802,ABLATE INF TURBINATE SUBMUC,,,203.72,2692.97,17
CPT,30901,ED 30901 CONTROL NOSEBLEED ANT SMPL,682.0,545.6,56.26,613.8,38
CPT,30901,SURG 30901 CNTRL NOSEBLEED ANT SMPL,682.0,545.6,56.26,613.8,38
CPT,30903,ED 30903 CONTROL NOSEBLEED ANT CMPLX,714.0,571.2,76.56,642.6,38
CPT,30905,ED 30905 CONTROL NOSEBLEED POST INIT,714.0,571.2,93.07,642.6,38
CPT,30906,ED 30906 CONTROL NOSEBLEE POST SUBS,644.0,515.2,131.82,579.6,38
CPT,30915,LIGATION NASAL SINUS ARTERY,,,607.83,5628.59,17
CPT,30920,LIGATION UPPER JAW ARTERY,,,876.79,5628.59,17
CPT,30930,THER FX NASAL INF TURBINATE,,,119.5,5685.3,17
CPT,30999,UNLISTED PROCEDURE NOSE,,,177.97,431.34,13
CPT,31000,IRRIGATION MAXILLARY SINUS,,,111.51,431.34,17
CPT,31002,IRRIGATION SPHENOID SINUS,,,190.07,2692.97,17
CPT,31020,EXPLORATION MAXILLARY SINUS,,,343.19,5685.3,17
CPT,31030,EXPLORATION MAXILLARY SINUS,,,515.96,10341.01,17
CPT,31032,EXPLORE SINUS REMOVE POLYPS,,,597.84,10341.01,17
CPT,31040,EXPLORATION BEHIND UPPER JAW,,,810.55,10341.01,17
CPT,31050,EXPLORATION SPHENOID SINUS,,,520.62,10341.01,17
CPT,31051,SPHENOID SINUS SURGERY,,,698.37,10341.01,17
CPT,31070,EXPLORATION OF FRONTAL SINUS,,,479.34,10341.01,17
CPT,31075,EXPLORATION OF FRONTAL SINUS,,,832.52,10341.01,17
CPT,31080,REMOVAL OF FRONTAL SINUS,,,1095.16,10341.01,17
CPT,31081,REMOVAL OF FRONTAL SINUS,,,1173.38,10341.01,17
CPT,31084,REMOVAL OF FRONTAL SINUS,,,1214.33,10341.01,17
CPT,31085,REMOVAL OF FRONTAL SINUS,,,1250.94,10341.01,17
CPT,31086,REMOVAL OF FRONTAL SINUS,,,1182.37,10341.01,17
CPT,31087,REMOVAL OF FRONTAL SINUS,,,1125.78,10341.01,17
CPT,31090,EXPLORATION OF SINUSES,,,1113.8,10341.01,17
CPT,31200,REMOVAL OF ETHMOID SINUS,,,629.13,10341.01,17
CPT,31201,REMOVAL OF ETHMOID SINUS,,,783.92,2692.97,17
CPT,31205,REMOVAL OF ETHMOID SINUS,,,943.03,5685.3,17
CPT,31225,REMOVAL OF UPPER JAW,,,641.51,1799.86,15
CPT,31230,REMOVAL OF UPPER JAW,,,1768.27,5685.3,15
CPT,31231,ED 31231 NASAL ENDOSCOPY DIAG,653.0,522.4,64.24,587.7,38
CPT,31231,SURG 31231 NASAL ENDOSCOPY DIAGNOSTIC UNI/BIL SEPARATE PROC,653.0,522.4,64.24,587.7,38
CPT,31233,NSL/SINS NDSC DX MAX SINUSC,,,135.15,721.05,17
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,,,159.11,2997.08,17
CPT,31237,NSL/SINS NDSC SURG BX POLYPC,,,159.45,2997.08,17
CPT,31238,ED 31238 ENDO NASAL EPISTAXIS,2277.0,1821.6,166.77,2997.08,38
CPT,31238,TX RM 31238 NSL SINUS ENDO WCNTRL EPISTXS,2277.0,1821.6,166.77,2997.08,38
CPT,31239,NSL/SINUS ENDOSCOPY SURG DCR,,,605.17,6612.77,17
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,158.45,2997.08,17
CPT,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,441.73,2997.08,17
CPT,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,157.12,10341.01,15
CPT,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,157.12,10341.01,15
CPT,31253,NSL/SINS NDSC TOTAL,,,495.32,12085.88,17
CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,241.33,12085.88,17
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,320.56,12085.88,17
CPT,31256,EXPLORATION MAXILLARY SINUS,,,178.75,6612.77,17
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,442.06,12085.88,17
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,467.02,12085.88,17
CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,263.64,12085.88,17
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,375.15,12085.88,17
CPT,31287,NASAL/SINUS ENDOSCOPY SURG,,,199.73,12085.88,17
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,232.35,12085.88,17
CPT,31290,NASAL/SINUS ENDOSCOPY SURG,,,1001.65,2997.08,15
CPT,31291,NASAL/SINUS ENDOSCOPY SURG,,,1062.84,2997.08,15
CPT,31292,NSL/SINS NDSC MED/INF DCMPRN,,,987.64,12085.88,17
CPT,31293,NSL/SINS NDSC MED&INF DCMPRN,,,1072.52,12085.88,17
CPT,31294,NSL/SINS NDSC SURG ON DCMPRN,,,1224.31,12085.88,17
CPT,31295,NSL/SINS NDSC SURG MAX SINS,,,156.78,12085.88,17
CPT,31296,NSL/SINS NDSC SURG FRNT SINS,,,178.09,12085.88,17
CPT,31297,NSL/SINS NDSC SURG SPHN SINS,,,143.14,12085.88,17
CPT,31298,NSL/SINS NDSC SURG FRNT&SPHN,,,253.98,12085.88,17
CPT,31299,UNLISTED PX ACCESSORY SINUS,,,177.97,431.34,13
CPT,31300,REMOVAL OF LARYNX LESION,,,1252.28,5685.3,17
CPT,31360,REMOVAL OF LARYNX,,,1811.46,5685.3,15
CPT,31365,REMOVAL OF LARYNX,,,2231.88,5257.68,15
CPT,31367,PARTIAL REMOVAL OF LARYNX,,,1919.68,5685.3,15
CPT,31368,PARTIAL REMOVAL OF LARYNX,,,2119.18,4983.04,15
CPT,31370,PARTIAL REMOVAL OF LARYNX,,,1803.51,5685.3,15
CPT,31375,PARTIAL REMOVAL OF LARYNX,,,1715.8,5685.3,15
CPT,31380,PARTIAL REMOVAL OF LARYNX,,,1692.24,5685.3,15
CPT,31382,PARTIAL REMOVAL OF LARYNX,,,1850.44,5685.3,15
CPT,31390,REMOVAL OF LARYNX & PHARYNX,,,2456.97,5799.36,15
CPT,31395,RECONSTRUCT LARYNX & PHARYNX,,,2576.82,6083.69,15
CPT,31400,REVISION OF LARYNX,,,1014.94,10341.01,17
CPT,31420,EPIGLOTTIDECTOMY,,,835.18,10341.01,17
CPT,31500,ED 31500 INTUBATE ENDOTRACEAL,952.0,761.6,138.81,856.8,38
CPT,31500,INTUBATION,952.0,761.6,138.81,856.8,38
CPT,31500,TX RM 31500 INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,952.0,761.6,138.81,856.8,38
CPT,31502,ED 31502 CHANGE OF WINDPIPE AIRWAY,961.0,768.8,34.62,864.9,38
CPT,31502,SURG 31502 TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,961.0,768.8,34.62,864.9,38
CPT,31505,ED 31505 DIAG LARYNGOSCOPY,712.0,569.6,49.6,640.8,38
CPT,31510,LARYNGOSCOPY WITH BIOPSY,,,120.83,6612.77,17
CPT,31511,REMOVE FOREIGN BODY LARYNX,,,134.15,349.77,17
CPT,31512,REMOVAL OF LARYNX LESION,,,129.16,6612.77,17
CPT,31513,INJECTION INTO VOCAL CORD,,,130.82,721.05,17
CPT,31515,ED 31515 LARYNGOSCOPY FOR ASPRTION,3945.0,3156.0,110.51,3550.5,38
CPT,31520,DX LARYNGOSCOPY NEWBORN,,,155.79,721.05,17
CPT,31525,ED 31525 DIAG LARYNGOSCOPY EXCEPT NB,4868.0,3894.4,159.45,4381.2,38
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,156.12,2997.08,17
CPT,31527,LARYNGOSCOPY FOR TREATMENT,,,193.4,6612.77,17
CPT,31528,LARYNGOSCOPY DIRECT WWO TRACHEOSCOPY WDILATATION INITIAL,493.0,394.4,143.47,6612.77,38
CPT,31529,LARYNGOSCOPY AND DILATION,,,160.11,6612.77,17
CPT,31530,ED 31530 LARYNGOSCOPY WFB REMV,5793.0,4634.4,197.39,5213.7,38
CPT,31530,LARYNGOSCOPY W FB REMOVAL,5793.0,4634.4,197.39,5213.7,38
CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,209.38,6612.77,17
CPT,31535,LARYNGOSCOPY W/BIOPSY,,,187.74,6612.77,17
CPT,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,208.38,6612.77,17
CPT,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,239.0,6612.77,17
CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,260.64,6612.77,17
CPT,31545,REMOVE VC LESION W/SCOPE,,,358.17,6612.77,17
CPT,31546,REMOVE VC LESION SCOPE/GRAFT,,,542.59,12085.88,17
CPT,31551,LARYNGOPLASTY LARYNGEAL STEN,,,1545.21,10341.01,17
CPT,31552,LARYNGOPLASTY LARYNGEAL STEN,,,1491.61,10341.01,17
CPT,31553,LARYNGOPLASTY LARYNGEAL STEN,,,1682.68,10341.01,17
CPT,31554,LARYNGOPLASTY LARYNGEAL STEN,,,1683.35,10341.01,17
CPT,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,308.91,12085.88,17
CPT,31561,LARYNSCOP REMVE CART + SCOP,,,337.87,12085.88,17
CPT,31570,LARYNGOSCOPE W/VC INJ,,,227.35,6612.77,17
CPT,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,246.66,6612.77,17
CPT,31572,LARGSC W/LASER DSTRJ LES,,,179.42,6612.77,17
CPT,31573,LARGSC W/THER INJECTION,,,148.13,2997.08,17
CPT,31574,LARGSC W/NJX AUGMENTATION,,,148.8,2997.08,17
CPT,31575,ED 31575 DIAG LARYNGOSCOPY FIBEROPTIC,987.0,789.6,68.57,888.3,38
CPT,31575,TX RM 31575 LARYNGOSCOPY FLEX,987.0,789.6,68.57,888.3,38
CPT,31576,LARYNGOSCOPY WITH BIOPSY,,,119.17,2997.08,17
CPT,31577,ED 31577 LRYNGSCPY WFB REMV FBRPTC,2165.0,1732.0,132.82,1948.5,38
CPT,31578,LARGSC W/REMOVAL LESION,,,148.8,6612.77,17
CPT,31579,LARYNGOSCOPY TELESCOPIC,,,119.17,721.05,17
CPT,31580,LARYNGOPLASTY LARYNGEAL WEB,,,1285.9,10341.01,17
CPT,31584,LARYNGOPLASTY FX RDCTJ FIXJ,,,1413.05,10341.01,17
CPT,31587,LARYNGOPLASTY CRICOID SPLIT,,,1211.0,10341.01,17
CPT,31590,REINNERVATE LARYNX,,,929.05,10341.01,17
CPT,31591,LARYNGOPLASTY MEDIALIZATION,,,1104.81,10341.01,17
CPT,31592,CRICOTRACHEAL RESECTION,,,1733.61,10341.01,17
CPT,31595,Outpatient Services - CPT/HCPCS,,,1111.14,2692.97,2
CPT,31599,ED 31599 UNLISTED PROC LARYNX,1898.0,1518.4,177.97,1708.2,38
CPT,31599,SURG 31599 CHANGE TRACH TUBE ESTABLISHED FISTULA TRACT,1206.0,964.8,177.97,1085.4,38
CPT,31600,PLANNED TRACHEOSTOMY,,,301.92,5685.3,17
CPT,31601,PLANNED TRACHEOSTOMY<2 YRS,,,446.39,10341.01,17
CPT,31603,ED 31603 TRACHEOSTOMY EMERGENT,2781.0,2224.8,316.56,2692.97,38
CPT,31605,ED 31605 TRACHEOSTOMY CRICOTHYROID,1953.0,1562.4,177.97,1757.7,38
CPT,31610,TRACHEOSTOMY FENEST SKIN FLP,,,959.01,10341.01,17
CPT,31611,CONSTJ TRACHESOPHGL FSTL,,,539.59,5685.3,17
CPT,31612,PERQ TRCHL PNXR TTRACH ASPIR,,,47.6,5685.3,17
CPT,31613,TRACHEOSTOMA REVJ SIMPLE,,,426.08,5685.3,17
CPT,31614,TRACHEOSTOMA REVJ COMPLEX,,,715.02,10341.01,17
CPT,31615,ED 31615 TRACHEOBRONCHOSCOPY,2448.0,1958.4,115.17,2203.2,38
CPT,31615,SURG 31615 TRACHEOBRONCHOSCOPY,2448.0,1958.4,115.17,2203.2,38
CPT,31622,ED 31622 BRONCHOSCOPY  DIAG,3438.0,2750.4,129.82,3094.2,38
CPT,31622,SURG 31622 BRONCH DX W CELL WASH IF PERF,3438.0,2750.4,129.82,3094.2,38
CPT,31623,ED 31623 BRONCHOSCOPY DIAG WBRUSH,3932.0,3145.6,128.82,3538.8,38
CPT,31623,SURG 31623 BRONCHOSCOPY WASH BRUSH,3932.0,3145.6,128.82,3538.8,38
CPT,31624,ED 31624 BRONCH WALVEOLAR LAVAGE,3536.0,2828.8,130.49,3182.4,38
CPT,31624,SURG 31624 BRONCH WALVEOLAR LAVAGE,3536.0,2828.8,130.49,3182.4,38
CPT,31625,SURG 31625 BRONCH WITH ENDOBRONCHIAL BX,4303.0,3442.4,152.46,3872.7,38
CPT,31626,SURG 31626 BRONCH W PLCMT FIDUCIAL MRKR SNGL OR MULT,7415.0,5932.0,192.4,12085.88,38
CPT,31627,SURG 31627 BRONCH W IMAGE GUIDED NAV,3109.0,2487.2,1.0,2798.1,36
CPT,31628,SURG 31628 BRONCHOSC WBX TRANSBRONCH SGL,4464.0,3571.2,171.43,6612.77,38
CPT,31629,SURG 31629 BRONCHOSC WASP TRANSBRONCH,5015.0,4012.0,182.08,6612.77,38
CPT,31630,SURG 31630 BRONCH RIG FLEX WWO FLUORO GUIDE WTRACH BRONCH DIL CL,3627.0,2901.6,193.73,6612.77,38
CPT,31631,SURG 31631 BRONCH W/ PLACE TRACHEAL STENT,9644.0,7715.2,220.7,12085.88,38
CPT,31632,SURG 31632 TRANSBRONCHIAL LUNG BX ADDL,2357.0,1885.6,1.0,2121.3,36
CPT,31633,SURG 31633 BRONCHOSCOPY NEEDLE BX ADDL,2717.0,2173.6,1.0,2445.3,36
CPT,31634,BRONCH W/BALLOON OCCLUSION,,,183.41,12085.88,17
CPT,31635,SURG 31635 BRONCH WREMOVAL FGN BDY,3266.0,2612.8,171.43,2997.08,38
CPT,31636,SURG 31636 BRONCHOSCOPY BRONCH STENTS,7630.0,6104.0,211.04,12085.88,38
CPT,31637,SURG 31637 BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED,2924.0,2339.2,1.0,2631.6,36
CPT,31638,SURG 31638 BRONCH REVISE PREV STENT,7001.0,5600.8,239.67,12085.88,38
CPT,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,241.0,6612.77,17
CPT,31641,SURG 31641 BRONCH W/ DESTR TUM RELIEF STENOSIS NOT EXC,6213.0,4970.4,247.66,6612.77,38
CPT,31643,SURG 31643 BRONCHOSCOPY W CATH PLACMT,3685.0,2948.0,165.11,3316.5,38
CPT,31645,ED 31645 BRONCHOSC WASP TREE INIT,3589.0,2871.2,143.8,3230.1,38
CPT,31645,SURG 31645 BRONCH W ASP TREE INITIAL,3589.0,2871.2,143.8,3230.1,38
CPT,31646,SURG 31646 BRONCH WTHERP ASP TRACH,2954.0,2363.2,138.81,2658.6,38
CPT,31647,BRONCHIAL VALVE INIT INSERT,,,200.06,12085.88,17
CPT,31648,BRONCHIAL VALVE REMOV INIT,,,193.07,6612.77,17
CPT,31649,BRONCHIAL VALVE REMOV ADDL,,,64.91,2997.08,17
CPT,31651,BRONCHIAL VALVE ADDL INSERT,,,1.0,73.9,15
CPT,31652,SURG 31652 BRONCH RIGID/FLEX EBUS SAMPLING 1 OR 2 NODE,5864.0,4691.2,214.7,6612.77,38
CPT,31653,SURG 31653 BRONCH RIGID/FLEX EBUS SAMPLING 3 OR MORE NODES,6086.0,4868.8,238.01,6612.77,38
CPT,31654,SURG 31654 BRONCH RIGID/FLEX EBUS INTERVEN PERIPH LES,869.0,695.2,1.0,782.1,36
CPT,31660,BRONCH THERMOPLSTY 1 LOBE,,,184.75,12085.88,15
CPT,31661,BRONCH THERMOPLSTY 2/> LOBES,,,195.06,12085.88,15
CPT,31717,BRONCHIAL BRUSH BIOPSY,,,103.86,721.05,17
CPT,31720,CATH ASPIRATION NASOTRAC,412.0,329.6,47.6,376.63,38
CPT,31725,CLEARANCE OF AIRWAYS,,,68.75,721.05,15
CPT,31730,INTRO WINDPIPE WIRE/TUBE,,,146.13,2997.08,17
CPT,31750,TRACHEOPLASTY CERVICAL,,,1350.81,10341.01,17
CPT,31755,TRACHPLSTY TRCHPHRYNGL FSTLJ,,,1731.95,10341.01,17
CPT,31760,TRACHEOPLASTY INTRATHORACIC,,,1148.43,2820.47,15
CPT,31766,CARINAL RECONSTRUCTION,,,1468.87,3627.11,15
CPT,31770,REPAIR/GRAFT OF BRONCHUS,,,1100.61,2714.62,15
CPT,31775,RECONSTRUCT BRONCHUS,,,1160.21,5017.59,15
CPT,31780,RECONSTRUCT WINDPIPE,,,177.97,1197.68,15
CPT,31781,RECONSTRUCT WINDPIPE,,,1259.32,5017.59,15
CPT,31785,REMOVE WINDPIPE LESION,,,1072.52,10341.01,17
CPT,31786,REMOVE WINDPIPE LESION,,,1195.67,2947.76,15
CPT,31800,REPAIR OF WINDPIPE INJURY,,,177.97,708.69,15
CPT,31805,REPAIR OF WINDPIPE INJURY,,,689.04,1684.53,15
CPT,31820,CLOSURE OF WINDPIPE LESION,,,334.87,5685.3,17
CPT,31825,REPAIR OF WINDPIPE DEFECT,,,489.33,5685.3,17
CPT,31830,REVISE WINDPIPE SCAR,,,371.16,5685.3,17
CPT,31899,ED 31899 UNLISTED PROC TRACHEA,3168.0,2534.4,144.32,2851.2,38
CPT,31899,SURG 31899 UNLISTED PROCEDURE TRACHEA BRONCHI,3168.0,2534.4,144.32,2851.2,38
CPT,32035,THORACOSTOMY W/RIB RESECTION,,,624.05,5017.59,15
CPT,32036,THORACOSTOMY W/FLAP DRAINAGE,,,665.78,5017.59,15
CPT,32096,OPEN WEDGE/BX LUNG INFILTR,,,673.63,1640.95,15
CPT,32097,OPEN WEDGE/BX LUNG NODULE,,,672.99,5017.59,15
CPT,32098,OPEN BIOPSY OF LUNG PLEURA,,,634.71,5017.59,15
CPT,32100,ED 32100 THORACOTOMY W EXPLORATION,1436.0,1148.8,588.76,5017.59,36
CPT,32110,EXPLORE/REPAIR CHEST,,,1242.37,5017.59,15
CPT,32120,RE-EXPLORATION OF CHEST,,,737.36,5017.59,15
CPT,32124,EXPLORE CHEST FREE ADHESIONS,,,777.89,1894.84,15
CPT,32140,REMOVAL OF LUNG LESION(S),,,830.68,2034.58,15
CPT,32141,REMOVE/TREAT LUNG LESIONS,,,1263.11,5017.59,15
CPT,32150,REMOVAL OF LUNG LESION(S),,,856.9,5017.59,15
CPT,32151,REMOVE LUNG FOREIGN BODY,,,842.33,2064.33,15
CPT,32160,ED 32160 THORACOTOMY CARDIAC MASSAGE,876.0,700.8,359.16,1641.64,36
CPT,32160,SURG 32160 THORACOTOMY W/CARDIAC MASSAGE,876.0,700.8,359.16,1641.64,36
CPT,32200,DRAIN OPEN LUNG LESION,,,960.04,5017.59,15
CPT,32215,TREAT CHEST LINING,,,677.42,1652.71,15
CPT,32220,RELEASE OF LUNG,,,1342.02,3280.52,15
CPT,32225,PARTIAL RELEASE OF LUNG,,,835.89,2042.19,15
CPT,32310,REMOVAL OF CHEST LINING,,,771.88,1887.92,15
CPT,32320,FREE/REMOVE CHEST LINING,,,1342.55,3290.2,15
CPT,32400,SURG 32400 BX PLEU PERC NEEDLE,2752.0,2201.6,81.89,2862.91,38
CPT,32405,Outpatient Services - CPT/HCPCS,,,246.76,598.04,2
CPT,32408,SURG 32408 CORE NDL BX LNG/MED PERQ,2856.0,2284.8,148.46,2862.91,38
CPT,32440,REMOVE LUNG PNEUMONECTOMY,,,1307.02,3209.95,15
CPT,32442,SLEEVE PNEUMONECTOMY,,,2503.98,6214.44,15
CPT,32445,REMOVAL OF LUNG EXTRAPLEURAL,,,2907.88,7196.1,15
CPT,32480,PARTIAL REMOVAL OF LUNG,,,1231.31,5017.59,15
CPT,32482,BILOBECTOMY,,,1318.29,3234.17,15
CPT,32484,SEGMENTECTOMY,,,1191.11,5017.59,15
CPT,32486,SLEEVE LOBECTOMY,,,1923.68,4769.27,15
CPT,32488,COMPLETION PNEUMONECTOMY,,,1973.08,4878.57,15
CPT,32491,LUNG VOLUME REDUCTION,,,1229.07,3018.32,15
CPT,32501,REPAIR BRONCHUS ADD-ON,,,197.57,493.95,15
CPT,32503,RESECT APICAL LUNG TUMOR,,,1486.5,3666.54,15
CPT,32504,RESECT APICAL LUNG TUM/CHEST,,,1689.22,4175.01,15
CPT,32505,WEDGE RESECT OF LUNG INITIAL,,,780.95,5017.59,15
CPT,32506,WEDGE RESECT OF LUNG ADD-ON,,,126.95,5017.59,15
CPT,32507,WEDGE RESECT OF LUNG DIAG,,,126.95,316.15,15
CPT,32540,REMOVAL OF LUNG LESION,,,1433.11,3533.71,15
CPT,32550,SURG 32550 PLEURAL CATH INS PERM TUN,7444.0,5955.2,199.73,6699.6,38
CPT,32551,ED 32551 TUBE THORACOSTOMY,2062.0,1649.6,152.79,2828.05,38
CPT,32551,SURG 32551 CHEST TB PLACE OPEN PROC,2062.0,1649.6,152.79,2828.05,38
CPT,32552,SURG 32552 REMVL PLEURAL TUN CATH,2080.0,1664.0,155.12,1872.0,38
CPT,32553,SURG 32553 PLMT INTRSTL DEV RADIATION THER GID PERQ INTRATHRC 1/MLT,3116.0,2492.8,170.76,2804.4,38
CPT,32554,ED 32554 ASPIRATE PLEURA WO IMAGING,1893.0,1514.4,86.88,1703.7,38
CPT,32554,SURG 32554 THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,1893.0,1514.4,86.88,1703.7,38
CPT,32554,TX RM 32554 ASPIRATE PLEURA WO IMAGING,1893.0,1514.4,86.88,1703.7,38
CPT,32555,ED 32555 THORACENTESIS W IMAGING,2276.0,1820.8,106.52,2048.4,38
CPT,32555,SURG 32555 THORACENTESIS W IMAGING,2276.0,1820.8,106.52,2048.4,38
CPT,32556,ED 32556 PLEURAL DRAINAGE PERC W/INSERT CATH WO IMAGING GUID,2546.0,2036.8,121.83,3360.07,38
CPT,32556,TX RM 32556 PLEURAL DRAINAGE PERC W/INSRT INDW CATH W/O IMG,2546.0,2036.8,121.83,3360.07,38
CPT,32557,SURG 32557 PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,2389.0,1911.2,145.47,2828.05,38
CPT,32560,ED 32560 CHEMICAL PLEURODESIS,1965.0,1572.0,74.56,1768.5,38
CPT,32560,SURG 32560 INSTILLATION VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,1965.0,1572.0,74.56,1768.5,38
CPT,32561,SURG 32561 LYSE CHEST FIBRIN INIT DAY,1910.0,1528.0,65.91,1719.0,38
CPT,32562,LYSE CHEST FIBRIN SUBQ DAY,,,58.92,1109.3,17
CPT,32601,THORACOSCOPY DIAGNOSTIC,,,302.58,10188.81,17
CPT,32604,THORACOSCOPY WBX SAC,,,469.69,18176.99,17
CPT,32606,THORACOSCOPY W/BX MED SPACE,,,452.38,10188.81,17
CPT,32607,THORACOSCOPY W/BX INFILTRATE,,,301.92,18176.99,17
CPT,32608,THORACOSCOPY W/BX NODULE,,,371.16,18176.99,17
CPT,32609,THORACOSCOPY W/BX PLEURA,,,251.32,10188.81,17
CPT,32650,THORACOSCOPY W/PLEURODESIS,,,565.92,5017.59,15
CPT,32651,THORACOSCOPY REMOVE CORTEX,,,915.32,5017.59,15
CPT,32652,THORACOSCOPY REM TOTL CORTEX,,,1381.44,3398.81,15
CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,177.97,1043.23,15
CPT,32654,THORACOSCOPY CONTRL BLEEDING,,,1001.64,5017.59,15
CPT,32655,THORACOSCOPY RESECT BULLAE,,,801.22,5017.59,15
CPT,32656,THORACOSCOPY W/PLEURECTOMY,,,177.97,794.24,15
CPT,32658,THORACOSCOPY W/SAC FB REMOVE,,,602.06,5017.59,15
CPT,32659,THORACOSCOPY W/SAC DRAINAGE,,,619.32,5017.59,15
CPT,32661,THORACOSCOPY W/PERICARD EXC,,,669.94,5017.59,15
CPT,32662,THORACOSCOPY W/MEDIAST EXC,,,749.62,5017.59,15
CPT,32663,THORACOSCOPY W/LOBECTOMY,,,1159.66,5017.59,15
CPT,32664,THORACOSCOPY W/ TH NRV EXC,,,710.25,5017.59,15
CPT,32665,THORACOSCOP W/ESOPH MUSC EXC,,,1023.07,5017.59,15
CPT,32666,THORACOSCOPY W/WEDGE RESECT,,,730.46,5017.59,15
CPT,32667,THORACOSCOPY W/W RESECT ADDL,,,127.07,5017.59,15
CPT,32668,THORACOSCOPY W/W RESECT DIAG,,,127.37,5017.59,15
CPT,32669,THORACOSCOPY REMOVE SEGMENT,,,1114.2,5017.59,15
CPT,32670,THORACOSCOPY BILOBECTOMY,,,1325.48,3265.99,15
CPT,32671,THORACOSCOPY PNEUMONECTOMY,,,1462.39,3614.66,15
CPT,32672,THORACOSCOPY FOR LVRS,,,1254.94,3099.26,15
CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,1010.48,5017.59,15
CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,174.72,5017.59,15
CPT,32701,THORAX STEREO RAD TARGETW/TX,,,174.55,426.15,15
CPT,32800,REPAIR LUNG HERNIA,,,799.61,5017.59,15
CPT,32810,CLOSE CHEST AFTER DRAINAGE,,,757.61,5017.59,15
CPT,32815,CLOSE BRONCHIAL FISTULA,,,2313.96,5716.34,15
CPT,32820,RECONSTRUCT INJURED CHEST,,,1177.7,5017.59,15
CPT,32850,DONOR PNEUMONECTOMY,,,1485.0,1485.0,2
CPT,32851,LUNG TRANSPLANT SINGLE,,,2699.29,6668.95,15
CPT,32852,LUNG TRANSPLANT WITH BYPASS,,,2917.31,7176.04,15
CPT,32853,LUNG TRANSPLANT DOUBLE,,,3772.49,9315.78,15
CPT,32854,LUNG TRANSPLANT WITH BYPASS,,,3984.72,9862.3,15
CPT,32855,PREPARE DONOR LUNG SINGLE,,,879.25,879.25,2
CPT,32856,PREPARE DONOR LUNG DOUBLE,,,6.5,6.5,2
CPT,32900,REMOVAL OF RIB(S),,,1236.81,5017.59,15
CPT,32905,REVISE & REPAIR CHEST WALL,,,1109.43,2731.23,15
CPT,32906,REVISE & REPAIR CHEST WALL,,,1363.3,5017.59,15
CPT,32940,REVISION OF LUNG,,,1027.4,2525.07,15
CPT,32960,THERAPEUTIC PNEUMOTHORAX,,,88.88,1109.3,17
CPT,32994,ABLATE PULM TUMOR PERQ CRYBL,,,425.08,18176.99,17
CPT,32997,TOTAL LUNG LAVAGE,,,292.9,683.5,15
CPT,32998,ABLATE PULM TUMOR PERQ RF,,,425.75,10188.81,17
CPT,32999,SURG 32999 ABLATION PLEURAL MASS,2777.0,2221.6,457.71,2499.3,38
CPT,32999,SURG 32999 MANIP PLEURAL CATHETER,2777.0,2221.6,457.71,2499.3,38
CPT,32999,SURG 32999 PREOP PLCMNT NDL LOC LUNG,2777.0,2221.6,457.71,2499.3,38
CPT,32999,SURG 32999 UNLISTED PROCEDURE LUNGS & PLEURA,2777.0,2221.6,457.71,2499.3,38
CPT,33010,Outpatient Services - CPT/HCPCS,,,246.76,598.04,2
CPT,33011,Outpatient Services - CPT/HCPCS,,,246.76,598.04,2
CPT,33015,Outpatient Services - CPT/HCPCS,,,246.76,598.04,2
CPT,33016,ED 33016 PERICARDIOCENTESIS W IMAGING,3279.0,2623.2,228.69,2951.1,38
CPT,33016,SURG 33016 PERICARDIOCENTESIS; INCL IMAGING WHEN PERFORMED,3279.0,2623.2,228.69,2951.1,38
CPT,33017,SURG 33017 PERQ PERICARD DRAINAGE 6YR+ W/O CONGENITAL CARD ANOMALY,4299.0,3439.2,203.42,3869.1,36
CPT,33018,SURG 33018 PERQ PERICARD DRAINAGE 0-5YR/ANY AGE W/CONGEN CARD ANOMALY,3941.0,3152.8,237.77,3546.9,36
CPT,33019,SURG 33019 PERQ PERICARDIAL DRG W/INSERT INDWELLG CATH W/CT GUID,3941.0,3152.8,179.49,3546.9,36
CPT,33020,INCISION OF HEART SAC,,,692.48,1685.92,15
CPT,33025,SURG 33025 CREATE WINDOW PERICARDIAL,2079.0,1663.2,644.99,1871.1,36
CPT,33030,PARTIAL REMOVAL OF HEART SAC,,,1653.93,4076.09,15
CPT,33031,PARTIAL REMOVAL OF HEART SAC,,,2038.66,5032.85,15
CPT,33050,RESECT HEART SAC LESION,,,843.06,2066.41,15
CPT,33120,EXC ICAR TUM RESC W/CARD BYP,,,1722.68,4251.8,15
CPT,33130,RESCJ EXTERNAL CARDIAC TUMOR,,,1136.44,2779.65,15
CPT,33140,HEART REVASCULARIZE (TMR),,,1286.3,3157.38,15
CPT,33141,HEART TMR W/OTHER PROCEDURE,,,107.27,267.03,15
CPT,33202,INSERT EPICARD ELTRD OPEN,,,644.33,1578.0,15
CPT,33203,INSERT EPICARD ELTRD ENDO,,,674.7,5628.59,15
CPT,33206,INSERT REPL PPM ATRIAL,19956.0,15964.8,446.39,18856.05,38
CPT,33207,INSERT REPL PPM VENTRICULAR,20300.0,16240.0,469.02,18856.05,38
CPT,33208,INSERT REPL PPM ATR VENT,22387.0,17909.6,507.63,20148.3,38
CPT,33210,SURG 33210 TPM INSERTION,11890.0,9512.0,157.12,15001.95,38
CPT,33211,SURG 33211 INSERT/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SEPARATE PROC,12074.0,9659.2,164.44,15001.95,38
CPT,33212,INS PPM GEN W EXIST SINGL LEAD,13864.0,11091.2,317.9,15001.95,38
CPT,33213,INS PPM GEN W EXIST DUAL LEADS,18648.0,14918.4,332.88,18856.05,38
CPT,33214,UPGRADE PPM TO DUAL,20324.0,16259.2,470.35,18856.05,38
CPT,33215,SURG 33215 RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,6278.0,5022.4,305.25,5650.2,38
CPT,33216,INSERT LEAD TRANSVENOUS PPM  DEFIB SNGL,13263.0,10610.4,365.5,15001.95,38
CPT,33217,INSERT 2 LEADS TRANSVENOUS PPM  DEFIB,13783.0,11026.4,362.83,15001.95,38
CPT,33218,REPAIR SNGLE ELECTRODE PPM  DEFIB,8508.0,6806.4,383.47,7657.2,38
CPT,33220,SURG 33220 RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,8413.0,6730.4,374.82,7571.7,38
CPT,33221,INSERT PULSE GEN MULT LEADS,27221.0,21776.8,351.52,34407.66,38
CPT,33222,REVISION POCKET PPM,6071.0,4856.8,338.87,5463.9,38
CPT,33223,RELOCATION SKN POCKET FOR DEFIB,5900.0,4720.0,402.45,5310.0,38
CPT,33224,INS ELECTRODE CARD VEN SYS TO PREV PLACED PPM DEFIB GEN,20342.0,16273.6,498.98,18856.05,38
CPT,33225,INS ELECTRODE CARD VEN SYS LV PACING WINS DEFIB PPM GEN,20198.0,16158.4,1.0,18178.2,36
CPT,33226,REPOSIT BIV PM IC LEAD,5514.0,4411.2,477.68,5628.59,38
CPT,33227,REMOVE&REPLACE PPM GEN SINGL,17754.0,14203.2,333.87,15978.6,38
CPT,33228,REMOVE & REPLACE PPM GEN DUAL LEAD SYS,20784.0,16627.2,348.52,18856.05,38
CPT,33229,REMOV PMKR GEN MULTIPLE LEAD,31951.0,25560.8,366.5,34407.66,38
CPT,33230,INSERT DEFIB GENERATOR W EXIST DUAL LEADS,38797.0,31037.6,367.83,41623.23,38
CPT,33231,INSERT DEFIB GENERATOR W EXIST MULT LEADS,57038.0,45630.4,394.12,58094.34,38
CPT,33233,RMVL PPM-GENERATOR ONLY,12435.0,9948.0,230.35,15001.95,38
CPT,33234,PPM LEAD REMOVAL SINGLE,6193.0,4954.4,475.35,6934.46,38
CPT,33235,PPM LEAD REMOVAL DUAL,5915.0,4732.0,624.81,6934.46,38
CPT,33236,REMOVE ELECTRODE/THORACOTOMY,,,663.38,1604.98,15
CPT,33237,REMOVE ELECTRODE/THORACOTOMY,,,709.64,1721.89,15
CPT,33238,REMOVE ELECTRODE/THORACOTOMY,,,798.72,1948.11,15
CPT,33240,INSERT DEFIB GENERATOR W EXIST SNGLE LEAD,39927.0,31941.6,362.17,41623.23,38
CPT,33241,RMVL DEFIB GENERATOR ONLY,6087.0,4869.6,212.04,6934.46,38
CPT,33243,REMOVE ELTRD/THORACOTOMY,,,1145.79,2812.17,15
CPT,33244,RMVL SNGL DUAL CVD LEAD,5915.0,4732.0,846.83,6934.46,38
CPT,33249,INSERT DEFIB SYSTEM W LEAD(S) SGL DUAL CHAMBER,27375.0,21900.0,893.77,58094.34,38
CPT,33250,ABLATE HEART DYSRHYTHM FOCUS,,,1209.05,2959.52,15
CPT,33251,ABLATE HEART DYSRHYTHM FOCUS,,,1346.96,3325.48,15
CPT,33254,ABLATE ATRIA LMTD,,,1130.78,2781.73,15
CPT,33255,ABLATE ATRIA W/O BYPASS EXT,,,1348.52,3301.96,15
CPT,33256,ABLATE ATRIA W/BYPASS EXTEN,,,1593.49,3909.36,15
CPT,33257,ABLATE ATRIA LMTD ADD-ON,,,490.16,1193.36,15
CPT,33258,ABLATE ATRIA X10SV ADD-ON,,,544.67,1325.49,15
CPT,33259,ABLATE ATRIA W/BYPASS ADD-ON,,,711.52,1733.65,15
CPT,33261,ABLATE HEART DYSRHYTHM FOCUS,,,1335.57,3271.52,15
CPT,33262,RMVL & REPLC DEFIB GEN SNGLE LEAD,46603.0,37282.4,365.83,41942.7,38
CPT,33263,RMVL & REPLC DEFIB GEN DUAL LEADS,48400.0,38720.0,380.14,43560.0,38
CPT,33264,RMVL & REPLC DEFIB GEN MULT LEADS,69554.0,55643.2,396.45,62598.6,38
CPT,33265,ABLATE ATRIA LMTD ENDO,,,1133.43,2779.65,15
CPT,33266,ABLATE ATRIA X10SV ENDO,,,1523.63,3749.56,15
CPT,33267,EXCL LAA OPEN ANY METHOD,,,868.31,2130.74,15
CPT,33268,EXCL LAA OPN OTH PX ANY METH,,,105.68,262.19,15
CPT,33269,EXCL LAA THRSCP ANY METHOD,,,693.07,18052.08,15
CPT,33270,SURG 33270 INSERT/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD,22792.0,18233.6,549.24,58094.34,38
CPT,33271,INSJ SUBQ IMPLTBL DFB ELCTRD,,,447.05,15001.95,17
CPT,33272,RMVL OF SUBQ DEFIBRILLATOR,,,341.53,6934.46,17
CPT,33273,REPOS PREV IMPLTBL SUBQ DFB,,,395.79,6934.46,17
CPT,33274,TRANSCATH INS OR REPL PERM LEADLESS PACEMAKER,30210.0,24168.0,468.69,34407.66,36
CPT,33275,TRANSCATH REMOVAL PERM LEADLESS PACKMACKER RT VENTR W IMAGING,4688.0,3750.4,495.32,5628.59,36
CPT,33276,INSJ PHRNC NRV STIM SYS,,,567.55,83313.93,15
CPT,33277,INSJ PHRNC NRV STIM TRANSVNS,,,1.0,296.92,15
CPT,33278,RMVL PHRNC NRV STIM SYS,,,564.89,6008.29,15
CPT,33279,RMVL PHRNC NRV STIM TRANSVNS,,,341.2,6008.29,15
CPT,33280,RMVL PHRNC NRV STIM PG ONLY,,,205.38,6008.29,15
CPT,33281,REPOSG PHRNC NRV STIM TRNSVN,,,369.16,6008.29,15
CPT,33282,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,33284,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,33285,INS SUBQ CARDIAC RHYTHM MNTR INC PROGRAMMING,15557.0,12445.6,85.55,15001.95,38
CPT,33286,REMOVAL SUBQ CARDIAC RHYTHM MNTR,3334.0,2667.2,83.88,3000.6,38
CPT,33287,RMV&RPLCMT PHRNC NRV STIM PG,,,380.81,54833.04,15
CPT,33288,RMV&RPLCMT PHRNC NRV STIM LD,,,501.98,24054.24,15
CPT,33289,TRANSCATH IMPL WIRELESS PUL ART PRESS SENSOR W RT HEART CATH & ANGIO,33146.0,26516.8,325.88,51323.18,38
CPT,33300,REPAIR OF HEART WOUND,,,2014.15,4967.12,15
CPT,33305,REPAIR OF HEART WOUND,,,3349.7,8314.05,15
CPT,33310,EXPLORATORY HEART SURGERY,,,976.46,2381.18,15
CPT,33315,EXPLORATORY HEART SURGERY,,,1576.6,3901.75,15
CPT,33320,REPAIR MAJOR BLOOD VESSEL(S),,,889.81,2188.16,15
CPT,33321,REPAIR MAJOR VESSEL,,,990.23,2417.84,15
CPT,33322,SURG 33322 SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS,5046.0,4036.8,1152.06,4541.4,36
CPT,33330,INSERT MAJOR VESSEL GRAFT,,,1183.32,2895.87,15
CPT,33335,INSERT MAJOR VESSEL GRAFT,,,1543.97,3788.99,15
CPT,33340,SURG 33340 PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT (WATCHMAN),19010.0,15208.0,643.15,18052.08,36
CPT,33361,SURG 33361 TAVI WPROS VALVE PERC FEMORAL,21360.0,17088.0,992.63,19224.0,36
CPT,33362,SURG 33362 TAVI WPROS VALVE OPEN FEMORAL,16788.0,13430.4,1082.13,18052.08,36
CPT,33363,SURG 33363 TAVI WPROS VALVE OPEN AXILLARY,17124.0,13699.2,1120.74,18052.08,36
CPT,33364,SURG 33364 TAVI WPROS VALVE OPEN ILIAC,16788.0,13430.4,1117.28,18052.08,36
CPT,33365,SURG 33365 TAVI TRANSAORTIC APPROACH,16434.0,13147.2,1167.69,18052.08,36
CPT,33366,SURG 33366 TAVI WPROS VALVE TRANSAPICAL EXPOSURE,16754.0,13403.2,1288.36,18052.08,36
CPT,33367,SURG 33367 TAVR TAVI WPROS WBYPASS,15955.0,12764.0,497.29,18052.08,36
CPT,33368,REPLACE AORTIC VALVE W/BYP,,,602.19,18052.08,15
CPT,33369,REPLACE AORTIC VALVE W/BYP,,,794.71,18052.08,15
CPT,33370,SURG 33370 TRANS CATHETER PLACEMENT SBSQ REMOVAL CEPD PERQ,10899.0,8719.2,1.0,9809.1,36
CPT,33390,VALVULOPLASTY AORTIC VALVE,,,1591.38,3907.29,15
CPT,33391,VALVULOPLASTY AORTIC VALVE,,,1884.64,4630.91,15
CPT,33404,PREPARE HEART-AORTA CONDUIT,,,1448.85,3551.01,15
CPT,33405,REPLACEMENT AORTIC VALVE OPN,,,1872.51,4618.46,15
CPT,33406,REPLACEMENT AORTIC VALVE OPN,,,2367.92,5867.16,15
CPT,33410,REPLACEMENT AORTIC VALVE OPN,,,2096.59,5166.36,15
CPT,33411,REPLACEMENT OF AORTIC VALVE,,,2754.8,6807.31,15
CPT,33412,REPLACEMENT OF AORTIC VALVE,,,2579.93,6360.41,15
CPT,33413,REPLACEMENT OF AORTIC VALVE,,,2647.8,6519.52,15
CPT,33414,REPAIR OF AORTIC VALVE,,,1763.81,4372.87,15
CPT,33415,REVISION SUBVALVULAR TISSUE,,,1673.62,4124.51,15
CPT,33416,REVISE VENTRICLE MUSCLE,,,1671.92,4119.67,15
CPT,33417,REPAIR OF AORTIC VALVE,,,1384.32,3412.65,15
CPT,33418,SURG 33418 SURG TRANSCATH MITRAL VALVE RPR INITIAL PROST,21975.0,17580.0,1487.48,19777.5,36
CPT,33419,SURG 33419 SURG TRANSCATH MITRAL VALVE RPR ADDL PROST,12438.0,9950.4,1.0,11194.2,36
CPT,33420,REVISION OF MITRAL VALVE,,,1204.7,2949.14,15
CPT,33422,REVISION OF MITRAL VALVE,,,1380.59,3379.44,15
CPT,33425,REPAIR OF MITRAL VALVE,,,2245.04,5550.31,15
CPT,33426,REPAIR OF MITRAL VALVE,,,1966.08,4848.13,15
CPT,33427,REPAIR OF MITRAL VALVE,,,2013.33,4957.44,15
CPT,33430,REPLACEMENT OF MITRAL VALVE,,,2311.43,5698.36,15
CPT,33440,RPLCMT A-VALVE TLCJ AUTOL PV,,,2789.36,6877.18,15
CPT,33460,REVISION OF TRICUSPID VALVE,,,1970.67,4854.36,15
CPT,33463,VALVULOPLASTY TRICUSPID,,,2533.63,6246.26,15
CPT,33464,VALVULOPLASTY TRICUSPID,,,2013.73,4955.36,15
CPT,33465,REPLACE TRICUSPID VALVE,,,2267.52,5595.97,15
CPT,33468,REVISION OF TRICUSPID VALVE,,,2009.49,4985.8,15
CPT,33471,Outpatient Services - CPT/HCPCS,,,2713.24,2713.24,2
CPT,33471,Therapy,,,1305.54,1305.54,4
CPT,33474,REVISION OF PULMONARY VALVE,,,1796.2,4442.74,15
CPT,33475,REPLACEMENT PULMONARY VALVE,,,1917.3,4718.77,15
CPT,33476,REVISION OF HEART CHAMBER,,,1267.36,3119.33,15
CPT,33477,IMPLANT TCAT PULM VLV PERQ,,,1096.47,18052.08,15
CPT,33478,REVISION OF HEART CHAMBER,,,1308.28,3220.33,15
CPT,33496,REPAIR PROSTH VALVE CLOT,,,1380.21,3380.83,15
CPT,33500,REPAIR HEART VESSEL FISTULA,,,1294.15,3170.52,15
CPT,33501,REPAIR HEART VESSEL FISTULA,,,930.4,2271.87,15
CPT,33502,CORONARY ARTERY CORRECTION,,,1068.26,2621.92,15
CPT,33503,CORONARY ARTERY GRAFT,,,1112.05,2725.69,15
CPT,33504,CORONARY ARTERY GRAFT,,,1221.6,3003.8,15
CPT,33505,REPAIR ARTERY W/TUNNEL,,,1683.87,4186.08,15
CPT,33506,REPAIR ARTERY TRANSLOCATION,,,1682.65,4175.01,15
CPT,33507,REPAIR ART INTRAMURAL,,,1415.31,3504.66,15
CPT,33508,ENDOSCOPIC VEIN HARVEST,,,1.0,15.65,15
CPT,33509,NDSC HRV UXTR ART 1 SGM CAB,,,141.22,349.36,15
CPT,33510,CABG VEIN SINGLE,,,1597.28,3934.96,15
CPT,33511,CABG VEIN TWO,,,1754.02,4320.98,15
CPT,33512,CABG VEIN THREE,,,1994.64,4922.16,15
CPT,33513,CABG VEIN FOUR,,,2038.1,5025.93,15
CPT,33514,CABG VEIN FIVE,,,2148.03,5283.97,15
CPT,33516,CABG VEIN SIX OR MORE,,,2223.1,5468.68,15
CPT,33517,CABG ARTERY-VEIN SINGLE,,,152.25,379.11,15
CPT,33518,CABG ARTERY-VEIN TWO,,,334.51,830.16,15
CPT,33519,CABG ARTERY-VEIN THREE,,,441.8,1098.58,15
CPT,33521,CABG ARTERY-VEIN FOUR,,,530.15,1316.5,15
CPT,33522,CABG ARTERY-VEIN FIVE,,,595.33,1479.76,15
CPT,33523,CABG ART-VEIN SIX OR MORE,,,672.41,1665.16,15
CPT,33530,CORONARY ARTERY BYPASS/REOP,,,426.61,1059.84,15
CPT,33533,CABG ARTERIAL SINGLE,,,1547.33,3811.13,15
CPT,33534,CABG ARTERIAL TWO,,,1816.63,4475.25,15
CPT,33535,CABG ARTERIAL THREE,,,2017.94,4971.97,15
CPT,33536,CABG ARTERIAL FOUR OR MORE,,,2172.2,5357.3,15
CPT,33542,REMOVAL OF HEART LESION,,,2165.53,5329.63,15
CPT,33545,REPAIR OF HEART DAMAGE,,,2519.03,6204.06,15
CPT,33548,RESTORE/REMODEL VENTRICLE,,,2430.04,5974.38,15
CPT,33572,OPEN CORONARY ENDARTERECTOMY,,,187.06,466.97,15
CPT,33600,CLOSURE OF VALVE,,,1425.62,3515.73,15
CPT,33602,CLOSURE OF VALVE,,,1384.93,3413.34,15
CPT,33606,ANASTOMOSIS/ARTERY-AORTA,,,1472.89,3633.33,15
CPT,33608,REPAIR ANOMALY W/CONDUIT,,,1492.2,3679.68,15
CPT,33610,REPAIR BY ENLARGEMENT,,,1471.85,3629.18,15
CPT,33611,REPAIR DOUBLE VENTRICLE,,,1603.13,3970.93,15
CPT,33612,REPAIR DOUBLE VENTRICLE,,,1645.4,4077.47,15
CPT,33615,REPAIR MODIFIED FONTAN,,,1648.74,4075.39,15
CPT,33617,REPAIR SINGLE VENTRICLE,,,1783.65,4412.99,15
CPT,33619,REPAIR SINGLE VENTRICLE,,,2268.84,5604.96,15
CPT,33620,APPLY R&L PULM ART BANDS,,,1356.2,3358.0,15
CPT,33621,TRANSTHOR CATH FOR STENT,,,772.8,1901.07,15
CPT,33622,REDO COMPL CARDIAC ANOMALY,,,2803.8,6966.43,15
CPT,33641,REPAIR HEART SEPTUM DEFECT,,,1350.84,3341.39,15
CPT,33645,REVISION OF HEART VEINS,,,1426.33,3528.18,15
CPT,33647,REPAIR HEART SEPTUM DEFECTS,,,1494.94,3699.75,15
CPT,33660,REPAIR OF HEART DEFECTS,,,1445.68,3577.3,15
CPT,33665,REPAIR OF HEART DEFECTS,,,1572.98,3895.53,15
CPT,33670,REPAIR OF HEART CHAMBERS,,,1612.52,4006.91,15
CPT,33675,CLOSE MULT VSD,,,1619.55,4012.44,15
CPT,33676,CLOSE MULT VSD W/RESECTION,,,1661.93,4118.98,15
CPT,33677,CL MULT VSD W/REM PUL BAND,,,1725.59,4276.71,15
CPT,33681,CLOSURE 1 VSD W/WO PATCH,,,1530.55,3770.31,15
CPT,33684,CLSR 1 VSD W/WO PATCH W/VLVT,,,1552.71,3844.33,15
CPT,33688,CLSR 1VSD W/WO PTCH RMVL BND,,,1542.09,3827.73,15
CPT,33690,BANDING PULMONARY ARTERY,,,1006.03,2466.96,15
CPT,33692,COMP RPR TOF WO PULM ATRESIA,,,1601.51,3975.08,15
CPT,33694,CMP RPR TOF WO PLM ATRS PTCH,,,1603.13,3970.93,15
CPT,33697,COMPL RPR TOF W/PULM ATRESIA,,,1687.78,4182.62,15
CPT,33702,REPAIR OF HEART DEFECTS,,,1283.92,3163.6,15
CPT,33710,REPAIR OF HEART DEFECTS,,,1684.97,4173.63,15
CPT,33720,REPAIR OF HEART DEFECT,,,1284.84,3165.68,15
CPT,33724,REPAIR VENOUS ANOMALY,,,1268.88,3134.55,15
CPT,33726,REPAIR PUL VENOUS STENOSIS,,,1669.05,4135.58,15
CPT,33730,REPAIR HEART-VEIN DEFECT(S),,,1654.98,4092.0,15
CPT,33732,REPAIR HEART-VEIN DEFECT,,,1368.58,3373.22,15
CPT,33735,REVISION OF HEART CHAMBER,,,1083.41,2660.66,15
CPT,33736,REVISION OF HEART CHAMBER,,,1173.21,2884.11,15
CPT,33737,Outpatient Services - CPT/HCPCS,,,2661.35,2661.35,2
CPT,33737,Therapy,,,1280.57,1280.57,4
CPT,33741,TAS CONGENITAL CAR ANOMAL,,,615.89,18052.08,15
CPT,33745,TIS CGEN CAR ANOMAL 1ST SHNT,,,880.14,18052.08,15
CPT,33746,TIS CGEN CAR ANOMAL EA ADDL,,,351.89,18052.08,15
CPT,33750,SHUNT SUBCLAVIAN TO PULM ART,,,1046.65,2580.41,15
CPT,33755,SHUNT AS-AORT TO PULM ART,,,1100.49,2702.86,15
CPT,33762,SHUNT DESC AORTA TO PULM ART,,,1063.0,2621.23,15
CPT,33764,SHUNT CENTRAL W/PROSTC GRAFT,,,1100.49,2702.86,15
CPT,33766,SHUNT SUPR V/C P-ART 1 LUNG,,,1103.38,2722.23,15
CPT,33767,SHUNT SUPR V/C P-ART BTH LNG,,,1176.22,2904.87,15
CPT,33768,ANAST CAVOPULM SEC SUP V/C,,,337.37,842.61,15
CPT,33770,RPR TGA W/O SURG ENLGMNT VSD,,,1733.87,4302.3,15
CPT,33771,RPR TGA W/SURG ENLGMNT VSD,,,1778.33,4421.29,15
CPT,33774,RPR TGA ATRIAL BAFFLE PX,,,1493.26,3680.38,15
CPT,33775,RPR TGA ATR BFL RMVL PLM BND,,,1534.58,3786.22,15
CPT,33776,RPR TGA ATR BFL CLSR VSD,,,1623.83,4006.21,15
CPT,33777,RPR TGA BFL RPR SBPULM OBSTR,,,1558.38,3856.09,15
CPT,33778,RPR TGA AORTIC PULM ART RCNS,,,1933.54,4790.02,15
CPT,33779,RPR TGA RCNSTJ RMVL PLM BND,,,1899.92,4720.84,15
CPT,33780,RPR TGA RCNSTJ CLSR VSD,,,1937.86,4811.47,15
CPT,33781,RPR TGA RCNSTJ RPR SBPL OBST,,,1887.01,4692.48,15
CPT,33782,NIKAIDOH PROC,,,2637.91,6552.04,15
CPT,33783,NIKAIDOH PROC W/OSTIA IMPLT,,,2848.95,7080.57,15
CPT,33786,REPAIR ARTERIAL TRUNK,,,1866.85,4632.29,15
CPT,33788,REVISION OF PULMONARY ARTERY,,,1266.14,3128.32,15
CPT,33800,AORTIC SUSPENSION,,,819.23,2017.29,15
CPT,33802,DIVISION ABERRANT VESSEL,,,909.55,2230.36,15
CPT,33803,DIV ABERRANT VSL W/REANAST,,,953.98,2352.81,15
CPT,33813,Outpatient Services - CPT/HCPCS,,,2543.75,2543.75,2
CPT,33813,Therapy,,,1223.98,1223.98,4
CPT,33814,OBLTRJ A-PULM SEP DEF W/BYP,,,1268.29,3121.4,15
CPT,33820,REPAIR PDA BY LIGATION,,,807.02,1982.7,15
CPT,33822,REPAIR PDA DIV<18 YEARS,,,849.9,2089.93,15
CPT,33824,REPAIR PDA DIV 18 YRS&OLDER,,,986.93,2423.38,15
CPT,33840,EXC COA W/DIRECT ANASTOMOSIS,,,1034.78,2540.98,15
CPT,33845,EXCISION COA W/GRAFT,,,1114.76,2737.45,15
CPT,33851,EXC COA RPR L SUBCL ART/PRST,,,1061.97,2609.47,15
CPT,33852,RPR HYPOPL A-ARCH WO BYP,,,1164.35,2866.13,15
CPT,33853,RPR HYPOPL A-ARCH W/BYP,,,1518.42,3746.79,15
CPT,33858,AS-AORT GRF F/AORTIC DSJ,,,2779.9,6879.95,15
CPT,33859,AS-AORT GRF F/DS OTH/THN DSJ,,,2001.62,4945.68,15
CPT,33863,ASCENDING AORTIC GRAFT,,,2577.37,6377.01,15
CPT,33864,ASCENDING AORTIC GRAFT,,,2632.96,6512.61,15
CPT,33866,AORTIC HEMIARCH GRAFT,,,1.0,894.77,15
CPT,33871,TRANSVRS A-ARCH GRF HYPTHRM,,,2664.52,6601.16,15
CPT,33875,THORACIC AORTIC GRAFT,,,2248.97,5571.76,15
CPT,33877,THORACOABDOMINAL GRAFT,,,2936.72,7307.48,15
CPT,33880,SURG 33880 EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA,10136.0,8108.8,1449.47,10092.93,36
CPT,33881,SURG 33881 EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA,10136.0,8108.8,1245.4,10092.93,36
CPT,33883,SURG 33883 DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,6824.0,5459.2,903.41,10092.93,36
CPT,33884,Outpatient Services,,,316.25,349.54,9
CPT,33884,Outpatient Services - CPT/HCPCS,,,4164.42,10092.93,2
CPT,33884,Therapy,,,383.47,383.47,4
CPT,33886,SURG 33886 DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,6625.0,5300.0,781.12,10092.93,36
CPT,33889,Outpatient Services,,,642.97,710.65,9
CPT,33889,Outpatient Services - CPT/HCPCS,,,1606.36,1606.36,2
CPT,33889,Therapy,,,772.94,772.94,4
CPT,33891,Outpatient Services,,,771.29,852.47,9
CPT,33891,Outpatient Services - CPT/HCPCS,,,4003.89,9703.85,2
CPT,33891,Therapy,,,934.71,934.71,4
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,,,803.97,10092.93,15
CPT,33895,EVASC ST RPR THRC/AA X CRSG,,,639.61,10092.93,15
CPT,33897,PERQ TRLUML ANGP NT/RECR COA,,,475.68,10092.93,15
CPT,33900,PERQ P-ART REVSC 1 NM NT UNI,,,564.56,19426.22,15
CPT,33901,PERQ P-ART REVSC 1 NM NT BI,,,741.98,19426.22,15
CPT,33902,PERQ P-ART REVSC 1 ABNOR UNI,,,716.35,30964.11,15
CPT,33903,PERQ P-ART REVSC 1 ABNOR BI,,,844.17,19426.22,15
CPT,33904,PERQ P-ART REVSC EACH ADDL,,,1.0,283.61,15
CPT,33910,REMOVE LUNG ARTERY EMBOLI,,,2151.76,5294.35,15
CPT,33915,REMOVE LUNG ARTERY EMBOLI,,,1137.44,2790.72,15
CPT,33916,SURGERY OF GREAT VESSEL,,,3419.89,8449.65,15
CPT,33917,REPAIR PULMONARY ARTERY,,,1214.32,2987.19,15
CPT,33920,REPAIR PULMONARY ATRESIA,,,1490.78,3687.99,15
CPT,33922,TRANSECT PULMONARY ARTERY,,,1156.08,2846.76,15
CPT,33924,REMOVE PULMONARY SHUNT,,,231.68,18052.08,15
CPT,33925,RPR PUL ART UNIFOCAL W/O CPB,,,1410.96,3494.28,15
CPT,33926,REPR PUL ART UNIFOCAL W/CPB,,,1977.94,4910.4,15
CPT,33927,IMPLTJ TOT RPLCMT HRT SYS,,,2067.23,5160.83,15
CPT,33935,TRANSPLANTATION HEART/LUNG,,,4047.78,9968.15,15
CPT,33945,TRANSPLANTATION OF HEART,,,3996.41,9874.06,15
CPT,33946,"SURG 33946 ECMO/ECLS BY DR;INITIATION,VENO-VENOUS",5367.0,4293.6,255.52,4830.3,36
CPT,33947,SURG 33947 ECMO/ECLS INITIATION VENO-ARTERIAL,5151.0,4120.8,282.52,4635.9,36
CPT,33948,ECMO/ECLS DAILY MGMT-VENOUS,,,200.57,482.18,15
CPT,33949,ECMO/ECLS DAILY MGMT ARTERY,,,195.73,471.12,15
CPT,33951,ECMO/ECLS INSJ PRPH CANNULA,,,344.84,851.61,15
CPT,33952,SURG 33952 ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,4815.0,3852.0,350.24,4333.5,36
CPT,33953,ECMO/ECLS INSJ PRPH CANNULA,,,384.8,951.23,15
CPT,33954,ECMO/ECLS INSJ PRPH CANNULA,,,389.14,962.99,15
CPT,33955,ECMO/ECLS INSJ CTR CANNULA,,,672.79,1665.85,15
CPT,33956,ECMO/ECLS INSJ CTR CANNULA,,,680.23,1692.14,15
CPT,33957,ECMO/ECLS REPOS PERPH CNULA,,,150.56,370.8,15
CPT,33958,ECMO/ECLS REPOS PERPH CNULA,,,150.56,370.8,15
CPT,33959,ECMO/ECLS REPOS PERPH CNULA,,,190.93,472.5,15
CPT,33962,ECMO/ECLS REPOS PERPH CNULA,,,190.93,472.5,15
CPT,33963,ECMO/ECLS REPOS PERPH CNULA,,,380.03,940.16,15
CPT,33964,ECMO/ECLS REPOS PERPH CNULA,,,400.87,992.73,15
CPT,33965,ECMO/ECLS RMVL PERPH CANNULA,,,150.56,370.8,15
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,,,194.39,480.11,15
CPT,33967,IABP INSERT,4711.0,3768.8,212.34,5628.59,36
CPT,33968,SURG 33968 REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PERQ,4041.0,3232.8,27.88,5628.59,36
CPT,33969,ECMO/ECLS RMVL PERPH CANNULA,,,221.58,548.6,15
CPT,33970,AORTIC CIRCULATION ASSIST,,,288.42,713.94,15
CPT,33971,AORTIC CIRCULATION ASSIST,,,591.22,1448.63,15
CPT,33973,INSERT BALLOON DEVICE,,,407.95,1009.34,15
CPT,33974,REMOVE INTRA-AORTIC BALLOON,,,748.38,1820.13,15
CPT,33975,IMPLANT VENTRICULAR DEVICE,,,1064.1,2639.91,15
CPT,33976,IMPLANT VENTRICULAR DEVICE,,,1286.07,3187.12,15
CPT,33977,REMOVE VENTRICULAR DEVICE,,,923.7,2277.41,15
CPT,33978,REMOVE VENTRICULAR DEVICE,,,1089.62,2684.18,15
CPT,33979,INSERT INTRACORPOREAL DEVICE,,,1580.97,3933.57,15
CPT,33980,REMOVE INTRACORPOREAL DEVICE,,,1457.52,3613.96,15
CPT,33981,REPLACE VAD PUMP EXT,,,673.76,1668.62,15
CPT,33982,REPLACE VAD INTRA W/O BP,,,1583.84,3923.89,15
CPT,33983,REPLACE VAD INTRA W/BP,,,1863.19,4617.77,15
CPT,33984,ECMO/ECLS RMVL PRPH CANNULA,,,231.29,574.19,15
CPT,33985,ECMO/ECLS RMVL CTR CANNULA,,,417.29,1032.17,15
CPT,33986,ECMO/ECLS RMVL CTR CANNULA,,,428.72,1059.84,15
CPT,33987,ARTERY EXPOS/GRAFT ARTERY,,,168.94,419.23,15
CPT,33988,INSERTION OF LEFT HEART VENT,,,631.3,1562.08,15
CPT,33989,REMOVAL OF LEFT HEART VENT,,,400.87,992.73,15
CPT,33990,SURG 33990 INSERT VAD LEFT HEART ARTERIAL ACCESS,4959.0,3967.2,295.44,5628.59,36
CPT,33991,SURG 33991 INSERT VAD LEFT HEART ARTERIAL & VENOUS ACCESS,3709.0,2967.2,369.72,5628.59,36
CPT,33992,SURG 33992 REMVL LEFT HEART VAD ART OR ART & VENOUS SEP SESSION,3798.0,3038.4,153.94,5628.59,36
CPT,33993,SURG 33993 REPOSITION RIGHT OR LEFT HEART VAD SEP SESSION,3798.0,3038.4,137.38,5628.59,36
CPT,33995,INSJ PERQ VAD R HRT VENOUS,,,290.29,5628.59,15
CPT,33997,RMVL PERQ RIGHT HEART VAD,,,132.25,5628.59,15
CPT,33999,SURG 33999 ICD GENERATOR REPOSITIONING,6278.0,5022.4,457.71,5650.2,38
CPT,33999,SURG 33999 INSERT PERQ HEART ASSIST DEVICE,5009.0,4007.2,457.71,4508.1,38
CPT,33999,SURG 33999 LAA CLOSURE,22202.0,17761.6,457.71,19981.8,38
CPT,33999,SURG 33999 MANIP FRZN MECHANIC MITRAL VALVE LEAFLET W/DIL THRU AGILLIS CATH,22963.0,18370.4,457.71,20666.7,38
CPT,33999,SURG 33999 REMOVAL WATCHMAN DEVICE,7905.0,6324.0,457.71,7114.5,38
CPT,33999,SURG 33999 TAVI- PERCUTANEOUS AXILLARY AETERY APPROACH,16948.0,13558.4,457.71,15253.2,38
CPT,33999,SURG 33999 TRANSCAROTID TAVI,17964.0,14371.2,457.71,16167.6,38
CPT,33999,SURG 33999 TRANSCAVAL AORTIC VALVE REPLACEMENT,16948.0,13558.4,457.71,15253.2,38
CPT,33999,SURG 33999 UNCAP EXIST LEAD CONNECT EXIST GENERATOR,6278.0,5022.4,457.71,5650.2,38
CPT,34001,REMOVAL OF ARTERY CLOT,,,743.36,5628.59,15
CPT,34051,REMOVAL OF ARTERY CLOT,,,831.79,10092.93,15
CPT,34101,SURG 34101 EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,8762.0,7009.6,582.53,9703.85,38
CPT,34111,REMOVAL OF ARM ARTERY CLOT,,,581.87,9703.85,17
CPT,34151,REMOVAL OF ARTERY CLOT,,,1131.28,2820.47,15
CPT,34201,SURG 34201 EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,8762.0,7009.6,996.29,9703.85,38
CPT,34203,SURG 34203 EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC,8338.0,6670.4,925.73,9703.85,38
CPT,34401,REMOVAL OF VEIN CLOT,,,1085.49,3046.69,15
CPT,34421,SURG 34421 THROMB VEIN-ILIAC FEMPOP,7069.0,5655.2,679.73,6362.1,38
CPT,34451,REMOVAL OF VEIN CLOT,,,1162.54,2911.09,15
CPT,34471,REMOVAL OF VEIN CLOT,,,457.71,1109.3,17
CPT,34490,SURG 34490 THROMBECTOMY DIR WCATH,7494.0,5995.2,563.22,6744.6,38
CPT,34501,REPAIR VALVE FEMORAL VEIN,,,876.46,9703.85,17
CPT,34502,RECONSTRUCT VENA CAVA,,,1284.14,3153.22,15
CPT,34510,TRANSPOSITION OF VEIN VALVE,,,997.63,9703.85,17
CPT,34520,CROSS-OVER VEIN GRAFT,,,966.34,9703.85,17
CPT,34530,LEG VEIN FUSION,,,920.73,5628.59,17
CPT,34701,SURG 34701 ENDOVASC RPR DPLMNT AORTO-AORTIC ENDOGRAFT,17222.0,13777.6,1005.31,15499.8,36
CPT,34702,SURG 34702 ENDOVASC RPR DPLMNT AORTO-AORTIC ENDOGRAFT FOR RUPTURE,21527.0,17221.6,1446.68,19374.3,36
CPT,34703,SURG 34703 ENDOVASC RPR DPLMNT AORTO-UN-ILIAC ENDOGRAFT,19659.0,15727.2,1112.28,17693.1,36
CPT,34704,SURG 34704 ENDOVASC RPR DPLMNT AORTO-UN-ILIAC ENDOGRAFT FOR RUPTURE,25310.0,20248.0,1846.53,22779.0,36
CPT,34705,SURG 34705 ENDOVASC RPR DPLMNT AORTO-BI-ILIAC ENDOGRAFT,22273.0,17818.4,1236.92,20045.7,36
CPT,34706,SURG 34706 ENDOVASC RPR DPLMNT AORTO-BI-ILIAC ENDOGRAFT FOR RUPTURE,27840.0,22272.0,1841.48,25056.0,36
CPT,34707,SURG 34707 ENDOVASC RPR DPLMNT ILIO-ILIAC ENDOGRAFT,18974.0,15179.2,945.61,17076.6,36
CPT,34708,SURG 34708 ENDOVASC RPR DPLMNT ILIO-ILIAC ENDOGRAFT FOR RUPTURE,24429.0,19543.2,1465.91,21986.1,36
CPT,34709,SURG 34709 PLACEMENT EXTENSION PROSTH FOR ENDOVASCULAR RPR,10000.0,8000.0,259.23,10092.93,36
CPT,34710,SURG 34710 DELAYED PLACEMENT EXTENSION PROSTHESIS FOR EVASC RPR 1ST VESSEL,18179.0,14543.2,648.85,16361.1,36
CPT,34711,SURG 34711 DELAYED PLACEMENT EXTENSION PROSTHESIS FOR EVASC RPR EA ADDL VSL,10000.0,8000.0,236.85,10092.93,36
CPT,34712,SURG 34712 TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,16052.0,12841.6,536.42,14446.8,36
CPT,34713,SURG 34713 PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,6135.0,4908.0,1.0,5521.5,36
CPT,34714,OPN FEM ART EXPOS CNDT CRTJ,,,1.0,261.97,15
CPT,34715,OPN AX/SUBCLA ART EXPOS,,,1.0,289.93,15
CPT,34716,OPN AX/SUBCLA ART EXPOS CNDT,,,1.0,361.84,15
CPT,34717,SURG 34717 EVASC RPR ILIAC ART TIME OF A-ILIAC ART NDGFT UNI,31759.0,25407.2,355.39,28583.1,36
CPT,34718,SURG 34718 EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,31759.0,25407.2,1000.88,28583.1,36
CPT,34808,SURG 34808 ENDOVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE,2169.0,1735.2,162.43,10092.93,36
CPT,34812,SURG 34812 OPEN FEM ART EXPOS DLVR EVASC PROSTH UNI,5625.0,4500.0,165.31,5062.5,36
CPT,34813,SURG 34813 PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR,2169.0,1735.2,188.47,10092.93,36
CPT,34820,SURG 34820 OPEN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI,2569.0,2055.2,270.02,10092.93,36
CPT,34830,OPEN AORTIC TUBE PROSTH REPR,,,1424.05,3569.69,15
CPT,34831,SURG 34831 AORTO BI-ILIAC GRAFT,5690.0,4552.0,1565.32,5121.0,36
CPT,34832,OPEN AORTOFEMOR PROSTH REPR,,,1530.29,3837.41,15
CPT,34833,OPN ILAC ART EXPOS CNDT CRTJ,,,314.79,10092.93,15
CPT,34834,OPN BRACH ART EXPOS,,,103.69,1109.3,15
CPT,34839,PLNNING PT SPEC FENEST GRAFT,,,227.9,227.9,2
CPT,34841,SURG 34841 ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT,25614.0,20491.2,4164.42,23052.6,27
CPT,34842,SURG 34842 ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT,29457.0,23565.6,4164.42,26511.3,27
CPT,34843,SURG 34843 ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT,33876.0,27100.8,4164.42,30488.4,27
CPT,34844,SURG 34844 ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT,7862.0,6289.6,2183.28,10092.93,27
CPT,34845,SURG 34845 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS,7147.0,5717.6,1984.72,10092.93,27
CPT,34846,SURG 34846 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS,7761.0,6208.8,2155.23,10092.93,27
CPT,34847,SURG 34847 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS,7623.0,6098.4,2116.91,10092.93,27
CPT,34848,SURG 34848 ENDOVASC VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS,7862.0,6289.6,2183.28,10092.93,27
CPT,35001,REPAIR DEFECT OF ARTERY,,,905.18,5628.59,15
CPT,35002,REPAIR ARTERY RUPTURE NECK,,,924.44,5628.59,15
CPT,35005,REPAIR DEFECT OF ARTERY,,,811.08,5628.59,15
CPT,35011,REPAIR DEFECT OF ARTERY,,,987.97,9703.85,17
CPT,35013,REPAIR ARTERY RUPTURE ARM,,,457.71,1239.96,15
CPT,35021,REPAIR DEFECT OF ARTERY,,,1048.69,2563.81,15
CPT,35022,REPAIR ARTERY RUPTURE CHEST,,,1196.48,2931.16,15
CPT,35045,REPAIR DEFECT OF ARM ARTERY,,,948.36,9703.85,17
CPT,35081,REPAIR DEFECT OF ARTERY,,,1401.51,3505.35,15
CPT,35082,REPAIR ARTERY RUPTURE AORTA,,,1755.2,4375.64,15
CPT,35091,REPAIR DEFECT OF ARTERY,,,1438.49,3600.13,15
CPT,35092,REPAIR ARTERY RUPTURE AORTA,,,2100.48,5252.84,15
CPT,35102,REPAIR DEFECT OF ARTERY,,,1521.11,3811.13,15
CPT,35103,REPAIR ARTERY RUPTURE AORTA,,,1747.65,4486.32,15
CPT,35111,REPAIR DEFECT OF ARTERY,,,1076.42,2693.87,15
CPT,35112,REPAIR ARTERY RUPTURE SPLEEN,,,1321.47,3310.26,15
CPT,35121,REPAIR DEFECT OF ARTERY,,,1278.28,3201.65,15
CPT,35122,REPAIR ARTERY RUPTURE BELLY,,,1526.63,3829.11,15
CPT,35131,REPAIR DEFECT OF ARTERY,,,1127.46,2800.41,15
CPT,35132,REPAIR ARTERY RUPTURE GROIN,,,1321.47,3310.26,15
CPT,35141,SURG 35141 DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,7887.0,6309.6,457.71,7098.3,36
CPT,35142,REPAIR ARTERY RUPTURE THIGH,,,457.71,1286.56,15
CPT,35151,REPAIR DEFECT OF ARTERY,,,457.71,1211.0,15
CPT,35152,REPAIR RUPTD POPLITEAL ART,,,457.71,1362.79,15
CPT,35180,RPR CGEN AV FISTULA HEAD&NCK,,,767.61,2828.05,17
CPT,35182,RPR CGEN AV FISTULA THRX&ABD,,,1484.04,3660.31,15
CPT,35184,RPR CGEN AV FISTULA XTR,,,942.04,5628.59,17
CPT,35188,RPR ACQ AV FISTULA HEAD&NECK,,,1302.21,9703.85,17
CPT,35189,RPR ACQ AV FISTULA THRX&ABD,,,1221.53,3059.83,15
CPT,35190,REPAIR ACQ AV FISTULA XTR,,,741.98,9703.85,17
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,,,916.07,9703.85,17
CPT,35206,ED 35206 RPR BLD VESL DIR UPPR EXTR,6530.0,5224.0,778.26,5877.0,38
CPT,35206,SURG 35206 REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,6530.0,5224.0,778.26,5877.0,38
CPT,35207,ED 35207 RPR VESSEL HAND FINGER,6632.0,5305.6,757.29,5968.8,38
CPT,35207,SURG 35207 RPR VESSEL HAND FINGER,6632.0,5305.6,757.29,5968.8,38
CPT,35211,RPR BLVSL DIR NTRATHRC W/BYP,,,1156.16,2842.61,15
CPT,35216,RPR BLVSL DIR NTRTHRC WO BYP,,,1730.07,4299.54,15
CPT,35221,RPR BLD VSL DIR INTRA-ABDL,,,1214.11,3010.02,15
CPT,35226,SURG 35226 RPR BLOOD VESSEL DIRECT LOWER EXTREMITY,3044.0,2435.2,512.62,2739.6,38
CPT,35231,REPAIR BLVSL VN GRF NECK,,,1232.97,5628.59,17
CPT,35236,REPAIR BLVSL VN GRF UXTR,,,979.98,9703.85,17
CPT,35241,RPR BLVSL VN GRF NTRTHRC W/B,,,1191.4,2918.7,15
CPT,35246,RPR BLVSL VN GRF NTRTHRC W/O,,,1293.94,3173.29,15
CPT,35251,RPR BLVSL VN GRF INTRA-ABDL,,,1422.31,3545.48,15
CPT,35256,REPAIR BLVSL VN GRF LXTR,,,988.31,9703.85,17
CPT,35261,RPR BLVSL GRF OTH/THN VN NCK,,,958.35,5628.59,17
CPT,35266,RPR BLVSL GRF OTH/TH VN UXTR,,,847.5,9703.85,17
CPT,35271,RPR BLVS GR OT/TH VN NTRTH W,,,1143.69,2827.39,15
CPT,35276,RPR BLVS GR OT/T VN NTRTH WO,,,1211.58,2965.75,15
CPT,35281,RPR BLVSL GR OT/TH VN NTR-AB,,,1337.98,3293.66,15
CPT,35286,SURG 35286 RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,8039.0,6431.2,905.42,9703.85,38
CPT,35301,RECHANNELING OF ARTERY,,,917.1,5628.59,15
CPT,35302,SURG 35302 THROMBOENDARTERECTOMY SFA,7985.0,6388.0,457.71,7186.5,36
CPT,35303,RECHANNELING OF ARTERY,,,457.71,1194.36,15
CPT,35304,RECHANNELING OF ARTERY,,,457.71,1243.29,15
CPT,35305,SURG 35305 THROMBOENDART TIB PER ART INT,7435.0,5948.0,457.71,6691.5,36
CPT,35306,RECHANNELING OF ARTERY,,,356.49,1109.3,15
CPT,35311,RECHANNELING OF ARTERY,,,1280.74,3150.46,15
CPT,35321,RECHANNELING OF ARTERY,,,878.12,9703.85,17
CPT,35331,RECHANNELING OF ARTERY,,,1176.08,2947.07,15
CPT,35341,RECHANNELING OF ARTERY,,,1116.98,2810.78,15
CPT,35351,SURG 35351 THROMBOENDARTERECTOMY ILIAC,2694.0,2155.2,1044.94,2603.94,36
CPT,35355,SURG 35355 THROMBOENDARTERECTOMY-IF,4742.0,3793.6,457.71,4267.8,36
CPT,35361,RECHANNELING OF ARTERY,,,1231.69,3085.43,15
CPT,35363,RECHANNELING OF ARTERY,,,1313.12,3288.82,15
CPT,35371,SURG 35371 THROMBOENDAR W/WO PATCH GRAFT COMMON FEMORAL,6486.0,5188.8,457.71,5837.4,36
CPT,35372,SURG 35372 THROMBOENDAR  W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL,5616.0,4492.8,457.71,5759.51,38
CPT,35390,REOPERATION CAROTID ADD-ON,,,128.2,5628.59,15
CPT,35400,ANGIOSCOPY,,,115.51,298.17,15
CPT,35500,HARVEST VEIN FOR BYPASS,,,1.0,308.91,15
CPT,35501,ART BYP GRFT IPSILAT CAROTID,,,1178.93,5628.59,15
CPT,35506,ART BYP GRFT SUBCLAV-CAROTID,,,1031.0,5628.59,15
CPT,35508,ART BYP GRFT CAROTID-VERTBRL,,,1078.6,5628.59,15
CPT,35509,ART BYP GRFT CONTRAL CAROTID,,,1141.39,5628.59,15
CPT,35510,ART BYP GRFT CAROTID-BRCHIAL,,,995.07,5628.59,15
CPT,35511,ART BYP GRFT SUBCLAV-SUBCLAV,,,907.11,2270.49,15
CPT,35512,ART BYP GRFT SUBCLAV-BRCHIAL,,,975.96,9703.85,15
CPT,35515,ART BYP GRFT SUBCLAV-VERTBRL,,,1078.6,2694.56,15
CPT,35516,ART BYP GRFT SUBCLAV-AXILARY,,,987.65,9703.85,15
CPT,35518,ART BYP GRFT AXILLARY-AXILRY,,,925.04,9703.85,15
CPT,35521,ART BYP GRFT AXILL-FEMORAL,,,996.21,2490.48,15
CPT,35522,ART BYP GRFT AXILL-BRACHIAL,,,947.3,9703.85,15
CPT,35523,ART BYP GRFT BRCHL-ULNR-RDL,,,997.75,9703.85,15
CPT,35525,ART BYP GRFT BRACHIAL-BRCHL,,,891.38,9703.85,15
CPT,35526,ART BYP GRFT AOR/CAROT/INNOM,,,1428.0,3508.81,15
CPT,35531,ART BYP GRFT AORCEL/AORMESEN,,,1573.72,3948.1,15
CPT,35533,ART BYP GRFT AXILL/FEM/FEM,,,457.71,1469.64,15
CPT,35535,ART BYP GRFT HEPATORENAL,,,1536.37,3853.33,15
CPT,35536,ART BYP GRFT SPLENORENAL,,,1366.24,3422.33,15
CPT,35537,ART BYP GRFT AORTOILIAC,,,1681.45,4219.98,15
CPT,35538,ART BYP GRFT AORTOBI-ILIAC,,,1883.31,4725.69,15
CPT,35539,ART BYP GRFT AORTOFEMORAL,,,1767.5,4435.82,15
CPT,35540,ART BYP GRFT AORTBIFEMORAL,,,1968.55,4942.22,15
CPT,35556,ART BYP GRFT FEM-POPLITEAL,,,1129.9,9703.85,15
CPT,35558,ART BYP GRFT FEM-FEMORAL,,,994.46,9703.85,15
CPT,35560,ART BYP GRFT AORTORENAL,,,1377.93,3452.77,15
CPT,35563,ART BYP GRFT ILIOILIAC,,,1073.07,2684.18,15
CPT,35565,ART BYP GRFT ILIOFEMORAL,,,1062.83,2657.9,15
CPT,35566,ART BYP FEM-ANT-POST TIB/PRL,,,1342.96,9703.85,15
CPT,35570,ART BYP TIBIAL-TIB/PERONEAL,,,1193.18,9703.85,15
CPT,35571,ART BYP POP-TIBL-PRL-OTHER,,,1072.42,9703.85,15
CPT,35572,HARVEST FEMOROPOPLITEAL VEIN,,,1.0,333.21,15
CPT,35583,VEIN BYP GRFT FEM-POPLITEAL,,,1168.18,9703.85,15
CPT,35585,SURG 35585 IN-SITU FEM-ANT TIBL POSTERIOR TIBL/PERONEAL ARTERY,1629.0,1303.2,667.89,9703.85,36
CPT,35587,VEIN BYP POP-TIBL PERONEAL,,,1080.06,9703.85,15
CPT,35600,OPEN HRV UXTR ART 1 SGM CAB,,,151.33,376.34,15
CPT,35601,BPG COM CRTD-IPSI INT CRTD,,,1141.72,5628.59,15
CPT,35606,BPG CAROTID-SUBCLAVIAN,,,953.86,5628.59,15
CPT,35612,BPG SUBCLAVIAN-SUBCLAVIAN,,,849.9,2122.44,15
CPT,35616,BPG SUBCLAVIAN-AXILLARY,,,892.65,9703.85,15
CPT,35621,BPG AXILLARY-FEMORAL,,,888.04,9703.85,15
CPT,35623,BPG AXILLARY-POP/-TIBIAL,,,1065.53,9703.85,15
CPT,35626,BPG AOR-SUBCLA/INNOM/CAROTID,,,1310.3,3218.95,15
CPT,35631,BPG AOR-CELIAC-MSN-RENAL,,,1495.14,3750.94,15
CPT,35632,BPG ILIO-CELIAC,,,1459.2,3658.24,15
CPT,35633,BPG ILIO-MESENTERIC,,,1597.98,4012.44,15
CPT,35634,BPG ILIORENAL,,,1428.28,3580.07,15
CPT,35636,BPG SPLENORENAL,,,1289.93,3230.71,15
CPT,35637,BPG AORTOILIAC,,,1341.01,3358.69,15
CPT,35638,BPG AORTOBI-ILIAC,,,1415.97,3510.89,15
CPT,35642,BPG CAROTID-VERTEBRAL,,,806.95,5628.59,15
CPT,35645,BPG SUBCLAVIAN-VERTEBRAL,,,770.39,1923.2,15
CPT,35646,BPG AORTOBIFEMORAL,,,1379.16,3450.7,15
CPT,35647,BPG AORTOFEMORAL,,,1244.63,9703.85,15
CPT,35650,BPG AXILLARY-AXILLARY,,,828.3,9703.85,15
CPT,35654,BPG AXILLARY-FEMORAL-FEMORAL,,,1108.21,2760.97,15
CPT,35656,BPG FEMORAL-POPLITEAL,,,869.37,9703.85,15
CPT,35661,SURG 35661 GRAFT BYPASS OTHER THAN VEIN FEMORAL-FEMORAL,4318.0,3454.4,881.01,9703.85,36
CPT,35663,BPG ILIOILIAC,,,988.67,2471.8,15
CPT,35665,SURG 35665 ART BYPASS GRAFT ILIOFEM,4318.0,3454.4,952.28,9703.85,36
CPT,35666,BPG FEM-ANT TIB PST TIB/PRNL,,,1046.74,9703.85,15
CPT,35671,BPG POP-TIBL/-PRNL ARTERY,,,918.63,2296.78,15
CPT,35681,COMPOSITE BYP GRFT PROS&VEIN,,,63.89,9703.85,15
CPT,35682,COMPOSITE BYP GRFT 2 VEINS,,,281.6,9703.85,15
CPT,35683,COMPOSITE BYP GRFT 3/> SEGMT,,,327.76,9703.85,15
CPT,35685,BYPASS GRAFT PATENCY/PATCH,,,1.0,192.07,15
CPT,35686,BYPASS GRAFT/AV FIST PATENCY,,,1.0,155.79,15
CPT,35691,ART TRNSPOSJ VERTBRL CAROTID,,,769.36,5628.59,15
CPT,35693,ART TRNSPOSJ SUBCLAVIAN,,,685.71,1703.21,15
CPT,35694,ART TRNSPOSJ SUBCLAV CAROTID,,,803.4,5628.59,15
CPT,35695,ART TRNSPOSJ CAROTID SUBCLAV,,,833.29,5628.59,15
CPT,35697,REIMPLANT ARTERY EACH,,,117.66,1109.3,15
CPT,35700,REOPERATION BYPASS GRAFT,,,121.7,1109.3,15
CPT,35701,EXPL N/FLWD SURG NECK ART,,,377.41,5628.59,15
CPT,35702,EXPL N/FLWD SURG UXTR ART,,,342.57,1109.3,15
CPT,35703,EXPL N/FLWD SURG LXTR ART,,,346.01,1109.3,15
CPT,35721,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,35741,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,35761,Outpatient Services - CPT/HCPCS,,,457.71,1109.3,2
CPT,35800,EXPLORE NECK VESSELS,,,457.71,5759.51,17
CPT,35820,EXPLORE CHEST VESSELS,,,457.71,1970.95,15
CPT,35840,EXPLORE ABDOMINAL VESSELS,,,1026.47,10092.93,15
CPT,35860,SURG 35860 EXPLORATION PO HEMRRG THROMBOSIS/INFECTION  EXTREMITY,5689.0,4551.2,825.53,5628.59,38
CPT,35870,REPAIR VESSEL GRAFT DEFECT,,,1012.14,2530.6,15
CPT,35875,SURG 35875 THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,8416.0,6732.8,578.2,9703.85,38
CPT,35876,REMOVAL OF CLOT IN GRAFT,,,919.07,9703.85,17
CPT,35879,REVISE GRAFT W/VEIN,,,898.43,9703.85,17
CPT,35881,REVISE GRAFT W/VEIN,,,1004.28,9703.85,17
CPT,35883,REVJ FEM ANAST NONAUTOG GRF,,,1165.06,9703.85,17
CPT,35884,REVJ FEM ANAST AUTOG VN GRF,,,1208.0,9703.85,17
CPT,35901,EXCISION GRAFT NECK,,,394.89,1109.3,15
CPT,35903,EXCISION GRAFT EXTREMITY,,,553.9,5628.59,17
CPT,35905,EXCISION GRAFT THORAX,,,1357.97,3402.96,15
CPT,35907,EXCISION GRAFT ABDOMEN,,,1547.77,3865.78,15
CPT,36000,ED 36000 INTRO NDL INTRACATH VEIN,22.0,17.6,1.0,31.17,36
CPT,36000,SURG 36000 INTRODUCTION NEEDLE/INTRACATHETER VEIN,22.0,17.6,1.0,31.17,36
CPT,36002,SURG 36002 INJ PROC PERQ TX EXTREMITY PSEUDOANEURYSM,1371.0,1096.8,101.86,1233.9,38
CPT,36005,SURG 36005 VENOGRAM INJ,955.0,764.0,1.0,859.5,36
CPT,36010,SURG 36010 VENA CAVA NON-SEL CA,3221.0,2576.8,1.0,2898.9,36
CPT,36011,SURG 36011 SEL 1ST ORDER VENOUS,3123.0,2498.4,1.0,2810.7,36
CPT,36012,SURG 36012 SEL 2ND ORDER VENOUS,3018.0,2414.4,1.0,2716.2,36
CPT,36013,SURG 36013 INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,3748.0,2998.4,1.0,3373.2,36
CPT,36014,SURG 36014 PULM ART CATH SEL,4095.0,3276.0,1.0,3685.5,36
CPT,36015,SURG 36015 PULM ART SUP SEL,3591.0,2872.8,1.0,3231.9,36
CPT,36100,ESTABLISH ACCESS TO ARTERY,,,1.0,520.11,15
CPT,36140,SURG 36140 INTRO NDLE OR EXT CATH UPPER OR LOWER EXT ART,2552.0,2041.6,1.0,2296.8,36
CPT,36160,ESTABLISH ACCESS TO AORTA,,,1.0,538.45,15
CPT,36200,SURG 36200 INTROCATH AORTA,4563.0,3650.4,1.0,4106.7,36
CPT,36215,SURG 36215 SELCTIV CATHETER EA 1ST ORD THRC/BRCH/CPHLC BRNCH,4991.0,3992.8,1.0,4491.9,36
CPT,36216,SURG 36216 INITIAL 2ND ORDER AD,4666.0,3732.8,1.0,4199.4,36
CPT,36217,SURG 36217 INITIAL 3RD ORDER AD,4973.0,3978.4,1.0,4475.7,36
CPT,36218,SURG 36218 SEL EA ADD 2ND 3RDAD,3765.0,3012.0,1.0,3388.5,36
CPT,36221,SURG 36221 NONSELECTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,13147.0,10517.6,194.73,11832.3,38
CPT,36222,SURG 36222 SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,15679.0,12543.2,280.28,14111.1,38
CPT,36223,SURG 36223 SEL CATH CAROTID INNOM ART UNIL W ANG  INCL S&I,17718.0,14174.4,323.89,15946.2,38
CPT,36224,SURG 36224 SEL CATH INT CAROTID UNIL W ANG INTRACRN ART INCL S&I,17574.0,14059.2,363.83,15816.6,38
CPT,36225,SURG 36225 SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,16417.0,13133.6,321.22,14775.3,38
CPT,36226,SURG 36226 SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,20409.0,16327.2,361.5,18368.1,38
CPT,36227,SURG 36227 SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,8765.0,7012.0,1.0,7888.5,36
CPT,36228,SURG 36228 SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,6920.0,5536.0,1.0,6228.0,36
CPT,36245,SURG 36245 SEL CATH 1ST ORD-BD,6338.0,5070.4,1.0,5704.2,36
CPT,36246,SURG 36246 INITIAL 2ND ORDER BD,4853.0,3882.4,1.0,4367.7,36
CPT,36247,SURG 36247 INITIAL 3RD ORDER BD,6504.0,5203.2,1.0,5853.6,36
CPT,36248,SURG 36248 SEL EA ADD 2ND 3RDBD,4212.0,3369.6,1.0,3790.8,36
CPT,36251,SURG 36251 SELECTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,9273.0,7418.4,248.32,8345.7,38
CPT,36251,SURG 36251 SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,9273.0,7418.4,248.32,8345.7,38
CPT,36252,SURG 36252 SELECTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,10551.0,8440.8,347.19,9495.9,38
CPT,36252,SURG 36252 SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,10551.0,8440.8,347.19,9495.9,38
CPT,36253,SURG 36253 SUPERSELECT CATH PLACE UNI,10401.0,8320.8,342.53,9703.85,38
CPT,36253,SURG 36253 SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I UNILAT,10401.0,8320.8,342.53,9703.85,38
CPT,36254,SURG 36254 SUPERSELECT CATH PLACE BI,10645.0,8516.0,404.78,9580.5,38
CPT,36254,SURG 36254 SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I BILAT,10645.0,8516.0,404.78,9580.5,38
CPT,36260,INSERTION OF INFUSION PUMP,,,658.76,9703.85,17
CPT,36261,REVISION OF INFUSION PUMP,,,415.1,6934.46,17
CPT,36262,REMOVAL OF INFUSION PUMP,,,317.56,6934.46,17
CPT,36299,SURG 36299 UNLISTED PROCEDURE VASCULAR INJECTION,2457.0,1965.6,1.0,2211.3,27
CPT,36400,ED 36400 VENIPUNCTURE < 3 YEARS,183.0,146.4,1.0,164.7,36
CPT,36400,SURG 36400 VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,183.0,146.4,1.0,164.7,36
CPT,36400,TX RM 36400 VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,183.0,146.4,1.0,164.7,36
CPT,36405,ED 36405 VENIPUNCT<AGE 3 SCALP,171.0,136.8,1.0,153.9,36
CPT,36405,SURG 36405 VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,171.0,136.8,1.0,153.9,36
CPT,36405,TX RM 36405 VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,171.0,136.8,1.0,153.9,36
CPT,36406,SURG 36406 VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,155.0,124.0,1.0,139.5,36
CPT,36406,TX RM 36406 VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,155.0,124.0,1.0,139.5,36
CPT,36410,ED 36410 VENIPUNCTURE > 3 YEARS,224.0,179.2,1.0,201.6,36
CPT,36410,SURG 36410 VNPNXR 3 YEARS/> PHYS/QHP SKILL,224.0,179.2,1.0,201.6,36
CPT,36410,TX RM 36410 VENIPUNCTURE NON-ROUTINE,224.0,179.2,1.0,201.6,36
CPT,36415,COLL VENOUS BLD VENIPUNCTURE,,,8.64,24.97,15
CPT,36416,COLLJ CAPILLARY BLOOD SPEC,,,1.0,1.0,2
CPT,36420,VENIPUNCTURE CUTDOWN < 1 YR,,,46.94,225.57,17
CPT,36425,VENIPUNCTURE CUTDOWN 1 YR/>,,,38.95,703.57,17
CPT,36430,ED 36430 TRANSFUSION BLOOD,1203.0,962.4,42.28,1082.7,38
CPT,36430,TRANSFUSION BLOOD,1203.0,962.4,42.28,1082.7,38
CPT,36440,BLD PUSH TFUJ 2 YR/<,,,49.27,766.55,17
CPT,36450,BLD EXCHANGE TRUJ NEWBORN,,,167.44,766.55,17
CPT,36455,BLD EXCHANGE TRUJ OTH THN NB,,,122.83,766.55,17
CPT,36456,PRTL EXCHANGE TRANSFUSE NB,,,95.54,766.55,17
CPT,36460,IUBT,1041.0,832.8,316.29,936.9,38
CPT,36465,SURG 36465 INJ NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN,4608.0,3686.4,116.17,4147.2,38
CPT,36466,SURG 36466 INJ NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS,4455.0,3564.0,148.13,4009.5,38
CPT,36468,ED 36468 INJECT SCLEROSING SOLUTIONS SPIDER VEINS LIMB TRUNK,775.0,620.0,215.22,704.12,36
CPT,36468,SURG 36468 INJ SCLEROSANT FOR SPIDER VEINS LIM/TRNK,775.0,620.0,215.22,704.12,36
CPT,36470,SURG 36470 INJ SCLEROSANT SINGLE INCMPTNT VEIN,798.0,638.4,37.28,718.2,38
CPT,36471,SURG 36471 INJ SCLEROSANT MULTIPLE INCMPTNT VEINS,697.0,557.6,74.23,704.12,38
CPT,36473,SURG 36473 ENDOVENOUS ABL MECHANOCHEMICAL 1ST VEIN,8036.0,6428.8,177.09,7232.4,38
CPT,36474,SURG 36474 ENDOVENOUS ABL MECHANOCHEMICAL ADDL VIEN SAME LEG,5935.0,4748.0,1.0,5341.5,36
CPT,36475,SURG 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,9621.0,7696.8,271.29,8658.9,38
CPT,36476,SURG 36476 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,5559.0,4447.2,1.0,5003.1,36
CPT,36478,SURG 36478 ELVS ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,7586.0,6068.8,271.29,6827.4,38
CPT,36479,SURG 36479 ELVS ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,5644.0,4515.2,1.0,5079.6,36
CPT,36481,SURG 36481 PORTAL VEIN CATH,4800.0,3840.0,1.0,4320.0,36
CPT,36482,SURG 36482 ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN,10863.0,8690.4,175.09,9776.7,36
CPT,36483,SURG 36483 ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN,5129.0,4103.2,1.0,4616.1,36
CPT,36500,SURG 36500 VENOUS ORGAN BLD SU,3230.0,2584.0,1.0,2907.0,36
CPT,36510,INSERTION OF CATHETER VEIN,,,1.0,85.48,15
CPT,36511,LEUKOPHERESIS,2449.0,1959.2,109.18,2709.36,38
CPT,36512,APHERESIS RED CELL,4500.0,3600.0,103.86,4050.0,38
CPT,36513,APHERESIS PLATELETS,,,104.19,766.55,17
CPT,36514,PLASMAPHERESIS,4876.0,3900.8,91.54,4388.4,38
CPT,36516,APHERESIS LIPOSORBER,7108.0,5686.4,84.55,8171.95,38
CPT,36522,TX RM 36522 PHOTOPHERESIS EXTRACORPOREAL,13788.0,11030.4,93.87,12409.2,38
CPT,36555,ED 36555 INSERT CATH CENTRAL VENOUS NON-TUNNEL < 5 YRS,2587.0,2069.6,82.55,5628.59,38
CPT,36555,SURG 36555 INSERT NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,2587.0,2069.6,82.55,5628.59,38
CPT,36556,ED 36556 INST NON-TNNL CV CTH>5 YRS,3132.0,2505.6,82.89,5628.59,38
CPT,36556,SURG 36556 INS NT CENT CVA >5,3132.0,2505.6,82.89,5628.59,38
CPT,36556,TX RM 36556 INS CATH CV NON-TUNL >5YRS,3132.0,2505.6,82.89,5628.59,38
CPT,36557,SURG 36557 INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR,7134.0,5707.2,319.56,9703.85,38
CPT,36558,SURG 36558 INS TUN CVA >5,5738.0,4590.4,253.98,5628.59,38
CPT,36560,SURG 36560 INSERT TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR,5099.0,4079.2,381.81,5628.59,38
CPT,36561,SURG 36561 INS TUN CVA WPORT,6929.0,5543.2,326.55,6236.1,38
CPT,36563,INSERT TUNNELED CV CATH,,,356.84,9703.85,17
CPT,36565,SURG 36565 INSERT TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,6247.0,4997.6,332.21,5628.59,38
CPT,36566,INSERT TUNNELED CV CATH,,,351.18,9703.85,17
CPT,36568,SURG 36568 INSERTION PICC W/O IMG GDN < 5 YR,2590.0,2072.0,89.88,2828.05,38
CPT,36568,TX RM 36568 INSERTION PICC W/O IMG GDN < 5 YR,2590.0,2072.0,89.88,2828.05,38
CPT,36569,ED 36569 INSERT PICC CATH WO IMAG  > 5 YRS,3134.0,2507.2,92.87,2828.05,38
CPT,36569,SURG 36569 INSERTION PICC W/O IMG GDN 5 YR/>,3134.0,2507.2,92.87,2828.05,38
CPT,36569,TX RM 36569 INS PER CV CATH WO PORT  WO IMAG >5,3134.0,2507.2,92.87,2828.05,38
CPT,36570,INSERT PICVAD CATH,,,331.54,5628.59,17
CPT,36571,SURG 36571 INSERT PVA WPORT >5,4887.0,3909.6,309.24,5628.59,38
CPT,36572,SURG 36572 INSERT PICC WO PORT W/IMAGING < 5 YR,3329.0,2663.2,79.22,2996.1,38
CPT,36572,TX RM 36572 INSERT PICC WO PORT W/IMAGING < 5 YR,3329.0,2663.2,79.22,2996.1,38
CPT,36573,ED 36573 INSERT PICC WO PORT W/IMAGING > 5 YR,3961.0,3168.8,81.22,3564.9,38
CPT,36573,SURG 36573 INSERT PICC WO PORT W/IMAGING > 5 YR,3961.0,3168.8,81.22,3564.9,38
CPT,36573,TX RM 36573 INSERT PICC WO PORT W/IMAGING > 5 YR,3961.0,3168.8,81.22,3564.9,38
CPT,36575,ED 36575 RPR CATH CV W/O PORT/PUMP,1646.0,1316.8,32.62,1481.4,38
CPT,36575,SURG 36575 REPAIR CVA CATH,1646.0,1316.8,32.62,1481.4,38
CPT,36576,SURG 36576 RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,2663.0,2130.4,180.75,2828.05,38
CPT,36578,SURG 36578 RPLCMT CATH CTR VAD SUBQ PORT/PMP,4985.0,3988.0,201.06,5628.59,38
CPT,36580,SURG 36580 CHG CENTRAL CVA,2742.0,2193.6,63.58,2828.05,38
CPT,36581,SURG 36581 RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,5771.0,4616.8,179.09,5628.59,38
CPT,36582,SURG 36582 RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,6172.0,4937.6,282.28,5628.59,38
CPT,36583,REPLACE TUNNELED CV CATH,,,327.55,9703.85,17
CPT,36584,ED 36584 REPL PICC WO PORT INCL IMAGING,2795.0,2236.0,56.92,2828.05,38
CPT,36584,SURG 36584 CHG PICC INCL IMAGING,2795.0,2236.0,56.92,2828.05,38
CPT,36585,REPLACE PICVAD CATH,,,274.62,5628.59,17
CPT,36589,ED 36589 RMV TUN CV CTH WO SBQ PRT,2504.0,2003.2,134.15,2253.6,38
CPT,36589,SURG 36589 RMVL TUN CVC W/O SUBQ PORT/PMP,2504.0,2003.2,134.15,2253.6,38
CPT,36590,SURG 36590 RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,3382.0,2705.6,187.08,3043.8,38
CPT,36591,DRAW BLOOD OFF VENOUS DEVICE,,,27.63,225.57,17
CPT,36592,COLLECT BLOOD FROM PICC,,,29.96,225.57,17
CPT,36593,ED 36593 DECLOT PORT W THROMBOLYTIC,841.0,672.8,34.62,756.9,38
CPT,36593,SURG 36593 DECLOT WTHROM AGENT VAD CATH,841.0,672.8,34.62,756.9,38
CPT,36595,SURG 36595 PERICATH CVA STRIP,4994.0,3995.2,176.09,5628.59,38
CPT,36596,SURG 36596 MECH REML INTRLUM OBSTR,2317.0,1853.6,44.27,2828.05,38
CPT,36597,SURG 36597 REPOSITION CV PICC,2805.0,2244.0,58.59,2828.05,38
CPT,36598,SURG 36598 CHECK CVAP PATENCY,854.0,683.2,34.62,768.6,38
CPT,36600,ARTERIAL PUNCTURE,246.0,196.8,14.65,225.57,38
CPT,36600,ED 36600 ARTERIAL PUNCTURE,246.0,196.8,14.65,225.57,38
CPT,36620,ED 36620 ARTERIAL CATH PERCUTANEOUS,888.0,710.4,1.0,799.2,36
CPT,36620,SURG 36620 ART CATH MON TRANS SEP PROC,888.0,710.4,1.0,799.2,36
CPT,36625,SURG 36625 ARTERIAL CUTDOWN,375.0,300.0,1.0,337.5,36
CPT,36640,INSERTION CATHETER ARTERY,,,116.51,5628.59,17
CPT,36660,TX RM 36660 CATHETERIZATION ARTERY UMBILICAL NEWBORN,185.0,148.0,59.87,166.5,36
CPT,36680,ED 36680 INSERT NEEDLE BONE CAVITY INFUSION,722.0,577.6,58.92,703.57,38
CPT,36800,INSERTION OF CANNULA,,,118.5,9703.85,17
CPT,36810,INSERTION OF CANNULA,,,206.05,5628.59,17
CPT,36815,INSERTION OF CANNULA,,,132.15,9703.85,17
CPT,36818,AV FUSE UPPR ARM CEPHALIC,,,674.4,9703.85,17
CPT,36819,AV FUSE UPPR ARM BASILIC,,,714.02,9703.85,17
CPT,36820,AV FUSION/FOREARM VEIN,,,710.36,9703.85,17
CPT,36821,AV FUSION DIRECT ANY SITE,,,645.44,5628.59,17
CPT,36823,INSERTION OF CANNULA(S),,,457.71,1400.74,15
CPT,36825,ARTERY-VEIN AUTOGRAFT,,,776.26,9703.85,17
CPT,36830,ARTERY-VEIN NONAUTOGRAFT,,,651.77,9703.85,17
CPT,36831,OPEN THROMBECT AV FISTULA,,,603.84,9703.85,17
CPT,36832,SURG 36832 REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,10399.0,8319.2,739.98,9703.85,38
CPT,36833,AV FISTULA REVISION,,,789.25,9703.85,17
CPT,36835,INSERTION THOMAS SHUNT,,,479.67,5628.59,17
CPT,36836,PRQ AV FSTL CRTJ UXTR 1 ACS,,,346.19,30964.11,17
CPT,36837,SURG 36837 PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES,28401.0,22720.8,447.72,30964.11,38
CPT,36838,SURG 36838 DSTL REVSC&INTERVAL LIGATE UPPER XTREM HEMO ACCESS,8416.0,6732.8,1111.8,9703.85,38
CPT,36860,EXTERNAL CANNULA DECLOTTING,,,108.52,2828.05,17
CPT,36861,CANNULA DECLOTTING,,,136.15,9703.85,17
CPT,36901,SURG 36901 INTRO DIALYSIS CIRCUIT W ANGIO,2697.0,2157.6,163.11,2828.05,38
CPT,36902,SURG 36902 INTRO DIALYSIS CIRCUIT W ANGIO & ANGIOPLASTY,16954.0,13563.2,232.68,15258.6,38
CPT,36903,SURG 36903 INTRO DIALYSIS CIRCUIT W ANGIO & STENT,25751.0,20600.8,305.91,23175.9,38
CPT,36904,SURG 36904 THROMBECTOMY DIALYSIS CIRCUIT,14774.0,11819.2,356.84,13296.6,38
CPT,36905,SURG 36905 THROMBECTOMY DIALYSIS CIRCUIT W ANGIOPLASTY,26159.0,20927.2,428.41,23543.1,38
CPT,36906,SURG 36906 THROMBECTOMY DIALYSIS CIRCUIT W STENT,31500.0,25200.0,494.65,30964.11,38
CPT,36907,SURG 36907 ANGIOPLASTY CENTRAL DIALYSIS SEGMENT,14561.0,11648.8,1.0,13104.9,36
CPT,36908,SURG 36908 STENT CENTRAL DIALYSIS SEGMENT,17356.0,13884.8,1.0,15620.4,36
CPT,36909,SURG 36909 EMBOLIZATION OCCLUSION DIALYSIS CIRCUIT,17755.0,14204.0,1.0,15979.5,36
CPT,37140,REVISION OF CIRCULATION,,,1945.54,4794.17,15
CPT,37145,REVISION OF CIRCULATION,,,457.71,2140.72,15
CPT,37160,REVISION OF CIRCULATION,,,1854.93,4569.34,15
CPT,37180,REVISION OF CIRCULATION,,,1783.29,4392.24,15
CPT,37181,SPLICE SPLEEN/KIDNEY VEINS,,,1945.54,4794.17,15
CPT,37182,SURG 37182 INSRT INTRHEP PORTO,13697.0,10957.6,698.74,19426.22,38
CPT,37183,SURG 37183 REVISION TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT,16720.0,13376.0,361.17,15048.0,38
CPT,37184,SURG 37184 PRIM PERCUT TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,9219.0,7375.2,417.76,30964.11,38
CPT,37184,SURG 37184 PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,9219.0,7375.2,417.76,30964.11,38
CPT,37185,SURG 37185 PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,7622.0,6097.6,1.0,6859.8,36
CPT,37186,SURG 37186 THROMB W INTERVENTION,8772.0,7017.6,1.0,7894.8,36
CPT,37187,SURG 37187 THROMB ONLY VENOUS,9350.0,7480.0,381.14,19426.22,38
CPT,37188,SURG 37188 PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,7237.0,5789.6,272.62,6513.3,38
CPT,37191,SURG 37191 INSERT INTRVAS VC FILTR W/WO VASC ACCESS VSL SELECTION RS&I,10872.0,8697.6,213.71,9784.8,38
CPT,37192,SURG 37192 REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,6735.0,5388.0,334.54,6061.5,38
CPT,37193,SURG 37193 RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,10027.0,8021.6,335.87,9024.3,38
CPT,37195,ED 37195 THROMBOLYSIS CEREBRAL IV INFUSION,1080.0,864.0,246.76,972.0,38
CPT,37197,SURG 37197 PERQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,8373.0,6698.4,291.6,7535.7,38
CPT,37200,SURG 37200 TRANSCATH BIOPSY,7596.0,6076.8,207.38,9703.85,38
CPT,37211,SURG 37211 THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,8098.0,6478.4,375.48,9703.85,38
CPT,37212,SURG 37212 THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,5980.0,4784.0,327.22,5628.59,38
CPT,37213,SURG 37213 THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,7846.0,6276.8,223.69,7061.4,38
CPT,37214,SURG 37214 CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL,7503.0,6002.4,118.17,6752.7,38
CPT,37215,SURG 37215 CER CAROTID W DIST,18077.0,14461.6,805.24,19426.22,36
CPT,37216,SURG 37216 CERV CAROTID WO DIST,12355.0,9884.0,865.38,19426.22,36
CPT,37217,SURG 37217 COMMON CAROTID/INNOMINATE STENT PLACEMENT RETRO,10672.0,8537.6,883.37,19426.22,36
CPT,37218,SURG 37218 TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,10696.0,8556.8,683.49,19426.22,36
CPT,37220,Outpatient Services,,,5416.44,5986.6,9
CPT,37220,Outpatient Services - CPT/HCPCS,,,4164.42,10092.93,4
CPT,37220,Therapy,,,387.47,387.47,4
CPT,37221,Outpatient Services,,,10773.54,11907.6,9
CPT,37221,Outpatient Services - CPT/HCPCS,,,8015.42,19426.22,4
CPT,37221,Therapy,,,477.34,477.34,4
CPT,37222,Outpatient Services,,,528.64,584.29,9
CPT,37222,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,37222,Therapy,,,179.09,179.09,4
CPT,37223,Outpatient Services,,,1079.34,1192.96,9
CPT,37223,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,37223,Therapy,,,205.05,205.05,4
CPT,37224,Outpatient Services,,,5416.44,5986.6,9
CPT,37224,Outpatient Services - CPT/HCPCS,,,4164.42,10092.93,4
CPT,37224,Therapy,,,430.74,430.74,4
CPT,37225,Outpatient Services,,,17058.88,18854.56,9
CPT,37225,Outpatient Services - CPT/HCPCS,,,12776.04,30964.11,4
CPT,37225,Therapy,,,579.54,579.54,4
CPT,37226,Outpatient Services,,,10773.54,11907.6,9
CPT,37226,Outpatient Services - CPT/HCPCS,,,8015.42,19426.22,4
CPT,37226,Therapy,,,502.31,502.31,4
CPT,37227,Outpatient Services,,,17058.88,18854.56,9
CPT,37227,Outpatient Services - CPT/HCPCS,,,12776.04,30964.11,4
CPT,37227,Therapy,,,693.38,693.38,4
CPT,37228,Outpatient Services,,,10773.54,11907.6,9
CPT,37228,Outpatient Services - CPT/HCPCS,,,8015.42,19426.22,4
CPT,37228,Therapy,,,523.61,523.61,4
CPT,37229,Outpatient Services,,,17058.88,18854.56,9
CPT,37229,Outpatient Services - CPT/HCPCS,,,12776.04,30964.11,4
CPT,37229,Therapy,,,670.74,670.74,4
CPT,37230,Outpatient Services,,,17058.88,18854.56,9
CPT,37230,Outpatient Services - CPT/HCPCS,,,12776.04,30964.11,4
CPT,37230,Therapy,,,671.08,671.08,4
CPT,37231,Outpatient Services,,,17058.88,18854.56,9
CPT,37231,Outpatient Services - CPT/HCPCS,,,12776.04,30964.11,4
CPT,37231,Therapy,,,710.69,710.69,4
CPT,37232,Outpatient Services,,,698.27,771.77,9
CPT,37232,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,37232,Therapy,,,192.73,192.73,4
CPT,37233,Outpatient Services,,,906.32,1001.72,9
CPT,37233,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,37233,Therapy,,,311.57,311.57,4
CPT,37234,Outpatient Services,,,3097.29,3423.32,9
CPT,37234,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,37234,Therapy,,,272.29,272.29,4
CPT,37235,Outpatient Services,,,3434.89,3796.45,9
CPT,37235,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,37235,Therapy,,,355.84,355.84,4
CPT,37236,SURG 37236 OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,21223.0,16978.4,427.41,19426.22,38
CPT,37237,SURG 37237 OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,15967.0,12773.6,1.0,14370.3,36
CPT,37238,SURG 37238 OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,21223.0,16978.4,297.59,19426.22,38
CPT,37239,SURG 37239 OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL,17403.0,13922.4,1.0,15662.7,36
CPT,37241,SURG 37241 VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,21513.0,17210.4,413.76,19426.22,38
CPT,37242,SURG 37242 VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,22766.0,18212.8,460.7,30964.11,38
CPT,37243,SURG 37243 VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,22577.0,18061.6,541.25,20319.3,38
CPT,37244,SURG 37244 VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,21938.0,17550.4,638.12,19744.2,38
CPT,37246,SURG 37246 ANGIOPLASTY INITIAL ARTERY OCCLUSIVE DISEASE,14828.0,11862.4,337.54,13345.2,38
CPT,37247,SURG 37247 ANGIOPLASTY INITIAL ARTERY OCCLUSIVE DISEASE ADDL ART,9839.0,7871.2,1.0,8855.1,36
CPT,37248,SURG 37248 ANGIOPLASTY VEIN INITIAL,14249.0,11399.2,287.94,12824.1,38
CPT,37249,SURG 37249 ANGIOPLASTY VEIN ADDL VEIN,9938.0,7950.4,1.0,8944.2,36
CPT,37252,SURG 37252 INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,5869.0,4695.2,1.0,5282.1,36
CPT,37253,SURG 37253 INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,4951.0,3960.8,1.0,4455.9,36
CPT,37254,SURG 37254 REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,15923.0,12738.4,4421.82,14330.7,27
CPT,37255,SURG 37255 REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,11838.0,9470.4,3287.41,10654.2,27
CPT,37256,SURG 37256 REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,18923.0,15138.4,5254.92,17030.7,27
CPT,37257,SURG 37257 REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,14838.0,11870.4,4120.51,13354.2,27
CPT,37258,SURG 37258 REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,25428.0,20342.4,7061.36,22885.2,27
CPT,37259,SURG 37259 REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,18684.0,14947.2,5188.55,16815.6,27
CPT,37260,SURG 37260 REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,28428.0,22742.4,7894.46,25585.2,27
CPT,37261,SURG 37261 REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,21684.0,17347.2,6021.65,19515.6,27
CPT,37262,SURG 37262 INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,8000.0,6400.0,2221.6,7200.0,27
CPT,37263,SURG 37263 REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,16220.0,12976.0,4504.29,14598.0,27
CPT,37264,SURG 37264 REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,12000.0,9600.0,3332.4,10800.0,27
CPT,37265,SURG 37265 REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,19220.0,15376.0,5337.39,17298.0,27
CPT,37266,SURG 37266 REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,15000.0,12000.0,4165.5,13500.0,27
CPT,37267,SURG 37267 REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,27519.0,22015.2,7642.03,24767.1,27
CPT,37268,SURG 37268 REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,17000.0,13600.0,4720.9,15300.0,27
CPT,37269,SURG 37269 REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,30519.0,24415.2,8475.13,27467.1,27
CPT,37270,SURG 37270 REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,20000.0,16000.0,5554.0,18000.0,27
CPT,37271,SURG 37271 REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,25592.0,20473.6,7106.9,23032.8,27
CPT,37272,SURG 37272 REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,15000.0,12000.0,4165.5,13500.0,27
CPT,37273,SURG 37273 REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,28592.0,22873.6,7940.0,25732.8,27
CPT,37274,SURG 37274 REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,18000.0,14400.0,4998.6,16200.0,27
CPT,37275,SURG 37275 REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,39577.0,31661.6,10990.53,35619.3,27
CPT,37276,SURG 37276 REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,29000.0,23200.0,8053.3,26100.0,27
CPT,37277,SURG 37277 REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,42577.0,34061.6,11823.63,38319.3,27
CPT,37278,SURG 37278 REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,32000.0,25600.0,8886.4,28800.0,27
CPT,37279,SURG 37279 INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,10000.0,8000.0,2777.0,9000.0,27
CPT,37280,SURG 37280 REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,21923.0,17538.4,6088.02,19730.7,27
CPT,37281,SURG 37281 REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,12246.0,9796.8,3400.71,11021.4,27
CPT,37282,SURG 37282 REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,24923.0,19938.4,6921.12,22430.7,27
CPT,37283,SURG 37283 REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,15246.0,12196.8,4233.81,13721.4,27
CPT,37284,SURG 37284 REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,29759.0,23807.2,8264.07,26783.1,27
CPT,37285,SURG 37285 REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,18792.0,15033.6,5218.54,16912.8,27
CPT,37286,SURG 37286 REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,32759.0,26207.2,9097.17,29483.1,27
CPT,37287,SURG 37287 REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,21792.0,17433.6,6051.64,19612.8,27
CPT,37288,SURG 37288 REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,32150.0,25720.0,8928.06,28935.0,27
CPT,37289,SURG 37289 REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,19723.0,15778.4,5477.08,17750.7,27
CPT,37290,SURG 37290 REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,35150.0,28120.0,9761.16,31635.0,27
CPT,37291,SURG 37291 REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,22723.0,18178.4,6310.18,20450.7,27
CPT,37292,SURG 37292 REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,39821.0,31856.8,11058.29,35838.9,27
CPT,37293,SURG 37293 REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,28498.0,22798.4,7913.89,25648.2,27
CPT,37294,SURG 37294 REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,42821.0,34256.8,11891.39,38538.9,27
CPT,37295,SURG 37295 REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,31498.0,25198.4,8746.99,28348.2,27
CPT,37296,SURG 37296 REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,21923.0,17538.4,6088.02,19730.7,27
CPT,37297,SURG 37297 REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,12246.0,9796.8,3400.71,11021.4,27
CPT,37298,SURG 37298 REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,24923.0,19938.4,6921.12,22430.7,27
CPT,37299,SURG 37299 REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,15246.0,12196.8,4233.81,13721.4,27
CPT,37500,Outpatient Services,,,5135.42,5675.99,9
CPT,37500,Outpatient Services - CPT/HCPCS,,,4003.89,9703.85,4
CPT,37500,Therapy,,,618.15,618.15,4
CPT,37501,UNLISTED VASC ENDOSCOPY PX,,,457.71,1109.3,13
CPT,37565,LIGATION INT JUGULAR VEIN,,,723.34,5628.59,17
CPT,37600,LIGATION XTRNL CAROTID ART,,,743.98,5628.59,17
CPT,37605,LIGATION INT/COM CAROTID ART,,,722.67,5628.59,17
CPT,37606,LIG INT/COM CAROTID ART OCCL,,,744.97,5628.59,17
CPT,37607,SURG 37607 LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,7569.0,6055.2,368.49,6812.1,38
CPT,37609,SURG 37609 LIGATION/BIOPSY TEMPORAL ARTERY,4518.0,3614.4,203.39,4066.2,38
CPT,37615,LIGATION MAJOR ARTERY NECK,,,514.29,5628.59,17
CPT,37616,LIGATION MAJOR ARTERY CHEST,,,961.47,2317.53,15
CPT,37617,LIGATION MAJOR ARTERY ABD,,,1106.54,3340.71,17
CPT,37618,LIGATION MAJOR ARTERY XTR,,,333.37,1109.3,15
CPT,37619,SURG 37619 LIGATION OF INFERIOR VENA CAVA,9166.0,7332.8,1714.64,9703.85,38
CPT,37650,LIGATION OF FEMORAL VEIN,,,451.38,5628.59,17
CPT,37660,LIGATION COMMON ILIAC VEIN,,,1106.93,2720.16,15
CPT,37700,SURG 37700 LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPTION,6093.0,4874.4,241.67,5628.59,38
CPT,37718,SURG 37718 LIGATION DIVISION & STRIPPING SHORT SAPHENOUS VEIN,6653.0,5322.4,386.47,5987.7,38
CPT,37722,LIG DIV&STRPG LONG SAPH VEIN,,,453.71,5628.59,17
CPT,37735,LIG&DIV&COMPL STRPG SAPH VN,,,571.55,5628.59,17
CPT,37760,LIG PRFRATR VN RADICAL 1 LEG,,,565.89,5628.59,17
CPT,37761,SURG 37761 LIGAT PERFORATR VEIN SUBFASCAL OPEN INCL US GUID 1 LEG,5951.0,4760.8,529.27,5628.59,38
CPT,37765,SURG 37765 STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,7798.0,6238.4,265.63,7018.2,38
CPT,37766,SURG 37766 STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,9021.0,7216.8,325.55,8118.9,38
CPT,37780,REVISION OF LEG VEIN,,,233.35,5628.59,17
CPT,37785,LIGATE/DIVIDE/EXCISE VEIN,,,252.32,5628.59,17
CPT,37788,REVASCULARIZATION PENIS,,,1105.93,2594.25,15
CPT,37790,PENILE VENOUS OCCLUSION,,,484.0,6155.96,17
CPT,37799,ED 37799 UNLISTED PROC VASCULAR SRG,4946.0,3956.8,457.71,4451.4,38
CPT,37799,SURG 37799 STAB PHLEBECTOMY LESS THAN 10 INCISIONS,3403.0,2722.4,457.71,3062.7,38
CPT,37799,SURG 37799 THROMBIN INJ FOR PERCUTANEOUS TX OF PSEUDOANEURYSM-NON EXTREMITY,1410.0,1128.0,391.56,1269.0,38
CPT,37799,SURG 37799 UNLISTED PROCEDURE VASCULAR SURGERY,4946.0,3956.8,457.71,4451.4,38
CPT,38100,REMOVAL OF SPLEEN TOTAL,,,975.96,5628.59,15
CPT,38101,REMOVAL OF SPLEEN PARTIAL,,,983.95,5628.59,15
CPT,38102,REMOVAL OF SPLEEN TOTAL,,,219.79,5628.59,15
CPT,38115,REPAIR OF RUPTURED SPLEEN,,,1089.21,5628.59,15
CPT,38120,LAPAROSCOPY SPLENECTOMY,,,1059.87,18176.99,17
CPT,38129,UNLISTED LAPS PX SPLEEN,,,4203.99,10188.81,13
CPT,38200,SURG 38200  INJ PROC SPLENOPORTOGRAPY,97.0,77.6,1.0,127.16,36
CPT,38204,BL DONOR SEARCH MANAGEMENT,,,1.0,99.53,15
CPT,38205,HARVEST ALLOGENEIC STEM CELL,5487.0,4389.6,74.31,4938.3,36
CPT,38206,HARVEST AUTO STEM CELLS,6062.0,4849.6,81.22,5455.8,38
CPT,38207,CRYOPRESERVE STEM CELLS,4254.0,3403.2,44.27,3828.6,38
CPT,38208,THAW PRESERVED STEM CELLS,1854.0,1483.2,27.96,1668.6,38
CPT,38209,WASH HARVEST STEM CELLS,4909.0,3927.2,11.65,4418.1,38
CPT,38210,T-CELL DEPLETION OF HARVEST,25821.0,20656.8,77.89,23238.9,38
CPT,38211,TUMOR CELL DEPLETE OF HARVST,684.0,547.2,70.57,766.55,38
CPT,38212,TX RM 38212 RBC DEPLETION OF HARVEST,2253.0,1802.4,46.6,2027.7,38
CPT,38213,TX RM 38213 PLATELET DEPLETE OF HARVEST,1357.0,1085.6,11.65,1221.3,38
CPT,38214,VOLUME DEPLETE OF HARVEST,2673.0,2138.4,39.94,2405.7,38
CPT,38215,TX RM 38215 HARVEST STEM CELL CONCENTRTE,4238.0,3390.4,46.6,3814.2,38
CPT,38220,ED 38220 DIAG BONE MARROW ASP,2740.0,2192.0,66.24,2862.91,38
CPT,38220,SURG 38220 DIAGNOSTIC BONE MARROW ASPIRATIONS,2740.0,2192.0,66.24,2862.91,38
CPT,38221,ED 38221 DIAGNOSTIC BONE MARROW BIPOSY,2943.0,2354.4,69.24,2862.91,38
CPT,38221,SURG 38221 DIAGNOSTIC BONE MARROW BIOPSIES,2943.0,2354.4,69.24,2862.91,38
CPT,38221,TX RM 38221 DIAGNOSTIC BONE MARROW BIOPSY,2943.0,2354.4,69.24,2862.91,38
CPT,38222,SURG 38222 DX BONE MARROW BX AND ASPIRATION,2830.0,2264.0,73.9,5017.59,38
CPT,38222,TX RM 38222 DX BONE MARROW BX AND ASPIRATION,2830.0,2264.0,73.9,5017.59,38
CPT,38225,CAR-T THERAPY HARVESTING BLD DRV T LMPHCYT PER DAY,5688.0,4550.4,85.32,5119.2,36
CPT,38226,CAR-T THERAPY PREPJ BLD DRV T LMPHCYT TRANSPORT,5119.0,4095.2,34.62,4607.1,36
CPT,38227,CAR-T THERAPY RECEIPT & PREP CAR-T CELLS FOR ADMIN,5332.0,4265.6,34.93,4798.8,36
CPT,38228,CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,1735.0,1388.0,315.11,1561.5,36
CPT,38230,BONE MARROW HARVEST ALLOGEN,,,201.06,2709.36,17
CPT,38232,BONE MARROW HARVEST AUTOLOG,,,186.74,8171.95,17
CPT,38240,HEMATOPOIETIC PROGENITOR CELL (HPC); ALLOGENEIC TRANSPLANT PER DONOR,14326.0,11460.8,238.34,96495.63,38
CPT,38241,TRNSPLANT AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,6628.0,5302.4,176.09,5965.2,38
CPT,38242,TRANSPLT ALLO LYMPHOCYTES,4567.0,3653.6,124.5,4110.3,38
CPT,38243,TRANSPLJ HEMATOPOIETIC BOOST,,,122.17,2709.36,17
CPT,38300,DRAINAGE LYMPH NODE LESION,,,211.71,5017.59,17
CPT,38305,DRAINAGE LYMPH NODE LESION,,,499.31,5017.59,17
CPT,38308,INCISION OF LYMPH CHANNELS,,,472.68,6730.88,17
CPT,38380,THORACIC DUCT PROCEDURE,,,316.29,766.55,15
CPT,38381,THORACIC DUCT PROCEDURE,,,684.41,5017.59,15
CPT,38382,THORACIC DUCT PROCEDURE,,,581.0,5628.59,15
CPT,38500,BIOPSY/REMOVAL LYMPH NODES,,,256.31,6730.88,17
CPT,38505,SURG 38505 BIOPSY EXCISION LYMPH NODE NEEDLE SUPERFICIAL,2755.0,2204.0,84.22,2862.91,38
CPT,38510,BIOPSY/REMOVAL LYMPH NODES,,,418.76,6730.88,17
CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,469.69,6730.88,17
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,444.06,6730.88,17
CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,568.22,6730.88,17
CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,450.05,6730.88,17
CPT,38542,EXPLORE DEEP NODE(S) NECK,,,526.28,10188.81,17
CPT,38550,REMOVAL NECK/ARMPIT LESION,,,526.94,6730.88,17
CPT,38555,REMOVAL NECK/ARMPIT LESION,,,1028.92,11515.15,17
CPT,38562,REMOVAL PELVIC LYMPH NODES,,,621.35,10788.54,17
CPT,38564,REMOVAL ABDOMEN LYMPH NODES,,,606.78,5628.59,15
CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,516.95,10188.81,17
CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,658.09,18176.99,17
CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,896.1,18176.99,17
CPT,38573,LAPS PELVIC LYMPHADEC,,,1175.71,18176.99,17
CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,4203.99,10188.81,13
CPT,38700,REMOVAL OF LYMPH NODES NECK,,,807.89,11515.15,17
CPT,38720,REMOVAL OF LYMPH NODES NECK,,,1344.82,11515.15,17
CPT,38724,REMOVAL OF LYMPH NODES NECK,,,316.29,1451.34,15
CPT,38740,REMOVE ARMPIT LYMPH NODES,,,705.7,10188.81,17
CPT,38745,REMOVE ARMPIT LYMPH NODES,,,886.11,10188.81,17
CPT,38746,REMOVE THORACIC LYMPH NODES,,,174.6,5017.59,15
CPT,38747,REMOVE ABDOMINAL LYMPH NODES,,,221.65,5628.59,15
CPT,38760,REMOVE GROIN LYMPH NODES,,,837.85,11515.15,17
CPT,38765,REMOVE GROIN LYMPH NODES,,,316.29,1306.53,15
CPT,38770,REMOVE PELVIS LYMPH NODES,,,706.06,5628.59,15
CPT,38780,REMOVE ABDOMEN LYMPH NODES,,,913.7,5628.59,15
CPT,38790,INJECT FOR LYMPHATIC X-RAY,,,1.0,81.22,15
CPT,38792,SURG 38792 INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,931.0,744.8,31.62,837.9,38
CPT,38794,ACCESS THORACIC LYMPH DUCT,,,1.0,278.28,15
CPT,38900,IO MAP OF SENT LYMPH NODE,,,1.0,136.15,15
CPT,38999,SURG 38999 BLOOD LYMPH SYSTEM PROCEDURE,4500.0,3600.0,316.29,4050.0,38
CPT,38999,SURG 38999 SCLEROSIS LYMPHOCELE,787.0,629.6,218.55,766.55,38
CPT,39000,EXPLORATION OF CHEST,,,177.97,504.31,15
CPT,39010,EXPLORATION OF CHEST,,,665.58,5017.59,15
CPT,39200,RESECT MEDIASTINAL CYST,,,726.0,1784.84,15
CPT,39220,RESECT MEDIASTINAL TUMOR,,,959.7,5017.59,15
CPT,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,303.25,10188.81,17
CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,395.79,10188.81,17
CPT,39499,SURG 39499 US GUIDED MEDIASTINAL FLUID DRAINAGE,3548.0,2838.4,246.76,3193.2,27
CPT,39501,REPAIR DIAPHRAGM LACERATION,,,724.8,18176.99,15
CPT,39503,REPAIR OF DIAPHRAGM HERNIA,,,4757.57,18176.99,15
CPT,39540,REPAIR OF DIAPHRAGM HERNIA,,,729.65,18176.99,15
CPT,39541,REPAIR OF DIAPHRAGM HERNIA,,,791.72,18176.99,15
CPT,39545,REVISION OF DIAPHRAGM,,,757.85,18176.99,15
CPT,39560,RESECT DIAPHRAGM SIMPLE,,,688.88,18176.99,15
CPT,39561,RESECT DIAPHRAGM COMPLEX,,,1071.33,18176.99,15
CPT,39599,UNLISTED PX DIAPHRAGM,,,7499.97,18176.99,2
CPT,40490,BIOPSY OF LIP,,,68.57,431.34,17
CPT,40500,PARTIAL EXCISION OF LIP,,,373.82,5685.3,17
CPT,40510,PARTIAL EXCISION OF LIP,,,351.85,5685.3,17
CPT,40520,PARTIAL EXCISION OF LIP,,,359.51,5685.3,17
CPT,40525,RECONSTRUCT LIP WITH FLAP,,,555.24,5685.3,17
CPT,40527,RECONSTRUCT LIP WITH FLAP,,,632.46,10341.01,17
CPT,40530,PARTIAL REMOVAL OF LIP,,,408.77,5685.3,17
CPT,40650,ED 40650 RPR LIP FULL THICK VERMILION ONLY,1946.0,1556.8,320.23,1751.4,38
CPT,40652,ED 40652 RPR LIP FULL THK UP TO HLF,2100.0,1680.0,364.83,1890.0,38
CPT,40654,ED 40654 REPAIR LIP FULL THICKNESS,2207.0,1765.6,430.07,2692.97,38
CPT,40700,REPAIR CLEFT LIP/NASAL,,,1008.28,10341.01,17
CPT,40701,REPAIR CLEFT LIP/NASAL,,,1188.7,10341.01,17
CPT,40702,REPAIR CLEFT LIP/NASAL,,,999.29,10341.01,17
CPT,40720,REPAIR CLEFT LIP/NASAL,,,1025.26,5685.3,17
CPT,40761,REPAIR CLEFT LIP/NASAL,,,1076.18,10341.01,17
CPT,40799,UNLISTED PROCEDURE LIPS,,,177.97,431.34,13
CPT,40800,ED 40800 DRN MOUTH LESN SMPL,1001.0,800.8,119.17,1242.38,38
CPT,40801,ED 40801 DRN MOUTH LESN COMPL,1834.0,1467.2,199.06,1650.6,38
CPT,40804,ED 40804 EXC FB VEST MOUTH SMP,950.0,760.0,114.51,1600.7,38
CPT,40805,REMOVAL FOREIGN BODY MOUTH,,,197.73,971.56,17
CPT,40806,INCISION OF LIP FOLD,,,29.63,971.56,17
CPT,40808,BIOPSY OF MOUTH LESION,,,89.54,971.56,17
CPT,40810,EXCISION OF MOUTH LESION,,,123.16,5685.3,17
CPT,40812,EXCISE/REPAIR MOUTH LESION,,,182.42,2692.97,17
CPT,40814,EXCISE/REPAIR MOUTH LESION,,,283.61,5685.3,17
CPT,40816,EXCISION OF MOUTH LESION,,,305.25,5685.3,17
CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,265.97,971.56,17
CPT,40819,EXCISE LIP OR CHEEK FOLD,,,200.06,2692.97,17
CPT,40820,TREATMENT OF MOUTH LESION,,,166.77,5685.3,17
CPT,40830,ED 40830 CLSR MOUTH LACRN < 2.5CM,717.0,573.6,145.47,645.3,38
CPT,40831,ED 40831 CLSR MOUTH LACRN > 2.5CM,1574.0,1259.2,200.72,1416.6,38
CPT,40840,RECONSTRUCTION OF MOUTH,,,635.13,10341.01,17
CPT,40842,RECONSTRUCTION OF MOUTH,,,679.73,10341.01,17
CPT,40843,RECONSTRUCTION OF MOUTH,,,870.8,10341.01,17
CPT,40844,RECONSTRUCTION OF MOUTH,,,1178.38,10341.01,17
CPT,40845,ED 40845 VESTIBULOPLASTY CMPLX,8376.0,6700.8,1206.01,10341.01,38
CPT,40899,UNLISTED PX VESTIBULE MOUTH,,,177.97,431.34,13
CPT,41000,ED 41000 I&D INTRAORAL TONGUE,2395.0,1916.0,104.52,2155.5,38
CPT,41005,DRAINAGE OF MOUTH LESION,,,116.51,431.34,17
CPT,41006,DRAINAGE OF MOUTH LESION,,,231.35,2692.97,17
CPT,41007,ED 41007 INTRAORAL I & D ABSCESS CYST HEMATOMA TONGUE MOUTH FLOOR,5217.0,4173.6,221.69,4695.3,38
CPT,41008,ED 41008 I&D SUBMANDIBLR SPACE INTRAORAL,4041.0,3232.8,258.64,5685.3,38
CPT,41009,ED 41009 I&D ABSC/CYST/HEMA MASTICATOR SPACE INTRAORAL,3214.0,2571.2,286.27,2892.6,38
CPT,41010,TX RM 41010 FRENOTOMY INCISION OF LINGUAL FRENUM,2245.0,1796.0,110.85,2692.97,38
CPT,41015,DRAINAGE OF MOUTH LESION,,,298.92,971.56,17
CPT,41016,DRAINAGE OF MOUTH LESION,,,344.86,10341.01,17
CPT,41017,DRAINAGE OF MOUTH LESION,,,342.86,5685.3,17
CPT,41018,DRAINAGE OF MOUTH LESION,,,399.78,2692.97,17
CPT,41019,PLACE NEEDLES H&N FOR RT,,,484.67,10341.01,17
CPT,41100,ED 41100 BX TONGUE ANTERIOR TWO-THIRDS,1097.0,877.6,107.85,987.3,38
CPT,41105,BIOPSY OF TONGUE,,,110.85,5685.3,17
CPT,41108,BIOPSY OF FLOOR OF MOUTH,,,91.87,2862.91,17
CPT,41110,EXCISION OF TONGUE LESION,,,130.82,5685.3,17
CPT,41112,EXCISION OF TONGUE LESION,,,244.0,5685.3,17
CPT,41113,EXCISION OF TONGUE LESION,,,264.64,5685.3,17
CPT,41114,EXCISION OF TONGUE LESION,,,623.47,5685.3,17
CPT,41115,ED 41115 EXCISION OF LINGUAL FRENUM,2136.0,1708.8,147.13,2692.97,38
CPT,41116,EXCISION OF MOUTH LESION,,,217.7,5685.3,17
CPT,41120,PARTIAL REMOVAL OF TONGUE,,,1055.21,10341.01,17
CPT,41130,PARTIAL REMOVAL OF TONGUE,,,1111.14,2692.97,15
CPT,41135,TONGUE AND NECK SURGERY,,,1902.45,5685.3,15
CPT,41140,REMOVAL OF TONGUE,,,1916.71,5685.3,15
CPT,41145,TONGUE REMOVAL NECK SURGERY,,,2345.8,5685.3,15
CPT,41150,TONGUE MOUTH JAW SURGERY,,,1929.96,5685.3,15
CPT,41153,TONGUE MOUTH NECK SURGERY,,,2099.66,5685.3,15
CPT,41155,TONGUE JAW & NECK SURGERY,,,2345.8,5685.3,15
CPT,41250,ED 41250 RPR LAC MOUTH <2.5CM ANT TONGUE,658.0,526.4,154.45,703.57,38
CPT,41251,REPAIR TONGUE LACERATION,,,177.97,431.34,17
CPT,41252,ED 41252 RPR LAC MOUTH FLOOR/TONGUE > 2.6CM/CMPLX,1400.0,1120.0,177.97,1260.0,38
CPT,41500,Outpatient Services - CPT/HCPCS,,,400.87,971.56,2
CPT,41510,TONGUE TO LIP SURGERY,,,455.04,5685.3,17
CPT,41512,TONGUE SUSPENSION,,,666.42,10341.01,15
CPT,41520,RECONSTRUCTION TONGUE FOLD,,,253.32,5685.3,17
CPT,41530,TONGUE BASE VOL REDUCTION,,,377.48,5685.3,17
CPT,41599,UNLISTED PX TONGUE FLR MOUTH,,,177.97,431.34,13
CPT,41800,ED 41800 I&D ABSCESS DENTOALVEOLAR,716.0,572.8,93.07,644.4,38
CPT,41800,TX RM 41800 DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,716.0,572.8,93.07,644.4,38
CPT,41805,ED 41805 RMVL EMBED FB DENTOALVEOLAR,2163.0,1730.4,195.06,2692.97,38
CPT,41806,REMOVAL FOREIGN BODY JAWBONE,,,275.95,2692.97,17
CPT,41820,EXCISION GUM EACH QUADRANT,,,2345.8,5685.3,13
CPT,41821,ED 41821 OPERCULECTOMY EXC PERICORONAL TISSUE,1903.0,1522.4,528.46,2692.97,38
CPT,41822,EXCISION OF GUM LESION,,,202.39,2692.97,17
CPT,41823,EXCISION OF GUM LESION,,,370.16,10341.01,17
CPT,41825,EXCISION OF GUM LESION,,,122.17,5685.3,17
CPT,41826,EXCISION OF GUM LESION,,,195.06,5685.3,17
CPT,41827,EXCISION OF GUM LESION,,,288.94,10341.01,17
CPT,41828,EXCISION OF GUM LESION,,,222.36,2692.97,17
CPT,41830,REMOVAL OF GUM TISSUE,,,314.57,5685.3,17
CPT,41850,TREATMENT OF GUM LESION,,,1111.14,2692.97,13
CPT,41870,PERIODONTAL MUCOSAL GRAFTING,,,1111.14,2692.97,13
CPT,41872,GINGIVOPLASTY EACH QUADRANT,,,306.91,5685.3,17
CPT,41874,ED 41874 REPAIR TOOTH SOCKET,4317.0,3453.6,244.33,5685.3,38
CPT,41899,ED 41899 UNLST PRC TTH RMPL OR STLZ,5078.0,4062.4,177.97,4570.2,38
CPT,42000,ED 42000 DRN ABSCESS MOUTH ROOF LESN,713.0,570.4,110.18,641.7,38
CPT,42100,BIOPSY ROOF OF MOUTH,,,110.85,2692.97,17
CPT,42104,EXCISION LESION MOUTH ROOF,,,135.81,5685.3,17
CPT,42106,EXCISION LESION MOUTH ROOF,,,160.78,5685.3,17
CPT,42107,EXCISION LESION MOUTH ROOF,,,324.22,10341.01,17
CPT,42120,REMOVE PALATE/LESION,,,1000.96,10341.01,17
CPT,42140,EXCISION OF UVULA,,,164.77,5685.3,17
CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,692.05,10341.01,17
CPT,42160,TREATMENT MOUTH ROOF LESION,,,141.47,5685.3,17
CPT,42180,ED 42180 RPR LAC PALATE UP TO 2 CM,1083.0,866.4,188.74,974.7,38
CPT,42182,ED 42182 REPAIR LACERATION PALATE >2 CM/COMPLEX,8131.0,6504.8,259.64,10341.01,38
CPT,42200,RECONSTRUCT CLEFT PALATE,,,926.72,10341.01,17
CPT,42205,RECONSTRUCT CLEFT PALATE,,,963.67,5685.3,17
CPT,42210,RECONSTRUCT CLEFT PALATE,,,1075.52,10341.01,17
CPT,42215,RECONSTRUCT CLEFT PALATE,,,704.03,10341.01,17
CPT,42220,RECONSTRUCT CLEFT PALATE,,,580.53,10341.01,17
CPT,42225,RECONSTRUCT CLEFT PALATE,,,981.32,10341.01,17
CPT,42226,LENGTHENING OF PALATE,,,907.75,10341.01,17
CPT,42227,LENGTHENING OF PALATE,,,845.84,10341.01,17
CPT,42235,REPAIR PALATE,,,744.64,10341.01,17
CPT,42260,REPAIR NOSE TO LIP FISTULA,,,674.4,10341.01,17
CPT,42280,PREPARATION PALATE MOLD,,,108.52,971.56,17
CPT,42281,INSERTION PALATE PROSTHESIS,,,161.11,10341.01,17
CPT,42299,ED 42299 UNLISTED PROC PALATE /UVULA,3014.0,2411.2,177.97,2712.6,38
CPT,42300,ED 42300 DRAIN ABSCESS PAROTID SIMPLE,2329.0,1863.2,157.78,2692.97,38
CPT,42305,DRAINAGE OF SALIVARY GLAND,,,437.06,5685.3,17
CPT,42310,DRAINAGE OF SALIVARY GLAND,,,135.48,971.56,17
CPT,42320,DRAINAGE OF SALIVARY GLAND,,,180.75,971.56,17
CPT,42330,ED 42330 SIALLTHTMY SUBLING PAROTID,4280.0,3424.0,166.77,5685.3,38
CPT,42335,REMOVAL OF SALIVARY STONE,,,265.97,5685.3,17
CPT,42340,REMOVAL OF SALIVARY STONE,,,348.52,5685.3,17
CPT,42400,ED 42400 BIOPSY SALIVARY GLAND NEEDLE,2104.0,1683.2,52.59,1893.6,38
CPT,42400,SURG 42400 BIOP SALIVARY GLAND NDLE,2104.0,1683.2,52.59,1893.6,38
CPT,42400,TX RM 42400 BIOPSY SALIVARY GLAND NEEDLE,2104.0,1683.2,52.59,1893.6,38
CPT,42405,BIOPSY OF SALIVARY GLAND,,,228.35,2692.97,17
CPT,42408,EXCISION OF SALIVARY CYST,,,349.19,5685.3,17
CPT,42409,DRAINAGE OF SALIVARY CYST,,,235.01,5685.3,17
CPT,42410,EXCISE PAROTID GLAND/LESION,,,634.13,10341.01,17
CPT,42415,EXCISE PAROTID GLAND/LESION,,,1061.87,10341.01,17
CPT,42420,EXCISE PAROTID GLAND/LESION,,,1187.37,10341.01,17
CPT,42425,EXCISE PAROTID GLAND/LESION,,,842.51,10341.01,17
CPT,42426,EXCISE PAROTID GLAND/LESION,,,1183.83,5685.3,15
CPT,42440,EXCISE SUBMAXILLARY GLAND,,,419.76,10341.01,17
CPT,42450,EXCISE SUBLINGUAL GLAND,,,367.83,10341.01,17
CPT,42500,REPAIR SALIVARY DUCT,,,348.52,10341.01,17
CPT,42505,REPAIR SALIVARY DUCT,,,462.7,10341.01,17
CPT,42507,PAROTID DUCT DIVERSION,,,498.65,10341.01,17
CPT,42509,PAROTID DUCT DIVERSION,,,820.87,10341.01,17
CPT,42510,PAROTID DUCT DIVERSION,,,611.49,5685.3,17
CPT,42550,INJECTION FOR SALIVARY X-RAY,,,1.0,150.66,15
CPT,42600,CLOSURE OF SALIVARY FISTULA,,,360.17,5685.3,17
CPT,42650,DILATION OF SALIVARY DUCT,,,59.25,2692.97,17
CPT,42660,DILATION OF SALIVARY DUCT,,,86.55,971.56,17
CPT,42665,LIGATION OF SALIVARY DUCT,,,220.36,5685.3,17
CPT,42699,UNLISTED PX SALIVRY GLND/DUX,,,177.97,431.34,13
CPT,42700,ED 42700 I&D TONSIL ABSCESS,941.0,752.8,137.14,846.9,38
CPT,42720,ED 42720 DRAINAGE OF THROAT ABSCESS,4714.0,3771.2,386.14,5685.3,38
CPT,42725,I&D ABSC PHRNGL XTRNL APPR,,,801.56,10341.01,17
CPT,42800,SURG 42800 CT NEEDLE BX RETROPHARYNGEAL,3816.0,3052.8,118.17,3434.4,38
CPT,42804,BIOPSY OF UPPER NOSE/THROAT,,,124.5,5685.3,17
CPT,42806,BIOPSY OF UPPER NOSE/THROAT,,,143.14,5685.3,17
CPT,42808,EXCISE PHARYNX LESION,,,167.44,5685.3,17
CPT,42809,ED 42809 REMV FB PHARYNX,634.0,507.2,127.82,703.57,38
CPT,42810,EXCISION OF NECK CYST,,,286.27,5685.3,17
CPT,42815,EXCISION OF NECK CYST,,,542.25,10341.01,17
CPT,42820,REMOVE TONSILS AND ADENOIDS,,,294.59,10341.01,17
CPT,42821,REMOVE TONSILS AND ADENOIDS,,,307.58,5685.3,17
CPT,42825,REMOVAL OF TONSILS,,,271.96,10341.01,17
CPT,42826,REMOVAL OF TONSILS,,,258.98,5685.3,17
CPT,42830,REMOVAL OF ADENOIDS,,,216.04,5685.3,17
CPT,42831,REMOVAL OF ADENOIDS,,,234.68,5685.3,17
CPT,42835,REMOVAL OF ADENOIDS,,,201.72,5685.3,17
CPT,42836,REMOVAL OF ADENOIDS,,,248.66,5685.3,17
CPT,42842,EXTENSIVE SURGERY OF THROAT,,,1010.28,10341.01,17
CPT,42844,EXTENSIVE SURGERY OF THROAT,,,1373.78,10341.01,17
CPT,42845,EXTENSIVE SURGERY OF THROAT,,,1932.72,5685.3,15
CPT,42860,EXCISION OF TONSIL TAGS,,,197.39,5685.3,17
CPT,42870,EXCISION OF LINGUAL TONSIL,,,590.19,10341.01,17
CPT,42890,LIMITED PHARYNGECTOMY,,,1412.72,10341.01,17
CPT,42892,REVISION OF PHARYNGEAL WALLS,,,1855.45,10341.01,17
CPT,42894,REVISION OF PHARYNGEAL WALLS,,,2077.2,5685.3,15
CPT,42900,REPAIR THROAT WOUND,,,332.88,2692.97,17
CPT,42950,RECONSTRUCTION OF THROAT,,,797.57,10341.01,17
CPT,42953,REPAIR THROAT ESOPHAGUS,,,856.78,2692.97,15
CPT,42955,SURGICAL OPENING OF THROAT,,,759.62,2692.97,17
CPT,42960,ED 42960 CONTROL THROAT BLEEDING SMPL,887.0,709.6,162.11,971.56,38
CPT,42961,ED 42961 CNTL THROAT BLEEDING CMPLX,3670.0,2936.0,375.42,3303.0,36
CPT,42962,CONTROL THROAT BLEEDING,,,521.28,5685.3,17
CPT,42970,CONTROL NOSE/THROAT BLEEDING,,,177.97,431.34,17
CPT,42971,CONTROL NOSE/THROAT BLEEDING,,,404.18,949.84,15
CPT,42972,CONTROL NOSE/THROAT BLEEDING,,,510.63,5685.3,17
CPT,42975,SURG 42975 DRUG INDUCED SLEEP ENDO W DYNAMIC EVAL,2678.0,2142.4,96.87,2997.08,38
CPT,42999,"ED 42999 UNLISTED PROC PHARYNX, ADENOIDS OR TONSILS",489.0,391.2,135.8,440.1,38
CPT,42999,SURG 42999 BIOPSY RETROPHARYNGEAL SPA CORE NDL,1294.0,1035.2,177.97,1164.6,38
CPT,43020,INCISION OF ESOPHAGUS,,,569.55,2692.97,17
CPT,43030,CRICOPHARYNGEAL MYOTOMY,,,527.61,10341.01,17
CPT,43045,ESOPHAGOTOMY THRC RMVL FB,,,1095.42,5017.59,15
CPT,43100,EXCISION OF ESOPHAGUS LESION,,,566.06,1600.7,15
CPT,43101,EXCISION OF ESOPHAGUS LESION,,,660.46,1600.7,15
CPT,43107,REMOVAL OF ESOPHAGUS,,,660.46,2934.96,15
CPT,43108,REMOVAL OF ESOPHAGUS,,,660.46,4352.34,15
CPT,43112,ESPHG TOT W/THRCM,,,660.46,3400.65,15
CPT,43113,REMOVAL OF ESOPHAGUS,,,660.46,4259.47,15
CPT,43116,PARTIAL REMOVAL OF ESOPHAGUS,,,660.46,4864.97,15
CPT,43117,PARTIAL REMOVAL OF ESOPHAGUS,,,660.46,3206.58,15
CPT,43118,PARTIAL REMOVAL OF ESOPHAGUS,,,660.46,3552.44,15
CPT,43121,PARTIAL REMOVAL OF ESOPHAGUS,,,660.46,2809.13,15
CPT,43122,PARTIAL REMOVAL OF ESOPHAGUS,,,660.46,2544.16,15
CPT,43123,PARTIAL REMOVAL OF ESOPHAGUS,,,660.46,4414.26,15
CPT,43124,REMOVAL OF ESOPHAGUS,,,660.46,3737.85,15
CPT,43130,REMOVAL OF ESOPHAGUS POUCH,,,795.9,10341.01,17
CPT,43135,REMOVAL OF ESOPHAGUS POUCH,,,660.46,1600.7,15
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,547.58,10341.01,17
CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,155.12,3360.07,17
CPT,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,169.43,3360.07,17
CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,168.77,3360.07,17
CPT,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,189.07,3360.07,17
CPT,43195,ESOPHAGOSCOPY RIGID BALLOON,,,184.41,6762.7,17
CPT,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,195.06,3360.07,17
CPT,43197,ESOPHAGOSCOPY FLEX DX BRUSH,,,81.22,1600.7,17
CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,96.87,1600.7,17
CPT,43200,ED 43200 ESOPHAGOSCOPY DIAGNOSTIC,2728.0,2182.4,87.21,2455.2,38
CPT,43200,ESOPHAGOSCOPY,2728.0,2182.4,87.21,2455.2,38
CPT,43201,ESOPHAGSCPY W DIR SUBMUC INJ,2558.0,2046.4,102.53,3360.07,38
CPT,43202,ESOPHAGOSCOPY WBX,2815.0,2252.0,101.86,3360.07,38
CPT,43204,ESOPHAGOSCOPY WINJ SCLR,2089.0,1671.2,132.82,3360.07,38
CPT,43205,ESOPHAGOSCOPY WBAND LIG,2974.0,2379.2,138.81,3360.07,38
CPT,43206,ESOPH OPTICAL ENDOMICROSCOPY,,,130.49,3360.07,17
CPT,43210,EGD ESOPHAGOGASTRC FNDOPLSTY,,,423.42,18176.99,17
CPT,43211,ESOPHAGOSCOPY FLEX TRANSORAL WRESECT,2705.0,2164.0,230.35,3360.07,38
CPT,43212,ESOPHAGOSCOPY FLEX TRANSORAL WSTENT,6646.0,5316.8,185.74,10063.9,38
CPT,43213,ESOPHAGOSCOPY FLEX TRANSORAL RETRO DILAT,2705.0,2164.0,255.65,3360.07,38
CPT,43214,ESOPHAGOSCOPY FLEX TRANSORAL DILAT 30+MM,2705.0,2164.0,191.4,3360.07,38
CPT,43215,ED 43215 ESOPHAGOSCOPY WREMV FB,3122.0,2497.6,139.47,3360.07,38
CPT,43215,ESOPHAGOSCOPY WREM FB,3122.0,2497.6,139.47,3360.07,38
CPT,43216,ESOPHAGOSCOPY WREMV TUM,3480.0,2784.0,131.49,3360.07,38
CPT,43217,ESOPHAGOSCOPY SNARE LES REMV,,,157.45,3360.07,17
CPT,43220,ED 43220 ESOPHAGOSCOPY WBALL DIL,2761.0,2208.8,116.51,3360.07,38
CPT,43220,ESOPHAGOSCOPY WBALL DIL,2761.0,2208.8,116.51,3360.07,38
CPT,43226,ESOPHAGOSCOPY INS GD WIR,2629.0,2103.2,128.82,3360.07,38
CPT,43227,ESOPHAGOSCOPY CONTROL BLEED,,,162.44,3360.07,17
CPT,43229,ESOPHAGOSCOPY FLEX TRANSORAL WABLATION,5241.0,4192.8,193.4,6762.7,38
CPT,43231,ESOPHAGOSCOPY ULTRASOUND,3051.0,2440.8,154.45,3360.07,38
CPT,43232,ESOPHAGOSCOPY W/US NEEDLE BX,4028.0,3222.4,195.4,3625.2,38
CPT,43233,EGD FLEX TRANSORAL DILAT BALLOON 30+MM,3010.0,2408.0,225.36,3360.07,38
CPT,43235,ED 43235 UPPER GI DIAG,3202.0,2561.6,120.83,2881.8,38
CPT,43235,EGD DIAG,3202.0,2561.6,120.83,2881.8,38
CPT,43235,UPPER ENDO WITH FECAL TRANSPLANT,3202.0,2561.6,120.83,2881.8,38
CPT,43236,EGD DIAG W SUBMUCOSAL INJ,3010.0,2408.0,136.48,2709.0,38
CPT,43237,UGI ENDO W US ESOPHAGUS,3678.0,2942.4,192.07,3360.07,38
CPT,43238,UGI ENDO US ESOPH ASPIR BX,3911.0,3128.8,227.69,3519.9,38
CPT,43239,ED 43239 UPPER GI BX,3217.0,2573.6,136.48,2895.3,38
CPT,43239,EGD WBIOP SING MULT,3217.0,2573.6,136.48,2895.3,38
CPT,43240,ESOPH ENDOSCOPE WDRAIN CYST,5537.0,4429.6,384.14,10063.9,38
CPT,43241,ED 43241 EGD TRANSENDO TUBE PLACMNT,3574.0,2859.2,140.14,3360.07,38
CPT,43241,EGD TRANSENDO TUBE PLACMNT,3574.0,2859.2,140.14,3360.07,38
CPT,43242,UGI ENDO US OTHER ASPIR BX,3911.0,3128.8,257.65,3519.9,38
CPT,43243,EGD WINJ SCLEROSIS,3374.0,2699.2,233.35,3360.07,38
CPT,43244,EGD WBAND LIG,3678.0,2942.4,240.34,3360.07,38
CPT,43245,ED 43245 EGD W DIL,3469.0,2775.2,172.76,3360.07,38
CPT,43245,EGD WDIL,3469.0,2775.2,172.76,3360.07,38
CPT,43246,ED 43246 UPPER GI PLACE PEG TUBE,2980.0,2384.0,197.06,3360.07,38
CPT,43246,EGD PLACE PERC GAST TUBE,2980.0,2384.0,197.06,3360.07,38
CPT,43247,ED 43247 UPPER GI WREMV FB,3607.0,2885.6,173.76,3246.3,38
CPT,43247,EGD WREM FB,3607.0,2885.6,173.76,3246.3,38
CPT,43248,"ED 43248 EGD FLEXIBLE, TRANSORAL, DIAGNOSTIC",3502.0,2801.6,163.44,3151.8,38
CPT,43248,EGD INSERT GD WIRE,3502.0,2801.6,163.44,3151.8,38
CPT,43249,ED 43249 UPPER GI WBALLOON DIL,3772.0,3017.6,151.13,3394.8,38
CPT,43249,EGD WBALLOON DIL,3772.0,3017.6,151.13,3394.8,38
CPT,43250,EGD WREM TUMOR-HOT BX,3097.0,2477.6,167.44,3360.07,38
CPT,43251,EGD WREM RUMOR-SNARE,3740.0,2992.0,192.4,3366.0,38
CPT,43252,UPPR GI OPTICL ENDOMICRSCOPY,4093.0,3274.4,165.44,3683.7,38
CPT,43253,EGD FLEX WUS TRANSMURAL INJ FIDUC MARK,2925.0,2340.0,257.31,3360.07,38
CPT,43254,EGD FLEX TRANSORAL WENDO MUCOSAL RESECT,2980.0,2384.0,264.64,3360.07,38
CPT,43255,EGD WCONTR BLEED,3709.0,2967.2,196.4,3360.07,38
CPT,43257,EGD W/THRML TXMNT GERD,,,230.02,6762.7,17
CPT,43259,UGI ENDO US ESOPH OR OTHER,3911.0,3128.8,221.36,3519.9,38
CPT,43260,ERCP DIAG,6613.0,5290.4,316.23,6762.7,38
CPT,43261,ERCP WBIOP,6676.0,5340.8,331.88,6762.7,38
CPT,43262,ERCP W SPHINCTEROTOMY PAPILLOTOMY,5904.0,4723.2,349.52,6762.7,38
CPT,43263,ERCP SPHINCTER PRESSURE MEAS,,,350.18,3360.07,17
CPT,43264,ERCP WENDO STONE REMOV,6470.0,5176.0,356.51,6762.7,38
CPT,43265,ERCP WENDO DESTRUCTION,7718.0,6174.4,424.08,10063.9,38
CPT,43266,EGD FLEX TRANSORAL WENDO STENT PLACE,7548.0,6038.4,213.71,10063.9,38
CPT,43270,EGD FLEX TRANSORALWABL TUMOR POLYP LSN,3261.0,2608.8,220.03,3360.07,38
CPT,43273,ENDOSCOPIC PANCREATOSCOPY,5097.0,4077.6,1.0,4587.3,36
CPT,43274,ERCP WSTENT PLACE BIL PANCREATIC DUCT,8628.0,6902.4,453.04,10063.9,38
CPT,43275,ERCP REMOVE FB STENT BILIARY PANC DUCT,6146.0,4916.8,368.49,5531.4,38
CPT,43276,ERCP WSTENT EXCHANGE BIL PANCREAT DUCT,8700.0,6960.0,471.68,10063.9,38
CPT,43277,ERCP WDIL BAL BIL PANCREATIC AMPULLA,5518.0,4414.4,370.49,6762.7,38
CPT,43278,ERCP WABLAT TUMOR POLYP LSN,4779.0,3823.2,424.08,6762.7,38
CPT,43279,LAP MYOTOMY HELLER,,,1080.42,6335.16,15
CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,1075.85,18176.99,17
CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,1529.23,18176.99,17
CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,1722.3,18176.99,17
CPT,43283,LAP ESOPH LENGTHENING,,,129.83,18176.99,15
CPT,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,655.1,18176.99,15
CPT,43285,RMVL ESOPHGL SPHNCTR DEV,,,673.41,10188.81,17
CPT,43286,ESPHG TOT W/LAPS MOBLJ,,,660.46,3130.69,15
CPT,43287,ESPHG DSTL 2/3 W/LAPS MOBLJ,,,660.46,3498.52,15
CPT,43288,ESPHG THRSC MOBLJ,,,660.46,3689.59,15
CPT,43289,UNLISTED LAPS PX ESOPH,,,4203.99,10188.81,13
CPT,43290,EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALLOON,3790.0,3032.0,179.09,3411.0,36
CPT,43291,EGD FLX TRNSORL RMVL BALO,,,157.78,1600.7,15
CPT,43300,REPAIR OF ESOPHAGUS,,,558.64,1600.7,15
CPT,43305,REPAIR ESOPHAGUS AND FISTULA,,,660.46,1600.7,15
CPT,43310,REPAIR OF ESOPHAGUS,,,1230.9,6335.16,15
CPT,43312,REPAIR ESOPHAGUS AND FISTULA,,,1306.95,6335.16,15
CPT,43313,ESOPHAGOPLASTY CONGENITAL,,,2452.31,6335.16,15
CPT,43314,TRACHEO-ESOPHAGOPLASTY CONG,,,2612.87,6335.16,15
CPT,43320,FUSE ESOPHAGUS & STOMACH,,,660.46,1600.7,15
CPT,43325,REVISE ESOPHAGUS & STOMACH,,,1150.7,6335.16,15
CPT,43327,ESOPH FUNDOPLASTY LAP,,,710.23,6335.16,15
CPT,43328,ESOPH FUNDOPLASTY THOR,,,931.72,6335.16,15
CPT,43330,ESOPHAGOMYOTOMY ABDOMINAL,,,1132.01,6335.16,15
CPT,43331,ESOPHAGOMYOTOMY THORACIC,,,1120.03,6335.16,15
CPT,43332,TRANSAB ESOPH HIAT HERN RPR,,,967.39,18176.99,15
CPT,43333,TRANSAB ESOPH HIAT HERN RPR,,,1063.56,18176.99,15
CPT,43334,TRANSTHOR DIAPHRAG HERN RPR,,,1029.59,18176.99,15
CPT,43335,TRANSTHOR DIAPHRAG HERN RPR,,,1103.13,18176.99,15
CPT,43336,THORABD DIAPHR HERN REPAIR,,,1199.99,18176.99,15
CPT,43337,THORABD DIAPHR HERN REPAIR,,,1277.6,18176.99,15
CPT,43338,ESOPH LENGTHENING,,,93.3,6335.16,15
CPT,43340,FUSE ESOPHAGUS & INTESTINE,,,660.46,1600.7,15
CPT,43341,FUSE ESOPHAGUS & INTESTINE,,,660.46,1600.7,15
CPT,43351,SURGICAL OPENING ESOPHAGUS,,,660.46,1600.7,15
CPT,43352,SURGICAL OPENING ESOPHAGUS,,,660.46,1600.7,15
CPT,43360,GASTROINTESTINAL REPAIR,,,660.46,2215.95,15
CPT,43361,GASTROINTESTINAL REPAIR,,,660.46,2687.97,15
CPT,43400,LIGATE ESOPHAGUS VEINS,,,660.46,1600.7,15
CPT,43401,Outpatient Services - CPT/HCPCS,,,660.46,1600.7,2
CPT,43405,LIGATE/STAPLE ESOPHAGUS,,,660.46,1600.7,15
CPT,43410,REPAIR ESOPHAGUS WOUND,,,660.46,1600.7,15
CPT,43415,REPAIR ESOPHAGUS WOUND,,,660.46,2547.83,15
CPT,43420,REPAIR ESOPHAGUS OPENING,,,1019.26,5685.3,17
CPT,43425,REPAIR ESOPHAGUS OPENING,,,660.46,1600.7,15
CPT,43450,ED 43450 DIL ESOPHAGUS UNGUIDED,2025.0,1620.0,78.89,1822.5,38
CPT,43450,ESOPHAGUS DIL UNGUIDED,2025.0,1620.0,78.89,1822.5,38
CPT,43453,SURG 43453 DILATION ESOPHAGUS GUIDE WIRE,2786.0,2228.8,85.88,3360.07,38
CPT,43460,SURG 43460 ESOPHAGOGASTRIC TAMPONADE W BALLOON,2779.0,2223.2,184.67,2501.1,36
CPT,43496,FREE JEJUNUM FLAP MICROVASC,,,660.46,1600.7,2
CPT,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,781.92,10063.9,17
CPT,43499,ESOPHAGUS UNLISTED PROCEDURE,3303.0,2642.4,660.46,2972.7,38
CPT,43499,SURG 43499 UNLISTED PROCEDURE ESOPHAGUS,3303.0,2642.4,660.46,2972.7,38
CPT,43500,SURGICAL OPENING OF STOMACH,,,660.46,1600.7,15
CPT,43501,SURGICAL REPAIR OF STOMACH,,,660.46,1600.7,15
CPT,43502,SURGICAL REPAIR OF STOMACH,,,660.46,1600.7,15
CPT,43510,SURGICAL OPENING OF STOMACH,,,660.46,1600.7,17
CPT,43520,INCISION OF PYLORIC MUSCLE,,,609.79,1600.7,15
CPT,43605,BIOPSY OF STOMACH,,,660.46,1600.7,15
CPT,43610,EXCISION OF STOMACH LESION,,,660.46,1600.7,15
CPT,43611,EXCISION OF STOMACH LESION,,,660.46,1600.7,15
CPT,43620,REMOVAL OF STOMACH,,,660.46,1974.95,15
CPT,43621,REMOVAL OF STOMACH,,,660.46,2262.88,15
CPT,43622,REMOVAL OF STOMACH,,,660.46,2299.5,15
CPT,43631,REMOVAL OF STOMACH PARTIAL,,,660.46,1600.7,15
CPT,43632,REMOVAL OF STOMACH PARTIAL,,,660.46,2027.21,15
CPT,43633,REMOVAL OF STOMACH PARTIAL,,,660.46,1918.03,15
CPT,43634,REMOVAL OF STOMACH PARTIAL,,,660.46,2116.09,15
CPT,43635,REMOVAL OF STOMACH PARTIAL,,,93.37,1600.7,15
CPT,43640,VAGOTOMY & PYLORUS REPAIR,,,660.46,1600.7,15
CPT,43641,VAGOTOMY & PYLORUS REPAIR,,,660.46,1600.7,15
CPT,43644,LAP GASTRIC BYPASS/ROUX-EN-Y,,,1467.38,6335.16,15
CPT,43645,LAP GASTR BYPASS INCL SMLL I,,,1563.45,6335.16,15
CPT,43647,LAP IMPL ELECTRODE ANTRUM,,,9924.97,24054.24,13
CPT,43648,LAP REVISE/REMV ELTRD ANTRUM,,,7499.97,18176.99,13
CPT,43651,LAPAROSCOPY VAGUS NERVE,,,661.09,10188.81,17
CPT,43652,LAPAROSCOPY VAGUS NERVE,,,769.27,10188.81,17
CPT,43653,LAPAROSCOPY GASTROSTOMY,,,581.87,10188.81,17
CPT,43659,UNLISTED LAPS PX STOMACH,,,4203.99,10188.81,13
CPT,43752,ED 43752 NG TUBE PLACEMENT,812.0,649.6,39.28,730.8,38
CPT,43752,NG TUBE PLACEMENT,812.0,649.6,39.28,730.8,38
CPT,43752,SURG 43752 NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE,812.0,649.6,39.28,730.8,38
CPT,43753,ED 43753 GASTRIC INTUBATION,835.0,668.0,21.3,751.5,38
CPT,43753,GASTRIC LAVAGE,835.0,668.0,21.3,751.5,38
CPT,43754,DX GASTR INTUB W/ASP SPEC,,,37.95,554.25,17
CPT,43755,DX GASTR INTUB W/ASP SPECS,,,59.25,275.82,17
CPT,43756,DX DUOD INTUB W/ASP SPEC,,,50.6,1600.7,17
CPT,43757,DX DUOD INTUB W/ASP SPECS,,,76.23,1600.7,17
CPT,43761,SURG 43761 REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,1989.0,1591.2,102.86,1790.1,38
CPT,43762,ED 43762 RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,1206.0,964.8,36.95,1085.4,38
CPT,43762,RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,1206.0,964.8,36.95,1085.4,38
CPT,43762,SURG 43762 RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,1206.0,964.8,36.95,1085.4,38
CPT,43762,TX RM 43762 RPLC G TUBE PERC WO IMG OR ENDO GDN NO REVISION,1206.0,964.8,36.95,1085.4,38
CPT,43763,ED 43763 RPLC G TUBE PERC WO IMG OR ENDO GDN W REVISION,1206.0,964.8,86.88,1085.4,38
CPT,43763,RPLC G TUBE PERC WO IMG OR ENDO GDN W REVISION,1206.0,964.8,86.88,1085.4,38
CPT,43763,SURG 43763 RPLC G TUBE PERC WO IMG OR ENDO GDN W REVISION,1206.0,964.8,86.88,1085.4,38
CPT,43763,TX RM 43763 RPLC G TUBE PERC WO IMG OR ENDO GDN W REVISION,1206.0,964.8,86.88,1085.4,38
CPT,43770,LAP PLACE GASTR ADJ DEVICE,,,1127.78,18176.99,17
CPT,43771,ED 43771 LAP SURG RVN ADJ GSTRC DEV,6379.0,5103.2,1086.42,6335.16,36
CPT,43772,LAP RMVL GASTR ADJ DEVICE,,,951.02,6762.7,17
CPT,43773,LAP REPLACE GASTR ADJ DEVICE,,,1278.91,10188.81,17
CPT,43774,LAP RMVL GASTR ADJ ALL PARTS,,,962.01,6762.7,17
CPT,43775,LAP SLEEVE GASTRECTOMY,,,660.46,1600.7,15
CPT,43800,PYLOROPLASTY,,,660.46,1600.7,15
CPT,43810,GASTRODUODENOSTOMY,,,660.46,1600.7,15
CPT,43820,GASTROJEJUNOSTOMY WO VAGOTMY,,,660.46,1600.7,15
CPT,43825,GASTROJEJUNOSTOMY W/VAGOTOMY,,,660.46,1600.7,15
CPT,43830,GSTRST OPEN WO CONSTJ TUBE,,,705.36,3360.07,17
CPT,43831,GASTROSTOMY OPEN NEONATAL,,,614.15,1600.7,17
CPT,43832,GSTRST OPEN W/CONSTJ TUBE,,,660.46,1600.7,15
CPT,43840,GSTRRPHY SUTR DUOL/GSTR ULCR,,,660.46,5973.21,17
CPT,43842,GSTR RSTCV PX V-BANDED GSTP,,,1022.47,6335.16,15
CPT,43843,GSTR RSTCV OTH/THN V-BAND,,,1089.74,6335.16,15
CPT,43845,GASTROPLASTY DUODENAL SWITCH,,,1659.48,6335.16,15
CPT,43846,GSTR RSTCV PX SHRT ROUX-EN-Y,,,1399.29,6335.16,15
CPT,43847,GSTR RSTCV PX SM INT RCNSTJ,,,1528.94,6335.16,15
CPT,43848,REVJ OPEN GSTR RSTCV PX,,,1638.09,6335.16,15
CPT,43850,Outpatient Services - CPT/HCPCS,,,660.46,1600.7,2
CPT,43855,Outpatient Services - CPT/HCPCS,,,660.46,1600.7,2
CPT,43860,REVJ GSTR/JJ ANAST W/O VGTMY,,,660.46,1631.42,15
CPT,43865,REVJ GSTR/JJ ANAST W/VGTMY,,,660.46,1705.65,15
CPT,43870,CLOSURE GASTROSTOMY SURGICAL,,,710.36,6762.7,17
CPT,43880,CLOSURE GASTROCOLIC FISTULA,,,660.46,1603.46,15
CPT,43881,IMPL/RPLCMT GSTR NSTIM ELTRD,,,660.46,1600.7,2
CPT,43882,REV/RMVL GSTR NSTIM ELTRD,,,660.46,1600.7,2
CPT,43886,GSTR RSTCV PX OPN REVJ PORT,,,372.82,6335.16,17
CPT,43887,GSTR RSTCV PX OPN RMVL PORT,,,336.87,3220.2,17
CPT,43888,GSTR RSTCV PX OPN RMVL&RPLC,,,469.35,6335.16,17
CPT,43999,TX RM 43999 CHANGE CECOSTOMY TUBE,2568.0,2054.4,660.46,2311.2,38
CPT,43999,UNLISTED PROC STOMACH,2722.0,2177.6,660.46,2449.8,38
CPT,44005,FREEING OF BOWEL ADHESION,,,926.74,10188.81,15
CPT,44010,INCISION OF SMALL BOWEL,,,660.46,1600.7,15
CPT,44015,INSERT NEEDLE CATH BOWEL,,,117.1,10188.81,15
CPT,44020,EXPLORE SMALL INTESTINE,,,829.08,10188.81,15
CPT,44021,ENTEROTOMY FOR DECOMPRES,1212.0,969.6,496.92,1600.7,36
CPT,44025,INCISION OF LARGE BOWEL,,,660.46,1600.7,15
CPT,44050,REDUCE BOWEL OBSTRUCTION,,,797.24,10188.81,15
CPT,44055,CORRECT MALROTATION OF BOWEL,,,1261.64,10188.81,15
CPT,44100,BIOPSY OF BOWEL,,,104.86,1600.7,17
CPT,44110,EXCISE INTESTINE LESION(S),,,660.46,1600.7,15
CPT,44111,EXCISION OF BOWEL LESION(S),,,660.46,1600.7,15
CPT,44120,REMOVAL OF SMALL INTESTINE,,,1035.69,10188.81,15
CPT,44121,REMOVAL OF SMALL INTESTINE,,,200.58,10188.81,15
CPT,44125,REMOVAL OF SMALL INTESTINE,,,1001.6,10188.81,15
CPT,44126,ENTERECTOMY W/O TAPER CONG,,,2077.11,10188.81,15
CPT,44127,ENTERECTOMY W/TAPER CONG,,,2393.12,10188.81,15
CPT,44128,ENTERECTOMY CONG ADD-ON,,,200.95,10188.81,15
CPT,44130,BOWEL TO BOWEL FUSION,,,660.46,1600.7,15
CPT,44139,MOBILIZATION OF COLON,,,100.52,10188.81,15
CPT,44140,PARTIAL REMOVAL OF COLON,,,660.46,1600.7,15
CPT,44141,PARTIAL REMOVAL OF COLON,,,1536.07,10188.81,15
CPT,44143,PARTIAL REMOVAL OF COLON,,,1398.03,10188.81,15
CPT,44144,PARTIAL REMOVAL OF COLON,,,660.46,1752.92,15
CPT,44145,PARTIAL REMOVAL OF COLON,,,1404.08,10188.81,15
CPT,44146,PARTIAL REMOVAL OF COLON,,,1783.45,10188.81,15
CPT,44147,PARTIAL REMOVAL OF COLON,,,660.46,1918.69,15
CPT,44150,REMOVAL OF COLON,,,1578.96,10188.81,15
CPT,44151,REMOVAL OF COLON/ILEOSTOMY,,,1812.9,10188.81,15
CPT,44155,REMOVAL OF COLON/ILEOSTOMY,,,1765.13,10188.81,15
CPT,44156,REMOVAL OF COLON/ILEOSTOMY,,,1936.99,10188.81,15
CPT,44157,COLECTOMY W/ILEOANAL ANAST,,,1842.71,10188.81,15
CPT,44158,COLECTOMY W/NEO-RECTUM POUCH,,,1887.94,10188.81,15
CPT,44160,REMOVAL OF COLON,,,660.46,1600.7,15
CPT,44180,LAP ENTEROLYSIS,,,919.4,10188.81,17
CPT,44186,LAP JEJUNOSTOMY,,,653.1,10188.81,17
CPT,44187,LAP ILEO/JEJUNO-STOMY,,,660.46,1600.7,15
CPT,44188,LAP COLOSTOMY,,,1039.42,10188.81,15
CPT,44202,LAP ENTERECTOMY,,,1177.65,10188.81,15
CPT,44203,LAP RESECT S/INTESTINE ADDL,,,200.15,10188.81,15
CPT,44204,LAPARO PARTIAL COLECTOMY,,,1306.24,10188.81,15
CPT,44205,LAP COLECTOMY PART W/ILEUM,,,660.46,1600.7,15
CPT,44206,LAP PART COLECTOMY W/STOMA,,,1476.07,10188.81,15
CPT,44207,L COLECTOMY/COLOPROCTOSTOMY,,,1541.42,10188.81,15
CPT,44208,L COLECTOMY/COLOPROCTOSTOMY,,,1678.82,10188.81,15
CPT,44210,LAPARO TOTAL PROCTOCOLECTOMY,,,1519.45,10188.81,15
CPT,44211,LAP COLECTOMY W/PROCTECTOMY,,,1837.6,10188.81,15
CPT,44212,LAPARO TOTAL PROCTOCOLECTOMY,,,1746.55,10188.81,15
CPT,44213,LAP MOBIL SPLENIC FL ADD-ON,,,156.76,10188.81,15
CPT,44227,LAP CLOSE ENTEROSTOMY,,,1406.15,10188.81,15
CPT,44238,UNLISTED LAPS PX INTESTINE,,,4203.99,10188.81,13
CPT,44300,OPEN BOWEL TO SKIN,,,660.46,1994.29,17
CPT,44310,ILEOSTOMY/JEJUNOSTOMY,,,660.46,1600.7,15
CPT,44312,REVISION OF ILEOSTOMY,,,598.51,6335.16,17
CPT,44314,REVISION OF ILEOSTOMY,,,660.46,3760.09,17
CPT,44316,DEVISE BOWEL POUCH,,,660.46,1600.7,15
CPT,44320,COLOSTOMY,,,1026.69,10188.81,15
CPT,44322,COLOSTOMY WITH BIOPSIES,,,660.46,1600.7,15
CPT,44340,REVISION OF COLOSTOMY,,,632.46,6335.16,17
CPT,44345,REVISION OF COLOSTOMY,,,660.46,1600.7,15
CPT,44346,REVISION OF COLOSTOMY,,,1013.18,10188.81,15
CPT,44360,ENDO SMALL INTESTINE,3084.0,2467.2,141.47,3360.07,38
CPT,44361,ENDO SMALL INTESTINE WBX,3084.0,2467.2,155.79,3360.07,38
CPT,44363,ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY,3347.0,2677.6,188.07,3360.07,38
CPT,44364,ENDO SMALL INTEST WREM SNARE,2999.0,2399.2,200.39,3360.07,38
CPT,44365,SMALL BOWEL ENDOSCOPY,,,179.09,3360.07,17
CPT,44366,SM INTES CT BLD NO ILEUM,3069.0,2455.2,235.01,3360.07,38
CPT,44369,SM INTES ENDO W ABLAT TUMOR,3182.0,2545.6,240.67,3360.07,38
CPT,44370,SMALL BOWEL ENDOSCOPY/STENT,7977.0,6381.6,261.97,10063.9,38
CPT,44372,PEJ TUBE PLACEMENT,2981.0,2384.8,235.01,3360.07,38
CPT,44373,ENTEROSCOPY CONV PEG TO PEJ,2981.0,2384.8,187.74,3360.07,38
CPT,44376,ENDO INCL ILEUM WCOLLECT,2886.0,2308.8,277.95,3360.07,38
CPT,44377,ENTEROSCOPY 2ND PORTION INCL ILEUM W/ BIOPSY,3346.0,2676.8,293.26,3360.07,38
CPT,44378,SMALL BOWEL ENDO 2ND PORTION INCL ILEUM CNTRL BLEED,3279.0,2623.2,376.48,3360.07,38
CPT,44379,S BOWEL ENDOSCOPE W/STENT,,,401.45,10063.9,17
CPT,44380,ILEOSCOPY DIAGNOSTIC,2828.0,2262.4,56.92,2545.2,38
CPT,44381,ILEOSCOPY THRU STOMA WBALLOON DILATION,3008.0,2406.4,83.88,3360.07,38
CPT,44382,ILEOSCOPY WBIOP,2996.0,2396.8,73.23,2696.4,38
CPT,44384,ILEOSCOPY THRU STOMA WSTENT PLACEMENT,7197.0,5757.6,149.79,6477.3,38
CPT,44385,ENDOSCOPY OF BOWEL POUCH W/COLLJ SPEC,2996.0,2396.8,72.23,2696.4,38
CPT,44386,ENDO EVAL SM INTEST W BX,3084.0,2467.2,88.21,2775.6,38
CPT,44388,COLON THRU STOMA DIAG,2889.0,2311.2,153.79,2600.1,38
CPT,44389,COLON THRU STOMA WBX,3084.0,2467.2,168.77,2775.6,38
CPT,44390,COLONOSCOPY FOR FOREIGN BODY,,,206.38,1613.88,17
CPT,44391,COLON THRU STOMA CON BLD,2886.0,2308.8,226.36,2597.4,38
CPT,44392,COLON THRU STOME WPOLY,2886.0,2308.8,196.73,2597.4,38
CPT,44394,COLON THRU STOME WSNARE,3386.0,2708.8,221.36,3047.4,38
CPT,44401,COLONOSCOPY THRU STOMA WABLAT TMR POLYP LSN,1897.0,1517.6,237.67,2083.81,38
CPT,44402,COLONOSCOPY THRU STOMA WSTENT PLACEMENT,7257.0,5805.6,256.31,10063.9,38
CPT,44403,COLONOSCOPY THRU STOMA W MUCOSAL RESECT,1897.0,1517.6,298.26,2083.81,38
CPT,44404,COLONOSCOPY THRU STOMA WMUCOSAL INJECTION,1897.0,1517.6,168.77,2083.81,38
CPT,44405,COLONOSCOPY THRU STOMA WBALLOON DILATION,1897.0,1517.6,180.09,2083.81,38
CPT,44406,COLONOSCOPY THRU STOMA WULTRASOUND,1551.0,1240.8,225.02,2083.81,38
CPT,44407,COLONOSCOPY THRU STOMA W ASP BIOPSY,1551.0,1240.8,269.63,2083.81,38
CPT,44408,COLONOSCOPY THRU STOMA WDECOMPRESSION,1551.0,1240.8,227.02,1613.88,38
CPT,44500,SURG 44500 INTRO LONG GI TUBE,1437.0,1149.6,18.64,1600.7,38
CPT,44500,SURG 44500 INTRO LONG GI TUBE SEPARATE PROCEDURE,1437.0,1149.6,18.64,1600.7,38
CPT,44602,SUTURE SMALL INTESTINE,,,1184.64,10188.81,17
CPT,44603,SUTURE SMALL INTESTINE,,,660.46,1606.79,15
CPT,44604,SUTURE LARGE INTESTINE,,,894.19,10188.81,15
CPT,44605,REPAIR OF BOWEL LESION,,,660.46,1600.7,15
CPT,44615,INTESTINAL STRICTUROPLASTY,,,911.33,10188.81,15
CPT,44620,REPAIR BOWEL OPENING,,,660.46,1600.7,15
CPT,44625,REPAIR BOWEL OPENING,,,660.46,1600.7,15
CPT,44626,REPAIR BOWEL OPENING,,,1346.06,10188.81,15
CPT,44640,REPAIR BOWEL-SKIN FISTULA,,,1183.61,10188.81,15
CPT,44650,REPAIR BOWEL FISTULA,,,660.46,1600.7,15
CPT,44660,REPAIR BOWEL-BLADDER FISTULA,,,660.46,1600.7,15
CPT,44661,REPAIR BOWEL-BLADDER FISTULA,,,660.46,1600.7,15
CPT,44680,SURGICAL REVISION INTESTINE,,,660.46,1600.7,15
CPT,44700,SUSPEND BOWEL W/PROSTHESIS,,,660.46,1600.7,15
CPT,44701,INTRAOP COLON LAVAGE ADD-ON,,,1.0,167.44,15
CPT,44705,PREPARE FECAL MICROBIOTA,143.0,114.4,58.63,275.82,36
CPT,44720,PREP DONOR INTESTINE/VENOUS,,,226.13,561.05,15
CPT,44721,PREP DONOR INTESTINE/ARTERY,,,316.93,785.19,15
CPT,44799,ED 44799 UNLISTED PROC SMALL INTESTINE,4672.0,3737.6,660.46,4204.8,38
CPT,44799,SURG 44799 INVESTIGATION OF ILEOSTOMY,4672.0,3737.6,660.46,4204.8,38
CPT,44799,SURG 44799 REPOSITION J-TUBE,1741.0,1392.8,483.48,1600.7,38
CPT,44799,SURG 44799 STOMA DILATION,4672.0,3737.6,660.46,4204.8,38
CPT,44799,UNLISTED PROC SMALL INTESTINE,4672.0,3737.6,660.46,4204.8,38
CPT,44800,EXCISION OF BOWEL POUCH,,,660.46,1600.7,15
CPT,44820,EXCISION OF MESENTERY LESION,,,660.46,1600.7,15
CPT,44850,REPAIR OF MESENTERY,,,643.22,1600.7,15
CPT,44899,UNLISTED PX MECKEL'S DVRTCLM,,,660.46,1600.7,2
CPT,44900,I&D APPENDIX ABSCESS OPEN,,,660.46,1600.7,15
CPT,44950,APPENDECTOMY,,,643.11,13359.54,17
CPT,44955,APPENDECTOMY ADD-ON,,,1.0,82.55,15
CPT,44960,APPENDECTOMY,,,745.96,10188.81,15
CPT,44970,LAPAROSCOPY APPENDECTOMY,,,605.17,10188.81,17
CPT,44979,UNLISTED LAPS PX APPENDIX,,,4203.99,10188.81,13
CPT,45000,DRAINAGE OF PELVIC ABSCESS,,,431.07,2083.81,17
CPT,45005,ED 45005 I & D ABCESS RECTUM,2033.0,1626.4,166.44,2083.81,38
CPT,45020,DRAINAGE OF RECTAL ABSCESS,,,570.21,4958.09,17
CPT,45100,ED 45100 BX ANORECTAL WALL ANAL APPROACH,5527.0,4421.6,305.58,4974.3,38
CPT,45108,ANORECTAL MYOMECTOMY,,,378.15,4958.09,17
CPT,45110,REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45111,PARTIAL REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45112,REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45113,PARTIAL PROCTECTOMY,,,859.8,2083.81,15
CPT,45114,PARTIAL REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45116,PARTIAL REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45119,REMOVE RECTUM W/RESERVOIR,,,859.8,2083.81,15
CPT,45120,REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45121,REMOVAL OF RECTUM AND COLON,,,859.8,2083.81,15
CPT,45123,PARTIAL PROCTECTOMY,,,859.8,2083.81,15
CPT,45126,PELVIC EXENTERATION,,,2322.4,5628.59,15
CPT,45130,EXCISION OF RECTAL PROLAPSE,,,859.8,2083.81,15
CPT,45135,EXCISION OF RECTAL PROLAPSE,,,859.8,2083.81,15
CPT,45136,EXCISE ILEOANAL RESERVIOR,,,859.8,2083.81,15
CPT,45150,EXCISION OF RECTAL STRICTURE,,,427.74,2083.81,17
CPT,45160,EXCISION OF RECTAL LESION,,,1028.58,4958.09,17
CPT,45171,EXC RECT TUM TRANSANAL PART,,,618.81,4958.09,17
CPT,45172,EXC RECT TUM TRANSANAL FULL,,,823.87,4958.09,17
CPT,45190,DESTRUCTION RECTAL TUMOR,,,698.04,4958.09,17
CPT,45300,ED 45300 PROCTOSIGMOIDOSCOPY DX,2048.0,1638.4,47.93,1843.2,38
CPT,45300,PROCTOSIGMOIDOSCOPY DX,2048.0,1638.4,47.93,1843.2,38
CPT,45303,PROCTOSIGMOIDOSCOPY DILATE,,,85.22,2083.81,17
CPT,45305,PROCTOSIGMOIDOSCOPY W BX,4051.0,3240.8,72.57,3645.9,38
CPT,45307,ED 45307 PROCTOSIGMOIDOSCOPY RIGID WREMVL FB,6176.0,4940.8,100.2,5558.4,38
CPT,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,84.55,4958.09,17
CPT,45309,PROCTOSIGMOIDOSCOPY REMOVAL,,,89.54,2083.81,17
CPT,45315,PROCTOSIGMOIDOSCOPY REMOVAL,,,105.52,2083.81,17
CPT,45317,ED 45317 PROCTOSIGMOIDOSCOPY BLEED,3202.0,2561.6,110.18,2881.8,38
CPT,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,104.52,4958.09,17
CPT,45321,PROCTOSIGMOIDOSCOPY VOLVUL,,,103.19,4958.09,17
CPT,45327,PROCTOSIGMOIDOSCOPY W/STENT,,,116.51,10063.9,17
CPT,45330,ED 45330 SIGMOIDOSCOPY DIAG,2615.0,2092.0,56.26,2353.5,38
CPT,45330,FLEX SIG DIAG,2615.0,2092.0,56.26,2353.5,38
CPT,45331,FLEX SIG WBX,2625.0,2100.0,71.57,2362.5,38
CPT,45332,ED 45332 FLEX SIG W REM FB,2456.0,1964.8,104.19,2210.4,38
CPT,45332,FLEX SIG WREM FB,2456.0,1964.8,104.19,2210.4,38
CPT,45333,FLEX SIG REM TUM WPOLY,3033.0,2426.4,93.2,2729.7,38
CPT,45334,FLEX SIG WCONTROL BLEED,3309.0,2647.2,115.84,2978.1,38
CPT,45335,FLEX SIGMOID SUBMUCOSAL INJ,2405.0,1924.0,66.24,2164.5,38
CPT,45337,FLEX SIG WDECOMP VOLV,2456.0,1964.8,112.51,2210.4,38
CPT,45338,ED 45338 FLEX SIG REB TUM W SNARE,3034.0,2427.2,118.5,2730.6,38
CPT,45338,FLEX SIG REM TUM WSNARE,3034.0,2427.2,118.5,2730.6,38
CPT,45340,SIG W BALLOON DILATION,3196.0,2556.8,77.56,2876.4,38
CPT,45341,SIGMOIDOSCOPY W US EXAM,3465.0,2772.0,122.17,3118.5,38
CPT,45342,SIGMOID ENDOSCOPY W US FN BX,4086.0,3268.8,167.77,3677.4,38
CPT,45346,SIGMOIDOSCOPY WABLATION TUMOR POLYP LES,3406.0,2724.8,157.78,3065.4,38
CPT,45347,SIGMOIDOSCOPY WSTENT PLACEMENT,6988.0,5590.4,151.46,10063.9,38
CPT,45349,SIGMOIDOSCOPY FLEXIBLE WENDO MUCOSAL RESECTION,2648.0,2118.4,194.4,4958.09,38
CPT,45350,SIGMOIDOSCOPY FLEXIBLE WBAND LIGATION,2551.0,2040.8,99.86,2295.9,38
CPT,45378,COLON DIAG,3328.0,2662.4,181.42,2995.2,38
CPT,45378,COLONOSCOPY WITH FECAL TRANSPLANT,3328.0,2662.4,181.42,2995.2,38
CPT,45378,ED 45378 COLONOSCOPY DIAG,3328.0,2662.4,181.42,2995.2,38
CPT,45379,COLON WREM FB,3425.0,2740.0,234.01,3082.5,38
CPT,45380,COLON WBX,3328.0,2662.4,197.06,2995.2,38
CPT,45381,COLONOSCOPY SUBMUC INJECT,3328.0,2662.4,196.73,2995.2,38
CPT,45382,COLON WCONTROL BLEED,3327.0,2661.6,253.65,2994.3,38
CPT,45382,ED 45382 COLONSCPY CONTROL BLEEDING,3327.0,2661.6,253.65,2994.3,38
CPT,45384,COLON WREM TUMOR,3327.0,2661.6,224.36,2994.3,38
CPT,45385,COLON WREM TUMOR SNARE,3328.0,2662.4,249.32,2995.2,38
CPT,45386,COLONOSCOPY BALLOON DIL,3233.0,2586.4,208.05,2909.7,38
CPT,45388,COLONOSCOPY FLEX WABLATION TMR PLYP LSN,3386.0,2708.8,265.3,3047.4,38
CPT,45389,COLONOSCOPY FLEX WENDO STENT PLACE,7361.0,5888.8,283.94,10063.9,38
CPT,45390,COLONOSCOPY FLEX WENDO MUCOSAL RESECTION,3554.0,2843.2,325.88,4958.09,38
CPT,45391,COLONOSCOPY W US EXAM,3626.0,2900.8,252.65,3263.4,38
CPT,45392,COLON ENDO W US FN BX,4073.0,3258.4,298.26,3665.7,38
CPT,45393,COLONOSCOPY FLEX W DECOMP INCL DECOMP TB,2526.0,2020.8,246.66,2273.4,38
CPT,45395,LAP REMOVAL OF RECTUM,,,859.8,2083.81,15
CPT,45397,LAP REMOVE RECTUM W/POUCH,,,859.8,2096.11,15
CPT,45398,COLONOSCOPY FLEX WBAND LIGATION,2601.0,2080.8,231.35,2340.9,38
CPT,45399,COLONOSCOPY WITH CHROMOENDOSCOPY,3489.0,2791.2,665.9,3140.1,38
CPT,45399,SURG 45399 CHANGE CECOSTOMY TUBE,2608.0,2086.4,665.9,2347.2,38
CPT,45399,SURG 45399 FISTULA TREATMENT COLON,3333.0,2666.4,665.9,2999.7,38
CPT,45399,SURG 45399 RECTAL TUBE REPOSITIONING,2723.0,2178.4,665.9,2450.7,38
CPT,45400,LAPAROSCOPIC PROC,,,859.8,2083.81,15
CPT,45402,LAP PROCTOPEXY W/SIG RESECT,,,859.8,2083.81,15
CPT,45499,LAPAROSCOPE PROC RECTUM,,,4203.99,10188.81,13
CPT,45500,REPAIR OF RECTUM,,,573.21,4958.09,17
CPT,45505,REPAIR OF RECTUM,,,604.17,4958.09,17
CPT,45520,TREATMENT OF RECTAL PROLAPSE,,,40.61,1613.88,17
CPT,45540,CORRECT RECTAL PROLAPSE,,,859.8,2083.81,15
CPT,45541,CORRECT RECTAL PROLAPSE,,,935.71,4958.09,17
CPT,45550,REPAIR RECTUM/REMOVE SIGMOID,,,859.8,2083.81,15
CPT,45560,REPAIR OF RECTOCELE,,,691.38,4958.09,17
CPT,45562,EXPLORATION/REPAIR OF RECTUM,,,859.8,2083.81,15
CPT,45563,EXPLORATION/REPAIR OF RECTUM,,,859.8,2083.81,15
CPT,45800,REPAIR RECT/BLADDER FISTULA,,,859.8,2083.81,15
CPT,45805,SURG 45805 CLSR RECTOVESICAL FISTULA W/COLOSTOMY,2985.0,2388.0,859.8,2686.5,36
CPT,45820,REPAIR RECTOURETHRAL FISTULA,,,859.8,2083.81,15
CPT,45825,REPAIR FISTULA W/COLOSTOMY,,,859.8,2083.81,15
CPT,45900,ED 45900 REDUCTION RECTAL PROLAPSE,1469.0,1175.2,213.71,1613.88,38
CPT,45905,ANAL SPHINCTER DILATION,3177.0,2541.6,171.1,2859.3,38
CPT,45905,TX RM 45905 DILATION OF ANAL SPHINCTER,3177.0,2541.6,171.1,2859.3,38
CPT,45910,TX RM 45910 DILATION OF RECTAL NARROWING,3949.0,3159.2,193.73,3554.1,38
CPT,45915,ED 45915 RMV FECAL IMP OR F B WANS,3429.0,2743.2,229.35,3086.1,38
CPT,45990,SURG DX EXAM ANORECTAL,4557.0,3645.6,105.19,4958.09,38
CPT,45999,FLEX SIG WRECTAL DIL,1596.0,1276.8,443.21,1613.88,38
CPT,46020,ED 46020 PLACEMENT OF SETON,4144.0,3315.2,116.51,4958.09,38
CPT,46030,ED 46030 REMV RECTAL MARKER,1794.0,1435.2,86.21,2083.81,38
CPT,46040,ED 46040 I&D PERIRECTAL ABSCESS,4084.0,3267.2,429.41,3675.6,38
CPT,46045,I&D ABSC TRANAL UNDER ANES,,,443.06,4958.09,17
CPT,46050,ED 46050 I&D PERIAL ABSCESS SUPRFCL,2669.0,2135.2,102.19,2402.1,38
CPT,46060,I&D ISCHIORECTAL/NTRMRL ABSC,,,489.99,4958.09,17
CPT,46070,INCISION ANAL SEPTUM INFANT,,,273.62,4958.09,17
CPT,46080,SPHNCTROTMY ANAL DIV SPHNCTR,,,158.12,4958.09,17
CPT,46083,ED 46083 INC EXTERNAL HEMORRHOID,849.0,679.2,110.85,764.1,38
CPT,46200,REMOVAL OF ANAL FISSURE,,,341.53,4958.09,17
CPT,46220,EXCISE ANAL EXT TAG/PAPILLA,,,122.5,2083.81,17
CPT,46221,HEMORR W BANDING,1912.0,1529.6,193.07,1720.8,38
CPT,46230,REMOVAL OF ANAL TAGS,,,174.43,4958.09,17
CPT,46250,ED 46250 HEMORRHOIDECTOMY EXTERNAL,4713.0,3770.4,320.56,4958.09,38
CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,356.84,4958.09,17
CPT,46257,REMOVE IN/EX HEM GRP & FISS,,,418.76,4958.09,17
CPT,46258,REMOVE IN/EX HEM GRP W/FISTU,,,487.0,4958.09,17
CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,484.67,4958.09,17
CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,536.26,4958.09,17
CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,590.19,4958.09,17
CPT,46270,ED 46270 SURGICAL TREAT ANAL FISTULA (FISTULECTOMY FISTULOTOMY) SUBQ,5594.0,4475.2,404.44,5034.6,38
CPT,46275,REMOVE ANAL FIST INTER,,,425.75,4958.09,17
CPT,46280,REMOVE ANAL FIST COMPLEX,,,483.67,4958.09,17
CPT,46285,REMOVE ANAL FIST 2 STAGE,,,427.08,4958.09,17
CPT,46288,REPAIR ANAL FISTULA,,,561.89,4958.09,17
CPT,46320,ED 46320 REMV HEMORRHOID CLOT,3824.0,3059.2,114.18,3441.6,38
CPT,46500,INJECTION INTO HEMORRHOID(S),,,184.41,1613.88,17
CPT,46505,SURG 46505 CHEMODENERV INTERNAL ANAL SPHINCTER,4770.0,3816.0,251.32,4293.0,38
CPT,46600,ED 46600 ANOSCOPY DIAG,664.0,531.2,41.28,597.6,38
CPT,46600,TX RM 46600 ANOSCOPY,664.0,531.2,41.28,597.6,38
CPT,46601,DIAGNOSTIC ANOSCOPY,,,93.07,418.99,17
CPT,46604,ANOSCOPY W DILATION,2636.0,2108.8,65.91,2372.4,38
CPT,46606,SURG 46606 ANOSCOPY W BX SINGLE OR MULT,5546.0,4436.8,75.23,4991.4,38
CPT,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,123.83,2083.81,17
CPT,46608,ED 46608 ANOSCOPY WREMV FB,2066.0,1652.8,84.55,1859.4,38
CPT,46610,ANOSCOPY REMOVE LESION,,,79.89,4958.09,17
CPT,46611,ANOSCOPY,,,80.22,1613.88,17
CPT,46612,ANOSCOPY W RMVL MULT LESIONS,6272.0,5017.6,95.2,5644.8,38
CPT,46614,ED 46614 ANOSCOPY CONTROL BLEEDING,3512.0,2809.6,64.24,3160.8,38
CPT,46615,ANOSCOPY,,,90.21,4958.09,17
CPT,46700,REPAIR OF ANAL STRICTURE,,,654.43,4958.09,17
CPT,46705,REPAIR OF ANAL STRICTURE,,,501.37,2083.81,15
CPT,46706,REPR OF ANAL FISTULA W/GLUE,,,181.42,4958.09,17
CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,507.97,4958.09,17
CPT,46710,REPR PER/VAG POUCH SNGL PROC,,,859.8,2083.81,15
CPT,46712,REPR PER/VAG POUCH DBL PROC,,,859.8,2207.63,15
CPT,46715,REP PERF ANOPER FISTU,,,483.83,2083.81,15
CPT,46716,REP PERF ANOPER/VESTIB FISTU,,,859.8,2083.81,15
CPT,46730,CONSTRUCTION OF ABSENT ANUS,,,859.8,2083.81,15
CPT,46735,CONSTRUCTION OF ABSENT ANUS,,,859.8,2287.52,15
CPT,46740,CONSTRUCTION OF ABSENT ANUS,,,859.8,2170.01,15
CPT,46742,REPAIR OF IMPERFORATED ANUS,,,859.8,2504.22,15
CPT,46744,REPAIR OF CLOACAL ANOMALY,,,859.8,3523.81,15
CPT,46746,REPAIR OF CLOACAL ANOMALY,,,859.8,3879.99,15
CPT,46748,REPAIR OF CLOACAL ANOMALY,,,859.8,4203.21,15
CPT,46750,REPAIR OF ANAL SPHINCTER,,,748.64,4958.09,17
CPT,46751,REPAIR OF ANAL SPHINCTER,,,582.17,2083.81,15
CPT,46753,RECONSTRUCTION OF ANUS,,,622.81,4958.09,17
CPT,46754,REMOVAL OF SUTURE FROM ANUS,,,244.0,4958.09,17
CPT,46760,REPAIR OF ANAL SPHINCTER,,,1100.15,4958.09,17
CPT,46761,REPAIR OF ANAL SPHINCTER,,,911.08,4958.09,17
CPT,46762,Outpatient Services - CPT/HCPCS,,,859.8,2083.81,2
CPT,46900,DESTRUCTION ANAL LESION(S),,,138.14,704.12,17
CPT,46910,DESTRUCTION ANAL LESION(S),,,136.15,3220.2,17
CPT,46916,CRYOSURGERY ANAL LESION(S),,,142.47,353.51,17
CPT,46917,LASER SURGERY ANAL LESIONS,,,129.82,4958.09,17
CPT,46922,EXCISION OF ANAL LESION(S),,,138.81,4958.09,17
CPT,46924,DESTRUCTION ANAL LESION(S),,,181.75,4958.09,17
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,,,152.46,2083.81,17
CPT,46940,TREATMENT OF ANAL FISSURE,,,145.13,4958.09,17
CPT,46942,TREATMENT OF ANAL FISSURE,,,130.49,1613.88,17
CPT,46945,LIGATION INTERNAL HEMORRHOID WO IMAGING,4318.0,3454.4,342.2,4958.09,38
CPT,46946,INT HRHC LIG 2+HROID W/O IMG,,,382.14,4958.09,17
CPT,46947,HEMORRHOIDOPEXY BY STAPLING,,,392.13,4958.09,17
CPT,46948,INT HRHC TRANAL DARTLZJ 2+,,,446.05,4958.09,17
CPT,46999,UNLISTED PROCEDURE ANUS,1704.0,1363.2,473.2,1613.88,38
CPT,47000,SURG 47000 BX LIVER NEEDLE BIOPSY,2948.0,2358.4,85.88,2862.91,38
CPT,47001,NDL BIOPSY LVR TM OTH MAJ PX,,,1.0,102.19,15
CPT,47010,HEPATOT OPN DRG ABSC/CST 1/2,,,1034.38,10188.81,15
CPT,47015,LAPT ASPIR&/NJX HEP PRST CST,,,991.65,10188.81,15
CPT,47100,WEDGE BIOPSY OF LIVER,,,729.61,10188.81,15
CPT,47120,PARTIAL REMOVAL OF LIVER,,,1975.83,10188.81,15
CPT,47122,EXTENSIVE REMOVAL OF LIVER,,,2879.8,10188.81,15
CPT,47125,PARTIAL REMOVAL OF LIVER,,,2586.71,10188.81,15
CPT,47130,PARTIAL REMOVAL OF LIVER,,,2772.0,10188.81,15
CPT,47133,REMOVAL OF DONOR LIVER,,,4095.48,4095.48,2
CPT,47135,TRANSPLANTATION OF LIVER,,,4566.54,11173.95,15
CPT,47140,PARTIAL REMOVAL DONOR LIVER,,,3022.75,7404.34,15
CPT,47141,PARTIAL REMOVAL DONOR LIVER,,,3606.76,8843.97,15
CPT,47142,PARTIAL REMOVAL DONOR LIVER,,,3966.46,9734.32,15
CPT,47143,PREP DONOR LIVER WHOLE,,,1574.77,1574.77,2
CPT,47146,PREP DONOR LIVER/VENOUS,,,271.12,671.74,15
CPT,47147,PREP DONOR LIVER/ARTERIAL,,,316.51,784.5,15
CPT,47300,SURGERY FOR LIVER LESION,,,966.71,10188.81,15
CPT,47350,REPAIR LIVER WOUND,,,512.62,1360.13,15
CPT,47360,REPAIR LIVER WOUND,,,512.62,1867.43,15
CPT,47361,REPAIR LIVER WOUND,,,2533.79,10188.81,15
CPT,47362,REPAIR LIVER WOUND,,,512.62,1447.67,15
CPT,47370,LAPARO ABLATE LIVER TUMOR RF,,,1253.61,18176.99,17
CPT,47371,LAPARO ABLATE LIVER CRYOSURG,,,1258.93,18176.99,17
CPT,47379,UNLISTED LAPS PX LIVER,,,4203.99,10188.81,13
CPT,47380,OPEN ABLATE LIVER TUMOR RF,,,1227.51,10188.81,15
CPT,47381,OPEN ABLATE LIVER TUMOR CRYO,,,512.62,1478.96,15
CPT,47382,SURG 47382 ABLATION RF LIVER TUMOR 1 OR MORE,12356.0,9884.8,716.01,11120.4,38
CPT,47383,SURG 47383 ABLATION TUMOR LIVER CRYOABLATION PERC 1 OR MORE,12561.0,10048.8,436.4,18176.99,38
CPT,47383,SURG 47383 CRYOABLATION LIVER,12561.0,10048.8,436.4,18176.99,38
CPT,47399,SURG 47399 ABLATION HEMANGIOMA LIVER,5048.0,4038.4,512.62,4543.2,38
CPT,47400,INCISION OF LIVER DUCT,,,512.62,2141.05,15
CPT,47420,INCISION OF BILE DUCT,,,1133.19,10188.81,15
CPT,47425,INCISION OF BILE DUCT,,,1157.75,10188.81,15
CPT,47460,INCISE BILE DUCT SPHINCTER,,,512.62,1268.59,15
CPT,47480,INCISION OF GALLBLADDER,,,756.74,10188.81,15
CPT,47490,SURG 47490 GB DRAIN PERC CHOLE,6141.0,4912.8,325.88,6109.19,38
CPT,47531,SURG 47531 INJ CHOLANGIOGRAPHY PERC COMPL DX INCL IMG GUID INCL S&I,5204.0,4163.2,68.57,6109.19,38
CPT,47532,SURG 47532 INJ CHOLANGIOGRAM NEW ACCESS PERQ,5807.0,4645.6,204.39,6109.19,38
CPT,47533,SURG 47533 PERCUT PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,7520.0,6016.0,254.32,6768.0,38
CPT,47534,SURG 47534 PERCUT PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,7963.0,6370.4,355.84,7166.7,38
CPT,47535,SURG 47535 CONVERT EXT BIL DRG CATH TO INTERNAL-EXT PERQ,7520.0,6016.0,189.07,6768.0,38
CPT,47536,SURG 47536 EXCHANGE BILIARY DRG CATHETER PERQ W/IMG GUID RS&I,6554.0,5243.2,127.49,6109.19,38
CPT,47537,SURG 47537 REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,2639.0,2111.2,93.54,2375.1,38
CPT,47538,SURG 47538 PLMT BILE DUCT STENT PRQ EXISTING ACCESS,12178.0,9742.4,226.36,10960.2,38
CPT,47539,SURG 47539 PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,10242.0,8193.6,411.1,10188.81,38
CPT,47540,SURG 47540 PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,12178.0,9742.4,423.42,10960.2,38
CPT,47541,SURG 47541 PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,6822.0,5457.6,324.22,13359.54,36
CPT,47542,SURG 47542 BALLOON DILATE EA BILIARY DUCT AMPULLA PERQ,5564.0,4451.2,1.0,5007.6,36
CPT,47543,SURG 47543 ENDOLUMINAL BX BILIARY TREE PERQ ANY METH 1/MLT,5402.0,4321.6,1.0,4861.8,36
CPT,47544,SURG 47544 REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,5731.0,4584.8,1.0,5157.9,36
CPT,47550,BILE DUCT ENDOSCOPY ADD-ON,,,1.0,161.44,15
CPT,47552,BILIARY ENDO PERQ DX W/SPECI,,,270.96,13359.54,17
CPT,47553,SURG 47553 BILIARY ENDO WITH BIOPSY,7474.0,5979.2,271.29,13359.54,38
CPT,47554,SURG 47554 BILIARY W REMOVAL CALCULUS,8496.0,6796.8,437.4,18176.99,38
CPT,47555,SURG 47555 DILTN BIL STRIC WO,5636.0,4508.8,323.22,6109.19,38
CPT,47556,SURG 47556 DILTN BIL STRIC WST,8652.0,6921.6,366.16,18176.99,38
CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,663.09,10188.81,17
CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,720.67,10188.81,17
CPT,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,1120.12,18176.99,17
CPT,47570,LAPARO CHOLECYSTOENTEROSTOMY,,,661.67,10188.81,15
CPT,47579,UNLISTED LAPS PX BILIARY TRC,,,4203.99,10188.81,13
CPT,47600,CHOLECYSTECTOMY,,,913.78,10188.81,15
CPT,47605,CHOLECYSTECTOMY W/CHOLANG,,,959.59,10188.81,15
CPT,47610,REMOVAL OF GALLBLADDER,,,1064.28,10188.81,15
CPT,47612,REMOVAL OF GALLBLADDER,,,1076.53,10188.81,15
CPT,47620,REMOVAL OF GALLBLADDER,,,1160.83,10188.81,15
CPT,47700,EXPLORATION OF BILE DUCTS,,,512.62,1242.38,15
CPT,47701,BILE DUCT REVISION,,,512.62,1732.28,15
CPT,47711,EXCISION OF BILE DUCT TUMOR,,,512.62,1555.52,15
CPT,47712,EXCISION OF BILE DUCT TUMOR,,,512.62,1988.26,15
CPT,47715,EXCISION OF BILE DUCT CYST,,,512.62,1330.17,15
CPT,47720,FUSE GALLBLADDER & BOWEL,,,983.95,10188.81,15
CPT,47721,FUSE UPPER GI STRUCTURES,,,1149.17,10188.81,15
CPT,47740,FUSE GALLBLADDER & BOWEL,,,1114.63,10188.81,15
CPT,47741,FUSE GALLBLADDER & BOWEL,,,1249.66,10188.81,15
CPT,47760,FUSE BILE DUCTS AND BOWEL,,,1897.74,10188.81,15
CPT,47765,FUSE LIVER DUCTS & BOWEL,,,2540.28,10188.81,15
CPT,47780,FUSE BILE DUCTS AND BOWEL,,,2083.59,10188.81,15
CPT,47785,FUSE BILE DUCTS AND BOWEL,,,2713.32,10188.81,15
CPT,47800,RECONSTRUCTION OF BILE DUCTS,,,512.62,1550.86,15
CPT,47801,SURG 47801 CHOLEDOCHAL STNT PLACEMENT,2399.0,1919.2,945.31,10188.81,36
CPT,47802,Outpatient Services - CPT/HCPCS,,,512.62,1242.38,2
CPT,47802,Therapy,,,1522.57,1522.57,4
CPT,47900,SUTURE BILE DUCT INJURY,,,512.62,1378.1,15
CPT,47999,ERCP W ENDO AMPULLECTOMY,4170.0,3336.0,660.46,3753.0,38
CPT,47999,ERCP W/CONTROL BLEED,3988.0,3190.4,660.46,3589.2,38
CPT,47999,ERCP WITH NEEDLE KNIFE FISULOTOMY,4740.0,3792.0,660.46,4266.0,38
CPT,47999,SURG 47999 BIOPSY BILIARY TRACT,4129.0,3303.2,660.46,3716.1,38
CPT,47999,SURG 47999 DILATATION BILIARY ANASTOMOSIS,4363.0,3490.4,660.46,3926.7,38
CPT,47999,SURG 47999 ERCP VIA STOMA,5904.0,4723.2,660.46,5313.6,38
CPT,47999,SURG 47999 HEPATIC STENT PLACEMENT,4696.0,3756.8,660.46,4226.4,38
CPT,47999,ULISTED BILIARY TRACT SUBMUCOSAL INJ,4290.0,3432.0,660.46,3861.0,38
CPT,47999,UNLISTED BILLIARY STENT REPOSITION,4363.0,3490.4,660.46,3926.7,38
CPT,48000,DRAINAGE OF ABDOMEN,,,1585.3,10188.81,15
CPT,48001,PLACEMENT OF DRAIN PANCREAS,,,1935.62,10188.81,15
CPT,48020,REMOVAL OF PANCREATIC STONE,,,512.62,1242.38,15
CPT,48100,BIOPSY OF PANCREAS OPEN,,,758.3,10188.81,15
CPT,48102,SURG 48102 NDLE BIOPSY PANCREAS,2810.0,2248.0,230.02,2862.91,38
CPT,48105,RESECT/DEBRIDE PANCREAS,,,2397.99,10188.81,15
CPT,48120,REMOVAL OF PANCREAS LESION,,,944.24,10188.81,15
CPT,48140,PARTIAL REMOVAL OF PANCREAS,,,1328.04,10188.81,15
CPT,48145,PARTIAL REMOVAL OF PANCREAS,,,1379.01,10188.81,15
CPT,48146,PANCREATECTOMY,,,1593.91,10188.81,15
CPT,48148,REMOVAL OF PANCREATIC DUCT,,,512.62,1250.61,15
CPT,48150,PARTIAL REMOVAL OF PANCREAS,,,2627.31,10188.81,15
CPT,48152,PANCREATECTOMY,,,2424.01,10188.81,15
CPT,48153,PANCREATECTOMY,,,2608.13,10188.81,15
CPT,48154,PANCREATECTOMY,,,2434.55,10188.81,15
CPT,48155,REMOVAL OF PANCREAS,,,1544.98,10188.81,15
CPT,48160,PANCREAS REMOVAL/TRANSPLANT,,,4203.99,10188.81,2
CPT,48400,INJECTION INTRAOP ADD-ON,,,88.22,218.61,15
CPT,48500,SURGERY OF PANCREATIC CYST,,,512.62,1242.38,15
CPT,48510,DRAIN PANCREATIC PSEUDOCYST,,,935.3,10188.81,15
CPT,48520,FUSE PANCREAS CYST AND BOWEL,,,512.62,1242.38,15
CPT,48540,FUSE PANCREAS CYST AND BOWEL,,,512.62,1304.87,15
CPT,48545,PANCREATORRHAPHY,,,512.62,1345.81,15
CPT,48547,DUODENAL EXCLUSION,,,512.62,1786.21,15
CPT,48548,FUSE PANCREAS AND BOWEL,,,512.62,1667.7,15
CPT,48550,DONOR PANCREATECTOMY,,,2768.57,2768.57,2
CPT,48552,PREP DONOR PANCREAS/VENOUS,,,194.52,483.57,15
CPT,48554,TRANSPL ALLOGRAFT PANCREAS,,,2274.35,5472.83,15
CPT,48556,REMOVAL ALLOGRAFT PANCREAS,,,512.62,1293.55,15
CPT,48999,SURG 48999 EGD W PANCREATIC NECROSECTOMY AND STENT DILATION,4090.0,3272.0,512.62,3681.0,38
CPT,48999,SURG 48999 UNLISTED PROCEDURE PANCREAS,1939.0,1551.2,512.62,1745.1,38
CPT,49000,SURG 49000 EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SEPARATE PROC,6074.0,4859.2,658.93,5628.59,36
CPT,49002,ED 49002 REOPEN LAPAROTOMY,4796.0,3836.8,885.75,5628.59,36
CPT,49010,EXPLORATION BEHIND ABDOMEN,,,784.71,5628.59,17
CPT,49013,PRPERTL PEL PACK HEMRRG TRMA,,,378.08,5628.59,15
CPT,49014,REEXPLORATION PELVIC WOUND,,,316.73,5628.59,15
CPT,49020,DRAINAGE ABDOM ABSCESS OPEN,,,1357.57,5628.59,15
CPT,49040,DRAIN OPEN ABDOM ABSCESS,,,858.99,18176.99,15
CPT,49060,DRAIN OPEN RETROPERI ABSCESS,,,943.9,5628.59,15
CPT,49062,DRAIN TO PERITONEAL CAVITY,,,657.54,5628.59,15
CPT,49082,ABD PARACENTESIS,1770.0,1416.0,72.57,1600.7,38
CPT,49082,ED 49082 ABD PARACENTESIS,1770.0,1416.0,72.57,1600.7,38
CPT,49082,SURG 49082 ABD PARACENTESIS WO IMAGING,1770.0,1416.0,72.57,1600.7,38
CPT,49082,TX RM 49082 ABD PARACENTESIS WO IMAGING,1770.0,1416.0,72.57,1600.7,38
CPT,49083,ABD PARACENTESIS WIMAGING,2768.0,2214.4,103.86,2491.2,38
CPT,49083,ED 49083 ABD PARACNTSIS WIMAG GUID,2768.0,2214.4,103.86,2491.2,38
CPT,49083,SURG 49083 ABD PARACENTESIS W IMAGING,2768.0,2214.4,103.86,2491.2,38
CPT,49084,ED 49084 PERITONEAL LAVAGE,2693.0,2154.4,105.52,2423.7,38
CPT,49084,PERITONEAL LAVAGE,2693.0,2154.4,105.52,2423.7,38
CPT,49180,SURG 49180 BIOPSY ABDOMEN RETRO PERC NDL,2648.0,2118.4,80.56,2862.91,38
CPT,49185,SURG 49185 SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,2584.0,2067.2,116.17,2862.91,38
CPT,49186,OPN EXC/DSTR NTRA-ABD 5 CM/<,,,1130.24,1249.22,9
CPT,49187,OPN EXC/DSTR NTRA-ABD 5.1-10,,,1431.95,1582.68,9
CPT,49188,OPN EXC/DST NTRA-ABD 10.1-20,,,1711.91,1892.12,9
CPT,49189,OPN EXC/DST NTRA-ABD 20.1-30,,,1989.15,2198.53,9
CPT,49190,OPN EXC/DSTR NTRA-ABD >30 CM,,,2453.73,2712.02,9
CPT,49203,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,49203,Therapy,,,1193.36,1193.36,4
CPT,49204,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,49204,Therapy,,,1520.24,1520.24,4
CPT,49205,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,49205,Therapy,,,1743.93,1743.93,4
CPT,49215,EXCISE SACRAL SPINE TUMOR,,,859.8,2211.29,15
CPT,49220,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,49250,EXCISION OF UMBILICUS,,,597.84,6109.19,17
CPT,49255,REMOVAL OF OMENTUM,,,686.7,5628.59,17
CPT,49320,DIAG LAPARO SEPARATE PROC,,,330.88,10188.81,17
CPT,49321,LAPAROSCOPY BIOPSY,,,345.86,10188.81,17
CPT,49322,LAPAROSCOPY ASPIRATION,,,376.15,10188.81,17
CPT,49323,LAPARO DRAIN LYMPHOCELE,,,640.78,10188.81,17
CPT,49324,LAP INSERT TUNNEL IP CATH,,,387.13,10188.81,17
CPT,49325,LAP REVISION PERM IP CATH,,,412.77,10188.81,17
CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,1.0,186.08,15
CPT,49327,LAP INS DEVICE FOR RT,,,1.0,128.49,15
CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,4203.99,10188.81,13
CPT,49400,SURG 49400 INJ AIR/CONTRAST PERITONEAL CAVITY SEPARATE PROC,1015.0,812.0,1.0,913.5,36
CPT,49402,REMOVE FOREIGN BODY ADBOMEN,,,854.82,6109.19,17
CPT,49405,SURG 49405 IMAGE-GUIDE FLUID COLLECTION DRAINAGE CATH VISC PERQ,3197.0,2557.6,188.74,2877.3,38
CPT,49406,SURG 49406 IMAGE-GUIDE FLUID COLLECTION DRAINAG CATH PERITON PERQ,3850.0,3080.0,188.74,3465.0,38
CPT,49407,SURG 49407 IMAGE FLUID COLLECTION DRAINAG CATH TRANSREC/VAGINAL,2667.0,2133.6,200.06,2862.91,38
CPT,49411,SURG 49411 INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,3173.0,2538.4,181.08,2855.7,38
CPT,49412,INS DEVICE FOR RT GUIDE OPEN,,,68.19,8783.1,15
CPT,49418,SURG 49418 PLCMNT PERITONEAL CATH TUN W/IMG GUID,8470.0,6776.0,194.73,7623.0,38
CPT,49419,SURG 49419 INS PERITONEAL PORT,8235.0,6588.0,415.43,9703.85,38
CPT,49419,SURG 49419 INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT,8235.0,6588.0,415.43,9703.85,38
CPT,49421,SURG 49421 PERITONEAL CATH INS PERM,10184.0,8147.2,224.02,9165.6,38
CPT,49422,SURG 49422 RMVL PERITONEAL TUN CATH,7720.0,6176.0,219.03,6948.0,38
CPT,49423,SURG 49423 ABCS DRAN CATH CHG,3862.0,3089.6,68.57,3475.8,38
CPT,49424,SURG 49424 CNTRST INJ ASSMT ABSCESS OR CYST  VIA DRG CATH TUBE,931.0,744.8,1.0,837.9,36
CPT,49425,INSERT ABDOMEN-VENOUS DRAIN,,,668.61,5628.59,15
CPT,49426,REVISE ABDOMEN-VENOUS SHUNT,,,673.41,6109.19,17
CPT,49427,SURG 49427 INJ PROC EVAL PREVIOUSLY PLACED PERITONEAL-VENOUS SHUNT,730.0,584.0,1.0,657.0,36
CPT,49428,LIGATION OF SHUNT,,,367.78,5628.59,15
CPT,49429,REMOVAL OF SHUNT,,,457.7,5628.59,17
CPT,49435,INSERT SUBQ EXTEN TO IP CATH,,,1.0,116.17,15
CPT,49436,EMBEDDED IP CATH EXIT-SITE,,,186.74,3360.07,17
CPT,49440,ED 49440 INSERT GASTRO TUBE PERCUT,3147.0,2517.6,197.39,3360.07,38
CPT,49440,SURG 49440 G-TUBE PLMT,3147.0,2517.6,197.39,3360.07,38
CPT,49441,SURG 49441 J TUBE PLMT PERC,3300.0,2640.0,235.34,3360.07,38
CPT,49442,PLACE CECOSTOMY TUBE PERC,,,201.72,2083.81,17
CPT,49446,SURG 49446 CONVERT G TO GJ TUBE,2907.0,2325.6,141.8,3360.07,38
CPT,49450,ED 49450 RPLC GASTRO TUBE PERCUTANEOUS,1767.0,1413.6,63.58,1600.7,38
CPT,49450,SURG 49450 G CECOSTOMY TUBE CHANGE,1767.0,1413.6,63.58,1600.7,38
CPT,49451,ED 49451 RPLC DUODEN/JEJUN TB FLUORO,1598.0,1278.4,85.88,1600.7,38
CPT,49451,SURG 49451 REPLACE DUOD/JEJ TUBE PERQ,1598.0,1278.4,85.88,1600.7,38
CPT,49452,SURG 49452 REPLACE G-J TUBE PERQ,2167.0,1733.6,132.15,1950.3,38
CPT,49460,ED 49460 MECH REML OBST G GJ J TBE,1486.0,1188.8,49.6,1600.7,38
CPT,49460,SURG 49460 MECH REML OBST G GJ J TBE,1486.0,1188.8,49.6,1600.7,38
CPT,49465,SURG 49465 INJ G J GJ TUBE,822.0,657.6,29.63,739.8,38
CPT,49491,RPR HERN PREEMIE REDUC,,,802.23,10188.81,17
CPT,49492,RPR ING HERN PREMIE BLOCKED,,,963.01,6109.19,17
CPT,49495,RPR ING HERNIA BABY REDUC,,,412.1,6109.19,17
CPT,49496,RPR ING HERNIA BABY BLOCKED,,,620.15,6109.19,17
CPT,49500,RPR ING HERNIA INIT REDUCE,,,420.75,13359.54,17
CPT,49501,RPR ING HERNIA INIT BLOCKED,,,610.83,6109.19,17
CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,526.61,6109.19,17
CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,591.52,6109.19,17
CPT,49520,REREPAIR ING HERNIA REDUCE,,,637.12,6109.19,17
CPT,49521,REREPAIR ING HERNIA BLOCKED,,,719.68,13359.54,17
CPT,49525,REPAIR ING HERNIA SLIDING,,,577.21,6109.19,17
CPT,49540,REPAIR LUMBAR HERNIA,,,674.4,10188.81,17
CPT,49550,RPR REM HERNIA INIT REDUCE,,,581.53,6109.19,17
CPT,49553,RPR FEM HERNIA INIT BLOCKED,,,635.79,6109.19,17
CPT,49555,REREPAIR FEM HERNIA REDUCE,,,608.5,6109.19,17
CPT,49557,REREPAIR FEM HERNIA BLOCKED,,,725.67,6109.19,17
CPT,49560,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49561,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49565,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49566,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49568,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49570,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49572,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49580,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49582,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49585,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49587,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49590,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,341.2,6109.19,17
CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,474.01,10188.81,17
CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,570.88,6551.74,17
CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,742.98,10188.81,17
CPT,49595,RPR AA HRN 1ST > 10 RDC,,,767.94,6551.74,17
CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,861.37,6109.19,15
CPT,49600,REPAIR UMBILICAL LESION,,,738.32,6109.19,17
CPT,49605,REPAIR UMBILICAL LESION,,,2520.7,6109.19,15
CPT,49606,REPAIR UMBILICAL LESION,,,962.52,6109.19,15
CPT,49610,REPAIR UMBILICAL LESION,,,596.21,6109.19,15
CPT,49611,REPAIR UMBILICAL LESION,,,526.98,6109.19,15
CPT,49613,RPR AA HRN RCR < 3 RDC,,,420.42,6109.19,17
CPT,49614,RPR AA HRN RCR < 3 NCR/STRN,,,569.22,10188.81,17
CPT,49615,RPR AA HRN RCR 3-10 RDC,,,636.46,6551.74,17
CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,720.12,6109.19,15
CPT,49617,RPR AA HRN RCR > 10 RDC,,,747.21,6109.19,15
CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,1043.66,6109.19,15
CPT,49621,RPR PARASTOMAL HERNIA RDC,,,635.7,6109.19,15
CPT,49622,RPR PARASTOMAL HRNA NCR/STRN,,,787.66,6109.19,15
CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,169.55,6109.19,15
CPT,49650,LAP ING HERNIA REPAIR INIT,,,436.73,10188.81,17
CPT,49651,LAP ING HERNIA REPAIR RECUR,,,569.88,10188.81,17
CPT,49652,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49653,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49654,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49655,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49656,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49657,Outpatient Services - CPT/HCPCS,,,2520.7,6109.19,2
CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,4203.99,10188.81,13
CPT,49900,REPAIR OF ABDOMINAL WALL,,,714.62,5628.59,15
CPT,49904,OMENTAL FLAP EXTRA-ABDOM,,,1185.88,5628.59,15
CPT,49905,OMENTAL FLAP INTRA-ABDOM,,,294.43,5628.59,15
CPT,49906,FREE OMENTAL FLAP MICROVASC,,,2322.4,5628.59,2
CPT,49999,ED 49999 TEMP PLACEMENT G TUBE WITH FOLEY CATH,699.0,559.2,194.11,1600.7,38
CPT,49999,SURG 49999 ABLAT ANT ABD WALL LESION,5547.0,4437.6,660.46,4992.3,38
CPT,49999,SURG 49999 ADJ TUN IP CATH WSUB PORT,5547.0,4437.6,660.46,4992.3,38
CPT,49999,SURG 49999 PERITONEAL CATH TPA INJECT,5547.0,4437.6,660.46,4992.3,38
CPT,50010,RENAL EXPLORATION,,,624.46,3596.7,15
CPT,50020,DRG PERIRNL/RENAL ABSC OPEN,,,1008.28,3596.7,17
CPT,50040,NFROS NFROT W/DRG,,,815.3,3596.7,15
CPT,50045,NEPHROTOMY W/EXPLORATION,,,821.37,3596.7,15
CPT,50060,NL REMOVAL CALCULUS,,,999.28,3596.7,15
CPT,50065,NL SEC SURG OPERJ CALCULUS,,,1058.74,3596.7,15
CPT,50070,NL COMP CGEN KDN ABNORMALITY,,,1038.72,3596.7,15
CPT,50075,NL RMVL LG STAGHORN CALCULUS,,,1274.62,3596.7,15
CPT,50080,PERQ NL/PL LITHOTRP SMPL<2CM,,,692.05,16267.4,17
CPT,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,1113.13,16267.4,17
CPT,50100,TRNSXJ/REPOS ABRRNT RNL VSLS,,,921.83,3596.7,15
CPT,50120,PYELOTOMY W/EXPLORATION,,,835.48,3596.7,15
CPT,50125,PYELOTOMY W/DRG PYELOSTOMY,,,864.33,3596.7,15
CPT,50130,PYELOTOMY W/REMOVAL CALCULUS,,,907.65,6155.96,15
CPT,50135,Outpatient Services - CPT/HCPCS,,,1484.03,3596.7,2
CPT,50135,Therapy,,,1109.47,1109.47,4
CPT,50200,SURG 50200 RENAL BX PERC NDLE TRO,3062.0,2449.6,123.83,2862.91,38
CPT,50205,RENAL BX SURG EXPOSURE KDN,,,647.09,3596.7,15
CPT,50220,REMOVE KIDNEY OPEN,,,919.25,3596.7,15
CPT,50225,REMOVAL KIDNEY OPEN COMPLEX,,,1039.95,3596.7,15
CPT,50230,REMOVAL KIDNEY OPEN RADICAL,,,1115.07,3596.7,15
CPT,50234,REMOVAL OF KIDNEY & URETER,,,1137.18,3596.7,15
CPT,50236,REMOVAL OF KIDNEY & URETER,,,1281.64,3007.25,15
CPT,50240,NEPHRECTOMY PARTIAL,,,1163.87,3596.7,15
CPT,50250,OPN ABLTJ 1/> RNL MAS CRYSRG,,,1067.53,3596.7,15
CPT,50280,EXC/UNROOFING CYST KIDNEY,,,832.78,3596.7,15
CPT,50290,EXCISION PERINEPHRIC CYST,,,792.04,3596.7,15
CPT,50300,REMOVE CADAVER DONOR KIDNEY,,,860.05,860.05,2
CPT,50320,REMOVE KIDNEY LIVING DONOR,,,1316.9,3178.82,15
CPT,50323,PREP CADAVER RENAL ALLOGRAFT,,,146.74,146.74,2
CPT,50325,PREP DONOR RENAL GRAFT,,,140.16,140.16,2
CPT,50327,PREP RENAL GRAFT/VENOUS,,,179.55,444.14,15
CPT,50328,PREP RENAL GRAFT/ARTERIAL,,,157.67,389.48,15
CPT,50329,PREP RENAL GRAFT/URETERAL,,,149.82,368.73,15
CPT,50340,RECIPIENT NEPHRECTOMY,,,831.34,3596.7,15
CPT,50360,RNL ALTRNSPLJ W/O RCP NFRCT,,,1484.03,3596.7,15
CPT,50365,RNL ALTRNSPLJ W/RCP NFRCT,,,2486.18,6038.72,15
CPT,50370,RMVL TRANSPLANTED RNL ALGRFT,,,1050.1,3596.7,15
CPT,50380,RNL AUTOTRNSPLJ RIMPLTJ KDN,,,1760.9,4256.65,15
CPT,50382,SURG 50382 RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,5958.0,4766.4,243.66,5362.2,38
CPT,50384,SURG 50384 REMVL URETRL STENT,5258.0,4206.4,220.03,4732.2,38
CPT,50385,SURG 50385 REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,5563.0,4450.4,210.04,5006.7,38
CPT,50386,SURG 50386 REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,3539.0,2831.2,159.45,3596.7,38
CPT,50387,SURG 50387 RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,3553.0,2842.4,80.56,3596.7,38
CPT,50389,SURG 50389 REMVL NEPH TUBE FLO,1800.0,1440.0,51.93,1620.0,38
CPT,50390,SURG 50390 RENAL CYST ASPIRATION,2011.0,1608.8,91.87,1809.9,38
CPT,50391,INSTLL RX AGNT INTO RNAL TUB,,,96.53,436.41,17
CPT,50395,Outpatient Services - CPT/HCPCS,,,2540.0,6155.96,2
CPT,50396,SURG 50396 NEPHRSTMY MANOMETRY,2410.0,1928.0,113.51,2169.0,38
CPT,50400,REVISION OF KIDNEY/URETER,,,1013.38,3596.7,15
CPT,50405,REVISION OF KIDNEY/URETER,,,1221.85,3596.7,15
CPT,50430,SURG 50430 INJ NEPHROSTOGRAM URETEROGRAM NEW ACCESS,1801.0,1440.8,149.79,1620.9,38
CPT,50431,SURG 50431 INJ NEPHROSTOGRAM URETEROGRAM EXIST ACCESS,1852.0,1481.6,64.91,1666.8,38
CPT,50432,SURG 50432 PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,6180.0,4944.0,198.39,5562.0,38
CPT,50433,SURG 50433 PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,6862.0,5489.6,246.33,6175.8,38
CPT,50434,SURG 50434 CONVERT NEPHROSTOMY CATHETER PERQ VIA EXIST,2974.0,2379.2,185.08,3596.7,38
CPT,50435,SURG 50435 EXCHANGE NEPHROSTOMY CATHETER PERQ W/IMG GUID RS&I,3850.0,3080.0,97.2,3596.7,38
CPT,50436,SURG 50436 DILAT EXIST TRACT PERC ENDOUROLOGIC PX INC IMAG GD,6191.0,4952.8,145.8,6155.96,38
CPT,50437,SURG 50437 DILAT EXIST TRACT PERC ENDOUROLOGIC PX INC IMAG GD NEW ACCESS,6191.0,4952.8,241.33,6155.96,38
CPT,50500,REPAIR OF KIDNEY WOUND,,,1092.82,2676.57,15
CPT,50520,CLOSE KIDNEY-SKIN FISTULA,,,986.82,2412.31,15
CPT,50525,CLOSE NEPHROVISCERAL FISTULA,,,1246.68,3054.99,15
CPT,50526,CLOSE NEPHROVISCERAL FISTULA,,,1333.75,3270.14,15
CPT,50540,REVISION OF HORSESHOE KIDNEY,,,1005.89,2359.04,15
CPT,50541,LAPARO ABLATE RENAL CYST,,,908.42,18176.99,17
CPT,50542,LAPARO ABLATE RENAL MASS,,,1149.08,18176.99,17
CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,1473.64,18176.99,17
CPT,50544,LAPAROSCOPY PYELOPLASTY,,,1225.31,18176.99,17
CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,1166.07,3596.7,15
CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,1052.6,3596.7,15
CPT,50547,LAPARO REMOVAL DONOR KIDNEY,,,1396.76,3596.7,15
CPT,50548,LAPARO REMOVE W/URETER,,,1171.34,3596.7,15
CPT,50549,UNLISTED LAPS PX RENAL,,,4203.99,10188.81,13
CPT,50551,KIDNEY ENDOSCOPY,,,288.27,9137.05,17
CPT,50553,SURG 50553 RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA,6398.0,5118.4,308.24,9137.05,38
CPT,50555,KIDNEY ENDOSCOPY & BIOPSY,,,334.54,16267.4,17
CPT,50557,KIDNEY ENDOSCOPY & TREATMENT,,,338.87,16267.4,17
CPT,50561,KIDNEY ENDOSCOPY & TREATMENT,,,387.13,9137.05,17
CPT,50562,RENAL SCOPE W/TUMOR RESECT,,,568.55,16267.4,17
CPT,50570,KIDNEY ENDOSCOPY,,,481.67,6155.96,17
CPT,50572,KIDNEY ENDOSCOPY,,,497.71,1206.26,17
CPT,50574,KIDNEY ENDOSCOPY & BIOPSY,,,552.91,6155.96,17
CPT,50575,KIDNEY ENDOSCOPY,,,698.04,9137.05,17
CPT,50576,KIDNEY ENDOSCOPY & TREATMENT,,,551.24,16267.4,17
CPT,50580,KIDNEY ENDOSCOPY & TREATMENT,,,594.18,9137.05,17
CPT,50590,FRAGMENTING OF KIDNEY STONE,,,570.88,6155.96,17
CPT,50592,SURG 50592 ABLATION RF RENAL TUMOR 1 OR MORE UNI,11518.0,9214.4,334.21,10366.2,38
CPT,50593,SURG 50593 CRYOABLATION RENAL TUMOR(S) UNILAT,14267.0,11413.6,445.72,18176.99,38
CPT,50600,EXPLORATION OF URETER,,,823.8,6155.96,15
CPT,50605,INSERT URETERAL SUPPORT,,,860.23,6155.96,15
CPT,50606,ENDOLUMINAL BX URTR RNL PLVS,,,1.0,474.1,15
CPT,50610,REMOVAL OF URETER STONE,,,830.06,6155.96,15
CPT,50620,REMOVAL OF URETER STONE,,,794.24,6155.96,15
CPT,50630,REMOVAL OF URETER STONE,,,784.78,6155.96,15
CPT,50650,REMOVAL OF URETER,,,911.24,6155.96,15
CPT,50660,REMOVAL OF URETER,,,1002.28,2351.43,15
CPT,50684,SURG 50684 INJ PROC URETEROGRAPHY/URETEROPYLOGRAPHY CATH,492.0,393.6,1.0,442.8,36
CPT,50686,MEASURE URETER PRESSURE,,,87.88,275.82,17
CPT,50688,SURG 50688 CHNG URTR STNT ILEAL CONDUIT,3561.0,2848.8,76.89,3596.7,38
CPT,50690,SURG 50690 LOOPOGRAM INJ,720.0,576.0,1.0,648.0,36
CPT,50693,SURG 50693 PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,6746.0,5396.8,197.39,6155.96,38
CPT,50694,SURG 50694 PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,6949.0,5559.2,257.65,6254.1,38
CPT,50695,SURG 50695 PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,6506.0,5204.8,330.54,6155.96,38
CPT,50700,REVISION OF URETER,,,815.6,3596.7,15
CPT,50705,SURG 50705 URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,5726.0,4580.8,1.0,5153.4,36
CPT,50706,SURG 50706 BALLOON DILATE URETERAL STRICTURE,5397.0,4317.6,1.0,4857.3,36
CPT,50715,RELEASE OF URETER,,,1046.52,6155.96,15
CPT,50722,RELEASE OF URETER,,,884.57,2118.98,15
CPT,50725,RELEASE/REVISE URETER,,,966.99,3596.7,15
CPT,50727,REVISE URETER,,,512.63,6155.96,17
CPT,50728,REVISE URETER,,,620.47,6155.96,15
CPT,50740,FUSION OF URETER & KIDNEY,,,1040.86,2547.9,15
CPT,50750,FUSION OF URETER & KIDNEY,,,1011.23,2371.49,15
CPT,50760,URETEROURETEROSTOMY,,,981.0,3596.7,15
CPT,50770,SPLICING OF URETERS,,,1011.23,2371.49,15
CPT,50780,REIMPLANT URETER IN BLADDER,,,970.4,6155.96,15
CPT,50782,REIMPLANT URETER IN BLADDER,,,943.67,2211.68,15
CPT,50783,REIMPLANT URETER IN BLADDER,,,988.48,2318.22,15
CPT,50785,REIMPLANT URETER IN BLADDER,,,1061.64,6155.96,15
CPT,50800,IMPLANT URETER IN BOWEL,,,813.29,1903.14,15
CPT,50810,FUSION OF URETER & BOWEL,,,1197.41,2924.93,15
CPT,50815,URINE SHUNT TO INTESTINE,,,1075.94,2520.92,15
CPT,50820,CONSTRUCT BOWEL BLADDER,,,1148.67,6155.96,15
CPT,50825,CONSTRUCT BOWEL BLADDER,,,1440.19,3379.44,15
CPT,50830,REVISE URINE FLOW,,,1573.41,3694.21,15
CPT,50840,REPLACE URETER BY BOWEL,,,1081.94,2534.06,15
CPT,50845,APPENDICO-VESICOSTOMY,,,1104.8,6155.96,15
CPT,50860,TRANSPLANT URETER TO SKIN,,,832.48,3596.7,15
CPT,50900,REPAIR OF URETER,,,743.88,1740.57,15
CPT,50920,CLOSURE URETER/SKIN FISTULA,,,777.44,1819.43,15
CPT,50930,CLOSURE URETER/BOWEL FISTULA,,,966.38,2264.95,15
CPT,50940,RELEASE OF URETER,,,782.47,1831.19,15
CPT,50945,LAPAROSCOPY URETEROLITHOTOMY,,,960.34,10188.81,17
CPT,50947,LAPARO NEW URETER/BLADDER,,,1368.12,18176.99,17
CPT,50948,LAPARO NEW URETER/BLADDER,,,1254.61,18176.99,17
CPT,50949,UNLISTED LAPS PX URETER,,,4203.99,10188.81,13
CPT,50951,ENDOSCOPY OF URETER,,,301.25,6155.96,17
CPT,50953,ENDOSCOPY OF URETER,,,320.23,6155.96,17
CPT,50955,URETER ENDOSCOPY & BIOPSY,,,345.52,9137.05,17
CPT,50957,URETER ENDOSCOPY & TREATMENT,,,347.19,9137.05,17
CPT,50961,URETER ENDOSCOPY & TREATMENT,,,311.24,9137.05,17
CPT,50970,URETER ENDOSCOPY,,,363.17,6155.96,17
CPT,50972,URETER ENDOSCOPY & CATHETER,,,350.52,6155.96,17
CPT,50974,URETER ENDOSCOPY & BIOPSY,,,463.36,9137.05,17
CPT,50976,URETER ENDOSCOPY & TREATMENT,,,457.04,9137.05,17
CPT,50980,URETER ENDOSCOPY & TREATMENT,,,348.85,9137.05,17
CPT,51020,CYSTOTOMY/CYSTOSTOMY W/FULG,,,471.35,6155.96,17
CPT,51030,Outpatient Services - CPT/HCPCS,,,2540.0,6155.96,4
CPT,51030,Therapy,,,474.68,474.68,4
CPT,51040,ED 51040 CYSTOSTOMY WDRN,5399.0,4319.2,292.93,4859.1,38
CPT,51045,INCISE BLADDER/DRAIN URETER,,,498.65,3596.7,17
CPT,51050,REMOVAL OF BLADDER STONE,,,472.02,9137.05,17
CPT,51060,REMOVAL OF URETER STONE,,,582.2,3596.7,17
CPT,51065,REMOVE URETER CALCULUS,,,579.54,6155.96,17
CPT,51080,DRAINAGE OF BLADDER ABSCESS,,,409.77,5017.59,17
CPT,51100,SURG 51100 BLADDER NEEDLE ASPIRATION,995.0,796.0,38.61,895.5,38
CPT,51101,ED 51101 DRN BLADDER BY TROCAR CATH,4040.0,3232.0,50.26,3636.0,38
CPT,51101,SURG 51101 DRAIN BLADDER BY TROCAR/CATH,4040.0,3232.0,50.26,3636.0,38
CPT,51102,ED 51102 DRN BLADDER WCATH INSERT,4858.0,3886.4,140.47,4372.2,38
CPT,51102,SURG 51102 ASP BLADDER W INSERT SUPR CATH,4858.0,3886.4,140.47,4372.2,38
CPT,51500,REMOVAL OF BLADDER CYST,,,635.46,10188.81,17
CPT,51520,REMOVAL OF BLADDER LESION,,,594.51,6155.96,17
CPT,51525,REMOVAL OF BLADDER LESION,,,755.19,6155.96,15
CPT,51530,REMOVAL OF BLADDER LESION,,,680.05,6155.96,15
CPT,51535,REPAIR OF URETER LESION,,,774.93,6155.96,17
CPT,51550,PARTIAL REMOVAL OF BLADDER,,,842.76,6155.96,15
CPT,51555,PARTIAL REMOVAL OF BLADDER,,,1102.82,6155.96,15
CPT,51565,REVISE BLADDER & URETER(S),,,1129.99,2648.9,15
CPT,51570,REMOVAL OF BLADDER,,,1284.6,6155.96,15
CPT,51575,REMOVAL OF BLADDER & NODES,,,1584.94,6155.96,15
CPT,51580,REMOVE BLADDER/REVISE TRACT,,,1656.57,3889.3,15
CPT,51585,REMOVAL OF BLADDER & NODES,,,1841.17,4323.06,15
CPT,51590,REMOVE BLADDER/REVISE TRACT,,,1683.05,6155.96,15
CPT,51595,REMOVE BLADDER/REVISE TRACT,,,1904.04,6155.96,15
CPT,51596,REMOVE BLADDER/CREATE POUCH,,,2054.88,4826.0,15
CPT,51597,REMOVAL OF PELVIC STRUCTURES,,,2000.24,4714.62,15
CPT,51600,ED 51600 INJ PROC FOR CYSTO URETHRO,865.0,692.0,1.0,778.5,36
CPT,51600,SURG 51600 CYSTOGRAPHY INJ,865.0,692.0,1.0,778.5,36
CPT,51605,PREPARATION FOR BLADDER XRAY,,,1.0,38.28,15
CPT,51610,SURG 51610 INJ RETROGRADE URETHROCSTOGRAPY,712.0,569.6,1.0,640.8,36
CPT,51700,ED 51700 BLADDER IRRIGATION,672.0,537.6,29.63,604.8,38
CPT,51700,TX RM 51700 BLADDER IRRIGATION SIMPLE,672.0,537.6,29.63,604.8,38
CPT,51701,ED 51701 INSERT NON-INDWELLING BLADDER CATH,555.0,444.0,25.3,499.5,38
CPT,51701,SURG 51701 INSERT NON-NDWELLG BLADDER CATHETER,555.0,444.0,25.3,499.5,38
CPT,51701,TX RM 51701 CATH BLADDER NON-INDWELLING,555.0,444.0,25.3,499.5,38
CPT,51702,ED 51702 INSERT BLADDER CATH TEMP SMPL,559.0,447.2,24.97,503.1,38
CPT,51702,SURG 51702 INSERT TEMP NDWELLG BLADDER CATHETER SIMPLE,559.0,447.2,24.97,503.1,38
CPT,51702,TX RM 51702 INSERT TEMP INDEWELLING CATH/SIMPLE,559.0,447.2,24.97,503.1,38
CPT,51703,ED 51703 INSERT BLADDER CATH TEMP CMPLX,691.0,552.8,75.23,621.9,38
CPT,51703,SURG 51703 FOLEY CATH COMPLICATED,691.0,552.8,75.23,621.9,38
CPT,51703,TX RM 51703 INSERT BLADDER CATH COMPLEX,691.0,552.8,75.23,621.9,38
CPT,51705,ED 51705 CHANGE CYSTOSTOMY TUBE SMPL,840.0,672.0,51.26,756.0,38
CPT,51705,SURG 51705 CHANGE CYSTOSTOMY TUBE SIMPLE,840.0,672.0,51.26,756.0,38
CPT,51705,TX RM 51705 CHANGE OF BLADDER TUBE,840.0,672.0,51.26,756.0,38
CPT,51710,ED 51710 CHANGE CYSTOSTOMY TUBE COMPL,1668.0,1334.4,79.56,1501.2,38
CPT,51710,SURG 51710 CHG CYSTSTMY TUBE COMP,1668.0,1334.4,79.56,1501.2,38
CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,,,197.06,6155.96,17
CPT,51720,TREATMENT OF BLADDER LESION,,,42.94,1206.26,17
CPT,51721,INS TRURL ABLT TRNSDC THR US,,,489.85,541.42,9
CPT,51725,SIMPLE CYSTOMETROGRAM,,,180.07,436.41,17
CPT,51726,COMPLEX CYSTOMETROGRAM,,,180.07,436.41,17
CPT,51727,CYSTOMETROGRAM W/UP,,,365.5,1206.26,17
CPT,51728,CYSTOMETROGRAM W/VP,,,363.17,1206.26,17
CPT,51729,CYSTOMETROGRAM W/VP&UP,,,383.14,1206.26,17
CPT,51736,URINE FLOW MEASUREMENT,,,13.65,225.57,17
CPT,51741,ELECTRO-UROFLOWMETRY FIRST,,,14.31,554.25,17
CPT,51784,ANAL/URINARY MUSCLE STUDY,,,64.24,275.82,17
CPT,51785,ANAL/URINARY MUSCLE STUDY,,,180.07,436.73,17
CPT,51792,URINARY REFLEX STUDY,,,44.57,273.62,17
CPT,51797,INTRAABDOMINAL PRESSURE TEST,,,1.0,188.74,15
CPT,51798,ED 51798 BLADDER SCAN,234.0,187.2,11.32,210.6,38
CPT,51800,REVISION OF BLADDER/URETHRA,,,912.38,6155.96,15
CPT,51820,REVISION OF URINARY TRACT,,,954.61,2235.21,15
CPT,51840,ATTACH BLADDER/URETHRA,,,612.42,6155.96,17
CPT,51841,ATTACH BLADDER/URETHRA,,,710.78,6155.96,15
CPT,51845,REPAIR BLADDER NECK,,,580.87,8783.1,17
CPT,51860,REPAIR OF BLADDER WOUND,,,743.64,16267.4,17
CPT,51865,REPAIR OF BLADDER WOUND,,,784.63,6155.96,15
CPT,51880,REPAIR OF BLADDER OPENING,,,466.03,6155.96,17
CPT,51900,REPAIR BLADDER/VAGINA LESION,,,728.28,5520.65,15
CPT,51920,CLOSE BLADDER-UTERUS FISTULA,,,675.51,1578.69,15
CPT,51925,HYSTERECTOMY/BLADDER REPAIR,,,937.03,2242.82,15
CPT,51940,CORRECTION OF BLADDER DEFECT,,,1433.74,3366.3,15
CPT,51960,REVISION OF BLADDER & BOWEL,,,1213.96,6155.96,15
CPT,51980,CONSTRUCT BLADDER OPENING,,,631.2,6155.96,15
CPT,51990,LAPARO URETHRAL SUSPENSION,,,739.65,10188.81,17
CPT,51992,LAPARO SLING OPERATION,,,834.18,10188.81,17
CPT,51999,UNLISTED LAPS PX BLADDER,,,4203.99,10188.81,13
CPT,52000,ED 52000 CYSTOURETHROSCOPY,2042.0,1633.6,79.22,1837.8,38
CPT,52001,ED 52001 CYSTOURETHROSCOPY W/ IRR EVAC CLOTS,2674.0,2139.2,281.95,6155.96,38
CPT,52005,ED 52005 CYSTO BLADDER W/URETERAL CATHETERIZATION,3451.0,2760.8,131.49,3596.7,38
CPT,52007,CYSTO URTRL CATHJ BRUSH BX,,,163.77,6155.96,17
CPT,52010,CYSTOSCOPY & DUCT CATHETER,,,162.78,1206.26,17
CPT,52204,CYSTOSCOPY W/BIOPSY(S),,,139.47,3596.7,17
CPT,52214,CYSTOSCOPY AND TREATMENT,,,171.43,6155.96,17
CPT,52224,CYSTOSCOPY AND TREATMENT,,,198.39,6155.96,17
CPT,52234,CYSTOSCOPY AND TREATMENT,,,241.33,6155.96,17
CPT,52235,CYSTOSCOPY AND TREATMENT,,,283.28,6155.96,17
CPT,52240,CYSTOSCOPY AND TREATMENT,,,384.47,9137.05,17
CPT,52250,CYSTOSCOPY AND RADIOTRACER,,,234.68,6155.96,17
CPT,52260,CYSTOSCOPY AND TREATMENT,,,207.05,3596.7,17
CPT,52265,CYSTOSCOPY AND TREATMENT,,,160.11,3596.7,17
CPT,52270,CYSTOSCOPY & REVISE URETHRA,,,178.42,3596.7,17
CPT,52275,CYSTOSCOPY & REVISE URETHRA,,,243.66,3596.7,17
CPT,52276,CYSTOSCOPY AND TREATMENT,,,259.31,3596.7,17
CPT,52277,CYSTOSCOPY AND TREATMENT,,,316.9,6155.96,17
CPT,52281,ED 52281 CYSTE WCLIB DIL URTH STEN,4311.0,3448.8,149.79,3879.9,38
CPT,52282,CYSTOSCOPY IMPLANT STENT,,,330.88,6155.96,17
CPT,52283,CYSTOSCOPY AND TREATMENT,,,198.06,3596.7,17
CPT,52284,CYSTO RX BALO CATH URTL STRX,,,161.78,9137.05,15
CPT,52285,CYSTOSCOPY AND TREATMENT,,,193.07,1206.26,17
CPT,52287,CYSTOSCOPY CHEMODENERVATION,,,166.1,3596.7,17
CPT,52290,CYSTOSCOPY AND TREATMENT,,,239.0,3596.7,17
CPT,52300,CYSTOSCOPY AND TREATMENT,,,274.62,6155.96,17
CPT,52301,CYSTOSCOPY AND TREATMENT,,,284.61,6155.96,17
CPT,52305,CYSTOSCOPY AND TREATMENT,,,272.62,9137.05,17
CPT,52310,ED 52310 CYSTOURCOPY WREMV FB SMPL,3872.0,3097.6,149.13,3596.7,38
CPT,52315,ED 52315 CYSTOURETHROSCOPY WREMVL FB CALCULUS URETERAL STENT CMPL,6200.0,4960.0,269.3,5580.0,38
CPT,52317,REMOVE BLADDER STONE,,,339.53,6155.96,17
CPT,52318,REMOVE BLADDER STONE,,,464.03,6155.96,17
CPT,52320,CYSTOSCOPY AND TREATMENT,,,241.33,6155.96,17
CPT,52325,CYSTOSCOPY STONE REMOVAL,,,313.57,9137.05,17
CPT,52327,CYSTOSCOPY INJECT MATERIAL,,,253.65,9137.05,17
CPT,52330,CYSTOSCOPY AND TREATMENT,,,258.31,6155.96,17
CPT,52332,SURG 52332 CYSTOSCOPY W INSERT URETERAL STENT,5411.0,4328.8,153.12,6155.96,38
CPT,52334,CREATE PASSAGE TO KIDNEY,,,179.42,6155.96,17
CPT,52341,CYSTO W/URETER STRICTURE TX,,,278.95,6155.96,17
CPT,52342,CYSTO W/UP STRICTURE TX,,,303.58,6155.96,17
CPT,52343,CYSTO W/RENAL STRICTURE TX,,,337.2,6155.96,17
CPT,52344,CYSTO/URETERO STRICTURE TX,,,362.5,6155.96,17
CPT,52345,CYSTO/URETERO W/UP STRICTURE,,,386.8,6155.96,17
CPT,52346,CYSTOURETERO W/RENAL STRICT,,,437.4,9137.05,17
CPT,52351,CYSTOURETERO & OR PYELOSCOPE,,,297.26,6155.96,17
CPT,52352,CYSTOURETERO W/STONE REMOVE,,,347.19,6155.96,17
CPT,52353,CYSTOURETERO W/LITHOTRIPSY,,,384.14,9137.05,17
CPT,52354,CYSTOURETERO W/BIOPSY,,,408.77,9137.05,17
CPT,52355,CYSTOURETERO W/EXCISE TUMOR,,,458.04,9137.05,17
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,407.44,9137.05,17
CPT,52400,CYSTO CGEN POST URTL VALVES,,,473.68,6155.96,17
CPT,52402,CYSTO TRURL RESCJ EJACUL DUX,,,259.98,6155.96,17
CPT,52441,CYSTO INSJ TRNSPRSTC 1 IMPLT,,,205.72,3596.7,15
CPT,52442,CYSTO INS TRNSPRSTC IMPLT EA,,,49.6,6155.96,15
CPT,52450,TRANSURETHRAL INC PROSTATE,,,475.35,6155.96,17
CPT,52500,TRURL RESECTION BLADDER NECK,,,493.32,6155.96,17
CPT,52601,PROSTATECTOMY (TURP),,,723.34,9137.05,17
CPT,52630,REMOVE PROSTATE REGROWTH,,,406.11,9137.05,17
CPT,52640,RELIEVE BLADDER CONTRACTURE,,,324.22,6155.96,17
CPT,52647,Outpatient Services,,,4829.44,5337.8,9
CPT,52647,Outpatient Services - CPT/HCPCS,,,3770.02,9137.05,4
CPT,52647,Therapy,,,647.44,647.44,4
CPT,52648,LASER SURGERY OF PROSTATE,,,689.72,9137.05,17
CPT,52649,PROSTATE LASER ENUCLEATION,,,820.2,9137.05,17
CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,442.39,6155.96,17
CPT,53000,INCISION OF URETHRA,,,148.8,3596.7,17
CPT,53010,INCISION OF URETHRA,,,298.92,9137.05,17
CPT,53020,ED 53020 MEATOTOMY EXCEPT INFANT,4977.0,3981.6,95.54,4479.3,38
CPT,53025,INCISION OF URETHRA,,,68.24,3596.7,17
CPT,53040,DRAINAGE OF URETHRA ABSCESS,,,392.46,6155.96,17
CPT,53060,DRAINAGE OF URETHRA ABSCESS,,,166.44,3596.7,17
CPT,53080,DRAINAGE OF URINARY LEAKAGE,,,421.42,1206.26,17
CPT,53085,DRAINAGE OF URINARY LEAKAGE,,,646.11,3596.7,17
CPT,53200,BIOPSY OF URETHRA,,,140.81,3596.7,17
CPT,53210,REMOVAL OF URETHRA,,,772.27,6155.96,17
CPT,53215,REMOVAL OF URETHRA,,,918.74,9137.05,17
CPT,53220,TREATMENT OF URETHRA LESION,,,452.04,6155.96,17
CPT,53230,REMOVAL OF URETHRA LESION,,,609.16,9137.05,17
CPT,53235,REMOVAL OF URETHRA LESION,,,632.46,9137.05,17
CPT,53240,SURGERY FOR URETHRA POUCH,,,425.41,6155.96,17
CPT,53250,REMOVAL OF URETHRA GLAND,,,396.79,6155.96,17
CPT,53260,TREATMENT OF URETHRA LESION,,,181.42,6155.96,17
CPT,53265,TREATMENT OF URETHRA LESION,,,188.74,3596.7,17
CPT,53270,REMOVAL OF URETHRA GLAND,,,184.75,6155.96,17
CPT,53275,REPAIR OF URETHRA DEFECT,,,261.97,6155.96,17
CPT,53400,REVISE URETHRA STAGE 1,,,795.57,9137.05,17
CPT,53405,REVISE URETHRA STAGE 2,,,867.14,9137.05,17
CPT,53410,RECONSTRUCTION OF URETHRA,,,972.0,9137.05,17
CPT,53415,RECONSTRUCTION OF URETHRA,,,991.05,9137.05,15
CPT,53420,RECONSTRUCT URETHRA STAGE 1,,,834.52,9137.05,17
CPT,53425,RECONSTRUCT URETHRA STAGE 2,,,928.06,9137.05,17
CPT,53430,RECONSTRUCTION OF URETHRA,,,968.0,9137.05,17
CPT,53431,RECONSTRUCT URETHRA/BLADDER,,,1141.1,9137.05,17
CPT,53440,MALE SLING PROCEDURE,,,748.97,22667.73,17
CPT,53442,REMOVE/REVISE MALE SLING,,,783.25,9137.05,17
CPT,53444,INSERT TANDEM CUFF,,,788.58,35620.03,17
CPT,53445,INSERT URO/VES NCK SPHINCTER,,,754.29,35620.03,17
CPT,53446,REMOVE URO SPHINCTER,,,641.12,9137.05,17
CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,801.56,35620.03,17
CPT,53448,REMOV/REPLC UR SPHINCTR COMP,,,1119.38,9137.05,15
CPT,53449,REPAIR URO SPHINCTER,,,611.16,16267.4,17
CPT,53450,REVISION OF URETHRA,,,409.44,6155.96,17
CPT,53451,TPRNL BALO CNTNC DEV BI,,,9352.89,22667.73,13
CPT,53452,TPRNL BALO CNTNC DEV UNI,,,6712.06,16267.4,13
CPT,53453,TPRNL BALO CNTNC DEV RMVL EA,,,2540.0,6155.96,13
CPT,53454,TPRNL BALO CNTNC DEV ADJMT,,,180.07,436.41,13
CPT,53460,REVISION OF URETHRA,,,458.04,6155.96,17
CPT,53500,URETHRLYS TRANSVAG W/ SCOPE,,,746.31,6155.96,17
CPT,53502,REPAIR OF URETHRA INJURY,,,486.33,6155.96,17
CPT,53505,REPAIR OF URETHRA INJURY,,,486.0,9137.05,17
CPT,53510,REPAIR OF URETHRA INJURY,,,630.8,9137.05,17
CPT,53515,REPAIR OF URETHRA INJURY,,,790.25,9137.05,17
CPT,53520,REPAIR OF URETHRA DEFECT,,,558.9,9137.05,17
CPT,53600,ED 53600 DILATION URETHRA MALE,778.0,622.4,62.58,700.2,38
CPT,53601,DILATE URETHRA STRICTURE,,,52.59,225.57,17
CPT,53605,ED 53605 DILATION URETHRA STRICTURE,3013.0,2410.4,62.91,6155.96,38
CPT,53620,ED 53620 DLTION URTHRA STR WFILFRM,3278.0,2622.4,85.88,2950.2,38
CPT,53620,TX RM 53620 DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST,3278.0,2622.4,85.88,2950.2,38
CPT,53621,DILATE URETHRA STRICTURE,,,70.9,436.41,17
CPT,53660,SURG 53660 DIL FEMALE URETHRA W SUPPOS & OR INSTILLATION INIT,278.0,222.4,41.28,275.82,38
CPT,53661,DILATION OF URETHRA,,,39.94,225.57,17
CPT,53665,TX RM 53665 DILATION OF URETHRA UNDER ANES,3589.0,2871.2,37.28,3596.7,38
CPT,53850,PROSTATIC MICROWAVE THERMOTX,,,356.84,6155.96,17
CPT,53852,PROSTATIC RF THERMOTX,,,382.14,6155.96,17
CPT,53854,TRURL DSTRJ PRST8 TISS RF WV,,,382.14,6155.96,17
CPT,53855,INSERT PROST URETHRAL STENT,,,80.56,3596.7,17
CPT,53860,TRANSURETHRAL RF TREATMENT,,,221.69,3596.7,15
CPT,53865,CYSTO INSJ DEV ISCHMC RMDLG,,,8784.79,9709.51,9
CPT,53866,CATHJ RMVL DEV ISCHMC RMDLG,,,231.05,255.37,9
CPT,53899,ED 53899 UNLISTED PROC URINARY SYSTEM,2737.0,2189.6,180.07,2463.3,38
CPT,53899,SURG 53899 CONVERSION NEPHRO TUBE TO RETROGRADE ILEAL CONDUIT URETERAL CATH,2686.0,2148.8,180.07,2417.4,38
CPT,53899,SURG 53899 UNLISTED PROCEDURE URINARY SYSTEM,2316.0,1852.8,180.07,2084.4,38
CPT,54000,SLITTING OF PREPUCE,,,111.51,6155.96,17
CPT,54001,ED 54001 SLITTING OF PREPUCE,3573.0,2858.4,140.81,3596.7,38
CPT,54015,I&D PENIS DEEP,,,303.58,2862.91,17
CPT,54050,DESTRUCTION PENIS LESION(S),,,107.52,704.12,17
CPT,54055,DESTRUCTION PENIS LESION(S),,,96.53,3220.2,17
CPT,54056,CRYOSURGERY PENIS LESION(S),,,112.51,353.51,17
CPT,54057,LASER SURG PENIS LESION(S),,,98.53,3220.2,17
CPT,54060,EXCISION OF PENIS LESION(S),,,132.15,3220.2,17
CPT,54065,DESTRUCTION PENIS LESION(S),,,172.1,3220.2,17
CPT,54100,BIOPSY OF PENIS,,,120.83,2862.91,17
CPT,54105,BIOPSY OF PENIS,,,212.71,5017.59,17
CPT,54110,TREATMENT OF PENIS LESION,,,622.48,6155.96,17
CPT,54111,TREAT PENIS LESION GRAFT,,,793.91,9137.05,17
CPT,54112,TREAT PENIS LESION GRAFT,,,930.39,16267.4,17
CPT,54115,TREATMENT OF PENIS LESION,,,427.74,5017.59,17
CPT,54120,PARTIAL REMOVAL OF PENIS,,,631.13,6155.96,17
CPT,54125,REMOVAL OF PENIS,,,729.07,6155.96,15
CPT,54130,REMOVE PENIS & NODES,,,1048.13,6155.96,15
CPT,54135,REMOVE PENIS & NODES,,,1321.74,3102.03,15
CPT,54150,ED 54150 CIRCUMCISION WITH REG BLOCK,2718.0,2174.4,94.87,3596.7,38
CPT,54150,TX RM 54150 CIRCUMCISION W REGIONL BLOCK,2718.0,2174.4,94.87,3596.7,38
CPT,54160,CIRCUMCISION NEONATE,,,145.13,1206.26,17
CPT,54161,CIRCUM 28 DAYS OR OLDER,,,197.06,3596.7,17
CPT,54162,SURG 54162 PENILE LYSIS SKIN BRIDGE,4824.0,3859.2,200.39,4341.6,38
CPT,54163,ED 54163 REPAIR OF CIRCUMCISION,4532.0,3625.6,220.03,4078.8,38
CPT,54164,FRENULOTOMY OF PENIS,,,195.4,3596.7,17
CPT,54200,INJECTION PX PEYRONIE DS,,,87.88,436.41,17
CPT,54205,NJX PX PEYRONIE DS EXPS PLAQ,,,532.27,9137.05,17
CPT,54220,ED 54220 CORPORA CAVERNOSA,745.0,596.0,133.82,670.5,38
CPT,54230,SURG 54230 INJ CORPORA CAV,215.0,172.0,1.0,193.5,36
CPT,54231,DYNAMIC CAVERNOSOMETRY,,,114.84,436.41,17
CPT,54235,ED 54235 PENILE INJECTION,658.0,526.4,73.57,592.2,38
CPT,54240,PENILE PLETHYSMOGRAPHY,,,107.19,554.25,17
CPT,54250,NCTRNL PEN TMSCN&/RGDITY TST,,,120.83,436.41,17
CPT,54300,REVISION OF PENIS,,,643.11,6155.96,17
CPT,54304,REVISION OF PENIS,,,743.64,6155.96,17
CPT,54308,RECONSTRUCTION OF URETHRA,,,713.02,9137.05,17
CPT,54312,RECONSTRUCTION OF URETHRA,,,813.88,6155.96,17
CPT,54316,RECONSTRUCTION OF URETHRA,,,986.31,16267.4,17
CPT,54318,RECONSTRUCTION OF URETHRA,,,709.36,6155.96,17
CPT,54322,RECONSTRUCTION OF URETHRA,,,776.26,6155.96,17
CPT,54324,RECONSTRUCTION OF URETHRA,,,960.68,6155.96,17
CPT,54326,RECONSTRUCTION OF URETHRA,,,935.38,6155.96,17
CPT,54328,REVISE PENIS/URETHRA,,,929.39,6155.96,17
CPT,54332,REVISE PENIS/URETHRA,,,1001.62,6155.96,17
CPT,54336,REVISE PENIS/URETHRA,,,1177.38,6155.96,17
CPT,54340,RPR HYPSPAD COMP SIMPLE,,,568.88,6155.96,17
CPT,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,937.38,16267.4,17
CPT,54348,RPR HYPSPAD COMP DSJ & URTP,,,1001.95,9137.05,17
CPT,54352,REVJ PRIOR HYPSPAD REPAIR,,,1398.41,9137.05,17
CPT,54360,PENIS PLASTIC SURGERY,,,717.68,6155.96,17
CPT,54380,REPAIR PENIS,,,794.91,3596.7,17
CPT,54385,REPAIR PENIS,,,925.06,3596.7,17
CPT,54390,REPAIR PENIS AND BLADDER,,,1089.79,6155.96,15
CPT,54400,INSERT SEMI-RIGID PROSTHESIS,,,531.27,22667.73,17
CPT,54401,INSERT SELF-CONTD PROSTHESIS,,,666.08,35620.03,17
CPT,54405,INSERT MULTI-COMP PENIS PROS,,,802.89,35620.03,17
CPT,54406,REMOVE MUTI-COMP PENIS PROS,,,728.33,6155.96,17
CPT,54408,REPAIR MULTI-COMP PENIS PROS,,,787.58,9137.05,17
CPT,54410,REMOVE/REPLACE PENIS PROSTH,,,859.15,35620.03,17
CPT,54411,REMOV/REPLC PENIS PROS COMP,,,1021.93,35620.03,17
CPT,54415,REMOVE SELF-CONTD PENIS PROS,,,532.6,6155.96,17
CPT,54416,REMV/REPL PENIS CONTAIN PROS,,,716.35,35620.03,17
CPT,54417,REMV/REPLC PENIS PROS COMPL,,,893.44,22667.73,17
CPT,54420,ED 54420 SHUNT CORP CAV SAPH,5531.0,4424.8,699.7,6155.96,38
CPT,54430,REVISION OF PENIS,,,180.07,637.12,15
CPT,54435,REVISION OF PENIS,,,415.1,6155.96,17
CPT,54437,REPAIR CORPOREAL TEAR,,,677.73,6155.96,17
CPT,54438,Outpatient Services - CPT/HCPCS,,,2749.91,2749.91,2
CPT,54438,Therapy,,,1323.18,1323.18,4
CPT,54440,REPAIR OF PENIS,,,2540.0,6155.96,13
CPT,54450,ED 54450 PREPUTIAL STRETCHING,932.0,745.6,56.26,838.8,38
CPT,54500,BIOPSY OF TESTIS,,,73.9,5017.59,17
CPT,54505,BIOPSY OF TESTIS,,,209.05,6155.96,17
CPT,54512,EXCISE LESION TESTIS,,,536.93,6155.96,17
CPT,54520,REMOVAL OF TESTIS,,,329.21,6155.96,17
CPT,54522,ORCHIECTOMY PARTIAL,,,585.86,6155.96,17
CPT,54530,REMOVAL OF TESTIS,,,509.3,6109.19,17
CPT,54535,EXTENSIVE TESTIS SURGERY,,,740.98,6155.96,17
CPT,54550,EXPLORATION FOR TESTIS,,,491.66,6109.19,17
CPT,54560,EXPLORATION FOR TESTIS,,,684.72,3596.7,17
CPT,54600,REDUCE TESTIS TORSION,,,453.38,6155.96,17
CPT,54620,SUSPENSION OF TESTIS,,,297.26,6155.96,17
CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,430.07,6109.19,17
CPT,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,710.36,6109.19,17
CPT,54660,REVISION OF TESTIS,,,359.84,9137.05,17
CPT,54670,REPAIR TESTIS INJURY,,,410.1,6155.96,17
CPT,54680,RELOCATION OF TESTIS(ES),,,782.92,6155.96,17
CPT,54690,LAPAROSCOPY ORCHIECTOMY,,,652.44,10188.81,17
CPT,54692,LAPAROSCOPY ORCHIOPEXY,,,750.3,10188.81,17
CPT,54699,UNLISTED LAPS PX TESTIS,,,4203.99,10188.81,13
CPT,54700,ED 54700 I&D EPIDIDYMIS TESTIS,3845.0,3076.0,213.37,3596.7,38
CPT,54800,BIOPSY OF EPIDIDYMIS,,,124.16,2862.91,17
CPT,54830,REMOVE EPIDIDYMIS LESION,,,373.82,6155.96,17
CPT,54840,REMOVE EPIDIDYMIS LESION,,,322.89,3596.7,17
CPT,54860,REMOVAL OF EPIDIDYMIS,,,419.76,6155.96,17
CPT,54861,REMOVAL OF EPIDIDYMIS,,,568.22,6155.96,17
CPT,54865,EXPLORE EPIDIDYMIS,,,361.5,6155.96,17
CPT,54900,FUSION OF SPERMATIC DUCTS,,,795.9,3596.7,17
CPT,54901,FUSION OF SPERMATIC DUCTS,,,1049.55,6155.96,17
CPT,55000,SURG 55000 PUNCTURE ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,1108.0,886.4,84.22,1242.38,38
CPT,55040,REMOVAL OF HYDROCELE,,,339.87,6109.19,17
CPT,55041,REMOVAL OF HYDROCELES,,,512.29,6109.19,17
CPT,55060,REPAIR OF HYDROCELE,,,380.81,6155.96,17
CPT,55100,ED 55100 DRN SCROTUM ABSCESS,2756.0,2204.8,168.77,2862.91,38
CPT,55100,TX RM 55100 DRAIN ABSCESS SCROTAL WALL,2756.0,2204.8,168.77,2862.91,38
CPT,55110,EXPLORE SCROTUM,,,389.13,6155.96,17
CPT,55120,ED 55120 REMVL FB IN SCROTUM,5705.0,4564.0,356.84,5134.5,38
CPT,55150,REMOVAL OF SCROTUM,,,493.65,6155.96,17
CPT,55175,REVISION OF SCROTUM,,,366.16,6155.96,17
CPT,55180,REVISION OF SCROTUM,,,687.05,9137.05,17
CPT,55200,INCISION OF SPERM DUCT,,,278.28,6155.96,17
CPT,55250,REMOVAL OF SPERM DUCT(S),,,230.68,3596.7,17
CPT,55300,PREPARE SPERM DUCT X-RAY,,,1.0,183.41,15
CPT,55400,REPAIR OF SPERM DUCT,,,499.65,6155.96,15
CPT,55500,REMOVAL OF HYDROCELE,,,393.13,6155.96,17
CPT,55520,REMOVAL OF SPERM CORD LESION,,,462.03,6155.96,17
CPT,55530,REVISE SPERMATIC CORD VEINS,,,353.18,6155.96,17
CPT,55535,REVISE SPERMATIC CORD VEINS,,,431.07,13359.54,17
CPT,55540,REVISE HERNIA & SPERM VEINS,,,558.9,6109.19,17
CPT,55550,LAPARO LIGATE SPERMATIC VEIN,,,430.41,10188.81,17
CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,4203.99,10188.81,13
CPT,55600,VESICULOTOMY,,,422.75,3596.7,17
CPT,55605,VESICULOTOMY COMPLICATED,,,180.07,524.61,15
CPT,55650,REMOVE SPERM DUCT POUCH,,,180.07,715.35,15
CPT,55680,REMOVE SPERM POUCH LESION,,,348.19,6155.96,17
CPT,55700,Outpatient Services,,,1946.08,2150.94,9
CPT,55700,Outpatient Services - CPT/HCPCS,,,1484.03,3596.7,4
CPT,55700,Therapy,,,128.49,128.49,4
CPT,55705,BX PRST8 ANY APPROACH NONIMG,,,263.64,6155.96,17
CPT,55706,BX PRST8 NDL SAT SAMPLING,,,374.82,6155.96,17
CPT,55714,SURG 55714 BX PROSTATE INBORE CT MRI TRGT LES ONLY 1ST,8215.0,6572.0,2281.31,7393.5,27
CPT,55720,DRAINAGE OF PROSTATE ABSCESS,,,452.04,6155.96,17
CPT,55725,DRAINAGE OF PROSTATE ABSCESS,,,595.51,6155.96,17
CPT,55801,REMOVAL OF PROSTATE,,,963.45,6155.96,15
CPT,55810,EXTENSIVE PROSTATE SURGERY,,,1144.95,6155.96,15
CPT,55812,EXTENSIVE PROSTATE SURGERY,,,1406.75,3301.27,15
CPT,55815,EXTENSIVE PROSTATE SURGERY,,,1539.24,6155.96,15
CPT,55821,REMOVAL OF PROSTATE,,,738.51,6155.96,15
CPT,55831,REMOVAL OF PROSTATE,,,756.85,6155.96,15
CPT,55840,EXTENSIVE PROSTATE SURGERY,,,1027.42,6155.96,15
CPT,55842,EXTENSIVE PROSTATE SURGERY,,,1026.1,6155.96,15
CPT,55845,EXTENSIVE PROSTATE SURGERY,,,1192.3,6155.96,15
CPT,55860,SURGICAL EXPOSURE PROSTATE,,,867.81,9137.05,17
CPT,55862,EXTENSIVE PROSTATE SURGERY,,,961.84,2254.58,15
CPT,55865,EXTENSIVE PROSTATE SURGERY,,,1170.42,2743.68,15
CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,1182.7,18176.99,17
CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,1038.9,18176.99,15
CPT,55870,ELECTROEJACULATION,,,140.47,1419.6,17
CPT,55873,CRYOABLATE PROSTATE,,,760.29,16267.4,17
CPT,55874,TPRNL PLMT BIODEGRDABL MATRL,,,162.11,9137.05,17
CPT,55875,TRANSPERI NEEDLE PLACE PROS,,,775.93,9137.05,17
CPT,55876,PLACE RT DEVICE/MARKER PROS,,,101.53,2446.77,17
CPT,55880,ABLTJ MAL PRST8 TISS HIFU,,,972.33,16267.4,17
CPT,55881,ABLT TRURL PRST8 TIS THRM US,,,8061.09,8909.63,9
CPT,55882,ABLT TRURL PRST8 TIS TRNSDCR,,,12342.8,13642.04,9
CPT,55899,UNLISTED PX MALE GENITAL SYS,,,180.07,436.41,13
CPT,55920,PLACE NEEDLES PELVIC FOR RT,,,456.7,8783.1,17
CPT,55970,SEX TRANSFORMATION M TO F,,,3623.98,8783.1,11
CPT,55980,SEX TRANSFORMATION F TO M,,,2540.0,6155.96,11
CPT,56405,ED 56405 I&D VULVA PERINEUM,920.0,736.0,128.16,828.0,38
CPT,56420,ED 56420 I&D BARTHOLINS GLAND ABSCESS,767.0,613.6,111.51,690.3,38
CPT,56440,MRSPLZATN BRTHLNS GLND CST,,,182.75,5520.65,17
CPT,56441,LYSIS OF LABIAL ADHESIONS,,,156.78,5520.65,17
CPT,56442,ED 56442 HYMENOTOMY SMPL INCISION,5063.0,4050.4,47.6,5520.65,38
CPT,56501,DESTROY VULVA LESIONS SIM,,,134.81,3220.2,17
CPT,56515,DESTROY VULVA LESION/S COMPL,,,214.04,3220.2,17
CPT,56605,BIOPSY OF VULVA/PERINEUM,,,58.92,1419.6,17
CPT,56606,BIOPSY OF VULVA/PERINEUM,,,1.0,36.7,15
CPT,56620,VULVECTOMY SIMPLE PARTIAL,,,592.85,5520.65,17
CPT,56625,VULVECTOMY SIMPLE COMPLETE,,,674.4,5520.65,17
CPT,56630,VULVECTOMY RADICAL PARTIAL,,,844.24,5520.65,17
CPT,56631,VLVCTMY RAD PRTL UNI LYMPHAD,,,1042.79,5520.65,15
CPT,56632,VLVCTMY RAD PRTL BI LYMPHAD,,,1262.22,5520.65,15
CPT,56633,VULVECTOMY RADICAL COMPLETE,,,1010.77,5520.65,15
CPT,56634,VLVCTMY RAD COMP UNI LYMPHAD,,,1139.49,5520.65,15
CPT,56637,VLVCTMY RAD COMP BI LYMPHAD,,,1332.89,5520.65,15
CPT,56640,VLVCTMY RAD COMP W/LYMPHADEC,,,1338.73,5520.65,15
CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,204.72,5520.65,17
CPT,56740,EXC BARTHOLINS GLAND/CYST,,,316.9,5520.65,17
CPT,56800,PLASTIC REPAIR INTROITUS,,,254.98,5520.65,17
CPT,56805,CLITOROPLASTY INTERSEX STATE,,,1168.72,5520.65,17
CPT,56810,PERINEOPLASTY RPR PER NONOB,,,274.95,5520.65,17
CPT,56820,ED 56820 COLPOSCOPY OF VULVA,649.0,519.2,83.88,584.1,38
CPT,56821,COLPOSCOPY VULVA W/BIOPSY,,,113.18,566.49,17
CPT,57000,COLPOTOMY W/EXPLORATION,,,203.39,5520.65,17
CPT,57010,COLPOTOMY DRG PEL ABSCESS,,,461.7,5520.65,17
CPT,57020,COLPOCENTESIS SEP PX,,,78.89,8783.1,17
CPT,57022,ED 57022 I & D VAGINAL HEMATOMA OBSTETRICAL POSTPARTUM,556.0,444.8,182.42,5017.59,38
CPT,57023,I&D VAGINAL HEMATOMA NON-OB,,,321.89,5017.59,17
CPT,57061,DESTRUCTION VAG LESIONS SMPL,,,116.51,5520.65,17
CPT,57065,DESTRUCTION VAG LESION XTNSV,,,187.41,5520.65,17
CPT,57100,BIOPSY VAGINAL MUCOSA SIMPLE,,,65.24,1419.6,17
CPT,57105,BIOPSY VAGINAL MUCOSA XTNSV,,,148.13,5520.65,17
CPT,57106,VAGNC PRTL RMVL VAG WALL,,,541.92,5520.65,17
CPT,57107,VAGNC COMPL RMVL PARAVAG TIS,,,1463.32,5520.65,17
CPT,57109,VAGNC BI TOTAL PEL LYMPHADEC,,,1739.27,5520.65,17
CPT,57110,VAGNC COMPL RMVL VAG WALL,,,787.51,5520.65,15
CPT,57111,VAGNC COMPL RMVL PARAVAG TIS,,,1516.93,5520.65,15
CPT,57120,COLPOCLEISIS LE FORT TYPE,,,534.26,8783.1,17
CPT,57130,EXCISION VAGINAL SEPTUM,,,174.43,5520.65,17
CPT,57135,EXCISION VAGINAL CYST/TUMOR,,,189.41,5520.65,17
CPT,57150,TREAT VAGINA INFECTION,,,25.63,108.01,17
CPT,57155,SURG 57155 INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,3927.0,3141.6,282.28,8783.1,38
CPT,57156,SURG 57156 INSERTION VAGINAL RADIATION DEVICE,1020.0,816.0,150.46,918.0,38
CPT,57160,INSERT PESSARY/OTHER DEVICE,,,45.6,351.88,17
CPT,57170,FITTING OF DIAPHRAGM/CAP,,,46.94,351.88,17
CPT,57180,ED 57180 TX VAGIANL BLEEDING,785.0,628.0,121.83,706.5,38
CPT,57200,ED 57200 COLPOAPHY INJURY OF VAGINA,3729.0,2983.2,335.87,5520.65,38
CPT,57210,REPAIR VAGINA/PERINEUM,,,396.79,5520.65,17
CPT,57220,REVISION OF URETHRA,,,349.19,8783.1,17
CPT,57230,REPAIR OF URETHRAL LESION,,,422.75,5520.65,17
CPT,57240,ANTERIOR COLPORRHAPHY,,,616.15,8783.1,17
CPT,57250,REPAIR RECTUM & VAGINA,,,618.81,8783.1,17
CPT,57260,CMBN ANT PST COLPRHY,,,781.26,8783.1,17
CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,873.46,8783.1,17
CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,1.0,248.32,15
CPT,57268,REPAIR OF BOWEL BULGE,,,510.3,8783.1,17
CPT,57270,REPAIR OF BOWEL POUCH,,,145.86,816.21,15
CPT,57280,SUSPENSION OF VAGINA,,,843.19,5520.65,15
CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,696.37,13343.56,17
CPT,57283,COLPOPEXY INTRAPERITONEAL,,,701.37,13343.56,17
CPT,57284,REPAIR PARAVAG DEFECT OPEN,,,834.18,8783.1,17
CPT,57285,REPAIR PARAVAG DEFECT VAG,,,694.71,13343.56,17
CPT,57287,REVISE/REMOVE SLING REPAIR,,,745.97,5520.65,17
CPT,57288,REPAIR BLADDER DEFECT,,,746.31,8783.1,17
CPT,57289,REPAIR BLADDER & VAGINA,,,797.9,13343.56,17
CPT,57291,CONSTRUCTION OF VAGINA,,,553.9,8783.1,17
CPT,57292,CONSTRUCT VAGINA WITH GRAFT,,,831.19,8783.1,17
CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,504.64,5520.65,17
CPT,57296,REVISE VAG GRAFT OPEN ABD,,,832.82,5520.65,15
CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,617.48,5520.65,17
CPT,57305,REPAIR RECTUM-VAGINA FISTULA,,,846.5,2083.81,15
CPT,57307,FISTULA REPAIR & COLOSTOMY,,,953.6,2244.89,15
CPT,57308,FISTULA REPAIR TRANSPERINE,,,589.58,3220.2,15
CPT,57310,REPAIR URETHROVAGINAL LESION,,,495.32,13343.56,17
CPT,57311,REPAIR URETHROVAGINAL LESION,,,495.32,5520.65,15
CPT,57320,REPAIR BLADDER-VAGINA LESION,,,568.88,8783.1,17
CPT,57330,REPAIR BLADDER-VAGINA LESION,,,765.95,13343.56,17
CPT,57335,REPAIR VAGINA,,,1180.71,8783.1,17
CPT,57400,DILATION OF VAGINA,,,130.15,5520.65,17
CPT,57410,SURG 57410 PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,4345.0,3476.0,106.19,4085.67,38
CPT,57415,ED 57415 REMV IMPACT VAG FB WANES,3553.0,2842.4,177.09,5520.65,38
CPT,57420,ED 57420 COLPOSCOPY OF VAGINA WCERVIX,856.0,684.8,89.54,770.4,38
CPT,57420,SURG 57420 COLPOSCOPY VAGINA,856.0,684.8,89.54,770.4,38
CPT,57421,EXAM/BIOPSY OF VAG W/SCOPE,,,121.5,1419.6,17
CPT,57423,REPAIR PARAVAG DEFECT LAP,,,929.72,18176.99,17
CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,973.99,18176.99,17
CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,876.46,13343.56,17
CPT,57452,ED 57452 COLPOSCOPY CERVIX INCL VAGINA,797.0,637.6,90.87,717.3,38
CPT,57454,BX/CURETT OF CERVIX W/SCOPE,,,133.48,566.49,17
CPT,57455,BIOPSY OF CERVIX W/SCOPE,,,108.18,566.49,17
CPT,57456,ENDOCERV CURETTAGE W/SCOPE,,,100.86,566.49,17
CPT,57460,BX OF CERVIX W/SCOPE LEEP,,,159.11,5520.65,17
CPT,57461,CONZ OF CERVIX W/SCOPE LEEP,,,182.08,5520.65,17
CPT,57465,CAM CERVIX UTERI DRG COLP,,,1.0,52.89,15
CPT,57500,ED 57500 BX OF CERVIX,2218.0,1774.4,75.23,1996.2,38
CPT,57505,ENDOCERVICAL CURETTAGE,,,110.51,1419.6,17
CPT,57510,CAUTERIZATION OF CERVIX,,,113.51,5520.65,17
CPT,57511,ED 57511 CRYOCAUTERY OF CERVIX,679.0,543.2,148.8,611.1,38
CPT,57513,LASER SURGERY OF CERVIX,,,148.13,5520.65,17
CPT,57520,CONIZATION OF CERVIX,,,299.59,5520.65,17
CPT,57522,CONIZATION OF CERVIX,,,257.65,5520.65,17
CPT,57530,REMOVAL OF CERVIX,,,378.15,8783.1,17
CPT,57531,REMOVAL OF CERVIX RADICAL,,,1519.51,8783.1,15
CPT,57540,REMOVAL OF RESIDUAL CERVIX,,,689.74,8783.1,15
CPT,57545,REMOVE CERVIX/REPAIR PELVIS,,,725.87,8783.1,15
CPT,57550,REMOVAL OF RESIDUAL CERVIX,,,436.07,8783.1,17
CPT,57555,REMOVE CERVIX/REPAIR VAGINA,,,622.81,8783.1,17
CPT,57556,REMOVE CERVIX REPAIR BOWEL,,,591.52,8783.1,17
CPT,57558,D&C OF CERVICAL STUMP,,,130.15,5520.65,17
CPT,57700,REVISION OF CERVIX,,,360.84,5520.65,17
CPT,57720,REVISION OF CERVIX,,,337.54,5520.65,17
CPT,57800,ED 57800 DILATE CANAL CERVICAL INSTRUMENTAL,4565.0,3652.0,48.27,5520.65,38
CPT,58100,ED 58100 ENDOMETRIAL BX,475.0,380.0,62.91,427.5,38
CPT,58100,SURG 58100 ENDOMETR BX W/WO ENDOCERVIX BX W/O DILAT,475.0,380.0,62.91,427.5,38
CPT,58110,BX DONE W/COLPOSCOPY ADD-ON,,,1.0,48.22,15
CPT,58120,DILATION AND CURETTAGE,,,235.01,5520.65,17
CPT,58140,MYOMECTOMY ABDOM METHOD,,,801.18,8783.1,15
CPT,58145,MYOMECTOMY VAG METHOD,,,573.21,5520.65,17
CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,1001.05,8783.1,15
CPT,58150,TOTAL HYSTERECTOMY,,,888.31,8783.1,15
CPT,58152,TOTAL HYSTERECTOMY,,,1073.31,8783.1,15
CPT,58180,PARTIAL HYSTERECTOMY,,,837.24,5520.65,15
CPT,58200,EXTENSIVE HYSTERECTOMY,,,1178.3,8783.1,15
CPT,58210,EXTENSIVE HYSTERECTOMY,,,1588.24,8783.1,15
CPT,58240,REMOVAL OF PELVIS CONTENTS,,,2555.42,8783.1,15
CPT,58260,VAGINAL HYSTERECTOMY,,,842.51,8783.1,17
CPT,58262,VAG HYST INCLUDING T/O,,,930.72,8783.1,17
CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,997.29,8783.1,17
CPT,58267,VAG HYST W/URINARY REPAIR,,,929.76,5520.65,15
CPT,58270,VAG HYST W/ENTEROCELE REPAIR,,,897.1,8783.1,17
CPT,58275,HYSTERECTOMY/REVISE VAGINA,,,863.64,5520.65,15
CPT,58280,HYSTERECTOMY/REVISE VAGINA,,,920.8,5520.65,15
CPT,58285,EXTENSIVE HYSTERECTOMY,,,1245.02,5520.65,15
CPT,58290,VAG HYST COMPLEX,,,1153.08,13343.56,17
CPT,58291,VAG HYST INCL T/O COMPLEX,,,1245.29,8783.1,17
CPT,58292,VAG HYST T/O & REPAIR COMPL,,,1312.19,13343.56,17
CPT,58293,Outpatient Services - CPT/HCPCS,,,2277.87,5520.65,2
CPT,58294,VAG HYST W/ENTEROCELE COMPL,,,1218.66,8783.1,17
CPT,58300,INSERT INTRAUTERINE DEVICE,,,49.93,108.28,15
CPT,58301,ED 58301 REMV INTRAUTERINE DEVICE,1000.0,800.0,65.91,900.0,38
CPT,58301,TX RM 58301 RMV DVC INTRAUTERINE,1000.0,800.0,65.91,900.0,38
CPT,58321,ARTIFICIAL INSEMINATION,,,47.93,566.49,15
CPT,58322,ARTIFICIAL INSEMINATION,,,57.25,351.88,15
CPT,58323,SPERM WASHING,,,11.98,351.88,15
CPT,58340,SURG 58340 HYSTERO INJ CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI,791.0,632.8,1.0,711.9,36
CPT,58345,SURG 58345 TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,3720.0,2976.0,290.6,5520.65,38
CPT,58346,INSERT HEYMAN UTERI CAPSULE,,,497.32,8783.1,17
CPT,58350,REOPEN FALLOPIAN TUBE,,,95.87,8783.1,17
CPT,58353,ENDOMETR ABLATE THERMAL,,,232.01,8783.1,17
CPT,58356,ENDOMETRIAL CRYOABLATION,,,353.85,8783.1,17
CPT,58400,SUSPENSION OF UTERUS,,,407.81,5520.65,15
CPT,58410,SUSPENSION OF UTERUS,,,710.23,8783.1,15
CPT,58520,REPAIR OF RUPTURED UTERUS,,,695.69,8783.1,15
CPT,58540,REVISION OF UTERUS,,,797.68,8783.1,15
CPT,58541,LSH UTERUS 250 G OR LESS,,,733.66,18176.99,17
CPT,58542,LSH W/T/O UT 250 G OR LESS,,,832.85,18176.99,17
CPT,58543,LSH UTERUS ABOVE 250 G,,,845.84,18176.99,17
CPT,58544,LSH W/T/O UTERUS ABOVE 250 G,,,908.75,18176.99,17
CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,905.09,10188.81,17
CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,1115.13,18176.99,17
CPT,58548,LAP RADICAL HYST,,,1641.69,8783.1,15
CPT,58550,LAPARO-ASST VAG HYSTERECTOMY,,,885.45,10188.81,17
CPT,58552,LAPARO-VAG HYST INCL T/O,,,983.31,18176.99,17
CPT,58553,LAPARO-VAG HYST COMPLEX,,,1121.46,18176.99,17
CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,1306.87,18176.99,17
CPT,58555,HYSTEROSCOPY DX SEP PROC,,,150.79,5520.65,17
CPT,58558,HYSTEROSCOPY BIOPSY,,,230.35,5520.65,17
CPT,58559,HYSTEROSCOPY LYSIS,,,282.61,8783.1,17
CPT,58560,HYSTEROSCOPY RESECT SEPTUM,,,311.24,8783.1,17
CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,356.18,8783.1,17
CPT,58562,HYSTEROSCOPY REMOVE FB,,,220.7,5520.65,17
CPT,58563,HYSTEROSCOPY ABLATION,,,244.66,8783.1,17
CPT,58565,HYSTEROSCOPY STERILIZATION,,,460.7,8783.1,17
CPT,58570,TLH UTERUS 250 G OR LESS,,,810.88,18176.99,17
CPT,58571,TLH W/T/O 250 G OR LESS,,,913.08,18176.99,17
CPT,58572,TLH UTERUS OVER 250 G,,,1017.27,18176.99,17
CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,1222.32,18176.99,17
CPT,58575,LAPS TOT HYST RESJ MAL,,,1685.91,8783.1,15
CPT,58578,UNLISTED LAPS PX UTERUS,,,4203.99,10188.81,13
CPT,58579,UNLISTED HYSTSC PX UTERUS,,,145.19,351.88,13
CPT,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,398.12,13343.56,17
CPT,58600,DIVISION OF FALLOPIAN TUBE,,,373.82,5520.65,17
CPT,58605,DIVISION OF FALLOPIAN TUBE,,,295.8,5017.59,15
CPT,58611,LIGATE OVIDUCT(S) ADD-ON,,,64.58,5017.59,15
CPT,58615,OCCLUDE FALLOPIAN TUBE(S),,,255.32,5520.65,17
CPT,58660,LAPAROSCOPY LYSIS,,,687.39,10188.81,17
CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,654.1,10188.81,17
CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,716.01,10188.81,17
CPT,58670,LAPAROSCOPY TUBAL CAUTERY,,,374.48,10188.81,17
CPT,58671,LAPAROSCOPY TUBAL BLOCK,,,374.48,10188.81,17
CPT,58672,LAPAROSCOPY FIMBRIOPLASTY,,,732.32,10188.81,17
CPT,58673,LAPAROSCOPY SALPINGOSTOMY,,,794.57,18176.99,17
CPT,58674,LAPS ABLTJ UTERINE FIBROIDS,,,815.21,18176.99,17
CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,4203.99,10188.81,13
CPT,58700,REMOVAL OF FALLOPIAN TUBE,,,698.38,8783.1,15
CPT,58720,REMOVAL OF OVARY/TUBE(S),,,665.09,8783.1,15
CPT,58740,ADHESIOLYSIS TUBE OVARY,,,786.11,8783.1,15
CPT,58750,REPAIR OVIDUCT,,,791.11,8783.1,15
CPT,58752,REVISE OVARIAN TUBE(S),,,788.65,1892.07,15
CPT,58760,FIMBRIOPLASTY,,,714.46,1712.21,15
CPT,58770,CREATE NEW TUBAL OPENING,,,864.81,5520.65,17
CPT,58800,DRAINAGE OF OVARIAN CYST(S),,,318.56,5520.65,17
CPT,58805,DRAINAGE OF OVARIAN CYST(S),,,432.07,5520.65,17
CPT,58820,DRAIN OVARY ABSCESS OPEN,,,342.53,5520.65,17
CPT,58822,DRAIN OVARY ABSCESS PERCUT,,,623.69,1492.9,15
CPT,58825,TRANSPOSITION OVARY(S),,,618.77,8783.1,15
CPT,58900,SURG 58900 BIOPSY OVARY UNI OR BILAT,3642.0,2913.6,441.06,5520.65,38
CPT,58920,PARTIAL REMOVAL OF OVARY(S),,,717.68,13343.56,17
CPT,58925,REMOVAL OF OVARIAN CYST(S),,,770.94,8783.1,17
CPT,58940,REMOVAL OF OVARY(S),,,487.0,5520.65,15
CPT,58943,REMOVAL OF OVARY(S),,,1052.14,8783.1,15
CPT,58950,RESECT OVARIAN MALIGNANCY,,,1009.2,8783.1,15
CPT,58951,RESECT OVARIAN MALIGNANCY,,,1259.35,8783.1,15
CPT,58952,RESECT OVARIAN MALIGNANCY,,,1436.55,8783.1,15
CPT,58953,TAH RAD DISSECT FOR DEBULK,,,1744.39,8783.1,15
CPT,58954,TAH RAD DEBULK/LYMPH REMOVE,,,1886.55,8783.1,15
CPT,58956,BSO OMENTECTOMY W/TAH,,,1188.63,8783.1,15
CPT,58957,Outpatient Services - CPT/HCPCS,,,3623.98,8783.1,2
CPT,58957,Therapy,,,1596.14,1596.14,4
CPT,58958,RESC RECR OVR TBL PP UTR MAL,,,1435.11,8783.1,15
CPT,58960,EXPLORATION OF ABDOMEN,,,876.16,8783.1,15
CPT,58970,RETRIEVAL OF OOCYTE,,,195.4,1419.6,15
CPT,58974,EMBRYO TRANSFER INTRAUTERINE,,,585.74,1419.6,11
CPT,58976,TRANSFER OF EMBRYO,,,210.71,566.49,15
CPT,58999,ED 58999 SUTURE OF BLDNG MASS UTRUS,1158.0,926.4,145.19,1042.2,38
CPT,58999,TX RM 58999 UNLISTED PROC FEMALE GENITAL SYSTEM (NONOBSTETRICAL),3100.0,2480.0,145.19,2790.0,38
CPT,59000,SURG 59000 AMNIOCENTESIS ANY METHD,1280.0,1024.0,80.89,1419.6,38
CPT,59001,AMNIOTIC FLUID REDUC,1208.0,966.4,178.09,1087.2,38
CPT,59012,SURG 59012 PUBS CORDOCENTESIS INTRAUTERINE,695.0,556.0,201.39,625.5,38
CPT,59015,CHORION BIOPSY,,,131.49,1419.6,17
CPT,59020,FETAL CONTRX STRESS TEST,757.0,605.6,71.57,681.3,38
CPT,59025,FETAL NON STRESS TEST,678.0,542.4,49.27,610.2,38
CPT,59030,FETAL SCALP BLOOD SAMPLING,,,111.85,566.49,17
CPT,59050,FETAL MONITOR W/REPORT,,,40.97,351.88,15
CPT,59051,FETAL MONITOR/INTERPRET ONLY,,,34.23,87.17,15
CPT,59070,TRANSABDOM AMNIOINFUS W/US,,,233.74,566.49,17
CPT,59072,UMBILICAL CORD OCCLUD W/US,,,233.74,566.49,17
CPT,59074,FETAL FLUID DRAINAGE W/US,,,233.74,566.49,17
CPT,59076,SURG 59076 FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE,1000.0,800.0,233.74,900.0,38
CPT,59100,REMOVE UTERUS LESION,,,863.81,8783.1,17
CPT,59120,TREAT ECTOPIC PREGNANCY,,,685.47,5520.65,15
CPT,59121,TREAT ECTOPIC PREGNANCY,,,685.4,5520.65,15
CPT,59130,TREAT ECTOPIC PREGNANCY,,,793.49,5520.65,15
CPT,59136,TREAT ECTOPIC PREGNANCY,,,753.11,5520.65,15
CPT,59140,TREAT ECTOPIC PREGNANCY,,,354.23,5520.65,15
CPT,59150,TREAT ECTOPIC PREGNANCY,,,799.57,10188.81,17
CPT,59151,TREAT ECTOPIC PREGNANCY,,,782.26,10188.81,17
CPT,59160,ED 59160 D&C POSTPARTUM,4058.0,3246.4,190.4,5520.65,38
CPT,59200,SURG 59200 INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,697.0,557.6,44.27,627.3,38
CPT,59300,EPISIOTOMY OR VAGINAL REPAIR,,,148.13,5520.65,17
CPT,59320,REVISION OF CERVIX,,,151.79,5520.65,17
CPT,59325,REVISION OF CERVIX,,,198.93,5017.59,15
CPT,59350,REPAIR OF UTERUS,,,227.8,5017.59,15
CPT,59400,OBSTETRICAL CARE,,,2046.65,5520.65,15
CPT,59409,OBSTETRICAL CARE,,,799.23,5520.65,17
CPT,59410,OBSTETRICAL CARE,,,901.16,5520.65,15
CPT,59412,VERSION,4274.0,3419.2,102.86,5520.65,38
CPT,59414,ED 59414 DELIVERY OF PLACENTA,4089.0,3271.2,90.54,5520.65,38
CPT,59414,TX RM 59414 DELIVERY OF PLACENTA,4089.0,3271.2,90.54,5520.65,38
CPT,59425,ANTEPARTUM CARE ONLY,,,433.4,900.72,15
CPT,59426,ANTEPARTUM CARE ONLY,,,795.9,1654.09,15
CPT,59430,CARE AFTER DELIVERY,,,179.42,372.88,15
CPT,59510,CESAREAN DELIVERY,,,2252.1,5615.34,15
CPT,59514,CESAREAN DELIVERY ONLY,,,745.94,1883.77,15
CPT,59515,CESAREAN DELIVERY,,,1108.49,2792.8,15
CPT,59525,REMOVE UTERUS AFTER CESAREAN,,,393.62,5520.65,15
CPT,59610,VBAC DELIVERY,,,2121.07,5520.65,15
CPT,59612,VBAC DELIVERY ONLY,,,905.75,5520.65,17
CPT,59614,VBAC CARE AFTER DELIVERY,,,961.51,5520.65,15
CPT,59618,ATTEMPTED VBAC DELIVERY,,,2273.02,5675.53,15
CPT,59620,ATTEMPTED VBAC DELIVERY ONLY,,,768.93,1950.18,15
CPT,59622,ATTEMPTED VBAC AFTER CARE,,,1147.33,2895.18,15
CPT,59812,ED 59812 TX INCOMPLETE ABORTION,4251.0,3400.8,311.24,5520.65,38
CPT,59820,CARE OF MISCARRIAGE,,,391.79,5520.65,17
CPT,59821,TREATMENT OF MISCARRIAGE,,,382.81,5520.65,17
CPT,59830,TREAT UTERUS INFECTION,,,233.74,566.49,15
CPT,59840,INDUCED ABORTION D&C,,,225.02,5520.65,17
CPT,59841,INDUCED ABORTION DILAT&EVAC,,,376.48,5520.65,17
CPT,59850,INDUCED ABORTION 1+ NJX,,,233.74,566.49,15
CPT,59851,INDUCED ABORTION 1+NJX D&C,,,233.74,566.49,15
CPT,59852,INDUCED ABORTION 1+NJX HYST,,,233.74,595.85,15
CPT,59855,TX RM 59855 ABORTION INDUCED WITH SUPPOSITORY VAG,2029.0,1623.2,233.74,1826.1,36
CPT,59856,INDUCED AB 1+VAG SUPP D&C,,,233.74,566.49,15
CPT,59857,INDUCED AB 1+VAG SUPP HYST,,,233.74,584.86,15
CPT,59866,ABORTION (MPR),,,233.74,566.49,17
CPT,59870,EVACUATE MOLE OF UTERUS,,,543.25,5520.65,17
CPT,59871,REMOVE CERCLAGE SUTURE,,,133.82,5520.65,17
CPT,59897,UNLISTED FETAL INVAS PX W/US,,,145.19,351.88,13
CPT,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,4203.99,10188.81,13
CPT,59899,UNLISTED PX MAT CARE&DLVR,,,145.19,351.88,13
CPT,60000,I&D THYROGLSSL DUX CST INFCT,,,159.78,2692.97,17
CPT,60100,SURG 60100 BIOPSY THYROID PERC CORE NDL,1515.0,1212.0,75.23,1363.5,38
CPT,60200,REMOVE THYROID LESION,,,672.74,10188.81,17
CPT,60210,PARTIAL THYROID EXCISION,,,710.02,10188.81,17
CPT,60212,PARTIAL THYROID EXCISION,,,1027.59,10188.81,17
CPT,60220,PARTIAL REMOVAL OF THYROID,,,709.36,10188.81,17
CPT,60225,PARTIAL REMOVAL OF THYROID,,,940.7,10188.81,17
CPT,60240,REMOVAL OF THYROID,,,918.4,10188.81,17
CPT,60252,REMOVAL OF THYROID,,,1319.52,10341.01,17
CPT,60254,EXTENSIVE THYROID SURGERY,,,1435.44,10188.81,15
CPT,60260,REPEAT THYROID SURGERY,,,1088.17,10341.01,17
CPT,60270,REMOVAL OF THYROID,,,1169.67,10188.81,15
CPT,60271,REMOVAL OF THYROID,,,1054.88,10341.01,17
CPT,60280,REMOVE THYROID DUCT LESION,,,458.7,10188.81,17
CPT,60281,REMOVE THYROID DUCT LESION,,,600.17,10188.81,17
CPT,60300,SURG 60300 ASP INJ THYROID CYST,1238.0,990.4,47.6,1242.38,38
CPT,60500,EXPLORE PARATHYROID GLANDS,,,972.0,10341.01,17
CPT,60502,RE-EXPLORE PARATHYROIDS,,,1304.87,10341.01,17
CPT,60505,EXPLORE PARATHYROID GLANDS,,,1228.5,10188.81,15
CPT,60512,AUTOTRANSPLANT PARATHYROID,,,1.0,239.34,15
CPT,60520,REMOVAL OF THYMUS GLAND,,,1049.22,10341.01,17
CPT,60521,REMOVAL OF THYMUS GLAND,,,946.45,5017.59,15
CPT,60522,REMOVAL OF THYMUS GLAND,,,1142.27,2799.02,15
CPT,60540,EXPLORE ADRENAL GLAND,,,927.84,5628.59,15
CPT,60545,EXPLORE ADRENAL GLAND,,,1064.45,5628.59,15
CPT,60600,REMOVE CAROTID BODY LESION,,,1132.44,5628.59,15
CPT,60605,REMOVE CAROTID BODY LESION,,,1335.99,5628.59,15
CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,1020.13,5628.59,15
CPT,60659,UNLISTED LAPS PX ENDOC SYS,,,4203.99,10188.81,13
CPT,60660,ABLTJ 1/+THYR NDUL 1LOBE PRQ,,,1539.23,1701.25,9
CPT,60661,ABLTJ 1/+THYR NDUL ADDL PRQ,,,354.58,391.9,9
CPT,60699,SURG 60699 ADRENAL BIOPSY,7965.0,6372.0,2211.88,10188.81,38
CPT,60699,SURG 60699 UNLISTED PROCEDURE ENDOCRINE SYSTEM,7965.0,6372.0,2211.88,10188.81,38
CPT,61000,REMOVE CRANIAL CAVITY FLUID,,,114.84,1221.15,17
CPT,61001,REMOVE CRANIAL CAVITY FLUID,,,108.85,1221.15,17
CPT,61020,REMOVE BRAIN CAVITY FLUID,,,107.85,1609.51,17
CPT,61026,SURG 61026 VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ,1612.0,1289.6,110.18,1450.8,38
CPT,61050,SURG 61050 CERV PUNCTURE WOUT INJ,2272.0,1817.6,78.89,2044.8,38
CPT,61055,SURG 61055 CTCISTRNL LAT CER PUN WIN,2102.0,1681.6,116.17,1891.8,38
CPT,61070,ED 61070 PUNC SHUNT FOR ASP OR INJ,1173.0,938.4,55.92,1221.15,38
CPT,61070,SURG 61070 SHUNT RESERVOIR ASP INJ,1173.0,938.4,55.92,1221.15,38
CPT,61105,TDH SDRL/VENTR PNXR,,,400.58,5685.3,15
CPT,61107,ED 61107 TWIST DRLL HOLE PRES MONIT,4131.0,3304.8,251.72,5685.3,36
CPT,61107,SURG 61107 TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,4131.0,3304.8,251.72,5685.3,36
CPT,61108,TDH PNXR EVAC&/DRG SDRL HMTA,,,770.98,5685.3,15
CPT,61120,BURR HOLE FOR VENTR PUNCTURE,,,637.29,5685.3,15
CPT,61140,BURR HOLE/TREPH BX BRAIN/LES,,,1067.63,5685.3,15
CPT,61150,BUR HOL/TRPH DRG BRN ABS/CST,,,1126.09,5685.3,15
CPT,61151,BURR HOLE/TREPH SBSQ TAPPING,,,834.11,5685.3,15
CPT,61154,BURR HOLE W/EVAC&/DRG HMTMA,,,1075.41,5685.3,15
CPT,61156,BURR HOL ASPIR HMTM/CST ICER,,,1034.31,5685.3,15
CPT,61210,ED 61210 BURR HOLE IMPLANT VENTRIC CATH/OTHER DEVICE,4926.0,3940.8,294.97,5685.3,36
CPT,61210,SURG 61210 BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE,4926.0,3940.8,294.97,5685.3,36
CPT,61215,INS SUBQ RSVR PMP/NFS SYS,,,529.27,11763.0,17
CPT,61250,BURR HOLE/TREPH STTL EXPL,,,732.91,5685.3,15
CPT,61253,BURR HOLE TREPH ITTL UNI/BI,,,834.11,5685.3,15
CPT,61304,CRNEC/CRNOT EXPL SUPRATNTORL,,,1363.64,5685.3,15
CPT,61305,CRNEC/CRNOT EXPL INFRATNTORL,,,1661.83,5685.3,15
CPT,61312,CRNEC/CRNOT STTL XDRL/SDRL,,,1708.5,5685.3,15
CPT,61313,CRNEC/CRNOT STTL ICERE,,,1649.21,5685.3,15
CPT,61314,CRNEC/CRNOT ITTL XDRL/SDRL,,,1518.36,5685.3,15
CPT,61315,CRNEC/CRNOT ITTL NTRACEREBLR,,,1711.35,5685.3,15
CPT,61316,INC&SUBQ PLMT CRNL BONE GRF,,,70.42,5685.3,15
CPT,61320,CRNEC/CRNOT DRG ICR ABS STTL,,,1570.24,5685.3,15
CPT,61321,CRNEC/CRNOT DRG ICR ABS ITTL,,,1757.34,5685.3,15
CPT,61322,CRNEC/CRNOT DCMPRV W/O LOBEC,,,1969.37,5685.3,15
CPT,61323,CRNEC/CRNOT DCMPRV W/LOBEC,,,1956.79,5685.3,15
CPT,61330,DCMPRN ORBIT ONLY TRANSCRNL,,,1821.49,5685.3,17
CPT,61332,Outpatient Services - CPT/HCPCS,,,2345.8,5685.3,2
CPT,61333,EXPL ORBIT W/REMOVAL LESION,,,1665.5,5685.3,15
CPT,61340,SUBTEMPORAL CRANIAL DCMPRN,,,1201.48,5685.3,15
CPT,61343,CRNEC SOPL CRV LAM DCMPRN,,,1813.7,5685.3,15
CPT,61345,OTH CRANIAL DCMPRN PST FOSSA,,,1692.12,5685.3,15
CPT,61450,CRNEC STPL SCTJ CMPRN/DCMPRN,,,1587.62,5685.3,15
CPT,61458,CRNEC SOPL XPL/DCMPR CRL NRV,,,1671.64,5685.3,15
CPT,61460,CRNEC SOPL SCTJ 1+CRNL NRV,,,1742.91,5685.3,15
CPT,61480,Outpatient Services - CPT/HCPCS,,,2345.8,5685.3,2
CPT,61500,CRNEC EXC TUM/BONE LES SKULL,,,1105.85,5685.3,15
CPT,61501,CRANIECTOMY F/OSTEOMYELITIS,,,972.08,5685.3,15
CPT,61510,CRNEC TREPH EXC BRN TUM STTL,,,1832.1,5685.3,15
CPT,61512,CRNEC TREPH EXC MNGIOMA STTL,,,2106.14,5685.3,15
CPT,61514,CRNEC TREPH EXC BRN ABS STTL,,,1590.8,5685.3,15
CPT,61516,CRNEC TREPH EXC CYST STTL,,,1553.72,5685.3,15
CPT,61517,IMPLT BRN INTRCV CHEMOTX AGT,,,70.11,5685.3,15
CPT,61518,REMOVAL OF BRAIN LESION,,,2288.79,5685.3,15
CPT,61519,REMOVE BRAIN LINING LESION,,,2345.8,5685.3,15
CPT,61520,REMOVAL OF BRAIN LESION,,,2345.8,5685.3,15
CPT,61521,REMOVAL OF BRAIN LESION,,,2345.8,5685.3,15
CPT,61522,REMOVAL OF BRAIN ABSCESS,,,1808.86,5685.3,15
CPT,61524,REMOVAL OF BRAIN LESION,,,1725.28,5685.3,15
CPT,61526,REMOVAL OF BRAIN LESION,,,2345.8,5685.3,15
CPT,61530,REMOVAL OF BRAIN LESION,,,2345.8,5685.3,15
CPT,61531,IMPLANT BRAIN ELECTRODES,,,1033.19,5685.3,15
CPT,61533,IMPLANT BRAIN ELECTRODES,,,1271.97,5685.3,15
CPT,61534,REMOVAL OF BRAIN LESION,,,1376.97,5685.3,15
CPT,61535,REMOVE BRAIN ELECTRODES,,,851.28,5685.3,15
CPT,61536,REMOVAL OF BRAIN LESION,,,2121.93,5685.3,15
CPT,61537,REMOVAL OF BRAIN TISSUE,,,2016.76,5685.3,15
CPT,61538,REMOVAL OF BRAIN TISSUE,,,2182.76,5685.3,15
CPT,61539,REMOVAL OF BRAIN TISSUE,,,1947.69,5685.3,15
CPT,61540,REMOVAL OF BRAIN TISSUE,,,1798.13,5685.3,15
CPT,61541,INCISION OF BRAIN TISSUE,,,1778.81,5685.3,15
CPT,61543,REMOVAL OF BRAIN TISSUE,,,1797.59,5685.3,15
CPT,61544,REMOVE & TREAT BRAIN LESION,,,1570.92,5685.3,15
CPT,61545,EXCISION OF BRAIN TUMOR,,,2345.8,5685.3,15
CPT,61546,REMOVAL OF PITUITARY GLAND,,,1905.4,5685.3,15
CPT,61548,REMOVAL OF PITUITARY GLAND,,,1315.67,5685.3,15
CPT,61550,RELEASE OF SKULL SEAMS,,,1013.52,5685.3,15
CPT,61552,RELEASE OF SKULL SEAMS,,,1244.99,5685.3,15
CPT,61556,INCISE SKULL/SUTURES,,,1421.21,5685.3,15
CPT,61557,INCISE SKULL/SUTURES,,,1409.53,5685.3,15
CPT,61558,EXCISION OF SKULL/SUTURES,,,1565.65,5685.3,15
CPT,61559,EXCISION OF SKULL/SUTURES,,,1990.57,5685.3,15
CPT,61563,EXCISION OF SKULL TUMOR,,,1641.11,5685.3,15
CPT,61564,EXCISION OF SKULL TUMOR,,,1988.56,5685.3,15
CPT,61566,REMOVAL OF BRAIN TISSUE,,,1849.65,5685.3,15
CPT,61567,INCISION OF BRAIN TISSUE,,,2106.8,5685.3,15
CPT,61570,REMOVE FOREIGN BODY BRAIN,,,1553.97,5685.3,15
CPT,61571,INCISE SKULL FOR BRAIN WOUND,,,1651.13,5685.3,15
CPT,61575,SKULL BASE/BRAINSTEM SURGERY,,,2063.13,5685.3,15
CPT,61576,SKULL BASE/BRAINSTEM SURGERY,,,2345.8,5685.3,15
CPT,61580,CRANIOFACIAL APPROACH SKULL,,,2156.32,5685.3,15
CPT,61581,CRANIOFACIAL APPROACH SKULL,,,2345.8,5685.3,15
CPT,61582,CRANIOFACIAL APPROACH SKULL,,,2345.8,5685.3,15
CPT,61583,CRANIOFACIAL APPROACH SKULL,,,2345.8,5685.3,15
CPT,61584,ORBITOCRANIAL APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61585,ORBITOCRANIAL APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61586,RESECT NASOPHARYNX SKULL,,,2132.0,5685.3,15
CPT,61590,INFRATEMPORAL APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61591,INFRATEMPORAL APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61592,ORBITOCRANIAL APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61595,TRANSTEMPORAL APPROACH/SKULL,,,2050.24,5685.3,15
CPT,61596,TRANSCOCHLEAR APPROACH/SKULL,,,2133.94,5685.3,15
CPT,61597,TRANSCONDYLAR APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61598,TRANSPETROSAL APPROACH/SKULL,,,2345.8,5685.3,15
CPT,61600,RESECT/EXCISE CRANIAL LESION,,,1406.76,3409.43,15
CPT,61601,RESECT/EXCISE CRANIAL LESION,,,1406.76,3409.43,15
CPT,61605,RESECT/EXCISE CRANIAL LESION,,,1406.76,3409.43,15
CPT,61606,RESECT/EXCISE CRANIAL LESION,,,1406.76,3409.43,15
CPT,61607,RESECT/EXCISE CRANIAL LESION,,,1406.76,3409.43,15
CPT,61608,RESECT/EXCISE CRANIAL LESION,,,1406.76,3409.43,15
CPT,61610,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,61611,TRANSECT ARTERY SINUS,,,375.24,5628.59,15
CPT,61612,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,61613,REMOVE ANEURYSM SINUS,,,2322.4,5628.59,15
CPT,61615,RESECT/EXCISE LESION SKULL,,,1406.76,3409.43,15
CPT,61616,RESECT/EXCISE LESION SKULL,,,1406.76,3409.43,15
CPT,61618,REPAIR DURA,,,1093.19,3409.43,15
CPT,61619,REPAIR DURA,,,1217.65,3409.43,15
CPT,61623,SURG 61623 EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,17205.0,13764.0,573.88,19426.22,38
CPT,61624,SURG 61624 TRANSCATHETER PERM OCCLUSION EMBOLIZATION PERCUTANEOUS CNS,10385.0,8308.0,955.95,19426.22,38
CPT,61626,SURG 61626 TRANSCATHETER PERM OCCLUSION EMBOLIZATION PERCUT NON-CNS,17549.0,14039.2,897.1,19426.22,38
CPT,61630,SURG 61630 BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,5742.0,4593.6,1138.17,19426.22,36
CPT,61635,SURG 61635 TRANSCAT PLMT IV STENT INTRACRAN W/BALO ANGIOP IF PFRMD,8530.0,6824.0,1244.11,19426.22,36
CPT,61640,SURG 61640 PTA INTRCRN VAS INJ,6563.0,5250.4,398.42,19426.22,36
CPT,61641,SURG 61641 PTA INTRACRN VS SUB,3162.0,2529.6,139.98,19426.22,36
CPT,61642,SURG 61642 DILATE IC VASOSPASM EA ADDL VES,1904.0,1523.2,279.97,19426.22,36
CPT,61645,SURG 61645 ART MECH THROMBECT INFUS LYSIS  INTRACRAN PERQ,13044.0,10435.2,700.0,19426.22,36
CPT,61650,SURG 61650 ART INTRACRAN PROLONG ADM PHARM AGENT 1ST VASC,6798.0,5438.4,479.42,19426.22,36
CPT,61651,SURG 61651 ART INTRACRAN PROLONG ADM PHARM AGENT EA ADDL VASC,3418.0,2734.4,204.69,19426.22,36
CPT,61680,INTRACRANIAL VESSEL SURGERY,,,1869.19,5628.59,15
CPT,61682,INTRACRANIAL VESSEL SURGERY,,,2322.4,5628.59,15
CPT,61684,INTRACRANIAL VESSEL SURGERY,,,2322.4,5628.59,15
CPT,61686,INTRACRANIAL VESSEL SURGERY,,,2322.4,5628.59,15
CPT,61690,INTRACRANIAL VESSEL SURGERY,,,1805.7,5628.59,15
CPT,61692,INTRACRANIAL VESSEL SURGERY,,,2322.4,5628.59,15
CPT,61697,BRAIN ANEURYSM REPR COMPLX,,,2322.4,5628.59,15
CPT,61698,BRAIN ANEURYSM REPR COMPLX,,,2322.4,5628.59,15
CPT,61700,BRAIN ANEURYSM REPR SIMPLE,,,2322.4,5628.59,15
CPT,61702,INNER SKULL VESSEL SURGERY,,,2322.4,5628.59,15
CPT,61703,CLAMP NECK ARTERY,,,1137.49,5628.59,15
CPT,61705,REVISE CIRCULATION TO HEAD,,,2141.32,5628.59,15
CPT,61708,REVISE CIRCULATION TO HEAD,,,2095.8,5628.59,15
CPT,61710,REVISE CIRCULATION TO HEAD,,,1769.82,5628.59,15
CPT,61711,FUSION OF SKULL ARTERIES,,,2146.81,5628.59,15
CPT,61715,MRGFUS STRTCTC ABLT TRGT ICR,,,11846.79,13093.83,9
CPT,61720,INCISE SKULL/BRAIN SURGERY,,,1294.55,11763.0,17
CPT,61735,INCISE SKULL/BRAIN SURGERY,,,1329.6,5685.3,15
CPT,61736,LITT ICR 1 TRAJ 1 SMPL LES,,,992.23,5685.3,15
CPT,61737,LITT ICR MLT TRJ MLT/CPLX LS,,,1176.63,5685.3,15
CPT,61750,INCISE SKULL/BRAIN BIOPSY,,,1174.34,5685.3,15
CPT,61751,BRAIN BIOPSY W/CT/MR GUIDE,,,1164.37,5685.3,15
CPT,61760,IMPLANT BRAIN ELECTRODES,,,1318.96,5685.3,15
CPT,61770,INCISE SKULL FOR TREATMENT,,,1646.07,11763.0,17
CPT,61781,SCAN PROC CRANIAL INTRA,,,1.0,235.68,15
CPT,61782,SCAN PROC CRANIAL EXTRA,,,1.0,170.76,15
CPT,61783,SCAN PROC SPINAL,,,1.0,230.68,15
CPT,61790,TREAT TRIGEMINAL NERVE,,,899.1,3409.43,17
CPT,61791,TREAT TRIGEMINAL TRACT,,,1148.09,3409.43,17
CPT,61796,SRS CRANIAL LESION SIMPLE,,,855.61,13751.03,15
CPT,61797,SRS CRAN LES SIMPLE ADDL,,,175.96,13751.03,15
CPT,61798,SRS CRANIAL LESION COMPLEX,,,1148.75,13751.03,15
CPT,61799,SRS CRAN LES COMPLEX ADDL,,,243.03,13751.03,15
CPT,61800,APPLY SRS HEADFRAME ADD-ON,,,121.8,13751.03,15
CPT,61850,IMPLANT NEUROELECTRODES,,,828.99,24054.24,15
CPT,61860,IMPLANT NEUROELECTRODES,,,1298.16,24054.24,15
CPT,61863,IMPLANT NEUROELECTRODE,,,1259.0,24054.24,15
CPT,61864,IMPLANT NEUROELECTRDE ADDL,,,227.18,24054.24,15
CPT,61867,IMPLANT NEUROELECTRODE,,,1883.01,24054.24,15
CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,400.33,24054.24,15
CPT,61870,Outpatient Services - CPT/HCPCS,,,9924.97,24054.24,2
CPT,61880,REVISE/REMOVE NEUROELECTRODE,,,600.51,6008.29,17
CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,539.26,38628.57,17
CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,899.76,54833.04,17
CPT,61888,REVISE/REMOVE NEURORECEIVER,,,405.11,24054.24,17
CPT,61889,INS SK-MNT CRNL NSTM PG/RCVR,,,1106.62,24054.24,15
CPT,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,598.84,38628.57,15
CPT,61892,RMV SK-MNT CRNL NSTM PG/RCVR,,,826.2,5715.72,15
CPT,62000,TREAT SKULL FRACTURE,,,1054.88,5685.3,17
CPT,62005,TREAT SKULL FRACTURE,,,1063.95,5685.3,15
CPT,62010,TREATMENT OF HEAD INJURY,,,1282.5,5685.3,15
CPT,62100,REPAIR BRAIN FLUID LEAKAGE,,,1323.76,5685.3,15
CPT,62115,REDUCTION OF SKULL DEFECT,,,1413.61,5685.3,15
CPT,62117,REDUCTION OF SKULL DEFECT,,,1624.05,5685.3,15
CPT,62120,REPAIR SKULL CAVITY LESION,,,1749.09,5685.3,15
CPT,62121,INCISE SKULL REPAIR,,,1332.48,5685.3,15
CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,867.18,5685.3,15
CPT,62141,CRNOP SKULL DEFECT>5 CM DIAM,,,964.58,5685.3,15
CPT,62142,RMVL B1 FLP/PROSTC PLATE SKL,,,758.66,5685.3,15
CPT,62143,RPL B1 FLP/PROSTC PLATE SKL,,,881.07,5685.3,15
CPT,62145,REPAIR OF SKULL & BRAIN,,,1171.08,5685.3,15
CPT,62146,CRNOP W/AUTOGRAFT<5 CM DIAM,,,1046.09,5685.3,15
CPT,62147,CRNOP W/AUTOGRAFT>5 CM DIAM,,,1193.64,5685.3,15
CPT,62148,RETR BONE FLAP TO FIX SKULL,,,101.2,5685.3,15
CPT,62160,NEUROENDOSCOPY ADD-ON,,,1.0,188.07,15
CPT,62161,DISSECT BRAIN W/SCOPE,,,1271.44,5685.3,15
CPT,62162,REMOVE COLLOID CYST W/SCOPE,,,1569.02,5685.3,15
CPT,62163,Outpatient Services - CPT/HCPCS,,,2345.8,5685.3,2
CPT,62164,REMOVE BRAIN TUMOR W/SCOPE,,,1742.22,5685.3,15
CPT,62165,REMOVE PITUIT TUMOR W/SCOPE,,,1289.52,5685.3,15
CPT,62180,ESTABLISH BRAIN CAVITY SHUNT,,,1331.15,11763.0,15
CPT,62190,ESTABLISH BRAIN CAVITY SHUNT,,,787.4,11763.0,15
CPT,62192,ESTABLISH BRAIN CAVITY SHUNT,,,837.13,11763.0,15
CPT,62194,REPLACE/IRRIGATE CATHETER,,,506.3,3409.43,17
CPT,62200,ESTABLISH BRAIN CAVITY SHUNT,,,1148.02,11763.0,15
CPT,62201,BRAIN CAVITY SHUNT W/SCOPE,,,1024.58,11763.0,15
CPT,62220,ESTABLISH BRAIN CAVITY SHUNT,,,816.95,11763.0,15
CPT,62223,ESTABLISH BRAIN CAVITY SHUNT,,,873.69,11763.0,15
CPT,62225,REPLACE/IRRIGATE CATHETER,,,549.24,11763.0,17
CPT,62230,SURG 62230 RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,11894.0,9515.2,856.15,11763.0,38
CPT,62252,ED 62252 REPROGRAM CEREBROSPINAL SHUNT,629.0,503.2,86.21,566.1,38
CPT,62252,SURG 62252 CSF SHUNT REPROGRAM,629.0,503.2,86.21,566.1,38
CPT,62256,REMOVE BRAIN CAVITY SHUNT,,,523.08,11763.0,15
CPT,62258,REPLACE BRAIN CAVITY SHUNT,,,933.79,11763.0,15
CPT,62263,SURG 62263 PERQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS,3660.0,2928.0,323.55,3294.0,38
CPT,62264,SURG 62264 PERQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY,3339.0,2671.2,242.67,3005.1,38
CPT,62267,SURG 62267 DISC ASPIRATION,2247.0,1797.6,151.46,2022.3,38
CPT,62268,SURG 62268 PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,2433.0,1946.4,331.54,2189.7,38
CPT,62269,NEEDLE BIOPSY SPINAL CORD,,,254.65,2862.91,17
CPT,62270,ED 62270 SPINAL TAP LUMBAR DIAG,1834.0,1467.2,63.25,1650.6,38
CPT,62270,SURG 62270 SPINAL PUNCTURE LUMBAR DIAG,1834.0,1467.2,63.25,1650.6,38
CPT,62270,TX RM 62270 LUMBAR PUNCTURE DIAGNOSTIC,1834.0,1467.2,63.25,1650.6,38
CPT,62272,ED 62272 DRN CEREBRO SPINAL FLUID,2000.0,1600.0,91.54,1800.0,38
CPT,62272,SURG 62272 THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF,2000.0,1600.0,91.54,1800.0,38
CPT,62273,ED 62273 INJ EPIDURAL PATCH,2200.0,1760.0,112.18,1980.0,38
CPT,62273,SURG 62273 BLOOD PATCH,2200.0,1760.0,112.18,1980.0,38
CPT,62273,TX RM 62273 INJ EPIDURAL BLOOD CLOT PATCH,2200.0,1760.0,112.18,1980.0,38
CPT,62280,TREAT SPINAL CORD LESION,,,159.11,1609.51,17
CPT,62281,SURG 62281 INJ/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC,3557.0,2845.6,154.45,3201.3,38
CPT,62282,TREAT SPINAL CANAL LESION,,,141.14,1609.51,17
CPT,62284,SURG 62284 INJ MYELOGRAPHY AND OR CT LUMBAR,1971.0,1576.8,1.0,1773.9,36
CPT,62287,SURG 62287 DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR,9305.0,7444.0,602.17,8374.5,36
CPT,62290,SURG 62290 DSC INJ LMBR EA LEV,2165.0,1732.0,1.0,1948.5,36
CPT,62291,NJX PX DISCOGRAPHY CRV/THRC,,,1.0,303.69,15
CPT,62292,NJX CHEMONUCLEOLYSIS LMBR,,,581.2,3409.43,17
CPT,62294,INJECTION INTO SPINAL ARTERY,,,664.1,1609.51,17
CPT,62302,SURG 62302 CERV MYELOGRAPHY LUMB INJ INCL S&I,2053.0,1642.4,116.84,1847.7,38
CPT,62303,SURG 62303 THOR MYELOGRAPHY LUMB INJ INCL S&I,1648.0,1318.4,116.84,1483.2,38
CPT,62304,SURG 62304 LUMB MYELOGRAPHY LUMB INJ INCL S&I,2383.0,1906.4,115.51,2144.7,38
CPT,62305,SURG 62305 MYELOGRAPHY LUMB INJ 2 + REGIONS INCL S&I,2075.0,1660.0,119.84,1867.5,38
CPT,62320,ED 62320 SURG INJ IL NDL CATH CERV THOR WO GUID,2364.0,1891.2,99.2,2127.6,38
CPT,62320,SURG 62320 INJ IL NDL CATH CERV THOR WO GUID,2364.0,1891.2,99.2,2127.6,38
CPT,62321,SURG 62321 INJ IL NDL CATH CERV THOR W GUID,3026.0,2420.8,106.52,2723.4,38
CPT,62322,SURG 62322 INJ IL NDL CATH LUMB SACR WO GUID,2335.0,1868.0,78.56,2101.5,38
CPT,62323,SURG 62323 INJ IL NDL CATH LUMB SACR W GUID,2881.0,2304.8,98.53,2592.9,38
CPT,62324,SURG 62324 INJ IL INDW CATH CERV THOR WO GUID,2510.0,2008.0,87.88,2259.0,38
CPT,62325,SURG 62325 INJ IL INDW CATH CERV THOR W GUID,2887.0,2309.6,109.18,2598.3,38
CPT,62326,SURG 62326 INJ IL INDW CATH LUMB SACR WO GUID,2736.0,2188.8,84.22,2462.4,38
CPT,62327,SURG 62327 INJ IL INDW CATH LUMB SACR W GUID,3491.0,2792.8,106.52,3141.9,38
CPT,62328,SURG 62328 DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2355.0,1884.0,83.88,2119.5,38
CPT,62328,TX RM 62328 DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2355.0,1884.0,83.88,2119.5,38
CPT,62329,SURG 62329 THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,2351.0,1880.8,102.86,2115.9,38
CPT,62330,SURG 62330 DECMPRSN PERQ PRTL RMVL LIGA FLAVM BI 1 INTRSPC LMBR,11119.0,8895.2,3087.75,10007.1,27
CPT,62331,SURG 62331 DECMPRSN PRQ PRT RMV LIGA FLAVM BI ADDL INTRSPC LMBR,5556.0,4444.8,1542.9,5000.4,27
CPT,62350,IMPLANT SPINAL CANAL CATH,,,400.78,11763.0,17
CPT,62351,IMPLANT SPINAL CANAL CATH,,,927.72,12632.88,17
CPT,62355,REMOVE SPINAL CANAL CATHETER,,,278.95,3409.43,17
CPT,62360,INSERT SPINE INFUSION DEVICE,,,313.24,31492.43,17
CPT,62361,IMPLANT SPINE INFUSION PUMP,,,444.72,31492.43,17
CPT,62362,SURG 62362 IMPLANT REPL DEVICE INTRATHECAL EPIDURAL DRUG INFUSION PROGRAM,13045.0,10436.0,388.8,31492.43,38
CPT,62365,REMOVE SPINE INFUSION DEVICE,,,301.58,11763.0,17
CPT,62367,ANLYS PAIN PUMP WO REPROG,1176.0,940.8,24.63,1058.4,38
CPT,62367,ED 62367 ANLYS PAIN PUMP WO REPROG,1176.0,940.8,24.63,1058.4,38
CPT,62368,SURG 62368 ANALYSIS & PROGRAMMING,1219.0,975.2,33.95,1097.1,38
CPT,62369,SURG 62369 ELECT ANLYS IMPLT INTRATHEC/EPIDRL PMP W/REPRGM&REFIL,1514.0,1211.2,34.62,1362.6,38
CPT,62370,SURG 62370 ELECT ANLYS IMPLT INTRATHEC/EPIDURL PMP W/REPRGM PHYS/QHP,1385.0,1108.0,45.27,1246.5,38
CPT,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,5212.43,12632.88,13
CPT,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,1246.28,12632.88,17
CPT,63003,REMOVE SPINE LAMINA 1/2 THRC,,,1250.94,12632.88,17
CPT,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,1218.32,12632.88,17
CPT,63011,REMOVE SPINE LAMINA 1/2 SCRL,,,1098.82,12632.88,17
CPT,63012,REMOVE LAMINA/FACETS LUMBAR,,,1208.67,12632.88,17
CPT,63015,REMOVE SPINE LAMINA >2 CRVCL,,,1502.26,12632.88,17
CPT,63016,REMOVE SPINE LAMINA >2 THRC,,,1544.54,12632.88,17
CPT,63017,REMOVE SPINE LAMINA >2 LMBR,,,1284.56,12632.88,17
CPT,63020,LAMOT DCMPRN NRV RT 1 CERV,,,1111.8,12632.88,17
CPT,63030,LAMOT DCMPRN NRV RT 1 LMBR,,,927.06,12632.88,17
CPT,63035,LAMOT DCMPRN NRV RT EA ADDL,,,1.0,232.35,15
CPT,63040,LAMINOTOMY SINGLE CERVICAL,,,1389.42,12632.88,17
CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,1307.87,12632.88,17
CPT,63043,LAMINOTOMY ADDL CERVICAL,,,1.0,1.0,2
CPT,63044,LAMINOTOMY ADDL LUMBAR,,,1.0,1.0,2
CPT,63045,LAM FACETEC & FORAMOT CRV,,,1304.87,12632.88,17
CPT,63046,LAM FACETEC & FORAMOT THRC,,,1244.95,12632.88,17
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,1118.79,12632.88,17
CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,1.0,209.71,15
CPT,63050,CERVICAL LAMINOPLSTY 2/> SEG,,,1266.72,12632.88,15
CPT,63051,C-LAMINOPLASTY W/GRAFT/PLATE,,,1438.5,12632.88,15
CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,1.0,256.98,15
CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,1.0,228.35,15
CPT,63055,DECOMPRESS SPINAL CORD THRC,,,1643.74,12632.88,17
CPT,63056,DECOMPRESS SPINAL CORD LMBR,,,1503.93,12632.88,17
CPT,63057,DECOMPRESS SPINE CORD ADD-ON,,,1.0,320.23,15
CPT,63064,DECOMPRESS SPINAL CORD THRC,,,1794.53,12632.88,17
CPT,63066,DECOMPRESS SPINE CORD ADD-ON,,,1.0,205.38,15
CPT,63075,NECK SPINE DISK SURGERY,,,1366.12,12632.88,17
CPT,63076,NECK SPINE DISK SURGERY,,,1.0,240.34,15
CPT,63077,SPINE DISK SURGERY THORAX,,,171.82,1461.65,15
CPT,63078,SPINE DISK SURGERY THORAX,,,165.92,12632.88,15
CPT,63081,REMOVE VERT BODY DCMPRN CRVL,,,1485.73,12632.88,15
CPT,63082,REMOVE VERTEBRAL BODY ADD-ON,,,218.37,32908.19,15
CPT,63085,REMOVE VERT BODY DCMPRN THRC,,,1622.15,32908.19,15
CPT,63086,REMOVE VERTEBRAL BODY ADD-ON,,,157.09,32908.19,15
CPT,63087,REMOV VERTBR DCMPRN THRCLMBR,,,2034.96,32908.19,15
CPT,63088,REMOVE VERTEBRAL BODY ADD-ON,,,212.06,32908.19,15
CPT,63090,REMOVE VERT BODY DCMPRN LMBR,,,1653.33,32908.19,15
CPT,63091,REMOVE VERTEBRAL BODY ADD-ON,,,146.02,32908.19,15
CPT,63101,REMOVE VERT BODY DCMPRN THRC,,,1944.6,32908.19,15
CPT,63102,REMOVE VERT BODY DCMPRN LMBR,,,1934.47,32908.19,15
CPT,63103,REMOVE VERTEBRAL BODY ADD-ON,,,241.17,32908.19,15
CPT,63170,INCISE SPINAL CORD TRACT(S),,,1330.81,32908.19,15
CPT,63172,DRAINAGE OF SPINAL CYST,,,171.82,1437.35,15
CPT,63173,DRAINAGE OF SPINAL CYST,,,1436.78,32908.19,15
CPT,63180,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63182,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63185,INCISE SPINE NRV HALF SEGMNT,,,171.82,1253.27,15
CPT,63190,INCISE SPINE NRV >2 SEGMNTS,,,171.82,1243.62,15
CPT,63191,INCISE SPINE ACCESSORY NERVE,,,171.82,1407.06,15
CPT,63194,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63195,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63196,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63197,LAM W/CORDOTOMY 1STG THRC,,,1425.51,32908.19,15
CPT,63198,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63199,Outpatient Services - CPT/HCPCS,,,13578.19,32908.19,2
CPT,63200,RELEASE SPINAL CORD LUMBAR,,,1294.68,12632.88,15
CPT,63250,REVISE SPINAL CORD VSLS CRVL,,,2432.99,32908.19,15
CPT,63251,REVISE SPINAL CORD VSLS THRC,,,2489.67,32908.19,15
CPT,63252,REVISE SPINE CORD VSL THRLMB,,,2489.36,32908.19,15
CPT,63265,EXCISE INTRASPINL LESION CRV,,,1693.0,12632.88,15
CPT,63266,EXCISE INTRSPINL LESION THRC,,,1737.61,12632.88,15
CPT,63267,EXCISE INTRSPINL LESION LMBR,,,1389.42,12632.88,17
CPT,63268,EXCISE INTRSPINL LESION SCRL,,,1489.28,12632.88,15
CPT,63270,EXCISE INTRSPINL LESION CRVL,,,1720.63,12632.88,15
CPT,63271,EXCISE INTRSPINL LESION THRC,,,1721.78,32908.19,15
CPT,63272,EXCISE INTRSPINL LESION LMBR,,,1580.45,12632.88,15
CPT,63273,EXCISE INTRSPINL LESION SCRL,,,1552.32,12632.88,15
CPT,63275,BX/EXC XDRL SPINE LESN CRVL,,,1503.73,32908.19,15
CPT,63276,BX/EXC XDRL SPINE LESN THRC,,,1494.31,32908.19,15
CPT,63277,BX/EXC XDRL SPINE LESN LMBR,,,1316.86,32908.19,15
CPT,63278,BX/EXC XDRL SPINE LESN SCRL,,,1332.11,32908.19,15
CPT,63280,BX/EXC IDRL SPINE LESN CRVL,,,1756.14,32908.19,15
CPT,63281,BX/EXC IDRL SPINE LESN THRC,,,1742.08,32908.19,15
CPT,63282,BX/EXC IDRL SPINE LESN LMBR,,,1649.73,12632.88,15
CPT,63283,BX/EXC IDRL SPINE LESN SCRL,,,1584.58,32908.19,15
CPT,63285,BX/EXC IDRL IMED LESN CERVL,,,2156.33,32908.19,15
CPT,63286,BX/EXC IDRL IMED LESN THRC,,,2133.5,32908.19,15
CPT,63287,BX/EXC IDRL IMED LESN THRLMB,,,2258.76,32908.19,15
CPT,63290,BX/EXC XDRL/IDRL LSN ANY LVL,,,2296.2,32908.19,15
CPT,63295,REPAIR LAMINECTOMY DEFECT,,,171.82,416.42,15
CPT,63300,REMOVE VERT XDRL BODY CRVCL,,,1529.35,32908.19,15
CPT,63301,REMOVE VERT XDRL BODY THRC,,,1772.61,32908.19,15
CPT,63302,REMOVE VERT XDRL BODY THRLMB,,,1806.67,32908.19,15
CPT,63303,REMOV VERT XDRL BDY LMBR/SAC,,,1910.79,32908.19,15
CPT,63304,REMOVE VERT IDRL BODY CRVCL,,,1943.42,32908.19,15
CPT,63305,REMOVE VERT IDRL BODY THRC,,,2064.32,32908.19,15
CPT,63306,REMOV VERT IDRL BDY THRCLMBR,,,2029.62,32908.19,15
CPT,63307,REMOV VERT IDRL BDY LMBR/SAC,,,1985.32,32908.19,15
CPT,63308,REMOVE VERTEBRAL BODY ADD-ON,,,260.82,32908.19,15
CPT,63600,REMOVE SPINAL CORD LESION,,,1114.13,3409.43,17
CPT,63610,STIMULATION OF SPINAL CORD,,,583.2,3409.43,17
CPT,63615,Outpatient Services - CPT/HCPCS,,,503.85,1221.15,2
CPT,63620,SRS SPINAL LESION,,,941.92,13751.03,15
CPT,63621,SRS SPINAL LESION ADDL,,,202.4,13751.03,15
CPT,63650,SURG 63650 PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,12247.0,9797.6,413.43,12076.79,38
CPT,63655,IMPLANT NEUROELECTRODES,,,852.16,38628.57,17
CPT,63661,SURG 63661 RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,3973.0,3178.4,331.21,3575.7,38
CPT,63662,SURG 63662 RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,5656.0,4524.8,865.14,6008.29,38
CPT,63663,SURG 63663 REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,11232.0,8985.6,451.38,12076.79,38
CPT,63664,SURG 63664 REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,25438.0,20350.4,900.43,24054.24,38
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,342.2,54833.04,17
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,,,302.58,6008.29,17
CPT,63700,REPAIR OF SPINAL HERNIATION,,,171.82,1338.49,15
CPT,63702,REPAIR OF SPINAL HERNIATION,,,171.82,1460.66,15
CPT,63704,REPAIR OF SPINAL HERNIATION,,,171.82,1698.99,15
CPT,63706,REPAIR OF SPINAL HERNIATION,,,171.82,1883.74,15
CPT,63707,REPAIR SPINAL FLUID LEAKAGE,,,171.82,951.69,15
CPT,63709,REPAIR SPINAL FLUID LEAKAGE,,,952.65,12632.88,15
CPT,63710,GRAFT REPAIR OF SPINE DEFECT,,,933.3,12632.88,15
CPT,63740,INSTALL SPINAL SHUNT,,,837.14,11763.0,15
CPT,63741,INSTALL SPINAL SHUNT,,,695.04,11763.0,17
CPT,63744,REVISION OF SPINAL SHUNT,,,698.04,11763.0,17
CPT,63746,REMOVAL OF SPINAL SHUNT,,,626.14,3409.43,17
CPT,64400,ED 64400 INJ ANES AG TRIG NRV EA BRANCH,1331.0,1064.8,51.6,1197.9,38
CPT,64400,SURG 64400 TRIGEMINAL NERVE BLK EA BRANCH,1331.0,1064.8,51.6,1197.9,38
CPT,64402,Outpatient Services - CPT/HCPCS,,,215.79,523.0,2
CPT,64405,ED 64405 INJ NERVE BLOCK GR OCCPTAL,1488.0,1190.4,52.59,1339.2,38
CPT,64405,SURG 64405 GR OCCIPITAL NERVE BLOCK,1488.0,1190.4,52.59,1339.2,38
CPT,64405,TX RM 64405 INJ ANES NRV GREAT OCCIPITAL,1488.0,1190.4,52.59,1339.2,38
CPT,64408,NJX AA&/STRD VAGUS NRV,,,44.61,523.0,17
CPT,64410,Outpatient Services - CPT/HCPCS,,,215.79,523.0,2
CPT,64413,Outpatient Services - CPT/HCPCS,,,215.79,523.0,2
CPT,64415,SURG 64415 INJ ANESTHETIC AGENT BRACHIAL PLEXUS INCL IMAGING,1817.0,1453.6,68.57,1635.3,38
CPT,64416,NJX AA&/STRD BRCH PL NFS IMG,,,75.9,1609.51,17
CPT,64417,ED 64417 INJ ANESTHETIC AGENT AXILLARY NERVE INCL IMAGING,1877.0,1501.6,63.25,1689.3,38
CPT,64417,SURG 64417 INJ ANESTHETIC AGENT AXILLARY NERVE INCL IMAGING,1877.0,1501.6,63.25,1689.3,38
CPT,64418,SURG 64418 SUPRASCAPULAR NERVE BLOCK,1708.0,1366.4,54.92,1537.2,38
CPT,64420,ED 64420 INJ NERVE BLOCK INTERCOSTL SNGL LVL,1936.0,1548.8,57.59,1742.4,38
CPT,64420,SURG 64420 INJ INTERCOSTAL NERVE SINGLE LEVEL,1936.0,1548.8,57.59,1742.4,38
CPT,64421,SURG 64421 INJ ANES AGENT INTERCOSTAL NERVE EA ADDL LVL,2115.0,1692.0,24.63,1903.5,38
CPT,64425,SURG 64425 INJ ILIOHYPOGASTRIC NRVS,1675.0,1340.0,53.93,1507.5,38
CPT,64430,SURG 64430 INJ PUNDENDAL NERVE,1759.0,1407.2,54.26,1609.51,38
CPT,64435,NJX AA&/STRD PARACRV NRV,,,43.61,1221.15,17
CPT,64445,ED 64445 INJ ANESTHETIC AGENT SCIATIC NERVE INCL IMAGING,1810.0,1448.0,71.24,1629.0,38
CPT,64445,SURG 64445 INJ ANESTHETIC AGENT SCIATIC NERVE INCL IMAGING,1810.0,1448.0,71.24,1629.0,38
CPT,64446,NJX AA&/STRD SC NRV NFS IMG,,,74.23,1609.51,17
CPT,64447,ED 64447 INJ FEMORAL NERVE INCL IMAGING,1932.0,1545.6,62.25,1738.8,38
CPT,64447,SURG 64447 INJ FEMORAL NERVE INCL IMAGING,1932.0,1545.6,62.25,1738.8,38
CPT,64448,NJX AA&/STRD FEM NRV NFS IMG,,,70.9,1609.51,17
CPT,64449,SURG 64449 INJ BLOCK LUMBAR PLEXUS CONT CATH INFUS,1806.0,1444.8,62.91,1625.4,38
CPT,64450,ED 64450 INJ NERVE BLOCK OTH PRPHRL,1626.0,1300.8,41.61,1463.4,38
CPT,64450,SURG 64450 INJ ANES OTHER PERIPHERAL NERVE BRANCH,1626.0,1300.8,41.61,1463.4,38
CPT,64450,TX RM 64450 INJ AGENT OTHER PERIP NRV BRCH,1626.0,1300.8,41.61,1463.4,38
CPT,64450,TX RM 64450 INJ ANES NERVE PERIPHERAL,1626.0,1300.8,41.61,1463.4,38
CPT,64451,SURG 64451 INJ AA&/STRD NERVES NRVTG SI JOINT W/IMG,1673.0,1338.4,80.89,1505.7,38
CPT,64454,SURG 64454 INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,2991.0,2392.8,81.55,2691.9,38
CPT,64455,ED 64455 INJ ANESTH AGNT STEROID NERVE PLANTAR DIGIT,1275.0,1020.0,32.95,1147.5,38
CPT,64455,SURG 64455 INJ ANESTH AGNT STEROID NERVE PLANTAR DIGIT,1275.0,1020.0,32.95,1147.5,38
CPT,64461,PVB THORACIC SINGLE INJ SITE,,,76.89,1221.15,17
CPT,64462,PVB THORACIC 2ND+ INJ SITE,,,1.0,69.98,15
CPT,64463,PVB THORACIC CONT INFUSION,,,80.22,1221.15,17
CPT,64466,SURG 64466 THORACIC FASCIAL PLANE BLOCK UNI INJECTION,1854.0,1483.2,111.16,1668.6,36
CPT,64467,SURG 64467 THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION,1854.0,1483.2,207.76,1668.6,36
CPT,64468,SURG 64468 THORACIC FASCIAL PLANE BLOCK BI INJECTION,1854.0,1483.2,128.48,1668.6,36
CPT,64469,SURG 64469 THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION,1854.0,1483.2,318.7,1668.6,36
CPT,64473,LWR XTR FSCL PLN BLK UNI NJX,,,105.08,116.14,9
CPT,64474,LWR XTR FSCL PLN BLK UNI NFS,,,205.31,226.92,9
CPT,64479,SURG 64479 INJ TRNFRM EPID CERV THOR 1LVL,2327.0,1861.6,129.49,2094.3,38
CPT,64480,SURG 64480 INJ EPID CERV THOR EA ADD,1627.0,1301.6,1.0,1464.3,36
CPT,64480,SURG 64480 INJ TRNFRM CER THOR EA ADDL,1627.0,1301.6,1.0,1464.3,36
CPT,64483,ED 64483 INJ EPIDURAL LUMB SINGLE,2378.0,1902.4,110.51,2140.2,38
CPT,64483,SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL,2378.0,1902.4,110.51,2140.2,38
CPT,64484,SURG 64484 INJ TRNFRM EPID LUM SAC EA ADD,1599.0,1279.2,1.0,1439.1,36
CPT,64486,SURG 64486 TAP BLOCK UNILATERAL BY INJECTION,766.0,612.8,1.0,689.4,36
CPT,64487,TAP BLOCK UNI BY INFUSION,,,1.0,205.13,15
CPT,64488,SURG 64488 TAP BLOCK BILATERAL BY INJECTION,819.0,655.2,1.0,737.1,36
CPT,64489,TAP BLOCK BI BY INFUSION,,,1.0,335.6,15
CPT,64490,ED 64490 INJ AGNT JOINT CER THR 1ST LVL,2603.0,2082.4,104.52,2342.7,38
CPT,64490,SURG 64490 INJ FACET JNT CER THOR W/IMAGE GUIDE 1 LVL,2603.0,2082.4,104.52,2342.7,38
CPT,64491,SURG 64491 INJ DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,1537.0,1229.6,1.0,1383.3,36
CPT,64492,SURG 64492 INJ DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,1647.0,1317.6,1.0,1482.3,36
CPT,64493,SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,2539.0,2031.2,89.88,2285.1,38
CPT,64494,SURG 64494 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,1647.0,1317.6,1.0,1482.3,36
CPT,64495,SURG 64495 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,1494.0,1195.2,1.0,1344.6,36
CPT,64505,ED 64505 INJ ANESTHETIC AGENT SPHENOPALATINE GANGLION,1450.0,1160.0,105.52,1305.0,38
CPT,64505,SURG 64505 INJ ANES AGENT SPHENOPALATINE GANGLION,1450.0,1160.0,105.52,1305.0,38
CPT,64508,Outpatient Services - CPT/HCPCS,,,215.79,523.0,2
CPT,64510,ED 64510 INJ NERVE BLOCK STELLATE,2345.0,1876.0,76.56,2110.5,38
CPT,64510,SURG 64510 INJ ANES STELLATE GANGLION CRV SYMPATHETIC,2345.0,1876.0,76.56,2110.5,38
CPT,64510,SURG 64510 NJX ANES STELLATE GANGLION CRV SYMPATHETIC,2345.0,1876.0,76.56,2110.5,38
CPT,64510,TX RM 64510 INJ ANES GANGLION STELLATE,2345.0,1876.0,76.56,2110.5,38
CPT,64517,SURG 64517 INJ ANES SUPERIOR HYPOGASTRIC PLEXUS,1853.0,1482.4,125.16,1667.7,38
CPT,64520,SURG 64520 INJ ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,2265.0,1812.0,84.55,2038.5,38
CPT,64520,SURG 64520 SYMP NVE BLK LUM THOR,2265.0,1812.0,84.55,2038.5,38
CPT,64530,SURG 64530 INJ ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,2086.0,1668.8,93.87,1877.4,38
CPT,64553,SURG 64553 PERQ IMPLT NEUROSTIMULATOR ELTRD CRANIAL NERVE,11233.0,8986.4,457.37,24054.24,38
CPT,64555,SURG 64555 PRECUTANEOUS IMPLT NEUROSTIMULATOR ELTRD PERIPHERAL NRV,11202.0,8961.6,322.22,12076.79,38
CPT,64561,IMPLANT NEUROELECTRODES,,,301.58,12076.79,17
CPT,64566,NEUROELTRD STIM POST TIBIAL,,,29.96,523.0,17
CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,606.83,54833.04,17
CPT,64569,REVISE/REPL VAGUS N ELTRD,,,781.59,24054.24,17
CPT,64570,REMOVE VAGUS N ELTRD,,,752.3,11763.0,17
CPT,64575,OPN IMPLTJ NEA PERPH NERVE,,,315.57,24054.24,17
CPT,64580,OPN IMPLTJ NEA NEUROMUSCULAR,,,317.56,38628.57,17
CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,653.1,12076.79,17
CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,836.51,54833.04,17
CPT,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,863.48,24054.24,17
CPT,64584,RMVL HPGLSL NSTIM ARY PG,,,728.66,11763.0,17
CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,144.13,6008.29,17
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,293.93,38628.57,17
CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,229.35,6008.29,17
CPT,64596,INS/RPLCMT PRQ ELTRD RA PN 1,,,9924.97,24054.24,11
CPT,64597,INS/RPLCM PRQ ELTRD RA PN EA,,,1.0,1.0,2
CPT,64598,REVJ/RMVL NEA PN W/INT NSTIM,,,2479.07,6008.29,11
CPT,64600,SURG 64600 TRIGEMINAL BLOCK,3213.0,2570.4,238.01,2891.7,38
CPT,64605,INJECTION TREATMENT OF NERVE,,,430.07,3409.43,17
CPT,64610,SURG 64610 DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR,6739.0,5391.2,483.67,6065.1,38
CPT,64611,SURG 64611 CHEMODENERV SALIV GLANDS BILAT,1302.0,1041.6,114.18,1171.8,38
CPT,64612,DESTROY NERVE FACE MUSCLE,,,119.84,523.0,17
CPT,64615,SURG 64615 CHEMODENERV MUSC MIGRAINE,798.0,638.4,123.16,718.2,38
CPT,64615,TX RM 64615 CHEMODENERVATE MUSCLE MIGRAINE,798.0,638.4,123.16,718.2,38
CPT,64616,SURG 64616 CHEMODENERV MUSCLE NECK,1254.0,1003.2,110.18,1128.6,38
CPT,64616,TX RM 64616 CHEM DEST NERVE MUSCLE NECK,1254.0,1003.2,110.18,1128.6,38
CPT,64617,CHEMODENER MUSCLE LARYNX EMG,,,107.85,1221.15,17
CPT,64620,SURG 64620 DESTRUCTION NEUROLYTIC AGENT INTERCOSTAL NERVE,3183.0,2546.4,177.09,2864.7,38
CPT,64624,SURG 64624 DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,3452.0,2761.6,145.13,3409.43,38
CPT,64625,SURG 64625 RADIOFREQUENCY ABLT NRV NRVTG SI JT W/IMG GDN,1802.0,1441.6,194.4,3409.43,38
CPT,64628,SURG 64628  THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,14681.0,11744.8,411.77,23240.38,38
CPT,64629,SURG 64629 THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC,5928.0,4742.4,1.0,5335.2,36
CPT,64630,INJECTION TREATMENT OF NERVE,,,191.07,1609.51,17
CPT,64632,N BLOCK INJ COMMON DIGIT,,,66.91,523.0,17
CPT,64633,SURG 64633 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL CRVCL/THORA,3956.0,3164.8,191.07,3560.4,38
CPT,64633,SURG 64633 DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,3956.0,3164.8,191.07,3560.4,38
CPT,64634,SURG 64634 DESTROY NROLYTC AGNT PARVERTEB FACET ADDL CRVCL/THORA,1586.0,1268.8,1.0,1427.4,36
CPT,64634,SURG 64634 DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,1586.0,1268.8,1.0,1427.4,36
CPT,64635,SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL,4376.0,3500.8,191.4,3938.4,38
CPT,64635,SURG 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,4376.0,3500.8,191.4,3938.4,38
CPT,64636,SURG 64636 DESTROY NROLYTC AGNT PARVERTEB FACET ADDL LMBR/SACRAL,2074.0,1659.2,1.0,1866.6,36
CPT,64636,SURG 64636 DSTRUCT NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,2074.0,1659.2,1.0,1866.6,36
CPT,64640,SURG 64640 DSTRUCT NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,1958.0,1566.4,118.5,1762.2,38
CPT,64640,TX RM 64640 DEST NERVE NEUROLYTIC PERIPHERAL,1958.0,1566.4,118.5,1762.2,38
CPT,64642,TX RM 64642 CHEMODENERV 1 EXT 1-4 MUSCLE,1610.0,1288.0,107.19,1449.0,38
CPT,64643,TX RM 64643 CHEMODEN 1 EXT 1-4 MUSCLE ADDL,1292.0,1033.6,1.0,1162.8,36
CPT,64644,TX RM 64644 CHEMODENERV 1 EXT 5+ MUSCLES,1508.0,1206.4,115.84,1357.2,38
CPT,64645,TX RM 64645 CHEMODEN 1 EXT 5+ MUSCLES ADDL,1292.0,1033.6,1.0,1162.8,36
CPT,64646,TX RM 64646 CHEMODENERV TRUNK 1-5 MUSCLES,1453.0,1162.4,116.17,1307.7,38
CPT,64647,TX RM 64647 CHEMODENERV TRUNK 6+ MUSCLES,1584.0,1267.2,133.82,1425.6,38
CPT,64650,CHEMODENERV ECCRINE GLANDS,,,40.61,523.0,17
CPT,64653,CHEMODENERV ECCRINE GLANDS,,,51.6,523.0,17
CPT,64680,SURG 64680 DESTRUCT NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,3467.0,2773.6,159.45,3120.3,38
CPT,64681,SURG 64681 INJ NEURLYTIC AGNT SUPERIOR HYPOGASTRIC PLEXUS,1627.0,1301.6,217.03,1609.51,38
CPT,64702,SURG 64702 NEUROPLASTY DIGITAL ONE BOTH SAME DIGIT,4482.0,3585.6,521.62,4033.8,38
CPT,64704,REVISE HAND/FOOT NERVE,,,327.55,3409.43,17
CPT,64708,SURG 64708 NEUROPLASTY MAJOR PERIPHERAL NERVE ARM LEG OTHER THAN SPECIFIED,3934.0,3147.2,514.96,3540.6,38
CPT,64712,REVISION OF SCIATIC NERVE,,,601.17,3409.43,17
CPT,64713,REVISION OF ARM NERVE(S),,,808.55,3409.43,17
CPT,64714,REVISE LOW BACK NERVE(S),,,772.94,3409.43,17
CPT,64716,REVISION OF CRANIAL NERVE,,,515.62,3409.43,17
CPT,64718,SURG 64718 NEUROPLASTY & OR TRANSPOSITION ULNAR NERVE AT ELBOW,6562.0,5249.6,612.82,5905.8,38
CPT,64719,SURG 64719 REVISE ULNAR NERVE AT WRIST,4135.0,3308.0,414.76,3721.5,38
CPT,64721,ED 64721 NEUROPLAST & OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL,4776.0,3820.8,445.05,4298.4,38
CPT,64721,SURG 64721 CARPAL TUNNEL RELEASE,4776.0,3820.8,445.05,4298.4,38
CPT,64722,SURG 64722 DECOMPRESSION UNSPECIFIED NERVE(S) (SPECIFY),3680.0,2944.0,376.15,3409.43,38
CPT,64726,DCMPRN PLANTAR DIGITAL NERVE,,,270.63,3409.43,17
CPT,64727,INTERNAL NEUROLYSIS,,,1.0,177.09,15
CPT,64732,INCISION OF BROW NERVE,,,466.03,3409.43,17
CPT,64734,INCISION OF CHEEK NERVE,,,525.94,3409.43,17
CPT,64736,INCISION OF CHIN NERVE,,,331.88,3409.43,17
CPT,64738,INCISION OF JAW NERVE,,,449.38,3409.43,17
CPT,64740,INCISION OF TONGUE NERVE,,,458.7,3409.43,17
CPT,64742,INCISION OF FACIAL NERVE,,,493.65,3409.43,17
CPT,64744,INCISE NERVE BACK OF HEAD,,,518.29,3409.43,17
CPT,64746,INCISE DIAPHRAGM NERVE,,,432.07,3409.43,17
CPT,64755,INCISION OF STOMACH NERVES,,,783.38,5628.59,15
CPT,64760,INCISION OF VAGUS NERVE,,,451.33,5628.59,15
CPT,64763,INCISE HIP/THIGH NERVE,,,519.28,3409.43,17
CPT,64766,INCISE HIP/THIGH NERVE,,,640.45,3409.43,17
CPT,64771,SEVER CRANIAL NERVE,,,582.86,3409.43,17
CPT,64772,SURG 64772 TRANSECTION/AVULSION OTH SPINAL NRV XDRL,3982.0,3185.6,563.56,3583.8,38
CPT,64774,REMOVE SKIN NERVE LESION,,,433.07,3409.43,17
CPT,64776,SURG 64776 EXC NEUROMA DIGITAL NERVE ONE BOTH SAME DIGIT,6275.0,5020.0,409.77,5647.5,38
CPT,64778,DIGIT NERVE SURGERY ADD-ON,,,1.0,178.09,15
CPT,64782,REMOVE LIMB NERVE LESION,,,459.03,3409.43,17
CPT,64783,LIMB NERVE SURGERY ADD-ON,,,1.0,212.37,15
CPT,64784,REMOVE NERVE LESION,,,728.66,3409.43,17
CPT,64786,REMOVE SCIATIC NERVE LESION,,,1006.95,11763.0,17
CPT,64787,IMPLANT NERVE END,,,1.0,231.02,15
CPT,64788,SURG 64788 EXC NEUROFIBROMA NEUROLEMMOMA CUTANEOUS NERVE,4186.0,3348.8,414.1,3767.4,38
CPT,64790,REMOVAL OF NERVE LESION,,,857.49,3409.43,17
CPT,64792,REMOVAL OF NERVE LESION,,,1082.84,11763.0,17
CPT,64795,BIOPSY OF NERVE,,,195.06,3409.43,17
CPT,64802,SYMPATHECTOMY CERVICAL,,,865.14,3409.43,17
CPT,64804,SYMPATHECTOMY CERVICOTHORAC,,,1214.99,3409.43,17
CPT,64809,SYMPATHECTOMY THORACOLUMBAR,,,915.76,3409.43,15
CPT,64818,SYMPATHECTOMY LUMBAR,,,685.03,3409.43,15
CPT,64820,SYMPATHECTOMY DIGITAL ARTERY,,,773.27,3409.43,17
CPT,64821,SYMPATHECTOMY RADIAL ARTERY,,,707.03,5715.72,17
CPT,64822,SYMPATHECTOMY ULNAR ARTERY,,,707.03,5715.72,17
CPT,64823,SYMPATHECTOMY SUPFC PALMAR,,,799.57,5715.72,17
CPT,64831,REPAIR OF DIGIT NERVE,,,700.7,3409.43,17
CPT,64832,REPAIR NERVE ADD-ON,,,1.0,328.55,15
CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,749.3,11763.0,17
CPT,64835,REPAIR OF HAND OR FOOT NERVE,,,821.87,11763.0,17
CPT,64836,REPAIR OF HAND OR FOOT NERVE,,,821.87,11763.0,17
CPT,64837,REPAIR NERVE ADD-ON,,,1.0,358.51,15
CPT,64840,REPAIR OF LEG NERVE,,,966.67,11763.0,17
CPT,64856,REPAIR/TRANSPOSE NERVE,,,1008.61,11763.0,17
CPT,64857,REPAIR ARM/LEG NERVE,,,1054.22,11763.0,17
CPT,64858,REPAIR SCIATIC NERVE,,,1176.38,3409.43,17
CPT,64859,NERVE SURGERY,,,1.0,243.66,15
CPT,64861,REPAIR OF ARM NERVES,,,1406.76,3409.43,17
CPT,64862,REPAIR OF LOW BACK NERVES,,,1372.11,11763.0,17
CPT,64864,REPAIR OF FACIAL NERVE,,,858.48,11763.0,17
CPT,64865,REPAIR OF FACIAL NERVE,,,1084.84,11763.0,17
CPT,64866,FUSION OF FACIAL/OTHER NERVE,,,1091.7,3409.43,15
CPT,64868,FUSION OF FACIAL/OTHER NERVE,,,875.7,3409.43,15
CPT,64872,SUBSEQUENT REPAIR OF NERVE,,,1.0,113.84,15
CPT,64874,REPAIR & REVISE NERVE ADD-ON,,,1.0,170.76,15
CPT,64876,REPAIR NERVE/SHORTEN BONE,,,1.0,193.4,15
CPT,64885,NERVE GRAFT HEAD/NECK <4 CM,,,1073.52,11763.0,17
CPT,64886,NERVE GRAFT HEAD/NECK >4 CM,,,1284.9,11763.0,17
CPT,64890,NRV GRF 1STRND HND/FOOT <4CM,,,1080.85,11763.0,17
CPT,64891,NRV GRF 1STRND HND/FOOT >4CM,,,1149.08,11763.0,17
CPT,64892,NRV GRF 1STRND ARM/LEG <4CM,,,1052.22,11763.0,17
CPT,64893,NRV GRF 1STRND ARM/LEG >4 CM,,,1121.46,11763.0,17
CPT,64895,NRV GRF MLTST HND/FOOT <4 CM,,,1322.85,11763.0,17
CPT,64896,NRV GRF MLTST HND/FOOT >4 CM,,,1427.04,11763.0,17
CPT,64897,NRV GRF MLTST ARM/LEG <4 CM,,,1265.26,11763.0,17
CPT,64898,NRV GRF MLTST ARM/LEG >4 CM,,,1370.11,11763.0,17
CPT,64901,NERVE GRAFT ADD-ON,,,1.0,585.19,15
CPT,64902,NERVE GRAFT ADD-ON,,,1.0,677.07,15
CPT,64905,NERVE PEDICLE TRANSFER,,,1002.29,11763.0,17
CPT,64907,NERVE PEDICLE TRANSFER,,,1298.21,11763.0,17
CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,764.95,11763.0,17
CPT,64911,NEURORRAPHY W/VEIN AUTOGRAFT,,,1026.25,11763.0,17
CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,897.43,11763.0,17
CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,1.0,170.43,15
CPT,64999,ED 64999 FASCIA ILIACA NERVE BLOCK,2411.0,1928.8,215.79,2169.9,38
CPT,64999,ED 64999 SPHENOPALATINE GANGION BLOCK VIA APPLICATOR,1773.0,1418.4,215.79,1595.7,38
CPT,64999,SURG 64999 BIER BLOCK,1636.0,1308.8,215.79,1472.4,38
CPT,64999,SURG 64999 FLUORO GUIDED BLOCK INJECTION OF COCCYX,2820.0,2256.0,215.79,2538.0,38
CPT,64999,SURG 64999 IDTA,1555.0,1244.0,215.79,1399.5,38
CPT,64999,SURG 64999 INJ GANGLION SACROC LIG PRESAC W FLUORO,986.0,788.8,215.79,887.4,38
CPT,64999,SURG 64999 LUMBAR PUNCT W INTRATHECAL SPINRAZA,1223.0,978.4,215.79,1100.7,38
CPT,64999,SURG 64999 PULSE RADIOFREQ OTH PERIPH NRV,1468.0,1174.4,215.79,1321.2,38
CPT,64999,SURG 64999 PULSE RADIOFREQUENCY C T,1586.0,1268.8,215.79,1427.4,38
CPT,64999,SURG 64999 PULSE RADIOFREQUENCY LMBR,1586.0,1268.8,215.79,1427.4,38
CPT,64999,SURG 64999 TRIGEMINAL BAL RHIZOTOMY W MULLEN BAL KT NO NEURO AGENT,2904.0,2323.2,215.79,2613.6,38
CPT,64999,SURG 64999 UNLISTED PROCEDURE NERVOUS SYSTEM,958.0,766.4,215.79,862.2,38
CPT,65091,REVISE EYE,,,739.98,6827.39,17
CPT,65093,REVISE EYE WITH IMPLANT,,,733.99,6827.39,17
CPT,65101,REMOVAL OF EYE,,,847.17,6827.39,17
CPT,65103,REMOVE EYE/INSERT IMPLANT,,,874.46,6827.39,17
CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,950.69,6827.39,17
CPT,65110,REMOVAL OF EYE,,,1310.53,6827.39,17
CPT,65112,REMOVE EYE/REVISE SOCKET,,,1500.93,6827.39,17
CPT,65114,REMOVE EYE/REVISE SOCKET,,,1565.84,6827.39,17
CPT,65125,REVISE OCULAR IMPLANT,,,292.6,4126.4,17
CPT,65130,INSERT OCULAR IMPLANT,,,850.16,6827.39,17
CPT,65135,INSERT OCULAR IMPLANT,,,860.48,6827.39,17
CPT,65140,ATTACH OCULAR IMPLANT,,,924.06,6827.39,17
CPT,65150,REVISE OCULAR IMPLANT,,,698.7,6827.39,17
CPT,65155,REINSERT OCULAR IMPLANT,,,960.68,6827.39,17
CPT,65175,REMOVAL OF OCULAR IMPLANT,,,776.26,6827.39,17
CPT,65205,ED 65205 REMV FB EYE CONJ SUPERFCL,666.0,532.8,28.63,599.4,38
CPT,65210,ED 65210 REMV FB EYE CONJ EMBEDDED,686.0,548.8,35.28,703.57,38
CPT,65220,ED 65220 REMV FB EYE CORNEAL WO SL,707.0,565.6,40.94,703.57,38
CPT,65222,ED 65222 REMV FB EYE CORNEAL WSLIT LAMP,666.0,532.8,49.6,599.4,38
CPT,65235,ED 65235 REMV FB EYE INTRAOCULAR,3844.0,3075.2,726.0,4115.05,38
CPT,65260,REMOVE FOREIGN BODY FROM EYE,,,971.0,4115.05,17
CPT,65265,REMOVE FOREIGN BODY FROM EYE,,,1092.83,4115.05,17
CPT,65270,ED 65270 RPR EYE WOUND,3859.0,3087.2,138.81,4126.4,38
CPT,65272,REPAIR OF EYE WOUND,,,349.19,4126.4,17
CPT,65273,REPAIR OF EYE WOUND,,,337.8,779.66,15
CPT,65275,REPAIR OF EYE WOUND,,,455.04,6827.39,17
CPT,65280,REPAIR OF EYE WOUND,,,662.42,9229.19,17
CPT,65285,REPAIR OF EYE WOUND,,,1091.16,9229.19,17
CPT,65286,REPAIR OF EYE WOUND,,,489.66,4115.05,17
CPT,65290,REPAIR OF EYE SOCKET WOUND,,,484.33,6827.39,17
CPT,65400,REMOVAL OF EYE LESION,,,597.18,1787.77,17
CPT,65410,BIOPSY OF CORNEA,,,101.19,4126.4,17
CPT,65420,REMOVAL OF EYE LESION,,,377.81,4126.4,17
CPT,65426,SURG 65426 EXCISION/TRANSPOSITION PTERYGIUM W/GRAFT,4202.0,3361.6,474.01,4126.4,38
CPT,65430,CORNEAL SMEAR,,,99.86,703.57,17
CPT,65435,ED 65435 REMV CORNEA EPITHELIUM,1794.0,1435.2,68.91,1787.77,38
CPT,65436,CURETTE/TREAT CORNEA,,,366.16,4126.4,17
CPT,65450,TREATMENT OF CORNEAL LESION,,,212.25,514.41,17
CPT,65600,REVISION OF CORNEA,,,338.2,4126.4,17
CPT,65710,CORNEAL TRANSPLANT,,,1126.78,9229.19,17
CPT,65730,CORNEAL TRANSPLANT,,,1237.96,7179.6,17
CPT,65750,CORNEAL TRANSPLANT,,,1244.95,9229.19,17
CPT,65755,CORNEAL TRANSPLANT,,,1241.29,7179.6,17
CPT,65756,CORNEAL TRNSPL ENDOTHELIAL,,,1165.4,7179.6,17
CPT,65757,PREP CORNEAL ENDO ALLOGRAFT,,,1.0,1.0,2
CPT,65760,KERATOMILEUSIS,,,212.25,514.41,2
CPT,65765,KERATOPHAKIA,,,212.25,514.41,2
CPT,65767,EPIKERATOPLASTY,,,212.25,514.41,2
CPT,65770,KERATOPROSTHESIS,,,1388.75,21891.38,17
CPT,65771,RADIAL KERATOTOMY,,,212.25,514.41,2
CPT,65772,CORRECTION OF ASTIGMATISM,,,401.78,1787.77,17
CPT,65775,CORRECTION OF ASTIGMATISM,,,569.22,4126.4,17
CPT,65778,COVER EYE W/MEMBRANE,,,43.27,1787.77,17
CPT,65779,COVER EYE W/MEMBRANE SUTURE,,,116.17,6827.39,17
CPT,65780,OCULAR RECONST TRANSPLANT,,,586.19,6827.39,17
CPT,65781,OCULAR RECONST TRANSPLANT,,,1309.2,9229.19,17
CPT,65782,OCULAR RECONST TRANSPLANT,,,1131.11,6827.39,17
CPT,65785,IMPLTJ NTRSTRML CRNL RNG SEG,,,439.73,7179.6,17
CPT,65800,ED 65800 PARACENTESIS OF EYE WASPR,4026.0,3220.8,87.55,4115.05,38
CPT,65810,ED 65810 PARACENTESIS OF EYE,4267.0,3413.6,460.03,4115.05,38
CPT,65815,DRAINAGE OF EYE,,,472.02,4115.05,17
CPT,65820,GONIOTOMY,,,816.88,7179.6,17
CPT,65850,TRABECULOTOMY AB EXTERNO,,,833.52,4115.05,17
CPT,65855,TRABECULOPLASTY LASER SURG,,,202.72,1026.42,17
CPT,65860,SEVERING ADS ANT SGM LASER,,,245.66,1026.42,17
CPT,65865,INCISE INNER EYE ADHESIONS,,,474.35,4115.05,17
CPT,65870,INCISE INNER EYE ADHESIONS,,,588.86,4115.05,17
CPT,65875,INCISE INNER EYE ADHESIONS,,,628.8,4115.05,17
CPT,65880,INCISE INNER EYE ADHESIONS,,,660.42,7179.6,17
CPT,65900,REMOVE EYE LESION,,,980.65,4115.05,17
CPT,65920,REMOVE IMPLANT OF EYE,,,783.92,4115.05,17
CPT,65930,REMOVE BLOOD CLOT FROM EYE,,,635.46,4115.05,17
CPT,66020,INJECTION TREATMENT OF EYE,,,130.15,4115.05,17
CPT,66030,ED 66030 INJ TX OF EYE,4029.0,3223.2,110.51,4115.05,38
CPT,66130,REMOVE EYE LESION,,,557.9,4126.4,17
CPT,66150,GLAUCOMA SURGERY,,,869.8,7179.6,17
CPT,66155,GLAUCOMA SURGERY,,,869.47,7179.6,17
CPT,66160,GLAUCOMA SURGERY,,,976.66,4115.05,17
CPT,66170,GLAUCOMA SURGERY,,,1083.18,4115.05,17
CPT,66172,INCISION OF EYE,,,1183.04,4115.05,17
CPT,66174,TRLUML DIL AQ O/F CAN W/O ST,,,618.15,7179.6,17
CPT,66175,TRLUML DIL AQ O/F CAN W/ST,,,717.68,9229.19,17
CPT,66179,AQUEOUS SHUNT EYE W/O GRAFT,,,1069.53,9229.19,17
CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,,,1126.45,7179.6,17
CPT,66183,INSERT ANT DRAINAGE DEVICE,,,1019.26,7179.6,17
CPT,66184,REVISION OF AQUEOUS SHUNT,,,784.92,4115.05,17
CPT,66185,REVISE AQUEOUS SHUNT EYE,,,842.51,4115.05,17
CPT,66220,Outpatient Services - CPT/HCPCS,,,1697.9,4115.05,2
CPT,66225,REPAIR/GRAFT EYE LESION,,,925.06,9229.19,17
CPT,66250,FOLLOW-UP SURGERY OF EYE,,,550.91,4126.4,17
CPT,66500,INCISION OF IRIS,,,392.46,4115.05,17
CPT,66505,INCISION OF IRIS,,,426.75,4115.05,17
CPT,66600,REMOVE IRIS AND LESION,,,897.43,7179.6,17
CPT,66605,REMOVAL OF IRIS,,,1076.85,4115.05,17
CPT,66625,REMOVAL OF IRIS,,,425.08,4115.05,17
CPT,66630,REMOVAL OF IRIS,,,561.56,4115.05,17
CPT,66635,REMOVAL OF IRIS,,,566.55,4115.05,17
CPT,66680,REPAIR IRIS & CILIARY BODY,,,516.62,4115.05,17
CPT,66682,REPAIR IRIS & CILIARY BODY,,,707.03,4115.05,17
CPT,66683,IMPLANTATION IRIS PROSTHESIS,,,15595.62,17237.26,9
CPT,66700,DESTRUCTION CILIARY BODY,,,387.8,4115.05,17
CPT,66710,CILIARY TRANSSLERAL THERAPY,,,387.47,4126.4,17
CPT,66711,ECP CILIARY BODY DESTRUCTION,,,502.64,4115.05,17
CPT,66720,DESTRUCTION CILIARY BODY,,,408.44,4126.4,17
CPT,66740,DESTRUCTION CILIARY BODY,,,387.8,4126.4,17
CPT,66761,REVISION OF IRIS,,,234.01,1026.42,17
CPT,66762,REVISION OF IRIS,,,420.42,1026.42,17
CPT,66770,REMOVAL OF INNER EYE LESION,,,423.51,1026.42,17
CPT,66820,INCISION SECONDARY CATARACT,,,466.36,4115.05,17
CPT,66821,AFTER CATARACT LASER SURGERY,,,309.24,1026.42,17
CPT,66825,REPOSITION INTRAOCULAR LENS,,,826.2,4115.05,17
CPT,66830,REMOVAL OF LENS LESION,,,701.7,4115.05,17
CPT,66840,REMOVAL OF LENS MATERIAL,,,685.06,4115.05,17
CPT,66850,REMOVAL OF LENS MATERIAL,,,778.93,4115.05,17
CPT,66852,REMOVAL OF LENS MATERIAL,,,828.53,7179.6,17
CPT,66920,EXTRACTION OF LENS,,,739.65,4115.05,17
CPT,66930,EXTRACTION OF LENS,,,846.83,7179.6,17
CPT,66940,EXTRACTION OF LENS,,,775.6,4115.05,17
CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,735.99,4115.05,17
CPT,66983,CATARACT SURG W/IOL 1 STAGE,,,1697.9,4115.05,13
CPT,66984,XCAPSL CTRC RMVL W/O ECP,,,537.26,4115.05,17
CPT,66985,INSERT LENS PROSTHESIS,,,760.62,4115.05,17
CPT,66986,EXCHANGE LENS PROSTHESIS,,,891.11,4115.05,17
CPT,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,2962.36,7179.6,13
CPT,66988,XCAPSL CTRC RMVL W/ECP,,,2962.36,7179.6,13
CPT,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,844.5,9229.19,18
CPT,66990,OPHTHALMIC ENDOSCOPE ADD-ON,,,1.0,86.55,15
CPT,66991,XCAPSL CTRC RMVL INSJ 1+,,,675.07,9229.19,18
CPT,66999,ED 66999 UNLISTED PROC ANTERIOR SEGMENT EYE,4271.0,3416.8,1186.06,4115.05,38
CPT,67005,PARTIAL REMOVAL OF EYE FLUID,,,473.02,4115.05,17
CPT,67010,PARTIAL REMOVAL OF EYE FLUID,,,540.59,4115.05,17
CPT,67015,RELEASE OF EYE FLUID,,,599.18,4115.05,17
CPT,67025,REPLACE EYE FLUID,,,623.81,4115.05,17
CPT,67027,IMPLANT EYE DRUG SYSTEM,,,836.51,27871.11,17
CPT,67028,ED 67028 INTRAVITREAL INJ OF PHARM AGENT,741.0,592.8,90.21,666.9,38
CPT,67030,INCISE INNER EYE STRANDS,,,553.57,4115.05,17
CPT,67031,LASER SURGERY EYE STRANDS,,,349.85,1026.42,17
CPT,67036,REMOVAL OF INNER EYE FLUID,,,885.11,7179.6,17
CPT,67039,LASER TREATMENT OF RETINA,,,946.7,7179.6,17
CPT,67040,LASER TREATMENT OF RETINA,,,1021.26,7179.6,17
CPT,67041,VIT FOR MACULAR PUCKER,,,1125.45,7179.6,17
CPT,67042,VIT FOR MACULAR HOLE,,,1125.45,7179.6,17
CPT,67043,VIT FOR MEMBRANE DISSECT,,,1186.7,7179.6,17
CPT,67101,REPAIR DETACHED RETINA CRTX,,,281.95,4115.05,17
CPT,67105,REPAIR DETACHED RETINA PC,,,271.96,1026.42,17
CPT,67107,REPAIR DETACHED RETINA,,,1106.48,7179.6,17
CPT,67108,REPAIR DETACHED RETINA,,,1171.05,7179.6,17
CPT,67110,REPAIR DETACHED RETINA,,,804.56,4115.05,17
CPT,67113,REPAIR RETINAL DETACH CPLX,,,1309.2,9229.19,17
CPT,67115,RELEASE ENCIRCLING MATERIAL,,,494.32,7179.6,17
CPT,67120,REMOVE EYE IMPLANT MATERIAL,,,549.24,4115.05,17
CPT,67121,REMOVE EYE IMPLANT MATERIAL,,,892.1,4115.05,17
CPT,67141,PROPH RTA DTCHMNT CRTX DTHRM,,,212.25,514.41,17
CPT,67145,ED 67145 PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAG,1738.0,1390.4,214.7,1564.2,38
CPT,67208,TREATMENT OF RETINAL LESION,,,212.25,570.21,17
CPT,67210,TREATMENT OF RETINAL LESION,,,423.51,1026.42,17
CPT,67218,TREATMENT OF RETINAL LESION,,,1369.45,6827.39,17
CPT,67220,TREATMENT OF CHOROID LESION,,,423.51,1026.42,17
CPT,67221,OCULAR PHOTODYNAMIC THER,,,204.39,1026.42,17
CPT,67225,EYE PHOTODYNAMIC THER ADD-ON,,,1.0,28.71,15
CPT,67227,DSTRJ EXTENSIVE RETINOPATHY,,,251.32,6827.39,17
CPT,67228,TREATMENT X10SV RETINOPATHY,,,298.92,1026.42,17
CPT,67229,TR RETINAL LES PRETERM INF,,,423.51,1141.1,17
CPT,67250,REINFORCE EYE WALL,,,898.1,4126.4,17
CPT,67255,REINFORCE/GRAFT EYE WALL,,,682.73,7179.6,17
CPT,67299,UNLISTED PX POSTERIOR SEGMNT,,,1697.9,4115.05,13
CPT,67311,REVISE EYE MUSCLE,,,451.05,4126.4,17
CPT,67312,REVISE TWO EYE MUSCLES,,,656.1,6827.39,17
CPT,67314,REVISE EYE MUSCLE,,,451.05,4126.4,17
CPT,67316,REVISE TWO EYE MUSCLES,,,703.36,4126.4,17
CPT,67318,REVISE EYE MUSCLE(S),,,680.4,4126.4,17
CPT,67320,REVISE EYE MUSCLE(S) ADD-ON,,,1.0,171.43,15
CPT,67331,EYE SURGERY FOLLOW-UP ADD-ON,,,1.0,153.46,15
CPT,67332,REREVISE EYE MUSCLES ADD-ON,,,1.0,199.39,15
CPT,67334,REVISE EYE MUSCLE W/SUTURE,,,1.0,151.13,15
CPT,67335,EYE SUTURE DURING SURGERY,,,1.0,183.08,15
CPT,67340,REVISE EYE MUSCLE ADD-ON,,,1.0,286.27,15
CPT,67343,RELEASE EYE TISSUE,,,667.08,4126.4,17
CPT,67345,DESTROY NERVE OF EYE MUSCLE,,,212.25,514.41,17
CPT,67346,BIOPSY EYE MUSCLE,,,189.74,6827.39,17
CPT,67399,UNLISTED PX EXTRAOCULAR MUSC,,,212.25,514.41,13
CPT,67400,EXPLORE/BIOPSY EYE SOCKET,,,1029.92,6827.39,17
CPT,67405,EXPLORE/DRAIN EYE SOCKET,,,900.43,4126.4,17
CPT,67412,EXPLORE/TREAT EYE SOCKET,,,982.65,4126.4,17
CPT,67413,EXPLORE/TREAT EYE SOCKET,,,957.35,4126.4,17
CPT,67414,EXPLR/DECOMPRESS EYE SOCKET,,,1441.02,6827.39,17
CPT,67415,ASPIRATION ORBITAL CONTENTS,,,100.86,4126.4,17
CPT,67420,EXPLORE/TREAT EYE SOCKET,,,1721.3,6827.39,17
CPT,67430,EXPLORE/TREAT EYE SOCKET,,,1376.11,6827.39,17
CPT,67440,EXPLORE/DRAIN EYE SOCKET,,,1334.83,6827.39,17
CPT,67445,EXPLR/DECOMPRESS EYE SOCKET,,,1514.58,6827.39,17
CPT,67450,EXPLORE/BIOPSY EYE SOCKET,,,1382.76,6827.39,17
CPT,67500,INJECT/TREAT EYE SOCKET,,,63.58,514.41,17
CPT,67505,INJECT/TREAT EYE SOCKET,,,70.9,514.41,17
CPT,67515,INJECT/TREAT EYE SOCKET,,,46.27,514.41,17
CPT,67516,SPRCHOROIDAL SPC NJX RX AGT,,,95.54,598.04,15
CPT,67550,INSERT EYE SOCKET IMPLANT,,,1077.18,6827.39,17
CPT,67560,REVISE EYE SOCKET IMPLANT,,,1101.48,6827.39,17
CPT,67570,DECOMPRESS OPTIC NERVE,,,1263.26,6827.39,17
CPT,67599,UNLISTED PROCEDURE ORBIT,,,212.25,514.41,13
CPT,67700,ED 67700 BLEPHAROTOMY DRN EYELID ABSCESS,830.0,664.0,115.51,747.0,38
CPT,67710,SEVERING TARSORRHAPHY,,,97.53,1787.77,17
CPT,67715,ED 67715 CANTHOTOMY,3969.0,3175.2,106.85,4126.4,38
CPT,67800,REMOVE EYELID LESION,,,101.19,514.41,17
CPT,67801,ED 67801 REMV EYELID LESN,1606.0,1284.8,129.82,1787.77,38
CPT,67805,REMOVE EYELID LESIONS,,,161.44,514.41,17
CPT,67808,REMOVE EYELID LESION(S),,,364.83,4126.4,17
CPT,67810,INCAL BX EYELID SKN LID MRGN,,,66.91,514.41,17
CPT,67820,REVISE EYELASHES,,,21.97,225.57,17
CPT,67825,REVISE EYELASHES,,,121.17,514.41,17
CPT,67830,REVISE EYELASHES,,,136.15,1787.77,17
CPT,67835,REVISE EYELASHES,,,436.73,4126.4,17
CPT,67840,REMOVE EYELID LESION,,,155.45,1787.77,17
CPT,67850,DSTRJ LESION LID MARGIN <1CM,,,130.15,1787.77,17
CPT,67875,CLOSURE OF EYELID BY SUTURE,,,94.54,1787.77,17
CPT,67880,REVISION OF EYELID,,,364.83,4126.4,17
CPT,67882,REVISION OF EYELID,,,466.03,4126.4,17
CPT,67900,REPAIR BROW DEFECT,,,499.98,4126.4,17
CPT,67901,REPAIR EYELID DEFECT,,,583.2,4126.4,17
CPT,67902,REPAIR EYELID DEFECT,,,717.01,6827.39,17
CPT,67903,REPAIR EYELID DEFECT,,,474.68,4126.4,17
CPT,67904,REPAIR EYELID DEFECT,,,588.86,4126.4,17
CPT,67906,REPAIR EYELID DEFECT,,,498.65,6827.39,17
CPT,67908,REPAIR EYELID DEFECT,,,428.08,4126.4,17
CPT,67909,REVISE EYELID DEFECT,,,433.07,4126.4,17
CPT,67911,REVISE EYELID DEFECT,,,553.24,4126.4,17
CPT,67912,CORRECTION EYELID W/IMPLANT,,,481.34,4126.4,17
CPT,67914,REPAIR EYELID DEFECT,,,327.22,4126.4,17
CPT,67915,REPAIR EYELID DEFECT,,,199.06,4126.4,17
CPT,67916,REPAIR EYELID DEFECT,,,425.41,4126.4,17
CPT,67917,REPAIR EYELID DEFECT,,,451.38,4126.4,17
CPT,67921,REPAIR EYELID DEFECT,,,310.57,4126.4,17
CPT,67922,REPAIR EYELID DEFECT,,,199.06,4126.4,17
CPT,67923,REPAIR EYELID DEFECT,,,425.75,4126.4,17
CPT,67924,REPAIR EYELID DEFECT,,,451.38,4126.4,17
CPT,67930,ED 67930 SUTURE EYELID WND PARTIAL,3969.0,3175.2,232.68,4126.4,38
CPT,67935,ED 67935 SUTURE EYELID WND FULL,3969.0,3175.2,432.74,4126.4,38
CPT,67938,ED 67938 REMV FB EYELID,807.0,645.6,116.84,726.3,38
CPT,67950,REVISION OF EYELID,,,457.37,4126.4,17
CPT,67961,REVISION OF EYELID,,,449.38,4126.4,17
CPT,67966,REVISION OF EYELID,,,645.78,4126.4,17
CPT,67971,RECONSTRUCTION OF EYELID,,,709.36,4126.4,17
CPT,67973,RECONSTRUCTION OF EYELID,,,912.41,4126.4,17
CPT,67974,RECONSTRUCTION OF EYELID,,,910.08,6827.39,17
CPT,67975,RECONSTRUCTION OF EYELID,,,672.07,4126.4,17
CPT,67999,UNLISTED PROCEDURE EYELIDS,,,212.25,514.41,13
CPT,68020,INCISE/DRAIN EYELID LINING,,,109.18,1787.77,17
CPT,68040,TREATMENT OF EYELID LESIONS,,,46.94,514.41,17
CPT,68100,BIOPSY CONJUNCTIVA,,,94.2,4126.4,17
CPT,68110,EXC LES CONJUNCTIVA <1 CM,,,147.13,4126.4,17
CPT,68115,EXC LES CONJUNCTIVA >1 CM,,,181.08,4126.4,17
CPT,68130,EXC LES CONJUNCTIVA ADJ SCL,,,409.44,4126.4,17
CPT,68135,DESTRUCTION LES CONJUNCTIVA,,,148.13,4126.4,17
CPT,68200,TREAT EYELID BY INJECTION,,,33.62,703.57,17
CPT,68320,REVISE/GRAFT EYELID LINING,,,534.93,4126.4,17
CPT,68325,REVISE/GRAFT EYELID LINING,,,648.44,6827.39,17
CPT,68326,REVISE/GRAFT EYELID LINING,,,637.12,6827.39,17
CPT,68328,REVISE/GRAFT EYELID LINING,,,695.38,4126.4,17
CPT,68330,REVISE EYELID LINING,,,455.71,4115.05,17
CPT,68335,REVISE/GRAFT EYELID LINING,,,638.79,6827.39,17
CPT,68340,SEPARATE EYELID ADHESIONS,,,394.12,4126.4,17
CPT,68360,REVISE EYELID LINING,,,406.44,6827.39,17
CPT,68362,REVISE EYELID LINING,,,647.44,4126.4,17
CPT,68371,HARVEST EYE TISSUE ALOGRAFT,,,408.44,4126.4,17
CPT,68399,UNLISTED PX CONJUNCTIVA,,,212.25,514.41,13
CPT,68400,I&D LACRIMAL GLAND,,,130.15,1787.77,17
CPT,68420,I&D LACRIMAL SAC,,,164.77,4126.4,17
CPT,68440,ED 68440 INC SNIP PUNCTUM LACRIMAL,572.0,457.6,99.86,514.8,38
CPT,68500,REMOVAL OF TEAR GLAND,,,1053.55,6827.39,17
CPT,68505,PARTIAL REMOVAL TEAR GLAND,,,1048.89,6827.39,17
CPT,68510,BIOPSY OF TEAR GLAND,,,282.28,4126.4,17
CPT,68520,REMOVAL OF TEAR SAC,,,732.66,6827.39,17
CPT,68525,BIOPSY OF TEAR SAC,,,252.98,4126.4,17
CPT,68530,CLEARANCE OF TEAR DUCT,,,212.25,514.41,17
CPT,68540,REMOVE TEAR GLAND LESION,,,974.99,4126.4,17
CPT,68550,REMOVE TEAR GLAND LESION,,,1213.66,6827.39,17
CPT,68700,REPAIR TEAR DUCTS,,,595.85,4126.4,17
CPT,68705,REVISE TEAR DUCT OPENING,,,164.11,514.41,17
CPT,68720,CREATE TEAR SAC DRAIN,,,803.56,6827.39,17
CPT,68745,CREATE TEAR DUCT DRAIN,,,807.89,6827.39,17
CPT,68750,CREATE TEAR DUCT DRAIN,,,853.82,6827.39,17
CPT,68760,CLOSE TEAR DUCT OPENING,,,144.8,514.41,17
CPT,68761,CLOSE TEAR DUCT OPENING,,,116.17,514.41,17
CPT,68770,CLOSE TEAR SYSTEM FISTULA,,,619.48,4126.4,17
CPT,68801,DILATE TEAR DUCT OPENING,,,79.22,703.57,17
CPT,68810,PROBE NASOLACRIMAL DUCT,,,126.83,514.41,17
CPT,68811,PROBE NASOLACRIMAL DUCT,,,133.82,4126.4,17
CPT,68815,PROBE NASOLACRIMAL DUCT,,,220.36,4126.4,17
CPT,68816,PROBE NL DUCT W/BALLOON,,,155.45,4126.4,17
CPT,68840,EXPLORE/IRRIGATE TEAR DUCTS,,,116.51,514.41,17
CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,,,31.96,2449.61,17
CPT,68850,INJECTION FOR TEAR SAC X-RAY,,,1.0,57.5,15
CPT,68899,UNLISTED PX LACRIMAL SYSTEM,,,212.25,514.41,13
CPT,69000,ED 69000 I&D EXT EAR ABSCESS SIMPLE,1093.0,874.4,126.49,1242.38,38
CPT,69005,ED 69005 I&D EXT EAR ABSCESS COMP,3190.0,2552.0,162.78,2871.0,38
CPT,69020,ED 69020 DRN ABSC EXT AUD CAN,1126.0,900.8,145.13,1242.38,38
CPT,69100,BIOPSY OF EXTERNAL EAR,,,45.94,431.34,17
CPT,69105,BIOPSY OF EXTERNAL EAR CANAL,,,63.91,2692.97,17
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,,,329.88,5017.59,17
CPT,69120,REMOVAL OF EXTERNAL EAR,,,389.8,10341.01,17
CPT,69140,REMOVE EAR CANAL LESION(S),,,905.75,10341.01,17
CPT,69145,REMOVE EAR CANAL LESION(S),,,259.98,5017.59,17
CPT,69150,EXTENSIVE EAR CANAL SURGERY,,,1009.28,10341.01,17
CPT,69155,EXTENSIVE EAR/NECK SURGERY,,,400.87,1630.75,15
CPT,69200,ED 69200 REMV FB OUTER EAR WO ANES,562.0,449.6,47.27,505.8,38
CPT,69205,CLEAR OUTER EAR CANAL,,,95.87,2862.91,17
CPT,69209,ED 69209 RMVL IMPACTED CERUMEN IRRIGATION LAVAGE UNI,180.0,144.0,15.98,162.0,38
CPT,69210,ED 69210 REMV IMPACTED EAR WAX INSTRUMENT UNI,554.0,443.2,32.29,498.6,38
CPT,69210,TX RM 69210 REMOVAL IMPACTED CERUMEN EAR WAX,554.0,443.2,32.29,498.6,38
CPT,69220,CLEAN OUT MASTOID CAVITY,,,51.26,353.51,17
CPT,69222,CLEAN OUT MASTOID CAVITY,,,137.81,971.56,17
CPT,69300,REVISE EXTERNAL EAR,,,473.35,5685.3,17
CPT,69310,REBUILD OUTER EAR CANAL,,,1119.79,10341.01,17
CPT,69320,REBUILD OUTER EAR CANAL,,,1562.18,10341.01,17
CPT,69399,UNLISTED PX EXTERNAL EAR,,,177.97,431.34,13
CPT,69420,INCISION OF EARDRUM,,,121.83,431.34,17
CPT,69421,INCISION OF EARDRUM,,,152.79,5685.3,17
CPT,69424,REMOVE VENTILATING TUBE,,,60.58,5685.3,17
CPT,69433,ED 69433 TYMPANOSTOMY TOPICAL ANES,1413.0,1130.4,133.82,1271.7,38
CPT,69433,SURG 69433 TYMPANOSTOMY W/LOCAL ANES,1413.0,1130.4,133.82,1271.7,38
CPT,69436,CREATE EARDRUM OPENING,,,161.11,2692.97,17
CPT,69440,EXPLORATION OF MIDDLE EAR,,,697.04,5685.3,17
CPT,69450,EARDRUM REVISION,,,552.24,5685.3,17
CPT,69501,MASTOIDECTOMY,,,714.35,10341.01,17
CPT,69502,MASTOIDECTOMY,,,948.36,10341.01,17
CPT,69505,REMOVE MASTOID STRUCTURES,,,1231.3,10341.01,17
CPT,69511,EXTENSIVE MASTOID SURGERY,,,1260.26,10341.01,17
CPT,69530,EXTENSIVE MASTOID SURGERY,,,1676.69,10341.01,17
CPT,69535,REMOVE PART OF TEMPORAL BONE,,,2345.8,5685.3,15
CPT,69540,EXCISION AURAL POLYP,,,131.49,2692.97,17
CPT,69550,EXC AURL GLOMUS TUM TRNSCANL,,,1065.87,10341.01,17
CPT,69552,EXC AURL GLOMUS TUM TRNSMSTD,,,1587.48,10341.01,17
CPT,69554,EXC AURL GLOMUS TUM EXTENDED,,,2236.24,5685.3,15
CPT,69601,REVJ MSTDC RSLTG COMPL MSTDC,,,1021.93,10341.01,17
CPT,69602,REV MSTDC RSLT MOD RAD MSTDC,,,1093.49,10341.01,17
CPT,69603,REVJ MSTDC RSLTG RAD MSTDC,,,1286.89,10341.01,17
CPT,69604,REVJ MSTDC RSLTG TYMPANPLSTY,,,1116.8,10341.01,17
CPT,69605,Outpatient Services - CPT/HCPCS,,,2345.8,5685.3,2
CPT,69610,TYMPANIC MEMBRANE REPAIR,,,288.6,2692.97,17
CPT,69620,MYRINGOPLASTY,,,498.31,5685.3,17
CPT,69631,REPAIR EARDRUM STRUCTURES,,,895.1,10341.01,17
CPT,69632,REBUILD EARDRUM STRUCTURES,,,1085.51,10341.01,17
CPT,69633,REBUILD EARDRUM STRUCTURES,,,1057.54,10341.01,17
CPT,69635,REPAIR EARDRUM STRUCTURES,,,1283.9,10341.01,17
CPT,69636,REBUILD EARDRUM STRUCTURES,,,1410.72,10341.01,17
CPT,69637,REBUILD EARDRUM STRUCTURES,,,1405.07,10341.01,17
CPT,69641,REVISE MIDDLE EAR & MASTOID,,,1046.23,10341.01,17
CPT,69642,REVISE MIDDLE EAR & MASTOID,,,1342.82,10341.01,17
CPT,69643,REVISE MIDDLE EAR & MASTOID,,,1226.98,10341.01,17
CPT,69644,REVISE MIDDLE EAR & MASTOID,,,1507.92,10341.01,17
CPT,69645,REVISE MIDDLE EAR & MASTOID,,,1479.63,10341.01,17
CPT,69646,REVISE MIDDLE EAR & MASTOID,,,1574.17,10341.01,17
CPT,69650,STAPES MOBILIZATION,,,807.89,5685.3,17
CPT,69660,REVISE MIDDLE EAR BONE,,,928.06,10341.01,17
CPT,69661,REVISE MIDDLE EAR BONE,,,1208.67,10341.01,17
CPT,69662,REVISE MIDDLE EAR BONE,,,1161.07,10341.01,17
CPT,69666,REPAIR MIDDLE EAR STRUCTURES,,,812.88,5685.3,17
CPT,69667,REPAIR MIDDLE EAR STRUCTURES,,,815.54,5685.3,17
CPT,69670,REMOVE MASTOID AIR CELLS,,,948.03,10341.01,17
CPT,69676,REMOVE MIDDLE EAR NERVE,,,838.84,5685.3,17
CPT,69700,CLOSE MASTOID FISTULA,,,669.74,2692.97,17
CPT,69705,NPS SURG DILAT EUST TUBE UNI,,,172.76,10341.01,15
CPT,69706,NPS SURG DILAT EUST TUBE BI,,,241.33,10341.01,15
CPT,69710,IMPLANT/REPLACE HEARING AID,,,2345.8,5685.3,2
CPT,69711,REMOVE/REPAIR HEARING AID,,,842.51,5685.3,17
CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,,,496.98,23240.38,17
CPT,69715,Outpatient Services - CPT/HCPCS,,,2345.8,5685.3,2
CPT,69716,IMPL OI IMPLT SK TC ESP<100,,,621.81,23240.38,17
CPT,69717,RPLCMT OI IMPLT SKL PRQ ESP,,,562.89,12632.88,17
CPT,69718,Outpatient Services - CPT/HCPCS,,,2345.8,5685.3,2
CPT,69719,RPLCM OI IMPLT SK TC ESP<100,,,645.78,23240.38,17
CPT,69720,RELEASE FACIAL NERVE,,,1181.04,10341.01,17
CPT,69725,RELEASE FACIAL NERVE,,,1869.43,10341.01,17
CPT,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,479.01,5715.72,17
CPT,69727,RMV NTR OI IMP SK TC ESP<100,,,534.26,5715.72,17
CPT,69728,RMV NTR OI IMP SK TC>=100,,,604.17,5715.72,17
CPT,69729,IMPL OI IMPLT SK TC ESP>=100,,,674.4,23240.38,17
CPT,69730,RPLC OI IMPLT SK TC ESP>=100,,,699.37,23240.38,17
CPT,69740,REPAIR FACIAL NERVE,,,1163.07,10341.01,17
CPT,69745,REPAIR FACIAL NERVE,,,1239.63,10341.01,17
CPT,69799,UNLISTED PX MIDDLE EAR,,,177.97,431.34,13
CPT,69801,INCISE INNER EAR,,,124.16,2692.97,17
CPT,69805,EXPLORE INNER EAR,,,1031.91,10341.01,17
CPT,69806,EXPLORE INNER EAR,,,924.39,10341.01,17
CPT,69905,REMOVE INNER EAR,,,922.73,10341.01,17
CPT,69910,REMOVE INNER EAR & MASTOID,,,993.63,10341.01,17
CPT,69915,INCISE INNER EAR NERVE,,,1503.6,5685.3,17
CPT,69930,IMPLANT COCHLEAR DEVICE,,,1216.99,59216.4,17
CPT,69949,UNLISTED PX INNER EAR,,,177.97,431.34,13
CPT,69950,INCISE INNER EAR NERVE,,,1533.51,5685.3,15
CPT,69955,RELEASE FACIAL NERVE,,,1965.96,10341.01,17
CPT,69960,RELEASE INNER EAR CANAL,,,1883.07,10341.01,17
CPT,69970,REMOVE INNER EAR LESION,,,2125.07,10341.01,17
CPT,69979,UNLISTED PX TEMPORAL BONE,,,177.97,431.34,13
CPT,69990,MICROSURGERY ADD-ON,,,1.0,217.03,15
CPT,70010,CONTRAST X-RAY OF BRAIN,,,57.25,679.09,17
CPT,70015,S&I CISTERNOGRAM,430.0,344.0,165.77,1413.86,38
CPT,70030,RAD EXAM EYE FOREIGN BODY,377.0,301.6,32.62,339.3,38
CPT,70100,RAD EXAM MANDIBLE PARTIAL < 4 VWS,110.0,88.0,38.95,160.46,38
CPT,70110,RAD EXAM MANDIBLE COMPL MIN 4 VWS,399.0,319.2,43.61,359.1,38
CPT,70120,RAD EXAM MASTOIDS < 3 VWS PER SIDE,110.0,88.0,38.28,194.16,38
CPT,70130,RAD EXAM MASTOIDS COMPL MIN 3 VWS PER SIDE,163.0,130.4,61.91,194.16,38
CPT,70134,RAD EXAM INT AUDITORY MEATI COMPL,158.0,126.4,61.91,974.15,38
CPT,70140,RAD EXAM FACIAL BONES < 3 VWS,313.0,250.4,31.96,281.7,38
CPT,70150,RAD EXAM FACIAL BONES COMPL MIN 3 VWS,553.0,442.4,47.27,497.7,38
CPT,70160,RAD EXAM NASAL BONES COMPL MIN 3 VWS,514.0,411.2,37.61,462.6,38
CPT,70170,X-RAY EXAM OF TEAR DUCT,,,178.53,432.69,13
CPT,70190,RAD EXAM OPTIC FORAMINA,108.0,86.4,37.61,160.46,38
CPT,70200,RAD EXAM OPTIC FORAMINA COMPL MIN 4 VWS,574.0,459.2,47.93,516.6,38
CPT,70210,RAD EXAM SINUSES PARANASAL < 3 VWS,460.0,368.0,32.29,414.0,38
CPT,70220,RAD EXAM SINUSES PARANASAL COMPL MIN 3 VWS,599.0,479.2,37.61,539.1,38
CPT,70240,RAD EXAM SELLA TURCICA,88.0,70.4,32.95,160.46,38
CPT,70250,RAD EXAM SKULL < 4 VWS,495.0,396.0,35.95,445.5,38
CPT,70260,RAD EXAM SKULL COMPL MIN 4 VWS,663.0,530.4,44.61,596.7,38
CPT,70300,RAD EXAM TEETH SINGLE VW,43.0,34.4,12.98,160.46,38
CPT,70310,RAD EXAM TEETH PARTIAL < FULL MOUTH,129.0,103.2,40.61,432.69,38
CPT,70320,RAD EXAM TEETH COMPL FULL MOUTH,198.0,158.4,53.26,432.69,38
CPT,70328,RAD EXAM TMJ OPEN CLOSED MOUTH UNILAT,466.0,372.8,34.62,419.4,38
CPT,70330,RAD EXAM TMJ OPEN CLOSED MOUTH BILAT,513.0,410.4,52.93,461.7,38
CPT,70332,RAD S&I TMJ ARTHROGRAPHY,478.0,382.4,82.55,432.69,38
CPT,70336,MRI TEMPOROMANDIBULAR JOINT,3782.0,3025.6,178.53,3403.8,38
CPT,70350,CEPHALOGRAM ORTHODONTIC,236.0,188.8,16.64,212.4,38
CPT,70355,RAD ORTHOPANTOGRAM,486.0,388.8,18.31,437.4,38
CPT,70360,RAD EXAM NECK SOFT TISSUE,476.0,380.8,31.29,428.4,38
CPT,70370,THROAT X-RAY & FLUOROSCOPY,,,66.21,160.46,17
CPT,70371,SPEECH EVALUATION COMPLEX,,,109.18,432.69,17
CPT,70380,RAD EXAM SALIVARY GLAND CALCULUS,108.0,86.4,37.61,160.46,38
CPT,70390,RAD S&I SIALOGRAPHY,578.0,462.4,115.51,520.2,38
CPT,70450,CT HEAD WO CONTRAST,2636.0,2108.8,80.11,2372.4,38
CPT,70460,CT HEAD W CONTRAST,2734.0,2187.2,133.87,2460.6,38
CPT,70470,CT HEAD WO THEN W CONTRAST,3560.0,2848.0,133.87,3204.0,38
CPT,70471,CTA HEAD NECK W CONTRAST AND NONCONTRAST IMG POST PROC,5100.0,4080.0,1416.27,4590.0,27
CPT,70472,CT CERE PERFUSION ALYS W CONTRAST W CT CTA SAME ANATOMY,1000.0,800.0,277.7,900.0,27
CPT,70473,CT CERE PERFUSION ALYS W CONTRAST WO CT CTA SAME ANATOMY,1000.0,800.0,277.7,900.0,27
CPT,70480,CT ORBIT SELLA FOSSA EAR WO CONTRAST,2660.0,2128.0,80.11,2394.0,38
CPT,70481,CT ORBIT SELLA FOSSA EAR W CONTRAST,2675.0,2140.0,133.87,2407.5,38
CPT,70482,CT ORBIT SELLA FOSSA EAR WO THEN W CONTRAST,3230.0,2584.0,133.87,2907.0,38
CPT,70486,CT MAXILLOFACIAL WO CONT,2759.0,2207.2,80.11,2483.1,38
CPT,70487,CT MAXILLOFACIAL W CONT,2866.0,2292.8,133.87,2579.4,38
CPT,70488,CT MAXILLOFACIAL WO W CONT,3325.0,2660.0,133.87,2992.5,38
CPT,70490,CT SOFT TISSUE NECK WO CON,2730.0,2184.0,80.11,2457.0,38
CPT,70491,CT SOFT TISSUE NECK W CONTRAST,3098.0,2478.4,133.87,2788.2,38
CPT,70492,CT SFT TISUE NECK WWO THEN W,4050.0,3240.0,133.87,3645.0,38
CPT,70496,CTA HEAD W CONT WO IF PERF,3496.0,2796.8,133.87,3146.4,38
CPT,70498,CT ANGIO NECK W CON+WO IF PERF,4197.0,3357.6,133.87,3777.3,38
CPT,70540,MRI FACE NECK ORB WO CONTRAST,3591.0,2872.8,178.53,3231.9,38
CPT,70542,MRI FACE NECK ORB W CONTRAST,3799.0,3039.2,275.62,3419.1,38
CPT,70543,MRI FACE NECK ORB WO THEN W CONT,4968.0,3974.4,280.2,4471.2,38
CPT,70544,MRA HEAD WO CONTRAST,3334.0,2667.2,178.53,3000.6,38
CPT,70545,MRA HEAD W CONTRAST,3653.0,2922.4,233.35,3287.7,38
CPT,70546,MRA HEAD WO THEN W CONT,4555.0,3644.0,280.2,4099.5,38
CPT,70547,MRA NECK WO CONTRAST,3520.0,2816.0,178.53,3168.0,38
CPT,70548,MRA NECK W CONTRAST,3854.0,3083.2,252.65,3468.6,38
CPT,70549,MRA NECK WO THEN W CONT,4831.0,3864.8,280.2,4347.9,38
CPT,70551,MRI BRAIN WO CONTRAST,3685.0,2948.0,178.53,3316.5,38
CPT,70552,MRI BRAIN W CONTRAST,4060.0,3248.0,277.62,3654.0,38
CPT,70553,MRI BRAIN WO THEN W CONT,5434.0,4347.2,280.2,4890.6,38
CPT,70554,FMRI BRAIN BY TECH,,,178.53,432.69,17
CPT,70555,FMRI BRAIN BY PHYS/PSYCH,,,178.53,432.69,13
CPT,70557,MRI BRAIN W/O DYE,,,401.94,974.15,13
CPT,70558,MRI BRAIN W/DYE,,,133.87,324.44,13
CPT,70559,MRI BRAIN W/O & W/DYE,,,133.87,324.44,13
CPT,71045,RAD EXAM CHEST SINGLE VW,394.0,315.2,25.63,354.6,38
CPT,71046,RAD EXAM CHEST 2 VWS,456.0,364.8,33.62,410.4,38
CPT,71047,RAD EXAM CHEST 3 VWS,484.0,387.2,42.28,435.6,38
CPT,71048,RAD EXAM CHEST 4 OR MORE VWS,564.0,451.2,45.6,507.6,38
CPT,71100,RAD EXAM RIBS UNILAT 2 VWS,531.0,424.8,36.62,477.9,38
CPT,71101,RAD EXAM RIBS UNILAT W CHEST MIN 3 VWS,554.0,443.2,42.28,498.6,38
CPT,71110,RAD EXAM RIBS BILAT 3 VWS,586.0,468.8,43.94,527.4,38
CPT,71111,RAD EXAM RIBS BILAT W CHEST MIN 4 VWS,876.0,700.8,52.59,788.4,38
CPT,71120,RAD EXAM STERNUM MIN 2 VWS,413.0,330.4,33.62,371.7,38
CPT,71130,RAD EXAM STERNUM JNT OR JNTS MIN 3 VWS,388.0,310.4,41.28,349.2,38
CPT,71250,CT THORAX DIAGNOSTIC WO CONTRAST,2931.0,2344.8,80.11,2637.9,38
CPT,71260,CT THORAX DIAGNOSTIC WITH CONTRAST,3378.0,2702.4,133.87,3040.2,38
CPT,71270,CT THORAX DIAGNOSTIC WO THEN W CONTRAST,3701.0,2960.8,133.87,3330.9,38
CPT,71271,CT THORAX LW DOSE LUNG CA SCR NO CONTRAST,733.0,586.4,80.11,659.7,38
CPT,71275,CTA CHEST WCONT +WO IF PERF,4140.0,3312.0,133.87,3726.0,38
CPT,71550,MRI CHEST WO CONTRAST,3878.0,3102.4,178.53,3490.2,38
CPT,71551,MRI CHEST W CONTRAST,4023.0,3218.4,383.8,3620.7,38
CPT,71552,MRI CHEST WO THEN W CONT,5225.0,4180.0,280.2,4702.5,38
CPT,71555,MRA CHEST W CONTRAST,3469.0,2775.2,178.53,3122.1,36
CPT,71555,MRA CHEST WO CONTRAST,3376.0,2700.8,178.53,3038.4,36
CPT,71555,MRA CHEST WO THEN W CONT,4975.0,3980.0,178.53,4477.5,36
CPT,72020,RAD EXAM SPINE SINGLE VW,518.0,414.4,24.3,466.2,38
CPT,72040,RAD EXAM SPINE CERV 2 OR 3 VWS,557.0,445.6,39.61,501.3,38
CPT,72050,RAD EXAM SPINE CERV 4 OR 5 VWS,758.0,606.4,53.59,682.2,38
CPT,72052,RAD EXAM SPINE CERV 6 + VWS,942.0,753.6,62.58,847.8,38
CPT,72070,RAD EXAM SPINE THOR 2 VWS,485.0,388.0,32.95,436.5,38
CPT,72072,RAD EXAM SPINE THOR 3 VWS,554.0,443.2,39.61,498.6,38
CPT,72074,RAD EXAM SPINE THOR MIN 4 VWS,165.0,132.0,44.61,194.16,38
CPT,72080,RAD EXAM SPINE THORACOLUMBAR JUNC MIN 2 VWS,462.0,369.6,34.62,415.8,38
CPT,72081,RAD EXAM SPINE ENTIRE THOR LUMB 1 VW,186.0,148.8,42.61,167.4,38
CPT,72082,RAD EXAM SPINE ENTIRE THOR LUMB 2 OR 3 VWS,352.0,281.6,70.24,316.8,38
CPT,72083,RAD EXAM SPINE ENTIRE THOR LUMB 4 OR 5 VWS,543.0,434.4,79.22,488.7,38
CPT,72084,RAD EXAM SPINE ENTIRE THOR LUMB 6 + VWS,561.0,448.8,80.11,504.9,38
CPT,72100,RAD EXAM SPINE LUMB 2 OR 3 VWS,632.0,505.6,39.94,568.8,38
CPT,72110,RAD EXAM SPINE LUMB MIN 4 VWS,680.0,544.0,51.93,612.0,38
CPT,72114,RAD EXAM SPINE LUMB COMPL W BEND VW MIN 6 VWS,790.0,632.0,61.25,711.0,38
CPT,72120,RAD EXAM SPINE LUMB BENDING VWS ONLY 2 OR 3 VWS,189.0,151.2,40.61,194.16,38
CPT,72125,CT CERVICAL SPINE WO CONTRAST,3091.0,2472.8,80.11,2781.9,38
CPT,72126,CT CERVICAL SPINE W CONTRAST,3216.0,2572.8,172.76,2894.4,38
CPT,72127,CT CERV SPINE WO THEN W CONT,3431.0,2744.8,133.87,3087.9,38
CPT,72128,CT THORACIC SPINE WO CONT,3161.0,2528.8,80.11,2844.9,38
CPT,72129,CT THORACIC SPINE W CONTRAST,3526.0,2820.8,133.87,3173.4,38
CPT,72130,CT THOR SPINE WO THEN W CONT,3653.0,2922.4,133.87,3287.7,38
CPT,72131,CT LUMBAR SPINE WO CONT,3211.0,2568.8,80.11,2889.9,38
CPT,72132,CT LUMBAR SPINE W CONT,3526.0,2820.8,173.1,3173.4,38
CPT,72133,CT LUMBAR SPINE WO THEN WCON,3653.0,2922.4,133.87,3287.7,38
CPT,72141,MRI C SPINE WO CONTRAST,4282.0,3425.6,178.53,3853.8,38
CPT,72142,MRI C SPINE W CONTRAST,4350.0,3480.0,280.2,3915.0,38
CPT,72146,MRI T SPINE WO CONTRAST,3867.0,3093.6,178.53,3480.3,38
CPT,72147,MRI T SPINE W CONTRAST,4194.0,3355.2,280.2,3774.6,38
CPT,72148,MRI L SPINE WO CONTRAST,4307.0,3445.6,178.53,3876.3,38
CPT,72149,MRI L SPINE W CONTRAST,4411.0,3528.8,277.95,3969.9,38
CPT,72156,MRI C SPINE WO THEN W CONT,4964.0,3971.2,280.2,4467.6,38
CPT,72157,MRI T SPINE WO THEN W CONT,5066.0,4052.8,280.2,4559.4,38
CPT,72158,MRI L SPINE WO THEN W CONT,5285.0,4228.0,280.2,4756.5,38
CPT,72159,MRA SPINAL CANAL W OR WO CONT,1841.0,1472.8,178.53,1656.9,36
CPT,72170,RAD EXAM PELVIS 1 OR 2 VWS,487.0,389.6,27.96,438.3,38
CPT,72190,RAD EXAM PELVIS COMPL MIN 3 VWS,585.0,468.0,42.28,526.5,38
CPT,72191,CTA PELVIS WCONT +WO IF PERF,3111.0,2488.8,133.87,2799.9,38
CPT,72192,CT PELVIS WO CONTRAST,2549.0,2039.2,80.11,2294.1,38
CPT,72193,CT PELVIS W CONTRAST,2816.0,2252.8,133.87,2534.4,38
CPT,72194,CT PELVIS WO THEN W CONT,3221.0,2576.8,133.87,2898.9,38
CPT,72195,MRI PELVIS WO CONTRAST,4117.0,3293.6,178.53,3705.3,38
CPT,72196,MRI PELVIS W CONTRAST,4656.0,3724.8,275.62,4190.4,38
CPT,72197,MRI PELVIS WO THEN W CONT,5503.0,4402.4,280.2,4952.7,38
CPT,72198,MRA PELVIS W CONTRAST,3548.0,2838.4,178.53,3193.2,36
CPT,72198,MRA PELVIS WO CONTRAST,3386.0,2708.8,178.53,3047.4,36
CPT,72198,MRA PELVIS WO THEN W CONT,5059.0,4047.2,178.53,4553.1,36
CPT,72200,RAD EXAM SACROILIAC JNTS < 3 VWS,111.0,88.8,33.29,194.16,38
CPT,72202,RAD EXAM SACROILIAC JNTS 3 + VWS,461.0,368.8,39.28,414.9,38
CPT,72220,RAD EXAM SACRUM COCCYX MIN 2 VWS,471.0,376.8,32.62,423.9,38
CPT,72240,S&I MYELOGRAM CERVICAL,1931.0,1544.8,111.85,1737.9,38
CPT,72255,S&I MYELOGRAM THORACIC,1876.0,1500.8,107.52,1688.4,38
CPT,72265,S&I MYELOGRAM LUMBAR,1986.0,1588.8,108.85,1787.4,38
CPT,72270,S&I MYELOGRAM COMPLETE,2426.0,1940.8,152.46,2183.4,38
CPT,72285,DISCOGRAPHY CERV/THOR SPINE,,,131.82,3409.43,17
CPT,72295,S&I DISCOGRAM LUMBAR,3562.0,2849.6,111.18,3409.43,38
CPT,73000,RAD EXAM CLAVICLE COMPL,501.0,400.8,32.62,450.9,38
CPT,73010,RAD EXAM SCAPULA COMPL,465.0,372.0,23.97,418.5,38
CPT,73020,RAD EXAM SHOULDER  1 VW,482.0,385.6,21.64,433.8,38
CPT,73030,RAD EXAM SHOULDER COMPL MIN 2 VWS,538.0,430.4,34.95,484.2,38
CPT,73040,RAD S&I EXAM SHOULDER ARTHROGRAPHY,1344.0,1075.2,131.49,1209.6,38
CPT,73050,RAD EXAM AC JOINTS BILAT W WO WTS,386.0,308.8,28.96,347.4,38
CPT,73060,RAD EXAM HUMERUS MIN 2 VWS,492.0,393.6,31.96,442.8,38
CPT,73070,RAD EXAM ELBOW 2 VWS,414.0,331.2,29.29,372.6,38
CPT,73080,RAD EXAM ELBOW COMPL MIN 3 VWS,569.0,455.2,32.95,512.1,38
CPT,73085,RAD S&I EXAM ELBOW ARTHROGRAPHY,595.0,476.0,99.86,679.09,38
CPT,73090,RAD EXAM FOREARM 2 VWS,471.0,376.8,29.29,423.9,38
CPT,73092,RAD EXAM UPPER EXTREM INFANT MIN 2 VWS,191.0,152.8,31.62,194.16,38
CPT,73100,RAD EXAM WRIST 2 VWS,474.0,379.2,33.95,426.6,38
CPT,73110,RAD EXAM WRIST COMPL MIN 3 VWS,522.0,417.6,41.28,469.8,38
CPT,73115,RAD S&I EXAM WRIST ARTHORGRAPHY,905.0,724.0,134.81,814.5,38
CPT,73120,RAD EXAM HAND 2 VWS,524.0,419.2,31.62,471.6,38
CPT,73130,RAD EXAM HAND MIN 3 VWS,519.0,415.2,37.28,467.1,38
CPT,73140,RAD EXAM FINGER(S) MIN 2 VWS,406.0,324.8,38.28,365.4,38
CPT,73200,CT EXT UPPER WO CONT,2548.0,2038.4,80.11,2293.2,38
CPT,73201,CT EXT UPPER W CONT,2654.0,2123.2,205.72,2388.6,38
CPT,73202,CT EXT UPPER WWO CONTRAST,2930.0,2344.0,133.87,2637.0,38
CPT,73206,CTA EXT UPPER WCONT+WO IF PERF,2886.0,2308.8,133.87,2597.4,38
CPT,73218,MRI UP EXT WO CONT,3186.0,2548.8,178.53,2867.4,38
CPT,73219,MRI UPPER EXT W CONTRAST,2484.0,1987.2,280.2,2235.6,38
CPT,73220,MRI UPPER EXT WO THEN W CONT,4385.0,3508.0,280.2,3946.5,38
CPT,73221,MRI UPPER EXT JT WO CONTRAST,4037.0,3229.6,178.53,3633.3,38
CPT,73222,MRI UP EXT JT WCONT,4127.0,3301.6,321.89,3714.3,38
CPT,73223,MRI UPPER EXT JT WO THEN W CONT,4608.0,3686.4,280.2,4147.2,38
CPT,73225,MRA UPPER EXT W CONTRAST,3370.0,2696.0,178.53,3033.0,36
CPT,73225,MRA UPPER EXT WO CONTRAST,3237.0,2589.6,178.53,2913.3,36
CPT,73225,MRA UPPER EXT WO THEN W CONT,4075.0,3260.0,178.53,3667.5,36
CPT,73501,RAD EXAM HIP UNILAT W PELV WHEN PERF 1 VW,572.0,457.6,32.95,514.8,38
CPT,73502,RAD EXAM HIP UNILAT W PELV WHEN PERF 2 OR 3 VWS,619.0,495.2,47.6,557.1,38
CPT,73503,RAD EXAM HIP UNILAT W PELV WHEN PERF MIN 4 VWS,567.0,453.6,59.92,510.3,38
CPT,73521,RAD EXAM HIPS BILAT W PELV WHEN PERF 2 VWS,530.0,424.0,41.28,477.0,38
CPT,73522,RAD EXAM HIPS BILAT W PELV WHEN PERF 3 OR 4 VWS,610.0,488.0,53.93,549.0,38
CPT,73523,RAD EXAM HIPS BILAT W PELV WHEN PERF MIN 5 VWS,752.0,601.6,61.91,676.8,38
CPT,73525,RAD S&I EXAM HIP ARTHROGRAPHY,1128.0,902.4,128.82,1015.2,38
CPT,73551,RAD EXAM FEMUR 1 VW,474.0,379.2,29.29,426.6,38
CPT,73552,RAD EXAM FEMUR MIN 2 VWS,474.0,379.2,35.62,426.6,38
CPT,73560,RAD EXAM KNEE 1 OR 2 VWS,517.0,413.6,34.29,465.3,38
CPT,73562,RAD EXAM KNEE 3 VWS,517.0,413.6,40.94,465.3,38
CPT,73564,RAD EXAM KNEE COMPL 4 + VWS,572.0,457.6,47.27,514.8,38
CPT,73565,RAD EXAM KNEE BOTH STANDING ANTEROPOSTERIOR,502.0,401.6,39.94,451.8,38
CPT,73580,RAD S&I EXAM KNEE ARTHROGRAPHY,854.0,683.2,110.51,768.6,38
CPT,73590,RAD EXAM TIBIA FIBULA 2 VWS,518.0,414.4,31.62,466.2,38
CPT,73592,RAD EXAM LOWER EXTREM INFANT MIN 2 VWS,277.0,221.6,31.62,249.3,38
CPT,73600,RAD EXAM ANKLE 2 VWS,505.0,404.0,32.29,454.5,38
CPT,73610,RAD EXAM ANKLE MIN 3 VWS,510.0,408.0,36.62,459.0,38
CPT,73615,RAD S&I EXAM ANKLE ARTHROGRAPHY,517.0,413.6,127.82,679.09,38
CPT,73620,RAD EXAM FOOT 2 VWS,472.0,377.6,28.63,424.8,38
CPT,73630,RAD EXAM FOOT MIN 3 VWS,556.0,444.8,34.29,500.4,38
CPT,73650,RAD EXAM CALCANEUS MIN 2 VWS,409.0,327.2,28.63,368.1,38
CPT,73660,RAD EXAM TOES MIN 2 VWS,392.0,313.6,29.29,352.8,38
CPT,73700,CT EXT LOWER WO CONT,2290.0,1832.0,80.11,2061.0,38
CPT,73701,CT EXT LOWER W CONT,2997.0,2397.6,133.87,2697.3,38
CPT,73702,CT EXT LOWER WO THEN W CONT,3249.0,2599.2,133.87,2924.1,38
CPT,73706,CTA EXT LOWER W CONT +WO IF PERF,3365.0,2692.0,133.87,3028.5,38
CPT,73718,MRI LOWER EXT WO CONTRAST,3543.0,2834.4,178.53,3188.7,38
CPT,73719,MRI LOWER EXT W CONTRAST,3860.0,3088.0,270.29,3474.0,38
CPT,73720,MRI LOWER EXT WO THEN W CONT,4658.0,3726.4,280.2,4192.2,38
CPT,73721,MRI LOWER EXT JT WO CONTRAST,3630.0,2904.0,178.53,3267.0,38
CPT,73722,MRI LOWER EXT JT W CONTRAST,4111.0,3288.8,322.22,3699.9,38
CPT,73723,MRI LOWER EXT JT WO THEN W CONT,4798.0,3838.4,280.2,4318.2,38
CPT,73725,MRA LOWER EXT W CONTRAST,3397.0,2717.6,178.53,3057.3,36
CPT,73725,MRA LOWER EXT WO CONTRAST,3397.0,2717.6,178.53,3057.3,36
CPT,73725,MRA LOWER EXT WO THEN W CONT,4378.0,3502.4,178.53,3940.2,36
CPT,74018,RAD EXAM ABDOMEN 1 VW,462.0,369.6,30.29,415.8,38
CPT,74019,RAD EXAM ABDOMEN 2 VWS,565.0,452.0,36.62,508.5,38
CPT,74021,RAD EXAM ABDOMEN 3 OR MORE VWS,607.0,485.6,42.94,546.3,38
CPT,74022,RAD EXAM ABD SERIES 2 OR > ABD VIEWS AND SNGL VIEW CHEST,641.0,512.8,49.93,576.9,38
CPT,74150,CT ABDOMEN WO CONTRAST,2719.0,2175.2,80.11,2447.1,38
CPT,74160,CT ABDOMEN W CONTRAST,3087.0,2469.6,133.87,2778.3,38
CPT,74170,CT ABDOMEN WO THEN W CONT,3783.0,3026.4,133.87,3404.7,38
CPT,74174,CTA ABD PELVIS W CONTRAST+WO IF PERFORM,6642.0,5313.6,280.2,5977.8,38
CPT,74175,CTA ABD WCONT +WO IF PERF,3687.0,2949.6,133.87,3318.3,38
CPT,74176,CT ABD  PELVIS WO CONTRAST,4001.0,3200.8,178.53,3600.9,38
CPT,74177,CT ABD  PELVIS W CONTRAST,4793.0,3834.4,280.2,4313.7,38
CPT,74178,CT ABD PELVIS WO THEN W CONT,5290.0,4232.0,280.2,4761.0,38
CPT,74181,MRI ABDOMEN WO CONTRAST,4005.0,3204.0,178.53,3604.5,38
CPT,74182,MRI ABDOMEN W CONTRAST,4304.0,3443.2,280.2,3873.6,38
CPT,74183,MRI ABDOMEN WO THEN W CONT,5262.0,4209.6,280.2,4735.8,38
CPT,74185,MRA ABDOMEN W CONTRAST,3164.0,2531.2,178.53,2847.6,36
CPT,74185,MRA ABDOMEN WO CONTRAST,3015.0,2412.0,178.53,2713.5,36
CPT,74185,MRA ABDOMEN WO THEN W CONT,3816.0,3052.8,178.53,3434.4,36
CPT,74190,OT INS TENCKHOFF CATH,583.0,466.4,161.9,791.1,38
CPT,74210,RAD EXAM PHARYNX AND OR CERVICAL ESOPHAGUS,394.0,315.2,94.54,354.6,38
CPT,74220,RAD EXAM ESOPHAGUS,794.0,635.2,97.2,714.6,38
CPT,74221,"RAD EXAMINATION ESOPHAGUS, DOUBLE-CONTRAST",760.0,608.0,109.52,684.0,38
CPT,74230,RAD SWALLOWING FUNC W CINERAD OR VIDEORAD,918.0,734.4,124.5,826.2,38
CPT,74235,REMOVE ESOPHAGUS OBSTRUCTION,,,1.0,1.0,2
CPT,74240,RAD EXAM GI UPPER W WO DELAYED IMG WO KUB,1117.0,893.6,122.5,1005.3,38
CPT,74246,RAD EXAM GI UPPER W AIR CNTRST WO KUB,1230.0,984.0,133.87,1107.0,38
CPT,74248,RAD X-RAY SM INT F-THRU STD,1092.0,873.6,74.03,982.8,36
CPT,74250,RADIOLOGIC EXAM SMALL BOWEL WMULTIPLE SERIAL FILMS SGL CNTRST,927.0,741.6,121.5,834.3,38
CPT,74251,RAD EXAM SMALL INTESTINE INCL MULT SER IMG DBL CNTRST,1456.0,1164.8,133.87,1310.4,38
CPT,74261,CT COLONOSCOPY DX WO CONTRAST,2238.0,1790.4,80.11,2014.2,38
CPT,74262,CT COLONOSCOPY DX W & WO CONTRAST,2400.0,1920.0,133.87,2160.0,38
CPT,74263,CT COLONOGRAPHY SCREEN POST,3090.0,2472.0,66.21,2781.0,36
CPT,74270,RADIOLOGIC EXAM COLON  W SCOUT SGL CNTRST,1280.0,1024.0,133.87,1152.0,38
CPT,74280,RAD EXAM COLON  W SCOUT DBL CNTRST W GLUC,1416.0,1132.8,133.87,1274.4,38
CPT,74283,RAD THERP ENEMA CTRST OR AIR REDC INTUSSUSCEPTION,908.0,726.4,133.87,817.2,38
CPT,74290,RAD CHOLECYSTOGRAPHY ORAL CNTRST,235.0,188.0,84.88,324.44,38
CPT,74300,RAD S&I CHOLANGIO AND OR PANCREATO INTRAOP,974.0,779.2,1.0,876.6,27
CPT,74301,X-RAYS AT SURGERY ADD-ON,,,1.0,1.0,2
CPT,74328,RAD S&I ENDO CATH BILIARY DUCT SYST,1235.0,988.0,1.0,1111.5,27
CPT,74329,RAD S&I ENDO CATH PANCREATIC DUCT SYST,716.0,572.8,1.0,644.4,27
CPT,74330,RAD S&I ENDO CATH COMB BIL AND PANCR DUCT SYST,1859.0,1487.2,1.0,1673.1,27
CPT,74340,RAD S&I INTRO LONG GI TUBE INCL MULT FLUORO AND IMGS,835.0,668.0,1.0,751.5,27
CPT,74355,GI PERC PLCMT ENTRO TUB,563.0,450.4,1.0,506.7,27
CPT,74360,S&I ESOPHAGEAL DILATION,930.0,744.0,1.0,837.0,27
CPT,74363,S&I BILIARY STRICTURE DILATION,1950.0,1560.0,1.0,1755.0,27
CPT,74400,RAD UROGRAPHY IV W WO KUB W WO TOMO,994.0,795.2,133.87,894.6,38
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,,,133.87,324.44,17
CPT,74415,IVP W  INFUS & TOMO,1141.0,912.8,133.87,1026.9,38
CPT,74420,RAD UROGRAPHY RETROGRADE W WO KUB,1287.0,1029.6,77.89,1158.3,38
CPT,74425,UROGRAPHY ANTEGRADE RADIOLOGICAL S&I,1038.0,830.4,135.48,934.2,38
CPT,74430,RAD S&I CYSTOGRAPHY MIN 3 VWS,947.0,757.6,41.28,852.3,38
CPT,74440,X-RAY MALE GENITAL TRACT,,,97.2,432.69,17
CPT,74445,S&I CORPORA CAV,173.0,138.4,48.04,194.16,38
CPT,74450,RAD S&I URETHROCYSTOGRAPHY RETROGRADE,849.0,679.2,178.53,764.1,38
CPT,74455,RAD S&I URETHROCYSTOGRAPHY VOIDING,1144.0,915.2,103.86,1029.6,38
CPT,74470,X-RAY EXAM OF KIDNEY LESION,,,366.6,888.49,13
CPT,74485,RAD S&I DILATION  URETERS OR URETHRA,1303.0,1042.4,119.17,3596.7,38
CPT,74712,MRI FETAL SINGLE 1ST GESTATION,2789.0,2231.2,178.53,2510.1,38
CPT,74713,MRI FETAL EA ADDL GESTATION,,,1.0,203.72,15
CPT,74740,RAD S&I HYSTEROSALPINGOGRAPHY,1030.0,824.0,93.54,927.0,38
CPT,74742,FALLOPIAN TUBE CATH RAD S&I,825.0,660.0,1.0,742.5,27
CPT,74775,RAD PERINEOGRAM,301.0,240.8,83.59,432.69,38
CPT,75557,MRI CARDIAC WO CONTRAST,3273.0,2618.4,178.53,2945.7,38
CPT,75559,CARDIAC MRI W/STRESS IMG,,,384.14,974.15,17
CPT,75561,MRI CARDIAC WO THEN W CONT,4255.0,3404.0,280.2,3829.5,38
CPT,75563,CARD MRI W/STRESS IMG & DYE,,,435.07,1413.86,17
CPT,75565,MRI CARDIAC VELOCITY FLOW MAP,805.0,644.0,1.0,724.5,36
CPT,75571,CT HEART SCORE,536.0,428.8,66.21,482.4,38
CPT,75572,CT HEART CONTRAST EVAL CARDIAC STRUCTURE & MORPH W 3D,2336.0,1868.8,133.87,2102.4,38
CPT,75573,CT HEART C+ CARDIAC STRUX&MORPH CGEN HRT DS,2643.0,2114.4,133.87,2378.7,38
CPT,75574,CTA HEART CORONARY ART BYPASS GRAFTS CONTRAST 3D POST,2628.0,2102.4,133.87,2365.2,38
CPT,75580,N-INVAS EST C FFR SW ALY CTA,,,761.78,1846.25,17
CPT,75600,THORACIC WO SERIALOGRAPHY,3990.0,3192.0,182.08,5628.59,38
CPT,75605,THORACIC WSERIALOGRAPHY,4084.0,3267.2,120.5,9703.85,38
CPT,75625,S&I ANGIO - AORTA ABD,6500.0,5200.0,126.16,5850.0,38
CPT,75630,S&I ABD AND RUN OFFS,5104.0,4083.2,156.45,5628.59,38
CPT,75635,CTA ABD AO & EXT W CONTRAST+WO IF PERFORM,3402.0,2721.6,133.87,3061.8,38
CPT,75705,S&I SPINAL SELECTIVE ANGIOGRAM,4396.0,3516.8,249.99,9703.85,38
CPT,75710,S&I EXTREMITY UNI,6268.0,5014.4,149.79,5641.2,38
CPT,75716,S&I EXTREMITY ANGIOGRAM BIL,6094.0,4875.2,162.44,5628.59,38
CPT,75726,S&I ANGIO VISC SEL OR SUPSEL,6236.0,4988.8,169.43,9703.85,38
CPT,75731,ARTERY X-RAYS ADRENAL GLAND,,,153.12,5628.59,17
CPT,75733,ARTERY X-RAYS ADRENALS,,,172.1,5628.59,17
CPT,75736,S&I PELVIC SEL. SUPRA SEL,5689.0,4551.2,143.14,9703.85,38
CPT,75741,S&I PULMONARY UNI SEL,2980.0,2384.0,129.49,5628.59,38
CPT,75743,S&I PULMONARY BIL,5367.0,4293.6,147.13,5628.59,38
CPT,75746,S&I PULMONARY NONSELECT,495.0,396.0,134.48,5628.59,38
CPT,75756,ANGIO INT MAM RAD S&I,3834.0,3067.2,164.77,5628.59,38
CPT,75774,S&I ANGIO SEL EA ADD VES,3212.0,2569.6,1.0,2890.8,36
CPT,75801,LYMPH VESSEL X-RAY ARM/LEG,,,457.71,1109.3,13
CPT,75803,LYMPH VESSEL X-RAY ARMS/LEGS,,,1166.88,2828.05,13
CPT,75805,LYMPH VESSEL X-RAY TRUNK,,,2322.4,5628.59,13
CPT,75807,LYMPH VESSEL X-RAY TRUNK,,,2322.4,5628.59,13
CPT,75809,S&I SHUNTOGRAM NONVASCUL,667.0,533.6,80.11,600.3,38
CPT,75810,VEIN X-RAY SPLEEN LIVER,3059.0,2447.2,849.48,5628.59,38
CPT,75820,S&I VENOGRAM EXTREM UNILATERAL,1840.0,1472.0,107.52,2828.05,38
CPT,75822,S&I VENOGRAM EXTREMI BILATERAL,2326.0,1860.8,133.15,2828.05,38
CPT,75825,S&I VENACAVOGRAM INFERIOR,3752.0,3001.6,113.84,5628.59,38
CPT,75827,S&I VENOCAVOGRAM SUPERIOR,3699.0,2959.2,118.5,3329.1,38
CPT,75831,S&I VENOGRPH RENAL UNI,4273.0,3418.4,119.17,5628.59,38
CPT,75833,S&I VENOGRAPH RENAL BILAT,3926.0,3140.8,147.8,5628.59,38
CPT,75840,VENOGRAPHY ADRENAL UNIL,2052.0,1641.6,128.16,5628.59,38
CPT,75842,Outpatient Services,,,5135.42,5675.99,9
CPT,75842,Outpatient Services - CPT/HCPCS,,,4003.89,9703.85,4
CPT,75842,Therapy,,,158.45,158.45,4
CPT,75860,S&I VENOGRAM SINUS JUGULAR,2927.0,2341.6,125.16,5628.59,38
CPT,75870,S&I VENO SUP SAG SINUS,1536.0,1228.8,155.12,5628.59,38
CPT,75872,VEIN X-RAY SKULL EPIDURAL,,,128.16,1109.3,17
CPT,75880,VEIN X-RAY EYE SOCKET,,,107.52,1109.3,17
CPT,75885,S&I PERCUT TRNSHPTC WHE,3485.0,2788.0,136.15,5628.59,38
CPT,75887,S&I PERCUT TRNSHPC WO HE,448.0,358.4,137.14,5628.59,38
CPT,75889,S&I HEP VENO WEDG OR FRE,3445.0,2756.0,123.16,5628.59,38
CPT,75891,S&I HEP VENO WDG FREE WO PRES,3908.0,3126.4,123.83,5628.59,38
CPT,75893,S&I VEN ORGAN SAMP THRU CATH,2547.0,2037.6,104.86,9703.85,38
CPT,75894,S&I EMBOLIZATION,5775.0,4620.0,1.0,5197.5,27
CPT,75898,S&I ANGIO POST EMBO INF THERAP,1542.0,1233.6,428.21,5628.59,38
CPT,75901,S&I PERICATH CVA STRIP,1901.0,1520.8,1.0,1710.9,36
CPT,75902,S&I RMVL INTRLUMINL OBST,2790.0,2232.0,1.0,2511.0,36
CPT,75956,Outpatient Services - CPT/HCPCS,,,642.94,642.94,2
CPT,75957,Outpatient Services - CPT/HCPCS,,,552.22,552.22,2
CPT,75958,Outpatient Services - CPT/HCPCS,,,362.23,362.23,2
CPT,75959,Outpatient Services - CPT/HCPCS,,,321.47,321.47,2
CPT,75970,S&I TRANSCATHETER BIOPY,3057.0,2445.6,1.0,2751.3,27
CPT,75984,S&I DRAINAGE TUBE REVISION,1102.0,881.6,1.0,991.8,36
CPT,75989,CT GUIDANCE ABSCESS,1960.0,1568.0,1.0,1764.0,36
CPT,75989,IMAGE GUIDANCE PERC DRAINAGE,1960.0,1568.0,1.0,1764.0,36
CPT,75989,US GUIDANCE PERC DRAINAGE,1960.0,1568.0,1.0,1764.0,36
CPT,76000,RAD FLUOROSCOPY UP TO 1 HOUR,987.0,789.6,42.61,888.3,38
CPT,76010,RAD EXAM NOSE TO RECTUM FB SNGL VW CHILD,269.0,215.2,29.29,242.1,38
CPT,76014,MR SFTY IMPLT&/FB ASMT STF 1,,,23.27,25.71,9
CPT,76015,MR SFTY MPLT&/FB ASMT STF EA,,,47.91,52.95,9
CPT,76016,MR SAFETY DETER PHYS/QHP,,,83.65,92.45,9
CPT,76017,MR SFTY MED PHYSICS XM CSTMZ,,,229.63,253.81,9
CPT,76018,MR SAFETY IMPLANT ELEC PREPJ,,,87.2,96.38,9
CPT,76019,MR SAFETY IMPLT POS&/IMMOBLJ,,,56.43,62.37,9
CPT,76080,RAD S&I EXAM ABSCESS FISTULA OR SINUS TRACT STDY,1150.0,920.0,59.58,1035.0,38
CPT,76098,RAD EXAM SURGICAL SPECIMEN,828.0,662.4,42.61,974.15,38
CPT,76100,RAD EXAM SNGL PLANE BODY SECT OTH THAN W UROGRAPHY,694.0,555.2,80.11,624.6,38
CPT,76120,CINE/VIDEO X-RAYS,,,80.11,194.16,17
CPT,76125,CINE/VIDEO X-RAYS ADD-ON,,,1.0,1.0,2
CPT,76140,X-RAY CONSULTATION,,,13.97,13.97,2
CPT,76145,MED PHYSIC DOS EVAL RAD EXPS,,,390.51,946.44,17
CPT,76376,CT 3D RECONSTRUCT WO IPP,793.0,634.4,1.0,713.7,36
CPT,76376,MRI 3D RECONSTRUCT WO IPP,793.0,634.4,1.0,713.7,36
CPT,76376,US 3D RECONSTRUCT WO IPP,793.0,634.4,1.0,713.7,36
CPT,76377,CT 3D RECONSTRUCT W IPP,1377.0,1101.6,1.0,1239.3,36
CPT,76377,RADIOGRAPHY 3D RECONSTRUCT W IPP,1337.0,1069.6,1.0,1203.3,36
CPT,76380,CT LIMITED OR LOCALIZED FOLLOW UP STUDY,1134.0,907.2,66.21,1020.6,38
CPT,76390,MR SPECTROSCOPY,,,66.21,160.46,13
CPT,76391,MAGNETIC RESONANCE ELASTOGRAPHY,1313.0,1050.4,178.53,1181.7,38
CPT,76496,UNLISTED FLUOROSCOPIC PX,,,66.21,160.46,13
CPT,76497,UNLISTED CT PROCEDURE,,,66.21,160.46,13
CPT,76498,MRI TP-53,214.0,171.2,59.43,192.6,38
CPT,76498,MRI TRUS FUSION,661.0,528.8,66.21,594.9,38
CPT,76499,S&I ANGIOGRAPHY UNLISTED,397.0,317.6,66.21,357.3,38
CPT,76499,XRAY SHUNT SURVEY,397.0,317.6,66.21,357.3,38
CPT,76506,US HEAD,604.0,483.2,80.11,543.6,38
CPT,76510,OPH US DX B-SCAN&QUAN A-SCAN,,,68.57,225.57,17
CPT,76511,OPH US DX QUAN A-SCAN ONLY,,,56.92,194.16,17
CPT,76512,ED 76512 OPHTHALMIC US B-SCAN,488.0,390.4,47.93,439.2,38
CPT,76513,OPH US DX ANT SGM US UNI/BI,,,74.9,194.16,17
CPT,76514,ECHO EXAM OF EYE THICKNESS,,,11.32,52.6,17
CPT,76516,ECHO EXAM OF EYE,,,46.6,194.16,17
CPT,76519,ECHO EXAM OF EYE,,,67.91,194.16,17
CPT,76529,ECHO EXAM OF EYE,,,66.21,160.46,17
CPT,76536,US SOFT TISSUE HEAD NECK,808.0,646.4,80.11,727.2,38
CPT,76604,US CHEST,667.0,533.6,56.92,600.3,38
CPT,76641,US UNILATERAL BREAST COMPLETE,429.0,343.2,80.11,386.1,38
CPT,76642,US UNILATERAL BREAST LIMITED,471.0,376.8,66.21,423.9,38
CPT,76700,US ABD COMPLETE,1132.0,905.6,80.11,1018.8,38
CPT,76705,US ABD LIMITED,958.0,766.4,80.11,862.2,38
CPT,76706,ED 76706 US ABD AORTA SCREEN AAA,573.0,458.4,80.11,515.7,38
CPT,76770,US RETROPERITONEUM,1117.0,893.6,80.11,1005.3,38
CPT,76775,US RETROPERITONEUM LTD,867.0,693.6,59.58,780.3,38
CPT,76776,US TRANSPLANT KIDNEY,1234.0,987.2,80.11,1110.6,38
CPT,76800,US SPINE,650.0,520.0,80.11,585.0,38
CPT,76801,US PREG UTER 1ST TRI SGL,897.0,717.6,80.11,807.3,38
CPT,76802,US PRG UTR 1ST TRI EA AD,496.0,396.8,1.0,446.4,36
CPT,76805,US PG UTR 2-3TRI SGL 1ST,1091.0,872.8,80.11,981.9,38
CPT,76810,US PG UTR MLT GST 2-3TRI,773.0,618.4,1.0,695.7,36
CPT,76811,US PG UTR TRNSABD SG,707.0,565.6,177.09,636.3,38
CPT,76812,US PREG UTER TRANSABD EA ADDL,727.0,581.6,1.0,654.3,36
CPT,76813,US OB NUCHAL TRANSLUCENCY,505.0,404.0,80.11,454.5,38
CPT,76814,OB US NUCHAL MEAS ADD-ON,,,1.0,74.23,15
CPT,76815,US OB REAL TIME LTD,527.0,421.6,80.11,474.3,38
CPT,76816,US PREG UTERUS FOLLOWUP PER FETUS,608.0,486.4,80.11,547.2,38
CPT,76816,US PREG UTERUS FU REPEAT ADDL FETUS M59,608.0,486.4,80.11,547.2,38
CPT,76817,US PG UTR TRANSVAG,616.0,492.8,80.11,554.4,38
CPT,76818,US FETAL BPP W NST EA ADDL M59,464.0,371.2,80.11,417.6,38
CPT,76818,US FETAL BPP WNST,464.0,371.2,80.11,417.6,38
CPT,76819,US FETAL BPP WO NST,784.0,627.2,80.11,705.6,38
CPT,76819,US FETAL BPP WO NST ADDL M59,784.0,627.2,80.11,705.6,38
CPT,76820,DOPPLER FETAL UMBIL,640.0,512.0,44.61,576.0,38
CPT,76820,"DOPPLER FETAL,UMBIL M59",640.0,512.0,44.61,576.0,38
CPT,76821,DOPPLER FETAL MID-CEREBR,541.0,432.8,80.11,486.9,38
CPT,76821,DOPPLER FETAL MID-CEREBR M59,541.0,432.8,80.11,486.9,38
CPT,76825,ECHO FETAL,1625.0,1300.0,261.31,1462.5,38
CPT,76825,ECHO FETAL M59,1625.0,1300.0,261.31,1462.5,38
CPT,76826,ECHO FETAL FOLLOW-UP,1428.0,1142.4,156.45,1285.2,38
CPT,76827,DOPP FETAL,823.0,658.4,69.9,740.7,38
CPT,76827,DOPPLER FETAL M59,823.0,658.4,69.9,740.7,38
CPT,76828,DOPP FETAL FOLLOWUP,439.0,351.2,48.6,395.1,38
CPT,76830,US TRANSVAGINAL,741.0,592.8,80.11,666.9,38
CPT,76831,US HYSTEROSONOGRAPHY,419.0,335.2,116.17,432.69,38
CPT,76856,US PELVIC COMPLETE,1128.0,902.4,80.11,1015.2,38
CPT,76857,ED 76857 US PELVIC LIMITED,593.0,474.4,49.27,533.7,38
CPT,76857,US PELVIC LIMITED,593.0,474.4,49.27,533.7,38
CPT,76870,US SCROTUM,924.0,739.2,80.11,831.6,38
CPT,76872,US TRANSRECTAL,798.0,638.4,80.11,718.2,38
CPT,76873,US PROSTATE VOLUME STUDY,1089.0,871.2,80.11,980.1,38
CPT,76881,US COMPLETE JNT REAL TIME W IMAGE DOC,687.0,549.6,53.59,618.3,38
CPT,76882,ED 76882 US LMTD JNT OR FOC EVAL REAL TIME WIMAGE DOC,310.0,248.0,63.25,279.0,38
CPT,76882,US LMTD JNT OR FOC EVAL REAL TIME WIMAGE DOC,310.0,248.0,63.25,279.0,38
CPT,76883,US NRV&ACC STRUX 1XTR COMPRE,,,71.24,194.16,17
CPT,76885,US HIPS INFANT,436.0,348.8,66.21,392.4,38
CPT,76886,US INFANT HIPS REAL TIME LIMITED STATIC,489.0,391.2,66.21,440.1,38
CPT,76932,ECHO GUIDE FOR HEART BIOPSY,,,1.0,1.0,2
CPT,76936,ECHO GUIDE FOR ARTERY REPAIR,,,228.69,554.25,17
CPT,76937,ED 76937 US GUIDE VASC ACCESS,737.0,589.6,1.0,663.3,36
CPT,76937,US GUIDED VASCULAR ACCESS,737.0,589.6,1.0,663.3,36
CPT,76940,US S&I TUMOR ABLATN LIV,601.0,480.8,1.0,540.9,27
CPT,76941,S&I US GUIDE FETAL TRANSFUSION,300.0,240.0,1.0,270.0,27
CPT,76942,ED 76942 US GUIDANCE S&I,1193.0,954.4,1.0,1073.7,36
CPT,76942,US S&I GUID NDLE PLMT,1193.0,954.4,1.0,1073.7,36
CPT,76945,CVS US GUIDE,274.0,219.2,1.0,246.6,27
CPT,76946,US S&I OBGYN AMNIO,732.0,585.6,1.0,658.8,36
CPT,76948,US GUIDANCE ASPIRATION OF OVA,149.0,119.2,1.0,134.1,36
CPT,76965,US GUIDANCE INTERSTITIAL RADIOELEMENT APPLN,1304.0,1043.2,1.0,1173.6,36
CPT,76975,GI ENDOSCOPIC ULTRASOUND,,,178.53,432.69,13
CPT,76977,US BONE DENSITY MEASURE,,,7.32,194.16,17
CPT,76978,US TRGT DYN MBUBB 1ST LES,,,133.87,324.44,17
CPT,76979,US TRGT DYN MBUBB EA ADDL,,,112.75,281.37,15
CPT,76981,US ELASTOGRAPHY PARENCHYMA,302.0,241.6,80.11,271.8,38
CPT,76982,USE 1ST TARGET LESION,,,80.11,194.16,17
CPT,76983,USE EA ADDL TARGET LESION,,,54.13,121.62,15
CPT,76984,DX INTRAOP THORACIC AORTA US,,,60.48,60.48,2
CPT,76987,DX INTRAOP EPICAR CAR US CHD,,,184.73,184.73,2
CPT,76988,DX NTROP EPCR US CHD IMG ACQ,,,117.67,117.67,2
CPT,76989,DX INTRAOP EPCAR US CHD I&R,,,69.03,69.03,2
CPT,76998,US GUIDE INTRAOPERATIVE GUID,1126.0,900.8,1.0,1013.4,27
CPT,76999,TRUS MRI FUSION,519.0,415.2,66.21,467.1,38
CPT,76999,UNLISTED ULTRASOUND,519.0,415.2,66.21,467.1,38
CPT,77001,RAD S&I FLUORO CENTRAL VENOUS ACCESS DEV PLMNT,1097.0,877.6,1.0,987.3,36
CPT,77002,RAD FLUORO GUID NDL PLCMNT ADD ON,860.0,688.0,1.0,774.0,36
CPT,77003,RAD FLUORO GUID LOCLZ NDL OR CATH SPINE INJ ADD ON,899.0,719.2,1.0,809.1,36
CPT,77011,CT STEREOTACTIC LOCALIZATION,2185.0,1748.0,1.0,1966.5,36
CPT,77012,CT GUIDANCE NEEDLE PLACEMENT,3052.0,2441.6,1.0,2746.8,36
CPT,77013,CT GUIDED PARENCHYMAL TISSUE ABLATION,2643.0,2114.4,1.0,2378.7,27
CPT,77014,Outpatient Services,,,109.06,120.54,9
CPT,77014,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,77014,Therapy,,,119.5,119.5,4
CPT,77021,S&I MRI GUIDED BX ASP INJ PLAC,2528.0,2022.4,1.0,2275.2,36
CPT,77022,MRI GDN PARNCHYMA TISS ABLTJ,,,1.0,1.0,2
CPT,77046,MRI BREAST UNILAT WO CONTRAST,3376.0,2700.8,178.53,3038.4,38
CPT,77047,MRI BREAST BILAT WO CONTRAST,4262.0,3409.6,178.53,3835.8,38
CPT,77048,MRI BREAST UNILAT WO AND W CONT INCL CAD,3457.0,2765.6,133.87,3111.3,36
CPT,77049,MRI BREAST BILAT WO AND W CONT INC CAD,4591.0,3672.8,133.87,4131.9,36
CPT,77053,X-RAY OF MAMMARY DUCT,,,53.93,432.69,17
CPT,77054,X-RAY OF MAMMARY DUCTS,,,69.24,432.69,17
CPT,77058,Outpatient Services - CPT/HCPCS,,,133.87,324.44,2
CPT,77059,Outpatient Services - CPT/HCPCS,,,133.87,324.44,2
CPT,77061,DIAG DIGITAL BREAST TOMOSYNTHESIS UNILAT,338.0,270.4,15.52,304.2,27
CPT,77062,DIAG DIGITAL BREAST TOMO BILAT,416.0,332.8,31.81,374.4,27
CPT,77063,SCREEN DIGITAL BREAST TOMOSYNTHESIS,105.0,84.0,43.05,102.55,36
CPT,77065,MAMMO DX UNILAT INCL CAD,493.0,394.4,114.71,443.7,36
CPT,77066,MAMMO DX BILAT INCL CAD,593.0,474.4,144.82,533.7,36
CPT,77067,MAMMO SCREEN BILAT INCL CAD,504.0,403.2,117.36,453.6,36
CPT,77071,MNL APPL STRS JT RADIOGRAPHY,,,54.92,160.46,17
CPT,77072,RAD BONE AGE STUDIES,393.0,314.4,25.96,353.7,38
CPT,77073,CT BONE LENGTH STUDY,463.0,370.4,45.27,416.7,38
CPT,77073,RAD BONE LENGTH STUDIES,463.0,370.4,45.27,416.7,38
CPT,77074,RAD EXAM OSSEOUS SURVEY LTD,451.0,360.8,65.24,405.9,38
CPT,77075,RAD EXAM OSSEOUS SURVEY COMPL,1012.0,809.6,80.11,910.8,38
CPT,77076,BONE SURVEY INFANT,288.0,230.4,80.11,259.2,38
CPT,77077,JOINT SURVEY SINGLE VW2+JOINT,146.0,116.8,46.94,194.16,38
CPT,77078,CT BONE DENSITY AXIAL,,,66.21,160.46,17
CPT,77080,BONE DENSITY DEXA AXIAL SKELET,303.0,242.4,38.95,272.7,38
CPT,77081,BONE DENSITY DEXA APPEND SKEL,119.0,95.2,31.62,160.46,38
CPT,77084,MRI BONE MARROW BLOOD SUPPLY,2621.0,2096.8,178.53,2358.9,38
CPT,77085,DXA BONE DENSITY AXL VRT FX,,,53.26,194.16,17
CPT,77086,VRT FRACTURE ASSMT VIA DXA,,,33.62,160.46,17
CPT,77089,TBS DXA CAL W/I&R FX RISK,,,36.31,79.55,15
CPT,77090,TBS TECHL PREP&TRANSMIS DATA,,,2.66,97.38,17
CPT,77091,TBS TECHL CALCULATION ONLY,,,27.96,160.46,17
CPT,77092,TBS I&R FX RSK QHP,,,8.72,19.06,15
CPT,77261,THER RADIOLOGY TX PLNG SMPL,,,64.01,138.71,15
CPT,77262,THER RADIOLOGY TX PLNG INTRM,,,98.32,212.34,15
CPT,77263,THER RADIOLOGY TX PLNG CPLX,,,152.16,329.36,15
CPT,77280,SIMPLE SIM THERAPY RAD,1869.0,1495.2,98.86,1682.1,38
CPT,77285,INTERMED SIM THERAPY RAD,2184.0,1747.2,269.21,1965.6,38
CPT,77290,COMPLEX SIM THERAPY RAD,3388.0,2710.4,269.21,3049.2,38
CPT,77293,RESP MOTION MGMT SIMULATION,1586.0,1268.8,1.0,1427.4,36
CPT,77295,3-D SIM THERAPY RAD,7965.0,6372.0,480.01,7168.5,38
CPT,77299,UNLISTED PX THER RAD TX PLNG,,,98.86,239.59,13
CPT,77300,BASIC DOSIMETRY CALCULTN,951.0,760.8,65.91,855.9,38
CPT,77301,RADIATION THER TRMT PLAN,10765.0,8612.0,1009.56,9688.5,38
CPT,77306,TELETHERAPY ISODOSE PLAN SIMPLE INCLUD BASIC DOSIM CAL,1353.0,1082.4,148.13,1217.7,38
CPT,77307,TELETHERAPY ISODOSE PLAN COMPLEX INCLUD BASIC DOSIM CAL,2712.0,2169.6,269.21,2440.8,38
CPT,77316,BRACHYTHER ISODOSE PLAN SIMPLE INCLUD BASIC DOSIM CAL,1576.0,1260.8,245.99,1418.4,38
CPT,77317,BRACHYTHER ISODOSE PLAN INTERMED INCL BAS DOSIC CAL,2120.0,1696.0,269.21,1908.0,38
CPT,77318,BRACHYTHER ISODOSE PLAN COMPLEX INCLUD BASIC DOSIM CAL,2627.0,2101.6,269.21,2364.3,38
CPT,77321,TELETHERAPY PLAN,1868.0,1494.4,94.2,1681.2,38
CPT,77331,DOSIMETRY SP,887.0,709.6,64.91,798.3,38
CPT,77332,SI TREATMENT DEVICE,884.0,707.2,39.28,795.6,38
CPT,77333,IN TREATMENT DEVICE,1161.0,928.8,98.86,1044.9,38
CPT,77334,COMPLEX TREATMENT DEVICE,1987.0,1589.6,125.49,1788.3,38
CPT,77336,MED PHYSICS CONSULTATION,1154.0,923.2,88.88,1038.6,38
CPT,77338,DESIGN MLC DEVICE FOR IMRT,2476.0,1980.8,269.21,2228.4,38
CPT,77370,SP MED PHYSICS CONSULT,1286.0,1028.8,98.86,1157.4,38
CPT,77371,SRS MULTISOURCE,,,5673.79,13751.03,13
CPT,77372,SRS - 1 SESSION,15200.0,12160.0,951.69,13751.03,38
CPT,77373,SRT SBRT - 5 SESSION MAX,8650.0,6920.0,993.63,7785.0,38
CPT,77385,Outpatient Services,,,549.55,607.39,9
CPT,77385,Outpatient Services - CPT/HCPCS,,,428.89,1039.47,4
CPT,77386,Outpatient Services,,,549.55,607.39,9
CPT,77386,Outpatient Services - CPT/HCPCS,,,428.89,1039.47,4
CPT,77387,GUIDANCE FOR RADIATION TX INCLUD INTRAFRA TRACK,1092.0,873.6,1.0,982.8,27
CPT,77399,UNLISTED PX MED RADJ PHYSICS,,,98.86,239.59,13
CPT,77401,Outpatient Services,,,104.03,114.98,9
CPT,77401,Outpatient Services - CPT/HCPCS,,,87.37,211.74,4
CPT,77401,Therapy,,,41.61,41.61,4
CPT,77402,RADIATION TREATMENT DELIVERY LEVEL 1,941.0,752.8,87.37,846.9,38
CPT,77407,RADIATION TREATMENT DELIVERY LEVEL 2,3566.0,2852.8,195.81,3209.4,38
CPT,77412,RADIATION TREATMENT DELIVERY LEVEL 3,5104.0,4083.2,195.81,4593.6,38
CPT,77417,RAD THERAPY PORT FILMS,518.0,414.4,1.0,466.2,36
CPT,77423,NEUTRON BEAM TX COMPLEX,,,428.89,1039.47,13
CPT,77424,IO RAD TX DELIVERY BY X-RAY,,,5673.79,13751.03,11
CPT,77425,IO RAD TX DELIVER BY ELCTRNS,,,5673.79,13751.03,11
CPT,77427,RADIATION TX MANAGEMENT X5,,,173.41,374.72,15
CPT,77431,RADIATION THERAPY MANAGEMENT,,,97.75,211.68,15
CPT,77432,STEREOTACTIC RADIATION TRMT,,,383.83,832.93,15
CPT,77435,SBRT MANAGEMENT,,,1.0,641.63,15
CPT,77436,SURF RADJ THER SUPFC/ORTHVLT TREATMENT PLANNING,1869.0,1495.2,519.02,1682.1,27
CPT,77437,SURF RADJ THER SUPFC DLVR<=150 KV PER FRACTION,675.0,540.0,187.45,607.5,27
CPT,77469,IO RADIATION TX MANAGEMENT,,,289.88,626.5,15
CPT,77470,SPECIAL TREATMENT PROC,3858.0,3086.4,141.8,3472.2,38
CPT,77520,PROTON TRMT SIMPLE W/O COMP,,,428.89,1039.47,13
CPT,77522,PROTON TRMT SIMPLE W/COMP,,,1033.58,2504.98,13
CPT,77523,PROTON TRMT INTERMEDIATE,,,1033.58,2504.98,13
CPT,77525,PROTON TREATMENT COMPLEX,,,1033.58,2504.98,13
CPT,77600,HYPERTHERMIA EXT GEN SUPFC,,,195.81,544.25,17
CPT,77605,HYPERTHERMIA EXT GEN DEEP,,,522.39,1266.06,17
CPT,77610,HYPERTHERMIA NTRSTL PRB 5/<,,,428.89,1039.47,17
CPT,77615,HYPERTHERMIA NTRSTL PRB>5,,,428.89,1073.19,17
CPT,77620,HYPERTHERMIA GEN INTRCV PRB,,,428.89,1039.47,17
CPT,77750,INFUSE RADIOACTIVE MATERIALS,,,195.81,474.57,17
CPT,77761,INTCAV RAD APP SIMP,1929.0,1543.2,421.09,1736.1,38
CPT,77762,INTRCAV RAD APP INTR,1669.0,1335.2,428.89,1502.1,38
CPT,77763,INTRCAV RAD APP COMP,2043.0,1634.4,522.39,1838.7,38
CPT,77767,HDR RDNCL SKIN SURF BRACHY LSN <2CM 1 CHANNEL,4264.0,3411.2,195.81,3837.6,38
CPT,77768,HDR RDNCL SKIN SURF BRACHY LSN >2CM 2+ CHANNEL,4236.0,3388.8,195.81,3812.4,38
CPT,77770,HDR RDNCL INTERSTL INTRACAV BRACHY 1 CHANNEL,5054.0,4043.2,347.85,4548.6,38
CPT,77771,HDR RDNCL INTERSTL INTRACAV BRACHY 2-12 CHANNELS,5832.0,4665.6,522.39,5248.8,38
CPT,77772,HDR RDNCL INTERSTL INTRACAV BRACHY 13+ CHANNELS,6458.0,5166.4,522.39,5812.2,38
CPT,77778,INTERSTITL SOURCE APP COMPLEX,4804.0,3843.2,522.39,4323.6,38
CPT,77789,SFACE APP-RADIOLEMNT,278.0,222.4,87.37,250.2,38
CPT,77790,NM SUPV HANDLING LOADING RAD SOURCE,564.0,451.2,1.0,507.6,36
CPT,77799,UNLISTED PX CLIN BRACHYTX,,,87.37,211.74,13
CPT,78012,NM THYROID UPTAKE SNGL MULT QUANT MEAS,1337.0,1069.6,80.89,1203.3,38
CPT,78013,NM THYROID IMG W VASC FLOW,1428.0,1142.4,171.1,1285.2,38
CPT,78014,NM THYROID IMG W SNGL MULT UPTAKE,1745.0,1396.0,217.37,1570.5,38
CPT,78015,THYROID MET IMAGING,,,211.71,728.3,17
CPT,78016,THYROID MET IMAGING/STUDIES,,,252.32,728.3,17
CPT,78018,NM THYROID CARCINOMA METASTASES IMG WHOLE BODY,2723.0,2178.4,283.61,2450.7,38
CPT,78020,NM THYROID CARCINOMA METASTASES UPTAKE,755.0,604.0,1.0,679.5,36
CPT,78070,NM PARATHYROID PLANAR IMG,1778.0,1422.4,268.96,1600.2,38
CPT,78071,NM PARATHYROID PLANAR IMG W SPECT,2054.0,1643.2,300.5,1848.6,38
CPT,78072,NM PARATHYROID PLANAR IMG W SPECT AND CT,2593.0,2074.4,393.81,2333.7,38
CPT,78075,ADRENAL CORTEX & MEDULLA IMG,,,405.11,2507.43,17
CPT,78099,UNLISTED ENDOCRINE PX DX NUC,,,300.5,728.3,13
CPT,78102,NM BONE MARROW IMG LIMITED,897.0,717.6,160.11,807.3,38
CPT,78103,BONE MARROW IMAGING MULT,,,170.76,728.3,17
CPT,78104,NM BONE MARROW IMG WHOLE BODY,1945.0,1556.0,229.35,1750.5,38
CPT,78110,PLASMA VOLUME SINGLE,,,68.91,2507.43,17
CPT,78111,PLASMA VOLUME MULTIPLE,,,72.9,2507.43,17
CPT,78120,RED CELL MASS SINGLE,,,70.57,728.3,17
CPT,78121,NM RED CELL VOL DETERM SPX MULT,1140.0,912.0,76.89,1026.0,38
CPT,78122,WHOLE BLOOD VOLUME DETER,1798.0,1438.4,97.87,1618.2,38
CPT,78130,RED CELL SURVIVAL STUDY,,,123.83,728.3,17
CPT,78135,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78140,RED CELL SEQUESTRATION,,,109.18,728.3,17
CPT,78185,SPLEEN IMAGING,,,154.45,728.3,17
CPT,78191,PLATELET SURVIVAL STUDY,,,123.83,728.3,17
CPT,78195,NM LYMPHATICS AND LYMPH NODES IMG,2444.0,1955.2,323.22,2199.6,38
CPT,78199,UNLSTD HEMATOP RET/ENDO LYMP,,,300.5,728.3,13
CPT,78201,NM LIVER IMG STATIC ONLY,1111.0,888.8,176.42,999.9,38
CPT,78202,LIVER IMAGING WITH VASC FLOW,,,194.07,954.45,17
CPT,78205,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78206,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78215,NM LIVER AND SPLEEN IMG STATIC ONLY,1870.0,1496.0,181.75,1683.0,38
CPT,78216,LVR&SPLEEN IMG W/VASC FLOW,,,127.49,728.3,17
CPT,78226,NM HEPATOBILIARY IMG INCL GALLBLADDER,2548.0,2038.4,296.26,2293.2,38
CPT,78227,NM HEPATOBILIARY IMG INCL GALLBLADDER W PHARM INTV,2548.0,2038.4,393.81,2293.2,38
CPT,78230,SALIVARY GLAND IMAGING,,,163.44,728.3,17
CPT,78231,SALIVARY GLND IMG SERIAL IMG,,,103.52,728.3,17
CPT,78232,SALIVARY GLAND FUNCTION STD,,,101.53,728.3,17
CPT,78258,ESOPHAGEAL MOTILITY,,,197.39,728.3,17
CPT,78261,GASTRIC MUCOSA IMAGING,,,184.41,728.3,17
CPT,78262,NM GASTROESOPHAGEAL REFLUX STUDY,1001.0,800.8,226.02,900.9,38
CPT,78264,NM GASTRIC EMPTYING IMG STUDY,2559.0,2047.2,300.5,2303.1,38
CPT,78265,GSTR EMPTG IMG SM BWL TRNST,,,300.5,728.3,17
CPT,78266,GSTR EMPT IMG SM BWL&COLON,,,393.81,954.45,17
CPT,78267,UREA BREATH TST C-14 ACQUISJ,,,10.51,30.38,15
CPT,78268,UREA BREATH TEST C-14 ALYS,,,89.69,259.36,15
CPT,78270,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78271,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78272,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78278,NM ACUTE GASTROINTESTINAL BLOOD LOSS IMG,1709.0,1367.2,300.5,1538.1,38
CPT,78282,GI PROTEIN LOSS,,,300.5,728.3,13
CPT,78290,NM INTESTINE IMG,1574.0,1259.2,299.92,1416.6,38
CPT,78291,NM PERITONEAL VENOUS SHUNT PATENCY TEST,1311.0,1048.8,242.0,1179.9,38
CPT,78299,UNLISTED GI PX DX NUC MED,,,300.5,728.3,13
CPT,78300,NM BONE AND OR JNT IMG LTD AREA,1196.0,956.8,206.38,1076.4,38
CPT,78305,NM BONE AND OR JNT IMG MULT AREA,1772.0,1417.6,248.99,1594.8,38
CPT,78306,NM BONE AND OR JNT IMG WHOLE BODY,2274.0,1819.2,268.96,2046.6,38
CPT,78315,NM BONE AND OR JNT IMG 3 PHASE STDY,1838.0,1470.4,300.5,1654.2,38
CPT,78320,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78350,BONE MINERAL SINGLE PHOTON,,,29.12,728.3,15
CPT,78351,BONE MINERAL DUAL PHOTON,,,13.14,728.3,15
CPT,78399,UNLISTED MUSCSKEL PX DX NUC,,,300.5,728.3,13
CPT,78414,NON-IMAGING HEART FUNCTION,,,393.81,954.45,13
CPT,78428,NM CARDIAC SHUNT DETECTION,1774.0,1419.2,173.43,1596.6,38
CPT,78429,"PET MYOCARD IMAGING PET, METABOLIC EVALUATION STUDY SINGLE; WITH CT",3614.0,2891.2,1003.61,3252.6,38
CPT,78430,"PET MYOCARD IMAGING PET, PERFUSION STUDY SINGLE REST/STRESS WITH CT",3614.0,2891.2,1003.61,3252.6,38
CPT,78431,"PET MYOCARD IMAGING PET, PERFUSION STUDY MULTI REST/STRESS WITH CT",7756.0,6204.8,1719.16,6980.4,38
CPT,78432,MYOCRD IMG PET 2RTRACER,,,1413.6,3426.02,13
CPT,78433,MYOCRD IMG PET 2RTRACER CT,,,1489.99,3611.16,13
CPT,78434,PET AQMBF REST & RX STRESS ADD ON,483.0,386.4,134.13,728.3,27
CPT,78445,NM NONCARDIAC VAS FLOW IMG,766.0,612.8,188.41,728.3,38
CPT,78451,NM MYOCARDIAL SPECT SNGL STDY,3731.0,2984.8,312.57,3357.9,38
CPT,78452,NM MYOCARDIAL SPECT MULT STDY,4596.0,3676.8,432.4,4136.4,38
CPT,78453,HT MUSCLE IMAGE PLANAR SING,,,265.97,2507.43,17
CPT,78454,HT MUSC IMAGE PLANAR MULT,,,397.45,2507.43,17
CPT,78456,ACUTE VENOUS THROMBUS IMAGE,,,287.94,2507.43,17
CPT,78457,VENOUS THROMBOSIS IMAGING,,,154.45,954.45,17
CPT,78458,VEN THROMBOSIS IMAGES BILAT,,,192.4,728.3,17
CPT,78459,PET MYOCARD METABOLIC EVAL,6937.0,5549.6,1034.58,6243.3,38
CPT,78466,HEART INFARCT IMAGE,,,166.44,728.3,17
CPT,78468,HEART INFARCT IMAGE (EF),,,183.08,954.45,17
CPT,78469,HEART INFARCT IMAGE (3D),,,205.05,954.45,17
CPT,78472,NM CARDIAC BLOOD POOL IMG GATED PLANAR SNGL,2604.0,2083.2,210.04,2343.6,38
CPT,78473,GATED HEART MULTIPLE,,,267.63,728.3,17
CPT,78481,HEART FIRST PASS SINGLE,,,165.11,954.45,17
CPT,78483,HEART FIRST PASS MULTIPLE,,,221.69,954.45,17
CPT,78491,MYOCARDIAL PET SNGL STUDY REST OR STRESS,7136.0,5708.8,1139.85,6422.4,38
CPT,78492,MYOCARDIAL PET MULTIPLE STUDIES REST AND STRESS,6624.0,5299.2,1139.85,5961.6,38
CPT,78494,HEART IMAGE SPECT,,,211.71,728.3,17
CPT,78496,HEART FIRST PASS ADD-ON,,,1.0,41.94,15
CPT,78499,EF & WALL MOTION,1015.0,812.0,281.87,913.5,38
CPT,78579,NM PULM VENTILATION IMG,2024.0,1619.2,172.1,1821.6,38
CPT,78580,NM PULM PERFUSION IMG,2136.0,1708.8,216.37,1922.4,38
CPT,78582,NM PULM VENTILATION AND PERFUSION IMG,2515.0,2012.0,302.92,2263.5,38
CPT,78597,NM QUANT DIFF PULM PERF W OR WO IMG,2148.0,1718.4,183.41,1933.2,38
CPT,78598,NM QUANT DIFF PULM PERF AND VENT W OR WO IMG,2650.0,2120.0,274.95,2385.0,38
CPT,78599,UNLISTED RESP PX DX NUC MED,,,300.5,728.3,13
CPT,78600,BRAIN IMAGE < 4 VIEWS,,,168.1,728.3,17
CPT,78601,BRAIN IMAGE W/FLOW < 4 VIEWS,,,200.06,728.3,17
CPT,78605,BRAIN STATICS ONLY,750.0,600.0,185.74,954.45,38
CPT,78606,NM BRAIN IMG MIN 4 STATIC VIEWS W VASC FLOW,1447.0,1157.6,300.92,1302.3,38
CPT,78607,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78608,PET BRAIN METABOLIC EVAL,8261.0,6608.8,1139.85,7434.9,38
CPT,78609,BRAIN IMAGING (PET),,,64.58,728.3,15
CPT,78610,NM BRAIN IMG VASC FLOW ONLY,916.0,732.8,161.78,954.45,38
CPT,78630,NM CEREBROSPINAL FLUID FLOW IMG CISTERNOGRAPHY,1522.0,1217.6,307.24,1369.8,38
CPT,78635,CSF VENTRICULOGRAPHY,,,308.24,954.45,17
CPT,78645,NM CEREBROSPINAL FLUID FLOW IMG SHUNT EVAL,1458.0,1166.4,294.93,1312.2,38
CPT,78647,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78650,NM CEREBROSPINAL FLUID LKG DETECTION LOCALIZATION,1322.0,1057.6,247.33,2507.43,38
CPT,78660,NUCLEAR EXAM OF TEAR FLOW,,,132.48,728.3,17
CPT,78699,UNLISTED NRVS SYS PX DX NUC,,,300.5,728.3,13
CPT,78700,NM KIDNEY IMG MORPHOLOGY,1153.0,922.4,158.12,1037.7,38
CPT,78701,KIDNEY IMAGING WITH FLOW,,,207.71,728.3,17
CPT,78707,NM KIDNEY IMG MORPH W VASC FLOW FUNC SNGL WO RX,2281.0,1824.8,214.7,2052.9,38
CPT,78708,NM KIDNEY IMG MORPH W VASC FLOW FUNC SNGL W RX,2668.0,2134.4,174.76,2401.2,38
CPT,78709,NM KIDNEY IMG MORPH W VASC FLOW FUNC MULT W WO RX,2649.0,2119.2,337.2,2384.1,38
CPT,78710,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78725,NM KIDNEY FUNC STDY NONIMG RADIOISOTOPIC STDY,451.0,360.8,96.53,728.3,38
CPT,78730,URINARY BLADDER RETENTION,,,1.0,68.24,15
CPT,78740,NM URETERAL RELUX STDY RADIOPHARM VOIDING CYSTOGRAM,865.0,692.0,210.04,778.5,38
CPT,78761,TESTICULAR IMAGING W/FLOW,,,196.73,728.3,17
CPT,78799,UNLISTED GU PX DX NUC MED,,,300.5,728.3,13
CPT,78800,NM RADIOPHARM LOCA TUMOR AGENT DISTRIB PLANAR SGL AREA SGL DAY IMAG,1467.0,1173.6,232.01,1320.3,38
CPT,78801,NM RADIOPHARM LOCA TUMOR AGENT DISTRIB PLANAR 2+ AREAS,2425.0,1940.0,248.66,2182.5,38
CPT,78802,NM RADIOPHARM LOCAL TUMOR PLANAR WHOLE BODY SNGL DAY IMAGING,3533.0,2826.4,280.95,3179.7,38
CPT,78803,NM RP LOC TUM SPECT SGL AREA/ACQ SGL DAY,3378.0,2702.4,346.86,3040.2,38
CPT,78804,NM RADIOPHARM LOCAL TUMOR PLANAR WHOLE BODY 2+ DAYS IMAG,4524.0,3619.2,585.19,4071.6,38
CPT,78805,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78806,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78807,Outpatient Services - CPT/HCPCS,,,300.5,728.3,2
CPT,78808,IV INJ RA DRUG DX STUDY,,,39.61,728.3,17
CPT,78811,PET IMAGE LTD AREA,,,1034.58,2507.43,13
CPT,78812,PET SKULL-THIGH,7593.0,6074.4,1139.85,6833.7,38
CPT,78813,PET IMAGE FULL BODY,,,1139.85,2762.55,13
CPT,78814,PET CT LIMITED AREA,8994.0,7195.2,1139.85,8094.6,38
CPT,78815,PET CT SKULL BASE TO MID THIGH,9367.0,7493.6,1139.85,8430.3,38
CPT,78816,PET CT WHOLE BODY,9829.0,7863.2,1139.85,8846.1,38
CPT,78830,NM RP LOC TUM SPECT W/CT SGL AREA/ACQ SGL DAY,3447.0,2757.6,434.4,3102.3,38
CPT,78831,NM RP LOC TUM SPECT 2 AREAS/ACQS SGL DAY OR SGL AREA/ACQ 2 DAYS,3447.0,2757.6,649.77,3102.3,38
CPT,78832,NM RP LOC TUM SPECT W/CT 2 AREAS/ACQS SGL DAY OR SGL AREA/ACQ 2 DAYS,3970.0,3176.0,820.87,3573.0,38
CPT,78835,RP QUAN MEAS SINGLE AREA,,,1.0,89.37,15
CPT,78999,UNLISTED MISC PX DX NUC MED,,,300.5,728.3,13
CPT,79005,NM RADIOPHARM THERAPY BY ORAL ADMIN,1888.0,1510.4,133.48,1699.2,38
CPT,79101,NM RADIOPHARM THERAPY BY IV ADMIN,1653.0,1322.4,145.13,1487.7,38
CPT,79200,NUCLEAR RX INTRACAV ADMIN,,,129.82,439.32,17
CPT,79300,NUCLR RX INTERSTIT COLLOID,,,181.27,439.32,13
CPT,79403,NM RADIOPHARM THERAPY RADIOLABELED MONO ANTIBODY,853.0,682.4,181.27,767.7,38
CPT,79440,NM RADIOPHARM THERAPY INTRA ARTICULAR ADMIN,305.0,244.0,116.84,439.32,38
CPT,79445,RADIOPAHARM THRPY INTRA-ART ADM,640.0,512.0,177.73,576.0,38
CPT,79999,RP THERAPY UNLISTED PX,,,181.27,439.32,13
CPT,80047,BASIC METABLC PNL IONIZED CA,,,13.04,37.72,15
CPT,80048,BASIC METABOLIC PNL TOTAL CA,,,8.04,23.24,15
CPT,80050,GENERAL HEALTH PANEL,,,50.13,50.13,2
CPT,80051,ELECTROLYTE PANEL,,,6.66,19.26,15
CPT,80053,COMPREHEN METABOLIC PANEL,,,10.03,29.01,15
CPT,80055,OBSTETRIC PANEL,,,45.42,131.34,15
CPT,80061,LIPID PANEL,,,12.72,36.79,15
CPT,80069,RENAL FUNCTION PANEL,,,8.25,23.85,15
CPT,80074,ACUTE HEPATITIS PANEL,,,45.25,130.85,15
CPT,80076,HEPATIC FUNCTION PANEL,,,7.76,22.44,15
CPT,80081,OBSTETRIC PANEL INC HIV TSTG,,,71.12,205.66,15
CPT,80143,DRUG ASSAY ACETAMINOPHEN,,,17.71,51.21,15
CPT,80145,DRUG ASSAY ADALIMUMAB,,,36.64,105.96,15
CPT,80150,ASSAY OF AMIKACIN,,,14.33,41.43,15
CPT,80151,DRUG ASSAY AMIODARONE,,,17.71,51.21,15
CPT,80155,DRUG ASSAY CAFFEINE,,,36.64,105.96,15
CPT,80156,ASSAY CARBAMAZEPINE TOTAL,,,13.84,40.03,15
CPT,80157,ASSAY CARBAMAZEPINE FREE,,,12.59,36.4,15
CPT,80158,DRUG ASSAY CYCLOSPORINE,,,17.15,49.59,15
CPT,80159,DRUG ASSAY CLOZAPINE,,,19.14,55.36,15
CPT,80161,"ASY CARBAMAZEPIN 10,11-EPXID",,,17.71,51.21,15
CPT,80162,ASSAY OF DIGOXIN TOTAL,,,12.62,36.48,15
CPT,80163,ASSAY OF DIGOXIN FREE,,,12.62,36.48,15
CPT,80164,ASSAY DIPROPYLACETIC ACD TOT,,,12.86,37.2,15
CPT,80165,DIPROPYLACETIC ACID FREE,,,12.86,37.2,15
CPT,80167,DRUG ASSAY FELBAMATE,,,17.71,51.21,15
CPT,80168,ASSAY OF ETHOSUXIMIDE,,,15.52,44.89,15
CPT,80169,DRUG ASSAY EVEROLIMUS,,,13.04,37.72,15
CPT,80170,ASSAY OF GENTAMICIN,,,15.56,45.0,15
CPT,80171,DRUG SCREEN QUANT GABAPENTIN,,,20.59,59.53,15
CPT,80173,ASSAY OF HALOPERIDOL,,,14.99,43.35,15
CPT,80175,DRUG SCREEN QUAN LAMOTRIGINE,,,12.59,36.4,15
CPT,80176,ASSAY OF LIDOCAINE,,,13.96,40.36,15
CPT,80177,DRUG SCRN QUAN LEVETIRACETAM,,,12.59,36.4,15
CPT,80178,ASSAY OF LITHIUM,,,6.28,18.16,15
CPT,80179,DRUG ASSAY SALICYLATE,,,17.71,51.21,15
CPT,80180,DRUG SCRN QUAN MYCOPHENOLATE,,,17.15,49.59,15
CPT,80181,DRUG ASSAY FLECAINIDE,,,17.71,51.21,15
CPT,80183,DRUG SCRN QUANT OXCARBAZEPIN,,,12.59,36.4,15
CPT,80184,ASSAY OF PHENOBARBITAL,,,14.54,42.03,15
CPT,80185,ASSAY OF PHENYTOIN TOTAL,,,12.59,36.4,15
CPT,80186,ASSAY OF PHENYTOIN FREE,,,13.07,37.8,15
CPT,80187,DRUG ASSAY POSACONAZOLE,,,25.75,74.48,15
CPT,80188,ASSAY OF PRIMIDONE,,,15.76,45.58,15
CPT,80189,DRUG ASSAY ITRACONAZOLE,,,25.75,74.48,15
CPT,80190,ASSAY OF PROCAINAMIDE,,,57.0,164.83,15
CPT,80192,ASSAY OF PROCAINAMIDE,,,15.91,46.02,15
CPT,80193,DRUG ASSAY LEFLUNOMIDE,,,36.64,105.96,15
CPT,80194,ASSAY OF QUINIDINE,,,13.87,40.11,15
CPT,80195,ASSAY OF SIROLIMUS,,,13.04,37.72,15
CPT,80197,ASSAY OF TACROLIMUS,,,13.04,37.72,15
CPT,80198,ASSAY OF THEOPHYLLINE,,,13.43,38.85,15
CPT,80199,DRUG SCREEN QUANT TIAGABINE,,,25.75,74.48,15
CPT,80200,ASSAY OF TOBRAMYCIN,,,15.32,44.31,15
CPT,80201,ASSAY OF TOPIRAMATE,,,11.32,32.75,15
CPT,80202,ASSAY OF VANCOMYCIN,,,12.86,37.2,15
CPT,80203,DRUG SCREEN QUANT ZONISAMIDE,,,12.59,36.4,15
CPT,80204,DRUG ASSAY METHOTREXATE,,,36.64,105.96,15
CPT,80210,DRUG ASSAY RUFINAMIDE,,,25.75,74.48,15
CPT,80220,DRUG ASY HYDROXYCHLOROQUINE,,,17.71,51.21,15
CPT,80230,DRUG ASSAY INFLIXIMAB,,,36.64,105.96,15
CPT,80235,DRUG ASSAY LACOSAMIDE,,,25.75,74.48,15
CPT,80280,DRUG ASSAY VEDOLIZUMAB,,,36.64,105.96,15
CPT,80285,DRUG ASSAY VORICONAZOLE,,,25.75,74.48,15
CPT,80299,QUANTITATIVE ASSAY DRUG,,,17.71,51.21,15
CPT,80305,DRUG TEST PRSMV DIR OPT OBS,,,11.97,34.61,15
CPT,80306,DRUG TEST PRSMV INSTRMNT,,,16.28,47.09,15
CPT,80307,DRUG TEST PRSMV CHEM ANLYZR,,,59.03,170.71,15
CPT,80320,DRUG SCREEN QUANTALCOHOLS,,,17.2,17.2,2
CPT,80321,ALCOHOLS BIOMARKERS 1OR 2,,,17.2,17.2,2
CPT,80322,ALCOHOLS BIOMARKERS 3/MORE,,,16.21,16.21,2
CPT,80323,ALKALOIDS NOS,,,54.32,54.32,2
CPT,80324,DRUG SCREEN AMPHETAMINES 1/2,,,28.12,28.12,2
CPT,80325,AMPHETAMINES 3OR 4,,,27.57,27.57,2
CPT,80326,AMPHETAMINES 5 OR MORE,,,7.32,7.32,2
CPT,80327,ANABOLIC STEROID 1 OR 2,,,44.91,44.91,2
CPT,80328,ANABOLIC STEROID 3 OR MORE,,,44.03,44.03,2
CPT,80329,ANALGESICS NON-OPIOID 1 OR 2,,,34.51,34.51,2
CPT,80330,ANALGESICS NON-OPIOID 3-5,,,34.51,34.51,2
CPT,80331,ANALGESICS NON-OPIOID 6/MORE,,,6.94,6.94,2
CPT,80332,ANTIDEPRESSANTS CLASS 1 OR 2,,,23.11,23.11,2
CPT,80333,ANTIDEPRESSANTS CLASS 3-5,,,9.91,9.91,2
CPT,80334,ANTIDEPRESSANTS CLASS 6/MORE,,,9.23,9.23,2
CPT,80335,ANTIDEPRESSANT TRICYCLIC 1/2,,,32.4,32.4,2
CPT,80336,ANTIDEPRESSANT TRICYCLIC 3-5,,,30.53,30.53,2
CPT,80337,TRICYCLIC & CYCLICALS 6/MORE,,,14.0,14.0,2
CPT,80338,ANTIDEPRESSANT NOT SPECIFIED,,,10.22,10.22,2
CPT,80339,ANTIEPILEPTICS NOS 1-3,,,25.05,25.05,2
CPT,80340,ANTIEPILEPTICS NOS 4-6,,,23.61,23.61,2
CPT,80341,ANTIEPILEPTICS NOS 7/MORE,,,11.07,11.07,2
CPT,80342,ANTIPSYCHOTICS NOS 1-3,,,27.09,27.09,2
CPT,80343,ANTIPSYCHOTICS NOS 4-6,,,26.56,26.56,2
CPT,80344,ANTIPSYCHOTICS NOS 7/MORE,,,5.74,5.74,2
CPT,80345,DRUG SCREENING BARBITURATES,,,20.32,20.32,2
CPT,80346,BENZODIAZEPINES1-12,,,35.82,35.82,2
CPT,80347,BENZODIAZEPINES 13 OR MORE,,,7.35,7.35,2
CPT,80348,DRUG SCREENING BUPRENORPHINE,,,24.79,24.79,2
CPT,80349,CANNABINOIDS NATURAL,,,24.79,24.79,2
CPT,80350,CANNABINOIDS SYNTHETIC 1-3,,,23.35,23.35,2
CPT,80351,CANNABINOIDS SYNTHETIC 4-6,,,23.82,23.82,2
CPT,80352,CANNABINOID SYNTHETIC 7/MORE,,,23.35,23.35,2
CPT,80353,DRUG SCREENING COCAINE,,,27.44,27.44,2
CPT,80354,DRUG SCREENING FENTANYL,,,24.79,24.79,2
CPT,80355,GABAPENTIN NON-BLOOD,,,23.02,23.02,2
CPT,80356,HEROIN METABOLITE,,,28.42,28.42,2
CPT,80357,KETAMINE AND NORKETAMINE,,,24.79,24.79,2
CPT,80358,DRUG SCREENING METHADONE,,,17.27,17.27,2
CPT,80359,METHYLENEDIOXYAMPHETAMINES,,,28.12,28.12,2
CPT,80360,METHYLPHENIDATE,,,28.12,28.12,2
CPT,80361,OPIATES 1 OR MORE,,,32.97,32.97,2
CPT,80362,OPIOIDS & OPIATE ANALOGS 1/2,,,30.46,30.46,2
CPT,80363,OPIOIDS & OPIATE ANALOGS 3/4,,,29.86,29.86,2
CPT,80364,OPIOID &OPIATE ANALOG 5/MORE,,,20.1,20.1,2
CPT,80365,DRUG SCREENING OXYCODONE,,,21.38,21.38,2
CPT,80366,DRUG SCREENING PREGABALIN,,,26.59,26.59,2
CPT,80367,DRUG SCREENING PROPOXYPHENE,,,8.79,8.79,2
CPT,80368,SEDATIVE HYPNOTICS,,,21.87,21.87,2
CPT,80369,SKELETAL MUSCLE RELAXANT 1/2,,,27.59,27.59,2
CPT,80370,SKEL MUSC RELAXANT 3 OR MORE,,,21.92,21.92,2
CPT,80371,STIMULANTS SYNTHETIC,,,21.87,21.87,2
CPT,80372,DRUG SCREENING TAPENTADOL,,,24.79,24.79,2
CPT,80373,DRUG SCREENING TRAMADOL,,,24.79,24.79,2
CPT,80374,STEREOISOMER ANALYSIS,,,23.82,23.82,2
CPT,80375,DRUG/SUBSTANCE NOS 1-3,,,23.82,23.82,2
CPT,80376,DRUG/SUBSTANCE NOS 4-6,,,24.3,24.3,2
CPT,80377,DRUG/SUBSTANCE NOS 7/MORE,,,5.65,5.65,2
CPT,80400,ACTH STIMULATION PANEL,,,30.99,89.61,15
CPT,80402,ACTH STIMULATION PANEL,,,82.61,238.9,15
CPT,80406,ACTH STIMULATION PANEL,,,74.35,215.0,15
CPT,80408,ALDOSTERONE SUPPRESSION EVAL,,,119.23,344.77,15
CPT,80410,CALCITONIN STIMUL PANEL,,,76.35,220.79,15
CPT,80412,CRH STIMULATION PANEL,,,761.54,2202.21,15
CPT,80414,TESTOSTERONE RESPONSE PANEL,,,49.06,141.87,15
CPT,80415,TOT ESTRADIOL RESPONSE PANEL,,,53.1,153.54,15
CPT,80416,RENIN STIMULATION PANEL,,,198.85,575.04,15
CPT,80417,RENIN STIMULATION PANEL,,,41.79,120.85,15
CPT,80418,PITUITARY EVALUATION PANEL,,,550.51,1591.95,15
CPT,80420,DEXAMETHASONE PANEL,,,153.79,444.72,15
CPT,80422,GLUCAGON TOLERANCE PANEL,,,43.77,126.56,15
CPT,80424,GLUCAGON TOLERANCE PANEL,,,47.98,138.73,15
CPT,80426,GONADOTROPIN HORMONE PANEL,,,140.99,407.71,15
CPT,80428,GROWTH HORMONE PANEL,,,63.37,183.24,15
CPT,80430,GROWTH HORMONE PANEL,,,122.86,355.3,15
CPT,80432,INSULIN SUPPRESSION PANEL,,,157.33,454.96,15
CPT,80434,INSULIN TOLERANCE PANEL,,,270.78,783.03,15
CPT,80435,INSULIN TOLERANCE PANEL,,,97.85,282.96,15
CPT,80436,METYRAPONE PANEL,,,86.6,250.43,15
CPT,80438,TRH STIMULATION PANEL,,,47.89,138.49,15
CPT,80439,TRH STIMULATION PANEL,,,63.85,184.64,15
CPT,80503,PATH CLIN CONSLTJ SF 5-20,,,21.64,95.68,17
CPT,80504,PATH CLIN CONSLTJ MOD 21-40,,,46.6,301.63,17
CPT,80505,PATH CLIN CONSLTJ HIGH 41-60,,,87.55,301.63,17
CPT,80506,PATH CLIN CONSLTJ PROLNG SVC,,,1.0,41.95,15
CPT,81000,URINALYSIS NONAUTO W/SCOPE,,,3.82,11.04,15
CPT,81001,URINALYSIS AUTO W/SCOPE,,,3.01,8.71,15
CPT,81002,URINALYSIS NONAUTO W/O SCOPE,,,3.31,9.56,15
CPT,81003,DOT URINE AUTO DIPSTICK 81003,12.0,9.6,2.14,10.8,36
CPT,81005,URINALYSIS,,,2.06,5.96,15
CPT,81007,URINE SCREEN FOR BACTERIA,,,28.48,82.36,15
CPT,81015,MICROSCOPIC EXAM OF URINE,,,2.9,8.38,15
CPT,81020,URINALYSIS GLASS TEST,,,4.47,12.91,15
CPT,81025,URINE PREGNANCY TEST,,,8.18,23.65,15
CPT,81050,URINALYSIS VOLUME MEASURE,,,3.46,10.0,15
CPT,81105,HPA-1 GENOTYPING,,,116.11,335.76,15
CPT,81106,HPA-2 GENOTYPING,,,116.11,335.76,15
CPT,81107,HPA-3 GENOTYPING,,,116.11,335.76,15
CPT,81108,HPA-4 GENOTYPING,,,116.11,335.76,15
CPT,81109,HPA-5 GENOTYPING,,,116.11,335.76,15
CPT,81110,HPA-6 GENOTYPING,,,116.11,335.76,15
CPT,81111,HPA-9 GENOTYPING,,,116.11,335.76,15
CPT,81112,HPA-15 GENOTYPING,,,116.11,335.76,15
CPT,81120,IDH1 COMMON VARIANTS,,,183.59,530.9,15
CPT,81121,IDH2 COMMON VARIANTS,,,281.0,812.59,15
CPT,81161,DMD DUP/DELET ANALYSIS,,,265.05,766.47,15
CPT,81162,BRCA1&2 GEN FULL SEQ DUP/DEL,,,1211.0,5013.31,15
CPT,81163,BRCA1&2 GENE FULL SEQ ALYS,,,444.6,1285.69,15
CPT,81164,BRCA1&2 GEN FUL DUP/DEL ALYS,,,555.02,1605.0,15
CPT,81165,BRCA1 GENE FULL SEQ ALYS,,,268.74,777.13,15
CPT,81166,BRCA1 GENE FULL DUP/DEL ALYS,,,286.28,827.87,15
CPT,81167,BRCA2 GENE FULL DUP/DEL ALYS,,,268.74,777.13,15
CPT,81168,CCND1/IGH TRANSLOCATION ALYS,,,196.94,569.52,15
CPT,81170,ABL1 GENE,,,285.0,824.16,15
CPT,81171,AFF2 GEN ALY DETC ABNL ALLEL,,,130.15,376.37,15
CPT,81172,AFF2 GEN ALYS CHARAC ALLELES,,,261.09,755.01,15
CPT,81173,AR GENE FULL GENE SEQUENCE,,,286.28,827.87,15
CPT,81174,AR GENE KNOWN FAMIL VARIANT,,,175.94,508.78,15
CPT,81175,ASXL1 FULL GENE SEQUENCE,,,642.68,1858.48,15
CPT,81176,ASXL1 GENE TARGET SEQ ALYS,,,229.81,664.55,15
CPT,81177,ATN1 GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81178,ATXN1 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81179,ATXN2 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81180,ATXN3 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81181,ATXN7 GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81182,ATXN8OS GEN DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81183,ATXN10 GENE DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81184,CACNA1A GEN DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81185,CACNA1A GENE FULL GENE SEQ,,,803.96,2324.87,15
CPT,81186,CACNA1A GEN KNOWN FAMIL VRNT,,,175.94,508.78,15
CPT,81187,CNBP GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81188,CSTB GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81189,CSTB GENE FULL GENE SEQUENCE,,,261.09,755.01,15
CPT,81190,CSTB GENE KNOWN FAMIL VRNT,,,175.94,508.78,15
CPT,81191,NTRK1 TRANSLOCATION ANALYSIS,,,196.94,569.52,15
CPT,81192,NTRK2 TRANSLOCATION ANALYSIS,,,196.94,569.52,15
CPT,81193,NTRK3 TRANSLOCATION ANALYSIS,,,196.94,569.52,15
CPT,81194,NTRK TRANSLOCATION ANALYSIS,,,492.37,1423.82,15
CPT,81195,CYTOG GENOM-WID ALYS HEM MAL,,,1200.35,3471.17,13
CPT,81200,ASPA GENE,,,44.89,129.81,15
CPT,81201,APC GENE FULL SEQUENCE,,,741.0,2142.82,15
CPT,81202,APC GENE KNOWN FAM VARIANTS,,,266.0,769.22,15
CPT,81203,APC GENE DUP/DELET VARIANTS,,,190.0,549.44,15
CPT,81204,AR GENE CHARAC ALLELES,,,130.15,376.37,15
CPT,81205,BCKDHB GENE,,,90.24,260.96,15
CPT,81206,BCR/ABL1 GENE MAJOR BP,,,133.0,450.43,15
CPT,81207,BCR/ABL1 GENE MINOR BP,,,137.6,397.9,15
CPT,81208,BCR/ABL1 GENE OTHER BP,,,203.89,589.6,15
CPT,81209,BLM GENE,,,37.34,107.99,15
CPT,81210,BRAF GENE,,,166.63,481.86,15
CPT,81212,BRCA1&2 185&5385&6174 VRNT,,,418.0,1208.77,15
CPT,81215,BRCA1 GENE KNOWN FAMIL VRNT,,,356.49,1030.89,15
CPT,81216,BRCA2 GENE FULL SEQ ALYS,,,175.86,508.56,15
CPT,81217,BRCA2 GENE KNOWN FAMIL VRNT,,,356.49,1030.89,15
CPT,81218,CEBPA GENE FULL SEQUENCE,,,229.81,664.55,15
CPT,81219,CALR GENE COM VARIANTS,,,115.55,334.14,15
CPT,81220,CFTR GENE COM VARIANTS,,,375.0,1529.09,15
CPT,81221,CFTR GENE KNOWN FAM VARIANTS,,,92.36,267.08,15
CPT,81222,CFTR GENE DUP/DELET VARIANTS,,,413.32,1195.22,15
CPT,81223,CFTR GENE FULL SEQUENCE,,,474.05,1370.85,15
CPT,81224,CFTR GENE INTRON POLY T,,,160.31,463.59,15
CPT,81225,CYP2C19 GENE COM VARIANTS,,,276.79,800.42,15
CPT,81226,CYP2D6 GENE COM VARIANTS,,,428.36,1238.74,15
CPT,81227,CYP2C9 GENE COM VARIANTS,,,166.07,480.24,15
CPT,81228,CYTOG ALYS CHRML ABNR CGH,,,855.0,2472.48,15
CPT,81229,CYTOG ALYS CHRML ABNR SNPCGH,,,1102.0,3186.75,15
CPT,81230,CYP3A4 GENE COMMON VARIANTS,,,166.07,480.24,15
CPT,81231,CYP3A5 GENE COMMON VARIANTS,,,166.07,480.24,15
CPT,81232,DPYD GENE COMMON VARIANTS,,,166.07,480.24,15
CPT,81233,BTK GENE COMMON VARIANTS,,,166.63,481.86,15
CPT,81234,DMPK GENE DETC ABNOR ALLELE,,,130.15,376.37,15
CPT,81235,EGFR GENE COM VARIANTS,,,308.35,891.69,15
CPT,81236,EZH2 GENE FULL GENE SEQUENCE,,,268.74,777.13,15
CPT,81237,EZH2 GENE COMMON VARIANTS,,,166.63,481.86,15
CPT,81238,F9 FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,81239,DMPK GENE CHARAC ALLELES,,,261.09,755.01,15
CPT,81240,F2 GENE,,,62.41,180.46,15
CPT,81241,F5 GENE,,,69.7,201.56,15
CPT,81242,FANCC GENE,,,34.79,100.6,15
CPT,81243,FMR1 GEN ALY DETC ABNL ALLEL,,,54.19,156.7,15
CPT,81244,FMR1 GEN ALYS CHARAC ALLELES,,,42.65,123.32,15
CPT,81245,FLT3 GENE,,,157.23,454.69,15
CPT,81246,FLT3 GENE ANALYSIS,,,78.85,228.02,15
CPT,81247,G6PD GENE ALYS CMN VARIANT,,,166.07,480.24,15
CPT,81248,G6PD KNOWN FAMILIAL VARIANT,,,356.49,1030.89,15
CPT,81249,G6PD FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,81250,G6PC GENE,,,55.57,160.68,15
CPT,81251,GBA GENE,,,44.89,129.81,15
CPT,81252,GJB2 GENE FULL SEQUENCE,,,96.06,277.8,15
CPT,81253,GJB2 GENE KNOWN FAM VARIANTS,,,58.44,169.01,15
CPT,81254,GJB6 GENE COM VARIANTS,,,33.25,96.15,15
CPT,81255,HEXA GENE,,,48.88,141.34,15
CPT,81256,HFE GENE,,,62.09,179.56,15
CPT,81257,HBA1/HBA2 GENE,,,97.15,280.93,15
CPT,81258,HBA1/HBA2 GENE FAM VRNT,,,356.49,1030.89,15
CPT,81259,HBA1/HBA2 FULL GENE SEQUENCE,,,570.0,1648.32,15
CPT,81260,IKBKAP GENE,,,37.34,107.99,15
CPT,81261,IGH GENE REARRANGE AMP METH,,,188.09,543.92,15
CPT,81262,IGH GENE REARRANG DIR PROBE,,,65.12,188.32,15
CPT,81263,IGH VARI REGIONAL MUTATION,,,279.79,809.11,15
CPT,81264,IGK REARRANGEABN CLONAL POP,,,164.09,474.52,15
CPT,81265,STR MARKERS SPECIMEN ANAL,,,221.42,640.29,15
CPT,81266,STR MARKERS SPEC ANAL ADDL,,,289.57,837.37,15
CPT,81267,CHIMERISM ANAL NO CELL SELEC,,,197.09,569.93,15
CPT,81268,CHIMERISM ANAL W/CELL SELECT,,,247.75,716.44,15
CPT,81269,HBA1/HBA2 GENE DUP/DEL VRNTS,,,192.28,556.03,15
CPT,81270,JAK2 GENE,,,87.08,251.81,15
CPT,81271,HTT GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81272,KIT GENE TARGETED SEQ ANALYS,,,313.03,905.23,15
CPT,81273,KIT GENE ANALYS D816 VARIANT,,,118.63,343.04,15
CPT,81274,HTT GENE CHARAC ALLELES,,,261.09,755.01,15
CPT,81275,KRAS GENE VARIANTS EXON 2,,,183.59,530.9,15
CPT,81276,KRAS GENE ADDL VARIANTS,,,183.59,530.9,15
CPT,81277,CYTOGENOMIC NEO MICRORA ALYS,,,1102.0,3186.75,15
CPT,81278,IGH@/BCL2 TRANSLOCATION ALYS,,,196.94,569.52,15
CPT,81279,JAK2 GENE TRGT SEQUENCE ALYS,,,175.94,508.78,15
CPT,81283,IFNL3 GENE,,,69.7,201.56,15
CPT,81284,FXN GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81285,FXN GENE CHARAC ALLELES,,,261.09,755.01,15
CPT,81286,FXN GENE FULL GENE SEQUENCE,,,261.09,755.01,15
CPT,81287,MGMT GENE PRMTR MTHYLTN ALYS,,,118.41,342.41,15
CPT,81288,MLH1 GENE,,,182.7,528.34,15
CPT,81289,FXN GENE KNOWN FAMIL VARIANT,,,175.94,508.78,15
CPT,81290,MCOLN1 GENE,,,37.34,107.99,15
CPT,81291,MTHFR GENE,,,62.07,179.5,15
CPT,81292,MLH1 GENE FULL SEQ,,,641.63,1855.46,15
CPT,81293,MLH1 GENE KNOWN VARIANTS,,,314.45,909.32,15
CPT,81294,MLH1 GENE DUP/DELETE VARIANT,,,192.28,556.03,15
CPT,81295,MSH2 GENE FULL SEQ,,,362.62,1048.61,15
CPT,81296,MSH2 GENE KNOWN VARIANTS,,,320.84,927.81,15
CPT,81297,MSH2 GENE DUP/DELETE VARIANT,,,202.64,585.98,15
CPT,81298,MSH6 GENE FULL SEQ,,,609.76,1763.29,15
CPT,81299,MSH6 GENE KNOWN VARIANTS,,,292.6,846.14,15
CPT,81300,MSH6 GENE DUP/DELETE VARIANT,,,226.1,653.83,15
CPT,81301,MICROSATELLITE INSTABILITY,,,331.13,957.56,15
CPT,81302,MECP2 GENE FULL SEQ,,,501.48,1450.16,15
CPT,81303,MECP2 GENE KNOWN VARIANT,,,114.0,329.66,15
CPT,81304,MECP2 GENE DUP/DELET VARIANT,,,142.5,412.08,15
CPT,81305,MYD88 GENE P.LEU265PRO VRNT,,,166.63,481.86,15
CPT,81306,NUDT15 GENE COMMON VARIANTS,,,276.79,800.42,15
CPT,81307,PALB2 GENE FULL GENE SEQ,,,642.68,1858.48,15
CPT,81308,PALB2 GENE KNOWN FAMIL VRNT,,,286.28,827.87,15
CPT,81309,PIK3CA GENE TRGT SEQ ALYS,,,261.09,755.01,15
CPT,81310,NPM1 GENE,,,234.19,677.24,15
CPT,81311,NRAS GENE VARIANTS EXON 2&3,,,281.0,812.59,15
CPT,81312,PABPN1 GENE DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81313,PCA3/KLK3 ANTIGEN,,,242.3,700.67,15
CPT,81314,PDGFRA GENE,,,313.03,905.23,15
CPT,81315,PML/RARALPHA COM BREAKPOINTS,,,196.94,569.52,15
CPT,81316,PML/RARALPHA 1 BREAKPOINT,,,196.94,569.52,15
CPT,81317,PMS2 GENE FULL SEQ ANALYSIS,,,642.68,1858.48,15
CPT,81318,PMS2 KNOWN FAMILIAL VARIANTS,,,314.45,909.32,15
CPT,81319,PMS2 GENE DUP/DELET VARIANTS,,,193.33,559.06,15
CPT,81320,PLCG2 GENE COMMON VARIANTS,,,276.79,800.42,15
CPT,81321,PTEN GENE FULL SEQUENCE,,,570.0,1648.32,15
CPT,81322,PTEN GENE KNOWN FAM VARIANT,,,44.27,128.02,15
CPT,81323,PTEN GENE DUP/DELET VARIANT,,,285.0,824.16,15
CPT,81324,PMP22 GENE DUP/DELET,,,720.44,2083.37,15
CPT,81325,PMP22 GENE FULL SEQUENCE,,,731.1,2114.19,15
CPT,81326,PMP22 GENE KNOWN FAM VARIANT,,,44.27,128.02,15
CPT,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,,,182.4,527.46,15
CPT,81328,SLCO1B1 GENE COM VARIANTS,,,166.07,480.24,15
CPT,81329,SMN1 GENE DOS/DELETION ALYS,,,130.15,376.37,15
CPT,81330,SMPD1 GENE COMMON VARIANTS,,,44.65,129.12,15
CPT,81331,SNRPN/UBE3A GENE,,,48.52,140.3,15
CPT,81332,SERPINA1 GENE,,,41.47,119.92,15
CPT,81333,TGFBI GENE COMMON VARIANTS,,,130.15,376.37,15
CPT,81334,RUNX1 GENE TARGETED SEQ ALYS,,,313.03,905.23,15
CPT,81335,TPMT GENE COM VARIANTS,,,166.07,480.24,15
CPT,81336,SMN1 GENE FULL GENE SEQUENCE,,,286.28,827.87,15
CPT,81337,SMN1 GEN NOWN FAMIL SEQ VRNT,,,175.94,508.78,15
CPT,81338,MPL GENE COMMON VARIANTS,,,142.81,412.99,15
CPT,81339,MPL GENE SEQ ALYS EXON 10,,,175.94,508.78,15
CPT,81340,TRB@ GENE REARRANGE AMPLIFY,,,198.47,573.95,15
CPT,81341,TRB@ GENE REARRANGE DIRPROBE,,,47.11,136.23,15
CPT,81342,TRG GENE REARRANGEMENT ANAL,,,191.43,553.56,15
CPT,81343,PPP2R2B GEN DETC ABNOR ALLEL,,,130.15,376.37,15
CPT,81344,TBP GENE DETC ABNOR ALLELES,,,130.15,376.37,15
CPT,81345,TERT GENE TARGETED SEQ ALYS,,,175.94,508.78,15
CPT,81346,TYMS GENE COM VARIANTS,,,166.07,480.24,15
CPT,81347,SF3B1 GENE COMMON VARIANTS,,,183.59,530.9,15
CPT,81348,SRSF2 GENE COMMON VARIANTS,,,166.63,481.86,15
CPT,81349,CYTOG ALYS CHRML ABNR LW-PS,,,1138.04,3290.98,15
CPT,81350,UGT1A1 GENE COMMON VARIANTS,,,222.3,642.84,15
CPT,81351,TP53 GENE FULL GENE SEQUENCE,,,609.76,1763.29,15
CPT,81352,TP53 GENE TRGT SEQUENCE ALYS,,,313.03,905.23,15
CPT,81353,TP53 GENE KNOWN FAMIL VRNT,,,292.6,846.14,15
CPT,81355,VKORC1 GENE,,,83.79,242.3,15
CPT,81357,U2AF1 GENE COMMON VARIANTS,,,183.59,530.9,15
CPT,81360,ZRSR2 GENE COMMON VARIANTS,,,183.59,530.9,15
CPT,81361,HBB GENE COM VARIANTS,,,166.07,480.24,15
CPT,81362,HBB GENE KNOWN FAM VARIANT,,,356.49,1030.89,15
CPT,81363,HBB GENE DUP/DEL VARIANTS,,,192.28,556.03,15
CPT,81364,HBB FULL GENE SEQUENCE,,,308.35,891.69,15
CPT,81370,HLA I & II TYPING LR 81370,1327.0,1061.6,382.01,1194.3,36
CPT,81371,HLA I & II TYPE VERIFY LR,,,384.29,1111.3,15
CPT,81372,HLA-ABC TYPE MOLECULAR 81372,710.0,568.0,291.1,1108.74,36
CPT,81373,HLA-AB TYPE MOLECULAR,171.5,137.2,70.32,350.08,36
CPT,81374,HLA CHARGE CODE ABC,175.0,140.0,70.61,204.2,36
CPT,81374,HLA I TYPING 1 ANTIGEN LR 81374,175.0,140.0,70.61,204.2,36
CPT,81375,HLA-DR DQ TYPE MOLECULAR 81375,300.0,240.0,123.0,606.42,36
CPT,81376,HLA II TYPING 1 LOCUS LR 81376,175.0,140.0,71.75,335.76,36
CPT,81377,CHARGE CODE HLA DR DQ 81377.001,172.0,137.6,70.52,260.27,36
CPT,81378,HLA I & II TYPING HR,,,328.29,949.35,15
CPT,81379,HLA I TYPING COMPLETE HR,,,318.61,921.36,15
CPT,81380,HLA I TYPING 1 LOCUS HR,,,168.39,486.94,15
CPT,81381,HLA I TYPING 1 ALLELE HR,,,161.41,466.75,15
CPT,81382,HLA CLASS II TYPING DP 81382,100.0,80.0,41.0,339.77,36
CPT,81383,HLA NARCO,175.0,140.0,71.75,299.8,36
CPT,81400,MOPATH PROCEDURE LEVEL 1,,,60.76,175.71,15
CPT,81401,MOPATH PROCEDURE LEVEL 2,,,130.15,376.37,15
CPT,81402,MOPATH PROCEDURE LEVEL 3,,,142.81,412.99,15
CPT,81403,MOPATH PROCEDURE LEVEL 4,,,175.94,508.78,15
CPT,81404,MOPATH PROCEDURE LEVEL 5,,,261.09,755.01,15
CPT,81405,MOPATH PROCEDURE LEVEL 6,,,286.28,827.87,15
CPT,81406,MOPATH PROCEDURE LEVEL 7,,,268.74,777.13,15
CPT,81407,MOPATH PROCEDURE LEVEL 8,,,803.96,2324.87,15
CPT,81408,MOPATH PROCEDURE LEVEL 9,,,1900.0,5494.4,15
CPT,81410,AORTIC DYSFUNCTION/DILATION,,,478.8,1384.59,15
CPT,81411,AORTIC DYSFUNCTION/DILATION,,,1282.68,3709.24,15
CPT,81412,ASHKENAZI JEWISH ASSOC DIS,,,2326.13,6726.68,15
CPT,81413,CAR ION CHNNLPATH INC 10 GNS,,,555.66,1606.84,15
CPT,81414,CAR ION CHNNLPATH INC 2 GNS,,,555.66,1606.84,15
CPT,81415,EXOME SEQUENCE ANALYSIS,,,4541.0,13131.62,15
CPT,81416,EXOME SEQUENCE ANALYSIS,,,2760.0,32966.4,15
CPT,81417,EXOME RE-EVALUATION,,,304.0,879.1,15
CPT,81418,RX METAB GEN SEQ ALYS PNL 6,,,871.23,2519.4,15
CPT,81419,EPILEPSY GEN SEQ ALYS PANEL,,,2326.13,6726.68,15
CPT,81420,FETAL CHRMOML ANEUPLOIDY,,,584.0,2085.26,15
CPT,81422,FETAL CHRMOML MICRODELTJ,,,721.1,2085.26,15
CPT,81425,GENOME SEQUENCE ANALYSIS,,,4779.64,13821.71,15
CPT,81426,GENOME SEQUENCE ANALYSIS,,,2574.45,7444.77,15
CPT,81427,GENOME RE-EVALUATION,,,2220.77,6421.99,15
CPT,81430,HEARING LOSS SEQUENCE ANALYS,,,1543.75,4464.2,15
CPT,81431,HEARING LOSS DUP/DEL ANALYS,,,645.59,1866.91,15
CPT,81432,HRDTRY BRST CA-RLATD DO 5+,,,657.0,3582.21,15
CPT,81433,Laboratory,,,898.88,1205.83,4
CPT,81433,Outpatient Services,,,416.98,460.88,9
CPT,81433,Outpatient Services - CPT/HCPCS,,,438.93,438.93,2
CPT,81434,HERED RTA DO GEN SEQ 15,,,568.01,1642.58,15
CPT,81435,HERED COLON CA-RLATD DO 5+,,,584.9,3582.21,15
CPT,81436,Laboratory,,,1197.82,1606.84,4
CPT,81436,Outpatient Services,,,555.66,614.15,9
CPT,81436,Outpatient Services - CPT/HCPCS,,,584.9,584.9,2
CPT,81437,HERED NEUROEND TUM-RLT DO 5+,,,438.93,3582.21,15
CPT,81438,Laboratory,,,898.88,1205.83,4
CPT,81438,Outpatient Services,,,416.98,460.88,9
CPT,81438,Outpatient Services - CPT/HCPCS,,,438.93,438.93,2
CPT,81439,HRDTRY CARDMYPY GENE PANEL,,,555.66,1606.84,15
CPT,81440,MITOCHONDRIAL GENE,,,3157.8,9131.69,15
CPT,81441,IBMFS SEQ ALYS PNL 30 GENES,,,2326.13,6726.68,15
CPT,81442,NOONAN SPECTRUM DISORDERS,,,2036.42,5888.9,15
CPT,81443,GENETIC TSTG SEVERE INH COND,,,2326.13,6726.68,15
CPT,81445,SO NEO GSAP 5-50DNA/DNA&RNA,,,568.01,1642.58,15
CPT,81448,HRDTRY PERPH NEURPHY PANEL,,,555.66,1606.84,15
CPT,81449,SO NEO GSAP 5-50 RNA ALYS,,,568.01,1642.58,15
CPT,81450,HL NEO GSAP 5-50DNA/DNA&RNA,,,721.55,2086.58,15
CPT,81451,HL NEO GSAP 5-50 RNA ALYS,,,721.55,2086.58,15
CPT,81455,SO/HL 51/>GSAP DNA/DNA&RNA,,,2249.0,8020.73,15
CPT,81456,SO/HL 51/>GSAP RNA ALYS,,,2773.62,8020.73,15
CPT,81457,SO NEO GSAP DNA MCRSTL INS,,,852.03,2463.88,15
CPT,81458,SO GSAP DNA CPY NMBR&MCRSTL,,,994.03,2874.53,15
CPT,81459,SO NEO GSAP DNA/DNA&RNA,,,2189.7,8212.89,15
CPT,81460,WHOLE MITOCHONDRIAL GENOME,,,1222.65,3535.65,15
CPT,81462,SO GSAP CLL FR DNA/DNA&RNA,,,1136.04,3285.18,13
CPT,81463,SO GSAP CL FR CPY NMBR&MCRST,,,1278.04,3695.84,13
CPT,81464,SO GSAP CLL FR MCRSTL INS,,,3124.08,9034.19,13
CPT,81465,WHOLE MITOCHONDRIAL GENOME,,,889.2,2571.38,15
CPT,81470,X-LINKED INTELLECTUAL DBLT,,,868.3,2510.94,15
CPT,81471,X-LINKED INTELLECTUAL DBLT,,,868.3,2510.94,15
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score",,,798.62,2309.43,15
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score",,,997.5,2884.56,15
CPT,81500,ONCO (OVAR) TWO PROTEINS,,,247.48,715.65,15
CPT,81503,ONCO (OVAR) FIVE PROTEINS,,,852.15,2464.24,15
CPT,81504,ONCOLOGY TISSUE OF ORIGIN,,,494.0,1428.54,15
CPT,81506,ENDO ASSAY SEVEN ANAL,,,65.47,189.34,15
CPT,81507,FETAL ANEUPLOIDY TRISOM RISK,,,755.25,2184.02,15
CPT,81508,FTL CGEN ABNOR TWO PROTEINS,,,51.59,149.17,15
CPT,81509,FTL CGEN ABNOR 3 PROTEINS,,,1413.0,4086.1,15
CPT,81510,FTL CGEN ABNOR THREE ANAL,,,52.76,152.58,15
CPT,81511,FTL CGEN ABNOR FOUR ANAL,,,145.83,421.7,15
CPT,81512,FTL CGEN ABNOR FIVE ANAL,,,66.04,190.99,15
CPT,81513,NFCT DS BV RNA VAG FLU ALG,,,135.5,391.83,15
CPT,81514,NFCT DS BV&VAGINITIS DNA ALG,,,249.84,722.49,15
CPT,81515,NFCT DS BV&VAGINITIS DNA ALG,,,249.84,722.49,13
CPT,81517,LIVER DS ALYS 3 BMRK SRM ALG,,,167.38,484.03,15
CPT,81518,ONC BRST MRNA 11 GENES,,,3679.35,10639.91,15
CPT,81519,ONCOLOGY BREAST MRNA,,,3679.35,10639.91,15
CPT,81520,ONC BREAST MRNA 58 GENES,,,2384.7,6896.05,15
CPT,81521,ONC BREAST MRNA 70 GENES,,,3679.35,10639.91,15
CPT,81522,ONC BREAST MRNA 12 GENES,,,3679.35,10639.91,15
CPT,81523,ONC BRST MRNA 70 CNT 31 GENE,,,3679.35,10639.91,15
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,2960.2,8560.28,15
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,483.43,1397.97,15
CPT,81529,ONC CUTAN MLNMA MRNA 31 GENE,,,6833.35,19760.61,15
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,550.49,1591.89,15
CPT,81536,ONCOLOGY GYNECOLOGIC,,,168.68,487.79,15
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival",,,2727.45,7887.21,15
CPT,81539,ONCOLOGY PROSTATE PROB SCORE,,,722.0,2087.87,15
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,3562.5,10302.0,15
CPT,81541,ONC PROSTATE MRNA 46 GENES,,,3679.35,10639.91,15
CPT,81542,ONC PROSTATE MRNA 22 CNT GEN,,,3679.35,10639.91,15
CPT,81546,"ONC THYR MRNA 10,196 GEN ALG",,,3240.0,9889.92,15
CPT,81551,ONC PROSTATE 3 GENES,,,1928.5,5576.82,15
CPT,81552,ONC UVEAL MLNMA MRNA 15 GENE,,,7387.2,21362.23,15
CPT,81554,PULM DS IPF MRNA 190 GEN ALG,,,5172.75,14958.5,15
CPT,81558,TRNSPL REJ KDN MRNA QPCR 139,,,3078.0,8900.93,13
CPT,81560,TRNSPLJ PD LVR&BWL CD154+CLL,,,608.69,1760.21,15
CPT,81595,CARDIOLOGY HRT TRNSPL MRNA,,,3078.0,8900.93,15
CPT,81596,NFCT DS CHRNC HCV 6 ASSAYS,,,68.58,198.32,15
CPT,81599,UNLISTED MAAA,,,72.0,72.0,2
CPT,82009,KETONE BODYS QUAL,,,4.29,12.42,15
CPT,82010,KETONE BODYS QUAN,,,7.76,22.44,15
CPT,82013,ACETYLCHOLINESTERASE ASSAY,,,11.68,33.76,15
CPT,82016,ACYLCARNITINES QUAL,,,15.67,45.3,15
CPT,82017,ACYLCARNITINES QUANT,,,16.03,46.35,15
CPT,82024,ASSAY OF ACTH,,,36.69,106.1,15
CPT,82030,ASSAY OF ADP & AMP,,,24.51,70.88,15
CPT,82040,ASSAY OF SERUM ALBUMIN,,,4.7,13.6,15
CPT,82042,OTHER SOURCE ALBUMIN QUAN EA,,,7.39,21.37,15
CPT,82043,UR ALBUMIN QUANTITATIVE,,,5.49,15.88,15
CPT,82044,UR ALBUMIN SEMIQUANTITATIVE,,,5.92,17.12,15
CPT,82045,ALBUMIN ISCHEMIA MODIFIED,,,32.24,93.24,15
CPT,82075,ASSAY OF BREATH ETHANOL,,,28.5,82.42,15
CPT,82077,ASSAY SPEC XCP UR&BREATH IA,,,16.41,47.44,15
CPT,82085,ASSAY OF ALDOLASE,,,9.22,26.68,15
CPT,82088,ASSAY OF ALDOSTERONE,,,38.71,111.95,15
CPT,82103,ALPHA-1-ANTITRYPSIN TOTAL,,,12.77,36.92,15
CPT,82104,ALPHA-1-ANTITRYPSIN PHENO,,,13.74,39.72,15
CPT,82105,ALPHA-FETOPROTEIN SERUM,,,15.93,46.07,15
CPT,82106,ALPHA-FETOPROTEIN AMNIOTIC,,,16.15,46.7,15
CPT,82107,ALPHA-FETOPROTEIN L3,,,61.19,176.95,15
CPT,82108,ASSAY OF ALUMINUM,,,24.21,70.0,15
CPT,82120,AMINES VAGINAL FLUID QUAL,,,5.69,16.46,15
CPT,82127,AMINO ACID SINGLE QUAL,,,13.47,38.96,15
CPT,82128,AMINO ACIDS MULT QUAL,,,13.18,38.1,15
CPT,82131,AMINO ACIDS SINGLE QUANT,,,21.83,63.13,15
CPT,82135,ASSAY AMINOLEVULINIC ACID,,,15.63,45.19,15
CPT,82136,AMINO ACIDS QUANT 2-5,,,18.63,53.87,15
CPT,82139,AMINO ACIDS QUAN 6 OR MORE,,,16.03,46.35,15
CPT,82140,ASSAY OF AMMONIA,,,13.84,40.03,15
CPT,82143,AMNIOTIC FLUID SCAN,,,8.88,25.69,15
CPT,82150,ASSAY OF AMYLASE,,,6.16,17.8,15
CPT,82154,ANDROSTANEDIOL GLUCURONIDE,,,27.39,79.2,15
CPT,82157,ASSAY OF ANDROSTENEDIONE,,,27.82,80.44,15
CPT,82160,ASSAY OF ANDROSTERONE,,,24.27,70.19,15
CPT,82163,ASSAY OF ANGIOTENSIN II,,,19.49,56.37,15
CPT,82164,ANGIOTENSIN I ENZYME TEST,,,13.87,40.11,15
CPT,82166,ASSAY ANTI-MULLERIAN HORM,,,36.69,106.1,15
CPT,82172,ASSAY OF APOLIPOPROTEIN,,,20.04,57.94,15
CPT,82175,ASSAY OF ARSENIC,,,18.02,52.11,15
CPT,82180,ASSAY OF ASCORBIC ACID,,,9.4,27.17,15
CPT,82190,ATOMIC ABSORPTION,,,15.11,43.68,15
CPT,82232,ASSAY OF BETA-2 PROTEIN,,,15.37,44.45,15
CPT,82239,BILE ACIDS TOTAL,,,16.26,47.03,15
CPT,82240,BILE ACIDS CHOLYLGLYCINE,,,25.25,73.02,15
CPT,82247,BILIRUBIN TOTAL,,,4.77,13.79,15
CPT,82248,BILIRUBIN DIRECT,,,4.77,13.79,15
CPT,82252,FECAL BILIRUBIN TEST,,,4.33,12.53,15
CPT,82261,ASSAY OF BIOTINIDASE,,,16.03,46.35,15
CPT,82270,OCCULT BLOOD FECES,,,4.16,12.03,15
CPT,82271,OCCULT BLOOD OTHER SOURCES,,,5.05,14.62,15
CPT,82272,OCCULT BLD FECES 1-3 TESTS,,,4.02,11.62,15
CPT,82274,ASSAY TEST FOR BLOOD FECAL,,,15.12,43.74,15
CPT,82286,ASSAY OF BRADYKININ,,,4.9,14.18,15
CPT,82300,ASSAY OF CADMIUM,,,22.46,64.94,15
CPT,82306,VITAMIN D 25 HYDROXY,,,28.12,81.32,15
CPT,82308,ASSAY OF CALCITONIN,,,25.45,73.6,15
CPT,82310,ASSAY OF CALCIUM,,,4.9,14.18,15
CPT,82330,ASSAY OF CALCIUM,,,13.0,37.58,15
CPT,82331,CALCIUM INFUSION TEST,,,12.67,36.65,15
CPT,82340,ASSAY OF CALCIUM IN URINE,,,5.73,16.57,15
CPT,82355,CALCULUS ANALYSIS QUAL,,,11.0,31.81,15
CPT,82360,CALCULUS ASSAY QUANT,,,12.23,35.36,15
CPT,82365,CALCULUS SPECTROSCOPY,,,12.26,35.44,15
CPT,82370,X-RAY ASSAY CALCULUS,,,11.89,34.39,15
CPT,82373,ASSAY C-D TRANSFER MEASURE,,,17.16,49.61,15
CPT,82374,ASSAY BLOOD CARBON DIOXIDE,,,4.64,13.41,15
CPT,82375,ASSAY CARBOXYHB QUANT,,,11.7,33.85,15
CPT,82376,ASSAY CARBOXYHB QUAL,,,13.37,38.65,15
CPT,82378,CARCINOEMBRYONIC ANTIGEN,,,18.01,52.09,15
CPT,82379,ASSAY OF CARNITINE,,,16.03,46.35,15
CPT,82380,ASSAY OF CAROTENE,,,8.76,25.33,15
CPT,82382,ASSAY URINE CATECHOLAMINES,,,25.94,75.0,15
CPT,82383,ASSAY BLOOD CATECHOLAMINES,,,27.63,79.89,15
CPT,82384,ASSAY THREE CATECHOLAMINES,,,23.99,69.37,15
CPT,82387,ASSAY OF CATHEPSIN-D,,,17.16,49.61,15
CPT,82390,ASSAY OF CERULOPLASMIN,,,10.2,29.5,15
CPT,82397,CHEMILUMINESCENT ASSAY,,,13.41,38.79,15
CPT,82415,ASSAY OF CHLORAMPHENICOL,,,12.04,34.81,15
CPT,82435,ASSAY OF BLOOD CHLORIDE,,,4.37,12.64,15
CPT,82436,ASSAY OF URINE CHLORIDE,,,5.46,15.8,15
CPT,82438,ASSAY OTHER FLUID CHLORIDES,,,4.75,13.74,15
CPT,82441,TEST FOR CHLOROHYDROCARBONS,,,5.71,16.51,15
CPT,82465,ASSAY BLD/SERUM CHOLESTEROL,,,4.13,11.95,15
CPT,82480,ASSAY SERUM CHOLINESTERASE,,,7.48,21.62,15
CPT,82482,ASSAY RBC CHOLINESTERASE,,,9.32,26.95,15
CPT,82485,ASSAY CHONDROITIN SULFATE,,,19.62,56.73,15
CPT,82495,ASSAY OF CHROMIUM,,,19.27,55.71,15
CPT,82507,ASSAY OF CITRATE,,,26.41,76.37,15
CPT,82523,COLLAGEN CROSSLINKS,,,17.75,51.32,15
CPT,82525,ASSAY OF COPPER,,,11.79,34.09,15
CPT,82528,ASSAY OF CORTICOSTERONE,,,21.39,61.87,15
CPT,82530,CORTISOL FREE,,,15.87,45.91,15
CPT,82533,TOTAL CORTISOL,,,15.49,44.78,15
CPT,82540,ASSAY OF CREATINE,,,4.41,12.75,15
CPT,82542,COL CHROMOTOGRAPHY QUAL/QUAN,,,22.89,66.18,15
CPT,82550,ASSAY OF CK (CPK),,,6.18,17.88,15
CPT,82552,ASSAY OF CPK IN BLOOD,,,12.72,36.79,15
CPT,82553,CREATINE MB FRACTION,,,10.97,31.73,15
CPT,82554,CREATINE ISOFORMS,,,11.28,32.61,15
CPT,82565,ASSAY OF CREATININE,,,4.86,14.07,15
CPT,82570,ASSAY OF URINE CREATININE,,,4.92,14.23,15
CPT,82575,CREATININE CLEARANCE TEST,,,8.99,25.99,15
CPT,82585,ASSAY OF CRYOFIBRINOGEN,,,13.43,38.85,15
CPT,82595,ASSAY OF CRYOGLOBULIN,,,6.15,17.77,15
CPT,82600,ASSAY OF CYANIDE,,,18.43,53.3,15
CPT,82607,VITAMIN B-12,,,14.33,41.43,15
CPT,82608,B-12 BINDING CAPACITY,,,13.6,39.34,15
CPT,82610,CYSTATIN C,,,17.59,50.88,15
CPT,82615,TEST FOR URINE CYSTINES,,,9.07,26.24,15
CPT,82626,DEHYDROEPIANDROSTERONE,,,24.01,69.42,15
CPT,82627,DEHYDROEPIANDROSTERONE,,,21.12,61.07,15
CPT,82633,DESOXYCORTICOSTERONE,,,29.43,85.11,15
CPT,82634,DEOXYCORTISOL,,,27.82,80.44,15
CPT,82638,ASSAY OF DIBUCAINE NUMBER,,,11.64,33.65,15
CPT,82642,DIHYDROTESTOSTERONE,,,27.82,80.44,15
CPT,82652,VIT D 1 25-DIHYDROXY,,,36.58,105.77,15
CPT,82653,EL-1 FECAL QUANTITATIVE,,,21.82,63.1,15
CPT,82656,EL-1 FECAL QUAL/SEMIQ,,,10.95,31.68,15
CPT,82657,ENZYME CELL ACTIVITY,,,21.06,60.91,15
CPT,82658,ENZYME CELL ACTIVITY RA,,,41.83,120.96,15
CPT,82664,ELECTROPHORETIC TEST,,,58.43,168.95,15
CPT,82668,ASSAY OF ERYTHROPOIETIN,,,17.85,51.62,15
CPT,82670,ASSAY OF TOTAL ESTRADIOL,,,26.54,76.76,15
CPT,82671,ASSAY OF ESTROGENS,,,30.69,88.73,15
CPT,82672,ASSAY OF ESTROGEN,,,20.62,59.61,15
CPT,82677,ASSAY OF ESTRIOL,,,22.97,66.43,15
CPT,82679,ASSAY OF ESTRONE,,,23.7,68.54,15
CPT,82681,ASSAY DIR MEAS FR ESTRADIOL,,,26.54,76.76,15
CPT,82693,ASSAY OF ETHYLENE GLYCOL,,,14.16,40.93,15
CPT,82696,ASSAY OF ETIOCHOLANOLONE,,,24.93,72.09,15
CPT,82705,FATS/LIPIDS FECES QUAL,,,4.85,14.01,15
CPT,82710,FATS/LIPIDS FECES QUANT,,,15.96,46.15,15
CPT,82715,ASSAY OF FECAL FAT,,,21.82,63.1,15
CPT,82725,ASSAY OF BLOOD FATTY ACIDS,,,17.83,51.56,15
CPT,82726,LONG CHAIN FATTY ACIDS,,,18.76,54.26,15
CPT,82728,ASSAY OF FERRITIN,,,12.95,37.44,15
CPT,82731,ASSAY OF FETAL FIBRONECTIN,,,61.19,176.95,15
CPT,82735,ASSAY OF FLUORIDE,,,17.61,50.93,15
CPT,82746,ASSAY OF FOLIC ACID SERUM,,,13.97,40.38,15
CPT,82747,ASSAY OF FOLIC ACID RBC,,,16.77,48.49,15
CPT,82757,ASSAY OF SEMEN FRUCTOSE,,,16.47,47.64,15
CPT,82759,ASSAY OF RBC GALACTOKINASE,,,20.41,59.01,15
CPT,82760,ASSAY OF GALACTOSE,,,10.64,30.77,15
CPT,82775,ASSAY GALACTOSE TRANSFERASE,,,20.02,57.88,15
CPT,82776,GALACTOSE TRANSFERASE TEST,,,11.15,32.25,15
CPT,82777,GALECTIN-3,,,42.04,121.56,15
CPT,82784,ASSAY IGA/IGD/IGG/IGM EACH,,,8.84,25.55,15
CPT,82785,ASSAY OF IGE,,,15.64,45.22,15
CPT,82787,IGG 1 2 3 OR 4 EACH,,,7.62,22.03,15
CPT,82800,BLOOD PH,,,10.45,30.22,15
CPT,82803,BLOOD GASES ANY COMBINATION,,,24.77,71.62,15
CPT,82805,BLOOD GASES W/O2 SATURATION,,,74.83,216.4,15
CPT,82810,BLOOD GASES O2 SAT ONLY,,,9.28,26.84,15
CPT,82820,HEMOGLOBIN-OXYGEN AFFINITY,,,12.67,36.65,15
CPT,82930,GASTRIC ANALY W/PH EA SPEC,,,6.37,18.43,15
CPT,82938,GASTRIN TEST,,,16.81,48.6,15
CPT,82941,ASSAY OF GASTRIN,,,16.75,48.43,15
CPT,82943,ASSAY OF GLUCAGON,,,13.58,39.26,15
CPT,82945,GLUCOSE OTHER FLUID,,,3.73,10.8,15
CPT,82946,GLUCAGON TOLERANCE TEST,,,16.88,48.82,15
CPT,82947,ASSAY GLUCOSE BLOOD QUANT,,,3.73,10.8,15
CPT,82948,REAGENT STRIP/BLOOD GLUCOSE,,,4.79,13.85,15
CPT,82950,GLUCOSE TEST,,,4.51,13.05,15
CPT,82951,GLUCOSE TOLERANCE TEST (GTT),,,12.23,35.36,15
CPT,82952,GTT-ADDED SAMPLES,,,3.72,10.77,15
CPT,82955,ASSAY OF G6PD ENZYME,,,9.22,26.65,15
CPT,82960,TEST FOR G6PD ENZYME,,,5.75,16.62,15
CPT,82962,GLUCOSE BLOOD TEST,,,3.12,9.01,15
CPT,82963,ASSAY OF GLUCOSIDASE,,,20.41,59.01,15
CPT,82965,ASSAY OF GDH ENZYME,,,12.49,36.13,15
CPT,82977,ASSAY OF GGT,,,6.84,19.78,15
CPT,82978,ASSAY OF GLUTATHIONE,,,14.68,42.44,15
CPT,82979,ASSAY RBC GLUTATHIONE,,,8.97,25.93,15
CPT,82985,ASSAY OF GLYCATED PROTEIN,,,15.92,46.04,15
CPT,83001,ASSAY OF GONADOTROPIN (FSH),,,17.65,51.04,15
CPT,83002,ASSAY OF GONADOTROPIN (LH),,,17.59,50.88,15
CPT,83003,ASSAY GROWTH HORMONE (HGH),,,15.84,45.8,15
CPT,83006,GROWTH STIMULATION GENE 2,,,71.82,207.69,15
CPT,83009,H PYLORI (C-13) BLOOD,,,63.99,185.05,15
CPT,83010,ASSAY OF HAPTOGLOBIN QUANT,,,11.95,34.56,15
CPT,83012,ASSAY OF HAPTOGLOBINS,,,25.55,73.87,15
CPT,83013,H PYLORI (C-13) BREATH,,,63.99,185.05,15
CPT,83014,H PYLORI DRUG ADMIN,,,7.47,21.59,15
CPT,83015,HEAVY METAL QUAL ANY NUMBER,,,19.89,57.53,15
CPT,83018,HEAVY METAL QUAN EACH NES,,,20.86,60.33,15
CPT,83020,HEMOGLOBIN ELECTROPHORESIS,,,12.23,35.36,15
CPT,83021,HEMOGLOBIN CHROMOTOGRAPHY,,,17.16,49.61,15
CPT,83026,HEMOGLOBIN COPPER SULFATE,,,3.81,11.02,15
CPT,83030,HEMOGLOBIN F FETAL CHEMICAL,,,10.2,29.5,15
CPT,83033,HEMOGLOBIN FTL F ASSAY QUAL,,,7.6,21.98,15
CPT,83036,HEMOGLOBIN GLYCOSYLATED A1C,,,9.22,26.68,15
CPT,83037,HB GLYCOSYLATED A1C HOME DEV,,,9.22,26.68,15
CPT,83045,HGB METHEMOGLOBIN QUAL,,,6.17,17.83,15
CPT,83050,HGB METHEMOGLOBIN QUAN,,,7.79,22.53,15
CPT,83051,HEMOGLOBIN PLASMA,,,6.94,20.08,15
CPT,83060,HGB SULFHEMOGLOBIN QUAN,,,8.36,24.18,15
CPT,83065,HEMOGLOBIN THERMOLABILE,,,8.55,24.72,15
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,,,9.0,26.02,15
CPT,83069,HEMOGLOBIN URINE,,,3.75,10.85,15
CPT,83070,ASSAY OF HEMOSIDERIN QUAL,,,4.51,13.05,15
CPT,83080,ASSAY OF B HEXOSAMINIDASE EA,,,16.03,46.35,15
CPT,83088,ASSAY OF HISTAMINE,,,28.05,81.12,15
CPT,83090,ASSAY OF HOMOCYSTEINE,,,17.02,49.23,15
CPT,83150,ASSAY OF HOMOVANILLIC ACID,,,21.29,61.56,15
CPT,83491,ASY HYDROXYCORTICOSTEROIDS17,,,17.01,49.17,15
CPT,83497,ASSAY OF 5-HIAA,,,12.26,35.44,15
CPT,83498,ASY HYDROXYPROGESTERONE 17-D,,,25.81,74.64,15
CPT,83500,ASSAY FREE HYDROXYPROLINE,,,21.52,62.22,15
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,,,23.09,66.76,15
CPT,83516,IMMUNOASSAY NONANTIBODY,,,10.95,31.68,15
CPT,83518,IMMUNOASSAY DIPSTICK,,,9.16,26.48,15
CPT,83519,RIA NONANTIBODY,,,17.48,50.55,15
CPT,83520,IMMUNOASSAY QUANT NOS NONAB,,,16.41,47.44,15
CPT,83521,IG LIGHT CHAINS FREE EACH,,,16.41,47.44,15
CPT,83525,ASSAY OF INSULIN,,,10.86,31.4,15
CPT,83527,ASSAY OF INSULIN,,,12.3,35.58,15
CPT,83528,ASSAY OF INTRINSIC FACTOR,,,18.83,54.45,15
CPT,83529,ASAY OF INTERLEUKIN-6 (IL-6),,,16.41,47.44,15
CPT,83540,ASSAY OF IRON,,,6.15,17.77,15
CPT,83550,IRON BINDING TEST,,,8.3,24.01,15
CPT,83570,ASSAY OF IDH ENZYME,,,8.41,24.31,15
CPT,83582,ASSAY OF KETOGENIC STEROIDS,,,14.7,42.5,15
CPT,83586,ASSAY 17- KETOSTEROIDS,,,12.16,35.16,15
CPT,83593,FRACTIONATION KETOSTEROIDS,,,27.08,78.3,15
CPT,83605,ASSAY OF LACTIC ACID,,,10.99,31.79,15
CPT,83615,LACTATE (LD) (LDH) ENZYME,,,5.74,16.59,15
CPT,83625,ASSAY OF LDH ENZYMES,,,12.15,35.14,15
CPT,83630,LACTOFERRIN FECAL (QUAL),,,18.72,54.12,15
CPT,83631,LACTOFERRIN FECAL (QUANT),,,18.65,53.93,15
CPT,83632,PLACENTAL LACTOGEN,,,19.21,55.55,15
CPT,83633,TEST URINE FOR LACTOSE,,,10.69,30.91,15
CPT,83655,ASSAY OF LEAD,,,11.5,33.27,15
CPT,83661,L/S RATIO FETAL LUNG,,,20.89,60.41,15
CPT,83662,FOAM STABILITY FETAL LUNG,,,17.96,51.95,15
CPT,83663,FLUORO POLARIZE FETAL LUNG,,,17.96,51.95,15
CPT,83664,LAMELLAR BDY FETAL LUNG,,,18.35,53.08,15
CPT,83670,ASSAY OF LAP ENZYME,,,9.32,26.95,15
CPT,83690,ASSAY OF LIPASE,,,6.55,18.93,15
CPT,83695,ASSAY OF LIPOPROTEIN(A),,,13.6,39.34,15
CPT,83698,ASSAY LIPOPROTEIN PLA2,,,43.99,127.22,15
CPT,83700,LIPOPRO BLD ELECTROPHORETIC,,,10.7,30.93,15
CPT,83701,LIPOPROTEIN BLD HR FRACTION,,,32.17,93.02,15
CPT,83704,LIPOPROTEIN BLD QUAN PART,,,32.48,93.93,15
CPT,83718,ASSAY OF LIPOPROTEIN,,,7.78,22.5,15
CPT,83719,ASSAY OF BLOOD LIPOPROTEIN,,,12.11,35.03,15
CPT,83721,ASSAY OF BLOOD LIPOPROTEIN,,,9.98,28.85,15
CPT,83722,LIPOPRTN DIR MEAS SD LDL CHL,,,32.48,93.93,15
CPT,83727,ASSAY OF LRH HORMONE,,,16.33,47.22,15
CPT,83735,ASSAY OF MAGNESIUM,,,6.37,18.41,15
CPT,83775,ASSAY MALATE DEHYDROGENASE,,,7.0,20.25,15
CPT,83785,ASSAY OF MANGANESE,,,25.32,73.21,15
CPT,83789,MASS SPECTROMETRY QUAL/QUAN,,,22.9,66.23,15
CPT,83825,ASSAY OF MERCURY,,,15.45,44.67,15
CPT,83835,ASSAY OF METANEPHRINES,,,16.09,46.54,15
CPT,83857,ASSAY OF METHEMALBUMIN,,,10.2,29.5,15
CPT,83861,MICROFLUID ANALY TEARS,,,21.36,61.76,15
CPT,83864,MUCOPOLYSACCHARIDES,,,27.08,78.3,15
CPT,83872,ASSAY SYNOVIAL FLUID MUCIN,,,5.57,16.1,15
CPT,83873,ASSAY OF CSF PROTEIN,,,16.34,47.25,15
CPT,83874,ASSAY OF MYOGLOBIN,,,12.27,35.49,15
CPT,83876,ASSAY MYELOPEROXIDASE,,,48.32,139.72,15
CPT,83880,ASSAY OF NATRIURETIC PEPTIDE,,,37.3,107.86,15
CPT,83883,ASSAY NEPHELOMETRY NOT SPEC,,,12.92,37.36,15
CPT,83885,ASSAY OF NICKEL,,,23.28,67.33,15
CPT,83915,ASSAY OF NUCLEOTIDASE,,,10.59,30.63,15
CPT,83916,OLIGOCLONAL BANDS,,,26.02,75.25,15
CPT,83918,ORGANIC ACIDS TOTAL QUANT,,,22.42,64.83,15
CPT,83919,ORGANIC ACIDS QUAL EACH,,,15.63,45.19,15
CPT,83921,ORGANIC ACID SINGLE QUANT,,,20.15,58.27,15
CPT,83930,ASSAY OF BLOOD OSMOLALITY,,,6.28,18.16,15
CPT,83935,ASSAY OF URINE OSMOLALITY,,,6.48,18.74,15
CPT,83937,ASSAY OF OSTEOCALCIN,,,28.36,82.0,15
CPT,83945,ASSAY OF OXALATE,,,13.73,39.7,15
CPT,83950,ONCOPROTEIN HER-2/NEU,,,61.19,176.95,15
CPT,83951,ONCOPROTEIN DCP,,,61.19,176.95,15
CPT,83970,ASSAY OF PARATHORMONE,,,39.22,113.4,15
CPT,83986,ASSAY PH BODY FLUID NOS,,,3.4,9.83,15
CPT,83987,EXHALED BREATH CONDENSATE,,,3.4,9.83,15
CPT,83992,ASSAY FOR PHENCYCLIDINE,,,16.8,16.8,2
CPT,83993,ASSAY FOR CALPROTECTIN FECAL,,,18.65,53.93,15
CPT,84030,ASSAY OF BLOOD PKU,,,5.23,15.11,15
CPT,84035,ASSAY OF PHENYLKETONES,,,3.78,10.93,15
CPT,84060,ASSAY ACID PHOSPHATASE,,,7.26,20.99,15
CPT,84066,ASSAY PROSTATE PHOSPHATASE,,,9.18,26.54,15
CPT,84075,ASSAY ALKALINE PHOSPHATASE,,,4.92,14.23,15
CPT,84078,ASSAY ALKALINE PHOSPHATASE,,,7.85,22.69,15
CPT,84080,ASSAY ALKALINE PHOSPHATASES,,,14.04,40.6,15
CPT,84081,ASSAY PHOSPHATIDYLGLYCEROL,,,15.69,45.38,15
CPT,84085,ASSAY OF RBC PG6D ENZYME,,,8.97,25.93,15
CPT,84087,ASSAY PHOSPHOHEXOSE ENZYMES,,,10.19,29.48,15
CPT,84100,ASSAY OF PHOSPHORUS,,,4.5,13.02,15
CPT,84105,ASSAY OF URINE PHOSPHORUS,,,5.49,15.88,15
CPT,84106,TEST FOR PORPHOBILINOGEN,,,5.53,15.99,15
CPT,84110,ASSAY OF PORPHOBILINOGEN,,,8.02,23.19,15
CPT,84112,EVAL AMNIOTIC FLUID PROTEIN,,,93.2,269.53,15
CPT,84119,TEST URINE FOR PORPHYRINS,,,12.69,36.7,15
CPT,84120,ASSAY OF URINE PORPHYRINS,,,13.97,40.41,15
CPT,84126,ASSAY OF FECES PORPHYRINS,,,37.15,107.44,15
CPT,84132,ASSAY OF SERUM POTASSIUM,,,4.52,13.08,15
CPT,84133,ASSAY OF URINE POTASSIUM,,,4.49,12.99,15
CPT,84134,ASSAY OF PREALBUMIN,,,13.86,40.08,15
CPT,84135,ASSAY OF PREGNANEDIOL,,,20.21,58.43,15
CPT,84138,ASSAY OF PREGNANETRIOL,,,20.0,57.83,15
CPT,84140,ASSAY OF PREGNENOLONE,,,19.64,56.78,15
CPT,84143,ASSAY OF 17-HYDROXYPREGNENO,,,21.67,62.66,15
CPT,84144,ASSAY OF PROGESTERONE,,,19.82,57.31,15
CPT,84145,PROCALCITONIN (PCT),,,25.86,74.78,15
CPT,84146,ASSAY OF PROLACTIN,,,18.41,53.24,15
CPT,84150,ASSAY OF PROSTAGLANDIN,,,39.68,114.75,15
CPT,84152,ASSAY OF PSA COMPLEXED,,,17.47,50.52,15
CPT,84153,ASSAY OF PSA TOTAL,,,17.47,50.52,15
CPT,84154,ASSAY OF PSA FREE,,,17.47,50.52,15
CPT,84155,ASSAY OF PROTEIN SERUM,,,3.49,10.08,15
CPT,84156,ASSAY OF PROTEIN URINE,,,3.49,10.08,15
CPT,84157,ASSAY OF PROTEIN OTHER,,,3.8,10.99,15
CPT,84160,ASSAY OF PROTEIN ANY SOURCE,,,5.33,15.41,15
CPT,84163,PAPPA SERUM,,,14.3,41.35,15
CPT,84165,PROTEIN E-PHORESIS SERUM,,,10.2,29.5,15
CPT,84166,PROTEIN E-PHORESIS/URINE/CSF,,,16.94,48.98,15
CPT,84181,WESTERN BLOT TEST,,,16.18,46.78,15
CPT,84182,PROTEIN WESTERN BLOT TEST,,,27.36,80.25,15
CPT,84202,ASSAY RBC PROTOPORPHYRIN,,,13.63,39.42,15
CPT,84203,TEST RBC PROTOPORPHYRIN,,,9.25,26.76,15
CPT,84206,ASSAY OF PROINSULIN,,,25.36,73.32,15
CPT,84207,ASSAY OF VITAMIN B-6,,,26.7,77.2,15
CPT,84210,ASSAY OF PYRUVATE,,,13.76,39.78,15
CPT,84220,ASSAY OF PYRUVATE KINASE,,,8.97,25.93,15
CPT,84228,ASSAY OF QUININE,,,11.05,31.95,15
CPT,84233,ASSAY OF ESTROGEN,,,83.49,241.42,15
CPT,84234,ASSAY OF PROGESTERONE,,,61.64,178.24,15
CPT,84235,ASSAY OF ENDOCRINE HORMONE,,,67.67,195.68,15
CPT,84238,ASSAY NONENDOCRINE RECEPTOR,,,34.74,100.47,15
CPT,84244,ASSAY OF RENIN,,,20.89,60.41,15
CPT,84252,ASSAY OF VITAMIN B-2,,,19.23,55.6,15
CPT,84255,ASSAY OF SELENIUM,,,24.25,70.14,15
CPT,84260,ASSAY OF SEROTONIN,,,29.43,85.11,15
CPT,84270,ASSAY OF SEX HORMONE GLOBUL,,,20.64,59.7,15
CPT,84275,ASSAY OF SIALIC ACID,,,12.77,36.92,15
CPT,84285,ASSAY OF SILICA,,,23.95,69.26,15
CPT,84295,ASSAY OF SERUM SODIUM,,,4.57,13.21,15
CPT,84300,ASSAY OF URINE SODIUM,,,4.81,13.9,15
CPT,84302,ASSAY OF SWEAT SODIUM,,,4.62,13.35,15
CPT,84305,ASSAY OF SOMATOMEDIN,,,20.2,58.41,15
CPT,84307,ASSAY OF SOMATOSTATIN,,,17.37,50.22,15
CPT,84311,SPECTROPHOTOMETRY,,,7.7,22.25,15
CPT,84315,BODY FLUID SPECIFIC GRAVITY,,,3.12,9.01,15
CPT,84375,CHROMATOGRAM ASSAY SUGARS,,,37.05,107.14,15
CPT,84376,SUGARS SINGLE QUAL,,,5.23,15.11,15
CPT,84377,SUGARS MULTIPLE QUAL,,,5.23,15.11,15
CPT,84378,SUGARS SINGLE QUANT,,,10.95,31.68,15
CPT,84379,SUGARS MULTIPLE QUANT,,,10.95,31.68,15
CPT,84392,ASSAY OF URINE SULFATE,,,5.22,15.08,15
CPT,84402,ASSAY OF FREE TESTOSTERONE,,,24.2,69.97,15
CPT,84403,ASSAY OF TOTAL TESTOSTERONE,,,24.52,70.91,15
CPT,84410,TESTOSTERONE BIOAVAILABLE,,,48.72,140.88,15
CPT,84425,ASSAY OF VITAMIN B-1,,,20.17,58.32,15
CPT,84430,ASSAY OF THIOCYANATE,,,11.05,31.95,15
CPT,84431,THROMBOXANE URINE,,,33.35,96.45,15
CPT,84432,ASSAY OF THYROGLOBULIN,,,15.26,44.12,15
CPT,84433,ASY THIOPURIN S-MTHYLTRNSFRS,,,21.06,60.91,15
CPT,84436,ASSAY OF TOTAL THYROXINE,,,6.53,18.87,15
CPT,84437,ASSAY OF NEONATAL THYROXINE,,,6.15,17.77,15
CPT,84439,ASSAY OF FREE THYROXINE,,,8.57,24.78,15
CPT,84442,ASSAY OF THYROID ACTIVITY,,,14.04,40.6,15
CPT,84443,ASSAY THYROID STIM HORMONE,,,15.96,46.15,15
CPT,84445,ASSAY OF TSI GLOBULIN,,,48.32,139.72,15
CPT,84446,ASSAY OF VITAMIN E,,,13.47,38.96,15
CPT,84449,ASSAY OF TRANSCORTIN,,,17.1,49.45,15
CPT,84450,TRANSFERASE (AST) (SGOT),,,4.92,14.23,15
CPT,84460,ALANINE AMINO (ALT) (SGPT),,,5.04,14.56,15
CPT,84466,ASSAY OF TRANSFERRIN,,,12.12,35.05,15
CPT,84478,ASSAY OF TRIGLYCERIDES,,,5.45,15.77,15
CPT,84479,ASSAY OF THYROID (T3 OR T4),,,6.15,17.77,15
CPT,84480,ASSAY TRIIODOTHYRONINE (T3),,,13.47,38.96,15
CPT,84481,FREE ASSAY (FT-3),,,16.09,46.54,15
CPT,84482,T3 REVERSE,,,14.97,43.3,15
CPT,84484,ASSAY OF TROPONIN QUANT,,,11.85,34.26,15
CPT,84485,ASSAY DUODENAL FLUID TRYPSIN,,,6.84,19.78,15
CPT,84488,TEST FECES FOR TRYPSIN,,,6.94,20.05,15
CPT,84490,ASSAY OF FECES FOR TRYPSIN,,,9.43,27.28,15
CPT,84510,ASSAY OF TYROSINE,,,10.1,29.2,15
CPT,84512,ASSAY OF TROPONIN QUAL,,,9.59,27.72,15
CPT,84520,ASSAY OF UREA NITROGEN,,,3.75,10.85,15
CPT,84525,UREA NITROGEN SEMI-QUANT,,,4.87,14.09,15
CPT,84540,ASSAY OF URINE/UREA-N,,,5.28,15.27,15
CPT,84545,UREA-N CLEARANCE TEST,,,6.84,19.78,15
CPT,84550,ASSAY OF BLOOD/URIC ACID,,,4.29,12.42,15
CPT,84560,ASSAY OF URINE/URIC ACID,,,4.83,13.96,15
CPT,84577,ASSAY OF FECES/UROBILINOGEN,,,15.96,46.15,15
CPT,84578,TEST URINE UROBILINOGEN,,,4.25,12.28,15
CPT,84580,ASSAY OF URINE UROBILINOGEN,,,9.07,26.24,15
CPT,84583,ASSAY OF URINE UROBILINOGEN,,,5.75,16.62,15
CPT,84585,ASSAY OF URINE VMA,,,14.73,42.58,15
CPT,84586,ASSAY OF VIP,,,33.56,97.06,15
CPT,84588,ASSAY OF VASOPRESSIN,,,32.24,93.24,15
CPT,84590,ASSAY OF VITAMIN A,,,11.03,31.89,15
CPT,84591,ASSAY OF NOS VITAMIN,,,16.21,46.87,15
CPT,84597,ASSAY OF VITAMIN K,,,13.03,37.69,15
CPT,84600,ASSAY OF VOLATILES,,,16.25,47.0,15
CPT,84620,XYLOSE TOLERANCE TEST,,,12.26,35.47,15
CPT,84630,ASSAY OF ZINC,,,10.82,31.29,15
CPT,84681,ASSAY OF C-PEPTIDE,,,19.77,57.17,15
CPT,84702,CHORIONIC GONADOTROPIN TEST,,,14.3,41.35,15
CPT,84703,CHORIONIC GONADOTROPIN ASSAY,,,7.14,20.66,15
CPT,84704,HCG FREE BETACHAIN TEST,,,14.53,42.0,15
CPT,84830,OVULATION TESTS,,,12.07,34.89,15
CPT,85002,BLEEDING TIME TEST,,,4.58,13.24,15
CPT,85004,AUTOMATED DIFF WBC COUNT,,,6.15,17.77,15
CPT,85007,BL SMEAR W/DIFF WBC COUNT,,,3.61,10.44,15
CPT,85008,BL SMEAR W/O DIFF WBC COUNT,,,3.26,9.42,15
CPT,85009,MANUAL DIFF WBC COUNT B-COAT,,,4.82,13.93,15
CPT,85013,SPUN MICROHEMATOCRIT,,,6.65,19.23,15
CPT,85014,HEMATOCRIT,,,2.25,6.51,15
CPT,85018,HEMOGLOBIN,,,2.25,6.51,15
CPT,85025,COMPLETE CBC W/AUTO DIFF WBC,,,7.38,21.35,15
CPT,85027,COMPLETE CBC AUTOMATED,,,6.15,17.77,15
CPT,85032,MANUAL CELL COUNT EACH,,,4.09,11.84,15
CPT,85041,AUTOMATED RBC COUNT,,,2.87,8.3,15
CPT,85044,MANUAL RETICULOCYTE COUNT,,,4.09,11.84,15
CPT,85045,AUTOMATED RETICULOCYTE COUNT,,,3.79,10.96,15
CPT,85046,RETICYTE/HGB CONCENTRATE,,,5.29,15.3,15
CPT,85048,AUTOMATED LEUKOCYTE COUNT,,,2.41,6.98,15
CPT,85049,AUTOMATED PLATELET COUNT,,,4.26,12.31,15
CPT,85055,RETICULATED PLATELET ASSAY,,,33.95,98.18,15
CPT,85060,BLOOD SMEAR INTERPRETATION,,,20.94,36.83,15
CPT,85097,BONE MARROW INTERPRETATION,,,46.94,1373.55,15
CPT,85130,CHROMOGENIC SUBSTRATE ASSAY,,,11.3,32.66,15
CPT,85170,BLOOD CLOT RETRACTION,,,15.49,44.78,15
CPT,85175,BLOOD CLOT LYSIS TIME,,,19.35,55.96,15
CPT,85210,CLOT FACTOR II PROTHROM SPEC,,,12.33,35.66,15
CPT,85220,BLOOC CLOT FACTOR V TEST,,,16.77,48.49,15
CPT,85230,CLOT FACTOR VII PROCONVERTIN,,,17.01,49.17,15
CPT,85240,CLOT FACTOR VIII AHG 1 STAGE,,,17.01,49.17,15
CPT,85244,CLOT FACTOR VIII RELTD ANTGN,,,19.4,56.1,15
CPT,85245,CLOT FACTOR VIII VW RISTOCTN,,,21.79,63.02,15
CPT,85246,CLOT FACTOR VIII VW ANTIGEN,,,21.79,63.02,15
CPT,85247,CLOT FACTOR VIII MULTIMETRIC,,,21.79,63.02,15
CPT,85250,CLOT FACTOR IX PTC/CHRSTMAS,,,18.09,52.31,15
CPT,85260,CLOT FACTOR X STUART-POWER,,,17.01,49.17,15
CPT,85270,CLOT FACTOR XI PTA,,,17.01,49.17,15
CPT,85280,CLOT FACTOR XII HAGEMAN,,,18.38,53.16,15
CPT,85290,CLOT FACTOR XIII FIBRIN STAB,,,15.52,44.89,15
CPT,85291,CLOT FACTOR XIII FIBRIN SCRN,,,8.65,25.03,15
CPT,85292,CLOT FACTOR FLETCHER FACT,,,17.98,52.0,15
CPT,85293,CLOT FACTOR WGHT KININOGEN,,,17.98,52.0,15
CPT,85300,ANTITHROMBIN III ACTIVITY,,,11.26,32.55,15
CPT,85301,ANTITHROMBIN III ANTIGEN,,,10.27,29.7,15
CPT,85302,CLOT INHIBIT PROT C ANTIGEN,,,11.41,32.99,15
CPT,85303,CLOT INHIBIT PROT C ACTIVITY,,,13.15,38.02,15
CPT,85305,CLOT INHIBIT PROT S TOTAL,,,11.03,31.89,15
CPT,85306,CLOT INHIBIT PROT S FREE,,,14.55,42.09,15
CPT,85307,ASSAY ACTIVATED PROTEIN C,,,14.55,42.09,15
CPT,85335,FACTOR INHIBITOR TEST,,,12.23,35.36,15
CPT,85337,THROMBOMODULIN,,,16.41,47.44,15
CPT,85345,COAGULATION TIME LEE & WHITE,,,4.46,12.88,15
CPT,85347,COAGULATION TIME ACTIVATED,,,4.07,11.76,15
CPT,85348,COAGULATION TIME OTR METHOD,,,4.27,12.33,15
CPT,85360,EUGLOBULIN LYSIS,,,7.99,23.1,15
CPT,85362,FIBRIN DEGRADATION PRODUCTS,,,6.55,18.93,15
CPT,85366,FIBRINOGEN TEST,,,76.44,221.04,15
CPT,85370,FIBRINOGEN TEST,,,11.81,34.15,15
CPT,85378,FIBRIN DEGRADE SEMIQUANT,,,9.23,26.7,15
CPT,85379,FIBRIN DEGRADATION QUANT,,,9.67,27.97,15
CPT,85380,FIBRIN DEGRADJ D-DIMER,,,9.67,27.97,15
CPT,85384,FIBRINOGEN ACTIVITY,,,9.23,26.7,15
CPT,85385,FIBRINOGEN ANTIGEN,,,13.74,39.72,15
CPT,85390,FIBRINOLYSINS SCREEN I&R,,,14.71,55.78,15
CPT,85396,CLOTTING ASSAY WHOLE BLOOD,,,1.0,18.97,15
CPT,85397,CLOTTING FUNCT ACTIVITY,,,29.32,84.78,15
CPT,85400,FIBRINOLYTIC PLASMIN,,,7.32,21.18,15
CPT,85410,FIBRINOLYTIC ANTIPLASMIN,,,7.32,21.18,15
CPT,85415,FIBRINOLYTIC PLASMINOGEN,,,16.33,47.22,15
CPT,85420,FIBRINOLYTIC PLASMINOGEN,,,6.2,17.94,15
CPT,85421,FIBRINOLYTIC PLASMINOGEN,,,9.67,27.97,15
CPT,85441,HEINZ BODIES DIRECT,,,3.99,11.54,15
CPT,85445,HEINZ BODIES INDUCED,,,6.48,18.74,15
CPT,85460,HEMOGLOBIN FETAL,,,7.34,21.24,15
CPT,85461,HEMOGLOBIN FETAL,,,8.89,25.71,15
CPT,85475,HEMOLYSIN ACID,,,8.43,24.37,15
CPT,85520,HEPARIN ASSAY,,,12.44,35.96,15
CPT,85525,HEPARIN NEUTRALIZATION,,,11.25,32.53,15
CPT,85530,HEPARIN-PROTAMINE TOLERANCE,,,12.44,35.96,15
CPT,85536,IRON STAIN PERIPHERAL BLOOD,,,6.54,18.9,15
CPT,85540,WBC ALKALINE PHOSPHATASE,,,8.17,23.63,15
CPT,85547,RBC MECHANICAL FRAGILITY,,,8.17,23.63,15
CPT,85549,MURAMIDASE,,,17.81,51.51,15
CPT,85555,RBC OSMOTIC FRAGILITY,,,7.1,20.52,15
CPT,85557,RBC OSMOTIC FRAGILITY,,,12.69,36.7,15
CPT,85576,BLOOD PLATELET AGGREGATION,,,23.66,68.43,15
CPT,85597,PHOSPHOLIPID PLTLT NEUTRALIZ,,,17.08,49.39,15
CPT,85598,HEXAGNAL PHOSPH PLTLT NEUTRL,,,17.08,49.39,15
CPT,85610,PROTHROMBIN TIME,,,4.08,11.79,15
CPT,85611,PROTHROMBIN TEST,,,3.74,10.82,15
CPT,85612,VIPER VENOM PROTHROMBIN TIME,,,16.62,48.05,15
CPT,85613,RUSSELL VIPER VENOM DILUTED,,,9.1,26.32,15
CPT,85635,REPTILASE TEST,,,9.36,27.06,15
CPT,85651,RBC SED RATE NONAUTOMATED,,,4.06,11.73,15
CPT,85652,RBC SED RATE AUTOMATED,,,2.57,7.42,15
CPT,85660,RBC SICKLE CELL TEST,,,5.23,15.14,15
CPT,85670,THROMBIN TIME PLASMA,,,5.48,15.85,15
CPT,85675,THROMBIN TIME TITER,,,6.51,18.82,15
CPT,85705,THROMBOPLASTIN INHIBITION,,,9.15,26.46,15
CPT,85730,THROMBOPLASTIN TIME PARTIAL,,,5.71,16.51,15
CPT,85732,THROMBOPLASTIN TIME PARTIAL,,,6.15,17.77,15
CPT,85810,BLOOD VISCOSITY EXAMINATION,,,11.09,32.06,15
CPT,86000,AGGLUTININS FEBRILE ANTIGEN,,,6.63,19.18,15
CPT,86001,ALLERGEN SPECIFIC IGG,,,7.43,21.48,15
CPT,86003,ALLG SPEC IGE CRUDE XTRC EA,,,4.96,14.34,15
CPT,86005,ALLG SPEC IGE MULTIALLG SCR,,,7.57,21.9,15
CPT,86008,ALLG SPEC IGE RECOMB EA,,,17.03,49.26,15
CPT,86015,ACTIN ANTIBODY EACH,,,11.45,33.1,15
CPT,86021,WBC ANTIBODY IDENTIFICATION,,,14.3,41.35,15
CPT,86022,PLATELET ANTIBODIES,,,17.45,50.47,15
CPT,86023,IMMUNOGLOBULIN ASSAY,,,11.84,34.23,15
CPT,86036,ANCA SCREEN EACH ANTIBODY,,,11.45,33.1,15
CPT,86037,ANCA TITER EACH ANTIBODY,,,11.45,33.1,15
CPT,86038,ANTINUCLEAR ANTIBODIES,,,11.49,33.21,15
CPT,86039,ANTINUCLEAR ANTIBODIES (ANA),,,10.6,30.66,15
CPT,86041,ACETYLCHOLN RCPTR BNDNG ANTB,,,17.48,50.55,15
CPT,86042,ACETYLCHOLN RCPTR BLCKG ANTB,,,17.48,50.55,15
CPT,86043,ACETYLCHOLN RCPTR MODLG ANTB,,,11.45,33.1,15
CPT,86051,AQUAPORIN-4 ANTB ELISA,,,10.95,31.68,15
CPT,86052,AQUAPORIN-4 ANTB CBA EACH,,,11.45,33.1,15
CPT,86053,AQAPRN-4 ANTB FLO CYTMTRY EA,,,35.84,103.65,15
CPT,86060,ANTISTREPTOLYSIN O TITER,,,6.94,20.05,15
CPT,86063,ANTISTREPTOLYSIN O SCREEN,,,5.48,15.85,15
CPT,86077,PHYS BLOOD BANK SERV XMATCH,,,21.7,52.6,15
CPT,86078,PHYS BLOOD BANK SERV REACTJ,,,47.93,301.63,15
CPT,86079,PHYS BLOOD BANK SERV AUTHRJ,,,39.48,95.68,15
CPT,86140,C-REACTIVE PROTEIN,,,4.92,14.23,15
CPT,86141,C-REACTIVE PROTEIN HS,,,12.3,35.58,15
CPT,86146,BETA-2 GLYCOPROTEIN ANTIBODY,,,24.18,69.92,15
CPT,86147,CARDIOLIPIN ANTIBODY EA IG,,,24.18,69.92,15
CPT,86148,ANTI-PHOSPHOLIPID ANTIBODY,,,15.27,44.15,15
CPT,86152,CELL ENUMERATION & ID,,,238.24,688.94,15
CPT,86153,CELL ENUMERATION PHYS INTERP,,,51.57,51.57,2
CPT,86155,CHEMOTAXIS ASSAY,,,15.19,43.93,15
CPT,86156,COLD AGGLUTININ SCREEN,,,7.67,22.17,15
CPT,86157,COLD AGGLUTININ TITER,,,7.66,22.14,15
CPT,86160,COMPLEMENT ANTIGEN,,,11.4,32.97,15
CPT,86161,COMPLEMENT/FUNCTION ACTIVITY,,,11.4,32.97,15
CPT,86162,COMPLEMENT TOTAL (CH50),,,19.3,55.82,15
CPT,86171,COMPLEMENT FIXATION EACH,,,9.51,27.5,15
CPT,86200,CCP ANTIBODY,,,12.3,35.58,15
CPT,86215,DEOXYRIBONUCLEASE ANTIBODY,,,12.59,36.4,15
CPT,86225,DNA ANTIBODY NATIVE,,,13.05,37.75,15
CPT,86226,DNA ANTIBODY SINGLE STRAND,,,11.5,33.27,15
CPT,86231,EMA EACH IG CLASS,,,11.49,33.21,15
CPT,86235,NUCLEAR ANTIGEN ANTIBODY,,,17.03,49.26,15
CPT,86255,FLUORESCENT ANTIBODY SCREEN,,,11.45,33.1,15
CPT,86256,FLUORESCENT ANTIBODY TITER,,,11.45,33.1,15
CPT,86258,DGP ANTIBODY EACH IG CLASS,,,11.45,33.1,15
CPT,86277,GROWTH HORMONE ANTIBODY,,,14.95,43.24,15
CPT,86280,HEMAGGLUTINATION INHIBITION,,,7.78,22.5,15
CPT,86294,IMMUNOASSAY TUMOR QUAL,,,24.29,70.25,15
CPT,86300,IMMUNOASSAY TUMOR CA 15-3,,,19.77,57.17,15
CPT,86301,IMMUNOASSAY TUMOR CA 19-9,,,19.77,57.17,15
CPT,86304,IMMUNOASSAY TUMOR CA 125,,,19.77,57.17,15
CPT,86305,HUMAN EPIDIDYMIS PROTEIN 4,,,19.77,57.17,15
CPT,86308,HETEROPHILE ANTIBODY SCREEN,,,4.92,14.23,15
CPT,86309,HETEROPHILE ANTIBODY TITER,,,6.15,17.77,15
CPT,86310,HETEROPHILE ANTIBODY ABSRBJ,,,7.0,20.25,15
CPT,86316,IMMUNOASSAY TUMOR OTHER,,,19.77,57.17,15
CPT,86317,IMMUNOASSAY INFECTIOUS AGENT,,,14.24,41.18,15
CPT,86318,IA INFECTIOUS AGENT ANTIBODY,,,17.19,49.7,16
CPT,86320,SERUM IMMUNOELECTROPHORESIS,,,27.36,82.2,15
CPT,86325,OTHER IMMUNOELECTROPHORESIS,,,21.97,63.54,15
CPT,86327,Laboratory,,,61.27,82.2,4
CPT,86327,Outpatient Services,,,28.42,31.42,9
CPT,86327,Outpatient Services - CPT/HCPCS,,,33.15,33.15,2
CPT,86328,IA NFCT AB SARSCOV2 COVID19,,,43.02,124.39,16
CPT,86329,IMMUNODIFFUSION NES,,,13.35,38.6,15
CPT,86331,IMMUNODIFFUSION OUCHTERLONY,,,11.38,32.91,15
CPT,86332,IMMUNE COMPLEX ASSAY,,,23.15,66.95,15
CPT,86334,IMMUNOFIX E-PHORESIS SERUM,,,21.22,61.37,15
CPT,86335,IMMUNFIX E-PHORSIS/URINE/CSF,,,27.36,80.63,15
CPT,86336,INHIBIN A,,,14.81,42.83,15
CPT,86337,INSULIN ANTIBODIES,,,20.34,58.82,15
CPT,86340,INTRINSIC FACTOR ANTIBODY,,,14.33,41.43,15
CPT,86341,ISLET CELL ANTIBODY,,,22.39,64.75,15
CPT,86343,LEUKOCYTE HISTAMINE RELEASE,,,11.84,34.23,15
CPT,86344,LEUKOCYTE PHAGOCYTOSIS,,,9.87,28.54,15
CPT,86352,CELL FUNCTION ASSAY W/STIM,,,129.07,373.23,15
CPT,86353,LYMPHOCYTE TRANSFORMATION,,,46.58,134.7,15
CPT,86355,B CELLS TOTAL COUNT,,,35.84,103.65,15
CPT,86356,MONONUCLEAR CELL ANTIGEN,,,25.44,73.57,15
CPT,86357,NK CELLS TOTAL COUNT,,,35.84,103.65,15
CPT,86359,T CELLS TOTAL COUNT,,,35.84,103.65,15
CPT,86360,T CELL ABSOLUTE COUNT/RATIO,,,44.63,129.06,15
CPT,86361,T CELL ABSOLUTE COUNT,,,25.44,73.57,15
CPT,86362,MOG-IGG1 ANTB CBA EACH,,,11.45,33.1,15
CPT,86363,MOG-IGG1 ANTB FLO CYTMTRY EA,,,35.84,103.65,15
CPT,86364,TISS TRNSGLTMNASE EA IG CLAS,,,10.95,31.68,15
CPT,86366,MUSCLE-SPECIFIC KINASE ANTB,,,17.48,50.55,15
CPT,86367,HLA CD34+ ENUMERATION 86367,257.0,205.6,73.89,231.3,36
CPT,86376,MICROSOMAL ANTIBODY EACH,,,13.82,39.97,15
CPT,86381,MITOCHONDRIAL ANTIBODY EACH,,,24.18,69.92,15
CPT,86382,NEUTRALIZATION TEST VIRAL,,,16.06,46.46,15
CPT,86384,NITROBLUE TETRAZOLIUM DYE,,,12.93,37.39,15
CPT,86386,NUCLEAR MATRIX PROTEIN 22,,,20.69,59.83,15
CPT,86403,PARTICLE AGGLUT ANTBDY SCRN,,,10.96,31.7,15
CPT,86406,PARTICLE AGGLUT ANTBDY TITR,,,10.11,29.23,15
CPT,86408,NEUTRLZG ANTB SARSCOV2 SCR,,,40.02,115.74,16
CPT,86409,NEUTRLZG ANTB SARSCOV2 TITER,,,75.63,218.7,16
CPT,86413,SARS-COV-2 ANTB QUANTITATIVE,,,42.13,141.29,16
CPT,86430,RHEUMATOID FACTOR TEST QUAL,,,5.83,16.87,15
CPT,86431,RHEUMATOID FACTOR QUANT,,,5.39,15.58,15
CPT,86480,TB TEST CELL IMMUN MEASURE,,,58.88,170.27,15
CPT,86481,TB AG RESPONSE T-CELL SUSP,,,95.0,274.72,15
CPT,86485,SKIN TEST CANDIDA,,,21.7,52.6,11
CPT,86486,SKIN TEST UNLISTED ANTIGN EA,,,6.32,52.6,15
CPT,86490,Outpatient Services - CPT/HCPCS,,,44.57,108.01,2
CPT,86490,Therapy,,,76.23,76.23,4
CPT,86510,HISTOPLASMOSIS SKIN TEST,,,7.66,70.83,15
CPT,86580,TB INTRADERMAL TEST,,,10.32,52.6,15
CPT,86590,STREPTOKINASE ANTIBODY,,,12.03,34.78,15
CPT,86592,SYPHILIS TEST NON-TREP QUAL,,,4.06,11.73,15
CPT,86593,SYPHILIS TEST NON-TREP QUANT,,,4.18,12.09,15
CPT,86596,VOLTAGE-GTD CA CHNL ANTB EA,,,11.45,33.1,15
CPT,86602,ANTINOMYCES ANTIBODY,,,9.67,27.97,16
CPT,86603,ADENOVIRUS ANTIBODY,,,12.23,35.36,15
CPT,86606,ASPERGILLUS ANTIBODY,,,14.3,41.35,15
CPT,86609,BACTERIUM ANTIBODY,,,12.24,35.38,15
CPT,86611,BARTONELLA ANTIBODY,,,9.67,27.97,15
CPT,86612,BLASTOMYCES ANTIBODY,,,12.26,35.44,15
CPT,86615,BORDETELLA ANTIBODY,,,12.53,36.24,15
CPT,86617,LYME DISEASE ANTIBODY,,,14.72,42.55,15
CPT,86618,LYME DISEASE ANTIBODY,,,16.18,46.78,15
CPT,86619,BORRELIA ANTIBODY,,,12.71,36.76,15
CPT,86622,BRUCELLA ANTIBODY,,,8.48,24.53,15
CPT,86625,CAMPYLOBACTER ANTIBODY,,,12.46,36.04,15
CPT,86628,CANDIDA ANTIBODY,,,11.41,32.99,15
CPT,86631,CHLAMYDIA ANTIBODY,,,11.23,32.47,15
CPT,86632,CHLAMYDIA IGM ANTIBODY,,,12.05,34.83,15
CPT,86635,COCCIDIOIDES ANTIBODY,,,10.9,31.51,16
CPT,86638,Q FEVER ANTIBODY,,,11.51,33.3,15
CPT,86641,CRYPTOCOCCUS ANTIBODY,,,13.69,39.59,15
CPT,86644,CMV ANTIBODY,,,13.67,39.53,15
CPT,86645,CMV ANTIBODY IGM,,,16.01,46.29,15
CPT,86648,DIPHTHERIA ANTIBODY,,,14.45,41.78,15
CPT,86651,ENCEPHALITIS CALIFORN ANTBDY,,,12.53,36.24,15
CPT,86652,ENCEPHALTIS EAST EQNE ANBDY,,,12.53,36.24,15
CPT,86653,ENCEPHALTIS ST LOUIS ANTBODY,,,12.53,36.24,15
CPT,86654,ENCEPHALTIS WEST EQNE ANTBDY,,,12.53,36.24,15
CPT,86658,ENTEROVIRUS ANTIBODY,,,12.38,35.8,15
CPT,86663,EPSTEIN-BARR ANTIBODY,,,12.46,36.04,15
CPT,86664,EPSTEIN-BARR NUCLEAR ANTIGEN,,,14.53,42.0,15
CPT,86665,EPSTEIN-BARR CAPSID VCA,,,17.23,49.83,15
CPT,86666,EHRLICHIA ANTIBODY,,,9.67,27.97,15
CPT,86668,FRANCISELLA TULARENSIS,,,13.45,38.9,15
CPT,86671,FUNGUS NES ANTIBODY,,,11.64,33.65,15
CPT,86674,GIARDIA LAMBLIA ANTIBODY,,,13.98,40.44,15
CPT,86677,HELICOBACTER PYLORI ANTIBODY,,,16.01,46.29,15
CPT,86682,HELMINTH ANTIBODY,,,12.36,35.74,15
CPT,86684,HEMOPHILUS INFLUENZA ANTIBDY,,,15.05,43.52,15
CPT,86687,HTLV-I ANTIBODY,,,8.64,24.97,15
CPT,86688,HTLV-II ANTIBODY,,,13.3,38.46,15
CPT,86689,HTLV/HIV CONFIRMJ ANTIBODY,,,18.38,53.16,15
CPT,86692,HEPATITIS DELTA AGENT ANTBDY,,,16.3,47.14,15
CPT,86694,HERPES SIMPLEX NES ANTBDY,,,13.67,39.53,15
CPT,86695,HERPES SIMPLEX TYPE 1 TEST,,,12.53,36.24,15
CPT,86696,HERPES SIMPLEX TYPE 2 TEST,,,18.38,53.16,15
CPT,86698,HISTOPLASMA ANTIBODY,,,13.1,37.88,15
CPT,86701,HIV-1ANTIBODY,,,8.45,24.42,15
CPT,86702,HIV-2 ANTIBODY,,,12.84,37.14,15
CPT,86703,HIV-1/HIV-2 1 RESULT ANTBDY,,,13.02,37.66,15
CPT,86704,HEP B CORE ANTIBODY TOTAL,,,11.45,33.1,15
CPT,86705,HEP B CORE ANTIBODY IGM,,,11.18,32.33,15
CPT,86706,HEP B SURFACE ANTIBODY,,,10.2,29.5,15
CPT,86707,HEPATITIS BE ANTIBODY,,,10.99,31.79,15
CPT,86708,HEPATITIS A ANTIBODY,,,11.77,34.04,15
CPT,86709,HEPATITIS A IGM ANTIBODY,,,10.7,30.93,15
CPT,86710,INFLUENZA VIRUS ANTIBODY,,,12.87,37.22,15
CPT,86711,JOHN CUNNINGHAM ANTIBODY,,,16.05,46.4,15
CPT,86713,LEGIONELLA ANTIBODY,,,14.54,42.03,15
CPT,86717,LEISHMANIA ANTIBODY,,,11.64,33.65,15
CPT,86720,LEPTOSPIRA ANTIBODY,,,15.39,44.5,15
CPT,86723,LISTERIA MONOCYTOGENES,,,12.53,36.24,15
CPT,86727,LYMPH CHORIOMENINGITIS AB,,,12.23,35.36,15
CPT,86732,MUCORMYCOSIS ANTIBODY,,,14.25,41.21,15
CPT,86735,MUMPS ANTIBODY,,,12.4,35.85,15
CPT,86738,MYCOPLASMA ANTIBODY,,,12.58,36.37,15
CPT,86741,NEISSERIA MENINGITIDIS,,,12.53,36.24,15
CPT,86744,NOCARDIA ANTIBODY,,,15.19,43.93,15
CPT,86747,PARVOVIRUS ANTIBODY,,,14.28,41.29,15
CPT,86750,MALARIA ANTIBODY,,,12.53,36.24,15
CPT,86753,PROTOZOA ANTIBODY NOS,,,11.77,34.04,15
CPT,86756,RESPIRATORY VIRUS ANTIBODY,,,15.1,43.65,15
CPT,86757,RICKETTSIA ANTIBODY,,,18.38,53.16,15
CPT,86759,ROTAVIRUS ANTIBODY,,,17.32,50.08,15
CPT,86762,RUBELLA ANTIBODY,,,13.67,39.53,15
CPT,86765,RUBEOLA ANTIBODY,,,12.24,35.38,15
CPT,86768,SALMONELLA ANTIBODY,,,12.53,36.24,15
CPT,86769,SARS-COV-2 COVID-19 ANTIBODY,,,40.02,115.74,16
CPT,86771,SHIGELLA ANTIBODY,,,23.26,67.25,15
CPT,86774,TETANUS ANTIBODY,,,14.06,40.66,15
CPT,86777,TOXOPLASMA ANTIBODY,,,13.67,39.53,15
CPT,86778,TOXOPLASMA ANTIBODY IGM,,,13.69,39.59,15
CPT,86780,TREPONEMA PALLIDUM,,,12.58,36.37,15
CPT,86784,TRICHINELLA ANTIBODY,,,11.93,34.5,15
CPT,86787,VARICELLA-ZOSTER ANTIBODY,,,12.24,35.38,15
CPT,86788,WEST NILE VIRUS AB IGM,,,16.01,46.29,15
CPT,86789,WEST NILE VIRUS ANTIBODY,,,13.67,39.53,15
CPT,86790,VIRUS ANTIBODY NOS,,,12.24,35.38,15
CPT,86793,YERSINIA ANTIBODY,,,12.53,36.24,15
CPT,86794,ZIKA VIRUS IGM ANTIBODY,,,16.01,46.29,15
CPT,86800,THYROGLOBULIN ANTIBODY,,,15.11,43.71,15
CPT,86803,HEPATITIS C AB TEST,,,13.56,39.2,15
CPT,86804,HEP C AB TEST CONFIRM,,,14.72,42.55,15
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,,,180.03,520.62,15
CPT,86806,LYMPHOCYTOTOXICITY ASSAY,,,45.21,130.74,15
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,,,74.72,216.07,15
CPT,86808,CYTOTOXIC ANTIBODY SCREENING,,,28.2,81.54,15
CPT,86812,HLA B27 TYPING 86812,82.0,65.6,24.52,73.8,36
CPT,86813,HLA TYPING A B OR C MULTIPLE ANTIGENS 86813,231.0,184.8,55.1,207.9,36
CPT,86816,HLA TYPING DR/DQ,,,28.66,82.88,15
CPT,86817,HLA TYPING DR/DQ,,,100.83,291.59,15
CPT,86821,LYMPHOCYTE CULTURE MIXED,,,34.73,100.44,15
CPT,86825,HLA RECIPIENT FLOW XMTCH,360.0,288.0,104.02,324.0,36
CPT,86826,HLA CROSSMATCH EA ADDL SAMPLE,360.0,288.0,34.7,324.0,36
CPT,86828,HLA CLASS I&II ANTIBODY QUAL,,,60.98,176.34,15
CPT,86829,HLA CLASS I/II ANTIBODY QUAL,,,60.98,176.34,15
CPT,86830,HLA CLASS I PHENOTYPE QUAL,,,90.74,262.41,15
CPT,86831,HLA CLASS II PHENOTYPE QUAL,,,77.79,224.94,15
CPT,86832,HLA ABY ANALYSIS CLASS I,540.0,432.0,221.4,889.41,36
CPT,86832,HLA CLASS I HIGH DEFIN QUAL,540.0,432.0,221.4,889.41,36
CPT,86833,HLA ABY ANALYSIS CLASS II,540.0,432.0,221.4,895.04,36
CPT,86834,HLA CLASS I SEMIQUANT PANEL,,,339.68,982.29,15
CPT,86835,HLA CLASS II SEMIQUANT PANEL,,,306.81,887.24,15
CPT,86849,IMMUNOLOGY PROCEDURE,,,1.0,1.0,2
CPT,86850,RBC ANTIBODY SCREEN,,,20.01,95.68,15
CPT,86860,RBC ANTIBODY ELUTION,,,124.46,301.63,11
CPT,86870,RBC ANTIBODY IDENTIFICATION,,,261.89,634.72,11
CPT,86880,COOMBS TEST DIRECT,,,11.04,99.79,15
CPT,86885,COOMBS TEST INDIRECT QUAL,,,11.71,179.93,15
CPT,86886,COOMBS TEST INDIRECT TITER,,,10.61,179.93,15
CPT,86890,AUTOLOGOUS BLOOD PROCESS,,,124.46,301.63,11
CPT,86891,AUTOLOGOUS BLOOD OP SALVAGE,,,626.51,1518.43,11
CPT,86900,BLOOD TYPING SEROLOGIC ABO,,,6.12,135.35,15
CPT,86901,BLOOD TYPING SEROLOGIC RH(D),,,6.12,55.36,15
CPT,86902,BLOOD TYPE ANTIGEN DONOR EA,,,13.0,377.71,15
CPT,86904,BLOOD TYPING PATIENT SERUM,,,33.46,108.01,15
CPT,86905,BLOOD TYPING RBC ANTIGENS,,,7.84,377.71,15
CPT,86906,BLD TYPING SEROLOGIC RH PHNT,,,15.87,70.83,15
CPT,86910,BLOOD TYPING PATERNITY TEST,,,24.96,24.96,2
CPT,86920,COMPATIBILITY TEST SPIN,,,124.46,301.63,11
CPT,86921,COMPATIBILITY TEST INCUBATE,,,84.49,204.76,11
CPT,86922,COMPATIBILITY TEST ANTIGLOB,,,124.46,301.63,11
CPT,86923,COMPATIBILITY TEST ELECTRIC,,,117.64,285.12,11
CPT,86927,PLASMA FRESH FROZEN,,,96.86,234.76,11
CPT,86930,FROZEN BLOOD PREP,,,124.46,301.63,11
CPT,86931,FROZEN BLOOD THAW,,,124.46,301.63,11
CPT,86932,FROZEN BLOOD FREEZE/THAW,,,29.23,70.83,11
CPT,86940,HEMOLYSINS/AGGLUTININS AUTO,,,8.33,24.09,15
CPT,86941,HEMOLYSINS/AGGLUTININS,,,11.5,33.27,15
CPT,86945,BLOOD PRODUCT/IRRADIATION,,,29.23,70.83,11
CPT,86950,LEUKACYTE TRANSFUSION,,,124.46,301.63,11
CPT,86960,VOL REDUCTION OF BLOOD/PROD,,,124.46,301.63,11
CPT,86965,POOLING BLOOD PLATELETS,,,124.46,301.63,11
CPT,86970,RBC PRETX INCUBATJ W/CHEMICL,,,44.57,108.01,11
CPT,86971,RBC PRETX INCUBATJ W/ENZYMES,,,124.46,301.63,11
CPT,86972,RBC PRETX INCUBATJ W/DENSITY,,,124.46,301.63,11
CPT,86975,RBC SERUM PRETX INCUBJ DRUGS,,,224.66,544.5,11
CPT,86976,RBC SERUM PRETX ID DILUTION,,,21.7,52.6,11
CPT,86977,RBC SERUM PRETX INCUBJ/INHIB,,,124.46,301.63,11
CPT,86978,RBC PRETREATMENT SERUM,,,44.57,108.01,11
CPT,86985,SPLIT BLOOD OR PRODUCTS,,,124.46,301.63,11
CPT,86999,UNLISTED TRANSFUSION MED PX,,,21.7,52.6,11
CPT,87003,SMALL ANIMAL INOCULATION,,,16.0,46.26,15
CPT,87015,SPECIMEN INFECT AGNT CONCNTJ,,,6.35,18.35,15
CPT,87040,BLOOD CULTURE FOR BACTERIA,,,9.8,28.35,15
CPT,87045,FECES CULTURE AEROBIC BACT,,,8.97,25.93,15
CPT,87046,STOOL CULTR AEROBIC BACT EA,,,8.97,25.93,15
CPT,87070,CULTURE OTHR SPECIMN AEROBIC,,,8.19,23.68,15
CPT,87071,CULTURE AEROBIC QUANT OTHER,,,9.4,27.17,15
CPT,87073,CULTURE BACTERIA ANAEROBIC,,,9.18,26.54,15
CPT,87075,CULTR BACTERIA EXCEPT BLOOD,,,9.0,26.02,15
CPT,87076,CULTURE ANAEROBE IDENT EACH,,,7.68,22.2,15
CPT,87077,CULTURE AEROBIC IDENTIFY,,,7.68,22.2,15
CPT,87081,CULTURE SCREEN ONLY,,,6.3,18.21,15
CPT,87084,CULTURE OF SPECIMEN BY KIT,,,25.72,74.37,15
CPT,87086,URINE CULTURE/COLONY COUNT,,,7.67,22.17,15
CPT,87088,URINE BACTERIA CULTURE,,,7.69,22.22,15
CPT,87101,SKIN FUNGI CULTURE,,,7.32,21.18,15
CPT,87102,FUNGUS ISOLATION CULTURE,,,7.99,23.1,15
CPT,87103,BLOOD FUNGUS CULTURE,,,19.44,56.21,15
CPT,87106,FUNGI IDENTIFICATION YEAST,,,9.8,28.35,15
CPT,87107,FUNGI IDENTIFICATION MOLD,,,9.8,28.35,15
CPT,87109,MYCOPLASMA,,,14.62,42.28,15
CPT,87110,CHLAMYDIA CULTURE,,,18.62,53.85,15
CPT,87116,MYCOBACTERIA CULTURE,,,10.26,29.67,15
CPT,87118,MYCOBACTERIC IDENTIFICATION,,,13.88,40.14,15
CPT,87140,CULTURE TYPE IMMUNOFLUORESC,,,5.29,15.3,15
CPT,87143,CULTURE TYPING GLC/HPLC,,,11.89,34.39,15
CPT,87147,CULTURE TYPE IMMUNOLOGIC,,,4.92,14.23,15
CPT,87149,DNA/RNA DIRECT PROBE,,,19.05,55.08,15
CPT,87150,DNA/RNA AMPLIFIED PROBE,,,33.34,96.4,15
CPT,87152,CULTURE TYPE PULSE FIELD GEL,,,7.35,21.26,15
CPT,87153,DNA/RNA SEQUENCING,,,109.59,316.92,15
CPT,87154,CUL TYP ID BLD PTHGN 6+ TRGT,,,207.16,599.05,15
CPT,87158,CULTURE TYPING ADDED METHOD,,,7.35,21.26,15
CPT,87164,DARK FIELD EXAM SPEC COLLJ,,,10.2,29.5,15
CPT,87166,DARK FIELD EXAM W/O COLLJ,,,10.74,31.04,15
CPT,87168,MACROSCOPIC EXAM ARTHROPOD,,,4.06,11.73,15
CPT,87169,MACROSCOPIC EXAM PARASITE,,,4.09,11.84,15
CPT,87172,PINWORM EXAM,,,4.06,11.73,15
CPT,87176,TISSUE HOMOGENIZATION CULTR,,,5.59,16.15,15
CPT,87177,OVA AND PARASITES SMEARS,,,8.46,24.45,15
CPT,87181,SC STD AGAR DILUTION PER AGT,,,4.51,13.05,15
CPT,87184,SC STD DISK METHOD PER PLATE,,,7.11,20.55,15
CPT,87185,SC STD ENZYME DETCJ PER NZM,,,4.51,13.05,15
CPT,87186,SC STD MICRODIL/AGAR DIL,,,8.22,23.76,15
CPT,87187,SC STD MICRODIL/AGAR MLC,,,38.16,110.36,15
CPT,87188,SC STD MACROBROTH DIL METH,,,6.31,18.24,15
CPT,87190,SC STD MYOBACTERIA PROP METH,,,6.94,20.08,15
CPT,87197,SERUM BACTERICIDAL TITER,,,14.27,41.26,15
CPT,87205,SMEAR GRAM STAIN,,,4.06,11.73,15
CPT,87206,SMEAR FLUORESCENT/ACID STAI,,,5.12,14.81,15
CPT,87207,SMEAR SPECIAL STAIN,,,5.69,27.36,15
CPT,87209,SMEAR COMPLEX STAIN,,,17.08,49.39,15
CPT,87210,SMEAR WET MOUNT SALINE/INK,,,5.53,15.99,15
CPT,87220,TISSUE EXAM FOR FUNGI,,,4.06,11.73,15
CPT,87230,TOXIN/ANTITOXIN ASY TISS CUL,,,18.75,54.23,15
CPT,87250,VIRUS INOCULATE EGGS/ANIMAL,,,18.58,53.74,15
CPT,87252,VIRUS INOCULATION TISSUE,,,24.77,71.62,15
CPT,87253,VIRUS INOCULATE TISSUE ADDL,,,19.19,55.49,15
CPT,87254,VIRUS INOCULATION SHELL VIA,,,18.58,53.74,15
CPT,87255,GENET VIRUS ISOLATE HSV,,,32.17,93.02,15
CPT,87260,ADENOVIRUS AG IF,,,13.71,39.64,15
CPT,87265,PERTUSSIS AG IF,,,11.38,32.91,15
CPT,87267,ENTEROVIRUS ANTIBODY DFA,,,12.75,36.87,15
CPT,87269,GIARDIA AG IF,,,12.93,37.39,15
CPT,87270,CHLAMYDIA TRACHOMATIS AG IF,,,11.38,32.91,15
CPT,87271,CYTOMEGALOVIRUS DFA,,,12.75,36.87,15
CPT,87272,CRYPTOSPORIDIUM AG IF,,,11.38,32.91,15
CPT,87273,HERPES SIMPLEX 2 AG IF,,,11.38,32.91,15
CPT,87274,HERPES SIMPLEX 1 AG IF,,,11.38,32.91,15
CPT,87275,INFLUENZA B AG IF,,,11.64,33.65,15
CPT,87276,INFLUENZA A AG IF,,,15.27,44.15,15
CPT,87278,LEGION PNEUMOPHILIA AG IF,,,14.82,42.86,15
CPT,87279,PARAINFLUENZA AG IF,,,15.61,45.14,15
CPT,87280,RESPIRATORY SYNCYTIAL AG IF,,,12.75,36.87,15
CPT,87281,PNEUMOCYSTIS CARINII AG IF,,,11.38,32.91,15
CPT,87283,RUBEOLA AG IF,,,57.76,167.03,15
CPT,87285,TREPONEMA PALLIDUM AG IF,,,11.57,33.46,15
CPT,87290,VARICELLA ZOSTER AG IF,,,12.75,36.87,15
CPT,87299,ANTIBODY DETECTION NOS IF,,,15.3,44.23,15
CPT,87300,AG DETECTION POLYVAL IF,,,11.38,32.91,15
CPT,87301,ADENOVIRUS AG IA,,,11.38,32.91,15
CPT,87305,ASPERGILLUS AG IA,,,11.38,32.91,15
CPT,87320,CHLMYD TRACH AG IA,,,14.25,41.21,15
CPT,87324,CLOSTRIDIUM AG IA,,,11.38,32.91,15
CPT,87327,CRYPTOCOCCUS NEOFORM AG IA,,,12.75,36.87,15
CPT,87328,CRYPTOSPORIDIUM AG IA,,,13.13,37.97,15
CPT,87329,GIARDIA AG IA,,,11.38,32.91,15
CPT,87332,CYTOMEGALOVIRUS AG IA,,,11.38,32.91,15
CPT,87335,E COLI 0157 AG IA,,,12.03,34.78,15
CPT,87336,ENTAMOEB HIST DISPR AG IA,,,15.2,43.96,15
CPT,87337,ENTAMOEB HIST GROUP AG IA,,,11.38,32.91,15
CPT,87338,HPYLORI STOOL AG IA,,,13.66,39.5,15
CPT,87339,H PYLORI AG IA,,,15.2,43.96,15
CPT,87340,HEPATITIS B SURFACE AG IA,,,9.81,28.38,15
CPT,87341,HEP B SURFACE AG NEUTRLZJ IA,,,9.81,28.38,15
CPT,87350,HEPATITIS BE AG IA,,,10.95,31.68,15
CPT,87380,HEPATITIS DELTA AGENT AG IA,,,17.44,50.44,15
CPT,87385,HISTOPLASMA CAPSUL AG IA,,,12.59,36.4,15
CPT,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,,,22.88,66.15,15
CPT,87390,HIV-1 AG IA,,,22.86,66.1,15
CPT,87391,HIV-2 AG IA,,,20.81,60.16,15
CPT,87400,INFLUENZA A/B EACH AG IA,,,13.42,38.82,15
CPT,87420,RESP SYNCYTIAL VIRUS AG IA,,,13.21,38.21,15
CPT,87425,ROTAVIRUS AG IA,,,11.38,32.91,15
CPT,87426,SARSCOV CORONAVIRUS AG IA,,,33.56,97.06,16
CPT,87427,SHIGA-LIKE TOXIN AG IA,,,11.38,32.91,15
CPT,87428,SARSCOV & INF VIR A&B AG IA,,,66.78,193.1,16
CPT,87430,STREP A AG IA,,,15.97,46.18,15
CPT,87449,NOS EACH ORGANISM AG IA,,,11.38,32.91,15
CPT,87451,POLYVALENT MULT ORG EA AG IA,,,9.98,28.87,15
CPT,87467,HEPATITIS B SURFACE AG QUAN,,,15.05,69.56,15
CPT,87468,ANAPLSMA PHGCYTOPHLM AMP PRB,,,33.34,96.4,15
CPT,87469,BABESIA MICROTI AMP PRB,,,33.34,96.4,15
CPT,87471,BARTONELLA DNA AMP PROBE,,,33.34,96.4,15
CPT,87472,BARTONELLA DNA QUANT,,,40.7,117.69,15
CPT,87475,LYME DIS DNA DIR PROBE,,,19.05,55.08,15
CPT,87476,LYME DIS DNA AMP PROBE,,,33.34,96.4,15
CPT,87478,BORRELIA MIYAMOTOI AMP PRB,,,33.34,96.4,15
CPT,87480,CANDIDA DNA DIR PROBE,,,19.05,55.08,15
CPT,87481,CANDIDA DNA AMP PROBE,,,33.34,96.4,15
CPT,87482,CANDIDA DNA QUANT,,,52.95,153.13,15
CPT,87483,CNS DNA AMP PROBE TYPE 12-25,,,395.94,1144.98,15
CPT,87484,EHRLICHA CHAFFEENSIS AMP PRB,,,33.34,96.4,15
CPT,87485,CHLMYD PNEUM DNA DIR PROBE,,,19.05,55.08,15
CPT,87486,CHLMYD PNEUM DNA AMP PROBE,,,33.34,96.4,15
CPT,87487,CHLMYD PNEUM DNA QUANT,,,40.7,117.69,15
CPT,87490,CHLMYD TRACH DNA DIR PROBE,,,21.61,62.5,15
CPT,87491,CHLMYD TRACH DNA AMP PROBE,,,33.34,96.4,15
CPT,87492,CHLMYD TRACH DNA QUANT,,,50.8,146.89,15
CPT,87493,C DIFF AMPLIFIED PROBE,,,35.41,102.39,15
CPT,87495,CYTOMEG DNA DIR PROBE,,,28.53,82.5,15
CPT,87496,CYTOMEG DNA AMP PROBE,,,33.34,96.4,15
CPT,87497,CYTOMEG DNA QUANT,,,40.7,117.69,15
CPT,87498,ENTEROVIRUS PROBE&REVRS TRNS,,,33.34,96.4,15
CPT,87500,VANOMYCIN DNA AMP PROBE,,,33.34,96.4,15
CPT,87501,INFLUENZA DNA AMP PROB 1+,,,48.74,140.96,15
CPT,87502,INFLUENZA DNA AMP PROBE,,,91.01,263.18,15
CPT,87503,INFLUENZA DNA AMP PROB ADDL,,,27.76,80.27,15
CPT,87505,NFCT AGENT DETECTION GI,,,121.88,352.44,15
CPT,87506,IADNA-DNA/RNA PROBE TQ 6-11,,,249.84,722.49,15
CPT,87507,IADNA-DNA/RNA PROBE TQ 12-25,,,395.94,1144.98,15
CPT,87510,GARDNER VAG DNA DIR PROBE,,,19.05,55.08,15
CPT,87511,GARDNER VAG DNA AMP PROBE,,,33.34,96.4,15
CPT,87512,GARDNER VAG DNA QUANT,,,39.67,114.72,15
CPT,87513,H PYLRI CLRTHMCN RST AMP PRB,,,33.34,96.4,13
CPT,87516,HEPATITIS B DNA AMP PROBE,,,33.34,96.4,15
CPT,87517,HEPATITIS B DNA QUANT,,,40.7,117.69,15
CPT,87520,HEPATITIS C RNA DIR PROBE,,,29.66,85.77,15
CPT,87521,HEPATITIS C PROBE&RVRS TRNSC,,,33.34,96.4,15
CPT,87522,HEPATITIS C REVRS TRNSCRPJ,,,40.7,117.69,15
CPT,87523,HEPATITIS D QUANTIFICATION,,,40.7,117.69,15
CPT,87525,HEPATITIS G DNA DIR PROBE,,,28.31,81.87,15
CPT,87526,HEPATITIS G DNA AMP PROBE,,,37.3,107.86,15
CPT,87527,HEPATITIS G DNA QUANT,,,39.67,114.72,15
CPT,87528,HSV DNA DIR PROBE,,,19.05,55.08,15
CPT,87529,HSV DNA AMP PROBE,,,33.34,96.4,15
CPT,87530,HSV DNA QUANT,,,40.7,117.69,15
CPT,87531,HHV-6 DNA DIR PROBE,,,55.1,159.34,15
CPT,87532,HHV-6 DNA AMP PROBE,,,33.34,96.4,15
CPT,87533,HHV-6 DNA QUANT,,,39.67,114.72,15
CPT,87534,HIV-1 DNA DIR PROBE,,,20.82,60.22,15
CPT,87535,HIV-1 PROBE&REVERSE TRNSCRPJ,,,33.34,96.4,15
CPT,87536,HIV-1 QUANT&REVRSE TRNSCRPJ,,,80.85,233.79,15
CPT,87537,HIV-2 DNA DIR PROBE,,,20.82,60.22,15
CPT,87538,HIV-2 PROBE&REVRSE TRNSCRIPJ,,,33.34,96.4,15
CPT,87539,HIV-2 QUANT&REVRSE TRNSCRIPJ,,,55.69,161.04,15
CPT,87540,LEGION PNEUMO DNA DIR PROB,,,19.05,55.08,15
CPT,87541,LEGION PNEUMO DNA AMP PROB,,,33.34,96.4,15
CPT,87542,LEGION PNEUMO DNA QUANT,,,39.67,114.72,15
CPT,87550,MYCOBACTERIA DNA DIR PROBE,,,19.05,55.08,15
CPT,87551,MYCOBACTERIA DNA AMP PROBE,,,45.83,132.52,15
CPT,87552,MYCOBACTERIA DNA QUANT,,,40.7,117.69,15
CPT,87555,M.TUBERCULO DNA DIR PROBE,,,25.54,73.84,15
CPT,87556,M.TUBERCULO DNA AMP PROBE,,,39.6,114.5,15
CPT,87557,M.TUBERCULO DNA QUANT,,,40.7,117.69,15
CPT,87560,M.AVIUM-INTRA DNA DIR PROB,,,25.93,74.97,15
CPT,87561,M.AVIUM-INTRA DNA AMP PROB,,,33.34,96.4,15
CPT,87562,M.AVIUM-INTRA DNA QUANT,,,40.7,117.69,15
CPT,87563,M. GENITALIUM AMP PROBE,,,33.34,96.4,15
CPT,87564,MTB RIFAMPIN RST AMP PRB TQ,,,72.93,210.9,13
CPT,87580,M.PNEUMON DNA DIR PROBE,,,19.05,55.08,15
CPT,87581,M.PNEUMON DNA AMP PROBE,,,33.34,96.4,15
CPT,87582,M.PNEUMON DNA QUANT,,,287.49,831.36,15
CPT,87590,N.GONORRHOEAE DNA DIR PROB,,,25.54,73.84,15
CPT,87591,N.GONORRHOEAE DNA AMP PROB,,,33.34,96.4,15
CPT,87592,N.GONORRHOEAE DNA QUANT,,,40.7,117.69,15
CPT,87593,ORTHOPOXVIRUS AMP PRB EACH,,,48.74,140.96,15
CPT,87594,PNEUMCYSTS JIROVECII AMP PRB,,,33.34,96.4,13
CPT,87623,HPV LOW-RISK TYPES,,,33.34,96.4,15
CPT,87624,HPV HI-RISK TYP POOLED RSLT,,,33.34,96.4,15
CPT,87625,HPV TYPES 16 & 18 ONLY,,,38.52,111.4,15
CPT,87626,HPV SEP HI-RSK TYP&POOL RSLT,,,66.69,192.85,13
CPT,87631,RESP VIRUS 3-5 TARGETS,,,135.5,391.83,15
CPT,87632,RESP VIRUS 6-11 TARGETS,,,207.16,599.05,15
CPT,87633,RESP VIRUS 12-25 TARGETS,,,395.94,1144.98,15
CPT,87634,RSV DNA/RNA AMP PROBE,,,66.69,192.85,15
CPT,87635,SARS-COV-2 COVID-19 AMP PRB,,,48.74,140.96,16
CPT,87636,SARSCOV2 & INF A&B AMP PRB,,,135.5,391.83,16
CPT,87637,SARSCOV2&INF A&B&RSV AMP PRB,,,135.5,391.83,16
CPT,87640,STAPH A DNA AMP PROBE,,,33.34,96.4,15
CPT,87641,MR-STAPH DNA AMP PROBE,,,33.34,96.4,15
CPT,87650,STREP A DNA DIR PROBE,,,19.05,55.08,15
CPT,87651,STREP A DNA AMP PROBE,,,33.34,96.4,15
CPT,87652,STREP A DNA QUANT,,,39.67,114.72,15
CPT,87653,STREP B DNA AMP PROBE,,,33.34,96.4,15
CPT,87660,TRICHOMONAS VAGIN DIR PROBE,,,19.05,55.08,15
CPT,87661,TRICHOMONAS VAGINALIS AMPLIF,,,33.34,96.4,15
CPT,87662,ZIKA VIRUS DNA/RNA AMP PROBE,,,48.74,140.96,15
CPT,87797,DETECT AGENT NOS DNA DIR,,,28.53,82.5,15
CPT,87798,DETECT AGENT NOS DNA AMP,,,33.34,96.4,15
CPT,87799,DETECT AGENT NOS DNA QUANT,,,40.7,117.69,15
CPT,87800,DETECT AGNT MULT DNA DIREC,,,41.49,119.97,15
CPT,87801,DETECT AGNT MULT DNA AMPLI,,,66.69,192.85,15
CPT,87802,STREP B ASSAY W/OPTIC,,,12.09,34.97,15
CPT,87803,CLOSTRIDIUM TOXIN A W/OPTIC,,,15.2,43.96,15
CPT,87804,INFLUENZA ASSAY W/OPTIC,,,15.72,45.47,15
CPT,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,,,31.13,90.03,15
CPT,87807,RSV ASSAY W/OPTIC,,,12.45,35.99,15
CPT,87808,TRICHOMONAS ASSAY W/OPTIC,,,14.53,42.0,15
CPT,87809,ADENOVIRUS ASSAY W/OPTIC,,,20.67,59.78,15
CPT,87810,CHLMYD TRACH ASSAY W/OPTIC,,,33.53,96.95,15
CPT,87811,SARS-COV-2 COVID19 W/OPTIC,,,39.31,113.68,16
CPT,87850,N. GONORRHOEAE ASSAY W/OPTIC,,,23.33,67.47,15
CPT,87880,STREP A ASSAY W/OPTIC,,,15.7,45.41,15
CPT,87899,AGENT NOS ASSAY W/OPTIC,,,15.27,44.15,15
CPT,87900,PHENOTYPE INFECT AGENT DRUG,,,123.83,358.1,15
CPT,87901,NFCT AGT GNTYP ALYS HIV1 REV,,,244.58,707.27,15
CPT,87902,NFCT AGT GNTYP ALYS HEP C,,,244.58,707.27,15
CPT,87903,PHENOTYPE DNA HIV W/CULTURE,,,464.23,1342.45,15
CPT,87904,PHENOTYPE DNA HIV W/CLT ADD,,,24.77,71.62,15
CPT,87905,IA NZMTC ACTV OTH/THN VIRUS,,,11.61,33.57,15
CPT,87906,NFCT AGT GNTYP ALYS HIV1,,,122.29,353.65,15
CPT,87910,NFCT AGT GNTYP ALYS CMV,,,244.58,707.27,15
CPT,87912,NFCT AGT GNTYP ALYS HEP B,,,244.58,707.27,15
CPT,87913,NFCT AGT GNTYP ALYS SARSCOV2,,,244.58,707.27,15
CPT,87999,UNLISTED MICROBIOLOGY PX,,,1.0,1.0,2
CPT,88007,AUTOPSY (NECROPSY) GROSS,,,9.29,9.29,2
CPT,88014,AUTOPSY (NECROPSY) GROSS,,,35.65,35.65,2
CPT,88104,CYTOPATH FLUID ETC 88104,153.0,122.4,29.23,137.7,36
CPT,88106,CYTOPATH FL NONGYN FILTER,,,21.7,71.24,15
CPT,88108,CYTOPATH CONC 88108,147.0,117.6,29.23,132.3,36
CPT,88112,CYTOPATH WINTERP 88112,129.0,103.2,39.48,116.1,36
CPT,88120,CYTP URNE 3-5 PROBES EA SPEC,,,124.46,578.87,15
CPT,88121,CYTP URINE 3-5 PROBES CMPTR,,,124.46,418.76,15
CPT,88125,FORENSIC CYTOPATHOLOGY,,,28.63,95.68,15
CPT,88130,SEX CHROMATIN IDENTIFICATION,,,17.08,49.39,15
CPT,88140,SEX CHROMATIN IDENTIFICATION,,,7.59,21.95,15
CPT,88141,CYTOPATH C/V INTERPRET,,,1.0,25.26,15
CPT,88142,CYTO CERV THN MAN 88142,81.0,64.8,19.25,72.9,36
CPT,88143,CYTOPATH C/V THIN LAYER REDO,,,21.89,63.3,15
CPT,88147,CYTOPATH C/V AUTOMATED,,,48.03,138.9,15
CPT,88148,CYTOPATH C/V AUTO RESCREEN,,,17.28,49.97,15
CPT,88150,CYTOPATH C/V MANUAL,,,17.28,49.97,15
CPT,88152,CYTOPATH C/V AUTO REDO,,,26.26,75.93,15
CPT,88153,CYTOPATH C/V REDO,,,22.83,66.02,15
CPT,88155,CYTOPATH C/V INDEX ADD-ON,,,13.92,40.25,15
CPT,88160,CYTOP SMR OTH SCRN INTRP 88160,172.0,137.6,21.7,154.8,36
CPT,88161,CYTOP SMR PREP SCRN INTRP88161,178.0,142.4,21.7,160.2,36
CPT,88162,CYTOPATH SMEAR OTHER SOURCE,,,39.48,128.49,15
CPT,88164,CYTOPATH TBS C/V MANUAL,,,17.28,49.97,15
CPT,88165,CYTOPATH TBS C/V REDO,,,40.11,115.99,15
CPT,88166,CYTOPATH TBS C/V AUTO REDO,,,17.28,49.97,15
CPT,88167,CYTOPATH TBS C/V SELECT,,,17.28,49.97,15
CPT,88172,FNA IMMED EVAL 88172,68.0,54.4,27.88,301.63,36
CPT,88173,FNA INTERP REPORT 88173,312.0,249.6,39.48,280.8,36
CPT,88174,CYTOPATH C/V AUTO IN FLUID,,,24.1,69.7,15
CPT,88175,CYTO CERV THN AUTO 88175,106.0,84.8,25.28,95.4,36
CPT,88177,CYTOPATHOLOGY FNA EVAL EA ADDL 88177,28.0,22.4,1.0,30.02,36
CPT,88182,CELL MARKER STUDY,,,39.48,166.77,15
CPT,88184,FLOW FIRST MARKER 88184.019,244.0,195.2,77.89,634.72,36
CPT,88184,FLOW TC 1ST MARKER 88184,244.0,195.2,77.89,634.72,36
CPT,88184,PI LINKED AG 1ST MARKER 88184,244.0,195.2,77.89,634.72,36
CPT,88185,FLOW ADDITIONAL MARKERS 88185.023,123.0,98.4,1.0,110.7,36
CPT,88185,FLOW TR ADDNL MARKER 88185,123.0,98.4,1.0,110.7,36
CPT,88185,PI LINKED AG ADDNL MARKR 88185,123.0,98.4,1.0,110.7,36
CPT,88187,FLOWCYTOMETRY/READ 2-8,,,32.0,55.25,15
CPT,88188,FLOWCYTOMETRY/READ 9-15,,,54.36,95.24,15
CPT,88189,FLOWCYTOMETRY/READ 16 & >,,,73.96,128.92,15
CPT,88199,UNLISTED CYTOPATHOLOGY PX,,,39.48,95.68,11
CPT,88230,TISSUE CULTURE LYMPHOCYTE,,,110.67,320.02,15
CPT,88233,TISSUE CULTURE SKIN/BIOPSY,,,133.69,386.61,15
CPT,88235,TISSUE CULTURE PLACENTA,,,142.79,412.9,15
CPT,88237,TISSUE CULTURE BONE MARROW,,,136.56,394.91,15
CPT,88239,TISSUE CULTURE TUMOR,,,140.14,405.27,15
CPT,88240,CELL CRYOPRESERVE/STORAGE,,,12.42,35.91,15
CPT,88241,FROZEN CELL PREPARATION,,,11.49,33.21,15
CPT,88245,CHROMOSOME ANALYSIS 20-25,,,164.51,475.73,15
CPT,88248,CHROMOSOME ANALYSIS 50-100,,,164.51,475.73,15
CPT,88249,CHROMOSOME ANALYSIS 100,,,164.51,475.73,15
CPT,88261,CHROMOSOME ANALYSIS 5,,,251.12,726.19,15
CPT,88262,CHROMOSOME ANALYSIS 15-20,,,119.22,344.75,15
CPT,88263,CHROMOSOME ANALYSIS 45,,,142.78,412.88,15
CPT,88264,CHROMOSOME ANALYSIS 20-25,,,137.38,397.27,15
CPT,88267,CHROMOSOME ANALYS PLACENTA,,,179.14,518.04,15
CPT,88269,CHROMOSOME AMN ANALYSIS 88269,627.0,501.6,164.98,564.3,36
CPT,88271,CYTOGENETICS DNA PROBE,,,20.35,58.85,15
CPT,88272,CYTOGENETICS 3-5,,,38.67,111.81,15
CPT,88273,CYTOGENETICS 10-30,,,33.07,95.63,15
CPT,88274,CYTOGENETICS 25-99,,,40.26,116.43,15
CPT,88275,CYTOGENETICS 100-300,,,48.63,140.63,15
CPT,88280,CHROMOSOME KARYOTYPE STUDY,,,31.8,91.95,15
CPT,88283,CHROMOSOME BANDING STUDY,,,65.17,188.46,15
CPT,88285,CHROMOSOME COUNT ADDITIONAL,,,25.56,73.93,15
CPT,88289,CHROMOSOME STUDY ADDITIONAL,,,32.71,94.59,15
CPT,88291,CYTO/MOLECULAR REPORT,,,30.96,52.62,15
CPT,88299,UNLISTED CYTOGENETIC STUDY,,,39.48,95.68,11
CPT,88300,GROSS ONLY 88300,38.0,30.4,15.58,52.6,36
CPT,88302,SURGICAL PATH LEVEL II 88302,83.0,66.4,21.7,74.7,36
CPT,88304,SURGICAL PATH LEVEL III 88304,100.0,80.0,39.48,95.68,36
CPT,88305,PROSTATE BIOPSY 88305.05,132.0,105.6,39.48,118.8,36
CPT,88305,SURGICAL PATH LEVEL IV 88305,132.0,105.6,39.48,118.8,36
CPT,88307,SURGICAL PATH LEVEL V 88307,653.0,522.4,261.89,634.72,36
CPT,88309,SURGICAL PATH LEVEL VI 88309,916.0,732.8,375.56,1518.43,36
CPT,88311,DECALCIFIED TISSUE 88311,27.0,21.6,1.0,24.3,36
CPT,88312,STAIN SPECIAL I 88312,272.0,217.6,39.48,244.8,36
CPT,88313,STAIN SPECIAL II 88313,223.0,178.4,44.57,200.7,36
CPT,88314,FROZEN SECT SP PROCEDURE 88314,228.0,182.4,1.0,205.2,36
CPT,88319,MYELOPEROXIDASE STAIN 88319,346.0,276.8,136.48,1518.43,36
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,,,29.23,81.22,15
CPT,88323,CONSLTJ&REPRT MATRL PREP SLD,,,39.48,114.84,15
CPT,88325,CONSLTJ COMPRE RVW REC REPRT,,,124.46,301.63,15
CPT,88329,PATH CONSLTJ DRG SURG,,,34.29,108.01,15
CPT,88331,FROZEN SECTION INITIAL 88331,129.0,103.2,52.89,301.63,36
CPT,88332,FROZEN SECT ADDNL SLIDE 88332,78.0,62.4,1.0,70.2,36
CPT,88333,TOUCH PREP INITIAL CYTE,100.0,80.0,41.0,1518.43,36
CPT,88334,TOUCH PREP EA ADDT SITE,60.0,48.0,1.0,56.51,36
CPT,88341,IMMUNOHISTO ANTIBODY SLIDE EA ADDL SINGLE STAIN 88341,199.0,159.2,1.0,179.1,36
CPT,88342,IMMUNOPEROXIDASE STAIN 88342,226.0,180.8,92.66,301.63,36
CPT,88344,IMMUNOHISTO ANTIBODY SLIDE EA MULTIPLEX STAIN 88344,425.0,340.0,172.76,634.72,36
CPT,88346,IMFLUOR 1ST 1ANTB STAIN PX,,,124.46,301.63,15
CPT,88348,ELECTRON MICROSCOPY DX,,,483.67,1518.43,15
CPT,88350,IMFLUOR EA ADDL 1ANTB STN PX,,,1.0,113.84,15
CPT,88355,M/PHMTRC ALYS SKELETAL MUSC,,,124.46,301.63,15
CPT,88356,ANALYSIS NERVE,,,39.48,235.01,15
CPT,88358,MORPHOMETRIC ANALYSIS TUMOR (DNA PLOIDY) 88358,278.0,222.4,113.98,301.63,36
CPT,88360,MORPHOMET ANALYS MANUAL 88360,251.0,200.8,102.91,301.63,36
CPT,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,,,119.17,634.72,15
CPT,88362,NERVE TEASING PREPARATIONS,,,228.69,1518.43,15
CPT,88363,XM ARCHIVE TISSUE MOLEC ANAL,,,18.64,52.6,15
CPT,88364,INSITU HYBRID (FISH) EA ADDL SINGLE PROBE STAIN 88364,314.0,251.2,1.0,282.6,36
CPT,88365,FISH INITIAL PROBE 88365,425.0,340.0,124.46,382.5,36
CPT,88366,INSITU HYBRIDIZATION (FISH),,,124.46,301.63,15
CPT,88367,INSITU HYBRIDIZATION AUTO,,,111.51,634.72,15
CPT,88368,IN SITU HYBRID MANUAL EA PROBE 88368,361.0,288.8,147.8,634.72,36
CPT,88369,IN SITU HYBRID MANUAL EA ADDL SINGLE STAIN 88369,300.0,240.0,1.0,270.0,36
CPT,88371,PROTEIN WESTERN BLOT TISSUE,,,1.0,61.07,15
CPT,88372,PROTEIN ANALYSIS W/PROBE,,,1.0,72.03,15
CPT,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,1.0,67.57,15
CPT,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,124.46,301.63,15
CPT,88375,OPTICAL ENDOMICROSCPY INTERP,,,41.95,73.67,15
CPT,88377,MORPHOMETRIC ANLYS IN SITU HYBRID MANL PER SPEC EA MULTIX PROBE STAIN 88377,1042.0,833.6,124.46,937.8,36
CPT,88380,MICRODISSECTION LASER,,,1.0,127.33,15
CPT,88381,MICRODISSECTION MANUAL,,,1.0,201.06,15
CPT,88387,MACROSCOPIC XM DSJ&PREP TISS,,,1.0,33.54,15
CPT,88388,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,88388,Therapy,,,35.95,35.95,4
CPT,88399,UNLISTED SURGICAL PATH PX,,,39.48,95.68,11
CPT,88720,BILIRUBIN TOTAL TRANSCUT,,,4.77,13.79,15
CPT,88738,HGB QUANT TRANSCUTANEOUS,,,4.77,13.79,15
CPT,88740,TRANSCUTANEOUS CARBOXYHB,,,8.9,25.74,15
CPT,88741,TRANSCUTANEOUS METHB,,,8.9,25.74,15
CPT,89049,CHCT FOR MAL HYPERTHERMIA,,,60.58,301.63,15
CPT,89050,BODY FLUID CELL COUNT,,,4.48,12.97,15
CPT,89051,BODY FLUID CELL COUNT,,,5.32,15.38,15
CPT,89055,LEUKOCYTE ASSESSMENT FECAL,,,4.06,11.73,15
CPT,89060,EXAM SYNOVIAL FLUID CRYSTALS,,,6.96,27.36,15
CPT,89125,SPECIMEN FAT STAIN,,,5.59,16.15,15
CPT,89160,EXAM FECES FOR MEAT FIBERS,,,4.61,13.32,15
CPT,89190,NASAL SMEAR FOR EOSINOPHILS,,,5.5,15.91,15
CPT,89220,SPUTUM SPECIMEN COLLECTION,,,19.31,301.63,15
CPT,89230,COLLECT SWEAT FOR TEST,,,3.0,87.76,15
CPT,89240,UNLISTED MISC PATH TEST,,,39.48,95.68,11
CPT,89250,CULTURE OOCYTE(S) EMBRYO(S) LESS THAN 4 DAYS 89250,1050.0,840.0,124.46,945.0,36
CPT,89251,CULTR OOCYTE/EMBRYO <4 DAYS,,,124.46,301.63,11
CPT,89253,ASSISTED EMBRYO HATCHING MICROTECHNIQUES ANY 89253,835.0,668.0,124.46,751.5,36
CPT,89254,OOCYTE IDENTIFICATION FOLLICULAR FLUID 89254,850.0,680.0,124.46,765.0,36
CPT,89255,PREPARATION EMBRYO TRANSFER ANY 89255,600.0,480.0,39.48,540.0,36
CPT,89257,SPERM IDENTIFICATION,,,39.48,95.68,11
CPT,89258,CRYOPRESERVATION EMBRYO(S),,,626.51,1518.43,11
CPT,89259,CRYOPRESERVATION SPERM 89259,300.0,240.0,83.31,301.63,36
CPT,89260,SPERM ISOL SIMPLE PREP FOR INSEM DX WSEMEN ANALYS 89260,250.0,200.0,39.48,225.0,36
CPT,89261,SPERM ISOL COMPLEX PREP FOR INSEM DX WSEMEN ANALYS 89261,325.0,260.0,39.48,292.5,36
CPT,89264,IDENTIFY SPERM TISSUE,,,39.48,95.68,11
CPT,89268,INSEMINATION OOCYTES 89268,270.0,216.0,74.98,301.63,36
CPT,89272,EXTEND CULTURE OOCYTE(S) EMBRYO(S) 4-7 DAYS 89272,530.0,424.0,147.18,1518.43,36
CPT,89280,ASSIST OOCYTE FERTILIZTN MICROTECH < = 10 OOCYTES 89280,1600.0,1280.0,444.32,1518.43,36
CPT,89281,ASSIST OOCYTE FERTILIZATION MITROTECH GT 10 OCYTES 89281,2025.0,1620.0,124.46,1822.5,36
CPT,89290,BX OOCYTE POLAR BODY EMBRYO BLASTOMERE MICRO <= TO 5 EMBRYO 89290,1800.0,1440.0,124.46,1620.0,36
CPT,89291,BX OOCYTE POLAR BODY EMBRYO BLASTOMERE MICRO > 5 EMBRYO 89291,2200.0,1760.0,124.46,1980.0,36
CPT,89300,SEMEN ANALYSIS W/HUHNER,,,9.35,27.03,15
CPT,89310,SEMEN ANALYSIS MOTILITY & COUNT WO HUHNER TEST 89310,70.0,56.0,8.18,63.0,36
CPT,89320,SEMEN ANALYSIS COMPLETE 89320,125.0,100.0,11.69,112.5,36
CPT,89321,LV SPERM POST VAS 89321.002,70.0,56.0,11.45,63.0,36
CPT,89321,SPERM PRESENCE MOTILITY 89321,70.0,56.0,11.45,63.0,36
CPT,89322,SEMEN ANAL STRICT CRITERIA 89322,175.0,140.0,14.73,157.5,36
CPT,89325,SPERM ANTIBODY TEST,,,10.14,29.31,15
CPT,89329,SPERM EVALUATION TEST,,,18.61,53.82,15
CPT,89330,EVALUATION CERVICAL MUCUS,,,9.86,28.52,15
CPT,89331,SEMEN EVALUATION RETROGRADE EJACULATION 89331,225.0,180.0,18.61,202.5,36
CPT,89335,CRYOPRESERVE TESTICULAR TISS,,,39.48,95.68,11
CPT,89337,CRYOPRESERVATION OOCYTE(S),,,124.46,301.63,11
CPT,89342,STORAGE/YEAR EMBRYO(S),,,124.46,301.63,11
CPT,89343,STORAGE/YEAR SPERM/SEMEN,,,124.46,301.63,11
CPT,89344,STORAGE/YEAR REPROD TISSUE,,,124.46,301.63,11
CPT,89346,STORAGE/YEAR OOCYTE(S),,,124.46,301.63,11
CPT,89352,THAWING CRYOPRESERVED EMBRYO(S) 89352,900.0,720.0,124.46,810.0,36
CPT,89353,THAWING CRYOPRESERVED SPERM SEMEN EA ALIQ 89353,70.0,56.0,19.44,95.68,36
CPT,89354,THAW CRYOPRSVRD REPROD TISS,,,124.46,301.63,11
CPT,89356,THAWING CRYOPRESRVED OOCYTE,,,124.46,301.63,11
CPT,89398,SEMEN STRICT MORPHOLOGY 89398.002,75.0,60.0,20.83,95.68,36
CPT,90281,HUMAN IG IM,,,101.55,106.12,6
CPT,90283,HUMAN IG IV,,,54.0,75.85,6
CPT,90284,HUMAN IG SC,,,15.17,19.81,6
CPT,90287,BOTULINUM ANTITOXIN,,,306.51,306.51,2
CPT,90288,BOTULISM IG IV,,,48705.0,58905.0,6
CPT,90291,Cytomegalovirus Immune Globulin (Human) IV Soln 50 MG/ML,2281.35,1825.08,935.35,2053.22,27
CPT,90296,DIPHTHERIA ANTITOXIN,,,220.07,220.07,2
CPT,90371,HEP B IG IM,,,127.48,146.86,15
CPT,90375,Rabies Immune Globulin (Human) Inj 1500 Unt/5ML (300 Unt/ML),4498.6,3598.88,265.86,4048.74,36
CPT,90375,Rabies Immune Globulin (Human) Inj 300 Unit/ML,926.43,741.15,265.86,833.79,72
CPT,90376,RABIES IG HEAT TREATED,,,170.9,461.62,15
CPT,90377,RABIES IG HT&SOL HUMAN IM/SC,,,211.13,250.49,15
CPT,90378,Palivizumab IM Soln 100 MG/ML,5971.07,4776.86,339.68,5373.96,36
CPT,90378,Palivizumab IM Soln 50 MG/0.5ML,3501.94,2801.56,339.68,3151.75,72
CPT,90380,Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML,1533.1,1226.48,504.9,1379.79,27
CPT,90381,Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML,1533.1,1226.48,504.9,1379.79,27
CPT,90382,RSV MONOC ANTB SEASN .7ML IM,,,567.12,567.12,4
CPT,90384,RH IG FULL-DOSE IM,,,84.49,107.22,6
CPT,90385,RH IG MINIDOSE IM,,,1.0,1.0,2
CPT,90386,RH IG IV,,,36.94,36.94,6
CPT,90389,TETANUS IG IM,,,662.15,662.15,6
CPT,90396,VARICELLA-ZOSTER IG IM,,,2049.23,2479.91,15
CPT,90460,IM ADMIN 1ST/ONLY COMPONENT,,,20.82,40.14,15
CPT,90461,IM ADMIN EACH ADDL COMPONENT,,,7.8,15.12,15
CPT,90471,ADMIN HEPATITIS B VACCINE,69.34,55.475,8.07,124.4,72
CPT,90471,ADMIN INFLUENZA VIR VAC,119.0,95.2,20.64,124.4,36
CPT,90471,ADMIN PNEUMOCOCCAL VAC,119.0,95.2,20.64,124.4,36
CPT,90471,ED 90471 IMMUN ADM PERC SUB IM FIRST,119.0,95.2,20.64,124.4,36
CPT,90471,ED 90471 IMMUNE ADMIN 1 VACCINE,119.0,95.2,20.64,124.4,36
CPT,90471,ED G0008 ADMIN INFLUENZA VIRUS VACCINE,119.0,95.2,20.64,124.4,36
CPT,90471,ED G0010 ADMIN HEPATITIS B VACCINE,119.0,95.2,20.64,124.4,36
CPT,90471,IMMUN ADMIN 1 VACCINE,69.34,55.475,8.07,124.4,72
CPT,90472,ED 90472 IMMUN ADM PERC SUB IM EA ADD,79.0,63.2,1.0,71.1,36
CPT,90472,ED 90472 IMMUN ADMIN EA ADDL VACCINE,79.0,63.2,1.0,71.1,36
CPT,90472,IMMUN ADMIN EA ADDL VACCINE,79.0,63.2,1.0,71.1,36
CPT,90473,IMMUN ADM 1 VACC INTRANAS ORAL,103.0,82.4,16.64,124.4,36
CPT,90474,IMMUN ADM ADDL VACC ORAL NASAL,71.0,56.8,1.0,63.9,36
CPT,90476,ADENOVIRUS VACCINE TYPE 4,,,273.46,662.76,2
CPT,90480,CDMR IMM ADMN SARSCOV2 VACCINE 1ST OR ONLY COMPONENT,89.0,71.2,24.72,80.1,36
CPT,90581,ANTHRAX VACCINE SC OR IM,,,100.98,201.96,6
CPT,90585,BCG VACCINE PERCUT,,,160.21,185.61,6
CPT,90586,BCG Live Intravesical For Susp 50 MG,536.87,429.5,144.5,483.18,54
CPT,90587,DENGUE VACC QUAD 3 DOSE SUBQ,,,67.32,106.09,6
CPT,90589,CHIKUNGUNYA VACCINE LIVE IM,,,140.25,140.25,6
CPT,90593,CHIKUNGUNYA VACC RECOMB IM,,,280.5,280.5,4
CPT,90611,SMALLPOX&MONKEYPOX VAC 0.5ML,,,0.01,275.4,15
CPT,90619,"Meningococcal (A, C, Y, and W-135) Tetanus Conjugate Vaccine",436.43,349.15,170.2,392.79,27
CPT,90619,PF 90619 MENINGOCOCCAL ACWY-TT VACCINE IM,260.0,208.0,106.6,234.0,27
CPT,90620,Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe,553.1,442.48,226.77,497.79,27
CPT,90621,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,275.55,220.44,96.1,354.45,81
CPT,90622,VACCINIA VRS VAC 0.3 ML PERQ,,,0.01,0.02,11
CPT,90623,MENACWY-TT MENB-FHBP VACC IM,,,235.24,242.28,6
CPT,90624,MENB-4C&MENACWY VACC IM,,,255.64,255.64,4
CPT,90625,CHOLERA VACCINE LIVE ORAL,,,280.5,297.33,6
CPT,90626,TIC-BRN ENCEPH VAC 0.25ML IM,,,295.22,309.98,6
CPT,90627,TIC-BRN ENCEPH VAC 0.5ML IM,,,295.22,309.98,6
CPT,90630,Outpatient Services - CPT/HCPCS,,,20.34,20.34,2
CPT,90632,HEPA VACCINE ADULT IM,,,1.0,1.0,2
CPT,90633,PF 90633 HEPAT A VAC PED AD2DO,111.0,88.8,1.0,99.9,27
CPT,90634,HEPA VACC PED/ADOL 3 DOSE,,,38.64,38.64,2
CPT,90636,HEP A/HEP B VACC ADULT IM,,,1.0,1.0,2
CPT,90644,HIB-MENCY VACC 6WK-18M0 IM,,,340.39,340.39,2
CPT,90647,HIB PRP-OMP VACC 3 DOSE IM,,,1.0,1.0,2
CPT,90648,Haemophilus B Polysaccharide Conjugate Vaccine For Inj,39.31,31.455,1.0,35.76,54
CPT,90648,PF 90648 HAEMOPH VACC PRP-T IM,55.0,44.0,1.0,49.5,27
CPT,90649,4VHPV VACCINE 3 DOSE IM,,,163.41,163.41,2
CPT,90650,2VHPV VACCINE 3 DOSE IM,,,266.31,266.31,2
CPT,90651,9VHPV VACCINE 2/3 DOSE IM,,,293.16,335.55,6
CPT,90653,Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML,241.125,192.905,53.27,248.84,72
CPT,90654,Outpatient Services - CPT/HCPCS,,,18.92,18.92,2
CPT,90655,IIV3 VACC NO PRSV 0.25 ML IM,,,17.24,17.24,2
CPT,90656,IIV3 VACC NO PRSV 0.5 ML IM,,,19.77,24.38,15
CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,,,6.02,11.59,15
CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,,,12.5,23.17,15
CPT,90660,LAIV3 VACCINE INTRANASAL,,,20.99,31.2,15
CPT,90661,Influenza Virus Vac Tiss-Cult Subunit Susp Pref Syr 0.5 ML,83.19,66.56,22.29,74.87,72
CPT,90662,CDMR PF 90662 INFLU VACC PF ANTIGEN,123.0,98.4,50.43,110.7,36
CPT,90670,PF 90670 PNEUMO VACC 13 VAL IM,776.0,620.8,230.83,698.4,36
CPT,90670,Pneumococcal 13-Valent Conjugate Vaccine Inj,724.05,579.24,230.83,655.44,108
CPT,90671,PF 90671 PCV15 VACCINE FOR INTRAMUSCULAR USE,881.0,704.8,245.31,792.9,36
CPT,90671,Pneumococcal 15-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,829.76,663.81,245.31,746.78,72
CPT,90672,LAIV4 VACCINE INTRANASAL,,,27.79,27.79,6
CPT,90673,RIV3 VACCINE NO PRESERV IM,,,40.61,103.07,15
CPT,90674,CCIIV4 VAC NO PRSV 0.5 ML IM,,,34.17,34.17,6
CPT,90675,"Rabies Vaccine, PCEC For Inj",1113.44,890.76,250.98,1002.1,72
CPT,90676,RABIES VACCINE ID,,,194.9,472.37,11
CPT,90677,PCV20 VACCINE IM,,,279.96,328.55,15
CPT,90678,RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML,1059.41,847.53,312.94,953.47,27
CPT,90679,RSV VACC PREF RECOMB ADJT IM,,,312.48,312.48,4
CPT,90680,PF 90680 ROTAVIRUS O VAC PENTA,217.0,173.6,88.97,195.3,27
CPT,90681,RV1 VACC 2 DOSE LIVE ORAL,,,141.39,149.83,6
CPT,90682,RIV4 VACC RECOMBINANT DNA IM,,,73.4,73.41,6
CPT,90683,RSV VACC MRNA LIPID NANO IM,,,295.8,295.8,4
CPT,90684,Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML,829.65,663.72,308.01,746.69,72
CPT,90685,CDMR PF 90685 FLU VACC QUAD PRESSERV 0.25 ML DOSAGE IM,32.0,25.6,8.89,28.8,27
CPT,90686,"CDMR PF 90686 FLU VACC QUAD , PRESSERVFREE, 0.5 ML DOSAGE IM",33.0,26.4,13.53,29.7,27
CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,,,10.44,10.44,6
CPT,90688,IIV4 VACCINE SPLT 0.5 ML IM,,,20.88,20.88,6
CPT,90690,TYPHOID VACCINE ORAL,,,27.2,27.2,2
CPT,90691,TYPHOID VACCINE IM,,,1.0,1.0,2
CPT,90694,VACC AIIV4 NO PRSRV 0.5ML IM,,,77.36,77.36,6
CPT,90696,"Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj",179.59,143.68,1.0,161.63,27
CPT,90697,Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr,566.31,453.05,149.28,509.68,54
CPT,90697,PF 90697 DTAP-IPV-HIB-HEPB VACCINE IM,600.0,480.0,149.28,540.0,27
CPT,90698,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,273.935,219.15,1.0,251.65,108
CPT,90698,PF 90698 DTAP-HIB-IPV VACC IM,311.0,248.8,1.0,279.9,27
CPT,90700,"Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML",94.68,75.75,1.0,97.06,54
CPT,90702,DT VACCINE UNDER 7 YRS IM,,,1.0,1.0,2
CPT,90707,Measles-Mumps-Rubella Virus Vaccines For Inj Soln,247.54500000000002,198.04,1.0,247.82,54
CPT,90707,PF 90707 MMR VIRUS VAC LIVE SQ,254.0,203.2,1.0,228.6,27
CPT,90710,MMRV VACCINE SC,,,122.22,296.22,2
CPT,90713,"Poliovirus Vaccine, IPV Injection",888.12,710.5,1.0,826.46,54
CPT,90714,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,101.025,80.825,1.0,109.54,54
CPT,90715,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,141.7,113.36,1.0,129.78,108
CPT,90716,PF 90716 VARICELLA VACC SQ,505.0,404.0,177.68,454.5,27
CPT,90716,Varicella Virus Vac Live For Inj 1350 PFU/0.5ML,476.06,380.85,177.68,428.45,27
CPT,90717,YELLOW FEVER VACCINE SUBQ,,,1.0,1.0,2
CPT,90723,DTAP-HEP B-IPV VACCINE IM,,,99.29,105.05,6
CPT,90732,Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML,322.68499999999995,258.155,114.73,328.98,72
CPT,90733,MPSV4 VACCINE SUBQ,,,106.49,106.49,2
CPT,90734,MENACWYD/MENACWYCRM VACC IM,,,151.6,169.96,6
CPT,90736,HZV VACCINE LIVE SUBQ,,,196.36,196.36,2
CPT,90738,INACTIVATED JE VACC IM,,,293.35,300.99,6
CPT,90739,Hepatitis B Vaccine Recomb Adjuvanted Pref Syr 20 MCG/0.5ML,401.29,321.04,158.87,361.16,72
CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,,,152.12,199.89,15
CPT,90743,HEPB VACC 2 DOSE ADOLESC IM,,,71.39,78.9,15
CPT,90744,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 5 MCG/0.5ML,54.29,43.44,22.26,48.86,72
CPT,90746,Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,226.13,180.91,66.86,203.52,36
CPT,90746,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML,232.99,186.4,66.86,209.69,36
CPT,90747,Hepatitis B Vaccine (Recombinant) Susp 40 MCG/ML,424.69,339.76,133.71,382.22,72
CPT,90748,HIB-HEPB VACCINE IM,,,42.9,42.9,2
CPT,90749,UNLISTED VACCINE/TOXOID,,,1.0,1.0,2
CPT,90750,HZV VACC RECOMBINANT IM,,,183.55,219.82,6
CPT,90756,CCIIV4 VACC ABX FREE IM,,,32.37,32.38,6
CPT,90759,HEP B VAC 3AG 10MCG 3 DOS IM,,,66.05,77.51,15
CPT,90785,PSYCHOTHERAPY COMPLEX INTERACTIVE,184.0,147.2,1.0,165.6,36
CPT,90785,PSYTX COMPLEX INTERACTIVE,184.0,147.2,1.0,165.6,36
CPT,90791,PSYCH DIAGNOSTIC EVAL,533.0,426.4,116.17,479.7,38
CPT,90792,ED 90792 PSYCH DX EVAL W MED SVC,543.0,434.4,116.17,488.7,38
CPT,90792,PSYCH DX EVAL W MED SVCS,543.0,434.4,116.17,488.7,38
CPT,90832,PSYCHOTHERAPY W/PATIENT 16-37 MINUTES,235.0,188.0,68.24,281.54,38
CPT,90833,PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 16-37 MINUTES,227.0,181.6,1.0,204.3,36
CPT,90834,PSYCHOTHERAPY W/PATIENT 38-52 MINUTES,323.0,258.4,90.21,290.7,38
CPT,90836,PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 38-52 MINUTES,296.0,236.8,1.0,266.4,36
CPT,90837,PSYCHOTHERAPY W/PATIENT 53+ MINUTES,375.0,300.0,116.17,337.5,38
CPT,90838,PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 53+ MINUTES,365.0,292.0,1.0,328.5,36
CPT,90839,PSYCH THERAPY CRISIS 1ST 60 MINS,447.0,357.6,116.17,402.3,38
CPT,90840,PSYCH THERAPY CRISIS ADDL 30 MINS,193.0,154.4,1.0,173.7,36
CPT,90845,PSYCHOANALYSIS,579.0,463.2,86.55,521.1,36
CPT,90846,PSYCH THERAPY FAMILY WO PATIENT,302.0,241.6,97.2,281.54,38
CPT,90847,PSYCH THERAPY FAMILY WPATIENT,403.0,322.4,101.53,362.7,38
CPT,90847,PSYCH THERAPY FAMILY WPATIENT 30 MINS,403.0,322.4,101.53,362.7,38
CPT,90849,PSYCH THERAPY GROUP FAMILY MULTI,304.0,243.2,29.29,281.54,38
CPT,90853,GRP PSYCHOTHERAPY DRUG OR OTHER REHAB,325.0,260.0,23.97,292.5,38
CPT,90853,PSYCH THERAPY GROUP,264.0,211.2,23.97,237.6,38
CPT,90863,PHARMACOLOGIC MGMT W/PSYTX,,,22.48,40.72,15
CPT,90865,NARCOSYNTHESIS,,,116.17,281.54,15
CPT,90867,TCRANIAL MAGN STIM TX PLAN,,,228.69,554.25,13
CPT,90868,TCRANIAL MAGN STIM TX DELI,,,228.69,554.25,13
CPT,90869,TCRAN MAGN STIM REDETEMINE,,,228.69,554.25,13
CPT,90870,ECT,1573.0,1258.4,103.86,1415.7,38
CPT,90875,PSYCHOPHYSIOLOGICAL THERAPY,,,52.64,101.22,15
CPT,90876,PSYCHOPHYSIOLOGICAL THERAPY,,,91.87,160.55,15
CPT,90880,HYPNOTHERAPY,,,64.94,157.39,15
CPT,90882,ENVRN IVNTJ MED MGMT PSYC PT,,,20.92,50.69,2
CPT,90885,PSY EVALUATION OF RECORDS,,,1.0,46.94,15
CPT,90887,INTERPJ/EXPLNAJ RSLT PSYC XM,,,1.0,85.61,15
CPT,90889,PREPARATION OF REPORT,,,1.0,1.0,2
CPT,90899,UNLISTED PSYC SVC/THERAPY,,,20.92,50.69,13
CPT,90901,BIOFEEDBACK 90901,167.0,133.6,18.97,150.3,36
CPT,90912,BIOFEEDBACK TRAINING FIRST 15 MIN 90912,227.0,181.6,41.94,204.3,36
CPT,90913,BIOFEEDBACK TRAINING EACH ADDL 15 MIN 90913,90.0,72.0,23.63,81.0,36
CPT,90935,HEMODIALYSIS OP NON-ESRD,2065.0,1652.0,509.15,1858.5,38
CPT,90937,HEMODIALYSIS REPEATED EVAL,,,90.95,782.11,15
CPT,90940,HEMODIALYSIS ACCESS STUDY,,,1.0,1.0,2
CPT,90945,UNSCHED OP ESRD PERITONEAL DIALYSIS,1150.0,920.0,319.36,1035.0,38
CPT,90947,DIALYSIS REPEATED EVAL,,,108.32,782.11,15
CPT,90951,ESRD SERV 4 VISITS P MO <2YR,,,1032.08,2020.83,15
CPT,90952,ESRD SERV 2-3 VSTS P MO <2YR,,,884.99,884.99,2
CPT,90953,ESRD SERV 1 VISIT P MO <2YRS,,,884.99,884.99,2
CPT,90954,ESRD SERV 4 VSTS P MO 2-11,,,890.4,1732.3,15
CPT,90955,ESRD SRV 2-3 VSTS P MO 2-11,,,466.8,901.05,15
CPT,90956,ESRD SRV 1 VISIT P MO 2-11,,,312.79,600.9,15
CPT,90957,ESRD SRV 4 VSTS P MO 12-19,,,684.17,1326.28,15
CPT,90958,ESRD SRV 2-3 VSTS P MO 12-19,,,445.9,863.24,15
CPT,90959,ESRD SERV 1 VST P MO 12-19,,,291.59,563.09,15
CPT,90960,ESRD SRV 4 VISITS P MO 20+,,,317.75,610.79,15
CPT,90961,ESRD SRV 2-3 VSTS P MO 20+,,,263.96,507.24,15
CPT,90962,ESRD SERV 1 VISIT P MO 20+,,,182.85,350.18,15
CPT,90963,ESRD HOME PT SERV P MO <2YRS,,,538.81,1047.06,15
CPT,90964,ESRD HOME PT SERV P MO 2-11,,,462.11,897.56,15
CPT,90965,ESRD HOME PT SERV P MO 12-19,,,444.98,861.5,15
CPT,90966,ESRD HOME PT SERV P MO 20+,,,263.96,507.24,15
CPT,90967,ESRD SVC PR DAY PT <2,,,15.6,782.11,15
CPT,90968,ESRD SVC PR DAY PT 2-11,,,15.29,782.11,15
CPT,90969,ESRD SVC PR DAY PT 12-19,,,14.98,782.11,15
CPT,90970,ESRD SVC PR DAY PT 20+,,,8.72,782.11,15
CPT,90989,DIALYSIS TRAINING COMPLETE,,,305.66,305.66,2
CPT,90993,DIALYSIS TRAINING INCOMPL,,,61.55,61.55,2
CPT,90997,HEMOPERFUSION,,,78.23,782.11,15
CPT,90999,CAPD OUTPT DAILY RATE,1295.0,1036.0,175.82,1165.5,27
CPT,90999,CAPD RETRAIN DAILY NOT COMPLETE,1530.0,1224.0,175.82,1377.0,27
CPT,90999,CAPD TRAIN DAILY NOT COMPLETE,2025.0,1620.0,175.82,1822.5,27
CPT,90999,CCPD OUTPT DAILY RATE,1295.0,1036.0,293.0,1165.5,27
CPT,90999,CCPD RETRAIN DAILY NOT COMPLETE,1530.0,1224.0,293.0,1377.0,27
CPT,90999,CCPD TRAIN DAILY NOT COMPLETE,2025.0,1620.0,293.0,1822.5,27
CPT,90999,HOME HEMODIALYSIS DAILY,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS DAILY IN NURSING HOME,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS DAILY IN-FACILITY BACKUP,2025.0,1620.0,410.24,1822.5,27
CPT,90999,HOME HEMODIALYSIS RETRAINING DAILY,1985.0,1588.0,410.24,1786.5,27
CPT,90999,HOME HEMODIALYSIS TRAINING DAILY,1985.0,1588.0,410.24,1786.5,27
CPT,90999,OP CHRONIC DIALYSIS,2025.0,1620.0,410.24,1822.5,27
CPT,90999,OP CHRONIC DIALYSIS SELF CARE,1530.0,1224.0,410.24,1377.0,27
CPT,90999,ULTRAFILTRATION ONLY,2025.0,1620.0,562.34,1822.5,27
CPT,91010,ESOPH MOT STUDY,2268.0,1814.4,220.7,2041.2,38
CPT,91013,ESOPH MOT STUDY WMECH,1738.0,1390.4,1.0,1564.2,36
CPT,91020,GASTRIC MOTILITY STUDIES,,,275.95,946.44,17
CPT,91022,DUODENAL MOTILITY STUDY,,,173.43,946.44,17
CPT,91030,ACID PERFUSION OF ESOPHAGUS,,,145.13,946.44,17
CPT,91034,ESOPH REFLUX W NASAL CATH,2332.0,1865.6,191.07,2098.8,38
CPT,91035,ESOPH REFLUX W ELECTRODE,2376.0,1900.8,390.51,2138.4,38
CPT,91037,ESOPH IMPED FUNCTION TEST,,,168.43,554.25,17
CPT,91038,PH STUDY W IMPEDANCE,2123.0,1698.4,390.51,1910.7,38
CPT,91040,ESOPH BALLOON DISTENSION TST,,,390.51,946.44,17
CPT,91065,BREATH HYDROGEN TEST,991.0,792.8,73.9,891.9,38
CPT,91110,CAPSULE ENDOSCOPY,3537.0,2829.6,660.46,3183.3,38
CPT,91111,GI TRC IMG INTRAL ESOPHAGUS,,,660.46,1600.7,17
CPT,91112,GI WIRELESS CAPSULE MEASURE,,,660.46,1606.79,15
CPT,91113,GI TRC IMG INTRAL COLON I&R,,,665.9,1613.88,17
CPT,91117,COLON MOTILITY 6 HR STUDY,,,133.82,554.25,17
CPT,91120,Outpatient Services,,,295.83,326.97,9
CPT,91120,Outpatient Services - CPT/HCPCS,,,228.69,554.25,4
CPT,91120,Therapy,,,499.31,499.31,4
CPT,91122,Outpatient Services,,,295.83,326.97,9
CPT,91122,Outpatient Services - CPT/HCPCS,,,228.69,554.25,4
CPT,91122,Therapy,,,275.62,275.62,4
CPT,91124,RECTAL SENSATION TONE & COMPLIANCE STUDY,974.0,779.2,270.48,876.6,27
CPT,91125,ANORECTAL MANOMETRY W RECTAL SENSATION & RECTAL BALLOON EXPULSION TEST,1530.0,1224.0,424.88,1377.0,27
CPT,91132,ELECTROGASTROGRAPHY,,,228.69,554.25,17
CPT,91133,ELECTROGASTROGRAPHY W/TEST,,,93.07,459.03,17
CPT,91200,LIVER ELASTOGRAPHY,,,30.62,275.82,17
CPT,91299,AGILE PATENCY CAPSULE,1257.0,1005.6,113.81,1131.3,38
CPT,91299,HIGH RESOLUTION ESOPHAGEAL MANOMETRY,2202.0,1761.6,113.81,1981.8,38
CPT,91300,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91301,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91302,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91303,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,148.2,171.72,14
CPT,91305,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91306,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91307,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91308,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91309,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91310,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91311,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91312,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91313,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91314,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91315,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91316,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91317,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
CPT,91318,COVID-19 mRNA Vac Tris-S 6mo-4y-Pfizer IM Susp 3 MCG/0.3ML,431.215,344.98,58.65,604.7,144
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,,,84.82,99.54,16
CPT,91320,COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML,461.63,369.31,131.1,415.47,72
CPT,91320,COVID-19 mRNA Vac Tris-Sucrose-Pfizer IM Susp 30 MCG/0.3ML,381.17,304.94,131.1,343.05,72
CPT,91321,SARSCOV2 VAC 25 MCG/.25ML IM,,,131.58,154.41,16
CPT,91322,SARSCOV2 VAC 50 MCG/0.5ML IM,,,144.64,169.73,16
CPT,92002,INTRM OPH EXAM NEW PATIENT,,,44.61,233.42,17
CPT,92004,COMPRE OPH EXAM NEW PT 1/>,,,92.21,233.42,17
CPT,92012,INTRM OPH EXAM EST PATIENT,,,49.27,233.42,17
CPT,92014,COMPRE OPH EXAM EST PT 1/>,,,74.23,233.42,17
CPT,92015,DETERMINE REFRACTIVE STATE,,,17.14,24.16,15
CPT,92018,SURG 92018 OPHTH EXAM&EVAL ANES W/WO MANJ GLOBE COMPL,2079.0,1663.2,136.81,4126.4,38
CPT,92019,LMTD OPH EXAM GENERAL ANES,,,71.57,4126.4,17
CPT,92020,GONIOSCOPY,,,19.97,225.57,17
CPT,92025,CPTRIZED CORNEAL TOPOGRAPHY,,,36.28,108.01,17
CPT,92060,SENSORIMOTOR EXAMINATION,,,44.57,108.01,17
CPT,92065,ORTHOP TRAING PFRMD PHYS/QHP,,,32.95,57.59,15
CPT,92066,ORTHOP TRAING SUPVJ PHYS/QHP,,,26.3,108.01,17
CPT,92071,CONTACT LENS FITTING FOR TX,,,1.0,36.26,15
CPT,92072,FITG C-LENS KERATOCONUS 1ST,,,1.0,125.25,15
CPT,92081,LIMITED VISUAL FIELD XM,,,33.29,108.01,17
CPT,92082,INTERMEDIATE VISUAL FIELD XM,,,44.57,108.01,17
CPT,92083,EXTENDED VISUAL FIELD XM,,,63.25,225.57,17
CPT,92100,ED 92100 SERIAL TONOMETRY EXAM,264.0,211.2,1.0,237.6,36
CPT,92132,CPTRZD OPH DX IMG ANT SGM,,,31.29,108.01,17
CPT,92133,CPTRZD OPH DX IMG PST SGM ON,,,36.28,108.01,17
CPT,92134,CPTRZ OPH DX IMG PST SGM RTA,,,40.28,108.01,17
CPT,92136,OPHTHALMIC BIOMETRY,,,46.94,225.57,17
CPT,92137,CPTRZ OPH IMG PST SG RTA OCT,,,295.83,326.97,9
CPT,92145,CORNEAL HYSTERESIS DETER,,,12.98,108.01,17
CPT,92201,OPSCPY EXTND RTA DRAW UNI/BI,,,22.3,108.01,17
CPT,92202,OPSCPY EXTND ON/MAC DRAW,,,14.31,108.01,17
CPT,92227,IMG RTA DETCJ/MNTR DS STAFF,,,17.64,108.01,17
CPT,92228,IMG RTA DETC/MNTR DS PHY/QHP,,,29.23,70.83,17
CPT,92229,IMG RTA DETC/MNTR DS POC ALY,,,40.94,108.01,17
CPT,92230,FLUORESCEIN ANGIOSCOPY I&R,,,33.95,946.44,17
CPT,92235,FLUORESCEIN ANGRPH MLTIFRAME,,,162.11,554.25,17
CPT,92240,ICG ANGIOGRAPHY I&R UNI/BI,,,187.74,554.25,17
CPT,92242,FLUORESCEIN&ICG ANGIOGRAPHY,,,228.69,554.25,17
CPT,92250,FUNDUS PHOTOGRAPHY 92250,293.0,234.4,36.95,263.7,38
CPT,92260,OPHTHALMODYNAMOMETRY,,,10.65,70.83,17
CPT,92265,NDL OCULOELECTROMYOGRAPHY 1+,,,44.57,108.01,17
CPT,92270,ELECTRO-OCULOGRAPHY W/I&R,,,93.07,225.57,17
CPT,92273,FULL FIELD ERG W/I&R,,,125.83,554.25,15
CPT,92274,MULTIFOCAL ERG W/I&R,,,89.21,275.82,15
CPT,92283,EXTND COLOR VISION XM,,,44.57,108.01,17
CPT,92284,DX DARK ADAPTATION EXAM I&R,,,37.28,703.57,17
CPT,92285,EXTERNAL OCULAR PHOTOGRAPHY,,,23.3,70.83,17
CPT,92286,ANT SGM IMG I&R SPECLR MIC,,,38.95,225.57,17
CPT,92287,ANT SGM IMG IR FLRSCN ANGRPH,,,93.07,225.57,17
CPT,92310,CONTACT LENS FITTING OU,,,56.26,99.27,15
CPT,92311,CONTACT LENS FITG APHAKIA 1,,,50.26,703.57,17
CPT,92312,CONTACT LENS FITG APHAKIA OU,,,59.92,225.57,15
CPT,92313,C-LENS FITG CORNEOSCLRL LENS,,,41.94,225.57,15
CPT,92314,C-LENS FITG TECH OU,,,33.29,86.45,15
CPT,92315,C-LENS FITG TECH APHAKIA 1,,,20.31,225.57,15
CPT,92316,C-LENS FITG TECH APHAKIA OU,,,30.62,225.57,15
CPT,92317,C-LENS FITG TECH CORNEOSCLRL,,,20.31,70.83,15
CPT,92325,MODIFICATION OF CONTACT LENS,,,40.94,225.57,15
CPT,92326,REPLACEMENT OF CONTACT LENS,,,39.28,108.01,15
CPT,92340,FIT SPECTACLES MONOFOCAL,,,17.64,34.9,15
CPT,92341,FIT SPECTACLES BIFOCAL,,,22.64,39.79,15
CPT,92342,FIT SPECTACLES MULTIFOCAL,,,25.63,44.79,15
CPT,92352,FIT APHAKIA SPECTCL MONOFOCL,,,17.64,108.01,15
CPT,92353,FIT APHAKIA SPECTCL MULTIFOC,,,23.97,108.01,15
CPT,92354,FITG SPECT LOW VIS 1SYSTEM,,,13.98,70.83,15
CPT,92355,FITG SPECT LW VIS CMPND LENS,,,21.64,70.83,15
CPT,92358,APHAKIA PROSTH SERVICE TEMP,,,11.65,108.01,15
CPT,92370,RPR&REFITG SPECT XCP APHAKIA,,,15.31,30.49,15
CPT,92371,RPR&REFIT SPCT PRSTH APHAKIA,,,11.98,108.01,15
CPT,92499,UNLISTED OPH SVC/PROCEDURE,,,21.7,52.6,13
CPT,92502,EAR AND THROAT EXAMINATION,,,94.87,971.56,17
CPT,92504,EAR MICROSCOPY EXAMINATION,,,1.0,29.0,15
CPT,92507,SPEECH THERAPY TX 92507,354.0,283.2,70.72,318.6,36
CPT,92508,SPEECH THERAPY GROUP 92508,206.0,164.8,22.24,185.4,36
CPT,92511,ED 92511 NASOPHARYNGOSCOPY,531.0,424.8,37.61,477.9,38
CPT,92512,RHINOMANOMETRY,217.0,173.6,26.96,554.25,38
CPT,92516,FACIAL NERVE FUNCTION TEST,,,22.3,554.25,17
CPT,92517,VEMP TEST I&R CERVICAL,,,41.61,275.82,17
CPT,92518,VEMP TEST I&R OCULAR,,,42.28,275.82,17
CPT,92519,VEMP TST I&R CERVICAL&OCULAR,,,62.58,554.25,17
CPT,92520,LARYNGEAL FUNCTION STUDIES,,,39.28,225.57,17
CPT,92521,SPEECH EVAL FLUENCY 92521,486.0,388.8,113.81,437.4,36
CPT,92522,SPEECH EVAL SOUND PRODUCTION 92522,486.0,388.8,102.11,437.4,36
CPT,92523,SPEECH EVAL LANG COMP EXPRESSION 92523,625.0,500.0,113.81,562.5,36
CPT,92524,ST BEHAVIOR QUALIT ANALYSIS VOICE 92524,555.0,444.0,100.46,499.5,36
CPT,92526,DYSPHAGIA THERAPY 92526,366.0,292.8,78.1,329.4,36
CPT,92531,SPONTANEOUS NYSTAGMUS STUDY,,,1.0,1.0,2
CPT,92532,POSITIONAL NYSTAGMUS TEST,,,1.0,1.0,2
CPT,92533,CALORIC VESTIBULAR TEST,,,1.0,1.0,2
CPT,92534,OPTOKINETIC NYSTAGMUS TEST,,,1.0,1.0,2
CPT,92537,CALORIC VSTBLR TEST W/REC,,,39.61,275.82,17
CPT,92538,CALORIC VSTBLR TEST W/REC,,,22.3,275.82,17
CPT,92540,BASIC VESTIBULAR EVALUATION,,,106.52,275.82,17
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,,,24.97,225.57,17
CPT,92542,POSITIONAL NYSTAGMUS TEST,,,28.63,225.57,17
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,,,17.64,275.82,17
CPT,92545,OSCILLATING TRACKING TEST,,,16.64,538.57,17
CPT,92546,SINUSOIDAL ROTATIONAL TEST,,,113.81,275.82,17
CPT,92547,SUPPLEMENTAL ELECTRICAL TEST,,,1.0,10.65,15
CPT,92548,CDP-SOT 6 COND W/I&R,,,46.94,225.57,15
CPT,92549,CDP-SOT 6 COND W/I&R MCT&ADT,,,64.24,225.57,17
CPT,92550,TYMPANOMETRY & REFLEX THRESH,,,21.64,275.82,17
CPT,92551,PURE TONE HEARING TEST AIR,,,11.49,22.1,15
CPT,92552,AUDIOMETRY AIR ONLY,111.0,88.8,37.95,225.57,38
CPT,92553,AUDIOMETRY AIR BONE,126.0,100.8,45.94,275.82,38
CPT,92555,SPEECH AUDIOMETRY THRESHOLD,98.0,78.4,28.96,108.01,38
CPT,92556,SPEECH AUDIO W SPEECH RECOG,152.0,121.6,44.57,136.8,38
CPT,92557,AUDIOMETRY COMPREHENSIVE,266.0,212.8,31.29,275.82,38
CPT,92558,EVOKED AUD SCREEN QUALITATIVE,200.0,160.0,8.32,180.0,36
CPT,92562,LOUDNESS BALANCE TEST,,,48.27,554.25,17
CPT,92563,TONE DECAY HEARING TEST,,,29.23,70.83,17
CPT,92565,STENGER TEST PURE TONE,,,20.97,108.01,17
CPT,92567,TYMPANOMETRY,186.0,148.8,10.65,167.4,38
CPT,92568,ACOUSTIC REFLEX TESTING,186.0,148.8,14.65,167.4,38
CPT,92570,ACOUSTIC REFLX DECAY TEST,192.0,153.6,28.63,275.82,38
CPT,92571,FILTERED SPEECH TEST,,,29.23,70.83,17
CPT,92572,STAGGERED SPONDAIC WORD TEST,,,53.26,275.82,17
CPT,92575,SENSORINEURAL ACUITY LVL TST,,,29.23,73.9,17
CPT,92576,SYNTHETIC SENTENCE ID TEST,,,29.23,70.83,17
CPT,92577,STENGER TEST SPEECH,,,21.97,710.75,17
CPT,92579,VISUAL REINFORCE AUDIOMETRY,209.0,167.2,36.28,275.82,38
CPT,92582,CONDITIONING PLAY AUDIOMETRY,305.0,244.0,86.55,275.82,38
CPT,92583,SELECT PICTURE AUDIOMETRY,187.0,149.6,44.57,168.3,38
CPT,92584,ELECTROCOCHLEOGRAPHY,,,110.51,275.82,17
CPT,92587,OTOACOUSTIC EMISS LTD SEP PROC M59,295.0,236.0,21.3,554.25,38
CPT,92587,OTOACOUSTIC EMISSION LTD 92587,295.0,236.0,21.3,554.25,38
CPT,92588,EVOKED OTOACOUSTIC EMISSIONS,436.0,348.8,32.95,554.25,38
CPT,92590,Outpatient Services - CPT/HCPCS,,,41.15,41.15,2
CPT,92591,Outpatient Services - CPT/HCPCS,,,52.3,52.3,2
CPT,92592,Outpatient Services - CPT/HCPCS,,,16.36,16.36,2
CPT,92593,Outpatient Services - CPT/HCPCS,,,26.77,26.77,2
CPT,92594,Outpatient Services - CPT/HCPCS,,,15.61,15.61,2
CPT,92595,Outpatient Services - CPT/HCPCS,,,33.46,33.46,2
CPT,92596,EAR PROTECTOR EVALUATION,,,29.23,76.89,17
CPT,92597,VOICE PROSTHETIC EVAL 92597,541.0,432.8,66.84,486.9,36
CPT,92601,COCHLEAR IMPLT F/UP EXAM <7,,,113.81,275.82,17
CPT,92602,REPROGRAM COCHLEAR IMPLT <7,,,67.91,275.82,17
CPT,92603,COCHLEAR IMPLT F/UP EXAM 7/>,,,113.81,275.82,17
CPT,92604,REPROGRAM COCHLEAR IMPLT 7/>,,,64.91,275.82,17
CPT,92605,EX FOR NONSPEECH DEVICE RX,,,81.3,275.82,15
CPT,92606,NON-SPEECH DEVICE SERVICE,,,67.24,117.5,15
CPT,92607,EVAL SP COMM DVC 1ST HR 92607,592.0,473.6,113.81,532.8,36
CPT,92608,EVAL SP COM DVC ADDL 30M 92608,223.0,178.4,44.79,275.82,36
CPT,92609,TX SPEECH COMM DVC 92609,387.0,309.6,95.12,348.3,36
CPT,92610,EVAL ORAL & PHARYNGEAL SWALLOW 92610,458.0,366.4,69.9,412.2,36
CPT,92611,VIDEO SWALLOW W XRAY 92611,599.0,479.2,83.56,539.1,36
CPT,92612,FIBEROPTIC ENDOSCOPIC EVAL,642.0,513.6,65.58,577.8,36
CPT,92613,ENDOSCOPY SWALLOW (FEES) I&R,,,32.74,62.82,15
CPT,92614,LARYNGOSCOPIC SENSORY VID,,,64.58,151.92,15
CPT,92615,LARYNGOSCOPIC SENSORY I&R,,,29.05,56.42,15
CPT,92616,FEES W/LARYNGEAL SENSE TEST,,,98.2,233.61,15
CPT,92617,FEES W/LARYNGEAL SENSE I&R,,,36.42,70.39,15
CPT,92618,EX FOR NONSPEECH DEV RX ADD,,,28.43,275.82,15
CPT,92620,AUDITORY FUNCTION 60 MIN,,,77.89,275.82,17
CPT,92621,AUDITORY FUNCTION + 15 MIN,,,1.0,21.87,15
CPT,92622,DX ALY AUD OI SND PRCSR 1ST,,,65.24,275.82,17
CPT,92623,DX ALY AUD OI SND PRCSR EACH,,,17.31,30.25,15
CPT,92625,TINNITUS ASSESSMENT,,,59.92,275.82,17
CPT,92626,EVAL AUD FUNCTION SURG IMPLNT DEVICE 1ST HR 92626,334.0,267.2,73.23,300.6,36
CPT,92627,EVAL AUD FUNCTION SURG IMPLNT DEVICE  ADDL 15 MIN 92627,85.0,68.0,1.0,76.5,36
CPT,92630,REHAB PRELING HEAR LOSS,249.0,199.2,66.47,224.1,27
CPT,92633,REHAB POSTLING HEAR LOSS,256.0,204.8,71.09,230.4,27
CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,91.87,275.82,17
CPT,92650,AEP SCREEN AUDITORY POTENTIAL W/STIMULI AUTO ALYS,353.0,282.4,23.9,317.7,36
CPT,92651,AEP HEARING STATUS DETER BROADBAND STIMULI I&R,374.0,299.2,82.55,554.25,38
CPT,92652,AEP THRESHOLD ESTIMATION MLT FREQUENCIES I&R,528.0,422.4,111.85,554.25,38
CPT,92653,AEP NEURODIAGNOSTIC INTERPRET AND REPORT,528.0,422.4,82.89,554.25,38
CPT,92700,UNLISTED ORL SERVICE/PX,,,21.7,52.6,13
CPT,92920,PTCA SGL MAJ ARTERY BRANCH AND OR BRANCHES,14905.0,11924.0,514.29,13414.5,38
CPT,92921,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,92924,PTCA CORONARY ANGIO ARTHRECT SGL MAJ ARTERY AND OR BRANCHES,20642.0,16513.6,613.49,19426.22,38
CPT,92925,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,92928,COR BMS SGL MAJ ARTERY BRNCH 1 LES 1+ C SEGMENTS,19864.0,15891.2,572.21,19426.22,38
CPT,92929,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,92930,PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,27000.0,21600.0,7497.9,24300.0,27
CPT,92933,COR ATHER BMS PTCA ART BRNCH,28008.0,22406.4,641.78,30964.11,38
CPT,92934,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,92937,COR BYP GRFT REVASC ANY COMBO BMS ATHERECT ANGIO SGL MAJ COR ART & BRANCH,20142.0,16113.6,572.21,19426.22,38
CPT,92938,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,92941,PERQ TRLUML REVSC ASP THROMBECT ACUTE TOT/STOT OCCLS AMI 1MAJ C ART,20636.0,16508.8,541.89,18572.4,38
CPT,92941,PERQ TRLUML REVSC BMS TOT/STOT OCCLS AMI 1MAJ C ART,20636.0,16508.8,541.89,18572.4,38
CPT,92941,PERQ TRLUML REVSC PCTA ACUTE TOT/STOT OCCLS AMI 1MAJ C ART,20636.0,16508.8,541.89,18572.4,38
CPT,92943,PERQ TRLUML REVSC ANGIO (PTCA) CHRNC TOT OCCLS 1 C ART ANTGRD,22488.0,17990.4,642.45,20239.2,38
CPT,92943,PERQ TRLUML REVSC BMS CHRNC TOT OCCLS 1 C ART ANTGRD,22488.0,17990.4,642.45,20239.2,38
CPT,92944,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
CPT,92950,CARDIOPULMONARY RESUSCITATION,1223.0,978.4,180.09,1100.7,38
CPT,92950,ED 92950 CARDIOPULMON RESUSCITATION,1223.0,978.4,180.09,1100.7,38
CPT,92953,TEMPORARY TRANSCUTANEOUS PACING,1186.0,948.8,1.0,1149.24,38
CPT,92960,CARDIOVERSION,2143.0,1714.4,105.85,1928.7,38
CPT,92960,ED 92960 CARDIOVERSION,2143.0,1714.4,105.85,1928.7,38
CPT,92960,ED 92960 CARDIOVERSION ELECTIVE EXTERNAL,2143.0,1714.4,105.85,1928.7,38
CPT,92961,ED 92961 CARDIOVERSION INTERNAL,2014.0,1611.2,238.34,1812.6,38
CPT,92970,CARDIOASSIST INTERNAL,707.0,565.6,154.55,636.3,36
CPT,92971,CARDIOASSIST EXTERNAL,,,82.94,1149.24,15
CPT,92972,PERQ TRANSLUMINAL CORONARY LITHOTRIPSY,4723.0,3778.4,127.13,10092.93,36
CPT,92973,PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,7001.0,5600.8,1.0,6300.9,36
CPT,92974,CATH PLACE CARDIO BRACHYTX,,,1.0,157.12,15
CPT,92975,Outpatient Services,,,307.64,340.02,9
CPT,92975,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,92975,Therapy,,,365.5,365.5,4
CPT,92977,Outpatient Services,,,315.11,348.27,9
CPT,92977,Outpatient Services - CPT/HCPCS,,,246.76,598.04,4
CPT,92977,Therapy,,,55.26,55.26,4
CPT,92978,ENDOLUMINAL IMAG IVUS/OCT INITIAL COR GRFT,5255.0,4204.0,1.0,4729.5,27
CPT,92979,ENDOLUMINAL IMAG IVUS/OCT EA ADDL COR GRFT,4234.0,3387.2,1.0,3810.6,27
CPT,92986,AORTIC VALVULOPLASTY,14883.0,11906.4,1297.55,13394.7,38
CPT,92987,VALVULOPLASTY-MITRAL,20475.0,16380.0,1337.16,19426.22,38
CPT,92990,VALVULOPLASTY- PULMONARY,17209.0,13767.2,1070.86,19426.22,38
CPT,92997,SURG 92997 PERCUT TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL,19497.0,15597.6,616.82,19426.22,38
CPT,92998,PUL ART BALLOON REPR PERCUT,,,1.0,309.57,15
CPT,93000,ELECTROCARDIOGRAM COMPLETE,,,12.83,25.01,15
CPT,93005,ECG TRACING WO INTERP,358.0,286.4,6.32,322.2,38
CPT,93010,ELECTROCARDIOGRAM REPORT,,,7.19,13.96,15
CPT,93015,CV STRESS TEST SUPVJ I&R,,,66.54,125.65,15
CPT,93016,CV STRESS TEST SUPVJ ONLY,,,18.86,36.07,15
CPT,93017,CARDIAC STRESS TEST TRACING,1653.0,1322.4,37.61,1487.7,38
CPT,93018,CV STRESS TEST I&R ONLY,,,12.72,23.85,15
CPT,93024,ERGONOVINE PROVOCATION TEST,,,111.51,703.57,17
CPT,93025,MICROVOLT T-WAVE ASSESS,,,113.81,275.82,17
CPT,93040,RHYTHM ECG WITH REPORT,,,11.91,22.69,15
CPT,93041,RHYTHM ECG 1-3 LEADS WO I&R,193.0,154.4,6.32,173.7,38
CPT,93042,RHYTHM ECG REPORT,,,5.96,11.63,15
CPT,93050,ART PRESSURE WAVEFORM ANALYS,,,15.98,52.6,17
CPT,93150,THERAPY ACTIVATION IPNSS,,,41.94,170.94,15
CPT,93151,INTERROG&PRGRMG IPNSS,,,39.61,170.94,15
CPT,93152,INTERROG&PRGRMG IPNSS POLYSM,,,92.54,527.43,15
CPT,93153,INTERROG W/O PRGRMG IPNSS,,,21.3,170.94,15
CPT,93224,XTRNL ECG REC UP TO 48 HRS,,,64.27,125.65,15
CPT,93225,HOLTER MONITOR APP UP TO 48 HOURS,649.0,519.2,18.31,584.1,38
CPT,93226,HOLTER MONITOR SCAN UP TO 48HR,993.0,794.4,35.62,893.7,38
CPT,93227,XTRNL ECG REC<48 HR R&I,,,16.4,31.41,15
CPT,93228,REMOTE 30 DAY ECG REV/REPORT,,,22.48,43.05,15
CPT,93229,REMOTE 30 DAY ECG TECH SUPP,,,228.69,812.88,17
CPT,93241,XTRNL ECG REC>48HR<7D,,,246.0,450.82,15
CPT,93242,EXTERNAL ECG REC > 48HR < 7D RECORDING,225.0,180.0,11.98,202.5,38
CPT,93243,EXT ECG>48HR<7D SCAN A/R,,,93.07,225.57,17
CPT,93244,EXT ECG>48HR<7D REV&INTERPJ,,,20.52,39.56,15
CPT,93245,EXT ECG>7D<15D REC SCAN A/R,,,256.14,474.09,15
CPT,93246,EXTERNAL ECG REC > 7D < 15D RECORDING,289.0,231.2,11.98,260.1,38
CPT,93247,EXTERNAL ECG REC > 7D < 15D SCANNING ALYS W REP,517.0,413.6,93.07,465.3,38
CPT,93248,EXT ECG>7D<15D REV&INTERPJ,,,22.67,43.63,15
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,,,27.49,75.23,17
CPT,93261,INTERROG DEVICE EVAL WANLYS REVIEW & RPT IMPLANT SUBCUT LEAD DEFIB,140.0,112.0,27.49,126.0,38
CPT,93264,REM MNTR WRLS P-ART PRS SNR,,,34.95,61.08,15
CPT,93268,ECG RECORD/REVIEW,,,154.42,305.39,15
CPT,93270,REMOTE 30 DAY ECG REV/REPORT,,,8.32,66.61,17
CPT,93271,ECG/MONITORING AND ANALYSIS,,,70.53,170.94,17
CPT,93272,ECG/REVIEW INTERPRET ONLY,,,21.44,41.3,15
CPT,93278,ECG/SIGNAL-AVERAGED,,,31.62,108.01,17
CPT,93279,PROG EVAL WADJ SGL OR LEADLESS PM,240.0,192.0,27.49,216.0,38
CPT,93280,PROG EVAL WADJ DUAL PACE,250.0,200.0,27.49,225.0,38
CPT,93281,PROG EVAL WADJ MULT PACE,293.0,234.4,27.49,263.7,38
CPT,93282,ICD FU-SINGLE-REPROG IN PERSON,308.0,246.4,27.49,277.2,38
CPT,93283,ICD FU-DUAL-REPROG IN PERSON,322.0,257.6,27.49,289.8,38
CPT,93284,PROG EVAL WADJ MULT ICD,322.0,257.6,27.49,289.8,38
CPT,93285,PROG EVAL WADJ SUBC CARDIAC RHYTHM SYS,208.0,166.4,27.49,187.2,38
CPT,93286,PERI-PROC EVAL PACE (ALL),248.0,198.4,1.0,223.2,36
CPT,93287,PERI-PROC EVAL ICD (ALL),276.0,220.8,1.0,248.4,36
CPT,93288,ED 93288 INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,210.0,168.0,27.49,189.0,38
CPT,93288,INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,210.0,168.0,27.49,189.0,38
CPT,93289,ICD FU-DUAL-NO PROG IN PERSON,283.0,226.4,27.49,254.7,38
CPT,93290,DEVICE INTEROG CV MONITOR,168.0,134.4,27.49,151.2,38
CPT,93291,DEVICE INTEROG SUBCUT CRMS,200.0,160.0,21.7,180.0,38
CPT,93292,DEVICE INTEROG WEAR DEFIB,215.0,172.0,27.49,193.5,38
CPT,93293,PM PHONE R-STRIP DEVICE EVAL,,,27.49,66.61,17
CPT,93294,REM INTERROG EVL PM/LDLS PM,,,25.97,50.61,15
CPT,93295,DEV INTERROG REMOTE 1/2/MLT,,,32.12,62.82,15
CPT,93296,REM INTERROG EVL PM/IDS,,,21.3,66.61,17
CPT,93297,REM INTERROG DEV EVAL ICPMS,,,35.43,105.29,15
CPT,93298,REM INTERROG DEV EVAL SCRMS,,,35.43,177.42,15
CPT,93303,ECHO CONGENITL COMP,2393.0,1914.4,219.03,2153.7,38
CPT,93304,ECHO CONGENITL LTD,1805.0,1444.0,155.12,1624.5,38
CPT,93306,ECHO (2D) COMPLETE W DOPPLER & COLOR,3131.0,2504.8,196.06,2817.9,38
CPT,93307,ECHO 2D WO DOP COL COMP,2062.0,1649.6,136.15,1855.8,38
CPT,93308,ECHO 2-D LIMITED,1997.0,1597.6,98.53,1797.3,38
CPT,93312,ECHO TRANSESOPHAGEAL,3228.0,2582.4,235.01,2905.2,38
CPT,93313,TEE 2D PROBE PLCMNT ONLY,1392.0,1113.6,10.98,1252.8,38
CPT,93314,TEE IMAGE ACQUISITION,1392.0,1113.6,1.0,1252.8,36
CPT,93315,TEE CONGENITAL,2472.0,1977.6,401.94,2224.8,38
CPT,93316,ECHO TRANSESOPHAGEAL,,,25.3,974.15,17
CPT,93317,TEE CONG IMAGE ACQ,1394.0,1115.2,1.0,1254.6,27
CPT,93318,ECHO TRANSESOPHAGEAL INTRAOP,,,401.94,974.15,13
CPT,93319,3D ECHO IMG CGEN CAR ANOMAL,,,1.0,53.84,15
CPT,93320,DOPPLER SPECTRAL DISPLAY COMP,993.0,794.4,1.0,893.7,36
CPT,93321,DOPPLER LIMITED,625.0,500.0,1.0,562.5,36
CPT,93325,COLOR FLOW VEL MAP,902.0,721.6,1.0,811.8,36
CPT,93325,COLOR FLOW VEL MAP M59,902.0,721.6,1.0,811.8,36
CPT,93350,ECHO 2D WITH STRESS,2900.0,2320.0,185.08,2610.0,38
CPT,93351,STRESS TTE WMONITOR,3179.0,2543.2,231.68,2861.1,38
CPT,93352,STRESS TTE CTR USE,368.0,294.4,31.89,432.69,36
CPT,93355,ECHO TRANSESOPHAGEAL (TEE) FOR STRUCTURAL INTERVENTION,1649.0,1319.2,1.0,1484.1,36
CPT,93356,MYOCRD STRAIN IMG SPCKL TRCK ADD ON,702.0,561.6,1.0,631.8,36
CPT,93451,RT HRT W O2 SAT & CO,9889.0,7911.2,848.83,8900.1,38
CPT,93452,LT HRT W LV ANGIO,14475.0,11580.0,882.78,13027.5,38
CPT,93453,RT LT HRT W LV ANGIO,17477.0,13981.6,1126.45,15729.3,38
CPT,93454,ANGIO CORONARY ARTERY,13950.0,11160.0,890.11,12555.0,38
CPT,93455,ANGIO CORONARY ARTERY GRAFT,14082.0,11265.6,991.63,12673.8,38
CPT,93456,RT HRT COR ART ANGIO,17846.0,14276.8,1107.48,16061.4,38
CPT,93457,RT HRT COR ART GRAFT ANGIO,23396.0,18716.8,1207.0,21056.4,38
CPT,93458,LT HRT COR ART & LV ANGIO,23249.0,18599.2,1023.92,20924.1,38
CPT,93459,LT HRT COR ART GRAFT ANGIO,24246.0,19396.8,1101.48,21821.4,38
CPT,93460,RT LT HRT COR ART & LV ANGIO,23737.0,18989.6,1221.98,21363.3,38
CPT,93461,CATH COR BYP GRFT W/ LT RT HEART CATH,21102.0,16881.6,1348.14,18991.8,38
CPT,93462,LT HRT TRANSSEPT TRANSAPICAL,8850.0,7080.0,1.0,7965.0,36
CPT,93463,DRUG ADMIN & HEMODYNAMIC MEAS,648.0,518.4,1.0,583.2,36
CPT,93464,EXERCISE WHEMODYNAMIC MEAS,597.0,477.6,1.0,537.3,36
CPT,93503,INSERT PLACE HEART CATH,4348.0,3478.4,85.55,3913.2,38
CPT,93505,BX ENDOMYOCARDIAL,6709.0,5367.2,636.46,6038.1,38
CPT,93530,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,93531,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,93532,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,93533,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
CPT,93563,COR ART INJ CONGENITAL HRT,3480.0,2784.0,1.0,3132.0,36
CPT,93564,COR ART GRAFT INJ CONGEN HRT,3012.0,2409.6,1.0,2710.8,36
CPT,93565,LA  LV ANGIO CONGENITAL HRT,2251.0,1800.8,1.0,2025.9,36
CPT,93566,RA  RV ANGIO CONGENITAL HRT,2317.0,1853.6,1.0,2085.3,36
CPT,93567,AORTO ANGIO CONGENITAL HRT,3258.0,2606.4,1.0,2932.2,36
CPT,93568,INJECT PULMONARY ANG NONSELECT PULM ART ANGIO,3102.0,2481.6,1.0,2791.8,36
CPT,93569,PULMONARY ANGIO SELECTIVE ARTERIAL UNILATERAL,2134.0,1707.2,1.0,1920.6,36
CPT,93571,IV DOP VEL&/PRESS C/FLO RSRV MEAS 1ST VESSEL,4745.0,3796.0,1.0,4270.5,27
CPT,93572,IV DOP VEL&/PRESS C/FLO RSRV MEAS EA ADDL VSL,3957.0,3165.6,1.0,3561.3,27
CPT,93573,NJX CATH SLCT P-ART ANGRP BI,,,1.0,61.25,15
CPT,93574,NJX CATH SLCT PULM VN ANGRPH,,,1.0,68.24,15
CPT,93575,NJX CATH SLCT P ANGRPH MAPCA,,,1.0,90.54,15
CPT,93580,PFO ASD,29793.0,23834.4,949.36,30964.11,38
CPT,93581,PFO VSD,27664.0,22131.2,1288.23,30964.11,38
CPT,93582,SURG 93582 PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS,28008.0,22406.4,643.11,30964.11,38
CPT,93583,SURG 93583 PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,18513.0,14810.4,608.07,18052.08,36
CPT,93584,VNGRPH CHD ANOM/PERSIST SVC,,,51.26,5628.59,15
CPT,93585,VNGRPH CHD AZYGS/HEMIAZYGS,,,48.19,5628.59,15
CPT,93586,VNGRPH CHD CORONARY SINUS,,,61.14,5628.59,15
CPT,93587,VNGRPH CHD VNVN CLTRL AT/ABV,,,89.88,5628.59,15
CPT,93588,VNGRPH CHD VNVN CLTRL BELOW,,,90.92,5628.59,15
CPT,93590,SURG 93590 PERQ CLOSURE PARAVALVULAR LEAK MITRAL INITIAL DEVICE,30165.0,24132.0,1040.57,30964.11,38
CPT,93591,SURG 93591 PERQ CLOSURE PARAVALVULAR LEAK AORTIC INITIAL DEVICE,32117.0,25693.6,855.49,30964.11,38
CPT,93592,SURG 93592 PERQ CLOSURE PARAVALVULAR LEAK EA ADDL DEVICE,6691.0,5352.8,1.0,6021.9,36
CPT,93593,R HRT CATH CHD W IMG CATH TRGT ZONE NML NATIVE CONNECT,11765.0,9412.0,2374.18,10588.5,38
CPT,93594,R HRT CATH CHD W IMG CATH TRGT ZON ABNL NATIVE CONNECT,11765.0,9412.0,2374.18,10588.5,38
CPT,93595,L HRT CATH CHD IMG CATH TRGT ZON NML ABNL NATIVE CONNECT,11431.0,9144.8,2374.18,10287.9,38
CPT,93596,R&L HRT CATH CHD IMG CATH TRGT ZONE NML NATIVE CONNECT,14108.0,11286.4,2374.18,12697.2,38
CPT,93597,R&L HRT CATH CHD IMG CATH TRGT ZON ABNL NATIVE CONNECT,14108.0,11286.4,2374.18,12697.2,38
CPT,93598,CAR OUTP MEAS DRG CATH CHD,,,113.43,113.43,2
CPT,93600,HIS BUNDLE RECORD,8314.0,6651.2,2308.8,13187.56,38
CPT,93602,INTRA-ATRIAL RECORDING,8772.0,7017.6,2435.98,13187.56,38
CPT,93603,RV RECORDING,4795.0,3836.0,867.13,4315.5,38
CPT,93609,MAPPING OF TACHY SITE(S),7382.0,5905.6,1.0,6643.8,27
CPT,93610,INTRA-ATRIAL PACING,8523.0,6818.4,2366.84,13187.56,38
CPT,93612,INTRAVENTRICULAR PACING,8517.0,6813.6,2365.17,13187.56,38
CPT,93613,3D MAPPING,10815.0,8652.0,1.0,9733.5,36
CPT,93615,ESOPHAGEAL RECORDING,,,867.13,2101.58,13
CPT,93616,ESOPHAGEAL RECORDING W/PACG,,,867.13,2101.58,13
CPT,93618,INDUCT ARRH W PACE,5512.0,4409.6,867.13,4960.8,38
CPT,93619,EP EVAL WO INDUCTION,14069.0,11255.2,3906.96,13187.56,38
CPT,93620,EP EVAL W INDUCTION,14088.0,11270.4,3912.24,13187.56,38
CPT,93621,EP EVAL WLA INDUCTION,11631.0,9304.8,1.0,10467.9,27
CPT,93622,EP EVAL WLV INDUCTION,10613.0,8490.4,1.0,9551.7,27
CPT,93623,IV DRUG INF WSTIM&PACE,6539.0,5231.2,1.0,5885.1,27
CPT,93624,EP F-UP STUDY PACG&REC,,,5441.29,13187.56,13
CPT,93631,NTRAOP EPICAR&ENDCAR PAC&MAP,,,1.0,1.0,2
CPT,93640,EP EVAL OF AICD,2089.0,1671.2,1.0,1880.1,27
CPT,93641,EP EVAL OF ICD WTST GEN,3460.0,2768.0,1.0,3114.0,27
CPT,93642,DFT TESTING,3504.0,2803.2,325.22,3153.6,38
CPT,93644,EP EVALUATION OF SUBQ IMPLANT DEFIBRILATOR,2750.0,2200.0,1.0,2475.0,36
CPT,93650,CARDIAC ABLATION CHB,15278.0,12222.4,565.89,13750.2,38
CPT,93653,COMPRE EP EVAL ABLTJ 3D MAPG TX SVT,40064.0,32051.2,812.88,41939.28,38
CPT,93654,COMPRE EP EVAL ABLTJ 3D MAPG TX VT,38838.0,31070.4,979.32,41939.28,38
CPT,93655,ABLATION ICAR ARRHY ADD ON,20253.0,16202.4,1.0,18227.7,36
CPT,93656,COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION,37967.0,30373.6,921.73,41939.28,38
CPT,93657,ABLATE LA RA AFIB ADD ON,19683.0,15746.4,1.0,17714.7,36
CPT,93660,TILT TABLE EVALUATION,2453.0,1962.4,161.78,2207.7,38
CPT,93662,IC ECHO INCLUDE S&I,7085.0,5668.0,1.0,6376.5,27
CPT,93668,PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,177.0,141.6,14.65,159.3,38
CPT,93701,BIOIMPEDANCE CV ANALYSIS,,,26.96,225.57,17
CPT,93702,BIOIMPEDANCE SPECT XTRACELL FLUID ANALYSIS LYMPHEDEMA,298.0,238.4,113.81,275.82,38
CPT,93724,ELEC ALYS ANTITCHYCAR PM SYS,,,217.62,527.43,17
CPT,93740,TEMPERATURE GRADIENT STUDIES,,,7.66,275.82,17
CPT,93745,SET-UP CARDIOVERT-DEFIBRILL,,,217.62,527.43,13
CPT,93750,INTERROGATION VAD IN PERSON,,,39.28,170.94,17
CPT,93770,DETERMINATION VENOUS PRESS,,,1.0,7.66,15
CPT,93784,AMBL BP MNTR W/SOFTWARE,,,41.84,80.27,15
CPT,93786,AMBL BP MNTR W/SW REC ONLY,,,22.64,225.57,17
CPT,93788,AMBL BP MNTR W/SW A/R,,,5.66,183.1,17
CPT,93790,AMBL BP MNTR W/SW I&R,,,16.1,30.83,15
CPT,93792,PT/CAREGIVER TRAING HOME INR,,,62.73,122.74,15
CPT,93793,ANTICOAG MGMT PT WARFARIN,,,10.26,19.78,15
CPT,93797,PHASE 2 OUTPT WO MONITOR CARDIAC REHAB,354.0,283.2,8.65,318.6,38
CPT,93798,PHASE 1 INPT CARDIAC REHAB,365.0,292.0,13.32,328.5,38
CPT,93798,PHASE 2 OUTPT CARDIAC REHAB,365.0,292.0,13.32,328.5,38
CPT,93799,ANGIOVAC EXTRACTION MASS/DEBRIS ATRIUM,6174.0,4939.2,113.81,5556.6,38
CPT,93799,BASILICA PROCEDURE,6522.0,5217.6,113.81,5869.8,38
CPT,93799,COR REVASC LITHOTRIPSY,4590.0,3672.0,113.81,4131.0,38
CPT,93799,EP DRUG CHALLENGE,972.0,777.6,113.81,874.8,38
CPT,93799,"ICE, INCL IMAGING SUPERVISION & INTERP; STAND ALONE PROC",7085.0,5668.0,113.81,6376.5,38
CPT,93799,IFR WO ADMIN PHARMACOLOGIC STRESS AGENT EA ADDL VESSEL,1795.0,1436.0,113.81,1615.5,38
CPT,93799,IFR WO ADMIN PHARMACOLOGIC STRESS AGENT INITIAL VESSEL,3395.0,2716.0,113.81,3055.5,38
CPT,93799,"IVUS, ICE AND/OR  FFR WITHOUT HEART CATH",6940.0,5552.0,113.81,6246.0,38
CPT,93799,PROBING OF INTRA-ATRIAL SEPTUM W ICE,24559.0,19647.2,113.81,22103.1,38
CPT,93799,REPOSITION INTRA-AORTIC BALLOON PUMP,4041.0,3232.8,113.81,3636.9,38
CPT,93799,SURG 93799 CLOSURE AORTIC VALVE LEAK,10732.0,8585.6,113.81,9658.8,38
CPT,93799,SURG 93799 DIAGNOSTIC EVAL OF PARAVALVULAR REGION,4063.0,3250.4,113.81,3656.7,38
CPT,93799,SURG 93799 MANUAL ASPIRATION THROMBECTOMY COR ART,4727.0,3781.6,113.81,4254.3,38
CPT,93799,SURG 93799 UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE,10528.0,8422.4,113.81,9475.2,38
CPT,93799,SURG 93799 VENOUS CANNULATION VENOVENOUS EXTRACORP OXYGEN,3945.0,3156.0,113.81,3550.5,38
CPT,93880,DUP CAROTID BILAT,1282.0,1025.6,178.53,1153.8,38
CPT,93882,DUPLEX EXTRACRANIAL CAROTID UNILAT,906.0,724.8,80.11,815.4,38
CPT,93886,TRANSCRANIAL DOPP COMPL,1412.0,1129.6,178.53,1270.8,38
CPT,93888,TRANSCRANIAL DOPP LTD,865.0,692.0,80.11,778.5,38
CPT,93890,Outpatient Services - CPT/HCPCS,,,178.53,432.69,4
CPT,93890,Therapy,,,283.61,283.61,4
CPT,93892,TRANSCRANIAL DOPP EMBOLI DETECT WO INJ,1160.0,928.0,80.11,1044.0,38
CPT,93893,TCD STD ICR ART VEN-ART SHNT,,,80.11,402.45,17
CPT,93895,CAROTID INTIMA ATHEROMA EVAL,,,135.37,135.37,2
CPT,93896,VSRCTV STD TCD ICR ART COMPL,,,163.26,180.45,9
CPT,93897,EMBOLI DETCJ WO IV MBUBB NJX,,,205.48,227.11,9
CPT,93898,VEN-ARTL SHUNT DET MBUBB NJX,,,215.31,237.98,9
CPT,93922,LIMITED BILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS,655.0,524.0,82.22,589.5,38
CPT,93922,UNILAT PHYSIOLOGIC STUDIES EXT ART 3+ LVLS,896.0,716.8,82.22,806.4,38
CPT,93923,CMPL BILAT PHYSIOLOGIC STUDIES EXT ART 3+ LVLS,1036.0,828.8,113.81,932.4,38
CPT,93924,CMPL BILAT PHYS STUDIES LOWER EXT ART PRE POST EXER,1076.0,860.8,113.81,968.4,38
CPT,93925,DUPLEX ART LOWER EXT CMPL BILAT,1626.0,1300.8,178.53,1463.4,38
CPT,93926,DUPLEX ART LOWER EXT UNILAT LTD,1198.0,958.4,80.11,1078.2,38
CPT,93930,DUPLEX ART UPPER EXT CMPL BILAT,1436.0,1148.8,178.53,1292.4,38
CPT,93931,DUPLEX ART UPPER EXT UNILAT LTD,996.0,796.8,80.11,896.4,38
CPT,93970,DUPLEX VENOUS EXT CMPL BILAT,1728.0,1382.4,178.53,1555.2,38
CPT,93971,DUPLEX VENOUS EXT LTD UNILAT,1202.0,961.6,80.11,1081.8,38
CPT,93975,DUPLEX ABD PELVIS RETROPERITONEAL CMPL,1524.0,1219.2,178.53,1371.6,76
CPT,93976,DUPLEX ABD PELVIS RETROPERITONEAL LTD,1072.0,857.6,80.11,964.8,38
CPT,93978,DUPLEX AORTA IVC ILIAC OR GRAFT CMPL,1396.0,1116.8,178.53,1256.4,38
CPT,93979,DUPLEX AORTA IVC ILIAC OR GRAFT UNILAT LTD,1070.0,856.0,80.11,963.0,38
CPT,93980,PENILE PLETHYSMOGRAPHY,578.0,462.4,80.11,520.2,38
CPT,93981,PENILE VASCULAR STUDY,,,70.57,194.16,17
CPT,93985,DUPLEX SCAN ARTERIAL INFLOW & VENOUS O/F HEMO COMPL BILAT STD,1073.0,858.4,178.53,965.7,38
CPT,93986,DUPLEX SCAN ARTERIAL INFLOW & VENOUS O/F HEMO COMPL UNILAT STD,629.0,503.2,80.11,566.1,38
CPT,93990,DUPLEX HEMODIALYS ACCESS,852.0,681.6,80.11,766.8,38
CPT,93998,UNLISTD NONINVAS VASC DX STD,,,21.7,52.6,13
CPT,94002,VENT INITIAL DAY,1848.0,1478.4,89.88,1663.2,38
CPT,94002,VENT-HOME INITIAL DAY,1848.0,1478.4,89.88,1663.2,38
CPT,94003,VENT SUBSEQ DAY,1384.0,1107.2,63.25,1245.6,38
CPT,94003,VENT-HOME SUBSEQ DAY,1384.0,1107.2,63.25,1245.6,38
CPT,94004,VENT MGMT NF PER DAY,,,41.69,1106.58,15
CPT,94005,HOME VENT MGMT SUPERVISION,,,81.76,157.06,15
CPT,94010,PFT SCREEN  SPIROMETRY (NO BD),378.0,302.4,27.3,340.2,38
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,,,83.55,275.82,17
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,,,136.48,554.25,17
CPT,94013,MEAS LUNG VOL THRU 2 YRS,,,18.31,592.26,17
CPT,94014,PATIENT RECORDED SPIROMETRY,,,55.92,703.57,17
CPT,94015,PATIENT RECORDED SPIROMETRY,,,31.96,554.25,17
CPT,94016,REVIEW PATIENT SPIROMETRY,,,21.75,41.88,15
CPT,94060,PFT SCREEN  SPIROMETRY (WITH BD),492.0,393.6,38.95,554.25,38
CPT,94070,BRONCHOSPASM PROVOCATION EVAL,1387.0,1109.6,62.91,1248.3,38
CPT,94150,VITAL CAPACITY-SEP PROCEDURE,127.0,101.6,25.3,275.82,38
CPT,94200,MAXIMUM BREATHING CAPACITY,151.0,120.8,14.98,135.9,38
CPT,94375,RESPIRATORY FLOW VOLUME LOOP,,,38.95,554.25,17
CPT,94450,BREATHING RESPONSE HYPOXIA,,,79.56,275.82,17
CPT,94452,HAST WROOM AIR,332.0,265.6,50.26,298.8,38
CPT,94453,HAST WO2,388.0,310.4,66.91,349.2,38
CPT,94610,SURFACTANT ADMIN THRU TUBE,260.0,208.0,55.59,376.63,38
CPT,94617,EXERCISE TEST FOR BRONCHOSPASM WITH ECG,463.0,370.4,88.88,416.7,38
CPT,94618,HOME O2 EVAL WTH WALK,447.0,357.6,33.95,402.3,38
CPT,94618,PULMONARY STRESS TESTING (EG. 6-MINUTE WALK TEST),447.0,357.6,33.95,402.3,38
CPT,94619,EXERCISE TST BRNCSPSM WO ECG,,,44.57,108.01,17
CPT,94621,CARDIOPULM EXERCISE TESTING,1257.0,1005.6,154.45,1131.3,38
CPT,94625,PULM REHAB WO CONT OX MONIT PER SESSION,318.0,254.4,18.31,286.2,38
CPT,94626,PULM REHAB W CONT OX MONIT PER SESSION,318.0,254.4,26.96,286.2,38
CPT,94640,ED 94640 NEBULIZER TREATMENT,327.0,261.6,7.99,294.3,38
CPT,94640,ED 94640 NON OR PRES'D INHALATION TX,327.0,261.6,7.99,294.3,38
CPT,94640,MDI INITIAL TX,327.0,261.6,7.99,294.3,38
CPT,94640,MDI SUBSEQ TX,327.0,261.6,7.99,294.3,38
CPT,94640,NEB SUBSEQ TX,327.0,261.6,7.99,294.3,38
CPT,94642,NEB PENTAMIDINE,682.0,545.6,155.4,613.8,38
CPT,94644,CONTINUOUS INHAL TX W AEROSOL 1ST HR,378.0,302.4,59.58,340.2,38
CPT,94645,CONTINUOUS INHAL TX W AEROSOL ADD HR,245.0,196.0,1.0,220.5,36
CPT,94660,BIPAP MASK INIT DAY,816.0,652.8,36.62,734.4,38
CPT,94660,BIPAP MASK SUBSQ DAY,816.0,652.8,36.62,734.4,38
CPT,94660,CPAP MASK INIT DAY,1069.0,855.2,36.62,962.1,38
CPT,94660,CPAP MASK SUBSQ DAY,1069.0,855.2,36.62,962.1,38
CPT,94660,RT AUTOPAP,494.0,395.2,36.62,444.6,38
CPT,94662,Outpatient Services,,,628.05,694.16,9
CPT,94662,Outpatient Services - CPT/HCPCS,,,456.58,1106.58,4
CPT,94662,Therapy,,,34.29,34.29,4
CPT,94664,NEB MDI IPPB DEMO ONLY,311.0,248.8,17.98,376.63,38
CPT,94664,NEB TX WDEMO,311.0,248.8,17.98,376.63,38
CPT,94667,CPT INITIAL,222.0,177.6,24.97,225.57,38
CPT,94668,CPT SUBSQ M76,164.0,131.2,39.28,225.57,38
CPT,94669,MECH CHEST WALL OSCIL LUNG FUNCTION,237.0,189.6,20.64,376.63,38
CPT,94680,O2 UPTK RST&XERS DIR SIMPLE,,,53.93,275.82,17
CPT,94681,O2 UPTK CO2 OUTP % O2 XTRC,,,47.93,554.25,17
CPT,94690,O2 UPTAKE EXPIRED GAS REST INDIRECT,334.0,267.2,44.57,300.6,38
CPT,94726,PULM FUNCT TST PLETHYSMOGRAP,1142.0,913.6,55.92,1027.8,38
CPT,94727,PULM FUNCTION TEST BY GAS,505.0,404.0,44.61,454.5,38
CPT,94728,PULM FUNCT TEST OSCILLOMETRY,607.0,485.6,44.27,546.3,38
CPT,94729,DIFFUSION CAPACITY,503.0,402.4,1.0,452.7,36
CPT,94760,OXIMETRY SINGLE DET,152.0,121.6,1.0,136.8,36
CPT,94761,OXIMETRY-MULTIPLE DET,331.0,264.8,1.0,297.9,36
CPT,94761,PULSE OX-O2 SAT MULTI,331.0,264.8,1.0,297.9,72
CPT,94762,OVERNIGHT OXIMETRY,530.0,424.0,25.3,477.0,38
CPT,94772,CIRCADIAN RESPIR PATTERN REC,,,390.51,946.44,13
CPT,94774,PED HOME APNEA MNTR EVNT REC,,,432.41,432.41,2
CPT,94775,PED HOME APNEA MNTR ATT ONLY,,,113.81,275.82,11
CPT,94776,PED HOME APNEA MNTR DL&ALYS,,,113.81,275.82,13
CPT,94777,PED HOME APNEA MNTR RVW I&R,,,21.31,21.31,2
CPT,94780,CAR SEAT BED TEST AIR TO 12 MOS 60MIN,180.0,144.0,22.97,162.0,38
CPT,94781,CAR SEAT BED TEST AIR  TO 12 MOS ADDL 30 MIN,91.0,72.8,1.0,81.9,36
CPT,94799,ED 94799 UNLISTED PROC CO2 MONITRNG,349.0,279.2,96.92,314.1,38
CPT,94799,NITRIC OXIDE THERAPY,542.0,433.6,113.81,487.8,38
CPT,94799,PULMONARY REHAB PH II,258.0,206.4,71.65,275.82,38
CPT,94799,RESP MUSCLE FUNCTION MIP MEP,247.0,197.6,68.59,275.82,38
CPT,94799,TRACHEOSTOMY CARE,262.0,209.6,72.76,275.82,38
CPT,95004,PERQ TESTS W/ALRGNC XTRCS,,,3.66,1095.8,17
CPT,95012,NITRIC EXPIRED GAS DETERMINE,194.0,155.2,18.97,174.6,38
CPT,95017,ALL TSTG PERQ&IQ W/VENOMS,,,3.66,52.6,17
CPT,95018,ALL TSTG PERQ&IQ DRUGS/BIOL,,,6.99,70.83,17
CPT,95024,IQ TESTS W/ALLERGENIC XTRCS,,,1.0,64.11,17
CPT,95027,IQ TSTS SEQL&INCRL AIRBORNE,,,4.99,52.6,17
CPT,95028,IQ TSTS ALLERGY DELAYED RXN,,,12.65,70.83,17
CPT,95044,PATCH/APPLICATION TESTS,,,4.99,1095.8,17
CPT,95052,PHOTO PATCH TESTS,,,6.32,108.01,17
CPT,95056,PHOTO TESTS,,,52.26,225.57,17
CPT,95060,OPH MUCOUS MEMBRANE TESTS,,,39.28,225.57,17
CPT,95065,DIR NSL MUCOUS MEMBRANE TEST,,,28.96,70.83,17
CPT,95070,METHO MED ADMIN,785.0,628.0,34.95,946.44,38
CPT,95076,INGEST CHALLENGE INI 120 MIN,,,72.57,946.44,17
CPT,95079,INGEST CHALLENGE ADDL 60 MIN,,,1.0,86.58,15
CPT,95115,IMMUNOTHERAPY ONE INJECTION,,,10.32,83.87,17
CPT,95117,IMMUNOTHERAPY INJECTIONS,,,12.32,83.87,17
CPT,95120,IMMUNOTHERAPY ONE INJECTION,,,8.67,8.67,2
CPT,95125,IMMUNOTHERAPY 2/> INJECTIONS,,,10.9,10.9,2
CPT,95130,IMMNTX 1 STING INSECT,,,13.34,13.34,2
CPT,95131,IMMNTX 2 STING INSECTS,,,16.93,16.93,2
CPT,95132,IMMNTX 3 STING INSECTS,,,21.35,21.35,2
CPT,95133,IMMNTX 4 STING INSECTS,,,27.76,27.76,2
CPT,95134,IMMNTX 5 STING INSECTS,,,38.0,38.0,2
CPT,95144,ANTIGEN THERAPY SERVICES,,,3.33,83.87,17
CPT,95145,ANTIGEN THERAPY SERVICES,,,3.0,83.87,17
CPT,95146,ANTIGEN THERAPY SERVICES,,,3.0,83.87,17
CPT,95147,ANTIGEN THERAPY SERVICES,,,3.0,97.01,17
CPT,95148,ANTIGEN THERAPY SERVICES,,,3.0,97.01,17
CPT,95149,ANTIGEN THERAPY SERVICES,,,3.0,97.01,17
CPT,95165,ANTIGEN THERAPY SERVICES,,,3.33,83.87,17
CPT,95170,ANTIGEN THERAPY SERVICES,,,3.0,83.87,17
CPT,95180,RAPID DESENSITIZATION,,,100.86,703.57,17
CPT,95199,UNLISTED ALL/IMMLG SVC/PX,,,21.7,52.6,13
CPT,95249,CONT GLUC MNTR PT PROV EQP,,,44.57,108.01,17
CPT,95250,CONT GLUC MNTR PHYS/QHP EQP,,,96.31,233.42,17
CPT,95251,CONT GLUC MNTR ANALYSIS I&R,,,30.89,59.92,15
CPT,95700,EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,1787.0,1429.6,113.81,1608.3,38
CPT,95705,EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,3180.0,2544.0,228.69,2862.0,38
CPT,95706,EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,3811.0,3048.8,228.69,3429.9,38
CPT,95707,EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,4592.0,3673.6,228.69,4132.8,38
CPT,95708,EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,3578.0,2862.4,390.51,3220.2,38
CPT,95709,EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,4164.0,3331.2,390.51,3747.6,38
CPT,95710,EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR,4730.0,3784.0,390.51,4257.0,38
CPT,95711,VEEG BY TECH 2-12 HOURS UNMONITORED,3180.0,2544.0,228.69,2862.0,38
CPT,95712,VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,4164.0,3331.2,228.69,3747.6,38
CPT,95713,VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,4592.0,3673.6,390.51,4132.8,38
CPT,95714,VEEG BY TECH EA INCR 12-26 HR UNMONITORED,3685.0,2948.0,390.51,3316.5,38
CPT,95715,VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,4418.0,3534.4,390.51,3976.2,38
CPT,95716,VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,5324.0,4259.2,761.78,4791.6,38
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,,,95.6,275.82,15
CPT,95718,EEG PHYS/QHP 2-12 HR W/VEEG,,,113.81,275.82,15
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,,,113.81,275.82,15
CPT,95720,EEG PHY/QHP EA INCR W/VEEG,,,113.81,275.82,15
CPT,95721,EEG PHY/QHP>36<60 HR W/O VID,,,113.81,275.82,15
CPT,95722,EEG PHY/QHP>36<60 HR W/VEEG,,,224.17,554.25,15
CPT,95723,EEG PHY/QHP>60<84 HR W/O VID,,,226.94,554.25,15
CPT,95724,EEG PHY/QHP>60<84 HR W/VEEG,,,228.69,554.25,15
CPT,95725,EEG PHY/QHP>84 HR W/O VID,,,228.69,554.25,15
CPT,95726,EEG PHY/QHP>84 HR W/VEEG,,,228.69,554.25,15
CPT,95782,PSG DIAG < 6 YRS,6302.0,5041.6,761.78,5671.8,38
CPT,95782,PSG DIAG < 6 YRS PARTIAL M52,6302.0,5041.6,761.78,5671.8,38
CPT,95783,PSG CPAP < 6 YRS,6250.0,5000.0,761.78,5625.0,38
CPT,95800,UNATTEND SLEEP STDY SIML&SLEEP,737.0,589.6,113.81,663.3,36
CPT,95801,SLP STDY UNATND W/ANAL,,,44.57,108.01,15
CPT,95803,ACTIGRAPHY,100.0,80.0,41.0,135.15,36
CPT,95805,CONTRACTED MULTIPLE SLEEP LATENCY 95805,2055.0,1644.0,390.51,1849.5,38
CPT,95805,MULTIPLE SLEEP LATENCY 95805,4536.0,3628.8,390.51,4082.4,38
CPT,95806,SLEEP STUDY UNATT&RESP EFFT,,,94.2,275.82,15
CPT,95807,SLEEP STUDY ATTENDED,,,390.51,946.44,17
CPT,95808,POLYSOM ANY AGE 1-3> PARAM,,,511.63,1846.25,17
CPT,95810,CONTRACTED PSG4+ PARAMETERS 95810,2570.0,2056.0,623.14,2313.0,38
CPT,95810,PSG 4+ PARAMETERS,5676.0,4540.8,623.14,5108.4,38
CPT,95810,SLEEP STUDY PARTIAL 95810 M52,5676.0,4540.8,623.14,5108.4,38
CPT,95811,CONTRACTED PSG CPAP TITRATION,2660.0,2128.0,651.44,2394.0,38
CPT,95811,PSG CPAP BIPAP 4+ PARAMETERS,5874.0,4699.2,651.44,5286.6,38
CPT,95811,SLEEP STUDY CPAP PARTIAL M52,5874.0,4699.2,651.44,5286.6,38
CPT,95811,SLEEP STUDY SPLT NGHT 95811,5874.0,4699.2,651.44,5286.6,38
CPT,95812,EEG 41-60 MINUTES,1585.0,1268.0,228.69,1426.5,38
CPT,95813,EEG EXTENDED MONITORING 61-119 MINUTES,1804.0,1443.2,228.69,1623.6,38
CPT,95816,EEG AWAKE DROWSY,1342.0,1073.6,228.69,1207.8,38
CPT,95819,EEG AWAKE & ASLEEP,1530.0,1224.0,228.69,1377.0,38
CPT,95822,EEG COMA SLEEP ONLY,1521.0,1216.8,228.69,1368.9,38
CPT,95824,EEG CEREBRAL EVAL,603.0,482.4,167.45,946.44,38
CPT,95827,Outpatient Services - CPT/HCPCS,,,228.69,554.25,2
CPT,95829,SURGERY ELECTROCORTICOGRAM,,,1.0,1767.23,15
CPT,95830,INSERT ELECTRODES FOR EEG,,,90.21,668.66,15
CPT,95836,ECOG IMPLTD BRN NPGT <30 D,,,27.49,104.19,17
CPT,95851,ROM W REPORT WITH PROC,144.0,115.2,7.66,129.6,36
CPT,95852,ROM MSRMNTS & RPT HAND,133.0,106.4,5.33,119.7,36
CPT,95857,CHOLINESTERASE CHALLENGE,,,27.96,554.25,17
CPT,95860,NEEDLE EMG 1 EXTREMITY,,,93.07,225.57,17
CPT,95861,NEEDLE EMG 2 EXTREMITIES,,,93.07,225.57,17
CPT,95863,NEEDLE EMG 3 EXTREMITIES,,,113.81,275.82,17
CPT,95864,NEEDLE EMG 4 EXTREMITIES,,,113.81,275.82,17
CPT,95865,NEEDLE EMG LARYNX,,,93.07,225.57,17
CPT,95866,NEEDLE EMG HEMIDIAPHRAGM,,,113.81,275.82,17
CPT,95867,EMG CRANIAL NERVE UNILATERAL,265.0,212.0,106.19,554.25,38
CPT,95868,NDL EMG CRANIAL NRV MUSC BI,,,138.14,554.25,17
CPT,95869,NDL EMG THRC PARASPINAL MUSC,,,94.87,554.25,17
CPT,95870,NDL EMG LMTD STD MUSC 1 XTR,,,82.89,225.57,17
CPT,95872,NDL EMG SINGLE FIBER ELTRD,,,113.81,275.82,17
CPT,95873,E-STIM GUIDE W CHEMODENERVATION,236.0,188.8,1.0,212.4,36
CPT,95874,EMG GUIDANCE WITH CHEMODENERVATION,218.0,174.4,1.0,196.2,36
CPT,95875,LIMB EXERCISE TEST,,,113.81,275.82,17
CPT,95885,MUSC TST DONE W/NERV TST LIM,,,1.0,61.58,15
CPT,95886,MUSC TEST DONE W/N TEST COMP,,,1.0,95.87,15
CPT,95887,MUSC TST DONE W/N TST NONEXT,,,1.0,82.55,15
CPT,95905,MOTOR &/ SENS NRVE CNDJ TEST,,,33.62,703.57,17
CPT,95907,NVR CNDJ TST 1-2 STUDIES,,,89.88,275.82,17
CPT,95908,NRV CNDJ TST 3-4 STUDIES,,,111.51,554.25,17
CPT,95909,NRV CNDJ TST 5-6 STUDIES,,,133.82,554.25,17
CPT,95910,NRV CNDJ TEST 7-8 STUDIES,,,174.76,554.25,17
CPT,95911,NRV CNDJ TEST 9-10 STUDIES,,,210.71,946.44,17
CPT,95912,NRV CNDJ TEST 11-12 STUDIES,,,246.33,946.44,17
CPT,95913,NRV CNDJ TEST 13/> STUDIES,,,284.28,946.44,17
CPT,95919,QUAN PUPLMTRY PHY/QHP UNI/BI,,,15.65,225.57,15
CPT,95921,AUTONOMIC NRV PARASYM INERVJ,,,87.55,275.82,17
CPT,95922,AUTONOMIC NRV ADRENRG INERVJ,,,93.07,225.57,17
CPT,95923,AUTONOMIC NRV SYST FUNJ TEST,,,93.07,225.57,17
CPT,95924,ANS PARASYMP & SYMP W/TILT,,,150.79,554.25,17
CPT,95925,SSEP UPPER LIMBS BILAT,513.0,410.4,175.76,554.25,38
CPT,95926,SSEP LOWER LIMBS BILAT,513.0,410.4,157.45,554.25,38
CPT,95927,SOMATOSENSORY TESTING,,,182.08,554.25,17
CPT,95928,C MOTOR EVOKED UPPR LIMBS,,,240.34,1846.25,17
CPT,95929,C MOTOR EVOKED LWR LIMBS,,,243.0,946.44,17
CPT,95930,VISUAL EVOKED POTENTIAL,1005.0,804.0,67.24,904.5,38
CPT,95933,BLINK REFLEX TEST,,,44.57,108.01,17
CPT,95937,NEUROMUSCULAR JUNCTION TEST,,,103.86,275.82,17
CPT,95938,SOMATOSENSORY UP & LOW LIMBS,1120.0,896.0,374.48,1008.0,38
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,,,557.23,1846.25,17
CPT,95940,OPERATIVE EVOKED POT 15 MINS,156.0,124.8,1.0,140.4,36
CPT,95941,IONM REMOTE/>1 PT OR PER HR,,,1.0,1.0,2
CPT,95950,Outpatient Services - CPT/HCPCS,,,228.69,554.25,2
CPT,95951,Outpatient Services - CPT/HCPCS,,,228.69,554.25,2
CPT,95953,Outpatient Services - CPT/HCPCS,,,228.69,554.25,2
CPT,95954,EEG MONITORING/GIVING DRUGS,,,390.51,946.44,17
CPT,95955,EEG DURING SURGERY,,,1.0,190.07,15
CPT,95956,Outpatient Services - CPT/HCPCS,,,228.69,554.25,2
CPT,95957,EEG DIGITAL ANALYSIS,,,1.0,293.52,15
CPT,95958,"WADA ACTIVATION TEST, HEMISPHERIC FUNCTION, W EEG",1776.0,1420.8,699.37,1846.25,38
CPT,95961,ELECTRODE STIMULATION BRAIN,,,327.88,1846.25,17
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,,,1.0,280.57,15
CPT,95965,MEG SPONTANEOUS,,,761.78,1846.25,13
CPT,95966,MEG EVOKED SINGLE,,,761.78,1846.25,13
CPT,95967,MEG EVOKED EACH ADDL,,,1.0,1.0,2
CPT,95970,ANLYS IMPL NEUROSTIM NO PROG,471.0,376.8,17.98,423.9,38
CPT,95971,ANALYZ NEUROSTIM SIMPLE W PROG,733.0,586.4,38.28,659.7,38
CPT,95972,ANALYZ NEUROSTIM CMPLX W PROG,832.0,665.6,39.61,748.8,38
CPT,95976,ELECT ALYS IMPLANT NEUROSTIM PULSE GEN/TRANS; W/SIMPLE CRANIAL NERVE,167.0,133.6,27.49,150.3,38
CPT,95977,ELECT ALYS IMPLANT NEUROSTIM PULSE GEN/TRANS; W/COMPLX CRANIAL NERVE,387.0,309.6,50.93,348.3,38
CPT,95980,IO ANAL GAST N-STIM INIT,,,1.0,44.61,15
CPT,95981,IO ANAL GAST N-STIM SUBSQ,,,17.64,108.01,17
CPT,95982,IO GA N-STIM SUBSQ W/REPROG,,,27.49,66.61,17
CPT,95983,ALYS BRN NPGT PRGRMG 15 MIN,,,48.6,170.94,17
CPT,95984,ALYS BRN NPGT PRGRMG ADDL 15,,,1.0,42.61,15
CPT,95990,REFILL PUMP PROC,647.0,517.6,90.21,598.04,38
CPT,95991,REFILL & MAINT PUMP BY PHYS,518.0,414.4,39.28,523.0,38
CPT,95992,CANALITH REPOSITION PROC 95992,176.0,140.8,35.28,158.4,36
CPT,95992,ED 95992 CANALITH REPOSITION PROC,176.0,140.8,35.28,158.4,36
CPT,95999,UNLISTED NEUROLOGICAL DX PX,,,113.81,275.82,13
CPT,96000,MOTION ANALYSIS VIDEO/3D,,,81.89,946.44,17
CPT,96001,MOTION TEST W/FT PRESS MEAS,,,108.52,1846.25,17
CPT,96002,DYNAMIC SURFACE EMG,,,20.97,554.25,17
CPT,96003,Outpatient Services - CPT/HCPCS,,,217.71,527.65,4
CPT,96003,Therapy,,,16.31,16.31,4
CPT,96004,PHYS REVIEW OF MOTION TESTS,,,94.37,185.56,15
CPT,96020,FUNCTIONAL BRAIN MAPPING,,,1.0,1.0,2
CPT,96040,Outpatient Services - CPT/HCPCS,,,90.16,90.16,2
CPT,96040,Therapy,,,51.6,51.6,4
CPT,96041,GENETIC COUNSELING SVC EA 30,,,46.87,51.8,9
CPT,96101,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96102,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96103,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96105,APHASIA EVAL PER HR 96105,376.0,300.8,21.7,338.4,36
CPT,96110,DEVELOPMENTAL SCREEN W/SCORE,,,10.57,52.6,15
CPT,96111,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96112,DEVEL TST PHYS/QHP 1ST HR,,,113.81,275.82,17
CPT,96113,DEVEL TST PHYS/QHP EA ADDL,,,21.7,56.26,15
CPT,96116,NUBHVL XM PHYS/QHP 1ST HR,,,78.89,554.25,17
CPT,96118,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96119,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96120,Outpatient Services - CPT/HCPCS,,,21.7,52.6,2
CPT,96121,NUBHVL XM PHY/QHP EA ADDL HR,,,21.7,75.58,15
CPT,96125,COGNITIVE TEST STNDRD HR 96125,426.0,340.8,21.7,383.4,36
CPT,96127,BRIEF EMOTIONAL/BEHAV ASSMT,,,4.66,70.83,17
CPT,96130,PSYCH TEST EVAL 1ST HR 96130,365.0,292.0,108.18,554.25,38
CPT,96131,PSYCH TEST EVAL ADD HRS 96131,284.0,227.2,21.7,255.6,36
CPT,96132,NRPSYC TST EVAL PHYS/QHP 1ST,,,104.52,946.44,17
CPT,96133,NRPSYC TST EVAL PHYS/QHP EA,,,21.7,97.32,15
CPT,96136,PSYCH TEST ADMIN 1ST 30 96136,216.0,172.8,22.97,225.57,38
CPT,96137,PSYCH TEST ADD 30 MIN 96137,159.0,127.2,17.64,143.1,36
CPT,96138,PSYCL/NRPSYC TECH 1ST,,,34.29,703.57,17
CPT,96139,PSYCL/NRPSYC TST TECH EA,,,1.0,35.28,15
CPT,96146,PSYCL/NRPSYC TST AUTO RESULT,,,2.33,52.6,17
CPT,96150,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,96151,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,96153,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
CPT,96154,Outpatient Services - CPT/HCPCS,,,116.17,281.54,2
CPT,96155,Outpatient Services - CPT/HCPCS,,,116.17,281.54,2
CPT,96156,HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,261.0,208.8,64.94,234.9,38
CPT,96158,HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,323.0,258.4,58.59,290.7,38
CPT,96159,HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,105.0,84.0,1.0,94.5,36
CPT,96160,PT-FOCUSED HLTH RISK ASSMT,,,3.0,50.69,17
CPT,96161,CAREGIVER HEALTH RISK ASSMT,,,3.0,50.69,17
CPT,96164,HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN,246.0,196.8,9.32,221.4,38
CPT,96165,HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN,53.0,42.4,1.0,47.7,36
CPT,96167,HLTH BHV IVNTJ FAM 1ST 30,,,20.92,61.91,17
CPT,96168,HLTH BHV IVNTJ FAM EA ADDL,,,1.0,26.75,15
CPT,96170,HLTH BHV IVNTJ FAM WO PT 1ST,,,69.77,126.23,15
CPT,96171,HLTH BHV IVNTJ FAM W/O PT EA,,,25.24,45.37,15
CPT,96202,MLT FAM GRP BHV TRAIN 1ST 60,,,20.92,50.69,15
CPT,96203,MLT FAM GRP BHV TRAIN EA ADD,,,5.53,50.69,15
CPT,96360,ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR,596.0,476.8,32.29,536.4,38
CPT,96360,IV HYDRAT INITIAL 31-60MINS,596.0,476.8,32.29,536.4,38
CPT,96361,ED 96361 IV INFUS THERAPY HYDRATION FLUIDS ADDL HR,267.0,213.6,12.32,240.3,38
CPT,96361,IV HYDRATION EACH ADDL HR,267.0,213.6,12.32,240.3,38
CPT,96365,CDMR ED 96365 IV INFUS THER PROPH DIAG INIT UP TO 1HR SELF ADMIN MED GY,50.0,40.0,22.5,378.48,38
CPT,96365,CDMR IV INFUS THER PROPH DIAG INIT UP TO 1HR SELF ADMIN MED GY,50.0,40.0,22.5,378.48,38
CPT,96365,ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR,695.0,556.0,62.58,625.5,38
CPT,96365,INFUS TX PX DX 1 HR 4V M59,695.0,556.0,62.58,625.5,38
CPT,96365,IV INFUSION TX PROPH DX INIT TO 1HR,695.0,556.0,62.58,625.5,38
CPT,96366,CDMR ED 96366 IV INFUS THER PROPH DIAG EA ADDL HR SELF ADMIN MED GY,50.0,40.0,20.31,83.87,38
CPT,96366,CDMR IV INFUS THER PROPH DIAG EA ADDL HR SELF ADMIN MED GY,50.0,40.0,20.31,83.87,38
CPT,96366,ED 96366 IV INFUS THER PROPH DIAG EA ADDL HR,271.0,216.8,20.31,243.9,38
CPT,96366,IV INFUSION EA ADD HR,271.0,216.8,20.31,243.9,38
CPT,96367,CDMR ED 96367 IV INFUS THER PROPH DIAG ADDL SEQ NEW DRUG UP TO 1 HR GY,50.0,40.0,22.5,124.4,38
CPT,96367,CDMR IV INFUS ADD SEQUEN NEW DRUG 1HR GY,50.0,40.0,22.5,124.4,38
CPT,96367,ED 96367 IV INFUS THER PROPH DIAG ADDL SEQ NEW DRUG UP TO 1 HR,363.0,290.4,28.29,326.7,38
CPT,96367,IV INFUS ADD SEQUEN NEW DRG1HR,363.0,290.4,28.29,326.7,38
CPT,96368,CDMR ED 96368 IV INFUS FOR THER PROPH DIAG CONCUR GY,50.0,40.0,1.0,47.2,36
CPT,96368,CDMR INFUSION TX CONCURRENT GY,50.0,40.0,1.0,47.2,36
CPT,96368,ED 96368 IV INFUS FOR THER PROPH DIAG CONCUR,316.0,252.8,1.0,284.4,36
CPT,96368,INFUSION TX CONCURRENT,316.0,252.8,1.0,284.4,36
CPT,96369,ED 96369 SUBQ INFUS TX PX INITIAL <1 HR,451.0,360.8,141.14,405.9,38
CPT,96370,ED 96370 SUBQ INFUS TX PX EA ADDL HR,135.0,108.0,15.98,121.5,38
CPT,96371,SC THER INFUSION RESET PUMP,,,51.33,148.0,18
CPT,96372,CDMR ED 96372 INJECT SQ IM SELF ADM MED GY,25.0,20.0,11.25,124.4,38
CPT,96372,CDMR INJECT SQ IM SELF ADM MED GY,25.0,20.0,11.25,124.4,38
CPT,96372,ED 96372 THER PROPH DIAG INJECTION SQ IM,168.0,134.4,14.31,151.2,38
CPT,96372,INJ SUBQ IM THERAP RAD,165.0,132.0,14.31,148.5,38
CPT,96372,SC IM INJECTION,168.0,134.4,14.31,151.2,38
CPT,96373,TX RM 96373 TX PX DX INJECTION INTRA-ART,356.0,284.8,18.64,378.48,38
CPT,96374,CDMR ED 96374 IV PUSH INITIAL SELF ADM DRUG GY,25.0,20.0,11.25,378.48,38
CPT,96374,CDMR IV PUSH INITIAL SELF ADM DRUG GY,25.0,20.0,11.25,378.48,38
CPT,96374,ED 96374 THER PROPH DIAG INJ IV PUSH INITIAL,520.0,416.0,36.62,468.0,38
CPT,96374,IV PUSH INITIAL,520.0,416.0,36.62,468.0,38
CPT,96375,CDMR ED 96375 TX PX DX INJ ADDL SEQ PUSH SELF ADM DRUG GY,25.0,20.0,11.25,83.87,38
CPT,96375,CDMR IV PUSH SEQUENTIAL NEW DRUG SELF ADM DRUG GY,25.0,20.0,11.25,83.87,38
CPT,96375,ED 96375 THER PROPH DIAG INJ IV PUSH ADDL SEQ,266.0,212.8,15.31,239.4,38
CPT,96375,IV PUSH SEQUENTIAL NEW DRUG,266.0,212.8,15.31,239.4,38
CPT,96376,CDMR ED 96376 THER PROPH DIAG INJ IV PUSH SAME DRUG >30MINS GY,25.0,20.0,1.0,33.6,27
CPT,96376,CDMR THER PROPH DIAG INJ IV PUSH SAME DRUG >30MINS GY,25.0,20.0,1.0,33.6,27
CPT,96376,ED 96376 THER PROPH DIAG INJ IV PUSH SAME DRUG >30MINS,253.0,202.4,1.0,227.7,27
CPT,96376,IV PUSH ADDL SAME DRUG >30MINS,253.0,202.4,1.0,227.7,27
CPT,96377,APPLICATON ON-BODY INJECTOR,,,18.31,83.87,15
CPT,96379,UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,178.0,142.4,11.46,160.2,38
CPT,96380,ADMN RSV MONOC ANTB IM CNSL,,,21.01,39.56,15
CPT,96381,ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM INJ,64.0,51.2,17.94,57.6,36
CPT,96401,CHEMO SQ IM NON HORMONAL,354.0,283.2,51.33,318.6,38
CPT,96401,ED 96401 CHEMO ANTI-NEOPL SQ/IM,354.0,283.2,51.33,318.6,38
CPT,96402,CHEMO SQ IM HORMONAL,288.0,230.4,35.28,259.2,38
CPT,96405,CHEMO INTRALESIONAL UP TO 7,,,28.29,201.6,18
CPT,96406,CHEMO INTRALESIONAL OVER 7,,,43.94,378.48,18
CPT,96409,CHEMO IV PUSH,682.0,545.6,99.86,613.8,38
CPT,96411,CHEMO IV PUSH EA ADD DRUG,409.0,327.2,51.33,368.1,38
CPT,96413,CHEMO INFUSION 1ST HR,1266.0,1012.8,129.16,1139.4,38
CPT,96415,CHEMO INFUSION EA ADD HR,467.0,373.6,27.63,420.3,38
CPT,96416,CHEMO ADM IV >8 HRS W PUMP,1184.0,947.2,127.16,1065.6,38
CPT,96417,CHEMO EACH ADD SEQ INFUSION,489.0,391.2,51.33,440.1,38
CPT,96420,CHEMO ADMIN INTRA-ARTERIAL PUSH TECHNIQUE,567.0,453.6,101.86,598.04,38
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,,,155.79,598.04,18
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,,,34.6,176.0,18
CPT,96425,CHEMOTHERAPY INFUSION METHOD,,,168.1,598.04,18
CPT,96440,CHEMO INJECT PLEURAL CAVITY,756.0,604.8,133.48,1822.4,38
CPT,96446,CHEMO ADMIN INTO PERITONEAL CAVITY IMPLNT PORT OR CATH,869.0,695.2,20.31,782.1,38
CPT,96450,CHEMO ADMIN INTRATHECAL,1223.0,978.4,75.23,1100.7,38
CPT,96521,REFILL/MAINT PORTABLE PUMP,,,123.83,378.48,18
CPT,96522,REFILL/MAINT PUMP/RESVR SYST,,,117.5,378.48,18
CPT,96523,ED 96523 IRRIGATE IMPLANTED VENOUS ACCESS DEVICE,209.0,167.2,24.97,188.1,38
CPT,96523,IRRIG IMPL VENOUS ACCESS DEVIC,209.0,167.2,24.97,188.1,38
CPT,96542,CHEMO INJ SUBARACH INTRAVENT,505.0,404.0,41.61,598.04,38
CPT,96547,INTRAOP HIPEC PX 1ST 60 MIN,,,305.69,337.86,9
CPT,96548,NTRAOP HIPEC PX EA ADD 30MIN,,,140.38,155.16,9
CPT,96549,CHEMOTHERAPY UNSPECIFIED INJECTION,236.0,188.8,34.6,212.4,38
CPT,96567,PDT DSTR PRMLG LES SKN,,,136.81,353.51,17
CPT,96570,PHOTODYNMC TX 30 MIN ADD-ON,,,1.0,51.32,15
CPT,96571,PHOTODYNAMIC TX ADDL 15 MIN,,,1.0,24.63,15
CPT,96573,PDT DSTR PRMLG LES PHYS/QHP,,,145.86,353.51,17
CPT,96574,DBRDMT PRMLG LES W/PDT,,,145.86,353.51,17
CPT,96900,ACTINOTHERAPY UV LIGHT,,,24.97,70.83,17
CPT,96902,MCRSCP XM HAIR PLUCK/CLIPPED,,,1.0,21.66,15
CPT,96904,WHOLE BODY PHOTOGRAPHY,,,1.0,68.57,15
CPT,96910,PHOTCHMTX TAR&UVB/PTRLTM&UVB,,,44.57,118.5,17
CPT,96912,PHOTOCHEMOTHERAPY PUVA,,,44.57,108.01,17
CPT,96913,PHOTOCHEMOTX SEV DERMATOSES,,,152.79,704.12,17
CPT,96920,EXCIMER LSR PSRIASIS<250SQCM,,,62.58,353.51,17
CPT,96921,EXCIMER LSR PSRIASIS 250-500,,,70.9,353.51,17
CPT,96922,EXCIMER LSR PSRIASIS>500SQCM,,,114.18,704.12,17
CPT,96931,RCM IMG ACQUISJ&I&R 1ST LES,,,152.89,296.09,15
CPT,96932,RCM IMG ACQUISJ ONLY 1ST LES,,,1.0,126.83,15
CPT,96933,RCM I&R ONLY 1ST LESION,,,39.07,74.46,15
CPT,96934,RCM IMG ACQUISJ&I&R EA ADDL,,,1.0,119.26,15
CPT,96935,RCM IMG ACQUISJ ONLY EA ADDL,,,1.0,77.44,15
CPT,96936,RCM I&R ONLY EA ADDL LESION,,,1.0,41.83,15
CPT,96999,UNLISTED SPEC DERM SVC/PX,,,145.86,353.51,13
CPT,97010,HOT OR COLD PACKS THERAPY,,,5.96,8.35,15
CPT,97012,TRACTION MECHANICAL 97012,143.0,114.4,13.33,128.7,36
CPT,97014,ELEC STIM UNATTENDED 97014,127.0,101.6,11.49,114.3,36
CPT,97016,VASOPNEUMATIC DVC APPL 97016,133.0,106.4,10.87,119.7,36
CPT,97018,PARAFFIN BATH 97018,114.0,91.2,5.65,102.6,36
CPT,97022,FLUIDOTHERAPY 97022,146.0,116.8,14.56,131.4,36
CPT,97022,WHIRLPOOL 97022,146.0,116.8,14.56,131.4,36
CPT,97024,DIATHERMY EG MICROWAVE,,,6.57,9.66,15
CPT,97026,INFRARED LIGHT THERAPY 97026,77.0,61.6,6.26,69.3,36
CPT,97028,ULTRAVIOLET THERAPY,,,7.49,10.98,15
CPT,97032,ELEC STIM MAN PER 15 MIN 97032,165.0,132.0,13.33,148.5,36
CPT,97033,IONTOPHORESIS 15 MIN 97033,157.0,125.6,17.63,141.3,36
CPT,97034,CONTRAST BATH 15 MIN 97034,122.0,97.6,12.72,109.8,36
CPT,97035,ULTRASOUND 15 MIN 97035,127.0,101.6,13.02,114.3,36
CPT,97036,APP MDLTY 1+HUBBRD TNK EA 15,,,32.38,46.13,15
CPT,97037,APPL MODALITY 1+LLLT PO PAIN,,,29.23,70.83,11
CPT,97039,UNLISTED MODALITY,,,21.88,21.88,2
CPT,97110,THER EXERCISE EA 15 MIN 97110,149.0,119.2,27.16,134.1,36
CPT,97112,NEUROMUSC RE ED EA 15MIN 97112,136.0,108.8,30.23,122.4,36
CPT,97113,AQUATIC THERAPY 15 MIN 97113,156.0,124.8,34.53,140.4,36
CPT,97116,GAIT TRAINING 15 MIN 97116,147.0,117.6,27.16,132.3,36
CPT,97124,MASSAGE 15 MIN 97124,144.0,115.2,28.08,129.6,36
CPT,97129,THER INT COG FUNC 1ST 15MIN 97129,270.0,216.0,20.4,243.0,36
CPT,97130,THER INT COG FUNC EA ADDL 15MIN 97130,227.0,181.6,19.48,204.3,36
CPT,97139,UNLISTED THER PX-SPECIFY 97139,117.0,93.6,22.59,105.3,27
CPT,97140,MANUAL THERAPY 15 MIN 97140,157.0,125.6,25.62,141.3,36
CPT,97150,GROUP THERAPY 97150,160.0,128.0,16.4,144.0,36
CPT,97151,BHV ID ASSMT BY PHYS/QHP,,,64.94,157.39,13
CPT,97152,BHV ID SUPRT ASSMT BY 1 TECH,,,64.94,157.39,11
CPT,97153,ADAPTIVE BEHAVIOR TX BY TECH,,,64.94,157.39,13
CPT,97154,GRP ADAPT BHV TX BY TECH,,,20.92,50.69,13
CPT,97155,ADAPT BEHAVIOR TX PHYS/QHP,,,116.17,281.54,13
CPT,97156,FAM ADAPT BHV TX GDN PHY/QHP,,,20.92,50.69,13
CPT,97157,MULT FAM ADAPT BHV TX GDN,,,20.92,50.69,13
CPT,97158,GRP ADAPT BHV TX BY PHY/QHP,,,20.92,50.69,11
CPT,97161,PT EVAL LOW COMPLEXITY 97161,316.0,252.8,92.35,284.4,36
CPT,97162,PT EVAL MODERATE COMPLEXITY 97162,350.0,280.0,92.35,315.0,36
CPT,97163,PT EVAL HIGH COMPLEXITY 97163,386.0,308.8,92.35,347.4,36
CPT,97164,PT RE-EVAL EST PLAN CARE 97164,232.0,185.6,63.84,208.8,36
CPT,97165,OT EVAL LOW COMPLEXITY 97165,316.0,252.8,94.81,284.4,36
CPT,97166,OT EVAL MODERATE COMPLEXITY 97166,350.0,280.0,94.81,315.0,36
CPT,97167,OT EVAL HIGH COMPLEXITY 97167,386.0,308.8,94.81,347.4,36
CPT,97168,OT RE-EVAL EST PLAN CARE 97168,240.0,192.0,65.5,216.0,36
CPT,97530,THER ACTIVITIES EA15 MIN 97530,137.0,109.6,32.69,123.3,36
CPT,97533,SENS INTEGRATION 15 MIN 97533,156.0,124.8,57.27,140.4,36
CPT,97535,SLFCR HOME MGMT TRN15MIN 97535,151.0,120.8,30.23,135.9,36
CPT,97537,BTW-DRIVERS TRAIN 15 MIN,45.0,36.0,18.45,41.73,36
CPT,97537,COMM WORK REINTGR EA15MIN97537,172.0,137.6,29.92,154.8,36
CPT,97542,WHLCHR MGMT 15 MIN 97542,143.0,114.4,29.0,128.7,36
CPT,97545,WORK COND INIT 2HR 97545,337.0,269.6,93.58,303.3,27
CPT,97546,WORK COND EA AD HR 97546,181.0,144.8,37.81,162.9,27
CPT,97550,CAREGIVER TRAINING STRATEGIES 1ST 30 MIN,165.0,132.0,45.27,148.5,36
CPT,97551,CAREGIVER TRAINING STRATEGIES EA ADDL 15 MIN,82.0,65.6,24.09,73.8,36
CPT,97552,GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,69.0,55.2,10.65,62.1,36
CPT,97597,ED 97597 SELECT DEBRIDE OPEN WOUND FIRST 20 SQCM OR LESS,489.0,391.2,34.95,440.1,38
CPT,97597,TX RM 97597 SELECT DEBRIDE OPEN WOUND FIRST 20 SQCM OR LESS,489.0,391.2,34.95,440.1,38
CPT,97598,ED 97598 SELECT DEBRIDE OPEN WOUND EA ADDL 20 SQCM,453.0,362.4,1.0,407.7,36
CPT,97598,TX RM 97598 SELECT DEBRIDE OPEN WOUND EA ADDL 20 SQCM,453.0,362.4,1.0,407.7,36
CPT,97602,ED 97602 REMV NON-SELECTIVE DEBRID,510.0,408.0,141.63,459.0,38
CPT,97602,TX RM 97602 NONSELCT DEBRIDEMENT 97602,510.0,408.0,141.63,459.0,38
CPT,97605,ED 97605 WND NEG PRESS UTILIZ DME <= 50SQCM 97605,395.0,316.0,23.97,355.5,38
CPT,97605,TX RM 97605 WND NEG PRESS UTILIZ DME <= 50SQCM 97605,395.0,316.0,23.97,355.5,38
CPT,97606,TX RM 97606 WND NEG PRESS UTILIZ DME >50 SQ CM 97606,611.0,488.8,26.3,704.12,38
CPT,97607,ED 97607 NEG PRESSURE WOUND TX DISP NON-DME <=50 SQ CM,199.0,159.2,20.97,704.12,38
CPT,97607,TX RM 97607 NEG PRESSURE WOUND TX DISP NON-DME<  =50 SQ CM 97607,199.0,159.2,20.97,704.12,38
CPT,97608,TX RM 97608 NEG PRESSURE WOUND TX DISP NON-DME  >50 SQ CM 97608,879.0,703.2,24.63,791.1,38
CPT,97610,US LOW FRQ NON THERM PER DAY,607.0,485.6,17.64,546.3,36
CPT,97750,DRIVERS ASSESSMENT Q 15M,43.0,34.4,17.63,44.81,36
CPT,97750,FC ASSESS-JOB PLACE-15 M,71.0,56.8,29.11,63.9,36
CPT,97750,FC ASSESS-WH BODY Q 15 M,71.0,56.8,29.11,63.9,36
CPT,97750,FUNCTNL CAPACITY EVAL (WFS),80.0,64.0,31.46,72.0,36
CPT,97750,OC REHAB EVA,154.0,123.2,31.46,138.6,36
CPT,97750,PHYS PERF TST MSRE-15MIN 97750,178.0,142.4,31.46,160.2,36
CPT,97755,ASSISTIVE TECH ASSESS 15 MIN 97755,162.0,129.6,35.27,145.8,36
CPT,97760,ORTHOTICS MGMT&TRAIN INITIAL 15MIN 97760,168.0,134.4,43.45,151.2,36
CPT,97761,PROSTHETIC TRAIN INITIAL 15 MIN 97761,160.0,128.0,38.22,144.0,36
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENCTR 97763,160.0,128.0,47.44,144.0,36
CPT,97799,HOME ASSESSMENT Q 15,141.0,112.8,39.16,126.9,27
CPT,97799,MILEAGE (PER MILE),0.31,0.25,0.09,0.28,27
CPT,97799,PARTIAL HOSP FEEDING DISORDERS FULL DAY,909.0,727.2,252.43,818.1,27
CPT,97799,PARTIAL HOSP FEEDING DISORDERS HALF DAY,626.0,500.8,173.84,563.4,27
CPT,97802,MNT INITIAL INDIVIDUAL15 MIN,85.0,68.0,31.62,76.5,36
CPT,97803,MNT REASSESSMENT INDIVID 15MIN,79.0,63.2,26.96,71.1,36
CPT,97804,MNT GROUP 30 MIN,65.0,52.0,15.31,58.5,36
CPT,97810,ACUP 1/> WO ESTIM 1ST 15 MIN,,,21.7,52.6,17
CPT,97811,ACUP 1/> W/O ESTIM EA ADD 15,,,23.71,44.21,15
CPT,97813,ACUP 1/> W/ESTIM 1ST 15 MIN,,,21.7,52.6,17
CPT,97814,ACUP 1/> W/ESTIM EA ADDL 15,,,26.78,48.86,15
CPT,98000,SYNCH AUDIO-VIDEO NEW SF 15,,,46.37,51.25,9
CPT,98001,SYNCH AUDIO-VIDEO NEW LOW 30,,,76.15,84.17,9
CPT,98002,SYNCH AUDIO-VIDEO NEW MOD 45,,,121.41,134.2,9
CPT,98003,SYNCH AUDIO-VIDEO NEW HI 60,,,161.03,177.98,9
CPT,98004,SYNCH AUDIO-VIDEO EST SF 10,,,35.81,39.58,9
CPT,98005,SYNCH AUDIO-VIDEO EST LOW 20,,,62.59,69.18,9
CPT,98006,SYNCH AUDIO-VIDEO EST MOD 30,,,91.87,101.54,9
CPT,98007,SYNCH AUDIO-VIDEO EST HI 40,,,122.03,134.87,9
CPT,98008,SYNCH AUDIO-ONLY NEW SF 15,,,44.1,48.75,9
CPT,98009,SYNCH AUDIO-ONLY NEW LOW 30,,,72.85,80.51,9
CPT,98010,SYNCH AUDIO-ONLY NEW MOD 45,,,112.81,124.69,9
CPT,98011,SYNCH AUDIO-ONLY NEW HIGH 60,,,147.15,162.64,9
CPT,98012,SYNCH AUDIO-ONLY EST SF 10,,,32.74,36.18,9
CPT,98013,SYNCH AUDIO-ONLY EST LOW 20,,,57.25,63.27,9
CPT,98014,SYNCH AUDIO-ONLY EST MOD 30,,,83.15,91.9,9
CPT,98015,SYNCH AUDIO-ONLY EST HIGH 40,,,121.11,133.86,9
CPT,98016,BRIEF COMUNICAJ TECH-BSD SVC,,,14.68,16.22,9
CPT,98925,OSTEOPATH MANJ 1-2 REGIONS,,,18.91,45.82,17
CPT,98926,OSTEOPATH MANJ 3-4 REGIONS,,,18.91,45.82,17
CPT,98927,OSTEOPATH MANJ 5-6 REGIONS,,,18.91,45.82,17
CPT,98928,OSTEOPATH MANJ 7-8 REGIONS,,,18.91,57.59,17
CPT,98929,OSTEOPATH MANJ 9-10 REGIONS,,,18.91,68.91,17
CPT,98940,CHIROPRACT MANJ 1-2 REGIONS,,,18.91,45.82,17
CPT,98941,CHIROPRACT MANJ 3-4 REGIONS,,,18.91,45.82,17
CPT,98942,CHIROPRACTIC MANJ 5 REGIONS,,,18.91,45.82,17
CPT,98943,CHIROPRACT MANJ XTRSPINL 1/>,,,22.3,38.97,15
CPT,98960,ASTHMA EDUCATION 1PT EA 30MINS RT,165.0,132.0,1.0,148.5,36
CPT,98960,COPD EDU 30 MINS - 1 PT,165.0,132.0,1.0,148.5,36
CPT,98960,COPD EDUCATION 1 PT EA 30MINS RT,165.0,132.0,1.0,148.5,36
CPT,98961,ASTHMA EDU 2-4 PTS,82.0,65.6,1.0,73.8,36
CPT,98962,EDU&TRN PT SLF-MGMT NQHP 5-8,,,1.0,11.0,15
CPT,98966,PH1 ASSMT&MGMT NQHP 5-10,,,11.32,19.78,15
CPT,98967,PH1 ASSMT&MGMT NQHP 11-20,,,21.97,38.39,15
CPT,98968,PH1 ASSMT&MGMT NQHP 21-30,,,30.62,53.52,15
CPT,98970,NQHP OL DIG ASSMT&MGMT 5-10,,,10.57,20.36,11
CPT,98971,NQHP OL DIG ASSMT&MGMT 11-20,,,19.71,36.07,11
CPT,98972,NQHP OL DIG ASSMT&MGMT 21+,,,30.16,52.93,11
CPT,98975,RTM 1ST SET-UP&PT EDUCAJ EQP,,,19.97,233.42,17
CPT,98976,RTM DEV SPLY RESP SYS 16-30D,,,27.49,66.61,17
CPT,98977,RTM DEV SPLY MSCSKL 16-30 D,,,27.49,66.61,17
CPT,98978,RTM DEV SPLY CBT 16-30 D,,,27.49,66.61,11
CPT,98980,RTM TX MGMT 1ST 20 MIN,,,30.29,52.93,15
CPT,98981,RTM TX MGMT EA ADDL 20 MIN,,,29.96,52.35,15
CPT,99000,SPECIMEN HANDLING OFFICE-LAB,,,3.0,3.0,2
CPT,99001,SPECIMEN HANDLING PT-LAB,,,8.5,8.5,2
CPT,99002,DEVICE HANDLING PHYS/QHP,,,8.5,8.5,2
CPT,99024,POSTOP FOLLOW-UP VISIT,,,1.59,1.59,2
CPT,99075,MEDICAL TESTIMONY-15 MIN,66.0,52.8,18.33,59.4,27
CPT,99078,GROUP HEALTH EDUCATION,,,1.0,1.0,2
CPT,99080,SPECIAL REPORTS OR FORMS,,,0.6,0.6,2
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,,,1.0,53.59,15
CPT,99151,ED 99151 MOD SED SAME PHYS INT 15 MINS < 5 YRS,332.0,265.6,1.0,298.8,36
CPT,99151,MOD SED SAME PHYS/QHP INITIAL 15 MINS < 5 YRS,332.0,265.6,1.0,298.8,36
CPT,99152,ED 99152 MOD SED SAME PHYS INT 15 MINS AGE 5 OR >,347.0,277.6,1.0,312.3,36
CPT,99152,MOD SED SAME PHYS/QHP INITIAL 15 MINS AGE 5 OR >,347.0,277.6,1.0,312.3,36
CPT,99153,ED 99153 MOD SED SAME PHYS EA ADDL 15 MINS,208.0,166.4,1.0,187.2,36
CPT,99153,MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,208.0,166.4,1.0,187.2,36
CPT,99155,ED 99155 MOD SED OTHER PHYS INT 15 MINS <5 YRS,311.0,248.8,1.0,279.9,36
CPT,99155,MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,311.0,248.8,1.0,279.9,36
CPT,99156,ED 99156 MOD SED OTHER PHYS INT 15 MINS AGE 5 OR >,311.0,248.8,1.0,279.9,36
CPT,99156,MOD SED OTHER PHYS/QHP INITIAL 15 MINS AGE 5 OR >,311.0,248.8,1.0,279.9,36
CPT,99157,ED 99157 MOD SED OTHER PHYS EA ADDL 15 MINS,172.0,137.6,1.0,154.8,36
CPT,99157,MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,172.0,137.6,1.0,154.8,36
CPT,99170,ED 99170 ANOGENITAL EXAM W COLP,400.0,320.0,83.55,360.0,38
CPT,99172,OCULAR FUNCTION SCREEN,,,13.08,13.08,2
CPT,99173,VISUAL ACUITY SCREEN,,,2.88,5.82,15
CPT,99174,OCULAR INSTRUMNT SCREEN BIL,,,5.65,11.05,15
CPT,99175,INDUCTION OF VOMITING,,,1.0,30.36,15
CPT,99177,OCULAR INSTRUMNT SCREEN BIL,,,4.42,8.73,15
CPT,99183,HYPERBARIC OXYGEN THERAPY,,,91.98,182.65,15
CPT,99184,HYPOTHERMIA ILL NEONATE,,,189.32,368.8,15
CPT,99188,APP TOPICAL FLUORIDE VARNISH,,,9.65,16.87,15
CPT,99190,SPECIAL PUMP SERVICES,,,205.8,205.8,2
CPT,99191,SPECIAL PUMP SERVICES,,,147.7,147.7,2
CPT,99192,SPECIAL PUMP SERVICES,,,178.52,178.52,2
CPT,99195,THERAPEUTIC PHLEBOTOMY,330.0,264.0,93.07,297.0,76
CPT,99202,ED 99202 NEW PAT CASE LEVEL II,185.0,148.0,51.37,166.5,36
CPT,99202,NEW PATIENT LEVEL 2,185.0,148.0,51.37,166.5,36
CPT,99203,ED 99203 NEW PAT CASE LEVEL III,233.0,186.4,64.7,209.7,36
CPT,99203,NEW PATIENT LEVEL 3,233.0,186.4,64.7,209.7,36
CPT,99204,ED 99204 NEW PAT CASE LEVEL IV,330.0,264.0,91.64,297.0,36
CPT,99204,NEW PATIENT LEVEL 4,330.0,264.0,91.64,297.0,36
CPT,99205,ED 99205 NEW PAT CASE LEVEL V,412.0,329.6,114.41,370.8,36
CPT,99205,NEW PATIENT LEVEL 5,412.0,329.6,114.41,370.8,36
CPT,99211,CARDIAC OR PULM REHAB INITIAL INTAKE VISIT,485.0,388.0,15.55,436.5,36
CPT,99211,ED 99211 EST PAT CASE LEVEL I,160.0,128.0,15.55,144.0,36
CPT,99211,ESTAB LEVEL 1,160.0,128.0,15.55,144.0,36
CPT,99211,TX RM 99211 FMJ CAPSULE PROCEDURE,160.0,128.0,15.55,144.0,36
CPT,99212,ED 99212 EST PAT CASE LEVEL II,209.0,167.2,51.29,188.1,36
CPT,99212,ESTAB LEVEL 2,209.0,167.2,51.29,188.1,36
CPT,99213,ED 99213 EST PAT CASE LEVEL III,242.0,193.6,67.2,217.8,36
CPT,99213,ESTAB LEVEL 3,242.0,193.6,67.2,217.8,36
CPT,99214,ED 99214 EST PAT CASE LEVEL IV,311.0,248.8,86.36,279.9,36
CPT,99214,ESTAB LEVEL 4,311.0,248.8,86.36,279.9,36
CPT,99215,ED 99215 EST PAT CASE LEVEL V,389.0,311.2,108.03,350.1,36
CPT,99215,ESTAB LEVEL 5,389.0,311.2,108.03,350.1,36
CPT,99221,1ST HOSP IP/OBS SF/LOW 40,,,72.37,147.11,15
CPT,99222,1ST HOSP IP/OBS MODERATE 55,,,115.05,232.02,15
CPT,99223,1ST HOSP IP/OBS HIGH 75,,,153.55,307.37,15
CPT,99231,SBSQ HOSP IP/OBS SF/LOW 25,,,43.35,87.91,15
CPT,99232,SBSQ HOSP IP/OBS MODERATE 35,,,70.05,139.93,15
CPT,99233,SBSQ HOSP IP/OBS HIGH 50,,,104.94,210.5,15
CPT,99234,HOSP IP/OBS SM DT SF/LOW 45,,,86.08,173.42,15
CPT,99235,HOSP IP/OBS SAME DATE MOD 70,,,140.48,282.85,15
CPT,99236,HOSP IP/OBS SAME DATE HI 85,,,183.33,369.56,15
CPT,99238,HOSP IP/OBS DSCHRG MGMT 30/<,,,72.09,144.12,15
CPT,99239,HOSP IP/OBS DSCHRG MGMT >30,,,102.06,203.32,15
CPT,99242,ED 99242 OFFICE OP CONSULT EST STFWD MDM 20 MIN,245.0,196.0,55.26,220.5,36
CPT,99242,ED 99242 OFFICE OP CONSULT NEW STFWD MDM 20 MIN,245.0,196.0,55.26,220.5,36
CPT,99242,OFFICE OP CONSULT EST STFWD MDM 20 MIN,245.0,196.0,55.26,220.5,36
CPT,99242,OFFICE OP CONSULT NEW/EST STFWD MDM 20 MIN,245.0,196.0,55.26,220.5,36
CPT,99243,ED 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN,274.0,219.2,87.21,246.6,36
CPT,99243,ED 99243 OFFICE OP CONSULT NEW LOW MDM 30 MIN,274.0,219.2,87.21,246.6,36
CPT,99243,OFFICE OP CONSULT EST LOW MDM 30 MIN,274.0,219.2,87.21,246.6,36
CPT,99243,OFFICE OP CONSULT NEW/EST LOW MDM 30 MIN,274.0,219.2,87.21,246.6,36
CPT,99244,ED 99244 OFFICE OP CONSULT EST MOD MDM 40 MIN,337.0,269.6,132.82,303.3,36
CPT,99244,ED 99244 OFFICE OP CONSULT NEW MOD MDM 40 MIN,337.0,269.6,132.82,303.3,36
CPT,99244,OFFICE OP CONSULT EST MOD MDM 40 MIN,337.0,269.6,132.82,303.3,36
CPT,99244,OFFICE OP CONSULT NEW/EST MOD MDM 40 MIN,337.0,269.6,132.82,303.3,36
CPT,99245,ED 99245 OFFICE OP CONSULT EST HIGH MDM 55 MIN,405.0,324.0,166.05,364.5,36
CPT,99245,ED 99245 OFFICE OP CONSULT NEW HIGH MDM 55 MIN,405.0,324.0,166.05,364.5,36
CPT,99245,OFFICE OP CONSULT EST HIGH MDM 55 MIN,405.0,324.0,166.05,364.5,36
CPT,99245,OFFICE OP CONSULT NEW/EST HIGH MDM 55 MIN,405.0,324.0,166.05,364.5,36
CPT,99252,IP/OBS CONSLTJ NEW/EST SF 35,,,63.01,126.18,15
CPT,99253,IP/OBS CNSLTJ NEW/EST LOW 45,,,88.8,177.01,15
CPT,99254,IP/OBS CNSLTJ NEW/EST MOD 60,,,123.26,245.78,15
CPT,99255,IP/OBS CONSLTJ NEW/EST HI 80,,,165.45,330.69,15
CPT,99281,ED 99281 EMER CASE LEVEL I,440.0,352.0,11.32,396.0,38
CPT,99282,ED 99282 EMER CASE LEVEL II,629.0,503.2,41.28,566.1,38
CPT,99283,ED 99283 EMER CASE LEVEL III,1030.0,824.0,70.24,927.0,38
CPT,99284,ED 99284 EMER CASE LEVEL IV,1700.0,1360.0,119.5,1530.0,38
CPT,99285,ED 99285 EMER CASE LEVEL V,2467.0,1973.6,173.1,2220.3,38
CPT,99288,DIRECT ADVANCED LIFE SUPPORT,,,91.77,91.77,2
CPT,99291,ED 99291 CRITICAL CARE E&M 30-74 MIN,4886.0,3908.8,210.04,4397.4,38
CPT,99292,ED 99292 CRIT CARE EA ADDL 30 MINS,1068.0,854.4,1.0,961.2,36
CPT,99304,1ST NF CARE SF/LOW MDM 25,,,71.47,142.92,15
CPT,99305,1ST NF CARE MODERATE MDM 35,,,118.96,237.41,15
CPT,99306,1ST NF CARE HIGH MDM 50,,,162.37,324.12,15
CPT,99307,SBSQ NF CARE SF MDM 10,,,35.81,71.76,15
CPT,99308,SBSQ NF CARE LOW MDM 20,,,66.7,132.76,15
CPT,99309,SBSQ NF CARE MODERATE MDM 30,,,96.48,191.96,15
CPT,99310,SBSQ NF CARE HIGH MDM 45,,,137.25,273.88,15
CPT,99315,NF DSCHRG MGMT 30 MIN/LESS,,,72.77,145.31,15
CPT,99316,NF DSCHRG MGMT 30 MIN+,,,116.5,233.22,15
CPT,99341,HOME/RES VST NEW SF MDM 15,,,44.41,87.91,15
CPT,99342,HOME/RES VST NEW LOW MDM 30,,,70.58,139.33,15
CPT,99344,HOME/RES VST NEW MOD MDM 60,,,126.95,252.95,15
CPT,99345,HOME/RES VST NEW HIGH MDM 75,,,179.32,359.4,15
CPT,99347,HOME/RES VST EST SF MDM 20,,,40.72,80.73,15
CPT,99348,HOME/RES VST EST LOW MDM 30,,,68.85,136.34,15
CPT,99349,HOME/RES VST EST MOD MDM 40,,,113.43,226.64,15
CPT,99350,HOME/RES VST EST HIGH MDM 60,,,164.64,330.1,15
CPT,99358,PROLONG SERVICE W/O CONTACT,,,1.0,88.16,15
CPT,99359,PROLONG SERV W/O CONTACT ADD,,,1.0,37.54,15
CPT,99360,PHYSICIAN STANDBY SERVICES,,,52.02,104.05,15
CPT,99366,TEAM CONF W/PAT BY HC PROF,,,1.0,40.26,15
CPT,99367,TEAM CONF W/O PAT BY PHYS,,,1.0,53.26,15
CPT,99368,TEAM CONF W/O PAT BY HC PRO,,,1.0,34.62,15
CPT,99374,HOME HEALTH CARE SUPERVISION,,,53.26,95.68,15
CPT,99375,HOME HEALTH CARE SUPERVISION,,,83.22,149.5,15
CPT,99377,HOSPICE CARE SUPERVISION,,,53.26,95.68,15
CPT,99378,HOSPICE CARE SUPERVISION,,,83.22,149.5,15
CPT,99379,NURSING FAC CARE SUPERVISION,,,53.26,95.68,15
CPT,99380,NURSING FAC CARE SUPERVISION,,,83.22,149.5,15
CPT,99381,INIT PM E/M NEW PAT INFANT,,,72.23,129.77,15
CPT,99382,INIT PM E/M NEW PAT 1-4 YRS,,,77.23,138.74,15
CPT,99383,PREV VISIT NEW AGE 5-11,,,81.89,147.11,15
CPT,99384,PREV VISIT NEW AGE 12-17,,,96.53,173.42,15
CPT,99385,PREV VISIT NEW AGE 18-39,,,92.54,166.24,15
CPT,99386,PREV VISIT NEW AGE 40-64,,,112.18,201.53,15
CPT,99387,INIT PM E/M NEW PAT 65+ YRS,,,120.5,216.48,15
CPT,99391,PER PM REEVAL EST PAT INFANT,,,65.91,118.4,15
CPT,99392,PREV VISIT EST AGE 1-4,,,72.23,129.77,15
CPT,99393,PREV VISIT EST AGE 5-11,,,72.23,129.77,15
CPT,99394,PREV VISIT EST AGE 12-17,,,81.89,147.11,15
CPT,99395,PREV VISIT EST AGE 18-39,,,84.55,151.89,15
CPT,99396,PREV VISIT EST AGE 40-64,,,91.87,165.05,15
CPT,99397,PER PM REEVAL EST PAT 65+ YR,,,96.53,173.42,15
CPT,99401,PREV MED CNSL INDIV APPRX 15,,,23.3,41.86,15
CPT,99402,PREV MED CNSL INDIV APPRX 30,,,47.27,84.92,15
CPT,99403,PREV MED CNSL INDIV APPRX 45,,,70.57,126.78,15
CPT,99404,PREV MED CNSL INDIV APPRX 60,,,94.2,169.23,15
CPT,99406,TOBACCO CONSULT 3-10 MIN,74.0,59.2,11.65,66.6,38
CPT,99407,TOBACCO CONSULT>10 MIN,114.0,91.2,20.92,102.6,38
CPT,99408,AUDIT/DAST 15-30 MIN,,,30.58,56.21,15
CPT,99409,AUDIT/DAST OVER 30 MIN,,,58.9,112.42,15
CPT,99411,PREVENTIVE COUNSELING GROUP,,,7.32,19.83,15
CPT,99412,PREVENTIVE COUNSELING GROUP,,,12.32,24.71,15
CPT,99415,PROLNG CLIN STAFF SVC 1ST HR,,,18.86,37.08,15
CPT,99416,PROLNG CLIN STAFF SVC EA ADD,,,8.72,17.34,15
CPT,99417,PROLONGED OP E/M SERVICE EA 15 MIN,72.0,57.6,27.51,64.8,36
CPT,99418,PROLNG IP/OBS E/M EA 15 MIN,,,35.19,69.97,15
CPT,99421,OL DIG E/M SVC 5-10 MIN,,,13.45,22.72,11
CPT,99422,OL DIG E/M SVC 11-20 MIN,,,26.28,44.85,11
CPT,99423,OL DIG E/M SVC 21+ MIN,,,41.95,71.76,11
CPT,99424,PRIN CARE MGMT PHYS 1ST 30,,,73.57,132.16,15
CPT,99425,PRIN CARE MGMT PHYS EA ADDL,,,50.6,90.9,15
CPT,99426,PRIN CARE MGMT STAFF 1ST 30,,,48.93,157.39,15
CPT,99427,PRIN CARE MGMT STAFF EA ADDL,,,34.29,61.59,15
CPT,99437,CHRNC CARE MGMT PHYS EA ADDL,,,49.93,89.7,15
CPT,99439,CHRNC CARE MGMT STAF EA ADDL,,,1.0,47.39,15
CPT,99441,Outpatient Services - CPT/HCPCS,,,62.19,62.19,2
CPT,99441,Therapy,,,34.62,34.62,4
CPT,99442,Outpatient Services - CPT/HCPCS,,,116.61,116.61,2
CPT,99442,Therapy,,,64.91,64.91,4
CPT,99443,Outpatient Services - CPT/HCPCS,,,172.82,172.82,2
CPT,99443,Therapy,,,96.2,96.2,4
CPT,99446,NTRPROF PH1/NTRNET/EHR 5-10,,,15.72,31.69,15
CPT,99447,NTRPROF PH1/NTRNET/EHR 11-20,,,31.74,64.58,15
CPT,99448,NTRPROF PH1/NTRNET/EHR 21-30,,,47.34,95.68,15
CPT,99449,NTRPROF PH1/NTRNET/EHR 31/>,,,63.79,127.37,15
CPT,99450,BASIC LIFE DISABILITY EXAM,,,20.84,20.84,2
CPT,99451,NTRPROF PH1/NTRNET/EHR 5/>,,,30.58,62.19,15
CPT,99452,NTRPROF PH1/NTRNET/EHR RFRL,,,31.2,60.4,15
CPT,99453,"REMOTE MONITOR PHYSIOLOGIC PARAMETER, INITIAL; SET-UP & PATIENT ED",198.0,158.4,19.97,233.42,36
CPT,99454,REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS,112.0,89.6,27.49,100.8,36
CPT,99456,DISABILITY EXAMINATION,,,2500.0,2500.0,2
CPT,99457,RPM TX MGMT 1ST 20 MIN,,,29.63,53.22,15
CPT,99458,RPM TX MGMT EA ADDL 20 MIN,,,29.63,53.22,15
CPT,99459,PELVIC EXAMINATION,,,19.67,40.66,15
CPT,99460,INIT NB EM PER DAY HOSP,,,91.54,233.42,17
CPT,99461,INIT NB EM PER DAY NON-FAC,,,60.25,108.24,15
CPT,99462,SBSQ NB EM PER DAY HOSP,,,35.62,72.36,15
CPT,99463,SAME DAY NB DISCHARGE,,,96.31,233.42,17
CPT,99464,ATTENDANCE AT DELIVERY,,,1.0,71.57,15
CPT,99465,NB RESUSCITATION,,,140.14,1149.24,17
CPT,99466,PED CRIT CARE TRANSPORT,,,1.0,228.69,15
CPT,99467,PED CRIT CARE TRANSPORT ADDL,,,1.0,114.84,15
CPT,99468,NEONATE CRIT CARE INITIAL,,,786.4,1583.5,15
CPT,99469,NEONATE CRIT CARE SUBSQ,,,340.36,684.71,15
CPT,99471,PED CRITICAL CARE INITIAL,,,680.66,1371.81,15
CPT,99472,PED CRITICAL CARE SUBSQ,,,349.26,702.65,15
CPT,99473,SELF-MEAS BP PT EDUCAJ/TRAIN,,,14.31,52.6,15
CPT,99474,SELF-MEAS BP 2 READG BID 30D,,,8.65,17.11,15
CPT,99475,PED CRIT CARE AGE 2-5 INIT,,,492.52,988.49,15
CPT,99476,PED CRIT CARE AGE 2-5 SUBSQ,,,298.12,595.01,15
CPT,99477,INIT DAY HOSP NEONATE CARE,,,298.29,599.79,15
CPT,99478,"SBSQ IC VLBW INF<1,500 GM",,,117.04,236.21,15
CPT,99479,"SBSQ IC LBW INF 1,500-2,500",,,106.36,214.68,15
CPT,99480,"SBSQ IC INF PBW 2,501-5,000",,,102.36,206.31,15
CPT,99483,ASSMT & CARE PLN PT COG IMP,,,64.94,191.07,15
CPT,99484,CARE MGMT SVC BHVL HLTH COND,,,20.92,50.69,15
CPT,99485,SUPRV INTERFACILTY TRANSPORT,,,65.16,129.77,15
CPT,99486,SUPRV INTERFAC TRNSPORT ADDL,,,56.44,112.42,15
CPT,99487,CPLX CHRNC CARE 1ST 60 MIN,,,89.21,281.54,15
CPT,99489,CPLX CHRNC CARE EA ADDL 30,,,1.0,72.78,15
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,,,49.6,157.39,15
CPT,99491,CHRNC CARE MGMT PHYS 1ST 30,,,74.56,133.95,15
CPT,99492,1ST PSYC COLLAB CARE MGMT,,,64.94,157.39,15
CPT,99493,SBSQ PSYC COLLAB CARE MGMT,,,87.88,281.54,15
CPT,99494,1ST/SBSQ PSYC COLLAB CARE,,,1.0,57.92,15
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,,,96.31,233.42,17
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,,,96.31,233.42,17
CPT,99497,ADVNCD CARE PLAN 30 MIN,,,64.94,157.39,15
CPT,99498,ADVNCD CARE PLAN ADDL 30 MIN,,,1.0,70.24,15
CPT,99500,HOME VISIT PRENATAL,,,125.32,125.32,2
CPT,99501,HOME VISIT POSTNATAL,,,66.81,66.81,2
CPT,99502,HOME VISIT NB CARE,,,66.81,66.81,2
CPT,99504,HOME VISIT MECH VENTILATOR,,,456.58,1106.58,2
CPT,99601,HOME NFS VISIT <2 HRS,,,125.32,125.32,2
CPT,99602,HOME NFS VISIT EACH ADDL HR,,,62.66,62.66,2
CPT,99605,MTMS BY PHARM NP 15 MIN,,,55.0,55.0,2
CPT,99606,MTMS BY PHARM EST 15 MIN,,,50.0,50.0,2
CPT,99607,MTMS BY PHARM ADDL 15 MIN,,,31.0,31.0,2
EAPG,10,"LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS",,,2725.8,2725.8,1
EAPG,103,LEVEL II VARICOSE VEIN AND RELATED PROCEDURES,,,6018.64,6018.64,1
EAPG,104,MAJOR OPEN CORONARY ARTERY PROCEDURES INCLUDING CABG,,,29947.32,29947.32,1
EAPG,105,MAJOR OPEN CARDIAC AND CARDIAC VALVE PROCEDURES,,,20067.12,20067.12,1
EAPG,106,MAJOR OPEN ABDOMINAL AND THORACIC VASCULAR PROCEDURES,,,15909.62,15909.62,1
EAPG,107,CHOLECYSTECTOMY AND RELATED BILIARY PROCEDURES,,,7109.63,7109.63,1
EAPG,108,OTHER INTRA-ABDOMINAL AND INTRAPERITONEAL SURGICAL PROCEDURES,,,5709.42,5709.42,1
EAPG,109,ANCILLARY DRUG ADMINISTRATION,,,246.22,246.22,1
EAPG,11,"LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS",,,3765.38,3765.38,1
EAPG,110,PHARMACOTHERAPY BY EXTENDED INFUSION,,,1002.28,1002.28,1
EAPG,111,PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION,,,608.5,608.5,1
EAPG,113,LEVEL I BLOOD PRODUCT EXCHANGE SERVICES,,,769.33,769.33,1
EAPG,114,LEVEL II BLOOD PRODUCT EXCHANGE SERVICES,,,2212.64,2212.64,1
EAPG,115,DEEP LYMPH STRUCTURE PROCEDURES,,,4480.82,4480.82,1
EAPG,116,LEVEL I ALLERGY TESTS,,,62.18,62.18,1
EAPG,118,NUTRITION THERAPY,,,335.75,335.75,1
EAPG,121,LEVEL II PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES,,,26448.05,26448.05,1
EAPG,122,PERCUTANEOUS INTRA-ABDOMINAL OR INTRATHORACIC VASCULAR PROCEDURES,,,28825.66,28825.66,1
EAPG,123,PERIPHERAL VASCULAR BYPASS PROCEDURES,,,9153.15,9153.15,1
EAPG,124,BONE MARROW BIOPSIES,,,2580.72,2580.72,1
EAPG,125,LEVEL I ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES,,,5749.22,5749.22,1
EAPG,126,LEVEL II ESOPHAGEAL AND GASTRIC SURGICAL PROCEDURES,,,7151.91,7151.91,1
EAPG,127,LEVEL I SMALL AND LARGE INTESTINE SURGICAL PROCEDURES,,,7406.42,7406.42,1
EAPG,128,LEVEL II SMALL AND LARGE INTESTINE SURGICAL PROCEDURES,,,8742.79,8742.79,1
EAPG,129,ESOPHAGOGASTRIC RESTRICTIVE PROCEDURES AND GASTRIC FUNDOPLICATION,,,11231.49,11231.49,1
EAPG,130,MINOR GASTROINTESTINAL PROCEDURES INCLUDING TUBE INSERTION OR PLACEMENT,,,1306.53,1306.53,1
EAPG,134,LEVEL I UPPER GI ENDOSCOPY,,,1556.89,1556.89,1
EAPG,135,LEVEL II UPPER GI ENDOSCOPY,,,4520.62,4520.62,1
EAPG,136,LEVEL I LOWER GI ENDOSCOPY,,,1374.51,1374.51,1
EAPG,137,LEVEL II LOWER GI ENDOSCOPY,,,2589.84,2589.84,1
EAPG,138,LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES,,,4658.23,4658.23,1
EAPG,141,LEVEL I ANAL AND RECTAL PROCEDURES,,,3302.79,3302.79,1
EAPG,142,LEVEL II ANAL AND RECTAL PROCEDURES,,,4064.66,4064.66,1
EAPG,150,ABDOMINAL PARACENTESIS AND RELATED PERITONEAL DRAINAGE PROCEDURES,,,1727.67,1727.67,1
EAPG,151,LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES,,,7196.67,7196.67,1
EAPG,152,LEVEL II HEPATOBILIARY AND PANCREAS PROCEDURES,,,11330.14,11330.14,1
EAPG,153,LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES,,,6753.98,6753.98,1
EAPG,154,LEVEL III UPPER GI ENDOSCOPY,,,9055.32,9055.32,1
EAPG,155,LEVEL III BLOOD PRODUCT EXCHANGE SERVICES,,,7764.55,7764.55,1
EAPG,156,OCULAR IMAGING AND RELATED SERVICES,,,131.81,131.81,1
EAPG,157,REPRODUCTIVE PATHOLOGY TESTS,,,64.66,64.66,1
EAPG,158,PATHOLOGY CONSULTATION AND INTERPRETATION,,,189.02,189.02,1
EAPG,159,MINOR UROLOGY SERVICES,,,333.26,333.26,1
EAPG,16,SIMPLE WOUND REPAIR AND TREATMENT,,,581.97,581.97,1
EAPG,161,URINARY STUDIES AND PROCEDURES,,,1210.36,1210.36,1
EAPG,166,LEVEL I URETHRAL PROCEDURES,,,4688.08,4688.08,1
EAPG,167,LEVEL II URETHRAL PROCEDURES,,,9507.14,9507.14,1
EAPG,168,DIALYSIS PROCEDURES,,,513.99,513.99,1
EAPG,17,INTERMEDIATE WOUND REPAIR AND TREATMENT,,,2040.2,2040.2,1
EAPG,170,LEVEL I KIDNEY AND URETERAL PROCEDURES,,,3108.8,3108.8,1
EAPG,171,LEVEL II KIDNEY AND URETERAL PROCEDURES,,,7201.65,7201.65,1
EAPG,172,LEVEL III KIDNEY AND URETERAL PROCEDURES,,,15798.53,15798.53,1
EAPG,173,LEVEL I BLADDER AND URETERAL PROCEDURES,,,2778.86,2778.86,1
EAPG,174,LEVEL II BLADDER AND URETERAL PROCEDURES,,,8851.39,8851.39,1
EAPG,175,LEVEL III BLADDER AND URETERAL PROCEDURES,,,9325.58,9325.58,1
EAPG,176,LEVEL I PROSTATE PROCEDURES,,,2805.38,2805.38,1
EAPG,177,MINOR DERMATOLOGY SERVICES,,,64.66,64.66,1
EAPG,178,ANTEPARTUM PROCEDURES,,,2281.45,2281.45,1
EAPG,179,ECTOPIC PREGNANCY PROCEDURES,,,8214.7,8214.7,1
EAPG,18,COMPLEX WOUND REPAIR AND TREATMENT,,,4101.13,4101.13,1
EAPG,180,TESTICULAR AND EPIDIDYMAL PROCEDURES,,,3122.07,3122.07,1
EAPG,182,INSERTION OF PENILE PROSTHESIS,,,24843.08,24843.08,1
EAPG,183,LEVEL I PENILE PROCEDURES,,,3882.27,3882.27,1
EAPG,184,LEVEL II PROSTATE PROCEDURES,,,11965.99,11965.99,1
EAPG,187,LEVEL II PENILE PROCEDURES,,,5771.6,5771.6,1
EAPG,188,LEVEL I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES,,,3503.42,3503.42,1
EAPG,189,LEVEL II PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES,,,10273.15,10273.15,1
EAPG,19,MOHS MICROGRAPHIC SURGERY,,,1740.1,1740.1,1
EAPG,190,ARTIFICIAL FERTILIZATION,,,420.31,420.31,1
EAPG,191,LEVEL I FETAL PROCEDURES,,,756.06,756.06,1
EAPG,192,LEVEL II FETAL PROCEDURES,,,1901.76,1901.76,1
EAPG,194,ABORTION AND MISCARRIAGE TREATMENT AND PROCEDURES,,,3068.18,3068.18,1
EAPG,195,VAGINAL DELIVERY PROCEDURES,,,4538.85,4538.85,1
EAPG,2,SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION,,,1331.4,1331.4,1
EAPG,20,"BREAST BIOPSIES, EXCISIONS, AND OTHER RELATED PROCEDURES",,,2525.18,2525.18,1
EAPG,2016,LEVEL II ALLERGY TESTS,,,341.55,341.55,1
EAPG,202,CESAREAN DELIVERY PROCEDURES,,,4934.29,4934.29,1
EAPG,2020,NONINVASIVE VENTILATION SUPPORT,,,133.47,133.47,1
EAPG,203,GLOBAL ANTEPARTUM AND POSTPARTUM VISITS,,,410.36,410.36,1
EAPG,2030,MINOR MUSCULOSKELETAL PROCEDURES,,,324.97,324.97,1
EAPG,204,LEVEL I HYSTERECTOMY AND MYOMECTOMY PROCEDURES,,,7657.61,7657.61,1
EAPG,2040,LEVEL I DRUG SCREENING AND DEFINITIVE TESTS,,,58.03,58.03,1
EAPG,2041,LEVEL II DRUG SCREENING AND DEFINITIVE TESTS,,,133.47,133.47,1
EAPG,2042,LEVEL III DRUG SCREENING AND DEFINITIVE TESTS,,,387.98,387.98,1
EAPG,2043,LEVEL III BLOOD AND TISSUE TYPING TESTS,,,119.38,119.38,1
EAPG,2044,"LEVEL IV COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,649.95,649.95,1
EAPG,2045,ADVANCED MOLECULAR PATHOLOGY AND GENETIC TESTS,,,2297.2,2297.2,1
EAPG,205,OBSTETRICAL PROCEDURES,,,3248.08,3248.08,1
EAPG,2050,HEALTH CARE PROFESSIONAL HOME HEALTH SERVICES,,,676.48,676.48,1
EAPG,2051,OTHER ANCILLARY HOME HEALTH SERVICES,,,146.74,146.74,1
EAPG,206,LEVEL II HYSTERECTOMY AND MYOMECTOMY PROCEDURES,,,11076.46,11076.46,1
EAPG,2061,CLASS I BLOOD PRODUCTS,,,324.14,324.14,1
EAPG,2062,CLASS II BLOOD PRODUCTS,,,633.37,633.37,1
EAPG,207,LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES,,,4724.55,4724.55,1
EAPG,2070,MONTHLY CARE AND CASE MANAGEMENT SERVICES,,,105.28,105.28,1
EAPG,2071,MONTHLY BEHAVIORAL HEALTH CARE AND CASE MANAGEMENT SERVICES,,,151.71,151.71,1
EAPG,2072,MONTHLY TREATMENT MANAGEMENT SERVICES,,,72.95,72.95,1
EAPG,208,LEVEL II OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES,,,5815.54,5815.54,1
EAPG,209,OTHER GYNECOLOGICAL PROCEDURES,,,3303.62,3303.62,1
EAPG,21,LEVEL I MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES,,,5403.52,5403.52,1
EAPG,210,EXTENDED EEG STUDIES,,,895.34,895.34,1
EAPG,211,ELECTROENCEPHALOGRAM,,,705.49,705.49,1
EAPG,212,ELECTROCONVULSIVE THERAPY,,,1054.51,1054.51,1
EAPG,213,NERVE AND MUSCLE TESTS,,,1270.05,1270.05,1
EAPG,214,LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP,,,1253.47,1253.47,1
EAPG,217,LEVEL I PERIPHERAL NERVE PROCEDURES,,,2302.17,2302.17,1
EAPG,218,LEVEL II PERIPHERAL NERVE PROCEDURES,,,7235.64,7235.64,1
EAPG,22,LEVEL II MASTECTOMY AND RECONSTRUCTIVE BREAST PROCEDURES,,,7136.16,7136.16,1
EAPG,220,LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP,,,3209.11,3209.11,1
EAPG,222,SLEEP STUDIES ATTENDED,,,2278.13,2278.13,1
EAPG,223,LEVEL I NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION,,,7495.95,7495.95,1
EAPG,224,LEVEL II NEUROSTIMULATOR AND RELATED DEVICE IMPLANTATION,,,42777.15,42777.15,1
EAPG,225,OTHER INTRACRANIAL NEUROSURGERY PROCEDURES,,,6240.82,6240.82,1
EAPG,226,SLEEP STUDIES UNATTENDED,,,250.36,250.36,1
EAPG,227,LEVEL I CRANIOFACIAL BONE PROCEDURES,,,3436.26,3436.26,1
EAPG,228,LEVEL II CRANIOFACIAL BONE PROCEDURES,,,9328.9,9328.9,1
EAPG,229,MINOR AUDIOMETRY TESTS AND AUDIOLOGY SCREENING SERVICES,,,133.47,133.47,1
EAPG,23,LEVEL I FOREARM AND WRIST PROCEDURES,,,2763.11,2763.11,1
EAPG,230,MINOR OPHTHALMOLOGICAL PROCEDURES AND DIAGNOSTIC SERVICES,,,435.23,435.23,1
EAPG,233,CATARACT AND OTHER INTROCULAR LENS PROCEDURES,,,4144.24,4144.24,1
EAPG,234,LEVEL I ANTERIOR CHAMBER EYE PROCEDURES,,,1224.45,1224.45,1
EAPG,235,LEVEL II ANTERIOR CHAMBER EYE PROCEDURES,,,4244.55,4244.55,1
EAPG,237,"LEVEL I INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES",,,2414.09,2414.09,1
EAPG,238,"LEVEL II INTRAVITREAL, RETINAL AND OTHER POSTERIOR CHAMBER EYE PROCEDURES",,,9309.0,9309.0,1
EAPG,239,EXTRAOCULAR MUSCLE PROCEDURES,,,4468.39,4468.39,1
EAPG,24,LEVEL II FOREARM AND WRIST PROCEDURES,,,8190.66,8190.66,1
EAPG,241,OCULAR RECONSTRUCTIVE PROCEDURES W OR W/O OCULAR DEVICE,,,5236.06,5236.06,1
EAPG,247,LEVEL I CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES,,,426.11,426.11,1
EAPG,248,LEVEL II CORNEAL AND OTHER ANTERIOR SURFACE EYE PROCEDURES,,,2012.02,2012.02,1
EAPG,249,"MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,510.67,510.67,1
EAPG,25,LEVEL I SHOULDER AND UPPER ARM PROCEDURES,,,7550.66,7550.66,1
EAPG,250,COCHLEAR DEVICE IMPLANTATION,,,51389.78,51389.78,1
EAPG,251,OTORHINOLARYNGOLOGIC FUNCTION TESTS,,,269.43,269.43,1
EAPG,252,"LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,1980.52,1980.52,1
EAPG,253,"LEVEL II EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,4297.61,4297.61,1
EAPG,254,"LEVEL III EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,7589.63,7589.63,1
EAPG,255,"LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,10128.9,10128.9,1
EAPG,256,TONSIL AND ADENOID PROCEDURES,,,6147.14,6147.14,1
EAPG,257,AUDIOMETRY,,,207.25,207.25,1
EAPG,258,"LEVEL I EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES",,,1798.13,1798.13,1
EAPG,259,"LEVEL II EYELID, LACRIMAL AND CONJUNCTIVAL PROCEDURES",,,2259.89,2259.89,1
EAPG,26,LEVEL I KNEE AND LOWER LEG PROCEDURES,,,5324.76,5324.76,1
EAPG,260,CASE MANAGEMENT AND CARE PLANNING SERVICES,,,215.54,215.54,1
EAPG,261,ESRD MONTHLY CASE MANAGEMENT,,,975.75,975.75,1
EAPG,262,CLEFT LIP AND PALATE REPAIR,,,5816.37,5816.37,1
EAPG,263,THYROID AND PARATHYROID PROCEDURES,,,8237.09,8237.09,1
EAPG,264,MAJOR CRANIOTOMY AND CRANIECTOMY SURGICAL PROCEDURES,,,8099.47,8099.47,1
EAPG,265,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,25959.76,25959.76,1
EAPG,266,OPEN INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,9030.45,9030.45,1
EAPG,267,OTHER CRANIOTOMY PROCEDURES INCLUDING CRANIOPLASTY,,,11371.59,11371.59,1
EAPG,268,CRANIAL AND SPINAL SHUNT PROCEDURES,,,10489.52,10489.52,1
EAPG,269,LEVEL II ANCILLARY THERAPEUTIC SERVICES,,,161.66,161.66,1
EAPG,27,LEVEL I HIP AND FEMUR PROCEDURES,,,7318.54,7318.54,1
EAPG,270,OCCUPATIONAL THERAPY,,,267.77,267.77,1
EAPG,271,PHYSICAL THERAPY,,,264.46,264.46,1
EAPG,272,SPEECH THERAPY AND EVALUATION,,,183.21,183.21,1
EAPG,276,PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES,,,4819.06,4819.06,1
EAPG,277,LEVEL I VASCULAR RADIOLOGICAL PROCEDURES,,,2100.72,2100.72,1
EAPG,278,INJECTION(S) FOR RADIOLOGICAL IMAGING,,,606.01,606.01,1
EAPG,279,LEVEL II VASCULAR RADIOLOGICAL PROCEDURES,,,2553.36,2553.36,1
EAPG,28,LEVEL I SPINE PROCEDURES,,,7316.05,7316.05,1
EAPG,280,LEVEL III VASCULAR RADIOLOGICAL PROCEDURES,,,8894.5,8894.5,1
EAPG,282,MAGNETIC RESONANCE ANGIOGRAPHY,,,540.52,540.52,1
EAPG,284,MYELOGRAPHY AND DISCOGRAPHY IMAGING PROCEDURES,,,1029.64,1029.64,1
EAPG,286,MAMMOGRAPHY AND OTHER RELATED PROCEDURES,,,155.03,155.03,1
EAPG,288,LEVEL I DIAGNOSTIC ULTRASOUND,,,189.02,189.02,1
EAPG,289,LEVEL II DIAGNOSTIC ULTRASOUND,,,272.75,272.75,1
EAPG,29,LEVEL II SPINE PROCEDURES,,,15103.81,15103.81,1
EAPG,290,PET SCANS,,,2522.69,2522.69,1
EAPG,291,BONE DENSITY AND RELATED PROCEDURES,,,210.57,210.57,1
EAPG,293,MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST,,,579.48,579.48,1
EAPG,295,MAGNETIC RESONANCE IMAGING WITH CONTRAST,,,880.41,880.41,1
EAPG,297,MAGNETOCEPHALOGRAPHY,,,6184.45,6184.45,1
EAPG,299,LEVEL I COMPUTED TOMOGRAPHY,,,368.91,368.91,1
EAPG,3,"LEVEL I SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX",,,1065.28,1065.28,1
EAPG,300,LEVEL II COMPUTED TOMOGRAPHY,,,691.4,691.4,1
EAPG,301,COMPUTED TOMOGRAPHY- OTHER,,,425.28,425.28,1
EAPG,3011,BONE CONDUCTION HEARING DEVICE IMPLANTATION,,,21496.34,21496.34,1
EAPG,302,COMPUTED TOMOGRAPHIC ANGIOGRAPHY,,,800.0,800.0,1
EAPG,3030,SPINAL IMPLANTATION OF DRUG INFUSION DEVICE,,,28155.82,28155.82,1
EAPG,3033,"INGUINAL, FEMORAL AND UMBILICAL HERNIA REPAIR",,,5623.21,5623.21,1
EAPG,3035,ABDOMINAL HERNIA REPAIR,,,6439.78,6439.78,1
EAPG,304,MINOR SPECIMEN COLLECTION SERVICES,,,10.78,10.78,1
EAPG,305,LEVEL I SURGICAL PATHOLOGY TESTS,,,94.51,94.51,1
EAPG,3050,OTHER TRANSPLANT PROCEDURES,,,9553.56,9553.56,1
EAPG,3051,HEART AND/OR LUNG TRANSPLANT,,,24013.23,24013.23,1
EAPG,3052,KIDNEY TRANSPLANT,,,14273.14,14273.14,1
EAPG,306,LEVEL II SURGICAL PATHOLOGY TESTS,,,203.94,203.94,1
EAPG,3060,VENTRICULAR ASSIST DEVICE PROCEDURES,,,58706.66,58706.66,1
EAPG,307,INSERTION OR REMOVAL OF DRUG DELIVERY DEVICE,,,610.15,610.15,1
EAPG,3070,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROCEDURES,,,14809.51,14809.51,1
EAPG,308,LEVEL III PATHOLOGY TESTS,,,390.47,390.47,1
EAPG,309,ADAPTIVE BEHAVIORAL HEALTH TREATMENT SERVICES,,,82.9,82.9,1
EAPG,310,DEVELOPMENTAL AND NEUROPSYCHOLOGICAL TESTING,,,255.34,255.34,1
EAPG,312,BEHAVIORAL AND SUBSTANCE ABUSE PARTIAL HOSPITALIZATION PROGRAM,,,993.99,993.99,1
EAPG,315,COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY,,,237.1,237.1,1
EAPG,316,INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY,,,417.82,417.82,1
EAPG,317,FAMILY PSYCHOTHERAPY,,,541.35,541.35,1
EAPG,319,ACTIVITY THERAPY,,,294.3,294.3,1
EAPG,320,BEHAVIORAL HEALTH - CASE MANAGEMENT AND TREATMENT PLAN DEVELOPMENT,,,147.56,147.56,1
EAPG,321,CRISIS INTERVENTION,,,421.97,421.97,1
EAPG,322,MEDICATION ADMINISTRATION AND OBSERVATION,,,64.66,64.66,1
EAPG,323,BEHAVIORAL HEALTH ASSESSMENT,,,314.2,314.2,1
EAPG,324,SCREENING FOR BEHAVIORAL CHANGE OR RISK ASSESSMENT,,,111.09,111.09,1
EAPG,325,PREVENTION COUNSELING,,,121.87,121.87,1
EAPG,327,INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT,,,447.67,447.67,1
EAPG,328,"DAY REHABILITATION, HALF DAY",,,598.55,598.55,1
EAPG,329,"DAY REHABILITATION, FULL DAY",,,892.02,892.02,1
EAPG,33,LEVEL I HAND PROCEDURES,,,2299.69,2299.69,1
EAPG,331,LEVEL I DIAGNOSTIC NUCLEAR MEDICINE,,,730.36,730.36,1
EAPG,332,LEVEL II DIAGNOSTIC NUCLEAR MEDICINE,,,1358.75,1358.75,1
EAPG,333,BEHAVIORAL HEALTH RESIDENTIAL TREATMENT,,,855.54,855.54,1
EAPG,34,LEVEL II HAND PROCEDURES,,,4571.19,4571.19,1
EAPG,340,THERAPEUTIC NUCLEAR MEDICINE,,,579.48,579.48,1
EAPG,343,LEVEL I RADIATION THERAPY,,,640.83,640.83,1
EAPG,346,RADIOSURGERY,,,9303.2,9303.2,1
EAPG,347,LEVEL II RADIATION THERAPY,,,1726.84,1726.84,1
EAPG,348,LEVEL III RADIATION THERAPY,,,3214.09,3214.09,1
EAPG,35,LEVEL I FOOT PROCEDURES,,,3389.84,3389.84,1
EAPG,350,ADJUNCTIVE DENTAL SERVICES,,,441.86,441.86,1
EAPG,352,LEVEL I PERIODONTICS,,,1730.15,1730.15,1
EAPG,353,"LEVEL I PROSTHODONTICS, FIXED",,,194.82,194.82,1
EAPG,354,"LEVEL II PROSTHODONTICS, FIXED",,,729.53,729.53,1
EAPG,355,"LEVEL III PROSTHODONTICS, FIXED",,,901.97,901.97,1
EAPG,356,"LEVEL I PROSTHODONTICS, REMOVABLE",,,395.44,395.44,1
EAPG,357,"LEVEL II PROSTHODONTICS, REMOVABLE",,,488.29,488.29,1
EAPG,358,"LEVEL III PROSTHODONTICS, REMOVABLE",,,581.97,581.97,1
EAPG,359,LEVEL I MAXILLOFACIAL PROSTHETICS,,,262.8,262.8,1
EAPG,36,LEVEL II FOOT PROCEDURES,,,8233.77,8233.77,1
EAPG,360,LEVEL II MAXILLOFACIAL PROSTHETICS,,,1372.85,1372.85,1
EAPG,361,LEVEL I DENTAL RESTORATIONS,,,4189.84,4189.84,1
EAPG,362,LEVEL II DENTAL RESTORATIONS,,,5454.92,5454.92,1
EAPG,363,LEVEL III DENTAL RESTORATIONS,,,5804.76,5804.76,1
EAPG,364,LEVEL I ENDODONTICS,,,267.77,267.77,1
EAPG,365,LEVEL II ENDODONTICS,,,481.66,481.66,1
EAPG,366,LEVEL III ENDODONTICS,,,573.68,573.68,1
EAPG,367,LEVEL I ORAL SURGERY PROCEDURES,,,3624.45,3624.45,1
EAPG,368,LEVEL II ORAL SURGERY PROCEDURES,,,5588.39,5588.39,1
EAPG,369,LEVEL III ORAL SURGERY PROCEDURES,,,7593.77,7593.77,1
EAPG,37,LEVEL I ARTHROSCOPY,,,3993.36,3993.36,1
EAPG,371,LEVEL I ORTHODONTICS,,,710.47,710.47,1
EAPG,372,SEALANT,,,94.51,94.51,1
EAPG,373,LEVEL I DENTAL IMAGING,,,70.47,70.47,1
EAPG,374,LEVEL II DENTAL IMAGING,,,268.6,268.6,1
EAPG,375,DENTAL ANESTHESIA,,,80.41,80.41,1
EAPG,376,DIAGNOSTIC DENTAL PROCEDURES,,,241.24,241.24,1
EAPG,377,PREVENTIVE DENTAL PROCEDURES,,,235.44,235.44,1
EAPG,378,LEVEL II PERIODONTICS,,,2565.8,2565.8,1
EAPG,379,LEVEL II ORTHODONTICS,,,781.76,781.76,1
EAPG,38,LEVEL II ARTHROSCOPY,,,9886.0,9886.0,1
EAPG,380,ANESTHESIA,,,40.62,40.62,1
EAPG,381,LEVEL I DENTAL IMPLANTS,,,2469.63,2469.63,1
EAPG,382,LEVEL II DENTAL IMPLANTS,,,2716.68,2716.68,1
EAPG,384,LEVEL III CHEMISTRY TESTS,,,276.06,276.06,1
EAPG,385,"LEVEL I COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,139.27,139.27,1
EAPG,386,"LEVEL II COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,184.04,184.04,1
EAPG,387,"LEVEL III COMPLEX LABORATORY, MOLECULAR PATHOLOGY AND GENETIC TESTS",,,296.79,296.79,1
EAPG,388,LEVEL III MICROBIOLOGY TESTS,,,286.84,286.84,1
EAPG,389,LEVEL II CONVENTIONAL RADIOLOGY,,,314.2,314.2,1
EAPG,39,CAST APPLICATION OR REPLACEMENT,,,465.08,465.08,1
EAPG,390,LEVEL I PATHOLOGY TESTS,,,45.6,45.6,1
EAPG,391,LEVEL II PATHOLOGY TESTS,,,58.03,58.03,1
EAPG,392,PAP SMEARS,,,37.31,37.31,1
EAPG,393,LEVEL II BLOOD AND TISSUE TYPING TESTS,,,94.51,94.51,1
EAPG,394,LEVEL I IMMUNOLOGY TESTS,,,63.01,63.01,1
EAPG,395,LEVEL II IMMUNOLOGY TESTS,,,63.83,63.83,1
EAPG,396,LEVEL I MICROBIOLOGY TESTS,,,34.82,34.82,1
EAPG,397,LEVEL II MICROBIOLOGY TESTS,,,60.52,60.52,1
EAPG,398,LEVEL I ENDOCRINOLOGY TESTS,,,53.89,53.89,1
EAPG,399,LEVEL II ENDOCRINOLOGY TESTS,,,113.57,113.57,1
EAPG,4,"LEVEL II SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX",,,1898.44,1898.44,1
EAPG,40,MINOR SPLINT AND STRAPPING APPLICATION,,,255.34,255.34,1
EAPG,400,LEVEL I CHEMISTRY TESTS,,,58.03,58.03,1
EAPG,4001,EMERGING TECHNOLOGY PROCEDURES,,,1304.04,1304.04,1
EAPG,401,LEVEL II CHEMISTRY TESTS,,,82.07,82.07,1
EAPG,4010,LEVEL I OPIOID TREATMENT PROGRAM SERVICES,,,385.49,385.49,1
EAPG,4011,LEVEL II OPIOID TREATMENT PROGRAM SERVICES,,,711.29,711.29,1
EAPG,402,BASIC CHEMISTRY TESTS,,,33.16,33.16,1
EAPG,403,ORGAN OR DISEASE ORIENTED PANELS,,,52.23,52.23,1
EAPG,404,TOXICOLOGY TESTS,,,29.84,29.84,1
EAPG,405,THERAPEUTIC DRUG MONITORING,,,44.77,44.77,1
EAPG,406,LEVEL I CLOTTING TESTS,,,29.02,29.02,1
EAPG,407,LEVEL II CLOTTING TESTS,,,39.79,39.79,1
EAPG,408,LEVEL I HEMATOLOGY TESTS,,,30.67,30.67,1
EAPG,409,LEVEL II HEMATOLOGY TESTS,,,92.02,92.02,1
EAPG,41,CLOSED TREATMENT FX AND DISLOCATION,,,2757.3,2757.3,1
EAPG,410,URINALYSIS,,,33.16,33.16,1
EAPG,412,ANCILLARY RESPIRATORY THERAPY AND OTHER PULMONARY TESTS AND SERVICES,,,159.17,159.17,1
EAPG,413,CARDIOGRAM,,,68.81,68.81,1
EAPG,414,LEVEL I IMMUNIZATION,,,63.83,63.83,1
EAPG,415,LEVEL II IMMUNIZATION,,,334.09,334.09,1
EAPG,417,MINOR FEMALE REPRODUCTIVE PROCEDURES,,,589.43,589.43,1
EAPG,418,AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS,,,77.93,77.93,1
EAPG,419,ANCILLARY OPHTHALMOLOGY OR OPTOMETRY SERVICES,,,168.29,168.29,1
EAPG,420,"ELECTRONIC ANALYSIS FOR CARDIAC, NEUROLOGICAL AND OTHER DEVICES",,,1205.39,1205.39,1
EAPG,423,VASCULAR ACCESS BY NEEDLE OR CATHETER,,,1354.61,1354.61,1
EAPG,427,BIOFEEDBACK AND OTHER TRAINING,,,180.73,180.73,1
EAPG,428,"PATIENT EDUCATION, INDIVIDUAL",,,395.44,395.44,1
EAPG,429,"PATIENT EDUCATION, GROUP",,,108.6,108.6,1
EAPG,43,OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES,,,7749.63,7749.63,1
EAPG,44,BONE OR JOINT MANIPULATION UNDER ANESTHESIA,,,2241.66,2241.66,1
EAPG,448,EXPANDED HOURS ACCESS,,,76.27,76.27,1
EAPG,449,ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES,,,319.17,319.17,1
EAPG,450,OBSERVATION,,,1600.0,1600.0,1
EAPG,454,TPN FORMULAE,,,1019.69,1019.69,1
EAPG,458,ALLERGY THERAPY,,,72.12,72.12,1
EAPG,459,VACCINE ADMINISTRATION,,,48.91,48.91,1
EAPG,46,LEVEL I ARTHROPLASTY,,,5609.11,5609.11,1
EAPG,47,LEVEL II ARTHROPLASTY,,,19398.94,19398.94,1
EAPG,470,OBSTETRICAL ULTRASOUND,,,160.0,160.0,1
EAPG,471,LEVEL I CONVENTIONAL RADIOLOGY,,,90.36,90.36,1
EAPG,472,ULTRASOUND GUIDANCE,,,103.63,103.63,1
EAPG,473,CT GUIDANCE,,,169.12,169.12,1
EAPG,474,RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES,,,816.58,816.58,1
EAPG,475,MRI GUIDANCE,,,389.64,389.64,1
EAPG,476,LEVEL I RADIATION TREATMENT PREPARATION AND PLANNING,,,431.92,431.92,1
EAPG,477,LEVEL II RADIATION TREATMENT PREPARATION AND PLANNING,,,833.99,833.99,1
EAPG,478,LEVEL III RADIATION TREATMENT PREPARATION AND PLANNING,,,2412.43,2412.43,1
EAPG,483,RADIATION THERAPY MANAGEMENT,,,727.87,727.87,1
EAPG,486,LEVEL I BLOOD AND TISSUE TYPING TESTS,,,58.86,58.86,1
EAPG,488,MINOR DEVICE EVALUATION AND INTERROGATION,,,76.27,76.27,1
EAPG,49,"LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES",,,774.3,774.3,1
EAPG,493,LEVEL I ANCILLARY THERAPEUTIC SERVICES,,,109.43,109.43,1
EAPG,494,COMPLEX BLOOD COLLECTION SERVICES,,,301.76,301.76,1
EAPG,497,TELEHEALTH FACILITATION,,,114.4,114.4,1
EAPG,498,PEN FORMULAE,,,53.06,53.06,1
EAPG,499,"BLOOD PROCESSING, STORAGE AND RELATED SERVICES",,,141.76,141.76,1
EAPG,5,NAIL PROCEDURES,,,660.72,660.72,1
EAPG,50,"LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES",,,972.43,972.43,1
EAPG,51,"MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES",,,3345.9,3345.9,1
EAPG,518,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,275.23,275.23,1
EAPG,519,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM,,,487.46,487.46,1
EAPG,52,LEVEL II KNEE AND LOWER LEG PROCEDURES,,,9130.77,9130.77,1
EAPG,520,SPINAL DIAGNOSES AND INJURIES,,,647.46,647.46,1
EAPG,521,NERVOUS SYSTEM MALIGNANCY,,,378.03,378.03,1
EAPG,522,DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS,,,402.9,402.9,1
EAPG,523,MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES,,,373.89,373.89,1
EAPG,524,OTHER CENTRAL NERVOUS SYSTEM DIAGNOSES,,,421.14,421.14,1
EAPG,526,TRANSIENT ISCHEMIA,,,470.05,470.05,1
EAPG,527,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DIAGNOSES",,,437.72,437.72,1
EAPG,528,ANOXIC AND OTHER SEVERE BRAIN DAMAGE OR COMA,,,353.16,353.16,1
EAPG,529,SEIZURE,,,722.9,722.9,1
EAPG,53,SPINE INJECTIONS AND OTHER RELATED PROCEDURES,,,1436.68,1436.68,1
EAPG,530,HEADACHES OTHER THAN MIGRAINE,,,649.12,649.12,1
EAPG,531,MIGRAINE,,,778.44,778.44,1
EAPG,532,HEAD TRAUMA WITH OR WITHOUT LOC/COMA LESS THAN 1 HR,,,361.45,361.45,1
EAPG,533,AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT,,,314.2,314.2,1
EAPG,534,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION W/O INFARC,,,295.13,295.13,1
EAPG,535,CVA AND PRECEREBRAL OCCLUSION W INFARCT,,,560.41,560.41,1
EAPG,536,CEREBRAL PALSY,,,327.46,327.46,1
EAPG,537,"MALFUNCTION, REACTION, COMPLICATION OF NEUROLOGICAL DEVICE OR PROC",,,414.51,414.51,1
EAPG,538,HEAD TRAUMA WITH LOC/COMA MORE THEN 1 HR,,,935.13,935.13,1
EAPG,539,INTRACRANIAL HEMORRHAGE,,,496.58,496.58,1
EAPG,54,FIXATION DEVICE INSERTION OR REPLACEMENT PROCEDURES,,,3037.51,3037.51,1
EAPG,545,"PERIPHERAL, CRANIAL, AND AUTONOMIC NERVE INJURIES",,,379.69,379.69,1
EAPG,548,PERIPHERAL AND OTHER VASCULAR RELATED INJURIES,,,424.46,424.46,1
EAPG,55,LEVEL II HIP AND FEMUR PROCEDURES,,,19679.15,19679.15,1
EAPG,550,ACUTE MAJOR EYE INFECTIONS,,,381.35,381.35,1
EAPG,551,CATARACTS,,,324.97,324.97,1
EAPG,552,GLAUCOMA,,,400.41,400.41,1
EAPG,553,OTHER OPHTHALMIC SYSTEM DIAGNOSES,,,400.41,400.41,1
EAPG,555,CONJUNCTIVITIS,,,344.04,344.04,1
EAPG,556,OCULAR AND PERIOCULAR MALIGNANCY,,,293.47,293.47,1
EAPG,557,OTHER EYE INFECTION DIAGNOSES,,,360.62,360.62,1
EAPG,558,"MALFUNCTION, REACTION, OR COMPLICATION OF OCULAR DEVICE OR PROCEDURE",,,248.7,248.7,1
EAPG,56,SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES,,,4058.03,4058.03,1
EAPG,560,"EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES",,,440.21,440.21,1
EAPG,561,VERTIGO AND OTHER LABYRINTH DISORDERS,,,814.92,814.92,1
EAPG,562,INFECTIONS OF UPPER RESPIRATORY TRACT AND OTITIS MEDIA,,,539.69,539.69,1
EAPG,563,DENTAL AND ORAL DIAGNOSES AND INJURIES,,,331.61,331.61,1
EAPG,564,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIOFACIAL DIAGNOSES",,,402.9,402.9,1
EAPG,566,"MALFUNCTION, REACTION, OR COMPLICATION OF OTOLARYNGOLOGIC DEVICE OR PROCEDURE",,,315.85,315.85,1
EAPG,57,LEVEL III SPINE PROCEDURES,,,18110.65,18110.65,1
EAPG,570,CYSTIC FIBROSIS - PULMONARY DISEASE,,,519.79,519.79,1
EAPG,571,RESPIRATORY MALIGNANCY,,,375.54,375.54,1
EAPG,572,BRONCHIOLITIS AND RSV PNEUMONIA,,,674.82,674.82,1
EAPG,574,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,1215.34,1215.34,1
EAPG,575,ASTHMA,,,915.23,915.23,1
EAPG,576,OTHER RESPIRATORY SYSTEM DIAGNOSES,,,519.79,519.79,1
EAPG,579,STATUS ASTHMATICUS,,,679.79,679.79,1
EAPG,58,LEVEL II SHOULDER AND UPPER ARM PROCEDURES,,,16356.46,16356.46,1
EAPG,580,MAJOR CHEST AND RESPIRATORY TRAUMA,,,524.77,524.77,1
EAPG,581,PULMONARY INFECTION DIAGNOSES INCLUDING PNEUMONIA,,,964.97,964.97,1
EAPG,582,INTERSTITIAL AND ALVEOLAR LUNG DIAGNOSES,,,659.07,659.07,1
EAPG,583,"MALFUNCTION, REACTION, OR COMPLICATION OF PULMONARY DEVICE OR PROCEDURE",,,635.85,635.85,1
EAPG,584,ACUTE BRONCHITIS,,,819.9,819.9,1
EAPG,585,"AFTERCARE, OPEN WOUNDS AND OTHER TRAUMATIC INJURIES",,,266.94,266.94,1
EAPG,586,PULMONARY EMBOLISM,,,722.9,722.9,1
EAPG,587,RESPIRATORY FAILURE,,,1462.38,1462.38,1
EAPG,589,"MALFUNCTION, REACTION, OR COMPLICATION OF CARDIOVASCULAR DEVICE OR PROC",,,539.69,539.69,1
EAPG,59,ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS,,,5415.12,5415.12,1
EAPG,591,ACUTE MYOCARDIAL INFARCTION,,,1143.21,1143.21,1
EAPG,592,OTHER CARDIOVASCULAR SYSTEM DIAGNOSES,,,905.28,905.28,1
EAPG,594,HEART FAILURE,,,713.78,713.78,1
EAPG,595,CARDIAC ARREST OR OTHER CAUSES OF MORTALITY,,,805.8,805.8,1
EAPG,596,PERIPHERAL AND OTHER VASCULAR DIAGNOSES,,,411.19,411.19,1
EAPG,597,PHLEBITIS,,,718.76,718.76,1
EAPG,598,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,699.69,699.69,1
EAPG,599,HYPERTENSION,,,673.99,673.99,1
EAPG,60,PULMONARY FUNCTION TESTS,,,263.63,263.63,1
EAPG,600,CARDIAC STRUCTURAL AND VALVULAR DIAGNOSES,,,497.41,497.41,1
EAPG,601,CARDIAC ARRHYTHMIA AND CONDUCTION DIAGNOSES,,,1175.54,1175.54,1
EAPG,602,ATRIAL FIBRILLATION,,,984.87,984.87,1
EAPG,604,CHEST PAIN,,,1197.1,1197.1,1
EAPG,605,SYNCOPE AND COLLAPSE,,,859.69,859.69,1
EAPG,607,CARDIOMYOPATHY DIAGNOSES,,,346.53,346.53,1
EAPG,608,ACUTE AND SUBACUTE ENDOCARDITIS,,,262.8,262.8,1
EAPG,610,CONTUSIONS TO EXTERNAL ORGANS OTHER THAN HEAD TRAUMA,,,529.74,529.74,1
EAPG,616,DIVERTICULITIS AND DIVERTICULOSIS,,,694.71,694.71,1
EAPG,617,GASTROINTESTINAL HEMORRHAGE AND RELATED POSTPROCEDURAL HEMORRHAGE DIAGNOSES,,,673.16,673.16,1
EAPG,618,INTESTINAL OBSTRUCTION DIAGNOSES,,,710.47,710.47,1
EAPG,619,GASTROINTESTINAL AND PERITONEAL INFECTION DIAGNOSES,,,727.05,727.05,1
EAPG,62,LEVEL I ENDOSCOPY OF THE UPPER AIRWAY,,,6058.44,6058.44,1
EAPG,620,DIGESTIVE MALIGNANCY,,,299.27,299.27,1
EAPG,621,PEPTIC ULCER AND GASTRITIS,,,999.79,999.79,1
EAPG,623,ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES,,,1043.73,1043.73,1
EAPG,624,OTHER GASTROINTESTINAL SYSTEM DIAGNOSES,,,491.61,491.61,1
EAPG,626,INFLAMMATORY BOWEL DISEASE,,,1063.63,1063.63,1
EAPG,627,"NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING",,,731.19,731.19,1
EAPG,628,ABDOMINAL PAIN,,,819.9,819.9,1
EAPG,629,"MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE",,,416.99,416.99,1
EAPG,63,LEVEL II ENDOSCOPY OF THE UPPER AIRWAY,,,7127.87,7127.87,1
EAPG,630,CONSTIPATION,,,698.03,698.03,1
EAPG,631,HERNIA,,,470.05,470.05,1
EAPG,632,IRRITABLE BOWEL SYNDROME,,,457.62,457.62,1
EAPG,633,ALCOHOLIC LIVER DISEASE,,,644.97,644.97,1
EAPG,634,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,411.19,411.19,1
EAPG,635,PANCREAS DIAGNOSES EXCEPT MALIGNANCY,,,722.07,722.07,1
EAPG,636,HEPATITIS WITHOUT COMA,,,707.15,707.15,1
EAPG,637,GALLBLADDER AND BILIARY TRACT DIAGNOSES,,,756.06,756.06,1
EAPG,638,CHOLECYSTITIS,,,1149.84,1149.84,1
EAPG,639,OTHER HEPATOBILIARY SYSTEM DIAGNOSES,,,708.81,708.81,1
EAPG,64,LEVEL I LOWER AIRWAY ENDOSCOPY,,,2820.31,2820.31,1
EAPG,641,HEPATIC COMA AND MAJOR ACUTE LIVER DIAGNOSES,,,513.99,513.99,1
EAPG,642,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,431.09,431.09,1
EAPG,647,"FRACTURES, DISLOCATIONS, OTHER INJURIES - UPPER EXTREMITY INCLUDING SHOULDER",,,644.97,644.97,1
EAPG,648,"FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE",,,498.24,498.24,1
EAPG,649,OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY,,,373.89,373.89,1
EAPG,650,"FRACTURES, DISLOCATIONS, OTHER INJURIES - LOWER EXTREMITY INCLUDING FEMUR",,,616.79,616.79,1
EAPG,651,"FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP",,,682.28,682.28,1
EAPG,652,OTHER INJURIES AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE,,,433.57,433.57,1
EAPG,653,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FX DUE TO MALIGNANCY,,,402.07,402.07,1
EAPG,654,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,367.25,367.25,1
EAPG,655,CONNECTIVE TISSUE DIAGNOSES,,,568.7,568.7,1
EAPG,656,"FRACTURES, DISLOCATIONS, OTHER INJURIES OF THE NECK, UPPER BACK AND CHEST",,,604.35,604.35,1
EAPG,657,"FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE LOWER BACK",,,383.83,383.83,1
EAPG,658,SCIATICA AND LOW BACK PAIN,,,461.76,461.76,1
EAPG,659,"MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE",,,572.02,572.02,1
EAPG,66,PULMONARY REHABILITATIVE SERVICES,,,140.1,140.1,1
EAPG,660,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,538.03,538.03,1
EAPG,662,OSTEOPOROSIS,,,407.88,407.88,1
EAPG,663,PAIN RELATED DIAGNOSES,,,466.74,466.74,1
EAPG,67,VENTILATION ASSISTANCE AND MANAGEMENT,,,687.25,687.25,1
EAPG,670,NON-PRESSURE CHRONIC SKIN ULCERS,,,426.94,426.94,1
EAPG,671,MAJOR SKIN DIAGNOSES,,,412.85,412.85,1
EAPG,672,MALIGNANT BREAST DIAGNOSES,,,277.72,277.72,1
EAPG,673,CELLULITIS AND OTHER BACTERIAL SKIN INFECTIONS,,,464.25,464.25,1
EAPG,674,"OPEN WOUNDS, PUNCTURES AND OTHER OPEN TRAUMATIC INJURIES",,,394.61,394.61,1
EAPG,675,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DIAGNOSES",,,404.56,404.56,1
EAPG,676,PRESSURE ULCERS,,,350.67,350.67,1
EAPG,68,"THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES",,,1627.36,1627.36,1
EAPG,69,LEVEL I THORACIC AND CHEST PROCEDURES,,,3608.7,3608.7,1
EAPG,690,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DIAGNOSES",,,544.66,544.66,1
EAPG,691,INBORN ERRORS OF METABOLISM,,,559.58,559.58,1
EAPG,692,OTHER ENDOCRINE SYSTEM DIAGNOSES,,,627.56,627.56,1
EAPG,694,ELECTROLYTE DISORDERS,,,1010.57,1010.57,1
EAPG,695,OBESITY,,,386.32,386.32,1
EAPG,696,THYROID AND PARATHYROID DIAGNOSES,,,560.41,560.41,1
EAPG,70,LEVEL II THORACIC AND CHEST PROCEDURES,,,9245.17,9245.17,1
EAPG,71,LEVEL II LOWER AIRWAY ENDOSCOPY,,,6132.22,6132.22,1
EAPG,710,DIABETES WITH OPHTHALMIC MANIFESTATIONS,,,330.78,330.78,1
EAPG,711,DIABETES WITH OTHER MANIFESTATIONS AND COMPLICATIONS,,,865.49,865.49,1
EAPG,712,DIABETES WITH NEUROLOGIC MANIFESTATIONS,,,488.29,488.29,1
EAPG,713,DIABETES WITHOUT COMPLICATIONS,,,453.47,453.47,1
EAPG,714,DIABETES WITH RENAL MANIFESTATIONS,,,470.88,470.88,1
EAPG,715,DIABETES WITH VASCULAR COMPLICATIONS INCLUDING FOOT AND OTHER SKIN ULCERS,,,407.05,407.05,1
EAPG,72,TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES,,,4076.26,4076.26,1
EAPG,720,CHRONIC KIDNEY DISEASE,,,509.01,509.01,1
EAPG,721,KIDNEY AND URINARY TRACT MALIGNANCY,,,346.53,346.53,1
EAPG,722,NEPHRITIS AND NEPHROSIS,,,296.79,296.79,1
EAPG,723,COMPLEX KIDNEY AND URINARY TRACT INFECTIONS,,,795.85,795.85,1
EAPG,724,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,870.47,870.47,1
EAPG,725,"MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC",,,482.49,482.49,1
EAPG,726,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,500.72,500.72,1
EAPG,727,ACUTE LOWER URINARY TRACT INFECTIONS,,,678.13,678.13,1
EAPG,729,ACUTE KIDNEY INJURY,,,820.72,820.72,1
EAPG,73,DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR,,,13927.44,13927.44,1
EAPG,74,"REVISION, REPLACEMENT OR REMOVAL OF CARDIAC DEVICE COMPONENT",,,1371.19,1371.19,1
EAPG,740,MALE REPRODUCTIVE SYSTEM MALIGNANCY,,,347.36,347.36,1
EAPG,741,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES,,,489.95,489.95,1
EAPG,743,PROSTATITIS,,,516.48,516.48,1
EAPG,744,MALE REPRODUCTIVE SYSTEM INFECTIONS,,,288.5,288.5,1
EAPG,75,LEVEL I CENTRAL VENOUS ACCESS PROCEDURES,,,2208.49,2208.49,1
EAPG,750,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,309.22,309.22,1
EAPG,751,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,645.8,645.8,1
EAPG,752,OTHER FEMALE REPRODUCTIVE SYSTEM AND MENSTRUAL DIAGNOSES,,,675.65,675.65,1
EAPG,76,"REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE",,,1865.28,1865.28,1
EAPG,760,LABOR AND DELIVERY RELATED DIAGNOSES,,,725.39,725.39,1
EAPG,761,POSTPARTUM AND POST ABORTION DIAGNOSES,,,693.06,693.06,1
EAPG,762,PRETERM LABOR DIAGNOSES,,,825.7,825.7,1
EAPG,763,ABORTION RELATED DIAGNOSES,,,928.5,928.5,1
EAPG,764,FALSE LABOR,,,468.39,468.39,1
EAPG,765,OTHER ANTEPARTUM COMPLICATION DIAGNOSES,,,640.0,640.0,1
EAPG,766,ROUTINE PRENATAL CARE,,,297.62,297.62,1
EAPG,767,COMPLICATIONS OF TREATMENT AFFECTING PREGNANCY,,,813.26,813.26,1
EAPG,768,ANTEPARTUM ENCOUNTERS FOR NON-ROUTINE AND ABNORMAL FINDINGS,,,541.35,541.35,1
EAPG,77,LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,,,7083.1,7083.1,1
EAPG,770,NORMAL NEONATE,,,300.93,300.93,1
EAPG,771,NEONATAL DIAGNOSES,,,421.97,421.97,1
EAPG,777,SUPERFICIAL INJURY TO SKIN AND SUBCUTANEOUS TISSUE,,,383.0,383.0,1
EAPG,78,"LEVEL I PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION",,,4190.67,4190.67,1
EAPG,780,OTHER HEMATOLOGICAL DIAGNOSES,,,576.17,576.17,1
EAPG,781,COAGULATION AND PLATELET DISORDERS AND CONGENITAL FACTOR DEFICIENCIES,,,572.02,572.02,1
EAPG,783,SICKLE CELL ANEMIA CRISIS,,,610.15,610.15,1
EAPG,785,"ANEMIA, BLOOD AND BLOOD-FORMING ORGAN DISORDERS",,,659.07,659.07,1
EAPG,787,"AFTERCARE, BURNS, CORROSIONS, OTHER INJURIES RELATED TO THE SKIN AND SUB TIS",,,340.72,340.72,1
EAPG,79,LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,,,11812.63,11812.63,1
EAPG,80,EXERCISE TOLERANCE TESTS,,,324.14,324.14,1
EAPG,800,ACUTE LEUKEMIA,,,334.09,334.09,1
EAPG,801,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,407.88,407.88,1
EAPG,802,RADIOTHERAPY,,,107.77,107.77,1
EAPG,803,CHEMOTHERAPY,,,347.36,347.36,1
EAPG,804,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,455.96,455.96,1
EAPG,805,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,681.45,681.45,1
EAPG,806,"INTRAOPERATIVE, POST-OPERATIVE OR POST-TRAUMATIC INFECTIONS AND COMPLICATIONS",,,461.76,461.76,1
EAPG,807,FEVER AND OTHER INFLAMMATORY CONDITIONS,,,585.28,585.28,1
EAPG,808,VIRAL ILLNESS,,,797.51,797.51,1
EAPG,809,OTHER INFECTIOUS AND PARASITIC DISEASES,,,464.25,464.25,1
EAPG,81,ECHOCARDIOGRAPHY,,,980.72,980.72,1
EAPG,810,H. PYLORI INFECTION,,,232.12,232.12,1
EAPG,812,VIRAL MENINGITIS,,,467.56,467.56,1
EAPG,82,COMPREHENSIVE CARDIAC ELECTROPHYSIOLOGIC PROCEDURES WITH ABLATION,,,29229.39,29229.39,1
EAPG,820,SCHIZOPHRENIA,,,487.46,487.46,1
EAPG,821,MAJOR DEPRESSIVE DIAGNOSES AND  OTHER OR UNSPECIFIED PSYCHOSES,,,472.54,472.54,1
EAPG,822,PERSONALITY AND IMPULSE CONTROL DIAGNOSES,,,402.07,402.07,1
EAPG,823,BIPOLAR DISORDERS,,,466.74,466.74,1
EAPG,824,DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES,,,458.44,458.44,1
EAPG,825,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,446.01,446.01,1
EAPG,826,ACUTE ANXIETY AND DELIRIUM STATES,,,606.84,606.84,1
EAPG,827,ORGANIC BEHAVIORAL HEALTH DISTURBANCES,,,419.48,419.48,1
EAPG,828,INTELLECTUAL DISABILITY,,,264.46,264.46,1
EAPG,829,CHILDHOOD BEHAVIORAL DIAGNOSES,,,407.88,407.88,1
EAPG,83,LEVEL II CENTRAL VENOUS ACCESS PROCEDURES,,,4296.78,4296.78,1
EAPG,830,EATING DISORDERS,,,363.94,363.94,1
EAPG,831,OTHER BEHAVIORAL HEALTH DIAGNOSES,,,408.7,408.7,1
EAPG,832,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,1145.7,1145.7,1
EAPG,84,CARDIAC CATHETERIZATION PROCEDURES,,,5047.04,5047.04,1
EAPG,840,OPIOID ABUSE AND DEPENDENCE,,,395.44,395.44,1
EAPG,841,COCAINE ABUSE AND DEPENDENCE,,,581.14,581.14,1
EAPG,842,ALCOHOL ABUSE AND DEPENDENCE,,,535.54,535.54,1
EAPG,843,OTHER DRUG ABUSE AND DEPENDENCE,,,545.49,545.49,1
EAPG,85,LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES,,,18871.68,18871.68,1
EAPG,850,ALLERGIC REACTIONS,,,705.49,705.49,1
EAPG,851,POISONING OR TOXIC EFFECTS OF MEDICINAL AGENTS,,,575.34,575.34,1
EAPG,852,OTHER COMPLICATIONS OF TREATMENT,,,349.84,349.84,1
EAPG,853,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,562.9,562.9,1
EAPG,854,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,549.64,549.64,1
EAPG,86,PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT,,,16910.24,16910.24,1
EAPG,860,EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS,,,350.67,350.67,1
EAPG,861,PARTIAL THICKNESS BURNS,,,363.11,363.11,1
EAPG,867,ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES,,,260.31,260.31,1
EAPG,869,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES",,,376.37,376.37,1
EAPG,87,REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES,,,13415.94,13415.94,1
EAPG,870,REHABILITATION,,,288.5,288.5,1
EAPG,871,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,474.2,474.2,1
EAPG,872,OTHER AFTERCARE AND CONVALESCENCE,,,447.67,447.67,1
EAPG,873,NEONATAL AFTERCARE,,,191.5,191.5,1
EAPG,874,AFTERCARE FOR JOINT REPLACEMENT,,,301.76,301.76,1
EAPG,875,CONTRACEPTIVE MANAGEMENT,,,361.45,361.45,1
EAPG,876,ADULT PREVENTIVE MEDICINE,,,408.7,408.7,1
EAPG,877,CHILD PREVENTIVE MEDICINE,,,329.95,329.95,1
EAPG,878,GYNECOLOGIC PREVENTIVE MEDICINE,,,398.76,398.76,1
EAPG,879,PREVENTIVE OR SCREENING ENCOUNTER,,,343.21,343.21,1
EAPG,880,HIV INFECTION,,,423.63,423.63,1
EAPG,881,AIDS,,,392.95,392.95,1
EAPG,882,GENETIC COUNSELING,,,327.46,327.46,1
EAPG,883,ALTERATION IN CONSCIOUSNESS,,,693.06,693.06,1
EAPG,9,"LEVEL I SKIN EXCISIONS, BIOPSIES, AND REPAIRS",,,1953.99,1953.99,1
EAPG,90,LEVEL I VARICOSE VEIN AND RELATED PROCEDURES,,,1654.71,1654.71,1
EAPG,900,AUTOPSY AND POST-MORTEM EXAMINATION SERVICES,,,286.84,286.84,1
EAPG,91,"LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION",,,7546.52,7546.52,1
EAPG,92,RESUSCITATION,,,1601.66,1601.66,1
EAPG,93,CARDIOVERSION,,,1131.6,1131.6,1
EAPG,94,CARDIAC REHABILITATION,,,90.36,90.36,1
EAPG,96,CARDIAC ELECTROPHYSIOLOGIC PROCEDURES INCLUDING PACING AND RECORDING,,,12913.56,12913.56,1
EAPG,97,AICD AND RELATED CARDIAC DEVICE INSERTION OR REPLACEMENT,,,45618.18,45618.18,1
EAPG,99,LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES,,,9977.19,9977.19,1
HCPCS,A0430,FW TRANSPORT LEVEL 1,15750.0,12600.0,6457.5,14175.0,27
HCPCS,A0431,RW TRANSPORT,18400.0,14720.0,7544.0,16560.0,27
HCPCS,A0435,FW LOADED MILES,48.0,38.4,19.68,43.2,27
HCPCS,A0436,RW LOADED MILES,115.0,92.0,47.15,103.5,27
HCPCS,A0888,AMBUL MILEAGE NON-COVERED MILE,115.0,92.0,47.15,103.5,27
HCPCS,A0998,FIXED WING AMBULANCE RESP TREATMENT NO TRANSPORT,15750.0,12600.0,4373.78,14175.0,27
HCPCS,A0998,ROTARY WING AMBULANCE RESP TREATMENT NO TRANSPORT,18400.0,14720.0,5109.68,16560.0,27
HCPCS,A2001,"Innovamatrix ac, per sq cm",,,1.0,1.0,2
HCPCS,A2002,Mirragen adv wnd mat per sq,,,1.0,1.0,2
HCPCS,A2004,"Xcellistem, 1 mg",,,1.0,1.0,2
HCPCS,A2005,"Microlyte matrix, per sq cm",,,1.0,1.0,2
HCPCS,A2006,SCAF NOVOSORB BTM 10X10=100SQ,30.8,24.64,1.0,27.72,27
HCPCS,A2006,SCAF NOVOSORB BTM 10X20=200SQ,30.8,24.64,1.0,27.72,27
HCPCS,A2006,SCAF NOVOSORB BTM 5X5=25SQ,115.2,92.16,1.0,103.68,27
HCPCS,A2006,SCAF NOVOSORB MTX 10X10=100SQ,40.6,32.48,1.0,36.54,27
HCPCS,A2006,SCAF NOVOSORB MTX 5X5=25SQ,156.8,125.44,1.0,141.12,27
HCPCS,A2007,"Restrata, per sq cm",,,1.0,1.0,2
HCPCS,A2008,"Theragenesis, per sq cm",,,1.0,1.0,2
HCPCS,A2009,"Symphony, per sq cm",,,1.0,1.0,2
HCPCS,A2010,"Apis, per square centimeter",,,1.0,1.0,2
HCPCS,A2011,"Supra sdrm, per sq cm",,,1.0,1.0,2
HCPCS,A2012,"Suprathel, per sq cm",,,1.0,1.0,2
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,1.0,1.0,2
HCPCS,A2014,Omeza collag compl 100 mg,,,1.0,1.0,2
HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,1.0,1.0,2
HCPCS,A2016,"Permeaderm b, per sq cm",,,1.0,1.0,2
HCPCS,A2017,"Permeaderm glove, each",,,1.0,1.0,2
HCPCS,A2018,"Permeaderm c, per sq cm",,,1.0,1.0,2
HCPCS,A2019,GRAFT WND SHIELD ADH 1.77SQCM,1441.6,1153.28,1.0,1297.44,27
HCPCS,A2019,GRAFT WND SHIELD ADH 7.07SQCM,1771.2,1416.96,1.0,1594.08,27
HCPCS,A2019,GRAFT WND SHIELDSPIRAL7.07SQCM,1771.2,1416.96,1.0,1594.08,27
HCPCS,A2020,Ac5 wound system,,,1.0,1.0,2
HCPCS,A2021,Neomatrix per sq cm,,,1.0,1.0,2
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,1.0,1.0,2
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,1.0,1.0,2
HCPCS,A2024,Resolve or xenopatch sq cm,,,1.0,1.0,2
HCPCS,A2025,Miro3d per cubic cm,,,1.0,1.0,2
HCPCS,A2027,DRSG MATRIDERM 1MM 21X29.7=624,51.97,41.58,14.43,46.77,27
HCPCS,A2027,DRSG MATRIDERM 1MM 3.7X5.2=20,333.25,266.6,92.54,299.93,27
HCPCS,A2027,DRSG MATRIDERM 1MM 5.2X7.4=39,194.13,155.31,53.91,174.72,27
HCPCS,A2027,DRSG MATRIDERM 2MM 21X29.7=624,59.77,47.82,16.6,53.79,27
HCPCS,A2027,DRSG MATRIDERM1MM10.5X14.8=156,77.38,61.91,21.49,69.64,27
HCPCS,A2027,DRSG MATRIDERM2MM10.5X14.8=156,88.99,71.2,24.71,80.09,27
HCPCS,A2028,PTCL WND MICROMATRIX FLEX 5CC,1368.4,1094.72,380.0,1231.56,27
HCPCS,A4100,Nosht skin sub fda clrd nos,,,1.0,1.0,2
HCPCS,A4206,1 CC sterile syringe&needle,,,1.0,1.0,2
HCPCS,A4207,2 CC sterile syringe&needle,,,1.0,1.0,2
HCPCS,A4208,3 CC sterile syringe&needle,,,1.0,1.0,2
HCPCS,A4209,5+ CC sterile syringe&needle,,,1.0,1.0,2
HCPCS,A4210,Nonneedle injection device,,,0.27,0.27,2
HCPCS,A4211,Supp for self-adm injections,,,1.0,1.0,2
HCPCS,A4212,Non coring needle or stylet,,,1.0,1.0,2
HCPCS,A4213,20+ CC syringe only,,,1.0,1.0,2
HCPCS,A4215,Sterile needle,,,1.0,1.0,2
HCPCS,A4216,"Sterile water/saline, 10 ml",,,0.5,1.0,15
HCPCS,A4217,"Sterile water/saline, 500 ml",,,1.0,5.8,15
HCPCS,A4218,Sterile saline or water,,,1.0,1.0,2
HCPCS,A4220,Infusion pump refill kit,,,1.0,1.0,2
HCPCS,A4221,Supp non-insulin inf cath/wk,,,1.0,33.34,15
HCPCS,A4222,Infusion supplies with pump,,,1.0,63.24,15
HCPCS,A4223,Infusion supplies w/o pump,,,1.0,1.0,2
HCPCS,A4224,Supply insulin inf cath/wk,,,1.0,33.34,15
HCPCS,A4225,Sup/ext insulin inf pump syr,,,1.0,4.47,15
HCPCS,A4230,Infus insulin pump non needl,,,1.0,1.0,2
HCPCS,A4231,Infusion insulin pump needle,,,1.0,1.0,2
HCPCS,A4232,Syringe w/needle insulin 3cc,,,3.04,5.04,6
HCPCS,A4233,Alkalin batt for glucose mon,,,0.48,0.48,2
HCPCS,A4234,J-cell batt for glucose mon,,,2.24,2.24,2
HCPCS,A4235,Lithium batt for glucose mon,,,0.95,0.95,2
HCPCS,A4236,Silvr oxide batt glucose mon,,,1.1,1.1,2
HCPCS,A4238,Adju cgm supply allowance,,,255.32,255.32,2
HCPCS,A4239,Non-adju cgm supply allow,,,248.56,354.62,15
HCPCS,A4244,Alcohol or peroxide per pint,,,1.0,1.0,2
HCPCS,A4245,Alcohol wipes per box,,,1.0,1.0,2
HCPCS,A4246,Betadine/phisohex solution,,,1.0,1.0,2
HCPCS,A4247,Betadine/iodine swabs/wipes,,,1.0,1.0,2
HCPCS,A4248,Chlorhexidine antisept,,,1.0,1.0,2
HCPCS,A4250,Urine reagent strips/tablets,,,12.39,18.5,6
HCPCS,A4252,Blood ketone test or strip,,,1.79,4.26,6
HCPCS,A4253,Blood glucose/reagent strips,,,1.0,1.0,2
HCPCS,A4255,Glucose monitor platforms,,,1.0,7.6,15
HCPCS,A4256,Calibrator solution/chips,,,1.0,4.47,15
HCPCS,A4257,Replace Lensshield Cartridge,,,16.54,23.6,15
HCPCS,A4258,Lancet device each,,,1.0,2.81,15
HCPCS,A4259,Lancets per box,,,1.0,1.88,15
HCPCS,A4262,Temporary tear duct plug,,,1.0,1.0,2
HCPCS,A4263,STNT LACRIMAL MASTERKA 30MM,540.0,432.0,1.0,486.0,27
HCPCS,A4263,STNT LACRIMAL MASTERKA 35MM,540.0,432.0,1.0,486.0,27
HCPCS,A4263,STNT LACRIMAL MASTERKA 40MM,540.0,432.0,1.0,486.0,27
HCPCS,A4263,TB TEAR DUCT ST 3.5X10MM,297.0,237.6,1.0,267.3,27
HCPCS,A4264,Intratubal occlusion device,,,398.29,398.29,2
HCPCS,A4265,Paraffin,,,1.0,6.3,15
HCPCS,A4266,Diaphragm,,,72.9,72.9,2
HCPCS,A4267,Male condom,,,0.43,0.43,2
HCPCS,A4268,Female condom,,,2.44,2.44,2
HCPCS,A4269,Spermicide,,,9.28,9.28,2
HCPCS,A4270,Disposable endoscope sheath,,,1.0,1.0,2
HCPCS,A4271,Home lancing/test cartridges,,,31.76,44.25,13
HCPCS,A4280,Brst prsths adhsv attchmnt,,,1.0,9.91,15
HCPCS,A4281,Replacement breastpump tube,,,4.13,4.13,2
HCPCS,A4282,Replacement breastpump adpt,,,3.8,3.8,2
HCPCS,A4283,Replacement breastpump cap,,,4.05,4.05,2
HCPCS,A4284,Replcmnt breast pump shield,,,11.54,11.54,2
HCPCS,A4285,Replcmnt breast pump bottle,,,4.75,4.75,2
HCPCS,A4286,Replcmnt breastpump lok ring,,,4.05,4.05,2
HCPCS,A4290,Sacral nerve stim test lead,,,1.0,1.0,2
HCPCS,A4300,Cath impl vasc access portal,,,1.0,1.0,2
HCPCS,A4301,Implantable access syst perc,,,1.0,1.0,2
HCPCS,A4305,Drug delivery system >=50 ML,,,1.0,1.0,2
HCPCS,A4306,Drug delivery system <=50 ml,,,1.0,1.0,2
HCPCS,A4310,Insert tray w/o bag/cath,,,1.0,14.28,15
HCPCS,A4311,Catheter w/o bag 2-way latex,,,1.0,27.4,15
HCPCS,A4312,Cath w/o bag 2-way silicone,,,1.0,29.68,15
HCPCS,A4313,Catheter w/bag 3-way,,,1.0,29.68,15
HCPCS,A4314,Cath w/drainage 2-way latex,,,1.0,46.75,15
HCPCS,A4315,Cath w/drainage 2-way silcne,,,1.0,48.77,15
HCPCS,A4316,Cath w/drainage 3-way,,,1.0,50.67,15
HCPCS,A4320,Irrigation tray,,,1.0,9.87,15
HCPCS,A4321,Cath therapeutic irrig agent,,,1.0,1.0,2
HCPCS,A4322,Irrigation syringe,,,1.0,5.64,15
HCPCS,A4326,Male external catheter,,,1.0,18.04,15
HCPCS,A4327,Fem urinary collect dev cup,,,1.0,82.49,15
HCPCS,A4328,Fem urinary collect pouch,,,1.0,19.3,15
HCPCS,A4330,Stool collection pouch,,,1.0,13.25,15
HCPCS,A4331,Extension drainage tubing,,,1.0,5.88,15
HCPCS,A4332,Lube sterile packet,,,0.14,1.0,15
HCPCS,A4333,Urinary cath anchor device,,,1.0,4.1,15
HCPCS,A4334,Urinary cath leg strap,,,1.0,9.09,15
HCPCS,A4335,Incontinence supply,,,1.0,1.0,2
HCPCS,A4336,Urethral insert,,,1.0,2.66,15
HCPCS,A4337,Incontinent rectal insert,,,1.0,1.0,2
HCPCS,A4338,Indwelling catheter latex,,,1.0,22.69,15
HCPCS,A4340,Indwelling catheter special,,,1.0,58.71,15
HCPCS,A4341,Iduc valve pat inst repl,,,316.29,451.25,15
HCPCS,A4342,Iduc valve sply repl,,,1.0,1139.41,15
HCPCS,A4344,Cath indw foley 2 way silicn,,,1.0,28.36,15
HCPCS,A4346,Cath indw foley 3 way,,,1.0,36.21,15
HCPCS,A4349,Disposable male external cat,,,1.0,3.72,15
HCPCS,A4351,Straight tip urine catheter,,,1.0,2.85,15
HCPCS,A4352,Coude tip urinary catheter,,,1.0,10.09,15
HCPCS,A4353,Intermittent urinary cath,,,1.0,12.96,15
HCPCS,A4354,Cath insertion tray w/bag,,,1.0,21.38,15
HCPCS,A4355,Bladder irrigation tubing,,,1.0,14.02,15
HCPCS,A4356,Ext ureth clmp or compr dvc,,,1.0,84.38,15
HCPCS,A4357,Bedside drainage bag,,,1.0,17.96,15
HCPCS,A4358,Urinary leg or abdomen bag,,,1.0,10.43,15
HCPCS,A4360,Disposable ext urethral dev,,,0.66,1.0,15
HCPCS,A4361,Ostomy face plate,,,1.0,28.85,15
HCPCS,A4362,Solid skin barrier,,,1.0,6.42,15
HCPCS,A4363,"Ostomy clamp, replacement",,,2.67,3.72,15
HCPCS,A4364,"Adhesive, liquid or equal",,,1.0,4.62,15
HCPCS,A4366,Ostomy vent,,,1.0,2.38,15
HCPCS,A4367,Ostomy belt,,,1.0,13.61,15
HCPCS,A4368,Ostomy filter,,,0.33,1.0,15
HCPCS,A4369,Skin barrier liquid per oz,,,1.0,3.81,15
HCPCS,A4371,Skin barrier powder per oz,,,1.0,6.64,15
HCPCS,A4372,Skin barrier solid 4x4 equiv,,,1.0,7.77,15
HCPCS,A4373,Skin barrier with flange,,,1.0,11.59,15
HCPCS,A4375,Drainable plastic pch w fcpl,,,1.0,31.75,15
HCPCS,A4376,Drainable rubber pch w fcplt,,,1.0,87.99,15
HCPCS,A4377,Drainable plstic pch w/o fp,,,1.0,7.93,15
HCPCS,A4378,Drainable rubber pch w/o fp,,,1.0,56.86,15
HCPCS,A4379,Urinary plastic pouch w fcpl,,,1.0,27.77,15
HCPCS,A4380,Urinary rubber pouch w fcplt,,,1.0,69.04,15
HCPCS,A4381,Urinary plastic pouch w/o fp,,,1.0,8.55,15
HCPCS,A4382,Urinary hvy plstc pch w/o fp,,,1.0,45.53,15
HCPCS,A4383,Urinary rubber pouch w/o fp,,,1.0,52.12,15
HCPCS,A4384,Ostomy faceplt/silicone ring,,,1.0,17.76,15
HCPCS,A4385,Ost skn barrier sld ext wear,,,1.0,9.42,15
HCPCS,A4387,Ost clsd pouch w att st barr,,,1.0,4.16,15
HCPCS,A4388,Drainable pch w ex wear barr,,,1.0,8.06,15
HCPCS,A4389,Drainable pch w st wear barr,,,1.0,11.48,15
HCPCS,A4390,Drainable pch ex wear convex,,,1.0,17.75,15
HCPCS,A4391,Urinary pouch w ex wear barr,,,1.0,13.06,15
HCPCS,A4392,Urinary pouch w st wear barr,,,1.0,15.12,15
HCPCS,A4393,Urine pch w ex wear bar conv,,,1.0,16.72,15
HCPCS,A4394,Ostomy pouch liq deodorant,,,1.0,4.79,15
HCPCS,A4395,Ostomy pouch solid deodorant,,,0.05,1.0,15
HCPCS,A4396,Peristomal hernia supprt blt,,,1.0,74.86,15
HCPCS,A4398,Ostomy irrigation bag,,,1.0,23.43,15
HCPCS,A4399,Ostomy irrig cone/cath w brs,,,1.0,22.69,15
HCPCS,A4400,Ostomy irrigation set,,,1.0,90.38,15
HCPCS,A4402,Lubricant per ounce,,,1.0,2.95,15
HCPCS,A4404,Ostomy ring each,,,1.0,2.71,15
HCPCS,A4405,Nonpectin based ostomy paste,,,1.0,6.31,15
HCPCS,A4406,Pectin based ostomy paste,,,1.0,10.59,15
HCPCS,A4407,"Ext wear ost skn barr <=4sq""",,,1.0,16.2,15
HCPCS,A4408,"Ext wear ost skn barr >4sq""",,,1.0,18.25,15
HCPCS,A4409,Ost skn barr convex <=4 sq i,,,1.0,11.48,15
HCPCS,A4410,Ost skn barr extnd >4 sq,,,1.0,16.72,15
HCPCS,A4411,Ost skn barr extnd =4sq,,,1.0,9.42,15
HCPCS,A4412,Ost pouch drain high output,,,1.0,5.0,15
HCPCS,A4413,2 pc drainable ost pouch,,,1.0,10.19,15
HCPCS,A4414,Ost sknbar w/o conv<=4 sq in,,,1.0,9.09,15
HCPCS,A4415,Ost skn barr w/o conv >4 sqi,,,1.0,11.09,15
HCPCS,A4416,Ost pch clsd w barrier/filtr,,,1.0,5.1,15
HCPCS,A4417,Ost pch w bar/bltinconv/fltr,,,1.0,6.9,15
HCPCS,A4418,Ost pch clsd w/o bar w filtr,,,1.0,3.35,15
HCPCS,A4419,Ost pch for bar w flange/flt,,,1.0,3.19,15
HCPCS,A4420,Ost pch clsd for bar w lk fl,,,1.0,1.0,2
HCPCS,A4421,Ostomy supply misc,,,1.0,1.0,2
HCPCS,A4422,Ost pouch absorbent material,,,0.14,1.0,15
HCPCS,A4423,Ost pch for bar w lk fl/fltr,,,1.0,3.43,15
HCPCS,A4424,Ost pch drain w bar & filter,,,1.0,8.8,15
HCPCS,A4425,Ost pch drain for barrier fl,,,1.0,6.62,15
HCPCS,A4426,Ost pch drain 2 piece system,,,1.0,5.04,15
HCPCS,A4427,Ost pch drain/barr lk flng/f,,,1.0,5.16,15
HCPCS,A4428,Urine ost pouch w faucet/tap,,,1.0,12.06,15
HCPCS,A4429,Urine ost pouch w bltinconv,,,1.0,15.26,15
HCPCS,A4430,Ost urine pch w b/bltin conv,,,1.0,15.75,15
HCPCS,A4431,Ost pch urine w barrier/tapv,,,1.0,11.48,15
HCPCS,A4432,Os pch urine w bar/fange/tap,,,1.0,6.63,15
HCPCS,A4433,Urine ost pch bar w lock fln,,,1.0,6.21,15
HCPCS,A4434,Ost pch urine w lock flng/ft,,,1.0,6.95,15
HCPCS,A4435,1pc ost pch drain hgh output,,,1.0,10.65,15
HCPCS,A4436,Irr supply sleev reus per mo,,,1.0,35.46,15
HCPCS,A4437,Irr supply sleev disp per mo,,,1.0,35.46,15
HCPCS,A4438,Adhesive clip ext ens contr,,,2.44,3.4,13
HCPCS,A4450,Non-waterproof tape,,,1.0,1.0,2
HCPCS,A4452,Waterproof tape,,,1.0,1.0,2
HCPCS,A4453,"Rec cath any transanal, each",,,1.0,14.45,11
HCPCS,A4455,Adhesive remover per ounce,,,1.0,2.63,15
HCPCS,A4456,"Adhesive remover, wipes",,,0.32,1.0,15
HCPCS,A4457,Enema tube any type repl,,,5.36,5.36,2
HCPCS,A4458,Reusable enema bag,,,1.0,1.0,2
HCPCS,A4459,"Transanal irrigation, any",,,1.0,165.13,11
HCPCS,A4461,Surgicl dress hold non-reuse,,,1.0,6.1,15
HCPCS,A4463,Surgical dress holder reuse,,,1.0,24.62,15
HCPCS,A4465,Non-elastic extremity binder,,,1.0,1.0,2
HCPCS,A4467,Belt strap sleev grmnt cover,,,30.48,30.48,2
HCPCS,A4470,Gravlee jet washer,,,1.0,1.0,2
HCPCS,A4480,Vabra aspirator,,,1.0,1.0,2
HCPCS,A4481,Tracheostoma filter,,,0.48,1.0,15
HCPCS,A4483,Moisture exchanger,,,1.0,1.0,2
HCPCS,A4490,Above knee surgical stocking,,,22.75,22.75,2
HCPCS,A4495,Thigh length surg stocking,,,29.75,29.75,2
HCPCS,A4500,Below knee surgical stocking,,,19.2,19.2,2
HCPCS,A4510,Full length surg stocking,,,56.5,56.5,2
HCPCS,A4520,Incontinence garment anytype,,,0.36,0.36,2
HCPCS,A4541,Monthly supp use with e0733,,,37.35,52.43,15
HCPCS,A4542,Supp ext up limb tremor stim,,,479.19,683.67,15
HCPCS,A4544,Electro nerve stimulator rls,,,5.91,8.23,13
HCPCS,A4545,Suppl accessor tibial stim,,,38.54,53.7,13
HCPCS,A4550,Surgical trays,,,12.0,12.0,2
HCPCS,A4554,Disposable underpads,,,0.43,0.43,2
HCPCS,A4555,Ca tx e-stim electr/transduc,,,9.69,9.69,2
HCPCS,A4556,"Electrodes, pair",,,1.0,22.46,15
HCPCS,A4557,"Lead wires, pair",,,1.0,15.76,15
HCPCS,A4558,Conductive gel or paste,,,1.0,8.58,15
HCPCS,A4559,Coupling gel or paste,,,0.12,1.0,15
HCPCS,A4561,Pessary reusable rub anytype,,,1.0,38.21,15
HCPCS,A4562,Pessary reusable nonrubber,,,1.0,95.17,15
HCPCS,A4563,Vag inser rectal control sys,,,1528.56,2209.08,15
HCPCS,A4565,Slings,,,1.0,14.24,15
HCPCS,A4566,Should sling/vest/abrestrain,,,10.58,10.58,2
HCPCS,A4570,Splint,,,15.27,15.27,2
HCPCS,A4575,Hyperbaric o2 chamber disps,,,440.0,440.0,2
HCPCS,A4580,Cast supplies (plaster),,,17.99,17.99,2
HCPCS,A4590,Special casting material,,,27.2,27.2,2
HCPCS,A4595,TENS suppl 2 lead per month,,,1.0,15.79,15
HCPCS,A4596,Ces system monthly supp,,,1.0,52.43,15
HCPCS,A4600,"Sleeve, inter limb comp dev",,,7.93,7.93,2
HCPCS,A4601,Lith ion non prosth recharge,,,45.65,45.65,2
HCPCS,A4602,Replace lithium battery 1.5v,,,1.0,1.0,2
HCPCS,A4604,Tubing with heating element,,,1.0,1.0,2
HCPCS,A4605,Trach suction cath close sys,,,1.0,1.0,2
HCPCS,A4606,Oxygen probe used w oximeter,,,1.0,1.0,2
HCPCS,A4608,Transtracheal oxygen cath,,,1.0,92.7,15
HCPCS,A4611,Heavy duty battery,,,106.5,106.5,2
HCPCS,A4612,Battery cables,,,67.69,67.69,2
HCPCS,A4613,Battery charger,,,87.55,87.55,2
HCPCS,A4614,Hand-held PEFR meter,,,1.0,43.98,15
HCPCS,A4615,Cannula nasal,,,0.97,1.35,15
HCPCS,A4616,Tubing (oxygen) per foot,,,0.08,1.0,15
HCPCS,A4617,Mouth piece,,,1.0,5.73,15
HCPCS,A4618,Breathing circuits,,,1.0,1.0,2
HCPCS,A4619,Face tent,,,1.0,1.0,2
HCPCS,A4620,Variable concentration mask,,,0.85,1.18,15
HCPCS,A4623,Tracheostomy inner cannula,,,1.0,12.12,15
HCPCS,A4624,Tracheal suction tube,,,1.0,1.0,2
HCPCS,A4625,Trach care kit for new trach,,,1.0,10.89,15
HCPCS,A4626,Tracheostomy cleaning brush,,,1.0,5.0,15
HCPCS,A4627,Spacer bag/reservoir,,,32.0,32.0,2
HCPCS,A4628,Oropharyngeal suction cath,,,1.0,1.0,2
HCPCS,A4629,Tracheostomy care kit,,,1.0,8.55,15
HCPCS,A4630,Repl bat t.e.n.s. own by pt,,,6.87,6.87,2
HCPCS,A4633,Uvl replacement bulb,,,53.2,53.2,2
HCPCS,A4634,Replacement bulb th lightbox,,,1.0,1.0,2
HCPCS,A4635,Underarm crutch pad,,,5.62,5.62,2
HCPCS,A4636,Handgrip for cane etc,,,3.89,3.89,2
HCPCS,A4637,Repl tip cane/crutch/walker,,,2.0,2.0,2
HCPCS,A4639,Infrared ht sys replcmnt pad,,,391.0,391.0,2
HCPCS,A4640,Alternating pressure pad,,,67.42,67.42,2
HCPCS,A4641,Radiopharm dx agent noc,,,1.0,1.0,2
HCPCS,A4642,In111 satumomab,,,1.0,1.0,2
HCPCS,A4648,CARTRDG MARKER FIDUCIAL 1X5MM,679.5,543.6,1.0,611.55,27
HCPCS,A4648,INTR ATEC 9GX14CM 12MM,694.8,555.84,1.0,625.32,27
HCPCS,A4648,MARKER BREAST ATEC TI CORK 12G,305.1,244.08,1.0,274.59,27
HCPCS,A4648,MARKER BREAST ATEC TI CORK 9G,305.1,244.08,1.0,274.59,27
HCPCS,A4648,MARKER BREAST ATEC TI T-HAT 9G,305.1,244.08,1.0,274.59,27
HCPCS,A4648,MARKER BREAST CORMARK 14G,408.38,326.71,1.0,367.54,27
HCPCS,A4648,MARKER BREAST DUAL RBN17GX10CM,315.41,252.33,1.0,283.87,27
HCPCS,A4648,MARKER BREAST EVIVA TITOPHAT10,305.1,244.08,1.0,274.59,27
HCPCS,A4648,MARKER BREAST EVIVA TITOPHAT13,305.1,244.08,1.0,274.59,27
HCPCS,A4648,MARKER BREAST EVIVA TRIMARK 13,372.48,297.99,1.0,335.23,27
HCPCS,A4648,MARKER BREAST MRI SS BUCKLE,320.22,256.18,1.0,288.2,27
HCPCS,A4648,MARKER BREAST MRI SSINFINITY,320.22,256.18,1.0,288.2,27
HCPCS,A4648,MARKER BREAST SENOMARK COIL10G,315.41,252.33,1.0,283.87,27
HCPCS,A4648,MARKER BREAST TUFLEX 18G 10CM,1044.9,835.92,1.0,940.41,27
HCPCS,A4648,MARKER BREAST TUFLEX 18G 5CM,1044.9,835.92,1.0,940.41,27
HCPCS,A4648,MARKER BREAST TUFLEX 18G 7.5CM,1044.9,835.92,1.0,940.41,27
HCPCS,A4648,MARKER BREAST TUFLEX PREM18G10,1250.34,1000.28,1.0,1125.31,27
HCPCS,A4648,MARKER BREAST TUFLEXPREM18G7.5,1250.34,1000.28,1.0,1125.31,27
HCPCS,A4648,MARKER BREAST TUMARK VISION18G,401.28,321.03,1.0,361.15,27
HCPCS,A4648,MARKER BREAST ULTCORECURL17G,408.0,326.4,1.0,367.2,27
HCPCS,A4648,MARKER BREAST ULTRACORERING17G,401.98,321.59,1.0,361.78,27
HCPCS,A4648,MARKER FIDUCIAL 17GX20 1.2X3MM,1089.0,871.2,1.0,980.1,27
HCPCS,A4648,MARKER FIDUCIAL 18GX20 0.9X3MM,1089.0,871.2,1.0,980.1,27
HCPCS,A4648,MARKER FIDUCIAL 18GX20 1X3MM,378.0,302.4,1.0,340.2,27
HCPCS,A4648,MARKER FIDUCIAL 18GX20 1X5MM,688.5,550.8,1.0,619.65,27
HCPCS,A4648,MARKER FIDUCIAL 18GX25 1X5MM,769.5,615.6,1.0,692.55,27
HCPCS,A4648,MARKER FIDUCIAL GLD 22G40X10MM,585.0,468.0,1.0,526.5,27
HCPCS,A4648,MARKER MAM HYDROMARK BRL 15G,452.54,362.04,1.0,407.29,27
HCPCS,A4648,MARKER MAM HYDROMARK BTRFLY 9G,465.89,372.72,1.0,419.3,27
HCPCS,A4648,MARKER MAM HYDROMARK BTRFLY15G,452.54,362.04,1.0,407.29,27
HCPCS,A4648,MARKER MAM HYDROMARK COIL3 15G,452.54,362.04,1.0,407.29,27
HCPCS,A4648,MARKER MAM HYDROMARK COIL3 18G,465.89,372.72,1.0,419.3,27
HCPCS,A4648,MARKER MAM HYDROMARK DRGNFL15G,496.35,397.08,1.0,446.72,27
HCPCS,A4648,MARKER TIS18GX12*DISC 6346020*,2073.89,1659.12,1.0,1866.5,27
HCPCS,A4648,MARKER TISS18GX7*DISC 6346019*,2073.89,1659.12,1.0,1866.5,27
HCPCS,A4648,PROBE BREAST LOCALIZER SYS,1963.5,1570.8,1.0,1767.15,27
HCPCS,A4649,Surgical supplies,,,1.0,1.0,2
HCPCS,A4650,Implant radiation dosimeter,,,1.0,1.0,2
HCPCS,A4651,Calibrated microcap tube,,,1.0,1.0,2
HCPCS,A4652,Microcapillary tube sealant,,,1.0,1.0,2
HCPCS,A4653,PD catheter anchor belt,,,1.0,1.0,2
HCPCS,A4657,Syringe w/wo needle,,,1.0,1.0,2
HCPCS,A4660,Sphyg/bp app w cuff and stet,,,1.0,1.0,2
HCPCS,A4663,Dialysis blood pressure cuff,,,1.0,1.0,2
HCPCS,A4670,"Automatic bp monitor, dial",,,73.8,73.8,2
HCPCS,A4671,Disposable cycler set,,,29.24,29.24,2
HCPCS,A4680,"Activated carbon filter, ea",,,1.0,1.0,2
HCPCS,A4690,"Dialyzer, each",,,1.0,1.0,2
HCPCS,A4706,Bicarbonate conc sol per gal,,,1.0,1.0,2
HCPCS,A4707,Bicarbonate conc pow per pac,,,1.0,1.0,2
HCPCS,A4708,Acetate conc sol per gallon,,,1.0,1.0,2
HCPCS,A4709,Acid conc sol per gallon,,,1.0,1.0,2
HCPCS,A4714,Treated water per gallon,,,1.0,1.0,2
HCPCS,A4719,"""Y set"" tubing",,,1.0,1.0,2
HCPCS,A4720,Dialysat sol fld vol > 249cc,,,1.0,1.0,2
HCPCS,A4721,Dialysat sol fld vol > 999cc,,,1.0,1.0,2
HCPCS,A4722,Dialys sol fld vol > 1999cc,,,1.0,1.0,2
HCPCS,A4723,Dialys sol fld vol > 2999cc,,,1.0,1.0,2
HCPCS,A4724,Dialys sol fld vol > 3999cc,,,1.0,1.0,2
HCPCS,A4725,Dialys sol fld vol > 4999cc,,,1.0,1.0,2
HCPCS,A4726,Dialys sol fld vol > 5999cc,,,1.0,1.0,2
HCPCS,A4728,"Dialysate solution, non-dex",,,3.88,3.88,2
HCPCS,A4730,"Fistula cannulation set, ea",,,1.0,1.0,2
HCPCS,A4736,"Topical anesthetic, per gram",,,1.0,1.0,2
HCPCS,A4737,Inj anesthetic per 10 ml,,,1.0,1.0,2
HCPCS,A4740,Shunt accessory,,,1.0,1.0,2
HCPCS,A4750,Art or venous blood tubing,,,1.0,1.0,2
HCPCS,A4755,Comb art/venous blood tubing,,,1.0,1.0,2
HCPCS,A4760,"Dialysate sol test kit, each",,,1.0,1.0,2
HCPCS,A4765,Dialysate conc pow per pack,,,1.0,1.0,2
HCPCS,A4766,Dialysate conc sol add 10 ml,,,1.0,1.0,2
HCPCS,A4770,Blood collection tube/vacuum,,,1.0,1.0,2
HCPCS,A4771,Serum clotting time tube,,,1.0,1.0,2
HCPCS,A4772,Blood glucose test strips,,,1.0,1.0,2
HCPCS,A4773,Occult blood test strips,,,1.0,1.0,2
HCPCS,A4774,Ammonia test strips,,,1.0,1.0,2
HCPCS,A4802,Protamine sulfate per 50 mg,,,1.0,1.0,2
HCPCS,A4860,Disposable catheter tips,,,1.0,1.0,2
HCPCS,A4870,Plumb/elec wk hm hemo equip,,,1.0,1.0,2
HCPCS,A4890,Repair/maint cont hemo equip,,,1.0,1.0,2
HCPCS,A4911,Drain bag/bottle,,,1.0,1.0,2
HCPCS,A4913,Misc dialysis supplies noc,,,1.0,1.0,2
HCPCS,A4918,Venous pressure clamp,,,1.0,1.0,2
HCPCS,A4927,Non-sterile gloves,,,1.0,1.0,2
HCPCS,A4928,Surgical mask,,,1.0,1.0,2
HCPCS,A4929,"Tourniquet for dialysis, ea",,,1.0,1.0,2
HCPCS,A4930,"Sterile, gloves per pair",,,1.0,1.0,2
HCPCS,A4931,Reusable oral thermometer,,,1.0,1.0,2
HCPCS,A4932,Reusable rectal thermometer,,,1.0,1.0,2
HCPCS,A5051,Pouch clsd w barr attached,,,1.0,3.81,15
HCPCS,A5052,Clsd ostomy pouch w/o barr,,,1.0,2.75,15
HCPCS,A5053,Clsd ostomy pouch faceplate,,,1.0,2.71,15
HCPCS,A5054,Clsd ostomy pouch w/flange,,,1.0,3.32,15
HCPCS,A5055,Stoma cap,,,1.0,2.62,15
HCPCS,A5056,1 pc ost pouch w filter,,,1.0,8.64,15
HCPCS,A5057,1 pc ost pou w built-in conv,,,1.0,17.75,15
HCPCS,A5061,Pouch drainable w barrier at,,,1.0,6.54,15
HCPCS,A5062,Drnble ostomy pouch w/o barr,,,1.0,3.84,15
HCPCS,A5063,Drain ostomy pouch w/flange,,,1.0,5.0,15
HCPCS,A5071,Urinary pouch w/barrier,,,1.0,11.12,15
HCPCS,A5072,Urinary pouch w/o barrier,,,1.0,6.37,15
HCPCS,A5073,Urinary pouch on barr w/flng,,,1.0,5.8,15
HCPCS,A5081,"Stoma plug or seal, any type",,,1.0,5.21,15
HCPCS,A5082,Continent stoma catheter,,,1.0,22.01,15
HCPCS,A5083,Stoma absorptive cover,,,0.86,1.19,15
HCPCS,A5093,Ostomy accessory convex inse,,,1.0,3.61,15
HCPCS,A5102,Bedside drain btl w/wo tube,,,1.0,41.42,15
HCPCS,A5105,Urinary suspensory,,,1.0,71.81,15
HCPCS,A5112,Urinary leg bag,,,1.0,64.04,15
HCPCS,A5113,Latex leg strap,,,5.31,7.4,15
HCPCS,A5114,Foam/fabric leg strap,,,11.48,16.54,15
HCPCS,A5120,"Skin barrier, wipe or swab",,,1.0,1.0,2
HCPCS,A5121,Solid skin barrier 6x6,,,1.0,13.78,15
HCPCS,A5122,Solid skin barrier 8x8,,,1.0,23.75,15
HCPCS,A5126,Disk/foam pad +or- adhesive,,,1.0,2.42,15
HCPCS,A5131,Appliance cleaner,,,1.0,29.32,15
HCPCS,A5200,Percutaneous catheter anchor,,,1.0,20.89,15
HCPCS,A5500,Diab shoe for density insert,,,82.43,117.6,15
HCPCS,A5501,Diabetic custom molded shoe,,,247.21,352.7,15
HCPCS,A5503,Diabetic shoe w/roller/rockr,,,42.04,59.91,15
HCPCS,A5504,Diabetic shoe with wedge,,,42.04,59.91,15
HCPCS,A5505,Diab shoe w/metatarsal bar,,,42.04,59.91,15
HCPCS,A5506,Diabetic shoe w/off set heel,,,42.04,59.91,15
HCPCS,A5507,Modification diabetic shoe,,,42.04,59.91,15
HCPCS,A5508,Diabetic deluxe shoe,,,22.89,22.89,2
HCPCS,A5510,Compression form shoe insert,,,1.0,1.0,2
HCPCS,A5512,Multi den insert direct form,,,33.62,47.97,15
HCPCS,A5513,Multi den insert custom mold,,,50.17,71.58,15
HCPCS,A5514,Mult den insert dir carv/cam,,,50.17,71.58,15
HCPCS,A6010,HEMO COLLAGEN CELLERATE RX 1GM,2079.0,1663.2,1.0,1871.1,36
HCPCS,A6010,HEMO COLLAGEN CELLERATE RX 2GM,1504.0,1203.2,1.0,1353.6,36
HCPCS,A6010,HEMO COLLAGEN CELLERATE RX 5GM,837.2,669.76,1.0,753.48,36
HCPCS,A6011,Collagen gel/paste wound fil,,,1.0,4.22,15
HCPCS,A6021,Collagen dressing <=16 sq in,,,1.0,38.89,15
HCPCS,A6022,Collagen drsg>16<=48 sq in,,,1.0,38.89,15
HCPCS,A6023,Collagen dressing >48 sq in,,,1.0,351.95,15
HCPCS,A6024,Collagen dsg wound filler,,,1.0,11.44,15
HCPCS,A6025,DRSG GEL MEPIFORM 2X3 (4U),1.82,1.46,0.51,1.64,27
HCPCS,A6025,DRSG GEL SCAR NEWGEL+ BGE 5X6,43.04,34.44,1.0,38.74,27
HCPCS,A6154,Wound pouch each,,,1.0,26.56,15
HCPCS,A6196,Alginate dressing <=16 sq in,,,1.0,13.61,15
HCPCS,A6197,Alginate drsg >16 <=48 sq in,,,1.0,30.42,15
HCPCS,A6198,alginate dressing > 48 sq in,,,1.0,1.0,2
HCPCS,A6199,Alginate drsg wound filler,,,1.0,9.75,15
HCPCS,A6203,Composite drsg <= 16 sq in,,,1.0,6.23,15
HCPCS,A6204,Composite drsg >16<=48 sq in,,,1.0,11.5,15
HCPCS,A6205,Composite drsg > 48 sq in,,,1.0,1.0,2
HCPCS,A6206,Contact layer <= 16 sq in,,,1.0,1.0,2
HCPCS,A6207,Contact layer >16<= 48 sq in,,,1.0,13.58,15
HCPCS,A6208,Contact layer > 48 sq in,,,1.0,1.0,2
HCPCS,A6209,Foam drsg <=16 sq in w/o bdr,,,1.0,13.82,15
HCPCS,A6210,Foam drg >16<=48 sq in w/o b,,,1.0,36.85,15
HCPCS,A6211,Foam drg > 48 sq in w/o brdr,,,1.0,54.32,15
HCPCS,A6212,Foam drg <=16 sq in w/border,,,1.0,17.96,15
HCPCS,A6213,Foam drg >16<=48 sq in w/bdr,,,1.0,1.0,2
HCPCS,A6214,Foam drg > 48 sq in w/border,,,1.0,19.05,15
HCPCS,A6215,Foam dressing wound filler,,,1.0,1.0,2
HCPCS,A6216,Non-sterile gauze<=16 sq in,,,0.05,1.0,15
HCPCS,A6217,Non-sterile gauze>16<=48 sq,,,1.0,1.0,2
HCPCS,A6218,Non-sterile gauze > 48 sq in,,,1.0,1.0,2
HCPCS,A6219,Gauze <= 16 sq in w/border,,,1.0,1.76,15
HCPCS,A6220,Gauze >16 <=48 sq in w/bordr,,,1.0,4.79,15
HCPCS,A6221,Gauze > 48 sq in w/border,,,1.0,1.0,2
HCPCS,A6222,Gauze <=16 in no w/sal w/o b,,,1.0,3.94,15
HCPCS,A6223,Gauze >16<=48 no w/sal w/o b,,,1.0,4.49,15
HCPCS,A6224,Gauze > 48 in no w/sal w/o b,,,1.0,6.66,15
HCPCS,A6228,Gauze <= 16 sq in water/sal,,,1.0,1.0,2
HCPCS,A6229,Gauze >16<=48 sq in watr/sal,,,1.0,6.66,15
HCPCS,A6230,Gauze > 48 sq in water/salne,,,1.0,1.0,2
HCPCS,A6231,Hydrogel dsg<=16 sq in,,,1.0,8.67,15
HCPCS,A6232,Hydrogel dsg>16<=48 sq in,,,1.0,12.69,15
HCPCS,A6233,Hydrogel dressing >48 sq in,,,1.0,35.46,15
HCPCS,A6234,Hydrocolld drg <=16 w/o bdr,,,1.0,12.11,15
HCPCS,A6235,Hydrocolld drg >16<=48 w/o b,,,1.0,31.1,15
HCPCS,A6236,Hydrocolld drg > 48 in w/o b,,,1.0,50.39,15
HCPCS,A6237,Hydrocolld drg <=16 in w/bdr,,,1.0,14.63,15
HCPCS,A6238,Hydrocolld drg >16<=48 w/bdr,,,1.0,42.17,15
HCPCS,A6239,Hydrocolld drg > 48 in w/bdr,,,1.0,1.0,2
HCPCS,A6240,Hydrocolld drg filler paste,,,1.0,22.65,15
HCPCS,A6241,Hydrocolloid drg filler dry,,,1.0,4.75,15
HCPCS,A6242,Hydrogel drg <=16 in w/o bdr,,,1.0,11.2,15
HCPCS,A6243,Hydrogel drg >16<=48 w/o bdr,,,1.0,22.79,15
HCPCS,A6244,Hydrogel drg >48 in w/o bdr,,,1.0,72.65,15
HCPCS,A6245,Hydrogel drg <= 16 in w/bdr,,,1.0,13.45,15
HCPCS,A6246,Hydrogel drg >16<=48 in w/b,,,1.0,18.37,15
HCPCS,A6247,Hydrogel drg > 48 sq in w/b,,,1.0,43.98,15
HCPCS,A6248,Hydrogel drsg gel filler,,,1.0,30.05,15
HCPCS,A6250,Skin seal protect moisturizr,,,1.0,1.0,2
HCPCS,A6251,Absorpt drg <=16 sq in w/o b,,,1.0,3.68,15
HCPCS,A6252,Absorpt drg >16 <=48 w/o bdr,,,1.0,6.02,15
HCPCS,A6253,Absorpt drg > 48 sq in w/o b,,,1.0,11.71,15
HCPCS,A6254,Absorpt drg <=16 sq in w/bdr,,,1.0,2.21,15
HCPCS,A6255,Absorpt drg >16<=48 in w/bdr,,,1.0,5.63,15
HCPCS,A6256,Absorpt drg > 48 sq in w/bdr,,,1.0,1.0,2
HCPCS,A6257,Transparent film <= 16 sq in,,,1.0,2.83,15
HCPCS,A6258,Transparent film >16<=48 in,,,1.0,7.97,15
HCPCS,A6259,Transparent film > 48 sq in,,,1.0,20.22,15
HCPCS,A6260,Wound cleanser any type/size,,,1.0,1.0,2
HCPCS,A6261,Wound filler gel/paste /oz,,,1.0,1.0,2
HCPCS,A6262,Wound filler dry form / gram,,,1.0,1.0,2
HCPCS,A6266,Impreg gauze no h20/sal/yard,,,1.0,3.53,15
HCPCS,A6402,Sterile gauze <= 16 sq in,,,0.14,1.0,15
HCPCS,A6403,Sterile gauze>16 <= 48 sq in,,,0.54,1.0,15
HCPCS,A6404,Sterile gauze > 48 sq in,,,1.0,1.0,2
HCPCS,A6407,"Packing strips, non-impreg",,,1.0,3.45,15
HCPCS,A6410,Sterile eye pad,,,0.49,1.0,15
HCPCS,A6411,Non-sterile eye pad,,,1.0,1.0,2
HCPCS,A6412,Occlusive eye patch,,,1.0,1.0,2
HCPCS,A6413,"Adhesive bandage, first-aid",,,0.15,0.15,2
HCPCS,A6441,"Pad band w>=3"" <5""/yd",,,0.9,1.26,15
HCPCS,A6442,"Conform band n/s w<3""/yd",,,0.22,1.0,15
HCPCS,A6443,"Conform band n/s w>=3""<5""/yd",,,0.37,1.0,15
HCPCS,A6444,"Conform band n/s w>=5""/yd",,,0.74,1.03,15
HCPCS,A6445,"Conform band s w <3""/yd",,,0.42,1.0,15
HCPCS,A6446,"Conform band s w>=3"" <5""/yd",,,0.51,1.0,15
HCPCS,A6447,"Conform band s w >=5""/yd",,,0.9,1.26,15
HCPCS,A6448,"Lt compres band <3""/yd",,,1.0,2.13,15
HCPCS,A6449,"Lt compres band >=3"" <5""/yd",,,1.0,3.24,15
HCPCS,A6450,"Lt compres band >=5""/yd",,,1.0,3.24,15
HCPCS,A6451,"Mod compres band w>=3""<5""/yd",,,1.0,3.24,15
HCPCS,A6452,"High compres band w>=3""<5""yd",,,1.0,10.91,15
HCPCS,A6453,"Self-adher band w <3""/yd",,,0.84,1.16,15
HCPCS,A6454,"Self-adher band w>=3"" <5""/yd",,,1.0,1.46,15
HCPCS,A6455,"Self-adher band >=5""/yd",,,1.0,2.58,15
HCPCS,A6456,"Zinc paste band w >=3""<5""/yd",,,1.0,2.32,15
HCPCS,A6457,Tubular dressing,,,1.0,2.1,15
HCPCS,A6460,Synthetic drsg <= 16 sq in,,,1.0,1.0,2
HCPCS,A6461,Synthetic drsg >16<=48 sq in,,,1.0,1.0,2
HCPCS,A6501,Compres burngarment bodysuit,,,1.0,1.0,2
HCPCS,A6502,Compres burngarment chinstrp,,,1.0,1.0,2
HCPCS,A6503,Compres burngarment facehood,,,1.0,1.0,2
HCPCS,A6504,Cmprsburngarment glove-wrist,,,1.0,1.0,2
HCPCS,A6505,Cmprsburngarment glove-elbow,,,1.0,1.0,2
HCPCS,A6506,Cmprsburngrmnt glove-axilla,,,1.0,1.0,2
HCPCS,A6507,Cmprs burngarment foot-knee,,,1.0,1.0,2
HCPCS,A6508,Cmprs burngarment foot-thigh,,,1.0,1.0,2
HCPCS,A6509,Compres burn garment jacket,,,1.0,1.0,2
HCPCS,A6510,Compres burn garment leotard,,,1.0,1.0,2
HCPCS,A6511,Compres burn garment panty,,,1.0,1.0,2
HCPCS,A6512,"Compres burn garment, noc",,,1.0,1.0,2
HCPCS,A6520,G com garmnt glove nghttime,,,113.56,162.97,15
HCPCS,A6521,G com garmnt glove nght cust,,,450.61,646.66,15
HCPCS,A6522,G com garment arm nighttime,,,275.95,395.99,15
HCPCS,A6523,G com garment arm nght custm,,,654.71,939.56,15
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,344.27,494.05,15
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,695.02,997.4,15
HCPCS,A6526,G com garmt full leg/ft nght,,,622.42,893.22,15
HCPCS,A6527,G garmt full leg/ft nght cus,,,1144.56,1642.51,15
HCPCS,A6528,G com garment bra nighttime,,,598.5,858.88,15
HCPCS,A6529,G com garmt bra night custm,,,945.72,1357.18,15
HCPCS,A6530,Compression stocking BK18-30,,,35.08,50.35,15
HCPCS,A6531,Compress stking bk30-40 surg,,,56.08,56.08,2
HCPCS,A6532,Compress stking bk40-50 surg,,,79.02,79.02,2
HCPCS,A6533,Gc stocking thighlngth 18-30,,,49.27,70.71,15
HCPCS,A6534,Gc stocking thighlngth 30-40,,,56.26,80.74,15
HCPCS,A6535,Gc stocking thighlngth 40+,,,64.77,92.96,15
HCPCS,A6536,Gc stocking full lngth 18-30,,,66.41,95.31,15
HCPCS,A6537,Gc stocking full lngth 30-40,,,78.74,113.0,15
HCPCS,A6538,Gc stocking full lngth 40+,,,92.19,132.29,15
HCPCS,A6539,Gc stocking waistlngth 18-30,,,87.88,126.13,15
HCPCS,A6540,Gc stocking waistlngth 30-40,,,104.79,150.37,15
HCPCS,A6541,Gc stocking waistlngth 40+,,,124.13,178.13,15
HCPCS,A6544,Gc stocking garter belt,,,28.97,28.97,2
HCPCS,A6545,Grad com non-elastic bk surg,,,110.43,110.43,2
HCPCS,A6550,Neg pres wound ther drsg set,,,1.0,40.95,15
HCPCS,A6552,Grad com stocking bk 30-40,,,52.07,74.72,15
HCPCS,A6553,G com stcking bk 30-40 custm,,,203.31,291.76,15
HCPCS,A6554,Grad com stocking bk 40+,,,71.59,102.74,15
HCPCS,A6555,G com stcking bk 40+ custm,,,203.31,291.76,15
HCPCS,A6556,G com stcking thgh18-30 cust,,,278.63,399.85,15
HCPCS,A6557,G com stcking thgh30-40 cust,,,278.63,399.85,15
HCPCS,A6558,G com stcking thgh 40+ cust,,,287.54,412.63,15
HCPCS,A6562,G com stckng waist18-30 cust,,,911.89,1308.62,15
HCPCS,A6563,G com stckng waist30-40 cust,,,911.89,1308.62,15
HCPCS,A6564,G com stckng waist 40+ cust,,,982.3,1409.66,15
HCPCS,A6565,Grad comp gauntlet custom,,,157.57,226.12,15
HCPCS,A6566,Grad com garment neck/head,,,228.79,328.32,15
HCPCS,A6567,G com garment neck/head cust,,,718.85,1031.59,15
HCPCS,A6568,G com garment torso/shldr,,,149.31,214.28,15
HCPCS,A6569,G com garmnt torso/shdr cust,,,850.25,1220.16,15
HCPCS,A6570,Grad com garment genital,,,101.74,145.99,15
HCPCS,A6571,G com garment genital custm,,,611.45,877.47,15
HCPCS,A6572,Grad com garment toe caps,,,94.4,135.47,15
HCPCS,A6573,Grad com garmnt toe cap cust,,,224.01,321.46,15
HCPCS,A6574,Custom gradient sleev/glov,,,285.58,409.83,15
HCPCS,A6575,Gradient comp sleev/glov,,,92.55,132.81,15
HCPCS,A6576,Custom grad com sleeve med,,,175.28,251.52,15
HCPCS,A6577,Custom grad cm sleeve heavy,,,145.06,208.18,15
HCPCS,A6578,Gradient comp sleeve,,,71.44,102.53,15
HCPCS,A6579,Custom grad com glove med,,,281.33,403.72,15
HCPCS,A6580,Custom grad com glove heavy,,,279.26,400.76,15
HCPCS,A6581,Gradient comp glove,,,65.55,94.07,15
HCPCS,A6582,Gradient comp gauntlet,,,43.72,62.74,15
HCPCS,A6583,Grad com wrap w straps bk,,,143.81,206.38,15
HCPCS,A6585,Grad com wrap w straps ak,,,170.28,244.36,15
HCPCS,A6586,Grad com wrap w strap fu leg,,,501.66,719.91,15
HCPCS,A6587,Grad com wrap w straps foot,,,65.71,94.31,15
HCPCS,A6588,Grad com wrap w strap arm,,,219.01,314.3,15
HCPCS,A6589,Grad com wrap w straps bra,,,86.46,124.07,15
HCPCS,A6590,Urinary cath disp suc pump,,,1.0,578.94,15
HCPCS,A6591,Urinary cath suc pump,,,1.0,117.62,15
HCPCS,A6594,G comp bandge liner lwr extr,,,31.48,45.17,15
HCPCS,A6595,G comp bandge liner upr extr,,,30.96,44.43,15
HCPCS,A6596,G comp bandge conform gauze,,,0.16,0.24,15
HCPCS,A6597,G comp bandage long stretch,,,1.4,2.0,15
HCPCS,A6598,G comp bandage med stretch,,,0.67,0.97,15
HCPCS,A6599,G comp bandage short stretch,,,1.53,2.2,15
HCPCS,A6600,G com bandge hgh dn foam sht,,,2.76,3.96,15
HCPCS,A6601,PAD SWELL SPOT OVAL 19X8CM,16.1,12.88,3.1,14.49,36
HCPCS,A6601,PAD SWELL SPOT THORA THIG*NLU*,56.0,44.8,3.1,50.4,36
HCPCS,A6602,G com bandge hgh dn foamroll,,,4.52,6.49,15
HCPCS,A6603,G com bandge low dn foamchnl,,,2.12,3.04,15
HCPCS,A6604,G com bandge low dn foam flt,,,1.23,1.77,15
HCPCS,A6605,G com bandage padded foam,,,1.42,2.03,15
HCPCS,A6606,G com bandage padded textile,,,4.2,6.02,15
HCPCS,A6607,G com bandage tub protct lyr,,,1.12,1.61,15
HCPCS,A6608,G com bandage tub protct pad,,,4.67,6.71,15
HCPCS,A6610,G com stcking bk 18-30 custm,,,203.31,291.76,15
HCPCS,A7000,Disposable canister for pump,,,9.49,9.49,2
HCPCS,A7001,Nondisposable pump canister,,,42.87,42.87,2
HCPCS,A7002,Tubing used w suction pump,,,4.97,4.97,2
HCPCS,A7003,Nebulizer administration set,,,2.49,2.49,2
HCPCS,A7004,Disposable nebulizer sml vol,,,1.95,1.95,2
HCPCS,A7005,Nondisposable nebulizer set,,,26.43,26.43,2
HCPCS,A7006,Filtered nebulizer admin set,,,10.64,10.64,2
HCPCS,A7007,Lg vol nebulizer disposable,,,4.96,4.96,2
HCPCS,A7008,Disposable nebulizer prefill,,,14.25,14.25,2
HCPCS,A7009,Nebulizer reservoir bottle,,,54.51,54.51,2
HCPCS,A7010,Disposable corrugated tubing,,,24.79,24.79,2
HCPCS,A7012,Nebulizer water collec devic,,,3.84,3.84,2
HCPCS,A7013,Disposable compressor filter,,,0.88,0.88,2
HCPCS,A7014,Compressor nondispos filter,,,4.91,4.91,2
HCPCS,A7015,Aerosol mask used w nebulize,,,1.89,1.89,2
HCPCS,A7016,Nebulizer dome & mouthpiece,,,9.4,9.4,2
HCPCS,A7017,Nebulizer not used w oxygen,,,158.69,158.69,2
HCPCS,A7018,Water distilled w/nebulizer,,,0.36,0.5,15
HCPCS,A7020,"Interface, cough stim device",,,18.76,18.76,2
HCPCS,A7025,Replace chest compress vest,,,1.0,1.0,2
HCPCS,A7026,Replace chst cmprss sys hose,,,37.26,37.26,2
HCPCS,A7027,Combination oral/nasal mask,,,145.1,145.1,2
HCPCS,A7028,Repl oral cushion combo mask,,,41.11,41.11,2
HCPCS,A7029,Repl nasal pillow comb mask,,,18.21,18.21,2
HCPCS,A7030,CPAP full face mask,,,105.23,105.23,2
HCPCS,A7031,Replacement facemask interfa,,,40.02,40.02,2
HCPCS,A7032,Replacement nasal cushion,,,22.23,22.23,2
HCPCS,A7033,Replacement nasal pillows,,,18.48,18.48,2
HCPCS,A7034,Nasal application device,,,67.07,67.07,2
HCPCS,A7035,Pos airway press headgear,,,21.72,21.72,2
HCPCS,A7036,Pos airway press chinstrap,,,12.26,12.26,2
HCPCS,A7037,Pos airway pressure tubing,,,13.41,13.41,2
HCPCS,A7038,Pos airway pressure filter,,,2.41,2.41,2
HCPCS,A7039,"Filter, non disposable w pap",,,6.98,6.98,2
HCPCS,A7040,One way chest drain valve,,,1.0,75.79,15
HCPCS,A7041,Water seal drain container,,,1.0,142.37,15
HCPCS,A7044,PAP oral interface,,,97.13,97.13,2
HCPCS,A7045,Repl exhalation port for PAP,,,13.73,13.73,2
HCPCS,A7046,"Repl water chamber, PAP dev",,,16.04,16.04,2
HCPCS,A7047,Resp suction oral interface,,,1.0,1.0,2
HCPCS,A7048,Vacuum drain bottle/tube kit,,,1.0,79.23,15
HCPCS,A7501,Tracheostoma valve w diaphra,,,1.0,194.21,15
HCPCS,A7502,Replacement diaphragm/fplate,,,1.0,92.32,15
HCPCS,A7503,HMES filter holder or cap,,,1.0,20.98,15
HCPCS,A7504,Tracheostoma HMES filter,,,0.9,1.26,15
HCPCS,A7505,HMES or trach valve housing,,,1.0,8.67,15
HCPCS,A7506,HMES/trachvalve adhesivedisk,,,0.43,1.0,15
HCPCS,A7507,Integrated filter & holder,,,1.0,4.62,15
HCPCS,A7508,Housing & Integrated Adhesiv,,,1.0,5.31,15
HCPCS,A7509,Heat & moisture exchange sys,,,1.0,2.61,15
HCPCS,A7520,Trach/laryn tube non-cuffed,,,1.0,87.79,15
HCPCS,A7521,Trach/laryn tube cuffed,,,1.0,87.0,15
HCPCS,A7522,Trach/laryn tube stainless,,,1.0,83.52,15
HCPCS,A7523,Tracheostomy shower protect,,,1.0,1.0,2
HCPCS,A7524,Tracheostoma stent/stud/bttn,,,1.0,143.17,15
HCPCS,A7525,Tracheostomy mask,,,1.0,3.81,15
HCPCS,A7526,Tracheostomy tube collar,,,1.0,6.27,15
HCPCS,A7527,PLUG PROS VOICE CLASC 20FR,98.0,78.4,1.0,88.2,36
HCPCS,A7527,PLUG PROS VOICE PROVOX 17FR,118.5,94.8,1.0,106.65,36
HCPCS,A7527,PLUG PROS VOICE PROVOX 2,118.5,94.8,1.0,106.65,36
HCPCS,A8000,Soft protect helmet prefab,,,198.8,198.8,2
HCPCS,A8001,Hard protect helmet prefab,,,198.8,198.8,2
HCPCS,A8002,Soft protect helmet custom,,,153.35,153.35,2
HCPCS,A8003,Hard protect helmet custom,,,153.35,153.35,2
HCPCS,A8004,"Repl soft interface, helmet",,,105.25,105.25,2
HCPCS,A9154,"Artificial saliva, 1 ml",,,0.17,0.17,4
HCPCS,A9155,Pharmacy,,,5.1,5.1,4
HCPCS,A9156,Oral mucoadhesive per 1 ml,,,1.0,1.0,2
HCPCS,A9180,"Lice treatment, topical",,,0.06,0.06,4
HCPCS,A9272,"Disp wound suct, drsg/access",,,23.69,23.69,2
HCPCS,A9274,Ext amb insulin delivery sys,,,37.79,63.44,6
HCPCS,A9275,Disp home glucose monitor,,,188.56,188.56,2
HCPCS,A9276,"Disposable sensor, cgm sys",,,12.06,12.06,2
HCPCS,A9277,"External transmitter, cgm",,,377.69,377.69,2
HCPCS,A9278,"External receiver, cgm sys",,,452.46,452.46,2
HCPCS,A9279,Monitoring feature/deviceNOC,,,37.87,37.87,2
HCPCS,A9280,"Alert device, noc",,,162.27,162.27,2
HCPCS,A9281,Reaching/grabbing device,,,14.34,14.34,2
HCPCS,A9282,Wig any type,,,350.0,350.0,2
HCPCS,A9283,Foot press off load supp dev,,,10.56,10.56,2
HCPCS,A9284,Non-electronic spirometer,,,1.0,1.0,2
HCPCS,A9285,Inversion eversion cor devic,,,9.95,9.95,2
HCPCS,A9286,"Any hygienic item, device",,,0.05,0.05,2
HCPCS,A9300,Exercise equipment,,,5.26,5.26,2
HCPCS,A9500,TC99M SESTAMIBI PER STUDY DOSE,440.0,352.0,1.0,396.0,27
HCPCS,A9501,Technetium TC-99m teboroxime,,,1.0,1.0,2
HCPCS,A9502,Tc99m tetrofosmin,,,1.0,1.0,2
HCPCS,A9503,TC99M MEDRONATE PER STUDY DOSE UP TO 30 MCI,167.0,133.6,1.0,150.3,27
HCPCS,A9504,Tc99m apcitide,,,1.0,1.0,2
HCPCS,A9505,TI201 THALLIUM PER MCI,98.0,78.4,1.0,88.2,27
HCPCS,A9506,Tc-99m graphite crucible,,,312.17,345.03,13
HCPCS,A9507,In111 capromab,,,1.0,1.0,2
HCPCS,A9508,"I131 iodobenguate, dx",,,1.0,1.0,2
HCPCS,A9509,I123 SOD IODIDE DX PER MCI,823.0,658.4,1.0,740.7,27
HCPCS,A9510,Tc99m disofenin,,,1.0,1.0,2
HCPCS,A9512,TC99M PERTECHNETATE PER MCI,135.0,108.0,1.0,121.5,27
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,290.44,332.84,15
HCPCS,A9515,Choline c-11,,,1.0,5100.0,15
HCPCS,A9516,I123 SOD IODIDE DX PER 100 UCI UP TO 999 UCI,281.0,224.8,1.0,252.9,27
HCPCS,A9517,I131 IODIDE CAP THERP PER MCI,175.0,140.0,21.97,157.5,36
HCPCS,A9520,TC99M TILMANOCEPT DIAG UP TO 0.5 MCI,1464.0,1171.2,1.0,1317.6,27
HCPCS,A9521,TC99M EXAMETAZIME PER STUDY DOSE UP TO 25 MCI,4304.0,3443.2,1.0,3873.6,36
HCPCS,A9524,"I131 serum albumin, dx",,,1.0,1.0,2
HCPCS,A9526,Nitrogen N-13 ammonia,,,1.0,1.0,2
HCPCS,A9527,Iodine I-125 sodium iodide,,,60.21,219.01,11
HCPCS,A9528,I131 IODIDE CAP DX PER MCI,251.0,200.8,1.0,225.9,27
HCPCS,A9529,"I131 iodide sol, dx",,,1.0,1.0,2
HCPCS,A9530,I131 IODIDE SOLN THERP PER MCI,175.0,140.0,19.84,157.5,36
HCPCS,A9531,I131 max 100uCi,,,1.0,1.0,2
HCPCS,A9532,"I125 serum albumin, dx",,,1.0,1.0,2
HCPCS,A9536,Tc99m depreotide,,,1.0,1.0,2
HCPCS,A9537,TC99M MEBROFENIN PER STUDY DOSE UP TO 15 MCI,223.0,178.4,1.0,200.7,27
HCPCS,A9538,TC99M PYROPHOSPHATE PER STUDY DOSE UP TO 25 MCI,233.0,186.4,1.0,209.7,27
HCPCS,A9539,TC99M PENTETATE PER STUDY DOSE UP TO 25 MCI,486.0,388.8,1.0,437.4,27
HCPCS,A9540,TC99M MAA PER STUDY DOSE UP TO 10 MCI,1171.0,936.8,1.0,1053.9,27
HCPCS,A9541,TC99M SULFUR COLLOID PER STUDY DOSE UP TO 20 MCI,385.0,308.0,1.0,346.5,27
HCPCS,A9542,"In111 ibritumomab, dx",,,1.0,837.92,11
HCPCS,A9543,"Y90 ibritumomab, rx",,,53983.32,69162.84,15
HCPCS,A9546,Co57/58,,,1.0,1.0,2
HCPCS,A9547,In111 oxyquinoline,,,1.0,2147.08,15
HCPCS,A9548,IN111PENTETATE PER 0.5 MCI,6468.0,5174.4,1.0,5821.2,36
HCPCS,A9550,Tc99m gluceptate,,,1.0,1.0,2
HCPCS,A9551,TC99M SUCCIMER PER STUDY DOSE UP TO 10 MCI,6706.0,5364.8,1.0,6035.4,27
HCPCS,A9552,F18 FDG PER STUDY DOSE UP TO 45 MCI,464.0,371.2,1.0,417.6,27
HCPCS,A9553,Cr51 chromate,,,1.0,1.0,2
HCPCS,A9554,"I125 iothalamate, dx",,,1.0,1.0,2
HCPCS,A9555,RB82 RUBIDIUM PER STUDY DOSE UP TO 60 MCI,950.0,760.0,1.0,855.0,27
HCPCS,A9556,GA67 GALLIUM PER MCI,241.0,192.8,1.0,216.9,27
HCPCS,A9557,Tc99m bicisate,,,1.0,717.99,11
HCPCS,A9558,Xe133 xenon 10mci,,,1.0,1.0,2
HCPCS,A9559,Co57 cyano,,,1.0,1.0,2
HCPCS,A9560,TC99M LABELED RBC PER STUDY DOSE UP TO 30 MCI,535.0,428.0,1.0,481.5,27
HCPCS,A9561,TC99M OXIDRONATE PER STUDY DOSE UP TO 30 MCI,210.0,168.0,1.0,189.0,27
HCPCS,A9562,TC99M MERTIATIDE PER STUDY DOSE UP TO 15 MCI,945.0,756.0,1.0,850.5,27
HCPCS,A9563,P32 Na phosphate,,,1.0,188.08,11
HCPCS,A9564,P32 chromic phosphate,,,290.47,290.47,2
HCPCS,A9566,Tc99m fanolesomab,,,1.0,1.0,2
HCPCS,A9567,TC99M PENTETATE AEROSOL PER STUDY DOSE UP TO 75 MCI,486.0,388.8,1.0,437.4,27
HCPCS,A9568,Technetium tc99m arcitumomab,,,1.0,849.99,11
HCPCS,A9569,TC99M EXAMETAZIME AUTO WBC DX PER STUDY DOSE,5635.0,4508.0,1.0,5071.5,36
HCPCS,A9570,IN111 AUTO WBC DX PER STUDY DOSE,6160.0,4928.0,1.0,5544.0,36
HCPCS,A9571,Indium IN-111 auto platelet,,,1.0,1.0,2
HCPCS,A9572,IN111 PENTETREOTIDE PER STUDY DOSE UP TO 6 MCI,10010.0,8008.0,1.0,9009.0,36
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,1.0,1.0,2
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,1.0,1.0,2
HCPCS,A9576,Inj prohance multipack,,,1.0,1.0,2
HCPCS,A9577,Inj multihance,,,1.0,1.0,2
HCPCS,A9578,Inj multihance multipack,,,1.0,1.0,2
HCPCS,A9579,"Gad-base MR contrast NOS,1ml",,,1.0,1.0,2
HCPCS,A9580,Sodium fluoride F-18,,,1.0,1.0,2
HCPCS,A9581,Gadoxetate Disodium IV Soln 0.25 MMOL/ML (181.43 MG/ML),573.33,458.67,1.0,516.0,54
HCPCS,A9582,I123 IOBENGUANE PER STUDY DOSE UP TO 15 MCI,7041.0,5632.8,1.0,7815.87,36
HCPCS,A9583,Gadofosveset trisodium inj,,,1.0,1.0,2
HCPCS,A9584,I123 IOFLUPANE PER STUDY DOSE UP TO 5 MCI,6801.0,5440.8,1.0,6120.9,36
HCPCS,A9585,Gadobutrol IV Soln Pref Syr 10 MMOL/10ML,206.04,164.84,1.0,185.44,54
HCPCS,A9585,Gadobutrol IV Soln Pref Syr 7.5 MMOL/7.5ML,160.34,128.28,1.0,144.31,54
HCPCS,A9585,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),245.76999999999998,196.62,1.0,325.75,81
HCPCS,A9586,FLORBETAPIR F18 DIAGNOSTIC PER STUDY DOSE UP TO 10 MCI,3845.0,3076.0,1.0,3460.5,36
HCPCS,A9586,Florbetapir F 18 IV Soln 500-1900 MBq/ML (13.5-51 mCi/ML),12198.9,9759.12,1.0,10979.01,36
HCPCS,A9587,GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE,213.0,170.4,1.0,191.7,36
HCPCS,A9588,F-18 FLUCICLOVINE/AXUMIN PER MCI,686.0,548.8,1.0,617.4,36
HCPCS,A9589,Insti hexaminolevulinate hcl,,,1321.84,1321.84,2
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,258.24,625.88,2
HCPCS,A9591,FLUOROESTRADIOL F 18 DIAGNOSTIC PER 1 MCI,1140.0,912.0,1.0,4707.3,36
HCPCS,A9592,COPPER CU-64 DOTATATE DIAGNOSTIC PER MCI,1293.0,1034.4,1.0,1163.7,36
HCPCS,A9593,Gallium GA-68 PSMA-11 UCSF,,,508.16,1492.49,11
HCPCS,A9594,"Gallium GA-68 PSMA-11, UCLA",,,353.56,1461.31,11
HCPCS,A9595,PIFLUFOLASTAT F-18(PYLARIFY) PER MILLICURIE,1100.0,880.0,315.82,1074.46,36
HCPCS,A9596,GA-68 PSMA-11(ILLUCCIX) PER MILLICURIE,1722.0,1377.6,485.97,1842.71,36
HCPCS,A9597,"Pet, dx, for tumor id, noc",,,1.0,1.0,2
HCPCS,A9598,"Pet dx for non-tumor id, noc",,,1.0,1.0,2
HCPCS,A9600,Sr89 strontium,,,3825.0,4353.65,15
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,3524.5,3895.5,15
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,341.37,917.53,15
HCPCS,A9603,Pafolacianine Sodium IV Soln 3.2 MG/1.6ML,8542.5,6834.0,1.0,7688.25,27
HCPCS,A9604,Sm 153 lexidronam,,,4099.16,17259.85,11
HCPCS,A9606,RADIUM RA-223 DICHLORIDE THERP PER UCI,236.0,188.8,96.76,212.4,36
HCPCS,A9607,LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN 1 MCI,320.0,256.0,131.2,288.0,36
HCPCS,A9608,FLOTUFOLASTAT F-18 (POSLUMA) PER MILLICURIE,858.0,686.4,238.27,1138.21,36
HCPCS,A9609,"F18 fdg, 15 millicuries",,,1.0,1.0,2
HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,503.5,556.5,13
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,35.63,39.38,13
HCPCS,A9616,"GALLIUM GA-68 GOZETOTIDE (GOZELLIX), DIAGNOSTIC, 1 MCI",1658.0,1326.4,679.78,1492.2,36
HCPCS,A9697,TRACER LYMPH NODE MAGTRACE,2433.38,1946.71,1.0,2190.04,36
HCPCS,A9698,Non-rad contrast materialNOC,,,1.0,1.0,2
HCPCS,A9699,Radiopharm rx agent noc,,,1.0,1.0,2
HCPCS,A9700,Echocardiography Contrast,,,1.0,1.0,2
HCPCS,A9800,Gallium locametz 1 millicuri,,,361.96,1617.09,15
HCPCS,A9901,Delivery/set up/dispensing,,,91.73,91.73,2
HCPCS,B4034,Enter feed supkit syr by day,,,3.57,5.59,15
HCPCS,B4035,Enteral feed supp pump per d,,,6.35,10.31,15
HCPCS,B4036,Enteral feed sup kit grav by,,,4.9,7.42,15
HCPCS,B4081,Enteral ng tubing w/ stylet,,,17.59,24.51,15
HCPCS,B4082,Enteral ng tubing w/o stylet,,,12.96,18.05,15
HCPCS,B4083,Enteral stomach tube levine,,,1.9,2.65,15
HCPCS,B4087,"Gastro/jejuno tube, std",,,29.86,41.6,15
HCPCS,B4088,"Gastro/jejuno tube, low-pro",,,35.12,48.93,15
HCPCS,B4100,Food thickener oral,,,0.64,1.39,6
HCPCS,B4102,EF adult fluids and electro,,,5.09,5.09,2
HCPCS,B4103,EF ped fluid and electrolyte,,,0.68,0.68,2
HCPCS,B4104,Additive for enteral formula,,,3.54,16.35,6
HCPCS,B4105,Enzyme cartridge enteral nut,,,131.19,131.19,2
HCPCS,B4148,Enteral feed elastomer daily,,,6.75,9.4,13
HCPCS,B4149,EF blenderized foods,,,1.19,1.65,15
HCPCS,B4150,EF complet w/intact nutrient,,,0.45,0.65,15
HCPCS,B4152,EF calorie dense>/=1.5Kcal,,,0.36,0.53,15
HCPCS,B4153,EF hydrolyzed/amino acids,,,1.45,2.03,15
HCPCS,B4154,EF spec metabolic noninherit,,,0.79,1.14,15
HCPCS,B4155,EF incomplete/modular,,,0.84,1.16,15
HCPCS,B4157,EF special metabolic inherit,,,4.99,4.99,2
HCPCS,B4158,EF ped complete intact nut,,,3.05,3.05,2
HCPCS,B4159,EF ped complete soy based,,,1.03,1.03,2
HCPCS,B4160,EF ped caloric dense>/=0.7kc,,,1.54,1.54,2
HCPCS,B4161,EF ped hydrolyzed/amino acid,,,3.23,3.23,2
HCPCS,B4162,EF ped specmetabolic inherit,,,6.08,6.08,2
HCPCS,B4164,Parenteral 50% dextrose solu,,,22.88,32.64,15
HCPCS,B4168,Parenteral sol amino acid 3.,,,33.36,47.6,15
HCPCS,B4176,Parenteral sol amino acid 7-,,,64.54,92.08,15
HCPCS,B4178,Parenteral sol amino acid >,,,77.45,110.51,15
HCPCS,B4180,Parenteral sol carb > 50%,,,32.84,46.86,15
HCPCS,B4185,Pn soln nos 10 grams lipids,,,4.35,17.1,15
HCPCS,B4187,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",182.7,146.16,15.11,164.43,36
HCPCS,B4189,Parenteral sol amino acid &,,,239.27,341.36,15
HCPCS,B4193,Parenteral sol 52-73 gm prot,,,309.16,441.08,15
HCPCS,B4197,Parenteral sol 74-100 gm pro,,,376.4,537.01,15
HCPCS,B4199,Parenteral sol > 100gm prote,,,430.09,613.62,15
HCPCS,B4216,Parenteral nutrition additiv,,,10.39,14.82,15
HCPCS,B4220,Parenteral supply kit premix,,,10.77,15.37,15
HCPCS,B4222,Parenteral supply kit homemi,,,13.29,18.97,15
HCPCS,B4224,Parenteral administration ki,,,33.65,48.01,15
HCPCS,B5000,Parenteral sol renal-amirosy,,,16.01,22.83,15
HCPCS,B5100,Parenteral solution hepatic,,,6.25,8.92,15
HCPCS,B5200,Parenteral sol hepatic fream,,,0.11,0.11,2
HCPCS,B9002,Enter nutr inf pump any type,,,1123.27,1123.27,2
HCPCS,B9004,Parenteral infus pump portab,,,3396.26,3396.26,2
HCPCS,B9006,Parenteral infus pump statio,,,3396.26,3396.26,2
HCPCS,C1052,HEMO ENDO HEMOSPRAY 10FR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1052,HEMO ENDO HEMOSPRAY 7FR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1062,EXPANSION KT SPINEJACK 5.8MM,3497.76,2798.21,1.0,3147.98,27
HCPCS,C1062,SYS VCF SPINEJACK 4.2MM,10829.0,8663.2,1.0,9746.1,27
HCPCS,C1062,SYS VCF SPINEJACK 5.0MM,10829.0,8663.2,1.0,9746.1,27
HCPCS,C1062,SYS VCF SPINEJACK 5.8MM 3PCS,10829.0,8663.2,1.0,9746.1,27
HCPCS,C1601,BRONCHSCP ASCOPE 5 2.7/1.2,1976.4,1581.12,548.85,1778.76,27
HCPCS,C1602,SCAF BONE CERAMENT G BONS 10ML,19700.0,15760.0,5470.69,17730.0,27
HCPCS,C1602,SCAF BONE CERAMENT G BONS 5ML,11700.0,9360.0,3249.09,10530.0,27
HCPCS,C1713,ADPTR ROD CT3.2-4 TL5.5-6.35,2106.0,1684.8,1.0,1895.4,27
HCPCS,C1713,ALLO BONE CELLULARV92-FC+2.5CC,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1713,ALLO BONE OSSIGRAFT PRIME 5CC,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,ALLO DBFANCHORTHERAFUZE5.5/6.0,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,ALLO DBFANCHORTHERAFUZE6.5/7.0,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,ALLO DBM GEL XEM*DISC NO REPL*,2095.2,1676.16,1.0,2655.36,81
HCPCS,C1713,ALLO DBM PUTTY BEAST+ 2.5CC,2653.2,2122.56,1.0,2387.88,27
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 10ML,2779.3,2223.44,1.0,2501.37,27
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 1ML,617.36,493.89,1.0,555.62,27
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 2.5ML,1287.34,1029.88,1.0,1158.61,27
HCPCS,C1713,ALLO DBM PUTTY DBX FNDTN 5ML,2034.29,1627.44,1.0,1830.86,27
HCPCS,C1713,ALLO DBM PUTTY STAGRAFT+ 2CC,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,ALLO DBM PUTTY X*DISC NO REPL*,3069.8,2455.84,1.0,2776.32,54
HCPCS,C1713,ALLO DBM VIVIGEN 10CC,8736.0,6988.8,1.0,7862.4,27
HCPCS,C1713,ALLO DBM VIVIGEN 15CC,10998.0,8798.4,1.0,9898.2,27
HCPCS,C1713,ALLO DBM VIVIGEN 1CC,1930.66,1544.53,1.0,1737.59,27
HCPCS,C1713,ALLO DBM VIVIGEN 5CC,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1713,ALLO DBM VIVIGEN FORM SPINE1CC,1984.32,1587.46,1.0,1785.89,27
HCPCS,C1713,ALLO DBM VIVIGEN FORM SPINE5CC,6639.36,5311.49,1.0,5975.42,27
HCPCS,C1713,ALLO DBM VIVIGEN FORMABLE 3CC,5215.06,4172.05,1.0,4693.55,27
HCPCS,C1713,ALLO DBM VIVIGEN FORMSPINE10CC,10902.53,8722.03,1.0,9812.28,27
HCPCS,C1713,ALLO DBM VIVIGEN FORMSPINE15CC,12669.7,10135.76,1.0,11402.73,27
HCPCS,C1713,ALLO DBM VIVIGEN FORMTRAUMA1CC,1984.32,1587.46,1.0,1785.89,27
HCPCS,C1713,ALLO DBM VIVIGEN FORMTRAUMA5CC,6639.36,5311.49,1.0,5975.42,27
HCPCS,C1713,ALLO DBM VIVIGENFORMTRAUMA10CC,10902.53,8722.03,1.0,9812.28,27
HCPCS,C1713,ALLO DBM VIVIGENFORMTRAUMA15CC,12182.4,9745.92,1.0,10964.16,27
HCPCS,C1713,ALLO GRAFTLINK7.5-10.5X60-80MM,6747.89,5398.32,1.0,6073.1,27
HCPCS,C1713,ANCHOR ALPHAVENT KNTLS PEEK5.5,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1713,ANCHOR ALPHAVENT KNTLSPEEK4.75,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1713,ANCHOR BIO CRKSCRW FT 2FBR 6.5,1239.0,991.2,1.0,1115.1,27
HCPCS,C1713,ANCHOR BIO CRKSCRWFT 4NDLE 5.5,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,ANCHOR BIO SUT TAK ARTX 3X12.7,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR BIO SUT TAK W WIRE3MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,ANCHOR BIO-PLK 2.9X15.5MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW 2FBR4.5,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW 2FBR5.5,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW 2FBR6.5,1547.7,1238.16,1.0,1392.93,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW 3FBR5.5,1570.8,1256.64,1.0,1413.72,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW2TAPE4.7,1640.1,1312.08,1.0,1476.09,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW2TAPE5.5,1640.1,1312.08,1.0,1476.09,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW4NDLE4.5,1535.1,1228.08,1.0,1381.59,27
HCPCS,C1713,ANCHOR BIOCOMP CRKSCRW4NDLE5.5,1547.7,1238.16,1.0,1392.93,27
HCPCS,C1713,ANCHOR BIOCOMP KNTLS 4.75X19.1,1821.6,1457.28,1.0,1639.44,27
HCPCS,C1713,ANCHOR BIOCOMP S*DISC 6321041*,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,ANCHOR BIOCOMP S*DISC 6324240*,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,ANCHOR BIOCOMP SUT KNTLSDX4.75,2554.2,2043.36,1.0,2298.78,27
HCPCS,C1713,ANCHOR BIOCOMP SUTTAK 1FBR 2MM,1409.1,1127.28,1.0,1268.19,27
HCPCS,C1713,ANCHOR BIOCOMP SUTTAK 2FBR 3MM,1409.1,1127.28,1.0,1268.19,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLK 4.75X19.1,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLK 4.75X24.5,1862.78,1490.23,1.0,1676.5,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLK C5.5X19.1,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLK SPPEEK5.5,1862.78,1490.23,1.0,1676.5,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLK3.5X15.8MM,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLK3.9X17.9MM,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLKC4.75X19.1,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,ANCHOR BIOCOMP SWVLKCTIGER4.75,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,ANCHOR BIOCOMPDXSWVLKKNTLS4.75,2178.0,1742.4,1.0,1960.2,27
HCPCS,C1713,ANCHOR BIOCOMPSUTTAK 1FBR2 2.4,1409.1,1127.28,1.0,1268.19,27
HCPCS,C1713,ANCHOR BIOCOMPSUTTAK 2TAPE 3MM,1663.2,1330.56,1.0,1496.88,27
HCPCS,C1713,ANCHOR BIOCOMPSUTTAK 2TIGER2 3,1570.8,1256.64,1.0,1413.72,27
HCPCS,C1713,ANCHOR BIOCOMPSWVLKCDBL4.75X22,1926.54,1541.24,1.0,1733.89,27
HCPCS,C1713,ANCHOR BIOCOMPSWVLKSP4.75X24.5,1940.4,1552.32,1.0,1746.36,27
HCPCS,C1713,ANCHOR BTB TIGHTROPE,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR CHONDRAL DART 1.3X1MM,162.38,129.91,1.0,146.14,27
HCPCS,C1713,ANCHOR CINCHLOCK KNTLS,1839.6,1471.68,1.0,1655.64,27
HCPCS,C1713,ANCHOR FBRSTITCH FBRWIRE CURV,2178.79,1743.04,1.0,1960.91,27
HCPCS,C1713,ANCHOR FBRSTITCH FBRWIRE ST,2178.79,1743.04,1.0,1960.91,27
HCPCS,C1713,ANCHOR FBRTAK 2.6 KL 2 BLU/BLK,2098.8,1679.04,1.0,1888.92,27
HCPCS,C1713,ANCHOR FBRWIRE SUTTAK 3.0X12.7,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5 CURV,2178.0,1742.4,1.0,1960.2,27
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5 CURV24D,2178.79,1743.04,1.0,1960.91,27
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5 ST,2178.79,1743.04,1.0,1960.91,27
HCPCS,C1713,ANCHOR FIBERSTITCH 1.5RVRSCURV,2178.79,1743.04,1.0,1960.91,27
HCPCS,C1713,ANCHOR FIBERSTITCH CURV,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,ANCHOR FIBERSTITCH CURV 24D,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,ANCHOR FOOTPRINT ULT PK4-5MM,1419.6,1135.68,1.0,1277.64,27
HCPCS,C1713,ANCHOR GII QK PLUS 2 CP2 ETHI,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR GII QK PLUS W ORTHOCORD,2270.88,1816.71,1.0,2043.79,27
HCPCS,C1713,ANCHOR GRYPHON P BR DS,1377.6,1102.08,1.0,1239.84,27
HCPCS,C1713,ANCHOR HEALI REGENESORB 5.5MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,ANCHOR HEALI ULTTP BLU 4.75MM,1808.57,1446.86,1.0,1627.71,27
HCPCS,C1713,ANCHOR HEALIULTTPCOBRAID4.75MM,1801.66,1441.33,1.0,1621.49,27
HCPCS,C1713,ANCHOR HEALIX ADV BR BLK 4.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV BR BLK 6.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV BR BLU 4.5MM,2270.88,1816.71,1.0,2043.79,27
HCPCS,C1713,ANCHOR HEALIX ADV BR CORD4.5MM,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR HEALIX ADV BR CORD5.5MM,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR HEALIX ADV BR WHT 5.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV BR WHT 6.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV KNTLS,2373.48,1898.79,1.0,2136.13,27
HCPCS,C1713,ANCHOR HEALIX ADV KNTLS4.75,2373.48,1898.79,1.0,2136.13,27
HCPCS,C1713,ANCHOR HEALIX ADV PEEKBLK4.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV PEEKBLK5.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV PEEKBLK6.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV PEEKWHT4.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV PEEKWHT5.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV PEEKWHT6.5MM,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV SP PEEK 4.9,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1713,ANCHOR HEALIX ADV SP PEEK 5.5,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1713,ANCHOR HEALIX ADV SP PEEK 6.5,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1713,ANCHOR HEALIX ADV SPBIOCOMP4.9,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1713,ANCHOR HEALIX ADV SPBIOCOMP5.5,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1713,ANCHOR HEALIX ADV SPBIOCOMP6.5,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1713,ANCHOR HEALIX ADV W DYNA SUT,1789.2,1431.36,1.0,1610.28,27
HCPCS,C1713,ANCHOR HEALIX ADV WHT BLU4.5MM,2599.2,2079.36,1.0,2339.28,27
HCPCS,C1713,ANCHOR HEALIX ADVBRWHTBLU4.5MM,2270.88,1816.71,1.0,2043.79,27
HCPCS,C1713,ANCHOR HTO IBALANCECNCLS6.5X20,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTO IBALANCECNCLS6.5X22,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X36MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X38MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X40MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X44MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X46MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR HTOIBALANCECORT4.5X48MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR ICONIX 1.2XBRAID1.4MM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,ANCHOR ICONIX 1NDLE SZ2FBR 1.4,1940.4,1552.32,1.0,1746.36,27
HCPCS,C1713,ANCHOR ICONIX 2NDLE SZ2FBR 2.3,1881.6,1505.28,1.0,1693.44,27
HCPCS,C1713,ANCHOR ICONIX 2STRD 1.2/2.0MM,2665.6,2132.48,1.0,2399.04,27
HCPCS,C1713,ANCHOR ICONIX 3STRD TT 2.3X1.2,2665.6,2132.48,1.0,2399.04,27
HCPCS,C1713,ANCHOR ICONIX HA+ 3STRDXBRD2.3,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,ANCHOR ICONIX HA+ TT1.8XBRD2.3,4684.4,3747.52,1.0,4215.96,27
HCPCS,C1713,ANCHOR ICONIX KNTLS BLUBLK 1.4,3959.2,3167.36,1.0,3563.28,27
HCPCS,C1713,ANCHOR ICONIX XBRD TT 2.0MM,2665.6,2132.48,1.0,2399.04,27
HCPCS,C1713,ANCHOR ICONIXKNTLSBLUBLKWHT1.4,3959.2,3167.36,1.0,3563.28,27
HCPCS,C1713,ANCHOR JUGGERKNOT SGL 1.5MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,ANCHOR JUGGERKNOT SHRTRIGIDSZ1,1327.2,1061.76,1.0,1194.48,27
HCPCS,C1713,ANCHOR JUGGERKNOT TPR 2.9MM,1155.42,924.34,1.0,1039.88,27
HCPCS,C1713,ANCHOR JUGGERKNOTMINI2-0 1.0MM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1713,ANCHOR JUGGERKNOTMINI3-0 1.0MM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1713,ANCHOR KNOTILUS KNTLS 2.9X12.5,3072.0,2457.6,1.0,2764.8,27
HCPCS,C1713,ANCHOR KNOTILUS+ KNTLS2.9X12.5,4197.2,3357.76,1.0,3777.48,27
HCPCS,C1713,ANCHOR KNTLS CRKSCRW3.9X11.2MM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR KNTLS CRKSCRW4.75X14MM,1821.6,1457.28,1.0,1639.44,27
HCPCS,C1713,ANCHOR KNTLSCRKSCRW 5 3.9X11.2,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR LEAD CLIK 4CM,1417.5,1134.0,1.0,1275.75,27
HCPCS,C1713,ANCHOR LEAD CLIK X MRI 4CM,1417.5,1134.0,1.0,1275.75,27
HCPCS,C1713,ANCHOR LUMB INDEPEND 25MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR LUMB INDEPEND 27MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ANCHOR MENISC AIR+ CURV DOWN9D,2053.8,1643.04,1.0,1848.42,27
HCPCS,C1713,ANCHOR MENISC AIR+ CURV UP 15D,2053.8,1643.04,1.0,1848.42,27
HCPCS,C1713,ANCHOR MENISC JUGGERSTITCH ST,1554.0,1243.2,1.0,1398.6,27
HCPCS,C1713,ANCHOR MENISC JUGGERSTITCHCURV,1631.7,1305.36,1.0,1468.53,27
HCPCS,C1713,ANCHOR MENISC MA*DISC NO REPL*,1453.2,1162.56,1.0,1307.88,27
HCPCS,C1713,ANCHOR MENISC TRUESPAN NDLE 0D,1856.4,1485.12,1.0,1670.76,27
HCPCS,C1713,ANCHOR MENISC TRUESPAN NDLE12D,1856.4,1485.12,1.0,1670.76,27
HCPCS,C1713,ANCHOR MENISC TRUESPAN NDLE24D,1856.4,1485.12,1.0,1670.76,27
HCPCS,C1713,ANCHOR MENISC W BIOCOMP SWVLK,5236.0,4188.8,1.0,4712.4,27
HCPCS,C1713,ANCHOR MICRO QK DEPU 1.3MM,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR MICRO QK PLUS 2-0 SUT,2332.44,1865.96,1.0,2099.2,27
HCPCS,C1713,ANCHOR MICRO QK PLUS4-0 C1CORD,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR MICRO W 3-0 CORD 1.3MM,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR MINI QK PLUS 0 OS2 CORD,2448.72,1958.98,1.0,2203.85,27
HCPCS,C1713,ANCHOR MINI QK PLUS2-0 V5 CORD,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR MINI QK PLUS2-0 V5 ETHI,1352.4,1081.92,1.0,1217.16,27
HCPCS,C1713,ANCHOR MINIBIOCO*DISC 6330294*,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,ANCHOR NANO DX SWVLK 2.5X7MM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR NANOTACK FLEX PIVM,1940.4,1552.32,1.0,1746.36,27
HCPCS,C1713,ANCHOR NANOTACK PIVM,1720.32,1376.26,1.0,1548.29,27
HCPCS,C1713,ANCHOR PEEK CRKSCRW 3.9X10.2MM,1778.7,1422.96,1.0,1600.83,27
HCPCS,C1713,ANCHOR PEEK CRKSCRW FT 2FBR4.5,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,ANCHOR PEEK OMEGA KNTLS 4.75MM,2652.8,2122.24,1.0,2387.52,27
HCPCS,C1713,ANCHOR PEEK OMEGA KNTLS 6.5MM,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,ANCHOR PEEK PLK 2.9X15.5MM,1663.2,1330.56,1.0,1496.88,27
HCPCS,C1713,ANCHOR SPDBRG ACHILLES,5359.2,4287.36,1.0,4823.28,27
HCPCS,C1713,ANCHOR SPDBRG ACHILLES 3.9MM,7994.84,6395.88,1.0,7195.36,27
HCPCS,C1713,ANCHOR SPDBRG ACHILLES JUMP,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,ANCHOR SPDBRG ACHILLES MIDSUB,3003.0,2402.4,1.0,2702.7,27
HCPCS,C1713,ANCHOR SPDBRG ACHILLES PARS,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,ANCHOR SPDBRG BIOCOMP4.75/4.75,5882.8,4706.24,1.0,5294.52,27
HCPCS,C1713,ANCHOR SPDBRG KNTLS 4.75/4.75,6622.0,5297.6,1.0,5959.8,27
HCPCS,C1713,ANCHOR SPDBRG KTNLS DX 3.9,8279.7,6623.76,1.0,7451.73,27
HCPCS,C1713,ANCHOR SPDBRG MIS DX 3.9MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1713,ANCHOR SPDBRG MIS KTNLS DX3.9,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1713,ANCHOR SPDBRG PEEK 4.75/4.75,4928.0,3942.4,1.0,4435.2,27
HCPCS,C1713,ANCHOR SPDBRG PNCH 4.75/4.75,5359.2,4287.36,1.0,4823.28,27
HCPCS,C1713,ANCHOR SUT BICEP FBRTAK DBL,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR SUT BICEP FBRTAK SYS,2475.0,1980.0,1.0,2227.5,27
HCPCS,C1713,ANCHOR SUT BICEP LNT HD 4.75,2659.01,2127.21,1.0,2393.11,27
HCPCS,C1713,ANCHOR SUT BICEP LNT KL HD4.75,2870.21,2296.17,1.0,2583.19,27
HCPCS,C1713,ANCHOR SUT BICEP LNT SWVLK 3.9,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,ANCHOR SUT BICEP LNT SWVLK4.75,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,ANCHOR SUT BIO INSRTTAPESTRYRC,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1713,ANCHOR SUT BIO MINI PLK2.5X8MM,448.8,359.04,1.0,403.92,27
HCPCS,C1713,ANCHOR SUT BIOCOMP SWVLK 3.9MM,2019.6,1615.68,1.0,1817.64,27
HCPCS,C1713,ANCHOR SUT CRKSCRW 3.5X10MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,ANCHOR SUT CRKSCRWII 4.5X14MM,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,ANCHOR SUT CRKSCRWII FIBER SZ2,1131.9,905.52,1.0,1018.71,27
HCPCS,C1713,ANCHOR SUT CRKSCRWII NDLE 5.5,1178.1,942.48,1.0,1060.29,27
HCPCS,C1713,ANCHOR SUT DX FBRTAK,1841.4,1473.12,1.0,1657.26,27
HCPCS,C1713,ANCHOR SUT DX FBRTAK 2MTS,2356.2,1884.96,1.0,2120.58,27
HCPCS,C1713,ANCHOR SUT DX FBRTAK DBL LOAD,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT ECLIPSE GUN 4X10MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,ANCHOR SUT ENDOBTN 4X12MM,751.5,601.2,1.0,676.35,27
HCPCS,C1713,ANCHOR SUT FBRTAK 2 SPKNTLS2.6,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,ANCHOR SUT FBRTAK BTN 2.6MM,2777.28,2221.83,1.0,2499.55,27
HCPCS,C1713,ANCHOR SUT FBRTAK DBLLOAD 1.3,1709.4,1367.52,1.0,1538.46,27
HCPCS,C1713,ANCHOR SUT FBRTAK DBLLOADWNDLE,1965.35,1572.28,1.0,1768.82,27
HCPCS,C1713,ANCHOR SUT FBRTAK KNEEWFBRTAPE,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS 1.8MM,2032.8,1626.24,1.0,1829.52,27
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS 2.0MM,1940.4,1552.32,1.0,1746.36,27
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS BLU1.8,2034.65,1627.72,1.0,1831.19,27
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLS DBL,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT FBRTAK KNTLSDBLSLFP,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT FBRTAK RC BK-BL 2.6,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,ANCHOR SUT FBRTAK RC SP 2.6,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,ANCHOR SUT FBRTAK RC SP BL 2.6,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,ANCHOR SUT FBRTAK SPDBLLOAD1.3,417.12,333.7,1.0,375.41,27
HCPCS,C1713,ANCHOR SUT FBRTAK SZ2 TIGER,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT FBRTAK TIGER 2 GRN,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT FBRTK SLFPUNCH1.3MM,1894.2,1515.36,1.0,1704.78,27
HCPCS,C1713,ANCHOR SUT FLEXBAND 0.3X16CM,6804.0,5443.2,1.0,6123.6,27
HCPCS,C1713,ANCHOR SUT FLEXBAND TWIST 12CM,19049.33,15239.47,1.0,17144.4,27
HCPCS,C1713,ANCHOR SUT FLEXBAND TWIST 30CM,12949.2,10359.36,1.0,11654.28,27
HCPCS,C1713,ANCHOR SUT GENESYS KNTLS 4.75,2708.35,2166.68,1.0,2437.52,27
HCPCS,C1713,ANCHOR SUT GENESYS KNTLS 5.5,2708.35,2166.68,1.0,2437.52,27
HCPCS,C1713,ANCHOR SUT HYBRID FBRTAK KNEE,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT HYBRID FBRTAK WNDLE,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUT KNTLS FBRTAK BL 2.6,2098.8,1679.04,1.0,1888.92,27
HCPCS,C1713,ANCHOR SUT KNTLS FBRTAK KNEE,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR SUT KNTLS FBRTAKWHT/BLK,2098.8,1679.04,1.0,1888.92,27
HCPCS,C1713,ANCHOR SUT KT BICEPFBRTAKKNTLS,3049.2,2439.36,1.0,2744.28,27
HCPCS,C1713,ANCHOR SUT MICRO CRKSCRW 2-0,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,ANCHOR SUT MICRO CRKSCRW 4-0,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,ANCHOR SUT MINI CRKSCRW2.7X7MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,ANCHOR SUT NANA CRKSCRW1.7X5MM,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR SUT PEEK GRY 3.5MM,2156.4,1725.12,1.0,1940.76,27
HCPCS,C1713,ANCHOR SUT PEEK MINI PLK 2.5MM,1663.2,1330.56,1.0,1496.88,27
HCPCS,C1713,ANCHOR SUT PEEK ORG 2.7MM,2156.4,1725.12,1.0,1940.76,27
HCPCS,C1713,ANCHOR SUT PK FOOTPRINTMINI3.5,2050.86,1640.69,1.0,1845.77,27
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP2.9X12.5,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP2.9X15.5,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR SUT PLK BIOCOMP3.5X19.5,1848.0,1478.4,1.0,1663.2,27
HCPCS,C1713,ANCHOR SUT QFIX 1.8MM,1835.46,1468.37,1.0,1651.91,27
HCPCS,C1713,ANCHOR SUT QFIX 2.8MM,2558.16,2046.53,1.0,2302.34,27
HCPCS,C1713,ANCHOR SUT QFIX MINI 1.8MM,2490.84,1992.68,1.0,2241.76,27
HCPCS,C1713,ANCHOR SUT ROOT REPAIR ULTBR,2707.2,2165.76,1.0,2436.48,27
HCPCS,C1713,ANCHOR SUT S-TAK 2.4 SNGL LOAD,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR SUT SLFPUNCHPLK3.5X19.5,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,ANCHOR SUT SUPERHAWK 3.75/4.75,8645.0,6916.0,1.0,7780.5,27
HCPCS,C1713,ANCHOR SUT SZ2 HS AGILE 2.5MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,ANCHOR SUT TRUSHOT FA Y-KNOT 2,2934.4,2347.52,1.0,2640.96,27
HCPCS,C1713,ANCHOR SUT VERSALOOP 1.8MM,1901.52,1521.22,1.0,1711.37,27
HCPCS,C1713,ANCHOR SUT Y-KNTLS GRN/BLK 1.8,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1713,ANCHOR SUT Y-KNTLS WHT/BLK 1.8,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1713,ANCHOR SUTBLU/BLUKNTLSHIFI4.75,2708.35,2166.68,1.0,2437.52,27
HCPCS,C1713,ANCHOR SUTLOCK 4.75X19.1MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,ANCHOR SUTQ-FIXASAW2MINISUT2.8,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,ANCHOR SUTURETAK 0.9TAPE 4NDLE,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1713,ANCHOR SUTURETAK 1.3TAPE 2NDLE,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,ANCHOR SUTURETAK DBL 3X14.5MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,ANCHOR SUTURETAK KNTLS 3X14,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,ANCHOR SUTWHT/BLKKNTLSHIFI4.75,3182.3,2545.84,1.0,2864.07,27
HCPCS,C1713,ANCHOR SWVLK KNTLS 4.75X24.5,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,ANCHOR SWVLK KNTLS 5.5X19.1,2009.7,1607.76,1.0,1808.73,27
HCPCS,C1713,ANCHOR SWVLK TENDODESIS PEEK,2009.7,1607.76,1.0,1808.73,27
HCPCS,C1713,ANCHOR SYS BONE ADV REGENETEN,3189.2,2551.36,1.0,2870.28,27
HCPCS,C1713,ANCHOR SYS PLK BIOCOMP SHRT2.9,2481.6,1985.28,1.0,2233.44,27
HCPCS,C1713,ANCHOR TENDON CITRELOCK 4X10MM,4416.38,3533.11,1.0,3974.74,27
HCPCS,C1713,ANCHOR TENDON CITRELOCK 5X15MM,4416.38,3533.11,1.0,3974.74,27
HCPCS,C1713,ANCHOR TENDON CITRELOCK 6X15MM,4416.38,3533.11,1.0,3974.74,27
HCPCS,C1713,ANCHOR TENDON REGENETEN,2556.8,2045.44,1.0,2301.12,27
HCPCS,C1713,ANCHOR TISS BIOT*DISC 6323792*,1315.78,1052.63,1.0,1184.2,27
HCPCS,C1713,ANCHOR TISS BIOTRANSFIX 5X40MM,1315.78,1052.63,1.0,1184.2,27
HCPCS,C1713,ANCHOR TISS OTSC 165CM,1904.4,1523.52,1.0,1713.96,27
HCPCS,C1713,ANCHOR VERT BODY TETHER 12MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,ANCHOR W 2-0 ORTHOCORD,2083.2,1666.56,1.0,1874.88,27
HCPCS,C1713,ANCHOR W NDLE OSSIOFIBER2X4.75,6496.0,5196.8,1.0,5846.4,27
HCPCS,C1713,ANCHORMICROBIOCOMPSUTAK2.4X6.5,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,ANCHORPEEKOMEGAKNTLSDBLDBL4.75,3878.0,3102.4,1.0,3490.2,27
HCPCS,C1713,ANK INFINITY ATTACH NUT,2253.6,1802.88,1.0,2028.24,27
HCPCS,C1713,ANK INFINITY FIX PIN SHRT,558.0,446.4,1.0,502.2,27
HCPCS,C1713,ANK STEINMAN PIN INBONE 2.4MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,ANK SYS LIG RECON FDL 4.75MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,ANK SYS LIG RECON FDL 5.5MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,ANK SYS LIG RECON FHL 6.25MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,ANK SYS LIG RECON FHL 7.0MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,ARCH BAR ERICH 1 METER CO*NLU*,47.76,38.21,1.0,42.98,27
HCPCS,C1713,BEAM FULL ARTEMIS 6.5X60MM,6747.0,5397.6,1.0,6072.3,27
HCPCS,C1713,BEAM FULL ARTEMIS 6.5X80MM,6747.0,5397.6,1.0,6072.3,27
HCPCS,C1713,BEAM FULL ARTEMIS 6.5X90MM,6747.0,5397.6,1.0,6072.3,27
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X105MM,11830.0,9464.0,1.0,10647.0,27
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X45MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,BEAM FULL REDEMPTION 5.0X55MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X70MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,BEAM FULL REDEMPTION 6.5X75MM,11830.0,9464.0,1.0,10647.0,27
HCPCS,C1713,BEAM PART ARTEMIS 6.5X47.5MM,6747.0,5397.6,1.0,6072.3,27
HCPCS,C1713,BEAM PART REDEMPTION 6.5X120MM,11830.0,9464.0,1.0,10647.0,27
HCPCS,C1713,BEAM PART REDEMPTION 6.5X130MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,BEAM SALVATION FT 7X105MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BEAM SALVATION FT 7X110MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BEAM SALVATION FT 7X115MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BEAM SALVATION FT 7X120MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BEAM SALVATION FT 7X130MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BEAM SALVATION FT 7X80MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BEAM SALVATION FT 7X90MM,4552.8,3642.24,1.0,4097.52,27
HCPCS,C1713,BIT DRILL MDSH 4MM*DNR*,1428.0,1142.4,1.0,1285.2,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X100MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X105MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X110MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X115MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X120MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X80MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X85MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL FIX NAIL TI 11X90MM,2068.34,1654.68,1.0,1861.51,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6290182*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6290183*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6290252*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291516*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291876*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291902*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291903*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291904*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291905*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6291906*,2077.49,1662.0,1.0,1869.74,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297702*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297703*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297704*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297705*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297706*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297707*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297708*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297709*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297710*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297711*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA T*DISC 6297712*,1888.49,1510.8,1.0,1699.64,27
HCPCS,C1713,BLADE HEL TFNA TI S100MM*DISC*,2241.72,1793.38,1.0,2017.55,27
HCPCS,C1713,BLADE HLX LCP DHHS 100MM,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,BLADE HLX LCP DHHS 105MM,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,BLADE HLX LCP DHHS 110MM,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,BLADE HLX LCP DHHS 115MM,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,BLADE HLX LCP DHHS 120MM,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,BLADE HLX LCP DHHS 125MM,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,BLADE HLX LCP DHHS 130MM,1492.34,1193.88,1.0,1343.11,27
HCPCS,C1713,BLADE HLX LCP DHHS 75MM,1451.77,1161.42,1.0,1306.59,27
HCPCS,C1713,BLADE HLX LCP DHHS 80MM,1451.77,1161.42,1.0,1306.59,27
HCPCS,C1713,BLADE HLX LCP DHHS 85MM,1451.77,1161.42,1.0,1306.59,27
HCPCS,C1713,BLADE HLX LCP DHHS 90MM,1451.77,1161.42,1.0,1306.59,27
HCPCS,C1713,BLADE HLX LCP DHHS 95MM,1451.77,1161.42,1.0,1306.59,27
HCPCS,C1713,BLADE POWERDRIV STERNALK REUS,2045.4,1636.32,1.0,1840.86,27
HCPCS,C1713,BLADE SPIRAL 42*DISC NO REPL*,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL H44*DISC NO REPL*,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 34MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 36MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 38MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 40MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 46MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 48MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 50MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 52MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE SPIRAL HUMR NAIL TI 54MM,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,BLADE STERNALK SHRT REUS,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,BLADE STERNALK XP REUS,2045.4,1636.32,1.0,1840.86,27
HCPCS,C1713,BLOCKER LITE MANTIS REDUX ES2,405.0,324.0,1.0,364.5,27
HCPCS,C1713,BOLT ANTIDRIFTPARTTHRD3.5X38MM,2142.29,1713.84,1.0,1928.06,27
HCPCS,C1713,BOLT ANTIDRIFTPARTTHRD3.5X40MM,2142.29,1713.84,1.0,1928.06,27
HCPCS,C1713,BOLT FEM NECK STER 100MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 105MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 110MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 115MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 120MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 75MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 80MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 85MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 90MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT FEM NECK STER 95MM,1363.99,1091.2,1.0,1227.59,27
HCPCS,C1713,BOLT MIDFT FUSN 6.5X130MM,1940.4,1552.32,1.0,1746.36,27
HCPCS,C1713,BOLT MIDFT FUSN 6.5X150MM,1940.4,1552.32,1.0,1746.36,27
HCPCS,C1713,BOLT SALVATION 5X110MM,4589.2,3671.36,1.0,4130.28,27
HCPCS,C1713,BOLT SALVATION 5X120MM,4589.2,3671.36,1.0,4130.28,27
HCPCS,C1713,BOLT SALVATION 5X125MM,4589.2,3671.36,1.0,4130.28,27
HCPCS,C1713,BOLT THRD CONIC FEM NAIL9-12MM,834.62,667.7,1.0,751.16,27
HCPCS,C1713,BOLT THRD CONIC FEMNAIL13-16MM,834.62,667.7,1.0,751.16,27
HCPCS,C1713,BOLT VPR DEPU 10X80MM,2931.6,2345.28,1.0,2638.44,27
HCPCS,C1713,BOLT VPR DEPU 10X90MM,399.6,319.68,1.0,359.64,27
HCPCS,C1713,BOLT WRIT 16MM,303.78,243.03,1.0,273.4,27
HCPCS,C1713,BOLT WRIT 20MM,303.78,243.03,1.0,273.4,27
HCPCS,C1713,BTN ABS TIGHTROP*DISC 6332791*,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,BTN ABS TIGHTROPE 8X12MM,707.85,566.28,1.0,637.07,27
HCPCS,C1713,BTN ABS TIGHTROPE CNCV 14MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,BTN ABS TIGHTROPE CNCV 20MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,BTN ABS TIGHTROPE CNCV 3HL 11,1270.5,1016.4,1.0,1143.45,27
HCPCS,C1713,BTN ABS TIGHTROPE RD 14MM,1059.3,847.44,1.0,953.37,27
HCPCS,C1713,BTN ABS TIGHTROPE RD CNCV 17,1272.35,1017.88,1.0,1145.12,27
HCPCS,C1713,BTN CERCLAGE ARTX 3.5MM,607.5,486.0,1.0,546.75,27
HCPCS,C1713,BTN FBRTAK KNEE ARTX,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,BTN FBRTAK KNEE SLFPUNCH 2.6MM,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,BTN PLATE CLAV DIST,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,CAGE CORPECT 5D 12X14MM 38-54,15600.0,12480.0,1.0,14040.0,27
HCPCS,C1713,CAGE OBLIQ OLLIF TI27X9.5X13MM,12144.6,9715.68,1.0,10930.14,27
HCPCS,C1713,CANN BONE HYDROSET 12GAX7.5CM,25.93,20.75,1.0,23.34,27
HCPCS,C1713,CANN INJ BONE CMT TRAUMACEM V+,1227.74,982.2,1.0,1104.97,27
HCPCS,C1713,CAP LK CREO FOR SCREW,324.0,259.2,1.0,291.6,27
HCPCS,C1713,CAP LK RIBFIX ADV X-DRV,1268.4,1014.72,1.0,1141.56,27
HCPCS,C1713,CAP LK THRD,324.0,259.2,1.0,291.6,27
HCPCS,C1713,CAP LK THRD HD TO HD T CONN,324.0,259.2,1.0,291.6,27
HCPCS,C1713,CAP NAIL END IM CHILD 0MM,2064.96,1651.97,1.0,1858.46,27
HCPCS,C1713,CAP ROD SLIM LG 3.5X5.0MM,711.0,568.8,1.0,639.9,27
HCPCS,C1713,CAUT BIPOLR INSR*DISC 6316961*,1577.27,1261.82,1.0,1419.54,27
HCPCS,C1713,CBL CERCLAGE SUPERCABLE 1.5MM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1713,CBL CERLAGE W CRIMP 1.7X750MM,1702.26,1361.81,1.0,1532.03,27
HCPCS,C1713,CINCH ANCHOR MENISC CURV TIP,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,CLAMP OCCIPITAL 3.5MM ROD 1HL,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CLAMP OCCIPITAL 3.5MM ROD 2HL,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CLAMP OCCIPITAL 4.0MM ROD 1HL,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CLAMP OCCIPITAL 4.0MM ROD 2HL,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CLAMP RIBFIX ADV FOLDING,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1713,CMNT BONE ACTIVOS KYPHON,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,CMNT BONE AUTOPLEX HALF DOSE,2081.1,1664.88,1.0,1872.99,27
HCPCS,C1713,CMNT BONE BRAVO HV 40G,351.0,280.8,1.0,315.9,27
HCPCS,C1713,CMNT BONE BRAVO HV+G 40/80,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,CMNT BONE CARTRDG KYPHON 2PK,405.0,324.0,1.0,364.5,27
HCPCS,C1713,CMNT BONE CMNT-R 1X40,350.41,280.33,1.0,315.37,27
HCPCS,C1713,CMNT BONE CMNT-R W GENTAMICIN,1089.23,871.39,1.0,980.31,27
HCPCS,C1713,CMNT BONE COBALT HV 40/20*CIP*,318.6,254.88,1.0,286.74,27
HCPCS,C1713,CMNT BONE CONFLOW 40G,297.0,237.6,1.0,267.3,27
HCPCS,C1713,CMNT BONE CONFLOW G 40G,765.0,612.0,1.0,688.5,27
HCPCS,C1713,CMNT BONE GENTAMICIN HVSC,1092.0,873.6,1.0,982.8,27
HCPCS,C1713,CMNT BONE GENTAMICIN MVSC,1092.0,873.6,1.0,982.8,27
HCPCS,C1713,CMNT BONE HV-R KYPHON,432.0,345.6,1.0,388.8,27
HCPCS,C1713,CMNT BONE KT BONESYNC 1CC,2050.65,1640.52,1.0,1845.59,27
HCPCS,C1713,CMNT BONE KT HV-R KYPHX,675.0,540.0,1.0,607.5,27
HCPCS,C1713,CMNT BONE KYPHON XPEDE W MIXER,990.0,792.0,1.0,891.0,27
HCPCS,C1713,CMNT BONE OTOMIMIX 2GM,1605.16,1284.13,1.0,1444.64,27
HCPCS,C1713,CMNT BONE QUICKSET 10CC,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,CMNT BONE QUICKSET 20CC,6930.0,5544.0,1.0,6237.0,27
HCPCS,C1713,CMNT BONE RADPQ CONCORD 20GM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,CMNT BONE RADPQ CONCORD 40GM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,CMNT BONE RADPQ FTRSS+ 20GM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,CMNT BONE RADPQ FTRSS+ 40GM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,CMNT BONE SIM40GM*USE 6122312*,378.0,302.4,1.0,340.2,27
HCPCS,C1713,CMNT BONE SIMPLEX HV US 20ML,305.0,244.0,1.0,274.5,27
HCPCS,C1713,CMNT BONE SIMPLEX HVGENTAMICIN,675.0,540.0,1.0,607.5,27
HCPCS,C1713,CMNT BONE SIMPLEX P FULL 40GM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,CMNT BONE SIMPLEX P HALF 20GM,244.0,195.2,1.0,219.6,27
HCPCS,C1713,CMNT BONE SIMPLEX SPEED 40GM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,CMNT BONE SIMPLEX TOBRAMYACIN,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,CMNT BONE SIMPLEX*DNR 6173219*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,CMNT BONE SIMPLEX*USE 6190929*,305.0,244.0,1.0,274.5,27
HCPCS,C1713,CMNT BONE TRAUMACEM V+ W MIXER,1358.28,1086.63,1.0,1222.45,27
HCPCS,C1713,CMNT BONE TRAY CONCORD 40GM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,CMNT BONE VERTAPL*DUP 6212663*,2410.11,1928.09,1.0,2169.1,27
HCPCS,C1713,CMNT BONE VERTAPL*USE 6212663*,2607.08,2085.67,1.0,2346.37,27
HCPCS,C1713,CMNT BONE VERTAPLEX HV 20GM,1581.64,1265.32,1.0,1423.48,27
HCPCS,C1713,CMNT BONE WO NDLE AUTOPLEX,2211.88,1769.51,1.0,1990.69,27
HCPCS,C1713,CNTRSINK ORTHOLOC CANN 2.8,610.65,488.52,1.0,549.59,27
HCPCS,C1713,CNTRSINK SCREWS 3.5MM,1201.33,961.07,1.0,1081.2,27
HCPCS,C1713,CONN AXIAL LESS CURV 4.75X100,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN AXIAL LESS CURV 4.75X120,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN AXIAL LESS CURV 4.75X80,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN AXIAL MORE CURV 4.75X100,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN AXIAL MORE CURV 4.75X120,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN AXIAL MORE CURV 4.75X80,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN BRIDGE LAT 4.75X5.5X25MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN BRIDGE LAT 4.75X5.5X75MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN CLSD DOMINO 4.75X4.75MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,CONN CLSD DOMINO 4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,CONN CROSS POLARIS 2XS 5.5MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN CROSS POLARIS TI XS 5.5MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X10MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X12MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X14MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X16MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X18MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X20MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X22MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN FIXED CROSS 4.75X24MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN IMPLATE TI GLD 0D 2MM,2005.2,1604.16,1.0,1804.68,27
HCPCS,C1713,CONN IMPLATE TI PUR 15D 2MM,2246.4,1797.12,1.0,2021.76,27
HCPCS,C1713,CONN IMPLATE TI TEAL 7.5D 2MM,2005.2,1604.16,1.0,1804.68,27
HCPCS,C1713,CONN IN-LINE CLSD 5.5ROD 400MM,2884.0,2307.2,1.0,2595.6,27
HCPCS,C1713,CONN LAT 4.75X25MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN LAT 4.75X75MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN LAT CLSD CLSD 9X5.5-6.35M,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,CONN LAT TOP LOADING OFFSET,2480.4,1984.32,1.0,2232.36,27
HCPCS,C1713,CONN MULTAXIAL CRS 30MM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,CONN OFFSET 4.75MM MD,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CONN OFFSET 4.75MM XL,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CONN OFFSET LAT EVEREST 25MM,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CONN OPEN DOMINO 4.75X4.75MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,CONN OPEN DOMINO 4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,CONN OPEN LAT SS*DISC NO REPL*,2185.2,1748.16,1.0,1966.68,108
HCPCS,C1713,CONN OPEN SADDLE 4.75X4.75MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,CONN OPEN SADDLE 4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,CONN OPEN-OFFSET INVICTUS 10MM,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,CONN POLARIS AXIAL ST 4.75X115,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN POLARIS AXIAL ST4.75X60MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN POLARIS AXIAL ST4.75X85MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN PRLL SIDE LOAD MARINER8MM,5728.0,4582.4,1.0,5155.2,27
HCPCS,C1713,CONN PRLL TOP LOADING,2480.4,1984.32,1.0,2232.36,27
HCPCS,C1713,CONN PRLL TOP LOADING 12 10MM,5728.8,4583.04,1.0,5155.92,27
HCPCS,C1713,CONN PRLL TOP LOADING 14 10MM,5728.8,4583.04,1.0,5155.92,27
HCPCS,C1713,CONN PRLL TOP LOADING5.5-6.0MM,2480.4,1984.32,1.0,2232.36,27
HCPCS,C1713,CONN PRLL TOP/SIDE MARINER10MM,5728.0,4582.4,1.0,5155.2,27
HCPCS,C1713,CONN ROD SIDE OPEN ANG 5.5/6.0,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CONN ROD XTR WIDE OPEN/OPEN,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,CONN SPNL ROD TO ROD LG 3.5MM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,CONN THRD HD CREO LNG 15MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,CONN THRD HD CREO LNG 20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,CONN X FIX POLARIS SS 5.5X12MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN X FIX POLARIS SS 5.5X14MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN X POLARIS ANG 4.75MM 2XS,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN X POLARIS ANG 4.75MM MD,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN X POLARIS ANG 4.75MM SM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CONN X POLARIS ANG 4.75MM XS,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,COV BUR HL ULTONE TAB 6HL 23MM,676.17,540.94,1.0,608.55,27
HCPCS,C1713,COV BUR MTXNEURO TI 15MM,662.4,529.92,1.0,596.16,27
HCPCS,C1713,CRANFAC PIN SONICPINS 2.1X4MM,523.67,418.94,1.0,471.3,27
HCPCS,C1713,CRANFAC PIN SONICPINS 2.1X5MM,523.67,418.94,1.0,471.3,27
HCPCS,C1713,CRANI IMPLT PEEK*DISC 6333352*,22800.0,18240.0,1.0,20520.0,27
HCPCS,C1713,CRANI IMPLT PEEK*DISC 6333353*,30000.0,24000.0,1.0,27000.0,27
HCPCS,C1713,CRANI PLATE 00017 PEEK IPSCUST,24952.32,19961.86,1.0,22457.09,27
HCPCS,C1713,CRANI PLATE 00018 PEEK IPSCUST,32832.0,26265.6,1.0,29548.8,27
HCPCS,C1713,CRANI PLATE 00022 PEEK IPSCUST,32832.0,26265.6,1.0,29548.8,27
HCPCS,C1713,CRANI PLATE 00023 PEEK IPSCUST,39135.74,31308.6,1.0,35222.17,27
HCPCS,C1713,CROSSBAR CONT 5.5 ROD SM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,CROSSBAR CONT 6.0 ROD SM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,CROSSLINK OC MAS/MAS MD,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CROSSLINK SCREW-SCREW STER LG,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CROSSLINK SCREW-SCREW STER SM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,CROSSLINK VERTEX ROD HD XS,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,DART PIP PEEK 10D 3X30MM,2356.2,1884.96,1.0,2120.58,27
HCPCS,C1713,DEL SYS DISTBICEP REPAIR,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,DEL SYS PECTORAL REPAIR,5082.0,4065.6,1.0,4573.8,27
HCPCS,C1713,DEL SYS TIGHTROPE ACL RT,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,DEV FIX SYNDESMOTIC SYNCHFIX 5,2839.2,2271.36,1.0,2555.28,27
HCPCS,C1713,DEV FIXSYNDESMOTICSYNCHFIXEVT5,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,DEV TIB WASHERLOC ZIMM 14MM,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1713,DEV TIB WASHERLOC ZIMM 18MM,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1713,DISTRAC BC END CMF 30MM,12461.76,9969.41,1.0,11215.58,27
HCPCS,C1713,DRILL PIN ARTX 3.7MM,643.5,514.8,1.0,579.15,27
HCPCS,C1713,END CAP 12MM TI STER W EXT 5MM,969.57,775.66,1.0,872.61,27
HCPCS,C1713,END CAP 12MM TI STER W EXT10MM,969.57,775.66,1.0,872.61,27
HCPCS,C1713,END CAP 12MM TI STER W EXT15MM,969.57,775.66,1.0,872.61,27
HCPCS,C1713,END CAP 12MM TI STER W EXT20MM,969.57,775.66,1.0,872.61,27
HCPCS,C1713,END CAP 12MM TI W EXT 5MM,820.26,656.21,1.0,738.23,27
HCPCS,C1713,END CAP 8X20MM,1246.56,997.25,1.0,1121.9,27
HCPCS,C1713,END CAP DYNANAIL,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,END CAP GAMMA3 TI 11X0MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,END CAP HINDFT DUALCOMP 10 MM,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,END CAP HINDFT DUALCOMP 2.5MM,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,END CAP HINDFT DUALCOMP 5 MM,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,END CAP HINDFT DUALCOMP STD,1960.2,1568.16,1.0,1764.18,27
HCPCS,C1713,END CAP HIP NAIL AFFIXUS FLUSH,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,END CAP HUMR MULTILOC STER 0MM,816.48,653.19,1.0,734.83,27
HCPCS,C1713,END CAP HUMR MULTLOC STER 5MM,816.48,653.19,1.0,734.83,27
HCPCS,C1713,END CAP HUMR MULTLOC STER10MM,816.48,653.19,1.0,734.83,27
HCPCS,C1713,END CAP NAIL APEX BRN 3MM,241.8,193.44,1.0,217.62,27
HCPCS,C1713,END CAP NAIL T2 12X+5MM,842.13,673.71,1.0,757.92,27
HCPCS,C1713,END CAP NAIL T2 8X4MM,802.8,642.24,1.0,722.52,27
HCPCS,C1713,END CAP NAIL TIB STER 0MM,850.77,680.62,1.0,765.69,27
HCPCS,C1713,END CAP NAIL TIB STER 10MM,850.77,680.62,1.0,765.69,27
HCPCS,C1713,END CAP NAIL TIB STER 15MM,850.77,680.62,1.0,765.69,27
HCPCS,C1713,END CAP NAIL TIB STER 5MM,850.77,680.62,1.0,765.69,27
HCPCS,C1713,END CAP NAIL VALOR,1090.13,872.11,1.0,981.12,27
HCPCS,C1713,END CAP STER TIELASNAIL3.0/4.0,478.17,382.54,1.0,430.35,27
HCPCS,C1713,END CAP STRY +5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,END CAP STRY T2 08MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,END CAP T2 STRY 12X +10,771.3,617.04,1.0,694.17,27
HCPCS,C1713,END CAP T25 NAIL EX STER TI,994.14,795.32,1.0,894.73,27
HCPCS,C1713,END CAP T25 NAILEXSPIRALSTERTI,994.14,795.32,1.0,894.73,27
HCPCS,C1713,END CAP T40 15MM,791.91,633.53,1.0,712.72,27
HCPCS,C1713,END CAP T40 5MM,608.58,486.87,1.0,547.72,27
HCPCS,C1713,END CAP T40 GLD 0MM,723.87,579.1,1.0,651.48,27
HCPCS,C1713,END CAP T40 GLD STER 0MM,939.33,751.47,1.0,845.4,27
HCPCS,C1713,END CAP T40 STARDRIVE 10MM,608.58,486.87,1.0,547.72,27
HCPCS,C1713,END CAP T40 STARDRIVE STER 0MM,791.91,633.53,1.0,712.72,27
HCPCS,C1713,END CAP T40 STARDRIVE STER10MM,791.91,633.53,1.0,712.72,27
HCPCS,C1713,END CAP T40 STER 5MM,791.91,633.53,1.0,712.72,27
HCPCS,C1713,END CAP TI EXT GRN 0MM,691.74,553.4,1.0,622.57,27
HCPCS,C1713,END CAP TI EXT GRN 10MM,691.74,553.4,1.0,622.57,27
HCPCS,C1713,END CAP TI EXT GRN 5MM,691.74,553.4,1.0,622.57,27
HCPCS,C1713,END CAP TI T25 STER 0MM,680.4,544.32,1.0,612.36,27
HCPCS,C1713,END CAP TI T25 STER 10MM,680.4,544.32,1.0,612.36,27
HCPCS,C1713,END CAP TI T25 STER 5MM,680.4,544.32,1.0,612.36,27
HCPCS,C1713,END CAP TI T40 STER EXT 5MM,1013.04,810.44,1.0,911.74,27
HCPCS,C1713,END CAP TIB TI T40 EXT 10MM,829.71,663.77,1.0,746.74,27
HCPCS,C1713,END CAP TIB TI T40 EXT 15MM,829.71,663.77,1.0,746.74,27
HCPCS,C1713,END CAP TIB TI T40 EXT 5MM,829.71,663.77,1.0,746.74,27
HCPCS,C1713,END CAP TIB TI T40 EXT STER5MM,1013.04,810.44,1.0,911.74,27
HCPCS,C1713,END CAP TIB TI T40 EXTSTER10MM,1013.04,810.44,1.0,911.74,27
HCPCS,C1713,END CAP TIB TI T40 EXTSTER15MM,1013.04,810.44,1.0,911.74,27
HCPCS,C1713,END CAP VLIFT STRY 0D 18MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ENDCAP RFNA TI STER 0MM,850.77,680.62,1.0,765.69,27
HCPCS,C1713,ENDCAP RFNA TI STER 5MM,850.77,680.62,1.0,765.69,27
HCPCS,C1713,ENDCAP SPNL VBOSS RD SM 0D12MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +10,1286.38,1029.11,1.0,1157.74,27
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +15,1286.38,1029.11,1.0,1157.74,27
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +20,1286.38,1029.11,1.0,1157.74,27
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +25,1286.38,1029.11,1.0,1157.74,27
HCPCS,C1713,ENDCAP TIB T2 ALPHA 11.5MM +5,1286.38,1029.11,1.0,1157.74,27
HCPCS,C1713,ENDPLT LAT OBELISC 0D BLU 55MM,8518.61,6814.89,1.0,7666.75,27
HCPCS,C1713,ENDPLT LAT OBELISC 0D GRN 45MM,8518.61,6814.89,1.0,7666.75,27
HCPCS,C1713,ENDPLT LAT OBELISC 10D GRN45MM,8518.61,6814.89,1.0,7666.75,27
HCPCS,C1713,ENDPLT LAT OBELISC 5D GRN 45MM,8518.61,6814.89,1.0,7666.75,27
HCPCS,C1713,ENDPLT LWR FORTIFY 8D 22X40,1701.0,1360.8,1.0,1530.9,27
HCPCS,C1713,ENDPLT LWR NO SPIKE 4D 22X40,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,ENDPLT UPP FORTIFY 0D 14X16,1701.0,1360.8,1.0,1530.9,27
HCPCS,C1713,FIX KT ANK SYNDMSIS ENOFIX,3184.0,2547.2,1.0,2865.6,27
HCPCS,C1713,FIX KT INTEGRITY IMPLT ANIK,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1713,GD BIMAXIL KT FULL TRUMATCH,28266.79,22613.44,1.0,25440.11,27
HCPCS,C1713,GD MAXILLARY KT FULL TRUMATCH,23072.66,18458.13,1.0,20765.39,27
HCPCS,C1713,GDPIN PRLL ADJABLE 2.4MM,2178.0,1742.4,1.0,1960.2,27
HCPCS,C1713,GDWIRE APTS 2.0MM BLNT SMTH,91.5,73.2,1.0,82.35,27
HCPCS,C1713,GDWIRE ARTX 1.35X170MM,134.2,107.36,1.0,120.78,27
HCPCS,C1713,GDWIRE ARTX 2.4X170MM,100.65,80.52,1.0,90.59,27
HCPCS,C1713,GDWIRE HIP GAMMA4 STER 3X800MM,1086.96,869.57,1.0,978.26,27
HCPCS,C1713,GDWIRE NTHRD W TROC ARTX 2.4MM,16.78,13.43,1.0,15.1,27
HCPCS,C1713,GDWIRE SGL TROC VILX 1.4X150MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,GRAFT BONE PEPTIDE I-FACT*NLU*,4565.0,3652.0,1.0,6435.0,54
HCPCS,C1713,GRAFT BONEPEPTIDEI-FACTOR*NLU*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,GRAFTBOLT TIB ARTX 8MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X6,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,HAMMERTOE 2STEP GRIDLK3.4X3X8,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,HAND DIGIT WIDGIT AGEE,5208.0,4166.4,1.0,4687.2,27
HCPCS,C1713,HIP CBL BONE PLATE 1.8X610MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,HIP CBL BONE PLATE 1.8X635MM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1713,HIP NAIL GAMMA4 RT 125D 11X240,8800.56,7040.45,1.0,7920.5,27
HCPCS,C1713,HIP NAIL GAMMA4 RT 125D 12X240,8800.56,7040.45,1.0,7920.5,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X15MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X20MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X25MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X30MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X35MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X40MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X50MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE HGPII 6.5X60MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X15,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X20,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X25,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X30,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X35,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X40,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X50,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X60,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X70,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW BONE ZIMMSLFTP6.5X80,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X20MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X25MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X30MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X35MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X40MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X45MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X50MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW C2A TPR 6.5X6.5MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW CNCLS RFLCT 20MM,598.5,478.8,1.0,538.65,27
HCPCS,C1713,HIP SCREW CNCLS STRY 6.5X20MM,542.03,433.63,1.0,487.83,27
HCPCS,C1713,HIP SCREW CNCLS STRY 6.5X45MM,542.03,433.63,1.0,487.83,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X16,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X20,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X25,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X30,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X35,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X40,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X45,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW CNCLS TRID 6.5X50,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW DOME LOPROG7 6.5X20M,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW DOME LOPROG7 6.5X25M,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X35MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X40MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X45MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X60MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW G7 LOPRODOME6.5X70MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X15MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X20MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X25MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X30MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X35MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X40MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X45MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X50MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X55MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW HEX LOPRO 6.5X60MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,HIP SCREW PERIPH 5.0X34MM,874.8,699.84,1.0,787.32,27
HCPCS,C1713,HIP SCREW PERIPH 5.0X45MM,874.8,699.84,1.0,787.32,27
HCPCS,C1713,HIP SCREW PERIPH 5.0X50MM,874.8,699.84,1.0,787.32,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X15MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X20MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X25MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X30MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X35MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X40MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X45MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X50MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X55MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP SCREW PNCLE CNCLS 6.5X60MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,HIP TROCH BOLT ARCOS 28MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1713,HIP TROCH BOLT ARCOS 42MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1713,HIPSCREWLKCNCLSTI6.5X25*DISC*,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1713,HIPSCREWLKCNCLSTI6.5X30*DISC*,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1713,HIPSCREWLKCNCLSTI6.5X35*DISC*,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1713,HIPSCREWLKCNCLSTI6.5X40*DISC*,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1713,HIPSCREWLKPAGRIPTN5.5X25*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,HIPSCREWLKPAGRIPTN5.5X35*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,HOOK LAMINA CREO THRD NARW SM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,HOOK LAMINA CREO THRD TALL SM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,HOOK TRNSVRS PROCESSCREOTHRDRT,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,HOOK TRNSVRSPROCESSCREOTHRDLFT,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,HUMR BONE STBL 17X180MM,12201.07,9760.86,1.0,10980.96,27
HCPCS,C1713,IMPLT OSTEOCOIL ACTIVE COMP7X9,11050.0,8840.0,1.0,9945.0,27
HCPCS,C1713,IMPLT SYNDESMOTIC KT BOLO BTN,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,INSRT BLIND SCREW NCB,468.0,374.4,1.0,421.2,27
HCPCS,C1713,INSRT HL SCREW TI 5MM,391.1,312.88,1.0,351.99,27
HCPCS,C1713,INST KT PLATE DYNAFORCE STER,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,INST KT PREP DYNAFORCE 18MM,1244.0,995.2,1.0,1119.6,27
HCPCS,C1713,INST PK HD DARTFIRE EDGE 2.5MM,2011.8,1609.44,1.0,1810.62,27
HCPCS,C1713,INST PK HDLSS DARTFIRE EDGE3.0,2011.8,1609.44,1.0,1810.62,27
HCPCS,C1713,INST PK PLATE ORTHOLOC 3DISTER,2011.8,1609.44,1.0,1810.62,27
HCPCS,C1713,KIT STAPLE ELITE 2LEG 20X15MM,4821.6,3857.28,1.0,4339.44,27
HCPCS,C1713,KNEE CPLE LFT 10/12 TPR 70MM,19229.54,15383.64,1.0,17306.59,27
HCPCS,C1713,KNEE PFJ TROCHLEA ZIMM LFT SZ3,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1713,KNEE SCREW M/G 48MM*DISC MULT*,364.5,291.6,1.0,328.05,27
HCPCS,C1713,KNEE SCREW M/G ZIMM 48MM*DISC*,364.5,291.6,1.0,328.05,27
HCPCS,C1713,KNEE SCREW PSN REV ARTICU A/B,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,KNEE SCREW PSN REV ARTICU C/F,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,KNEE SCREW PSN REV ARTICU G/H,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,KNEE SCREW PSN REV ARTICU J,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,KNEE SPEEDPIN SN NONRIM 65MM,158.23,126.59,1.0,142.41,27
HCPCS,C1713,KNEE SPEEDPIN SN RIM 30MM,158.23,126.59,1.0,142.41,27
HCPCS,C1713,KNEE SPEEDPIN SN RIM 65MM,158.23,126.59,1.0,142.41,27
HCPCS,C1713,KNEE SUTPLATE II STAR STER LG,7993.7,6394.96,1.0,7194.33,27
HCPCS,C1713,KT ANCHOR SONIC STRY FBR 0/C2,2182.75,1746.2,1.0,1964.48,27
HCPCS,C1713,KT ANCHOR SONIC STRY FBR 2 C7,2182.75,1746.2,1.0,1964.48,27
HCPCS,C1713,KT ANCHORSONIC STRY FBR 2-0/C2,2182.75,1746.2,1.0,1964.48,27
HCPCS,C1713,KT B2B TI BTN DRILLS2.9MM3.5MM,2570.4,2056.32,1.0,2313.36,27
HCPCS,C1713,KT BEAD MINI OSTEOSET FAST 5CC,2429.95,1943.96,1.0,2186.96,27
HCPCS,C1713,KT BONE CMNT SPNL 11CC,3339.0,2671.2,1.0,3005.1,27
HCPCS,C1713,KT DEV FIX ZIPTIGHT ANK SS,2608.2,2086.56,1.0,2347.38,27
HCPCS,C1713,KT DEV FIX ZIPTIGHT ANK TI,2608.2,2086.56,1.0,2347.38,27
HCPCS,C1713,KT FIX HAND FUSEFORCE 15X15MM,4333.14,3466.52,1.0,3899.83,27
HCPCS,C1713,KT FIX SECOND SWVLK4.75X19,2552.0,2041.6,1.0,2296.8,27
HCPCS,C1713,KT HAMMERTOE CCI STD 1.25KWIRE,4536.0,3628.8,1.0,4082.4,27
HCPCS,C1713,KT LIGAMENT AUG REPAIRINTRLBRC,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,KT PLATE LAPIPLASTY SYS1,10127.0,8101.6,1.0,9114.3,27
HCPCS,C1713,KT PLATE LAPIPLASTY SYS2,12740.0,10192.0,1.0,11466.0,27
HCPCS,C1713,KT REPAIR SYNDMSIS FIBULINK SS,3297.28,2637.83,1.0,2967.55,27
HCPCS,C1713,KT REPAIR SYNDMSIS FIBULINK TI,3297.28,2637.83,1.0,2967.55,27
HCPCS,C1713,KT STAPLE SUP CLA11X10X10*NLU*,2864.0,2291.2,1.0,2577.6,27
HCPCS,C1713,KT TIGHTROPE MINI INSRT REPAIR,2395.8,1916.64,1.0,2156.22,27
HCPCS,C1713,KT TIGHTROPE MINI REPAIR,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,KT TIGHTROPE PLATE BTRS*DISC*,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1713,KWIRE 1.1X160MM,103.33,82.67,1.0,93.0,27
HCPCS,C1713,KWIRE 1.2X150MM,161.65,129.32,1.0,145.49,27
HCPCS,C1713,KWIRE 1.5X350MM,765.0,612.0,1.0,688.5,27
HCPCS,C1713,KWIRE 2.5X150MM,511.61,409.29,1.0,460.45,27
HCPCS,C1713,KWIRE ANCHORAGE 1.2X70MM,187.21,149.77,1.0,168.49,27
HCPCS,C1713,KWIRE ANCHORAGE 1.6X100MM,187.21,149.77,1.0,168.49,27
HCPCS,C1713,KWIRE ANCHORAGE 1.6X150MM,192.46,153.97,1.0,173.21,27
HCPCS,C1713,KWIRE ANK AXIOM KT STER QTY4,1911.0,1528.8,1.0,1719.9,27
HCPCS,C1713,KWIRE ARSENAL STD 0.094X6,183.0,146.4,1.0,164.7,27
HCPCS,C1713,KWIRE ARTEMIS 2.0X101MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,KWIRE ARTEMIS 2.2X190MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,KWIRE ARTX 1.6X200MM,268.4,214.72,1.0,241.56,27
HCPCS,C1713,KWIRE ARTX 2X200MM,261.69,209.36,1.0,235.52,27
HCPCS,C1713,KWIRE BEADED NAIL VALOR 3.0MM,1035.0,828.0,1.0,931.5,27
HCPCS,C1713,KWIRE BIOM 0.045,89.49,71.6,1.0,80.54,27
HCPCS,C1713,KWIRE BLNT BEVED TIP 1.7X230,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT BEVED TIP 1.7X470,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT BLNT TIP 1.7X470,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT NIT ES2,268.4,214.72,1.0,241.56,27
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.5X470,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.7X230,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.7X335,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT SHARP TIP 1.7X450,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE BLNT THRD,630.0,504.0,1.0,567.0,27
HCPCS,C1713,KWIRE BLNT TIP 1.6MM 500ML,305.0,244.0,1.0,274.5,27
HCPCS,C1713,KWIRE BLNT TIP 1.6X450MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,KWIRE BLNT TROC 0.9X150MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE BLNT TROC 1.1X150MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE BLNT TROC 1.4X150MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE BLNT TROC STER 1.4X150MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE BLT TROC STER 0.9X150MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE BUN-YO-MATIC 2.3MMX19CM,134.2,107.36,1.0,120.78,27
HCPCS,C1713,KWIRE CALIB PIN SNAP OFF 1.1MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,KWIRE CANN DARTFIRESTER1.1X150,765.0,612.0,1.0,688.5,27
HCPCS,C1713,KWIRE CANN DARTFIRESTER1.4X150,275.4,220.32,1.0,247.86,27
HCPCS,C1713,KWIRE CANN ZIMM 1.6MMX6IN,256.2,204.96,1.0,230.58,27
HCPCS,C1713,KWIRE COND STER 1.8X310MM,410.98,328.79,1.0,369.88,27
HCPCS,C1713,KWIRE CRCOBLNT SHARP 1.65X340,540.0,432.0,1.0,486.0,27
HCPCS,C1713,KWIRE CROS 1.6MMX6IN,367.42,293.94,1.0,330.68,27
HCPCS,C1713,KWIRE CROS 2.0MMX4IN,462.67,370.14,1.0,416.4,27
HCPCS,C1713,KWIRE CROS 2.0MMX6IN,462.67,370.14,1.0,416.4,27
HCPCS,C1713,KWIRE DARCO HD 2.5X270MM,161.65,129.32,1.0,145.49,27
HCPCS,C1713,KWIRE DARCO HD THRD 2.5X270,161.65,129.32,1.0,145.49,27
HCPCS,C1713,KWIRE DARCO SMTH TIP 2.5MM,161.65,129.32,1.0,145.49,27
HCPCS,C1713,KWIRE DARCO THRD TIP 2.5MM,161.65,129.32,1.0,145.49,27
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.035X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.045X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.045X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.054X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.062X6,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL DIMND SMTH 0.062X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL END TRIL 0.045X6,61.0,48.8,1.0,54.9,27
HCPCS,C1713,KWIRE DBL END TROC 1.25X150MM,53.8,43.04,1.0,48.42,27
HCPCS,C1713,KWIRE DBL END TROC 1.6X150MM,53.8,43.04,1.0,48.42,27
HCPCS,C1713,KWIRE DBL END TROC 1X150MM,53.8,43.04,1.0,48.42,27
HCPCS,C1713,KWIRE DBL END TROC 2X150MM,53.8,43.04,1.0,48.42,27
HCPCS,C1713,KWIRE DBL TROC 0.9X95MM,176.9,141.52,1.0,159.21,27
HCPCS,C1713,KWIRE DBL TROC SMTH 0.028X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTH 0.035X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTH 0.045X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTH 0.054X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTH 0.054X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTH 0.062X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.028X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.035X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.045X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTHBRAS0.062X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE DBL TROC SMTHORMD0.045X9,37.58,30.07,1.0,33.82,27
HCPCS,C1713,KWIRE DBL TROC STRY 0.9MM,161.65,129.32,1.0,145.49,27
HCPCS,C1713,KWIRE DBL TROC THRD 0.045X9,41.6,33.28,1.0,37.44,27
HCPCS,C1713,KWIRE DBL TROC TRMI 0.8X120MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE DIMND SGL SKDY 1.6X127MM,268.4,214.72,1.0,241.56,27
HCPCS,C1713,KWIRE DRILL TIP 2.0X100MM,212.65,170.12,1.0,191.39,27
HCPCS,C1713,KWIRE DRILL TIP 2.7X150MM,212.65,170.12,1.0,191.39,27
HCPCS,C1713,KWIRE DRILL TIP MARKED 2.8X300,338.15,270.52,1.0,304.34,27
HCPCS,C1713,KWIRE DRILL TIP STRY 2.0X234MM,223.87,179.1,1.0,201.48,27
HCPCS,C1713,KWIRE DRILLEND VARIAX1.6X150MM,355.64,284.52,1.0,320.08,27
HCPCS,C1713,KWIRE DRILLEND VARIAX1.6X200MM,503.87,403.1,1.0,453.48,27
HCPCS,C1713,KWIRE DRILLEND VARIAX2.0X200MM,567.36,453.89,1.0,510.62,27
HCPCS,C1713,KWIRE ENTRY NAIL VALOR 3.0MM,1188.6,950.88,1.0,1069.74,27
HCPCS,C1713,KWIRE FIX T2 WCH CTD 3X285MM,420.0,336.0,1.0,378.0,27
HCPCS,C1713,KWIRE FLUTE STER 2.4X110MM,416.16,332.93,1.0,374.54,27
HCPCS,C1713,KWIRE FULL THRD STRY 1.6X200MM,263.15,210.52,1.0,236.84,27
HCPCS,C1713,KWIRE FUZEMIX MINI STD 1.1MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,KWIRE GAMMA 3.2X450MM,442.61,354.09,1.0,398.35,27
HCPCS,C1713,KWIRE GD GROWTH SHARP1.6X150MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,KWIRE LAPIDUS CORE 2.0X4*DISC*,378.0,302.4,1.0,340.2,27
HCPCS,C1713,KWIRE LAPIDUS CORE 2MMX4*DISC*,178.79,143.04,1.0,160.91,27
HCPCS,C1713,KWIRE MARK FIXOS SMTH 0.9X70MM,229.54,183.64,1.0,206.59,27
HCPCS,C1713,KWIRE NIT BLNT TIP 1.05X600MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,KWIRE NIT BLNT TIP 1.6X500MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,KWIRE NIT TPR TIP 1.05X600,305.0,244.0,1.0,274.5,27
HCPCS,C1713,KWIRE NOTCHED STER 2.3X100MM,219.6,175.68,1.0,197.64,27
HCPCS,C1713,KWIRE OLIVE PANGEA 1.6X100MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,KWIRE OLIVE SMTH SHRT 1.6,408.0,326.4,1.0,367.2,27
HCPCS,C1713,KWIRE ORTHOLOC 3DI 2.5X150MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE PART THRD TRIL 0.035X5,61.0,48.8,1.0,54.9,27
HCPCS,C1713,KWIRE PART THRD TRIL 0.110X5,183.0,146.4,1.0,164.7,27
HCPCS,C1713,KWIRE PIN ANK WRIT 1.4X228MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,KWIRE PLATE MDTFX MD 1.2MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,KWIRE PROSTEP MIS LAPIDUS PK,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1713,KWIRE SGL DIMND SMTH 0.028X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL DIMND SMTH 0.035X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL DIMND SMTH 0.045X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL DIMND SMTH 0.054X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL DIMND SMTH 0.062X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL END TROC 1.25X150MM,70.39,56.32,1.0,63.35,27
HCPCS,C1713,KWIRE SGL END TROC 1.6X152MM,70.39,56.32,1.0,63.35,27
HCPCS,C1713,KWIRE SGL END TROC 2.0X150MM,70.39,56.32,1.0,63.35,27
HCPCS,C1713,KWIRE SGL ENDSMTHTROCPNT1X150,40.2,32.16,1.0,36.18,27
HCPCS,C1713,KWIRE SGL OLIVE MDAR 1.6X60MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,KWIRE SGL PREMARK TRMI 1.1MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE SGL STST 150MM,74.6,59.68,1.0,67.14,27
HCPCS,C1713,KWIRE SGL TROC 0.91X80MM,97.6,78.08,1.0,87.84,27
HCPCS,C1713,KWIRE SGL TROC 1.1X150MM,1038.24,830.6,1.0,934.42,27
HCPCS,C1713,KWIRE SGL TROC 1.6X150MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,KWIRE SGL TROC MDAR 1.6X150MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,KWIRE SGL TROC SMTH 0.035X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL TROC SMTH 0.045X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL TROC SMTH 0.054X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL TROC SMTH 0.062X4,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL TROC SMTH 0.062X9,15.62,12.5,1.0,14.06,27
HCPCS,C1713,KWIRE SGL TROC SMTH STER.062X9,27.15,21.72,1.0,24.44,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN0.9X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.1X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.2X100,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.2X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.4X100,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN1.6X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.0X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.0X200,179.34,143.48,1.0,161.41,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.3X150,192.15,153.72,1.0,172.94,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.3X230,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC SMTHPRGN2.5X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC THRD GRV2.3X230,478.8,383.04,1.0,430.92,27
HCPCS,C1713,KWIRE SGL TROC THRDPRGN1.2X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC THRDPRGN1.6X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC THRDPRGN2.0X200,179.34,143.48,1.0,161.41,27
HCPCS,C1713,KWIRE SGL TROC THRDPRGN2.3X230,224.18,179.35,1.0,201.76,27
HCPCS,C1713,KWIRE SGL TROC THRDPRGN2.5X150,158.6,126.88,1.0,142.74,27
HCPCS,C1713,KWIRE SGL TROC THRDSTER0.062X9,59.41,47.53,1.0,53.47,27
HCPCS,C1713,KWIRE SGL TROC TRMI 0.8X80MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE SGL TROC TRMI 1.1X100MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE SGL TROC TRMI 1.1X120MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE SGL TROC TRMI 1.6X100MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE SGL TROC TRMI 1.6X65MM,122.0,97.6,1.0,109.8,27
HCPCS,C1713,KWIRE SGLTROCSMTHFLOURO2.3X230,468.0,374.4,1.0,421.2,27
HCPCS,C1713,KWIRE SMARTNAIL 1.5X170MM,125.42,100.34,1.0,112.88,27
HCPCS,C1713,KWIRE SMTH SGL SHARP 2.5X285MM,330.26,264.21,1.0,297.23,27
HCPCS,C1713,KWIRE SMTH SGL TIP 3.2X150MM,363.79,291.04,1.0,327.41,27
HCPCS,C1713,KWIRE SMTH STRY 1.4X200MM,106.69,85.36,1.0,96.02,27
HCPCS,C1713,KWIRE SMTH TIP MINI STRY 2.5MM,243.33,194.67,1.0,219.0,27
HCPCS,C1713,KWIRE SMTH TIP MINI STRY 3.0MM,243.33,194.67,1.0,219.0,27
HCPCS,C1713,KWIRE SMTH TIP MINI STRY 4.0MM,243.33,194.67,1.0,219.0,27
HCPCS,C1713,KWIRE SMTH TIP WRIT 2.0X228MM,154.94,123.96,1.0,139.45,27
HCPCS,C1713,KWIRE SPADE 2X350MM,356.08,284.87,1.0,320.47,27
HCPCS,C1713,KWIRE SS STD SKDY 0.9X152MM,367.2,293.76,1.0,330.48,27
HCPCS,C1713,KWIRE SS STD SKDY 1.5X127MM,213.5,170.8,1.0,192.15,27
HCPCS,C1713,KWIRE SS TROC TIP 1.25X150MM,40.2,32.16,1.0,36.18,27
HCPCS,C1713,KWIRE SS TROC TIP 1.6X150MM,40.2,32.16,1.0,36.18,27
HCPCS,C1713,KWIRE SS TROC TIP 2.0X150MM,109.07,87.26,1.0,98.16,27
HCPCS,C1713,KWIRE STD FUZEFIX 2.0MM,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,KWIRE STD FUZEFIX 2.8MM,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,KWIRE STD TRIL 0.045X6,61.0,48.8,1.0,54.9,27
HCPCS,C1713,KWIRE STD TRIL 0.062X6,61.0,48.8,1.0,54.9,27
HCPCS,C1713,KWIRE STD TRIL 0.094X12,183.0,146.4,1.0,164.7,27
HCPCS,C1713,KWIRE STD TRIL 1.1X140MM,61.0,48.8,1.0,54.9,27
HCPCS,C1713,KWIRE STRY 0.8X100MM,168.12,134.5,1.0,151.31,27
HCPCS,C1713,KWIRE STRY 1.2X100MM,168.12,134.5,1.0,151.31,27
HCPCS,C1713,KWIRE STRY 3.2X150MM,315.04,252.04,1.0,283.54,27
HCPCS,C1713,KWIRE STRY 3.2X220MM,315.04,252.04,1.0,283.54,27
HCPCS,C1713,KWIRE STRY STER 0.8X100MM,168.12,134.5,1.0,151.31,27
HCPCS,C1713,KWIRE STRY STER 1.2X100MM,168.12,134.5,1.0,151.31,27
HCPCS,C1713,KWIRE T2 ALPHA STER 3.2X400MM,719.78,575.83,1.0,647.8,27
HCPCS,C1713,KWIRE T2 ALPHA STER 3X285MM,401.95,321.56,1.0,361.76,27
HCPCS,C1713,KWIRE TEMP FIX SHARP 3X285MM,420.0,336.0,1.0,378.0,27
HCPCS,C1713,KWIRE THRD 2.8X200MM,184.46,147.57,1.0,166.01,27
HCPCS,C1713,KWIRE THRD FUZEFIX 1.4MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,KWIRE THRD FUZEFIX MINI 0.9MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,KWIRE THRD OLIVE LG 1.6X65,579.78,463.83,1.0,521.8,27
HCPCS,C1713,KWIRE THRD ORPE 1.6MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,KWIRE THRD RECON,719.78,575.83,1.0,647.8,27
HCPCS,C1713,KWIRE THRD TIP 1.1X150MM,1038.24,830.6,1.0,934.42,27
HCPCS,C1713,KWIRE THRD TIP 1.25X100MM,233.94,187.16,1.0,210.55,27
HCPCS,C1713,KWIRE THRD TIP 1.6X100MM,233.94,187.16,1.0,210.55,27
HCPCS,C1713,KWIRE THRD TIP 15X1.6X150MM,84.79,67.84,1.0,76.31,27
HCPCS,C1713,KWIRE THRD TIP 15X2.0X150MM,87.6,70.08,1.0,78.84,27
HCPCS,C1713,KWIRE THRD TIP 15X2.5X150MM,93.51,74.81,1.0,84.16,27
HCPCS,C1713,KWIRE THRD TIP 2.0X280MM,210.08,168.07,1.0,189.07,27
HCPCS,C1713,KWIRE THRD TIP 5X1.6X150MM,84.79,67.84,1.0,76.31,27
HCPCS,C1713,KWIRE THRD ZIMM1.25X150MM,187.09,149.68,1.0,168.38,27
HCPCS,C1713,KWIRE TMPR FIX SYNT 2.5X150MM,164.7,131.76,1.0,148.23,27
HCPCS,C1713,KWIRE TMPR FIX SYNT 2.5X220MM,164.7,131.76,1.0,148.23,27
HCPCS,C1713,KWIRE TROC 0.6X70MM,39.47,31.58,1.0,35.52,27
HCPCS,C1713,KWIRE TROC 0.8X70MM,39.47,31.58,1.0,35.52,27
HCPCS,C1713,KWIRE TROC 1.25X150MM,45.63,36.51,1.0,41.07,27
HCPCS,C1713,KWIRE TROC 1.6X150MM,45.63,36.51,1.0,41.07,27
HCPCS,C1713,KWIRE TROC 1.6X285MM,56.61,45.29,1.0,50.95,27
HCPCS,C1713,KWIRE TROC 1.8X150MM,40.5,32.4,1.0,36.45,27
HCPCS,C1713,KWIRE TROC 1X150MM,45.63,36.51,1.0,41.07,27
HCPCS,C1713,KWIRE TROC 2.0X285MM,56.61,45.29,1.0,50.95,27
HCPCS,C1713,KWIRE TROC 2.5X150MM,45.63,36.51,1.0,41.07,27
HCPCS,C1713,KWIRE TROC 2.5X285MM,56.61,45.29,1.0,50.95,27
HCPCS,C1713,KWIRE TROC 2X150MM,45.63,36.51,1.0,41.07,27
HCPCS,C1713,KWIRE TROC 3X150MM,45.63,36.51,1.0,41.07,27
HCPCS,C1713,KWIRE TROC SMTH FIXOS 1.4X150,460.8,368.64,1.0,414.72,27
HCPCS,C1713,KWIRE TROC THRD SGL 1.8X200MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,KWIRE TROC TI 1.25X150MM,52.52,42.02,1.0,47.27,27
HCPCS,C1713,KWIRE TROC TI 1.6X150MM,52.52,42.02,1.0,47.27,27
HCPCS,C1713,KWIRE TROC TI 2.0X150MM,52.52,42.02,1.0,47.27,27
HCPCS,C1713,KWIRE TROC TIP 0.062X9.25,16.78,13.43,1.0,15.1,27
HCPCS,C1713,KWIRE TROC TIP SMTH ARTX 2MM,67.1,53.68,1.0,60.39,27
HCPCS,C1713,KWIRE TROC TIP ZIMM 2X280MM,211.12,168.9,1.0,190.01,27
HCPCS,C1713,KWIRE TROC ZIMM 2X150MM*DISC*,34.16,27.33,1.0,30.74,27
HCPCS,C1713,KWIRE TROC ZIMM1.25X150MM,113.89,91.12,1.0,102.5,27
HCPCS,C1713,KWIRE TROCDISTRA*DISC NO REPL*,63.01,50.41,1.0,56.71,27
HCPCS,C1713,KWIRE W BALL 1.6MMX15CM,475.2,380.16,1.0,427.68,27
HCPCS,C1713,KWIRE W OLIVE STOP STRY,143.47,114.78,1.0,129.12,27
HCPCS,C1713,KWIRE W STOP STRY 2MM,355.64,284.52,1.0,320.08,27
HCPCS,C1713,KWIRE ZIMM 0.9X70MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,KWIRE ZIMM 1.6X127MM,211.12,168.9,1.0,190.01,27
HCPCS,C1713,KWIRE ZIMM 2.0MM 3PK,1703.65,1362.92,1.0,1533.29,27
HCPCS,C1713,L-PLATE DIST TIB 4HLLFT 2.7X72,2580.42,2064.34,1.0,2322.38,27
HCPCS,C1713,L-PLATE DIST TIB 6HL RT 2.7X90,2684.93,2147.95,1.0,2416.44,27
HCPCS,C1713,LATE FUSN TRILEAP TI 10D LFTMD,1872.0,1497.6,1.0,1684.8,27
HCPCS,C1713,MAND PLATE 00063 TI IPS CUST,27595.2,22076.16,1.0,24835.68,27
HCPCS,C1713,MAND PLATE 00064 TI IPS CUST,24624.0,19699.2,1.0,22161.6,27
HCPCS,C1713,MAND PLATE 00065 TI IPS CUST,31175.93,24940.75,1.0,28058.34,27
HCPCS,C1713,MAND PLATE 00067 TI IPS CUST,7030.61,5624.49,1.0,6327.55,27
HCPCS,C1713,MAND PLATE 00068 TI IPS CUST,8707.04,6965.64,1.0,7836.34,27
HCPCS,C1713,MESH 3D STER TI KLS 49MM 0.6MM,1828.09,1462.48,1.0,1645.28,27
HCPCS,C1713,MESH 3D TI KLS 100MM 0.8MM,6350.62,5080.5,1.0,5715.56,27
HCPCS,C1713,MESH 3D TI KLS 120X120MM 1.0MM,6571.12,5256.9,1.0,5914.01,27
HCPCS,C1713,MESH 3D TI KLS 49MM 0.6MM,1728.59,1382.88,1.0,1555.73,27
HCPCS,C1713,MESH 3D TI KLS 75MM 0.6MM,2857.65,2286.12,1.0,2571.89,27
HCPCS,C1713,MESH PARIETAL 0.6MM RT SZ5,6933.39,5546.72,1.0,6240.05,27
HCPCS,C1713,MESH PSTR PARASAG STER SZ7 0.6,7919.57,6335.66,1.0,7127.61,27
HCPCS,C1713,MESH RECON TI GLD 150X150MM,6672.43,5337.95,1.0,6005.19,27
HCPCS,C1713,MESH SUBOCCIPITAL 8 LFTSTER0.6,8803.6,7042.88,1.0,7923.24,27
HCPCS,C1713,MESH ULTONE STD 83X47MM,3083.2,2466.56,1.0,2774.88,27
HCPCS,C1713,META-NAIL TIB SN 10MMX36CM,6124.3,4899.44,1.0,5511.87,27
HCPCS,C1713,META-NAIL TIB SN 8.5MMX28CM,6124.3,4899.44,1.0,5511.87,27
HCPCS,C1713,MIDFACE PLATE 00069 IPS TICUST,7030.61,5624.49,1.0,6327.55,27
HCPCS,C1713,MIDFACE PLATE 00072 IPS TICUST,3665.51,2932.41,1.0,3298.96,27
HCPCS,C1713,MIDFACE PLATE 00076 IPS TICUST,27410.35,21928.28,1.0,24669.32,27
HCPCS,C1713,MIDFACE PLATE 00077 IPS TICUST,34359.79,27487.84,1.0,30923.81,27
HCPCS,C1713,MIDFACE PLATE LK LG IPS TI,27002.02,21601.62,1.0,24301.82,27
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X10MM,567.0,453.6,1.0,510.3,27
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X11MM,567.0,453.6,1.0,510.3,27
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X12MM,567.0,453.6,1.0,510.3,27
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X13MM,567.0,453.6,1.0,510.3,27
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X14MM,567.0,453.6,1.0,510.3,27
HCPCS,C1713,MULTSCREW HEXALOBE 2.3X16MM,567.0,453.6,1.0,510.3,27
HCPCS,C1713,NAIL ANK T2 STRY LFT 11X200MM,5816.24,4653.0,1.0,5234.62,27
HCPCS,C1713,NAIL ANK T2 STRY RT 10X200MM,5816.24,4653.0,1.0,5234.62,27
HCPCS,C1713,NAIL ANK T2 STRY RT 11X200MM,5816.24,4653.0,1.0,5234.62,27
HCPCS,C1713,NAIL ANK T2 STRY RT 11X300MM,5816.24,4653.0,1.0,5234.62,27
HCPCS,C1713,NAIL ARTHRODESIS T2 RT11.5X580,14741.98,11793.59,1.0,13267.78,27
HCPCS,C1713,NAIL CANN LNG C CLAMP,1804.57,1443.66,1.0,1624.11,27
HCPCS,C1713,NAIL CANN OSSIOFBR TRIM4.0X100,7272.2,5817.76,1.0,6544.98,27
HCPCS,C1713,NAIL CANN SHRT C CLAMP,1804.57,1443.66,1.0,1624.11,27
HCPCS,C1713,NAIL CAP FEM RETROGRD 15MM,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,NAIL CAP FEM RETROGRD 5MM,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,NAIL CAP HUMR M/DN ZIMM*DISC*,1142.4,913.92,1.0,1028.16,27
HCPCS,C1713,NAIL CAP M/DN EXT 10MM*DISC*,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,NAIL CAP M/DN EXT 15MM*DISC*,1411.2,1128.96,1.0,1270.08,27
HCPCS,C1713,NAIL CAP M/DN EXT 5MM*DISC*,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,NAIL DIST RAD LNG TI 70MM,3460.8,2768.64,1.0,3114.72,27
HCPCS,C1713,NAIL DIST RAD SHRT TI 59MM,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,NAIL ELAS SS 1.5*DISC 6341624*,1007.37,805.9,1.0,906.63,27
HCPCS,C1713,NAIL ELAS SS 3.5*DISC 6184137*,1208.34,966.68,1.0,1087.51,27
HCPCS,C1713,NAIL ELAS STER BLU TI 3.5X440,1289.48,1031.59,1.0,1160.53,27
HCPCS,C1713,NAIL ELAS STER GLD TI 3.0X440,1188.94,951.16,1.0,1070.05,27
HCPCS,C1713,NAIL ELAS STER GRN TI 2.0X440,1067.22,853.78,1.0,960.5,27
HCPCS,C1713,NAIL ELAS STER PNK TI 2.5X440,1134.25,907.4,1.0,1020.83,27
HCPCS,C1713,NAIL ELAS STER PUR TI 4.0X440,1326.53,1061.23,1.0,1193.88,27
HCPCS,C1713,NAIL ELAS TI BLU*DISC 6184137*,1174.82,939.86,1.0,1057.34,27
HCPCS,C1713,NAIL ELAS TI GLD*DISC 6184136*,1107.79,886.24,1.0,997.01,27
HCPCS,C1713,NAIL ELAS TI GRN*DISC 6184134*,1045.17,836.14,1.0,940.65,27
HCPCS,C1713,NAIL ELAS TI PNK*DISC 6184135*,1124.55,899.64,1.0,1012.1,27
HCPCS,C1713,NAIL ELAS TI PUR*DISC 6184138*,1259.5,1007.6,1.0,1133.55,27
HCPCS,C1713,NAIL ELAS TI PUR*DISC 6341624*,984.69,787.76,1.0,886.22,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X200MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X210MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X220MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X230MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X240MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X250MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X260MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X270MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X280MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X290MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 11X300MM,4026.62,3221.3,1.0,3623.96,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X200MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X210MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X220MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X230MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X240MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X250MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X260MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X270MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X280MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X290MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X300MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X310MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 7X320MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X200MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X210MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X220MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X230MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X240MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X250MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X260MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X270MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X280MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X290MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX HUMR CANN TI 9X300MM,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X270MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 10X420MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X270MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 11X420MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X270MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 12X420MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 8X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X270MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL EX TIB CANN TI 9X420MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL FEM ANTERET TI10X300*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X320*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X340*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X360*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X380*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X400*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X420*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI10X440*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X300*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X320*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X340*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X360*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X380*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X400*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X420*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI11X440*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X300*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X320*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X340*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X360*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X380*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X400*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X420*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI12X440*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X300*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X320*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X340*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X360*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X380*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X400*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X420*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI13X440*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X300*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X320*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X340*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X360*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X380*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X400*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X420*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET TI14X440*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM ANTERET*DISC NO REPL*,3159.5200000000004,2527.62,1.0,2886.53,162
HCPCS,C1713,NAIL FEM GREATER STER LFT9X280,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X340,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER LFT9X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X280,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X340,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT 9X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X280,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X340,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT10X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT11X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT11X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT11X340,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT11X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT11X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT11X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT12X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT12X380,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT12X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT12X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT12X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT12X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X300,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X320,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X340,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X360,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X380,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X400,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X420,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X440,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X460,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STER RT14X480,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT10X280,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT10X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT10X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT10X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT10X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT10X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X340,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X380,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT11X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X300,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X340,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X360,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X380,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT12X480,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X300,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X320,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X340,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X380,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X400,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X420,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X440,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X460,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERLFT14X480,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM GREATER STERRT11X460,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM GT STER LFT 10X380MM,8493.99,6795.2,1.0,7644.59,27
HCPCS,C1713,NAIL FEM GT STER RT 10X340MM,8493.99,6795.2,1.0,7644.59,27
HCPCS,C1713,NAIL FEM GT STER RT 12X420MM,8493.99,6795.2,1.0,7644.59,27
HCPCS,C1713,NAIL FEM M/DN 10MMX32CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 10MMX34CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 10MMX36CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 10MMX38CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 10MMX40CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 10MMX42CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 11MMX34CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 11MMX36CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 11MMX38CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 11MMX40CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 11MMX42CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 11MMX44CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX24CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX26CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX28CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX30CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX32CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX34CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX36CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX38CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX40CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX42CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 12MMX44CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX24CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX26CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX28CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX30CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX32CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX34CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX36CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX38CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX40CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX42CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX44CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX46CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX48CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 13MMX50CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 14MMX36CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 14MMX38CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 14MMX40CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 14MMX42CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 14MMX44CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 14MMX46CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 15MMX44CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 9MMX32CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 9MMX34CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 9MMX36CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 9MMX38CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 9MMX40CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM M/DN 9MMX42CM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,NAIL FEM PEDINAIL RT 8MMX32CM,9033.44,7226.76,1.0,8130.1,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X360MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X380MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X400MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 10X420MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 11X440MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X380MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X400MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X420MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT 12X440MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT10X320MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT10X340MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT11X340MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM LFT11X380MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X360MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X380MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X400MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 10X420MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 11X340MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 11X400MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 11X420MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 12X400MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM RT 12X420MM,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X320,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X400,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM STER RT9X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORM STERRT12X440,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORMSTERLFT11X420,5006.46,4005.17,1.0,4505.81,27
HCPCS,C1713,NAIL FEM PIRIFORMSTERLFT14X420,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,NAIL FEM RECON LAT TI LFT9X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT 9X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT10X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT11X44,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT12X460,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT13X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TI RT15X420,3598.73,2878.99,1.0,3238.86,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT10X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT11X440,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT12X440,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X320,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X340,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X360,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X380,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X400,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECON LAT TILFT13X420,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTI RT12X440MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTILFT10X460MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTILFT11X460MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTILFT12X460MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTILFT13X440MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTIRT 10X460MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTIRT 11X460MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RECONLATTIRT 13X440MM,3378.26,2702.61,1.0,3040.43,27
HCPCS,C1713,NAIL FEM RET TI 10X220MM*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM RET TI 11X220MM*CIP*,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM RET TI 14X220MM*CIP*,3314.89,2651.92,1.0,2983.4,27
HCPCS,C1713,NAIL FEM RETROGR*DISC NO REPL*,3214.4,2571.52,1.0,2983.4,459
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X160,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X200,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X240,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X280,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X300,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X320,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X380,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X400,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X420,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER 5D9X440,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X160,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X200,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X240,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X280,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X300,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X320,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X340,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X360,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X380,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X400,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X420,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X440,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X460,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRD STER10D9X480,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRD STER10X340MM,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER10X360MM,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER10X380MM,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER11X220M,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER11X400MM,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER12X340MM,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER12X360MM,8883.81,7107.05,1.0,7995.43,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D 9X360,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D 9X460,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D 9X480,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X160,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X200,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X240,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X320,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X340,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X360,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X380,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X400,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X420,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X440,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X460,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D10X480,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X160,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X240,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X280,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X300,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X320,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X340,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X360,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X380,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X400,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X420,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X440,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X460,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D11X480,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X160,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X200,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X240,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X280,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X300,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X320,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X340,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X360,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X380,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X400,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X420,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X440,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X460,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D12X480,4844.17,3875.34,1.0,4359.75,27
HCPCS,C1713,NAIL FEM RETROGRD STER5D14X360,5045.1,4036.08,1.0,4540.59,27
HCPCS,C1713,NAIL FEM RETROGRD TI 12X160MM,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM RETROGRD TI 12X200MM,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM RETROGRD TI 12X220MM,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1713,NAIL FEM RETROGRD TI 13X160MM,3207.26,2565.81,1.0,2886.53,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X160,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X200,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X240,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X280,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X300,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X320,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X340,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X360,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X380,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X400,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X420,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X440,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X460,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D10X480,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X160,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X240,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X280,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X300,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X320,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X340,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X360,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X380,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X400,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X420,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X440,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X460,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D11X480,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X160,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X200,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X240,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X280,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X300,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X320,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X340,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X360,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X380,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X400,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X420,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X440,5155.86,4124.69,1.0,4640.27,27
HCPCS,C1713,NAIL FEM RETROGRDSTER10D12X460,5356.79,4285.44,1.0,4821.11,27
HCPCS,C1713,NAIL FEM RETROGRDSTERSTD14X380,4644.53,3715.63,1.0,4180.08,27
HCPCS,C1713,NAIL FEM T2GTN STER RT 10X380,5086.56,4069.25,1.0,4577.9,27
HCPCS,C1713,NAIL FEM T2GTN STER RT 10X400,5086.56,4069.25,1.0,4577.9,27
HCPCS,C1713,NAIL FEM T2GTN STER RT 11X360,5086.56,4069.25,1.0,4577.9,27
HCPCS,C1713,NAIL FEM T2GTN STER RT 8X380,5333.05,4266.44,1.0,4799.75,27
HCPCS,C1713,NAIL FEM T2GTN STER RT 9 X360,5086.56,4069.25,1.0,4577.9,27
HCPCS,C1713,NAIL FEM T2GTN STER RT 9X340,5086.56,4069.25,1.0,4577.9,27
HCPCS,C1713,NAIL FEM TROCH 80D 10.7X275MM,63463.2,50770.56,1.0,57116.88,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX16CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX200M,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX24CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX28CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX30CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX32CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX34CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX38CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX40CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX42CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 10MMX44CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX16CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX20CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX24CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX28CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX30CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX32CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX38CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX40CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX42CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 11.5MMX44CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX16CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX20CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX24CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX28CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX34CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX38CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX40CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX42CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FEM Z RF UNIV 13MMX44CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAIL FIB LFT 3.0X130MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB LFT 3.0X180MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB LFT 3.8X130MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB LFT 3.8X180MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB RT 3.0X130MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB RT 3.0X180MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB RT 3.8X130MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB RT 3.8X180MM,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1713,NAIL FIB STER TI LFT 2.8X130MM,7094.1,5675.28,1.0,6384.69,27
HCPCS,C1713,NAIL FIB STER TI LFT 3.4X130MM,7094.1,5675.28,1.0,6384.69,27
HCPCS,C1713,NAIL FIB STER TI LFT 4.0X130MM,6537.7,5230.16,1.0,5883.93,27
HCPCS,C1713,NAIL FIB STER TI LFT 4.0X180MM,7094.1,5675.28,1.0,6384.69,27
HCPCS,C1713,NAIL FIB STER TI RT 2.8X130MM,918.0,734.4,1.0,826.2,27
HCPCS,C1713,NAIL FIB STER TI RT 5.5X130MM,7094.1,5675.28,1.0,6384.69,27
HCPCS,C1713,NAIL FIB STER TI RT 5.5X180MM,7094.1,5675.28,1.0,6384.69,27
HCPCS,C1713,NAIL FIB TROCH 125D 11X170MM,4861.58,3889.27,1.0,4375.42,27
HCPCS,C1713,NAIL FIB TROCH 125D 12X170MM,5042.63,4034.11,1.0,4538.37,27
HCPCS,C1713,NAIL FLEX 3.5X450MM,1136.14,908.92,1.0,1022.53,27
HCPCS,C1713,NAIL FLEX T2 CURV 4.0X450MM,1167.98,934.39,1.0,1051.18,27
HCPCS,C1713,NAIL FLEX T2 PEDS 2.5X300MM,1046.79,837.44,1.0,942.11,27
HCPCS,C1713,NAIL FLEX T2 PEDS STER 2.5X300,1080.9,864.72,1.0,972.81,27
HCPCS,C1713,NAIL FLEX T2 PEDS STER 2.5X450,1072.47,857.98,1.0,965.22,27
HCPCS,C1713,NAIL FLEX T2 PEDS STER 3.0X450,1101.87,881.5,1.0,991.68,27
HCPCS,C1713,NAIL FLEX TI 1.5X300MM,978.57,782.86,1.0,880.71,27
HCPCS,C1713,NAIL FLEX TI 1.75X300MM,1010.07,808.06,1.0,909.06,27
HCPCS,C1713,NAIL FUSN DYNANAIL 10MMX22CM,26964.0,21571.2,1.0,24267.6,27
HCPCS,C1713,NAIL FUSN DYNANAIL 12MMX22CM,26964.0,21571.2,1.0,24267.6,27
HCPCS,C1713,NAIL FUSN DYNANAIL XL10MMX26CM,29988.0,23990.4,1.0,26989.2,27
HCPCS,C1713,NAIL FUSN MINI DYNANAIL 7.0X60,12272.0,9817.6,1.0,11044.8,27
HCPCS,C1713,NAIL FUSN MINI DYNANAIL 7.0X70,12272.0,9817.6,1.0,11044.8,27
HCPCS,C1713,NAIL FUSN MINI DYNANAIL 7.0X90,12272.0,9817.6,1.0,11044.8,27
HCPCS,C1713,NAIL FUSN MINI DYNANAIL7.0X110,15108.0,12086.4,1.0,13597.2,27
HCPCS,C1713,NAIL FUSN MINI DYNANAIL7.0X130,15108.0,12086.4,1.0,13597.2,27
HCPCS,C1713,NAIL GAMMA LFT LNG130D10X360MM,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA LFT*DISC NO REPL*,5186.16,4148.93,1.0,4667.54,216
HCPCS,C1713,NAIL GAMMA RT L*DISC NO REPL*,4874.69,3899.76,1.0,4387.22,189
HCPCS,C1713,NAIL GAMMA RT LN*DISC NO REPL*,4874.69,3899.76,1.0,4387.22,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D13X300,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D13X320,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D13X340,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D13X360,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 125D13X400,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 130D11X320,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 130D11X360,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 LFT LNG 130D11X380,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 10X420,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X300,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X320,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X340,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X360,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X380,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X400,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X420,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 125D 13X440,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X300,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X320,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X340,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X360,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA3 RT LNG 130D 11X400,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL GAMMA4 LFT LNG 125D11X360,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 LFT LNG 125D11X420,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 LFT LNG 125D12X320,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,NAIL GAMMA4 LFT LNG 125D12X380,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,NAIL GAMMA4 LFT LNG 130D10X380,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 LFT LNG 130D11X380,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 10X340,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 10X360,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 10X380,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 11X360,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 12X280,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 12X380,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 125D 12X400,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,NAIL GAMMA4 RT LNG 130D 10X360,5594.68,4475.75,1.0,5035.21,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X60,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X65,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X70,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X75,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X80,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X85,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X90,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX 7.0X95,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HDLSS DYNANAIL HLX7.0X100,11687.0,9349.6,1.0,10518.3,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 10X150,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 10X180,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 10X240,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 12X150,4480.56,3584.45,1.0,4032.5,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 12X180,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 12X240,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 13X150,4480.56,3584.45,1.0,4032.5,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 13X180,4480.56,3584.45,1.0,4032.5,27
HCPCS,C1713,NAIL HINDFT CANN LFT TI 13X240,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 10X150,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 10X180,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 10X240,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 12X150,4480.56,3584.45,1.0,4032.5,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 12X180,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 12X240,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 13X150,4480.56,3584.45,1.0,4032.5,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 13X180,4480.56,3584.45,1.0,4032.5,27
HCPCS,C1713,NAIL HINDFT CANN RT TI 13X240,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1713,NAIL HINDFT DUALCOMP10.5X180MM,33001.06,26400.85,1.0,29700.95,27
HCPCS,C1713,NAIL HINDFT DUALCOMP10.5X210MM,33000.0,26400.0,1.0,29700.0,27
HCPCS,C1713,NAIL HINDFT DUALCOMP11.5X180MM,33001.06,26400.85,1.0,29700.95,27
HCPCS,C1713,NAIL HINDFT DUALCOMP11.5X210MM,33001.06,26400.85,1.0,29700.95,27
HCPCS,C1713,NAIL HINDFT DUALCOMP11.5X240MM,33000.0,26400.0,1.0,29700.0,27
HCPCS,C1713,NAIL HINDFT DUALCOMP12.5X180MM,33001.06,26400.85,1.0,29700.95,27
HCPCS,C1713,NAIL HINDFT DUALCOMP12.5X210MM,33000.0,26400.0,1.0,29700.0,27
HCPCS,C1713,NAIL HINDFT DUALCOMP12.5X240MM,33000.0,26400.0,1.0,29700.0,27
HCPCS,C1713,NAIL HIP AFFIXUS 130D 13X180MM,6003.2,4802.56,1.0,5402.88,27
HCPCS,C1713,NAIL HUMR ARTX LNG 9MMX25CM,7421.7,5937.36,1.0,6679.53,27
HCPCS,C1713,NAIL HUMR MULTLOC LFT 7X255MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC RT 7X240MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC RT 7X255MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC RT 7X270MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC RT8.5X225MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC RT8.5X240MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC RT8.5X255MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STER RT7X195,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STER RT7X285,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X195,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X210,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X225,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X270,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERLFT7X285,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERRT7X210,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC STERRT7X225,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC TI 8.5X255MM,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC TILFT8.5X225,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOC TILFT8.5X270,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X195,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X210,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X270,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCSTERRT8.5X285,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X195,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X210,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X240,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR MULTLOCTILFT8.5X285,4723.99,3779.2,1.0,4251.59,27
HCPCS,C1713,NAIL HUMR PROX AOSL 8.0MMX15CM,7421.7,5937.36,1.0,6679.53,27
HCPCS,C1713,NAIL HUMR PROX CANN TI 11X150M,3894.91,3115.93,1.0,3505.42,27
HCPCS,C1713,NAIL HUMR PROX CANN TI 7X150MM,3780.84,3024.68,1.0,3402.76,27
HCPCS,C1713,NAIL HUMR PROX CANN TI 9X150MM,3780.84,3024.68,1.0,3402.76,27
HCPCS,C1713,NAIL HUMR PROX T2 RT 8X150,5275.93,4220.75,1.0,4748.34,27
HCPCS,C1713,NAIL HUMR TORNIER LFT 8X130MM,6499.92,5199.94,1.0,5849.93,27
HCPCS,C1713,NAIL IM FEM FEMALE CMPNT 5.6,8008.0,6406.4,1.0,7207.2,27
HCPCS,C1713,NAIL IM FEMMALELNGCMPNT5.6X410,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,NAIL IM PEDINAILCHILDLFT7X36MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PEDINAILCHILDLFT7X38MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PEDINAILCHILDLFT8X24MM,8773.44,7018.76,1.0,7896.1,27
HCPCS,C1713,NAIL IM PEDINAILCHILDLFT8X26MM,8773.44,7018.76,1.0,7896.1,27
HCPCS,C1713,NAIL IM PEDINAILCHILDLFT8X28MM,8773.44,7018.76,1.0,7896.1,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X24MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X26MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X28MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X30MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X32MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X34MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 7X36MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL IM PLTFM CHILD LFT 8X340M,8773.44,7018.76,1.0,7896.1,27
HCPCS,C1713,NAIL IM PLTFM CHILD RT 7X340MM,9447.36,7557.89,1.0,8502.62,27
HCPCS,C1713,NAIL INFRAME STER 2.0X12MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X18MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X22MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X24MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X26MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X28MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X30MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X34MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X36MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X38MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X40MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X42MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRAME STER 2.0X44MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INFRM STER 2.0X20MM,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL INTERTAN 1.5 LFT130D13X36,6506.5,5205.2,1.0,5855.85,27
HCPCS,C1713,NAIL INTERTAN LFT 125D 10MMX36,6506.5,5205.2,1.0,5855.85,27
HCPCS,C1713,NAIL INTERTAN1.5LFT125D11.5X42,6506.5,5205.2,1.0,5855.85,27
HCPCS,C1713,NAIL INTRAMEDULLARYLFT11.5X150,7865.0,6292.0,1.0,7078.5,27
HCPCS,C1713,NAIL META-TAN RT 11.5MMX40CM,6051.5,4841.2,1.0,5446.35,27
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X35,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X40,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X45,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X50,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 3.6X55,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X45,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X50,5390.0,4312.0,1.0,4851.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X55,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X65,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,NAIL METACARPAL INNATE 4.5X75,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,NAIL MIDFT VILX 7.5-115,20520.0,16416.0,1.0,18468.0,27
HCPCS,C1713,NAIL MIDFT VILX 7.5-125,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1713,NAIL MIDFT VILX 7.5-130,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1713,NAIL MIDFT VILX 7.5-135,20520.0,16416.0,1.0,18468.0,27
HCPCS,C1713,NAIL MIDFT VILX 7.5-140,20520.0,16416.0,1.0,18468.0,27
HCPCS,C1713,NAIL MIDFT VILX 8.2-110,20520.0,16416.0,1.0,18468.0,27
HCPCS,C1713,NAIL PROX HUMR STERTIRT8.0X160,4533.48,3626.79,1.0,4080.13,27
HCPCS,C1713,NAIL PROX HUMR STERTIRT9.5X160,4533.48,3626.79,1.0,4080.13,27
HCPCS,C1713,NAIL PROX HUMRSTERTILFT8.0X160,4533.48,3626.79,1.0,4080.13,27
HCPCS,C1713,NAIL PROX HUMRSTERTILFT9.5X160,4533.48,3626.79,1.0,4080.13,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X300,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X320,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X340,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X360,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X380,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X400,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X420,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X440,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D11X460,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D13X380,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D13X420,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 LFT125D13X440,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X300,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X320,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X340,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X360,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X380,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X400,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X420,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X440,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R1.5 GAMMA3 RT 125D11X460,5040.62,4032.5,1.0,4536.56,27
HCPCS,C1713,NAIL R2.0 GAMMA3*DISC NO REPL*,4874.69,3899.76,1.0,4387.22,432
HCPCS,C1713,NAIL SLV INSRT STER 8-11SPI,442.61,354.09,1.0,398.35,27
HCPCS,C1713,NAIL SYS GAMMA3 125D 10X170MM,4495.62,3596.5,1.0,4046.06,27
HCPCS,C1713,NAIL SYS OSSIOFBR STER 3X50MM,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,NAIL SYS OSSIOFBR STER 4X100MM,10179.0,8143.2,1.0,9161.1,27
HCPCS,C1713,NAIL SYS OSSIOFBR STER 4X70MM,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,NAIL SYS OSSIOFBR STER2.4X50MM,7267.0,5813.6,1.0,6540.3,27
HCPCS,C1713,NAIL TFNA TI RT 125D 12X*NLU*,4664.66,3731.73,1.0,4198.19,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X320,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X340,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X360,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X380,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X400,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X420,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT125D9X440,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X320,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X340,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X420,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER LFT130D9X440,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X320,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X340,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X360,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X380,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X400,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X420,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 125D9X440,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X340,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X400,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X420,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT 130D9X440,5434.3,4347.44,1.0,4890.87,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X200,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D10X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X200,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X300,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D11X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X300,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT125D12X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D10X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D11X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D12X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STER RT130D14X460,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D10X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X300,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D11X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X300,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X446,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT125D12X460,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D10X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D11X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X235,3958.42,3166.74,1.0,3562.58,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D12X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X320,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X340,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X360,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X380,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X420,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT130D14X440,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERLFT135D11X400,5154.41,4123.53,1.0,4638.97,27
HCPCS,C1713,NAIL TFNA TI STERSHRT125D9X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TISTERSHRT125D12X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TISTERSHRT130D10X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TFNA TISTERSHRT130D12X170,3443.33,2754.67,1.0,3099.0,27
HCPCS,C1713,NAIL TI METACARPAL STD 4.0MM,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1713,NAIL TI METACARPAL STD 4.6MM,3441.2,2752.96,1.0,3097.08,27
HCPCS,C1713,NAIL TIB ADV STER 10X255MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 10X285MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X300MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X315MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X330MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X345MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X360MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X375MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X390MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X405MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X420MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 10X450MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 10X465MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 11X255MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 11X270MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 11X285MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X300MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X315MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X330MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X345MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X360MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X375MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X405MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X420MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 11X435MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 11X450MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 11X465MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 12X255MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 12X270MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 12X285MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X300MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X315MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X360MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X375MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X405MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X420MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 12X435MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 12X450MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 12X465MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 13X255MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X270MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X285MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X300MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X315MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X330MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X345MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X360MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X375MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X390MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X405MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X420MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X435MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X450MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 13X465MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X255MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X270MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X285MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X300MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X315MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X330MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X345MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X360MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X375MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X390MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X405MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X420MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X435MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X450MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 8X465MM,4286.46,3429.17,1.0,3857.81,27
HCPCS,C1713,NAIL TIB ADV STER 9X255MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 9X270MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 9X285MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X300MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X315MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X330MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X345MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X360MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X375MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X390MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X405MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X420MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB ADV STER 9X435MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 9X450MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER 9X465MM,4086.82,3269.46,1.0,3678.14,27
HCPCS,C1713,NAIL TIB ADV STER12X330MM,3887.18,3109.75,1.0,3498.46,27
HCPCS,C1713,NAIL TIB CANN 10X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 10X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 11X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 12X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X285MM,3653.83,2923.07,1.0,3288.45,27
HCPCS,C1713,NAIL TIB CANN 13X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 13X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 8X405MM,3653.83,2923.07,1.0,3288.45,27
HCPCS,C1713,NAIL TIB CANN 9X285MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X300MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X315MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X330MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X345MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X360MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X375MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X390MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB CANN 9X405MM,3545.64,2836.52,1.0,3191.08,27
HCPCS,C1713,NAIL TIB M/DN 10MMX18CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX20CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX22CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX24CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX26CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX28CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX30CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX32CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX34CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX36CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX38CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX40CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 10MMX42CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 11MMX32CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 11MMX36CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 11MMX38CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX20CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX22CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX24CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX26CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX28CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX30CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX32CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX34CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX36CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX38CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX40CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX42CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 12MMX46CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX22CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX24CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX26CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX28CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX30CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX32CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX34CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX36CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX38CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX40CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX42CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 13MMX46CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 8MMX28CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 8MMX32CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 8MMX36CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX18CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX20CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX22CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX24CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX26CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX28CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX30CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX32CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX34CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX36CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX38CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX40CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB M/DN 9MMX42CM*DISC*,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 8X315MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 8X345MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X270MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X300MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X330MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X360MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X375MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X390MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X405MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER 9X420MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X270MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X285MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X300MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X310MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X330MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X345MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X360MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X375MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER10X420MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X270MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X285MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X300MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X330MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X360MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X375MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X390MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X405MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER11X420MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X270MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X285MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X300MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X315MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X330MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X390MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X405MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHA STER12X420MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 ALPHASTER12X47.5MM,6658.11,5326.49,1.0,5992.3,27
HCPCS,C1713,NAIL TIB T2 STD 10X285MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 10X330MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 10X360MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 10X375MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 10X390MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 10X405MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 9X285MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 9X315MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 STD 9X330MM,3911.24,3129.0,1.0,3520.12,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X170MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X200MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X280MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X300MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X320MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X340MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X360MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X380MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 10X400MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X170MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X200MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X280MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X300MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X320MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X340MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X360MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X380MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X400MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 11X420MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X170MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X200MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X300MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X320MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X340MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X360MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X380MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X400MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 12X420MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X170MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X200MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X300MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X320MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X340MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X360MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X380MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X400MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 13X420MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X170MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X200MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X300MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X320MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X340MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X360MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X380MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X400MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 14X420MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X170MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X200MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X280MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X300MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X320MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X340MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X360MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X380MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TIB T2 SUPRACOND 9X400MM,5186.13,4148.91,1.0,4667.52,27
HCPCS,C1713,NAIL TRAMEDULLARY 1.6MM*DISC*,1209.6,967.68,1.0,1088.64,27
HCPCS,C1713,NAIL TRIGEN ADOLESCENT 8.5X34,5443.9,4355.12,1.0,4899.51,27
HCPCS,C1713,NAIL TROCH ES LFT130D11MMX33CM,7527.0,6021.6,1.0,6774.3,27
HCPCS,C1713,NAIL TROCH ES LFT130D11MMX39CM,8279.7,6623.76,1.0,7451.73,27
HCPCS,C1713,NAIL TROCH ES RT 130D11MMX42CM,8279.7,6623.76,1.0,7451.73,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 10X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 11X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D LFT 12X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 10X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 11X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 125D RT 12X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 10X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 11X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 12X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D LFT 14X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 10X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 11X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 12X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 130D RT 14X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X380,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 10X460,5382.55,4306.04,1.0,4844.3,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 11X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D LFT 12X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X300,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X320,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X340,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X360,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X400,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X420,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X440,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 10X460,5547.42,4437.94,1.0,4992.68,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 11X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X300,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X320,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X340,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X360,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X380,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X400,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X420,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X440,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH LNG 135D RT 12X460,5209.96,4167.97,1.0,4688.96,27
HCPCS,C1713,NAIL TROCH TI 125D 10X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 125D 10X235MM,3668.22,2934.58,1.0,3301.4,27
HCPCS,C1713,NAIL TROCH TI 125D 11X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 125D 11X235MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 125D 12X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 125D 12X235MM,3959.31,3167.45,1.0,3563.38,27
HCPCS,C1713,NAIL TROCH TI 130D 10X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 130D 10X235MM,3668.22,2934.58,1.0,3301.4,27
HCPCS,C1713,NAIL TROCH TI 130D 11X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 130D 11X235MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 130D 12X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 130D 12X235MM,3959.31,3167.45,1.0,3563.38,27
HCPCS,C1713,NAIL TROCH TI 135D 10X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 135D 10X235MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 135D 11X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 135D 11X235MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 135D 12X170MM,3552.3,2841.84,1.0,3197.07,27
HCPCS,C1713,NAIL TROCH TI 135D 12X235MM,3959.31,3167.45,1.0,3563.38,27
HCPCS,C1713,NAIL ULNA FLEXTHRD 4.5X210MM,11830.0,9464.0,1.0,10647.0,27
HCPCS,C1713,NAIL VALOR LFT MD 10X200MM,7244.51,5795.61,1.0,6520.06,27
HCPCS,C1713,NAIL VALOR LFT SM 10X150MM,7244.51,5795.61,1.0,6520.06,27
HCPCS,C1713,NAIL VALOR LFT SM 11.5X150MM,7244.51,5795.61,1.0,6520.06,27
HCPCS,C1713,NAIL VALOR RT MD 10X200MM,7244.51,5795.61,1.0,6520.06,27
HCPCS,C1713,NAIL VALOR RT SM 10X150MM,7244.51,5795.61,1.0,6520.06,27
HCPCS,C1713,NAIL VALOR RT SM 11.5X150MM,7244.51,5795.61,1.0,6520.06,27
HCPCS,C1713,NAIL Z CANC PART 6.0X60MM,1142.4,913.92,1.0,1028.16,27
HCPCS,C1713,NAIL Z CANC PART 6.0X65MM,1142.4,913.92,1.0,1028.16,27
HCPCS,C1713,NAIL Z RF UNIV 13MMX32CM,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X240,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X260,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X300,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X320,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X360,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT 9X400,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X240,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X260,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X300,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X320,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X360,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI LFT8.2X380,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 8.2X240,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 8.2X260,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 8.2X340,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 8.2X360,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 8.2X400,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X240,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X260,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X280,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X300,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X320,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TI RT 9X380,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILEX LAT ENTRY TIRT8.2X300MM,3555.05,2844.04,1.0,3199.55,27
HCPCS,C1713,NAILTRAMEDULLARY0.045*DISC*,1209.6,967.68,1.0,1088.64,27
HCPCS,C1713,NAILTRAMEDULLARYSTD1.1*DISC*,1780.8,1424.64,1.0,1602.72,27
HCPCS,C1713,NAILTRAMEDULLARYSTD1.6*DISC*,1780.8,1424.64,1.0,1602.72,27
HCPCS,C1713,NDLE FAST FIX 360 CURV,1856.4,1485.12,1.0,1670.76,27
HCPCS,C1713,NUT CORT SCREW 4.5MM,151.16,120.93,1.0,136.04,27
HCPCS,C1713,NUT CORT SCREW 5MM,593.46,474.77,1.0,534.11,27
HCPCS,C1713,NUT FEM NAIL RETROGRD STER14MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,NUT SCREW COND STRY 5MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,OLIVE WIRE MF NONTHRD POLYLOCK,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1713,ORB PLATE 00031 IPS PEEK CUST,24122.76,19298.21,1.0,21710.48,27
HCPCS,C1713,ORB PLATE 00078 IPS TICUST,15345.67,12276.54,1.0,13811.1,27
HCPCS,C1713,ORB PLATE 00080 IPS TICUST,18477.84,14782.28,1.0,16630.06,27
HCPCS,C1713,ORB PLATE 1 WALL LP TI-6AL-4V,15345.67,12276.54,1.0,13811.1,27
HCPCS,C1713,ORB PLATE 2 WALL LP TI-6AL-4V,18477.84,14782.28,1.0,16630.06,27
HCPCS,C1713,P ANN BYNT 4.7X228.6*DISC*,146.4,117.12,1.0,131.76,27
HCPCS,C1713,PEG ANK LK CORT ACUM 2.3X26MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X10MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X12MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X14MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X16MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X18MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X20MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X22MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X24MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG FULL THRD ZIMM 2.5X28MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG INTERLK 3.8X25MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG INTERLK 3.8X27MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG INTERLK 3.8X30MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG INTERLK 3.8X33MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG INTERLK 3.8X35MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG INTERLK 3.8X40MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG INTERLK 3.8X50MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,PEG LK HIGH COMP TI 2.7X10MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X12MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X13MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X14MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X15MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X18MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X24MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X26MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X28MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH DVR ZIMM 2.2X30MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG LK SMTH SKDY 2.0X14MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,PEG LK SMTH ZIMM 2X30MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X10MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X12MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X14MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X16MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X18MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,PEG LK THRD FLUTED TI 2.3X20MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,PEG LK VARIAX T8 2.0X16MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,PEG LK VARIAX T8 2.0X18MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,PEG LK VARIAX T8 2.0X20MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,PEG LK VARIAX T8 2.0X22MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,PEG LK VARIAX T8 2.0X24MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,PEG LK VARIAX T8 2.0X26MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,PEG NL THRD SKDY 2.7X18MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X10MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X12MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X14MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X16MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X18MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X20MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X22MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X24MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X26MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X28MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG PART THRD ZIMM 2.5X30MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH LK 2.2X16MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG SMTH LK 2.2X20MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG SMTH LK 2.2X22MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,PEG SMTH TORX 1.8X16MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,PEG SMTH TORX 1.8X18MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,PEG SMTH TORX 1.8X20MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,PEG SMTH TORX 1.8X22MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,PEG SMTH ZIMM 2.0X14MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH ZIMM 2.0X16MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH ZIMM 2.0X18MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH ZIMM LNG 20MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH ZIMM LNG 22MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH ZIMM LNG 24MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG SMTH ZIMM LNG 26MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X12MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X14MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X16MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X18MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X22MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X24MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X26MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X28MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD MULTDIRECT 2.5X30MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PEG THRD PHANTOM 2.7X16MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 2.7X18MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 2.7X26MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 3.5X52MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 3.5X54MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 3.5X60MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 3.5X66MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 3.5X70MM,1032.75,826.2,1.0,929.48,27
HCPCS,C1713,PEG THRD PHANTOM 5.0X30MM,1270.5,1016.4,1.0,1143.45,27
HCPCS,C1713,PEG THRD PHANTOM 7.2X70MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PEG WRIST LK CORT ACUM 2.3X8MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG WRIST LK CORT ACUM2.3X10MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG WRIST LK CORT ACUM2.3X12MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG WRIST LK CORT ACUM2.3X22MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PEG WRIST LK CORT ACUM2.3X28MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PIN ANK NEWC 1.6X150MM,379.2,303.36,1.0,341.28,27
HCPCS,C1713,PIN ANK NEWC 2.2X200MM,379.2,303.36,1.0,341.28,27
HCPCS,C1713,PIN AXIS IJS-E 2.5X60MM,1520.4,1216.32,1.0,1368.36,27
HCPCS,C1713,PIN BTRS STARDR1.8X14MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X16MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X18MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X20MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X22MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X24MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X26MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X28MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS STARDR1.8X30MM,435.98,348.79,1.0,392.38,27
HCPCS,C1713,PIN BTRS TI 1.8X12MM,308.45,246.76,1.0,277.61,27
HCPCS,C1713,PIN BTRS TRMI 27MM,1218.0,974.4,1.0,1096.2,27
HCPCS,C1713,PIN BTRS TRMI 32MM,1218.0,974.4,1.0,1096.2,27
HCPCS,C1713,PIN BTRS VOLAR TRMI 32MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,PIN CENT THRD STEINMAN 4.5X200,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X175,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X200,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X225,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X250,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X275,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CENT THRD STEINMAN 5.0X300,413.66,330.93,1.0,372.29,27
HCPCS,C1713,PIN CERCLAGE THRD TI STER4.5MM,682.29,545.84,1.0,614.06,27
HCPCS,C1713,PIN CLAV SET MIDSHAFT ANSR,8286.2,6628.96,1.0,7457.58,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X10,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X12,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X14,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X16,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X18,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X20,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X22,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X24,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X26,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X30,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X32,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X34,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X36,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X40,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X42,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X44,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X46,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X48,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 1.9X50,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X12,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X14,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X16,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X18,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X20,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X22,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X24,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X26,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X28,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X30,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X32,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X34,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X36,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X38,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X40,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X42,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X44,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X46,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X48,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN COMP SNAP-OFF FULL 2.4X50,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,PIN CRANFAC SONICPINS RXG2.1X4,2094.7,1675.76,1.0,1885.23,27
HCPCS,C1713,PIN CRANFAC SONICPINS RXG2.1X5,2094.7,1675.76,1.0,1885.23,27
HCPCS,C1713,PIN CROSS RIGIDFIX TENDON,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1713,PIN DRILL HDLESS TROC 3.2*NLU*,244.0,195.2,1.0,219.6,27
HCPCS,C1713,PIN FIX BRIGADE THRD 20MM,268.4,214.72,1.0,241.56,27
HCPCS,C1713,PIN FIX FLUTE CAS 3.2X150MM,152.5,122.0,1.0,137.25,27
HCPCS,C1713,PIN FIX FLUTE CAS 3.2X80MM,152.5,122.0,1.0,137.25,27
HCPCS,C1713,PIN FIX FLUTE STER 3.2X150MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,PIN FIX FLUTE STER 3.2X80MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,PIN FIX ORTHOLOC TMPR THRD 2.0,389.34,311.48,1.0,350.41,27
HCPCS,C1713,PIN FIX PLATE LNG REUS 30MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,PIN FIX SHRT HD 34MM,150.98,120.79,1.0,135.88,27
HCPCS,C1713,PIN FIX SMARTPIN 1.5X20MM*NLU*,619.02,495.22,1.0,557.12,27
HCPCS,C1713,PIN FIX THRD SHARP O ARM 3.1MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,PIN FIX TMPR ACP GM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,PIN FIX TMPR MINI THRD1.1X10MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,PIN FIX TMPR SMTH 2.0X20MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,PIN GD ALTIVATE SHLDR 3.2X152,1293.6,1034.88,1.0,1164.24,27
HCPCS,C1713,PIN GLENO INHANCE 3.5X230MM,554.85,443.88,1.0,499.37,27
HCPCS,C1713,PIN HD MAZOR X 2.5X100MM,369.6,295.68,1.0,332.64,27
HCPCS,C1713,PIN HD MAZOR X 2.5X60MM,369.6,295.68,1.0,332.64,27
HCPCS,C1713,PIN HUMR INHANCE 3.5X130MM,425.52,340.42,1.0,382.97,27
HCPCS,C1713,PIN KNOWLES 3/16*DISC NO REPL*,815.76,652.61,1.0,734.18,270
HCPCS,C1713,PIN NTHRD BB-TAK ARTX,742.5,594.0,1.0,668.25,27
HCPCS,C1713,PIN PROV FIX P-L VLP 2X14MM,719.82,575.86,1.0,647.84,27
HCPCS,C1713,PIN PSTN VA STER SS 5.0MM,784.53,627.63,1.0,706.08,27
HCPCS,C1713,PIN STEINMAN 3.0X150MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,PIN STEINMAN 3.0X200MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,PIN STEINMAN 3.0X250MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,PIN STEINMAN DBLEND OM 9X.177,87.41,69.93,1.0,78.67,27
HCPCS,C1713,PIN STEINMAN DBLEND OM 9X7/64,18.79,15.04,1.0,16.91,27
HCPCS,C1713,PIN STEINMAN DBLEND OM 9X9/64,60.94,48.76,1.0,54.85,27
HCPCS,C1713,PIN STEINMAN DYN*DISC 6340537*,810.0,648.0,1.0,729.0,27
HCPCS,C1713,PIN STEINMAN DYNANAIL 2MMX9IN,630.0,504.0,1.0,567.0,27
HCPCS,C1713,PIN STEINMAN DYNANAIL 3.1MM,810.0,648.0,1.0,729.0,27
HCPCS,C1713,PIN STEINMAN QK LNG 2MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,PIN STEINMAN SMTH 2.4MMX6IN,277.88,222.31,1.0,250.09,27
HCPCS,C1713,PIN STEINMAN SMTH DBL DIMND1/8,22.27,17.82,1.0,20.04,27
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC3/32,17.81,14.25,1.0,16.03,27
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC5/32,28.18,22.55,1.0,25.36,27
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC7/64,17.81,14.25,1.0,16.03,27
HCPCS,C1713,PIN STEINMAN SMTH DBL TROC9/64,22.27,17.82,1.0,20.04,27
HCPCS,C1713,PIN STEINMAN SMTH DBLDIMND3/16,22.27,17.82,1.0,20.04,27
HCPCS,C1713,PIN STEINMAN SMTH DBLDIMND3/32,17.81,14.25,1.0,16.03,27
HCPCS,C1713,PIN STEINMAN SMTH DBLDIMND5/32,28.18,22.55,1.0,25.36,27
HCPCS,C1713,PIN STEINMAN SMTH DBLDIMND5/64,17.81,14.25,1.0,16.03,27
HCPCS,C1713,PIN STEINMAN SMTH DBLDIMND7/64,17.81,14.25,1.0,16.03,27
HCPCS,C1713,PIN STEINMAN SMTH DBLDIMND9/64,22.27,17.82,1.0,20.04,27
HCPCS,C1713,PIN STEINMAN SMTH DIMNDSTER1/8,32.64,26.12,1.0,29.38,27
HCPCS,C1713,PIN STEINMAN SMTH SGL STER5/32,32.94,26.36,1.0,29.65,27
HCPCS,C1713,PIN STEINMAN SMTH SGL STER5/64,28.18,22.55,1.0,25.36,27
HCPCS,C1713,PIN STEINMAN SMTH SGL TROC 1/8,22.27,17.82,1.0,20.04,27
HCPCS,C1713,PIN STEINMAN SMTH SGLSTER1/8,32.94,26.36,1.0,29.65,27
HCPCS,C1713,PIN STEINMAN THRD 1/8X2.5,819.0,655.2,1.0,737.1,27
HCPCS,C1713,PIN STEINMAN THRD 1/8X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 3/16 9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 3/16X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 3/32X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 5/32X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 5/64X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 7/64X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN THRD 9/64X9,44.59,35.68,1.0,40.13,27
HCPCS,C1713,PIN STEINMAN ZIMM 3.2X9MM,486.0,388.8,1.0,437.4,27
HCPCS,C1713,PIN STEINMAN ZIMM 3/32IN*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,PIN STEINMANN 5.0X300,276.21,220.97,1.0,248.59,27
HCPCS,C1713,PIN STEINMANN THRD 2.8X229MM,150.79,120.64,1.0,135.71,27
HCPCS,C1713,PIN STEINMANN THRD 3.2MMX9IN,454.5,363.6,1.0,409.05,27
HCPCS,C1713,PIN STEINMANN3.6X228.6MM*DISC*,146.4,117.12,1.0,131.76,27
HCPCS,C1713,PIN STEINMANN3.9X228.6MM*DISC*,146.4,117.12,1.0,131.76,27
HCPCS,C1713,PIN TEMP FIX CLAW II 1.1MM,378.0,302.4,1.0,340.2,27
HCPCS,C1713,PIN TEMP FIX ORTHOLOC SM 1.4MM,366.12,292.9,1.0,329.51,27
HCPCS,C1713,PIN TEMP FIX OZARK COARSE,268.4,214.72,1.0,241.56,27
HCPCS,C1713,PIN THRD BB-TAK MTP 3.0MM,448.8,359.04,1.0,403.92,27
HCPCS,C1713,PIN THRD FRS 2.0X70MM*DISC*,48.8,39.04,1.0,43.92,27
HCPCS,C1713,PIN THRD HD STER 3.2X67MM,517.5,414.0,1.0,465.75,27
HCPCS,C1713,PIN THRD STER SS 3.2X76.2MM,175.38,140.31,1.0,157.84,27
HCPCS,C1713,PIN THRD TRANSFIX 5X275X6MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,PIN TMPR FIX GM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,PK FIX LAPIPLASTY LESSER TMT,5871.6,4697.28,1.0,5284.44,27
HCPCS,C1713,PLATE 1/3 TUBLR 10HL 119MM,1810.37,1448.3,1.0,1629.33,27
HCPCS,C1713,PLATE 1/3 TUBLR 10HL 3.5X122MM,2819.6,2255.68,1.0,2537.64,27
HCPCS,C1713,PLATE 1/3 TUBLR 12HL 3.5X146MM,2819.6,2255.68,1.0,2537.64,27
HCPCS,C1713,PLATE 1/3 TUBLR 14HL 3.5X170MM,3771.6,3017.28,1.0,3394.44,27
HCPCS,C1713,PLATE 1/3 TUBLR 2HL 23MM,1252.44,1001.96,1.0,1127.2,27
HCPCS,C1713,PLATE 1/3 TUBLR 2HL 3.5X26MM,2530.8,2024.64,1.0,2277.72,27
HCPCS,C1713,PLATE 1/3 TUBLR 3HL 3.5X38MM,2530.8,2024.64,1.0,2277.72,27
HCPCS,C1713,PLATE 1/3 TUBLR 4HL 3.5X50MM,2613.6,2090.88,1.0,2352.24,27
HCPCS,C1713,PLATE 1/3 TUBLR 5HL 3.5X62MM,2613.6,2090.88,1.0,2352.24,27
HCPCS,C1713,PLATE 1/3 TUBLR 6HL 3.5X74MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE 1/3 TUBLR 6HL 71MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3 TUBLR 7HL 3.5X86MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE 1/3 TUBLR 7HL 83MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3 TUBLR 8HL,377.78,302.23,1.0,340.0,27
HCPCS,C1713,PLATE 1/3 TUBLR 8HL 3.5X98MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE 1/3 TUBLR 8HL 95MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3 TUBLR 9HL 107MM,1810.37,1448.3,1.0,1629.33,27
HCPCS,C1713,PLATE 1/3 TUBLR 9HL 3.5X110MM,2819.6,2255.68,1.0,2537.64,27
HCPCS,C1713,PLATE 1/3 TUBLR SM 7HL 85MM,522.0,417.6,1.0,469.8,27
HCPCS,C1713,PLATE 1/3 TUBLR STER 14HL167MM,2147.04,1717.64,1.0,1932.34,27
HCPCS,C1713,PLATE 1/3 TUBLR STER 3HL 35MM,1252.44,1001.96,1.0,1127.2,27
HCPCS,C1713,PLATE 1/3 TUBLR STER 4HL 47MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3 TUBLR STER 5HL 59MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3 TUBLR STER 6HL 71MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3 TUBLR STER 7HL 83MM,1349.67,1079.74,1.0,1214.7,27
HCPCS,C1713,PLATE 1/3TUBLR COLAR 2HL 25MM,529.2,423.36,1.0,476.28,27
HCPCS,C1713,PLATE 1/3TUBLR COLAR 3HL 37MM,542.43,433.95,1.0,488.19,27
HCPCS,C1713,PLATE 1/3TUBLR COLAR 4HL 49MM,627.48,501.99,1.0,564.73,27
HCPCS,C1713,PLATE 1/3TUBLR COLAR 5HL 61MM,627.48,501.99,1.0,564.73,27
HCPCS,C1713,PLATE 1/3TUBLR COLAR 6HL 73MM,644.49,515.6,1.0,580.04,27
HCPCS,C1713,PLATE 1/3TUBLR COLAR 7HL 85MM,644.49,515.6,1.0,580.04,27
HCPCS,C1713,PLATE 1/3TUBLR LCP 12HL 145MM,376.03,300.83,1.0,338.43,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 3HL33,631.26,505.01,1.0,568.13,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 4HL45,631.26,505.01,1.0,568.13,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 5HL57,631.26,505.01,1.0,568.13,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 6HL69,631.26,505.01,1.0,568.13,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 7HL81,631.26,505.01,1.0,568.13,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR 8HL93,674.73,539.79,1.0,607.26,27
HCPCS,C1713,PLATE 1/3TUBLR LCP COLAR9HL105,691.74,553.4,1.0,622.57,27
HCPCS,C1713,PLATE 1/3TUBLR LCPCOLAR10HL117,691.74,553.4,1.0,622.57,27
HCPCS,C1713,PLATE 1/3TUBLR LCPCOLAR12HL141,708.75,567.0,1.0,637.88,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 2HL 25,580.23,464.19,1.0,522.21,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 3HL 37,597.24,477.8,1.0,537.52,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 4HL 49,691.74,553.4,1.0,622.57,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 5HL 61,691.74,553.4,1.0,622.57,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 6HL 73,708.75,567.0,1.0,637.88,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 7HL 85,708.75,567.0,1.0,637.88,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR 8HL 97,738.99,591.2,1.0,665.09,27
HCPCS,C1713,PLATE 1/3TUBLR TI COLAR10HL121,763.56,610.85,1.0,687.2,27
HCPCS,C1713,PLATE 1/3TUBLR TI LCP COLAR5HL,684.18,547.35,1.0,615.76,27
HCPCS,C1713,PLATE 1/3TUBLR TI LCP COLAR6HL,684.18,547.35,1.0,615.76,27
HCPCS,C1713,PLATE 1/3TUBLR TI LCP COLAR7HL,697.41,557.93,1.0,627.67,27
HCPCS,C1713,PLATE 1/3TUBLR TI LCP COLAR8HL,733.32,586.66,1.0,659.99,27
HCPCS,C1713,PLATE 1/3TUBLR TI LCPCOLAR10HL,733.32,586.66,1.0,659.99,27
HCPCS,C1713,PLATE 1/3TUBLR TI LCPCOLAR12HL,759.78,607.83,1.0,683.8,27
HCPCS,C1713,PLATE 1/3TUBLR W COLAR3.5 10HL,695.52,556.42,1.0,625.97,27
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 3HL,555.66,444.53,1.0,500.09,27
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 4HL,638.82,511.06,1.0,574.94,27
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 5HL,619.92,495.94,1.0,557.93,27
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 6HL,619.92,495.94,1.0,557.93,27
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 7HL,631.26,505.01,1.0,568.13,27
HCPCS,C1713,PLATE 1/4TUBLR W COLAR 2.7 8HL,669.06,535.25,1.0,602.15,27
HCPCS,C1713,PLATE 1ST MPJ STRTM LFT 0D LG,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE 1ST MPJ STRTM LFT 0D SM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE 1ST MPJ STRTM LFT 0D STD,5000.8,4000.64,1.0,4500.72,27
HCPCS,C1713,PLATE 1ST MPJ STRTM LFT 7D LG,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE 1ST MPJ STRTM LFT 7D SM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE 1ST MPJ STRTM LFT 7D STD,5000.8,4000.64,1.0,4500.72,27
HCPCS,C1713,PLATE 1ST MPJ STRTM RT 0D LG,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE 1ST MPJ STRTM RT 0D SM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE 1ST MPJ STRTM RT 0D STD,5000.8,4000.64,1.0,4500.72,27
HCPCS,C1713,PLATE 1ST MPJ STRTM RT 7D LG,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE 1ST MPJ STRTM RT 7D SM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE 1ST MPJ STRTM RT 7D STD,5000.8,4000.64,1.0,4500.72,27
HCPCS,C1713,PLATE 2COL SS LFT NARW6/2HL2.4,1867.07,1493.66,1.0,1680.36,27
HCPCS,C1713,PLATE 2COL SS LFT NARW6/3HL2.4,1920.64,1536.52,1.0,1728.58,27
HCPCS,C1713,PLATE 2COL SS LFT NARW6/5HL2.4,2101.43,1681.15,1.0,1891.29,27
HCPCS,C1713,PLATE 2COL SS LFT STD 6/2HL2.4,1867.07,1493.66,1.0,1680.36,27
HCPCS,C1713,PLATE 2COL SS LFT STD 6/3HL2.4,1920.64,1536.52,1.0,1728.58,27
HCPCS,C1713,PLATE 2COL SS LFT STD 6/4HL2.4,2023.31,1618.65,1.0,1820.98,27
HCPCS,C1713,PLATE 2COL SS LFT STD 6/5HL2.4,2101.43,1681.15,1.0,1891.29,27
HCPCS,C1713,PLATE 2COL SS LFT STD 7/2HL2.4,1877.11,1501.69,1.0,1689.4,27
HCPCS,C1713,PLATE 2COL SS LFT STD 7/3HL2.4,1945.19,1556.16,1.0,1750.67,27
HCPCS,C1713,PLATE 2COL SS LFT STD 7/4HL2.4,2025.54,1620.44,1.0,1822.99,27
HCPCS,C1713,PLATE 2COL SS LFT STD 7/5HL2.4,2102.54,1682.04,1.0,1892.29,27
HCPCS,C1713,PLATE 2COL SS LFTNARW 6/4HL2.4,2023.31,1618.65,1.0,1820.98,27
HCPCS,C1713,PLATE 2COL SS RT NARW 6/2HL2.4,1867.07,1493.66,1.0,1680.36,27
HCPCS,C1713,PLATE 2COL SS RT NARW 6/3HL2.4,1920.64,1536.52,1.0,1728.58,27
HCPCS,C1713,PLATE 2COL SS RT NARW 6/4HL2.4,2023.31,1618.65,1.0,1820.98,27
HCPCS,C1713,PLATE 2COL SS RT NARW 6/5HL2.4,2101.43,1681.15,1.0,1891.29,27
HCPCS,C1713,PLATE 2COL SS RT STD 6/2HL 2.4,1867.07,1493.66,1.0,1680.36,27
HCPCS,C1713,PLATE 2COL SS RT STD 6/3HL 2.4,1920.64,1536.52,1.0,1728.58,27
HCPCS,C1713,PLATE 2COL SS RT STD 6/4HL 2.4,2023.31,1618.65,1.0,1820.98,27
HCPCS,C1713,PLATE 2COL SS RT STD 6/5HL 2.4,2101.43,1681.15,1.0,1891.29,27
HCPCS,C1713,PLATE 2COL SS RT STD 7/2HL 2.4,1877.11,1501.69,1.0,1689.4,27
HCPCS,C1713,PLATE 2COL SS RT STD 7/3HL 2.4,1945.19,1556.16,1.0,1750.67,27
HCPCS,C1713,PLATE 2COL SS RT STD 7/4HL 2.4,2025.54,1620.44,1.0,1822.99,27
HCPCS,C1713,PLATE 2COL SS RT STD 7/5HL 2.4,2102.54,1682.04,1.0,1892.29,27
HCPCS,C1713,PLATE 2COL TI LFT NARW6/2HL2.4,2054.56,1643.65,1.0,1849.1,27
HCPCS,C1713,PLATE 2COL TI LFT NARW6/3HL2.4,2112.59,1690.08,1.0,1901.33,27
HCPCS,C1713,PLATE 2COL TI LFT NARW6/5HL2.4,2311.24,1849.0,1.0,2080.12,27
HCPCS,C1713,PLATE 2COL TI LFT STD 6/2HL2.4,2054.56,1643.65,1.0,1849.1,27
HCPCS,C1713,PLATE 2COL TI LFT STD 6/3HL2.4,2112.59,1690.08,1.0,1901.33,27
HCPCS,C1713,PLATE 2COL TI LFT STD 6/4HL2.4,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1713,PLATE 2COL TI LFT STD 6/5HL2.4,2311.24,1849.0,1.0,2080.12,27
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/2HL2.4,2065.72,1652.58,1.0,1859.15,27
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/3HL2.4,2139.37,1711.5,1.0,1925.43,27
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/4HL2.4,2228.65,1782.92,1.0,2005.79,27
HCPCS,C1713,PLATE 2COL TI LFT WIDE7/5HL2.4,2312.35,1849.88,1.0,2081.12,27
HCPCS,C1713,PLATE 2COL TI LFTNARW 6/4HL2.4,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1713,PLATE 2COL TI RT NARW 6/2HL2.4,2054.56,1643.65,1.0,1849.1,27
HCPCS,C1713,PLATE 2COL TI RT NARW 6/3HL2.4,2112.59,1690.08,1.0,1901.33,27
HCPCS,C1713,PLATE 2COL TI RT NARW 6/4HL2.4,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1713,PLATE 2COL TI RT NARW 6/5HL2.4,2311.24,1849.0,1.0,2080.12,27
HCPCS,C1713,PLATE 2COL TI RT STD 6/2HL 2.4,2054.56,1643.65,1.0,1849.1,27
HCPCS,C1713,PLATE 2COL TI RT STD 6/3HL 2.4,2112.59,1690.08,1.0,1901.33,27
HCPCS,C1713,PLATE 2COL TI RT STD 6/4HL 2.4,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1713,PLATE 2COL TI RT STD 6/5HL 2.4,2311.24,1849.0,1.0,2080.12,27
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/2HL2.4,2065.72,1652.58,1.0,1859.15,27
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/3HL2.4,2139.37,1711.5,1.0,1925.43,27
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/4HL2.4,2228.65,1782.92,1.0,2005.79,27
HCPCS,C1713,PLATE 2COL TI RT WIDE 7/5HL2.4,2312.35,1849.88,1.0,2081.12,27
HCPCS,C1713,PLATE 2COL TISTERRTSTD6/2HL2.4,2239.81,1791.85,1.0,2015.83,27
HCPCS,C1713,PLATE 2COLSS RTSTD6/7HL2.4/2.7,3190.77,2552.62,1.0,2871.69,27
HCPCS,C1713,PLATE 2COLSSLFTSTD6/7HL2.4/2.7,3190.77,2552.62,1.0,2871.69,27
HCPCS,C1713,PLATE 2COLSSRTSTD6/10HL2.4/2.7,3346.14,2676.92,1.0,3011.53,27
HCPCS,C1713,PLATE 2COLSSRTSTD6/13HL2.4/2.7,3540.57,2832.46,1.0,3186.51,27
HCPCS,C1713,PLATE 2COLSTERSSRTNARW6/3HL2.4,2112.59,1690.08,1.0,1901.33,27
HCPCS,C1713,PLATE 2COLSTERSSRTNARW6/4HL2.4,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1713,PLATE 2COLTISTERLFTSTD6/5HL2.4,2522.16,2017.73,1.0,2269.94,27
HCPCS,C1713,PLATE 2COLTISTERRTNARW6/2HL2.4,2239.81,1791.85,1.0,2015.83,27
HCPCS,C1713,PLATE 3.5 CALC LFT LNG 76MM,2228.69,1782.96,1.0,2005.82,27
HCPCS,C1713,PLATE 3.5 CALC LFT XLNG 81MM,2305.8,1844.64,1.0,2075.22,27
HCPCS,C1713,PLATE 3.5 CALC MINI LFT 64MM,1867.32,1493.86,1.0,1680.59,27
HCPCS,C1713,PLATE 3.5 CALC MINI RT 64MM,1867.32,1493.86,1.0,1680.59,27
HCPCS,C1713,PLATE 3.5 CALC RT LNG 76MM,2228.69,1782.96,1.0,2005.82,27
HCPCS,C1713,PLATE 3.5 CALC SHRT LFT 69MM,2089.58,1671.67,1.0,1880.62,27
HCPCS,C1713,PLATE 3.5 CALC SHRT RT 69MM,2089.58,1671.67,1.0,1880.62,27
HCPCS,C1713,PLATE 3.5 CALC XRT LNG 81MM,2305.8,1844.64,1.0,2075.22,27
HCPCS,C1713,PLATE 3.5 LC-DCP 10HL 129MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE 3.5 LC-DCP 12HL 155MM,1476.47,1181.18,1.0,1328.82,27
HCPCS,C1713,PLATE 3.5 LC-DCP 14HL 189MM,1899.07,1519.26,1.0,1709.16,27
HCPCS,C1713,PLATE 3.5 LC-DCP 15HL 195MM,2030.62,1624.5,1.0,1827.56,27
HCPCS,C1713,PLATE 3.5 LC-DCP 2HL 25MM,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,PLATE 3.5 LC-DCP 3HL 38MM,1071.63,857.31,1.0,964.47,27
HCPCS,C1713,PLATE 3.5 LC-DCP 4HL 51MM,1116.99,893.6,1.0,1005.29,27
HCPCS,C1713,PLATE 3.5 LC-DCP 5HL 64MM,1074.28,859.43,1.0,966.85,27
HCPCS,C1713,PLATE 3.5 LC-DCP 6HL 77MM,1144.84,915.88,1.0,1030.36,27
HCPCS,C1713,PLATE 3.5 LC-DCP 7HL 90MM,1188.94,951.16,1.0,1070.05,27
HCPCS,C1713,PLATE 3.5 LC-DCP 8HL 103MM,1248.91,999.13,1.0,1124.02,27
HCPCS,C1713,PLATE 3.5 LC-DCP 9HL 116MM,1300.07,1040.06,1.0,1170.06,27
HCPCS,C1713,PLATE 3.5 LCP 10HL 137MM,1277.14,1021.72,1.0,1149.43,27
HCPCS,C1713,PLATE 3.5 LCP 11HL 150MM,1349.46,1079.57,1.0,1214.51,27
HCPCS,C1713,PLATE 3.5 LCP 12HL 163MM,1412.96,1130.37,1.0,1271.66,27
HCPCS,C1713,PLATE 3.5 LCP 13HL 176MM,1640.52,1312.42,1.0,1476.47,27
HCPCS,C1713,PLATE 3.5 LCP 14HL 189MM,1821.96,1457.57,1.0,1639.76,27
HCPCS,C1713,PLATE 3.5 LCP 15HL 202MM,1961.06,1568.85,1.0,1764.95,27
HCPCS,C1713,PLATE 3.5 LCP 16HL 215MM,2050.27,1640.22,1.0,1845.24,27
HCPCS,C1713,PLATE 3.5 LCP 18HL 241MM,2301.26,1841.01,1.0,2071.13,27
HCPCS,C1713,PLATE 3.5 LCP 20HL 267MM,2553.77,2043.02,1.0,2298.39,27
HCPCS,C1713,PLATE 3.5 LCP 22HL 293MM,2558.3,2046.64,1.0,2302.47,27
HCPCS,C1713,PLATE 3.5 LCP 2HL 33MM,994.14,795.32,1.0,894.73,27
HCPCS,C1713,PLATE 3.5 LCP 3HL 46MM,1031.94,825.56,1.0,928.75,27
HCPCS,C1713,PLATE 3.5 LCP 5HL 72MM,1103.76,883.01,1.0,993.38,27
HCPCS,C1713,PLATE 3.5 LCP 6HL 85MM,1070.75,856.6,1.0,963.68,27
HCPCS,C1713,PLATE 3.5 LCP 7HL 98MM,1116.61,893.29,1.0,1004.95,27
HCPCS,C1713,PLATE 3.5 LCP 8HL 111MM,1166.0,932.8,1.0,1049.4,27
HCPCS,C1713,PLATE 3.5 LCP 9HL 124MM,1240.09,992.08,1.0,1116.08,27
HCPCS,C1713,PLATE 3.5MMX110D 6MM OFFSET3HL,6462.4,5169.92,1.0,5816.16,27
HCPCS,C1713,PLATE 3.5MMX120D 6MM OFFSET3HL,6462.4,5169.92,1.0,5816.16,27
HCPCS,C1713,PLATE 4 ORTHOGNATICS FACIALID,29441.64,23553.32,1.0,26497.48,27
HCPCS,C1713,PLATE 8-PLATE GD GROWTH 12MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,PLATE 8-PLATE GD GROWTH 16MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,PLATE ACU-LOC DORSAL NARW LFT,2987.6,2390.08,1.0,2688.84,27
HCPCS,C1713,PLATE ACU-LOC DORSAL NARW RT,2987.6,2390.08,1.0,2688.84,27
HCPCS,C1713,PLATE ACU-LOC DORSAL STD LFT,2987.6,2390.08,1.0,2688.84,27
HCPCS,C1713,PLATE ACU-LOC DORSAL STD RT,2987.6,2390.08,1.0,2688.84,27
HCPCS,C1713,PLATE ACU-LOC EX ACUM NARW,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1713,PLATE ACU-LOC EX ACUM STD,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1713,PLATE ACU-LOC VDU ACUM RT LNG,3059.2,2447.36,1.0,2753.28,27
HCPCS,C1713,PLATE ACU-LOC VDU ACUM STD LFT,3059.2,2447.36,1.0,2753.28,27
HCPCS,C1713,PLATE ACU-LOC VDU ACUM STD RT,3059.2,2447.36,1.0,2753.28,27
HCPCS,C1713,PLATE ACU-LOC VDU LFT LNG,3059.2,2447.36,1.0,2753.28,27
HCPCS,C1713,PLATE ACU-LOC2 DORSAL RIM LFT,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,PLATE ACU-LOC2 EXT NEUT,2642.4,2113.92,1.0,2378.16,27
HCPCS,C1713,PLATE ACU-LOC2 NARW LFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 NARW LFT LNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 NARW RT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 NARW RT LNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX NARW LFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX NARW RT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX NARWLNGLFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX NARWRT LNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX STD LFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX STD LFTLNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX STD RT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX STD RT LNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX WIDE LFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 PROX WIDE RT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 STD LFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 STD LFT LNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 STD RT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 STD RT LNG,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 WIDE LFT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ACU-LOC2 WIDE RT,3340.4,2672.32,1.0,3006.36,27
HCPCS,C1713,PLATE ADIRA RLX 2HL 17MM,27036.0,21628.8,1.0,24332.4,27
HCPCS,C1713,PLATE ADOLESCENT 100D 10X50MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 100D 15X40MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 100D 15X50MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 100D 15X60MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 90D 10X40MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 90D 10X50MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 90D 15X40MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT 90D 15X60MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE ADOLESCENT90D 4HL 40X6MM,4457.6,3566.08,1.0,4011.84,27
HCPCS,C1713,PLATE ADOLESCENT90D 4HL 55X6MM,4457.6,3566.08,1.0,4011.84,27
HCPCS,C1713,PLATE ADPTN COMBI 12HL 2.0X93,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE ADPTN COMBI 12HL 2.4X107,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE ADPTN COMBI 12HL 2.7X107,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE ADPTN COMBI 20HL 2.0X153,3111.68,2489.35,1.0,2800.51,27
HCPCS,C1713,PLATE ADPTN COMBI 20HL 2.4X179,2902.59,2322.08,1.0,2612.33,27
HCPCS,C1713,PLATE ADPTN COMBI 20HL 2.7X177,3353.5,2682.8,1.0,3018.15,27
HCPCS,C1713,PLATE ADPTN COMBI 6HL 2.0X47,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE ADPTN COMBI 6HL 2.4X54,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE ADPTN COMBI 6HL 2.7X54,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE ADPTN LCP 1.5MM 12HL,1402.38,1121.91,1.0,1262.14,27
HCPCS,C1713,PLATE ADPTN LCP 1.5MM 6HL,1402.38,1121.91,1.0,1262.14,27
HCPCS,C1713,PLATE ADPTN LCP 2.0MM 12HL,1418.26,1134.61,1.0,1276.43,27
HCPCS,C1713,PLATE ADPTN LCP 2.4MM 12HL,1562.9,1250.32,1.0,1406.61,27
HCPCS,C1713,PLATE ADPTN LCP 2.7MM 12HL,1562.9,1250.32,1.0,1406.61,27
HCPCS,C1713,PLATE ADPTN LG TI 20HL 0.8MM,2592.58,2074.07,1.0,2333.32,27
HCPCS,C1713,PLATE ADPTN MD TI 20HL 0.7MM,2592.58,2074.07,1.0,2333.32,27
HCPCS,C1713,PLATE ADPTN MICRO TI 20HL 0.4,1837.51,1470.01,1.0,1653.76,27
HCPCS,C1713,PLATE ADPTN MINI TI 20HL 0.5MM,2587.18,2069.75,1.0,2328.46,27
HCPCS,C1713,PLATE ADPTN MTXNEURO TI 5HL,701.28,561.03,1.0,631.15,27
HCPCS,C1713,PLATE ADPTN TI 1.0MM 12HL,2522.12,2017.7,1.0,2269.91,27
HCPCS,C1713,PLATE ADPTN TI 1.0MM 20HL,2684.88,2147.91,1.0,2416.39,27
HCPCS,C1713,PLATE ADPTN VOLT SS 12HL2.0X65,2526.48,2021.19,1.0,2273.83,27
HCPCS,C1713,PLATE ADPTN VOLT SS 12HL2.4X75,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE ADPTN VOLT SS 12HL2.7X84,2727.3,2181.84,1.0,2454.57,27
HCPCS,C1713,PLATE ADPTN VOLT SS 6HL 2.0X33,2526.48,2021.19,1.0,2273.83,27
HCPCS,C1713,PLATE ADPTN VOLT SS 6HL 2.4X38,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE ADPTN VOLT SS 6HL 2.7X42,2727.3,2181.84,1.0,2454.57,27
HCPCS,C1713,PLATE ADPTN VOLT SS20HL2.0X108,2948.18,2358.55,1.0,2653.36,27
HCPCS,C1713,PLATE ADPTN VOLT SS20HL2.4X125,3128.05,2502.44,1.0,2815.25,27
HCPCS,C1713,PLATE ADPTN VOLT SS20HL2.7X140,3578.96,2863.17,1.0,3221.06,27
HCPCS,C1713,PLATE ADPTN W GD 12HL 1.5MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,PLATE ADPTN W GD 6HL 1.5MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,PLATE AEGIS DEPU 17MM,7523.1,6018.48,1.0,6770.79,27
HCPCS,C1713,PLATE AEGIS DEPU 25MM,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE ANCHORAGE LSIFRANC LG LS,3991.96,3193.57,1.0,3592.76,27
HCPCS,C1713,PLATE ANCHORAGE LSIFRANC LG RS,3991.96,3193.57,1.0,3592.76,27
HCPCS,C1713,PLATE ANCHORAGE LSIFRANC MD LS,3991.96,3193.57,1.0,3592.76,27
HCPCS,C1713,PLATE ANCHORAGE LSIFRANC MD RS,3991.96,3193.57,1.0,3592.76,27
HCPCS,C1713,PLATE ANCHORAGE LSIFRANC SM LS,3991.96,3193.57,1.0,3592.76,27
HCPCS,C1713,PLATE ANCHORAGE LSIFRANC SM RS,3991.96,3193.57,1.0,3592.76,27
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 2HL,2953.16,2362.53,1.0,2657.84,27
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 3HL,2953.16,2362.53,1.0,2657.84,27
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 4HL,2953.16,2362.53,1.0,2657.84,27
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 5HL,2953.16,2362.53,1.0,2657.84,27
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 6HL,2953.16,2362.53,1.0,2657.84,27
HCPCS,C1713,PLATE ANCHORAGE UTILITY ST 7HL,2953.16,2362.53,1.0,2657.84,27
HCPCS,C1713,PLATE ANG BD TI 2.0MM 3X3HL,2480.1,1984.08,1.0,2232.09,27
HCPCS,C1713,PLATE ANK ANT DIST GORILLA11HL,6398.0,5118.4,1.0,5758.2,27
HCPCS,C1713,PLATE ANK ANT LCP 6HL 100M,3512.71,2810.17,1.0,3161.44,27
HCPCS,C1713,PLATE ANK ANT TT CP RT,8598.72,6878.98,1.0,7738.85,27
HCPCS,C1713,PLATE ANK ANT TT STD,7496.32,5997.06,1.0,6746.69,27
HCPCS,C1713,PLATE ANK ANTLAT DIST RT 15HL,7774.0,6219.2,1.0,6996.6,27
HCPCS,C1713,PLATE ANK ANTLAT TT STD,7496.32,5997.06,1.0,6746.69,27
HCPCS,C1713,PLATE ANK LATMALLEO HOOK RT6HL,4722.9,3778.32,1.0,4250.61,27
HCPCS,C1713,PLATE ANK MEDL CLOSING DTO SZ2,8580.0,6864.0,1.0,7722.0,27
HCPCS,C1713,PLATE ANK MEDL OPEN HTO RT SZ2,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,PLATE ANK POLYLOCK ST 4HL,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1713,PLATE ANK POLYLOCK ST 5HL,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1713,PLATE ANK POLYLOCK ST 6HL,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1713,PLATE ANK PSTR TRIMALLEO 3HL,3003.0,2402.4,1.0,2702.7,27
HCPCS,C1713,PLATE ANK PSTR TRIMALLEO 4HL,3003.0,2402.4,1.0,2702.7,27
HCPCS,C1713,PLATE ANT 1LVL AVIATOR 4HL12MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE ANT 2LVL AVIATOR 6HL34MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ANT 3LVL AVIATOR 8HL51MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ANT LAT TT FUSN LFT LG,6804.28,5443.43,1.0,6123.85,27
HCPCS,C1713,PLATE ANT LAT TT FUSN LFT SM,6804.28,5443.43,1.0,6123.85,27
HCPCS,C1713,PLATE ANT LAT TT FUSN RT LG,6804.28,5443.43,1.0,6123.85,27
HCPCS,C1713,PLATE ANT LAT TT FUSN RT SM,6804.28,5443.43,1.0,6123.85,27
HCPCS,C1713,PLATE ANT MID VARIAX 10HL 118M,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE ANT MID VARIAX 8HL 97MM,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE ANT SHORELINE 4HL 5MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE ANT SHORELINE THRD4HL7MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE ANT SHORELN 3HL 11MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE ANT ST TT FUSN LFT SM,5785.5,4628.4,1.0,5206.95,27
HCPCS,C1713,PLATE ANT ST TT FUSN RT LG,5785.5,4628.4,1.0,5206.95,27
HCPCS,C1713,PLATE ANT ST TT FUSN RT SM,5785.5,4628.4,1.0,5206.95,27
HCPCS,C1713,PLATE ANT TT CONT LFT LNG,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TT CONT LFT STD,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TT CONT RT STD,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TT FLAT LFT LNG,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TT FLAT LFT STD,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TT FLAT RT LNG,9347.0,7477.6,1.0,8412.3,27
HCPCS,C1713,PLATE ANT TT FLAT RT STD,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TT RT LNG,6541.6,5233.28,1.0,5887.44,27
HCPCS,C1713,PLATE ANT TTC CONT LFT,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TTC CONT RT,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TTC FLAT LFT,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANT TTC FLAT RT,6542.9,5234.32,1.0,5888.61,27
HCPCS,C1713,PLATE ANTCERVLOPROLVL1STER29MM,2982.0,2385.6,1.0,2683.8,27
HCPCS,C1713,PLATE ARM EXT VA TI AXSOS3 5MM,1946.16,1556.93,1.0,1751.54,27
HCPCS,C1713,PLATE ARTX STER SS 2HL,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE ARTX STER TI 2HL,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE ARTX TI 2HL,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE ASSURE 1LVL GM 12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE ASSURE 1LVL GM 14MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE ASSURE 1LVL GM 16MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE ASSURE 1LVL GM 18MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE ASSURE 1LVL GM 22MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 26MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 28MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 30MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 32MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 34MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 36MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 2LVL GM 40MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE ASSURE 3LVL GM 42MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE ASSURE 3LVL GM 45MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE ASSURE 3LVL GM 48MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE ASSURE 3LVL GM 51MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE ASSURE 3LVL GM 54MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE ASSURE 3LVL GM 57MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE ASSURE LVL1 GM 20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE ASSY RETENTION ANT LG,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,PLATE ASSY RETENTION ANT MD,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,PLATE ASSY RETENTION ANT SM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,PLATE ASSY RETENTION OBLIQ LG,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,PLATE ASSY RETENTION OBLIQ MD,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,PLATE ASSY RETENTION OBLIQ SM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,PLATE ATLANTIS 2*DISC 6246320*,2748.8,2199.04,1.0,2473.92,27
HCPCS,C1713,PLATE ATLANTIS STD 4LVL*NLU*,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 19MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 21MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 23MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 25MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 35MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 37.5,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 40MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 42.5,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 45MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 47.5,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 52.5,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 55MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 57MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 60MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ATLANTIS VISION1LVL 62.5,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ATLANTIS VISION2LVL 47.5,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE ATLANTIS VISION2LVL 52.5,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE ATLANTIS W*DISC 6201600*,2748.8,2199.04,1.0,2473.92,27
HCPCS,C1713,PLATE ATLANTIS WIN 1LVL 21MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE ATLANTIS WIN 1LVL 25MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE ATLANTIS WIN 1LVL 27.5MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE ATLANTIS WIN 2LVL 32.5MM,2748.8,2199.04,1.0,2473.92,27
HCPCS,C1713,PLATE ATLANTIS WIN 2LVL 40MM,2748.8,2199.04,1.0,2473.92,27
HCPCS,C1713,PLATE ATLANTIS WIN 35MM*DISC*,2748.8,2199.04,1.0,2473.92,27
HCPCS,C1713,PLATE BASE DIST ULNA LFT LNG67,2486.34,1989.08,1.0,2237.71,27
HCPCS,C1713,PLATE BASE DIST ULNA RT LNG 67,2486.34,1989.08,1.0,2237.71,27
HCPCS,C1713,PLATE BASE DIST ULNA RT SHRT43,2486.34,1989.08,1.0,2237.71,27
HCPCS,C1713,PLATE BD CURV 10HL 3.5MM,2032.13,1625.71,1.0,1828.92,27
HCPCS,C1713,PLATE BD CURV 12HL 3.5MM,2263.46,1810.77,1.0,2037.11,27
HCPCS,C1713,PLATE BD CURV 14HL 3.5MM,2426.76,1941.41,1.0,2184.08,27
HCPCS,C1713,PLATE BD CURV 16HL 3.5MM,2621.81,2097.45,1.0,2359.63,27
HCPCS,C1713,PLATE BD CURV 18HL 3.5MM,2624.83,2099.87,1.0,2362.35,27
HCPCS,C1713,PLATE BD CURV 20HL 3.5MM,2794.18,2235.35,1.0,2514.76,27
HCPCS,C1713,PLATE BD CURV 22HL 3.5MM,2943.36,2354.69,1.0,2649.02,27
HCPCS,C1713,PLATE BD CURV 24HL 3.5MM,2943.36,2354.69,1.0,2649.02,27
HCPCS,C1713,PLATE BD CURV 26HL 3.5MM,3122.11,2497.69,1.0,2809.9,27
HCPCS,C1713,PLATE BD CURV 28HL 3.5MM,3001.15,2400.92,1.0,2701.04,27
HCPCS,C1713,PLATE BD CURV 30HL 3.5MM,3272.81,2618.25,1.0,2945.53,27
HCPCS,C1713,PLATE BD CURV STER 10HL 3.5MM,1917.22,1533.78,1.0,1725.5,27
HCPCS,C1713,PLATE BD ST 10HL 2.7X110MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE BD ST 10HL 3.5X160MM,6795.6,5436.48,1.0,6116.04,27
HCPCS,C1713,PLATE BD ST 11HL 3.5X181MM,6795.6,5436.48,1.0,6116.04,27
HCPCS,C1713,PLATE BD ST 12HL 2.7X134MM,5465.6,4372.48,1.0,4919.04,27
HCPCS,C1713,PLATE BD ST 13HL 3.5X215MM,8268.0,6614.4,1.0,7441.2,27
HCPCS,C1713,PLATE BD ST 14HL 2.7X158MM,5465.6,4372.48,1.0,4919.04,27
HCPCS,C1713,PLATE BD ST 14HL 3.5X228MM,8702.2,6961.76,1.0,7831.98,27
HCPCS,C1713,PLATE BD ST 4HL 2.7X38MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE BD ST 4HL 3.5X62MM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE BD ST 5HL 3.5X79MM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE BD ST 6HL 2.7X62MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE BD ST 6HL 3.5X92MM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE BD ST 7HL 3.5X113MM,3749.2,2999.36,1.0,3374.28,27
HCPCS,C1713,PLATE BD ST 8HL 2.7X86MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE BD ST 8HL 3.5X126MM,5154.8,4123.84,1.0,4639.32,27
HCPCS,C1713,PLATE BD ST 9HL 3.5X147MM,6795.6,5436.48,1.0,6116.04,27
HCPCS,C1713,PLATE BIF 115D 5X30MM,1575.25,1260.2,1.0,1417.73,27
HCPCS,C1713,PLATE BIF 115D 5X35MM,1575.25,1260.2,1.0,1417.73,27
HCPCS,C1713,PLATE BIF DCP 115D 3.5X30X5MM,1832.8,1466.24,1.0,1649.52,27
HCPCS,C1713,PLATE BONE CRANI*DISC 6333354*,30000.0,24000.0,1.0,27000.0,27
HCPCS,C1713,PLATE BONE CRANI*DISC 6333355*,35760.0,28608.0,1.0,32184.0,27
HCPCS,C1713,PLATE BONE MAND *DISC 6333356*,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1713,PLATE BONE MAND *DISC 6333357*,21600.0,17280.0,1.0,19440.0,27
HCPCS,C1713,PLATE BONE MAND *DISC 6333358*,25440.0,20352.0,1.0,22896.0,27
HCPCS,C1713,PLATE BONE MIDFA*DISC 6333360*,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1713,PLATE BONE MIDFA*DISC 6333361*,3184.0,2547.2,1.0,2865.6,27
HCPCS,C1713,PLATE BONE MIDFA*DISC 6333362*,17760.0,14208.0,1.0,15984.0,27
HCPCS,C1713,PLATE BONE MIDFA*DISC 6333363*,22560.0,18048.0,1.0,20304.0,27
HCPCS,C1713,PLATE BONE VOLT 8HL 3.5X104MM,2627.33,2101.87,1.0,2364.6,27
HCPCS,C1713,PLATE BOX MICRO TI 10X10X0.4MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE BOX MTXNEURO TI 10X16MM,719.1,575.28,1.0,647.19,27
HCPCS,C1713,PLATE BOX MTXNEURO TI 14X14MM,775.35,620.28,1.0,697.82,27
HCPCS,C1713,PLATE BOX TI 4HL 10X10X0.7MM,1365.17,1092.14,1.0,1228.65,27
HCPCS,C1713,PLATE BOX TI 4HL 5X10X0.4MM,1344.29,1075.44,1.0,1209.86,27
HCPCS,C1713,PLATE BOX TI 4HL 5X10X0.5MM,1021.55,817.24,1.0,919.4,27
HCPCS,C1713,PLATE BOX TI 4HL 5X10X0.7MM,1344.29,1075.44,1.0,1209.86,27
HCPCS,C1713,PLATE BRIDGE ST 6HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE BRIDGE ST ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE BRIGADE LORD 42MM,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE BTRS CAYMAN 22MM,2531.2,2024.96,1.0,2278.08,27
HCPCS,C1713,PLATE BTRS CAYMAN 24MM,2531.2,2024.96,1.0,2278.08,27
HCPCS,C1713,PLATE BTRS TI LVL1 RT11HL22X23,1405.61,1124.49,1.0,1265.05,27
HCPCS,C1713,PLATE BTRS TI LVL1LFT11HL22X23,1777.4,1421.92,1.0,1599.66,27
HCPCS,C1713,PLATE BUR HL LOPRO KLS 17MM,544.05,435.24,1.0,489.65,27
HCPCS,C1713,PLATE BUR LOPRO KLS 0.3X17MM,1011.2,808.96,1.0,910.08,27
HCPCS,C1713,PLATE CAGE ARTX 10HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE CALC ANT PROCESS LFT LNG,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC ANT PROCESS LFT STD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC ANT PROCESS RT LNG,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC ANT PROCESS RT STD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC MESH STRY LG,2625.59,2100.48,1.0,2363.03,27
HCPCS,C1713,PLATE CALC MESH STRY MD,2625.59,2100.48,1.0,2363.03,27
HCPCS,C1713,PLATE CALC MESH STRY SM,2625.59,2100.48,1.0,2363.03,27
HCPCS,C1713,PLATE CALC PERC ANT PSTR RTLNG,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERC ANT PSTR RTSTD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERC ANT PSTRLFTLNG,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERC ANT PSTRLFTSTD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERIMETER LFT LG,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERIMETER LFT MD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERIMETER LFT SM,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERIMETER RT MD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERIMETER RT SM,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC PERIMETERARSENAL RT,3234.0,2587.2,1.0,2910.6,27
HCPCS,C1713,PLATE CALC PERIMETERARSENALLFT,3234.0,2587.2,1.0,2910.6,27
HCPCS,C1713,PLATE CALC SLIDE ARSENAL UNIV,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,PLATE CALC STEP ARTX 5MM,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE CALC STRY MD,2625.59,2100.48,1.0,2363.03,27
HCPCS,C1713,PLATE CALC STRY STD LG,2625.59,2100.48,1.0,2363.03,27
HCPCS,C1713,PLATE CALC STRY STD SM,2625.59,2100.48,1.0,2363.03,27
HCPCS,C1713,PLATE CALC TI 60MM,5317.2,4253.76,1.0,4785.48,27
HCPCS,C1713,PLATE CALC TI 70MM,5356.4,4285.12,1.0,4820.76,27
HCPCS,C1713,PLATE CALC VA LFT LNG2.7X56MM,2423.23,1938.59,1.0,2180.91,27
HCPCS,C1713,PLATE CALC VA LG LFT 2.7X70MM,2548.22,2038.58,1.0,2293.4,27
HCPCS,C1713,PLATE CALC VA LG RT 2.7X70MM,2548.22,2038.58,1.0,2293.4,27
HCPCS,C1713,PLATE CALC VA MD LFT 2.7X64MM,2529.41,2023.53,1.0,2276.47,27
HCPCS,C1713,PLATE CALC VA MD RT 2.7X64MM,2529.41,2023.53,1.0,2276.47,27
HCPCS,C1713,PLATE CALC VA RT LNG 2.7X56MM,2423.23,1938.59,1.0,2180.91,27
HCPCS,C1713,PLATE CALC VA SHRT LFT2.7X40MM,2623.32,2098.66,1.0,2360.99,27
HCPCS,C1713,PLATE CALC VA SHRT RT 2.7X40MM,2623.32,2098.66,1.0,2360.99,27
HCPCS,C1713,PLATE CALC VA SM LFT 2.7X58MM,2511.94,2009.56,1.0,2260.75,27
HCPCS,C1713,PLATE CALC VA SM RT 2.7X58MM,2511.94,2009.56,1.0,2260.75,27
HCPCS,C1713,PLATE CALC VA STER LFTLNG27X56,2663.81,2131.05,1.0,2397.43,27
HCPCS,C1713,PLATE CALC VA STERLGRT2.7X70MM,2802.24,2241.8,1.0,2522.02,27
HCPCS,C1713,PLATE CALC VA STERMDRT2.7X64MM,2782.08,2225.67,1.0,2503.87,27
HCPCS,C1713,PLATE CALC VA STERSHRTLFT27X40,2563.01,2050.41,1.0,2306.71,27
HCPCS,C1713,PLATE CALC VA STERSHRTRT2.7X40,2563.01,2050.41,1.0,2306.71,27
HCPCS,C1713,PLATE CALC VA STERSMRT2.7X58MM,2760.58,2208.47,1.0,2484.52,27
HCPCS,C1713,PLATE CALC VARTLNGSTER2.7X56MM,2663.81,2131.05,1.0,2397.43,27
HCPCS,C1713,PLATE CALC VASTERLGLFT2.7X70MM,2802.24,2241.8,1.0,2522.02,27
HCPCS,C1713,PLATE CALC VASTERMDLFT2.7X64MM,2782.08,2225.67,1.0,2503.87,27
HCPCS,C1713,PLATE CALC VASTERSMLFT2.7X58MM,2760.58,2208.47,1.0,2484.52,27
HCPCS,C1713,PLATE CALCANEAL MIS S7 7HL,5745.6,4596.48,1.0,5171.04,27
HCPCS,C1713,PLATE CALCANEAL OSTE 6.5MM,2768.0,2214.4,1.0,2491.2,27
HCPCS,C1713,PLATE CALCANEAL ZIMM LG*DISC*,2188.8,1751.04,1.0,1969.92,27
HCPCS,C1713,PLATE CALCANEAL ZIMM XL*DISC*,2188.8,1751.04,1.0,1969.92,27
HCPCS,C1713,PLATE CAYMAN UNITED 2HL SZ2,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE CAYMAN UNITED LFT1HLSZ16,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE CAYMAN UNITED LFT1HLSZ18,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE CAYMAN UNITED LFT1HLSZ22,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE CC STRTM LFT LG,4258.8,3407.04,1.0,3832.92,27
HCPCS,C1713,PLATE CC STRTM LFT SM,4074.0,3259.2,1.0,3666.6,27
HCPCS,C1713,PLATE CC STRTM RT LG,4258.8,3407.04,1.0,3832.92,27
HCPCS,C1713,PLATE CC STRTM RT SM,4074.0,3259.2,1.0,3666.6,27
HCPCS,C1713,PLATE CERV 3 LVL 68MM,2611.2,2088.96,1.0,2350.08,27
HCPCS,C1713,PLATE CERV ADMRL LVL1 11MM,2332.8,1866.24,1.0,2099.52,27
HCPCS,C1713,PLATE CERV ADMRL LVL1 13MM,2332.8,1866.24,1.0,2099.52,27
HCPCS,C1713,PLATE CERV ADMRL LVL1 14MM,2332.8,1866.24,1.0,2099.52,27
HCPCS,C1713,PLATE CERV ADMRL LVL1 16MM,2332.8,1866.24,1.0,2099.52,27
HCPCS,C1713,PLATE CERV ADMRL LVL1 22MM,2332.8,1866.24,1.0,2099.52,27
HCPCS,C1713,PLATE CERV ADMRL LVL1 24MM,2332.8,1866.24,1.0,2099.52,27
HCPCS,C1713,PLATE CERV ADMRL LVL2 40MM,2599.2,2079.36,1.0,2339.28,27
HCPCS,C1713,PLATE CERV ADMRL LVL3 45MM,2611.2,2088.96,1.0,2350.08,27
HCPCS,C1713,PLATE CERV ADMRL LVL3 48MM,2611.2,2088.96,1.0,2350.08,27
HCPCS,C1713,PLATE CERV ADMRL LVL3 51MM,2611.2,2088.96,1.0,2350.08,27
HCPCS,C1713,PLATE CERV ADMRL LVL3 54MM,2611.2,2088.96,1.0,2350.08,27
HCPCS,C1713,PLATE CERV ADMRL LVL4 70MM,2832.0,2265.6,1.0,2548.8,27
HCPCS,C1713,PLATE CERV ANT ACP TI 1LVL20MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 1LVL22MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 1LVL24MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 2LVL38MM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 2LVL42MM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 2LVL44MM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 3LVL54MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 3LVL60MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 4LVL66MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 4LVL70MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI 4LVL86MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI DLVL36MM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI TLVL48MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1713,PLATE CERV ANT ACP TI TLVL62MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1713,PLATE CERV ANT INSIGNIA 1LVL20,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 18MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 20MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 22MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 24MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 57MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 60MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV ANT OZARK 1LVL 63MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV ANT X*DISC NO REPL*,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 10MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 14MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 16MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 18MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 22MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 24MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 1LVL 26MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 24MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 26MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 28MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 30MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 32MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 34MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 36MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 38MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 40MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 42MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 2LVL 44MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 39MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 42MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 45MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 48MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 51MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 54MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 57MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 60MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 3LVL 63MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 60MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 63MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 66MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 69MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 72MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 75MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 78MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 4LVL 81MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 5LVL 83MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,PLATE CERV ANT XTEND 5LVL 86MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,PLATE CERV LK VA 1LVL CSLP31MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV LK VA 2LVL CSLP31MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV LK VA 3LVL CSLP51MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV LK VA 4LVL CSLP60MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK 1LVL 18MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV OZARK 1LVL 20MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV OZARK 1LVL 22MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV OZARK 1LVL 24MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV OZARK 1LVL 26MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV OZARK 1LVL 34MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE CERV OZARK 2LVL 36MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK 2LVL 38MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK 2LVL 40MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK 2LVL 42MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK 2LVL 46MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK 2LVL TI 34MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK 3LVL 48MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 3LVL 54MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 3LVL 57MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 3LVL 60MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 3LVL 63MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 3LVL 69MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 3LVL TI 54MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE CERV OZARK 4LVL 51MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK 4LVL 65MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK 4LVL 69MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK 4LVL 77MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK 4LVL 85MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK 4LVL 93MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE CERV OZARK AA 2LVL 38MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV OZARK AA 2LVL 40MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE CERV UNION STD 3LVL 57MM,3724.0,2979.2,1.0,3351.6,27
HCPCS,C1713,PLATE CERV UNION STD 4LVL 64MM,4522.0,3617.6,1.0,4069.8,27
HCPCS,C1713,PLATE CERV XTEND XTRLORD1LVL12,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CERV XTEND XTRLORD1LVL14,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE CHAMPY TI LVL1 RT6HL9X41,1490.16,1192.13,1.0,1341.14,27
HCPCS,C1713,PLATE CHAMPY TI LVL1LFT6HL9X41,1490.16,1192.13,1.0,1341.14,27
HCPCS,C1713,PLATE CHILD 100D 3HL 40X6MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 100D 3HL 45X6MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 80D 4.5X45MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE CHILD 90D 3HL 35X10MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 90D 3HL 35X6MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 90D 3HL 40X10MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 90D 3HL 40X6MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 90D 3HL 45X10MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 90D 3HL 45X6MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHILD 90D 3HL 50X6MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE CHIN 2.0 MINI TI 5MM,829.76,663.81,1.0,746.78,27
HCPCS,C1713,PLATE CHIN 2.0 MINI TI 7MM,829.76,663.81,1.0,746.78,27
HCPCS,C1713,PLATE CHIN 2.0 MINI TI 9MM,829.76,663.81,1.0,746.78,27
HCPCS,C1713,PLATE CHIN GRIFFIN KLS 7MM,676.94,541.56,1.0,609.25,27
HCPCS,C1713,PLATE CHIN GRIFFIN KLS 9MM,703.71,562.97,1.0,633.34,27
HCPCS,C1713,PLATE CHIN GRIFFIN TI 4HL 5MM,638.1,510.48,1.0,574.29,27
HCPCS,C1713,PLATE CHIN OSTE 6MM,1882.8,1506.24,1.0,1694.52,27
HCPCS,C1713,PLATE CHIN OSTE 8MM,1882.8,1506.24,1.0,1694.52,27
HCPCS,C1713,PLATE CITADEL ANT 2LVL 54MM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1713,PLATE CITADEL ANT 2LVL 60MM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1713,PLATE CLAV +CURV STD LFT 8HL97,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE CLAV ANT LFT 6HL 3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV ANT LFT 7HL 3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV ANT LFT 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV ANT RT 6HL 3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV ANT RT 7HL 3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV ANT RT 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV ANT ST 6HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV ANT ST 7HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV ANT ST 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV ANT STER 6HL 3.5MM,3197.38,2557.91,1.0,2877.64,27
HCPCS,C1713,PLATE CLAV ANT STER RT6HL3.5MM,3038.78,2431.03,1.0,2734.9,27
HCPCS,C1713,PLATE CLAV ANT STER RT7HL3.5MM,3116.74,2493.4,1.0,2805.07,27
HCPCS,C1713,PLATE CLAV ANT STERLFT6HL3.5MM,3038.78,2431.03,1.0,2734.9,27
HCPCS,C1713,PLATE CLAV ANT STERLFT7HL3.5MM,3116.74,2493.4,1.0,2805.07,27
HCPCS,C1713,PLATE CLAV CENT 1/3 10HL RT MD,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV CENT 1/3 7HL RT SM,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV CENT 1/3 8HL LFT MD,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV CENT 1/3 8HL LFT SM,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV CENT 1/3 8HL RT XS,2948.48,2358.79,1.0,2653.63,27
HCPCS,C1713,PLATE CLAV DIST 1/3 5HL LFT SM,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV DIST 1/3 5HL RT SM,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV DIST 1/3 8HL LFT MD,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV DIST 1/3 8HL RT MD,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE CLAV DIST RT 9HL 3.5MM,3441.2,2752.96,1.0,3097.08,27
HCPCS,C1713,PLATE CLAV EXT LFT 3HL 3.5MM,2643.65,2114.92,1.0,2379.29,27
HCPCS,C1713,PLATE CLAV EXT LFT 5HL 3.5MM,2732.35,2185.88,1.0,2459.12,27
HCPCS,C1713,PLATE CLAV EXT LFT 6HL 3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV EXT LFT 7HL 3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV EXT LFT 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV EXT LFTSTER3HL3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV EXT RT 3HL 3.5MM,2643.65,2114.92,1.0,2379.29,27
HCPCS,C1713,PLATE CLAV EXT RT 4HL 3.5MM,2685.31,2148.25,1.0,2416.78,27
HCPCS,C1713,PLATE CLAV EXT RT 5HL 3.5MM,2732.35,2185.88,1.0,2459.12,27
HCPCS,C1713,PLATE CLAV EXT RT 6HL 3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV EXT RT 7HL 3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV EXT RT 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV EXT RT STER4HL3.5MM,2952.77,2362.22,1.0,2657.49,27
HCPCS,C1713,PLATE CLAV EXT STER RT3HL3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV EXT STER RT5HL3.5MM,3005.18,2404.15,1.0,2704.66,27
HCPCS,C1713,PLATE CLAV EXT STER RT8HL3.5MM,3197.38,2557.91,1.0,2877.64,27
HCPCS,C1713,PLATE CLAV EXT STERLFT4HL3.5MM,2952.77,2362.22,1.0,2657.49,27
HCPCS,C1713,PLATE CLAV EXT STERLFT5HL3.5MM,3005.18,2404.15,1.0,2704.66,27
HCPCS,C1713,PLATE CLAV EXT STERLFT6HL3.5MM,3038.78,2431.03,1.0,2734.9,27
HCPCS,C1713,PLATE CLAV EXTSTERRT6HL3.5X108,3038.78,2431.03,1.0,2734.9,27
HCPCS,C1713,PLATE CLAV HOOK 3.5 LFT4HL12MM,2850.62,2280.5,1.0,2565.56,27
HCPCS,C1713,PLATE CLAV HOOK 3.5 LFT4HL15MM,2850.62,2280.5,1.0,2565.56,27
HCPCS,C1713,PLATE CLAV HOOK 3.5 LFT4HL18MM,2850.62,2280.5,1.0,2565.56,27
HCPCS,C1713,PLATE CLAV HOOK 3.5 RT 4HL15MM,2850.62,2280.5,1.0,2565.56,27
HCPCS,C1713,PLATE CLAV HOOK 3.5 RT 4HL18MM,2850.62,2280.5,1.0,2565.56,27
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5 RT12MM,2981.16,2384.93,1.0,2683.04,27
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5 RT15MM,2981.16,2384.93,1.0,2683.04,27
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5 RT18MM,2981.16,2384.93,1.0,2683.04,27
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5LFT12MM,2981.16,2384.93,1.0,2683.04,27
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5LFT15MM,2981.16,2384.93,1.0,2683.04,27
HCPCS,C1713,PLATE CLAV HOOK 5HL 3.5LFT18MM,2981.16,2384.93,1.0,2683.04,27
HCPCS,C1713,PLATE CLAV HOOK 6HL 3.5 RT15MM,3065.83,2452.67,1.0,2759.25,27
HCPCS,C1713,PLATE CLAV HOOK 6HL 3.5 RT18MM,3065.83,2452.67,1.0,2759.25,27
HCPCS,C1713,PLATE CLAV HOOK 6HL 3.5LFT15MM,3065.83,2452.67,1.0,2759.25,27
HCPCS,C1713,PLATE CLAV HOOK 6HL 3.5LFT18MM,3065.83,2452.67,1.0,2759.25,27
HCPCS,C1713,PLATE CLAV LAT ANT 7HL 2.7/3.5,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV LAT ANT 9HL 2.7/3.6,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV LAT ANT10HL 2.7/3.7,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV LAT ANT11HL 2.7/3.8,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV LAT ANT12HL 2.7/3.9,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV LAT CS1 SS LFT 2.7,3017.6,2414.08,1.0,2715.84,27
HCPCS,C1713,PLATE CLAV LAT CS1 SS RT 2.7,3017.6,2414.08,1.0,2715.84,27
HCPCS,C1713,PLATE CLAV LAT CS2 SS LFT 2.7,2969.02,2375.22,1.0,2672.12,27
HCPCS,C1713,PLATE CLAV LAT CS2 SS RT 2.7,2969.02,2375.22,1.0,2672.12,27
HCPCS,C1713,PLATE CLAV LAT CS3 SS LFT 2.7,2973.44,2378.76,1.0,2676.1,27
HCPCS,C1713,PLATE CLAV LAT CS3 SS RT 2.7,2973.44,2378.76,1.0,2676.1,27
HCPCS,C1713,PLATE CLAV LAT CS3 STER RT 2.7,2861.94,2289.56,1.0,2575.75,27
HCPCS,C1713,PLATE CLAV LOPRO LG RT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV LOPRO MD RT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV LOPRO ST RT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV NARW LFT 6HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV NARW LG LFT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV NARW LG RT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV NARW RT 6HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV NARW ST LFT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV NARW ST RT 8HL,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,PLATE CLAV SHAFT CS1 SS RT 2.7,2870.4,2296.32,1.0,2583.36,27
HCPCS,C1713,PLATE CLAV SHAFT CS1 SSLFT2.7,2870.4,2296.32,1.0,2583.36,27
HCPCS,C1713,PLATE CLAV SHAFT CS1 TI RT 2.7,3157.44,2525.96,1.0,2841.7,27
HCPCS,C1713,PLATE CLAV SHAFT CS1STERLFT2.7,3157.44,2525.96,1.0,2841.7,27
HCPCS,C1713,PLATE CLAV SHAFT CS2 SS LFT2.7,2785.02,2228.02,1.0,2506.52,27
HCPCS,C1713,PLATE CLAV SHAFT CS2 SS RT 2.7,2785.02,2228.02,1.0,2506.52,27
HCPCS,C1713,PLATE CLAV SHAFT CS2 STERRT2.7,3063.23,2450.59,1.0,2756.91,27
HCPCS,C1713,PLATE CLAV SHAFT CS2 TI RT 2.7,3063.23,2450.59,1.0,2756.91,27
HCPCS,C1713,PLATE CLAV SHAFT CS3 SS LFT2.7,2833.6,2266.88,1.0,2550.24,27
HCPCS,C1713,PLATE CLAV SHAFT CS3 SS RT 2.7,2833.6,2266.88,1.0,2550.24,27
HCPCS,C1713,PLATE CLAV SHAFT CS3 STERRT2.7,3117.7,2494.16,1.0,2805.93,27
HCPCS,C1713,PLATE CLAV SHAFT CS3STERLFT2.7,3117.7,2494.16,1.0,2805.93,27
HCPCS,C1713,PLATE CLAV SUPR EXT RT6HL3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV SUPR EXT RT7HL3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV SUPR EXTLFT6HL3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV SUPR EXTLFT7HL3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV SUPR EXTLFT8HL3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV SUPR EXTRT 8HL3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV SUPR LFT 6HL 3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV SUPR LFT 7HL 3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV SUPR LFT 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV SUPR RT 6HL 3.5MM,2761.92,2209.54,1.0,2485.73,27
HCPCS,C1713,PLATE CLAV SUPR RT 7HL 3.5MM,2833.15,2266.52,1.0,2549.84,27
HCPCS,C1713,PLATE CLAV SUPR RT 8HL 3.5MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE CLAV SUPR STERLFT7HL3.5M,3116.74,2493.4,1.0,2805.07,27
HCPCS,C1713,PLATE CLAV SUPR STERRT7HL3.5MM,3116.74,2493.4,1.0,2805.07,27
HCPCS,C1713,PLATE CLAV SUPRSTERLFT8HL3.5MM,3197.38,2557.91,1.0,2877.64,27
HCPCS,C1713,PLATE CLAV VALCP LFT SHT 2.7X9,2999.75,2399.8,1.0,2699.78,27
HCPCS,C1713,PLATE CLAV VALCP LFT SHT2.7X12,2999.75,2399.8,1.0,2699.78,27
HCPCS,C1713,PLATE CLAV VALCP RT LNG 12X2.7,3021.65,2417.32,1.0,2719.49,27
HCPCS,C1713,PLATE CLAV VALCP RT LNG 2.7X15,3021.65,2417.32,1.0,2719.49,27
HCPCS,C1713,PLATE CLSD FUSN LG,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE CLSD FUSN SM,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE CMF MESH TI 53X33X0,4403.2,3522.56,1.0,3962.88,27
HCPCS,C1713,PLATE COALTN AGX 14X10MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X11MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X12MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X5MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X6MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X7MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X8MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 14X9MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X10MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X11MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X12MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X5MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X6MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X7MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X8MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 16X9MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X10MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X11MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X12MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X5MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X6MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X7MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X8MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 18X9MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X10MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X11MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X12MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X5MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X6MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X7MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X8MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX 20X9MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE COALTN AGX RP 14X5MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 14X6MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 14X7MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 14X8MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X10MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X11MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X12MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X5MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X6MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X7MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X8MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 18X9MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X10MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X11MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X12MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X5MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X6MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X7MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X8MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP 20X9MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX RP LOW 16X9MM,4158.0,3326.4,1.0,3742.2,27
HCPCS,C1713,PLATE COALTN AGX*DISC NO REPL*,4194.4,3355.52,1.0,3774.96,324
HCPCS,C1713,PLATE COMP 2.7MM 4HL,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1713,PLATE COMP FUSN,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE COMP MTP PET LFT OD,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE COMP MTP PET RT 5D,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE COMP MTP STD LFT 0D,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE COMP NARW 7HL 4.5X119MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,PLATE COMP NARW ST 12HL 150MM,2548.74,2039.0,1.0,2293.87,27
HCPCS,C1713,PLATE COMP UNITE 2HL LNG,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,PLATE COMPACT ST 10HL 2.0X52,2948.18,2358.55,1.0,2653.36,27
HCPCS,C1713,PLATE COMPACT ST 10HL 2.4X70,3128.05,2502.44,1.0,2815.25,27
HCPCS,C1713,PLATE COMPACT ST 10HL 2.7X76,3578.96,2863.17,1.0,3221.06,27
HCPCS,C1713,PLATE COMPACT ST 4HL 2.4X31,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE COMPACT ST 4HL 2.7X34,2727.3,2181.84,1.0,2454.57,27
HCPCS,C1713,PLATE COMPACT ST 5HL 2.0X29,2526.48,2021.19,1.0,2273.83,27
HCPCS,C1713,PLATE COMPACT ST 5HL 2.4X38,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE COMPACT ST 5HL 2.7X41,2727.3,2181.84,1.0,2454.57,27
HCPCS,C1713,PLATE COMPACT ST 6HL 2.0X34,2526.48,2021.19,1.0,2273.83,27
HCPCS,C1713,PLATE COMPACT ST 6HL 2.4X44,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE COMPACT ST 6HL 2.7X48,2727.3,2181.84,1.0,2454.57,27
HCPCS,C1713,PLATE COMPACT ST 7HL 2.0X38,2526.48,2021.19,1.0,2273.83,27
HCPCS,C1713,PLATE COMPACT ST 7HL 2.4X51,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE COMPACT ST 7HL 2.7X55,2727.3,2181.84,1.0,2454.57,27
HCPCS,C1713,PLATE COMPACT ST 8HL 2.0X43,2948.18,2358.55,1.0,2653.36,27
HCPCS,C1713,PLATE COMPACT ST 8HL 2.4X57,3128.05,2502.44,1.0,2815.25,27
HCPCS,C1713,PLATE COMPACT ST 8HL 2.7X62,3578.96,2863.17,1.0,3221.06,27
HCPCS,C1713,PLATE COND 12HL 50MM,3718.51,2974.81,1.0,3346.66,27
HCPCS,C1713,PLATE COND 12HL 60MM,3718.51,2974.81,1.0,3346.66,27
HCPCS,C1713,PLATE COND 12HL 70MM,3718.51,2974.81,1.0,3346.66,27
HCPCS,C1713,PLATE COND 12HL 80MM,3718.51,2974.81,1.0,3346.66,27
HCPCS,C1713,PLATE COND 16HL 60X267MM,5889.41,4711.53,1.0,5300.47,27
HCPCS,C1713,PLATE COND 16HL 70X267MM,5889.41,4711.53,1.0,5300.47,27
HCPCS,C1713,PLATE COND 16HL 80X267MM,5889.41,4711.53,1.0,5300.47,27
HCPCS,C1713,PLATE COND 2.0MM LFT 7HL,2440.7,1952.56,1.0,2196.63,27
HCPCS,C1713,PLATE COND 2.0MM RT 7HL,2440.7,1952.56,1.0,2196.63,27
HCPCS,C1713,PLATE COND 5HL 50MM,3091.7,2473.36,1.0,2782.53,27
HCPCS,C1713,PLATE COND 5HL 60MM,3091.7,2473.36,1.0,2782.53,27
HCPCS,C1713,PLATE COND 5HL 70MM,3091.7,2473.36,1.0,2782.53,27
HCPCS,C1713,PLATE COND 5HL 80MM,3091.7,2473.36,1.0,2782.53,27
HCPCS,C1713,PLATE COND 7HL 50MM,3258.7,2606.96,1.0,2932.83,27
HCPCS,C1713,PLATE COND 7HL 60MM,3258.7,2606.96,1.0,2932.83,27
HCPCS,C1713,PLATE COND 7HL 70MM,3258.7,2606.96,1.0,2932.83,27
HCPCS,C1713,PLATE COND 7HL 80MM,3258.7,2606.96,1.0,2932.83,27
HCPCS,C1713,PLATE COND 95D 18HL 80X299MM,6656.83,5325.47,1.0,5991.15,27
HCPCS,C1713,PLATE COND 9HL 50MM,3415.1,2732.08,1.0,3073.59,27
HCPCS,C1713,PLATE COND 9HL 60MM,3415.1,2732.08,1.0,3073.59,27
HCPCS,C1713,PLATE COND 9HL 70MM,3415.1,2732.08,1.0,3073.59,27
HCPCS,C1713,PLATE COND 9HL 80MM,3415.1,2732.08,1.0,3073.59,27
HCPCS,C1713,PLATE COND CURV LCP LFT 6HL4.5,4887.96,3910.37,1.0,4399.16,27
HCPCS,C1713,PLATE COND CURV LCP LFT 8HL4.5,4907.28,3925.83,1.0,4416.55,27
HCPCS,C1713,PLATE COND CURV LCP LFT10HL4.5,5078.58,4062.87,1.0,4570.72,27
HCPCS,C1713,PLATE COND CURV LCP LFT12HL4.5,5162.3,4129.84,1.0,4646.07,27
HCPCS,C1713,PLATE COND CURV LCP LFT14HL4.5,5555.14,4444.12,1.0,4999.63,27
HCPCS,C1713,PLATE COND CURV LCP LFT16HL4.5,5762.51,4610.01,1.0,5186.26,27
HCPCS,C1713,PLATE COND CURV LCP LFT18HL4.5,6371.74,5097.4,1.0,5734.57,27
HCPCS,C1713,PLATE COND CURV LCP LFT26HL4.5,6451.51,5161.21,1.0,5806.36,27
HCPCS,C1713,PLATE COND CURV LCP RT 10HL4.5,5078.58,4062.87,1.0,4570.72,27
HCPCS,C1713,PLATE COND CURV LCP RT 12HL4.5,5162.3,4129.84,1.0,4646.07,27
HCPCS,C1713,PLATE COND CURV LCP RT 14HL4.5,5555.14,4444.12,1.0,4999.63,27
HCPCS,C1713,PLATE COND CURV LCP RT 16HL4.5,5762.51,4610.01,1.0,5186.26,27
HCPCS,C1713,PLATE COND CURV LCP RT 18HL4.5,6371.74,5097.4,1.0,5734.57,27
HCPCS,C1713,PLATE COND CURV LCP RT 6HL 4.5,4887.96,3910.37,1.0,4399.16,27
HCPCS,C1713,PLATE COND CURV LCP RT 8HL 4.5,4907.28,3925.83,1.0,4416.55,27
HCPCS,C1713,PLATE COND CURV LCP RT20HL 4.5,7277.66,5822.13,1.0,6549.89,27
HCPCS,C1713,PLATE COND LCP 1.5MM 6HL,1758.71,1406.97,1.0,1582.84,27
HCPCS,C1713,PLATE COND LCP 2.0MM 7HL,2260.44,1808.36,1.0,2034.4,27
HCPCS,C1713,PLATE COND LCP LFT 7HL 1.5MM,1776.35,1421.08,1.0,1598.72,27
HCPCS,C1713,PLATE COND LCP RT 7HL 1.5MM,1776.35,1421.08,1.0,1598.72,27
HCPCS,C1713,PLATE COND LFT 10HL 4.5MM,3960.77,3168.62,1.0,3564.69,27
HCPCS,C1713,PLATE COND LFT 12HL 4.5MM,4040.74,3232.6,1.0,3636.67,27
HCPCS,C1713,PLATE COND LFT 14HL 4.5MM,4263.0,3410.4,1.0,3836.7,27
HCPCS,C1713,PLATE COND LFT 16HL 4.5MM,4191.07,3352.86,1.0,3771.96,27
HCPCS,C1713,PLATE COND LFT 18HL 4.5MM,4275.43,3420.35,1.0,3847.89,27
HCPCS,C1713,PLATE COND LFT 6HL 4.5MM,3750.26,3000.21,1.0,3375.23,27
HCPCS,C1713,PLATE COND LFT 8HL 2.4MM,2097.14,1677.72,1.0,1887.43,27
HCPCS,C1713,PLATE COND LFT 8HL 4.5MM,3819.65,3055.72,1.0,3437.69,27
HCPCS,C1713,PLATE COND MINI ARSENAL LNG,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE COND MINI ARSENAL SHRT,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE COND PED 90D 3.5MM 5HL,2425.92,1940.74,1.0,2183.33,27
HCPCS,C1713,PLATE COND PED 90D 5MM 5HL,2554.94,2043.96,1.0,2299.45,27
HCPCS,C1713,PLATE COND PED 90D 5MM 7HL,2728.32,2182.66,1.0,2455.49,27
HCPCS,C1713,PLATE COND PED STER 90D 5MM3HL,2634.24,2107.4,1.0,2370.82,27
HCPCS,C1713,PLATE COND PED STER 90D 5MM5HL,2810.3,2248.24,1.0,2529.27,27
HCPCS,C1713,PLATE COND PIN 2*DISC NO REPL*,1880.93,1504.75,1.0,1692.84,27
HCPCS,C1713,PLATE COND PIN 2.7MM RT 6HL,1880.93,1504.75,1.0,1692.84,27
HCPCS,C1713,PLATE COND RT 10HL 4.5MM,3960.77,3168.62,1.0,3564.69,27
HCPCS,C1713,PLATE COND RT 12HL 4.5MM,4040.74,3232.6,1.0,3636.67,27
HCPCS,C1713,PLATE COND RT 14HL 4.5MM,4263.0,3410.4,1.0,3836.7,27
HCPCS,C1713,PLATE COND RT 16HL 4.5MM,4191.07,3352.86,1.0,3771.96,27
HCPCS,C1713,PLATE COND RT 18HL 4.5MM,4275.43,3420.35,1.0,3847.89,27
HCPCS,C1713,PLATE COND RT 6HL 4.5MM,3750.26,3000.21,1.0,3375.23,27
HCPCS,C1713,PLATE COND RT 8HL 2.4MM,2097.14,1677.72,1.0,1887.43,27
HCPCS,C1713,PLATE COND RT 8HL 4.5MM,3819.65,3055.72,1.0,3437.69,27
HCPCS,C1713,PLATE COND TI 7HL LFT 1.5X36MM,1959.8,1567.84,1.0,1763.82,27
HCPCS,C1713,PLATE COND TI 7HL LFT 2.0X39MM,2494.8,1995.84,1.0,2245.32,27
HCPCS,C1713,PLATE COND TI 7HL RT 1.5X36MM,1959.8,1567.84,1.0,1763.82,27
HCPCS,C1713,PLATE COND TI 7HL RT 2.0X39MM,2494.8,1995.84,1.0,2245.32,27
HCPCS,C1713,PLATE COND TI LF*DISC NO REPL*,1952.75,1562.2,1.0,1757.48,27
HCPCS,C1713,PLATE COND TI LVL1 LFT9HL31X26,2617.6,2094.08,1.0,2355.84,27
HCPCS,C1713,PLATE COND TI LVL1 RT 9HL31X26,2617.6,2094.08,1.0,2355.84,27
HCPCS,C1713,PLATE COND TI RT*DISC NO REPL*,1952.75,1562.2,1.0,1757.48,27
HCPCS,C1713,PLATE COND VOLT SS 10HL 2.0X73,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE COND VOLT SS 10HL 2.4X88,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE COND VOLT SS 10HL 2.7X95,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE COND VOLT SS 6HL 2.0X45,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE COND VOLT SS 6HL 2.4X54,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE COND VOLT SS 6HL 2.7X58,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE COND W GD 4HL 1.5MM,1917.47,1533.98,1.0,1725.72,27
HCPCS,C1713,PLATE CONDCURVLCPSTERRT18HL4.5,6506.24,5205.0,1.0,5855.62,27
HCPCS,C1713,PLATE CONDHAND TI LFT8HL 2.4MM,1903.61,1522.89,1.0,1713.25,27
HCPCS,C1713,PLATE CONDHAND TI RT 8HL 2.4MM,1903.61,1522.89,1.0,1713.25,27
HCPCS,C1713,PLATE CORONOID ACUM EXT RT,3642.8,2914.24,1.0,3278.52,27
HCPCS,C1713,PLATE CORONOID ACUM LT,3214.4,2571.52,1.0,2892.96,27
HCPCS,C1713,PLATE CORONOID ACUM RT,3214.4,2571.52,1.0,2892.96,27
HCPCS,C1713,PLATE CORONOID LFT SM,4292.4,3433.92,1.0,3863.16,27
HCPCS,C1713,PLATE CORONOID LFT STD,4292.4,3433.92,1.0,3863.16,27
HCPCS,C1713,PLATE CORONOID PROTEAN RT,4477.2,3581.76,1.0,4029.48,27
HCPCS,C1713,PLATE CORONOID RT SM,4292.4,3433.92,1.0,3863.16,27
HCPCS,C1713,PLATE CP LAPIDUS 0D LFT,4280.14,3424.12,1.0,3852.13,27
HCPCS,C1713,PLATE CP LAPIDUS 0D RT,4280.14,3424.12,1.0,3852.13,27
HCPCS,C1713,PLATE CP LAPIDUS 1MM LFT,4198.35,3358.68,1.0,3778.52,27
HCPCS,C1713,PLATE CP LAPIDUS 1MM RT,4198.35,3358.68,1.0,3778.52,27
HCPCS,C1713,PLATE CP LAPIDUS 2MM LFT,4198.35,3358.68,1.0,3778.52,27
HCPCS,C1713,PLATE CP LAPIDUS 2MM RT,4198.35,3358.68,1.0,3778.52,27
HCPCS,C1713,PLATE CRANI MESH TI 80X53X0.6,2465.06,1972.05,1.0,2218.55,27
HCPCS,C1713,PLATE CRANI ORB *DISC 6333364*,12480.0,9984.0,1.0,11232.0,27
HCPCS,C1713,PLATE CRANI ST TI 2HL 12MM,282.06,225.65,1.0,253.85,27
HCPCS,C1713,PLATE CRANI ST TI 4HL 12MM,280.91,224.73,1.0,252.82,27
HCPCS,C1713,PLATE CRANI TI,32163.05,25730.44,1.0,28946.75,27
HCPCS,C1713,PLATE CRST BD 2X2HL 2.0MM,1893.35,1514.68,1.0,1704.02,27
HCPCS,C1713,PLATE CUBIOD LFT 2.4/2.7MM,2875.32,2300.26,1.0,2587.79,27
HCPCS,C1713,PLATE CUBIOD RT 2.4/2.7MM,2875.32,2300.26,1.0,2587.79,27
HCPCS,C1713,PLATE CUBIOD TI LFT 2.4/2.7MM,3163.44,2530.76,1.0,2847.1,27
HCPCS,C1713,PLATE CUBIOD TI RT 2.4/2.7MM,3163.44,2530.76,1.0,2847.1,27
HCPCS,C1713,PLATE CUBOID 2.4MM,2783.42,2226.74,1.0,2505.08,27
HCPCS,C1713,PLATE CUBOID BG LG 8HL 1.1MM,3448.9,2759.12,1.0,3104.01,27
HCPCS,C1713,PLATE CUBOID H TRILEAP TI LFT,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE CUBOID H TRILEAP TI RT,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE CUBOID W TRILEAP TI LG,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE CUBOID W TRILEAP TI STD,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE CURV STRY 4HL,1960.27,1568.22,1.0,1764.24,27
HCPCS,C1713,PLATE CURV STRY 5HL LFT,2130.3,1704.24,1.0,1917.27,27
HCPCS,C1713,PLATE CURV STRY 5HL RT,2130.3,1704.24,1.0,1917.27,27
HCPCS,C1713,PLATE CURV STRY 6HL,2394.72,1915.78,1.0,2155.25,27
HCPCS,C1713,PLATE DBL LISFRANC STRTM LFTLG,5930.4,4744.32,1.0,5337.36,27
HCPCS,C1713,PLATE DBL LISFRANC STRTM LFTSM,5558.0,4446.4,1.0,5002.2,27
HCPCS,C1713,PLATE DBL LISFRANC STRTM RT LG,5930.4,4744.32,1.0,5337.36,27
HCPCS,C1713,PLATE DBL LISFRANC STRTM RTSM,5558.0,4446.4,1.0,5002.2,27
HCPCS,C1713,PLATE DBL Y KLS TI 6HL 1.0MM,1068.94,855.16,1.0,962.05,27
HCPCS,C1713,PLATE DBL Y MD TI 6HL 0.7MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE DBL Y MICRO TI 6HL 0.4MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE DBL Y MINI TI 6HL 0.5MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE DCS 25BRL 95D 10HL 114MM,2712.19,2169.76,1.0,2440.97,27
HCPCS,C1713,PLATE DCS 25BRL 95D 12HL 210MM,3061.63,2449.31,1.0,2755.47,27
HCPCS,C1713,PLATE DCS 25BRL 95D 14HL 242MM,3061.63,2449.31,1.0,2755.47,27
HCPCS,C1713,PLATE DCS 25BRL 95D 16HL 274MM,2857.68,2286.15,1.0,2571.91,27
HCPCS,C1713,PLATE DCS 25BRL 95D 22HL 370MM,3930.19,3144.16,1.0,3537.17,27
HCPCS,C1713,PLATE DCS 25BRL 95D 6HL 114MM,2712.19,2169.76,1.0,2440.97,27
HCPCS,C1713,PLATE DCS 25BRL 95D 8HL 146MM,2712.19,2169.76,1.0,2440.97,27
HCPCS,C1713,PLATE DCS STER25BRL95D8HL146MM,2985.02,2388.02,1.0,2686.52,27
HCPCS,C1713,PLATE DCSSTER25BRL95D10HL178MM,2985.02,2388.02,1.0,2686.52,27
HCPCS,C1713,PLATE DFSO 18DFLARE90D4HL4.5MM,11209.12,8967.3,1.0,10088.21,27
HCPCS,C1713,PLATE DFSO 18DFLARE90D6HL4.5MM,11209.12,8967.3,1.0,10088.21,27
HCPCS,C1713,PLATE DHS SHRT 130D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS SHRT 135D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS SHRT 140D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS SHRT 145D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS SHRT 150D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS SHRT STER135D4HL78MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD 130D 10HL 174MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 130D 2HL 46MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 130D 3HL 62MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 130D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 130D 5HL 94MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 130D 6HL 110MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 130D 8HL 142MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 135D 10HL 174MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 135D 12HL 206MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 135D 2HL 46MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 135D 3HL 62MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 135D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 135D 5HL 94MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 135D 6HL 110MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 135D 8HL 142MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 140D 10HL 174MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 140D 2HL 46MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 140D 3HL 62MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 140D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 140D 5HL 94MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 140D 6HL 110MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 140D 8HL 142MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 145D 10HL 174MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 145D 2HL 46MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 145D 3HL 62MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 145D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 145D 5HL 94MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 145D 6HL 110MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 145D 8HL 142MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 150D 10HL 174MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD 150D 2HL 46MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 150D 3HL 62MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 150D 4HL 78MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 150D 5HL 94MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 150D 6HL 110MM,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1713,PLATE DHS STD 150D 8HL 142MM,2343.6,1874.88,1.0,2109.24,27
HCPCS,C1713,PLATE DHS STD STER 130D2HL46MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 130D3HL62MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 135D2HL46MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 135D3HL62MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 135D4HL78MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 135D5HL94MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 140D5HL94MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 145D4HL78MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 145D5HL94MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 150D4HL78MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER 150D5HL94MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER135D6HL110MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER135D8HL142MM,2577.96,2062.37,1.0,2320.16,27
HCPCS,C1713,PLATE DHS STD STER140D6HL110MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER145D6HL110MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STD STER150D6HL110MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STDSTER135D10HL174MM,2577.96,2062.37,1.0,2320.16,27
HCPCS,C1713,PLATE DHS STDSTER135D12HL206MM,2577.96,2062.37,1.0,2320.16,27
HCPCS,C1713,PLATE DHS STER STD140D10HL78MM,1941.41,1553.13,1.0,1747.27,27
HCPCS,C1713,PLATE DHS STERSTD140D16HL270MM,3041.47,2433.18,1.0,2737.32,27
HCPCS,C1713,PLATE DIST CLAV RT 13HL 2.3MM,3441.2,2752.96,1.0,3097.08,27
HCPCS,C1713,PLATE DIST FEM LFT 12HL 278MM,5084.8,4067.84,1.0,4576.32,27
HCPCS,C1713,PLATE DIST FEM LFT 15HL 317MM,5376.0,4300.8,1.0,4838.4,27
HCPCS,C1713,PLATE DIST FEM LFT 18HL 355MM,5644.8,4515.84,1.0,5080.32,27
HCPCS,C1713,PLATE DIST FEM LFT 5HL,5129.6,4103.68,1.0,4616.64,27
HCPCS,C1713,PLATE DIST FEM NCBSTERRT9HL238,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE DIST FEM RT 12HL 278MM,5084.8,4067.84,1.0,4576.32,27
HCPCS,C1713,PLATE DIST FEMNCBSTERRT21HL393,6204.8,4963.84,1.0,5584.32,27
HCPCS,C1713,PLATE DIST MEDL HUMR LFT 3HL,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1713,PLATE DIST MEDL HUMR LFT 5HL,3203.2,2562.56,1.0,2882.88,27
HCPCS,C1713,PLATE DIST MEDL HUMR LFT 7HL,3606.4,2885.12,1.0,3245.76,27
HCPCS,C1713,PLATE DIST MEDL HUMR RT 3HL,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1713,PLATE DIST MEDL HUMR RT 5HL,3203.2,2562.56,1.0,2882.88,27
HCPCS,C1713,PLATE DIST MEDL HUMR RT 7HL,3606.4,2885.12,1.0,3245.76,27
HCPCS,C1713,PLATE DIST MEDL HUMR SHRTRT3HL,2956.8,2365.44,1.0,2661.12,27
HCPCS,C1713,PLATE DIST MEDL HUMR SHRTRT5HL,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,PLATE DIST MEDL HUMR SHRTRT7HL,3561.6,2849.28,1.0,3205.44,27
HCPCS,C1713,PLATE DIST MEDL HUMRSHRTLFT3HL,2956.8,2365.44,1.0,2661.12,27
HCPCS,C1713,PLATE DIST MEDL HUMRSHRTLFT5HL,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,PLATE DIST MEDL HUMRSHRTLFT7HL,3561.6,2849.28,1.0,3205.44,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT8/3HL,2633.22,2106.58,1.0,2369.9,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT8/4HL,2415.39,1932.32,1.0,2173.85,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT8/5HL,2485.28,1988.23,1.0,2236.75,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT9/3HL,2633.22,2106.58,1.0,2369.9,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT9/4HL,2415.39,1932.32,1.0,2173.85,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI LFT9/5HL,2485.28,1988.23,1.0,2236.75,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 8/3HL,2633.22,2106.58,1.0,2369.9,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 8/4HL,2415.39,1932.32,1.0,2173.85,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 8/5HL,2485.28,1988.23,1.0,2236.75,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 9/3HL,2633.22,2106.58,1.0,2369.9,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 9/4HL,2415.39,1932.32,1.0,2173.85,27
HCPCS,C1713,PLATE DIST RAD 2.4 TI RT 9/5HL,2485.28,1988.23,1.0,2236.75,27
HCPCS,C1713,PLATE DIST RAD COL LFT 8/3HL,2515.97,2012.78,1.0,2264.37,27
HCPCS,C1713,PLATE DIST RAD COL LFT 8/4HL,2594.59,2075.68,1.0,2335.13,27
HCPCS,C1713,PLATE DIST RAD COL LFT 8/5HL,2670.19,2136.16,1.0,2403.17,27
HCPCS,C1713,PLATE DIST RAD COL LFT 9/3HL,2515.97,2012.78,1.0,2264.37,27
HCPCS,C1713,PLATE DIST RAD COL LFT 9/4HL,2594.59,2075.68,1.0,2335.13,27
HCPCS,C1713,PLATE DIST RAD COL LFT 9/5HL,2670.19,2136.16,1.0,2403.17,27
HCPCS,C1713,PLATE DIST RAD COL RT 8/3HL,2515.97,2012.78,1.0,2264.37,27
HCPCS,C1713,PLATE DIST RAD COL RT 8/4HL,2594.59,2075.68,1.0,2335.13,27
HCPCS,C1713,PLATE DIST RAD COL RT 8/5HL,2670.19,2136.16,1.0,2403.17,27
HCPCS,C1713,PLATE DIST RAD COL RT 9/3HL,2515.97,2012.78,1.0,2264.37,27
HCPCS,C1713,PLATE DIST RAD COL RT 9/4HL,2594.59,2075.68,1.0,2335.13,27
HCPCS,C1713,PLATE DIST RAD COL RT 9/5HL,2670.19,2136.16,1.0,2403.17,27
HCPCS,C1713,PLATE DIST RAD DORSALSTDLFT4HL,3988.6,3190.88,1.0,3589.74,27
HCPCS,C1713,PLATE DIST RAD TRILK LFT7HL2.5,4323.2,3458.56,1.0,3890.88,27
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 11HL,4164.1,3331.28,1.0,3747.69,27
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 3HL,10725.0,8580.0,1.0,9652.5,27
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 5HL,3742.93,2994.35,1.0,3368.64,27
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 7HL,3834.38,3067.51,1.0,3450.94,27
HCPCS,C1713,PLATE DIST RAD VOLAR LFT 9HL,3925.82,3140.66,1.0,3533.24,27
HCPCS,C1713,PLATE DIST RAD VOLAR LFTWIDE55,4754.4,3803.52,1.0,4278.96,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT 3HL2.4,10725.0,8580.0,1.0,9652.5,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT 5/3HL,2067.95,1654.36,1.0,1861.16,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT 5HL,3742.93,2994.35,1.0,3368.64,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT 7HL,3869.15,3095.32,1.0,3482.24,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT 9HL,3925.82,3140.66,1.0,3533.24,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT STD 54,4516.4,3613.12,1.0,4064.76,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT WIDE55,4754.4,3803.52,1.0,4278.96,27
HCPCS,C1713,PLATE DIST RAD VOLAR RT11HL,4164.1,3331.28,1.0,3747.69,27
HCPCS,C1713,PLATE DIST RAD VOLAR STD RT3HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLAR STD RT5HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLAR STDLFT3HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLAR STDLFT5HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLAR WIDERT3HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLAR WIDERT5HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLARRTSTD3HL47,4516.4,3613.12,1.0,4064.76,27
HCPCS,C1713,PLATE DIST RAD VOLARRTSTD7HL75,5709.2,4567.36,1.0,5138.28,27
HCPCS,C1713,PLATE DIST RAD VOLARSTERLFT5HL,4116.45,3293.16,1.0,3704.81,27
HCPCS,C1713,PLATE DIST RAD VOLARSTERLFT7HL,4218.2,3374.56,1.0,3796.38,27
HCPCS,C1713,PLATE DIST RAD VOLARWIDELFT3HL,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW53,3843.84,3075.08,1.0,3459.46,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW58,5996.14,4796.92,1.0,5396.53,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW69,4613.84,3691.08,1.0,4152.46,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT NARW76,4996.99,3997.6,1.0,4497.29,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 55,3268.5,2614.8,1.0,2941.65,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 60,4996.99,3997.6,1.0,4497.29,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 70,4419.18,3535.35,1.0,3977.26,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT STD 77,4804.8,3843.84,1.0,4324.32,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE56,3843.84,3075.08,1.0,3459.46,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE62,5996.14,4796.92,1.0,5396.53,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE70,4613.84,3691.08,1.0,4152.46,27
HCPCS,C1713,PLATE DIST RAD VOLT LFT WIDE79,5189.18,4151.35,1.0,4670.26,27
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 53,3843.84,3075.08,1.0,3459.46,27
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 58,5996.14,4796.92,1.0,5396.53,27
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 69,4613.84,3691.08,1.0,4152.46,27
HCPCS,C1713,PLATE DIST RAD VOLT RT NARW 76,4996.99,3997.6,1.0,4497.29,27
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 55,3268.5,2614.8,1.0,2941.65,27
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 60,4996.99,3997.6,1.0,4497.29,27
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 70,4419.18,3535.35,1.0,3977.26,27
HCPCS,C1713,PLATE DIST RAD VOLT RT STD 77,4804.8,3843.84,1.0,4324.32,27
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 56,3843.84,3075.08,1.0,3459.46,27
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 62,5996.14,4796.92,1.0,5396.53,27
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 70,4613.84,3691.08,1.0,4152.46,27
HCPCS,C1713,PLATE DIST RAD VOLT RT WIDE 79,5189.18,4151.35,1.0,4670.26,27
HCPCS,C1713,PLATE DIST RADDORSALNARWLFT4HL,3988.6,3190.88,1.0,3589.74,27
HCPCS,C1713,PLATE DIST RADVOLARLFTSTD3HL47,4516.4,3613.12,1.0,4064.76,27
HCPCS,C1713,PLATE DIST RADVOLARLFTSTD4HL54,4516.4,3613.12,1.0,4064.76,27
HCPCS,C1713,PLATE DIST RADVOLARLFTSTD7HL47,5709.2,4567.36,1.0,5138.28,27
HCPCS,C1713,PLATE DIST RADVOLARSTERLFT15HL,4307.07,3445.66,1.0,3876.36,27
HCPCS,C1713,PLATE DISTRAD STER2/3HL2.4+90D,2484.22,1987.38,1.0,2235.8,27
HCPCS,C1713,PLATE DISTRAD TI 2/3HL 2.4+90D,2275.56,1820.45,1.0,2048.0,27
HCPCS,C1713,PLATE DORSAL DR LFT NARWSHRT47,3090.11,2472.09,1.0,2781.1,27
HCPCS,C1713,PLATE DORSAL DR LFT WIDE LNG60,3042.2,2433.76,1.0,2737.98,27
HCPCS,C1713,PLATE DORSAL DR LFT WIDESHRT49,3090.11,2472.09,1.0,2781.1,27
HCPCS,C1713,PLATE DORSAL DR MEDL LFT LNG,2113.49,1690.8,1.0,1902.14,27
HCPCS,C1713,PLATE DORSAL DR MEDL LFT SHRT,2113.49,1690.8,1.0,1902.14,27
HCPCS,C1713,PLATE DORSAL DR STRY LFT STD,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE DORSAL DR STRY LFT WIDE,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE DORSAL DR STRY RT STD,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE DORSAL DR STRY RT WIDE,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE DORSAL MID FUSN LG,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,PLATE DORSAL MID FUSN SM,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,PLATE DORSAL TNC EXT REV,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,PLATE DORSAL TRILK LFT 11HL2.5,4314.24,3451.4,1.0,3882.82,27
HCPCS,C1713,PLATE DORSAL TRILK RT 11HL 2.5,6893.6,5514.88,1.0,6204.24,27
HCPCS,C1713,PLATE DORSAL TRILK ST 11HL 2.5,9262.5,7410.0,1.0,8336.25,27
HCPCS,C1713,PLATE DORSAL ZIMM LFT,3174.4,2539.52,1.0,2856.96,27
HCPCS,C1713,PLATE DORSAL ZIMM RT,3174.4,2539.52,1.0,2856.96,27
HCPCS,C1713,PLATE DR LAT STRY LNG 57MM,2113.49,1690.8,1.0,1902.14,27
HCPCS,C1713,PLATE DR LAT STRY SHRT 44MM,2113.49,1690.8,1.0,1902.14,27
HCPCS,C1713,PLATE DR VOLAR LFT 7HL 74MM,5709.2,4567.36,1.0,5138.28,27
HCPCS,C1713,PLATE DR VOLAR LFT NARW 74,4516.4,3613.12,1.0,4064.76,27
HCPCS,C1713,PLATE DR VOLAR RT NARW,4516.4,3613.12,1.0,4064.76,27
HCPCS,C1713,PLATE DVR ANATOM FAST SHRT RT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR CROSSLOCK LFT,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE DVR CROSSLOCK LFT LNG,3718.4,2974.72,1.0,3346.56,27
HCPCS,C1713,PLATE DVR CROSSLOCK MD LFT,3449.6,2759.68,1.0,3104.64,27
HCPCS,C1713,PLATE DVR CROSSLOCK MINI RT,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE DVR CROSSLOCK NRW RT,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE DVR CROSSLOCK NRWMINI RT,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE DVR CROSSLOCK RT LNG,3718.4,2974.72,1.0,3346.56,27
HCPCS,C1713,PLATE DVR CROSSLOCK STD R*NLU*,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE DVR CROSSLOCK WIDE RT,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE DVR DORSAL LFT,3248.0,2598.4,1.0,2923.2,27
HCPCS,C1713,PLATE DVR DORSAL RT,3248.0,2598.4,1.0,2923.2,27
HCPCS,C1713,PLATE DVR RAD STYLOID LFT,3248.0,2598.4,1.0,2923.2,27
HCPCS,C1713,PLATE DVR RAD STYLOID RT,3248.0,2598.4,1.0,2923.2,27
HCPCS,C1713,PLATE DVR ULNA BIL,2956.8,2365.44,1.0,2661.12,27
HCPCS,C1713,PLATE DVR VOLAR RIM LFT,3404.8,2723.84,1.0,3064.32,27
HCPCS,C1713,PLATE DVR VOLAR RIM NAR LFT,3404.8,2723.84,1.0,3064.32,27
HCPCS,C1713,PLATE DVR VOLAR RIM NAR RT,3404.8,2723.84,1.0,3064.32,27
HCPCS,C1713,PLATE DVR VOLAR RIM RT,3404.8,2723.84,1.0,3064.32,27
HCPCS,C1713,PLATE DVR ZIMM EXT LFT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM EXT RT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM NARW LFT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM NARW RT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM SHRT LFT 3HL,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM SHRT RT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM STD LFT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM STD RT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM WIDE LFT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM WIDE RT,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DVR ZIMM XTR EXT LFT,5331.2,4264.96,1.0,4798.08,27
HCPCS,C1713,PLATE DVR ZIMM XTR EXT RT,5331.2,4264.96,1.0,4798.08,27
HCPCS,C1713,PLATE DVR ZIMMNARW SHRT LFT3HL,3148.8,2519.04,1.0,2833.92,27
HCPCS,C1713,PLATE DYNABUNION LFT 18MM,6015.32,4812.26,1.0,5413.79,27
HCPCS,C1713,PLATE DYNABUNION LFT STD 18MM,6015.32,4812.26,1.0,5413.79,27
HCPCS,C1713,PLATE DYNABUNION RT 18MM,6015.32,4812.26,1.0,5413.79,27
HCPCS,C1713,PLATE DYNABUNION RT STD 18MM,6015.32,4812.26,1.0,5413.79,27
HCPCS,C1713,PLATE DYNAFORCE STER 4HL 15MM,6791.2,5432.96,1.0,6112.08,27
HCPCS,C1713,PLATE DYNAMET JI NARW STER 15,5418.42,4334.74,1.0,4876.58,27
HCPCS,C1713,PLATE ELBOW ACUM 5HL,3259.2,2607.36,1.0,2933.28,27
HCPCS,C1713,PLATE ELBOW ACUM LFT 10HL,3259.2,2607.36,1.0,2933.28,27
HCPCS,C1713,PLATE ELBOW ACUM LFT 14HL,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE ELBOW ACUM LFT 6HL,3259.2,2607.36,1.0,2933.28,27
HCPCS,C1713,PLATE ELBOW ACUM MEDL 8HL,3259.2,2607.36,1.0,2933.28,27
HCPCS,C1713,PLATE ELBOW ACUM PSTR,3234.0,2587.2,1.0,2910.6,27
HCPCS,C1713,PLATE ELBOW ACUM RT 6HL,3259.2,2607.36,1.0,2933.28,27
HCPCS,C1713,PLATE ESCALATE EXPAND,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,PLATE EVANS ARSENAL,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE F3 HIGH STRENGTH RT,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE FAN SYNPOR 0.8MM,2964.61,2371.69,1.0,2668.15,27
HCPCS,C1713,PLATE FAN SYNPOR REINF 0.8MM,3064.7,2451.76,1.0,2758.23,27
HCPCS,C1713,PLATE FAN SYNPOR REINF 1.5MM,3064.7,2451.76,1.0,2758.23,27
HCPCS,C1713,PLATE FAN SYNPOR SMTH 0.8MM,3125.06,2500.05,1.0,2812.55,27
HCPCS,C1713,PLATE FAN SYNPOR SMTH0.08X35MM,2057.58,1646.07,1.0,1851.82,27
HCPCS,C1713,PLATE FAN SYNPOR SMTHH/0 0.8MM,3686.59,2949.28,1.0,3317.93,27
HCPCS,C1713,PLATE FEM 2HL NECK,2364.77,1891.82,1.0,2128.29,27
HCPCS,C1713,PLATE FEM ARCH TI 90D 180MM,3126.53,2501.23,1.0,2813.88,27
HCPCS,C1713,PLATE FEM CONTOURLOCK RT SM/MD,3465.0,2772.0,1.0,3118.5,27
HCPCS,C1713,PLATE FEM CONTURLK LFT *NLU*,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1713,PLATE FEM DIST DFOS 90D 4HL3.5,9075.04,7260.04,1.0,8167.54,27
HCPCS,C1713,PLATE FEM DIST FLAIR 90D 4HL,11209.12,8967.3,1.0,10088.21,27
HCPCS,C1713,PLATE FEM DIST LAT LFT 12HL274,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT LFT 14HL310,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT LFT 4HL 130,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT LFT 6HL 166,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT LFT 8HL 202,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT RT 12HL 274,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT RT 4HL 130,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT RT 6HL 166,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LAT RT 8HL 202,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DIST LCP TI RT 9HL,4511.14,3608.92,1.0,4060.03,27
HCPCS,C1713,PLATE FEM DIST PANGEA LFT280MM,11811.8,9449.44,1.0,10630.62,27
HCPCS,C1713,PLATE FEM DIST PANGEA LFT318MM,11811.8,9449.44,1.0,10630.62,27
HCPCS,C1713,PLATE FEM DIST PANGEA RT280MM,11811.8,9449.44,1.0,10630.62,27
HCPCS,C1713,PLATE FEM DIST STERRT15HL356MM,4591.1,3672.88,1.0,4131.99,27
HCPCS,C1713,PLATE FEM DIST STERRT17HL396MM,4673.42,3738.74,1.0,4206.08,27
HCPCS,C1713,PLATE FEM DIST STERRT19HL436MM,4760.45,3808.36,1.0,4284.41,27
HCPCS,C1713,PLATE FEM DISTLAT RT 14HL 310,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEM DISTSTERLFT15HL356MM,4591.1,3672.88,1.0,4131.99,27
HCPCS,C1713,PLATE FEM DISTSTERLFT17HL396MM,4673.42,3738.74,1.0,4206.08,27
HCPCS,C1713,PLATE FEM DISTSTERLFT19HL436MM,4760.45,3808.36,1.0,4284.41,27
HCPCS,C1713,PLATE FEM LAT DIST TI LFT 4HL,3181.08,2544.87,1.0,2862.97,27
HCPCS,C1713,PLATE FEM LAT DIST TI RT 4HL,3181.08,2544.87,1.0,2862.97,27
HCPCS,C1713,PLATE FEM NECK SYS STER 1HL,2364.77,1891.82,1.0,2128.29,27
HCPCS,C1713,PLATE FEM OPEN WDG 15.0MM,2569.6,2055.68,1.0,2312.64,27
HCPCS,C1713,PLATE FEM OPEN WDG TI 7.5MM,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 10HL,3972.53,3178.03,1.0,3575.28,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 12HL,4206.55,3365.24,1.0,3785.9,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 14HL,4542.89,3634.32,1.0,4088.6,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 16HL,4679.3,3743.44,1.0,4211.37,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 2HL,3398.64,2718.92,1.0,3058.78,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 4HL,3465.67,2772.54,1.0,3119.1,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 6HL,3535.06,2828.05,1.0,3181.55,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 LFT 8HL,3706.75,2965.4,1.0,3336.08,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 10HL,3972.53,3178.03,1.0,3575.28,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 12HL,4206.55,3365.24,1.0,3785.9,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 14HL,4542.89,3634.32,1.0,4088.6,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 16HL,4679.3,3743.44,1.0,4211.37,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 2HL,3398.64,2718.92,1.0,3058.78,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 4HL,3465.67,2772.54,1.0,3119.1,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 6HL,3535.06,2828.05,1.0,3181.55,27
HCPCS,C1713,PLATE FEM PROX 4.5/5 RT 8HL,3706.75,2965.4,1.0,3336.08,27
HCPCS,C1713,PLATE FEM PROX HOOK 10HL 4.5/5,4419.41,3535.53,1.0,3977.47,27
HCPCS,C1713,PLATE FEM PROX HOOK 12HL 4.5/5,4562.88,3650.31,1.0,4106.59,27
HCPCS,C1713,PLATE FEM PROX HOOK 14HL 4.5/5,4616.98,3693.59,1.0,4155.28,27
HCPCS,C1713,PLATE FEM PROX HOOK 16HL 4.5/5,4771.03,3816.83,1.0,4293.93,27
HCPCS,C1713,PLATE FEM PROX HOOK 18HL 4.5/5,4922.74,3938.2,1.0,4430.47,27
HCPCS,C1713,PLATE FEM PROX HOOK 2HL 4.5/5,3937.25,3149.8,1.0,3543.53,27
HCPCS,C1713,PLATE FEM PROX HOOK 4HL 4.5/5,3991.34,3193.08,1.0,3592.21,27
HCPCS,C1713,PLATE FEM PROX HOOK 6HL 4.5/5,4054.85,3243.88,1.0,3649.37,27
HCPCS,C1713,PLATE FEM PROX HOOK 8HL 4.5/5,4203.02,3362.42,1.0,3782.72,27
HCPCS,C1713,PLATE FEM PROX PANGEA LFT320MM,11811.8,9449.44,1.0,10630.62,27
HCPCS,C1713,PLATE FEM PROX PANGEA RT 320MM,11811.8,9449.44,1.0,10630.62,27
HCPCS,C1713,PLATE FEM PROXHOOKSTER4HL4.5/5,4390.01,3512.01,1.0,3951.01,27
HCPCS,C1713,PLATE FEM PROXSTER4.5/5LFT12HL,4627.56,3702.05,1.0,4164.8,27
HCPCS,C1713,PLATE FEM SHAFT NCBCURV10HL210,2534.4,2027.52,1.0,2280.96,27
HCPCS,C1713,PLATE FEM SHAFT NCBCURV12HL249,2662.4,2129.92,1.0,2396.16,27
HCPCS,C1713,PLATE FEM SHAFT NCBCURV14HL289,2790.4,2232.32,1.0,2511.36,27
HCPCS,C1713,PLATE FEM VA-LCP PROX SS RT7HL,5726.45,4581.16,1.0,5153.81,27
HCPCS,C1713,PLATE FEM VA-LCP PROX SS RT9HL,6463.18,5170.55,1.0,5816.86,27
HCPCS,C1713,PLATE FEM VA-LCP PROX SSLFT9HL,6463.18,5170.55,1.0,5816.86,27
HCPCS,C1713,PLATE FEM VA-LCP PROX SSRT11HL,6684.44,5347.56,1.0,6016.0,27
HCPCS,C1713,PLATE FEM VA-LCP PROXSTERRT8HL,6977.46,5581.97,1.0,6279.71,27
HCPCS,C1713,PLATE FEM VA-LCPPROXSTERLFT2HL,4255.55,3404.44,1.0,3830.0,27
HCPCS,C1713,PLATE FEM VA-LCPPROXSTERRT10HL,6977.46,5581.97,1.0,6279.71,27
HCPCS,C1713,PLATE FEM ZIMM LFT 12HL*DISC*,5465.6,4372.48,1.0,4919.04,27
HCPCS,C1713,PLATE FEMDISTLATSTERLFT20HL415,7095.04,5676.04,1.0,6385.54,27
HCPCS,C1713,PLATE FEMPROXHOOK12HLSTER4.5/5,5020.34,4016.28,1.0,4518.31,27
HCPCS,C1713,PLATE FEMPROXHOOKSTER18HL4.5/5,5415.48,4332.39,1.0,4873.93,27
HCPCS,C1713,PLATE FEMUR DIST MEDL LFT2HL96,11551.8,9241.44,1.0,10396.62,27
HCPCS,C1713,PLATE FEMUR DIST MEDL RT 2HL96,11551.0,9240.8,1.0,10395.9,27
HCPCS,C1713,PLATE FEMVA-LCPPROXSSLFTLG10HL,6812.42,5449.94,1.0,6131.18,27
HCPCS,C1713,PLATE FEMVA-LCPPROXSSLFTSM10HL,6812.42,5449.94,1.0,6131.18,27
HCPCS,C1713,PLATE FIB ANK AR*DISC 6324410*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,PLATE FIB ANK AR*DISC 6325780*,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,PLATE FIB ANK AR*DISC 6329888*,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,PLATE FIB ANK AR*DISC 6332012*,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE FIB CLUSTER LFT 9HL,4540.9,3632.72,1.0,4086.81,27
HCPCS,C1713,PLATE FIB DIST LAT LFT 4HL81MM,4558.4,3646.72,1.0,4102.56,27
HCPCS,C1713,PLATE FIB DIST LAT RT 4HL 81MM,4558.4,3646.72,1.0,4102.56,27
HCPCS,C1713,PLATE FIB DIST LAT RT 5HL 95MM,4863.6,3890.88,1.0,4377.24,27
HCPCS,C1713,PLATE FIB DIST LFT 11HL,1670.47,1336.38,1.0,1503.42,27
HCPCS,C1713,PLATE FIB DIST LFT 3HL,1529.85,1223.88,1.0,1376.87,27
HCPCS,C1713,PLATE FIB DIST LFT 4HL,1553.29,1242.64,1.0,1397.96,27
HCPCS,C1713,PLATE FIB DIST LFT 5HL,1576.72,1261.38,1.0,1419.05,27
HCPCS,C1713,PLATE FIB DIST LFT 6HL,1600.16,1280.13,1.0,1440.14,27
HCPCS,C1713,PLATE FIB DIST LFT 7HL,1622.29,1297.84,1.0,1460.06,27
HCPCS,C1713,PLATE FIB DIST LFT 9HL,1645.73,1316.59,1.0,1481.16,27
HCPCS,C1713,PLATE FIB DIST PSTR LFT 6HL 79,6962.8,5570.24,1.0,6266.52,27
HCPCS,C1713,PLATE FIB DIST PSTR RT 10HL109,7833.8,6267.04,1.0,7050.42,27
HCPCS,C1713,PLATE FIB DIST PSTR RT 2HL,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST PSTRLAT TI 5HL,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,PLATE FIB DIST PSTRLAT TIRT8HL,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE FIB DIST PSTRLATRT7HL123,4975.6,3980.48,1.0,4478.04,27
HCPCS,C1713,PLATE FIB DIST PSTRLATSSLFT8HL,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE FIB DIST RT 11HL,1670.47,1336.38,1.0,1503.42,27
HCPCS,C1713,PLATE FIB DIST RT 3HL,1529.85,1223.88,1.0,1376.87,27
HCPCS,C1713,PLATE FIB DIST RT 4HL,1553.29,1242.64,1.0,1397.96,27
HCPCS,C1713,PLATE FIB DIST RT 5HL,1576.72,1261.38,1.0,1419.05,27
HCPCS,C1713,PLATE FIB DIST RT 6HL,1600.16,1280.13,1.0,1440.14,27
HCPCS,C1713,PLATE FIB DIST RT 7HL,1622.29,1297.84,1.0,1460.06,27
HCPCS,C1713,PLATE FIB DIST RT 9HL,1645.73,1316.59,1.0,1481.16,27
HCPCS,C1713,PLATE FIB DIST VARIAX 3HL 77MM,2073.6,1658.88,1.0,1866.24,27
HCPCS,C1713,PLATE FIB DIST VARIAX 4HL 89MM,2073.6,1658.88,1.0,1866.24,27
HCPCS,C1713,PLATE FIB DIST VARIAX 5HL101MM,2073.6,1658.88,1.0,1866.24,27
HCPCS,C1713,PLATE FIB DIST VARIAX 7HL125MM,2335.97,1868.78,1.0,2102.37,27
HCPCS,C1713,PLATE FIB DIST VARIAX 8HL137MM,2335.97,1868.78,1.0,2102.37,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 2HL135,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 2HL136,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 4HL135,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 4HL136,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 6HL135,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 6HL136,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 8HL135,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT 8HL136,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT10HL135,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT10HL136,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT14HL135,2764.8,2211.84,1.0,2488.32,27
HCPCS,C1713,PLATE FIB DIST ZIMM LFT16HL136,3020.8,2416.64,1.0,2718.72,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 10HL135,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 10HL136,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 14HL135,2764.8,2211.84,1.0,2488.32,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 16HL136,3020.8,2416.64,1.0,2718.72,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 2HL,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 4HL135,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 4HL136,2361.6,1889.28,1.0,2125.44,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 6HL135,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 6HL136,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 8HL135,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1713,PLATE FIB DIST ZIMM RT 8HL136,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1713,PLATE FIB DISTPSTRLATLFT6HL109,4827.2,3861.76,1.0,4344.48,27
HCPCS,C1713,PLATE FIB LAT ANATOM LFT 11HL,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 3HL,2066.9,1653.52,1.0,1860.21,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 4HL,2142.5,1714.0,1.0,1928.25,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 5HL,2257.42,1805.94,1.0,2031.68,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 6HL,2385.94,1908.76,1.0,2147.35,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 7HL,2503.87,2003.1,1.0,2253.48,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 LFT 9HL,2626.34,2101.08,1.0,2363.71,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 13HL,2636.93,2109.55,1.0,2373.24,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 3HL,2066.9,1653.52,1.0,1860.21,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 4HL,2142.5,1714.0,1.0,1928.25,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 5HL,2257.42,1805.94,1.0,2031.68,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 6HL,2385.94,1908.76,1.0,2147.35,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 7HL,2503.87,2003.1,1.0,2253.48,27
HCPCS,C1713,PLATE FIB LAT DIST 2.7 RT 9HL,2626.34,2101.08,1.0,2363.71,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 11HL,1697.81,1358.25,1.0,1528.03,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 3HL,1492.09,1193.68,1.0,1342.88,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 4HL,1503.81,1203.05,1.0,1353.43,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 5HL,1525.94,1220.76,1.0,1373.35,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 6HL,1559.8,1247.84,1.0,1403.82,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 7HL,1584.53,1267.63,1.0,1426.08,27
HCPCS,C1713,PLATE FIB LAT DIST LFT 9HL,1669.16,1335.33,1.0,1502.24,27
HCPCS,C1713,PLATE FIB LAT DIST RT 11HL,1697.81,1358.25,1.0,1528.03,27
HCPCS,C1713,PLATE FIB LAT DIST RT 3HL,1492.09,1193.68,1.0,1342.88,27
HCPCS,C1713,PLATE FIB LAT DIST RT 4HL,1503.81,1203.05,1.0,1353.43,27
HCPCS,C1713,PLATE FIB LAT DIST RT 5HL,1525.94,1220.76,1.0,1373.35,27
HCPCS,C1713,PLATE FIB LAT DIST RT 6HL,1559.8,1247.84,1.0,1403.82,27
HCPCS,C1713,PLATE FIB LAT DIST RT 7HL,1584.53,1267.63,1.0,1426.08,27
HCPCS,C1713,PLATE FIB LAT DIST RT 9HL,1669.16,1335.33,1.0,1502.24,27
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 3HL,1716.04,1372.84,1.0,1544.44,27
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 4HL,1729.06,1383.25,1.0,1556.15,27
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 6HL,1794.16,1435.33,1.0,1614.74,27
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 7HL,1824.1,1459.28,1.0,1641.69,27
HCPCS,C1713,PLATE FIB LAT LCP TI LFT 9HL,1919.15,1535.32,1.0,1727.24,27
HCPCS,C1713,PLATE FIB LAT LCP TI RT 3HL,1716.04,1372.84,1.0,1544.44,27
HCPCS,C1713,PLATE FIB LAT LCP TI RT 4HL,1729.06,1383.25,1.0,1556.15,27
HCPCS,C1713,PLATE FIB LAT LCP TI RT 5HL,1755.1,1404.08,1.0,1579.59,27
HCPCS,C1713,PLATE FIB LAT LCP TI RT 6HL,1794.16,1435.33,1.0,1614.74,27
HCPCS,C1713,PLATE FIB LAT LCP TI RT 7HL,1824.1,1459.28,1.0,1641.69,27
HCPCS,C1713,PLATE FIB LAT LCP TI RT 9HL,1919.15,1535.32,1.0,1727.24,27
HCPCS,C1713,PLATE FIB LAT NON SYM 8HL RT,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,PLATE FIB LAT OFFSET LFT 101MM,4630.08,3704.07,1.0,4167.07,27
HCPCS,C1713,PLATE FIB LAT OFFSET LFT 113MM,4725.0,3780.0,1.0,4252.5,27
HCPCS,C1713,PLATE FIB LAT OFFSET LFT 125MM,4819.92,3855.94,1.0,4337.93,27
HCPCS,C1713,PLATE FIB LAT OFFSET LFT 77MM,4437.16,3549.73,1.0,3993.44,27
HCPCS,C1713,PLATE FIB LAT OFFSET LFT 89MM,4535.16,3628.13,1.0,4081.64,27
HCPCS,C1713,PLATE FIB LAT OFFSET RT 101MM,4630.08,3704.07,1.0,4167.07,27
HCPCS,C1713,PLATE FIB LAT OFFSET RT 113MM,4725.0,3780.0,1.0,4252.5,27
HCPCS,C1713,PLATE FIB LAT OFFSET RT 125MM,4819.92,3855.94,1.0,4337.93,27
HCPCS,C1713,PLATE FIB LAT OFFSET RT 77MM,4437.16,3549.73,1.0,3993.44,27
HCPCS,C1713,PLATE FIB LAT OFFSET RT 89MM,4535.16,3628.13,1.0,4081.64,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOC LFT77MM,4404.4,3523.52,1.0,3963.96,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOC LFT89MM,4502.4,3601.92,1.0,4052.16,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOC RT 77MM,4404.4,3523.52,1.0,3963.96,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOC RT 89MM,4502.4,3601.92,1.0,4052.16,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOC RT101MM,4600.4,3680.32,1.0,4140.36,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOCLFT101MM,4600.4,3680.32,1.0,4140.36,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOCLFT113MM,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1713,PLATE FIB LAT ORTHOLOCLFT125MM,4799.2,3839.36,1.0,4319.28,27
HCPCS,C1713,PLATE FIB LFT8HL*DISC 6332072*,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1713,PLATE FIB POST ANTIGLIDE 7HL,4540.9,3632.72,1.0,4086.81,27
HCPCS,C1713,PLATE FIB PRGN ST 10HL,2600.0,2080.0,1.0,2340.0,27
HCPCS,C1713,PLATE FIB PRGN ST 5HL,2600.0,2080.0,1.0,2340.0,27
HCPCS,C1713,PLATE FIB PRGN ST 7HL,2600.0,2080.0,1.0,2340.0,27
HCPCS,C1713,PLATE FIB PRGN ST 9HL,2600.0,2080.0,1.0,2340.0,27
HCPCS,C1713,PLATE FIB PSTRLAT ANAT DISTRT8,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTLFT4,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTLFT6,3542.0,2833.6,1.0,3187.8,27
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTLFT8,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,PLATE FIB PSTRLAT ANATDISTRT10,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 4HL,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 5HL,2886.4,2309.12,1.0,2597.76,27
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 6HL,2956.8,2365.44,1.0,2661.12,27
HCPCS,C1713,PLATE FIB PSTRLAT DIST SS 8HL,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1713,PLATE FIB PSTRLATANATDISTLFT10,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE FIB RT 6HL*DISC 6331176*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,PLATE FIB RT5HL*DISC 6325284*,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,PLATE FIB RT8HL*DISC 6331418*,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1713,PLATE FIX SOLERA TI 4.75 28MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,PLATE FIX STRY 2X2HL,1044.14,835.32,1.0,939.73,27
HCPCS,C1713,PLATE FLEX ST MATTA 10HL118.5,1738.51,1390.81,1.0,1564.66,27
HCPCS,C1713,PLATE FLEX ST MATTA 12HL142.5,1878.44,1502.76,1.0,1690.6,27
HCPCS,C1713,PLATE FLEX ST MATTA 14HL 166.5,1878.44,1502.76,1.0,1690.6,27
HCPCS,C1713,PLATE FLEX ST MATTA 18HL 214.5,2298.2,1838.56,1.0,2068.38,27
HCPCS,C1713,PLATE FLEX ST MATTA 3HL 34.5,1456.94,1165.56,1.0,1311.25,27
HCPCS,C1713,PLATE FLEX ST MATTA 4HL 46.5,1456.94,1165.56,1.0,1311.25,27
HCPCS,C1713,PLATE FLEX ST MATTA 5HL 58.5,1456.94,1165.56,1.0,1311.25,27
HCPCS,C1713,PLATE FLEX ST MATTA 6HL 70.5,1738.51,1390.81,1.0,1564.66,27
HCPCS,C1713,PLATE FLEX ST MATTA 7HL 82.5,1738.51,1390.81,1.0,1564.66,27
HCPCS,C1713,PLATE FLEX ST MATTA 8HL 94.5,1738.51,1390.81,1.0,1564.66,27
HCPCS,C1713,PLATE FRAC OLEC TI LFT 2HL,3989.83,3191.87,1.0,3590.85,27
HCPCS,C1713,PLATE FRAC ST TYME 3HL 2.0MM,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1713,PLATE FRAC TLTS CURV 6HL 2.5,2025.86,1620.69,1.0,1823.27,27
HCPCS,C1713,PLATE FRAC TLTS CURV LNG4HL1.5,1999.87,1599.9,1.0,1799.88,27
HCPCS,C1713,PLATE FRAC TLTS CURVSHRT4HL1.5,1999.87,1599.9,1.0,1799.88,27
HCPCS,C1713,PLATE FRAC TLTS ST 4HL 1.5,1698.86,1359.09,1.0,1528.97,27
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 1.5,2057.41,1645.93,1.0,1851.67,27
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 2.0,2018.59,1614.88,1.0,1816.73,27
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 2.5MM,1999.87,1599.9,1.0,1799.88,27
HCPCS,C1713,PLATE FRAC TLTS ST 6HL 3.0,2258.53,1806.83,1.0,2032.68,27
HCPCS,C1713,PLATE FRAC TLTS ST LNG 4HL 1.5,1776.05,1420.84,1.0,1598.45,27
HCPCS,C1713,PLATE FRAC TLTS ST SHRT 4HL1.5,1698.86,1359.09,1.0,1528.97,27
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 T TI4HL,2585.02,2068.02,1.0,2326.52,27
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 T TI5HL,2585.02,2068.02,1.0,2326.52,27
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 T TI6HL,2585.02,2068.02,1.0,2326.52,27
HCPCS,C1713,PLATE FRAC TRILEAP 2.0 Y TI6HL,2747.3,2197.84,1.0,2472.57,27
HCPCS,C1713,PLATE FRAC TRILEAP ST 2.0TI5HL,2464.13,1971.31,1.0,2217.72,27
HCPCS,C1713,PLATE FRAC TRILEAP ST 2.0TI6HL,2464.13,1971.31,1.0,2217.72,27
HCPCS,C1713,PLATE FRAC TRILEAP ST 2.0TI7HL,2464.13,1971.31,1.0,2217.72,27
HCPCS,C1713,PLATE FRAC W BAR GLD6HL2.*NLU*,2042.21,1633.77,1.0,1837.99,27
HCPCS,C1713,PLATE FRACT TLTS ANG 8HL 2.0,2533.22,2026.58,1.0,2279.9,27
HCPCS,C1713,PLATE FRAGMENT 6HL 2.7MM,1654.8,1323.84,1.0,1489.32,27
HCPCS,C1713,PLATE FUSN 2.7NC SM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,PLATE FUSN ANK ANT TT 3HL,6391.0,5112.8,1.0,5751.9,27
HCPCS,C1713,PLATE FUSN ANK ANT TT LFT,6391.0,5112.8,1.0,5751.9,27
HCPCS,C1713,PLATE FUSN ANK ANT TT LFT 4HL,8151.0,6520.8,1.0,7335.9,27
HCPCS,C1713,PLATE FUSN ANK ANT TT RT 4HL,8151.0,6520.8,1.0,7335.9,27
HCPCS,C1713,PLATE FUSN ANK ANT TT RT 6HL,8437.0,6749.6,1.0,7593.3,27
HCPCS,C1713,PLATE FUSN ANK LAT TT,6391.0,5112.8,1.0,5751.9,27
HCPCS,C1713,PLATE FUSN ANK LAT TTC RT,6699.0,5359.2,1.0,6029.1,27
HCPCS,C1713,PLATE FUSN ANT RT,6391.0,5112.8,1.0,5751.9,27
HCPCS,C1713,PLATE FUSN CLOVERLF LNG2.4/2.7,2624.83,2099.87,1.0,2362.35,27
HCPCS,C1713,PLATE FUSN CLOVERLFSHRT2.4/2.7,2499.84,1999.88,1.0,2249.86,27
HCPCS,C1713,PLATE FUSN CLOVERLFSTD 2.4/2.7,2564.35,2051.48,1.0,2307.92,27
HCPCS,C1713,PLATE FUSN INTERCARPAL2.4X15MM,2747.14,2197.72,1.0,2472.43,27
HCPCS,C1713,PLATE FUSN INTERCARPAL2.4X17MM,2747.14,2197.72,1.0,2472.43,27
HCPCS,C1713,PLATE FUSN MCP TI ACUM LFT,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,PLATE FUSN MCP TI ACUM RT,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,PLATE FUSN MEDL COL MD,5391.82,4313.46,1.0,4852.64,27
HCPCS,C1713,PLATE FUSN MEDL LFT 3.5X78MM,3861.98,3089.59,1.0,3475.78,27
HCPCS,C1713,PLATE FUSN MEDL RT 3.5X78MM,3861.98,3089.59,1.0,3475.78,27
HCPCS,C1713,PLATE FUSN MININVAS ANT TT44MM,5528.6,4422.88,1.0,4975.74,27
HCPCS,C1713,PLATE FUSN PLANTAR LFT3.5X78MM,4077.19,3261.76,1.0,3669.47,27
HCPCS,C1713,PLATE FUSN PLANTAR RT 3.5X78MM,4077.19,3261.76,1.0,3669.47,27
HCPCS,C1713,PLATE FUSN TALUS LFT 3.5X78MM,4077.19,3261.76,1.0,3669.47,27
HCPCS,C1713,PLATE FUSN TALUS RT 3.5X95MM,4077.19,3261.76,1.0,3669.47,27
HCPCS,C1713,PLATE FUSN TRILEAP PRIM0DLFTSM,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI 0D LFTMD,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI 0D LFTSM,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI 0D RT SM,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI 10D RTSM,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI 5D LFTSM,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI 5D RT SM,6171.28,4937.03,1.0,5554.15,27
HCPCS,C1713,PLATE FUSN TRILEAP TI0DRT6HLXS,6381.2,5104.96,1.0,5743.08,27
HCPCS,C1713,PLATE FUSN TRILEAP TI5DRT6HLXS,6381.2,5104.96,1.0,5743.08,27
HCPCS,C1713,PLATE FUSN TRILEAP TN TI MD,5817.73,4654.19,1.0,5235.96,27
HCPCS,C1713,PLATE FUSN TRILEAP TN TI SHRT,5817.73,4654.19,1.0,5235.96,27
HCPCS,C1713,PLATE FUSN TRILEAPTI0DLFT5HLXS,6381.2,5104.96,1.0,5743.08,27
HCPCS,C1713,PLATE FUSN TRILEAPTI0DLFT6HLXS,6381.2,5104.96,1.0,5743.08,27
HCPCS,C1713,PLATE FUSN TRILEAPTI5DLFT6HLXS,6381.2,5104.96,1.0,5743.08,27
HCPCS,C1713,PLATE FUSN VA FIRST TMT LNG,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE FUSN VA FIRST TMT STD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE FUSN VA LCP TMT 43MM,2624.83,2099.87,1.0,2362.35,27
HCPCS,C1713,PLATE FUSN ZIMM INLINE 2.5MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,PLATE FUSN ZIMM INLINE 3.5MM,2790.4,2232.32,1.0,2511.36,27
HCPCS,C1713,PLATE GORILLA GRIP RT MD 2.0MM,6360.9,5088.72,1.0,5724.81,27
HCPCS,C1713,PLATE GRAFT ADJACENT CANOPY7MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE GRAFT ADJACENT CANOPY9MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE GRAFT IN-LINE CANOPY 5MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE GRAFT IN-LINE CANOPY 7MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE GRAFT IN-LINE CANOPY 9MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE H EXT LCP 1.5MM LFT,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE H EXT LCP 1.5MM RT,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE H EXT LFT 1.3MM,1465.88,1172.71,1.0,1319.29,27
HCPCS,C1713,PLATE H EXT LFT 1.5MM,1631.7,1305.36,1.0,1468.53,27
HCPCS,C1713,PLATE H EXT RT 1.3MM,1465.88,1172.71,1.0,1319.29,27
HCPCS,C1713,PLATE H EXT RT 1.5MM,1631.7,1305.36,1.0,1468.53,27
HCPCS,C1713,PLATE H EXT TI LFT 1.3X19MM,1587.6,1270.08,1.0,1428.84,27
HCPCS,C1713,PLATE H EXT TI LFT 8HL 1.5MM,1578.78,1263.03,1.0,1420.9,27
HCPCS,C1713,PLATE H EXT TI R*DISC NO REPL*,1578.78,1263.03,1.0,1420.9,27
HCPCS,C1713,PLATE H EXT TI RT 1.3X19MM,1469.41,1175.53,1.0,1322.47,27
HCPCS,C1713,PLATE H LCP EXT W GD LFT1.5,1577.02,1261.62,1.0,1419.32,27
HCPCS,C1713,PLATE H LCP EXT W GD RT1.5,1577.02,1261.62,1.0,1419.32,27
HCPCS,C1713,PLATE H LOPRO ARTX RT MD,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE H LOPRO LFT ARTX MD,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE H MIDFOOT SM LFT 28X16MM,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE H MIDFOOT SM RT 28X16MM,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE H MTXSTRNM 8HL SM,1938.53,1550.83,1.0,1744.68,27
HCPCS,C1713,PLATE HEVANS RT LNG 24MM,4004.0,3203.2,1.0,3603.6,27
HCPCS,C1713,PLATE HI STRENGTH LFT11.7X45.3,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE HI STRENGTH ST 5.6X50MM,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE HIND/MIDFOOT 2.4/2.7 5HL,2502.53,2002.03,1.0,2252.28,27
HCPCS,C1713,PLATE HIND/MIDFOOT 2.4/2.7 8HL,2554.94,2043.96,1.0,2299.45,27
HCPCS,C1713,PLATE HIND/MIDFOOT 5HL 2.7MM,2428.61,1942.89,1.0,2185.75,27
HCPCS,C1713,PLATE HIND/MIDFOOT 8HL 2.7MM,2509.25,2007.4,1.0,2258.33,27
HCPCS,C1713,PLATE HIP KEYLESS 2HL 135D47MM,2075.72,1660.58,1.0,1868.15,27
HCPCS,C1713,PLATE HIP KEYLESS 3HL 135D63MM,2075.72,1660.58,1.0,1868.15,27
HCPCS,C1713,PLATE HIP PEDS LCP 100D 2.7MM,2487.24,1989.8,1.0,2238.52,27
HCPCS,C1713,PLATE HIP PEDS LCP 110D 2.7MM,2487.24,1989.8,1.0,2238.52,27
HCPCS,C1713,PLATE HIP PEDS LCP 120D 3.5MM,2590.06,2072.05,1.0,2331.05,27
HCPCS,C1713,PLATE HIP PEDS LCP 120D 5.0MM,2692.87,2154.3,1.0,2423.58,27
HCPCS,C1713,PLATE HIP PEDS LCP 130D 2.7MM,2487.24,1989.8,1.0,2238.52,27
HCPCS,C1713,PLATE HIP PEDS LCP 150D 3.5MM,2590.06,2072.05,1.0,2331.05,27
HCPCS,C1713,PLATE HIP PEDS LCP 150D 5.0MM,2692.87,2154.3,1.0,2423.58,27
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D3HL,2590.06,2072.05,1.0,2331.05,27
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D5HL,2425.92,1940.74,1.0,2183.33,27
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D7HL,2548.22,2038.58,1.0,2293.4,27
HCPCS,C1713,PLATE HIP PEDS LCP 3.5 130D9HL,2679.94,2143.96,1.0,2411.95,27
HCPCS,C1713,PLATE HIP PEDS LCP 5.0 130D3HL,2692.87,2154.3,1.0,2423.58,27
HCPCS,C1713,PLATE HIP PEDS LCP 5.0 130D5HL,2554.94,2043.96,1.0,2299.45,27
HCPCS,C1713,PLATE HIP STD DHHS 130D 4HL 90,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP STD DHHS 135D 3HL 72,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP STD DHHS 135D 4HL 90,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP STD DHHS 135D16HL306,2883.55,2306.84,1.0,2595.2,27
HCPCS,C1713,PLATE HIP STD DHHS 140D 3HL 72,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP STD DHHS 140D 4HL 90,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP STD DHHS 145D 3HL 72,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP STD DHHS 145D 4HL 90,2382.91,1906.33,1.0,2144.62,27
HCPCS,C1713,PLATE HIP TODDLER 90D 4X26MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE HIP TODDLER 90D 8X26MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE HIP TODDLER 90D 8X32MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE HIP TODDLER 90D 8X38MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE HMMF SMARTLOCK,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,PLATE HMMF SMARTLOCK STRY SM,1486.8,1189.44,1.0,1338.12,27
HCPCS,C1713,PLATE HNG IN-LINE CANOPY,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,PLATE HOOK 5TH META ARSENAL RT,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE HOOK 5TH META ARSENALLFT,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE HOOK 5TH META LNG RT,3927.0,3141.6,1.0,3534.3,27
HCPCS,C1713,PLATE HOOK 5TH META STD RT,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1713,PLATE HOOK CLAV RT 9HL 12MM,6064.8,4851.84,1.0,5458.32,27
HCPCS,C1713,PLATE HOOK COMP LFT 6HL 1.2MM,4149.6,3319.68,1.0,3734.64,27
HCPCS,C1713,PLATE HOOK COMP RT 5HL 1.2MM,4149.6,3319.68,1.0,3734.64,27
HCPCS,C1713,PLATE HOOK COMP RT 6HL 1.2MM,4149.6,3319.68,1.0,3734.64,27
HCPCS,C1713,PLATE HOOK DIST ULNA LFT LNG58,2486.34,1989.08,1.0,2237.71,27
HCPCS,C1713,PLATE HOOK DIST ULNA RT SHRT47,2638.8,2111.04,1.0,2374.92,27
HCPCS,C1713,PLATE HOOK FPS OSTE 2.7MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE HOOK LCP 3HL 3.5X62MM,1679.58,1343.67,1.0,1511.62,27
HCPCS,C1713,PLATE HOOK LCP STER 3HL 3.5X62,1847.54,1478.04,1.0,1662.79,27
HCPCS,C1713,PLATE HOOK LCP STERTI3HL3.5X62,2015.5,1612.4,1.0,1813.95,27
HCPCS,C1713,PLATE HOOK ORTHOLOC 3DI LG LNG,4342.24,3473.8,1.0,3908.02,27
HCPCS,C1713,PLATE HOOK ORTHOLOC 3DI LGSHRT,3929.52,3143.62,1.0,3536.57,27
HCPCS,C1713,PLATE HOOK ORTHOLOC 3DI SM LNG,4342.24,3473.8,1.0,3908.02,27
HCPCS,C1713,PLATE HOOK PANGEA 3HL 2.7X37MM,5622.4,4497.92,1.0,5060.16,27
HCPCS,C1713,PLATE HOOK PANGEA 3HL 3.5X49MM,6092.8,4874.24,1.0,5483.52,27
HCPCS,C1713,PLATE HOOK PANGEA 5HL 2.7X57MM,5622.4,4497.92,1.0,5060.16,27
HCPCS,C1713,PLATE HOOK PANGEA 5HL 3.5X79MM,6560.4,5248.32,1.0,5904.36,27
HCPCS,C1713,PLATE HOOK PANGEA 7HL 2.7X72MM,6560.4,5248.32,1.0,5904.36,27
HCPCS,C1713,PLATE HOOK PANGEA 7HL3.5X103MM,6526.0,5220.8,1.0,5873.4,27
HCPCS,C1713,PLATE HOOK RT 2.7MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,PLATE HOOK UNIV 5TH META,2849.0,2279.2,1.0,2564.1,27
HCPCS,C1713,PLATE HOOK VOLT SS 10HL 2.0X76,2589.31,2071.45,1.0,2330.38,27
HCPCS,C1713,PLATE HOOK VOLT SS 10HL 2.4X89,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE HOOK VOLT SS 10HL 2.7X98,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE HOOK VOLT SS 6HL 2.0X47,2589.31,2071.45,1.0,2330.38,27
HCPCS,C1713,PLATE HOOK VOLT SS 6HL 2.4X56,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE HOOK VOLT SS 6HL 2.7X61,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE HTO VS RT 4HL 10MM*DISC*,4121.6,3297.28,1.0,3709.44,27
HCPCS,C1713,PLATE HUMR DIST LAT LFT 5HL,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE HUMR DIST LAT LFT 7HL,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,PLATE HUMR DIST LAT LFT 9HL,3494.4,2795.52,1.0,3144.96,27
HCPCS,C1713,PLATE HUMR DIST LAT POS LFT5HL,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,PLATE HUMR DIST LAT POS LFT7HL,3494.4,2795.52,1.0,3144.96,27
HCPCS,C1713,PLATE HUMR DIST LAT POS LFT9HL,3785.6,3028.48,1.0,3407.04,27
HCPCS,C1713,PLATE HUMR DIST LAT POS RT 5HL,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,PLATE HUMR DIST LAT POS RT 7HL,3494.4,2795.52,1.0,3144.96,27
HCPCS,C1713,PLATE HUMR DIST LAT POS RT 9HL,3785.6,3028.48,1.0,3407.04,27
HCPCS,C1713,PLATE HUMR DIST LAT RT 5HL,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE HUMR DIST LAT RT 7HL,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,PLATE HUMR DIST LAT RT 9HL,3494.4,2795.52,1.0,3144.96,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR LFT4HL,3035.82,2428.66,1.0,2732.24,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR LFT6HL,3472.45,2777.96,1.0,3125.21,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR LFT8HL,3686.26,2949.01,1.0,3317.63,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT 4HL,3035.82,2428.66,1.0,2732.24,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT 6HL,3472.45,2777.96,1.0,3125.21,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT 8HL,3686.26,2949.01,1.0,3317.63,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT10HL,3901.35,3121.08,1.0,3511.22,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT12HL,4457.77,3566.22,1.0,4011.99,27
HCPCS,C1713,PLATE HUMR DIST LCP XTR RT14HL,4908.57,3926.86,1.0,4417.71,27
HCPCS,C1713,PLATE HUMR DIST LCP XTRLFT10HL,3901.35,3121.08,1.0,3511.22,27
HCPCS,C1713,PLATE HUMR DIST LCP XTRLFT12HL,4457.77,3566.22,1.0,4011.99,27
HCPCS,C1713,PLATE HUMR DIST LCP XTRLFT14HL,4908.57,3926.86,1.0,4417.71,27
HCPCS,C1713,PLATE HUMR DIST LFT LNG 7HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST LNG SUPP RT7HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DIST LNG SUPPLFT7HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DIST MD LFT 4HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MD RT 4HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MD SUPP LFT4HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DIST MD SUPP RT 4HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT3HL,2434.32,1947.46,1.0,2190.89,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT5HL,2401.73,1921.39,1.0,2161.56,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT7HL,2640.96,2112.77,1.0,2376.86,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5LFT9HL,2851.97,2281.58,1.0,2566.77,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 3HL,2434.32,1947.46,1.0,2190.89,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 5HL,2401.73,1921.39,1.0,2161.56,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 7HL,2640.96,2112.77,1.0,2376.86,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT 9HL,2851.97,2281.58,1.0,2566.77,27
HCPCS,C1713,PLATE HUMR DIST MEDL 3.5RT14HL,2933.95,2347.16,1.0,2640.56,27
HCPCS,C1713,PLATE HUMR DIST MEDL LFT 10HL,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR DIST MEDL LFT 8HL,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR DIST MEDL LNGLFT4HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDL MD LFT2HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDL MD RT 2HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDL RT 10HL,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR DIST MEDL RT 8HL,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR DIST MEDL RT LNG4HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDL RTXLNG6HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDL SHRTRT1HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDL3.5LFT14HL,2933.95,2347.16,1.0,2640.56,27
HCPCS,C1713,PLATE HUMR DIST MEDLSHRTLFT1HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST MEDLXLNGLFT6HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT3HL,2434.32,1947.46,1.0,2190.89,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT5HL,2401.73,1921.39,1.0,2161.56,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT7HL,2640.96,2112.77,1.0,2376.86,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT LFT9HL,2851.97,2281.58,1.0,2566.77,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 3HL,2434.32,1947.46,1.0,2190.89,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 5HL,2401.73,1921.39,1.0,2161.56,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 7HL,2640.96,2112.77,1.0,2376.86,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT 9HL,2851.97,2281.58,1.0,2566.77,27
HCPCS,C1713,PLATE HUMR DIST PSTRLAT RT14HL,2933.95,2347.16,1.0,2640.56,27
HCPCS,C1713,PLATE HUMR DIST PSTRLATLFT14HL,2933.95,2347.16,1.0,2640.56,27
HCPCS,C1713,PLATE HUMR DIST RT LNG 7HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST RT XLNG 9HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST SHRT LFT 3HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST SHRT RT 3HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR DIST SHRT SUPPRT3HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DIST SHRTSUPPLFT3HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DISTARTICULFT6HL164,7311.2,5848.96,1.0,6580.08,27
HCPCS,C1713,PLATE HUMR DISTARTICULFT8HL198,8288.8,6631.04,1.0,7459.92,27
HCPCS,C1713,PLATE HUMR DISTLCPXTRSTERRT6HL,3820.21,3056.17,1.0,3438.19,27
HCPCS,C1713,PLATE HUMR DISTMEDLSTERMDRT2HL,3028.2,2422.56,1.0,2725.38,27
HCPCS,C1713,PLATE HUMR DISTXLNG SUPP RT9HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR DISTXLNG SUPPLFT9HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR LAT ARTX 12HL,6747.0,5397.6,1.0,6072.3,27
HCPCS,C1713,PLATE HUMR LAT DIST LFT 9HL173,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR LAT DIST LFT LNG5HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST LFT MD 2HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST LFT11HL199,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR LAT DIST LFTSHRT1HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST LFTXLNG7HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST RT 11HL199,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR LAT DIST RT 9HL 173,2874.14,2299.32,1.0,2586.73,27
HCPCS,C1713,PLATE HUMR LAT DIST RT LNG 5HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST RT MD 2HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST RT SHRT1HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DIST RT XLNG7HL,3144.96,2515.97,1.0,2830.46,27
HCPCS,C1713,PLATE HUMR LAT DISTSTERRTMD2HL,3028.2,2422.56,1.0,2725.38,27
HCPCS,C1713,PLATE HUMR LAT LCP TI LFT 5HL,3087.17,2469.74,1.0,2778.45,27
HCPCS,C1713,PLATE HUMR LAT LCP TI RT 7HL,2970.58,2376.47,1.0,2673.52,27
HCPCS,C1713,PLATE HUMR MEDL EXT LFT 10HL,2963.52,2370.82,1.0,2667.17,27
HCPCS,C1713,PLATE HUMR MEDL EXT LFT 8HL,2963.52,2370.82,1.0,2667.17,27
HCPCS,C1713,PLATE HUMR MEDL EXT LFT LNG4HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT MD LFT 2HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT MD RT 2HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT RT 10HL,2963.52,2370.82,1.0,2667.17,27
HCPCS,C1713,PLATE HUMR MEDL EXT RT 8HL,2963.52,2370.82,1.0,2667.17,27
HCPCS,C1713,PLATE HUMR MEDL EXT RT LNG 4HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT RT XLNG6HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT SHRT RT1HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT SHRTLFT1HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL EXT STERLFT1HL,3408.05,2726.44,1.0,3067.25,27
HCPCS,C1713,PLATE HUMR MEDL EXT XLNGLFT6HL,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE HUMR MEDL LCP TI LFT 5HL,3024.67,2419.74,1.0,2722.2,27
HCPCS,C1713,PLATE HUMR MEDL LCP TI RT 7HL,3328.08,2662.47,1.0,2995.27,27
HCPCS,C1713,PLATE HUMR PROX 95D 3HL,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,PLATE HUMR PROX ALPHA LFT 4HL,7707.7,6166.16,1.0,6936.93,27
HCPCS,C1713,PLATE HUMR PROX ALPHA LFT 5HL,7707.7,6166.16,1.0,6936.93,27
HCPCS,C1713,PLATE HUMR PROX ALPHA RT 5HL,7707.7,6166.16,1.0,6936.93,27
HCPCS,C1713,PLATE HUMR PROX ARTX 3HL,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,PLATE HUMR PROX LAT LFT 12HL,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE HUMR PROX LAT LFT 16HL,5712.0,4569.6,1.0,5140.8,27
HCPCS,C1713,PLATE HUMR PROX LAT LFT 4HL,5174.4,4139.52,1.0,4656.96,27
HCPCS,C1713,PLATE HUMR PROX LAT LFT 6HL,5308.8,4247.04,1.0,4777.92,27
HCPCS,C1713,PLATE HUMR PROX LAT LFT 8HL,5465.6,4372.48,1.0,4919.04,27
HCPCS,C1713,PLATE HUMR PROX LAT RT 12HL,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE HUMR PROX LAT RT 16HL,5712.0,4569.6,1.0,5140.8,27
HCPCS,C1713,PLATE HUMR PROX LAT RT 4HL,5174.4,4139.52,1.0,4656.96,27
HCPCS,C1713,PLATE HUMR PROX LAT RT 6HL,5308.8,4247.04,1.0,4777.92,27
HCPCS,C1713,PLATE HUMR PROX LAT RT 8HL,5465.6,4372.48,1.0,4919.04,27
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 3HL 90,4028.86,3223.09,1.0,3625.97,27
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 5HL114,4155.09,3324.08,1.0,3739.58,27
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 5HL142,4352.15,3481.72,1.0,3916.94,27
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 6HL160,4483.53,3586.83,1.0,4035.18,27
HCPCS,C1713,PLATE HUMR PROX LCP 3.5 8HL196,4531.18,3624.95,1.0,4078.06,27
HCPCS,C1713,PLATE HUMR PROX LCP STER3.5 8H,4663.85,3731.08,1.0,4197.47,27
HCPCS,C1713,PLATE HUMR PROX LFT 10HL 3.5MM,5428.92,4343.14,1.0,4886.03,27
HCPCS,C1713,PLATE HUMR PROX LFT 12HL 3.5MM,5642.73,4514.19,1.0,5078.46,27
HCPCS,C1713,PLATE HUMR PROX LFT 2HL 3.5MM,4470.65,3576.52,1.0,4023.59,27
HCPCS,C1713,PLATE HUMR PROX LFT 3HL 3.5MM,4638.09,3710.48,1.0,4174.28,27
HCPCS,C1713,PLATE HUMR PROX LFT 4HL 105MM,9448.0,7558.4,1.0,8503.2,27
HCPCS,C1713,PLATE HUMR PROX LFT 4HL 3.5MM,4775.9,3820.72,1.0,4298.31,27
HCPCS,C1713,PLATE HUMR PROX LFT 5HL 3.5MM,4916.3,3933.04,1.0,4424.67,27
HCPCS,C1713,PLATE HUMR PROX LFT 6HL 133MM,10675.6,8540.48,1.0,9608.04,27
HCPCS,C1713,PLATE HUMR PROX LFT 6HL 3.5 MM,5037.37,4029.9,1.0,4533.63,27
HCPCS,C1713,PLATE HUMR PROX LFT 8HL 161MM,11159.2,8927.36,1.0,10043.28,27
HCPCS,C1713,PLATE HUMR PROX LFT 8HL 3.5MM,5186.78,4149.43,1.0,4668.1,27
HCPCS,C1713,PLATE HUMR PROX RT 10HL 3.5MM,5428.92,4343.14,1.0,4886.03,27
HCPCS,C1713,PLATE HUMR PROX RT 12HL 3.5MM,5642.73,4514.19,1.0,5078.46,27
HCPCS,C1713,PLATE HUMR PROX RT 2HL 3.5MM,4470.65,3576.52,1.0,4023.59,27
HCPCS,C1713,PLATE HUMR PROX RT 4HL 105MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1713,PLATE HUMR PROX RT 4HL 3.5MM,4775.9,3820.72,1.0,4298.31,27
HCPCS,C1713,PLATE HUMR PROX RT 5HL 3.5MM,4916.3,3933.04,1.0,4424.67,27
HCPCS,C1713,PLATE HUMR PROX RT 6HL 3.5MM,5037.37,4029.9,1.0,4533.63,27
HCPCS,C1713,PLATE HUMR PROX RT 8HL 3.5MM,5186.78,4149.43,1.0,4668.1,27
HCPCS,C1713,PLATE HUMR PROX STER RT 2HL3.5,4917.58,3934.07,1.0,4425.82,27
HCPCS,C1713,PLATE HUMR PROX STER RT 4HL3.5,5253.75,4203.0,1.0,4728.38,27
HCPCS,C1713,PLATE HUMR PROX STER RT 5HL3.5,5407.02,4325.62,1.0,4866.32,27
HCPCS,C1713,PLATE HUMR PROX STER RT 8HL3.5,5704.55,4563.64,1.0,5134.1,27
HCPCS,C1713,PLATE HUMR PROX STER RT10HL3.5,5972.46,4777.97,1.0,5375.21,27
HCPCS,C1713,PLATE HUMR PROX VOLT 3HL3.5X93,11852.98,9482.39,1.0,10667.68,27
HCPCS,C1713,PLATE HUMR PROX VOLT5HL3.5X119,11852.98,9482.39,1.0,10667.68,27
HCPCS,C1713,PLATE HUMR PROX VOLT8HL3.5X196,12972.96,10378.37,1.0,11675.66,27
HCPCS,C1713,PLATE HUMR PROXLATSTERLFT3HL86,6508.82,5207.06,1.0,5857.94,27
HCPCS,C1713,PLATE HUMR PROXLCP 3.5 10HL232,4756.58,3805.27,1.0,4280.92,27
HCPCS,C1713,PLATE HUMR PROXLCP 3.5 12HL268,5083.74,4067.0,1.0,4575.37,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT3HL,2482.37,1985.9,1.0,2234.13,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT5HL,2706.82,2165.46,1.0,2436.14,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT7HL,2933.95,2347.16,1.0,2640.56,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPP RT9HL,3182.59,2546.08,1.0,2864.33,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT3HL,2482.37,1985.9,1.0,2234.13,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT5HL,2706.82,2165.46,1.0,2436.14,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT7HL,2933.95,2347.16,1.0,2640.56,27
HCPCS,C1713,PLATE HUMR PSTRLAT WSUPPLFT9HL,3182.59,2546.08,1.0,2864.33,27
HCPCS,C1713,PLATE HUMRDISTMEDLSTERRTLNG4HL,3028.2,2422.56,1.0,2725.38,27
HCPCS,C1713,PLATE HUMRPROXLATSTERRT10HL176,6973.93,5579.15,1.0,6276.54,27
HCPCS,C1713,PLATE I ORTHOPEDIATRICS 16MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,PLATE I ORTHOPEDIATRICS 22MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE I ORTHOPEDIATRICS 32MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE IMPLT ORB *DISC 6333365*,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1713,PLATE INFANT 3HL 110D 3.5MM,5810.56,4648.45,1.0,5229.5,27
HCPCS,C1713,PLATE INFANT 90D 2HL 25X5MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE INFANT 90D 2HL 30X5MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE INFANT 90D 3HL 25X5MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE INFANT 90D 3HL 30X5MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE INFANT 90D 3HL 35X12MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE INFANT 90D 3HL 35X5MM,4345.6,3476.48,1.0,3911.04,27
HCPCS,C1713,PLATE INTRMD LFT LNG 14HL 76MM,3104.35,2483.48,1.0,2793.92,27
HCPCS,C1713,PLATE INTRMD LFT SHRT 11HL49MM,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE INTRMD LFT SHRT 11HL56MM,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE INTRMD RAD 2/3HL2.4 -90D,2450.95,1960.76,1.0,2205.86,27
HCPCS,C1713,PLATE INTRMD RESORB X 4HL0.8MM,1095.49,876.4,1.0,985.94,27
HCPCS,C1713,PLATE INTRMD RT LNG 14HL76MM,3104.35,2483.48,1.0,2793.92,27
HCPCS,C1713,PLATE INTRMD RT SHRT 10HL 58MM,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE INTRMD RT SHRT 11HL 56MM,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE INTRPEL STER EXT LFTSM3.,6463.8,5171.04,1.0,5817.42,27
HCPCS,C1713,PLATE INTRPEL STER EXT RTLG3.5,6463.8,5171.04,1.0,5817.42,27
HCPCS,C1713,PLATE INTRPEL STER EXT RTSM3.5,6463.8,5171.04,1.0,5817.42,27
HCPCS,C1713,PLATE INTRPEL STER EXTLFTLG3.5,6463.8,5171.04,1.0,5817.42,27
HCPCS,C1713,PLATE INTRPEL STER STD RTLG3.5,6214.32,4971.46,1.0,5592.89,27
HCPCS,C1713,PLATE INTRPEL STER STD RTSM3.5,6214.32,4971.46,1.0,5592.89,27
HCPCS,C1713,PLATE INTRPEL STER STDLFTLG3.5,6214.32,4971.46,1.0,5592.89,27
HCPCS,C1713,PLATE INTRPEL STER STDLFTSM3.5,6214.32,4971.46,1.0,5592.89,27
HCPCS,C1713,PLATE ISO PCKT MINI MAXLK,3077.2,2461.76,1.0,2769.48,27
HCPCS,C1713,PLATE J LK RECON LOPRO LFT10HL,2489.09,1991.28,1.0,2240.18,27
HCPCS,C1713,PLATE J LK RECON LOPRO LFT12HL,2627.52,2102.02,1.0,2364.77,27
HCPCS,C1713,PLATE J LK RECON LOPRO LFT14HL,2769.98,2215.99,1.0,2492.98,27
HCPCS,C1713,PLATE J LK RECON LOPRO LFT16HL,2929.92,2343.94,1.0,2636.93,27
HCPCS,C1713,PLATE J LK RECON LOPRO RT10HL3,2489.09,1991.28,1.0,2240.18,27
HCPCS,C1713,PLATE J LK RECON LOPRO RT12HL3,2627.52,2102.02,1.0,2364.77,27
HCPCS,C1713,PLATE J LK RECON LOPRO RT14HL3,2769.98,2215.99,1.0,2492.98,27
HCPCS,C1713,PLATE J LK RECON LOPRO RT16HL3,2929.92,2343.94,1.0,2636.93,27
HCPCS,C1713,PLATE J RECON LOPRO LFT10HL3.5,1970.14,1576.12,1.0,1773.13,27
HCPCS,C1713,PLATE J RECON LOPRO LFT12HL3.5,2125.87,1700.7,1.0,1913.28,27
HCPCS,C1713,PLATE J RECON LOPRO LFT14HL3.5,2287.66,1830.13,1.0,2058.89,27
HCPCS,C1713,PLATE J RECON LOPRO LFT16HL3.5,2446.42,1957.14,1.0,2201.78,27
HCPCS,C1713,PLATE J RECON LOPRO RT10HL3.5,1970.14,1576.12,1.0,1773.13,27
HCPCS,C1713,PLATE J RECON LOPRO RT12HL3.5,2125.87,1700.7,1.0,1913.28,27
HCPCS,C1713,PLATE J RECON LOPRO RT14HL3.5,2287.66,1830.13,1.0,2058.89,27
HCPCS,C1713,PLATE J RECON LOPRO RT16HL3.5,2446.42,1957.14,1.0,2201.78,27
HCPCS,C1713,PLATE JL STERNALK 8HL,1864.8,1491.84,1.0,1678.32,27
HCPCS,C1713,PLATE KT LAPIPLASTY SYS3,17988.0,14390.4,1.0,16189.2,27
HCPCS,C1713,PLATE L 2.7MM 3HL LFT,1208.34,966.68,1.0,1087.51,27
HCPCS,C1713,PLATE L 2.7MM 3HL RT,1208.34,966.68,1.0,1087.51,27
HCPCS,C1713,PLATE L ARSENAL LFT,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE L ARSENAL RT,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE L COMP POLYLOCK RT 5HL,7930.0,6344.0,1.0,7137.0,27
HCPCS,C1713,PLATE L DIST RAD +20D 3HL 43MM,2106.43,1685.15,1.0,1895.79,27
HCPCS,C1713,PLATE L DIST RAD +20D 3HL 52MM,2207.45,1765.96,1.0,1986.71,27
HCPCS,C1713,PLATE L DIST RAD +90D 2HL 40MM,2106.43,1685.15,1.0,1895.79,27
HCPCS,C1713,PLATE L DIST RAD +90D 2HL 49MM,2207.45,1765.96,1.0,1986.71,27
HCPCS,C1713,PLATE L DIST RAD +90D 3HL 40MM,2106.43,1685.15,1.0,1895.79,27
HCPCS,C1713,PLATE L DIST RAD +90D 3HL 49MM,2207.45,1765.96,1.0,1986.71,27
HCPCS,C1713,PLATE L DIST RAD -20D 3HL 43MM,2106.43,1685.15,1.0,1895.79,27
HCPCS,C1713,PLATE L DIST RAD -20D 3HL 52MM,2207.45,1765.96,1.0,1986.71,27
HCPCS,C1713,PLATE L DIST RAD -90D 2HL 40MM,2106.43,1685.15,1.0,1895.79,27
HCPCS,C1713,PLATE L DIST RAD -90D 2HL 49MM,2207.45,1765.96,1.0,1986.71,27
HCPCS,C1713,PLATE L DIST RAD -90D 3HL 40MM,2106.43,1685.15,1.0,1895.79,27
HCPCS,C1713,PLATE L DIST RAD -90D 3HL 49MM,2207.45,1765.96,1.0,1986.71,27
HCPCS,C1713,PLATE L FUSN VA LFT LNG 2.4MM,2704.13,2163.31,1.0,2433.72,27
HCPCS,C1713,PLATE L FUSN VA LFT SHRT 2.4MM,2499.84,1999.88,1.0,2249.86,27
HCPCS,C1713,PLATE L FUSN VA LFT STD 2.4MM,2634.24,2107.4,1.0,2370.82,27
HCPCS,C1713,PLATE L FUSN VA RT LNG 2.4MM,2704.13,2163.31,1.0,2433.72,27
HCPCS,C1713,PLATE L FUSN VA RT SHRT 2.4MM,2569.73,2055.79,1.0,2312.76,27
HCPCS,C1713,PLATE L FUSN VA RT STD 2.4MM,2634.24,2107.4,1.0,2370.82,27
HCPCS,C1713,PLATE L GSP 8MM BAR 100D RT6HL,1769.04,1415.24,1.0,1592.14,27
HCPCS,C1713,PLATE L KLS LFT 5HL,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L KLS LFT LNG,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L KLS LFT MD,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L KLS RT 5HL,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L KLS RT 7HL,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L KLS RT LNG,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L KLS RT MD,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE L L PROFYLE COMP2.3LFT6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE L LAPIDUS LFT 60MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1713,PLATE L LCP LFT 2/3HL 2.7X32MM,1344.17,1075.34,1.0,1209.75,27
HCPCS,C1713,PLATE L LCP LFT 4HL 2.7MM,1358.28,1086.63,1.0,1222.45,27
HCPCS,C1713,PLATE L LCP RT 3HL 2.7X32MM,1344.17,1075.34,1.0,1209.75,27
HCPCS,C1713,PLATE L LCP RT 4HL 2.7MM,1358.28,1086.63,1.0,1222.45,27
HCPCS,C1713,PLATE L LG LFT TI 2X3HL 0.8MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE L LG LFT TI 3X4HL 0.8MM,1399.44,1119.56,1.0,1259.5,27
HCPCS,C1713,PLATE L LG RT TI 2X3HL 0.8MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE L LG RT TI 3X4HL 0.8MM,1399.44,1119.56,1.0,1259.5,27
HCPCS,C1713,PLATE L LG TI LFT 4X6HL 0.8MM,1448.83,1159.07,1.0,1303.95,27
HCPCS,C1713,PLATE L LG TI RT 4X6HL 0.8MM,1448.83,1159.07,1.0,1303.95,27
HCPCS,C1713,PLATE L LK M VARIAX LFT 6HL2.3,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE L LK M VARIAX RT 6HL 2.3,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE L LK S VARIAX LFT 6HL1.7,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE L LK S VARIAX RT 6HL 1.7,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE L MD LFT TI 4X6HL 0.7MM,1097.69,878.16,1.0,987.92,27
HCPCS,C1713,PLATE L MD TI LFT 2X3HL 0.7MM,1365.17,1092.14,1.0,1228.65,27
HCPCS,C1713,PLATE L MD TI LFT 3X4HL 0.7MM,1061.73,849.39,1.0,955.56,27
HCPCS,C1713,PLATE L MD TI RT 2X3HL 0.7MM,1036.35,829.08,1.0,932.72,27
HCPCS,C1713,PLATE L MD TI RT 3X4HL 0.7MM,1399.44,1119.56,1.0,1259.5,27
HCPCS,C1713,PLATE L MIDFACE 10HL 0.6MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE L MIDFACE 10HL 0.8MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE L MIDFACE 10HL 1.0MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE L MIDFACE 3HL 0.4MM,973.94,779.16,1.0,876.55,27
HCPCS,C1713,PLATE L MIDFACE 7HL 0.8MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE L MIDFACE 7HL 1.0MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE L MIDFACE MD 7HL 0.6MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE L MIDFACE STD LFT 1.7X8,989.37,791.5,1.0,890.43,27
HCPCS,C1713,PLATE L MINI TI LFT 4X6HL0.5MM,1097.69,878.16,1.0,987.92,27
HCPCS,C1713,PLATE L MINI TI LFT2X3HL0.5MM,1365.17,1092.14,1.0,1228.65,27
HCPCS,C1713,PLATE L MINI TI LFT3X4HL0.5MM,1061.73,849.39,1.0,955.56,27
HCPCS,C1713,PLATE L MINI TI RT3X4HL0.5MM,1061.73,849.39,1.0,955.56,27
HCPCS,C1713,PLATE L OBLIQ 2.*DISC NO REPL*,578.34,462.68,1.0,520.51,27
HCPCS,C1713,PLATE L OBLIQ 2.0RT2HL19*CIP*,578.34,462.68,1.0,520.51,27
HCPCS,C1713,PLATE L OBLIQ 2.7MM LFT 3HL,1208.34,966.68,1.0,1087.51,27
HCPCS,C1713,PLATE L OBLIQ 2.7MM RT 3HL,1208.34,966.68,1.0,1087.51,27
HCPCS,C1713,PLATE L OBLIQ LCP LFT3HL2.7X35,1344.17,1075.34,1.0,1209.75,27
HCPCS,C1713,PLATE L OBLIQ LCP LFT4HL2.7X42,1358.28,1086.63,1.0,1222.45,27
HCPCS,C1713,PLATE L OBLIQ LCPRT3HL2.7X35MM,1344.17,1075.34,1.0,1209.75,27
HCPCS,C1713,PLATE L OBLIQ LCPRT4HL2.7X42MM,1358.28,1086.63,1.0,1222.45,27
HCPCS,C1713,PLATE L OBLIQ RADSTER3/3HL+20D,2484.22,1987.38,1.0,2235.8,27
HCPCS,C1713,PLATE L OBLIQ RVRSSHRT3X3HL0.8,1260.8,1008.64,1.0,1134.72,27
HCPCS,C1713,PLATE L OSTE LFT 15MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE L OSTE LFT 18MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE L OSTE LFT 23MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE L OSTE RT 15MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE L OSTE RT 18MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE L OSTE RT 23MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE L PROFYLE COMP 2.3 ST 4H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE L PROFYLE COMP 2.3 ST 6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE L PROFYLE COMP 2.3 ST 8H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE L PROFYLE COMP 2.3RT6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE L PROFYLE COMP2.3 ST 5HL,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE L RAD 2.4 TI +20D 3/3HL,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATE L RAD 2.4 TI +20D 4/3HL,2427.7,1942.16,1.0,2184.93,27
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 3/2HL,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 3/3HL,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 4/2HL,2427.7,1942.16,1.0,2184.93,27
HCPCS,C1713,PLATE L RAD 2.4 TI +90D 4/3HL,2427.7,1942.16,1.0,2184.93,27
HCPCS,C1713,PLATE L RAD 2.4 TI -20D 3/3HL,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATE L RAD 2.4 TI -20D 4/3HL,2427.7,1942.16,1.0,2184.93,27
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 3/2HL,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 3/3HL,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 4/2HL,2427.7,1942.16,1.0,2184.93,27
HCPCS,C1713,PLATE L RAD 2.4 TI -90D 4/3HL,2427.7,1942.16,1.0,2184.93,27
HCPCS,C1713,PLATE L RAD VA LCP+20 2X3HL2.4,2068.42,1654.74,1.0,1861.58,27
HCPCS,C1713,PLATE L RAD VA LCP+20 2X5HL2.4,2175.77,1740.62,1.0,1958.19,27
HCPCS,C1713,PLATE L RAD VA LCP+90 2X3HL2.4,2068.42,1654.74,1.0,1861.58,27
HCPCS,C1713,PLATE L RAD VA LCP+90 2X5HL2.4,2175.77,1740.62,1.0,1958.19,27
HCPCS,C1713,PLATE L RAD VA LCP+90 3X3HL2.4,2068.42,1654.74,1.0,1861.58,27
HCPCS,C1713,PLATE L RAD VA LCP+90 3X5HL2.4,2175.77,1740.62,1.0,1958.19,27
HCPCS,C1713,PLATE L RAD VA LCP-20 2X3HL2.4,2068.42,1654.74,1.0,1861.58,27
HCPCS,C1713,PLATE L RAD VA LCP-20 2X5HL2.4,2175.77,1740.62,1.0,1958.19,27
HCPCS,C1713,PLATE L RAD VA LCP-90 2X3HL2.4,2068.42,1654.74,1.0,1861.58,27
HCPCS,C1713,PLATE L RAD VA LCP-90 2X5HL2.4,2175.77,1740.62,1.0,1958.19,27
HCPCS,C1713,PLATE L RAD VA LCP-90 3X3HL2.4,2068.42,1654.74,1.0,1861.58,27
HCPCS,C1713,PLATE L RAD VA LCP-90 3X5HL2.4,2175.77,1740.62,1.0,1958.19,27
HCPCS,C1713,PLATE L STERNALK 100D 4HL,1857.6,1486.08,1.0,1671.84,27
HCPCS,C1713,PLATE L TI LVL1 LFT 7HL19X12MM,1340.93,1072.75,1.0,1206.84,27
HCPCS,C1713,PLATE L TI LVL1 LFT 9HL22X24MM,1203.38,962.71,1.0,1083.04,27
HCPCS,C1713,PLATE L TI LVL1 RT 7HL 19X12MM,1203.38,962.71,1.0,1083.04,27
HCPCS,C1713,PLATE L TI LVL1 RT 9HL 22X24MM,1203.38,962.71,1.0,1083.04,27
HCPCS,C1713,PLATE LA GRIDLOCK LFT SM,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,PLATE LA GRIDLOCK RT SM,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,PLATE LADDER MTXSTRNM 10HL LG,2610.14,2088.12,1.0,2349.13,27
HCPCS,C1713,PLATE LADDER MTXSTRNM 10HL SM,3015.6,2412.48,1.0,2714.04,27
HCPCS,C1713,PLATE LADDER MTXSTRNM 8HL LG,2129.33,1703.47,1.0,1916.4,27
HCPCS,C1713,PLATE LADDER STERNALK 12HL,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1713,PLATE LADDER STERNALK WIDE12HL,2454.4,1963.52,1.0,2208.96,27
HCPCS,C1713,PLATE LAMBDA SUBCOND LFT7HL1MM,2769.76,2215.81,1.0,2492.78,27
HCPCS,C1713,PLATE LAMBDA SUBCOND RT 7HL1MM,2294.35,1835.48,1.0,2064.92,27
HCPCS,C1713,PLATE LAPIDUS ALPHALOK 42MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1713,PLATE LAPIDUS ALPS ZIMM,2844.8,2275.84,1.0,2560.32,27
HCPCS,C1713,PLATE LAPIDUS ARSENAL LG LFT,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE LAPIDUS ARSENAL LG RT,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE LAPIDUS ARSENAL PET LFT,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE LAPIDUS ARSENAL PET RT,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE LAPIDUS ARSENAL STD LFT,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE LAPIDUS ARSENAL STD RT,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE LAPIDUS ARTX,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE LAPIDUS LC ALPHA 18MM,5353.63,4282.91,1.0,4818.27,27
HCPCS,C1713,PLATE LAPIDUS LNG,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE LAPIDUS LS STEP 0MM,4051.77,3241.42,1.0,3646.59,27
HCPCS,C1713,PLATE LAPIDUS LS STEP 1MM,4051.77,3241.42,1.0,3646.59,27
HCPCS,C1713,PLATE LAPIDUS LS STEP 2MM,4051.77,3241.42,1.0,3646.59,27
HCPCS,C1713,PLATE LAPIDUS MEDL STRTM LFT,5000.8,4000.64,1.0,4500.72,27
HCPCS,C1713,PLATE LAPIDUS MEDL STRTM RT,5000.8,4000.64,1.0,4500.72,27
HCPCS,C1713,PLATE LAPIDUS MEDL TI SHRT,6748.0,5398.4,1.0,6073.2,27
HCPCS,C1713,PLATE LAPIDUS ORTHOLOC 0MM,5734.4,4587.52,1.0,5160.96,27
HCPCS,C1713,PLATE LAPIDUS ORTHOLOC 4MM,5734.4,4587.52,1.0,5160.96,27
HCPCS,C1713,PLATE LAPIDUS PLANTAR SHRT LFT,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,PLATE LAPIDUS RS STEP 0MM,4051.77,3241.42,1.0,3646.59,27
HCPCS,C1713,PLATE LAPIDUS RS STEP 2MM,4051.77,3241.42,1.0,3646.59,27
HCPCS,C1713,PLATE LAPIDUS STRTM LFT LG,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE LAPIDUS STRTM LFT SM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE LAPIDUS STRTM RT LG,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE LAPIDUS STRTM RT SM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE LAPIDUS STRY STEP1 RT,4051.77,3241.42,1.0,3646.59,27
HCPCS,C1713,PLATE LAPIDUS TI LFT STEP 0MM,6748.0,5398.4,1.0,6073.2,27
HCPCS,C1713,PLATE LAPIDUS VLC GRIDLOCK,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1713,PLATE LAPIDUS WRIT STD LFT,6264.3,5011.44,1.0,5637.87,27
HCPCS,C1713,PLATE LAPIDUS WRIT STD RT,6264.3,5011.44,1.0,5637.87,27
HCPCS,C1713,PLATE LAT DIST RAD LFTSHRT43MM,2541.46,2033.17,1.0,2287.31,27
HCPCS,C1713,PLATE LAT ELBOW STRY LFT 3HL,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE LAT HUMR RT 3HL 84MM,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE LAT LENG NO WDG,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE LAT LENG WDG LG,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE LAT LENG WDG MD,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE LAT LENG WDG SM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE LAT PSTR HUMR LFT3HL80MM,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE LAT PSTR STRY LFT 4HL,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE LAT PSTR STRY RT 3HL,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE LAT TT LFT STD,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,PLATE LAT TT RT STD,5870.2,4696.16,1.0,5283.18,27
HCPCS,C1713,PLATE LAT TTC FUSN LFT LG,5758.9,4607.12,1.0,5183.01,27
HCPCS,C1713,PLATE LAT TTC FUSN LFT SM,5758.9,4607.12,1.0,5183.01,27
HCPCS,C1713,PLATE LAT TTC FUSN RT LG,5758.9,4607.12,1.0,5183.01,27
HCPCS,C1713,PLATE LAT TTC FUSN RT SM,5758.9,4607.12,1.0,5183.01,27
HCPCS,C1713,PLATE LAT TTC LFT LNG,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE LAT TTC LFT STD,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE LAT TTC RT LNG,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE LAT TTC RT STD,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE LC-DCP 2.0MM 4HL 27MM,1502.93,1202.35,1.0,1352.64,27
HCPCS,C1713,PLATE LC-DCP 2.0MM 6HL 39MM,1755.18,1404.15,1.0,1579.66,27
HCPCS,C1713,PLATE LC-DCP 2.0MM 8HL 51MM,2012.72,1610.18,1.0,1811.45,27
HCPCS,C1713,PLATE LC-DCP 4HL 2.4MM,2076.23,1660.99,1.0,1868.61,27
HCPCS,C1713,PLATE LC-DCP 6HL 2.4MM,2006.42,1605.14,1.0,1805.78,27
HCPCS,C1713,PLATE LC-DCP 8HL 2.4MM,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LC-DCP HAND TI 4HL 2.0MM,1301.83,1041.47,1.0,1171.65,27
HCPCS,C1713,PLATE LC-DCP HAND TI 4HL 2.4MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,PLATE LC-DCP HAND TI 6HL 2.0MM,1534.68,1227.75,1.0,1381.21,27
HCPCS,C1713,PLATE LC-DCP HAND TI 6HL 2.4MM,2024.57,1619.66,1.0,1822.11,27
HCPCS,C1713,PLATE LC-DCP HAND TI 8HL 2.0MM,1737.54,1390.04,1.0,1563.79,27
HCPCS,C1713,PLATE LC-DCP HAND TI 8HL 2.4MM,2187.86,1750.29,1.0,1969.07,27
HCPCS,C1713,PLATE LCP 1.5MM 4HL,820.26,656.21,1.0,738.23,27
HCPCS,C1713,PLATE LCP 1.5MM 6HL,820.26,656.21,1.0,738.23,27
HCPCS,C1713,PLATE LCP BD 10HL 4.5X188MM,1853.71,1482.97,1.0,1668.34,27
HCPCS,C1713,PLATE LCP BD 11HL 4.5X206MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,PLATE LCP BD 12HL 4.5X224MM,2094.12,1675.3,1.0,1884.71,27
HCPCS,C1713,PLATE LCP BD 14HL 4.5X260MM,2329.99,1864.0,1.0,2096.99,27
HCPCS,C1713,PLATE LCP BD 16HL 4.5X296MM,2514.62,2011.7,1.0,2263.16,27
HCPCS,C1713,PLATE LCP BD 18HL 4.5X332MM,3062.98,2450.39,1.0,2756.68,27
HCPCS,C1713,PLATE LCP BD 20HL 4.5X368MM,2958.82,2367.06,1.0,2662.94,27
HCPCS,C1713,PLATE LCP BD 22HL 4.5X404MM,3242.23,2593.79,1.0,2918.01,27
HCPCS,C1713,PLATE LCP BD 6HL 4.5X116MM,1434.13,1147.31,1.0,1290.72,27
HCPCS,C1713,PLATE LCP BD 7HL 4.5X134MM,1520.57,1216.46,1.0,1368.51,27
HCPCS,C1713,PLATE LCP BD 8HL 4.5X152MM,1857.49,1486.0,1.0,1671.74,27
HCPCS,C1713,PLATE LCP BD 9HL 4.5X170MM,2010.96,1608.77,1.0,1809.86,27
HCPCS,C1713,PLATE LCP COND CURV LFT 10HL,3999.58,3199.67,1.0,3599.62,27
HCPCS,C1713,PLATE LCP COND CURV LFT 12HL,4085.42,3268.34,1.0,3676.88,27
HCPCS,C1713,PLATE LCP COND CURV LFT 14HL,4168.92,3335.14,1.0,3752.03,27
HCPCS,C1713,PLATE LCP COND CURV LFT 16HL,4248.89,3399.12,1.0,3824.0,27
HCPCS,C1713,PLATE LCP COND CURV LFT 18HL,4486.44,3589.16,1.0,4037.8,27
HCPCS,C1713,PLATE LCP COND CURV RT 10HL,3999.58,3199.67,1.0,3599.62,27
HCPCS,C1713,PLATE LCP COND CURV RT 12HL,4085.42,3268.34,1.0,3676.88,27
HCPCS,C1713,PLATE LCP COND CURV RT 14HL,4168.92,3335.14,1.0,3752.03,27
HCPCS,C1713,PLATE LCP COND CURV RT 16HL,4248.89,3399.12,1.0,3824.0,27
HCPCS,C1713,PLATE LCP COND CURV RT 18HL,4486.44,3589.16,1.0,4037.8,27
HCPCS,C1713,PLATE LCP COND CURV STERRT12HL,4492.32,3593.86,1.0,4043.09,27
HCPCS,C1713,PLATE LCP COND CURV STERRT14HL,4586.4,3669.12,1.0,4127.76,27
HCPCS,C1713,PLATE LCP COND CURV STERRT20HL,4671.07,3736.86,1.0,4203.96,27
HCPCS,C1713,PLATE LCP COND CURV STERRT22HL,4745.16,3796.13,1.0,4270.64,27
HCPCS,C1713,PLATE LCP COND CURVSTERLFT12HL,4492.32,3593.86,1.0,4043.09,27
HCPCS,C1713,PLATE LCP COND CURVSTERLFT14HL,4586.4,3669.12,1.0,4127.76,27
HCPCS,C1713,PLATE LCP COND CURVSTERLFT16HL,4672.25,3737.8,1.0,4205.03,27
HCPCS,C1713,PLATE LCP COND CURVSTERLFT20HL,4671.07,3736.86,1.0,4203.96,27
HCPCS,C1713,PLATE LCP COND CURVSTERLFT22HL,4745.16,3796.13,1.0,4270.64,27
HCPCS,C1713,PLATE LCP COND SS 7HL 2.4X50MM,2014.49,1611.6,1.0,1813.04,27
HCPCS,C1713,PLATE LCP COND SS 7HL 2.7X66MM,1880.93,1504.75,1.0,1692.84,27
HCPCS,C1713,PLATE LCP CURV 12HL 4.5X229MM,2094.12,1675.3,1.0,1884.71,27
HCPCS,C1713,PLATE LCP CURV 13HL 4.5X247MM,2218.1,1774.48,1.0,1996.29,27
HCPCS,C1713,PLATE LCP CURV 14HL 4.5X265MM,2329.99,1864.0,1.0,2096.99,27
HCPCS,C1713,PLATE LCP CURV 15HL 4.5X282MM,2587.03,2069.63,1.0,2328.33,27
HCPCS,C1713,PLATE LCP CURV 16HL 4.5X300MM,2514.62,2011.7,1.0,2263.16,27
HCPCS,C1713,PLATE LCP CURV 17HL 4.5X318MM,2636.93,2109.55,1.0,2373.24,27
HCPCS,C1713,PLATE LCP CURV 18HL 4.5X336MM,2873.47,2298.78,1.0,2586.12,27
HCPCS,C1713,PLATE LCP CURV 20HL 4.5X372MM,3096.35,2477.08,1.0,2786.72,27
HCPCS,C1713,PLATE LCP CURV 22HL 4.5X408MM,3368.46,2694.77,1.0,3031.61,27
HCPCS,C1713,PLATE LCP CURV 24HL 4.5X443MM,3657.42,2925.94,1.0,3291.68,27
HCPCS,C1713,PLATE LCP CURV 26HL 4.5X479MM,3948.5,3158.8,1.0,3553.65,27
HCPCS,C1713,PLATE LCP CURV STER12HL4.5X229,2302.78,1842.23,1.0,2072.5,27
HCPCS,C1713,PLATE LCP CURV STER13HL4.5X247,2441.88,1953.51,1.0,2197.69,27
HCPCS,C1713,PLATE LCP CURV STER14HL4.5X265,2562.84,2050.28,1.0,2306.56,27
HCPCS,C1713,PLATE LCP CURV STER15HL4.5X282,2529.41,2023.53,1.0,2276.47,27
HCPCS,C1713,PLATE LCP CURV STER16HL4.5X300,2768.64,2214.92,1.0,2491.78,27
HCPCS,C1713,PLATE LCP CURV STER17HL4.5X318,2900.35,2320.28,1.0,2610.32,27
HCPCS,C1713,PLATE LCP CURV STER18HL4.5X336,3161.09,2528.88,1.0,2844.98,27
HCPCS,C1713,PLATE LCP CURV STER20HL4.5X372,2957.64,2366.12,1.0,2661.88,27
HCPCS,C1713,PLATE LCP CURV STER22HL4.5X408,3336.31,2669.05,1.0,3002.68,27
HCPCS,C1713,PLATE LCP CURV STER24HL4.5X443,3620.9,2896.72,1.0,3258.81,27
HCPCS,C1713,PLATE LCP CURV STER26HL4.5X479,3911.38,3129.11,1.0,3520.24,27
HCPCS,C1713,PLATE LCP DHHS S*DISC 6183826*,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS SHRT 130D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS SHRT 135D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS SHRT 140D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS SHRT 145D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS SHRT 150D 4HL,1815.91,1452.73,1.0,1634.32,27
HCPCS,C1713,PLATE LCP DHHS STD 130D 3HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 130D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 130D 5HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 130D 6HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 135D 2HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 135D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 135D 5HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 135D 6HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 140D 2HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 140D 3HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 140D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 140D 5HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 140D 6HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 145D 3HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 145D 4HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 145D 5HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DHHS STD 145D 6HL,2168.21,1734.57,1.0,1951.39,27
HCPCS,C1713,PLATE LCP DIST FEM LFT5HL156MM,3936.07,3148.86,1.0,3542.46,27
HCPCS,C1713,PLATE LCP DIST FEM LFT7HL196MM,4013.69,3210.96,1.0,3612.32,27
HCPCS,C1713,PLATE LCP DIST FEM LFT9HL236MM,4101.89,3281.52,1.0,3691.7,27
HCPCS,C1713,PLATE LCP DIST FEM RT 11HL,4180.68,3344.55,1.0,3762.61,27
HCPCS,C1713,PLATE LCP DIST FEM RT 13HL,4260.65,3408.52,1.0,3834.59,27
HCPCS,C1713,PLATE LCP DIST FEM RT 5HL,4328.86,3463.09,1.0,3895.97,27
HCPCS,C1713,PLATE LCP DIST FEM RT 5HL156MM,3936.07,3148.86,1.0,3542.46,27
HCPCS,C1713,PLATE LCP DIST FEM RT 7HL196MM,4013.69,3210.96,1.0,3612.32,27
HCPCS,C1713,PLATE LCP DIST FEM RT 9HL,4511.14,3608.92,1.0,4060.03,27
HCPCS,C1713,PLATE LCP DIST FEM RT 9HL236MM,4101.89,3281.52,1.0,3691.7,27
HCPCS,C1713,PLATE LCP DISTFEM LFT11HL276MM,4180.68,3344.55,1.0,3762.61,27
HCPCS,C1713,PLATE LCP DISTFEM LFT13HL316MM,4260.65,3408.52,1.0,3834.59,27
HCPCS,C1713,PLATE LCP META 13HL3.5/4.5/5.0,2880.02,2304.02,1.0,2592.02,27
HCPCS,C1713,PLATE LCP META 3.5/4.5MM 10HL,2485.06,1988.05,1.0,2236.55,27
HCPCS,C1713,PLATE LCP META 3.5/4.5MM 11HL,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1713,PLATE LCP META 3.5/4.5MM 12HL,2851.8,2281.44,1.0,2566.62,27
HCPCS,C1713,PLATE LCP META 3.5/4.5MM 14HL,2942.35,2353.88,1.0,2648.12,27
HCPCS,C1713,PLATE LCP META 3.5/4.5MM 8HL,2401.73,1921.39,1.0,2161.56,27
HCPCS,C1713,PLATE LCP META 3.5/4.5MM 9HL,2443.39,1954.72,1.0,2199.05,27
HCPCS,C1713,PLATE LCP META3.5/4.5/5.0 16HL,3090.53,2472.43,1.0,2781.48,27
HCPCS,C1713,PLATE LCP META3.5/4.5/5.0 18HL,3148.15,2518.52,1.0,2833.34,27
HCPCS,C1713,PLATE LCP META3.5/4.5/5.0 20HL,3289.27,2631.42,1.0,2960.34,27
HCPCS,C1713,PLATE LCP NARW 10HL 4.5X188MM,1868.08,1494.47,1.0,1681.27,27
HCPCS,C1713,PLATE LCP NARW 11HL 4.5X206MM,2010.96,1608.77,1.0,1809.86,27
HCPCS,C1713,PLATE LCP NARW 12HL 4.5X224MM,1853.71,1482.97,1.0,1668.34,27
HCPCS,C1713,PLATE LCP NARW 14HL 4.5X260MM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,PLATE LCP NARW 16HL 4.5X296MM,2428.27,1942.62,1.0,2185.44,27
HCPCS,C1713,PLATE LCP NARW 18HL 4.5X332MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1713,PLATE LCP NARW 20HL 4.5X368MM,2915.3,2332.24,1.0,2623.77,27
HCPCS,C1713,PLATE LCP NARW 22HL 4.5X404MM,3181.08,2544.87,1.0,2862.97,27
HCPCS,C1713,PLATE LCP NARW 2HL 4.5X44MM,1111.32,889.06,1.0,1000.19,27
HCPCS,C1713,PLATE LCP NARW 3HL 4.5X62MM,1125.43,900.35,1.0,1012.89,27
HCPCS,C1713,PLATE LCP NARW 5HL 4.5X98MM,1268.32,1014.66,1.0,1141.49,27
HCPCS,C1713,PLATE LCP NARW 6HL 4.5X116MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE LCP NARW 7HL 4.5X134MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,PLATE LCP NARW 8HL 4.5X152MM,1644.05,1315.24,1.0,1479.65,27
HCPCS,C1713,PLATE LCP NARW 9HL 4.5X170MM,1719.9,1375.92,1.0,1547.91,27
HCPCS,C1713,PLATE LCP PROXHUMR TI 10HL 232,5231.86,4185.49,1.0,4708.67,27
HCPCS,C1713,PLATE LCP PROXHUMR TI 3HL 90,4432.01,3545.61,1.0,3988.81,27
HCPCS,C1713,PLATE LCP PROXHUMR TI 5HL 114,4571.11,3656.89,1.0,4114.0,27
HCPCS,C1713,PLATE LCP PROXHUMR TI 8HL 196,5435.36,4348.29,1.0,4891.82,27
HCPCS,C1713,PLATE LCP SS 4HL 2.4X36MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE LCP SS 4HL 2.7X40MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE LCP SS 4HL 3.5X59MM,1079.19,863.36,1.0,971.27,27
HCPCS,C1713,PLATE LCP SS 5HL 2.7X49MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE LCP SS 6HL 2.4X52MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE LCP SS 6HL 2.7X58MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE LCP SS 7HL 2.7X67MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE LCP SS 8HL 2.4X68MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE LCP TI 10HL 3.5MM 137MM,1377.68,1102.15,1.0,1239.91,27
HCPCS,C1713,PLATE LCP TI 12HL 3.5MM 163MM,1518.8,1215.04,1.0,1366.92,27
HCPCS,C1713,PLATE LCP TI 14HL 3.5MM 189MM,1951.99,1561.6,1.0,1756.79,27
HCPCS,C1713,PLATE LCP TI 16HL 3.5MM 215MM,2186.35,1749.08,1.0,1967.72,27
HCPCS,C1713,PLATE LCP TI 3.5MM 2HL,1060.29,848.24,1.0,954.26,27
HCPCS,C1713,PLATE LCP TI 3.5MM 3HL,1099.98,879.99,1.0,989.98,27
HCPCS,C1713,PLATE LCP TI 3.5MM 4HL,1072.51,858.01,1.0,965.26,27
HCPCS,C1713,PLATE LCP TI 5HL 3.5MM 72MM,1104.26,883.41,1.0,993.83,27
HCPCS,C1713,PLATE LCP TI 6HL 3.5MM 85MM,1178.35,942.68,1.0,1060.52,27
HCPCS,C1713,PLATE LCP TI 8HL 3.5MM 111MM,1285.96,1028.77,1.0,1157.36,27
HCPCS,C1713,PLATE LCP TI 9HL 3.5MM 124MM,1337.11,1069.69,1.0,1203.4,27
HCPCS,C1713,PLATE LCP TI ADPTN 6HL 1.MM,1709.32,1367.46,1.0,1538.39,27
HCPCS,C1713,PLATE LCP W GD 4HL 1.5MM,980.91,784.73,1.0,882.82,27
HCPCS,C1713,PLATE LCP W GD 6HL 1.5MM,980.91,784.73,1.0,882.82,27
HCPCS,C1713,PLATE LIS FRANC ARSENAL,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE LISFARNC ARSENAL STD 10D,4844.0,3875.2,1.0,4359.6,27
HCPCS,C1713,PLATE LISFRANC 1ST/2ND RT MD,6103.19,4882.56,1.0,5492.87,27
HCPCS,C1713,PLATE LISFRANC 2ND/3RD LFT SM,6103.19,4882.56,1.0,5492.87,27
HCPCS,C1713,PLATE LISFRANC DUAL2 3 LFT MD,5268.9,4215.12,1.0,4742.01,27
HCPCS,C1713,PLATE LISFRANC LFT LG,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LISFRANC LFT MD,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LISFRANC LFT SM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LISFRANC OBLIQ L RT 4HL,4095.0,3276.0,1.0,3685.5,27
HCPCS,C1713,PLATE LISFRANC RT LG,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LISFRANC RT MD,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LISFRANC RT SM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LISFRANC SLANTED LFT 3HL,4095.0,3276.0,1.0,3685.5,27
HCPCS,C1713,PLATE LISFRANC SLANTED LFT 4HL,4294.5,3435.6,1.0,3865.05,27
HCPCS,C1713,PLATE LISFRANC SLANTED-T RT4HL,4095.0,3276.0,1.0,3685.5,27
HCPCS,C1713,PLATE LISFRANC SLANTED-TLFT3HL,4095.0,3276.0,1.0,3685.5,27
HCPCS,C1713,PLATE LISFRANC SLANTED-TLFT4HL,4095.0,3276.0,1.0,3685.5,27
HCPCS,C1713,PLATE LISFRANC STRTM 2HL,4258.8,3407.04,1.0,3832.92,27
HCPCS,C1713,PLATE LISFRANC STRTM 3HL,4258.8,3407.04,1.0,3832.92,27
HCPCS,C1713,PLATE LK 1/3 TUBLR 10HL3.5X133,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,PLATE LK 1/3 TUBLR 8HL3.5X107,1008.0,806.4,1.0,907.2,27
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 4HL,1113.75,891.0,1.0,1002.38,27
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 7HL,1178.1,942.48,1.0,1060.29,27
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI 8HL,1224.3,979.44,1.0,1101.87,27
HCPCS,C1713,PLATE LK 1/3 TUBLR ARTX TI10HL,1293.6,1034.88,1.0,1164.24,27
HCPCS,C1713,PLATE LK 2.4/2.7MM 2HL 17MM,1538.21,1230.57,1.0,1384.39,27
HCPCS,C1713,PLATE LK ANTLAT LFT 3HL3.5MM,6256.32,5005.06,1.0,5630.69,27
HCPCS,C1713,PLATE LK ANTLAT RT 2HL 3.5MM,6256.32,5005.06,1.0,5630.69,27
HCPCS,C1713,PLATE LK ATTACH A SS 4HL 3.5MM,2047.92,1638.34,1.0,1843.13,27
HCPCS,C1713,PLATE LK ATTACH A SS 8HL 3.5MM,1920.96,1536.77,1.0,1728.86,27
HCPCS,C1713,PLATE LK ATTACH B SS 4HL 3.5MM,2047.92,1638.34,1.0,1843.13,27
HCPCS,C1713,PLATE LK ATTACH B SS 8HL 3.5MM,1920.96,1536.77,1.0,1728.86,27
HCPCS,C1713,PLATE LK BABY GORILLAST4HL 1.1,3140.2,2512.16,1.0,2826.18,27
HCPCS,C1713,PLATE LK BABY GORILLAST6HL 1.1,3109.6,2487.68,1.0,2798.64,27
HCPCS,C1713,PLATE LK BABY GORILLAST6HL 1.5,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1713,PLATE LK CALC LCP HEX 60MM,2862.72,2290.18,1.0,2576.45,27
HCPCS,C1713,PLATE LK CALC LCP HEX 70MM,2881.54,2305.24,1.0,2593.39,27
HCPCS,C1713,PLATE LK CALC ZIMM LFT SM,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE LK CALC ZIMM LFT XL,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE LK CALC ZIMM RT LG,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE LK CALC ZIMM RT SM,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE LK CALC ZIMM RT XL,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE LK COMP 10HL 3.5X122MM,1811.52,1449.22,1.0,1630.37,27
HCPCS,C1713,PLATE LK COMP 4HL 2.7X44MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE LK COMP 4HL 3.5X53MM,1821.12,1456.9,1.0,1639.01,27
HCPCS,C1713,PLATE LK COMP 5HL 2.7X53MM,2278.08,1822.47,1.0,2050.27,27
HCPCS,C1713,PLATE LK COMP 5HL 3.5X64MM,1895.04,1516.04,1.0,1705.54,27
HCPCS,C1713,PLATE LK COMP 6HL 3.5X76MM,1968.96,1575.17,1.0,1772.06,27
HCPCS,C1713,PLATE LK COMP 8HL 2.7X80MM,2253.6,1802.88,1.0,2028.24,27
HCPCS,C1713,PLATE LK COMP 8HL 3.5X99MM,2042.88,1634.31,1.0,1838.59,27
HCPCS,C1713,PLATE LK COMP BD 6HL 5.0MM 119,4363.07,3490.46,1.0,3926.76,27
HCPCS,C1713,PLATE LK COMP NARW 6HL5.0MM115,4363.07,3490.46,1.0,3926.76,27
HCPCS,C1713,PLATE LK COMP NARW 7HL5.0MM133,4363.07,3490.46,1.0,3926.76,27
HCPCS,C1713,PLATE LK COMP NARW 8HL5.0MM151,4670.2,3736.16,1.0,4203.18,27
HCPCS,C1713,PLATE LK COMP NARW 9HL5.0MM169,4670.2,3736.16,1.0,4203.18,27
HCPCS,C1713,PLATE LK COMP NARW10HL5.0MM187,4670.2,3736.16,1.0,4203.18,27
HCPCS,C1713,PLATE LK COMP STRY RECT SZ2,2157.55,1726.04,1.0,1941.8,27
HCPCS,C1713,PLATE LK CONT HTO FLAT LFT71MM,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE LK CONT HTO FLAT RT 71MM,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE LK COV SHORELINE BACKUP7,675.0,540.0,1.0,607.5,27
HCPCS,C1713,PLATE LK CUBOID LFT 2.4/2.7MM,2679.26,2143.41,1.0,2411.33,27
HCPCS,C1713,PLATE LK CUBOID RT 2.4/2.7MM,2679.26,2143.41,1.0,2411.33,27
HCPCS,C1713,PLATE LK DIST FIB TI LFT 10HL,2864.4,2291.52,1.0,2577.96,27
HCPCS,C1713,PLATE LK DIST FIB TI RT 10HL,2864.4,2291.52,1.0,2577.96,27
HCPCS,C1713,PLATE LK DVR MINI LFT 24X43,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE LK DVR NARW LFT 22X51MM,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE LK DVR NARW MINILFT22X41,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE LK DVR RT MD 24X62MM,3449.6,2759.68,1.0,3104.64,27
HCPCS,C1713,PLATE LK DVR WIDE LFT 28X56,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1713,PLATE LK FEM COMP BOW 16HL 3.5,7356.96,5885.57,1.0,6621.26,27
HCPCS,C1713,PLATE LK FEM COMPCONTRTT6HL3.5,7257.12,5805.7,1.0,6531.41,27
HCPCS,C1713,PLATE LK FEM PROX 130D 10HL3.5,8894.08,7115.27,1.0,8004.67,27
HCPCS,C1713,PLATE LK FEM PROX 130D 3HL 3.5,6283.2,5026.56,1.0,5654.88,27
HCPCS,C1713,PLATE LK FEM PROX 130D 4HL 3.5,6462.4,5169.92,1.0,5816.16,27
HCPCS,C1713,PLATE LK FEM PROX 130D 6HL 3.5,6641.6,5313.28,1.0,5977.44,27
HCPCS,C1713,PLATE LK FEM PROX 140D 4HL 3.5,6771.52,5417.22,1.0,6094.37,27
HCPCS,C1713,PLATE LK FEM VA SPAN RT LNG4HL,3289.55,2631.64,1.0,2960.6,27
HCPCS,C1713,PLATE LK FEM VA SPAN SS LFT4HL,3208.41,2566.73,1.0,2887.57,27
HCPCS,C1713,PLATE LK FEM VA TROCH 3.5MM SM,4921.45,3937.16,1.0,4429.31,27
HCPCS,C1713,PLATE LK FEMCOMPCONTLFTT6HL3.5,6778.72,5422.98,1.0,6100.85,27
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT4HL,2435.4,1948.32,1.0,2191.86,27
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT5HL,2552.0,2041.6,1.0,2296.8,27
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT6HL,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LK FIB DIST ARTX SSRT8HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT4HL,2435.4,1948.32,1.0,2191.86,27
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT5HL,2552.0,2041.6,1.0,2296.8,27
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT6HL,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LK FIB DIST ARTXSSLFT8HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE LK FIB DIST TI LFT 4HL,2376.0,1900.8,1.0,2138.4,27
HCPCS,C1713,PLATE LK FIB DIST TI LFT 5HL,2464.0,1971.2,1.0,2217.6,27
HCPCS,C1713,PLATE LK FIB DIST TI LFT 6HL,2728.0,2182.4,1.0,2455.2,27
HCPCS,C1713,PLATE LK FIB DIST TI RT 6HL,2728.0,2182.4,1.0,2455.2,27
HCPCS,C1713,PLATE LK FIB DISTARTXSSLFT10HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE LK HAND FRAC ST 1.5MM,1958.4,1566.72,1.0,1762.56,27
HCPCS,C1713,PLATE LK HAND FRAC ST 2.5MM,2044.8,1635.84,1.0,1840.32,27
HCPCS,C1713,PLATE LK HAND FRAC WEB 2.5MM,2275.2,1820.16,1.0,2047.68,27
HCPCS,C1713,PLATE LK HD PHALANG SS LFT 1.3,1681.09,1344.88,1.0,1512.98,27
HCPCS,C1713,PLATE LK HD PHALANG SS RT 1.3,1681.09,1344.88,1.0,1512.98,27
HCPCS,C1713,PLATE LK HIGH FLEX RT13.0X42.7,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE LK HIGH FLEX ST 5.6X50.1,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE LK HIGH FLEX Y 16.1X40.5,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE LK HIGH FLEXLFT13.0X42.7,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE LK KLS LG 4HL 1MM,1298.98,1039.19,1.0,1169.08,27
HCPCS,C1713,PLATE LK KLS LG 6HL 1MM,1423.09,1138.48,1.0,1280.78,27
HCPCS,C1713,PLATE LK KLS REG 14HL 1MM,2051.86,1641.49,1.0,1846.67,27
HCPCS,C1713,PLATE LK KLS REG 4HL 1MM,1224.51,979.61,1.0,1102.06,27
HCPCS,C1713,PLATE LK LAPIDUS LOPROALPHA4HL,5801.26,4641.01,1.0,5221.13,27
HCPCS,C1713,PLATE LK LAT HOOK ARTX SS 3HL,2464.0,1971.2,1.0,2217.6,27
HCPCS,C1713,PLATE LK LAT HOOK ARTX SS 5HL,2464.0,1971.2,1.0,2217.6,27
HCPCS,C1713,PLATE LK LAT HOOK ARTX SS 7HL,2464.0,1971.2,1.0,2217.6,27
HCPCS,C1713,PLATE LK LAT HOOK ARTX TI 3HL,2849.0,2279.2,1.0,2564.1,27
HCPCS,C1713,PLATE LK LAT HOOK ARTX TI 5HL,2956.8,2365.44,1.0,2661.12,27
HCPCS,C1713,PLATE LK LAT HOOK ARTX TI 7HL,3064.6,2451.68,1.0,2758.14,27
HCPCS,C1713,PLATE LK M VARIAX 3D 2X2HL 2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK M VARIAX 3D 3X2HL 2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK M VARIAX 3D 4X2HL 2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK M VARIAX BAR ST4HL2.3,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE LK M VARIAX ST 16HL 2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK M VARIAX ST 4HL 2.3,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE LK MC5 M VARIAX RT5HL2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK MC5 MVARIAX LFT5HL2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK MEDL HOOK ARTX SS 3HL,2904.0,2323.2,1.0,2613.6,27
HCPCS,C1713,PLATE LK MEDL HOOK ARTX SS 5HL,2904.0,2323.2,1.0,2613.6,27
HCPCS,C1713,PLATE LK MEDL HOOK ARTX SS 7HL,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,PLATE LK MEDL HOOK TI 7HL,3064.6,2451.68,1.0,2758.14,27
HCPCS,C1713,PLATE LK MIS CALC LG RT,3449.6,2759.68,1.0,3104.64,27
HCPCS,C1713,PLATE LK MTP MPJ ACUM LFT,2508.8,2007.04,1.0,2257.92,27
HCPCS,C1713,PLATE LK NAVICULAR 2.4/2.7MM,2448.77,1959.02,1.0,2203.89,27
HCPCS,C1713,PLATE LK NECK FA STD,3778.15,3022.52,1.0,3400.34,27
HCPCS,C1713,PLATE LK PA CROSS T10 LFT,8642.82,6914.26,1.0,7778.54,27
HCPCS,C1713,PLATE LK PA CUBOID T8 9HL,3449.29,2759.44,1.0,3104.36,27
HCPCS,C1713,PLATE LK PA MEDL FUSN LFT SHRT,3683.93,2947.15,1.0,3315.54,27
HCPCS,C1713,PLATE LK PA MEDL FUSN RT SHRT,3683.93,2947.15,1.0,3315.54,27
HCPCS,C1713,PLATE LK PA MEDLFUSNSTERLFTLNG,3604.33,2883.47,1.0,3243.9,27
HCPCS,C1713,PLATE LK PA NAVICULAR LFT LNG,3154.65,2523.72,1.0,2839.19,27
HCPCS,C1713,PLATE LK PA NAVICULAR LFT SHRT,3082.6,2466.08,1.0,2774.34,27
HCPCS,C1713,PLATE LK PA NAVICULAR RT LNG,3248.98,2599.19,1.0,2924.08,27
HCPCS,C1713,PLATE LK PA NAVICULAR RT SHRT,2992.22,2393.78,1.0,2693.0,27
HCPCS,C1713,PLATE LK PA TALONAVICULAR SHRT,2828.45,2262.76,1.0,2545.61,27
HCPCS,C1713,PLATE LK PAMEDLFUSNSTERLFTSHRT,3604.33,2883.47,1.0,3243.9,27
HCPCS,C1713,PLATE LK RECON LOPRO 10HL130MM,2689.85,2151.88,1.0,2420.87,27
HCPCS,C1713,PLATE LK RECON LOPRO 11HL143MM,2476.99,1981.6,1.0,2229.29,27
HCPCS,C1713,PLATE LK RECON LOPRO 12HL156MM,2557.63,2046.11,1.0,2301.87,27
HCPCS,C1713,PLATE LK RECON LOPRO 13HL169MM,2640.96,2112.77,1.0,2376.86,27
HCPCS,C1713,PLATE LK RECON LOPRO 14HL182MM,2726.98,2181.59,1.0,2454.28,27
HCPCS,C1713,PLATE LK RECON LOPRO 15HL195MM,2810.3,2248.24,1.0,2529.27,27
HCPCS,C1713,PLATE LK RECON LOPRO 16HL208MM,2892.29,2313.84,1.0,2603.06,27
HCPCS,C1713,PLATE LK RECON LOPRO 18HL234MM,2976.96,2381.57,1.0,2679.26,27
HCPCS,C1713,PLATE LK RECON LOPRO 20HL260MM,3061.63,2449.31,1.0,2755.47,27
HCPCS,C1713,PLATE LK RECON LOPRO 3HL 39MM,2032.13,1625.71,1.0,1828.92,27
HCPCS,C1713,PLATE LK RECON LOPRO 5HL 65MM,2230.2,1784.16,1.0,2007.18,27
HCPCS,C1713,PLATE LK RECON LOPRO 6HL 78MM,2320.92,1856.74,1.0,2088.83,27
HCPCS,C1713,PLATE LK RECON LOPRO 7HL 91MM,2410.13,1928.11,1.0,2169.12,27
HCPCS,C1713,PLATE LK RECON LOPRO 8HL 104MM,2503.87,2003.1,1.0,2253.48,27
HCPCS,C1713,PLATE LK RECON LOPRO 9HL 117MM,2597.62,2078.1,1.0,2337.86,27
HCPCS,C1713,PLATE LK RECON LOPRO4HL 52MM,2134.94,1707.96,1.0,1921.45,27
HCPCS,C1713,PLATE LK RIB UNIV 14HL 1.5MM,4235.0,3388.0,1.0,3811.5,27
HCPCS,C1713,PLATE LK S REPLANT 3D 4X2H1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK S VARIAX 3D 2X2HL 1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK S VARIAX 3D 3X2HL 1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK S VARIAX 3D 4X2HL 1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK S VARIAX 3D2X2+2HL1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK S VARIAX ST 16HL 1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE LK S VARIAX ST 4HL 1.7,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE LK ST ARTX SS 10HL,2356.2,1884.96,1.0,2120.58,27
HCPCS,C1713,PLATE LK ST ARTX SS 12HL,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,PLATE LK ST ARTX SS 4HL,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,PLATE LK ST ARTX SS 6HL,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,PLATE LK ST ARTX SS 7HL,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,PLATE LK ST ARTX SS 8HL,2178.0,1742.4,1.0,1960.2,27
HCPCS,C1713,PLATE LK ST ARTX TI 6HL,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,PLATE LK ST METFX 4HL,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1713,PLATE LK ST METFX 6HL 42MM,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1713,PLATE LK STERNAL ST TI 10HL1.8,2277.07,1821.66,1.0,2049.36,27
HCPCS,C1713,PLATE LK STERNAL ST TI 14HL2.3,2294.75,1835.8,1.0,2065.28,27
HCPCS,C1713,PLATE LK STRUT OBLIQSSRT8HL1.3,1474.7,1179.76,1.0,1327.23,27
HCPCS,C1713,PLATE LK STRUT OBLIQTIRT8HL1.3,1363.57,1090.86,1.0,1227.21,27
HCPCS,C1713,PLATE LK STRUTOBLIQSSLFT8HL1.3,1474.7,1179.76,1.0,1327.23,27
HCPCS,C1713,PLATE LK STRY RECT SZ2,1989.65,1591.72,1.0,1790.69,27
HCPCS,C1713,PLATE LK T2 BABYGORILLA10HL1.1,3107.68,2486.15,1.0,2796.91,27
HCPCS,C1713,PLATE LK T2 BABYGORILLA8HL1.1,3107.68,2486.15,1.0,2796.91,27
HCPCS,C1713,PLATE LK TALUS 2.4/2.7MM,2647.51,2118.01,1.0,2382.76,27
HCPCS,C1713,PLATE LK TROCH UNIV 131MM,2532.1,2025.68,1.0,2278.89,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 10HL,1293.6,1034.88,1.0,1164.24,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 12HL,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 4HL,1113.75,891.0,1.0,1002.38,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 5HL,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 6HL,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 7HL,1178.1,942.48,1.0,1060.29,27
HCPCS,C1713,PLATE LK TUBLR ARTX SS 8HL,1224.3,979.44,1.0,1101.87,27
HCPCS,C1713,PLATE LK VA ANT PTLA SMSTER2.7,4880.23,3904.19,1.0,4392.21,27
HCPCS,C1713,PLATE LK VA ANT PTLASTER3HL2.7,4880.23,3904.19,1.0,4392.21,27
HCPCS,C1713,PLATE LK VA ANT PTLASTER6HL2.7,5368.38,4294.71,1.0,4831.54,27
HCPCS,C1713,PLATE LK VA ANTPTLACORESTER2.7,4880.23,3904.19,1.0,4392.21,27
HCPCS,C1713,PLATE LK VA BASE SS 2/6HL 2.0,2072.7,1658.16,1.0,1865.43,27
HCPCS,C1713,PLATE LK VA BASE SS2/5HL1.3X26,1681.09,1344.88,1.0,1512.98,27
HCPCS,C1713,PLATE LK VA BOX 4HL 2MM,1908.65,1526.92,1.0,1717.79,27
HCPCS,C1713,PLATE LK VA COND SS 2/6HL 1.5,1721.66,1377.33,1.0,1549.49,27
HCPCS,C1713,PLATE LK VA COND SS 2/6HL 2.0,2021.54,1617.24,1.0,1819.39,27
HCPCS,C1713,PLATE LK VA FUSN ST 2HL2.4/2.7,2514.46,2011.57,1.0,2263.01,27
HCPCS,C1713,PLATE LK VA FUSN ST 4HL2.4/2.7,2659.61,2127.69,1.0,2393.65,27
HCPCS,C1713,PLATE LK VA MESH TI 12HL 5MM,4452.34,3561.88,1.0,4007.11,27
HCPCS,C1713,PLATE LK VA METACARPAL DORSAL,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,PLATE LK VA METACARPAL LAT LFT,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,PLATE LK VA METACARPAL LAT RT,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,PLATE LK VA METACARPAL SS 1.5,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,PLATE LK VA NAVICULAR SS 2.4MM,2875.32,2300.26,1.0,2587.79,27
HCPCS,C1713,PLATE LK VA NAVICULAR TI 2.4MM,3163.44,2530.76,1.0,2847.1,27
HCPCS,C1713,PLATE LK VA PHALANG 2X6HL 1.5,1950.98,1560.79,1.0,1755.88,27
HCPCS,C1713,PLATE LK VA PHALANG HDSSLFT1.5,1799.28,1439.43,1.0,1619.35,27
HCPCS,C1713,PLATE LK VA PHALANG SS2/6HL1.5,1799.28,1439.43,1.0,1619.35,27
HCPCS,C1713,PLATE LK VA ROTATE 2X6HL1.5X32,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,PLATE LK VA ST SS 12HL 1.3MM,1474.7,1179.76,1.0,1327.23,27
HCPCS,C1713,PLATE LK VA ST SS 12HL 2.0MM,1889.24,1511.4,1.0,1700.32,27
HCPCS,C1713,PLATE LK VA ST SS 12HL1.5X57MM,1642.28,1313.83,1.0,1478.05,27
HCPCS,C1713,PLATE LK VA ST SS 6HL 1.3MM,1342.4,1073.92,1.0,1208.16,27
HCPCS,C1713,PLATE LK VA ST SS 6HL 1.5X28MM,1509.98,1207.99,1.0,1358.98,27
HCPCS,C1713,PLATE LK VA ST SS 6HL 2.0MM,1760.47,1408.38,1.0,1584.42,27
HCPCS,C1713,PLATE LK VA ST TI 12HL 1.5MM,1779.88,1423.91,1.0,1601.89,27
HCPCS,C1713,PLATE LK VA ST TI 2HL 27MM,2456.83,1965.47,1.0,2211.15,27
HCPCS,C1713,PLATE LK VA ST TI 4HL 40MM,2600.64,2080.52,1.0,2340.58,27
HCPCS,C1713,PLATE LK VA STRUT 12HL 1.5MM,1950.98,1560.79,1.0,1755.88,27
HCPCS,C1713,PLATE LK VA STRUT SS 12HL 1.5,1799.28,1439.43,1.0,1619.35,27
HCPCS,C1713,PLATE LK VA STRUTOBLIQRT8HL1.5,1642.28,1313.83,1.0,1478.05,27
HCPCS,C1713,PLATE LK VA TI LFT LNG2.7X56MM,2908.42,2326.74,1.0,2617.58,27
HCPCS,C1713,PLATE LK VA TI LFTSHRT2.7X40MM,2796.86,2237.49,1.0,2517.17,27
HCPCS,C1713,PLATE LK VA TI RT LNG2.7X56MM,2544.19,2035.36,1.0,2289.77,27
HCPCS,C1713,PLATE LK VA TI RT SHRT2.7X40MM,2796.86,2237.49,1.0,2517.17,27
HCPCS,C1713,PLATE LK VA TI RT SHRT2.7X64MM,3036.1,2428.88,1.0,2732.49,27
HCPCS,C1713,PLATE LK VA TI RT SM 2.7X58MM,2760.58,2208.47,1.0,2484.52,27
HCPCS,C1713,PLATE LK VA WEB 14HL1.3X29MM,1552.32,1241.86,1.0,1397.09,27
HCPCS,C1713,PLATE LK VA WEB SS 14HL 1.5,1642.28,1313.83,1.0,1478.05,27
HCPCS,C1713,PLATE LK VAANTPTLASMSTER3HL2.7,4880.23,3904.19,1.0,4392.21,27
HCPCS,C1713,PLATE LK VAANTPTLASMSTER6HL2.7,5368.38,4294.71,1.0,4831.54,27
HCPCS,C1713,PLATE LK VARIAX BD 10HL 80,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE LK VARIAX BD 10HL 90,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LK VARIAX BD 12HL 108,2849.28,2279.43,1.0,2564.35,27
HCPCS,C1713,PLATE LK VARIAX BD 12HL 96,2510.08,2008.07,1.0,2259.07,27
HCPCS,C1713,PLATE LK VARIAX BD 14HL 125,2849.28,2279.43,1.0,2564.35,27
HCPCS,C1713,PLATE LK VARIAX BD 4HL 39,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LK VARIAX BD 6HL 41,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE LK VARIAX BD 6HL 50,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE LK VARIAX BD 6HL 56,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LK VARIAX BD 8HL 54,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE LK VARIAX BD 8HL 65,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE LK VARIAX BD 8HL 73,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LK VARIAX BD ST 7HL 91,1620.99,1296.8,1.0,1458.89,27
HCPCS,C1713,PLATE LK VARIAX BD STER16HL2.4,3049.79,2439.84,1.0,2744.81,27
HCPCS,C1713,PLATE LK VARIAX BD STER20HL2.4,3049.79,2439.84,1.0,2744.81,27
HCPCS,C1713,PLATE LK VARIAX NARW 10HL 69,2442.24,1953.8,1.0,2198.02,27
HCPCS,C1713,PLATE LK VARIAX NARW 10HL 79,2510.08,2008.07,1.0,2259.07,27
HCPCS,C1713,PLATE LK VARIAX NARW 20HL 135,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE LK VARIAX NARW 20HL 155,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LK VARIAX NARW 4HL 28,2442.24,1953.8,1.0,2198.02,27
HCPCS,C1713,PLATE LK VARIAX NARW 4HL 32,2510.08,2008.07,1.0,2259.07,27
HCPCS,C1713,PLATE LK VARIAX NARW 6HL 34,2060.64,1648.52,1.0,1854.58,27
HCPCS,C1713,PLATE LK VARIAX NARW 6HL 41,2442.24,1953.8,1.0,2198.02,27
HCPCS,C1713,PLATE LK VARIAX NARW 6HL 47,2510.08,2008.07,1.0,2259.07,27
HCPCS,C1713,PLATE LK VARIAX NARW 8HL 46,2060.64,1648.52,1.0,1854.58,27
HCPCS,C1713,PLATE LK VARIAX NARW 8HL 56,2442.24,1953.8,1.0,2198.02,27
HCPCS,C1713,PLATE LK VARIAX NARW 8HL 64,2510.08,2008.07,1.0,2259.07,27
HCPCS,C1713,PLATE LK VARIAX NARW ST 7HL 90,1620.99,1296.8,1.0,1458.89,27
HCPCS,C1713,PLATE LK VARIAX PROFILE 10HL54,1691.76,1353.41,1.0,1522.58,27
HCPCS,C1713,PLATE LK VARIAX PROFILE 8HL 44,1691.76,1353.41,1.0,1522.58,27
HCPCS,C1713,PLATE LK VARIZX Y 10HL 81MM,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LK VASTRUTOBLIQLFT8HL1.5,1642.28,1313.83,1.0,1478.05,27
HCPCS,C1713,PLATE LKVARIAXTRIANGNARW10HL81,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE LKVARIAXTRIANGNARW10HL92,3018.88,2415.11,1.0,2716.99,27
HCPCS,C1713,PLATE LNG ST 4HL,399.11,319.29,1.0,359.2,27
HCPCS,C1713,PLATE LOPRO 1.5MM 2HL ST LNG,190.02,152.02,1.0,171.02,27
HCPCS,C1713,PLATE LOPRO 1.5MM 2HL ST SHRT,191.48,153.19,1.0,172.33,27
HCPCS,C1713,PLATE LOPRO 1.5MM 4HL ST XLNG,365.53,292.43,1.0,328.98,27
HCPCS,C1713,PLATE LOPRO 1.5MM 6HL DBL YLNG,730.98,584.79,1.0,657.88,27
HCPCS,C1713,PLATE LOPRO ARTX LFT 4.5MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE LOPRO ARTX LFT 5.5MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE LOPRO ARTX RT 3.5MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE LOPRO ARTX RT 3MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE LOPRO ARTX RT 5MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE LOPRO ST 5HL 2.4MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,PLATE LOPRO TI ST 3.0MM 2HL,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LOPRO TI ST 4HL 3.0MM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE LP Z KLS LFT REG,604.89,483.92,1.0,544.4,27
HCPCS,C1713,PLATE LVL1 CMF MAND 7HL0.5X102,1763.75,1411.0,1.0,1587.38,27
HCPCS,C1713,PLATE LVL1 CMF MAND 7HL0.5X110,1763.75,1411.0,1.0,1587.38,27
HCPCS,C1713,PLATE LVL1 CMF MAND 9HL0.5X130,1763.75,1411.0,1.0,1587.38,27
HCPCS,C1713,PLATE M LK VARIAX 3D2X2+2HL2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE MAND MIDFACE TRUMATCH TI,30352.8,24282.24,1.0,27317.52,27
HCPCS,C1713,PLATE MAND RECON PRIM HEMI 2.0,30189.6,24151.68,1.0,27170.64,27
HCPCS,C1713,PLATE MAND RECON SECONDHEMI2.8,30430.08,24344.07,1.0,27387.07,27
HCPCS,C1713,PLATE MAND TRUMATCH TI 3D MD,20161.8,16129.44,1.0,18145.62,27
HCPCS,C1713,PLATE MAND TRUMATCH TI MD,34525.03,27620.03,1.0,31072.53,27
HCPCS,C1713,PLATE MAND TRUMATCH TI SM,16783.2,13426.56,1.0,15104.88,27
HCPCS,C1713,PLATE MATA MPS CURV R88 10HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MATA MPS CURV R88 12HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MATA MPS CURV R88 14HL,2088.32,1670.66,1.0,1879.49,27
HCPCS,C1713,PLATE MATA MPS CURV R88 16HL,2088.32,1670.66,1.0,1879.49,27
HCPCS,C1713,PLATE MATA MPS CURV R88 4HL,1652.83,1322.27,1.0,1487.55,27
HCPCS,C1713,PLATE MATA MPS CURV R88 6HL,1652.83,1322.27,1.0,1487.55,27
HCPCS,C1713,PLATE MATA MPS CURVR88 8HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MATA MPS CVD R88 5HL,1652.83,1322.27,1.0,1487.55,27
HCPCS,C1713,PLATE MCF STRTM LFT LG,6115.2,4892.16,1.0,5503.68,27
HCPCS,C1713,PLATE MCF STRTM LFT SM,5798.8,4639.04,1.0,5218.92,27
HCPCS,C1713,PLATE MCF STRTM RT LG,6115.2,4892.16,1.0,5503.68,27
HCPCS,C1713,PLATE MCF STRTM RT SM,5798.8,4639.04,1.0,5218.92,27
HCPCS,C1713,PLATE MD ST 4HL,399.11,319.29,1.0,359.2,27
HCPCS,C1713,PLATE MEDL COL ARSENAL LNG LFT,4928.0,3942.4,1.0,4435.2,27
HCPCS,C1713,PLATE MEDL COL ARSENAL LNG RT,4928.0,3942.4,1.0,4435.2,27
HCPCS,C1713,PLATE MEDL COL ARSENAL SHRT RT,4774.0,3819.2,1.0,4296.6,27
HCPCS,C1713,PLATE MEDL COL ARSENAL SHRTLFT,4774.0,3819.2,1.0,4296.6,27
HCPCS,C1713,PLATE MEDL COL FUSN LFT,3337.6,2670.08,1.0,3003.84,27
HCPCS,C1713,PLATE MEDL COL LFT MD 3.5MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,PLATE MEDL COL LFT SM 3.5MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,PLATE MEDL COL NCM LFT LNG,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,PLATE MEDL COL RT SM 3.5MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,PLATE MEDL ELBOW STRY 4HL,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE MEDL HUMR EXT STRY 3HL72,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE MEDL PILON LFT LNG 21HL,6721.0,5376.8,1.0,6048.9,27
HCPCS,C1713,PLATE MEDL STRY LFT-RT 3HL,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE MEDL STRY LFT-RT 4HL,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE MEDL TNCM EXT REV,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,PLATE MEDL TNCM EXT RT LNG,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,PLATE MEDL TNCM EXT RT STD,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,PLATE MESH ORB RESORBX0.6X23MM,2907.27,2325.82,1.0,2616.54,27
HCPCS,C1713,PLATE MESH ORB RESORBX0.6X30MM,3047.72,2438.18,1.0,2742.95,27
HCPCS,C1713,PLATE MESH RESORB 1.5MM 50X0.8,2950.81,2360.65,1.0,2655.73,27
HCPCS,C1713,PLATE MESH RESORB X0.6X26X26MM,2145.02,1716.02,1.0,1930.52,27
HCPCS,C1713,PLATE MESH RESORB X0.6X51X51MM,4564.56,3651.65,1.0,4108.1,27
HCPCS,C1713,PLATE MESH RESORB X1.0X26X26MM,2145.02,1716.02,1.0,1930.52,27
HCPCS,C1713,PLATE MESH RESORB X1.0X51X51MM,4790.02,3832.02,1.0,4311.02,27
HCPCS,C1713,PLATE MESH RESORB XG 11X126MM,2907.07,2325.66,1.0,2616.36,27
HCPCS,C1713,PLATE MESH RESORB XG 51X51MM,4715.17,3772.14,1.0,4243.65,27
HCPCS,C1713,PLATE MESH RESORB XG 8HL 41MM,1369.37,1095.5,1.0,1232.43,27
HCPCS,C1713,PLATE MESH RESORBX1.0X126X11MM,2953.22,2362.58,1.0,2657.9,27
HCPCS,C1713,PLATE META LCP 10HL 3.5MM,2485.06,1988.05,1.0,2236.55,27
HCPCS,C1713,PLATE META LCP 11HL 3.5MM,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1713,PLATE META LCP 12HL 3.5MM,2851.8,2281.44,1.0,2566.62,27
HCPCS,C1713,PLATE META LCP 14HL 3.5MM,2942.35,2353.88,1.0,2648.12,27
HCPCS,C1713,PLATE META LCP 16HL 3.5MM,3004.68,2403.75,1.0,2704.21,27
HCPCS,C1713,PLATE META LCP 18HL 3.5MM,2942.35,2353.88,1.0,2648.12,27
HCPCS,C1713,PLATE META LCP 6HL 3.5MM,2612.74,2090.2,1.0,2351.47,27
HCPCS,C1713,PLATE META LCP 7HL 3.5MM,2664.14,2131.32,1.0,2397.73,27
HCPCS,C1713,PLATE META LCP 8HL 3.5MM,2401.73,1921.39,1.0,2161.56,27
HCPCS,C1713,PLATE META LCP 9HL 3.5MM,2443.39,1954.72,1.0,2199.05,27
HCPCS,C1713,PLATE META ST MEDL 5HL,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1713,PLATE META ST MEDL 7HL,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1713,PLATE META T MEDL 7HL,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1713,PLATE MICRO 1.0MM 8HL CURV,599.45,479.56,1.0,539.51,27
HCPCS,C1713,PLATE MICRO 1.5MM 10HL CURV,638.1,510.48,1.0,574.29,27
HCPCS,C1713,PLATE MICRO 1.5MM 16HL ST,670.1,536.08,1.0,603.09,27
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L LFT MD,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L LFTLNG,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L RT LNG,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE MICRO 1.5MM 4HL L RT MD,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE MICRO 1.5MM 4HL ST,331.4,265.12,1.0,298.26,27
HCPCS,C1713,PLATE MICRO 1.5MM 4HL ST SHRT,315.52,252.42,1.0,283.97,27
HCPCS,C1713,PLATE MICRO 1.5MM 5HL L LFTLNG,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE MICRO 1.5MM 5HL L RT LNG,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE MICRO 1.5MM 6HL DBLYSHRT,676.71,541.37,1.0,609.04,27
HCPCS,C1713,PLATE MICRO 1.5MM 6HL L LFT,618.71,494.97,1.0,556.84,27
HCPCS,C1713,PLATE MICRO 1.5MM 6HL L RT,618.71,494.97,1.0,556.84,27
HCPCS,C1713,PLATE MICRO 1.5MM 6HL ST SHRT,367.1,293.68,1.0,330.39,27
HCPCS,C1713,PLATE MICRO LNG 6HL,400.95,320.76,1.0,360.86,27
HCPCS,C1713,PLATE MID FUSN BRIDGE RT MD,7805.2,6244.16,1.0,7024.68,27
HCPCS,C1713,PLATE MID FUSN BRIDGE RT SM,7805.2,6244.16,1.0,7024.68,27
HCPCS,C1713,PLATE MID FUSN RECON LFT SM,7238.4,5790.72,1.0,6514.56,27
HCPCS,C1713,PLATE MID FUSN RECON RT SM,7321.6,5857.28,1.0,6589.44,27
HCPCS,C1713,PLATE MIDDLE COL NC2M2 STD,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,PLATE MIDFACE 0.6MM 12HL CURV,1104.3,883.44,1.0,993.87,27
HCPCS,C1713,PLATE MIDFACE 0.6MM 6HL DBL Y,1068.94,855.16,1.0,962.05,27
HCPCS,C1713,PLATE MIDFACE 0.8MM 12HL ST,1284.11,1027.29,1.0,1155.7,27
HCPCS,C1713,PLATE MIDFACE 0.8MM 4HL ST,557.82,446.26,1.0,502.04,27
HCPCS,C1713,PLATE MIDFACE 0.8MM 6HL DBL Y,1068.94,855.16,1.0,962.05,27
HCPCS,C1713,PLATE MIDFACE 0.8MM 6HL ST,650.7,520.56,1.0,585.63,27
HCPCS,C1713,PLATE MIDFACE 0.8MM 7HL Y,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE MIDFACE 1.0MM 12HL CURV,1104.3,883.44,1.0,993.87,27
HCPCS,C1713,PLATE MIDFACE 12HL 2ROW 0.6MM,1235.51,988.41,1.0,1111.96,27
HCPCS,C1713,PLATE MIDFACE 12HL 2X6GRID 0.8,1235.51,988.41,1.0,1111.96,27
HCPCS,C1713,PLATE MIDFACE 12HL ORB 0.8MM,1104.3,883.44,1.0,993.87,27
HCPCS,C1713,PLATE MIDFACE 4HL ST 0.6MM,557.82,446.26,1.0,502.04,27
HCPCS,C1713,PLATE MIDFACE 4HL ST 1.0MM,557.82,446.26,1.0,502.04,27
HCPCS,C1713,PLATE MIDFACE 6HL ST 0.6MM,650.7,520.56,1.0,585.63,27
HCPCS,C1713,PLATE MIDFACE 6HL ST 1.0MM,650.7,520.56,1.0,585.63,27
HCPCS,C1713,PLATE MIDFACE LVL1 RT22HL19X42,2379.28,1903.43,1.0,2141.35,27
HCPCS,C1713,PLATE MIDFACE LVL1LFT22HL19X42,2379.28,1903.43,1.0,2141.35,27
HCPCS,C1713,PLATE MIDFACE SM 24HL ST 0.6MM,1284.11,1027.29,1.0,1155.7,27
HCPCS,C1713,PLATE MIDFACE TRUMATCH TI,9091.06,7272.85,1.0,8181.95,27
HCPCS,C1713,PLATE MIDFT FUSN MEDL ST 5HL,6860.0,5488.0,1.0,6174.0,27
HCPCS,C1713,PLATE MIDFT FUSN MEDL ST 6HL,6860.0,5488.0,1.0,6174.0,27
HCPCS,C1713,PLATE MIDFT FUSN MEDL ST 8HL,4956.0,3964.8,1.0,4460.4,27
HCPCS,C1713,PLATE MIDFT FUSN ORTHOLOC ST,3043.04,2434.44,1.0,2738.74,27
HCPCS,C1713,PLATE MIDFT SCP 4HL 18MM,3591.0,2872.8,1.0,3231.9,27
HCPCS,C1713,PLATE MINI CHAMPY TLTS LFT 2.0,1302.13,1041.71,1.0,1171.92,27
HCPCS,C1713,PLATE MINI CHAMPY TLTS RT 2.0,1302.13,1041.71,1.0,1171.92,27
HCPCS,C1713,PLATE MINI COND 4HL 2.0-2.5MM,1103.94,883.16,1.0,993.55,27
HCPCS,C1713,PLATE MINI COND TLTS 2.0-2.3MM,1522.46,1217.97,1.0,1370.21,27
HCPCS,C1713,PLATE MINI KLS 4HL LNG,315.52,252.42,1.0,283.97,27
HCPCS,C1713,PLATE MINI KLS 4HL REG,320.22,256.18,1.0,288.2,27
HCPCS,C1713,PLATE MINI KLS 8HL REG,394.42,315.54,1.0,354.98,27
HCPCS,C1713,PLATE MINI LOPRO 68HL,1947.6,1558.08,1.0,1752.84,27
HCPCS,C1713,PLATE MINI SAG TLTS 6HL 1.0,1602.34,1281.88,1.0,1442.11,27
HCPCS,C1713,PLATE MINI SAG TLTS CURV6HL1.0,1602.34,1281.88,1.0,1442.11,27
HCPCS,C1713,PLATE MINI SAG TLTS LNG 6HL1.0,1618.18,1294.55,1.0,1456.36,27
HCPCS,C1713,PLATE MINI ST 4HL LG 1MM,994.77,795.82,1.0,895.29,27
HCPCS,C1713,PLATE MINI TENS PREBENTRT2X3HL,1714.61,1371.69,1.0,1543.15,27
HCPCS,C1713,PLATE MINI TENSION BD 2X2HL,2002.64,1602.12,1.0,1802.38,27
HCPCS,C1713,PLATE MINI TENSION BD 2X3HL,1831.21,1464.97,1.0,1648.09,27
HCPCS,C1713,PLATE MINI TENSION BD 3X3HL,1589.07,1271.26,1.0,1430.16,27
HCPCS,C1713,PLATE MINI TENSION MALLEA2X2HL,1601.21,1280.97,1.0,1441.09,27
HCPCS,C1713,PLATE MINI TENSION NARW 2X2HL,1601.21,1280.97,1.0,1441.09,27
HCPCS,C1713,PLATE MINI TLTS CURV 12HL 1.0,2007.77,1606.22,1.0,1806.99,27
HCPCS,C1713,PLATE MINI TLTS ST 12HL 1.0,1960.9,1568.72,1.0,1764.81,27
HCPCS,C1713,PLATE MINI VLC ARSENAL 3HL,2376.0,1900.8,1.0,2138.4,27
HCPCS,C1713,PLATE MINI VLC ARSENAL 4HL,2376.0,1900.8,1.0,2138.4,27
HCPCS,C1713,PLATE MINI VLC ARSENAL 5HL,2376.0,1900.8,1.0,2138.4,27
HCPCS,C1713,PLATE MINI VLC ARSENAL 6HL,2376.0,1900.8,1.0,2138.4,27
HCPCS,C1713,PLATE MINITENS PREBENTLFT2X3HL,1714.61,1371.69,1.0,1543.15,27
HCPCS,C1713,PLATE MIS PLANTERPOWER,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1713,PLATE MPJ ARSENAL PET LFT,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ ARSENAL PET LFT 0D,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ ARSENAL PET LFT 5D,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ ARSENAL PET RT,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ ARSENAL PET RT 0D,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ ARSENAL STD LFT,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ ARSENAL STD RT,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1713,PLATE MPJ REV ARSENAL LFT,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1713,PLATE MPJ REV ARSENAL RT,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1713,PLATE MPJ STEP GRIDLOCK LFT,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,PLATE MPJ VLC GRIDLK PET LFT,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,PLATE MPS CURV R108 10HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MPS CURV R108 12HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MPS CURV R108 14HL,2088.32,1670.66,1.0,1879.49,27
HCPCS,C1713,PLATE MPS CURV R108 16HL,2088.32,1670.66,1.0,1879.49,27
HCPCS,C1713,PLATE MPS CURV R108 4HL,1652.83,1322.27,1.0,1487.55,27
HCPCS,C1713,PLATE MPS CURV R108 5HL,1652.83,1322.27,1.0,1487.55,27
HCPCS,C1713,PLATE MPS CURV R108 6HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MPS CURV R108 8HL,2007.85,1606.28,1.0,1807.07,27
HCPCS,C1713,PLATE MPS ST FLEX 9HL 106.5MM,1738.51,1390.81,1.0,1564.66,27
HCPCS,C1713,PLATE MPS SYMP 4HL 75MM,2539.55,2031.64,1.0,2285.6,27
HCPCS,C1713,PLATE MPS SYMP 6HL 75MM,2675.99,2140.8,1.0,2408.39,27
HCPCS,C1713,PLATE MTP ANCHORAGE CP LFT,4278.57,3422.86,1.0,3850.71,27
HCPCS,C1713,PLATE MTP ANCHORAGE CP RT,4278.57,3422.86,1.0,3850.71,27
HCPCS,C1713,PLATE MTP ANCHORAGE LNG LS,4050.31,3240.25,1.0,3645.28,27
HCPCS,C1713,PLATE MTP ANCHORAGE LNG RS,4050.31,3240.25,1.0,3645.28,27
HCPCS,C1713,PLATE MTP ANCHORAGE V1 LFT,4050.31,3240.25,1.0,3645.28,27
HCPCS,C1713,PLATE MTP ANCHORAGE V1 RT,4050.31,3240.25,1.0,3645.28,27
HCPCS,C1713,PLATE MTP ANCHORAGE V2 RT,4050.31,3240.25,1.0,3645.28,27
HCPCS,C1713,PLATE MTP ARSENAL PET LFT 0D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL PET LFT 5D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL PET RT 0D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL PET RT 5D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL RT STD 5D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL STD LFT 0D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL STD LFT 5D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP ARSENAL STD RT 0D,5096.0,4076.8,1.0,4586.4,27
HCPCS,C1713,PLATE MTP COMP 0D LNG LFT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP 0D LNG RT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP 0D PET RT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP 0D VALGUS STDRT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP 0D XLNG RT,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,PLATE MTP COMP 5D PET LFT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP 5D VALGUSSTDLFT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP VALGUS 5DLNGLFT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP COMP5D STD RT,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,PLATE MTP DYNAFORCE LFTLNG0D18,5768.0,4614.4,1.0,5191.2,27
HCPCS,C1713,PLATE MTP DYNAFORCE LFTLNG0D20,5768.0,4614.4,1.0,5191.2,27
HCPCS,C1713,PLATE MTP DYNAFORCE RT LNG0D18,5768.0,4614.4,1.0,5191.2,27
HCPCS,C1713,PLATE MTP DYNAFORCE RT LNG5D25,5768.0,4614.4,1.0,5191.2,27
HCPCS,C1713,PLATE MTP FUSN MEDL REV LFTLNG,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,PLATE MTP FUSN MEDL REV RT LNG,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,PLATE MTP FUSN WRIT 0D LFT SM,3987.34,3189.88,1.0,3588.61,27
HCPCS,C1713,PLATE MTP FUSN WRIT 0D RT SM,3987.34,3189.88,1.0,3588.61,27
HCPCS,C1713,PLATE MTP FUSN WRIT LFT 0D MD,3987.34,3189.88,1.0,3588.61,27
HCPCS,C1713,PLATE MTP FUSN WRIT RT 0D MD,3987.34,3189.88,1.0,3588.61,27
HCPCS,C1713,PLATE MTP FUSN ZIMM LFT LG,3225.6,2580.48,1.0,2903.04,27
HCPCS,C1713,PLATE MTP FUSN ZIMM LFT SM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE MTP FUSN ZIMM RT LG,3211.6,2569.28,1.0,2890.44,27
HCPCS,C1713,PLATE MTP FUSN ZIMM RT SM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE MTP GRAFT SPAN LFT 5D,5600.7,4480.56,1.0,5040.63,27
HCPCS,C1713,PLATE MTP GRAFT SPAN RT 5D,5600.7,4480.56,1.0,5040.63,27
HCPCS,C1713,PLATE MTP LOPRO CONT LFT LNG,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO CONT RT LNG,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO CONT SHRT LFT,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO CONT SHRT RT,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO CONT STD LFT,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO CONT STD RT,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO ST LNG,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO ST SHRT,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP LOPRO ST STD,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE MTP NCHORAGE V2 LFT S,4050.31,3240.25,1.0,3645.28,27
HCPCS,C1713,PLATE MTP ORTHOLOC LFT 0D MD,5734.4,4587.52,1.0,5160.96,27
HCPCS,C1713,PLATE MTP ORTHOLOC LFT 5D SM,5734.4,4587.52,1.0,5160.96,27
HCPCS,C1713,PLATE MTP REV ORTHOLOC LFT,4495.4,3596.32,1.0,4045.86,27
HCPCS,C1713,PLATE MTP REV ORTHOLOC RT,4495.4,3596.32,1.0,4045.86,27
HCPCS,C1713,PLATE MTP REV RT LNG 5D,5268.9,4215.12,1.0,4742.01,27
HCPCS,C1713,PLATE MTP VALGUS 10D STD,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE MTP VILX LFT MD 0D 45MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1713,PLATE MTX MAXIL BENT LFT 4MM,2016.42,1613.14,1.0,1814.78,27
HCPCS,C1713,PLATE MTX MAXIL BENT RT 4MM,2016.42,1613.14,1.0,1814.78,27
HCPCS,C1713,PLATE MTXMAND 12HL 1.25MM,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1713,PLATE MTXMAND 2X2HL 1.25MM,1816.99,1453.6,1.0,1635.29,27
HCPCS,C1713,PLATE MTXMAND 2X2HL 1.5MM,2367.79,1894.24,1.0,2131.01,27
HCPCS,C1713,PLATE MTXMAND 3X3HL 1.5MM,1840.9,1472.72,1.0,1656.81,27
HCPCS,C1713,PLATE MTXMAND ANG3X3HL1.5MM,2685.2,2148.16,1.0,2416.68,27
HCPCS,C1713,PLATE MTXMAND DCPTIST2X2HL1.25,1555.85,1244.68,1.0,1400.27,27
HCPCS,C1713,PLATE MTXMAND DCPTIST3X3HL1.25,1825.74,1460.6,1.0,1643.17,27
HCPCS,C1713,PLATE MTXMAND FIX COND HDTI0MM,1382.09,1105.68,1.0,1243.88,27
HCPCS,C1713,PLATE MTXMAND HD COND TI,7452.48,5961.99,1.0,6707.23,27
HCPCS,C1713,PLATE MTXMAND TI ST 12HL 1.5MM,2700.86,2160.69,1.0,2430.77,27
HCPCS,C1713,PLATE MTXMAND TI ST 3X3HL1.5MM,2648.66,2118.93,1.0,2383.79,27
HCPCS,C1713,PLATE MTXMAND TI ST 6HL 1.5MM,1950.88,1560.71,1.0,1755.79,27
HCPCS,C1713,PLATE NARW CURV 10HL 3.5MM,1610.53,1288.43,1.0,1449.48,27
HCPCS,C1713,PLATE NARW CURV 10HL 3.5X149MM,6560.4,5248.32,1.0,5904.36,27
HCPCS,C1713,PLATE NARW CURV 10HL 4.5MM,2280.1,1824.08,1.0,2052.09,27
HCPCS,C1713,PLATE NARW CURV 11HL 3.5X172MM,6560.4,5248.32,1.0,5904.36,27
HCPCS,C1713,PLATE NARW CURV 12HL 3.5X183MM,6962.8,5570.24,1.0,6266.52,27
HCPCS,C1713,PLATE NARW CURV 12HL 4.5MM,2627.86,2102.29,1.0,2365.07,27
HCPCS,C1713,PLATE NARW CURV 12HL L3.5MM,2097.14,1677.72,1.0,1887.43,27
HCPCS,C1713,PLATE NARW CURV 13HL 3.5X206MM,8268.0,6614.4,1.0,7441.2,27
HCPCS,C1713,PLATE NARW CURV 14HL 3.5MM,2426.76,1941.41,1.0,2184.08,27
HCPCS,C1713,PLATE NARW CURV 14HL 3.5X217MM,9136.4,7309.12,1.0,8222.76,27
HCPCS,C1713,PLATE NARW CURV 14HL 4.5MM,2497.15,1997.72,1.0,2247.44,27
HCPCS,C1713,PLATE NARW CURV 16HL 3.5MM,2621.81,2097.45,1.0,2359.63,27
HCPCS,C1713,PLATE NARW CURV 16HL 4.5MM,2806.27,2245.02,1.0,2525.64,27
HCPCS,C1713,PLATE NARW CURV 18HL 3.5MM,2624.83,2099.87,1.0,2362.35,27
HCPCS,C1713,PLATE NARW CURV 18HL 4.5MM,2996.45,2397.16,1.0,2696.81,27
HCPCS,C1713,PLATE NARW CURV 20HL 3.5MM,2911.1,2328.88,1.0,2619.99,27
HCPCS,C1713,PLATE NARW CURV 20HL 4.5MM,3540.94,2832.76,1.0,3186.85,27
HCPCS,C1713,PLATE NARW CURV 22HL 3.5MM,2911.1,2328.88,1.0,2619.99,27
HCPCS,C1713,PLATE NARW CURV 22HL 4.5MM,3950.18,3160.15,1.0,3555.16,27
HCPCS,C1713,PLATE NARW CURV 8HL 3.5X115MM,6092.8,4874.24,1.0,5483.52,27
HCPCS,C1713,PLATE NARW CURV 9HL 3.5X138MM,6092.8,4874.24,1.0,5483.52,27
HCPCS,C1713,PLATE NARW LCP SS 4HL 4.5X80MM,1185.41,948.33,1.0,1066.87,27
HCPCS,C1713,PLATE NARW LCP TI 4HL 4.5MM,1303.6,1042.88,1.0,1173.24,27
HCPCS,C1713,PLATE NARW ST 10HL 2.7X76MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE NARW ST 10HL 3.5X149MM,4684.4,3747.52,1.0,4215.96,27
HCPCS,C1713,PLATE NARW ST 11HL 3.5X172MM,4684.4,3747.52,1.0,4215.96,27
HCPCS,C1713,PLATE NARW ST 12HL 3.5X183MM,5622.4,4497.92,1.0,5060.16,27
HCPCS,C1713,PLATE NARW ST 13HL 3.5X206MM,6962.8,5570.24,1.0,6266.52,27
HCPCS,C1713,PLATE NARW ST 14HL 3.5X217MM,6962.8,5570.24,1.0,6266.52,27
HCPCS,C1713,PLATE NARW ST 20HL 2.7X152MM,6014.4,4811.52,1.0,5412.96,27
HCPCS,C1713,PLATE NARW ST 4HL 2.7X31MM,4373.6,3498.88,1.0,3936.24,27
HCPCS,C1713,PLATE NARW ST 4HL 3.5X51MM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE NARW ST 5HL 3.5X70MM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE NARW ST 6HL 2.7X46MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE NARW ST 6HL 3.5X81MM,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,PLATE NARW ST 7HL 3.5X104MM,3278.8,2623.04,1.0,2950.92,27
HCPCS,C1713,PLATE NARW ST 7HL 5.0X143MM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1713,PLATE NARW ST 8HL 2.7X61MM,4648.0,3718.4,1.0,4183.2,27
HCPCS,C1713,PLATE NARW ST 8HL 3.5X115MM,4684.4,3747.52,1.0,4215.96,27
HCPCS,C1713,PLATE NARW ST 8HL 5.0X160MM,8723.0,6978.4,1.0,7850.7,27
HCPCS,C1713,PLATE NARW ST 9HL 3.5X138MM,4684.4,3747.52,1.0,4215.96,27
HCPCS,C1713,PLATE NAVICULAR LFT,2432.0,1945.6,1.0,2188.8,27
HCPCS,C1713,PLATE NAVICULAR RT,2432.0,1945.6,1.0,2188.8,27
HCPCS,C1713,PLATE NAVICULAR TRILEAP TI LNG,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE NAVICULAR TRILEAP TISHRT,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE NC ARSENAL LFT,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,PLATE NC ARSENAL RT,4704.0,3763.2,1.0,4233.6,27
HCPCS,C1713,PLATE NC FUSN LFT LG 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN LFT MD 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN LFT SM 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN LFT XL 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN RT LG 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN RT MD 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN RT SM 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC FUSN RT XL 1.5MM,5086.9,4069.52,1.0,4578.21,27
HCPCS,C1713,PLATE NC STRTM LG LFT,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE NC STRTM LG RT,5188.4,4150.72,1.0,4669.56,27
HCPCS,C1713,PLATE NC STRTM SM LFT,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE NC STRTM SM RT,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE NECK LAT TRILEAP TI LNAR,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE NECK LAT TRILEAPTIBTRFLY,4983.1,3986.48,1.0,4484.79,27
HCPCS,C1713,PLATE NL TUBLR ARTX SS 7HL,594.0,475.2,1.0,534.6,27
HCPCS,C1713,PLATE O ORTHO PEDS 12MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE O ORTHOPED 24MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE O ORTHOPEDIATRICS 16MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE O ORTHOPEDS 20MM,2237.76,1790.21,1.0,2013.98,27
HCPCS,C1713,PLATE OC ADJ SM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OC ADJ STD,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCC MIDLINEKEELVERTEX SM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCC QUARTEX GM LG,6202.0,4961.6,1.0,5581.8,27
HCPCS,C1713,PLATE OCC QUARTEX GM SM,6202.0,4961.6,1.0,5581.8,27
HCPCS,C1713,PLATE OCC YUKON MD,5393.5,4314.8,1.0,4854.15,27
HCPCS,C1713,PLATE OCCIPITAL ADJ VERTEX,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL LAT 3.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL LAT 3.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL LAT 4.0X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL LAT 4.0X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL MEDL 3.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL MEDL 3.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL MEDL 4.0X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL MEDL 4.0X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,PLATE OCCIPITAL YUKON SM,5393.5,4314.8,1.0,4854.15,27
HCPCS,C1713,PLATE OFFSET MINBUNIONLNG3.5MM,5352.98,4282.39,1.0,4817.68,27
HCPCS,C1713,PLATE OLEC ACUM STD RT 3HL,3539.2,2831.36,1.0,3185.28,27
HCPCS,C1713,PLATE OLEC EPS MD RT 16HL126MM,4226.32,3381.06,1.0,3803.69,27
HCPCS,C1713,PLATE OLEC EXTNDR LFT 5HL 90MM,3539.2,2831.36,1.0,3185.28,27
HCPCS,C1713,PLATE OLEC LCP LFT 10HL 3.5MM,2592.1,2073.68,1.0,2332.89,27
HCPCS,C1713,PLATE OLEC LFT 2HL,2323.51,1858.81,1.0,2091.16,27
HCPCS,C1713,PLATE OLEC LFT 2HL 90MM,2821.06,2256.85,1.0,2538.95,27
HCPCS,C1713,PLATE OLEC LFT 4HL,2425.07,1940.06,1.0,2182.56,27
HCPCS,C1713,PLATE OLEC LFT 4HL 116MM,2896.32,2317.06,1.0,2606.69,27
HCPCS,C1713,PLATE OLEC LFT 6HL,2499.84,1999.88,1.0,2249.86,27
HCPCS,C1713,PLATE OLEC LFT 6HL 142MM,2937.98,2350.39,1.0,2644.18,27
HCPCS,C1713,PLATE OLEC LFT 8HL,2576.84,2061.48,1.0,2319.16,27
HCPCS,C1713,PLATE OLEC PROX LFT 2HL 73MM,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1713,PLATE OLEC PROX RT 2HL 73MM,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1713,PLATE OLEC RT 2HL,2323.51,1858.81,1.0,2091.16,27
HCPCS,C1713,PLATE OLEC RT 2HL 2.7/3.5 73MM,2775.36,2220.29,1.0,2497.82,27
HCPCS,C1713,PLATE OLEC RT 2HL 2.7/3.5 90MM,3104.64,2483.72,1.0,2794.18,27
HCPCS,C1713,PLATE OLEC RT 2HL 90MM,2821.06,2256.85,1.0,2538.95,27
HCPCS,C1713,PLATE OLEC RT 4HL,2425.07,1940.06,1.0,2182.56,27
HCPCS,C1713,PLATE OLEC RT 4HL 116MM,2896.32,2317.06,1.0,2606.69,27
HCPCS,C1713,PLATE OLEC RT 4HL 2.7/3.5MM,3186.62,2549.3,1.0,2867.96,27
HCPCS,C1713,PLATE OLEC RT 6HL,2499.84,1999.88,1.0,2249.86,27
HCPCS,C1713,PLATE OLEC RT 6HL 142MM,2937.98,2350.39,1.0,2644.18,27
HCPCS,C1713,PLATE OLEC RT 8HL,2576.84,2061.48,1.0,2319.16,27
HCPCS,C1713,PLATE OLEC STER LFT 4HL 116MM,3186.62,2549.3,1.0,2867.96,27
HCPCS,C1713,PLATE OLEC STER LFT 6HL 142MM,2828.28,2262.63,1.0,2545.45,27
HCPCS,C1713,PLATE OLEC STER LFT 8HL 169MM,3083.14,2466.52,1.0,2774.83,27
HCPCS,C1713,PLATE OLEC STER RT 8HL 169MM,3083.14,2466.52,1.0,2774.83,27
HCPCS,C1713,PLATE OLEC STERLFT2HL2.7/3.5MM,3029.38,2423.51,1.0,2726.44,27
HCPCS,C1713,PLATE OLEC STRY LFT 12HL 184MM,3330.1,2664.08,1.0,2997.09,27
HCPCS,C1713,PLATE OLEC STRY LFT3HL 65MM,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE OLEC STRY LFT4HL,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE OLEC STRY LFT6HL,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE OLEC STRY LFT8HL,3330.1,2664.08,1.0,2997.09,27
HCPCS,C1713,PLATE OLEC TI 3.5MM RT 4HL,2666.12,2132.9,1.0,2399.51,27
HCPCS,C1713,PLATE OLECRANON RT 3HL 65MM,3842.22,3073.78,1.0,3458.0,27
HCPCS,C1713,PLATE OLECRANON RT 4HL 65MM,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE OLECRANON RT 6HL 65MM,2983.1,2386.48,1.0,2684.79,27
HCPCS,C1713,PLATE OLECRANON RT 8HL 137MM,3330.1,2664.08,1.0,2997.09,27
HCPCS,C1713,PLATE OLIF25 2HL LG,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE OLIF25 2HL SM,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE ONE THIRD TUBLRSTER6HL76,590.31,472.25,1.0,531.28,27
HCPCS,C1713,PLATE OPEN WDG 0MM RT,3741.11,2992.89,1.0,3367.0,27
HCPCS,C1713,PLATE OPEN WDG 3MM RT,3741.11,2992.89,1.0,3367.0,27
HCPCS,C1713,PLATE OPEN WDG 4MM RT,3741.11,2992.89,1.0,3367.0,27
HCPCS,C1713,PLATE OPEN WDG 5MM RT,3741.11,2992.89,1.0,3367.0,27
HCPCS,C1713,PLATE ORB CMF LVL1 LFT 35X35MM,3412.7,2730.16,1.0,3071.43,27
HCPCS,C1713,PLATE ORB CMF LVL1 LFT 40X35MM,3446.38,2757.11,1.0,3101.74,27
HCPCS,C1713,PLATE ORB CMF LVL1 RT 40X35MM,3446.38,2757.11,1.0,3101.74,27
HCPCS,C1713,PLATE ORB FLOOR 1.5MM 24X24MM,2058.41,1646.73,1.0,1852.57,27
HCPCS,C1713,PLATE ORB FLOOR 1.5MM 30X30MM,2554.24,2043.4,1.0,2298.82,27
HCPCS,C1713,PLATE ORB FLOOR 1.5MM 35X35MM,2228.98,1783.19,1.0,2006.08,27
HCPCS,C1713,PLATE ORB FLOOR SYNPOR0.8X35MM,1821.88,1457.51,1.0,1639.69,27
HCPCS,C1713,PLATE ORB FLOOR SYNPOR1.5X35MM,1704.02,1363.22,1.0,1533.62,27
HCPCS,C1713,PLATE ORB KLS 1.5X3MM,1917.72,1534.18,1.0,1725.95,27
HCPCS,C1713,PLATE ORB KLS 1.5X5MM,1917.72,1534.18,1.0,1725.95,27
HCPCS,C1713,PLATE ORB KLS 3D LG TI LFT 0.4,2786.5,2229.2,1.0,2507.85,27
HCPCS,C1713,PLATE ORB KLS 3D LG TI RT 0.4,2786.5,2229.2,1.0,2507.85,27
HCPCS,C1713,PLATE ORB KLS 3D XS TI LFT 0.4,2900.38,2320.31,1.0,2610.34,27
HCPCS,C1713,PLATE ORB KLS 3D XS TI RT 0.4,2900.38,2320.31,1.0,2610.34,27
HCPCS,C1713,PLATE ORB MESH MTXMID 0.3MM,2817.56,2254.05,1.0,2535.8,27
HCPCS,C1713,PLATE ORB PREFORM GLD LFT LG,4933.24,3946.6,1.0,4439.92,27
HCPCS,C1713,PLATE ORB PREFORM GLD RT LG,4933.24,3946.6,1.0,4439.92,27
HCPCS,C1713,PLATE ORB PREFORM PUR LFT SM,4770.42,3816.34,1.0,4293.38,27
HCPCS,C1713,PLATE ORB PREFORM PUR RT SM,4782.4,3825.92,1.0,4304.16,27
HCPCS,C1713,PLATE ORB RIM 12HL 0.8MM,1178.48,942.79,1.0,1060.63,27
HCPCS,C1713,PLATE ORB RIM MD TI 12HL 0.7MM,1662.86,1330.29,1.0,1496.57,27
HCPCS,C1713,PLATE ORB RIM MTXMID 12HL 0.5,1662.86,1330.29,1.0,1496.57,27
HCPCS,C1713,PLATE ORB TRUMATCH TI 0.4MM,20295.55,16236.44,1.0,18266.0,27
HCPCS,C1713,PLATE ORTHOG DBL Y TAN 6HL24MM,657.41,525.93,1.0,591.67,27
HCPCS,C1713,PLATE ORTHOG DBL Y TAN 6HL28MM,657.41,525.93,1.0,591.67,27
HCPCS,C1713,PLATE ORTHOLOC LAT TT FUSN LG,5288.08,4230.47,1.0,4759.27,27
HCPCS,C1713,PLATE ORTHOLOC LAT TT FUSN SM,5288.08,4230.47,1.0,4759.27,27
HCPCS,C1713,PLATE ORTHOLOC PSTR TT FUSN LG,6125.98,4900.79,1.0,5513.38,27
HCPCS,C1713,PLATE ORTHOLOC PSTR TT FUSN SM,6125.98,4900.79,1.0,5513.38,27
HCPCS,C1713,PLATE ORTHOLOC PSTRTTC FUSN LG,6647.34,5317.88,1.0,5982.61,27
HCPCS,C1713,PLATE ORTHOLOC STD 110MM,5902.4,4721.92,1.0,5312.16,27
HCPCS,C1713,PLATE ORTHOLOC STD 185MM,6249.6,4999.68,1.0,5624.64,27
HCPCS,C1713,PLATE ORTHOLOC STD 250MM,6423.2,5138.56,1.0,5780.88,27
HCPCS,C1713,PLATE ORTHOLOC STD 90MM,5902.4,4721.92,1.0,5312.16,27
HCPCS,C1713,PLATE OSTE MINI ST TI 4HL 2MM,2037.6,1630.08,1.0,1833.84,27
HCPCS,C1713,PLATE OSTE ST 10HL 2MM,2433.6,1946.88,1.0,2190.24,27
HCPCS,C1713,PLATE OSTE ST 4HL 24MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE OSTEO 100D 50MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 100D 60MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 110D 65MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 110D 75MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 120D 65MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 120D 75MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 130D 65MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO 130D 70MM,3185.78,2548.63,1.0,2867.2,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 4X26MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 4X32MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 4X38MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 4X44MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 8X26MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 8X32MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 8X38MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE OSTEO TODDLER100D 8X44MM,2352.67,1882.14,1.0,2117.4,27
HCPCS,C1713,PLATE PARASYMP TI LVL1 8H12X27,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,PLATE PDS FLEX 0.15MM,1914.01,1531.21,1.0,1722.61,27
HCPCS,C1713,PLATE PELVIC ANT SI PRO LFT,3564.34,2851.48,1.0,3207.91,27
HCPCS,C1713,PLATE PELVIC FLEX PRO LFT 14HL,11983.01,9586.41,1.0,10784.71,27
HCPCS,C1713,PLATE PELVIC FLEX PRO RT 12HL,10852.97,8682.38,1.0,9767.67,27
HCPCS,C1713,PLATE PELVIC QLS LFT SM,4558.48,3646.79,1.0,4102.63,27
HCPCS,C1713,PLATE PELVIC QLS STER LFT LG,4986.24,3989.0,1.0,4487.62,27
HCPCS,C1713,PLATE PELVIC QLS STER LFT SM,4511.36,3609.09,1.0,4060.22,27
HCPCS,C1713,PLATE PELVIC QLS STER RT,5376.0,4300.8,1.0,4838.4,27
HCPCS,C1713,PLATE PELVIC QLS STER RT LG,4986.24,3989.0,1.0,4487.62,27
HCPCS,C1713,PLATE PELVIC QLS STER RT SM,4511.36,3609.09,1.0,4060.22,27
HCPCS,C1713,PLATE PELVIC QLS STRY LFT,5698.56,4558.85,1.0,5128.7,27
HCPCS,C1713,PLATE PERIPROS TROC WIDE LFT,3830.4,3064.32,1.0,3447.36,27
HCPCS,C1713,PLATE PILON ANTLAT LFT 9HL,10868.0,8694.4,1.0,9781.2,27
HCPCS,C1713,PLATE PILON ANTLAT RT 7HL,10296.0,8236.8,1.0,9266.4,27
HCPCS,C1713,PLATE PROX FEM LFT 15HL 324MM,5376.0,4300.8,1.0,4838.4,27
HCPCS,C1713,PLATE PROX FEM NCB LFT 245MM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE PROX FEM NCB LFT 401MM,6204.8,4963.84,1.0,5584.32,27
HCPCS,C1713,PLATE PROX FEM NCB LFT9HL245MM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE PROX FEM NCB RT 245MM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE PROX FEM NCB RT 401MM,6204.8,4963.84,1.0,5584.32,27
HCPCS,C1713,PLATE PROX FEM NCB RT 9HL245MM,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE PROX FEM NCB RT18HL363MM,5644.8,4515.84,1.0,5080.32,27
HCPCS,C1713,PLATE PROX FEM NCB RT21HL401MM,6204.8,4963.84,1.0,5584.32,27
HCPCS,C1713,PLATE PROX FEM NCBLFT12HL285MM,5084.8,4067.84,1.0,4576.32,27
HCPCS,C1713,PLATE PROX FEM NCBLFT18HL363MM,5644.8,4515.84,1.0,5080.32,27
HCPCS,C1713,PLATE PROX FEM NCBLFT21HL401MM,6204.8,4963.84,1.0,5584.32,27
HCPCS,C1713,PLATE PROX ULNA LFT 3HL 77MM,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE PROX ULNA LFT 5HL 103MM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE PROX ULNA LFT 7HL 129MM,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1713,PLATE PROX ULNA LFT 9HL 155MM,3091.2,2472.96,1.0,2782.08,27
HCPCS,C1713,PLATE PROX ULNA RT 3HL 77MM,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE PROX ULNA RT 5HL 103MM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE PROX ULNA RT 7HL 129MM,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1713,PLATE PROX ULNA RT 9HL 155MM,3091.2,2472.96,1.0,2782.08,27
HCPCS,C1713,PLATE PSI CRANI PEEK CUST,23373.31,18698.65,1.0,21035.98,27
HCPCS,C1713,PLATE PSTR RIM PRO 1HL NARW,2970.8,2376.64,1.0,2673.72,27
HCPCS,C1713,PLATE PSTR RIM PRO 2HL BD,3089.86,2471.89,1.0,2780.87,27
HCPCS,C1713,PLATE PSTR RIM PRO 2HL NARW,3088.4,2470.72,1.0,2779.56,27
HCPCS,C1713,PLATE PSTR TT LFT LNG,5870.2,4696.16,1.0,5283.18,27
HCPCS,C1713,PLATE PSTR TT LFT STD,5870.2,4696.16,1.0,5283.18,27
HCPCS,C1713,PLATE PSTR TT RT LNG,5870.2,4696.16,1.0,5283.18,27
HCPCS,C1713,PLATE PSTR TT RT STD,5870.2,4696.16,1.0,5283.18,27
HCPCS,C1713,PLATE PSTR TTC LFT LNG,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE PSTR TTC LFT STD,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE PSTR TTC RT LNG,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE PSTR TTC RT STD,6458.2,5166.56,1.0,5812.38,27
HCPCS,C1713,PLATE PUBIS SYMP 3.5 4HL,2611.22,2088.98,1.0,2350.1,27
HCPCS,C1713,PLATE PUBIS SYMP 3.5 6HL,2546.88,2037.51,1.0,2292.19,27
HCPCS,C1713,PLATE PUBIS SYMP DCP 2HL 3.5 4,2550.91,2040.73,1.0,2295.82,27
HCPCS,C1713,PLATE PUBIS SYMP DCP 2HL 3.5 6,2795.52,2236.42,1.0,2515.97,27
HCPCS,C1713,PLATE QUADLAT STER LNG 3.5MM,2013.98,1611.19,1.0,1812.58,27
HCPCS,C1713,PLATE QUADLAT STER STD 3.5MM,1829.52,1463.62,1.0,1646.57,27
HCPCS,C1713,PLATE R HD SM RIM,3778.15,3022.52,1.0,3400.34,27
HCPCS,C1713,PLATE R HD STD RIM,3778.15,3022.52,1.0,3400.34,27
HCPCS,C1713,PLATE RAD APTIS SZ10 2X15MM,12836.2,10268.96,1.0,11552.58,27
HCPCS,C1713,PLATE RAD COL TI 5HL 2.4MM,2233.22,1786.58,1.0,2009.9,27
HCPCS,C1713,PLATE RAD COL TRMI 3HL,2232.0,1785.6,1.0,2008.8,27
HCPCS,C1713,PLATE RAD COL TRMI 5HL,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1713,PLATE RAD COL TRMI 7HL,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,PLATE RAD COL VALCP 5HL 2.4MM,2030.62,1624.5,1.0,1827.56,27
HCPCS,C1713,PLATE RAD COL VALCP 6HL 2.4MM,2139.48,1711.59,1.0,1925.53,27
HCPCS,C1713,PLATE RAD DIST 5/3HL LFT 43MM,2695.97,2156.78,1.0,2426.37,27
HCPCS,C1713,PLATE RAD DIST 5/3HL RT 43MM,2695.97,2156.78,1.0,2426.37,27
HCPCS,C1713,PLATE RAD DIST 5/5HL LFT 61MM,2537.73,2030.19,1.0,2283.96,27
HCPCS,C1713,PLATE RAD DIST 5/5HL RT 61MM,2537.73,2030.19,1.0,2283.96,27
HCPCS,C1713,PLATE RAD DIST ACUM LFT EXT,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST ACUM LFT LNG,2920.4,2336.32,1.0,2628.36,27
HCPCS,C1713,PLATE RAD DIST ACUM LFT NARW,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST ACUM LFT WIDE,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST ACUM RT EXT,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST ACUM RT LNG,2920.4,2336.32,1.0,2628.36,27
HCPCS,C1713,PLATE RAD DIST ACUM RT WIDE,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST ACUM STD LFT,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST ACUM STD RT,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RAD DIST XARTICU 3/4HLRT,2695.97,2156.78,1.0,2426.37,27
HCPCS,C1713,PLATE RAD DIST XARTICU 3/5HLRT,2695.97,2156.78,1.0,2426.37,27
HCPCS,C1713,PLATE RAD DIST XARTICU 5/4HLRT,2537.73,2030.19,1.0,2283.96,27
HCPCS,C1713,PLATE RAD DIST XARTICU 5/5HLRT,2537.73,2030.19,1.0,2283.96,27
HCPCS,C1713,PLATE RAD DIST XARTICU3/4HLLFT,2695.97,2156.78,1.0,2426.37,27
HCPCS,C1713,PLATE RAD DIST XARTICU3/5HLLFT,2695.97,2156.78,1.0,2426.37,27
HCPCS,C1713,PLATE RAD DIST XARTICU5/4HLLFT,2537.73,2030.19,1.0,2283.96,27
HCPCS,C1713,PLATE RAD DIST XARTICU5/5HLLFT,2537.73,2030.19,1.0,2283.96,27
HCPCS,C1713,PLATE RAD DORSAL RT WIDE*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,PLATE RAD HD ACUM CURV 3HL,3486.0,2788.8,1.0,3137.4,27
HCPCS,C1713,PLATE RAD HD LFT 2HL2.4X34MM,2056.32,1645.06,1.0,1850.69,27
HCPCS,C1713,PLATE RAD HD LFT 3HL2.4X46MM,2119.82,1695.86,1.0,1907.84,27
HCPCS,C1713,PLATE RAD HD NECK 3HL 2.4X40,2119.82,1695.86,1.0,1907.84,27
HCPCS,C1713,PLATE RAD HD PROTEAN LFT,6562.4,5249.92,1.0,5906.16,27
HCPCS,C1713,PLATE RAD HD RT 2HL 2.4X34MM,2056.32,1645.06,1.0,1850.69,27
HCPCS,C1713,PLATE RAD HD RT 3HL 2.4X46MM,2119.82,1695.86,1.0,1907.84,27
HCPCS,C1713,PLATE RAD INTRMD LFT2X3HL2.4MM,2228.69,1782.96,1.0,2005.82,27
HCPCS,C1713,PLATE RAD INTRMD LFT2X4HL2.4MM,2310.34,1848.28,1.0,2079.31,27
HCPCS,C1713,PLATE RAD INTRMD RT 2X3HL2.4MM,2228.69,1782.96,1.0,2005.82,27
HCPCS,C1713,PLATE RAD INTRMD RT 2X4HL2.4MM,2310.34,1848.28,1.0,2079.31,27
HCPCS,C1713,PLATE RAD OSTEOTOMY LFT4HL4PEG,3214.4,2571.52,1.0,2892.96,27
HCPCS,C1713,PLATE RAD OSTEOTOMY RT 4HL4PEG,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1713,PLATE RAD SIT ACUM RT NARW,2928.0,2342.4,1.0,2635.2,27
HCPCS,C1713,PLATE RD BOX MALLEA TI 4HL 1.0,1253.36,1002.69,1.0,1128.02,27
HCPCS,C1713,PLATE RD STRUT CURV MALLEA 8HL,2105.5,1684.4,1.0,1894.95,27
HCPCS,C1713,PLATE RD STRUT ST MALLEA TI8HL,1810.16,1448.13,1.0,1629.14,27
HCPCS,C1713,PLATE RECON 10HL 4.5X157MM,2062.37,1649.9,1.0,1856.13,27
HCPCS,C1713,PLATE RECON 14HL 4.5X221MM,2446.42,1957.14,1.0,2201.78,27
HCPCS,C1713,PLATE RECON 2.7MM 10HL 80MM,1831.03,1464.83,1.0,1647.93,27
HCPCS,C1713,PLATE RECON 2.7MM 12HL 96MM,2187.86,1750.29,1.0,1969.07,27
HCPCS,C1713,PLATE RECON 2.7MM 14HL 112MM,2326.97,1861.58,1.0,2094.27,27
HCPCS,C1713,PLATE RECON 2.7MM 6HL 48MM,1933.34,1546.68,1.0,1740.01,27
HCPCS,C1713,PLATE RECON 2.7MM 8HL 64MM,2000.38,1600.31,1.0,1800.34,27
HCPCS,C1713,PLATE RECON 3.5MM 10HL 118MM,1938.64,1550.92,1.0,1744.78,27
HCPCS,C1713,PLATE RECON 3.5MM 11HL 130MM,1938.64,1550.92,1.0,1744.78,27
HCPCS,C1713,PLATE RECON 3.5MM 12HL 142MM,1840.1,1472.08,1.0,1656.09,27
HCPCS,C1713,PLATE RECON 3.5MM 13HL 154MM,1991.3,1593.04,1.0,1792.17,27
HCPCS,C1713,PLATE RECON 3.5MM 14HL 166MM,2066.9,1653.52,1.0,1860.21,27
HCPCS,C1713,PLATE RECON 3.5MM 15HL 178MM,2240.78,1792.63,1.0,2016.7,27
HCPCS,C1713,PLATE RECON 3.5MM 16HL 190MM,2240.78,1792.63,1.0,2016.7,27
HCPCS,C1713,PLATE RECON 3.5MM 18HL 214MM,2348.14,1878.52,1.0,2113.33,27
HCPCS,C1713,PLATE RECON 3.5MM 22HL 263MM,2631.55,2105.24,1.0,2368.4,27
HCPCS,C1713,PLATE RECON 3.5MM 4HL 46MM,1509.98,1207.99,1.0,1358.98,27
HCPCS,C1713,PLATE RECON 3.5MM 5HL 58MM,1478.23,1182.59,1.0,1330.41,27
HCPCS,C1713,PLATE RECON 3.5MM 6HL 70MM,1707.55,1366.04,1.0,1536.8,27
HCPCS,C1713,PLATE RECON 3.5MM 7HL 82MM,1790.46,1432.37,1.0,1611.41,27
HCPCS,C1713,PLATE RECON 3.5MM 8HL 94MM,1868.08,1494.47,1.0,1681.27,27
HCPCS,C1713,PLATE RECON 3.5MM 9HL 106MM,1970.39,1576.32,1.0,1773.35,27
HCPCS,C1713,PLATE RECON 4HL 2.7X44MM,1925.28,1540.23,1.0,1732.75,27
HCPCS,C1713,PLATE RECON 4HL 3.5X53MM,2399.04,1919.24,1.0,2159.14,27
HCPCS,C1713,PLATE RECON 4HL 4.5X61MM,1684.62,1347.7,1.0,1516.16,27
HCPCS,C1713,PLATE RECON 5HL 4.5X77MM,1836.32,1469.06,1.0,1652.69,27
HCPCS,C1713,PLATE RECON 6HL 3.5X76MM,2692.8,2154.24,1.0,2423.52,27
HCPCS,C1713,PLATE RECON 6HL 4.5X93MM,1949.22,1559.38,1.0,1754.3,27
HCPCS,C1713,PLATE RECON 8HL 2.7X80MM,1992.48,1593.99,1.0,1793.23,27
HCPCS,C1713,PLATE RECON 8HL 3.5X99MM,2626.56,2101.25,1.0,2363.9,27
HCPCS,C1713,PLATE RECON 8HL 4.5X125MM,1834.06,1467.25,1.0,1650.65,27
HCPCS,C1713,PLATE RECON 9HL 4.5X141MM,1970.14,1576.12,1.0,1773.13,27
HCPCS,C1713,PLATE RECON ANG LFT7X23HL2.5MM,4463.87,3571.1,1.0,4017.48,27
HCPCS,C1713,PLATE RECON ANG RT 7X23HL 2.0,5645.81,4516.65,1.0,5081.23,27
HCPCS,C1713,PLATE RECON CALC 2.7MM 8HL,1294.78,1035.83,1.0,1165.3,27
HCPCS,C1713,PLATE RECON CALC 2.7MM 9HL,1342.4,1073.92,1.0,1208.16,27
HCPCS,C1713,PLATE RECON CURV 3.5 10HL118MM,2481.19,1984.96,1.0,2233.07,27
HCPCS,C1713,PLATE RECON CURV 3.5 12HL142MM,2599.13,2079.31,1.0,2339.22,27
HCPCS,C1713,PLATE RECON CURV 3.5 14HL166MM,2593.92,2075.14,1.0,2334.53,27
HCPCS,C1713,PLATE RECON CURV 3.5 8HL 94MM,2372.33,1897.87,1.0,2135.1,27
HCPCS,C1713,PLATE RECON DBL ANG TI 2.0 LG,5340.33,4272.27,1.0,4806.3,27
HCPCS,C1713,PLATE RECON DBL ANG TI 2.0 MD,5071.86,4057.49,1.0,4564.67,27
HCPCS,C1713,PLATE RECON DBL ANG TI 2.0 SM,4799.45,3839.56,1.0,4319.51,27
HCPCS,C1713,PLATE RECON LCP *DISC NO REPL*,2593.92,2075.14,1.0,2691.36,189
HCPCS,C1713,PLATE RECON LCP 3.5MM 4HL 56MM,1509.98,1207.99,1.0,1358.98,27
HCPCS,C1713,PLATE RECON LCP 3.5MM 5HL 70MM,1478.23,1182.59,1.0,1330.41,27
HCPCS,C1713,PLATE RECON LCP 3.5MM 6HL 84MM,1707.55,1366.04,1.0,1536.8,27
HCPCS,C1713,PLATE RECON LCP 3.5MM 7HL 99MM,1790.46,1432.37,1.0,1611.41,27
HCPCS,C1713,PLATE RECON LCP 3.5MM 8HL113MM,1869.84,1495.88,1.0,1682.86,27
HCPCS,C1713,PLATE RECON LCP 3.5MM10HL140MM,1938.64,1550.92,1.0,1744.78,27
HCPCS,C1713,PLATE RECON LCP 3.5MM11HL154MM,1800.79,1440.64,1.0,1620.71,27
HCPCS,C1713,PLATE RECON LCP 3.5MM12HL168MM,1840.1,1472.08,1.0,1656.09,27
HCPCS,C1713,PLATE RECON LCP 3.5MM13HL182MM,1991.3,1593.04,1.0,1792.17,27
HCPCS,C1713,PLATE RECON LCP 3.5MM14HL196MM,2066.9,1653.52,1.0,1860.21,27
HCPCS,C1713,PLATE RECON LCP 3.5MM16HL224MM,2240.78,1792.63,1.0,2016.7,27
HCPCS,C1713,PLATE RECON LCP 3.5MM18HL252MM,2349.65,1879.72,1.0,2114.69,27
HCPCS,C1713,PLATE RECON LCP 3.5MM20HL280MM,2532.1,2025.68,1.0,2278.89,27
HCPCS,C1713,PLATE RECON LCP 3.5MM22HL308MM,2631.55,2105.24,1.0,2368.4,27
HCPCS,C1713,PLATE RECON LCP CURV 3.5MM 4HL,2018.52,1614.82,1.0,1816.67,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 3HL 39,1465.88,1172.71,1.0,1319.29,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 4HL 52,1531.15,1224.92,1.0,1378.04,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 5HL 65,1601.71,1281.37,1.0,1441.54,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 6HL 78,1771.06,1416.85,1.0,1593.95,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 7HL 91,1855.73,1484.59,1.0,1670.16,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 8HL104,1935.11,1548.09,1.0,1741.6,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM 9HL117,1984.5,1587.6,1.0,1786.05,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM10HL130,1991.56,1593.25,1.0,1792.4,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM11HL143,1802.3,1441.84,1.0,1622.07,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM12HL156,1871.86,1497.49,1.0,1684.67,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM13HL169,1964.09,1571.28,1.0,1767.68,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM14HL182,2035.15,1628.12,1.0,1831.64,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM15HL195,2137.97,1710.38,1.0,1924.17,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM16HL208,2231.71,1785.37,1.0,2008.54,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM18HL234,2326.97,1861.58,1.0,2094.27,27
HCPCS,C1713,PLATE RECON LOPRO 3.5MM20HL260,2483.71,1986.97,1.0,2235.34,27
HCPCS,C1713,PLATE RECON LOPRO 88RAD3.5 6HL,2307.31,1845.85,1.0,2076.58,27
HCPCS,C1713,PLATE RECON LOPRO 88RAD3.5 8HL,2505.38,2004.31,1.0,2254.84,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 10HL,1950.98,1560.79,1.0,1755.88,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 11HL,2049.77,1639.82,1.0,1844.79,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 12HL,1856.74,1485.4,1.0,1671.07,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 13HL,1950.48,1560.39,1.0,1755.43,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 14HL,2035.15,1628.12,1.0,1831.64,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 15HL,2137.97,1710.38,1.0,1924.17,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 16HL,2231.71,1785.37,1.0,2008.54,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 18HL,2326.97,1861.58,1.0,2094.27,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 20HL,2411.64,1929.32,1.0,2170.48,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 3HL,1465.88,1172.71,1.0,1319.29,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 4HL,1531.15,1224.92,1.0,1378.04,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 5HL,1601.71,1281.37,1.0,1441.54,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 6HL,1670.51,1336.41,1.0,1503.46,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 7HL,1741.07,1392.86,1.0,1566.96,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 8HL,1802.81,1442.25,1.0,1622.53,27
HCPCS,C1713,PLATE RECON LOPRO ANG 3.5 9HL,1875.13,1500.11,1.0,1687.62,27
HCPCS,C1713,PLATE RECON LOPRO CURV 3.5 6HL,2307.31,1845.85,1.0,2076.58,27
HCPCS,C1713,PLATE RECON LOPRO CURV 3.5 8HL,2505.38,2004.31,1.0,2254.84,27
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 10HL,2621.81,2097.45,1.0,2359.63,27
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 12HL,2442.05,1953.64,1.0,2197.85,27
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 14HL,2740.42,2192.34,1.0,2466.38,27
HCPCS,C1713,PLATE RECON LOPRO CURV3.5 16HL,2929.92,2343.94,1.0,2636.93,27
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 10HL,2621.81,2097.45,1.0,2359.63,27
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 12HL,2442.05,1953.64,1.0,2197.85,27
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 14HL,2740.42,2192.34,1.0,2466.38,27
HCPCS,C1713,PLATE RECON LOPRO88RAD3.5 16HL,2929.92,2343.94,1.0,2636.93,27
HCPCS,C1713,PLATE RECON ST TI 12HL 2.5MM,2448.51,1958.81,1.0,2203.66,27
HCPCS,C1713,PLATE RECON TI 10HL 3.5X118MM,1826.5,1461.2,1.0,1643.85,27
HCPCS,C1713,PLATE RECON TI 3.5MM 10HL,1828.01,1462.41,1.0,1645.21,27
HCPCS,C1713,PLATE RECON TI 3.5MM 12HL,2024.57,1619.66,1.0,1822.11,27
HCPCS,C1713,PLATE RECON TI 3.5MM 13HL,2190.89,1752.72,1.0,1971.8,27
HCPCS,C1713,PLATE RECON TI 3.5MM 14HL,2274.05,1819.24,1.0,2046.65,27
HCPCS,C1713,PLATE RECON TI 3.5MM 5HL,1624.64,1299.72,1.0,1462.18,27
HCPCS,C1713,PLATE RECON TI 3.5MM 6HL,1880.42,1504.34,1.0,1692.38,27
HCPCS,C1713,PLATE RECON TI 3.5MM 7HL,1970.39,1576.32,1.0,1773.35,27
HCPCS,C1713,PLATE RECON TI 3.5MM 8HL,2055.06,1644.05,1.0,1849.55,27
HCPCS,C1713,PLATE RECON TI 5HL 3.5X58MM,2696.4,2157.12,1.0,2426.76,27
HCPCS,C1713,PLATE RECON TI 6HL 3.5X70MM,2771.2,2216.96,1.0,2494.08,27
HCPCS,C1713,PLATE RECON TI 7HL 3.5X82MM,2905.6,2324.48,1.0,2615.04,27
HCPCS,C1713,PLATE RECON TI 8HL 3.5X94MM,3030.4,2424.32,1.0,2727.36,27
HCPCS,C1713,PLATE RECON TI 9HL 3.5X106MM,3196.8,2557.44,1.0,2877.12,27
HCPCS,C1713,PLATE RECON TLTS ANG 26HL 2.5,5386.7,4309.36,1.0,4848.03,27
HCPCS,C1713,PLATE RECON TLTS ANG 32HL 2.0,4971.54,3977.24,1.0,4474.39,27
HCPCS,C1713,PLATE RECON TLTS ANG 6HL 2.0,2477.34,1981.88,1.0,2229.61,27
HCPCS,C1713,PLATE RECON TLTS ANG RT26HL2.0,4345.24,3476.2,1.0,3910.72,27
HCPCS,C1713,PLATE RECON TLTS ANG RT26HL2.5,4749.78,3799.83,1.0,4274.8,27
HCPCS,C1713,PLATE RECON TLTS ANG RT26HL3.0,5228.97,4183.18,1.0,4706.07,27
HCPCS,C1713,PLATE RECON TLTS ANGLFT26HL2.0,4345.24,3476.2,1.0,3910.72,27
HCPCS,C1713,PLATE RECON TLTS ANGLFT26HL2.5,4749.78,3799.83,1.0,4274.8,27
HCPCS,C1713,PLATE RECON TLTS ANGLFT26HL3.0,5228.97,4183.18,1.0,4706.07,27
HCPCS,C1713,PLATE RECON TLTS LFT 26HL 2.0,4230.63,3384.51,1.0,3807.57,27
HCPCS,C1713,PLATE RECON TLTS RT 26HL 2.0,4230.63,3384.51,1.0,3807.57,27
HCPCS,C1713,PLATE RECON TLTS ST 12HL 2.5,2845.57,2276.46,1.0,2561.01,27
HCPCS,C1713,PLATE RECON TLTS ST 12HL 3.0,3039.58,2431.67,1.0,2735.62,27
HCPCS,C1713,PLATE RECON TLTS ST 20HL 2.0,3036.29,2429.04,1.0,2732.66,27
HCPCS,C1713,PLATE RECON TLTS ST 20HL 2.5,3326.65,2661.32,1.0,2993.99,27
HCPCS,C1713,PLATE RECON TLTS ST 20HL 3.0,3391.67,2713.34,1.0,3052.5,27
HCPCS,C1713,PLATE REPLANT MLOCK2.3 3D4X2H,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE RESORB KLS SELLAR WALL,2963.07,2370.46,1.0,2666.76,27
HCPCS,C1713,PLATE RETENTION SKIN PROT*NLU*,384.0,307.2,1.0,345.6,27
HCPCS,C1713,PLATE REV MTP RT MD 5D,5268.9,4215.12,1.0,4742.01,27
HCPCS,C1713,PLATE RIB 3 MATRIXRIB LFT 15HL,4191.26,3353.01,1.0,3772.13,27
HCPCS,C1713,PLATE RIB 3 MATRIXRIB RT 15HL,4390.09,3512.08,1.0,3951.08,27
HCPCS,C1713,PLATE RIB 4-5 MATRIXRIBLFT16HL,4191.26,3353.01,1.0,3772.13,27
HCPCS,C1713,PLATE RIB 4-5 MATRIXRIBRT16HL,4191.26,3353.01,1.0,3772.13,27
HCPCS,C1713,PLATE RIB 6-7 MATRIXRIB RT17HL,4191.26,3353.01,1.0,3772.13,27
HCPCS,C1713,PLATE RIB 6-7 MATRIXRIBLFT17HL,4191.26,3353.01,1.0,3772.13,27
HCPCS,C1713,PLATE RIB 8-9 MATRIXRIB RT18HL,4945.92,3956.74,1.0,4451.33,27
HCPCS,C1713,PLATE RIB 8-9 MATRIXRIBLFT18HL,4191.26,3353.01,1.0,3772.13,27
HCPCS,C1713,PLATE RIB MATRIXRIB I TI 9HL,2848.38,2278.71,1.0,2563.54,27
HCPCS,C1713,PLATE RIB MATRIXRIB ST TI 24HL,5315.52,4252.42,1.0,4783.97,27
HCPCS,C1713,PLATE RIB MATRIXRIB ST TI 8HL,3208.8,2567.04,1.0,2887.92,27
HCPCS,C1713,PLATE RIB MATRIXRIB UNIV 8HL,2858.24,2286.6,1.0,2572.42,27
HCPCS,C1713,PLATE RIB MTXRIB ST TI 9HL,3210.48,2568.39,1.0,2889.43,27
HCPCS,C1713,PLATE RIM VA LCP LFT 2.4 7X5HL,2497.82,1998.26,1.0,2248.04,27
HCPCS,C1713,PLATE RIM VA LCP LFT 6X5HL 2.4,2497.82,1998.26,1.0,2248.04,27
HCPCS,C1713,PLATE RIM VA LCP RT 2.4 7X5HL,2497.82,1998.26,1.0,2248.04,27
HCPCS,C1713,PLATE RIM VA LCP RT 6X5HL 2.4,2497.82,1998.26,1.0,2248.04,27
HCPCS,C1713,PLATE ROTATION MVARLOCK2.3 5HL,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE ROTATION SVARLOCK1.7 5HL,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE S 6HL 2.4MM*USE 6324827*,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1713,PLATE SAG MTX CURV 1.0 6HL 6MM,1756.94,1405.56,1.0,1581.25,27
HCPCS,C1713,PLATE SAG MTX CURV 1.0 6HL 8MM,1756.94,1405.56,1.0,1581.25,27
HCPCS,C1713,PLATE SCAPULA ACROMION LFT 6HL,4726.4,3781.12,1.0,4253.76,27
HCPCS,C1713,PLATE SCREW ASSY MODLRCASCADIA,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,PLATE SCRL CURE 33MM*NLU*,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE SHELF ADJACENT CANOPY5MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF ADJACENT CANOPY7MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF ADJACENT CANOPY9MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF ADJACENTCANOPY11MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF ADJACENTCANOPY13MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF IN-LN CANOPY 11MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF IN-LN CANOPY 13MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF IN-LN CANOPY 5MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF IN-LN CANOPY 7MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHELF IN-LN CANOPY 9MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SHRTENING ULNA PROX,6132.0,4905.6,1.0,5518.8,27
HCPCS,C1713,PLATE SINUS SUPP ARSENAL,3234.0,2587.2,1.0,2910.6,27
HCPCS,C1713,PLATE SINUS TARSI CALC LFT,3234.0,2587.2,1.0,2910.6,27
HCPCS,C1713,PLATE SINUS TARSI CALC RT,3234.0,2587.2,1.0,2910.6,27
HCPCS,C1713,PLATE SINUS TARSI SUPP LFT SM,3958.5,3166.8,1.0,3562.65,27
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 12MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 14MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 16MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 18MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 20MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,PLATE SKYLINE 1LVL DEPU 28MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 28MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 30MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 32MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 34MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 36MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 38MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 2LVL DEPU 40MM,2678.4,2142.72,1.0,2410.56,27
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 45MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 48MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 51MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 54MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE SKYLINE 3LVL DEPU 57MM,2691.2,2152.96,1.0,2422.08,27
HCPCS,C1713,PLATE SKYLINE 4LVL DEPU 56MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE SKYLINE 4LVL DEPU 60MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE SKYLINE 4LVL DEPU 72MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE SKYLINE 4LVL DEPU 76MM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1713,PLATE SM FRAG CLOVERLF TI 4HL,1033.65,826.92,1.0,930.29,27
HCPCS,C1713,PLATE SPNL ALIF BTRS 25MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1713,PLATE SPNL AMP II CTR SCREW2HL,8580.0,6864.0,1.0,7722.0,27
HCPCS,C1713,PLATE SPNL AMP-LTX 2HL,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1713,PLATE SPNL AMP-LTXCTRSCREW2HL,21240.0,16992.0,1.0,19116.0,27
HCPCS,C1713,PLATE SPNL HNG ALLO HLS 10MM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1713,PLATE SPNL LK COV TCS,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,PLATE SPNL NOPRO 3HL 10MM,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,PLATE SPNL NOPRO 3HL 12MM,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,PLATE SPNL NOPRO 3HL 14MM,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,PLATE SPNL SPS 4HL ACP 14MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,PLATE SPRING 1HL 3.5MM,1233.04,986.44,1.0,1109.74,27
HCPCS,C1713,PLATE SPRING 2HL 3.5MM,1333.58,1066.87,1.0,1200.22,27
HCPCS,C1713,PLATE SPRING 3HL 3.5MM,1464.12,1171.3,1.0,1317.71,27
HCPCS,C1713,PLATE SPRING PRO 2HL,1697.51,1358.01,1.0,1527.76,27
HCPCS,C1713,PLATE SPRING PRO 3HL,1818.14,1454.52,1.0,1636.33,27
HCPCS,C1713,PLATE SPRING STER 2HL 3.5MM,1589.36,1271.49,1.0,1430.42,27
HCPCS,C1713,PLATE SPRING STER 3HL 3.5MM,1716.37,1373.1,1.0,1544.73,27
HCPCS,C1713,PLATE SQ KLS 0.6,690.39,552.32,1.0,621.35,27
HCPCS,C1713,PLATE SQ MTXSTRNM 4HL LG,1867.0,1493.6,1.0,1680.3,27
HCPCS,C1713,PLATE SQ MTXSTRNM 4HL SM,2005.63,1604.51,1.0,1805.07,27
HCPCS,C1713,PLATE SQ SEG KLS 3X2HL 0.6MM,791.91,633.53,1.0,712.72,27
HCPCS,C1713,PLATE SQ SEG KLS CURV 3X2HL0.6,873.14,698.52,1.0,785.83,27
HCPCS,C1713,PLATE SQ SEG KLS CURV 5X2HL0.6,1055.88,844.71,1.0,950.29,27
HCPCS,C1713,PLATE SQ STERNALK 4HL,2066.4,1653.12,1.0,1859.76,27
HCPCS,C1713,PLATE SS DALL 10*DISC NO REPL*,1807.74,1446.2,1.0,1626.97,27
HCPCS,C1713,PLATE SS DALL MILES STRY 6.5IN,1807.74,1446.2,1.0,1626.97,27
HCPCS,C1713,PLATE SS DALL MILES STRY 8.0IN,1807.74,1446.2,1.0,1626.97,27
HCPCS,C1713,PLATE ST 12HL 1.3MM,1319.47,1055.58,1.0,1187.52,27
HCPCS,C1713,PLATE ST 12HL 1.5MM,1520.57,1216.46,1.0,1368.51,27
HCPCS,C1713,PLATE ST 12HL 2.4MM,1573.49,1258.8,1.0,1416.14,27
HCPCS,C1713,PLATE ST 2.0MM 12HL 71MM,1876.9,1501.52,1.0,1689.21,27
HCPCS,C1713,PLATE ST 2.0MM 2*DISC NO REPL*,1072.51,858.01,1.0,965.26,27
HCPCS,C1713,PLATE ST 2.0MM 3HL 17MM*CIP*,1094.31,875.45,1.0,984.88,27
HCPCS,C1713,PLATE ST 2.0MM 4HL 23MM*CIP*,1094.31,875.45,1.0,984.88,27
HCPCS,C1713,PLATE ST 2.0MM 5HL 29MM*CIP*,1094.31,875.45,1.0,984.88,27
HCPCS,C1713,PLATE ST 2.0MM 6*DISC NO REPL*,1569.96,1255.97,1.0,1412.96,27
HCPCS,C1713,PLATE ST 6HL 1.3MM,1201.28,961.03,1.0,1081.15,27
HCPCS,C1713,PLATE ST 6HL 1.5MM,1520.57,1216.46,1.0,1368.51,27
HCPCS,C1713,PLATE ST 6HL 2.4MM,1333.58,1066.87,1.0,1200.22,27
HCPCS,C1713,PLATE ST ARTX 10HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE ST ARTX 4HL 2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE ST ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE ST ARTX 6HL 2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE ST ARTX 8HL 2.5MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE ST ARTX SS 2HL 2.7MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,PLATE ST ARTX SS 3HL 2.7MM,1270.5,1016.4,1.0,1143.45,27
HCPCS,C1713,PLATE ST ARTX SS 4HL 2.7MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,PLATE ST ARTX SS 5HL 2.7MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,PLATE ST DIST RAD LCP TI 5HL,2272.03,1817.63,1.0,2044.83,27
HCPCS,C1713,PLATE ST DIST RAD LCP TI 6HL,2397.89,1918.32,1.0,2158.1,27
HCPCS,C1713,PLATE ST DIST RAD LCP5HL2.4X48,2066.69,1653.36,1.0,1860.02,27
HCPCS,C1713,PLATE ST DIST RAD LCP6HL2.4X57,2180.95,1744.76,1.0,1962.86,27
HCPCS,C1713,PLATE ST HAND TI 12HL 2.4X72MM,1714.61,1371.69,1.0,1543.15,27
HCPCS,C1713,PLATE ST HAND TI 6HL 2.4X36MM,1552.32,1241.86,1.0,1397.09,27
HCPCS,C1713,PLATE ST KLS REG 16HL,483.44,386.76,1.0,435.1,27
HCPCS,C1713,PLATE ST LC-DCP 4HL 2.7X37MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE ST LC-DCP 6HL 2.7X55MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE ST LCP 10 HL 2.0MM,899.64,719.72,1.0,809.68,27
HCPCS,C1713,PLATE ST LCP 2.4MM 10HL 84MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE ST LCP 2.4MM 5HL 44MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE ST LCP 2.4MM 7HL 60MM,1340.64,1072.52,1.0,1206.58,27
HCPCS,C1713,PLATE ST LCP 2.7MM 10HL 94MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE ST LCP 2.7MM 8HL 76MM,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE ST LCP 4HL 2.0MM,941.22,752.98,1.0,847.1,27
HCPCS,C1713,PLATE ST LCP 5HL 2.0MM,941.22,752.98,1.0,847.1,27
HCPCS,C1713,PLATE ST LCP 6HL 2.0MM,941.22,752.98,1.0,847.1,27
HCPCS,C1713,PLATE ST LCP 7HL 2.0MM,941.22,752.98,1.0,847.1,27
HCPCS,C1713,PLATE ST LCP 8HL 2.0MM,941.22,752.98,1.0,847.1,27
HCPCS,C1713,PLATE ST MATTA 10HL 154.5MM,1665.05,1332.04,1.0,1498.55,27
HCPCS,C1713,PLATE ST MATTA 12HL 186.5MM,1665.05,1332.04,1.0,1498.55,27
HCPCS,C1713,PLATE ST MATTA 14HL 218.5MM,2088.32,1670.66,1.0,1879.49,27
HCPCS,C1713,PLATE ST MATTA 16HL 250.5MM,2088.32,1670.66,1.0,1879.49,27
HCPCS,C1713,PLATE ST MATTA 2HL 26.5MM,1236.56,989.25,1.0,1112.9,27
HCPCS,C1713,PLATE ST MATTA 3HL 42.5MM,1236.56,989.25,1.0,1112.9,27
HCPCS,C1713,PLATE ST MATTA 4HL 58.5MM,1236.56,989.25,1.0,1112.9,27
HCPCS,C1713,PLATE ST MATTA 5HL 74.5MM,1236.56,989.25,1.0,1112.9,27
HCPCS,C1713,PLATE ST MATTA 6HL 90.5MM,1665.05,1332.04,1.0,1498.55,27
HCPCS,C1713,PLATE ST MATTA 7HL 106.5MM,1665.05,1332.04,1.0,1498.55,27
HCPCS,C1713,PLATE ST MATTA 8HL 122.5MM,1665.05,1332.04,1.0,1498.55,27
HCPCS,C1713,PLATE ST OSTE 12HL 1.0MM,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1713,PLATE ST REINF 6HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE ST REINF ARTX 20HL 2.7MM,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,PLATE ST REINF ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE ST REINF ARTX 6HL 2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE ST REINF ARTX 8HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE ST REINF ARTX 8HL 2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE ST SB POLYLOCK 6HL,9484.8,7587.84,1.0,8536.32,27
HCPCS,C1713,PLATE ST SS VOLT 10HL 2.7X104,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE ST SYNT TI 2.0MM 12HL,3094.85,2475.88,1.0,2785.37,27
HCPCS,C1713,PLATE ST SYNT TI 2.0MM 6HL,1893.35,1514.68,1.0,1704.02,27
HCPCS,C1713,PLATE ST TI 1.0MM 24HL,1284.11,1027.29,1.0,1155.7,27
HCPCS,C1713,PLATE ST TI 12HL 1.3X47MM,1437.66,1150.13,1.0,1293.89,27
HCPCS,C1713,PLATE ST TI 12HL 1.5X59MM,1420.02,1136.02,1.0,1278.02,27
HCPCS,C1713,PLATE ST TI 12HL 2.0X71MM,1405.91,1124.73,1.0,1265.32,27
HCPCS,C1713,PLATE ST TI 20HL*DISC NO REPL*,1585.84,1268.68,1.0,1427.26,27
HCPCS,C1713,PLATE ST TI 6HL 1.3X23MM,1303.6,1042.88,1.0,1173.24,27
HCPCS,C1713,PLATE ST TI 6HL 1.5X29MM,1670.51,1336.41,1.0,1503.46,27
HCPCS,C1713,PLATE ST TI 6HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE ST TI 6HL 2.0X35MM,1707.55,1366.04,1.0,1536.8,27
HCPCS,C1713,PLATE ST TI ARTX 11HL,3185.6,2548.48,1.0,2867.04,27
HCPCS,C1713,PLATE ST VOLT SS 10HL 2.0X72,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE ST VOLT SS 10HL 2.4X96,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE ST VOLT SS 14HL 2.0X99,3111.68,2489.35,1.0,2800.51,27
HCPCS,C1713,PLATE ST VOLT SS 14HL 2.4X132,2902.59,2322.08,1.0,2612.33,27
HCPCS,C1713,PLATE ST VOLT SS 14HL 2.7X144,3353.5,2682.8,1.0,3018.15,27
HCPCS,C1713,PLATE ST VOLT SS 18HL 2.0X126,3111.68,2489.35,1.0,2800.51,27
HCPCS,C1713,PLATE ST VOLT SS 18HL 2.4X164,2902.59,2322.08,1.0,2612.33,27
HCPCS,C1713,PLATE ST VOLT SS 18HL 2.7X184,3353.5,2682.8,1.0,3018.15,27
HCPCS,C1713,PLATE ST VOLT SS 6HL 2.0X45,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE ST VOLT SS 6HL 2.4X60,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE ST VOLT SS 6HL 2.7X64,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE ST VOLT SS 7HL 2.0X52,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE ST VOLT SS 7HL 2.4X69,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE ST VOLT SS 7HL 2.7X74,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE ST VOLT SS 8HL 2.0X58,2333.23,1866.59,1.0,2099.91,27
HCPCS,C1713,PLATE ST VOLT SS 8HL 2.4X78,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE ST VOLT SS 8HL 2.7X84,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE ST VOLT SS 8HL 3.5X111,2471.04,1976.84,1.0,2223.94,27
HCPCS,C1713,PLATE STAR MTXSTRNM 6HL LG,1860.3,1488.24,1.0,1674.27,27
HCPCS,C1713,PLATE STEP MPJ VLC GRIDLK RT,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,PLATE STEP MPJ VLC GRIDLKPETRT,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1713,PLATE STERNAL 1.8MMLADDER 18HL,2460.03,1968.03,1.0,2214.03,27
HCPCS,C1713,PLATE STERNAL 2.3MM LADDER34HL,2843.23,2274.59,1.0,2558.91,27
HCPCS,C1713,PLATE STERNAL LSS 14HL 2.3MM,2459.74,1967.8,1.0,2213.77,27
HCPCS,C1713,PLATE STERNAL ST TI 1.8MM 4HL,2043.51,1634.81,1.0,1839.16,27
HCPCS,C1713,PLATE STERNAL ST TI 1.8MM 6HL,1926.76,1541.41,1.0,1734.08,27
HCPCS,C1713,PLATE STERNAL ST TI 1.8MM 8HL,2101.9,1681.52,1.0,1891.71,27
HCPCS,C1713,PLATE STERNAL ST TI 2.3MM 20HL,2933.31,2346.65,1.0,2639.98,27
HCPCS,C1713,PLATE STERNAL X TI 1.8MM 8HL,1802.05,1441.64,1.0,1621.85,27
HCPCS,C1713,PLATE STERNALFTBALL TI1.8MM6HL,2023.06,1618.45,1.0,1820.75,27
HCPCS,C1713,PLATE STERNALK ST 4HL,1600.2,1280.16,1.0,1440.18,27
HCPCS,C1713,PLATE STRTM PEANUT 1HL,2924.8,2339.84,1.0,2632.32,27
HCPCS,C1713,PLATE STRTM PEANUT 2HL,3011.2,2408.96,1.0,2710.08,27
HCPCS,C1713,PLATE STRTM ST 4HL,2830.8,2264.64,1.0,2547.72,27
HCPCS,C1713,PLATE STRTM ST 5HL,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,PLATE STRTM ST 6HL,2923.2,2338.56,1.0,2630.88,27
HCPCS,C1713,PLATE STRTM ST 8HL,2959.6,2367.68,1.0,2663.64,27
HCPCS,C1713,PLATE STRUT MD TI 18HL 0.7MM,2469.6,1975.68,1.0,2222.64,27
HCPCS,C1713,PLATE STRUT MICRO TI 18HL0.4MM,2039.14,1631.32,1.0,1835.23,27
HCPCS,C1713,PLATE STRUT MINI TI 18HL 0.5MM,1853.8,1483.04,1.0,1668.42,27
HCPCS,C1713,PLATE STRUT RESORB 1.5MM2X10HL,1558.41,1246.73,1.0,1402.57,27
HCPCS,C1713,PLATE STRUT SUBCOND LFT 5HL1MM,2776.9,2221.52,1.0,2499.21,27
HCPCS,C1713,PLATE STRUT SUBCOND RT 5HL 1MM,2776.9,2221.52,1.0,2499.21,27
HCPCS,C1713,PLATE STRY BD ST LNG,2170.15,1736.12,1.0,1953.14,27
HCPCS,C1713,PLATE STRY BD ST MD,1972.87,1578.3,1.0,1775.58,27
HCPCS,C1713,PLATE STRY BD ST SHRT,1891.01,1512.81,1.0,1701.91,27
HCPCS,C1713,PLATE STRY H LG,1989.65,1591.72,1.0,1790.69,27
HCPCS,C1713,PLATE STRY H MD,2350.66,1880.53,1.0,2115.59,27
HCPCS,C1713,PLATE STRY L LFT,1645.48,1316.39,1.0,1480.93,27
HCPCS,C1713,PLATE STRY L RT,1645.48,1316.39,1.0,1480.93,27
HCPCS,C1713,PLATE SUPR CURV LFT 10HL 122MM,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE SUPR CURV LFT 7HL 88MM,2804.0,2243.2,1.0,2523.6,27
HCPCS,C1713,PLATE SUPR CURV LFT 8HL 99MM,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE SUPR CURV RT 10HL 12MM,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE SUPR CURV RT 7HL 88MM,2804.0,2243.2,1.0,2523.6,27
HCPCS,C1713,PLATE SUPR CURV RT 8HL 99MM,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE SUPR LAT LFT 5HL 98MM,3115.55,2492.44,1.0,2804.0,27
HCPCS,C1713,PLATE SUPR LAT LFT 7HL 122MM,3361.12,2688.9,1.0,3025.01,27
HCPCS,C1713,PLATE SWITCH LLIF TYPEA 1HL MD,12740.0,10192.0,1.0,11466.0,27
HCPCS,C1713,PLATE SWITCH LLIF TYPEB 1HL MD,12740.0,10192.0,1.0,11466.0,27
HCPCS,C1713,PLATE SYNDMSIS FRAC ORTHOLOC,2008.02,1606.42,1.0,1807.22,27
HCPCS,C1713,PLATE SYNDMSIS OFFSET ORTHOLOC,1995.84,1596.68,1.0,1796.26,27
HCPCS,C1713,PLATE SYNDMSIS STER 2 HL 1.5MM,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE SYNT ST 6HL 2.0MM,1748.12,1398.5,1.0,1573.31,27
HCPCS,C1713,PLATE SYS BONE FRAC MOTOBAND,1183.9,947.12,1.0,1065.51,27
HCPCS,C1713,PLATE SYS MPJ SHRT CLIP 5D 18,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE SYS MPJ STD CLIP 0D 18MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE T 2.0MM 2H*DISC NO REPL*,288.04,230.44,1.0,259.24,27
HCPCS,C1713,PLATE T 2.0MM 3/10HL,1725.19,1380.16,1.0,1552.67,27
HCPCS,C1713,PLATE T 2.0MM 4/*DISC NO REPL*,1725.19,1380.16,1.0,1552.67,27
HCPCS,C1713,PLATE T 2.4MM 10HL,1793.99,1435.2,1.0,1614.59,27
HCPCS,C1713,PLATE T 2/8HL 2.0MM,1338.88,1071.11,1.0,1204.99,27
HCPCS,C1713,PLATE T 2HL 2.4MM,2310.34,1848.28,1.0,2079.31,27
HCPCS,C1713,PLATE T 3/8HL 1.5MM,1492.34,1193.88,1.0,1343.11,27
HCPCS,C1713,PLATE T 3/8HL 2.0MM,1876.9,1501.52,1.0,1689.21,27
HCPCS,C1713,PLATE T 3HL 2.4MM,2310.34,1848.28,1.0,2079.31,27
HCPCS,C1713,PLATE T 3HL 2.7X32MM,1358.28,1086.63,1.0,1222.45,27
HCPCS,C1713,PLATE T 4/8HL 1.5MM,1492.34,1193.88,1.0,1343.11,27
HCPCS,C1713,PLATE T ACROSSHD 3HL 1.3MM,1319.47,1055.58,1.0,1187.52,27
HCPCS,C1713,PLATE T ACROSSHD 4HL 1.3MM,1333.58,1066.87,1.0,1200.22,27
HCPCS,C1713,PLATE T ARTX 2X6HL 2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE T ARTX 3X10HL 2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE T ARTX 3X6HL 2.7MM,3680.88,2944.71,1.0,3312.79,27
HCPCS,C1713,PLATE T ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T ARTX 8HL 1.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T ARTX 8HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T DIST RAD LCP 3HL2.4X40,2180.95,1744.76,1.0,1962.86,27
HCPCS,C1713,PLATE T DIST RAD LCP 4HL2.4X49,2270.38,1816.31,1.0,2043.34,27
HCPCS,C1713,PLATE T DIST RAD LCP TI 40MM,2180.95,1744.76,1.0,1962.86,27
HCPCS,C1713,PLATE T DIST RAD LCP TI 49MM,2270.38,1816.31,1.0,2043.34,27
HCPCS,C1713,PLATE T DIST TIB 4HL 2.7MM72MM,2580.42,2064.34,1.0,2322.38,27
HCPCS,C1713,PLATE T DIST TIB 6HL 2.7MM90MM,2684.93,2147.95,1.0,2416.44,27
HCPCS,C1713,PLATE T FRAGMENT 8HL 2.7MM,1654.8,1323.84,1.0,1489.32,27
HCPCS,C1713,PLATE T FUSN VA LNG 2.4/2.7 61,2624.83,2099.87,1.0,2362.35,27
HCPCS,C1713,PLATE T FUSN VA LNG 2.4/2.7 92,2875.32,2300.26,1.0,2587.79,27
HCPCS,C1713,PLATE T FUSN VA SHRT 2.4/2.7MM,2499.84,1999.88,1.0,2249.86,27
HCPCS,C1713,PLATE T FUSN VA STD 2.4/2.7MM,2564.35,2051.48,1.0,2307.92,27
HCPCS,C1713,PLATE T HAND TI 12HL 2.4 2X8HL,2095.63,1676.51,1.0,1886.07,27
HCPCS,C1713,PLATE T HAND TI 12HL 2.4 3X8HL,2095.63,1676.51,1.0,1886.07,27
HCPCS,C1713,PLATE T KLS REG 90D,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE T L PROFYLE COMP 2.3 6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE T LCP 1.5MM 3X8HL,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,PLATE T LCP 1.5MM 4X8HL,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,PLATE T LCP 2.0MM 3/7HL,1481.76,1185.41,1.0,1333.58,27
HCPCS,C1713,PLATE T LCP COND SS3/7HL2.4X58,2110.75,1688.6,1.0,1899.68,27
HCPCS,C1713,PLATE T LCP LG 4HL 4.5X83MM,2076.23,1660.99,1.0,1868.61,27
HCPCS,C1713,PLATE T LCP LG 6HL 4.5X115MM,2036.66,1629.33,1.0,1832.99,27
HCPCS,C1713,PLATE T LCP LG 8HL 4.5X147MM,2354.18,1883.35,1.0,2118.76,27
HCPCS,C1713,PLATE T LCP OBLIQ LFT3HL3.5X52,1213.63,970.91,1.0,1092.27,27
HCPCS,C1713,PLATE T LCP OBLIQ LFT4HL3.5X63,1270.08,1016.07,1.0,1143.07,27
HCPCS,C1713,PLATE T LCP OBLIQ LFT5HL3.5X74,1326.53,1061.23,1.0,1193.88,27
HCPCS,C1713,PLATE T LCP OBLIQ LFT6HL3.5X85,1420.02,1136.02,1.0,1278.02,27
HCPCS,C1713,PLATE T LCP OBLIQ LFT7HL3.5X96,1437.66,1150.13,1.0,1293.89,27
HCPCS,C1713,PLATE T LCP OBLIQ RT 3HL3.5X52,1211.87,969.5,1.0,1090.68,27
HCPCS,C1713,PLATE T LCP OBLIQ RT 4HL3.5X63,1266.55,1013.24,1.0,1139.9,27
HCPCS,C1713,PLATE T LCP OBLIQ RT 5HL3.5X74,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1713,PLATE T LCP OBLIQ RT 6HL3.5X85,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE T LCP OBLIQ RT 7HL3.5X96,1435.9,1148.72,1.0,1292.31,27
HCPCS,C1713,PLATE T LCP OBLIQ RT8HL3.5X107,1557.61,1246.09,1.0,1401.85,27
HCPCS,C1713,PLATE T LCP OBLIQLFT8HL3.5X107,1562.9,1250.32,1.0,1406.61,27
HCPCS,C1713,PLATE T LCP RTANG 3HD3HL3.5X50,1079.57,863.66,1.0,971.61,27
HCPCS,C1713,PLATE T LCP RTANG 3HD4HL3.5X57,1151.89,921.52,1.0,1036.7,27
HCPCS,C1713,PLATE T LCP RTANG 4HD3HL3.5X50,1107.79,886.24,1.0,997.01,27
HCPCS,C1713,PLATE T LCP RTANG 4HD4HL3.5X56,1116.61,893.29,1.0,1004.95,27
HCPCS,C1713,PLATE T LCP RTANG3HD5HL 3.5X67,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,PLATE T LCP RTANG3HD6HL 3.5X77,1471.18,1176.95,1.0,1324.06,27
HCPCS,C1713,PLATE T LCP RTANG3HD7HL 3.5X87,1788.7,1430.96,1.0,1609.83,27
HCPCS,C1713,PLATE T LCP RTANG3HD8HL 3.5X97,1838.59,1470.88,1.0,1654.73,27
HCPCS,C1713,PLATE T LCP RTANG4HD5HL 3.5X67,1264.79,1011.84,1.0,1138.31,27
HCPCS,C1713,PLATE T LCP RTANG4HD6HL 3.5X78,1430.6,1144.48,1.0,1287.54,27
HCPCS,C1713,PLATE T LCP RTANG4HD7HL 3.5X89,1783.4,1426.72,1.0,1605.06,27
HCPCS,C1713,PLATE T LCP RTANG4HD8HL3.5X100,1831.03,1464.83,1.0,1647.93,27
HCPCS,C1713,PLATE T LCP SS 2/3HL 2.7X32MM,2110.75,1688.6,1.0,1899.68,27
HCPCS,C1713,PLATE T LCP SS 2/4HL 2.7X40MM,2110.75,1688.6,1.0,1899.68,27
HCPCS,C1713,PLATE T LG TI SYNT 3X4HL 0.8MM,924.26,739.41,1.0,831.83,27
HCPCS,C1713,PLATE T LK 2/3HL 3.5X48MM,2086.56,1669.25,1.0,1877.9,27
HCPCS,C1713,PLATE T LK 2/5HL 3.5X71MM,1915.2,1532.16,1.0,1723.68,27
HCPCS,C1713,PLATE T LK 3/7HL 3.5X94MM,2462.4,1969.92,1.0,2216.16,27
HCPCS,C1713,PLATE T LK HAND FRAC 2.5MM,2044.8,1635.84,1.0,1840.32,27
HCPCS,C1713,PLATE T LK M VARIAX 7HL 2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE T LK M VARIAX NARW6HL2.3,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE T LK M VARIAX WIDE8HL2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE T LK METFX MD 38MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1713,PLATE T LK S VARIAX 7HL 1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE T LK S VARIAX NARW6HL1.7,1334.51,1067.61,1.0,1201.06,27
HCPCS,C1713,PLATE T LK S VARIAX WIDE 8H1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE T LK S VARIAXNARW10HL1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE T LK VA SS 3/7HL 2.0MM,1889.24,1511.4,1.0,1700.32,27
HCPCS,C1713,PLATE T LK VA SS 3X7HL1.5X40MM,1642.28,1313.83,1.0,1478.05,27
HCPCS,C1713,PLATE T LK VA ST TI 3X7HL 1.5,1779.88,1423.91,1.0,1601.89,27
HCPCS,C1713,PLATE T LK VA TI 3X7HL 2.0,2049.77,1639.82,1.0,1844.79,27
HCPCS,C1713,PLATE T LK VARIAX NARW 2X5HL34,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE T LK VARIAX NARW 2X5HL47,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE T LK VARIAX NARW 3X5HL34,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE T LK VARIAX NARW 3X5HL41,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE T LK VARIAX NARW 3X5HL47,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE T LK VARIAX NARW2X10HL62,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE T LK VARIAX NARW2X10HL76,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE T LK VARIAX NARW2X10HL87,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE T LK VARIAX NARW3X10HL62,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE T LK VARIAX NARW3X10HL76,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE T LK VARIAX NARW3X10HL87,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE T LK VARIAX NARW5X10HL62,2251.44,1801.16,1.0,2026.3,27
HCPCS,C1713,PLATE T LK VARIAX NARW5X10HL76,2633.04,2106.44,1.0,2369.74,27
HCPCS,C1713,PLATE T LK VARIAX NARW5X10HL87,2679.68,2143.75,1.0,2411.71,27
HCPCS,C1713,PLATE T LOPRO 4HL 3.5MM,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,PLATE T LOPRO ARTX 3HL 2.4MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,PLATE T LOPRO ARTX 3HL 3MM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE T LOPRO ARTX 4HL 2.4MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,PLATE T LOPRO ARTX 4HL 3MM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE T LOPRO ARTX 5HL 2.4MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,PLATE T LPRO COMP2.3OBLI QRT6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE T LPROCOMP2.3OBLI QLFT6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE T LPROFYLE COMP2.3NARW6H,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE T M PROFYLE 2.3 WIDE 8H,965.43,772.35,1.0,868.89,27
HCPCS,C1713,PLATE T MD TI SYNT 3X4HL 0.7MM,1216.95,973.56,1.0,1095.26,27
HCPCS,C1713,PLATE T MIDFACE 8HL 0.6MM,1011.42,809.14,1.0,910.28,27
HCPCS,C1713,PLATE T MIDFACE 8HL 0.8MM,1011.42,809.14,1.0,910.28,27
HCPCS,C1713,PLATE T MIDFT FUSN ORTHOLOC RT,3306.38,2645.11,1.0,2975.74,27
HCPCS,C1713,PLATE T MIDFT FUSN ORTHOLOCLFT,3306.38,2645.11,1.0,2975.74,27
HCPCS,C1713,PLATE T OBLIQ 3X3HL RT3.5 52MM,1331.82,1065.46,1.0,1198.64,27
HCPCS,C1713,PLATE T OBLIQ 3X4HL RT3.5 63MM,1391.8,1113.44,1.0,1252.62,27
HCPCS,C1713,PLATE T OBLIQ 3X5HL RT3.5 74MM,1453.54,1162.84,1.0,1308.19,27
HCPCS,C1713,PLATE T OBLIQ 3X7HL RT3.5 96MM,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1713,PLATE T OBLIQ LFT3X3HL3.5 52MM,1333.58,1066.87,1.0,1200.22,27
HCPCS,C1713,PLATE T OBLIQ LFT3X4HL3.5 63MM,1397.09,1117.68,1.0,1257.38,27
HCPCS,C1713,PLATE T OBLIQ LFT3X5HL3.5 74MM,1460.59,1168.48,1.0,1314.53,27
HCPCS,C1713,PLATE T OBLIQ LFT3X7HL3.5 96MM,1582.31,1265.85,1.0,1424.08,27
HCPCS,C1713,PLATE T OSTE 22MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE T PANGEA 3TX10HL 2.7X89,5194.0,4155.2,1.0,4674.6,27
HCPCS,C1713,PLATE T PANGEA 3TX10HL 3.5X137,5194.0,4155.2,1.0,4674.6,27
HCPCS,C1713,PLATE T PANGEA 3TX5HL 2.7X51,5194.0,4155.2,1.0,4674.6,27
HCPCS,C1713,PLATE T PANGEA 3TX5HL 3.5X71,5194.0,4155.2,1.0,4674.6,27
HCPCS,C1713,PLATE T PANGEA 5TX10HL 2.7X89,5748.4,4598.72,1.0,5173.56,27
HCPCS,C1713,PLATE T PANGEA 5TX10HL 3.5X137,5748.4,4598.72,1.0,5173.56,27
HCPCS,C1713,PLATE T PROFYLECOMP2.3NARW10HL,1158.19,926.56,1.0,1042.37,27
HCPCS,C1713,PLATE T RAD VA LCP 3X3HL 2.4MM,2139.48,1711.59,1.0,1925.53,27
HCPCS,C1713,PLATE T RAD VA LCP 3X5HL 2.4MM,2228.69,1782.96,1.0,2005.82,27
HCPCS,C1713,PLATE T REINF ARTX 3X10HL2.7MM,3680.6,2944.48,1.0,3312.54,27
HCPCS,C1713,PLATE T REINF ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T REINF ARTX 8HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T ROTATION 5HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T RT ANG TI 3HL 3.5MM,1188.94,951.16,1.0,1070.05,27
HCPCS,C1713,PLATE T S PROFYLE 1.7 WIDE 8H,965.43,772.35,1.0,868.89,27
HCPCS,C1713,PLATE T SB POLYLOCK 6HL,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1713,PLATE T SB POLYLOCK 7HL,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1713,PLATE T TI 2/8HL 2.0X53MM,1472.94,1178.36,1.0,1325.65,27
HCPCS,C1713,PLATE T TI 3/8HL 1.5X44MM,1638.76,1311.01,1.0,1474.88,27
HCPCS,C1713,PLATE T TI 3/8HL 2.0X53MM,1495.87,1196.7,1.0,1346.28,27
HCPCS,C1713,PLATE T TI 3/9HL*DISC NO REPL*,1403.12,1122.5,1.0,1586.02,54
HCPCS,C1713,PLATE T TI 3HL 1.3X35MM,1428.84,1143.08,1.0,1285.96,27
HCPCS,C1713,PLATE T TI 3X5HL RT 3.5MM 67MM,1349.46,1079.57,1.0,1214.51,27
HCPCS,C1713,PLATE T TI 3X7HL RT 3.5MM 87MM,1966.86,1573.49,1.0,1770.17,27
HCPCS,C1713,PLATE T TI 4/8HL 1.5X44MM,1638.76,1311.01,1.0,1474.88,27
HCPCS,C1713,PLATE T TI 4/9HL 2.0MM*DISC*,908.46,726.77,1.0,817.61,27
HCPCS,C1713,PLATE T TI 4/9HL*DISC NO REPL*,1762.24,1409.8,1.0,1586.02,27
HCPCS,C1713,PLATE T TI 4HL 1.3X35MM,1469.41,1175.53,1.0,1322.47,27
HCPCS,C1713,PLATE T TI 4X6HL RT 3.5MM 78MM,1573.49,1258.8,1.0,1416.14,27
HCPCS,C1713,PLATE T TI 6HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T TI WIDE 6HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T TIB DIST LCP 3HL 3.5MM,2487.42,1989.94,1.0,2238.68,27
HCPCS,C1713,PLATE T TIB DIST LCPSTER3HL3.5,2416.18,1932.95,1.0,2174.56,27
HCPCS,C1713,PLATE T TIB DIST LCPSTER5HL3.5,2508.41,2006.73,1.0,2257.57,27
HCPCS,C1713,PLATE T TIB PSTR LCP 12HL3.5MM,3607.97,2886.38,1.0,3247.17,27
HCPCS,C1713,PLATE T TIB PSTR LCP 16HL3.5MM,3740.86,2992.69,1.0,3366.77,27
HCPCS,C1713,PLATE T TIB PSTR LCP 8HL 3.5MM,3382.18,2705.75,1.0,3043.96,27
HCPCS,C1713,PLATE T VARIAX OBLIQ LFT,1995.95,1596.76,1.0,1796.36,27
HCPCS,C1713,PLATE T VARIAX OBLIQ RT,1995.95,1596.76,1.0,1796.36,27
HCPCS,C1713,PLATE T VOLT SS 3X10HL 2.0X73,2417.54,1934.04,1.0,2175.79,27
HCPCS,C1713,PLATE T VOLT SS 3X10HL 2.4X87,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE T VOLT SS 3X10HL 2.7X95,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE T VOLT SS 3X6HL 2.0X45,2417.54,1934.04,1.0,2175.79,27
HCPCS,C1713,PLATE T VOLT SS 3X6HL 2.4X53,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE T VOLT SS 3X6HL 2.7X58,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE T VOLT SS 5X10HL 2.0X73,2417.54,1934.04,1.0,2175.79,27
HCPCS,C1713,PLATE T VOLT SS 5X10HL 2.4X87,2488.46,1990.77,1.0,2239.61,27
HCPCS,C1713,PLATE T VOLT SS 5X10HL 2.7X95,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE T W GD 3HL 8HL 1.5MM,1647.58,1318.07,1.0,1482.82,27
HCPCS,C1713,PLATE T W GD 4HL 8HL 1.5MM,1647.58,1318.07,1.0,1482.82,27
HCPCS,C1713,PLATE T WIDE ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE T-SHP PUR 1.0MM 8HL*NLU*,924.17,739.34,1.0,831.75,27
HCPCS,C1713,PLATE T/Y LK HAND FRAC 2.5MM,2044.8,1635.84,1.0,1840.32,27
HCPCS,C1713,PLATE T2 COMP 8HL 1.1MM,3109.6,2487.68,1.0,2798.64,27
HCPCS,C1713,PLATE T2 OBLIQ RT 8HL 1.1MM,3109.6,2487.68,1.0,2798.64,27
HCPCS,C1713,PLATE TACK CLAW II,468.0,374.4,1.0,421.2,27
HCPCS,C1713,PLATE TALAR NECK,2432.0,1945.6,1.0,2188.8,27
HCPCS,C1713,PLATE TEDDY BEAR GORILLA MD,3801.98,3041.59,1.0,3421.78,27
HCPCS,C1713,PLATE THORACIC BOX 4HL,1927.8,1542.24,1.0,1735.02,27
HCPCS,C1713,PLATE THORACIC LADDER 16HL,2624.4,2099.52,1.0,2361.96,27
HCPCS,C1713,PLATE THORACIC RECT 10HL,2444.4,1955.52,1.0,2199.96,27
HCPCS,C1713,PLATE THORACIC X-PLATE 8HL,2012.4,1609.92,1.0,1811.16,27
HCPCS,C1713,PLATE TI ARTX ST 3.0MM 5HL,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE TI BD LCP 10HL 4.5MM,2038.18,1630.55,1.0,1834.36,27
HCPCS,C1713,PLATE TI BD LCP 11HL 4.5MM,2169.72,1735.78,1.0,1952.75,27
HCPCS,C1713,PLATE TI BD LCP 12HL 4.5MM,2302.78,1842.23,1.0,2072.5,27
HCPCS,C1713,PLATE TI BD LCP 14HL 4.5MM,2562.84,2050.28,1.0,2306.56,27
HCPCS,C1713,PLATE TI BD LCP 6HL 4.5MM,1575.25,1260.2,1.0,1417.73,27
HCPCS,C1713,PLATE TI BD LCP 7HL 4.5MM,1672.27,1337.82,1.0,1505.04,27
HCPCS,C1713,PLATE TI BD LCP 8HL 4.5MM,2044.48,1635.59,1.0,1840.03,27
HCPCS,C1713,PLATE TI BD LCP 9HL 4.5MM,1896.05,1516.84,1.0,1706.45,27
HCPCS,C1713,PLATE TI MTXWAVE MMF SHRT 10HL,1276.88,1021.51,1.0,1149.19,27
HCPCS,C1713,PLATE TI MTXWAVE MMF TALL 10HL,1276.88,1021.51,1.0,1149.19,27
HCPCS,C1713,PLATE TI NARW LCP 10HL 4.5MM,2053.3,1642.64,1.0,1847.97,27
HCPCS,C1713,PLATE TI NARW LCP 11HL 4.5MM,1896.05,1516.84,1.0,1706.45,27
HCPCS,C1713,PLATE TI NARW LCP 12HL 4.5MM,2038.18,1630.55,1.0,1834.36,27
HCPCS,C1713,PLATE TI NARW LCP 5HL 4.5MM,1395.32,1116.26,1.0,1255.79,27
HCPCS,C1713,PLATE TI NARW LCP 6HL 4.5MM,1476.47,1181.18,1.0,1328.82,27
HCPCS,C1713,PLATE TI NARW LCP 8HL 4.5MM,1808.1,1446.48,1.0,1627.29,27
HCPCS,C1713,PLATE TIB ANT DIST VALCP RT6HL,4529.9,3623.92,1.0,4076.91,27
HCPCS,C1713,PLATE TIB ANT DIST VALCP RT8HL,4573.69,3658.96,1.0,4116.32,27
HCPCS,C1713,PLATE TIB ANT DIST VALCPLFT4HL,4484.82,3587.86,1.0,4036.34,27
HCPCS,C1713,PLATE TIB ANT DIST VALCPLFT6HL,4529.9,3623.92,1.0,4076.91,27
HCPCS,C1713,PLATE TIB ANT DIST VALCPLFT8HL,4573.69,3658.96,1.0,4116.32,27
HCPCS,C1713,PLATE TIB ANT DIST VALCPRT12HL,4804.24,3843.4,1.0,4323.82,27
HCPCS,C1713,PLATE TIB ANT DISTVALCPLFT12HL,4804.24,3843.4,1.0,4323.82,27
HCPCS,C1713,PLATE TIB ANT GORILLA LG,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP 4HL RT,4126.75,3301.4,1.0,3714.08,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP 4HLLFT,4126.75,3301.4,1.0,3714.08,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP 6HL RT,4174.41,3339.53,1.0,3756.97,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP 6HLLFT,4174.41,3339.53,1.0,3756.97,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP 8HL RT,4219.49,3375.6,1.0,3797.54,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP 8HLLFT,4219.49,3375.6,1.0,3797.54,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP10HL RT,4256.84,3405.48,1.0,3831.16,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP10HLLFT,4256.84,3405.48,1.0,3831.16,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP12HL RT,4832.58,3866.07,1.0,4349.32,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP12HLLFT,4832.58,3866.07,1.0,4349.32,27
HCPCS,C1713,PLATE TIB ANT LAT VALCP16HLLFT,6260.97,5008.78,1.0,5634.87,27
HCPCS,C1713,PLATE TIB ANTLAT DISTSSLFT10HL,5790.4,4632.32,1.0,5211.36,27
HCPCS,C1713,PLATE TIB ANTLAT LFT 4HL 102,6657.67,5326.14,1.0,5991.9,27
HCPCS,C1713,PLATE TIB ANTLAT RT 12HL 203,6657.67,5326.14,1.0,5991.9,27
HCPCS,C1713,PLATE TIB DIST ANT LAT RT 17HL,4121.88,3297.51,1.0,3709.69,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 11HL,3503.3,2802.64,1.0,3152.97,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 13HL,3544.46,2835.57,1.0,3190.01,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 15HL,3591.5,2873.2,1.0,3232.35,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 17HL,3747.91,2998.33,1.0,3373.12,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 19HL,3776.14,3020.92,1.0,3398.53,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 21HL,3813.77,3051.02,1.0,3432.39,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 7HL,3437.45,2749.96,1.0,3093.71,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT 9HL,3472.73,2778.19,1.0,3125.46,27
HCPCS,C1713,PLATE TIB DIST ANTLAT LFT3HL91,8775.0,7020.0,1.0,7897.5,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 11HL,3503.3,2802.64,1.0,3152.97,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 13HL,3544.46,2835.57,1.0,3190.01,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 15HL,3591.5,2873.2,1.0,3232.35,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 17HL,3747.91,2998.33,1.0,3373.12,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 19HL,3776.14,3020.92,1.0,3398.53,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 21HL,3813.77,3051.02,1.0,3432.39,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 7HL,3437.45,2749.96,1.0,3093.71,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT 9HL,3472.73,2778.19,1.0,3125.46,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT4HL105,8775.0,7020.0,1.0,7897.5,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT5HL3.5,3512.71,2810.17,1.0,3161.44,27
HCPCS,C1713,PLATE TIB DIST ANTLAT RT6HL133,9019.4,7215.52,1.0,8117.46,27
HCPCS,C1713,PLATE TIB DIST ANTLATLFT5HL3.5,3512.71,2810.17,1.0,3161.44,27
HCPCS,C1713,PLATE TIB DIST ANTLATRT10HL189,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT 10HL,4000.53,3200.43,1.0,3600.48,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT 12HL,4670.29,3736.24,1.0,4203.26,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT 14HL,5208.67,4166.94,1.0,4687.8,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT 4HL,3878.17,3102.54,1.0,3490.35,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT 6HL,3921.96,3137.57,1.0,3529.76,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT 8HL,3963.18,3170.55,1.0,3566.86,27
HCPCS,C1713,PLATE TIB DIST MEDL LFT14HL227,6420.54,5136.44,1.0,5778.49,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 10HL,4000.53,3200.43,1.0,3600.48,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 12HL,4670.29,3736.24,1.0,4203.26,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 12HL201,6420.54,5136.44,1.0,5778.49,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 14HL,5208.67,4166.94,1.0,4687.8,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 14HL227,6420.54,5136.44,1.0,5778.49,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 16HL253,6420.54,5136.44,1.0,5778.49,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 4HL,3878.17,3102.54,1.0,3490.35,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 6HL,3921.96,3137.57,1.0,3529.76,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 6HL 123,6420.54,5136.44,1.0,5778.49,27
HCPCS,C1713,PLATE TIB DIST MEDL RT 8HL,3963.18,3170.55,1.0,3566.86,27
HCPCS,C1713,PLATE TIB DIST MEDLSTERLFT12HL,5137.83,4110.27,1.0,4624.05,27
HCPCS,C1713,PLATE TIB DIST W TAB LFT6HL3.5,3592.04,2873.64,1.0,3232.84,27
HCPCS,C1713,PLATE TIB DIST W TAB RT 6HL3.5,3592.04,2873.64,1.0,3232.84,27
HCPCS,C1713,PLATE TIB DIST ZIMM LFT14HL216,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE TIB DIST ZIMM RT 14HL216,3046.4,2437.12,1.0,2741.76,27
HCPCS,C1713,PLATE TIB DIST ZIMM RT 4HL,3174.4,2539.52,1.0,2856.96,27
HCPCS,C1713,PLATE TIB DISTPSTRMEDLLFT3HL49,2569.6,2055.68,1.0,2312.64,27
HCPCS,C1713,PLATE TIB LG LFT 4HL 3.5X117MM,4187.29,3349.84,1.0,3768.56,27
HCPCS,C1713,PLATE TIB LG LFT 4HL 3.5X87MM,4037.88,3230.31,1.0,3634.09,27
HCPCS,C1713,PLATE TIB LG LFT 8HL 3.5X147MM,4846.74,3877.4,1.0,4362.07,27
HCPCS,C1713,PLATE TIB LG LFT10HL 3.5X177MM,4979.41,3983.53,1.0,4481.47,27
HCPCS,C1713,PLATE TIB LG LFT12HL 3.5X207MM,5562.87,4450.3,1.0,5006.58,27
HCPCS,C1713,PLATE TIB LG LFT14HL 3.5X237MM,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,PLATE TIB LG RT 10HL 3.5X177MM,4979.41,3983.53,1.0,4481.47,27
HCPCS,C1713,PLATE TIB LG RT 12HL 3.5X207MM,5562.87,4450.3,1.0,5006.58,27
HCPCS,C1713,PLATE TIB LG RT 14HL 3.5X237MM,5802.44,4641.96,1.0,5222.2,27
HCPCS,C1713,PLATE TIB LG RT 4HL 3.5X87MM,4037.88,3230.31,1.0,3634.09,27
HCPCS,C1713,PLATE TIB LG RT 6HL 3.5X117MM,4187.29,3349.84,1.0,3768.56,27
HCPCS,C1713,PLATE TIB LG RT 8HL 3.5X147MM,4846.74,3877.4,1.0,4362.07,27
HCPCS,C1713,PLATE TIB LOW LFT 10HL 3.5,3184.61,2547.69,1.0,2866.15,27
HCPCS,C1713,PLATE TIB LOW LFT 12HL 3.5,3217.54,2574.04,1.0,2895.79,27
HCPCS,C1713,PLATE TIB LOW LFT 14HL 3.5,3258.7,2606.96,1.0,2932.83,27
HCPCS,C1713,PLATE TIB LOW LFT 4HL 3.5,3084.65,2467.72,1.0,2776.19,27
HCPCS,C1713,PLATE TIB LOW LFT 6HL 3.5,3119.93,2495.95,1.0,2807.94,27
HCPCS,C1713,PLATE TIB LOW LFT 8HL 3.5,3150.5,2520.4,1.0,2835.45,27
HCPCS,C1713,PLATE TIB LOW RT 10HL 3.5,3184.61,2547.69,1.0,2866.15,27
HCPCS,C1713,PLATE TIB LOW RT 12HL 3.5,3217.54,2574.04,1.0,2895.79,27
HCPCS,C1713,PLATE TIB LOW RT 14HL 3.5,3258.7,2606.96,1.0,2932.83,27
HCPCS,C1713,PLATE TIB LOW RT 4HL 3.5,3084.65,2467.72,1.0,2776.19,27
HCPCS,C1713,PLATE TIB LOW RT 6HL 3.5,3119.93,2495.95,1.0,2807.94,27
HCPCS,C1713,PLATE TIB LOW RT 8HL 3.5,3150.5,2520.4,1.0,2835.45,27
HCPCS,C1713,PLATE TIB LOW STER LFT 10HL3.5,3500.95,2800.76,1.0,3150.86,27
HCPCS,C1713,PLATE TIB LOW STER LFT 12HL3.5,3539.76,2831.81,1.0,3185.78,27
HCPCS,C1713,PLATE TIB LOW STER LFT 14HL3.5,3585.62,2868.5,1.0,3227.06,27
HCPCS,C1713,PLATE TIB LOW STER LFT 4HL 3.5,3393.94,2715.16,1.0,3054.55,27
HCPCS,C1713,PLATE TIB LOW STER LFT 6HL 3.5,3431.57,2745.26,1.0,3088.41,27
HCPCS,C1713,PLATE TIB LOW STER LFT 8HL 3.5,3464.5,2771.6,1.0,3118.05,27
HCPCS,C1713,PLATE TIB LOW STER RT 10HL 3.5,3500.95,2800.76,1.0,3150.86,27
HCPCS,C1713,PLATE TIB LOW STER RT 12HL 3.5,3539.76,2831.81,1.0,3185.78,27
HCPCS,C1713,PLATE TIB LOW STER RT 14HL 3.5,3585.62,2868.5,1.0,3227.06,27
HCPCS,C1713,PLATE TIB LOW STER RT 4HL 3.5,3393.94,2715.16,1.0,3054.55,27
HCPCS,C1713,PLATE TIB LOW STER RT 8HL 3.5,3464.5,2771.6,1.0,3118.05,27
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 11HL,4863.6,3890.88,1.0,4377.24,27
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 17HL,4863.6,3890.88,1.0,4377.24,27
HCPCS,C1713,PLATE TIB MEDL DIST R3CON 21HL,7527.0,6021.6,1.0,6774.3,27
HCPCS,C1713,PLATE TIB MEDL HI TOMOFIX TISM,3181.08,2544.87,1.0,2862.97,27
HCPCS,C1713,PLATE TIB MEDL ORTHOLOC 3DI LG,4692.52,3754.02,1.0,4223.27,27
HCPCS,C1713,PLATE TIB MEDL ORTHOLOC 3DI SM,4285.68,3428.55,1.0,3857.11,27
HCPCS,C1713,PLATE TIB MEDL PROX 3.5 LFT4HL,4121.6,3297.28,1.0,3709.44,27
HCPCS,C1713,PLATE TIB MEDL PROX 3.5 LFT6HL,4243.96,3395.17,1.0,3819.56,27
HCPCS,C1713,PLATE TIB MEDL PROX 3.5 LFT8HL,4379.2,3503.36,1.0,3941.28,27
HCPCS,C1713,PLATE TIB MEDL PROX 3.5LFT 4HL,3746.79,2997.44,1.0,3372.11,27
HCPCS,C1713,PLATE TIB MEDL PROX 3.5LFT 6HL,3857.56,3086.05,1.0,3471.8,27
HCPCS,C1713,PLATE TIB MEDL PROX RT 4HL 3.5,3746.79,2997.44,1.0,3372.11,27
HCPCS,C1713,PLATE TIB MEDL PROX RT 6HL 3.5,3857.56,3086.05,1.0,3471.8,27
HCPCS,C1713,PLATE TIB MEDL PROX RT 8HL 3.5,3981.21,3184.97,1.0,3583.09,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 LFT 8HL,3981.21,3184.97,1.0,3583.09,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 LFT10HL,4071.37,3257.1,1.0,3664.23,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 10HL,4071.37,3257.1,1.0,3664.23,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 12HL,4133.19,3306.56,1.0,3719.87,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 14HL,4205.32,3364.26,1.0,3784.79,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 16HL,4510.58,3608.47,1.0,4059.52,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 18HL,4670.29,3736.24,1.0,4203.26,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5 RT 20HL,4827.42,3861.94,1.0,4344.68,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 12HL,4133.19,3306.56,1.0,3719.87,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 14HL,4205.32,3364.26,1.0,3784.79,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 16HL,4510.58,3608.47,1.0,4059.52,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 18HL,4670.29,3736.24,1.0,4203.26,27
HCPCS,C1713,PLATE TIB MEDL PROX3.5LFT 20HL,4827.42,3861.94,1.0,4344.68,27
HCPCS,C1713,PLATE TIB MEDLPROX TI3.5LFT6HL,4283.89,3427.12,1.0,3855.5,27
HCPCS,C1713,PLATE TIB MEDLPROXLCP RT6HL4.5,4137.06,3309.65,1.0,3723.35,27
HCPCS,C1713,PLATE TIB MEDLPROXLCP RT8HL4.5,4598.16,3678.53,1.0,4138.34,27
HCPCS,C1713,PLATE TIB MEDLPROXLCPLFT8HL4.5,4180.85,3344.68,1.0,3762.77,27
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT4HL3.5,4121.6,3297.28,1.0,3709.44,27
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT4HL4.5,4492.54,3594.04,1.0,4043.29,27
HCPCS,C1713,PLATE TIB MEDLPROXSTERRT6HL3.5,4243.96,3395.17,1.0,3819.56,27
HCPCS,C1713,PLATE TIB OPEN WDG TI 10MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE TIB PLATEAU LFT 4HL 59,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU LFT 4HL 74,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU LFT 6HL 83,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU LFT 8HL 107,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU RT 4HL 59,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU RT 4HL 74,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU RT 6HL 105,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU RT 6HL 83,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU RT 8HL 107,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,PLATE TIB PLATEAU RT 8HL 137,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1713,PLATE TIB POSTLAT DIST LFT 6HL,3621.8,2897.44,1.0,3259.62,27
HCPCS,C1713,PLATE TIB POSTLAT DIST LFT 8HL,3621.8,2897.44,1.0,3259.62,27
HCPCS,C1713,PLATE TIB POSTLAT DIST RT 7HL,3621.8,2897.44,1.0,3259.62,27
HCPCS,C1713,PLATE TIB POSTLAT DIST RT 8HL,3621.8,2897.44,1.0,3259.62,27
HCPCS,C1713,PLATE TIB PROX 10HL 3.5,2907.07,2325.66,1.0,2616.36,27
HCPCS,C1713,PLATE TIB PROX 1HL 3.5,3065.66,2452.53,1.0,2759.09,27
HCPCS,C1713,PLATE TIB PROX 2HL 3.5,3097.92,2478.34,1.0,2788.13,27
HCPCS,C1713,PLATE TIB PROX 4HL 3.5,3131.52,2505.22,1.0,2818.37,27
HCPCS,C1713,PLATE TIB PROX 6HL 3.5,3161.09,2528.88,1.0,2844.98,27
HCPCS,C1713,PLATE TIB PROX 8HL 3.5,2876.5,2301.2,1.0,2588.85,27
HCPCS,C1713,PLATE TIB PROX LAT LFT 10HL207,10176.4,8141.12,1.0,9158.76,27
HCPCS,C1713,PLATE TIB PROX LAT LFT 2HL 95,6254.16,5003.33,1.0,5628.74,27
HCPCS,C1713,PLATE TIB PROX LAT LFT 6HL151,8964.8,7171.84,1.0,8068.32,27
HCPCS,C1713,PLATE TIB PROX LAT RT 10HL 199,6254.16,5003.33,1.0,5628.74,27
HCPCS,C1713,PLATE TIB PROX LAT RT 10HL 207,10176.4,8141.12,1.0,9158.76,27
HCPCS,C1713,PLATE TIB PROX LAT RT 4HL 121,6254.16,5003.33,1.0,5628.74,27
HCPCS,C1713,PLATE TIB PROX LAT RT 4HL 123,8723.0,6978.4,1.0,7850.7,27
HCPCS,C1713,PLATE TIB PROX LAT RT 6HL 147,6254.16,5003.33,1.0,5628.74,27
HCPCS,C1713,PLATE TIB PROX LAT RT 6HL 151,8964.8,7171.84,1.0,8068.32,27
HCPCS,C1713,PLATE TIB PROX LAT RT 8HL 173,6254.16,5003.33,1.0,5628.74,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 10HL3.5,4089.4,3271.52,1.0,3680.46,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 10HL4.5,3860.81,3088.65,1.0,3474.73,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 12HL3.5,4166.68,3333.35,1.0,3750.01,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 12HL4.5,3906.67,3125.34,1.0,3516.0,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 14HL3.5,4224.64,3379.72,1.0,3802.18,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 14HL4.5,3946.66,3157.33,1.0,3551.99,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 16HL3.5,4520.88,3616.71,1.0,4068.79,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 4HL 3.5,3759.67,3007.74,1.0,3383.7,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 4HL 4.5,3730.27,2984.22,1.0,3357.24,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 6HL 3.5,3807.33,3045.87,1.0,3426.6,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 6HL 4.5,3778.49,3022.8,1.0,3400.64,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 8HL 3.5,4010.83,3208.67,1.0,3609.75,27
HCPCS,C1713,PLATE TIB PROX LCP LFT 8HL 4.5,3820.82,3056.66,1.0,3438.74,27
HCPCS,C1713,PLATE TIB PROX LCP RT 10HL 3.5,4089.4,3271.52,1.0,3680.46,27
HCPCS,C1713,PLATE TIB PROX LCP RT 10HL 4.5,3860.81,3088.65,1.0,3474.73,27
HCPCS,C1713,PLATE TIB PROX LCP RT 12HL 3.5,4166.68,3333.35,1.0,3750.01,27
HCPCS,C1713,PLATE TIB PROX LCP RT 12HL 4.5,3906.67,3125.34,1.0,3516.0,27
HCPCS,C1713,PLATE TIB PROX LCP RT 14HL 3.5,4224.64,3379.72,1.0,3802.18,27
HCPCS,C1713,PLATE TIB PROX LCP RT 14HL 4.5,3946.66,3157.33,1.0,3551.99,27
HCPCS,C1713,PLATE TIB PROX LCP RT 16HL 3.5,4520.88,3616.71,1.0,4068.79,27
HCPCS,C1713,PLATE TIB PROX LCP RT 4HL 3.5,3759.67,3007.74,1.0,3383.7,27
HCPCS,C1713,PLATE TIB PROX LCP RT 4HL 4.5,3730.27,2984.22,1.0,3357.24,27
HCPCS,C1713,PLATE TIB PROX LCP RT 6HL 3.5,3807.33,3045.87,1.0,3426.6,27
HCPCS,C1713,PLATE TIB PROX LCP RT 6HL 4.5,3778.49,3022.8,1.0,3400.64,27
HCPCS,C1713,PLATE TIB PROX LCP RT 8HL 3.5,4010.83,3208.67,1.0,3609.75,27
HCPCS,C1713,PLATE TIB PROX LCP RT 8HL 4.5,3820.82,3056.66,1.0,3438.74,27
HCPCS,C1713,PLATE TIB PROX LCPSTERTILFT5HL,4515.73,3612.59,1.0,4064.16,27
HCPCS,C1713,PLATE TIB PROX LCPTI2HL3.5X79,2404.08,1923.27,1.0,2163.67,27
HCPCS,C1713,PLATE TIB PROX LCPTI4HL3.5X105,3015.26,2412.21,1.0,2713.73,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 10HL3.5,3710.28,2968.23,1.0,3339.25,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 12HL3.5,3927.84,3142.28,1.0,3535.06,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 14HL3.5,3988.99,3191.2,1.0,3590.09,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 16HL3.5,4127.76,3302.21,1.0,3714.98,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 4HL 3.5,3462.14,2769.72,1.0,3115.93,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 6HL 3.5,3473.9,2779.12,1.0,3126.51,27
HCPCS,C1713,PLATE TIB PROX LOW LFT 8HL 3.5,3620.9,2896.72,1.0,3258.81,27
HCPCS,C1713,PLATE TIB PROX LOW RT 10HL 3.5,3710.28,2968.23,1.0,3339.25,27
HCPCS,C1713,PLATE TIB PROX LOW RT 12HL 3.5,3927.84,3142.28,1.0,3535.06,27
HCPCS,C1713,PLATE TIB PROX LOW RT 4HL 3.5,3462.14,2769.72,1.0,3115.93,27
HCPCS,C1713,PLATE TIB PROX LOW RT 6HL 3.5,3473.9,2779.12,1.0,3126.51,27
HCPCS,C1713,PLATE TIB PROX LOW RT 8HL 3.5,3620.9,2896.72,1.0,3258.81,27
HCPCS,C1713,PLATE TIB PROX MEDL LFT 6HL100,9261.2,7408.96,1.0,8335.08,27
HCPCS,C1713,PLATE TIB PROX MEDL LFT 8HL128,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,PLATE TIB PROX MEDL LFT14HL212,10735.4,8588.32,1.0,9661.86,27
HCPCS,C1713,PLATE TIB PROX MEDL LFT5HL84MM,5857.94,4686.36,1.0,5272.15,27
HCPCS,C1713,PLATE TIB PROX MEDL LFT6HL97MM,5857.94,4686.36,1.0,5272.15,27
HCPCS,C1713,PLATE TIB PROX MEDL RT 4HL 68,8036.6,6429.28,1.0,7232.94,27
HCPCS,C1713,PLATE TIB PROX MEDL RT 5HL 86,8288.8,6631.04,1.0,7459.92,27
HCPCS,C1713,PLATE TIB PROX MEDL RT 6HL 100,8775.0,7020.0,1.0,7897.5,27
HCPCS,C1713,PLATE TIB PROX MEDL RT8HL123MM,5857.94,4686.36,1.0,5272.15,27
HCPCS,C1713,PLATE TIB PROX MEDLLFT8HL123MM,5857.94,4686.36,1.0,5272.15,27
HCPCS,C1713,PLATE TIB PROX MEDLRT14HL201MM,5857.94,4686.36,1.0,5272.15,27
HCPCS,C1713,PLATE TIB PROX PART LFT 3HL 85,9690.2,7752.16,1.0,8721.18,27
HCPCS,C1713,PLATE TIB PROX PART LFT 4HL 99,9690.2,7752.16,1.0,8721.18,27
HCPCS,C1713,PLATE TIB PROX PART LFT 6HL127,10176.4,8141.12,1.0,9158.76,27
HCPCS,C1713,PLATE TIB PROX PART RT 3HL 85,9690.2,7752.16,1.0,8721.18,27
HCPCS,C1713,PLATE TIB PROX PSTRMEDLRT5HL82,9040.2,7232.16,1.0,8136.18,27
HCPCS,C1713,PLATE TIB PROX STER 10HL 3.5,3198.72,2558.98,1.0,2878.85,27
HCPCS,C1713,PLATE TIB PROX STER 1HL 3.5,2950.58,2360.47,1.0,2655.52,27
HCPCS,C1713,PLATE TIB PROX STER 2HL 3.5,2982.34,2385.88,1.0,2684.11,27
HCPCS,C1713,PLATE TIB PROX STER 4HL 3.5,3015.26,2412.21,1.0,2713.73,27
HCPCS,C1713,PLATE TIB PROX STER 6HL 3.5,3042.31,2433.85,1.0,2738.08,27
HCPCS,C1713,PLATE TIB PROX STER 8HL 3.5,3165.79,2532.64,1.0,2849.21,27
HCPCS,C1713,PLATE TIB PROX TILFT6HL4.5X118,4550.5,3640.4,1.0,4095.45,27
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 4HL 59,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 4HL 81,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 6HL 82,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 6HL113,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1713,PLATE TIB PROX ZIMM LFT 8HL145,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE TIB PROX ZIMM RT 4HL 59,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE TIB PROX ZIMM RT 4HL 81,3123.2,2498.56,1.0,2810.88,27
HCPCS,C1713,PLATE TIB PROX ZIMM RT 6HL 113,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1713,PLATE TIB PROX ZIMM RT 6HL 82,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1713,PLATE TIB PROX ZIMM RT 8HL 145,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE TIB PROXLATPANGEART2HL95,8723.0,6978.4,1.0,7850.7,27
HCPCS,C1713,PLATE TIB PROXLCPSTERRT16HL4.5,4232.42,3385.94,1.0,3809.18,27
HCPCS,C1713,PLATE TIB PROXLOWSTERLFT6HL3.5,3822.0,3057.6,1.0,3439.8,27
HCPCS,C1713,PLATE TIB PSTR DIST SS 3HL,3064.6,2451.68,1.0,2758.14,27
HCPCS,C1713,PLATE TIB PSTR DIST SS 5HL,3064.6,2451.68,1.0,2758.14,27
HCPCS,C1713,PLATE TIB PSTR ORTHOLOC 3DI SM,3439.8,2751.84,1.0,3095.82,27
HCPCS,C1713,PLATE TIB PSTRLAT DIST RT 6HL,4142.6,3314.08,1.0,3728.34,27
HCPCS,C1713,PLATE TIB SM LFT 4HL 3.5X87MM,4037.88,3230.31,1.0,3634.09,27
HCPCS,C1713,PLATE TIB SM LFT 6HL 3.5X117MM,4156.38,3325.11,1.0,3740.74,27
HCPCS,C1713,PLATE TIB SM LFT 8HL 3.5X147MM,4863.49,3890.8,1.0,4377.14,27
HCPCS,C1713,PLATE TIB SM LFT10HL 3.5X177MM,4951.07,3960.86,1.0,4455.96,27
HCPCS,C1713,PLATE TIB SM LFT12HL 3.5X207MM,5552.57,4442.06,1.0,4997.31,27
HCPCS,C1713,PLATE TIB SM LFT14HL 3.5X237MM,5807.59,4646.08,1.0,5226.83,27
HCPCS,C1713,PLATE TIB SM RT 10HL 3.5X177MM,4951.07,3960.86,1.0,4455.96,27
HCPCS,C1713,PLATE TIB SM RT 12HL 3.5X207MM,5552.57,4442.06,1.0,4997.31,27
HCPCS,C1713,PLATE TIB SM RT 14HL 3.5X237MM,5807.59,4646.08,1.0,5226.83,27
HCPCS,C1713,PLATE TIB SM RT 4HL 3.5X87MM,4037.88,3230.31,1.0,3634.09,27
HCPCS,C1713,PLATE TIB SM RT 6HL 3.5X117MM,4156.38,3325.11,1.0,3740.74,27
HCPCS,C1713,PLATE TIB SM RT 8HL 3.5X147MM,4863.49,3890.8,1.0,4377.14,27
HCPCS,C1713,PLATE TIB SM STERRT14HL3.5X237,6388.48,5110.79,1.0,5749.63,27
HCPCS,C1713,PLATE TIB VA CURV TI LFT6HL102,3723.22,2978.58,1.0,3350.9,27
HCPCS,C1713,PLATE TIB VA CURV TILFT10HL230,5078.58,4062.87,1.0,4570.72,27
HCPCS,C1713,PLATE TIB VA CURV TILFT12HL180,3985.46,3188.37,1.0,3586.91,27
HCPCS,C1713,PLATE TIB VA CURV TILFT12HL266,5162.3,4129.84,1.0,4646.07,27
HCPCS,C1713,PLATE TIB VA CURV TILFT14HL301,5555.14,4444.12,1.0,4999.63,27
HCPCS,C1713,PLATE TIB VA CURV TILFT16HL336,5762.51,4610.01,1.0,5186.26,27
HCPCS,C1713,PLATE TIB VA CURV TILFT18HL370,6371.74,5097.4,1.0,5734.57,27
HCPCS,C1713,PLATE TIB WDG OPEN 7.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE TIBDISTANTLATSTERLFT17HL,4121.88,3297.51,1.0,3709.69,27
HCPCS,C1713,PLATE TIBL PROX LAT TI RT 5HL,6849.7,5479.76,1.0,6164.73,27
HCPCS,C1713,PLATE TIBMEDLPROXSTERLFT4HL4.5,4492.54,3594.04,1.0,4043.29,27
HCPCS,C1713,PLATE TIBMEDLPROXSTERLFT6HL4.5,4547.93,3638.35,1.0,4093.14,27
HCPCS,C1713,PLATE TIBMEDLPROXSTERLFT8HL4.5,4598.16,3678.53,1.0,4138.34,27
HCPCS,C1713,PLATE TIBPROXLCPSTERLFT16HL4.5,4232.42,3385.94,1.0,3809.18,27
HCPCS,C1713,PLATE TIBPROXLCPSTERLFT18HL4.5,4312.39,3449.92,1.0,3881.15,27
HCPCS,C1713,PLATE TIBPROXLCPSTERRT18HL4.5,4312.39,3449.92,1.0,3881.15,27
HCPCS,C1713,PLATE TIBPROXLOWSTERLFT12HL3.5,4319.45,3455.56,1.0,3887.51,27
HCPCS,C1713,PLATE TINE VOLT SS 10HL 2.0X75,2589.31,2071.45,1.0,2330.38,27
HCPCS,C1713,PLATE TINE VOLT SS 10HL 2.4X89,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE TINE VOLT SS 10HL 2.7X98,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE TINE VOLT SS 6HL 2.0X47,2589.31,2071.45,1.0,2330.38,27
HCPCS,C1713,PLATE TINE VOLT SS 6HL 2.4X55,2555.52,2044.42,1.0,2299.97,27
HCPCS,C1713,PLATE TINE VOLT SS 6HL 2.7X61,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE TN ARSENAL,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,PLATE TN STRTM LRG LFT,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE TN STRTM LRG RT,4816.0,3852.8,1.0,4334.4,27
HCPCS,C1713,PLATE TN STRTM SM LFT,4631.2,3704.96,1.0,4168.08,27
HCPCS,C1713,PLATE TN STRTM SM RT,4631.2,3704.96,1.0,4168.08,27
HCPCS,C1713,PLATE TOTAL WRIST FUSN NEUT,4261.6,3409.28,1.0,3835.44,27
HCPCS,C1713,PLATE TRAPZD SUBCOND LFT4HL1MM,2294.35,1835.48,1.0,2064.92,27
HCPCS,C1713,PLATE TRIANG VOLT 5X10HL2.4X93,2681.71,2145.37,1.0,2413.54,27
HCPCS,C1713,PLATE TRIANG VOLTSS10HL2.7X101,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE TROCH STBL 138MM,2479.68,1983.75,1.0,2231.71,27
HCPCS,C1713,PLATE TROCH STBL 148MM,2479.68,1983.75,1.0,2231.71,27
HCPCS,C1713,PLATE TRUSS GM 49MM,6784.4,5427.52,1.0,6105.96,27
HCPCS,C1713,PLATE TSLP LK TI 61MM,6162.8,4930.24,1.0,5546.52,27
HCPCS,C1713,PLATE TSLP LK TI 67MM,6162.8,4930.24,1.0,5546.52,27
HCPCS,C1713,PLATE TSLP LK TI 70MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,PLATE TT FUSN UNITE RT STD REG,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST 5HL,1789.62,1431.7,1.0,1610.66,27
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST 6HL,1936.62,1549.3,1.0,1742.96,27
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST 7HL,2087.82,1670.26,1.0,1879.04,27
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST 8HL,1915.56,1532.45,1.0,1724.0,27
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST10HL,2427.12,1941.7,1.0,2184.41,27
HCPCS,C1713,PLATE TUBLR ORTHOLOC3DI ST12HL,2611.84,2089.48,1.0,2350.66,27
HCPCS,C1713,PLATE TUBLR SM 100D 5HL,468.0,374.4,1.0,421.2,27
HCPCS,C1713,PLATE TUBLR SM 100D 7HL,540.0,432.0,1.0,486.0,27
HCPCS,C1713,PLATE TUBLR ZIMM 6HL,422.4,337.92,1.0,380.16,27
HCPCS,C1713,PLATE TUBLR ZIMM 8HL 97MM,460.8,368.64,1.0,414.72,27
HCPCS,C1713,PLATE TUBLR1/3 4HL 3.5X46MM,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,PLATE TUBLR1/3 8HL 3.5X64MM,1233.12,986.5,1.0,1109.81,27
HCPCS,C1713,PLATE TUBLR1/4 4HL 2.7X32MM,1062.0,849.6,1.0,955.8,27
HCPCS,C1713,PLATE ULNA DIST 7HL 2.0X46MM,4505.2,3604.16,1.0,4054.68,27
HCPCS,C1713,PLATE ULNA DISTSTER7HL2.0X46MM,2602.15,2081.72,1.0,2341.94,27
HCPCS,C1713,PLATE ULNA DORSAL TRMI 3HL,2232.0,1785.6,1.0,2008.8,27
HCPCS,C1713,PLATE ULNA DORSAL TRMI 5HL,2232.0,1785.6,1.0,2008.8,27
HCPCS,C1713,PLATE ULNA DORSAL TRMI 7HL,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,PLATE ULNA LCP 6HL 2.7MM,3085.82,2468.66,1.0,2777.24,27
HCPCS,C1713,PLATE ULNA LCP TI 8HL 2.7X76MM,2967.05,2373.64,1.0,2670.35,27
HCPCS,C1713,PLATE ULNA OSTEO COMP,2752.0,2201.6,1.0,2476.8,27
HCPCS,C1713,PLATE ULNA PROX DIST LFT6HL108,5023.2,4018.56,1.0,4520.88,27
HCPCS,C1713,PLATE ULNA SHORTENING SYS,3129.6,2503.68,1.0,2816.64,27
HCPCS,C1713,PLATE ULNA SHRTENING TRILK2.5,6747.0,5397.6,1.0,6072.3,27
HCPCS,C1713,PLATE ULS COMP ZIMM 6HL 2.7MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE ULTONE CONT 5HL 12MM,1204.6,963.68,1.0,1084.14,27
HCPCS,C1713,PLATE ULTONE CONT 6HL 18MM,698.63,558.91,1.0,628.77,27
HCPCS,C1713,PLATE ULTONE CONT DRN 5HL 18MM,809.24,647.4,1.0,728.32,27
HCPCS,C1713,PLATE ULTONE LADDER 2X2HL 14MM,1089.5,871.6,1.0,980.55,27
HCPCS,C1713,PLATE ULTONE LADDER 3X2HL 15MM,1319.39,1055.52,1.0,1187.45,27
HCPCS,C1713,PLATE ULTONE ST 2HL 17MM,478.99,383.2,1.0,431.09,27
HCPCS,C1713,PLATE ULTONE ST 4HL 22MM,628.74,503.0,1.0,565.87,27
HCPCS,C1713,PLATE ULTONE ST 6HL 27MM,987.93,790.35,1.0,889.14,27
HCPCS,C1713,PLATE ULTONE XSHP 2HL 14MM,391.58,313.27,1.0,352.42,27
HCPCS,C1713,PLATE ULTONE XSHP 4HL 14MM,1075.16,860.13,1.0,967.64,27
HCPCS,C1713,PLATE ULTONE YSHP 5HL 19MM,1075.16,860.13,1.0,967.64,27
HCPCS,C1713,PLATE ULTONE YSHP 6HL 18MM,1075.16,860.13,1.0,967.64,27
HCPCS,C1713,PLATE UNIV CP ANCHORAGE2 T8,8344.26,6675.41,1.0,7509.83,27
HCPCS,C1713,PLATE UNIV TN STRTM STD,4631.2,3704.96,1.0,4168.08,27
HCPCS,C1713,PLATE V ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE VA 2.7/3.5 LAT LFT5HL121,3028.2,2422.56,1.0,2725.38,27
HCPCS,C1713,PLATE VA 2.7/3.5 LAT RT 2HL 82,3028.2,2422.56,1.0,2725.38,27
HCPCS,C1713,PLATE VA 2.7/3.5 MEDL LFT2HL85,3123.46,2498.77,1.0,2811.11,27
HCPCS,C1713,PLATE VA 2.7/3.5 MEDL RT 2HL85,3028.2,2422.56,1.0,2725.38,27
HCPCS,C1713,PLATE VA CLOVERLF FUSN TI LNG,2888.26,2310.61,1.0,2599.43,27
HCPCS,C1713,PLATE VA CLOVERLF FUSN TI SHRT,2748.48,2198.79,1.0,2473.63,27
HCPCS,C1713,PLATE VA CLOVERLF FUSN TI STD,2819.71,2255.77,1.0,2537.74,27
HCPCS,C1713,PLATE VA CORRECT ROTATE 2.0MM,2222.64,1778.12,1.0,2000.38,27
HCPCS,C1713,PLATE VA FUSN TI LCP TMT 43MM,2888.26,2310.61,1.0,2599.43,27
HCPCS,C1713,PLATE VA FUSN TI LCP TMT LG,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA FUSN TI LCP TMT STD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA L FUSN TI LFT LNG,2972.93,2378.35,1.0,2675.64,27
HCPCS,C1713,PLATE VA L FUSN TI RT LNG,2972.93,2378.35,1.0,2675.64,27
HCPCS,C1713,PLATE VA L FUSN TI SHRT LFT,2748.48,2198.79,1.0,2473.63,27
HCPCS,C1713,PLATE VA L FUSN TI SHRT RT,2825.09,2260.08,1.0,2542.58,27
HCPCS,C1713,PLATE VA L FUSN TI STD LFT,2899.01,2319.21,1.0,2609.11,27
HCPCS,C1713,PLATE VA L FUSN TI STD RT,2899.01,2319.21,1.0,2609.11,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 0D MD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 0D SM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 10D MD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 10D SM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 5D LG,2875.32,2300.26,1.0,2587.79,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 5D MD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN LFT 5D SM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN REV LFT 0D,3190.49,2552.4,1.0,2871.44,27
HCPCS,C1713,PLATE VA MTP FUSN REV RT 0D,3190.49,2552.4,1.0,2871.44,27
HCPCS,C1713,PLATE VA MTP FUSN RT 0D MD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN RT 0D SM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN RT 10D MD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN RT 10D SM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN RT 5D LG,2875.32,2300.26,1.0,2587.79,27
HCPCS,C1713,PLATE VA MTP FUSN RT 5D MD,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP FUSN RT 5D SM,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1713,PLATE VA MTP TI 0D LFT MD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 0D LFT SM,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 0D REV LFT,3509.18,2807.35,1.0,3158.26,27
HCPCS,C1713,PLATE VA MTP TI 0D REV RT,3509.18,2807.35,1.0,3158.26,27
HCPCS,C1713,PLATE VA MTP TI 0D RT MD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 0D RT SM,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 10D LFT MD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 10D LFT SM,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 10D RT MD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 10D RT SM,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 5D LFT LG,3163.44,2530.76,1.0,2847.1,27
HCPCS,C1713,PLATE VA MTP TI 5D LFT MD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 5D LFT SM,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 5D RT LG,3163.44,2530.76,1.0,2847.1,27
HCPCS,C1713,PLATE VA MTP TI 5D RT MD,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA MTP TI 5D RT SM,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 0MM,2768.64,2214.92,1.0,2491.78,27
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 3MM,2693.38,2154.71,1.0,2424.04,27
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 4MM,2693.38,2154.71,1.0,2424.04,27
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 5MM,2693.38,2154.71,1.0,2424.04,27
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 6MM,2768.64,2214.92,1.0,2491.78,27
HCPCS,C1713,PLATE VA OPEN WDG 2.4MM 7MM,2768.64,2214.92,1.0,2491.78,27
HCPCS,C1713,PLATE VA OPEN WDG TI 2.4X0MM,3045.5,2436.4,1.0,2740.95,27
HCPCS,C1713,PLATE VA OPEN WDG TI 2.4X3MM,2962.18,2369.75,1.0,2665.96,27
HCPCS,C1713,PLATE VA OPEN WDG TI 2.4X4MM,2962.18,2369.75,1.0,2665.96,27
HCPCS,C1713,PLATE VA OPEN WDG TI 2.4X5MM,2962.18,2369.75,1.0,2665.96,27
HCPCS,C1713,PLATE VA OPEN WDG TI 2.4X6MM,3045.5,2436.4,1.0,2740.95,27
HCPCS,C1713,PLATE VA OPEN WDG TI 2.4X7MM,3045.5,2436.4,1.0,2740.95,27
HCPCS,C1713,PLATE VA STRUT 12 HL 2.0MM,2072.7,1658.16,1.0,1865.43,27
HCPCS,C1713,PLATE VA T FUSN TI 2HL LNG,2888.26,2310.61,1.0,2599.43,27
HCPCS,C1713,PLATE VA T FUSN TI 2HL SHRT,2748.48,2198.79,1.0,2473.63,27
HCPCS,C1713,PLATE VA T FUSN TI 2HL STD,2819.71,2255.77,1.0,2537.74,27
HCPCS,C1713,PLATE VA T FUSN TI 3HL XLNG,3163.44,2530.76,1.0,2847.1,27
HCPCS,C1713,PLATE VA Y 3HL/7HL 2.0MM,1889.24,1511.4,1.0,1700.32,27
HCPCS,C1713,PLATE VA-LK TROCH RING LGRT3.5,3726.18,2980.95,1.0,3353.56,27
HCPCS,C1713,PLATE VA-LK TROCH RING SMRT3.5,3726.18,2980.95,1.0,3353.56,27
HCPCS,C1713,PLATE VA-LK TROCH RINGSMLFT3.5,3726.18,2980.95,1.0,3353.56,27
HCPCS,C1713,PLATE VA-LOCK MESH 12HL 5MM,4047.79,3238.24,1.0,3643.01,27
HCPCS,C1713,PLATE VARI AX T-PLATE,1645.48,1316.39,1.0,1480.93,27
HCPCS,C1713,PLATE VARIAX 3D LFT,2394.72,1915.78,1.0,2155.25,27
HCPCS,C1713,PLATE VARIAX 3D RT,2394.72,1915.78,1.0,2155.25,27
HCPCS,C1713,PLATE VARIAX BD CURV 12HL151MM,2424.13,1939.31,1.0,2181.72,27
HCPCS,C1713,PLATE VARIAX BD CURV 9HL 115MM,2037.92,1630.34,1.0,1834.13,27
HCPCS,C1713,PLATE VARIAX BD ST 7HL 91MM,1620.99,1296.8,1.0,1458.89,27
HCPCS,C1713,PLATE VARIAX BEND STD 120MM,4489.63,3591.71,1.0,4040.67,27
HCPCS,C1713,PLATE VARIAX NARW ST 10HL126MM,2037.92,1630.34,1.0,1834.13,27
HCPCS,C1713,PLATE VARIAX NARW ST 5HL 66MM,1620.99,1296.8,1.0,1458.89,27
HCPCS,C1713,PLATE VARIAX NARW ST 6HL 78MM,1620.99,1296.8,1.0,1458.89,27
HCPCS,C1713,PLATE VARIAX NARW ST 7HL 102MM,2037.92,1630.34,1.0,1834.13,27
HCPCS,C1713,PLATE VARIAX NARW ST 7HL 90MM,1620.99,1296.8,1.0,1458.89,27
HCPCS,C1713,PLATE VARIAX NARW ST 9HL 114MM,2037.92,1630.34,1.0,1834.13,27
HCPCS,C1713,PLATE VARIAX PROFILE 10HL 2.4,1914.36,1531.49,1.0,1722.92,27
HCPCS,C1713,PLATE VARIAX PROFILE 8HL 2.4,1914.36,1531.49,1.0,1722.92,27
HCPCS,C1713,PLATE VARIAX ST 120MM,4489.63,3591.71,1.0,4040.67,27
HCPCS,C1713,PLATE VARIAX T8 SLIM ST 5HL,2577.1,2061.68,1.0,2319.39,27
HCPCS,C1713,PLATE VARIAX T8 SLIM ST 7HL,2577.1,2061.68,1.0,2319.39,27
HCPCS,C1713,PLATE VERSA-FX ZIMM STD130D4HL,2217.6,1774.08,1.0,1995.84,27
HCPCS,C1713,PLATE VERSAFX SHRT 135D 5HL102,2217.6,1774.08,1.0,1995.84,27
HCPCS,C1713,PLATE VERSAFX SHRT 135D 6HL118,2217.6,1774.08,1.0,1995.84,27
HCPCS,C1713,PLATE VLC ARSENAL 2HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE VLC ARSENAL 3HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE VLC ARSENAL 4HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE VLC ARSENAL 5HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE VLC ARSENAL 6HL,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,PLATE VLC ARSENAL CUST 4HL,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1713,PLATE VLC GRIDLOCK CUST 4HL,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1713,PLATE VLC GRIDLOCK CUST 5HL,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1713,PLATE VLP COL FUSN 3.5MM,4583.04,3666.44,1.0,4124.74,27
HCPCS,C1713,PLATE VOLAR DR 2XL STDRT8HL100,3599.46,2879.57,1.0,3239.51,27
HCPCS,C1713,PLATE VOLAR DR 2XLNARWRT8HL100,3599.46,2879.57,1.0,3239.51,27
HCPCS,C1713,PLATE VOLAR DR 2XLNRWRT11HL145,4113.65,3290.92,1.0,3702.29,27
HCPCS,C1713,PLATE VOLAR DR 2XLSTDRT11HL145,4113.65,3290.92,1.0,3702.29,27
HCPCS,C1713,PLATE VOLAR DR LFT XSHRT NARW,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE VOLAR DR RT XSHRT NARW,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE VOLAR DR RT XSHRTSTD49MM,2693.92,2155.14,1.0,2424.53,27
HCPCS,C1713,PLATE VOLAR DR STRY LFT LNGSTD,2966.3,2373.04,1.0,2669.67,27
HCPCS,C1713,PLATE VOLAR DR STRY LFTSHRTSTD,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE VOLAR DR STRY RT LNG STD,2966.3,2373.04,1.0,2669.67,27
HCPCS,C1713,PLATE VOLAR DR STRY RT SHRTSTD,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE VOLAR DR STRY RTSHRTNARW,2570.78,2056.63,1.0,2313.7,27
HCPCS,C1713,PLATE VOLAR DR2XLNARWLFT8HL100,3599.46,2879.57,1.0,3239.51,27
HCPCS,C1713,PLATE VOLAR FA 3HL 7PEG LFT,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1713,PLATE VOLAR FA 3HL 7PEG RT,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1713,PLATE VOLAR FA 5HL 7PEG LFT,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1713,PLATE VOLAR HOOK NEUT TRMI 4HL,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,PLATE VOLAR RAD TI LFT 3HL 2.4,2634.88,2107.91,1.0,2371.39,27
HCPCS,C1713,PLATE VOLAR RAD TI LFT 5HL 2.4,2790.91,2232.73,1.0,2511.82,27
HCPCS,C1713,PLATE VOLAR RAD TI RT 3HL 2.4,2634.88,2107.91,1.0,2371.39,27
HCPCS,C1713,PLATE VOLAR RAD TI RT 5HL 2.4,2790.91,2232.73,1.0,2511.82,27
HCPCS,C1713,PLATE VOLAR TRMI LFT 3HL7PEG,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1713,PLATE VOLAR TRMI LFT 5HL5PEG,3318.0,2654.4,1.0,2986.2,27
HCPCS,C1713,PLATE VOLAR TRMI LFT 5HL7PEG,3318.0,2654.4,1.0,2986.2,27
HCPCS,C1713,PLATE VOLAR TRMI RT 3HL7PEG,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1713,PLATE VOLAR TRMI RT 5HL5PEG,3318.0,2654.4,1.0,2986.2,27
HCPCS,C1713,PLATE VOLAR TRMI RT 5HL7PEG,3318.0,2654.4,1.0,2986.2,27
HCPCS,C1713,PLATE VOLAR TRMI RT 7HL7PEG,3626.0,2900.8,1.0,3263.4,27
HCPCS,C1713,PLATE VS LFT 4HL 10MM*DISC*,4121.6,3297.28,1.0,3709.44,27
HCPCS,C1713,PLATE VS ZIMM RT 4HL*DISC*,4121.6,3297.28,1.0,3709.44,27
HCPCS,C1713,PLATE WDG ORTHOLOC COTTON5.5MM,4122.44,3297.96,1.0,3710.2,27
HCPCS,C1713,PLATE WIRE FORM TRMI 3HL,1806.0,1444.8,1.0,1625.4,27
HCPCS,C1713,PLATE WRIST ACU-LOC SHRT 171MM,3410.4,2728.32,1.0,3069.36,27
HCPCS,C1713,PLATE WRIST ACU-LOC2 NARW SHRT,4410.0,3528.0,1.0,3969.0,27
HCPCS,C1713,PLATE WRIST CARPAL SM,1192.8,954.24,1.0,1073.52,27
HCPCS,C1713,PLATE WRIST LCPSTERST2.4X170MM,7817.55,6254.04,1.0,7035.8,27
HCPCS,C1713,PLATE WRIST SHRT BEND,4021.92,3217.54,1.0,3619.73,27
HCPCS,C1713,PLATE WRIST SHRT BEND STER,4422.94,3538.36,1.0,3980.65,27
HCPCS,C1713,PLATE WRIST SPANNING STD 172MM,3042.2,2433.76,1.0,2737.98,27
HCPCS,C1713,PLATE WRIST SPANNING TI 9HL,5528.6,4422.88,1.0,4975.74,27
HCPCS,C1713,PLATE WRIST ST,4021.92,3217.54,1.0,3619.73,27
HCPCS,C1713,PLATE WRIST ST 2.4X170MM,7480.2,5984.16,1.0,6732.18,27
HCPCS,C1713,PLATE WRIST ST STER*NLU*,4066.61,3253.29,1.0,3659.95,27
HCPCS,C1713,PLATE WRIST STD BEND,4021.92,3217.54,1.0,3619.73,27
HCPCS,C1713,PLATE WRIST STD BEND STER*NLU*,4066.61,3253.29,1.0,3659.95,27
HCPCS,C1713,PLATE WRIST VOLAR HOOK TI 4HL,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,PLATE X ART PROX ULNA RT6HL131,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROX ULNA RT8HL157,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROX ULNALFT6HL131,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROX ULNALFT8HL157,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROX ULNART10HL184,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROX ULNART12HL211,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROXULNALFT10HL184,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X ART PROXULNALFT12HL211,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1713,PLATE X LK 2.4/2.7MM 24X18 SM,2404.42,1923.54,1.0,2163.98,27
HCPCS,C1713,PLATE X LK 2.4/2.7MM 30X20MD,2435.33,1948.27,1.0,2191.8,27
HCPCS,C1713,PLATE X LK 2.4/2.7MM 36X20 LG,2468.93,1975.15,1.0,2222.04,27
HCPCS,C1713,PLATE X LK RIB 10HL 1.5MM,2676.99,2141.6,1.0,2409.29,27
HCPCS,C1713,PLATE X LK RIB 14HL 1.5MM,3964.72,3171.78,1.0,3568.25,27
HCPCS,C1713,PLATE X LK RIB 20HL 1.5MM,2944.7,2355.76,1.0,2650.23,27
HCPCS,C1713,PLATE X LK RIB 32HL 1.5MM,4068.06,3254.45,1.0,3661.25,27
HCPCS,C1713,PLATE X LK RIB 32HL 2.0MM,4277.59,3422.08,1.0,3849.83,27
HCPCS,C1713,PLATE X LK RIB PEEK 16HL 1.5MM,3915.1,3132.08,1.0,3523.59,27
HCPCS,C1713,PLATE X LK RIB PEEK 20HL 2.0MM,6513.23,5210.59,1.0,5861.91,27
HCPCS,C1713,PLATE X LK RIB SEMI 10HL 1.5MM,9087.0,7269.6,1.0,8178.3,27
HCPCS,C1713,PLATE X LK RIB SEMI 16HL 1.5MM,3666.32,2933.06,1.0,3299.69,27
HCPCS,C1713,PLATE X LK RIB SEMI 20HL 1.5MM,4817.04,3853.64,1.0,4335.34,27
HCPCS,C1713,PLATE X LK RIB SEMI 32HL 1.5MM,4861.33,3889.07,1.0,4375.2,27
HCPCS,C1713,PLATE X LK RIB SOLID 10HL2.0MM,3833.17,3066.54,1.0,3449.85,27
HCPCS,C1713,PLATE X LK RIB SOLID 14HL1.5MM,4166.82,3333.46,1.0,3750.14,27
HCPCS,C1713,PLATE X LK RIB SOLID 16HL2.0MM,4786.57,3829.26,1.0,4307.91,27
HCPCS,C1713,PLATE X LK RIB SOLID 20HL1.5MM,4563.78,3651.03,1.0,4107.4,27
HCPCS,C1713,PLATE X LK RIB SOLID 32HL2.0MM,5082.62,4066.1,1.0,4574.36,27
HCPCS,C1713,PLATE X LK VA SS 2.4/2.7MM LG,2838.53,2270.83,1.0,2554.68,27
HCPCS,C1713,PLATE X LK VA SS 2.4/2.7MM MD,2759.23,2207.39,1.0,2483.31,27
HCPCS,C1713,PLATE X LK VA SS 2.4/2.7MM SM,2759.23,2207.39,1.0,2483.31,27
HCPCS,C1713,PLATE X LK VA SS 2.4/2.7MM XS,2759.23,2207.39,1.0,2483.31,27
HCPCS,C1713,PLATE X LK VA TI 24MM XS,3034.75,2427.8,1.0,2731.28,27
HCPCS,C1713,PLATE X LK VA TI 27MM SM,3034.75,2427.8,1.0,2731.28,27
HCPCS,C1713,PLATE X LK VA TI 32MM MD,3034.75,2427.8,1.0,2731.28,27
HCPCS,C1713,PLATE X LK VA TI 36MM LG,3119.42,2495.54,1.0,2807.48,27
HCPCS,C1713,PLATE X LOPRA ARTX LG 3.0MM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE X MD 3.0MM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1713,PLATE X MD SYNT TI 4HL 0.7MM,1021.55,817.24,1.0,919.4,27
HCPCS,C1713,PLATE X MICRO TI 4HL 0.4MM,1021.55,817.24,1.0,919.4,27
HCPCS,C1713,PLATE X MIDFACE 4HL 0.6MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE X MIDFACE 4HL 0.8MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE X MTXNEURO TI 4HL,640.8,512.64,1.0,576.72,27
HCPCS,C1713,PLATE X MTXSTRNM 8HL LG,2129.33,1703.47,1.0,1916.4,27
HCPCS,C1713,PLATE X MTXSTRNM 8HL SM,1938.53,1550.83,1.0,1744.68,27
HCPCS,C1713,PLATE X STERNALK 8HL,1415.4,1132.32,1.0,1273.86,27
HCPCS,C1713,PLATE X STRTM LRG,2839.2,2271.36,1.0,2555.28,27
HCPCS,C1713,PLATE X STRTM SM,3011.2,2408.96,1.0,2710.08,27
HCPCS,C1713,PLATE X TI ARTX SM 2.4MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,PLATE XS 3-D 2X2HL,1363.87,1091.1,1.0,1227.48,27
HCPCS,C1713,PLATE XS 3-D 3X2HL,1363.87,1091.1,1.0,1227.48,27
HCPCS,C1713,PLATE XS 3D 2X2+2HL,1363.87,1091.1,1.0,1227.48,27
HCPCS,C1713,PLATE XS 90D 8HL,1044.14,835.32,1.0,939.73,27
HCPCS,C1713,PLATE XS BONE STRY TI 4X2HL,1363.87,1091.1,1.0,1227.48,27
HCPCS,C1713,PLATE XS REPLANT 4X2HL,1363.87,1091.1,1.0,1227.48,27
HCPCS,C1713,PLATE XS ST 16HL,1363.87,1091.1,1.0,1227.48,27
HCPCS,C1713,PLATE XS ST 4HL,905.13,724.11,1.0,814.62,27
HCPCS,C1713,PLATE XS STRY T-BEVL NRW LFT,1044.14,835.32,1.0,939.73,27
HCPCS,C1713,PLATE XS STRY T-BEVL NRW RT,1044.14,835.32,1.0,939.73,27
HCPCS,C1713,PLATE XS STRY Y-NRW 5HL,1044.14,835.32,1.0,939.73,27
HCPCS,C1713,PLATE XS T 90D NRW,905.13,724.11,1.0,814.62,27
HCPCS,C1713,PLATE Y 2.0MM 3/8HL 55MM,1876.9,1501.52,1.0,1689.21,27
HCPCS,C1713,PLATE Y 3/8HL 2.4MM,1906.63,1525.31,1.0,1715.97,27
HCPCS,C1713,PLATE Y 3HL 1.3MM,1319.47,1055.58,1.0,1187.52,27
HCPCS,C1713,PLATE Y ARTX 6HL 1.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE Y ARTX 6HL 2.4MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE Y CALC 87MM,2904.38,2323.51,1.0,2613.94,27
HCPCS,C1713,PLATE Y CALC TI 87MM,5395.6,4316.48,1.0,4856.04,27
HCPCS,C1713,PLATE Y CROSSCHECK ORTHOLOC3DI,6946.84,5557.48,1.0,6252.16,27
HCPCS,C1713,PLATE Y DBL KLS REG,580.05,464.04,1.0,522.05,27
HCPCS,C1713,PLATE Y DBL MTXNEURO TI6HL18MM,640.8,512.64,1.0,576.72,27
HCPCS,C1713,PLATE Y DBL MTXNEURO TI6HL21MM,752.76,602.21,1.0,677.48,27
HCPCS,C1713,PLATE Y HAND TI 12HL 2.4 3X8HL,2095.63,1676.51,1.0,1886.07,27
HCPCS,C1713,PLATE Y HI STRENGTH 12.9X43.7,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1713,PLATE Y INTRMD RESORBX5HL1.0MM,1264.03,1011.23,1.0,1137.63,27
HCPCS,C1713,PLATE Y KLS REG,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE Y LCP 1.5MM 3/8HL,1416.49,1133.2,1.0,1274.84,27
HCPCS,C1713,PLATE Y LCP 1.5MM 3/8HL 46MM,1434.13,1147.31,1.0,1290.72,27
HCPCS,C1713,PLATE Y LCP 3/7HL 2.0MM,1481.76,1185.41,1.0,1333.58,27
HCPCS,C1713,PLATE Y LCP SS 3/7HL 2.4X60MM,2110.75,1688.6,1.0,1899.68,27
HCPCS,C1713,PLATE Y LCP W GD 3X8HL 1.5MM,1577.02,1261.62,1.0,1419.32,27
HCPCS,C1713,PLATE Y LK M VARIAX NARW7HL2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE Y LK RIB LNG 40HL 1.15MM,5448.16,4358.53,1.0,4903.34,27
HCPCS,C1713,PLATE Y LK RIB RIGID 39HL2.0MM,5126.91,4101.53,1.0,4614.22,27
HCPCS,C1713,PLATE Y LK VA SS 3/5HL 1.3X26,1474.7,1179.76,1.0,1327.23,27
HCPCS,C1713,PLATE Y LK VA SS 3/5HL 1.3X27,1474.7,1179.76,1.0,1327.23,27
HCPCS,C1713,PLATE Y LK VA SS 3X7HL1.5X42MM,1642.28,1313.83,1.0,1478.05,27
HCPCS,C1713,PLATE Y LK VARIAX NARW 10HL 92,3018.88,2415.11,1.0,2716.99,27
HCPCS,C1713,PLATE Y LOPRO 5HL 1.5MM LNG,710.69,568.56,1.0,639.62,27
HCPCS,C1713,PLATE Y MD TI SYNT 3HL 0.7MM,1021.55,817.24,1.0,919.4,27
HCPCS,C1713,PLATE Y MICRO 5H*DISC 6194341*,530.96,424.77,1.0,477.86,27
HCPCS,C1713,PLATE Y MICRO TI 3HL 0.4MM,1021.55,817.24,1.0,919.4,27
HCPCS,C1713,PLATE Y MIDFACE 7HL 0.6MM,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE Y MTXNEURO TI 5HL,877.5,702.0,1.0,789.75,27
HCPCS,C1713,PLATE Y NARW STRY,1044.14,835.32,1.0,939.73,27
HCPCS,C1713,PLATE Y OSTE 26MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE Y TI 2.0 3X8HL 55MM,2037.42,1629.94,1.0,1833.68,27
HCPCS,C1713,PLATE Y TI 3 HD 8 HL 1.5MM,1577.02,1261.62,1.0,1419.32,27
HCPCS,C1713,PLATE Y TI 3HL 1.3X37MM,1428.84,1143.08,1.0,1285.96,27
HCPCS,C1713,PLATE Y TI 6HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE Y TI 8HL 2.0MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,PLATE Y VARIAX T10 BD 2HL,2946.53,2357.23,1.0,2651.88,27
HCPCS,C1713,PLATE Y VOLT SS 10HL 2.0X80,2417.54,1934.04,1.0,2175.79,27
HCPCS,C1713,PLATE Y VOLT SS 10HL 2.4X95,2676.96,2141.57,1.0,2409.26,27
HCPCS,C1713,PLATE Y VOLT SS 10HL 2.7X104,2899.07,2319.26,1.0,2609.16,27
HCPCS,C1713,PLATE Y-SHP TI 1.0MM 7HL,1056.02,844.82,1.0,950.42,27
HCPCS,C1713,PLATE Z ALPHA DYNAFORCE 18MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1713,PLATE Z KLS LFT LNG,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE Z KLS RT LNG,541.4,433.12,1.0,487.26,27
HCPCS,C1713,PLATE Z LK M VARIAXNARW13HL2.3,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE Z LK S VARIAX NARW9HL1.7,1802.18,1441.75,1.0,1621.96,27
HCPCS,C1713,PLATE Z MINI ARSENAL LNG,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE Z MINI ARSENAL SHRT,2992.0,2393.6,1.0,2692.8,27
HCPCS,C1713,PLATE ZED OSTE LFT 15MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE ZED OSTE LFT 18MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE ZED OSTE RIGID LFT 15MM,1633.8,1307.04,1.0,1470.42,27
HCPCS,C1713,PLATE ZED OSTE RT 15MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE ZED OSTE RT 18MM,1579.2,1263.36,1.0,1421.28,27
HCPCS,C1713,PLATE ZEVO LVL1 19MM,2404.8,1923.84,1.0,2164.32,27
HCPCS,C1713,PLATE2COLSSLFTSTD6/10HL2.4/2.7,3346.14,2676.92,1.0,3011.53,27
HCPCS,C1713,PLATE2COLSTERSSLFTNARW6/3HL2.4,2112.59,1690.08,1.0,1901.33,27
HCPCS,C1713,PLATE2COLSTERSSLFTNARW6/4HL2.4,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1713,PLATE2COLSTERSSLFTNARW6/5HL2.4,2311.24,1849.0,1.0,2080.12,27
HCPCS,C1713,PLATEANKFIXPLUSTILFTLG*DISC*,4704.0,3763.2,1.0,4233.6,27
HCPCS,C1713,PLATEANKFIXPLUSTIRTLG*DISC*,4704.0,3763.2,1.0,4233.6,27
HCPCS,C1713,PLATEHTOVSLFT4HL12.5*DISC*,4121.6,3297.28,1.0,3709.44,27
HCPCS,C1713,PLATEL OBLIQ RAD TI 3/5HL -20D,2393.5,1914.8,1.0,2154.15,27
HCPCS,C1713,PLATELK COMP 6HL 2.7X62MM,2318.4,1854.72,1.0,2086.56,27
HCPCS,C1713,PLATEMTXMANDDCPTICRST2X2HL1.25,2058.08,1646.47,1.0,1852.27,27
HCPCS,C1713,PLATETIBMEDLPROXSTERLFT14HL3.5,4626.5,3701.2,1.0,4163.85,27
HCPCS,C1713,PLUG CBL AXSOS 3 LK PLATE5.0MM,751.59,601.28,1.0,676.43,27
HCPCS,C1713,PLUG CBL PANGEA 5MM PLATE,1541.4,1233.12,1.0,1387.26,27
HCPCS,C1713,PLUG SPNL POLARIS TI 5.5MM,399.6,319.68,1.0,359.64,27
HCPCS,C1713,POST LAPIDUS INCORE RT5.9X28MM,10537.93,8430.35,1.0,9484.14,27
HCPCS,C1713,POST LAPIDUS INCORELFT5.9X28MM,10537.93,8430.35,1.0,9484.14,27
HCPCS,C1713,POST LK RIBFIX ADV LO BRDG23MM,10132.2,8105.76,1.0,9118.98,27
HCPCS,C1713,POST LK RIBFIX ADVSHRTBRDG23MM,9266.4,7413.12,1.0,8339.76,27
HCPCS,C1713,ROD ALLOY W HEX TI 5.5X510MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD BULLETED FLEX ST 5.5X250MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD BULLETED HEX ST 5.5X175MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD BULLETED HEX ST 5.5X200MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD BULLETED HEX ST 5.5X225MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD BULLETED HEX ST 5.5X275MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD BULLETED HEX ST 5.5X300MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CANN BLNT 5.0X335MM,1823.26,1458.61,1.0,1640.93,27
HCPCS,C1713,ROD CERV OCCIPUT TI 3.5X230MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,ROD COCR CREO ESR ST 5.5X300MM,2376.0,1900.8,1.0,2138.4,27
HCPCS,C1713,ROD COCR CREO ESR ST 5.5X500MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,ROD COCR CREO ESR ST 5.5X600MM,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,ROD COCR ELLIPSE ST 3.5X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,ROD COCR HI HX 4.75X4.5X510MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD COCR TL RELINE-O 6.0X500MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,ROD COCR UNID EXP LV 5.5MM +4,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,ROD COCR UNID EXP LV 6.0MM 4+,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,ROD COCR UNID LV 5.5MM +4,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,ROD COCR UNID LV 6.0MM +4,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X110,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X120,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X130,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X140,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X150,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X30,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT BULLET DENALI 5.5X90,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD CONT DENALI 5.5X100MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DENALI 5.5X125MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DENALI 5.5X150MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DENALI 5.5X50MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DENALI 5.5X60MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DENALI 5.5X70MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DENALI 5.5X80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CONT DUAL HEX 5.5X500MM,2415.6,1932.48,1.0,2174.04,27
HCPCS,C1713,ROD CONT DUAL HEX TI 6.0X500MM,2415.6,1932.48,1.0,2174.04,27
HCPCS,C1713,ROD CONT DUAL HEXDENALI5.5X500,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD CONT HEX DENALI 5.5X500MM,2415.6,1932.48,1.0,2174.04,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X100MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X110MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X120MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X25MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X45MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X55MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X65MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X75MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X85MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 3.5X90MM,1549.8,1239.84,1.0,1394.82,27
HCPCS,C1713,ROD CONT YUKON OCT 4.0X240MM,1440.6,1152.48,1.0,1296.54,27
HCPCS,C1713,ROD CONT YUKON OCT 4.0X80MM,1440.6,1152.48,1.0,1296.54,27
HCPCS,C1713,ROD CP W HEX TI 5.5X510MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CT CLAMP ELLIPSE LFT5.5MM,2268.0,1814.4,1.0,2041.2,27
HCPCS,C1713,ROD CT U-CLAMP ELLIPSE RT5.5MM,3402.0,2721.6,1.0,3061.8,27
HCPCS,C1713,ROD CURV CREO TI 5.5X30MM,810.0,648.0,1.0,729.0,27
HCPCS,C1713,ROD CURV CREO TI 5.5X60MM,810.0,648.0,1.0,729.0,27
HCPCS,C1713,ROD CURV HI 4.75X4.75X510MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD CURV LNK MISPATHLOC6.0X120,1218.0,974.4,1.0,1096.2,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X100MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X105MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X110MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X115MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X120MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X125MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X130MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X35MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X40MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X45MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X50MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X55MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X60MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X65MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X70MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X75MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV POLARIS TI 5.5X90MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD CURV QUARTEX COCR 4.0X120M,1289.4,1031.52,1.0,1160.46,27
HCPCS,C1713,ROD DUAL SYMPY TI 4-5.5X420MM,2268.0,1814.4,1.0,2041.2,27
HCPCS,C1713,ROD EVEREST TI 5.5X500MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD FUSN VERSALINK 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD FUSN VERSALINK 70MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD FUSN VERSALINK 90MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD LESS CURV HI 4.75X4.75X510,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD LNGTD II PERC ST 5.5X360MM,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X100MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X40MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X45MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X50MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD INVICTUS TI 3.5X80MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD INVICTUS TI 4.0X100MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD INVICTUS TI 4.0X90MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PREBENT VPR TI 140MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X100MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X110MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X120MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X130MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X30MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X45MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X60MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X70MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD LORD PSTR TI 5.5X90MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD LORD RELINE TI 5.5X65MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD LP ADJX-CONRELINE5.5 35-42,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,ROD LP ADJX-CONRELINE5.5 45-65,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X100MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X110MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X120MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X130MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X140MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X150MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X40MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X45MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X50MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X55MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X60MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X65MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X70MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X75MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X80MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X85MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X90MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS CURV CREO TI 5.5X95MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X30,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X35,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X40,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X45,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X50,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORD INVICTUS TI5.5X70,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORD INVICTUSTI5.5X100,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X35,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X55,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X60,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X65,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X75,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS LORDINVICTUSVI2 5.5X90,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X150MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X160MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X170MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X180MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X190MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X210MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO COCR 5.5X230MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X100MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X110MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X120MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X130MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X140MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X150MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X160MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X180MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X190MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X200MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X210MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X220MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X230MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X240MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X250MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X260MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X270MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X280MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X290MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X300MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X350MM,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X40MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X50MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X60MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X65MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X70MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X75MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X80MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X85MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X90MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST CREO TI 5.5X95MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,ROD MIS ST INVICTUS TI 5.5X300,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MISLORDINVICTUSVI2 5.5X100,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MISLORDINVICTUSVI2 5.5X110,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MISLORDINVICTUSVI2 5.5X120,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD MORE CURV HI 4.75X4.75X510,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD MTX TI CURV 5.5X30MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD MTX TI CURV 5.5X45MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD MTX TI CURV 5.5X50MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD MTX TI CURV 5.5X65MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD MTX TI CURV 5.5X70MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD MTX TI CURV 5.5X80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD MTX TI ST 5.5X200MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD OC FUSN 110D 3.5X240MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD OC QUARTEX 115 4.0X240MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,ROD OCC QTEX COCR 100D4X240,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD OCCIPITO QUARTEX LFT 4.0,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,ROD OCCIPITO QUARTEX RT 4.0,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,ROD OFFSET MAGEC 2 5.0X90MM,42000.0,33600.0,1.0,37800.0,27
HCPCS,C1713,ROD OFFSET MAGEC 2 5.5X70MM,42000.0,33600.0,1.0,37800.0,27
HCPCS,C1713,ROD OFFSET MAGEC 2 5.5X90MM,42000.0,33600.0,1.0,37800.0,27
HCPCS,C1713,ROD OFFSET OPEN CREO NXT5.5X15,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X100,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X110,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X120,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X130,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X140,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X150,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X160,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X170,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X180,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 7.5X90,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X110,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X120,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X130,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X140,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X150,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X160,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X170,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PELVIC CURVAFIX IM 9.5X180,10270.0,8216.0,1.0,9243.0,27
HCPCS,C1713,ROD PLATE OCCIPUT TI 4.0X230MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,ROD PLATE OCCIPUTTI100D4X240MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1713,ROD POLARIS HX 4.75X4.5X510,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD POLARIS TI ST SMTH 5.5X300,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD POLARIS TI ST SMTH 5.5X510,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD PRE-LORD DEPU 3.5X30MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRE-LORD DEPU 3.5X40MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRE-LORD DEPU 3.5X75MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRE-LORD DEPU 3.5X85MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRE-LORDOSED W LN 80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X100,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X110,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X120,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X130,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X140,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X150,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X160,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X180,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X35,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X45,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X50,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X55,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X60,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X65,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X70,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X75,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X80,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBEAR HEX EDGE 6.0X90,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT ANT OFFSET 15D 40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT ANT OFFSET 15D 50,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT ANT OFFSET 30D 40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT ANT OFFSET 30D 50,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT LNK MIS STER6.0X40,1218.0,974.4,1.0,1096.2,27
HCPCS,C1713,ROD PREBENT LNK MIS STER6.0X80,1218.0,974.4,1.0,1096.2,27
HCPCS,C1713,ROD PREBENT OFFSET 15D 40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT OFFSET 15D 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT OFFSET 30D 40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT OFFSET 30D 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT VERSALINK 15D 40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT VERSALINK 15D 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT VERSALINK 30D 40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT VERSALINK 30D 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD PREBENT YUKON OCT 4.0X80,2433.6,1946.88,1.0,2190.24,27
HCPCS,C1713,ROD PREL FIREBIRD 80MM,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD PRELORD SYMPY 32-35MM,2428.0,1942.4,1.0,2185.2,27
HCPCS,C1713,ROD PRELORD SYMPY 35-40MM,2428.0,1942.4,1.0,2185.2,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X30MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X35MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X50MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X55MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X65MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X70MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X75MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X80MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X85MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD PRELORD SYMPY 4.0X95MM,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,ROD PT SPECFIC UNIDTI5.5-6.0MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,ROD RAD MAX MANTIS 6X80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD REAMING BALL W EXT2.5X1150,573.39,458.72,1.0,516.05,27
HCPCS,C1713,ROD REVERE CONT 5.5X600MM,2825.6,2260.48,1.0,2543.04,27
HCPCS,C1713,ROD REVERE CURV CONETIP 5X45MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD REVERE CURV CONETIP 5X50MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD REVERE CURV CONETIP 5X75MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD REVERE CURV CONETIP 5X80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD REVERE CURVCONETIP5.5X55MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD RUSH 1/8X8.5 SZJ*DISC*,612.0,489.6,1.0,550.8,27
HCPCS,C1713,ROD RUSH ZIMM 1/8X5.5*DISC*,612.0,489.6,1.0,550.8,27
HCPCS,C1713,ROD S COCR INVICTUS 5.5X500MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD S COCR INVICTUS 6.0X500MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD SLIM PEMD 3.2X160MM,5314.4,4251.52,1.0,4782.96,27
HCPCS,C1713,ROD SLIM PEMD 3.2X240MM,5314.4,4251.52,1.0,4782.96,27
HCPCS,C1713,ROD SLIM PEMD 3.2X260MM,4830.0,3864.0,1.0,4347.0,27
HCPCS,C1713,ROD SLIM PEMD 3.2X280MM,4830.0,3864.0,1.0,4347.0,27
HCPCS,C1713,ROD SPNL CARBOCLEAR ST 5 6X270,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1713,ROD SPNL CARBOCLEARCURV6.0X280,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1713,ROD SPNL CASPIAN 115D3.5X125MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD SPNL CASPIAN ST 3.5X240MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD SPNL CASPIAN ST3.5-5.5/6MM,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1713,ROD SPNL CASPIAN TI3.5-5.5X500,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD SPNL CONT COCR ESR 5.5X450,2688.0,2150.4,1.0,2419.2,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X100,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X30,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X40,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X45,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X65,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X80,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL CONT MARINER 5.5X90,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD SPNL OFFSET 5.5X300MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD SPNL ST DUAL HEX 5.5X500MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD SPNL ST DUALHEXSTOP5.5X500,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD SPNL ST MARINERCOCR5.5X500,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,ROD SPNL TI OASYS 3.5X120MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD SPNL TI OASYS 3.5X350MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD ST ANT OFFSET 0D 40MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST ANT OFFSET 0D 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST ANT OFFSETVERSALINK0D90,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST CREO TI 5.5X45MM,810.0,648.0,1.0,729.0,27
HCPCS,C1713,ROD ST CREO TI 5.5X80MM,810.0,648.0,1.0,729.0,27
HCPCS,C1713,ROD ST DENALI 5.5X200MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD ST HI HX 4.75X4.75X510MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD ST INVICTUS COCR 5.5X500MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD ST INVICTUS TI 3.5X120MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD ST INVICTUS TI 3.5X240MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD ST INVICTUS TI 4.0X120MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD ST INVICTUS TI 4.0X240MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,ROD ST INVICTUS TI 5.5X200MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD ST INVICTUS TI 5.5X500MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD ST INVICTUS TI 6.0X200MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD ST OFFSET VERSALINK 0D40MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST OFFSET VERSALINK 0D50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST OFFSET VERSALINK 0D90MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST QUARTEX COCR 4.0X240M,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,ROD ST RELINE TI 5.0X500MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD ST RELINE TI 5.5X500MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD ST TI HX 4.75X4.75X510MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD ST TI ORTF 5.5X140MM,724.5,579.6,1.0,652.05,27
HCPCS,C1713,ROD ST VERSALINK 40MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST VERSALINK 50MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD ST VERSALINK 90MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD STD MAGEC 2 5.0X90MM,42000.0,33600.0,1.0,37800.0,27
HCPCS,C1713,ROD STD MAGEC 2 5.5X70MM,42000.0,33600.0,1.0,37800.0,27
HCPCS,C1713,ROD STD MAGEC 2 5.5X90MM,42000.0,33600.0,1.0,37800.0,27
HCPCS,C1713,ROD STD ST HX 4.75X4.75X510MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1713,ROD SYNAPSE TI 3.5/5.0X300MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1713,ROD SYNAPSE TI 3.5/6.0X300MM,2268.0,1814.4,1.0,2041.2,27
HCPCS,C1713,ROD SYS PROMIS RPSP 50MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1713,ROD SYS PROMIS RPSP 60MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1713,ROD SYS PROMIS RPSP 75MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1713,ROD TI ES2 ST 4.4X90MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X110MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X120MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X133MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X140MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X150MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X160MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X170MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X180MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X190MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X60MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X70MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI ES2 ST 5.5X80MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD TI QUARTEX 4.0-6.0X800MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,ROD TI S INVICTUS 5.5X400MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD TI S INVICTUS 5.5X500MM,152.5,122.0,1.0,137.25,27
HCPCS,C1713,ROD TI S INVICTUS 6.0X500MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,ROD TI SYNT CURV 3.5X80MM,846.0,676.8,1.0,761.4,27
HCPCS,C1713,ROD TL CLAMP ELLIPSE RT 3.5MM,2268.0,1814.4,1.0,2041.2,27
HCPCS,C1713,ROD TPR QUARTEX 4 -5.5X200MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,ROD TPR QUARTEX COCR 5.5X350M,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,ROD TURRET EXT PRSP 55MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD TURRET EXT PRSP 70MM,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X35,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X40,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X45,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X50,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X55,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X60,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X65,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X70,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X75,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X80,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X85,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X90,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERC TIST5.5X95,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.*NLU*,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X100,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X105,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X110,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X115,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X125,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X130,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X140,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X150,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X160,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X170,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X180,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X190,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER AL PERCTIST5.5X200,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5 X125MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5 X65MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X100MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X110MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X115MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X120MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X30MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X55MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X60MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X75MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X80MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X85MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X90MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CAP CMC 5.5X95MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CCM CAP 5.5X35MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CCM CAP 5.5X40MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CCM CAP 5.5X45MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER CCM CAP 5.5X50MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X 85MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X100MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X105MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X110MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X115MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X120MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X125MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X130M*NLU*,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X140MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X150MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X160MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X170MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X180MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X190MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X30MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X35MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X40MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X45MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X50MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X55MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X60MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X65MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X70MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X75MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X80MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X90MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC 5.5X95MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X100MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X105MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X110MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X115MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X120MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X125MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X130MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X140MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X150MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X160MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X170MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X180MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X190MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X200MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X35MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X40MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X45MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X50MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X55MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X60MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X65MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X70MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X75MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X80MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X85MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X90MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC CMC 5.5X95MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X30MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X35MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X40MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X45MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X50MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X55MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X60MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X65MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X70MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X75MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X80MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X85MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X90MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TI AL5.5X95MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X100MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X105MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X110MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X115MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X120MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X125MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X130MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X140MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X150MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X160MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X170MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X180MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X190MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PERC TIAL5.5X200MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PREBENT CAP 30MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD VOYAGER PREBENT CAP 70MM,2016.0,1612.8,1.0,1814.4,27
HCPCS,C1713,ROD W HEX HARD S*DISC NO REPL*,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD W HEX MD SS *DISC NO REPL*,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD W HEX XHARD *DISC NO REPL*,747.0,597.6,1.0,672.3,27
HCPCS,C1713,ROD Z OFFSET TI 6.0 12X100-200,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,ROD Z OFFSETCOCR5.5 12X100-200,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1713,ROOT REPAIR KT MENISCSUTURELOC,6161.23,4928.99,1.0,5545.11,27
HCPCS,C1713,SCAF BONE ACCUFILL BSM PF 3CC,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1713,SCAF BONE AERIDYAN STER SM 3CC,3647.08,2917.67,1.0,3282.37,27
HCPCS,C1713,SCAF BONE ARM STBL 22/13X140MM,13152.05,10521.64,1.0,11836.85,27
HCPCS,C1713,SCAF BONE BG MTX 12.5CC 10CM,10399.77,8319.82,1.0,9359.79,27
HCPCS,C1713,SCAF BONE CRANIOSCULPT-FLOW5CC,3369.8,2695.84,1.0,3032.82,27
HCPCS,C1713,SCAF BONE FIBERGRAFT BG 12.5CC,10399.77,8319.82,1.0,9359.79,27
HCPCS,C1713,SCAF BONE HYDROSET XT 10CC,7438.39,5950.72,1.0,6694.55,27
HCPCS,C1713,SCAF BONE HYDROSET XT 15CC,10672.48,8537.99,1.0,9605.23,27
HCPCS,C1713,SCAF BONE HYDROSET XT 3CC,2946.37,2357.1,1.0,2651.73,27
HCPCS,C1713,SCAF BONE HYDROSET XT 5CC,4179.45,3343.56,1.0,3761.51,27
HCPCS,C1713,SCAF BONE MINI IGNITE 2.0 4CC,5067.3,4053.84,1.0,4560.57,27
HCPCS,C1713,SCAF BONE NORIAN*DISC 6336084*,6816.04,5452.84,1.0,6134.44,27
HCPCS,C1713,SCAF BONE PRO-DENSE 2CC,2990.4,2392.32,1.0,2691.36,27
HCPCS,C1713,SCAF BONE PRO-DENSE 5CC,6007.4,4805.92,1.0,5406.66,27
HCPCS,C1713,SCAF BONE PRO-DENSE CDK 15CC,13490.4,10792.32,1.0,12141.36,27
HCPCS,C1713,SCAF BONE PUTTY ATTRAX 10CC,5376.0,4300.8,1.0,4838.4,27
HCPCS,C1713,SCAF BONE PUTTY FIBERGRAFT 4CC,3428.04,2742.44,1.0,3085.24,27
HCPCS,C1713,SCAF BONE PUTTY HEMASORB 4GM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCAF BONE PUTTY MONTAGE 5CC,5457.2,4365.76,1.0,4911.48,27
HCPCS,C1713,SCAF BONE PUTTY MONTAGE FS 5CC,5457.2,4365.76,1.0,4911.48,27
HCPCS,C1713,SCAF BONE PUTTY MONTAGE MP 2CC,1011.38,809.11,1.0,910.24,27
HCPCS,C1713,SCAF BONE PUTTY MONTAGEFABL8CC,7797.4,6237.92,1.0,7017.66,27
HCPCS,C1713,SCAF BONE PUTTY SIGNIFY 10CC,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCAF BONE PUTTY SIGNIFY 5CC,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1713,SCAF BONE PUTTYFIBERGRAFTGPS11,7957.95,6366.36,1.0,7162.16,27
HCPCS,C1713,SCAF BONEPUTTYFIBERGRAFTGPS6CC,5142.06,4113.65,1.0,4627.85,27
HCPCS,C1713,SCAF CAGE PCL >5CM-10CM,34200.0,27360.0,1.0,30780.0,27
HCPCS,C1713,SCAFBONENORIANDR*DISC 6335590*,2416.13,1932.91,1.0,2174.52,27
HCPCS,C1713,SCAFBONENORIANDR*DISC 6336083*,3467.72,2774.18,1.0,3120.95,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X30MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 5.0X40MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X25MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X30MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X35MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X40MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X45MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 6.0X50MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X30MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X35MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X40MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X45MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 7.0X50MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X50MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X55MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X60MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW 5.5 EXP VERSE 8.0X70MM,3164.8,2531.84,1.0,2848.32,27
HCPCS,C1713,SCREW ACUTRAK STD 20MM,1768.2,1414.56,1.0,1591.38,27
HCPCS,C1713,SCREW AEGIS DEPU 5.2X28MM,1635.9,1308.72,1.0,1472.31,27
HCPCS,C1713,SCREW AEGIS DEPU 5.2X36MM,1635.9,1308.72,1.0,1472.31,27
HCPCS,C1713,SCREW AEGIS DEPU 5.5X21MM,1635.9,1308.72,1.0,1472.31,27
HCPCS,C1713,SCREW AEGIS DEPU 5.5X24MM,1635.9,1308.72,1.0,1472.31,27
HCPCS,C1713,SCREW ALIGNMENT ADIRA GRNM4.5,2454.4,1963.52,1.0,2208.96,27
HCPCS,C1713,SCREW ANCHOR JB DUALTOP 1.4X8,783.0,626.4,1.0,704.7,27
HCPCS,C1713,SCREW ANCHOR JB DUALTOP 1.6X6,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW ANCHOR JB DUALTOP 1.6X8,783.0,626.4,1.0,704.7,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X46,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X48,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X50,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X52,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X54,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X56,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X58,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHOR REVCON STER4.0X60,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X10,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X12,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X14,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X16,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X18,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X20,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X22,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X24,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X26,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X28,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X30,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X32,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X34,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X36,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X38,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3.5X40,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X10MM,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X12MM,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X14MM,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X16MM,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X18MM,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X20MM,836.24,669.0,1.0,752.62,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X22MM,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X24MM,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X26MM,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X28MM,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE LK 3X30MM,820.53,656.43,1.0,738.48,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X10MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X12MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X14MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X16MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X18MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X20MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X22MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X24MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X28MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X30MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X34MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X38MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3.5X40MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X10MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X12MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X14MM,555.53,444.43,1.0,499.98,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X16MM,555.53,444.43,1.0,499.98,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X20MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X24MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X26MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X28MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD 3X30MM,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW ANCHORAGE STD3.5X32*NLU*,513.95,411.16,1.0,462.56,27
HCPCS,C1713,SCREW ANTIROTATION 5X100MM,2009.7,1607.76,1.0,1808.73,27
HCPCS,C1713,SCREW ANTIROTATION FEMSTER75MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATION FEMSTER80MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATION FEMSTER85MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATION FEMSTER90MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATION FEMSTER95MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER100MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER105MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER110MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER115MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ANTIROTATIONFEMSTER120MM,985.32,788.26,1.0,886.79,27
HCPCS,C1713,SCREW ASSURE RIGID ST 4.5X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ASSURE RIGID ST 4X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ASSURE RIGID ST 4X18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ASSURE RIGID ST 4X20MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ASSURE STAND SD 4X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ASSURE STAND SD 4X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ASSURE STAND SD 4X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW ATLANTIS SLFDR FIX4X14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR FIX4X15MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR FIX4X16MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR FIX4X17MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X13MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X15MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X16MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFDR VAR4X17MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFTP FIX4X13MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFTP FIX4X16MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFTP FIX4X17MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFTP FIX4X18MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTIS SLFTP VAR4X15MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTISSLFDRFIX4.5X15MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTISSLFDRVAR4.5X13MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTISSLFDRVAR4.5X15MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTISSLFDRVAR4.5X17MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW ATLANTISSLFTPVAR4.5X13MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW AUTO-DRIVE OSTE 2X5MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X26,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X28,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X30,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X32,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X34,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X36,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X38,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X40,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X42,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X44,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X46,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X48,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X50,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X54,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X58,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 3.5X60,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X26,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X32,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X34,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X36,2796.8,2237.44,1.0,2517.12,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X38,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X40,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X48,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X50,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X52,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BEV FULL THRD 4.0X54,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW BOLT EXTL FIX SCHANZPOST,1052.94,842.36,1.0,947.65,27
HCPCS,C1713,SCREW BONE 20MM THRD 3.0X100MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE 20MM THRD 3.0X60MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE 25MM THRD 3.0X60MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE 25MM THRD 3.0X80MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE 30MM THRD 3.0X100MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE 30MM THRD 3.0X80MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE 40MM THRD 3.0X100MM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1713,SCREW BONE REMOV ANK INBONE,895.5,716.4,1.0,805.95,27
HCPCS,C1713,SCREW BONE SPEL 5.5X25MM,1087.8,870.24,1.0,979.02,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X10MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X11MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X12MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X13MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X14MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X15MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X16MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X18MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X20MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X22MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X24MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X5MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X6MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X7MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X8MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T5 1.7X9MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X10MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X11MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X12MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X13MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X14MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X15MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X16MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X18MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X20MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X22MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X24MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X26MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X6MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X8MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE STRY T6 2.3X9MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW BONE T10 FULLTHRD3.5X8MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X10MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X12MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X14MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X16MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X18MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X20MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X22MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X24MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X26MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X28MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X30MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X32MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X38MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X46MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X55MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X65MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD2.7X70MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X10MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X12MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X14MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X16MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X18MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X20MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X22MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X24MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X26MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X28MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X30MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X32MM,430.94,344.76,1.0,387.85,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X34MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X36MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X38MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X40MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X42MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X44MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X46MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X48MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X50MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X55MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X60MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X65MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE T10FULLTHRD3.5X70MM,498.15,398.52,1.0,448.34,27
HCPCS,C1713,SCREW BONE TAN 4.5X20MM,1192.8,954.24,1.0,1073.52,27
HCPCS,C1713,SCREW BONE TAN 4.5X30MM,1192.8,954.24,1.0,1073.52,27
HCPCS,C1713,SCREW BONE TITANIX LAG 4.0X48,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1713,SCREW BONE TRIL 2.0X10MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 2.0X12MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 2.4X20MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3.0X24MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3.0X26MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3.0X40MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3X16MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3X18MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3X20MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3X22MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3X28MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE TRIL 3X30MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW BONE UNICORT TI 2.8X10.0,886.5,709.2,1.0,797.85,27
HCPCS,C1713,SCREW BONE UNICORT TI 2.8X12.0,886.5,709.2,1.0,797.85,27
HCPCS,C1713,SCREW BONE UNICORT TI 2.8X5.0,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW BONE UNICORT TI 2.8X7.0,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW BONE UNICORT TI 2.8X8.0,886.5,709.2,1.0,797.85,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X10MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X12MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X14MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X16MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X4MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X5MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X6MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X7MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X8MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BONE VARIAX 1.2X9MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW BRIGADE 5.5X20.0MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW BRIGADE 5.5X25.0MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW CAN LOPRO ARTX 3.0X10MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN 16MM THRD 5X70MM,1008.0,806.4,1.0,907.2,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X100MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X105MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X110MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X115MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X120MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X125MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X130MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X30MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X35MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X40MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X45MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X50MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X55MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X60MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X65MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X70MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X75MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X80MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X85MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X90MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 16MM THRD 6.5X95MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN 3X24MM,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN 7.3X16X155MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN 7.3X16X165MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN 7.3X16X170MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN 7.3X32X160MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN 7.3X32X165MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN ANK COMP T2 STRY,750.33,600.27,1.0,675.3,27
HCPCS,C1713,SCREW CANN ARSENAL 4.0X34MM,1071.0,856.8,1.0,963.9,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X105,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X65,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X20X90,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X60,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X65,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X70,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X75MM,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X80,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X90MM,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 SS 6.5X40X95,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 STERTI6.5X20X70,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 STERTI6.5X20X75,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 TI 6.5X20X80,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN AS3 TI 6.5X40X80,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X24MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X28MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X30MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X32MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X34MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X36MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X38MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X40MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X42MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X44MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN BLNT LOPRO 4X50MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X40*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X45*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X50*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X55*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X60*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X65*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X70*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X75*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X80*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X85*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS 8X24X90*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS PART 4.0X26MM,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS PART 4.0X28MM,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X10,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X12,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X14,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X16,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X18,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X20,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X22,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X24,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X26,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X28,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X30,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X40,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X42,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X46,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X50,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X55,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS T15FULL4.0X60,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN CNCLS8X24X100*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLS8X24X105*DISC*,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN CNCLST15FULL4.0X44,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CANN COMP JFX 5.0X55MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X21MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X26MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN COMP SLFDR 2.3X28MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN COMP*DISC NO REPL*,1261.26,1009.01,1.0,1135.13,108
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X40,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X45,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X50,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X55,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X60,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X65,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X70,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X75,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X80,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X85,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X90,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC HEX SMTH 5X95,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X50MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X55MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X60MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X65MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X70MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X75MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X80MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X85MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC PART 7.3X90MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X05MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X50MM,901.53,721.23,1.0,811.38,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X55MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X60MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X65MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X70MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X75MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X80MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X85MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X90MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC SYNT 7.3X95MM,924.21,739.37,1.0,831.79,27
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X6X10,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X12,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X14,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X16,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD 3.7X8X18,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X20,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X22,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X24,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X26,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X28,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X15X30,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X32,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X34,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X36,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X38,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X40,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X42,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X44,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X46,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X48,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X50,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X52,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X54,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X56,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X58,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X60,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X65,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X70,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X75,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X80,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X85,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X90,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC THRD3.7X25X95,478.49,382.8,1.0,430.64,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X30MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X35MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X40MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X45MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X50MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X55MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X60MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X65MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CONIC ZIMM 3.5X70MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW CANN CORRIDOR 3.5X36MM,1953.0,1562.4,1.0,1757.7,27
HCPCS,C1713,SCREW CANN CORRIDOR 3.5X40MM,1953.0,1562.4,1.0,1757.7,27
HCPCS,C1713,SCREW CANN CORRIDOR 3.5X42MM,1953.0,1562.4,1.0,1757.7,27
HCPCS,C1713,SCREW CANN CORRIDOR 4.0X34MM,1953.0,1562.4,1.0,1757.7,27
HCPCS,C1713,SCREW CANN CORT 3.5X10MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X12MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X14MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X16MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X18MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X20MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X22MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X24MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X26MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X28MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X30MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X32MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X34MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X36MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X38MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X40MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X42MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X44MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X46MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X48MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X50MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X55MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X60MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X65MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CORT 3.5X70MM*DISC*,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW CANN CREO ANG 10.5X85MM,3262.0,2609.6,1.0,2935.8,27
HCPCS,C1713,SCREW CANN CREO ANG 8.5X85MM,3262.0,2609.6,1.0,2935.8,27
HCPCS,C1713,SCREW CANN CREO ANG 8.5X90MM,3262.0,2609.6,1.0,2935.8,27
HCPCS,C1713,SCREW CANN CREO ANG 9.5X85MM,3262.0,2609.6,1.0,2935.8,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X34,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X36,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X40,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X50,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X52,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X58,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 3.5X60,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 4.5X75,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X46,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X75,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X85,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI 5.5X95,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI4.5X100,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULL TI5.5X110,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ FULLSTER5.5X50,1551.69,1241.36,1.0,1396.52,27
HCPCS,C1713,SCREW CANN CSS+ LNG STER4.5X90,1551.69,1241.36,1.0,1396.52,27
HCPCS,C1713,SCREW CANN CSS+ LNG STER5.5X48,1551.69,1241.36,1.0,1396.52,27
HCPCS,C1713,SCREW CANN CSS+ LNG STER5.5X55,1551.69,1241.36,1.0,1396.52,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X26,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X30,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X34,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X44,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 3.5X48,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X36,1466.35,1173.08,1.0,1319.72,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X44,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 4.5X90,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X32,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X36,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X40,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X42,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X44,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X46,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X60,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X75,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ LNG TI 5.5X80,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X10,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X12,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X14,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.0X16,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 2.5X16,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X26,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X36,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X38,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X42,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X44,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X50,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 3.5X52,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X46,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X48,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X55,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X60,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X70,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 4.5X75,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 5.5X48,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 5.5X50,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+ SHRT TI 5.5X55,1409.94,1127.96,1.0,1268.95,27
HCPCS,C1713,SCREW CANN CSS+SHRT STER4.5X65,1551.69,1241.36,1.0,1396.52,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X12,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X18,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X20,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X22,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X24,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X26,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X28,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X30,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X32,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X34,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X36,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.0X38,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X14,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X16,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X36,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X42,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X44,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT3.5X46,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT4.0X38,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT4.0X40,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT4.0X42,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT4.0X44,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW CANN DARTFIRE SHRT4.0X50,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X26MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X30MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X32MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X34MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X36MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X38MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL ARTX 3.75X40MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X100,1425.1,1140.08,1.0,1282.59,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X105,1425.1,1140.08,1.0,1282.59,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X110,1425.1,1140.08,1.0,1282.59,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X130,1853.04,1482.44,1.0,1667.74,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X145,1853.04,1482.44,1.0,1667.74,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X155,1853.04,1482.44,1.0,1667.74,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X180,1853.04,1482.44,1.0,1667.74,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X85,1425.1,1140.08,1.0,1282.59,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 6.5X90,1425.1,1140.08,1.0,1282.59,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X135,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X140,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X150,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X155,1922.51,1538.01,1.0,1730.26,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X180,1922.51,1538.01,1.0,1730.26,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X70,1478.86,1183.09,1.0,1330.97,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X75,1478.86,1183.09,1.0,1330.97,27
HCPCS,C1713,SCREW CANN FULL AS3 SS 8.0X80,1478.86,1183.09,1.0,1330.97,27
HCPCS,C1713,SCREW CANN FULL AS3 TI 4.0X40,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X14,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X20,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X22,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X24,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X26,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X28,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X30,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 2.5X35,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X14,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X16,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X22,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X24,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X28,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X30,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X32,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X34,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X36,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X38,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X40,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X44,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 3.5X50,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X36,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X38,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X44,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 4.5X50,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 5.5X50,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X100,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X70,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X75,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,SCREW CANN FULL FUZEFIX 7X80,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,SCREW CANN FULL ORPE 4.0X60MM,1118.88,895.11,1.0,1006.99,27
HCPCS,C1713,SCREW CANN FULL ORPE 4.0X65MM,1118.88,895.11,1.0,1006.99,27
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X50MM,1331.4,1065.12,1.0,1198.26,27
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X60MM,1333.92,1067.14,1.0,1200.53,27
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X70MM,1333.92,1067.14,1.0,1200.53,27
HCPCS,C1713,SCREW CANN FULL ORPE 4.5X80MM,1333.92,1067.14,1.0,1200.53,27
HCPCS,C1713,SCREW CANN FULL ORPE 5.0X75MM,1505.28,1204.23,1.0,1354.75,27
HCPCS,C1713,SCREW CANN FULL STER 7.3X155MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN FULL STER7.3X16X160,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN FULL STER7.3X16X175,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN FULL SYNT 6.5X85MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL SYNT 6.5X90MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL SYNT 6.5X95MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X10MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X12MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X14MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X16MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X18MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X20MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X22MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X24MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X26MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X28MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X30MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X32MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X34MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X36MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X38MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X42MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X46MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 3.5X48MM,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X20MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X22MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X24MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X26MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X28MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X30MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X32MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X34MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X36MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X38MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X40MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X42,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X42MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X44MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X46MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X48MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X50MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X52MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X54MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X56MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X60MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X64MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X68MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 4.5X72MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X100MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X30MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X32MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X34MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X36MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X38MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X40MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X42MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X44MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X46MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X48MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X50MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X55MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X60MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X65MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X75MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X80MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X85MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X90MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 5.0X95MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X140MM,726.8,581.44,1.0,654.12,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X150MM,726.8,581.44,1.0,654.12,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X160MM,726.8,581.44,1.0,654.12,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X170MM,726.8,581.44,1.0,654.12,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X180MM,726.8,581.44,1.0,654.12,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X20MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD 6.5X25MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X100MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X105MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X110MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X115MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X120MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X125MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X130MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X135MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X140MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X145MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X150MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X155MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X170MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X175MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X180MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X20MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X25MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X30MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X35MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X40MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X45MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X50MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X55MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X60MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X65MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X75MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X80MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X85MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X90MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD 7.3X95MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X30,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X35,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X40,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X45,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X50,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X55,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X60,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X65,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X70,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X75,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS 6.5X80,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X100,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X105,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X110,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X115,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X120,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X125,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD SS6.5X130,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X30,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X35,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X40,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X45,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X50,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X55,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X60,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X65,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X70,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X75,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI 6.5X80,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X100,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X105,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X110,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X115,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X120,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X125,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRD TI6.5X130,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL THRDSYNT3.5X40,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL THRDSYNT3.5X44,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN FULL ZIMM 6.5X85MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL ZIMM 6.5X90MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULL ZIMM 6.5X95MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN FULLAS3STERTI4.0X30,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN FULLAS3STERTI4.0X50,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN FULLTHRDSLFTP4.0X16,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN FULLTHRDSYNT3.5X50,521.73,417.39,1.0,469.56,27
HCPCS,C1713,SCREW CANN GD GROWTH 3.2X24MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW CANN GD GROWTH 3.2X32MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW CANN HD FULL FMED 6.5X75,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1713,SCREW CANN HD FULL FMED 6.5X80,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1713,SCREW CANN HD FULLTHRDLG5.5X38,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1713,SCREW CANN HD FULLTHRDLG5.5X50,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1713,SCREW CANN HD FULLTHRDLG5.5X65,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1713,SCREW CANN HD FULLTHRDLG7.0X65,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X42MM,2656.0,2124.8,1.0,2390.4,27
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X46MM,2656.0,2124.8,1.0,2390.4,27
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X52MM,2656.0,2124.8,1.0,2390.4,27
HCPCS,C1713,SCREW CANN HD FUZEFIX 4.0X55MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW CANN HD FUZEFIX LG4.0X40,2656.0,2124.8,1.0,2390.4,27
HCPCS,C1713,SCREW CANN HD FUZEFIX LG5.5X40,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1713,SCREW CANN HD FUZEFIX LG5.5X45,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1713,SCREW CANN HD FUZEFIX LG5.5X50,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1713,SCREW CANN HD FUZEFIX LG7.0X70,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X36,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X40,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X54,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW CANN HD LNG FMED 4.5X58,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW CANN HD MEDL 3.0X16MM,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1713,SCREW CANN HD MEDL 3.0X18MM,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1713,SCREW CANN HD MEDL 3.5X16MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN HD UNITE7.0X16X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CANN HDLSS MEDL 3.0X16MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1713,SCREW CANN HDLSS TIGER 2.4X44,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW CANN HDLSS TIGER4.5X65MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW CANN HDLSSSHRTTHRD2.5X14,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW CANN INTERFEFULL 9X30MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FTHRD10X30,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL 9X25,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL7X20MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL7X30MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL7X35MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL8X20MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL8X25MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER FULL9X20MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN INTERFER SHEATH7X20,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW CANN INTERFERFTHRD10X25M,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN LAG SHRT EXMD *NLU*,1680.0,1344.0,1.0,1512.0,54
HCPCS,C1713,SCREW CANN LCP LNG TI 4.0X40MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP LNG TI 4.0X44MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP LNG TI 4.0X48MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP LNG TI 4.0X54MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X28MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X30MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X32MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X34MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X36MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X38MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X40MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X42MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X44MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X46MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X48MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X50MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X52MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X56MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X60MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LCP SHRT TI 4X64MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X10MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X12MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X14MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X16MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X18MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X20MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X22MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X24MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X26MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X28MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X30MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X32MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X34MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X36MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X38MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X40MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X42MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X44MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X46MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X48MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X50MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X52MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X54MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X56MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X58MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X60MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X65MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X70MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X75MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X80MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X85MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X90MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK FULL 3.7X95MM,552.42,441.94,1.0,497.18,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X100,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X105,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X110,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X115,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X120,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X125MM,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X130,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X135,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X140,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X145,773.01,618.41,1.0,695.71,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X25,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X30MM,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X35,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X40,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X45,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X50,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X55,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X60,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X65,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X70,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X75,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X80,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X85,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X90,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK HEX THRD 5X95,748.44,598.76,1.0,673.6,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X30MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X35MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X40MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X45MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X50MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X55MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X60MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X65MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X70MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X75MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X80MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X85MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 3.5X90MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X70MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW CANN LK ZIMM 5.5X75MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW CANN LNG ACUM TI 4.0X54,940.5,752.4,1.0,846.45,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X30,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X35,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X40,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X45,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X50,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X55,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG ARTX SS 4.0X60,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X10,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X11,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X12,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X13,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X14,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X15,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X16,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X17,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X18,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X19,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X20,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X22,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X24,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X26,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X28,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 2.4X30,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X14,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X15,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X16,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X17,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X18,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X19,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X20,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X21,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X22,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X23,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X24,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X25,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X26,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X27,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X28,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X29,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X30,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X32,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X34,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X36,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X38,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG SYNT SS 3.0X40,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN LNG THRD 3.5X54MM,1128.33,902.67,1.0,1015.5,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X16MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X18MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X20MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X22MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X24MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X26MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X28MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X30MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X32MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X34MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3.0X36MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3X20MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3X24MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CANN LOPRO ARTX 3X26MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CANN LOPRO ARTX TI2.4X18,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CANN LOPRO FULL 4.5X76MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN LOPRO FULL 4.5X80MM,576.14,460.92,1.0,518.53,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X24,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X30,787.5,630.0,1.0,708.75,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X32,787.5,630.0,1.0,708.75,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X38,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X40,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X45,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X50,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X55,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X65,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO FULL TI4.5X75,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X16MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X20MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X24MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X28MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X32MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN LOPRO O/I 4.5X36MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X24,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X30,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X32,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X36,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X38,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X40,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X45,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X50,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X55,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X60,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X65,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X70,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO PART TI4.5X75,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO TI 4.5X24MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO TI 4.5X26MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO TI 4.5X28MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO TI 4.5X36MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,SCREW CANN LOPRO TI 4.5X60MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X100MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X105MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X110MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X120MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X40MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X45MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X50MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X65MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X75MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X80MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X85MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X90MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LOPRO TI 6.7X95MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN LTTCS TAN 7.0X60MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1713,SCREW CANN LTTCS TAN 7.0X70MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1713,SCREW CANN LTTCS TAN 7.0X80MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1713,SCREW CANN MD THRD 3.0X40MM,1105.44,884.36,1.0,994.9,27
HCPCS,C1713,SCREW CANN MD THRD 3.0X45MM,1105.44,884.36,1.0,994.9,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 2X18X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 2X28X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X12X4,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X16X4,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X20X9,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X23X10,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X24X10,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X26X12,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X26X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X27X12,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X28X12,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X28X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X30X14,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X30X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X32X14,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X32X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X34X16,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X34X7,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X36X16,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X36X7,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X38X18,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X38X8,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X40X18,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MICRO ASNIS 3X40X8,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANN MNSTR FULL 5.5X50MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR FULL 7.0X65MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR FULL 7.0X70MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR FULL 7.0X74MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X40MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X42MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X44MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X46MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X48MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X50MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X52MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X54MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X56MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X58MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X60MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X65MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X70MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X75MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X80MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X85MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 5.5X90MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X100MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X105MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X110MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X115MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X120MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X125MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X130MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X40MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X42MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X44MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X46MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X48MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X50MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X55MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X60MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X65MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X70MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X72MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X74MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X76MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X78MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X80MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X82MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X84MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X86MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X88MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X90MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR LNG 7.0X95MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR MD 7.0X80MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X26MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X28MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X30MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X32MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X34MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X36MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X38MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X40MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X42MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X44MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X46MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X48MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X52MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X54MM,1501.5,1201.2,1.0,1351.35,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X56MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X58MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X60MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X65MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X70MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X75MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 5.5X80MM,1622.25,1297.8,1.0,1460.03,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X36MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X38MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X42MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X46MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X48MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X60MM,1860.3,1488.24,1.0,1674.27,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X65MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X72MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X76MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X80MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X84MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X86MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X88MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X90MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTR SHRT 7.0X95MM,1965.6,1572.48,1.0,1769.04,27
HCPCS,C1713,SCREW CANN MNSTRSHRTBLNY5.5X40,2444.0,1955.2,1.0,2199.6,27
HCPCS,C1713,SCREW CANN MODLR CREO 5.5X35MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 5.5X40MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 5.5X45MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 5.5X50MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X30MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X35MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X40MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X45MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X50MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X55MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 6.5X60MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X35MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X40MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X45MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X50MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X55MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 7.5X60MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 8.5X70MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 8.5X80MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 8.5X85MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 8.5X90MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 8.5X95MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 9.5X80MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN MODLR CREO 9.5X90MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CANN O/I PLATE 4.5X20MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN O/I PLATE 4.5X24MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN O/I PLATE 4.5X28MM,1276.8,1021.44,1.0,1149.12,27
HCPCS,C1713,SCREW CANN ORPE 4.5X16MM,2028.6,1622.88,1.0,1825.74,27
HCPCS,C1713,SCREW CANN ORTHOLOC 4.0X35,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CANN ORTHOLOC 4.0X40,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CANN ORTHOLOC 4.0X50MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CANN OSTE 2.4X14MM,697.5,558.0,1.0,627.75,27
HCPCS,C1713,SCREW CANN OSTE 2.4X6MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW CANN OSTE 2X10MM,616.5,493.2,1.0,554.85,27
HCPCS,C1713,SCREW CANN OSTE 2X14MM,697.5,558.0,1.0,627.75,27
HCPCS,C1713,SCREW CANN OSTE 2X20MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,SCREW CANN OSTE 2X22MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,SCREW CANN OSTE 3X30MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW CANN OSTE 3X32MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW CANN OSTE 3X34MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW CANN OSTE 3X36MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW CANN OSTE 3X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN OSTE 4X30MM,598.5,478.8,1.0,538.65,27
HCPCS,C1713,SCREW CANN OSTE 4X44MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW CANN OSTE 4X48MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW CANN OSTE 4X52MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X30,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X35,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X40,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X45,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X50,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 5.5X55,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X25,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X30,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X35,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X50,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 6.5X55,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X25,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X30,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X35,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X40,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X45,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X50,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PA GRV TORX 7.5X55,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN PART ARTX 3.75X30MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN PART ARTX 3.75X32MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN PART ARTX 3.75X34MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN PART ARTX 3.75X36MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN PART ARTX 3.75X38MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN PART ARTX 3.75X40MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X100,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X110,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X115,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X120,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X125,1425.9,1140.72,1.0,1283.31,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X130,1853.67,1482.94,1.0,1668.3,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X135,1853.04,1482.44,1.0,1667.74,27
HCPCS,C1713,SCREW CANN PART AS3 SS 6.5X180,1853.04,1482.44,1.0,1667.74,27
HCPCS,C1713,SCREW CANN PART AS3 SS 8X25,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART AS3 SS8X40X170,1922.51,1538.01,1.0,1730.26,27
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X44,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X46,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X50,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PART AS3 TI 4.0X55,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PART ASNIS 8X85,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART ASNIS 8X90,1011.24,809.0,1.0,910.12,27
HCPCS,C1713,SCREW CANN PART SYNT 3.5X26MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART SYNT 3.5X30MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART SYNT 3.5X34MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART SYNT 3.5X44MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART SYNT 3.5X46MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART SYNT 3.5X50MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART SYNT 4.5X30MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART TAS3 TI 4.0X38,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X10MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X12MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X14MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X16MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X18MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X20MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X22MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X24MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X26MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X28MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X30MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X32MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X34MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X36MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X38MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X40MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X45MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X50MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X55MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X60MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X65MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.0X70MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X10MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X12MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X14MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X16MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X18MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X20MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X22MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X24MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X28MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X32MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X36MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X38MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X40MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X42MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 3.5X48MM,503.6,402.88,1.0,453.24,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X10MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X12MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X14MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X16MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X18MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X20MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X22MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X24MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X26MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X28MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X30MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X32MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X34MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X36MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X38MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X40MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X42MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X44MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X46MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X48MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X50MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X55MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X60MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X65MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.0X70MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X20MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X22MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X24MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X26MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X28MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X32MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X34MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X36MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X38MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X40MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X42MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X44MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X46MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X48MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X50MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X52MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X54MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X56MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X60MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X64MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X68MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 4.5X72MM,560.79,448.64,1.0,504.71,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X100MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X30MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X32MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X34MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X36MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X38MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X40MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X42MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X44MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X46MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X48MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X50MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X55MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X60MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X65MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X70MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X75MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X80MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X85MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X90MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 5.0X95MM,1044.0,835.2,1.0,939.6,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X100MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X105MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X110MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X115MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X120MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X125MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X130MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X70MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X75MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X80MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X85MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X90MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PART THRD 6.5X95MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X30,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X34,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X40,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PARTAS3 TI 4.0X65,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PARTAS3STERTI4.0X50,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PARTAS3STERTI4.0X55,648.72,518.98,1.0,583.85,27
HCPCS,C1713,SCREW CANN PROX TORNIERGLD5X40,1058.85,847.08,1.0,952.97,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X20,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X45,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X50,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X55,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X60,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X65,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X70,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X75,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X80,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X85,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X90,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10 THRD 7.3X95,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X100,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X105,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X110,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X115,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X120,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X125,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 10THRD 7.3X130,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X45,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X50,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X55,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X60,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X65,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X70,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X75,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X80,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X85,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20 THRD 7.3X95,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X100,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X105,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X110,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X115,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X120,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X125,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SCFE 20THRD 7.3X130,1068.98,855.19,1.0,962.08,27
HCPCS,C1713,SCREW CANN SHEATH 8X20MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW CANN SHEATH 8X25MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW CANN SHEATH 9X20MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X17MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X18MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X19MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X20MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X22MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X24MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X26MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X28MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 2.4X30MM,556.61,445.29,1.0,500.95,27
HCPCS,C1713,SCREW CANN SHRT THRD 4.0X42MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHRT THRD 4X30MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHRT THRD 4X35MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHRT THRD 4X40MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHRT THRD 4X45MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHRT THRD 4X55MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X10MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X11MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X12MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X13MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X14MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X15MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X16MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X17MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X18MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X19MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X20MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X21MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X22MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X23MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X24MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X25MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X26MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X27MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X28MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X29MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X30MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X32MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X34MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X36MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X38MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X40MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X8MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 3X9MM,566.37,453.1,1.0,509.73,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X10MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X12MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X14MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X16MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X18MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X20MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X22MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X24MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X26MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X28MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X30MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X32MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X34MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X36MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X38MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X40MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X42MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X44MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X46MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X48MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X50MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X52MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X54MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X56MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X58MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X60MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X64MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X68MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD SS 4X72MM,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X10MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X12MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X14MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X16MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X18MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X20MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X22MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X24MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHRT THRD TI 4X26MM,585.9,468.72,1.0,527.31,27
HCPCS,C1713,SCREW CANN SHT THRDARTX 4X50MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SHT THRDARTX 4X60MM,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X30MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X32.5MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X35MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X37.5MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X40MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X42.5MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR 4.0X50MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR LNG 5.5X45MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR LNG 5.5X50MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR LNG 5.5X65MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR LNG 5.5X70MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR LNG 7.0X80MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR LNG 7.0X85MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 4.0X30MM,987.3,789.84,1.0,888.57,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 5.5X40MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 5.5X55MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 5.5X65MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 5.5X70MM,1162.14,929.72,1.0,1045.93,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 7.0X55MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 7.0X65MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 7.0X70MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 7.0X75MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 7.0X80MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR SHRT 7.0X85MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW CANN SLFDR TRMI 3.0X32MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X10MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X16MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X18MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X20MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X22MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X24MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X26MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X28MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP 2.5X30MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW CANN SLFTP JFX 4.0X38MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW CANN SLFTP JFX 4.0X50MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD5.5X35,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X35,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X40,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD6.5X45,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD8.5X45,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW CANN SLFTPFIREBIRD8.5X50,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW CANN STER 2.5X10MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW CANN STER 7.3X16X180MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X100MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X105MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X110MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X115MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X120MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X125MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X130MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X135MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X140MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X145MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X150MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X160MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X170MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X30MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X35MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X40MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X45MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X50MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X55MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X60MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X65MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X70MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X75MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X80MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X85MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X90MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X16X95MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X100MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X105MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X110MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X115MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X120MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X125MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X130MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X135MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X140MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X145MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X150MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X160MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X170MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X175MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X45MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X50MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X55MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X60MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X65MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X70MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X75MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X80MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X85MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X90MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 6.5X32X95MM,707.27,565.82,1.0,636.54,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X100MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X105MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X110MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X115MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X120MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X125MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X130MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X135MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X140MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X145MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X150MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X30MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X35MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X40MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X45MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X50MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X55MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X60MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X65MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X70MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X75MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X80MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X85MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X90MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X16X95MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X100MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X105MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X110MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X115MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X120MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X125MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X130MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X135MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X140MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X145MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X150MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X170MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X180MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X45MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X50MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X55MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X60MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X65MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X70MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X75MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X80MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X85MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X90MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7.3X32X95MM,703.08,562.47,1.0,632.77,27
HCPCS,C1713,SCREW CANN SYNT 7X16X100MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X105MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X110MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X115MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X120MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X125MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X130MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X30MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X35MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X40MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X45MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X50MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X55MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X60MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X65MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X70MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X75MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X80MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X85MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X90MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X16X95MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X100MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X105MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X110MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X115MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X120MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X125MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X130MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X45MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X50MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X55MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X60MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X65MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X70MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X75MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X80MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X85MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X90MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT 7X32X95MM,916.52,733.22,1.0,824.87,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X16,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X18,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X20,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X22,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X24,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X26,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X28,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X30,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X32,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X34,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X36,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X38,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X40,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X42,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X44,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X46,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X48,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X50,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X52,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X54,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X56,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X58,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X60,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X64,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN SYNT LNG THRD 4X72,532.89,426.32,1.0,479.6,27
HCPCS,C1713,SCREW CANN THRD 10X20MM*NLU*,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW CANN THRD 16MM 6.5X55MM,1831.68,1465.35,1.0,1648.51,27
HCPCS,C1713,SCREW CANN THRD 16MM 6.5X60MM,1831.68,1465.35,1.0,1648.51,27
HCPCS,C1713,SCREW CANN THRD 16MM 6.5X70MM,1831.68,1465.35,1.0,1648.51,27
HCPCS,C1713,SCREW CANN THRD 7.3X16X155MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X16X160MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X16X165MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X16X170MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X16X175MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X16X180MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X32X155MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X32X160MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X32X165MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X32X170MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X32X175MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 7.3X32X180MM,725.4,580.32,1.0,652.86,27
HCPCS,C1713,SCREW CANN THRD 8X30MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X50MM,1822.8,1458.24,1.0,1640.52,27
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X55MM,1822.8,1458.24,1.0,1640.52,27
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X60MM,1822.8,1458.24,1.0,1640.52,27
HCPCS,C1713,SCREW CANN THRD ARTX 7.0X65MM,1822.8,1458.24,1.0,1640.52,27
HCPCS,C1713,SCREW CANN THRD STER 6.5X65MM,1478.4,1182.72,1.0,1330.56,27
HCPCS,C1713,SCREW CANN THRD STER7.3X32X155,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X55MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X60MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X70MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN THRD18 ARTX6.7X80MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN THRD28 ARTX6.7X70MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CANN TI FULL THRD 6.5X40,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI FULL THRD 6.5X45,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD 32MM 7.3X95,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD 32MM7.3X100,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD 32MM7.3X115,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X100,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X105,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X110,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X115,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X120,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X125,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X130,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X30,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X35,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X40,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X45,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X50,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X55,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X60,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X65,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X70,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X75,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X80,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X85,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X90,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 6.5X95,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X100,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X105,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X110,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X115,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X120,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X125,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X70,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X75,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X80,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X85,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X90,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD16MM 7.3X95,772.83,618.27,1.0,695.55,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X100,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X105,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X110,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X115,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X120,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X125,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X130,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X45,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X50,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X55,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X60,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X65,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X70,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X75,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X80,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X85,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X90,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TI THRD32MM 6.5X95,777.02,621.62,1.0,699.32,27
HCPCS,C1713,SCREW CANN TIGER TRIL 5.5X50MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1713,SCREW CANN TOE PHALINX 0*NLU*,3631.6,2905.28,1.0,3268.44,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X30,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X35,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X40,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X45,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X50,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X55,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 5.5X60,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X30,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X35,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X40,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X45,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X50,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X55,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 6.5X60,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X30,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X35,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X40,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X45,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X50,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X55,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TPR TORX SS 7.5X60,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW CANN TRIL 2.0X18MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.0X30MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW CANN TRIL 2.4X12MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.4X14MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.4X16MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.4X18MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.4X22MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.4X24MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2.4X34MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW CANN TRIL 2.4X8MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 2X20MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3.0X32MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3.0X34MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3.0X36MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3.0X38MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3X10MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3X12MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 3X14MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X24MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X28MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X30MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X32MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X34MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X36MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X38MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X40MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X42MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X44MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X46MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X48MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X50MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4.0X52MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN TRIL 4X10MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CANN XTAB VPR2 6X40*NLU*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X35MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X45MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN XTAB VPR2 TI 6X50MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CANN ZIMM 1/2 4.0X42MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW CANN ZIMM 1/2 4.0X60MM,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X30MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW CANN ZIMM 1/3 3.5X48MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW CANN ZIMM 1/3 4.5X56MM,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CANN ZIMM FULL 3.5X95MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW CANN4.0X10*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X12*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X14*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X18*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X20*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X22*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X24*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X26*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X28*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X30*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X32*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X34*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X36*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X38*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X40*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X42*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X44*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X46*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X48*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X50*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X55*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X60*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANN4.0X65*DISC NO REPL*,936.0,748.8,1.0,874.8,54
HCPCS,C1713,SCREW CANN4.0X70*DISC NO REPL*,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X40*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X45*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X50*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X55*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X60*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X65*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X70*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X75*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X80*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X85*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X90*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLS6.5X40X95*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLSZIMM6.*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREW CANNCNCLSZIMM6.5*DISC*,1444.8,1155.84,1.0,1300.32,81
HCPCS,C1713,SCREW CANNCNCLSZIMM6.5X*DISC*,1444.8,1155.84,1.0,1300.32,81
HCPCS,C1713,SCREW CANNCNCLSZIMM6.5X2*DISC*,1444.8,1155.84,1.0,1300.32,189
HCPCS,C1713,SCREW CANNMICROASNISSTER2X10X4,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X11X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X12X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X13X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X14X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X15X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X16X7,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X17X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X17X8,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X18X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X18X8,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X19X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X19X8,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X20X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X20X9,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X22X5,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X24X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X26X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X28X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X30X6,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X8X4,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNMICROASNISSTER2X9X4,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREW CANNSYNTSTER7.3X32X175MM,856.53,685.23,1.0,770.88,27
HCPCS,C1713,SCREW CAP LK,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW CAPTURE SN 5.0X30MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW CAPTURE SN 5.0X40MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW CAPTURE SN 5.0X65MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW CAYMAN 6.0X26MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW CENTREDRIVE KLS 1X4MM,286.21,228.97,1.0,257.59,27
HCPCS,C1713,SCREW CERV DIVERGENCE 3.5X13MM,1159.2,927.36,1.0,1043.28,27
HCPCS,C1713,SCREW CERV FIXSLFTPOZARK4.0X16,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW CERV RDCTN PSTR 4.0X22MM,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.0X14,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.0X16,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.0X18,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.0X20,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW CERV VA SLFTPOZARK4.5X10,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW CERV VA XTEND 4.2X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW CERV VA XTEND 4.2X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW CERV VA XTEND 4.2X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW CERV VA XTEND 4.2X18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW CFX FEN X-TAB VPR 5X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X50MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X52MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X54MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X56MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X58MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X60MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X65MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X70MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X75MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CHAMFER PROSTEP 5X80MM,2163.6,1730.88,1.0,1947.24,27
HCPCS,C1713,SCREW CMAS BALLAST 7.5X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW CMAS BALLAST 8.5X70MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW CMAS BALLAST 8.5X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW CMAS BALLAST 8.5X90MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW CMAS BALLAST 9.5X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW CNCLS 36MM THRD 7.0X75,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW CNCLS ACUM 4X12MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X14MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X16MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X18MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X20MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X22.5MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X30MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X35MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X40MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X45MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW CNCLS ACUM 4X50MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CNCLS ACUM 4X55MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CNCLS ACUM 4X60MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CNCLS ARTX 3X10MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X12MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X14MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X16MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X20MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X22MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X24MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X26MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X28MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 3X30MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X35M*NLU*,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X45MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X50MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X55MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X60MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X65MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CNCLS ARTX 6.5X70MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X34MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X36MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X38MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X42MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X48MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X55MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X65MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X70MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X75MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X80MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS AXSOS 4.0X85MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X12MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X14MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X16MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X18MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X20MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X24MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 3DI 4.0X45MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CNCLS FULL 4X10MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X12MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X14MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X16MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X18MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X20MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X22MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X24MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X26MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X28MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X30MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X32MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X34MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X36MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X38MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL 4X40MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X20MM,311.36,249.09,1.0,280.22,27
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X70MM,311.36,249.09,1.0,280.22,27
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X80MM,311.36,249.09,1.0,280.22,27
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X85MM,311.36,249.09,1.0,280.22,27
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X90MM,311.36,249.09,1.0,280.22,27
HCPCS,C1713,SCREW CNCLS FULL AXSOS6.0X95MM,311.36,249.09,1.0,280.22,27
HCPCS,C1713,SCREW CNCLS FULL THRD 3X18MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X10MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X12MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X14MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X16MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X18MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X22MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X24MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X26MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X32MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X38MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X44MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X48MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X50MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X60MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X90MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4.0X95MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X10MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X12MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X14MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X16MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X18MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X20MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X22MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X24MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X26MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X28MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X30MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X32MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X35MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X36MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X40MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X45MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X50MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X55MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 4X60MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X20MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X25MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X30MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X35MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X40MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X45MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X50MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X55MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD 6.5X60MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS FULL THRD SS6.5X60,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CNCLS FULL THRD SS6.5X75,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CNCLS FULL THRD SS6.5X80,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X16,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X20,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X24,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.5X28,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.75X16,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.75X20,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 4.75X24,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HD GRIP 475X28,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X30,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X35,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X40,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X45,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X50,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X85,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER 6.0X95,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X105,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X110,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X115,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X120,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X125,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X130,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X135,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS HEX FA STER6.0X140,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X100 16MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X105 16MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X105 32MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X110 16MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X110 32MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X115 16MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X115 32MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X120 16MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X120 32MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X125 16MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X125 32MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS MATTA 6.5X130 32MM,238.27,190.62,1.0,214.44,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X50MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X55MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X60MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X65MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X70MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X75MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X80MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X85MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X90MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER 5X32X95MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NCB STER5X32X100MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW CNCLS NL PART THRD 4X30,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW CNCLS ORTHOLOC 3.5X12MM,790.88,632.71,1.0,711.79,27
HCPCS,C1713,SCREW CNCLS ORTHOLOC 3.5X16MM,790.88,632.71,1.0,711.79,27
HCPCS,C1713,SCREW CNCLS ORTHOLOC 3.5X18MM,790.88,632.71,1.0,711.79,27
HCPCS,C1713,SCREW CNCLS ORTHOLOC 3.5X20MM,790.88,632.71,1.0,711.79,27
HCPCS,C1713,SCREW CNCLS ORTHOLOC 3.5X40MM,790.88,632.71,1.0,711.79,27
HCPCS,C1713,SCREW CNCLS ORTHOLOC 3.5X50MM,790.88,632.71,1.0,711.79,27
HCPCS,C1713,SCREW CNCLS PART STRY 4.0X50MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X10MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X12MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X14MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X16MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X18MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X20MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X22MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X24MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X26MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X28MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X30MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X32MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X34MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X36MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X40MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X42MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X44MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X46MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X55MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X60MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X65MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X70MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X75MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X80MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X85MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X90MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4.0X95MM,294.87,235.9,1.0,265.38,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X100MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X10MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X12MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X14MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X16MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X18MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X20MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X22MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X24MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X26MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X28MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X30MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X35MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X40MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X45MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X50MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X55MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X60MM,189.59,151.68,1.0,170.63,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X65MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X70MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X75MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X80MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X85MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X90MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRD 4X95MM,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X10,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X12,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X14,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X16,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X18,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X20,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X22,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X24,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X26,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X28,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X30,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X35,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X40,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X45,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART THRDTILCP4X50,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X10MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X12MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X14MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X16MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X18MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X28MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X30MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X32MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X34MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X36MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3.0X40MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART TI 3X38MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X10MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X12MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X22MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X24MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X28MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X55MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X60MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X65MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART ZIMM 4.0X70MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS PART4X10MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X12MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X14MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X16MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X18MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X20MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X22MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X24MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X26MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X28MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X30MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X32MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X34MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X36MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X38MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PART4X40MM*DISC*,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW CNCLS PARTHEXALOBE4.0X26,446.4,357.12,1.0,401.76,27
HCPCS,C1713,SCREW CNCLS PARTHEXALOBE4.0X50,446.4,357.12,1.0,401.76,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X14,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X16,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X18,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X20,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X22,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X24,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X26,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X28,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X30,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X32,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X34,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X36,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X38,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X40,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X42,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X44,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X46,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X48,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X50,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X52,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X54,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X55,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X56,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X58,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X60,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SHRTTHRD TI 4.0X65,816.75,653.4,1.0,735.08,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X20MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X24MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X26MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X30MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X32MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X34MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X40MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X45MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X50MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X60MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X65MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SLFTP NCB 4.0X70MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CNCLS SS PART 6.5X40MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X100MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X105MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X110MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X115MM,379.01,303.21,1.0,341.11,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X120MM,379.01,303.21,1.0,341.11,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X30MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X35MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X40MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X45MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X50MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X55MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X60MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X65MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X70MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X75MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X80MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X85MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X90MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X16X95MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X100MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X105MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X110MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X115MM,379.01,303.21,1.0,341.11,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X120MM,379.01,303.21,1.0,341.11,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X45MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X50MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X55MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X60MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X65MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X70MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X75MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X80MM,319.79,255.84,1.0,287.81,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X85MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X90MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS SYNT 6.5X32X95MM,344.74,275.8,1.0,310.27,27
HCPCS,C1713,SCREW CNCLS T15 4.0X60MM,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X10,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X12,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X14,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X16,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X18,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X20,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X22,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X24,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X26,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X28,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X30,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X35,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X40,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X45,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X50,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X55,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI FULL THRD 4X60,215.21,172.17,1.0,193.69,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X30,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X35,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X40,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X45,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X50,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X55,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X60,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X65,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X70,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X75,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X80,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X85,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X90,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM 6.5X95,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM6.5X100,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM6.5X105,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD16MM6.5X110,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X45,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X50,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X55,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X60,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X65,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X70,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X75,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X80,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X85,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X90,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM 6.5X95,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM6.5X100,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM6.5X105,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRD32MM6.5X110,385.56,308.45,1.0,347.0,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X25,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X30,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X35,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X40,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X45,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X50,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X55,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCLS TI THRDFULL 6.5X60,349.27,279.42,1.0,314.34,27
HCPCS,C1713,SCREW CNCMAS BALLAST 8.5X70MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW COMP 19MM 0.75IN,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW COMP 32MM 1.25IN,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW COMP AC30MM*USE 6284740*,909.0,727.2,1.0,818.1,27
HCPCS,C1713,SCREW COMP ACUTWIST 22MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW COMP ACUTWIST 26MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW COMP ACUTWIST 28MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW COMP ACUTWIST 30MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW COMP ARTX 2.5X10MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X11MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X12MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X13MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X14MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X16MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X18MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X20MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X22MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X24MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X26MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X28MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X30MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X32MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X34MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X36MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X38MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X40MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X42MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X44MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X46MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X48MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X50MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP ARTX 2.5X8MM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X10MM,812.93,650.35,1.0,731.64,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X11MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X12MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X13MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X14MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X17MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X19MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X22MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.0X24MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X13MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X14MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X16MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X20MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X21MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X22MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP AUTOFIX SS 2.5X27MM,1304.69,1043.76,1.0,1174.22,27
HCPCS,C1713,SCREW COMP DHHS LCP,411.26,329.01,1.0,370.13,27
HCPCS,C1713,SCREW COMP DHS DCS 36MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW COMP DHS/DCS 36MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW COMP FRAG-LOC,607.5,486.0,1.0,546.75,27
HCPCS,C1713,SCREW COMP FRAG-LOC LNG,607.5,486.0,1.0,546.75,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X20MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X22MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X24MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X26MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X28MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X30MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X32MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X34MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X36MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X38MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X40MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X42MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X44MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X46MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X48MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X50MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X55MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X60MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X70MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X75MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X80MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X85MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT ARTX LG 5.0X90MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FT LG ARTX 5.0X65MM,1881.0,1504.8,1.0,1692.9,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X100MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X105MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X120MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X35MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X40MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X45MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X50MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X55MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X60MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X65MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X70MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X75MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X80MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X85MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X90MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP FULL XL 7.0X95MM,2446.4,1957.12,1.0,2201.76,27
HCPCS,C1713,SCREW COMP KREULK SS 2.7X12MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK SS 2.7X16MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK SS 2.7X18MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK SS 2.7X32MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK SS 2.7X38MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X14MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X16MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X18MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X22MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X24MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X26MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X28MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X34MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X36MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X38MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X40MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X42MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP KREULK TI 3.5X60MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW COMP OSSIOFBR 3.5X24MM,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP POLYLOCK 2.7X14MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW COMP POLYLOCK 2.7X26MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW COMP POLYLOCK 2.7X28MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X12MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X14MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X16MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X18MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X20MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X22MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X24MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X26MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW COMP POLYLOCK 3.5X30MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW COMP POLYLOCK 4.0X55MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW COMP SLFDR T25 6.5X60MM,4606.0,3684.8,1.0,4145.4,27
HCPCS,C1713,SCREW COMP SLFDR T25 6.5X95MM,4606.0,3684.8,1.0,4145.4,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X26,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X28,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X32,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X34,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X36,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X40,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X42,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X50,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X54,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STER OSSIOFBR4.0X60,5138.0,4110.4,1.0,4624.2,27
HCPCS,C1713,SCREW COMP STRY 32.3MM,396.68,317.35,1.0,357.01,27
HCPCS,C1713,SCREW COMP SYNT *DISC 6130632*,265.41,212.33,1.0,238.87,27
HCPCS,C1713,SCREW COMP VA FLOWER 2.7X16MM,951.48,761.19,1.0,856.33,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X10,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X11,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X12,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X13,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X14,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X15,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X16,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X18,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X20,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X22,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X24,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X26,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X28,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X30,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X32,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X34,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X36,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X38,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X40,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X42,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X44,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X46,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X48,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI2.7X50,1363.82,1091.06,1.0,1227.44,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X10,1499.9,1199.92,1.0,1349.91,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X12,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X14,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X16,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X18,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X20,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X22,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X24,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X42,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X44,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X46,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X48,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X50,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X52,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X54,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X56,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X58,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VAL KREULK TI3.5X60,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X10,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X12,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X14,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X22,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X30,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X32,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X34,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X36,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X38,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X40,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X42,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COMP VALKREULKTIRI3.5X44,1502.42,1201.94,1.0,1352.18,27
HCPCS,C1713,SCREW COND STRY 5X100MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X105MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X110MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X40MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X45MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X50MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X55MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X60MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X65MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X70MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X75MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X80MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X85MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X90MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW COND STRY 5X95MM,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X65MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X70MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X75MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X80MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X85MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X90MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC FULL THRD 3.5X95MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X60MM,643.77,515.02,1.0,579.39,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X65MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X70MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X75MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X80MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X85MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X90MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC PART THRD 3.5X95MM,625.14,500.12,1.0,562.63,27
HCPCS,C1713,SCREW CONIC TI SLFTP 3.5X75MM,693.45,554.76,1.0,624.11,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X14MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X16MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X18MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X20MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X22MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X24MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X26MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X28MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X30MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X32MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X34MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X36MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X38MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONIC ZIMM 2.7X40MM,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW CONN LK ATTACH,662.4,529.92,1.0,596.16,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X12MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X13MM,312.98,250.39,1.0,281.68,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X14MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X16MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X18MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X20MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X22MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X24MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X26MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X28MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X30MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X32MM,312.98,250.39,1.0,281.68,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X6MM,312.98,250.39,1.0,281.68,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X7MM,312.98,250.39,1.0,281.68,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X8MM,312.98,250.39,1.0,281.68,27
HCPCS,C1713,SCREW CORT 3.5HD 2.4X9MM,312.98,250.39,1.0,281.68,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X10MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X11MM,279.26,223.41,1.0,251.33,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X12MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X13MM,279.26,223.41,1.0,251.33,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X14MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X16MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X18MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X20MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X22MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X24MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X26MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X28MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X30MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X32MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X34MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X36MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X38MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X40MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X6MM,279.26,223.41,1.0,251.33,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X7MM,279.26,223.41,1.0,251.33,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X8MM,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT 4.5HD 2.4X9MM,279.26,223.41,1.0,251.33,27
HCPCS,C1713,SCREW CORT ACUM 2.7X50MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 2.7X55MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 2.7X60MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 2.7X65MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 3.5X10MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X12MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X14MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X16MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X18MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X20MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X22MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X24MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X26MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X28MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X30MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X32MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X36MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X40MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X45MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT ACUM 3.5X50MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 3.5X60MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 3.5X65MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT ACUM 3.5X8MM,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT AOSL 3.5X35.0MM,1201.2,960.96,1.0,1081.08,27
HCPCS,C1713,SCREW CORT APTIS 3.5X12MM,490.5,392.4,1.0,441.45,27
HCPCS,C1713,SCREW CORT ARTX 2.7X10MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X12MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X13MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X14MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X15MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X16MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X18MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 2.7X44MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT ARTX 4.5X26MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X36MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X38MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X40MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X44MM*NLU*,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW CORT ARTX 4.5X46MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X50MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X52MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X54MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X56MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.5X58MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT ARTX 4.7X42MM,594.0,475.2,1.0,534.6,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X12MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X14MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X16MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X18MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X20MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X22MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X24MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X26MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X28MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X30MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X32MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X34MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X36MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X38MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X40MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X42MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X44MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X46MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X50MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X55MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X60MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X65MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X70MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X75MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X80MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X85MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X90MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 3.5X95MM,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X18MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X20MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X22MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X24MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X26MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X28MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X30MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X32MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X34MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X36MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X38MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X40MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X42MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X44MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X46MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X48MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X50MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X55MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X60MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X65MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X70MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X80MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT AXSOS TI 4.5X85MM,237.96,190.37,1.0,214.16,27
HCPCS,C1713,SCREW CORT BONE ARTX 3.5X45MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW CORT CAPTURED 5.0X38MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT CAPTURED 5.0X42MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT CAPTURED TROCH 5X30,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW CORT CAPTURED TROCH 5X40,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT CAPTURED TROCH 5X44,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT CREO AMP 6.0-5.0X40,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,SCREW CORT CREO AMP 6.0-5.0X45,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X10MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X12MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X13MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X14MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X15MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X16MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DVRA ZIMM 3.5X18MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X20MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X22.5MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X25MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X27.5MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X30MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X35MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X40MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X45MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT DYNANAIL 5X50M,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW CORT FEN VPR 5.0X30MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 5.0X35MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 5.0X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 5.0X45MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 6.0X30MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 6.0X35MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 6.0X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 6.0X45MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 6.0X50MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 7.0X35MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 7.0X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 7.0X45MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 7.0X50MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 8.0X35MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 8.0X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 8.0X45MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FEN VPR 8.0X50MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 5X30MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 5X35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 5X40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 5X45MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 5X50MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 6X30MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 6X35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 6X40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 6X45MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 6X50MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 6X55MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 7X30MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 7X35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 7X40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 7X45MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 7X50MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 7X55MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 8X35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 8X40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 8X45MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 8X50MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 9X35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 9X40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 9X50MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR TI 9X80MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR2 TI 4.35X30,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR2 TI 4.35X35,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPR2 TI 4.35X40,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FIX VPRTI4.35X25MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SCREW CORT FLEXTHRD T15 3.5X48,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X100,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X20,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X25,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X45,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X50,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X55,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X60,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X65,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X70,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X75,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X80,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X85,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X90,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER 5.0X95,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER5.0X22.5,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER5.0X27.5,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER5.0X32.5,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER5.0X42.5,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEX FA STER5.0X52.5,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X13,729.0,583.2,1.0,656.1,27
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X14,504.9,403.92,1.0,454.41,27
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X15,729.0,583.2,1.0,656.1,27
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X16,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW CORT HEXADRIVE7 2.5X20,729.0,583.2,1.0,656.1,27
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X12MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X14MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X16MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X18MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X20MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT HYBRID TI 3.0X22MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X10MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X12MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X14MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X16MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X18MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X20MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X22MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X24MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X28MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X30MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X32MM,830.43,664.35,1.0,747.39,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X34MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X36MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X38MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3.0X40MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX 3X26MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X10,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X12,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X14,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X16,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X20,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X22,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X24,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X26,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X28,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X30,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO ARTX TI2.4X32,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO HYBRID 3.0X22,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO HYBRID 3.0X28,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X12MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X14MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X16MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X18MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X20MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X22MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X24MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X26MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X28MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X30MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X32MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X34MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X36MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X38MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X40MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X42MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X44MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X45MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X46MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X48MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X50MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X52MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X54MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X55MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X56MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X58MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X60MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X62MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X64MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X65MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X66MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X68MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X70MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X75MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X80MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X85MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SS 3.5X90MM,233.14,186.52,1.0,209.83,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X10,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X12,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X14,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X16,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X18,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X20,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X22,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X24,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X26,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X28,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X30,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X32,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X34,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO SSARTX 2.7X36,301.95,241.56,1.0,271.76,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X14MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X16MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X18MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X20MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X22MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X24MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X26MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X28MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X30MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X32MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X34MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X36MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X38MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X40MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X42MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X44MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X46MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X48MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X50MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X52MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X54MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X56MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO T15 3.5X60MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT LOPRO TI 1.4X16MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X14MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X15MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X16MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X18MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X20MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.0X24MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X12MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X14MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X16MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X18MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X20MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X22MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X24MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X26MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X28MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.3X30MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X10MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X12MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X13MM,546.48,437.19,1.0,491.83,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X14MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X15MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X16MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X22MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X24MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X26MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X30MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 2.4X32MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X12MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X13MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X14MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X16MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X18MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW CORT LOPRO TI 3.5X20MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X20MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X22MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X24MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X26MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X28MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X30MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X32MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X35MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X40MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X45MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X55MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW CORT LOPRO TI 5.0X60MM,1826.75,1461.4,1.0,1644.08,27
HCPCS,C1713,SCREW CORT LOPROT15TI 3.5X58MM,222.89,178.32,1.0,200.6,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X10MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X12MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X13MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X14MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X15MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X16MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X18MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X20MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X22MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X24MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X26MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X28MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X30MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X32MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X34MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X36MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X38MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X40MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MINI LOPRO 2.4X9MM,544.5,435.6,1.0,490.05,27
HCPCS,C1713,SCREW CORT MPT TI 3.0X22MM,609.75,487.8,1.0,548.78,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X10MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X12MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X14MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X16MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X18MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X20MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X24MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW CORT MTP TI 3.0X26MM,609.75,487.8,1.0,548.78,27
HCPCS,C1713,SCREW CORT NL FULL THRD 3.5X42,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW CORT NL FULL THRD 3.5X44,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW CORT NL FULLTHRD3.5*NLU*,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X30MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW CORT NL ZIMM 3.5X32MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X10MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X12MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X14MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X16MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X18MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X20MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X22MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X24MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X26MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X28MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X30MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X32MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT NON TOGGLE 2.3X8MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X10MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X12MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X14MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X16MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X18MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X20MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X22MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X24MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X26MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X28MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X30MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X32MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X34MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X38MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X40MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X42MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X44MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X46MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X48MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X52MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 3.5X54MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 4.0X50MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT ORTHOLOC 4.0X60MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X100MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X105MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X110MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X115MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X120MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X125MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X130MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X135MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X140MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X145MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X150MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X40MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X45MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X50MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X55MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X60MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X65MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X70MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X75MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X80MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X85MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X90MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT PELVIC 3.5X95MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT SHANK CANN 5.5X60,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW CORT SLFTP 2.4X14MM,424.94,339.96,1.0,382.45,27
HCPCS,C1713,SCREW CORT SLFTP 2.4X16MM,424.94,339.96,1.0,382.45,27
HCPCS,C1713,SCREW CORT SLFTP 2.4X18MM,424.94,339.96,1.0,382.45,27
HCPCS,C1713,SCREW CORT SLFTP 2.4X22MM,424.94,339.96,1.0,382.45,27
HCPCS,C1713,SCREW CORT SLFTP 2X10MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X11MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X12MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X13MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X14MM,167.69,134.16,1.0,150.92,27
HCPCS,C1713,SCREW CORT SLFTP 2X16MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X18MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X20MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X22MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X24MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X26MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X28MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X30MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X32MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X34MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X36MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X38MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X40MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X6MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X7MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X8MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 2X9MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X36MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X42MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X44MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X45MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X46MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X48MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X60MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X65MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X70MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X75MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X80MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X85MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X90MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 3.5X95MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X100MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X105MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X110MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X115MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X120MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X125MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X130MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X135MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X140MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X145MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X14MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X16MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X18MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X20MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X22MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X24MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X32MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X34MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X36MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X38MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X40MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X42MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X44MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X46MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X48MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X50MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X52MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X54MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X56MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X58MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X60MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X62MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X64MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X66MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X68MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X70MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X72MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X76MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X80MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X85MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X90MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 4.5X95MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X50MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X55MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X60MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X65MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X70MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X75MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X80MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP 5.0X85MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X10MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X12MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X14MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X16MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X18MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X20MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X22MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X24MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X26MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X28MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X30MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X32MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X34MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X36MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X38MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X40MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X42MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X44MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X45MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X46MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X48MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X50MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X55MM,281.82,225.46,1.0,253.64,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X6MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX 2.7X8MM,243.39,194.72,1.0,219.05,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X10,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X12,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X14,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X16,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X18,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X20,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X22,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X24,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X26,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X28,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X30,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X32,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X34,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X36,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X38,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X40,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X45,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X50,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X55,272.16,217.73,1.0,244.94,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X6,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP HEX TI 2.7X8,263.89,211.12,1.0,237.5,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI 4.0X40,212.65,170.12,1.0,191.39,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X6MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X7MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X8MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI1.5X9MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X6MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X7MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X8MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.0X9MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X6MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X7MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X8MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCP TI2.4X9MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X10MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X11MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X12MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X13MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X14MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X16MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X18MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X20MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X22MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI1.5X24MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X10MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X11MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X12MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X13MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X14MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X16MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X18MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X20MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X22MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X24MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X26MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X28MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X30MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.0X32MM,230.58,184.47,1.0,207.52,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X10MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X11MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X12MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X13MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X14MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X16MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X18MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X20MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X22MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X24MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X26MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X28MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X30MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP LCPTI2.4X32MM,366.91,293.53,1.0,330.22,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 3.5X115,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X100,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X105,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X110,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X115,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X120,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X125,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X130,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X14,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X16,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X18,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X20,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X22,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X24,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X26,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X28,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X30,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X32,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X34,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X36,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X40,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X42,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X44,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X46,174.46,139.57,1.0,157.01,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X48,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X50,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X54,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X55,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X56,174.46,139.57,1.0,157.01,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X60,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X65,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X70,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X75,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X80,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X90,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP MATTA 4.5X95,184.95,147.96,1.0,166.46,27
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X16,194.22,155.38,1.0,174.8,27
HCPCS,C1713,SCREW CORT SLFTP P-L 3.5X20,194.22,155.38,1.0,174.8,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X10,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X12,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X14,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X16,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X18,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X20,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X22,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X24,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X26,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X28,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X30,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X32,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X34,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X36,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X38,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X40,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X42,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X44,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X46,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X48,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X50,526.5,421.2,1.0,473.85,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X55,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X60,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X65,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X70,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 2.7X8,436.8,349.44,1.0,393.12,27
HCPCS,C1713,SCREW CORT SLFTP PANGEA 3.5X10,206.91,165.53,1.0,186.22,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X14MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X16MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X18MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X20MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X22MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X24MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X26MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X28MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X30MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X32MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X34MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X36MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X38MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X40MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X42MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X44MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X46MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X48MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X50MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X52MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X54MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X56MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X58MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X60MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X65MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X70MM,192.15,153.72,1.0,172.94,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X75MM,303.91,243.13,1.0,273.52,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X80MM,303.91,243.13,1.0,273.52,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X85MM,303.91,243.13,1.0,273.52,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X90MM,303.91,243.13,1.0,273.52,27
HCPCS,C1713,SCREW CORT SLFTP SM HEX 4X95MM,303.91,243.13,1.0,273.52,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X12,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X14,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X16,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X18,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X20,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X22,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X24,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X26,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X28,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X30,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X32,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X34,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X36,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X38,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X40,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X42,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X44,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X45,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X46,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X48,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X50,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X55,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X60,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X65,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X70,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X75,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X80,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X85,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X90,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SPS SS3.5X95,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X22MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X24MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X26MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X30MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X32MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X34MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X40MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X50MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X55MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2.7X60MM,156.47,125.18,1.0,140.82,27
HCPCS,C1713,SCREW CORT SLFTP SS 2X14MM,261.32,209.06,1.0,235.19,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X10MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X12MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X14MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X16MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X18MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X20MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X22MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X24MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X26MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X28MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X30MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X32MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X34MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X38MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X40MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X50MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 3.5X55MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 4.5X26MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 4.5X28MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP SYNT 4.5X30MM,187.03,149.63,1.0,168.33,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X 2MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X10MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X14MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X16MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X18MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X20MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X22MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X24MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X26MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X28MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X30 MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X32MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X34MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X36MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X38MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X40MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X45MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X50MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T10 2.7X8MM,293.76,235.01,1.0,264.38,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X10MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X12MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X14MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X16MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X18MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X20MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X22MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X24MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X26MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X28MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X30MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X32MM,356.83,285.47,1.0,321.15,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X34MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X36MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X40MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T15 3.5X60MM,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR 1.3X4,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR 1.3X5,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR 1.3X6,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR 1.3X7,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR 1.3X8,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR 1.3X9,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X10,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X11,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X12,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X13,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X14,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X15,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X16,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 STAR1.3X18,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X10,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X6,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X7,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI 1.3X9,271.57,217.26,1.0,244.41,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X10MM,294.84,235.88,1.0,265.36,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X11MM,294.84,235.88,1.0,265.36,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X13MM,294.84,235.88,1.0,265.36,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X14MM,294.84,235.88,1.0,265.36,27
HCPCS,C1713,SCREW CORT SLFTP T4 TI1.5X16MM,294.84,235.88,1.0,265.36,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X10MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X11MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X12MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X13MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X14MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X15MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X16MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X18MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X20MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X22MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X24MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X26MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X28MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X30MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X32MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X34MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X36MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X38MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X40MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X6MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X7MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X8MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 2X9MM,299.75,239.8,1.0,269.78,27
HCPCS,C1713,SCREW CORT SLFTP T6 TI 2X18,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X16MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTP T6 TI2.0X24MM,292.57,234.06,1.0,263.31,27
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X100,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X105,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X110,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT SLFTPSPS SS3.5X120,167.14,133.72,1.0,150.43,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X100MM,210.08,168.07,1.0,189.07,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X105MM,210.08,168.07,1.0,189.07,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X10MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X110MM,210.08,168.07,1.0,189.07,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X115MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X120MM,199.84,159.88,1.0,179.86,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X125MM,202.4,161.92,1.0,182.16,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X12MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X130MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X135MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X140MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X145MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X14MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X150MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X16MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X18MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X20MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X22MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X24MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X26MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X28MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X30MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X32MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X34MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X36MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X38MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X40MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X42MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X44MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X45MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X46MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X48MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X50MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X55MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X60MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X65MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X70MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X75MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X80MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X85MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X90MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STAR T15 3.5X95MM,166.53,133.23,1.0,149.88,27
HCPCS,C1713,SCREW CORT STD 4.5X145MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW CORT STD 4.5X150MM,508.41,406.73,1.0,457.57,27
HCPCS,C1713,SCREW CORT STD 4.5X155MM,508.41,406.73,1.0,457.57,27
HCPCS,C1713,SCREW CORT STD 4.5X160MM,508.41,406.73,1.0,457.57,27
HCPCS,C1713,SCREW CORT STD HEX 3.5X16MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT STD HEX 3.5X18MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT STD HEX 3.5X20MM,163.97,131.18,1.0,147.57,27
HCPCS,C1713,SCREW CORT STD NEWC 3.5X24MM,2012.4,1609.92,1.0,1811.16,27
HCPCS,C1713,SCREW CORT STD NEWC 3.5X26MM,2012.4,1609.92,1.0,1811.16,27
HCPCS,C1713,SCREW CORT STD NEWC 3.5X28MM,2012.4,1609.92,1.0,1811.16,27
HCPCS,C1713,SCREW CORT STD NEWC 3.5X30MM,2012.4,1609.92,1.0,1811.16,27
HCPCS,C1713,SCREW CORT SYNT 1.3X10MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X11MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X12MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X13MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X14MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X16MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X18MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X6MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X7MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X8MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.3X9MM,364.9,291.92,1.0,328.41,27
HCPCS,C1713,SCREW CORT SYNT 1.5X10MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X11MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X12MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X13MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X14MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X16MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X18MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X20MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X22MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X24MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X6MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X7MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X8MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1.5X9MM,266.45,213.16,1.0,239.81,27
HCPCS,C1713,SCREW CORT SYNT 1X10MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X11MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X12MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X13MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X14MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X6MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X7MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X8MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT SYNT 1X9MM,328.86,263.09,1.0,295.97,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X10,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X12,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X14,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X16,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X18,502.43,401.95,1.0,452.19,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X20,502.43,401.95,1.0,452.19,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X22,502.43,401.95,1.0,452.19,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X24,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X26,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X28,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X30,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T15 VOLT SS 3.5X32,483.12,386.5,1.0,434.81,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X10MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X11MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X12MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X13MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X14MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X15MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X16MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X17MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X18MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X19MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X20MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X22MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X24MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X26MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X28MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X30MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X32MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X34MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X36MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X38MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X40MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X42MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X44MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X46MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X48MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X50MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X6MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X7MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X8MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T6 VOLT SS 2.0X9MM,506.88,405.51,1.0,456.19,27
HCPCS,C1713,SCREW CORT T7 2.7X14MM,424.94,339.96,1.0,382.45,27
HCPCS,C1713,SCREW CORT T7 2.7X18MM,424.94,339.96,1.0,382.45,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X10MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X11MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X12MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X13MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X14MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X16MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X18MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X20MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X22MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X24MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X26MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X28MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X30MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X32MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X34MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X36MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X38MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X40MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X6MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X7MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X8MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.4X9MM,274.43,219.55,1.0,246.99,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X10MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X12MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X14MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X16MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X18MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X20MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X22MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X24MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X26MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X28MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X30MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X32MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X34MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X36MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X38MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X40MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X42MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X44MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X46MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X48MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X50MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X55MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR 2.7X60MM,225.46,180.37,1.0,202.91,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X10,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X12,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X14,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X16,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X18,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X20,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X22,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X24,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X26,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X28,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X30,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X32,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X34,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X36,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X38,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X40,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X42,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X44,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X46,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X48,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X50,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X55,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI 2.7X60,248.51,198.81,1.0,223.66,27
HCPCS,C1713,SCREW CORT T8 STARDR TI2.4X6MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8 STARDR TI2.4X8MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X10MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X11MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X12MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X13MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X14MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X15MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X16MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X17MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X18MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X19MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X20MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X22MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X24MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X26MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X28MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X30MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X32MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X34MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X36MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X38MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X40MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X42MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X44MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X46MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X48MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X50MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X52MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X54MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X56MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X58MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X60MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X65MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X6MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X70MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X75MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X7MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X80MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X85MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X8MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X90MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT T8 VOLT SS 2.7X9MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X10MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X12MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X14MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X16MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X18MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X20MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X22MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X24MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X26MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X28MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT T8STARDR TI2.4X30MM,301.64,241.32,1.0,271.48,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X11MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X14MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X16MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X18MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X20MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X6MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X7MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 1.5X9MM,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X10MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X12MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X14MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X16MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X18MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X20MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X22MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X24MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X26MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X28MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X30MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X6MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.0X8MM,286.94,229.56,1.0,258.25,27
HCPCS,C1713,SCREW CORT TI SLFTP 2.7X45MM,143.47,114.78,1.0,129.12,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X10MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X12MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X14MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X16MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X18MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X20MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X22MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X24MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X26MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X28MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X30MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X32MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X34MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X36MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X38MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X40MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X45MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X50MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 3.5X55MM,179.34,143.48,1.0,161.41,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X14MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X16MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X18MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X20MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X22MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X24MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X26MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X28MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X30MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X32MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X34MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X36MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X38MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X40MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X42MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X44MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X46MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X48MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X50MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X52MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X54MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X56MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X58MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X60MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X62MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X64MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X66MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X68MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TI SLFTP 4.5X70MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X20,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X22,370.08,296.07,1.0,333.07,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X24,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X26,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X28,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X30,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X32,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X34,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X36,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP GLD 3.0X40,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X10MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X11MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X12MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X13MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X14MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X15MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X16MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X8MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.0X9MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X12MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X14MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X16MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X24MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 2.5X26MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X10MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X16MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X18MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X20MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X28MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.0X38MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X14MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X16MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X18MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X20MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X22MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X24MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X26MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X28MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X34MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X36MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 3.5X38MM,416.39,333.12,1.0,374.75,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X12MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X20MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X22MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X24MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X26MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X28MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X32MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X36MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X38MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRILEAP TI 4.0X40MM,370.13,296.11,1.0,333.12,27
HCPCS,C1713,SCREW CORT TRMI 2.3X10MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X11MM,398.4,318.72,1.0,358.56,27
HCPCS,C1713,SCREW CORT TRMI 2.3X12MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X14MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X16MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X18MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X20MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X22MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X24MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X26MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X28MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 2.3X30MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X10MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X11MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X12MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X13MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X14MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X15MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X16MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X18MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X20MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TRMI 3.2X8MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW CORT TWIST-OFF 2.0X13MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X10MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X11MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X12MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X13MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X14MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X15MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X16MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X17MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X18MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X19MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X20MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X22MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X24MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X26MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X28MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X30MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X32MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X34MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X36MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X38MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X40MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X42MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X44MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X46MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X48MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X50MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X52MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X54MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X56MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X58MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X60MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X65MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X6MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X70MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X75MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X7MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X80MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X85MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X8MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X90MM,689.04,551.24,1.0,620.14,27
HCPCS,C1713,SCREW CORT VOLT SS 2.4X9MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X10MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X11MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X12MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X13MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X14MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X15MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X16MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X18MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X20MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X22MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X24MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X4MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X5MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X6MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X7MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X8MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT W T4 DRIVE 1.5X9MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CORT XTAB VPRPRIMET17X55,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X35,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X40,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X45,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT XTAB VPRPRIMETI7X50,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X10MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X12MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X14 MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X18MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X20MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X22MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X24MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X26MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X28MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X30MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X32MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X34MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X36MM,204.96,163.97,1.0,184.46,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X38MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X40MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X42MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X44MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X45MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X46MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X48MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X50MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X52MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X54MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X55MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X56MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X58MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X60MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X65MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X6MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X7 MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X70MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X8MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 2.7X9MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORT ZIMM 4.5X30MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4.5X34MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4.5X46MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4.5X50MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4.5X52MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4.5X54MM,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X30MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X32MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X34MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X36MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X38MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X40MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X42MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X44MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X46MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X48MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X50MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X55MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM 4X60MM*DISC*,302.4,241.92,1.0,272.16,27
HCPCS,C1713,SCREW CORT ZIMM2.7X16MM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,SCREW CORTETX SLFTP TI 1.5X26,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORTETX SLFTP TI 1.5X27,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORTETX SLFTP TI 1.5X28,292.07,233.66,1.0,262.86,27
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X1,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X6,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X7,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X8,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTP HANDTI1.3X9,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X11,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X12,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X13,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X14,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X16,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CORTEX SLFTPHANDTI1.3X18,401.18,320.95,1.0,361.06,27
HCPCS,C1713,SCREW CP LAG T10 4.1X38MM,1735.61,1388.49,1.0,1562.05,27
HCPCS,C1713,SCREW CP LAG T10 4.1X40MM,1735.61,1388.49,1.0,1562.05,27
HCPCS,C1713,SCREW CREO FEN M*DISC NO REPL*,4200.0,3360.0,1.0,3780.0,108
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X25MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X30MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 4.5X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X25MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X30MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.0X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X25MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X30MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 5.5X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X30MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 6.5X65MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X30MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X70MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X80MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 7.5X90MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X30MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X65MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X70MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X75MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X80MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X85MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 8.5X90MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X35MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X40MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X45MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X50MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X55MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X60MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X65MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X70MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X75MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X80MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X85MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN MODLR 9.5X90MM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1713,SCREW CREO FEN P*DISC NO REPL*,4200.0,3360.0,1.0,3780.0,162
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X25MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD4.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X25MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.0X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X25MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD5.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD6.5X65MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.0X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X65MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X70MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X80MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X85MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD7.5X90MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X65MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X70MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X80MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X85MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PA THRD8.5X90MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.0X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.0X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.0X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.5X25MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD5.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD6.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD6.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD6.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD6.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD6.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD7.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD7.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD7.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD7.5X80MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD7.5X90MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X65MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X70MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X75MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FEN PANTHRD8.5X80MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.0X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X25MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD4.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.0X25MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.0X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.0X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.0X45MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.5X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD5.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD6.5X35MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD6.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD6.5X65MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X55MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X60MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X65MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X70MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X75MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD7.5X85MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD8.5X85MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA NTHRD8.5X90MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1713,SCREW CREO FENPA*DISC NO REPL*,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,SCREW CREO PA THRD 8.5X85MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW CREO PA THRD STER 5.0X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW CREO PA THRD STER 5.5X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW CREO PA THRD STER 5.5X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW CREO PA THRD STER 6.5X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW CREO PA THRD STER 6.5X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW CREO PA TULIP,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1713,SCREW CREO THRD COCR DBL HD RT,4718.0,3774.4,1.0,4246.2,27
HCPCS,C1713,SCREW CREO THRD COCR DBL HDLFT,4718.0,3774.4,1.0,4246.2,27
HCPCS,C1713,SCREW CREO THRD TULIP,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1713,SCREW CREO TULIP CO CR 5.5MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1713,SCREW CREO TULIP HD 5.5X10MM,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1713,SCREW CREO TULIP THRDCOCR5.5MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1713,SCREW CROSSDRIV EMER 3.2X12MM,386.59,309.28,1.0,347.93,27
HCPCS,C1713,SCREW CROSSDRIV SIL 2.7X10MM,386.05,308.84,1.0,347.45,27
HCPCS,C1713,SCREW CROSSDRIV SIL 2.7X12MM,386.05,308.84,1.0,347.45,27
HCPCS,C1713,SCREW CROSSDRIVE 2.3X11MM,340.74,272.6,1.0,306.67,27
HCPCS,C1713,SCREW CROSSDRIVE 2.3X13MM,340.74,272.6,1.0,306.67,27
HCPCS,C1713,SCREW CROSSDRIVE 2.3X15MM,340.74,272.6,1.0,306.67,27
HCPCS,C1713,SCREW CROSSDRIVE 2.3X7MM,340.74,272.6,1.0,306.67,27
HCPCS,C1713,SCREW CROSSDRIVE 2.3X9MM,340.74,272.6,1.0,306.67,27
HCPCS,C1713,SCREW CROSSDRIVE DF 1.5X3.5MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CROSSDRIVE DF 1.5X4MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CROSSDRIVE DF 1.5X5MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW CROSSDRIVE EMER 2.5X13MM,349.06,279.25,1.0,314.15,27
HCPCS,C1713,SCREW CROSSDRIVE EMER 2.5X9MM,349.06,279.25,1.0,314.15,27
HCPCS,C1713,SCREW CRSPIN SLFDR CMF 1.2X4MM,377.04,301.64,1.0,339.34,27
HCPCS,C1713,SCREW CRSPIN SLFTP CMF 1.2X4MM,382.05,305.64,1.0,343.85,27
HCPCS,C1713,SCREW CRSPIN SLFTP CMF 1.7X4MM,325.19,260.16,1.0,292.67,27
HCPCS,C1713,SCREW CRSPIN SLFTP CMF 1.7X5MM,325.19,260.16,1.0,292.67,27
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X10MM,307.8,246.24,1.0,277.02,27
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X12MM,307.8,246.24,1.0,277.02,27
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X14MM,307.8,246.24,1.0,277.02,27
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X16MM,307.8,246.24,1.0,277.02,27
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X6MM,307.8,246.24,1.0,277.02,27
HCPCS,C1713,SCREW CRUCIFORM TI 2.7X8MM,307.8,246.24,1.0,277.02,27
HCPCS,C1713,SCREW DARCO HD 6.5X105X32MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X40X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X45X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X50X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X55X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X60MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X65X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X70MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X80X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X85X32MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X90X16MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X90X32MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DARCO HD 6.5X95X32M*NLU*,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,SCREW DARCO HD 6.5X95X32MM,1540.14,1232.12,1.0,1386.13,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X20MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X24MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X26MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X28MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X30MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X32MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X34MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X36MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X38MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X42MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X46MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X48MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X50MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X55MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X60MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DEEP THRD NCB 4.0X65MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW DENTAL TAD 15/17MM*NLU*,351.0,280.8,1.0,315.9,27
HCPCS,C1713,SCREW DENTAL TAD BTN TOP 1.4X6,783.0,626.4,1.0,704.7,27
HCPCS,C1713,SCREW DIST TORNIER PUR4.3X22MM,815.85,652.68,1.0,734.27,27
HCPCS,C1713,SCREW DIST TORNIER PUR4.3X24MM,815.85,652.68,1.0,734.27,27
HCPCS,C1713,SCREW DISTR QK START 12MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW DISTRAC RUGGLES STER12MM,299.48,239.59,1.0,269.53,27
HCPCS,C1713,SCREW DISTRAC RUGGLES STER14MM,391.72,313.38,1.0,352.55,27
HCPCS,C1713,SCREW DISTRADLOCKSTRY 2.7X10MM,617.4,493.92,1.0,555.66,27
HCPCS,C1713,SCREW ELBOW LK 2.7X10MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X12MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X14MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X16MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X18MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X20MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X22MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X24MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X26MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X28MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X30MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X32MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X34MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X36MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X38MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X40MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X42MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X44MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X46MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X48MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X50MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X55MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X60MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW LK 2.7X8MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X26MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW ELBOW VARIAX 2.7X60MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X20MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW ELBOW VARIAX 3.5X28MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW EMER MTXNEURO TI 1.8X3MM,304.78,243.83,1.0,274.3,27
HCPCS,C1713,SCREW EMER MTXNEURO TI 1.8X4MM,304.78,243.83,1.0,274.3,27
HCPCS,C1713,SCREW EMER STRY T6 2.5X10MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW EMER STRY T6 2.5X12MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW EMER STRY T6 2.5X6MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW EMER STRY T6 2.5X8MM,490.59,392.48,1.0,441.53,27
HCPCS,C1713,SCREW EMER T5 1.9X10MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW EMER T5 1.9X12MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW EMER T5 1.9X5MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW EMER T5 1.9X8MM,487.98,390.39,1.0,439.18,27
HCPCS,C1713,SCREW ENDOFIX ZIMM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW ENDPLT XRL MD STER,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW EVOLVE TRIAD 2.5X32MM,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW EVOLVE TRIAD 2.5X34MM,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW EVOLVE TRIAD 2X18M*NLU*,549.0,439.2,1.0,494.1,27
HCPCS,C1713,SCREW EXT LINK VDR ACU-LOC2,751.5,601.2,1.0,676.35,27
HCPCS,C1713,SCREW EXTL FIXSCHANZHASS30X175,1055.03,844.03,1.0,949.53,27
HCPCS,C1713,SCREW FA MERIDIAN 5.5X20MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW FA MERIDIAN 5.5X25MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW FA MERIDIAN 5.5X30MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW FA MERIDIAN 6.0X25MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW FA MERIDIAN 6.0X30MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW FA PRVID GM 4.2X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.0X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.3X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFDR ADMRL 4.3X18MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFDR ASC 3.5X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFDR ASC 3.5X18MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFDR COALTN 3.6X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW FA SLFDR COALTN 3.6X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW FA SLFDR COALTN 4.2X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW FA SLFDR COALTN 4.2X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW FA SLFDR COALTN 4.2X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW FA SLFTP ADMRL 4.0X14MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFTP ADMRL 4.3X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFTP ASC 3.5X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFTP ASC 4.0X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW FA SLFTP AVIATOR 4.0X16,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW FA SLFTP AVIATOR 4X14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW FAS INVICTUS 4X20MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW FASTPITCH LK HIGH 2.7MM,2486.4,1989.12,1.0,2237.76,27
HCPCS,C1713,SCREW FASTPITCHLKHIGH12/14 2.7,2486.4,1989.12,1.0,2237.76,27
HCPCS,C1713,SCREW FEM ANTEGRD COMP T2 5.5,1355.47,1084.38,1.0,1219.92,27
HCPCS,C1713,SCREW FEM PA 5.5X70MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW FEM PA 5.5X75MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW FEM PA 5.5X80MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW FEM PA 5.5X85MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW FEN EVEREST 5.5X35MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 5.5X40MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 5.5X45MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 6.5X40MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 6.5X45MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 6.5X50MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 7.5X45MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN EVEREST 7.5X50MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW FEN TFNA TI 100MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 105MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 110MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 115MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 120MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 125MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 130MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 70MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 75MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 80MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 85MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 90MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI 95MM,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW FEN TFNA TI STER 100MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 105MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 110MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 115MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 120MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 125MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 75MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 80MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 85MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 90MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FEN TFNA TI STER 95MM,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW FIX DARCO 7.5X45MM 16MM,1663.83,1331.07,1.0,1497.45,27
HCPCS,C1713,SCREW FIX DARCO 7.5X55MM 16MM,1663.83,1331.07,1.0,1497.45,27
HCPCS,C1713,SCREW FIX DARCO 7.5X65MM 16MM,1663.83,1331.07,1.0,1497.45,27
HCPCS,C1713,SCREW FIX HALO 5.5X26MM,1407.0,1125.6,1.0,1266.3,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.0X20,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.0X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.0X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.0X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.5X20,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.5X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X4.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.0X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.0X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.0X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.0X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.0X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.0X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.5X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.5X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X5.5X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X6.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X6.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X6.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X6.5X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X6.5X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FIXED POLARIS4.75X6.5X55,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW FOSSA X-DR 2.0X7MM,522.0,417.6,1.0,469.8,27
HCPCS,C1713,SCREW FOSSE X-DR 2.0X9MM,522.0,417.6,1.0,469.8,27
HCPCS,C1713,SCREW FRS 2.5X12MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X14MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X16MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X18MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X22MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X28MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X30MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X32MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW FRS 3.0X34MM*DISC*,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW GLENO LATERJET STER 36MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW GRIDLOCK 4X36MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X12MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X14MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X16MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X18MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X20MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X22MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X24MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW GRIDLOCK TRIL 3X30MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW HA VA GLOB MED 5.5X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW HA VA GLOB MED 5.5X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW HAMMERTOE BEND 12MM,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,SCREW HAMMERTOE BEND 14MM,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,SCREW HAMMERTOE BENT 16MM,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,SCREW HAMMERTOE ST 12MM,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,SCREW HAMMERTOE ST 14MM,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,SCREW HAMMERTOE ST 16MM,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,SCREW HD DARTFIRE 3.0X24MM,778.05,622.44,1.0,700.25,27
HCPCS,C1713,SCREW HD DARTFIRE 3.0X30MM,778.05,622.44,1.0,700.25,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X34MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X36MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X38MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X40MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X42MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X44MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X46MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X48MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X50MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X52MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X56MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE 4.0X60MM,987.53,790.03,1.0,888.78,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE3.5X42MM,1066.5,853.2,1.0,959.85,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE3.5X44MM,1066.5,853.2,1.0,959.85,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X28MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X30MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X36MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X40MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X44MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD DARTFIRE EDGE4.0X46MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X28MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X38MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X42MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X44MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X46MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X48MM,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW HD LNG DARTFIRE 4.0X50MM,1138.2,910.56,1.0,1024.38,27
HCPCS,C1713,SCREW HD MINI TI 3.0X22MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 3.0X24MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 3.0X26MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 3.0X28MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 3.0X30MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 3.0X32MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 3.0X34MM,917.01,733.61,1.0,825.31,27
HCPCS,C1713,SCREW HD MINI TI 4.0X34MM,846.95,677.56,1.0,762.26,27
HCPCS,C1713,SCREW HD MINI TI 4.0X36MM,846.95,677.56,1.0,762.26,27
HCPCS,C1713,SCREW HD MINI TI 4.0X38MM,846.95,677.56,1.0,762.26,27
HCPCS,C1713,SCREW HD MINI TI 4.0X44MM,846.95,677.56,1.0,762.26,27
HCPCS,C1713,SCREW HD MINI TI 4.0X46MM,846.95,677.56,1.0,762.26,27
HCPCS,C1713,SCREW HD MINI TI 4.0X50MM,846.95,677.56,1.0,762.26,27
HCPCS,C1713,SCREW HD PA FOR MTX 5.5MM TAN,1919.4,1535.52,1.0,1727.46,27
HCPCS,C1713,SCREW HD RING DISP LNG,1321.15,1056.92,1.0,1189.04,27
HCPCS,C1713,SCREW HD RING DISP SHRT,1321.15,1056.92,1.0,1189.04,27
HCPCS,C1713,SCREW HD SPNL PA MARINER,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW HDLSS CANN FULL TI2.0X24,6770.4,5416.32,1.0,6093.36,27
HCPCS,C1713,SCREW HDLSS CANN LNG 5.5X70,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1713,SCREW HDLSS CANN STER 3.0X24MM,1491.08,1192.87,1.0,1341.97,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.0X28,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X14,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X24,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X26,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X28,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X30,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X32,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X34,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X36,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X38,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X40,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 2.4X42,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X20,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X22,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X24,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X26,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X28,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X38,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 3.0X44,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGER 4.0X42,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS CANN TIGERTI3.0X22,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW HDLSS CANN TIGERTI4.5X40,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS CANNFULLSTER3.5X50,6770.4,5416.32,1.0,6093.36,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X14MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X16MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X18MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X22MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X24MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X26MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X28MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X32MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 2.5X34MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X12MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X14MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X22MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X24MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X26MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X28MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X32MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X34MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 3.0X36MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X24MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X30MM,1730.61,1384.49,1.0,1557.55,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X32MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X34MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X36MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X38MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X40MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X42MM,1730.61,1384.49,1.0,1557.55,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X44MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X46MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X48MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X50MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X55MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X60MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X65MM,1730.61,1384.49,1.0,1557.55,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X70MM,1730.61,1384.49,1.0,1557.55,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X75MM,1730.61,1384.49,1.0,1557.55,27
HCPCS,C1713,SCREW HDLSS COMP CANN 4.3X80MM,1732.5,1386.0,1.0,1559.25,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.0X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 2.5X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.0X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X12,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X42,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X44,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X46,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 3.5X48,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X42,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X44,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X46,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X48,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X50,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X52,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X56,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.0X60,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X42,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X44,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X46,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X48,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X50,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X55,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X60,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X65,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X70,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X75,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X80,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X85,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X90,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 4.5X95,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X30,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X32,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X34,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X36,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X38,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X40,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X42,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X44,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X46,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X48,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X50,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X55,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X60,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X65,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X70,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X75,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X80,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X85,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X90,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 5.5X95,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X45,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X50,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X55,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X60,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X65,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X70,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X75,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X80,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X85,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X90,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 6.5X95,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X45,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X50,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X55,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X60,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X65,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X70,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X75,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X80,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X85,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X90,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI 7.5X95,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI4.5X100,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI5.5X100,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI5.5X105,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI5.5X110,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI6.5X100,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI6.5X105,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI6.5X110,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI6.5X130,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI7.5X100,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI7.5X105,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI7.5X110,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI7.5X115,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP LNG TI7.5X120,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X12,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X14,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X16,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X18,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X20,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X22,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X24,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X26,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X28,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X30,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X32,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X34,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X36,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X38,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X40,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X42,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X44,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X46,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X48,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X50,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X52,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X54,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X56,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X58,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP MINI 3.5X60,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X10,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X12,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X14,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X16,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X18,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.0X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X10,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X12,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X14,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X16,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X18,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI2.5X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X10,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X12,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X14,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X16,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X18,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.0X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X14,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X16,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X18,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X42,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X44,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X46,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X48,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI3.5X50,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X42,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X44,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X46,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X48,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X50,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X52,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.0X54,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X20,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X22,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X24,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X26,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X28,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X30,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X32,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X34,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X36,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X38,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X40,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X42,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X44,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X46,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X48,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X50,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X55,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X60,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X65,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X70,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X75,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X80,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X85,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X90,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI4.5X95,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X20,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X22,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X24,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X26,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X28,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X30,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X32,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X34,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X36,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X38,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X40,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X42,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X44,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X46,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X48,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X50,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X55,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X60,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X65,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X70,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X75,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X80,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X85,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X90,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI5.5X95,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X30,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X35,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X45,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X55,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X60,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X65,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X70,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X75,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X80,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X85,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X90,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI6.5X95,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X40,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X45,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X50,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X55,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X60,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X65,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X70,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X75,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X80,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X85,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X90,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRT TI7.5X95,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI4.5X100,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI4.5X105,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI4.5X110,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI5.5X100,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI5.5X105,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI5.5X110,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X100,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X105,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X110,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X130,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X400,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI6.5X500,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI7.5X100,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI7.5X105,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI7.5X110,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI7.5X115,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SHRTTI7.5X120,2036.88,1629.51,1.0,1833.19,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT 1.5X9,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X10,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X11,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X12,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X13,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X14,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X15,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X16,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X17,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X18,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X19,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP SS SYNT1.5X20,724.01,579.21,1.0,651.61,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X16,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X18,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X20,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X22,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X24,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X26,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X28,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X30,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X32,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X34,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X36,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X38,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X40,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X42,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X44,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X46,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X48,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X50,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X52,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STD 4.0X60,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,SCREW HDLSS COMP STRY 4.0X38,1441.44,1153.16,1.0,1297.3,27
HCPCS,C1713,SCREW HDLSS COMP STRY 4.0X42,1441.44,1153.16,1.0,1297.3,27
HCPCS,C1713,SCREW HDLSS COMP STRY 4.0X55,1441.44,1153.16,1.0,1297.3,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X42,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X44,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X50,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X55,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X60,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X65,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X75,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X85,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 5.0X90,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW HDLSS COMP STRY 7.0X105,2088.47,1670.78,1.0,1879.62,27
HCPCS,C1713,SCREW HDLSS COMP STRY 7.0X70,2088.47,1670.78,1.0,1879.62,27
HCPCS,C1713,SCREW HDLSS COMP STRY 7.0X85,2088.47,1670.78,1.0,1879.62,27
HCPCS,C1713,SCREW HDLSS COMP TI 1.5X14,799.34,639.48,1.0,719.41,27
HCPCS,C1713,SCREW HDLSS COMP TI 1.5X18,799.34,639.48,1.0,719.41,27
HCPCS,C1713,SCREW HDLSS COMP TI 2.4X34X8,1005.8,804.64,1.0,905.22,27
HCPCS,C1713,SCREW HDLSS COMP TI 2.4X38X9,1005.8,804.64,1.0,905.22,27
HCPCS,C1713,SCREW HDLSS COMP TI 2.5X18MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW HDLSS COMP TI 2.5X20MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW HDLSS COMP TI 2.5X22MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X10X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X12X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X13.0X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X14X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X16X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X16X5,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X17X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X18X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X18X6,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X20X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X20X7,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X21X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X22X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X22X8,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X23.0X4,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X24X5,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X24X8,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X25X5,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X26X10,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X27X6,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X28X10,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X28X6,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X29X6,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.00X7,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.02X7,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.04X8,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.06X9,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X3.08X9,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X40X10,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 3.0X40X16,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI 6.5X16X100,1090.89,872.72,1.0,981.8,27
HCPCS,C1713,SCREW HDLSS COMP TI 6.5X16X95,1090.89,872.72,1.0,981.8,27
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.00X12,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.02X12,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.04X14,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.06X14,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP TI3.0X3.08X16,1004.4,803.52,1.0,903.96,27
HCPCS,C1713,SCREW HDLSS COMP ZIMM 2.5X34MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW HDLSS COMP ZIMM 2.5X40MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X100MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X105MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X110MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X115MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X120MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X50MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X55MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X60MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X65MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X70MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X75MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X80MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X85MM,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X90MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS CORT TI 5.0X95MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,SCREW HDLSS DARTFIRE 3.0X24MM,1038.83,831.07,1.0,934.95,27
HCPCS,C1713,SCREW HDLSS DARTFIRE 3.0X26MM,1038.83,831.07,1.0,934.95,27
HCPCS,C1713,SCREW HDLSS DARTFIRE 3.0X28MM,1038.83,831.07,1.0,934.95,27
HCPCS,C1713,SCREW HDLSS DARTFIRE 3.0X32MM,1038.83,831.07,1.0,934.95,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.0X16,1066.5,853.2,1.0,959.85,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X18,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X20,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X26,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X28,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X30,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X32,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X34,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE2.5X40,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X30,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X32,1243.2,994.56,1.0,1118.88,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X34,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X38,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X40,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X42,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X44,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE3.0X50,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X18,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X24,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X26,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X28,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X30,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X34,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X36,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X38,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X40,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1713,SCREW HDLSS DARTFIREEDGE4.0X48,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X12,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X14,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X16,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X18,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X20,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X22,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X24,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X26,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X28,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X30,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X32,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X34,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X36,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X38,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL2.5X40,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X14,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X16,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X18,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X22,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X24,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X26,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X28,1633.8,1307.04,1.0,1470.42,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X30,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X32,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X34,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X36,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X38,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X40,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X42,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.0X44,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X20,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X22,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X24,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X40,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X42,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X44,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL3.5X50,1062.6,850.08,1.0,956.34,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X36,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X38,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X44,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X46,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DARTFIREFULL4.0X48,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X16MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X20MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X26MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X28MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X30MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X32MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X34MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X36MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X38MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS DYNANAIL 4.0X40MM,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X100,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X105,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X110,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X115,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X120,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X60,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X65,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X70,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X75,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X80,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X85,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X90,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG ARTX 6.5X95,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS LNG DARTFIRE4.0X42,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW HDLSS LNG DARTFIRE4.0X46,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW HDLSS LNG DARTFIRE4.0X50,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW HDLSS LNG MNSTR 5.5X50,1860.3,1488.24,1.0,1674.27,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X17MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X18MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X19MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X20MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X21MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X22MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X23MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X24MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X25MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X26MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X27MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X28MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X29MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X30MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X32MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X34MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X36MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X38MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 2.4X40MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X16MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X17MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X18MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X19MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X20MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X21MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X22MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X23MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X24MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X25MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X26MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X27MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X28MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X29MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X30MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X32MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X34MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X36MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X38MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 3X40MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X100MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X30MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X32MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X34MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X36MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X38MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X40MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X42MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X44MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X46MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X48MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X50MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X52MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X54MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X56MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X58MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X60MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X65MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X70MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X75MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X80MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X85MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X90MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS LNG SYNT 4.5X95MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS MD MNSTR 7.0X110,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS MD MNSTR 7.0X55,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS MD MNSTR 7.0X60,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS MD MNSTR 7.0X80,3043.2,2434.56,1.0,2738.88,27
HCPCS,C1713,SCREW HDLSS MD MNSTR 7.0X86,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X18MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X22MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X28MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X34MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X36MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X38MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI COMP 2.5X40MM,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI LNG 2.0X44MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X14MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X18MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X20MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X42MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.0X46MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 2.5X22MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.0X40MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X28MM,1140.3,912.24,1.0,1026.27,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X34MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X36MM,1140.3,912.24,1.0,1026.27,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X38MM,1140.3,912.24,1.0,1026.27,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 3.5X48MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 4.0X28MM,1272.6,1018.08,1.0,1145.34,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 4.0X30MM,1242.15,993.72,1.0,1117.94,27
HCPCS,C1713,SCREW HDLSS MINI SHRT 4.0X40MM,862.88,690.31,1.0,776.59,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X22,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X28,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X30,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X36,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI3.0X40,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X28,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X30,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X32,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X36,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X38,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS MINI STRY TI4.0X44,1494.7,1195.76,1.0,1345.23,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X60MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X65MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X70MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X75MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X80MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X85MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X90MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS PA DYNANAIL 5X95MM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X100,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X105,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X110,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X115,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X120,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X30,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X35,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X40,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X45,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X50,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X55,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X60,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X65,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X70,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X75,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X80,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X85,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X90,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT ARTX 6.5X95,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR5.5X75,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X36,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X38,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X40,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X42,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X44,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X46,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X48,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X55,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X60,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X65,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X70,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X74,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X76,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X78,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X80,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X82,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X84,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X86,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X88,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X90,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT MNSTR7.0X95,2693.6,2154.88,1.0,2424.24,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X10MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X11MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X12MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X13MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X14MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X15MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X16MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X17MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X18MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X19MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X20MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X21MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X22MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X23MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X24MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X25MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X26MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X27MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X28MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X29MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X30MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X32MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X34MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X36MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X38MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X40MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 2.4X9MM,910.94,728.76,1.0,819.85,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X25MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X28MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X30MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 3X32MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X20MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X22MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X24MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X26MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X28MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X30MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X32MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X34MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X36MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X38MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X40MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X42MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X44MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X46MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X48MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X50MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X52MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X54MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X56MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X58MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X60MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X65MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X70MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X75MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X80MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X85MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X90MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT 4.5X95MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X10MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X11MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X12MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X13MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X14MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X15MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X16MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X17MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X18MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X19MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X20MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X21MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X22MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X23MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X24MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X26MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X27MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X29MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X34MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X36MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X38MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT3X40MM,909.54,727.64,1.0,818.59,27
HCPCS,C1713,SCREW HDLSS SHRT SYNT4.5X100MM,983.48,786.79,1.0,885.13,27
HCPCS,C1713,SCREW HDLSS SHRT ZIMM 6.5X80MM,2246.4,1797.12,1.0,2021.76,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X100MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X105MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X110MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X115MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X120MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X125MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X130MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X135MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X140MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X145MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X150MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X30MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X35MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X40MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X45MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X50MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X55MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X60MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X65MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X70MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X75MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X80MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X85MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X90MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X16X95MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X100MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X105MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X110MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X115MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X120MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X125MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X130MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X135MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X140MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X145MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X150MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X45MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X50MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X55MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X60MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X65MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X70MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X75MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X80MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X85MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X90MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HDLSS SYNT 6.5X32X95MM,986.27,789.02,1.0,887.64,27
HCPCS,C1713,SCREW HERBERT 3.0X18MM*DISC*,1612.8,1290.24,1.0,1451.52,27
HCPCS,C1713,SCREW HERBERT 3.0X20MM*DISC*,1612.8,1290.24,1.0,1451.52,27
HCPCS,C1713,SCREW HERBERT 3.0X22MM*DISC*,1612.8,1290.24,1.0,1451.52,27
HCPCS,C1713,SCREW HERBERT 3.0X24MM*DISC*,1612.8,1290.24,1.0,1451.52,27
HCPCS,C1713,SCREW HEX HD NEX 3.5X27MM,430.56,344.45,1.0,387.5,27
HCPCS,C1713,SCREW HEX HD NEX 3.5X33MM,729.0,583.2,1.0,656.1,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X100MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X20MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X25MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X30MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X35MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X40MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X45MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X50MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X55MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X60MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X70MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X75MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X80MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X85MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HINDFOOT VALOR 5.0X90MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW HIP LAG AFFIXUS10.5X80,2713.6,2170.88,1.0,2442.24,27
HCPCS,C1713,SCREW HMMF LK SLFDR 2.0X6MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW HMMF SMARTLOCK 2.0X8MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW HTO SYS 6X30MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X32MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X34MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X36MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X38MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X40MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X42MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X44MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X45MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X50MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X55MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X60MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X65MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X70MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HTO SYS 6X75MM*DISC*,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW HV WRIT 3.0X20MM,1852.2,1481.76,1.0,1666.98,27
HCPCS,C1713,SCREW IMF MAND SYNT 2X12*NLU*,431.33,345.07,1.0,388.2,27
HCPCS,C1713,SCREW IMF MAND SYNT 2X12MM,554.04,443.24,1.0,498.64,27
HCPCS,C1713,SCREW IMF MAND SYNT 2X8*NLU*,431.33,345.07,1.0,388.2,27
HCPCS,C1713,SCREW IMF MAND SYNT 2X8MM,554.04,443.24,1.0,498.64,27
HCPCS,C1713,SCREW INDEPEND VA GM 5.5X25MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW INDEPEND VA GM 5.5X30MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW INDEPEND VA GM 5.5X40MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW INDEPEND VA GM 5.5X45MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW INFINITY MA 3.5X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X32MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 3.5X34MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X32MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.0X34MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X32MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 4.5X34MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA 5.5X15MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 3.5X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X38MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PT 4.0X40MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X32,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X34,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X36,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X38,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER3.5X40,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER4.0X32,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER4.0X34,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA PTSTER4.0X36,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER4.5X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER4.5X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER4.5X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER5.5X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER5.5X25MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER5.5X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER5.5X35MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY MA STER5.5X40MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY PA 3.5X14M*NLU*,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INFINITY PA 3.5X24M*NLU*,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW INTERBODY STD 3.5X16MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW INTERBODY STD 3.5X18MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 10X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 10X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 11X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 12X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 6X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 6X23MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X23MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X28MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 7X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X23MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X28MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 8X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X23MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X28MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP 9X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER BIOCOMP10X23MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP10X28MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP11X28MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER BIOCOMP12X28MM,1085.7,868.56,1.0,977.13,27
HCPCS,C1713,SCREW INTERFER PEEK NV 10X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 10X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 11X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 12X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 7X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 7X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 8X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 8X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 9X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER PEEK NV 9X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW INTERFER TI RD 10X25MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,SCREW INTERFER TI RD 9X20MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,SCREW INTERFER TI RD 9X25MM,787.5,630.0,1.0,708.75,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.0X20,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.0X25,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.0X30,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.5X30,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.5X35,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.5X40,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULL THRD 4.5X50,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULLTHRD 4.5X55,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULLTHRD4.0X22.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X32.5,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X37.5,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X42.5,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTERLK FULLTHRD4.5X52.5,1128.96,903.17,1.0,1016.06,27
HCPCS,C1713,SCREW INTRL CAPTURE GLD 5X37.5,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW INTRL CAPTURE GLD 5X42.5,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW INTRLK 4.2X20MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X25MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X30MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X35MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X40MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X45MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X50MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X55MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X60MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X65MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X70MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X75MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X80MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X85MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.2X90MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 4.5X20MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X100MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X20MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X25MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X30MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X35MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X40MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X45MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X50MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X55MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X60MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X65MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X70MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X75MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X80MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X85MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X90MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW INTRLK 5.5X95MM*DISC*,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW JONES FRAC 4.5X50MM,3421.6,2737.28,1.0,3079.44,27
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X40MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X45MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X50MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 4.5X55MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X40MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X45MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X50MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X55MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X60MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 5.5X65MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X40MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X45MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X50MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X55MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X60MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW JONES LOPRO PT 6.0X65MM,2798.4,2238.72,1.0,2518.56,27
HCPCS,C1713,SCREW KT HUMR ZIMM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW KT META-TANLAG/COMP85/80,2485.6,1988.48,1.0,2237.04,27
HCPCS,C1713,SCREW LAB GALILEO RT10.5X110MM,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X100MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X105MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X110MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X115MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X120MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X125MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X130MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X135MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X140MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X145MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X65MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X70MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X75MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X80MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X85MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X90MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP 12.7X95MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X75MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X80MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X85MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X90MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER 12.7X95MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X100MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X105MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X110MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X115MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X120MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X125MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X65MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X75MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X80MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X85MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X90MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER 14X95MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG 1STEP STER12.7X100MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER12.7X105MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER12.7X110MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER12.7X115MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER12.7X120MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 1STEP STER12.7X125MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG 3.2X14MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG 3.2X16MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG 3.2X18MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG 3.2X20MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG 3.2X22MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG 3.2X24MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG 3.2X26MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LAG CANN ARTX 16MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LAG CANN ARTX 30MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X105,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X110,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X115,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X120,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X125,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X130,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X50MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X55MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X60MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X65MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X70MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X75MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X80MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X85MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X90MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER 14X95MM,1554.08,1243.27,1.0,1398.67,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X100,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X105,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X110,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X115,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X120,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X125,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS STER12.7X130,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X65MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X70MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X75MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X80MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X85MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X90MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS DCS SYNT 14X95MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X100MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X105MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X110MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X115MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X120MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X125MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X135MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X140MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHS/DCS 12.7X145MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X50MM,1513.51,1210.81,1.0,1362.16,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X55MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X60MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X65MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X70MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X75MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X80MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X85MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X90MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS STER12.7X95MM,1398.85,1119.08,1.0,1258.97,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X100MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X105MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X110MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X115MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X120MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X125MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X130MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X135MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X140MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X145MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X50MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X55MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT 14X60MM,1379.45,1103.56,1.0,1241.51,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X50MM,1338.88,1071.11,1.0,1204.99,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X55MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X65MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X70MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X75MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X80MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X85MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X90MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG DHSDCS SYNT12.7X95MM,1224.22,979.38,1.0,1101.8,27
HCPCS,C1713,SCREW LAG GAMMA 4 10.5X80MM,2068.27,1654.62,1.0,1861.44,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X100MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X105MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X110MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X115MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X120MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X125MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X130MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X75MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X80MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X85MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X90MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA3 10.5X95MM,1859.54,1487.64,1.0,1673.59,27
HCPCS,C1713,SCREW LAG GAMMA4 10.5X100MM,2068.27,1654.62,1.0,1861.44,27
HCPCS,C1713,SCREW LAG GAMMA4 10.5X105MM,2068.27,1654.62,1.0,1861.44,27
HCPCS,C1713,SCREW LAG GAMMA4 10.5X85MM,2068.27,1654.62,1.0,1861.44,27
HCPCS,C1713,SCREW LAG GAMMA4 10.5X90MM,2068.27,1654.62,1.0,1861.44,27
HCPCS,C1713,SCREW LAG GAMMA4 10.5X95MM,2068.27,1654.62,1.0,1861.44,27
HCPCS,C1713,SCREW LAG INTRLK SN 90MM,2673.0,2138.4,1.0,2405.7,27
HCPCS,C1713,SCREW LAG INTRLK SN 95MM,2673.0,2138.4,1.0,2405.7,27
HCPCS,C1713,SCREW LAG OMEGA+ STRY 110MM,1234.09,987.28,1.0,1110.68,27
HCPCS,C1713,SCREW LAG OMEGA+ STRY 115MM,1234.09,987.28,1.0,1110.68,27
HCPCS,C1713,SCREW LAG OMEGA+ STRY 80MM,1234.09,987.28,1.0,1110.68,27
HCPCS,C1713,SCREW LAG OMEGA+ STRY 90MM,1234.09,987.28,1.0,1110.68,27
HCPCS,C1713,SCREW LAG OMEGA+ STRY 95MM,1234.09,987.28,1.0,1110.68,27
HCPCS,C1713,SCREW LAG ORTHOLOC 3.5X26MM,1299.9,1039.92,1.0,1169.91,27
HCPCS,C1713,SCREW LAG ORTHOLOC 3.5X38MM,1299.9,1039.92,1.0,1169.91,27
HCPCS,C1713,SCREW LAG RASP EXMD 12MM,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1713,SCREW LAG RC GAMMA4 10.5X100MM,3696.0,2956.8,1.0,3326.4,27
HCPCS,C1713,SCREW LAG SOLID EXMD SM 4.0X30,2534.4,2027.52,1.0,2280.96,27
HCPCS,C1713,SCREW LAG TELESCOPING 10.5X115,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,SCREW LAG TELESCOPING 10.5X90,2864.0,2291.2,1.0,2577.6,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X24MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X26MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X28MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X30MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X32MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X34MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X36MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X38MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X40MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X42MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X44MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X46MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X48MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X50MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X52MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X54MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIDUS INCORE 3.5X56MM,1345.39,1076.32,1.0,1210.85,27
HCPCS,C1713,SCREW LAPIPLASTY HDLSS 2.5MM,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1713,SCREW LAPIPLASTY HDLSS 4.0MM,2149.2,1719.36,1.0,1934.28,27
HCPCS,C1713,SCREW LAPIPLASTY LOPRO HD3.0MM,2149.2,1719.36,1.0,1934.28,27
HCPCS,C1713,SCREW LAPIPLASTY LOPRO HD4.0MM,2149.2,1719.36,1.0,1934.28,27
HCPCS,C1713,SCREW LAPIPLASTY SNAPOFF 2.0MM,2149.2,1719.36,1.0,1934.28,27
HCPCS,C1713,SCREW LAPIPLASTY TRAVERSE3.5MM,2149.2,1719.36,1.0,1934.28,27
HCPCS,C1713,SCREW LATARJET STER 38MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW LATARJET STER 40MM,1081.29,865.04,1.0,973.16,27
HCPCS,C1713,SCREW LCK HEXALOBE 2.7X44MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LISFRANC 4.5X40MM,3018.72,2414.98,1.0,2716.85,27
HCPCS,C1713,SCREW LISFRANC 4.5X46MM,3018.72,2414.98,1.0,2716.85,27
HCPCS,C1713,SCREW LK 3.0X10MM,788.04,630.44,1.0,709.24,27
HCPCS,C1713,SCREW LK 3.0X12MM,788.04,630.44,1.0,709.24,27
HCPCS,C1713,SCREW LK 3.0X14MM,788.04,630.44,1.0,709.24,27
HCPCS,C1713,SCREW LK 3.0X16MM,788.04,630.44,1.0,709.24,27
HCPCS,C1713,SCREW LK 3.0X18MM,788.04,630.44,1.0,709.24,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X10MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X14MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X16MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X18MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X20MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X24MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK 3DI STER TI 3.5X26MM,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X30,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X32,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X34,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X36,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X38,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X40,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X42,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X46,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X48,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X50,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X52,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X54,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X58,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X60,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X62,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X64,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X66,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X68,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X70,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X72,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X74,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X76,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X78,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X80,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X85,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X90,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE STERTI5X95,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE TI 4X26MM,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE TI 4X38MM,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLE TI 4X42MM,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK ANG STABLESTERTI5X100,786.24,629.0,1.0,707.62,27
HCPCS,C1713,SCREW LK APTIS 3.5X12MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW LK APTIS 3.5X18MM,616.5,493.2,1.0,554.85,27
HCPCS,C1713,SCREW LK APTIS 3.5X20MM,616.5,493.2,1.0,554.85,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X10MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X12MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X14MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X16MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X18MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X20MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X22MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X24MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X26MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X28MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X30MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X6MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.2X8MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X10MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X12MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X14MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X16MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X18MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X20MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X22MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X24MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X26MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X28MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X30MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X32MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X34MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X36MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X38MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X40MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 2.7X8MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X10MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X12MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X14MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X16MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X18MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X20MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X22MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X24MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X26MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X28MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X30MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X32MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X34MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X36MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X38MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X40MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X42MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X44MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X46MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X48MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 3.5X50MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK ARSENAL 4.0X16MM,922.5,738.0,1.0,830.25,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X14MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X22MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X24MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X26MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X28MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X30MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X32MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X36MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X38MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X40MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X42MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X44MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X46MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X48MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X50MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X55MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X60MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X65MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X70MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X75MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X80MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X85MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 4.0X90MM,957.83,766.27,1.0,862.05,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X20MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X22MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X24MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X26MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X28MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X30MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X32MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X34MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X36MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X38MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X40MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X42MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X48MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X50MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X55MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X65MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X70MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X75MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X80MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X85MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X90MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK AXSOS TI 5.0X95MM,1018.89,815.12,1.0,917.0,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.0X10MM,1046.25,837.0,1.0,941.63,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.0X12MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.0X14MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.0X15MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X10MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X11MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X12MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X14MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X16MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X18MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X28MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X30MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X8MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BABY GORILLA 2.5X9MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X20MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X22MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X24MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X26MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X28MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X30MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X32MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X34MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X36MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X38MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X40MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X42MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X44MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X46MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X48MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X50MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X52MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BLNT ORTHOLOC3.5X54MM,829.8,663.84,1.0,746.82,27
HCPCS,C1713,SCREW LK BONE GRY 2.3X10MM,1021.73,817.39,1.0,919.56,27
HCPCS,C1713,SCREW LK BOWTI TI 5.7X20MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LK BOWTI TI 5.7X25MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LK BOWTI TI 5.7X30MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X16,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X18,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X20,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X22,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X24,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X46,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X50,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN SLFTP T10 4.0X55,1169.28,935.43,1.0,1052.35,27
HCPCS,C1713,SCREW LK CANN T15 3.5X30MM,1975.68,1580.55,1.0,1778.11,27
HCPCS,C1713,SCREW LK CANN T15 3.5X32MM,1975.68,1580.55,1.0,1778.11,27
HCPCS,C1713,SCREW LK CANN T15 3.5X36MM,2094.26,1675.41,1.0,1884.83,27
HCPCS,C1713,SCREW LK CANN T15 3.5X45MM,2803.2,2242.56,1.0,2522.88,27
HCPCS,C1713,SCREW LK CANN T15 3.5X50MM,2803.2,2242.56,1.0,2522.88,27
HCPCS,C1713,SCREW LK CANN T15 3.5X55MM,2094.26,1675.41,1.0,1884.83,27
HCPCS,C1713,SCREW LK CANN T15 3.5X60MM,1975.68,1580.55,1.0,1778.11,27
HCPCS,C1713,SCREW LK CANN T15 3.5X65MM,1975.68,1580.55,1.0,1778.11,27
HCPCS,C1713,SCREW LK CANN T15 3.5X70MM,1975.68,1580.55,1.0,1778.11,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X20,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X25,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X30,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X35,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X40,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X45,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X50,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X55,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X60,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X65,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X70,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X75,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X80,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X85,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X90,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRD HEX7.3X95,1011.15,808.92,1.0,910.04,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X100,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X105,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X110,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X115,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X120,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X125,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X130,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X135,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X140,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CANN THRDHEX7.3X145,1030.05,824.04,1.0,927.05,27
HCPCS,C1713,SCREW LK CAPRI EXPAND LG,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW LK COMPACT THRD3.50X24MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK CONIC HD 4X38*DISC*,559.31,447.45,1.0,503.38,27
HCPCS,C1713,SCREW LK CONIC HD NEWC3.5X14MM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,SCREW LK CONIC HD NEWC3.5X30MM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,SCREW LK CONIC HD NEWC3.5X32MM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1713,SCREW LK CONN VERTEX,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SCREW LK CORT 3.2X10MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT 3.2X12MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT 3.2X14MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT 3.2X16MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT 3.2X18MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT 4.5X20MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK CORT 4.5X32MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK CORT 4.5X40MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK CORT 4.5X45MM*DISC*,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X10MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X12MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X14MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X16MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X18MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X20MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X22MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X24MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X26MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X28MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.3X8MM,535.5,428.4,1.0,481.95,27
HCPCS,C1713,SCREW LK CORT ACUM 2.7X12MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 2.7X14MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 2.7X16MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 2.7X20MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 2.7X22MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X10MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X12MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X14MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X16MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X18MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X20MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X22MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X26MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ACUM 3.5X8MM,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X10MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X12MM,570.24,456.2,1.0,513.22,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X14MM,570.24,456.2,1.0,513.22,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X16MM,570.24,456.2,1.0,513.22,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X18MM,570.24,456.2,1.0,513.22,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X20MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X22MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X28MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK CORT ARTX 3.5X40MM,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X22MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X28MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X30MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X32MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X34MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK CORT DBL LEAD3.5X36MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X16,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X22,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X24,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X26,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X28,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X30,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X32,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X34,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X36,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X38,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X42,1134.0,907.2,1.0,1020.6,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X48,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X50,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X55,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL PLEO 4.5X60,1135.68,908.55,1.0,1022.11,27
HCPCS,C1713,SCREW LK CORT FULL THRD 3.5X30,1058.4,846.72,1.0,952.56,27
HCPCS,C1713,SCREW LK CORT FULL THRD 3.5X34,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW LK CORT FULL THRD 3.5X44,1058.4,846.72,1.0,952.56,27
HCPCS,C1713,SCREW LK CORT GEMINUS 3.5X9MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X14MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X16MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X18MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X20MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X22MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X24MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X26MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X28MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X30MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X32MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X36MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X38MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X42MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X44MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X46MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X48MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO 3.5X50MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LK CORT LOPRO TI 2.4X14,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK CORT LOPRO TI 2.4X20,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK CORT LOPRO TI 2.4X22,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK CORT LOPRO TI 2.4X24,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X12MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X14MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X16MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X18MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X20MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X22MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X24MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X26MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X28MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X30MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X32MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X34MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X36MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X38MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X40MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X42MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X44MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X46MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT LOPRO TI3.5X50MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW LK CORT ORPE 4.5X36MM,1145.76,916.61,1.0,1031.18,27
HCPCS,C1713,SCREW LK CORT ORPE 4.5X38MM,1145.76,916.61,1.0,1031.18,27
HCPCS,C1713,SCREW LK CORT ORPE 4.5X44MM,1145.76,916.61,1.0,1031.18,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X26,927.68,742.15,1.0,834.91,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC 3.5X30,927.68,742.15,1.0,834.91,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC3.5X20MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC3.5X24MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC3.5X26MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC3.5X28MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC3.5X30MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW LK CORT ORTHOLOC3.5X32MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW LK CORT SLFTPT4TI15X11MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW LK CORT SLFTPT4TI15X12MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW LK CORT SLFTPT4TI15X13MM,451.71,361.37,1.0,406.54,27
HCPCS,C1713,SCREW LK CORT T15 3.5X22MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK CORT T15 3.5X24MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK CORT T15 3.5X44MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK CORT T15 3.5X46MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK CORT TRMI 3.2X10MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT TRMI 3.2X12MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT TRMI 3.2X14MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW LK CORT TRMI 3.2X16MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT TRMI 3.2X18MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT TRMI 3.2X8MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X10MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X12MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X14MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X16MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X18MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X20MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X22MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X24MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X26MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X28MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X30MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X32MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X34MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X36MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X38MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X40MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X42MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X44MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X46MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X48MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 3.5X50MM,792.0,633.6,1.0,712.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X40MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X45MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X50MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X55MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X60MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW LK CORT ZIMM 5.5X65MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW LK CP PA T8 3.6X28MM,1451.35,1161.08,1.0,1306.22,27
HCPCS,C1713,SCREW LK CP PA T8 3.6X30MM,1451.35,1161.08,1.0,1306.22,27
HCPCS,C1713,SCREW LK DIST RAD 2.4X22*DISC*,576.0,460.8,1.0,518.4,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X28MM,895.86,716.69,1.0,806.27,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X30MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X35MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X40MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X45MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X50MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X55MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X60MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X65MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X70MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X75MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X77MM,916.65,733.32,1.0,824.99,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X80MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X85MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE STERTI5X90MM,918.54,734.84,1.0,826.69,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X30MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X35MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X40MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X45MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X50MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X55MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X60MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X65MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X70MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X75MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X80MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X85MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALCORE TI 5X90MM,729.54,583.64,1.0,656.59,27
HCPCS,C1713,SCREW LK DUALX T/PLIF SHRT,3184.0,2547.2,1.0,2865.6,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X10MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X11MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X13MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X14MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X15MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X16MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X18MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X20MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X22MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X24MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X26MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X28MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X30MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X8MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 2.7X9MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X10MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X12MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X14MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X16MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X18MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X20MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X22MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X24MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X26MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X28MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X30MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK DVR ZIMM 3.5X8MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X12MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X20MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X26MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X60MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 2.7X65MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X18MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK ELBOW VARIAX 3.5X26MM,901.8,721.44,1.0,811.62,27
HCPCS,C1713,SCREW LK FA T7 2.4X12MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.4X16MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.4X20MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.4X22MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.7X14MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.7X18MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.7X22MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FA T7 2.7X24MM,673.16,538.53,1.0,605.84,27
HCPCS,C1713,SCREW LK FIX MINI MAXLK 2.4X14,457.43,365.95,1.0,411.69,27
HCPCS,C1713,SCREW LK FIX MINI MAXLK 2.4X16,457.43,365.95,1.0,411.69,27
HCPCS,C1713,SCREW LK FIX MINI MAXLK 2.4X18,457.43,365.95,1.0,411.69,27
HCPCS,C1713,SCREW LK FLEX ZIMM*NLU*,410.4,328.32,1.0,369.36,27
HCPCS,C1713,SCREW LK FPS OSTE 2.7X12MM,607.5,486.0,1.0,546.75,27
HCPCS,C1713,SCREW LK FPS OSTE 2.7X14MM,607.5,486.0,1.0,546.75,27
HCPCS,C1713,SCREW LK FULL GLD 5.0X55MM,1537.2,1229.76,1.0,1383.48,27
HCPCS,C1713,SCREW LK FULL PUR 4.0X25MM,1537.2,1229.76,1.0,1383.48,27
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X28MM,758.21,606.57,1.0,682.39,27
HCPCS,C1713,SCREW LK FULL T2 STER 4.0X55MM,758.21,606.57,1.0,682.39,27
HCPCS,C1713,SCREW LK FULL ZIMM 3.5X30MM,864.0,691.2,1.0,777.6,27
HCPCS,C1713,SCREW LK GRIDLOCK 3.0X30MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK 3X10MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK 3X12MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK 3X20MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK 4X14MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW LK GRIDLOCK3.0X14MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK3.0X16MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK3.0X18MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK3.0X22MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK GRIDLOCK3.0X24MM,855.0,684.0,1.0,769.5,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X10MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X11MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X12MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X13MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X14MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X15MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X16MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HAND FRAC 1.5X8MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW LK HD SLFDR TI 5.0X26MM,835.38,668.31,1.0,751.84,27
HCPCS,C1713,SCREW LK HEXALOBE 2.7X10MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 2.7X12MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 2.7X14MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 2.7X16MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 2.7X18MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 2.7X26MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X10MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X12MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X14MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X16MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X18MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X20MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X22MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X24MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3.5X30MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3X14MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3X18MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3X20MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3X32MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3X40MM,841.5,673.2,1.0,757.35,27
HCPCS,C1713,SCREW LK HEXALOBE 3X50MM,1017.0,813.6,1.0,915.3,27
HCPCS,C1713,SCREW LK HEXALOBE 3X55MM,1017.0,813.6,1.0,915.3,27
HCPCS,C1713,SCREW LK HEXALOBE 3X60MM,1017.0,813.6,1.0,915.3,27
HCPCS,C1713,SCREW LK HEXALOBE COCR 2.7X8MM,927.0,741.6,1.0,834.3,27
HCPCS,C1713,SCREW LK HEXALOBE COCR2.7X10MM,927.0,741.6,1.0,834.3,27
HCPCS,C1713,SCREW LK HEXALOBE COCR2.7X12MM,927.0,741.6,1.0,834.3,27
HCPCS,C1713,SCREW LK HEXALOBE COCR2.7X14MM,927.0,741.6,1.0,834.3,27
HCPCS,C1713,SCREW LK HIGH PITCH 3.0MM,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1713,SCREW LK HT CAPRI CORPECT CAGE,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X22,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X36,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X50,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X52,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK HUMR CNCLS FULL4.0X54,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK IM NAIL STER 5X26MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STER 5X28MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STER 5X30MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STER TI4X50MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK IM NAIL STER TI4X55MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK IM NAIL STER TI4X58MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X30,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X34,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X36,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI4X38,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X26,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X28,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X30,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X32,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X34,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X36,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X38,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X40,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X42,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X44,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X46,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X48,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X50,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X52,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X54,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X56,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X58,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X60,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X62,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X64,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X66,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X68,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X70,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X72,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X74,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X76,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X78,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X80,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X82,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X84,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X86,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X88,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X90,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTB TI5X95,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTI5X100MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTI5X105MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTI5X110MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTI5X115MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL STERTI5X120MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X26MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X28MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X30MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X32MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X34MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X36MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X38MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X40MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X42MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X44MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X46MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X48MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X50MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X52MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X54MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X60MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X62MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X64MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X66MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X68MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X70MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X72MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X74MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X76MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X78MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X80MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X86MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL TI 5X90MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345215*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345216*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345217*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345218*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345219*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345220*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345238*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345239*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345240*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345241*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345242*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345243*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345244*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345245*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345246*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345247*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345248*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345249*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345250*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345251*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345252*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345253*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345255*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345256*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6345257*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354682*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354683*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354684*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK IM NAIL*DISC 6354685*,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW LK KLS 2.7X11MM,495.99,396.8,1.0,446.39,27
HCPCS,C1713,SCREW LK KLS 2.7X13MM,495.99,396.8,1.0,446.39,27
HCPCS,C1713,SCREW LK KLS 2.7X15MM,495.99,396.8,1.0,446.39,27
HCPCS,C1713,SCREW LK KLS 2.7X7MM,495.99,396.8,1.0,446.39,27
HCPCS,C1713,SCREW LK KLS 2.7X9MM,495.99,396.8,1.0,446.39,27
HCPCS,C1713,SCREW LK LG HD 3DI STER 2.7X12,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK LG HD 3DI STER 2.7X14,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK LG HD 3DI STER 2.7X20,1104.6,883.68,1.0,994.14,27
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X12,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X14,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X16,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X18,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X20,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK LG HD ORTHOLOC 2.7X22,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK LG HD SM THRD OSS,1015.2,812.16,1.0,913.68,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X12MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X14MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X16MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X18MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X20MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X22MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X28MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X34MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X36MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X38MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X46MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LNG ZIMM 3.5X48MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK LOPRO DRP TI 3.5X12MM,448.8,359.04,1.0,403.92,27
HCPCS,C1713,SCREW LK LOPRO DRP TI 3.5X14MM,448.8,359.04,1.0,403.92,27
HCPCS,C1713,SCREW LK LOPRO DRP TI 3.5X18MM,448.8,359.04,1.0,403.92,27
HCPCS,C1713,SCREW LK LOPRO FULL 2.4X30MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW LK LOPRO HEXALOBE 2.7X10,801.0,640.8,1.0,720.9,27
HCPCS,C1713,SCREW LK LOPRO HEXALOBE 2.7X15,801.0,640.8,1.0,720.9,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB 5X32M,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB4X26MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB4X46MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB4X50MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X28MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X30MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X34MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X36MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X38MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X40MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X44MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X46MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X54MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTB5X58MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X26MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X28MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X30MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X32MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X34MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X36MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X38MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X40MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X42MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X44MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X46MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X48MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X50MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X56MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X58MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X60MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X64MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X66MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X68MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X72MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X76MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X78MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X80MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X82MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X84MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X86MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X88MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X90MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM STERTI5X95MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IM TI 5X44MM,956.34,765.08,1.0,860.71,27
HCPCS,C1713,SCREW LK LOPRO IM TI 5X70MM,956.34,765.08,1.0,860.71,27
HCPCS,C1713,SCREW LK LOPRO IM TI 5X72MM,956.34,765.08,1.0,860.71,27
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X100MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X105MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X110MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X115MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO IMSTERTI5X120MM,1121.94,897.56,1.0,1009.75,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X10,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X12,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X14,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X16,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X18,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X20,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X22,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X24,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO SS ARTX 2.7X26,569.25,455.4,1.0,512.33,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X18MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X22MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X24MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X26MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X28MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X30MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X32MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X34MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X36MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X38MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X40MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X42MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X44MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X46MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X48MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X50MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK LOPRO TI 4.5X55MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK METFX 2.0X14MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK METFX 2.5X14MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW LK MTXMAND TI 2.9X12MM,615.47,492.38,1.0,553.92,27
HCPCS,C1713,SCREW LK MULT THRD TI 3.5X18MM,1084.5,867.6,1.0,976.05,27
HCPCS,C1713,SCREW LK MULT THRD TI 3.5X40MM,1084.5,867.6,1.0,976.05,27
HCPCS,C1713,SCREW LK MULTDIR 3.5X18MM,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW LK MULTDIR 3.5X30MM,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW LK MULTDIR 3.5X36MM,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW LK MULTDIR 3.5X38MM,1116.0,892.8,1.0,1004.4,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X10MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X12MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X14MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X16MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X18MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X20MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X22MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X24MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X26MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X34MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X36MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X38MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X50MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X55MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 3.5X60MM,972.9,778.32,1.0,875.61,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X20MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X22MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X24MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X26MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X28MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X30MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X32MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X34MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X36MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X38MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X40MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X45MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X50MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X55MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 4.5X60MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X20MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X24MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X26MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X28MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X30MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X32MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X34MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X36MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X38MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X40MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X45MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X50MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X55MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK ORTHOLOC 5.5X60MM,983.25,786.6,1.0,884.93,27
HCPCS,C1713,SCREW LK OST SALVATION 4.0X30,1111.5,889.2,1.0,1000.35,27
HCPCS,C1713,SCREW LK OST SALVATION 4.0X36,1111.5,889.2,1.0,1000.35,27
HCPCS,C1713,SCREW LK OST SALVATION 4.0X40,1111.5,889.2,1.0,1000.35,27
HCPCS,C1713,SCREW LK OST SALVATION 5.5X22,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW LK OST SALVATION 5.5X30,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW LK OST SALVATION 5.5X34,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW LK OST SALVATION 5.5X36,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW LK OST SALVATION 5.5X55,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW LK OST VLP 5.0X14MM,1046.25,837.0,1.0,941.63,27
HCPCS,C1713,SCREW LK OST VLP 5.0X18MM,1046.25,837.0,1.0,941.63,27
HCPCS,C1713,SCREW LK OST VLP 5.0X24MM,1046.25,837.0,1.0,941.63,27
HCPCS,C1713,SCREW LK OST VLP 5.0X26MM,1046.25,837.0,1.0,941.63,27
HCPCS,C1713,SCREW LK PA CANN COCR 3X40MM,1507.8,1206.24,1.0,1357.02,27
HCPCS,C1713,SCREW LK PA MINI UNITE 2.4X10,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA MINI UNITE 2.4X12,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA MINI UNITE 2.4X14,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA MINI UNITE 2.7X10,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW LK PA MINI UNITE 2.7X12,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X18MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X22MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X24MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.0X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X18MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA MOTOBAND 3.5X24MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW LK PA UNITE 2.0X10MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 2.0X14MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 2.4X12MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 2.7X24MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.0X22MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.0X26MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.0X30MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.0X36MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.0X40MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.0X46MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PA UNITE 4.5X40MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK PERIPROS 5X12MM,1161.76,929.41,1.0,1045.58,27
HCPCS,C1713,SCREW LK PERIPROS 5X14MM,1161.76,929.41,1.0,1045.58,27
HCPCS,C1713,SCREW LK PERIPROS 5X8MM,1161.76,929.41,1.0,1045.58,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X12MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X14MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X15MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X16MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X18MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X20MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X22MM,975.38,780.31,1.0,877.84,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X24MM,975.38,780.31,1.0,877.84,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X26MM,975.38,780.31,1.0,877.84,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X30MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X34MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X40MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA2.7X44MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X10MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X12MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X14MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X16MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X18MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X20MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X22MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X24MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X26MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X28MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X30MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X32MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X34MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X36MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X38MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X40MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X42MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X44MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X46MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X48MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA3.5X50MM,906.75,725.4,1.0,816.08,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X16MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X20MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X22MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X24MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X26MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X28MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X30MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X34MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X36MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X38MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X40MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X42MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X44MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X46MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X48MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X60MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X65MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK R3CON GORILLA4.2X70MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X35,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X40,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X45,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X50,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X55,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X60,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X65,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK REINF CORE STER4.5X70,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK RELINE OPENTULIP6.0MM,378.0,302.4,1.0,340.2,27
HCPCS,C1713,SCREW LK REST 6.5X20MM,1818.0,1454.4,1.0,1636.2,27
HCPCS,C1713,SCREW LK REST 6.5X25MM,1818.0,1454.4,1.0,1636.2,27
HCPCS,C1713,SCREW LK RIB LVL1 MAX STER 2.3,715.41,572.33,1.0,643.87,27
HCPCS,C1713,SCREW LK RIB LVL1MAXSTER2.3PK4,715.41,572.33,1.0,643.87,27
HCPCS,C1713,SCREW LK RIBLVL1MAXSTER2.3PK10,715.41,572.33,1.0,643.87,27
HCPCS,C1713,SCREW LK SB TPR POLYLOCK 2.0X8,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.0X10,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.4X10,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.7X12,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW LK SB TPR POLYLOCK2.7X14,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X 22MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X14MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X16MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X18MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X20MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X28MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X30MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X32MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X34MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X36MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X38MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X42MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X46MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X48MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X50MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X55MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.5X60MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X20MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X22MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X24MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X26MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X28MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X30MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X32MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X34MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X36MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X38MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 4.7X40MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X14MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X16MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X18MM,1073.1,858.48,1.0,965.79,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X20MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X22MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X24MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X26MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X28MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X30MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X32MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X34MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X36MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X38MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X40MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X42MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X44MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X46MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X48MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X50MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X55MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SILVERBACK 5.2X60MM,1009.13,807.31,1.0,908.22,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X18MM,763.56,610.85,1.0,687.2,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X26MM,763.56,610.85,1.0,687.2,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X40MM,763.56,610.85,1.0,687.2,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X55MM,774.9,619.92,1.0,697.41,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X65MM,774.9,619.92,1.0,697.41,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X75MM,774.9,619.92,1.0,697.41,27
HCPCS,C1713,SCREW LK SLFDR LCP TI 5.0X85MM,774.9,619.92,1.0,697.41,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X10,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X11,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X12,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X13,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X14,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X15,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X16,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X18,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X19,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFDR MTXSTRNM 2.7X20,667.8,534.24,1.0,601.02,27
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.0X5,592.79,474.24,1.0,533.51,27
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.0X6,592.92,474.34,1.0,533.63,27
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.0X8,592.79,474.24,1.0,533.51,27
HCPCS,C1713,SCREW LK SLFTP MTXMAND TI2.4X8,754.88,603.91,1.0,679.39,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTAN2.0X5,420.29,336.24,1.0,378.26,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X10,592.92,474.34,1.0,533.63,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X12,592.92,474.34,1.0,533.63,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X14,592.92,474.34,1.0,533.63,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.0X16,592.92,474.34,1.0,533.63,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X10,731.43,585.15,1.0,658.29,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X12,731.43,585.15,1.0,658.29,27
HCPCS,C1713,SCREW LK SLFTP MTXMANDTI2.4X14,2048.0,1638.4,1.0,1843.2,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X18MM,1072.26,857.81,1.0,965.03,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X28MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X42MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X44MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X50MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X55MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X60MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X65MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X70MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X75MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X80MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X85MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP OPTILINK 5X90MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X10,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X12,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X14,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X16,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X18,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X20,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X22,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X24,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X26,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X28,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X30,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X32,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X34,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X36,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X38,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X40,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X42,1247.4,997.92,1.0,1122.66,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X44,1247.4,997.92,1.0,1122.66,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X46,1247.4,997.92,1.0,1122.66,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X48,1247.4,997.92,1.0,1122.66,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X50,1247.4,997.92,1.0,1122.66,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X55,1247.4,997.92,1.0,1122.66,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X60,1272.6,1018.08,1.0,1145.34,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X65,1272.6,1018.08,1.0,1145.34,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X70,1264.2,1011.36,1.0,1137.78,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X75,1432.2,1145.76,1.0,1288.98,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X8,1230.6,984.48,1.0,1107.54,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 2.7X80,931.5,745.2,1.0,838.35,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X10,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X12,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X14,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X16,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X18,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X20,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X22,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X24,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X26,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X28,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X30,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X32,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X34,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X36,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X38,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X40,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X42,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X44,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X46,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X48,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X50,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X55,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X60,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X65,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X70,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X75,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X80,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X85,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X90,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 3.5X95,1356.6,1085.28,1.0,1220.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X20MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X22MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X26MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X28MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X32MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X36MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X38MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X42MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X46MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X70MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X80MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 4.0X90MM,1436.4,1149.12,1.0,1292.76,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X32MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X36MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X38MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X40MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X42MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X44MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X65MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X70MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X75MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X80MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X85MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PANGEA 5.0X90MM,1566.6,1253.28,1.0,1409.94,27
HCPCS,C1713,SCREW LK SLFTP PERIPROS 5X10MM,1797.6,1438.08,1.0,1617.84,27
HCPCS,C1713,SCREW LK SLFTP PERIPROS 5X12,869.4,695.52,1.0,782.46,27
HCPCS,C1713,SCREW LK SLFTP PERIPROS 5X14MM,1797.6,1438.08,1.0,1617.84,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X10,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X12,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X14,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X16,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X18,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X20,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X22,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X24,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X26,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X28,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X30,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X6,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 2.4X8,510.3,408.24,1.0,459.27,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X10,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X12,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X14,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X16,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X18,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X20,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X22,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X24,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X26,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X28,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X30,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X32,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X34,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X35,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X36,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X38,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X40,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X42,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X44,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X45,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X46,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X48,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X50,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X52,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X55,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X60,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X65,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X70,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP STARDR 3.5X75,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X10MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X12MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X14MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X16MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X18MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X20MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X22MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X24MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X26MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X28MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T10 2.7X30MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T15 2.7X8MM,928.8,743.04,1.0,835.92,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X12MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X14MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X16MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X18MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X20MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X22MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X24MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X26MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X28MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X30MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X32MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X34MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X36MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X38MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X40MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X42MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X44MM,1457.4,1165.92,1.0,1311.66,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X46MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X50MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X55MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X60MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T15 3.5X70MM,1098.0,878.4,1.0,988.2,27
HCPCS,C1713,SCREW LK SLFTP T25 5.0X14,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK SLFTP T25 5.0X38,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK SLFTP T25 5.0X40,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK SLFTP T25 PERIPROS5X8,790.02,632.02,1.0,711.02,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X30,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X32,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X34,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X36,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X38,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X40,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X42,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X44,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X46,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X48,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X50,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25 STER 5.0X55,725.76,580.61,1.0,653.18,27
HCPCS,C1713,SCREW LK SLFTP T25PERIPROS5X10,790.02,632.02,1.0,711.02,27
HCPCS,C1713,SCREW LK SLFTP T25PERIPROS5X12,790.02,632.02,1.0,711.02,27
HCPCS,C1713,SCREW LK SLFTP T4STARDR1.3X4MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTP T4STARDR1.3X5MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTP T4STARDR1.3X6MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTP T4STARDR1.3X7MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTP T4STARDR1.3X8MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTP T4STARDR1.3X9MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X30,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X32,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X34,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X36,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X38,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X40,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPSTARDRSTER3.5X42,697.41,557.93,1.0,627.67,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X10MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X11MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X12MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X13MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X14MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X15MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X16MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SLFTPT4STARDR1.3X18MM,431.42,345.14,1.0,388.28,27
HCPCS,C1713,SCREW LK SM HEX 3.5X18MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X20MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X22MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X24MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X26MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X28MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X30MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X32MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X34MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X36MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X38MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X40MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X45MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SM HEX 3.5X50MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK SMARTLK GRY 2.3X14MM,1021.73,817.39,1.0,919.56,27
HCPCS,C1713,SCREW LK SMARTLK GRY 2.3X6MM,1021.73,817.39,1.0,919.56,27
HCPCS,C1713,SCREW LK SMARTLK GRY 2.3X8MM,1021.73,817.39,1.0,919.56,27
HCPCS,C1713,SCREW LK SMARTLK GRY2.3X12MM,1021.73,817.39,1.0,919.56,27
HCPCS,C1713,SCREW LK SQ 2.7X12MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ST STRT*DISC NO REPL*,744.75,595.8,1.0,696.6,729
HCPCS,C1713,SCREW LK ST STRTM 2.7X10MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X12MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X14MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X16MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X18MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X20MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X22MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X24MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X26MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X28MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 2.7X30MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X10MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X12MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X14MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X16MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X18MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X20MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X22MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X24MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X26MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X28MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X30MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X32MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X34MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X36MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK ST STRTM 3.5X38MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW LK SYNT 2.7X10MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X12MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X14MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X16MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X18MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X20MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X22MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X24MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X26MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X28MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X30MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X32MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X34MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X36MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X38MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X40MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X42MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X44MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X46MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X48MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X50MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X55MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X60MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2.7X8MM,459.65,367.72,1.0,413.69,27
HCPCS,C1713,SCREW LK SYNT 2X10MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X11MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X12MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X13MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X14MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X16MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X18MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X20MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X22MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X24MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X26MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X28MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X30MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X6MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X7MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X8MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK SYNT 2X9MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X10MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X12MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X14MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X16MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X18MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X20MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X22MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X24MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X26MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X28MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X30MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X32MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X34MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X35MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X36MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X38MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X40MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X42MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X44MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X45MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X46MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X48MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X50MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X52MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X54MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X55MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X56MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X58MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X60MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X65MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X70MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X75MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X80MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X85MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X90MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 STARDR 3.5X95MM,497.07,397.66,1.0,447.36,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X22MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X24MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X32MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X34MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X36MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X38MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X40MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X42MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X44MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X46MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X48MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X50MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X52MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T15 VOLT SS 3.5X56MM,942.48,753.99,1.0,848.23,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X100,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X105,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X110,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X115,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X120,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X25MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X27.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X30MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X32.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X35MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X37.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X40MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X42.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X45MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X47.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X50MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X52.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X55MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X57.5,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X60MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X65MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X70MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X75MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X80MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X85MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X90MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 FULL STER 5.0X95MM,771.3,617.04,1.0,694.17,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X25MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X30MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X35MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X40MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X45MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X50MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X55MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X60MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X65MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X70MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X75MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X80MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X85MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X90MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER 5.0X95MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER5.0X100MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER5.0X105MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER5.0X110MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER5.0X115MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T2 PART STER5.0X120MM,810.68,648.55,1.0,729.61,27
HCPCS,C1713,SCREW LK T25 STARDR 5X14MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X16MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X18MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X20MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X22MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X24MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X26MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X28MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X30MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X32MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X34MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X36MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X38MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X40MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X42MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X44MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X46MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X48MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X50MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X55MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X60MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X65MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X70MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X75MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X80MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X85MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T25 STARDR 5X90MM,515.97,412.78,1.0,464.37,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X10MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X11MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X12MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X13MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X14MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X15MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X16MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X17MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X18MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X19MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X20MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X22MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X24MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X26MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X28MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X30MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X32MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X34MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X36MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X38MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X40MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X42MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X44MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X46MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X48MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X50MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X6MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X7MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X8MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T6 VOLT SS 2.0X9MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X10MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X11MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X12MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X13MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X14MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X16MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X18MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X20MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X22MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X24MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X26MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X28MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X30MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X6MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X7MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X8MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR 2.4X9MM,463.05,370.44,1.0,416.75,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X12MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X14MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X18MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X20MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X22MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X24MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X26MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 STARDR TI 2.7X28MM,476.28,381.03,1.0,428.65,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X10MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X11MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X12MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X13MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X14MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X15MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X16MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X17MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X18MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X19MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X20MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X22MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X24MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X26MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X28MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X30MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X32MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X34MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X36MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X38MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X40MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X42MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X44MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X46MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X48MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X50MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X52MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X54MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X56MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X58MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X60MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X6MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X7MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X8MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.4X9MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X10MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X11MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X12MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X13MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X14MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X15MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X16MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X17MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X18MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X19MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X20MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X22MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X24MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X26MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X28MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X30MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X32MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X34MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X36MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X38MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X40MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X42MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X44MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X46MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X48MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X50MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X52MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X54MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X56MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X58MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X60MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X65MM,1297.3,1037.84,1.0,1167.57,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X6MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X70MM,1297.3,1037.84,1.0,1167.57,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X75MM,1297.3,1037.84,1.0,1167.57,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X7MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X80MM,1297.3,1037.84,1.0,1167.57,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X85MM,1297.3,1037.84,1.0,1167.57,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X8MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X90MM,1297.3,1037.84,1.0,1167.57,27
HCPCS,C1713,SCREW LK T8 VOLT SS 2.7X9MM,926.64,741.32,1.0,833.98,27
HCPCS,C1713,SCREW LK TAP-LOC 3.5X50MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW LK TAP-LOC 3.5X55MM,828.0,662.4,1.0,745.2,27
HCPCS,C1713,SCREW LK TI NAIL 4X18MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X20MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X22MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X24MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X26MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X28MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X30MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X32MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X34MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X36MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X38MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X40MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X42MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X44MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X46MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X48MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X50MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X52MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X54MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X56MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X58MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X60MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X62MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X64MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X66MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X68MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X70MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X72MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X74MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X76MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X78MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 4X80MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X26MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X28MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X30MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X32MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X34MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X36MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X38MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X40MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X42MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X44MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X46MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X48MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X50MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X52MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X54MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X56MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X58MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X60MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X62MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X64MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X66MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X68MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X70MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X72MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X74MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X76MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X78MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X80MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X85MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 5X90MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6.0X40MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6.0X85MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X48MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X58MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X60MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X64MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X68MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X72MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X76MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X80MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL 6X90MM,642.6,514.08,1.0,578.34,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X18MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X20MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X22MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X24MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X26MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X28MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X30MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X32MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X34MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X36MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X38MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X40MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X42MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X44MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X46MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X48MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X50MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X52MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X54MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X56MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X58MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X60MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X62MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X64MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X66MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X68MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X70MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X72MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X74MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X76MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X78MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 4X80MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X100MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X26MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X28MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X30MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X32MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X34MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X36MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X38MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X42MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X44MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X46MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X48MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X50MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X52MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X54MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X56MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X58MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X60MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X62MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X64MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X66MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X68MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X70MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X72MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X74MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X76MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X78MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X80MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X85MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X90MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 5X95MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X100MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X26MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X28MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X30MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X32MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X34MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X36MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X38MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X40MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X42MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X44MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X46MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X48MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X50MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X52MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X54MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X56MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X58MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X60MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X64MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X68MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X72MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X76MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X80MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X85MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X90MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL STER 6X95MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI NAIL SYNT 5X40MM,831.6,665.28,1.0,748.44,27
HCPCS,C1713,SCREW LK TI SLFTP 3.5X54MM,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK TI SLFTP 3.5X56MM,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK TI SLFTP 3.5X58MM,551.88,441.51,1.0,496.69,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X40MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X44MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X50MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X55MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X60MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X65MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X70MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X75MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X80MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SLFTP 5.0X85MM,756.0,604.8,1.0,680.4,27
HCPCS,C1713,SCREW LK TI SYNT 6X45MM*DISC*,578.03,462.43,1.0,520.23,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X30,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X32,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X35,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X40,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X45,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X50,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X55,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X60,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X65,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 ADV STER5.0X85,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X30MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X32.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X35MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X37.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X42.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X47.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 4.0X50MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X25MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X30MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X32.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X35MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X37.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X40MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X42.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X45MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X47.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X50MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X52.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X55MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X57.5,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X60MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X70MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X80MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X85MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2 STER 5.0X90MM,1285.54,1028.44,1.0,1156.99,27
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X37.5,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X42.5,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X47.5,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TIB T2ADVSTER5.0X52.5,1620.53,1296.43,1.0,1458.48,27
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X10MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X14MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X18MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK TPR POLYLOCK 3.5X20MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW LK TRMI 2.4X10MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW LK TRMI 2.4X12MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW LK TRMI 2.4X14MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW LK TRMI 2.4X16MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW LK TRMI 2.4X18MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW LK TRMI 2.4X8MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW LK TUFFNEK 3.5X20MM,975.38,780.31,1.0,877.84,27
HCPCS,C1713,SCREW LK TUFFNEK 3.5X22MM,975.38,780.31,1.0,877.84,27
HCPCS,C1713,SCREW LK TUFFNEK 3.5X24MM,975.38,780.31,1.0,877.84,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X30*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X32*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X34*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X36*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X38*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X40*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK TX10 TI 4.0X46*DISC*,460.8,368.64,1.0,414.72,27
HCPCS,C1713,SCREW LK VA 1.4X10MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA 1.4X11MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA 1.4X12MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA 1.4X14MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA 1.4X9MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X14MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X16MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X18MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X20MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X22MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X24MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X26MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ACU-LOC2 2.3X28MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X10MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X12MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X13MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X14MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X15MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X16MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X18MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X20MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X22MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X24MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X26MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X28MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X30MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X32MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X34MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X40MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X8MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.4X9MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X10MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X12MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X13MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X14MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X15MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X16MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X18MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X20MM,877.5,702.0,1.0,789.75,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X22MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X26MM,877.5,702.0,1.0,789.75,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X6MM,877.5,702.0,1.0,789.75,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X7MM,877.5,702.0,1.0,789.75,27
HCPCS,C1713,SCREW LK VA ARTX TI 2.7X8MM,965.25,772.2,1.0,868.73,27
HCPCS,C1713,SCREW LK VA FLOWER 3.0X14MM,1053.15,842.52,1.0,947.84,27
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X10MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X12MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X14MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X36,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 2.4X38,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X10MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X12MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X14MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X16MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X18MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X20MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X22MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X24MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X26MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X28MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X38MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULK TI 3.0X40MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULKHBRDTI3.0X28,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X10,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X12,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X14,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X16,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X18,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X20,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X22,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X24,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X26,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X28,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X30,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X32,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA KREULOCK TI 2.4X34,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA LOPRO 3.0X42MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW LK VA LOPRO 3.0X44MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW LK VA LOPRO 3.0X48MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW LK VA LOPRO ARTX TI2.4X8,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X10,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X12,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X14,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X16,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X18,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X20,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X22,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X24,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA LOPRO ARTXTI2.4X26,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA OPTILINK 5X60MM,1016.37,813.1,1.0,914.73,27
HCPCS,C1713,SCREW LK VA PILON 2.7X34MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK VA PILON 2.7X38MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK VA PILON 2.7X42MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK VA PILON 2.7X50MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW LK VA PILON 3.5X24MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA PILON 3.5X26MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA PILON 3.5X28MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA PILON 3.5X30MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA PILON 3.5X40MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA PILON 3.5X60MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X10MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X11MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X12MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X13MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X14MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X15MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X16MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X18MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X20MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X22MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X24MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X4MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X5MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X6MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X7MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X8MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 1.5X9MM,483.84,387.08,1.0,435.46,27
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.3X8,473.76,379.01,1.0,426.38,27
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X11,534.87,427.9,1.0,481.38,27
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X14,534.87,427.9,1.0,481.38,27
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X16,534.87,427.9,1.0,481.38,27
HCPCS,C1713,SCREW LK VA SLFTP T4 TI 1.5X7,534.87,427.9,1.0,481.38,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X10MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X11MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X12MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X13MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X14MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X15MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X16MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X18MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X20MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X22MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X24MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X6MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X7MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X8MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 2X9MM,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X13,532.98,426.39,1.0,479.68,27
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X16,532.98,426.39,1.0,479.68,27
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X18,532.98,426.39,1.0,479.68,27
HCPCS,C1713,SCREW LK VA SLFTP T6 TI 2X9,532.98,426.39,1.0,479.68,27
HCPCS,C1713,SCREW LK VA SMTH ARTX 2.4X18MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X10,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X12,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X14,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X16,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X18,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X20,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X22,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X24,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X26,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X28,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X30,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X32,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X34,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X36,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X38,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X40,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X42,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X44,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X46,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X48,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X50,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X52,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X54,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X56,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X58,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X60,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X65,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X70,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X75,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X80,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X85,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X90,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STAR T15 3.5X95,629.28,503.43,1.0,566.35,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X10MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X12MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X14MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X16MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X18MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X20MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X22MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X24MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X26MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X28MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X30MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA STARDR TI 2.4X8MM,614.25,491.4,1.0,552.83,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X14MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X16MM,751.41,601.13,1.0,676.27,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X20MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X22MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X24MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X26MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X28MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X30MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X32MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X34MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X36MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X38MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X40MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X42MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X44MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X46MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X48MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X50MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X55MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X60MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X65MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X70MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X75MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X80MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X85MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T25 STAR 5X90MM,726.57,581.26,1.0,653.91,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X10MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X12MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X14MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X16MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X18MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X20MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X22MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X24MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X26MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X28MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X30MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X32MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X36MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.4X8MM,555.66,444.53,1.0,500.09,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X10MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X12MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X14MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X16MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X18MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X20MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X22MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X24MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X26MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X28MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X30MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X32MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X34MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X36MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X38MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X40MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X42MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X44MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X46MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X48MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X50MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X52MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X54MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X56MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X58MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA T8 STAR 2.7X60MM,517.86,414.29,1.0,466.07,27
HCPCS,C1713,SCREW LK VA TI 2.7X10MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X12MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X14MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X16MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X18MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X20MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X22MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X24MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X26MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X28MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X30MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X32MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X34MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X36MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X38MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X40MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X42MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X44MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X46MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X48MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X50MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X52MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X54MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X56MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TI 2.7X60MM,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X12,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X14,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X16,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X18,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X20,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X22,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X24,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X26,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X28,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TRILEAP TI 3.5X30,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW LK VA TYME 2.5X24MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW LK VAOPTILINKT25STER5X95,958.41,766.73,1.0,862.57,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X10MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X11MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X12MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X13MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X14MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X15MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X16MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X18MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X20MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X22MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X24MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X5MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X6MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X7MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X8MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 1.7X9MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X10MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X11MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X12MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X13MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X14MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X15MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X16MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X18MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X20MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X22MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X24MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X26MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X6MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X8MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX SLFTP 2.3X9MM,442.13,353.71,1.0,397.92,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL 3.5X8,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X10,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X12,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X14,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X16,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X18,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X20,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X24,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X26,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X28,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X30,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X32,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X34,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X36,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X40,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X42,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X48,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X50,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X55,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL2.7X60,914.13,731.31,1.0,822.72,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X10,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X12,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X14,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X16,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X18,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X20,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X22,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X24,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X26,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X28,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X30,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X32,768.69,614.96,1.0,691.82,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X34,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X36,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X38,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X40,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X42,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X44,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X46,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X48,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X50,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X55,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X60,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10 FULL3.5X70,1078.52,862.82,1.0,970.67,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X10,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X12,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X14,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X16,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X18,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X20,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X24,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X26,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X28,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X30,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X32,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X34,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X36,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X38,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X40,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X42,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X44,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X46,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X48,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T10LOPRO3.5X50,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X10,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X11,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X12,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X13,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X14,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X15,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X16,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X18,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X20,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X22,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X24,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X5,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X6,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X7,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X8,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T5 FULL 1.7X9,621.77,497.42,1.0,559.59,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X10,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X11,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X12,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X13,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X14,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X16,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X18,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X20,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X22,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X24,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X28,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X30,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.0X6,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X10,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X11,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X12,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X13,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X14,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X15,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X16,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X18,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X20,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X22,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X24,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X26,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X6,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X8,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T6 FULL 2.3X9,624.38,499.51,1.0,561.94,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X10,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X12,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X14,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X16,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X18,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X20,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X22,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X24,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X26,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X28,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X30,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X32,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X34,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X36,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X38,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X40,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X45,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X50,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T7 FULL 2.7X8,926.1,740.88,1.0,833.49,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X10MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X11MM,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X12MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X13MM,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X14MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X15MM,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X16MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X18MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X20MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X22MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X24MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X26MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X28MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X6MM,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X7MM,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X8MM,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 2.4X9MM,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X10,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X11,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X12,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X13,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X14,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X15,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X16,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X18,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X20,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X22,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X24,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X26,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X28,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X30,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X32,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X34,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X36,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X38,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X40,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X42,738.23,590.59,1.0,664.41,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X44,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X45,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X48,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X50,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X55,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X6,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X7,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X8,782.51,626.01,1.0,704.26,27
HCPCS,C1713,SCREW LK VARIAX T8 FULL 2.7X9,756.05,604.84,1.0,680.45,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X10MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X11MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X12MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X13MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X14MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X15MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X16MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X18MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X20MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X22MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X24MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X6MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X7MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X8MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK W T4 DRIVE 1.5X9MM,433.44,346.76,1.0,390.1,27
HCPCS,C1713,SCREW LK ZIIMM 3.5X32MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7 3.5X24MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 2.7 3.5X30MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7 3.5X42MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7 3.5X44MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7 3.5X50MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7 3.5X60MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7X10MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X14MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X18MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X22MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X26MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X28MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X32MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X34MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X36MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X38MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X40MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X42MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X44MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X46MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X48MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X50MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X52MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X54MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X55MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7X56MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X58MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X60MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW LK ZIMM 2.7X65MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 2.7X70MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.2X40MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.4X40MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X10MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X12MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X14MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X16MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X18MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X20MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X22MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X24MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X26MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X28MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X30MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X32MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X34MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X35MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X36MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X38MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X42MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X44MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X46MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X48MM,612.0,489.6,1.0,550.8,27
HCPCS,C1713,SCREW LK ZIMM 3.5X50MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X52MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X54MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X56MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X58MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X60MM,648.0,518.4,1.0,583.2,27
HCPCS,C1713,SCREW LK ZIMM 3.5X65MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK ZIMM 3.5X70MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK ZIMM 3.5X75MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK ZIMM 3.5X80MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK ZIMM 3.5X85MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK ZIMM 3.5X90MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,SCREW LK ZIMM 5.5X50MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LK ZIMM 5.5X55MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LK ZIMM 5.5X60MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LK ZIMM 5.5X65MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW LKT25 4X14*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X16*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X18*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X20*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X22*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X24*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X26*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X28*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X30*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X32*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X34*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X36*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X38*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X40*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X42*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X44*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X46*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X48*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X50*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X52*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X54*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X56*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X58*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X60*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKT25 4X62*DISC NO REPL*,570.78,456.63,1.0,513.7,27
HCPCS,C1713,SCREW LKVAOPTILINKT25STER5X100,958.41,766.73,1.0,862.57,27
HCPCS,C1713,SCREW LO PRO TM SS 4.0X16MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS 4.0X18MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS 4.0X22MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X10MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X12MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X14MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X20MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LO PRO TM SS ARTX 4X24MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X12MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X14MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X16MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X18MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X20MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X22MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X24MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X26MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X28MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X30MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X32MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X34MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X36MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X38MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X40MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X42MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X44MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X46MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X50MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X52MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X54MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X55MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X58MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 3.5X60MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X10MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X14MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X16MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X18MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X20MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X22MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X24MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X26MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X28MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X30MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X32MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X34MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X36MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X38MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X40MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X42MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X44MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X46MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X48MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X50MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO ARTX TI 4.0X54MM,356.4,285.12,1.0,320.76,27
HCPCS,C1713,SCREW LOPRO NL 2.7X10MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X11MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X13MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X14MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X15MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X16MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X26MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO NL 2.7X28MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X10MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X12MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X14MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X16MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X18MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X20MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X22MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X24MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X26MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X28MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X30MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X32MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X34MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X36MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X38MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X40MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X42MM,497.25,397.8,1.0,447.53,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X44MM,497.25,397.8,1.0,447.53,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X46MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO ORTHOLOC 3.5X55MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW LOPRO TI 4.5X18MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X26MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X28MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X30MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X32MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X34MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X36MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X38MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X40MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X42MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X44MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X46MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 4.5X50MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 5.5X30MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 5.5X40MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 5.5X45MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 5.5X50MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 5.5X55MM,486.0,388.8,1.0,437.4,27
HCPCS,C1713,SCREW LOPRO TI 5.5X70MM,396.0,316.8,1.0,356.4,27
HCPCS,C1713,SCREW LOPRO TI 6.7X100MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X110MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X115MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X120MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X40MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X45MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X50MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X55MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X60MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X65MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X75MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X85MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI 6.7X90MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI CANN THRD6.7X45,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI CANN THRD6.7X50,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI CANN THRD6.7X55,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW LOPRO TI CANN THRD6.7X60,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TI CANN THRD6.7X65,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X25MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X27.5MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X35MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X40MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X42.5MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X45MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 4.5X47.5MM,1054.35,843.48,1.0,948.92,27
HCPCS,C1713,SCREW LOPRO TRIGEN 8.5X30MM,5443.9,4355.12,1.0,4899.51,27
HCPCS,C1713,SCREW LORENZ 2.7X10MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW LORENZ 2.7X8MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X20MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X25MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X30MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X35MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X40MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X45MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LUMB BONE OLIF5.5X50MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X10MM,563.0,450.4,1.0,506.7,27
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X6EA1,563.0,450.4,1.0,506.7,27
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X6PK5,563.0,450.4,1.0,506.7,27
HCPCS,C1713,SCREW LVL1 CMF MAXDRIVE 2X8MM,563.0,450.4,1.0,506.7,27
HCPCS,C1713,SCREW MA DEPU 6X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREW MA FEN SOLERA 5.5X40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW MA FEN SOLERA 5.5X45MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW MA FEN SOLERA 6.5X45MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW MA FEN SOLERA 7.5X45MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW MA HA SOLERA 6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA INFINITY 3.5X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA INFINITY 3.5X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA INFINITY 4.0X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 3.5X38MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 3.5X42MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 3.5X8MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.0X10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.0X42MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.0X8MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.5X10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.5X38MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.5X40MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.5X42MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD 4.5X8MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 3.5X10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 3.5X36MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 3.5X40MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 4.0X36MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 4.0X38MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 4.0X40MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA NON-STD STER 4.5X36MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 4.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 4.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 4.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 4.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 5.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 7.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA RDCTN SOLERA 7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA 4.75 4.0X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA 4.75 4.0X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 4.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 4.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 4.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 5.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 8.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 8.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 8.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 8.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 9.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA SOLERA COCR 9.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MA STD XSINFINITY3.0X8MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X32MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA STDXSINFINITY3.0X34MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW MA VOYAGER 10.5X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 10.5X110MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 10.5X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 10.5X85MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 10.5X90MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 4.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 4.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 4.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 4.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 4.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 4.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 5.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 5.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 5.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 5.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 5.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 6.0X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 6.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 6.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 6.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 6.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X110MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X65MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X70MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X75MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X85MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X90MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 7.5X95MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X110MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X65MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X70MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X75MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X85MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X90MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 8.5X95MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 9.5X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 9.5X110MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 9.5X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 9.5X85MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 9.5X90MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER 9.5X95MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 4.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 4.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 4.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 4.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 5.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 5.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 5.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 5.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 5.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 5.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 6.5X30MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 6.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 6.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 6.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 6.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 6.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 7.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 7.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 7.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 7.5X50MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 7.5X55MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 7.5X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 8.5X35MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 8.5X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VOYAGER STER 8.5X45MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MA VUEPNT II 4.5X28MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.5X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X4.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.0X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS CLSD 4.75X5.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.0X22.5MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X22.5MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X27.5MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X4.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X22.5MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.0X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X5.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X65MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS TI 4.75X6.5X75MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW MAS VOYAGER 5.5 5.5*NLU*,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW MAXDR MMF 12MM THRD2X8MM,525.87,420.7,1.0,473.28,27
HCPCS,C1713,SCREW MAXDR MMF 12MMTHRD2X16MM,481.01,384.81,1.0,432.91,27
HCPCS,C1713,SCREW MAXDR MMF 16MMTHRD2X12MM,525.87,420.7,1.0,473.28,27
HCPCS,C1713,SCREW MAXDR MMF 8MM THRD2X12MM,481.01,384.81,1.0,432.91,27
HCPCS,C1713,SCREW MAXDRIV BLU 2.7X11MM,465.41,372.33,1.0,418.87,27
HCPCS,C1713,SCREW MAXDRIV BLU 2.7X13MM,465.41,372.33,1.0,418.87,27
HCPCS,C1713,SCREW MAXDRIV BLU 2.7X15MM,465.41,372.33,1.0,418.87,27
HCPCS,C1713,SCREW MAXDRIV EMER PNK3.1X11MM,660.92,528.74,1.0,594.83,27
HCPCS,C1713,SCREW MAXDRIV GRN 2.7X11MM,618.93,495.15,1.0,557.04,27
HCPCS,C1713,SCREW MAXDRIV GRN 2.7X13MM,618.93,495.15,1.0,557.04,27
HCPCS,C1713,SCREW MAXDRIV GRN 2.7X15MM,618.93,495.15,1.0,557.04,27
HCPCS,C1713,SCREW MAXDRIVE BLU 2.3X5MM,340.74,272.6,1.0,306.67,27
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH *NLU*,949.5,759.6,1.0,854.55,27
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH 1.2X3,949.5,759.6,1.0,854.55,27
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH 1.2X5,949.5,759.6,1.0,854.55,27
HCPCS,C1713,SCREW MAXDRIVE DF ZURICH 1.2X7,915.53,732.43,1.0,823.98,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X11MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X13MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X15MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X17MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X19MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X5MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X7MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.0X9MM,514.17,411.34,1.0,462.75,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X11MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X13MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X15MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X17MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X5MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X7MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE GRN 2.3X9MM,565.34,452.28,1.0,508.81,27
HCPCS,C1713,SCREW MAXDRIVE HEX ZURICH1.2X5,915.53,732.43,1.0,823.98,27
HCPCS,C1713,SCREW MDS ST STR*DISC NO REPL*,1012.5,810.0,1.0,911.25,162
HCPCS,C1713,SCREW MDS ST STRTM 3.5X10MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X12MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X14MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X16MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X18MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X20MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X22MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X24MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X26MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X28MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X30MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X32MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X34MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X36MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDS ST STRTM 3.5X38MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW MDSP 5.5X30MM*NLU*,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW MDSP 5.5X35MM*NLU*,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X10MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X12MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X14MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X16MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X18MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X20MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X22MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X24MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X26MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X28MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X30MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X32MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X34MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X36MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X38MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X40MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X42MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X44MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X46MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X48MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X50MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X52MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X54MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X56MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X58MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X60MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X62MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X64MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X66MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X68MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW METAPHYSEAL SYNT2.7X70MM,360.61,288.49,1.0,324.55,27
HCPCS,C1713,SCREW MICA PROSTEP 4X30MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA PROSTEP 4X32MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA PROSTEP 4X34MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA PROSTEP 4X36MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA PROSTEP 4X38MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA PROSTEP 4X40MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA PROSTEP 4X50MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA SLIMLINE 3.0X30MM,2048.58,1638.87,1.0,1843.72,27
HCPCS,C1713,SCREW MICA SLIMLINE 3.0X44MM,2059.2,1647.36,1.0,1853.28,27
HCPCS,C1713,SCREW MICA SLIMLINE 4.0X44MM,2048.58,1638.87,1.0,1843.72,27
HCPCS,C1713,SCREW MICA SLIMLINE 4.0X48MM,2048.58,1638.87,1.0,1843.72,27
HCPCS,C1713,SCREW MICA SLIMLINE 4.0X58MM,2048.58,1638.87,1.0,1843.72,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 14MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 18MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 20MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 24MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 10MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 11MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 12MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 13MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 14MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 16MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 18MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 20MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 24MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 8MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO ACUTRAK2 STER 9MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MICRO EMER KLS 1.8X4MM,329.67,263.74,1.0,296.7,27
HCPCS,C1713,SCREW MICRO EMER KLS 1.8X5MM,329.67,263.74,1.0,296.7,27
HCPCS,C1713,SCREW MICRO EMER KLS 1.8X7MM,329.67,263.74,1.0,296.7,27
HCPCS,C1713,SCREW MICRO EMER KLS 2.3X5MM,354.56,283.65,1.0,319.1,27
HCPCS,C1713,SCREW MICRO EMER KLS 2.3X7MM,354.56,283.65,1.0,319.1,27
HCPCS,C1713,SCREW MICRO EMER KLS 2.3X9MM,354.56,283.65,1.0,319.1,27
HCPCS,C1713,SCREW MICRO MAX DF KLS 1.5X4MM,262.73,210.19,1.0,236.46,27
HCPCS,C1713,SCREW MICRO MAX DF KLS 1.5X5MM,262.73,210.19,1.0,236.46,27
HCPCS,C1713,SCREW MICRO MAX DF KLS 1.5X7MM,262.73,210.19,1.0,236.46,27
HCPCS,C1713,SCREW MICRO MAX DF KLS 2X5MM,299.08,239.27,1.0,269.17,27
HCPCS,C1713,SCREW MICRO MAX DF KLS 2X7MM,299.08,239.27,1.0,269.17,27
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X11MM,279.77,223.82,1.0,251.79,27
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X3.5MM,279.77,223.82,1.0,251.79,27
HCPCS,C1713,SCREW MICRO MAX KLS 1.5X9MM,279.77,223.82,1.0,251.79,27
HCPCS,C1713,SCREW MILAGRO ADV DEPU 10X30MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO ADV DEPU 11X30MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO ADV DEPU 7X23MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO ADV DEPU 8X23MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO ADV DEPU 9X23MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO ADV DEPU 9X30MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO BR DEPU 5X12MM,2270.88,1816.71,1.0,2043.79,27
HCPCS,C1713,SCREW MILAGRO BR DEPU 6X12MM,2270.88,1816.71,1.0,2043.79,27
HCPCS,C1713,SCREW MILAGRO BR DEPU 6X30MM,2086.2,1668.96,1.0,1877.58,27
HCPCS,C1713,SCREW MILAGRO BR DEPU 7X15MM,2270.88,1816.71,1.0,2043.79,27
HCPCS,C1713,SCREW MINI ACUTRAK2 16MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 18MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 20MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 22MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 24MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 26MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 30MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 16MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 18MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 20MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 22MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 24MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 26MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 28MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI ACUTRAK2 STER 30MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW MINI FULL THRD 3.0X12MM,1132.95,906.36,1.0,1019.66,27
HCPCS,C1713,SCREW MINI LNG THRD 4.0X50MM,1078.35,862.68,1.0,970.52,27
HCPCS,C1713,SCREW MINI LNG THRD 4.0X55MM,1078.35,862.68,1.0,970.52,27
HCPCS,C1713,SCREW MINI MAX DF KLS 2X11MM,277.02,221.62,1.0,249.32,27
HCPCS,C1713,SCREW MINI MAX DF KLS 2X13MM,277.02,221.62,1.0,249.32,27
HCPCS,C1713,SCREW MINI MAX DF KLS 2X15MM,277.02,221.62,1.0,249.32,27
HCPCS,C1713,SCREW MINI MAX DF KLS 2X17MM,277.02,221.62,1.0,249.32,27
HCPCS,C1713,SCREW MINI MAX DF KLS 2X19MM,277.02,221.62,1.0,249.32,27
HCPCS,C1713,SCREW MINI MAX DF KLS 2X9MM,277.02,221.62,1.0,249.32,27
HCPCS,C1713,SCREW MINI SHRT THRD 2.5X42MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X24MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X26MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X28MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X30MM,868.5,694.8,1.0,781.65,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X32MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X34MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X36MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X38MM,1023.75,819.0,1.0,921.38,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X40MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X42MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW MINI SHRT THRD 3.5X44MM,1080.0,864.0,1.0,972.0,27
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X36MM,1078.35,862.68,1.0,970.52,27
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X38MM,1078.35,862.68,1.0,970.52,27
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X40MM,1078.35,862.68,1.0,970.52,27
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X42MM,1117.13,893.71,1.0,1005.42,27
HCPCS,C1713,SCREW MINI SHRT THRD 4.0X55MM,1078.35,862.68,1.0,970.52,27
HCPCS,C1713,SCREW MMF SLFTP GRY 2.0X8MM,605.97,484.78,1.0,545.37,27
HCPCS,C1713,SCREW MNSTR HDLSS SHRT 4.5X55,1678.95,1343.16,1.0,1511.06,27
HCPCS,C1713,SCREW MTX TI SLFDR 1.85X8MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW MTX TI SLFTP 1.85X8MM,432.77,346.22,1.0,389.49,27
HCPCS,C1713,SCREW MTX TI SLFTP 2.1X6MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW MTX TI SLFTP 2.1X8MM,458.02,366.42,1.0,412.22,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X10MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X11MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X12MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X13MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X14MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X15MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X16MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X18MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X20MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X22MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X24MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X26MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X28MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X8MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTDIRECT 2.7X9MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X20MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X22MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X24MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X26MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X28MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X30MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X32MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X34MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X36MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X38MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X40MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X42MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X44MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X46MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X48MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X50MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X52MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X54MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X56MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X58MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULL TI 4.5X60MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X24,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X28,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X30,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X32,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X34,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X36,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X38,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X40,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X42,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X44,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X46,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X48,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X50,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW MULTLOC FULLTISTER4.5X60,1122.66,898.13,1.0,1010.39,27
HCPCS,C1713,SCREW NAIL COMP 8X100MM,8378.24,6702.6,1.0,7540.42,27
HCPCS,C1713,SCREW NCB 4.0X20MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X22MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X24MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X28MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X30MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X32MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X36MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X38MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X40MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X42MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X46MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X48MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X50MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X55MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X60MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 4.0X65MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW NCB 5.0X22MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X24MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X30MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X36MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X40MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X42MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X44MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X46MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X48MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X55MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X60MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X65MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X70MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X75MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB 5.0X85MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW NCB STER 5.0X100MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW NCB STER 5.0X95MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW NEUR LVL1 1.5X3.5MM,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW NEURO LVL1 1.5X3.5MM PK5,304.88,243.91,1.0,274.39,27
HCPCS,C1713,SCREW NEURO LVL1 1.5X4MM,299.45,239.56,1.0,269.51,27
HCPCS,C1713,SCREW NEURO LVL1 1.5X4MM PK5,299.45,239.56,1.0,269.51,27
HCPCS,C1713,SCREW NEURO LVL1 1.5X5MM,299.45,239.56,1.0,269.51,27
HCPCS,C1713,SCREW NEURO LVL1 1.5X5MM PK5,299.45,239.56,1.0,269.51,27
HCPCS,C1713,SCREW NEURO LVL1 1.8X4MM,299.45,239.56,1.0,269.51,27
HCPCS,C1713,SCREW NEURO LVL1 1.8X5MM,299.45,239.56,1.0,269.51,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X20,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X22,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X24,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X26,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X28,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X30,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X36,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X38,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X40,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X42,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X44,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X46,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NEUTRA REVCON STER3.0X48,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW NL ALPHALOK 3.5X22MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW NL ALPHALOK 3.5X28MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X10MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X14MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X18MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X22MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X26MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X28MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.2X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X10MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X14MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X18MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X22MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X26MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X28MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X32MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X34MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X36MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X38MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X40MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 2.7X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X10MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X14MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X18MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X22MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X26MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X28MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X32MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X34MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X36MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X38MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X40MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X42MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X44MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X46MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X48MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X50MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 3.5X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 4.0X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL ARSENAL 4.0X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.0X12MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.0X14MM,491.4,393.12,1.0,442.26,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.0X16MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X10MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X13MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X14MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X16MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X24MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X26MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X28MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X8MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BABY GORILLA 2.5X9MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL BUNION 2.4X6MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X34,1008.0,806.4,1.0,907.2,27
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X38,1008.0,806.4,1.0,907.2,27
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X42,1008.0,806.4,1.0,907.2,27
HCPCS,C1713,SCREW NL CANN CNCLS ZIMM 4X50,1008.0,806.4,1.0,907.2,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X32MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X34MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X36MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X38MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X40MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X44MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X46MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X50MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CNCLS ZIMM 4X55MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW NL CORT EVOLVE 3.5X18MM,477.0,381.6,1.0,429.3,27
HCPCS,C1713,SCREW NL CORT EVOLVE 3.5X22MM,477.0,381.6,1.0,429.3,27
HCPCS,C1713,SCREW NL CORT EVOLVE 3.5X28MM,477.0,381.6,1.0,429.3,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X20,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X22,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X24,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X26,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X28,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X32,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X34,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X38,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X48,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X50,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X55,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL PLEO 4.5X70,354.24,283.4,1.0,318.82,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X10,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X12,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X14,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X16,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X18,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X24,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X26,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X28,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X30,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X32,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X36,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X38,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X40,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT FULL THRD 3.5X60,244.0,195.2,1.0,219.6,27
HCPCS,C1713,SCREW NL CORT HEXALOBE2.7X48MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X10MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X12MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X14MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X16MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X18MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X20MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X22MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X24MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X26MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X28MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X30MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X35MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X40MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X45MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X50MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X55MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X60MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X65MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS3.5X70MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT LOPRO SS35X58MM,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X20MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X22MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X24MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X26MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X28MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X30MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X32MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X34MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X40MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ORTHOLOC3.5X44MM,834.75,667.8,1.0,751.28,27
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X18MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X20MM,1039.5,831.6,1.0,935.55,27
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X22MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X24MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X28MM,1039.5,831.6,1.0,935.55,27
HCPCS,C1713,SCREW NL CORT ULNA TI 2.7X30MM,945.0,756.0,1.0,850.5,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X12MM,522.0,417.6,1.0,469.8,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X14MM,522.0,417.6,1.0,469.8,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X28MM,850.5,680.4,1.0,765.45,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X34MM,850.5,680.4,1.0,765.45,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X36MM,850.5,680.4,1.0,765.45,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X38MM,850.5,680.4,1.0,765.45,27
HCPCS,C1713,SCREW NL CORT ULNA TI 3.5X9MM,522.0,417.6,1.0,469.8,27
HCPCS,C1713,SCREW NL DVR ZIMM 2.7X12MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW NL DVR ZIMM 2.7X18MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW NL DVR ZIMM 2.7X20MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW NL DVR ZIMM 2.7X22MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW NL DVR ZIMM 2.7X24MM,384.0,307.2,1.0,345.6,27
HCPCS,C1713,SCREW NL HAND FRAC 1.3X12MM,422.4,337.92,1.0,380.16,27
HCPCS,C1713,SCREW NL HAND FRAC 1.5X10MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HAND FRAC 1.5X12MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X10MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X12MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X14MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X16MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X18MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X20MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X22MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X24MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X32MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 2.7X50MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X10MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X12MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X14MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X16MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X18MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X20MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X22MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X24MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X26MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X28MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X30MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X40MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X45MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X50MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X55MM,558.0,446.4,1.0,502.2,27
HCPCS,C1713,SCREW NL HEXALOBE 3.5X8MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X14MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X20MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X22MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X24MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X26MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X30MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X32MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X36MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X38MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X40MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X45MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X50MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X55MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE 3X60MM,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL HEXALOBE COCR 2.7X8MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR2.7X10MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR2.7X12MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR2.7X14MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X10MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X12MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X14MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL HEXALOBE COCR3.5X16MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 2.7X18,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X12,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X14,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X18,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X20,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X22,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X26,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO 3DI STER 3.5X44,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW NL LOPRO HEXALOBE 2.7X12,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW NL LP STRT*DISC NO REPL*,715.5,572.4,1.0,643.95,162
HCPCS,C1713,SCREW NL LP STRTM 2.7X10MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X12MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X14MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X16MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X18MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X20MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X22MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X24MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X26MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X28MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 2.7X30MM,652.5,522.0,1.0,587.25,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X10MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X12MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X14MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X16MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X18MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X20MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X22MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X24MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X26MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X28MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X30MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X32MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X34MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X36MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL LP STRTM 3.5X38MM,715.5,572.4,1.0,643.95,27
HCPCS,C1713,SCREW NL METFX 2.0X12MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW NL METFX 2.0X14MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW NL MINBUNION STER2.7X22,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MINI MAXLK 2.4X12MM,661.5,529.2,1.0,595.35,27
HCPCS,C1713,SCREW NL MINI MAXLK 2.4X18MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW NL MINI MAXLK 2.4X20MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW NL MINI MAXLK 2.4X8MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW NL MINI MAXLK2.4X14MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW NL MINI MAXLK2.4X16MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SCREW NL MINI UNITE 2.4X10,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL MINI UNITE 2.4X12,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL MINI UNITE 2.4X14,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL MINI UNITE 2.7X12,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL MINI UNITE 2.7X26,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X12MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X14MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X16MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X18MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X20MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X22MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.0X30MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X12MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X14MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X16MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X18MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X20MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X22MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X24MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X28MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL MOTOBAND 3.5X30MM,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SCREW NL ORTHOLOC 2.4X20MM,414.96,331.97,1.0,373.46,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X30MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X32MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X34MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X36MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X38MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X45MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X50MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 4.5X55MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X24MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X28MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X30MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X32MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X34MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X36MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X38MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X40MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X45MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X50MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X55MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC 5.5X60MM,465.12,372.1,1.0,418.61,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X12MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X14MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X16MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X18MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X20MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X22MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X24MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X26MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL ORTHOLOC2.7X30MM,495.9,396.72,1.0,446.31,27
HCPCS,C1713,SCREW NL PA MINI UNITE 2.4X14,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL PILON 2.7X38MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW NL PILON 3.5X24MM,1064.25,851.4,1.0,957.83,27
HCPCS,C1713,SCREW NL PILON 3.5X28MM,1064.25,851.4,1.0,957.83,27
HCPCS,C1713,SCREW NL PILON 3.5X30MM,1064.25,851.4,1.0,957.83,27
HCPCS,C1713,SCREW NL PILON 3.5X40MM,1064.25,851.4,1.0,957.83,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X20MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X26MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X28MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X30MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X32MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X34MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON BABY 3.5X36MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X16MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X17MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X18MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X20MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X22MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X30MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X32MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X34MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X36MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X38MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X40MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X44MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X46MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X48MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X50MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X52MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA2.7X54MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X10MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X14MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X16MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X18MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X20MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X22MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X24MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X28MM,810.0,648.0,1.0,729.0,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X30MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X38MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA3.5X48MM,702.0,561.6,1.0,631.8,27
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X20MM,731.25,585.0,1.0,658.13,27
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X30MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW NL R3CON GORILLA4.2X32MM,936.0,748.8,1.0,842.4,27
HCPCS,C1713,SCREW NL SB POLYLOCK 2.0X10MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL SB POLYLOCK 2.4X10MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL SB POLYLOCK 2.7X12MM,2175.12,1740.1,1.0,1957.61,27
HCPCS,C1713,SCREW NL STRY 3.0X18,555.53,444.43,1.0,499.98,27
HCPCS,C1713,SCREW NL STRY 3.0X22,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW NL STRY 3.5X26,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW NL STRY 3.5X36,544.77,435.82,1.0,490.29,27
HCPCS,C1713,SCREW NL TYME 2.5X26MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL TYME 2.5X28MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.0X16MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.0X22MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.0X24MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.0X26MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.0X30MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.0X36MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.5X26MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.5X28MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL UNITE 4.5X30MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X10,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X12,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X14,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X16,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X18,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X20,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X24,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X26,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X28,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X30,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X32,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X34,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X36,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X38,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X40,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X42,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X44,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X46,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X48,463.32,370.66,1.0,416.99,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X50,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X65,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL VARIAX T10 FULL3.5X70,468.0,374.4,1.0,421.2,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X10,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X11,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X12,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X13,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X14,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X15,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X16,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X18,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X20,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X22,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X24,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X26,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X28,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X30,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X32,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X34,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X36,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X6,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X7,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X8,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T6 FULL 2.0X9,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X10,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X12,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X14,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X16,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X18,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X20,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X22,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X24,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X26,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X28,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X30,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X32,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X34,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X36,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X38,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X40,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X45,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X50,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T7 FULL 2.7X8,447.36,357.89,1.0,402.62,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X10MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X11MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X12MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X13MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X14MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X15MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X16MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X18MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X20MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X22MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X24MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X26MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X28MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X30MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X32MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X34MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X36MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X38MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X55MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X6MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X7MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X8MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NL VARIAX T8 2.4X9MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 2.7X65MM,470.64,376.52,1.0,423.58,27
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X6MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X7MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X8MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8 FULL2.7X9MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X10MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X11MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X12MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X13MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X14MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X15MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X16MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X18MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X20MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X22MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X24MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X26MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X28MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X30MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X32MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X34MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X36MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X38MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X40MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X42MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X46MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X48MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X50MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X55MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X60MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X65MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X70MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8FULL2.7X75MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW NL VARIAX T8PART2.7X18MM,608.18,486.55,1.0,547.36,27
HCPCS,C1713,SCREW NOBELACTIVE RP 3.5X15MM,1927.8,1542.24,1.0,1735.02,27
HCPCS,C1713,SCREW NOBELACTIVE RP4.3X11.5MM,1927.8,1542.24,1.0,1735.02,27
HCPCS,C1713,SCREW OC BLNT 4.5X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 4.5X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 4.5X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 4.5X6MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 4.5X8MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 5.0X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 5.0X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 5.0X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 5.0X6MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC BLNT 5.0X8MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 4.5X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 4.5X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 4.5X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 4.5X6MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 4.5X8MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 5.0X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 5.0X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 5.0X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 5.0X6MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OC TPR 5.0X8MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCC CORTVUEPOINTII4.5X14,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW OCC CORTVUEPOINTII5.0X12,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW OCC SHLDRPAQUARTEX4.0X38,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW OCC SHLDRPAQUARTEX4.0X40,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW OCC YUKON OCT 5.25X12MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW OCC YUKON OCT 5.25X6MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW OCC YUKON OCT 5.25X8MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.0X10MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.0X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.0X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.0X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.0X18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.0X20MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.5X10MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.5X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL GM 4.5X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW OCCIPITAL OC FUSN4.5X4MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OC FUSN4.5X6MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OC FUSN5.0X18,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OC FUSN5.0X4MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OC FUSN5.0X6MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN4.5X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN4.5X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN4.5X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN4.5X16MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN4.5X18MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN5.0X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN5.0X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN5.0X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITAL OCFUSN5.0X16MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW OCCIPITO QUARTEX 4.2X6MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW OCCIPITO QUARTEX 4.2X8MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW OCCIPITO QUARTEX 4.6X8MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW OCCIPITO QUARTEX4.2X10MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW OCCIPITO QUARTEX4.2X12MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW OCCIPITO QUARTEX4.6X10MM,630.0,504.0,1.0,567.0,27
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 3.5X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 4X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 4X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 4X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT F/A DEPU 4X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT M/L DEPU 4.35X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT M/L DEPU 4.35X25MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW OCT M/L DEPU 4.35X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW ODONTOID MDTR 4X34MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW ODONTOID MDTR 4X36MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW ODONTOID MDTR 4X38MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW ODONTOID MDTR 4X42MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,SCREW ONEDRIV DFEMERTI1.8X7MM,343.49,274.8,1.0,309.14,27
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X4MM,299.92,239.94,1.0,269.93,27
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X5MM,299.92,239.94,1.0,269.93,27
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X6MM,299.92,239.94,1.0,269.93,27
HCPCS,C1713,SCREW ONEDRIVE DF TI 1.5X7MM,299.92,239.94,1.0,269.93,27
HCPCS,C1713,SCREW ONEDRIVE DFEMERTI1.5X5MM,343.49,274.8,1.0,309.14,27
HCPCS,C1713,SCREW ONEDRIVE LVLONE1.5X9MM,299.92,239.94,1.0,269.93,27
HCPCS,C1713,SCREW ORTHODONTIC OMI 1.6X10MM,1184.4,947.52,1.0,1065.96,27
HCPCS,C1713,SCREW ORTHODONTIC OMI 1.6X8MM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1713,SCREW OST FULL THRD 5.0X30MM,431.52,345.22,1.0,388.37,27
HCPCS,C1713,SCREW OST FULL THRD 5.0X38MM,431.52,345.22,1.0,388.37,27
HCPCS,C1713,SCREW OST SALVATION 4.0X24,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OST SALVATION 4.0X26,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OST SALVATION 4.0X30,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OST SALVATION 4.0X36,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OST SALVATION 4.0X40,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OST SALVATION 5.5X30,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OST SALVATION 5.5X55,639.0,511.2,1.0,575.1,27
HCPCS,C1713,SCREW OSTE 2.4X10MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW OSTE 2.4X12MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW OSTE 2.4X14MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW OSTE 2X10MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE 2X12MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE 2X14MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE 2X16MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE 2X5MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE 2X6MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE 2X8MM,670.5,536.4,1.0,603.45,27
HCPCS,C1713,SCREW OSTE NONLOCK STD 2.4X8MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW PA 5.5MM EXPD DEPU6X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA 5.5MM EXPDEPU9X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA 5.5MM EXPDEPU9X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA 5.5MM EXPDEPU9X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA CREO COCR TI 5.5X35MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 5.5X40MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 5.5X45MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X35MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X40MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X45MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X50MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 6.5X55MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 7.5X35MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 7.5X40MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 7.5X45MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 7.5X50MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 7.5X55MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X110,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X40MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X70MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X80MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X85MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X90MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 8.5X95MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 9.5X85MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO COCR TI 9.5X90MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA CREO NTHRD COCR8.5X85,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1713,SCREW PA EVEREST 10.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 10.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 10.5X80MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 4.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 4.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 6.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 7.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 7.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 7.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 7.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 7.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X100MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X4MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 8.5X90MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 9.5X100MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 9.5X50 MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 9.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 9.5X80MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST 9.5X90MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EVEREST EXT TAB6.5X50,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW PA EVEREST EXT TAB6.5X55,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW PA EVEREST EXT TAB8.5X45,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW PA EVEREST EXT TAB8.5X50,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW PA EXP DEPU 4.35X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X10X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X4.35X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X6X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X6X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X6X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X6X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X6X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X7X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X7X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X7X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X7X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X7X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X7X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X8X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXPD 5.5X8X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA EXT NORTHSTAR3.5X20MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X14MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X16MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA EXT NORTHSTAR4.0X18MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA FAS NORTHSTAR 5.5X32,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA GIMBAL MARINER 12MM,4888.8,3911.04,1.0,4399.92,27
HCPCS,C1713,SCREW PA GRV TORX 5.5X30 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 5.5X35 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 5.5X40 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 5.5X45 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 5.5X50 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 5.5X55 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 6.5X30 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 6.5X35 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 6.5X40 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 6.5X45 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 6.5X50 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 6.5X55 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 7.5X30 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 7.5X35 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 7.5X40 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 7.5X45 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 7.5X50 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA GRV TORX 7.5X55 MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1713,SCREW PA INNER MTNR DEPU,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SCREW PA INVICTUS 3.5X12MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 3.5X14MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 3.5X18MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.0X12MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.0X14MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.0X16MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.0X20MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.5X20MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.5X26MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.5X28MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.5X30MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 4.5X32MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 5.5X24MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 5.5X28MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA INVICTUS 5.5X30MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA LNG LNK MISSTER5.5X45,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW PA LNG LNK MISSTER6.5X60,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW PA LNG LNK MISSTER7.5X50,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW PA LNG LNK MISSTER7.5X55,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW PA LNG LNK MISSTER7.5X60,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X22MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X24MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X28MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X30MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X32MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 3.5X34MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X12MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X26MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X28MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.0X34MM,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X26MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X32MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA NORTHSTAR 4.5X34MM,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X20,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X28,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X30,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X32,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X34,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA NORTHSTAR SMTH 3.5X36,2116.8,1693.44,1.0,1905.12,27
HCPCS,C1713,SCREW PA OASYS STRY 3.5X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW PA OASYS STRY 4.0X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW PA OASYS STRY 4.0X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW PA OASYS STRY 4.0X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW PA OASYS STRY 4.5X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW PA PART THRD 4.0X32MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA PART THRD 4.0X36MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW PA PEDICLE DBL 5.5X25MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA PEDICLE DBL 5.5X30MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA QTEX 4.5X16MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QTEX 4.5X18MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X10MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X12MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X14MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X16MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X18MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X20MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X34MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X36MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 3.5X8MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X10MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X12MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X14MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X16MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X18MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X20MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X26MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X28MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.0X30MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X10MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X12MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X14MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X20MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X26MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X28MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X30MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X32MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X34MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X36MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 4.5X38MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X20MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X26MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X28MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X30MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X32MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.0X40MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X20MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X26MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X28MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X30MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X32MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X34MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X36MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA QUARTEX 5.5X40MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA RELINE 2S 4.5X20MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW PA RELINE 2S 5.0X20MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW PA RELINE 2S 5.0X22.5MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW PA RELINE 2S 5.0X25MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW PA RELINE 2S 5.5X20MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW PA RELINE 2S 6.5X30MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X30MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X35MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA RELINE-O 2S 5.0X40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA RELINE-O 2S 6.0X30MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW PA RELINE-O 2S 8.5X60MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1713,SCREW PA SHAFT SYMPY3.5X3.5X30,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X20,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X24,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X28,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X30,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SHAFT SYMPY4.0X3.5X32,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SHLDR QTEX3.5X38MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X26MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X28MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X30MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X32MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X34MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX3.5X36MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X22MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X24MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X26MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X28MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X30MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X32MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X34MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SHLDR QUARTEX4.0X36MM,2664.0,2131.2,1.0,2397.6,27
HCPCS,C1713,SCREW PA SLFTP LNK 4.5X35MM,2624.0,2099.2,1.0,2361.6,27
HCPCS,C1713,SCREW PA SYMPY 3.5X4.0X18MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X12MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X14MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X16MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X18MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X20MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X32MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X3.5X34MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X14MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X16MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X18MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.0X4.0X30MM,2460.8,1968.64,1.0,2214.72,27
HCPCS,C1713,SCREW PA SYMPY 4.5X26MM,2726.4,2181.12,1.0,2453.76,27
HCPCS,C1713,SCREW PA SYMPY 4.5X28MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 4.5X30MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 4.5X36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.0X20MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.0X24MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.0X28MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.0X30MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.5X24MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.5X26MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.5X28MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.5X30MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPY 5.5X34MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1713,SCREW PA SYMPYSTER4.0X4.0X30MM,3112.93,2490.35,1.0,2801.64,27
HCPCS,C1713,SCREW PA VITALITY 4.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.5X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 4.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 5.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 5.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 6.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 6.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA VITALITY 7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X12MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X14MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X16MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X18MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X22MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X24MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X28MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 3.5X4MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1713,SCREW PA YUKON OCT 4.0X14MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 4.0X18MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 4.0X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 4.0X24MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 4.0X26MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 4.0X30MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 4.5X24MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 5.0X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 5.0X24MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 5.0X28MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT 5.0X30MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X24MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X26MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X28MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OCT LNG3.5X30MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PA YUKON OLNG3.5X30*NLU*,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR5.5X35,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X35,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X40,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X45,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR6.5X60,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1713,SCREW PEDICLE CARBOCLEAR7.5X45,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1713,SCREW PEDICLE MTX TAN 6.0X50MM,1411.2,1128.96,1.0,1270.08,27
HCPCS,C1713,SCREW PEEK INTRAFIX 6-8X30,1560.09,1248.08,1.0,1404.08,27
HCPCS,C1713,SCREW PEEK INTRAFIX 7-9X30,1560.09,1248.08,1.0,1404.08,27
HCPCS,C1713,SCREW PEEK INTRAFIX 8-10X30,1560.09,1248.08,1.0,1404.08,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X10MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X12MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X13MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X14MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X16MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X18MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X20MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X22MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X24MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X26MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X28MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG NL ALPS 2.5X30MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PEG SMTH ZIMM 10MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X100M,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X105M,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X10MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X110M,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X12MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X14MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X16MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X18MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X20MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X22MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X24MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X26MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X28MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X30MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X32MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X34MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X36MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X38MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X40MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X42MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X44MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X46MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X48MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X50MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X52MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X54MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X56MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X58MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X60MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X65MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X70MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X75MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X80MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X85MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X8MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X90MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI CORT SLFTP 3.5X95MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X25MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X30MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X35MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X40MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X45MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X50MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X55MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X60MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X65MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X70MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X75MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X80MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X85MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X90MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI FULL ZIMM 6.5X95MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI S-TAP 3.5X100MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI S-TAP 4.5X100MM,292.8,234.24,1.0,263.52,27
HCPCS,C1713,SCREW PERI VA SYNT LK 5X10MM,1043.28,834.63,1.0,938.95,27
HCPCS,C1713,SCREW PERI VA SYNT LK 5X12MM,1043.28,834.63,1.0,938.95,27
HCPCS,C1713,SCREW PERI VA SYNT LK 5X14MM,1043.28,834.63,1.0,938.95,27
HCPCS,C1713,SCREW PERI VA SYNT LK 5X16MM,1043.28,834.63,1.0,938.95,27
HCPCS,C1713,SCREW PERI VA SYNT LK 5X18MM,1043.28,834.63,1.0,938.95,27
HCPCS,C1713,SCREW PERI ZIMM 6.5X100MM 16MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI ZIMM 6.5X100MM 32MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PERI ZIMM FULL 6.5X100MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,SCREW PLLA BIOCOMP 3X16MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW PLLA BIOCOMP 3X18MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW PLLA BIOCOMP 3X20MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW PLLA BIOCOMP 3X22MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW PLLA BIOCOMP 3X24MM,1822.8,1458.24,1.0,1640.52,27
HCPCS,C1713,SCREW PLLA BIOCOMP 3X26MM,1824.9,1459.92,1.0,1642.41,27
HCPCS,C1713,SCREW PLUG POST LAPIDUS INCORE,1756.36,1405.09,1.0,1580.72,27
HCPCS,C1713,SCREW POLARIS TI 5.5X4.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW POLARIS TI 5.5X4.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW POLARIS TI 5.5X4.75X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW POLARIS TI 6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW POLARIS TI 6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW POLARIS VAR TI5.5X5.5X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VAR TI5.5X5.5X40,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X4.75X25,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X4.75X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X4.75X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X4.75X40,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X4.75X45,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X5.5X25,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X5.5X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X5.5X45,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X5.5X50,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X5.5X55,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X40,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X45,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X50,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X60,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X70,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X80,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X6.5X90,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X100,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X30,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X40,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X45,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X50,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X55,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X60,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X70,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X80,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X7.5X90,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X100,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X35,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X40,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X45,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X50,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X55,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X60,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X70,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X80,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.5X8.5X90,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POLARIS VARTI5.6X5.5X55,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW POST BI CORT 4.5X25MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X27.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X30MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X32.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X35MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X37.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X40MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X42.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X45MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X47.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X50MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X52.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X55MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X57.5MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW POST BI CORT 4.5X60MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW PRVID FA GM 4.2X18*NLU*,571.5,457.2,1.0,514.35,27
HCPCS,C1713,SCREW PRVID VA GM 4.6X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW PRVID VA GM 4.6X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW PRVID VA GM 4.6X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW PRVID VA GM 4.6X18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW PRVID VA GM 4.6X20MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW PSN FEMALE 2.5X25MM,607.5,486.0,1.0,546.75,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X11MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X12MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X13MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X14MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X15MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X16MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X17MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI 2.0X18MM,1410.36,1128.29,1.0,1269.32,27
HCPCS,C1713,SCREW QK INSRT TI STER2.0X11MM,1584.24,1267.4,1.0,1425.82,27
HCPCS,C1713,SCREW QK INSRT TI STER2.0X12MM,1584.24,1267.4,1.0,1425.82,27
HCPCS,C1713,SCREW QK INSRT TI STER2.0X13MM,1584.24,1267.4,1.0,1425.82,27
HCPCS,C1713,SCREW QK INSRT TI STER2.0X14MM,1584.24,1267.4,1.0,1425.82,27
HCPCS,C1713,SCREW QKLK SLFTP CSLP TI4.0X16,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW QKLK SLFTP CSLP TI4.0X18,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW QKLK SLFTP CSLP TI4.0X20,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW QKLK SLFTP CSLP TI4.5X16,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW QUICKFIX ARTX 2X10MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 2X11MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 2X12MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 2X13MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 3X13MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 3X15MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 3X17MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX ARTX 3X19MM,1108.8,887.04,1.0,997.92,27
HCPCS,C1713,SCREW QUICKFIX LOPRO 3.0X22MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK4.5X30,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK4.5X35,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK5.5X50,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,SCREW RDCTN PA SLFTP LNK8.5X80,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1713,SCREW RDCTN UNIAX PEDICLE 6X25,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW RDCTN UNIAX PEDICLE 6X30,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW RDCTN UNIAX PEDICLE 7X45,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW RDCTN UNIAXPEDICLE4.5X25,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW RDCTN UNIAXPEDICLE6.5X40,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1713,SCREW RDCTNUNIPINVICVTUS5.5X30,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW RECON LAG T2 6.5X100MM,1007.42,805.94,1.0,906.68,27
HCPCS,C1713,SCREW RECON LAG T2 6.5X80MM,1007.42,805.94,1.0,906.68,27
HCPCS,C1713,SCREW RECON LAG T2 6.5X95MM,1007.42,805.94,1.0,906.68,27
HCPCS,C1713,SCREW RECON LG 5.5X100MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X105MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X115MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X120MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X130MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X60MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X70MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X75MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X85MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON LG 5.5X90MM*DISC*,1545.6,1236.48,1.0,1391.04,27
HCPCS,C1713,SCREW RECON T25 *DISC 6336061*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6336085*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6341669*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6341670*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6342091*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6349404*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6352461*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6352462*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6352463*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 *DISC 6352464*,669.06,535.25,1.0,602.15,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X50,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X55,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X60,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X65,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X70,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X75,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X80,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X85,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X90,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI 5.0X95,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI5.0X100,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI5.0X105,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI5.0X110,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI5.0X115,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI5.0X120,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25 STER TI5.0X125,833.49,666.8,1.0,750.14,27
HCPCS,C1713,SCREW RECON T25S*DISC 6336061*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6336062*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6336085*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6337646*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6341147*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6341669*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6341670*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON T25S*DISC 6342091*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X100,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X105,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X110,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X115,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X120,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X125,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X130,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X60MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X65MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X70MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X75MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X80MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X85MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X90MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECON XL40 STER 6.5X95MM,948.06,758.45,1.0,853.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6340969*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6348147*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6349404*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6352461*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6352462*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6352463*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RECONT25ST*DISC 6352464*,858.06,686.45,1.0,772.25,27
HCPCS,C1713,SCREW RESCUE V3 SEGMENTAL*NLU*,1575.0,1260.0,1.0,1417.5,54
HCPCS,C1713,SCREW RIB LK MAT*DISC 6239995*,865.58,692.47,1.0,779.02,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.7X8MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.7X9MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.9X6MM,827.64,662.12,1.0,744.88,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB 2.9X8MM,827.64,662.12,1.0,744.88,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X10MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X11MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X12MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X13MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X14MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X15MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.7X16MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.9X10MM,865.58,692.47,1.0,779.02,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.9X12MM,974.7,779.76,1.0,877.23,27
HCPCS,C1713,SCREW RIB LK MATRIXRIB2.9X14MM,865.58,692.47,1.0,779.02,27
HCPCS,C1713,SCREW RIB LK MTXRIB2.7X18MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,SCREW RIB LK MTXRIB2.7X20MM,1090.8,872.64,1.0,981.72,27
HCPCS,C1713,SCREW RIB LVL1 69MM,1098.23,878.59,1.0,988.41,27
HCPCS,C1713,SCREW RIB NL MATRIXRIB2.7X10MM,879.12,703.3,1.0,791.21,27
HCPCS,C1713,SCREW RSS LK 4.5-5.0MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,SCREW RSS PA 2S 5.5X25MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW RSS PA 2S 5.5X30MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW RSS PA 2S 6.0X25MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW RSS PA 2S 6.5X35MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW RSS PA 2S 6.5X40MM,2969.6,2375.68,1.0,2672.64,27
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 100MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 120MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 150MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 60MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW SCHANZ 4.0 SPADE 80MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW SCHANZ 4.0/3.0 80MM,381.02,304.82,1.0,342.92,27
HCPCS,C1713,SCREW SCHANZ 4.5 SHRT BLNT 150,274.54,219.64,1.0,247.09,27
HCPCS,C1713,SCREW SCHANZ 4.5 SHRT BLNT 175,323.08,258.47,1.0,290.77,27
HCPCS,C1713,SCREW SCHANZ 4.5 SHRT BLNT 200,323.08,258.47,1.0,290.77,27
HCPCS,C1713,SCREW SCHANZ 5.0 BLNT TIP150MM,309.69,247.76,1.0,278.72,27
HCPCS,C1713,SCREW SCHANZ 5.0 BLNT TIP170MM,358.24,286.6,1.0,322.42,27
HCPCS,C1713,SCREW SCHANZ 5.0 BLNT TIP200MM,358.24,286.6,1.0,322.42,27
HCPCS,C1713,SCREW SCHANZ 5.0 HA CTD 170MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW SCHANZ 5.0 HA CTD 200MM,782.46,625.97,1.0,704.21,27
HCPCS,C1713,SCREW SCHANZ 6.0 SPADE 160MM,323.08,258.47,1.0,290.77,27
HCPCS,C1713,SCREW SCHANZ 6.0 SPADE 190MM,323.08,258.47,1.0,290.77,27
HCPCS,C1713,SCREW SCHANZ BOLT CANN POST,1081.92,865.54,1.0,973.73,27
HCPCS,C1713,SCREW SCHANZ BOLT CANN RING,987.39,789.92,1.0,888.65,27
HCPCS,C1713,SCREW SCHANZ MAZ*DISC NO REPL*,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW SCHANZ MAZOR X 4X120MM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 20X80MM,616.14,492.92,1.0,554.53,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 30X100,616.14,492.92,1.0,554.53,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 40X125,616.14,492.92,1.0,554.53,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0 40X150,616.14,492.92,1.0,554.53,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4.0X125MM,687.96,550.37,1.0,619.16,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4/2.5 20X80,616.14,492.92,1.0,554.53,27
HCPCS,C1713,SCREW SCHANZ SLFDR 4/3.0 20X80,616.14,492.92,1.0,554.53,27
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 40X125,511.97,409.58,1.0,460.77,27
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 60X150,511.97,409.58,1.0,460.77,27
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 60X175,511.97,409.58,1.0,460.77,27
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 80X200,511.97,409.58,1.0,460.77,27
HCPCS,C1713,SCREW SCHANZ SLFDR 5.0 80X250,511.97,409.58,1.0,460.77,27
HCPCS,C1713,SCREW SCHANZ SLFDR 6.0 60X150,546.84,437.48,1.0,492.16,27
HCPCS,C1713,SCREW SCHANZ SLFDR 6.0 60X175,546.84,437.48,1.0,492.16,27
HCPCS,C1713,SCREW SCHANZ SLFDR 6.0 80X250,546.84,437.48,1.0,492.16,27
HCPCS,C1713,SCREW SCHANZ SPADE CTD HA6X160,727.65,582.12,1.0,654.89,27
HCPCS,C1713,SCREW SCHANZ SPADE CTD HA6X190,727.65,582.12,1.0,654.89,27
HCPCS,C1713,SCREW SET 3.0X2.0MM,769.5,615.6,1.0,692.55,27
HCPCS,C1713,SCREW SET 5.5 EXPVERSEUNITIZED,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW SET GT STER T2 ALPHA 8MM,1286.38,1029.11,1.0,1157.74,27
HCPCS,C1713,SCREW SET INVICTUS,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SCREW SET LAT SOLERA 4.75,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SCREW SET LAT SOLERA 5.5/6.0,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SCREW SET PF T2 ALPHA 8MM,1313.26,1050.61,1.0,1181.93,27
HCPCS,C1713,SCREW SET RDCTN SOLERA 5.5/6.0,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SCREW SET SPNL LK ELEMENT,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1713,SCREW SET TIB T2 ALPHA 5.5MM,1355.47,1084.38,1.0,1219.92,27
HCPCS,C1713,SCREW SET TORX PRSP,1092.0,873.6,1.0,982.8,27
HCPCS,C1713,SCREW SET TURRET EXT PRSP,1092.0,873.6,1.0,982.8,27
HCPCS,C1713,SCREW SET VOYAGER 5.5/6.0,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SCREW SFTY OSTE 2.3X4MM,729.0,583.2,1.0,656.1,27
HCPCS,C1713,SCREW SFTY OSTE 2.3X6MM,729.0,583.2,1.0,656.1,27
HCPCS,C1713,SCREW SHAFT 4.5X12X44*DISC*,99.92,79.94,1.0,89.93,27
HCPCS,C1713,SCREW SHAFT 4.5X12X50*DISC*,99.92,79.94,1.0,89.93,27
HCPCS,C1713,SCREW SHAFT CREO 10.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.0X20MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.0X25MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.0X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.0X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.0X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.0X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.5X25MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.5X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.5X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 4.5X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X25MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X50MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.0X55MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X25MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X5.5MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 5.5X50MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X25MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X50MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X55MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X60MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 6.5X65MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.0-8.5X40MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.0-8.5X45MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.0-8.5X50MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X30MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X50MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X55MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X60MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 7.5X65MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 8.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 8.5X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 8.5X50MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 8.5X55MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 8.5X65MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 8.5X90MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SCREW SHAFT CREO 9.5X35MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 9.5X40MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO 9.5X45MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 3.5X35MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 4.0X40MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 4.0X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 4.5X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 5.0X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 5.5X30MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 5.5X40MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 5.5X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 5.5X50MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X30MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X35MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X40MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X50MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X55MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 6.5X60MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X30MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X35MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X40MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X50MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X55MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 7.5X60MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 8.5X35MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 8.5X40MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 8.5X45MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 8.5X50MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 8.5X55MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HA 8.5X60MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO HACTD7.5X65MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SCREW SHAFT CREO*DISC NO REPL*,2153.6,1722.88,1.0,2191.68,54
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X32MM,100.35,80.28,1.0,90.32,27
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X36MM,91.93,73.55,1.0,82.74,27
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X38MM,100.04,80.04,1.0,90.04,27
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X40MM,100.04,80.04,1.0,90.04,27
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X42MM,145.49,116.4,1.0,130.94,27
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X46MM,145.49,116.4,1.0,130.94,27
HCPCS,C1713,SCREW SHAFT SYNT 4.5X12X48MM,145.49,116.4,1.0,130.94,27
HCPCS,C1713,SCREW SHANK MAS PLIF 6.5X30MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1713,SCREW SHANK RELINE MOD2C7.5X60,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SHANK RELINE MOD2C7.5X65,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 30MM,11505.0,9204.0,1.0,10354.5,27
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 35MM,11505.0,9204.0,1.0,10354.5,27
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 40MM,11505.0,9204.0,1.0,10354.5,27
HCPCS,C1713,SCREW SHLDR CAGE ECLIPSE 45MM,11505.0,9204.0,1.0,10354.5,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 25MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 35MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 40MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR LK INHANCE 50MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 14MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 18MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 22MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 26MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW SHLDR RVRS ALTIVATE 30MM,733.5,586.8,1.0,660.15,27
HCPCS,C1713,SCREW SI-LOK SELECT 12.0X30MM,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOK SELECTSTER10.0X40,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOK SELECTSTER10.0X45,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOK SELECTSTER10.0X50,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOK SELECTSTER10.0X55,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOK SELECTSTER10.0X60,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 10.0X30,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 10.0X35,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 10.0X40,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 10.0X45,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 10.0X50,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 10.0X55,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SI-LOKSELECTWASH 12.0X40,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1713,SCREW SILVERBACK 4.5 X16MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X14MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X18MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X20MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X22MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X24MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X28MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X32MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X34MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X36MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X38MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X40MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.5X42MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 4.5X44MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 4.5X46MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 4.5X48MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 4.5X50MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 4.5X55MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 4.5X60MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X20MM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1713,SCREW SILVERBACK 4.7X22MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X24MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X26MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X28MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X30MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X32MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X34MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X36MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X38MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 4.7X40MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X14MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X16MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X18MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X20MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X22MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X24MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X26MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X28MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X30MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X32MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X34MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X36MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X38MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X40MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X42MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,SCREW SILVERBACK 5.2X46MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X48MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X50MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X55MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SILVERBACK 5.2X60MM,897.75,718.2,1.0,807.98,27
HCPCS,C1713,"SCREW SILVERBACK, 4.5 X 26MM",897.75,718.2,1.0,807.98,27
HCPCS,C1713,"SCREW SILVERBACK, 5.2 X 44MM",897.75,718.2,1.0,807.98,27
HCPCS,C1713,SCREW SLF START 5.5X24MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW SLF START 5X24MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW SLF START 5X28MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW SLFDR CANOPY 2.6X10MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR CANOPY 2.6X4MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR CANOPY 2.6X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR CANOPY 2.6X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR ESCALATE 2.0X6MM,268.4,214.72,1.0,241.56,27
HCPCS,C1713,SCREW SLFDR FIX UNION 4.0X16,1068.75,855.0,1.0,961.88,27
HCPCS,C1713,SCREW SLFDR MTX MIDFACETI1.3X6,462.82,370.26,1.0,416.54,27
HCPCS,C1713,SCREW SLFDR MTXNEURO TI1.5X3MM,304.78,243.83,1.0,274.3,27
HCPCS,C1713,SCREW SLFDR MTXNEURO TI1.5X4MM,304.78,243.83,1.0,274.3,27
HCPCS,C1713,SCREW SLFDR RELIEVE 2.2X10MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR RELIEVE 2.2X4MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR RELIEVE 2.2X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR RELIEVE 2.2X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFDR SCHANZ 4.0X150MM,618.75,495.0,1.0,556.88,27
HCPCS,C1713,SCREW SLFDR SKYLINE DEPU14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW SLFDR VA 5.5X25MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SLFDR VA 5.5X30MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SLFDR VA 5.5X35MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SLFDR VA 5.5X40MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SLFDR VA 5.5X45MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X13MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X15MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X17MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFDR VA ACP 3.5X19MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFTP AXS 1.7X5MM,589.95,471.96,1.0,530.96,27
HCPCS,C1713,SCREW SLFTP AXS 1.7X6MM,589.95,471.96,1.0,530.96,27
HCPCS,C1713,SCREW SLFTP AXS 1.7X8MM,589.95,471.96,1.0,530.96,27
HCPCS,C1713,SCREW SLFTP AXS MP 2.0X10MM,692.55,554.04,1.0,623.3,27
HCPCS,C1713,SCREW SLFTP AXS MP 2.0X6MM,692.55,554.04,1.0,623.3,27
HCPCS,C1713,SCREW SLFTP AXS MP 2.0X8MM,692.55,554.04,1.0,623.3,27
HCPCS,C1713,SCREW SLFTP CANOPY 3X4MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP CANOPY 3X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP CANOPY 3X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP COARSE MTXTI2.1X10,471.74,377.4,1.0,424.57,27
HCPCS,C1713,SCREW SLFTP COARSE MTXTI2.1X14,362.93,290.35,1.0,326.64,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X6,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X7,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X8,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI 1.0X9,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X10,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X11,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X12,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X13,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP CRUCIFORM TI1.0X14,362.88,290.31,1.0,326.59,27
HCPCS,C1713,SCREW SLFTP EMERMTXMANDTI2.7X5,497.93,398.35,1.0,448.14,27
HCPCS,C1713,SCREW SLFTP EMERMTXMANDTI2.7X6,388.03,310.43,1.0,349.23,27
HCPCS,C1713,SCREW SLFTP EMERMTXMANDTI2.7X8,495.72,396.58,1.0,446.15,27
HCPCS,C1713,SCREW SLFTP ESCALATE 2.4X6 MM,268.4,214.72,1.0,241.56,27
HCPCS,C1713,SCREW SLFTP FIX RESCUE 4.5X16,1068.75,855.0,1.0,961.88,27
HCPCS,C1713,SCREW SLFTP GLD 2.3X10MM,624.15,499.32,1.0,561.74,27
HCPCS,C1713,SCREW SLFTP GLD 2.3X6MM*NLU*,380.43,304.35,1.0,342.39,27
HCPCS,C1713,SCREW SLFTP GLD 2.3X8MM,624.15,499.32,1.0,561.74,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X24,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X26,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X34,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X42,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X46,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X48,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X50,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X56,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X60,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X62,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP METAP T8 TI 2.7X70,399.17,319.34,1.0,359.25,27
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X10MM,432.77,346.22,1.0,389.49,27
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X14MM,434.16,347.33,1.0,390.74,27
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X16MM,434.16,347.33,1.0,390.74,27
HCPCS,C1713,SCREW SLFTP MTX TI 1.85X8MM,458.02,366.42,1.0,412.22,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X10,459.27,367.42,1.0,413.34,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X12,459.27,367.42,1.0,413.34,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X14,459.27,367.42,1.0,413.34,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X5MM,459.14,367.32,1.0,413.23,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X6MM,459.27,367.42,1.0,413.34,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2.4X8MM,459.27,367.42,1.0,413.34,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X10MM,382.0,305.6,1.0,343.8,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X12MM,382.0,305.6,1.0,343.8,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X14MM,382.0,305.6,1.0,343.8,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X16MM,394.31,315.45,1.0,354.88,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X18MM,382.81,306.25,1.0,344.53,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X5MM,382.0,305.6,1.0,343.8,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X6MM,382.0,305.6,1.0,343.8,27
HCPCS,C1713,SCREW SLFTP MTXMAND TI 2X8MM,382.0,305.6,1.0,343.8,27
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 4MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 5MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMID BLU TI 6MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMID BRNZ TI 4MM,350.24,280.2,1.0,315.22,27
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 3MM,360.4,288.32,1.0,324.36,27
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 4MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 5MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 6MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMID SLVR TI 8MM,456.96,365.57,1.0,411.26,27
HCPCS,C1713,SCREW SLFTP MTXMIDSLVRTI4MMPK5,362.93,290.35,1.0,326.64,27
HCPCS,C1713,SCREW SLFTP RAISED CMF 1.0X4MM,1075.5,860.4,1.0,967.95,27
HCPCS,C1713,SCREW SLFTP RAISED CMF 1.0X6MM,1075.5,860.4,1.0,967.95,27
HCPCS,C1713,SCREW SLFTP RAISED CMF 1.0X8MM,824.9,659.92,1.0,742.41,27
HCPCS,C1713,SCREW SLFTP RAISED CMF 1.2X6MM,824.9,659.92,1.0,742.41,27
HCPCS,C1713,SCREW SLFTP RAISED CMF 1.3X4MM,824.9,659.92,1.0,742.41,27
HCPCS,C1713,SCREW SLFTP RAISED CMF 1.3X6MM,824.9,659.92,1.0,742.41,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.2X4MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.2X5MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.2X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.2X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.6X4MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.6X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP RELIEVE 2.6X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SCREW SLFTP SKYLINE DEPU 14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW SLFTP SKYLINE DEPU 16MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW SLFTP SKYLINE DEPU 18MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW SLFTP SKYLN ANG 20MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW SLFTP VA 6.5X28MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW SLFTP VA ACP 3.5X13MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFTP VA ACP 3.5X15MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFTP VA ACP 4.0X17MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFTP VA ACP 4.0X19MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1713,SCREW SLFTP ZEVO 3.5X15MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X10,497.93,398.35,1.0,448.14,27
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X12,388.03,310.43,1.0,349.23,27
HCPCS,C1713,SCREW SLFTPEMERMTXMANDTI2.7X14,388.03,310.43,1.0,349.23,27
HCPCS,C1713,SCREW SLFTPMTXMIDSLVRTI4MMPK20,359.26,287.41,1.0,323.33,27
HCPCS,C1713,SCREW SLOTTED COND HD MTXMAND,722.12,577.7,1.0,649.91,27
HCPCS,C1713,SCREW SLPTP MTX TI 1.85X12MM,434.16,347.33,1.0,390.74,27
HCPCS,C1713,SCREW SNAP OFF 20X14MM,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW SNAP OFF WRIT 2X12MM,1026.0,820.8,1.0,923.4,27
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.0X12,1180.2,944.16,1.0,1062.18,27
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.0X13,1180.2,944.16,1.0,1062.18,27
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.7X13,1180.2,944.16,1.0,1062.18,27
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.7X15,1180.2,944.16,1.0,1062.18,27
HCPCS,C1713,SCREW SNAP-OFF DARTFIRE 2.7X17,1491.0,1192.8,1.0,1341.9,27
HCPCS,C1713,SCREW SOFTSILK STER 2.0 7X20MM,1289.4,1031.52,1.0,1160.46,27
HCPCS,C1713,SCREW SOLID JONES TI 4.5X56MM,7537.4,6029.92,1.0,6783.66,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 4.0X38MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 5.0X36MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 5.0X42MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 5.0X46MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 6.0X38MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 6.0X42MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SOLID SLFTP JFX 6.0X46MM,5502.67,4402.14,1.0,4952.4,27
HCPCS,C1713,SCREW SPNL ALIF CTR 5.0X25MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL ALIF CTR 5.0X30MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL ALIF CTR 6.0X25MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL ALIF LAT 5.0X25MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL ALIF LAT 5.0X30MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL ALIF LAT 6.0X25MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL ALIF LAT 6.0X30MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL AMP-LTX CTR,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,SCREW SPNL AMP-LTX LAT5.0X25X2,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1713,SCREW SPNL AMP-LTX LAT5.0X45MM,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,SCREW SPNL AMP-LTX LAT5.5X45X2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SCREW SPNL CANN ES2 LNG 6.5X40,2844.8,2275.84,1.0,2560.32,27
HCPCS,C1713,SCREW SPNL CANN ES2 LNG 6.5X45,2844.8,2275.84,1.0,2560.32,27
HCPCS,C1713,SCREW SPNL CANN ES2 LNG 6.5X50,2844.8,2275.84,1.0,2560.32,27
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X30,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X35,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X40,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 4.5X45,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X30,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X35,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X40,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X45,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 5.5X50,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X30,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X35,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 6.5X50,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X45,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X50,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 7.5X55,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 8.5X35,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL CANN MARINER 8.5X40,1959.64,1567.72,1.0,1763.68,27
HCPCS,C1713,SCREW SPNL CANN MARINER 8.5X45,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FA SLFDR SPS 3.5X14,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SPNL FA SLFDR SPS 3.5X16,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X40,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X45,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X50,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 5.50X55,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X40,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X50,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X55,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 6.50X60,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL FEN CANN 7.5X50,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL HD DEFORMITY,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL PA HD EXT MARINER,1832.4,1465.92,1.0,1649.16,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI4.5X45,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI5.5X40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI5.5X45,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI5.5X50,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X35,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X45,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X50,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI6.5X55,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X35,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI7.5X55,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI8.5X35,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI8.5X40,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA INVICTUSTI8.5X45,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 4.5X35MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 4.5X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.0X25MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.0X30MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.0X35MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X30MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X35MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X45MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 5.5X50MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X25MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X30MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X35MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X45MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 6.5X50MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X35MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X55MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 7.5X70MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X35MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X45MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X50MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X80MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL PA PSTR TI 8.5X90MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1713,SCREW SPNL RELINE MOD TULIP,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1713,SCREW SPNL RETAINER 3.5X14MM,963.9,771.12,1.0,867.51,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS5.5X45,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS6.5X45,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS7.5X35,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X35,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X40,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X45,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SHANKINVICTUS8.5X55,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1713,SCREW SPNL SLFDR HLS 2.4X6MM,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW SPNL SLFDR HLS 2.4X8MM,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW SPNL SLFDR INSIGNIA 4X16,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW SPNL SLFDR INSIGNIA 4X18,675.0,540.0,1.0,607.5,27
HCPCS,C1713,SCREW SPNL SLFTP HLS 2.4X6MM,1302.0,1041.6,1.0,1171.8,27
HCPCS,C1713,SCREW SPNL SLIF CTR 6.0X30MM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1713,SCREW SPNL SOLID MARINER4.5X35,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER4.5X40,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER4.5X45,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X30,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER6.5X35,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X35,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X40,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X45,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X50,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL SOLID MARINER8.5X55,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.0X25,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.0X30,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.5X25,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.5X30,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS5.5X35,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.0X30,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.0X35,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.5X30,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.5X35,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL UNIP INVICTUS6.5X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1713,SCREW SPNL VA SLFDR SPS 3.5X16,1012.5,810.0,1.0,911.25,27
HCPCS,C1713,SCREW SPNL VA SLFTP 4.2X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW SPNL VA SLFTP 4.2X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW SPNL VA SLFTP 4.2X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW SPNL VA SLFTP 4.2X18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW SPNL VA SLFTP 4.2X20MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW STAND ALONE SLFDR 3.5X15,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW STD ACUTRAK2 20MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 22MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 24MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 16MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 18MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 20MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 22MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 24MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 26MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 28MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 30MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 32MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD ACUTRAK2 STER 34MM,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1713,SCREW STD FPS 2.7X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD FPS 2.7X24MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD FPS 2.7X32MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD FPS 2.7X45MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD FPS 3.5X28MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW STD FPS 3.5X45MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW STD OSTE 1.6X5MM,684.0,547.2,1.0,615.6,27
HCPCS,C1713,SCREW STD OSTE 12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD OSTE 14MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD OSTE 16MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD OSTE 18MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD OSTE 22MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD OSTE 26MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SCREW STD OSTE 2X14MM,405.0,324.0,1.0,364.5,27
HCPCS,C1713,SCREW STD OSTE 3.5X26MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW STD OSTE 3.5X32MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW STD OSTE 3.5X36MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW STD OSTE 3.5X38MM,472.5,378.0,1.0,425.25,27
HCPCS,C1713,SCREW STD TX10 TI 4.0X36*DISC*,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW STD TX10 TI 4.0X40*DISC*,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW STD TX10 TI 4.0X44*DISC*,388.8,311.04,1.0,349.92,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 20MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 22MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 24MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 26MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 28MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 30MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 32MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 34MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STEM FRAC PERFORM 36MM,970.2,776.16,1.0,873.18,27
HCPCS,C1713,SCREW STERN MAXDR LCK 2.3X11MM,282.31,225.85,1.0,254.08,27
HCPCS,C1713,SCREW STERN MAXDR LCK 2.3X13MM,282.31,225.85,1.0,254.08,27
HCPCS,C1713,SCREW STERN MAXDR LK 2.3X15MM,282.31,225.85,1.0,254.08,27
HCPCS,C1713,SCREW STERN MAXDR LK 2.3X17MM,282.31,225.85,1.0,254.08,27
HCPCS,C1713,SCREW STERN MAXDR LK 2.3X7MM,1041.3,833.04,1.0,937.17,27
HCPCS,C1713,SCREW STERN MAXDR LK 2.3X9MM,282.31,225.85,1.0,254.08,27
HCPCS,C1713,SCREW STRY BONE 1.7X10MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X11MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X12MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X13MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X14MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X15MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X16MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X18MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X20MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X22MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X24MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X5MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X6MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X7MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X8MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 1.7X9MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X10MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X11MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X12MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X13MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X14MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X15MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X16MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X18MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X20MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X22MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X24MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X26MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X6MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X8MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY BONE 2.3X9MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 1.9X10MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 1.9X12MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 1.9X5MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 1.9X8MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 2.5X10MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 2.5X12MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 2.5X6MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW STRY EMER 2.5X8MM,383.38,306.71,1.0,345.04,27
HCPCS,C1713,SCREW SWVLK BIO 7.0X19.5MM,459.36,367.49,1.0,413.42,27
HCPCS,C1713,SCREW SWVLK BIO 8.0X19.5MM,2009.7,1607.76,1.0,1808.73,27
HCPCS,C1713,SCREW SWVLK BIO 9.0X19.5MM,2009.7,1607.76,1.0,1808.73,27
HCPCS,C1713,SCREW TEMP FIX UNION 2.5MM,1068.75,855.0,1.0,961.88,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 3X8MM,1871.1,1496.88,1.0,1683.99,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 4X10MM,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 5.5X15,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 7X23MM,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 8X12MM,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 8X23MM,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP 9X23MM,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP4.75X15,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS BIOCOMP6.25X15,1593.9,1275.12,1.0,1434.51,27
HCPCS,C1713,SCREW TENODESIS PEEK 2.5X6MM,1963.5,1570.8,1.0,1767.15,27
HCPCS,C1713,SCREW TENODESIS PEEK 5.5X12MM,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,SCREW TFNA TI 10*DISC 6297695*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 10*DISC 6297696*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 11*DISC 6297697*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 11*DISC 6297698*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 12*DISC 6297699*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 12*DISC 6297700*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 75*DISC 6297690*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 80*DISC 6297691*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 85*DISC 6297692*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 90*DISC 6297693*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI 95*DISC 6297694*,2093.87,1675.1,1.0,1884.48,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291718*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291719*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291875*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291983*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291984*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291985*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291986*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291987*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291988*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6291989*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW TFNA TI ST*DISC 6295525*,1973.16,1578.53,1.0,1775.84,27
HCPCS,C1713,SCREW THORACIC 2 CLIP2 3X10MM,1755.6,1404.48,1.0,1580.04,27
HCPCS,C1713,SCREW THORACIC 2 CLIP2 3X13MM,990.0,792.0,1.0,891.0,27
HCPCS,C1713,SCREW THORACIC 2 CLIP4 3X10MM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1713,SCREW THORACIC 2 CLIP4 3X13MM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1713,SCREW THORACIC 2 CLIP4 3X15MM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1713,SCREW THORACIC 4 CLIP4 3X10MM,2764.8,2211.84,1.0,2488.32,27
HCPCS,C1713,SCREW THORACIC 4 CLIP4 3X13MM,2764.8,2211.84,1.0,2488.32,27
HCPCS,C1713,SCREW THORACIC CLIP4 3X10MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW THORACIC CLIP4 3X13MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW THORACIC CLIP4 3X15MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW THORACIC HA 4 3X8MM,972.0,777.6,1.0,874.8,27
HCPCS,C1713,SCREW TI CNCLS LK 5.5X33MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW TI CNCLS LK 5.5X36MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW TI CNCLS LK 5.5X45MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW TI CNCLS LK 5.5X51MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW TI CNCLS PA 3.5X10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW TI CNCLS PA 3.5X8MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X26MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X28MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X30MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X32MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X34MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X36MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X38MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X40MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X42MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X44MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X46MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X48MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X50MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X52MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X54MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X56MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X58MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X60MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X64MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X68MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X72MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X76MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X80MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X85MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X90MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL 5.0X95MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK IM NAIL5.0X100MM,659.61,527.69,1.0,593.65,27
HCPCS,C1713,SCREW TI LK SYNT,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SCREW TI MTXWAVE MMF 1.85X6PK1,597.78,478.23,1.0,538.0,27
HCPCS,C1713,SCREW TI MTXWAVE MMF 1.85X8PK1,597.78,478.23,1.0,538.0,27
HCPCS,C1713,SCREW TI TFN NAIL 11X100MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X105MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X110MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X115MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X120MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X130MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X75MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X80MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X85MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X90MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TI TFN NAIL 11X95MM,2161.08,1728.87,1.0,1944.97,27
HCPCS,C1713,SCREW TIGER PA 3500 4X16MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,SCREW TIGER PA 3500 4X18MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1713,SCREW TITANEX ULT 7.0X60MM,5023.2,4018.56,1.0,4520.88,27
HCPCS,C1713,SCREW TITANEX ULT 7.0X65MM,5023.2,4018.56,1.0,4520.88,27
HCPCS,C1713,SCREW TMPR FIX GM,432.0,345.6,1.0,388.8,27
HCPCS,C1713,SCREW TOP HAT LATARJET STER,1165.08,932.07,1.0,1048.57,27
HCPCS,C1713,SCREW TRID 13X45MM,12480.0,9984.0,1.0,11232.0,27
HCPCS,C1713,SCREW TRID 6X35MM,7345.0,5876.0,1.0,6610.5,27
HCPCS,C1713,SCREW TRID 6X40MM,7345.0,5876.0,1.0,6610.5,27
HCPCS,C1713,SCREW TRILK HEXADRIVE7 2.5X12,1239.0,991.2,1.0,1115.1,27
HCPCS,C1713,SCREW TRILK HEXADRIVE7 2.5X14,818.1,654.48,1.0,736.29,27
HCPCS,C1713,SCREW TRILK HEXADRIVE8 2.5X16,818.1,654.48,1.0,736.29,27
HCPCS,C1713,SCREW TRUSS VA GM 5.5X42MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW TRUSS VA GM 5.5X45MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW TRUSS VA GM 5.5X51MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW TRUSS VA GM 6.5X36MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1713,SCREW TULIP RDCTN CREO AMPCOCR,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1713,SCREW TWIST OFF 13MM*DISC*,1142.4,913.92,1.0,1028.16,27
HCPCS,C1713,SCREW TWISTOFF FIXOS 2.0X13MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW TWISTOFF FIXOS 2.7X14MM,1506.96,1205.57,1.0,1356.26,27
HCPCS,C1713,SCREW UNIAX RESPONSE 5X40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1713,SCREW UNICORT 5.0 X10MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW UNICORT 5X12MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW UNICORT 5X14MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW UNICORT 5X16MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW UNICORT 5X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,SCREW UNIP DEPU 5X25MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 5X30MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 5X40MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 6.0X25MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 6X30MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 6X35MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 6X40MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 6X45MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 7X30MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 7X35MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 7X40MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP DEPU 7X45MM,2524.8,2019.84,1.0,2272.32,27
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X25MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X30MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X35MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 5.0X40MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 5.5X30MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 5.5X40MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X35MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X40MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.0X45MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X30MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X35MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X40MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP RELINE 2S 6.5X45MM,2878.4,2302.72,1.0,2590.56,27
HCPCS,C1713,SCREW UNIP TI 4.75X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP TI 5.5X4.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP TI 5.5X4.75X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP TI 5.5X4.75X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP TI 5.5X5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP TI 5.5X5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP TI 5.5X5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 4.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 4.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 4.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.0X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.0X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 5.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.0X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.0X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.0X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW UNIP VITALITY 7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1713,SCREW V3 VAR 14MM*NLU*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1713,SCREW VA ANG 3.5X16MM,1159.2,927.36,1.0,1043.28,27
HCPCS,C1713,SCREW VA HEXALOBE 2.7X32MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 2.7X36MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 2.7X40MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 2.7X50MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 2.7X55MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X16MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X20MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X24MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X30MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X32MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X34MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X36MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X42MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X44MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X50MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X55MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA HEXALOBE 3.5X60MM,706.5,565.2,1.0,635.85,27
HCPCS,C1713,SCREW VA MERIDIAN 5.5X30MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW VA MERIDIAN 6.0X25MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW VA MERIDIAN 6.0X30MM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW VA SKYLINE TI 12MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SKYLINE TI 4.5X14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SKYLINE TI 4.5X16MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SKYLINE TI 4.5X18MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SKYLINE TI 4X12MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SKYLINE TI 4X14MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SKYLINE TI 4X16MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SLFDR 5X14MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1713,SCREW VA SLFDR ACS 4.0X14MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFDR ACS 4.0X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFDR ADMRL 4.0X18MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFDR ASC 3.5X12MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFDR ASC 3.5X18MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X18MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 3.6X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 4.2X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 4.2X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 4.2X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR COALTN 4.2X18MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFDR UNION 4.0X12MM,1068.75,855.0,1.0,961.88,27
HCPCS,C1713,SCREW VA SLFDR VIP 4.6X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW VA SLFDR VIP 4.6X14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW VA SLFDR VIP 4.6X16MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW VA SLFDR VIP 4.6X18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREW VA SLFDRSLVRSTER3.5X18MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1713,SCREW VA SLFTP 3.5X17MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.0X14MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.3X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFTP ADMRL 4.3X18MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFTP ASC 4.0X16MM,603.0,482.4,1.0,542.7,27
HCPCS,C1713,SCREW VA SLFTP COALTN 3.2X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFTP COALTN 3.2X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFTP COALTN 3.2X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFTP COALTN 4.2X14MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFTP COALTN 4.2X16MM,562.5,450.0,1.0,506.25,27
HCPCS,C1713,SCREW VA SLFTP HLX R 4.5X11MM,585.0,468.0,1.0,526.5,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X20MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X25MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X30MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X35MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X40MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X45MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X50MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X55MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X60MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X65MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X70MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X75MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X80MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X85MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA SYNT CANN LK 5X90MM,979.11,783.29,1.0,881.2,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X12,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X13,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X14,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X15,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X16,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X18,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X26,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X30,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI BLU 2.0X8,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X12,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X14,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X16,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X18,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X20,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X22,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X24,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X26,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X28,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X32,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X34,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GLD 3.0X36,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X20,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X22,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X26,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X30,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI GRN 4.0X34,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X22,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X24,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X26,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X28,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 2.5X30,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X12,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X14,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X16,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X18,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X20,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X28,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X32,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X36,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VA TRILEAP TI RED 3.0X40,999.05,799.24,1.0,899.15,27
HCPCS,C1713,SCREW VAL COMP TI 2.4X10*NLU*,1239.0,991.2,1.0,1115.1,27
HCPCS,C1713,SCREW VAL TI 1.6X14MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW VAL TI 1.6X15MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW VAL TI 2.0X15MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW VAL TI 2.0X16MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW VAL TI 2.0X20MM,693.0,554.4,1.0,623.7,27
HCPCS,C1713,SCREW VAL TI 3.0X10.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X12.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X14.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X16.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X18.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X20.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X22MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X24.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X26.0MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X28MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X30MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X32MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X36MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X38MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VAL TI 3.0X40MM,866.25,693.0,1.0,779.63,27
HCPCS,C1713,SCREW VALPHA 5.5X25*NLU*,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X105,1713.6,1370.88,1.0,1542.24,27
HCPCS,C1713,SCREW VERSA-FX LAG STD25.4X110,1713.6,1370.88,1.0,1542.24,27
HCPCS,C1713,SCREW VERSALINK RING TORX,1092.0,873.6,1.0,982.8,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X12MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X22MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 3.5X32MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X16MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.0X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.5X24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.5X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MAS MDTR 4.5X30MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MDTR 10MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MDTR 14MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MDTR 18MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MDTR 20MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX MDTR 24MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX OCCIPITAL 4.5X8MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW VERTEX OCCIPITAL4.5X10MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW VERTEX OCCIPITAL4.5X12MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW VERTEX OCCIPITAL4.5X14MM,481.5,385.2,1.0,433.35,27
HCPCS,C1713,SCREW VERTEX PT MDTR 3.5X26MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX PT MDTR 3.5X32MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX PT MDTR 3.5X34MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VERTEX PT MDTR 4X28MM,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1713,SCREW VOYAGER ST AV ATS 7*NLU*,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 4.5X65MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 5.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 6.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV 7.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 4.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 5.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X30MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X55MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 6.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5*NLU*,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X20MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X25MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X35MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X45MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X50MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VOYAGER SV STER 7.5X60MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1713,SCREW VPR ILIAC T27 10X80MM,2931.6,2345.28,1.0,2638.44,27
HCPCS,C1713,SCREW VPR ILIAC27 TI 9X100MM,2931.6,2345.28,1.0,2638.44,27
HCPCS,C1713,SCREW VPR ILIACT27 TI 9X90MM,2931.6,2345.28,1.0,2638.44,27
HCPCS,C1713,SCREW VPR ILIACT27 TI10X70MM,2931.6,2345.28,1.0,2638.44,27
HCPCS,C1713,SCREW WRIST LK KINEMATX4.75X20,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW WRIST LK KINEMATX4.75X30,6076.0,4860.8,1.0,5468.4,27
HCPCS,C1713,SCREW WRIST LK KINEMATX4.75X40,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1713,SCREW XTAB VPR PRIME TI 7X40MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW XTAB VPR PRIME TI 7X45MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1713,SCREW ZERO-P SLFTP 3.7X18MM,621.0,496.8,1.0,558.9,27
HCPCS,C1713,SCREWCANNCNCLS6.5X40X100*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREWCANNCNCLS6.5X40X105*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREWCANNCNCLS6.5X40X110*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREWCANNCNCLS6.5X40X115*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREWCANNCNCLS6.5X40X120*DISC*,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREWCANNCNCLSZIMM6.5X22*DISC*,1444.8,1155.84,1.0,1300.32,108
HCPCS,C1713,SCREWCANNCNCLSZIMM6.5X22X*DISC,1444.8,1155.84,1.0,1300.32,27
HCPCS,C1713,SCREWCANNMICROASNISSTER2X22X10,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREWCANNMICROASNISSTER2X24X10,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREWCANNMICROASNISSTER2X26X12,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREWCANNMICROASNISSTER2X28X12,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREWCANNMICROASNISSTER2X30X14,859.95,687.96,1.0,773.96,27
HCPCS,C1713,SCREWFIXEDPOLARIS4.75X4.0X22.5,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1713,SCREWKNEEFEMREVNKLL*DISC*,1178.1,942.48,1.0,1060.29,27
HCPCS,C1713,SCREWLAGSOLIDSLIDG110*DISC*,2563.2,2050.56,1.0,2306.88,27
HCPCS,C1713,SCREWLAPIDUSCORE3.5X58*DISC*,1071.0,856.8,1.0,963.9,27
HCPCS,C1713,SCREWLAPIDUSCORE3.5X60*DISC*,1306.2,1044.96,1.0,1175.58,27
HCPCS,C1713,SCREWLKSLFTPT25STERPERIPRO5X10,975.24,780.2,1.0,877.72,27
HCPCS,C1713,SCREWLKSLFTPT25STERPERIPRO5X12,975.24,780.2,1.0,877.72,27
HCPCS,C1713,SCREWLKSLFTPT25STERPERIPROS5X8,975.24,780.2,1.0,877.72,27
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X40,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X42.5,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X47.5,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X50,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X52.5,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREWPOSTBICORTNONSTER4.5X57.5,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SCREWSCHANZ SLFDRSTER5.0 175MM,1098.97,879.18,1.0,989.07,27
HCPCS,C1713,SCREWSCHANZSLFDRSTER5.0 60X150,1098.97,879.18,1.0,989.07,27
HCPCS,C1713,SET PIN FIX GRAFT HARVEST THRD,297.0,237.6,1.0,267.3,27
HCPCS,C1713,SET SCREW ASSURE GM,152.5,122.0,1.0,137.25,27
HCPCS,C1713,SET SCREW CLSD CONN 4.75MM,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SET SCREW GAMMA STRY,831.65,665.32,1.0,748.49,27
HCPCS,C1713,SET SCREW HORIZON TI 5.5/6.0,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SET SCREW INFINITY STD,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SET SCREW INNER DEPU SGL,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SET SCREW INNER VPR2 SGL,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SET SCREW OCT SYMPY,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SET SCREW SEXTANT MA,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SET SCREW SIJ BEDROCK GRANITE,480.0,384.0,1.0,432.0,27
HCPCS,C1713,SET SCREW SPNL C CLAMP 4.75MM,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SET SCREW TFN STER 125D,714.15,571.32,1.0,642.74,27
HCPCS,C1713,SET SCREW TFN STER 130D,714.15,571.32,1.0,642.74,27
HCPCS,C1713,SET SCREW VERTEX MDTR,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SET SCREW VOYAGER ST 5/6 ST,456.0,364.8,1.0,410.4,27
HCPCS,C1713,SET SCREW YUKON OCT 4.5X10MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SET SCREW YUKON OCT 4.5X12MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SET SCREW YUKON OCT 4.5X6MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SET SCREW YUKON OCT 4.5X8MM,1369.2,1095.36,1.0,1232.28,27
HCPCS,C1713,SET SCREW YUKON OCT STRY,783.0,626.4,1.0,704.7,27
HCPCS,C1713,SHEATH TIB INTRAFIX 9X30MM,1611.96,1289.57,1.0,1450.76,27
HCPCS,C1713,SHLDR BASEPLATE RSPEED LG 29MM,5502.0,4401.6,1.0,4951.8,27
HCPCS,C1713,SHLDR CAP SCREW LK ARF,1933.2,1546.56,1.0,1739.88,27
HCPCS,C1713,SHLDR COMP SCREW 20MM,275.02,220.02,1.0,247.52,27
HCPCS,C1713,SHLDR COMP SCREW 26MM,275.02,220.02,1.0,247.52,27
HCPCS,C1713,SHLDR COMP SCREW 32MM,275.02,220.02,1.0,247.52,27
HCPCS,C1713,SHLDR COMP SCREW 35MM,275.02,220.02,1.0,247.52,27
HCPCS,C1713,SHLDR COMP SCREW 38MM,275.02,220.02,1.0,247.52,27
HCPCS,C1713,SHLDR GLENO BASE MONOSCREW24MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1713,SHLDR LK SCREW 4.5X20MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X23MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X26MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X29MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X32MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X34MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X35MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X38MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR LK SCREW 4.5X41MM,469.94,375.96,1.0,422.95,27
HCPCS,C1713,SHLDR PIN ECLIPSE UNIV II,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SHLDR PIN KT UNIV RVRS STER,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1713,SHLDR PIN ORIEN FOR RESECT GDE,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR PIN STEINMANNCMPRHNSV7IN,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,SHLDR POST PERF PRESSFIT LNG15,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW ARF 0MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW ARF 20MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW ARF 30MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW ARF 40MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW ARF 50MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW ASSY ARF SHRT 0MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW ASSY ARF SHRT 20MM,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1713,SHLDR SCREW CENT INHANCE6X25MM,967.5,774.0,1.0,870.75,27
HCPCS,C1713,SHLDR SCREW CENT INHANCE6X30MM,967.5,774.0,1.0,870.75,27
HCPCS,C1713,SHLDR SCREW CENT INHANCE6X35MM,967.5,774.0,1.0,870.75,27
HCPCS,C1713,SHLDR SCREW CENT INHANCE6X40MM,967.5,774.0,1.0,870.75,27
HCPCS,C1713,SHLDR SCREW CENT NL 6.5X20MM,765.0,612.0,1.0,688.5,27
HCPCS,C1713,SHLDR SCREW CENT NL 6.5X25MM,765.0,612.0,1.0,688.5,27
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X20MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X35MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X40MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X45MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW CMPRHNSV 6.5X50MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW CTRREUNION6.5X28MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SHLDR SCREW CTRREUNION6.5X32MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SHLDR SCREW DEPU 4.5X24MM,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X15MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X20MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X25MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X30MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X35MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X40MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW FIX LKHEX4.75X45MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW LK INHANCE 20/25MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X24,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X30,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X36,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X42,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW METAGLENE LK4.5X48,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW METAGLENE NL4.5X18,408.0,326.4,1.0,367.2,27
HCPCS,C1713,SHLDR SCREW MOD CENT FIX 25MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X25,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X30,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X35,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X40,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW PERF CENT 6.5X45,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW PERF CENT 9.5X30,1924.02,1539.22,1.0,1731.62,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X14,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X18,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X22,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X26,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X30,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X34,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X38,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X42,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X46,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X50,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERF PERIPH 5.0X54,613.58,490.87,1.0,552.22,27
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X16,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X24MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X28MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SHLDR SCREW PERIPH 4.5X32MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 4.5X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 4.5X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 4.5X36MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X28MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH LK 5.5X32MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X16MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X24MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X28MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X32MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW PERIPH NL 4.5X36MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X18MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X24MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X27MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X30MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X33MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X36MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW RVRS 4.5X42MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X15MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X20MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X25MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X30MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X35MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDR SCREW VA NLHEX4.75X45MM,393.6,314.88,1.0,354.24,27
HCPCS,C1713,SHLDRSCREWFIXNLHE4.75X15*DISC*,326.7,261.36,1.0,294.03,27
HCPCS,C1713,SLV INLAY RFN-ADV POLYMER STER,1299.98,1039.99,1.0,1169.98,27
HCPCS,C1713,SMARTNAIL CONMED 1.5X16MM,779.63,623.71,1.0,701.67,27
HCPCS,C1713,SMARTNAIL CONMED 1.5X20MM,779.63,623.71,1.0,701.67,27
HCPCS,C1713,SMARTNAIL CONMED 1.5X25MM,779.63,623.71,1.0,701.67,27
HCPCS,C1713,SMARTNAIL CONMED 2.4X16MM,742.5,594.0,1.0,668.25,27
HCPCS,C1713,SMARTNAIL CONMED 2.4X35MM,779.63,623.71,1.0,701.67,27
HCPCS,C1713,SMARTNAIL CONMED 2.4X45 MM,779.63,623.71,1.0,701.67,27
HCPCS,C1713,SPACER ALIF 15D 25X31 12-15MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 18X14MM,9211.8,7369.44,1.0,8290.62,27
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 18X17MM,9211.8,7369.44,1.0,8290.62,27
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 28X13X11,9861.8,7889.44,1.0,8875.62,27
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 28X17X14,14935.2,11948.16,1.0,13441.68,27
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 40X13X11,9861.8,7889.44,1.0,8875.62,27
HCPCS,C1713,SPEEDPLATE LAPIPLASTY 45X14X11,9861.8,7889.44,1.0,8875.62,27
HCPCS,C1713,SPIKE BONE PROFIX SHRT,336.1,268.88,1.0,302.49,27
HCPCS,C1713,SPIKED WASHER ARTX 14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SPIKED WASHER ARTX 18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,SPNL BAND JAZZ STER,2828.0,2262.4,1.0,2545.2,27
HCPCS,C1713,SPNL CONN KT EVO JAZZ 5.0MM,5656.0,4524.8,1.0,5090.4,27
HCPCS,C1713,SPNL CONN KT EVO JAZZ 6.0MM,5656.0,4524.8,1.0,5090.4,27
HCPCS,C1713,SPNL CONN KT EVO JAZZ 6.35MM,5656.0,4524.8,1.0,5090.4,27
HCPCS,C1713,SPNL CONN KT JAZZ PF 5.5MM,6825.0,5460.0,1.0,6142.5,27
HCPCS,C1713,SPNL CONN KT JAZZ PF 6.0MM,6825.0,5460.0,1.0,6142.5,27
HCPCS,C1713,SPNL CONN KT W SCREW JAZZ4.0MM,5656.0,4524.8,1.0,5090.4,27
HCPCS,C1713,SPNL CONN KT W SCREW JAZZ4.5MM,5656.0,4524.8,1.0,5090.4,27
HCPCS,C1713,SPNL CONN KT W SCREWJAZZ4.75MM,5656.0,4524.8,1.0,5090.4,27
HCPCS,C1713,SPNL CONN TRNVRS ADJ 33-36X5.5,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,SPNL CONN TRNVRS ADJ 33-36X6.0,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,SPNL CONN TRNVRS FIXED 27X6.0,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,SPNL CONN TRNVRS FIXED 29X6.0,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,SPNL CONN TRNVRS FIXED 31X6.0,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1713,SPNL IMPLT SYS PEEK JAZZ LK,6825.0,5460.0,1.0,6142.5,27
HCPCS,C1713,SPNL MID-C APIFIX 95X30MM,66576.0,53260.8,1.0,59918.4,27
HCPCS,C1713,SPNL PLUG DETERI*DISC NO REPL*,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SPNL PLUG HF POLARIS,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SPNL PLUG POLARIS SS 5.5MM,399.6,319.68,1.0,359.64,27
HCPCS,C1713,SPNL ROD COCRVITALITYST5.5X300,1318.8,1055.04,1.0,1186.92,27
HCPCS,C1713,SPNL ROD COCRVITALITYST5.5X510,1318.8,1055.04,1.0,1186.92,27
HCPCS,C1713,SPNL ROD COCRVITALITYST6.0X300,1318.8,1055.04,1.0,1186.92,27
HCPCS,C1713,SPNL ROD COCRVITALITYST6.0X510,1318.8,1055.04,1.0,1186.92,27
HCPCS,C1713,SPNL ROD CONT HIGH PITI5.5X450,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD CONT LOW PI 5.5X450,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD CONT LOW PI 6.0X450,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD CONT LOW PI TI5.5X450,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD CONT MED PI TI5.5X450,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 3.5X30,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X40,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X70,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD CONT NORTHSTAR 4.0X80,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD POLARIS CURV 30MM,747.0,597.6,1.0,672.3,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X30,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X35,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X40,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X45,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X55,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X60,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X65,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X70,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X80,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONT MARINER5.5X90,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PRECONTMARINER6.0X100,724.5,579.6,1.0,652.05,27
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X40,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X45,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X60,1237.5,990.0,1.0,1113.75,27
HCPCS,C1713,SPNL ROD PSTR MARINER 5.5X80,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD ST MARINER 6.0X250,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD ST MARINER 6.0X450,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD ST MARINER TI 5.5X450,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD ST MARINER TI 6.0X450,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD ST MARINERCOCR5.5X250,724.5,579.6,1.0,652.05,27
HCPCS,C1713,SPNL ROD ST NORTHSTAR 3.5X120,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD ST NORTHSTAR 3.5X200,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD ST NORTHSTAR 4.0X300,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD ST NORTHSTAR 4X200,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD ST NORTHSTARTI3.5X300,1314.6,1051.68,1.0,1183.14,27
HCPCS,C1713,SPNL ROD STD MARINER 5.5X250,724.5,579.6,1.0,652.05,27
HCPCS,C1713,SPNL ROD STD MARINER 5.5X450,999.0,799.2,1.0,899.1,27
HCPCS,C1713,SPNL ROD TI CURVVITALITY5.5X30,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,SPNL ROD TRNSTN TI 3.5-5.5 500,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X35MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X40MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X45MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X50MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X55MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X60MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X65MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X75MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X79MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X80MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X85MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE 7.0X90MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X35,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X40,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X45,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X50,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X55,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X60,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X70,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 10.0X80,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 11.5X80,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 13.5X75MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ 13.5X80MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQ TNT8.7X90,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X135,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X145,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X150,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X155,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X160,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL SCRL IFUSE TORQTNT8.7X170,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1713,SPNL XCONN FIXED CROSS 6.35X16,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,SPNL XCONN FIXED CROSS 6.35X18,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,SPNL XCONN FIXED CROSS 6.35X20,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,SPNL XCONN FIXED CROSS 6.35X22,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,SPNL XCONN FIXED CROSS 6.35X24,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1713,STABL BONE PHOTODYNAMIC 17X220,13744.51,10995.61,1.0,12370.06,27
HCPCS,C1713,STABL BONE PHOTODYNAMIC 17X260,14336.23,11468.99,1.0,12902.61,27
HCPCS,C1713,STABL BONE PHOTODYNAMIC 22X100,12427.25,9941.8,1.0,11184.53,27
HCPCS,C1713,STABL BONE PHOTODYNAMIC 22X120,12355.25,9884.2,1.0,11119.73,27
HCPCS,C1713,STABL BONEPHOTODYNAMIC13/10X70,11518.1,9214.48,1.0,10366.29,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 15X12,3724.0,2979.2,1.0,3351.6,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 15X15,3724.0,2979.2,1.0,3351.6,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 15X20,4674.6,3739.68,1.0,4207.14,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 18X15,3724.0,2979.2,1.0,3351.6,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 18X20,4674.6,3739.68,1.0,4207.14,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 20X15,4170.88,3336.71,1.0,3753.79,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 20X20,4170.88,3336.71,1.0,3753.79,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 20X25,4170.88,3336.71,1.0,3753.79,27
HCPCS,C1713,STAPLE 2LEG EASYFUSE NIT 25X25,4170.88,3336.71,1.0,3753.79,27
HCPCS,C1713,STAPLE 4LEG MTP EASYFUSE NITLG,4468.8,3575.04,1.0,4021.92,27
HCPCS,C1713,STAPLE BARBED 22X19MM*DISC*,345.6,276.48,1.0,311.04,27
HCPCS,C1713,STAPLE BARBED 8.7X16MM*DISC*,345.6,276.48,1.0,311.04,27
HCPCS,C1713,STAPLE BARBED 8.7X19MM*DISC*,345.6,276.48,1.0,311.04,27
HCPCS,C1713,STAPLE BONE HIMAX 18X18X14,4088.0,3270.4,1.0,3679.2,27
HCPCS,C1713,STAPLE BONE L20X20MM TRIMAX,6693.62,5354.9,1.0,6024.26,27
HCPCS,C1713,STAPLE BONE TRIMAX 18X18MM,6693.62,5354.9,1.0,6024.26,27
HCPCS,C1713,STAPLE BTRS BOWTI TI 20MM,2531.2,2024.96,1.0,2278.08,27
HCPCS,C1713,STAPLE BTRS BOWTI TI 24MM,2531.2,2024.96,1.0,2278.08,27
HCPCS,C1713,STAPLE DYNACLIP 10X10X10MM,3682.0,2945.6,1.0,3313.8,27
HCPCS,C1713,STAPLE DYNACLIP 12X12X12MM,3682.0,2945.6,1.0,3313.8,27
HCPCS,C1713,STAPLE DYNACLIP 14X14X14MM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1713,STAPLE DYNACLIP 18X18X18MM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1713,STAPLE DYNACLIP 18X20X20MM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1713,STAPLE DYNACLIP 20X181X8MM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1713,STAPLE DYNACLIP 20X22X22MM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1713,STAPLE DYNACLIP 26X20X20MM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1713,STAPLE DYNACLIP 4LEG 26X12MM,6202.0,4961.6,1.0,5581.8,27
HCPCS,C1713,STAPLE DYNACLIP 4LEG 26X16MM,6202.0,4961.6,1.0,5581.8,27
HCPCS,C1713,STAPLE DYNACLIP 8X8X8MM,3682.0,2945.6,1.0,3313.8,27
HCPCS,C1713,STAPLE DYNAFORCE HIMAX18X14X14,4088.0,3270.4,1.0,3679.2,27
HCPCS,C1713,STAPLE DYNAFORCE HIMAX18X18X14,4088.0,3270.4,1.0,3679.2,27
HCPCS,C1713,STAPLE DYNAFORCE HIMAX20X14X14,4088.0,3270.4,1.0,3679.2,27
HCPCS,C1713,STAPLE DYNAFORCEHIMAX+18X18X18,5017.82,4014.26,1.0,4516.04,27
HCPCS,C1713,STAPLE DYNAFORCEHIMAX+20X20X20,5017.82,4014.26,1.0,4516.04,27
HCPCS,C1713,STAPLE DYNAFORCEHIMAXC18X14X14,4088.0,3270.4,1.0,3679.2,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 11X10,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 13X10,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 15X12,5836.6,4669.28,1.0,5252.94,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 15X15,6563.7,5250.96,1.0,5907.33,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 20X15,6563.7,5250.96,1.0,5907.33,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 20X20,6563.7,5250.96,1.0,5907.33,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 25X20,6563.7,5250.96,1.0,5907.33,27
HCPCS,C1713,STAPLE DYNANITE NIT INST 9X7,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,STAPLE EASYCLIP SI 10X10X10MM,2833.85,2267.08,1.0,2550.47,27
HCPCS,C1713,STAPLE EASYCLIP SI 12X10X10MM,2833.85,2267.08,1.0,2550.47,27
HCPCS,C1713,STAPLE EASYCLIP SI 8X8X8MM,2833.85,2267.08,1.0,2550.47,27
HCPCS,C1713,STAPLE ELITE 2LEG 15X15X15MM,4463.76,3571.01,1.0,4017.38,27
HCPCS,C1713,STAPLE ELITE 2LEG 18X18X18MM,4463.76,3571.01,1.0,4017.38,27
HCPCS,C1713,STAPLE ELITE 2LEG 20X20X20MM,4883.76,3907.01,1.0,4395.38,27
HCPCS,C1713,STAPLE ELITE 3LEG 20X15X7MM,5537.28,4429.83,1.0,4983.55,27
HCPCS,C1713,STAPLE ELITE 4LEG 25X15X7MM,5895.12,4716.1,1.0,5305.61,27
HCPCS,C1713,STAPLE ELITE DLEG 18X15X15MM,4408.32,3526.66,1.0,3967.49,27
HCPCS,C1713,STAPLE ELITE4LEG30X20X20X20X20,4976.16,3980.93,1.0,4478.54,27
HCPCS,C1713,STAPLE FIX SN LG,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,STAPLE FIX SN SM,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,STAPLE FIX SN XS,1075.2,860.16,1.0,967.68,27
HCPCS,C1713,STAPLE IMPLT KT NITINEX 18X18,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1713,STAPLE KT MOTOCL*DISC NO REPL*,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,STAPLE KT NIT JAWS ST 20X20MM,7137.0,5709.6,1.0,6423.3,27
HCPCS,C1713,STAPLE KT REFLEX MAX 15X15MM,9230.0,7384.0,1.0,8307.0,27
HCPCS,C1713,STAPLE KT REFLEX ULT 18X18MM,10660.0,8528.0,1.0,9594.0,27
HCPCS,C1713,STAPLE KT REFLEX ULT 20X20MM,10660.0,8528.0,1.0,9594.0,27
HCPCS,C1713,STAPLE LIG SPIKED ARTX 11X20MM,417.12,333.7,1.0,375.41,27
HCPCS,C1713,STAPLE LIG SPIKED ARTX 8X20MM,417.12,333.7,1.0,375.41,27
HCPCS,C1713,STAPLE MOTOCLIP 12X12X12,3161.84,2529.48,1.0,2845.66,27
HCPCS,C1713,STAPLE MOTOCLIP HIMAX 18X18X18,4088.0,3270.4,1.0,3679.2,27
HCPCS,C1713,STAPLE MPJ ACTIVE STBL 18X18MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,STAPLE MPJ ACTIVE STBL 25X14MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1713,STAPLE NIT FUSEFORCE 12X12MM,3117.52,2494.02,1.0,2805.77,27
HCPCS,C1713,STAPLE OSSIOFBR STER 20X20MM,7007.0,5605.6,1.0,6306.3,27
HCPCS,C1713,STAPLE REFLEX MAX NIT 15X18MM,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1713,STAPLE REFLEX MAX NIT 18X20MM,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1713,STAPLE REFLEX ULT 25X20MM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1713,STAPLE REFLEX ULT NIT 23X16MM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1713,STAPLE REFLEX ULT STER 25X20MM,10387.0,8309.6,1.0,9348.3,27
HCPCS,C1713,STAPLE SNIPER TRIL 15X12X12MM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1713,STAPLE SNIPER TRIL 18X18X18MM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1713,STAPLE SNIPER TRIL 20X20X20MM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1713,STAPLE SPEED 11X10X10MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEED 13X10X10MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEED 13X12X12MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEED 13X15X13MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEED 13X8X8MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEED 15X10X10MM,3465.84,2772.68,1.0,3119.26,27
HCPCS,C1713,STAPLE SPEED 15X12X12MM,3465.84,2772.68,1.0,3119.26,27
HCPCS,C1713,STAPLE SPEED 9X10X10MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEED 9X7X7MM,2860.8,2288.64,1.0,2574.72,27
HCPCS,C1713,STAPLE SPEEDARC 11X12X10MM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1713,STAPLE SPEEDARC 11X15X12MM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1713,STAPLE SPEEDARC 9X12X10MM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1713,STAPLE SPEEDSHIFT 15X20X10MM,3894.24,3115.4,1.0,3504.82,27
HCPCS,C1713,STAPLE SPEEDTITAN 15X15X15MM,3497.76,2798.21,1.0,3147.98,27
HCPCS,C1713,STAPLE SPEEDTITAN 18X15X15MM,3497.76,2798.21,1.0,3147.98,27
HCPCS,C1713,STAPLE SPEEDTITAN 18X18X18MM,3497.76,2798.21,1.0,3147.98,27
HCPCS,C1713,STAPLE SPEEDTITAN18X18X15MM,3497.76,2798.21,1.0,3147.98,27
HCPCS,C1713,STAPLE SPEEDTITAN20X15X15MM,4326.0,3460.8,1.0,3893.4,27
HCPCS,C1713,STAPLE STEP STRY LG 1.5CM,747.95,598.36,1.0,673.16,27
HCPCS,C1713,STAPLE STEP STRY MD 1.0CM,747.95,598.36,1.0,673.16,27
HCPCS,C1713,STAPLE STEP STRY SM 0.5CM,747.95,598.36,1.0,673.16,27
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 15X15,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 18X15,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 18X18,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 20X15,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 20X20,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,STAPLE SUPMX DYNANITE KT 25X20,7135.7,5708.56,1.0,6422.13,27
HCPCS,C1713,STAPLE SYS OSSIOFBR STER 20X20,6034.0,4827.2,1.0,5430.6,27
HCPCS,C1713,STAPLE SYS OSSIOFBR STER 25X22,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1713,STAPLE Y ELITE 4LEG 25X20X7MM,5895.12,4716.1,1.0,5305.61,27
HCPCS,C1713,STAPLE YBRIDGE4LEGELITE30X15X7,6252.96,5002.37,1.0,5627.66,27
HCPCS,C1713,STAPLE YBRIDGE4LEGELITE30X20X7,6252.96,5002.37,1.0,5627.66,27
HCPCS,C1713,STAPLE Z FIX MINI 8/8MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1713,SUT BTN ARTX 3.5MM,470.25,376.2,1.0,423.23,27
HCPCS,C1713,SUT FBRWIRE 0 TPR BLU 38,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT FBRWIRE 2 BLU WHT/BLK 38,234.85,187.88,1.0,211.37,27
HCPCS,C1713,SUT FBRWIRE 2 RVRS BLU 38,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT FBRWIRE 2 TPR BLU WHT/BLK,285.12,228.1,1.0,256.61,27
HCPCS,C1713,SUT FBRWIRE 2-0 BLU 38,140.91,112.73,1.0,126.82,27
HCPCS,C1713,SUT FBRWIRE 2-0 MENISC NDLE,380.16,304.13,1.0,342.14,27
HCPCS,C1713,SUT FBRWIRE 2-0 TPR 17.9 BLU18,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT FBRWIRE 3-0 TPR BLU 18,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT FBRWIRE 4-0 DIMND BLU 18,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT FBRWIRE 4-0 TPR 12.3 BLU18,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT FBRWIRE 5 BLU 38*NLU*,231.8,185.44,1.0,208.62,27
HCPCS,C1713,SUT FBRWIRE 5 CUT BLU 38,268.4,214.72,1.0,241.56,27
HCPCS,C1713,SUT FBRWIRE TPR 26.5 BLU 38,147.62,118.1,1.0,132.86,27
HCPCS,C1713,SUT MINITAPE KNTLS COBRAID BLU,399.98,319.99,1.0,359.98,27
HCPCS,C1713,SUT TAPE PARS ARTX,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,SUTTAPEACTIVBRAID1.5 1/2CBLU36,616.5,493.2,1.0,554.85,27
HCPCS,C1713,SYR KT BONE CMNT TRAUMACEM V+,485.73,388.59,1.0,437.16,27
HCPCS,C1713,SYS ANCHOR BONE REGENETEN,3038.0,2430.4,1.0,2734.2,27
HCPCS,C1713,SYS ANCHOR INTRLBRC BIOCOMPSTD,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,SYS ANCHOR MINI INTRLBRC,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,SYS ARTHROSCOPIC KNTLS DOG BTN,4841.76,3873.41,1.0,4357.58,27
HCPCS,C1713,SYS ARTHROSCOPIC KNTLSACREPAIR,5775.0,4620.0,1.0,5197.5,27
HCPCS,C1713,SYS CMC LIGAMENT RECON,3177.6,2542.08,1.0,2859.84,27
HCPCS,C1713,SYS CPR MINI SCORPION DX,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,SYS CPR VPR,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1713,SYS DUAL TIGHTROPE SYNDMSIS2HL,6721.0,5376.8,1.0,6048.9,27
HCPCS,C1713,SYS HTO IBALANCE LG 10D XL 9D,5852.0,4681.6,1.0,5266.8,27
HCPCS,C1713,SYS HTO IBALANCE LG 15D XL 14D,5852.0,4681.6,1.0,5266.8,27
HCPCS,C1713,SYS HTO IBALANCE SM 10D MD 9D,5852.0,4681.6,1.0,5266.8,27
HCPCS,C1713,SYS IMPLT CP DX KL SL BC4.75MM,3064.6,2451.68,1.0,2758.14,27
HCPCS,C1713,SYS IMPLT DIST BICEP 2INCISION,3988.6,3190.88,1.0,3589.74,27
HCPCS,C1713,SYS IMPLT FBRTAK KNTLS 1.8,5082.0,4065.6,1.0,4573.8,27
HCPCS,C1713,SYS IMPLT FOREFT INTRLBRC PEEK,4296.6,3437.28,1.0,3866.94,27
HCPCS,C1713,SYS IMPLT MPFL BIOCOMP,4579.96,3663.97,1.0,4121.96,27
HCPCS,C1713,SYS IMPLT MPFL FAST THRD,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,SYS IMPLT MPFL FASTTHRD FBRTAK,7708.27,6166.62,1.0,6937.44,27
HCPCS,C1713,SYS IMPLT MPFL TIGHTROPE 3.9MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,SYS IMPLT PROX TENODESIS,2673.0,2138.4,1.0,2405.7,27
HCPCS,C1713,SYS IMPLT QUADLINK ALLINSIDE 8,8166.44,6533.16,1.0,7349.8,27
HCPCS,C1713,SYS IMPLT QUADLINK ALLINSIDE 9,8166.44,6533.16,1.0,7349.8,27
HCPCS,C1713,SYS IMPLT QUADLINK ALLINSIDE10,8166.44,6533.16,1.0,7349.8,27
HCPCS,C1713,SYS IMPLT QUADLINK ALLSUTURE 9,8365.5,6692.4,1.0,7528.95,27
HCPCS,C1713,SYS IMPLT QUADLINK ALLSUTURE10,8365.5,6692.4,1.0,7528.95,27
HCPCS,C1713,SYS IMPLT QUADLINK ALLSUTURE11,8365.5,6692.4,1.0,7528.95,27
HCPCS,C1713,SYS LAPIPLASTY S4A 3.9MM,13104.0,10483.2,1.0,11793.6,27
HCPCS,C1713,SYS NAIL GAMMA3 120D 11X180MM,3543.93,2835.15,1.0,3189.54,27
HCPCS,C1713,SYS NAIL GAMMA3 125D 11X180MM,3543.93,2835.15,1.0,3189.54,27
HCPCS,C1713,SYS NAIL GAMMA3 130D 11X180MM,3543.93,2835.15,1.0,3189.54,27
HCPCS,C1713,SYS SHLDR KNTLS AC OPEN REPAIR,5374.6,4299.68,1.0,4837.14,27
HCPCS,C1713,SYS SHLDR LOPRO AC REPAIR,5269.88,4215.91,1.0,4742.89,27
HCPCS,C1713,SYS SPEEDBRIDG FBRTK KNTLS 5.5,6545.62,5236.5,1.0,5891.06,27
HCPCS,C1713,SYS SPEEDBRIDG FBRTK SWVLK4.75,7421.7,5937.36,1.0,6679.53,27
HCPCS,C1713,SYS TIGHTROPE MINI CMC1.1MM,3150.4,2520.32,1.0,2835.36,27
HCPCS,C1713,SYS VERT BODY TETHER 300MM,14796.0,11836.8,1.0,13316.4,27
HCPCS,C1713,TAP BONE SCREW GM 3.5MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1713,TAP CNCLS SCREW SYNT 3.4MM,823.5,658.8,1.0,741.15,27
HCPCS,C1713,TAP DBL LEAD 4.5MM*NLU*,976.5,781.2,1.0,878.85,27
HCPCS,C1713,TAP DBL LEAD 5.2MM*NLU*,976.5,781.2,1.0,878.85,27
HCPCS,C1713,TAP FEN EVEREST 5.5MM,823.5,658.8,1.0,741.15,27
HCPCS,C1713,TAP FEN EVEREST 6.5MM,823.5,658.8,1.0,741.15,27
HCPCS,C1713,TAP FEN EVEREST 8.5MM,823.5,658.8,1.0,741.15,27
HCPCS,C1713,TAP SCREW CLAV TRMI 3.2MM,517.5,414.0,1.0,465.75,27
HCPCS,C1713,TAP SCREW LK STD 2.7MM,1001.16,800.93,1.0,901.04,27
HCPCS,C1713,TEMPLATE MTP TRIALS LFT SM/MD,408.0,326.4,1.0,367.2,27
HCPCS,C1713,TIB TUNNEL KT QUADLINK 10MM,8166.44,6533.16,1.0,7349.8,27
HCPCS,C1713,TIB TUNNEL KT QUADLINK 8MM,8166.44,6533.16,1.0,7349.8,27
HCPCS,C1713,TIB TUNNEL KT QUADLINK 9MM,8166.44,6533.16,1.0,7349.8,27
HCPCS,C1713,TIGHTROPE ABS OPEN ARTX,960.3,768.24,1.0,864.27,27
HCPCS,C1713,TIGHTROPE ACL ABS W FBRTAG,1547.7,1238.16,1.0,1392.93,27
HCPCS,C1713,TIGHTROPE ACL FBRTAG FBRSTICK,3126.2,2500.96,1.0,2813.58,27
HCPCS,C1713,TIGHTROPE ACL INTRL BRC,2554.2,2043.36,1.0,2298.78,27
HCPCS,C1713,TIGHTROPE ACL RT TI,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1713,TIGHTROPE ACL RT TI W FBRTAG,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1713,TIGHTROPE BTN EXTNDR,1113.75,891.0,1.0,1002.38,27
HCPCS,C1713,TIGHTROPE II ABS,1316.7,1053.36,1.0,1185.03,27
HCPCS,C1713,TIGHTROPE II ABS W FBRTAG,1871.1,1496.88,1.0,1683.99,27
HCPCS,C1713,TIGHTROPE II ACL ADDL FLIP SUT,1841.4,1473.12,1.0,1657.26,27
HCPCS,C1713,TIGHTROPE II ACLFBRTAGFBRSNARE,3834.6,3067.68,1.0,3451.14,27
HCPCS,C1713,TIGHTROPE II BTB ADDL FLIP SUT,2158.2,1726.56,1.0,1942.38,27
HCPCS,C1713,TIGHTROPE II FBRTAG IMPLT KNEE,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,TIGHTROPE II FBRTAG STNDL1.7MM,2356.99,1885.6,1.0,2121.29,27
HCPCS,C1713,TIGHTROPE II RT W FBRTAPE,2237.4,1789.92,1.0,2013.66,27
HCPCS,C1713,TIGHTROPE MI*DISC 6247800*,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1713,TIGHTROPE NO BTN ABS W UHMWPE,910.8,728.64,1.0,819.72,27
HCPCS,C1713,TIGHTROPE SHLDR AC TWIN TAIL,2277.0,1821.6,1.0,2049.3,27
HCPCS,C1713,TIGHTROPE SOFT BTN FBRTAG,2411.9,1929.52,1.0,2170.71,27
HCPCS,C1713,TIGHTROPE SOFT BTN FBRTAG IB,2764.61,2211.69,1.0,2488.15,27
HCPCS,C1713,TIGHTROPE SYNDMSIS KNTLS,3619.0,2895.2,1.0,3257.1,27
HCPCS,C1713,TIGHTROPE SYNDMSIS KNTLS TI,3619.0,2895.2,1.0,3257.1,27
HCPCS,C1713,TIGHTROPE XP KNTLS SS,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,TIGHTROPE XP KNTLS TI,4604.6,3683.68,1.0,4144.14,27
HCPCS,C1713,TOE BUNIONETTE PROSTEP MIS SM,4374.83,3499.87,1.0,3937.35,27
HCPCS,C1713,TULIP PA RDCTN MODL RCREO 30MM,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1713,WASHER 1.7 SCREWS*USE 6281395*,194.59,155.68,1.0,175.13,27
HCPCS,C1713,WASHER 10MM,102.11,81.69,1.0,91.9,27
HCPCS,C1713,WASHER 13MM,140.91,112.73,1.0,126.82,27
HCPCS,C1713,WASHER 2.3 SCREWS,206.24,165.0,1.0,185.62,27
HCPCS,C1713,WASHER 4.0MM SCREWS T15,402.14,321.72,1.0,361.93,27
HCPCS,C1713,WASHER 4.5MM,115.29,92.24,1.0,103.76,27
HCPCS,C1713,WASHER 6.5/8.0 SCREW AS3,193.98,155.19,1.0,174.58,27
HCPCS,C1713,WASHER 6.5/8MM SCREW ASE,203.68,162.95,1.0,183.31,27
HCPCS,C1713,WASHER 6.5MM,151.16,120.93,1.0,136.04,27
HCPCS,C1713,WASHER ANCHOR SOFT TISS 14MM,1201.2,960.96,1.0,1081.08,27
HCPCS,C1713,WASHER ANCHOR SOFT TISS 20MM,1201.2,960.96,1.0,1081.08,27
HCPCS,C1713,WASHER ARTX 7MM,215.39,172.32,1.0,193.85,27
HCPCS,C1713,WASHER ARTX TI 10MM,422.4,337.92,1.0,380.16,27
HCPCS,C1713,WASHER ARTX TI 13MM,422.4,337.92,1.0,380.16,27
HCPCS,C1713,WASHER ARTX TI 3.75MM,297.0,237.6,1.0,267.3,27
HCPCS,C1713,WASHER BONE SCREW 1.2MM,206.24,165.0,1.0,185.62,27
HCPCS,C1713,WASHER BONE SCREW 4.0MM,391.68,313.35,1.0,352.51,27
HCPCS,C1713,WASHER CUP SM FRAG 3.5X4MM,720.0,576.0,1.0,648.0,27
HCPCS,C1713,WASHER DOME MNSTR SCREW 5.5MM,833.63,666.91,1.0,750.27,27
HCPCS,C1713,WASHER FEM NAIL CORT 11.0MM,540.0,432.0,1.0,486.0,27
HCPCS,C1713,WASHER FEM NAIL CORT 6.0MM,568.85,455.08,1.0,511.97,27
HCPCS,C1713,WASHER FEM NAIL STER 14/7MM,352.73,282.19,1.0,317.46,27
HCPCS,C1713,WASHER FEM NAIL STER 17.5/11.8,352.73,282.19,1.0,317.46,27
HCPCS,C1713,WASHER FLAT ARTX 7.0MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,WASHER FLAT MAXTORQUE GLD 4MM,539.1,431.28,1.0,485.19,27
HCPCS,C1713,WASHER FOR SCREW ARTX 14MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,WASHER FOR SCREW ARTX 18MM,495.0,396.0,1.0,445.5,27
HCPCS,C1713,WASHER GRIDLOCK SCREW SMTH,456.0,364.8,1.0,410.4,27
HCPCS,C1713,WASHER IFUSE TORQ TNT 16.0MM,305.0,244.0,1.0,274.5,27
HCPCS,C1713,WASHER LK FEM NAIL STER LFT 5D,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,WASHER LK FEM NAIL STER LFT10D,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,WASHER LK FEM NAIL STER RT 5D,2944.0,2355.2,1.0,2649.6,27
HCPCS,C1713,WASHER MATTA 9MM,174.58,139.67,1.0,157.12,27
HCPCS,C1713,WASHER MICRO ASNIS 3.0MM,373.84,299.08,1.0,336.46,27
HCPCS,C1713,WASHER ORPE 2.5/3.0MM,112.24,89.8,1.0,101.02,27
HCPCS,C1713,WASHER ORTHOLOC DARCO,173.85,139.08,1.0,156.47,27
HCPCS,C1713,WASHER ORTHOLOC SCREW 3.5/4.0,173.85,139.08,1.0,156.47,27
HCPCS,C1713,WASHER RIBFIX ADV 9.5MM,900.0,720.0,1.0,810.0,27
HCPCS,C1713,WASHER SCFE OVAL 1MM,401.44,321.16,1.0,361.3,27
HCPCS,C1713,WASHER SCFE OVAL 2MM,401.44,321.16,1.0,361.3,27
HCPCS,C1713,WASHER SCREW SPIKED 4-4.5MM,475.78,380.63,1.0,428.2,27
HCPCS,C1713,WASHER SCREW SPIKED 6.5-7MM,469.73,375.79,1.0,422.76,27
HCPCS,C1713,WASHER SCREWFLAT/DOME4.5/5.2MM,504.0,403.2,1.0,453.6,27
HCPCS,C1713,WASHER SPACING 1.0MM,70.15,56.12,1.0,63.14,27
HCPCS,C1713,WASHER SPACING 2.0MM,106.63,85.31,1.0,95.97,27
HCPCS,C1713,WASHER SPACING 4.0MM,106.63,85.31,1.0,95.97,27
HCPCS,C1713,WASHER SPHERICAL FLAT,213.26,170.61,1.0,191.93,27
HCPCS,C1713,WASHER SPHERICAL RD STER LG,521.73,417.39,1.0,469.56,27
HCPCS,C1713,WASHER STRY 2.7MM,452.64,362.12,1.0,407.38,27
HCPCS,C1713,WASHER STRY 3.5MM,477.45,381.96,1.0,429.71,27
HCPCS,C1713,WASHER SYNT 7MM,125.54,100.44,1.0,112.99,27
HCPCS,C1713,WASHER THRD,409.2,327.36,1.0,368.28,27
HCPCS,C1713,WASHER TI 13.0MM,140.91,112.73,1.0,126.82,27
HCPCS,C1713,WASHER TI 7.0MM,125.54,100.44,1.0,112.99,27
HCPCS,C1713,WASHER TI AS3 STRY 4.0MM,145.49,116.4,1.0,130.94,27
HCPCS,C1713,WASHER VARIAX 2.4/2.7/3.5MM,181.35,145.08,1.0,163.22,27
HCPCS,C1713,WASHER WIRE FORM TRMI,472.5,378.0,1.0,425.25,27
HCPCS,C1713,WASHER ZIMM 2.5MM,244.0,195.2,1.0,219.6,27
HCPCS,C1713,WASHER ZIMM 6.5MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,WASHER ZIMM 8.0MM,345.6,276.48,1.0,311.04,27
HCPCS,C1713,WASHER ZIMM SM,195.2,156.16,1.0,175.68,27
HCPCS,C1713,WDG ANAT COTTON 16X4.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 16X5.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 16X6.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 16X7.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 20X4.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 20X5.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 20X6.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG ANAT COTTON 20X7.5MM,6144.6,4915.68,1.0,5530.14,27
HCPCS,C1713,WDG BICORT EVANS 22X22X8MM,10224.76,8179.81,1.0,9202.28,27
HCPCS,C1713,WDG COTTON BIOFM 20X14X6.5MM,5676.44,4541.16,1.0,5108.8,27
HCPCS,C1713,WDG COTTON TIPEEK 16X14X4.5M,3854.79,3083.84,1.0,3469.31,27
HCPCS,C1713,WDG COTTON TIPEEK 16X14X5.5M,3854.79,3083.84,1.0,3469.31,27
HCPCS,C1713,WDG COTTON TIPEEK 16X14X6.5M,3854.79,3083.84,1.0,3469.31,27
HCPCS,C1713,WDG COTTON TIPEEK 20X14X4.5M,3854.79,3083.84,1.0,3469.31,27
HCPCS,C1713,WDG COTTON TIPEEK 20X14X5.5M,3854.79,3083.84,1.0,3469.31,27
HCPCS,C1713,WDG COTTON TIPEEK 20X14X6.5M,3854.79,3083.84,1.0,3469.31,27
HCPCS,C1713,WDG EVANS BIOSYNC 18X18X10MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 18X18X12MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 18X18X6.5MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 18X18X8MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 20X20X12MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 20X20X6.5MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 20X20X8MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 22X22X10MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS BIOSYNC 22X22X8MM,6760.6,5408.48,1.0,6084.54,27
HCPCS,C1713,WDG EVANS TIPEEK 18X18X10MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 18X18X12MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 18X18X8MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 20X20X10MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 20X20X12MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 20X20X8MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 22X22X10MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 22X22X12MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG EVANS TIPEEK 22X22X8MM,4133.42,3306.74,1.0,3720.08,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X10,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X12,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X6,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY LG 23X8,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY MD 20X10,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY MD 20X12,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY MD 20X8,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS OSTEOTOMY SM 16X8,12586.6,10069.28,1.0,11327.94,27
HCPCS,C1713,WDG TRUSS UOTS2 LG 30X12MM,12586.0,10068.8,1.0,11327.4,27
HCPCS,C1713,WIRE ALPS COMP LNG,244.0,195.2,1.0,219.6,27
HCPCS,C1713,WIRE ALPS COMP MD,244.0,195.2,1.0,219.6,27
HCPCS,C1713,WIRE ALPS COMP SHRT,244.0,195.2,1.0,219.6,27
HCPCS,C1713,WIRE CERCLAGE 0.5X175MM,58.62,46.9,1.0,52.76,27
HCPCS,C1713,WIRE CERCLAGE COIL 1.25MM,317.52,254.02,1.0,285.77,27
HCPCS,C1713,WIRE CERCLAGE COIL 1.5MM,317.52,254.02,1.0,285.77,27
HCPCS,C1713,WIRE COMP 1.6X10X150MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,WIRE COMP 1.6X15X150MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,WIRE COMP 1.6X20X150MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,WIRE COMP 1.6X25X150MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,WIRE COMP 1.6X30X150MM,235.7,188.56,1.0,212.13,27
HCPCS,C1713,WIRE COMP 1.6X35X150MM,240.83,192.67,1.0,216.75,27
HCPCS,C1713,WIRE COMP 1.6X40X150MM,240.83,192.67,1.0,216.75,27
HCPCS,C1713,WIRE COMP 2.8X10MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X15MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X20MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X25MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X30MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X35MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X40MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 2.8X60MM,288.14,230.52,1.0,259.33,27
HCPCS,C1713,WIRE COMP 3.0/3.5/4.0 1.6X20MM,362.69,290.16,1.0,326.42,27
HCPCS,C1713,WIRE DIMND 1.5X450MM,281.21,224.97,1.0,253.09,27
HCPCS,C1713,WIRE EXTL FIX 15MM THRD1.6X125,792.0,633.6,1.0,712.8,27
HCPCS,C1713,WIRE EXTL FIX 15MM THRD2.0X125,792.0,633.6,1.0,712.8,27
HCPCS,C1713,WIRE EXTL FIX BYNT 1.8X400MM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,WIRE EXTL FIX BYNTOLIVE1.8X370,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1713,WIRE EXTL FIX BYNTOLIVE1.8X400,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,WIRE EXTL FIX OLIVE 2MM,1059.66,847.73,1.0,953.69,27
HCPCS,C1713,WIRE EXTL FIX RDCTNHALFPNT1.8,1001.88,801.51,1.0,901.69,27
HCPCS,C1713,WIRE EXTL FIX RDCTNSYNT1.8X400,1001.88,801.51,1.0,901.69,27
HCPCS,C1713,WIRE EXTL FIX SALVATION 2MM,873.0,698.4,1.0,785.7,27
HCPCS,C1713,WIRE EXTL FIX SMTH SYNT1.8X400,389.99,312.0,1.0,350.99,27
HCPCS,C1713,WIRE EXTL FIX SMTHHALFPNT1.5MM,389.99,312.0,1.0,350.99,27
HCPCS,C1713,WIRE EXTL FIXCITIEFFESMTH2X400,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1713,WIRE LIGATURE BLNT 0.50X160MM,73.2,58.56,1.0,65.88,27
HCPCS,C1713,WIRE MOUNT STER 4.5MM NL PLATE,610.47,488.38,1.0,549.42,27
HCPCS,C1713,WIRE OLIVE ARSENAL 0.062X3.0,183.0,146.4,1.0,164.7,27
HCPCS,C1713,WIRE OLIVE ARSENAL 0.062X3.25,183.0,146.4,1.0,164.7,27
HCPCS,C1713,WIRE OLIVE DIMND 1.5X450MM,523.76,419.01,1.0,471.38,27
HCPCS,C1713,WIRE OLIVE GRIDLOCK 0.062X4.5,274.5,219.6,1.0,247.05,27
HCPCS,C1713,WIRE OLIVE KT FLOWERCUBE MD,1200.4,960.32,1.0,1080.36,27
HCPCS,C1713,WIRE OLIVE SB NONTHRD POLYLOCK,675.0,540.0,1.0,607.5,27
HCPCS,C1713,WIRE OLIVE SMTH 7MM 1.6X80MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE SMTH 7MM 1.6X92MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE SMTH PRGN 1.3X70MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE SMTH PRGN 1.4MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE SMTH PRGNSS1.3X70MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE SMTH STD PRGN1.6X80,511.88,409.51,1.0,460.69,27
HCPCS,C1713,WIRE OLIVE THRD 7MM 1.6X80MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE THRD 7MM 1.6X92MM,468.0,374.4,1.0,421.2,27
HCPCS,C1713,WIRE OLIVE THRD PRGN 1.3MM,497.25,397.8,1.0,447.53,27
HCPCS,C1713,WIRE OLIVE THRD PRGN 1.4MM,497.25,397.8,1.0,447.53,27
HCPCS,C1713,WIRE OLIVE TMPR FIX DYNABUNION,215.76,172.61,1.0,194.18,27
HCPCS,C1713,WIRE PLATE RDCTN LG 1.25MM,62.77,50.22,1.0,56.49,27
HCPCS,C1713,WIRE PLATE RDCTN SM 1.25MM,97.42,77.94,1.0,87.68,27
HCPCS,C1713,WIRE TACK PLATE 3.0/3.5/4.0,796.46,637.17,1.0,716.81,27
HCPCS,C1713,WRIST FIX SFC INNER 24MM/10MM,1218.0,974.4,1.0,1096.2,27
HCPCS,C1713,WRIST FIX SFC OUTER 32MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1714,CATH HAWKONE LG VESS,8502.0,6801.6,1.0,7651.8,27
HCPCS,C1714,CATH HAWKONE LG VESS W TIP,8502.0,6801.6,1.0,7651.8,27
HCPCS,C1714,CATH SILVERHAWK DS,6860.0,5488.0,1.0,6174.0,27
HCPCS,C1714,CATH TURBOHAWK LX-M,7982.0,6385.6,1.0,7183.8,27
HCPCS,C1714,CATH TURBOHAWK SS-CL,7982.0,6385.6,1.0,7183.8,27
HCPCS,C1714,EXT CATH HAWKONE MD VESS,8502.0,6801.6,1.0,7651.8,27
HCPCS,C1715,NDLE PLST BLNT RPSB 2X320MM,39.8,31.84,1.0,35.82,27
HCPCS,C1715,NDLE PLST SHARP *DISC 6339371*,38.61,30.89,1.0,34.75,27
HCPCS,C1715,NDLE PLST SHARP RPSB 3X230MM,38.61,30.89,1.0,34.75,27
HCPCS,C1716,"Brachytx, non-str, Gold-198",,,271.19,911.75,11
HCPCS,C1717,BRACHYTX SOURCE HDR,1130.0,904.0,313.8,1017.0,36
HCPCS,C1719,"Brachytx, NS, Non-HDRIr-192",,,348.79,592.73,11
HCPCS,C1721,ICD DR COBALT ICD DR MRI DF4,29187.86,23350.29,1.0,26269.07,27
HCPCS,C1721,ICD DR COBALT MRI IS1 DF1,29187.86,23350.29,1.0,26269.07,27
HCPCS,C1721,ICD DR COBALT XT MRI DF1,31814.76,25451.81,1.0,28633.28,27
HCPCS,C1721,ICD DR COBALT XT MRI DF4,31814.76,25451.81,1.0,28633.28,27
HCPCS,C1721,ICD DR CROME MRI SURESCAN DF4,29073.31,23258.65,1.0,26165.98,27
HCPCS,C1721,ICD DR DYNAGEN EL DF4,62188.8,49751.04,1.0,55969.92,27
HCPCS,C1721,ICD DR DYNAGEN EL DR,61360.8,49088.64,1.0,55224.72,27
HCPCS,C1721,ICD DR DYNAGEN MINI DF4,59044.8,47235.84,1.0,53140.32,27
HCPCS,C1721,ICD DR ELLIPSE DF4 IS1,28877.9,23102.32,1.0,25990.11,27
HCPCS,C1721,ICD DR EVERA MRI XT D4,29187.86,23350.29,1.0,26269.07,27
HCPCS,C1721,ICD DR EVERA MRI XT DF1,29187.86,23350.29,1.0,26269.07,27
HCPCS,C1721,ICD DR FORTIFY ASSURA DF1 IS1,28877.9,23102.32,1.0,25990.11,27
HCPCS,C1721,ICD DR FORTIFY ASSURA DF4 IS1,28877.9,23102.32,1.0,25990.11,27
HCPCS,C1721,ICD DR GALLANT DF1 IS1,31800.0,25440.0,1.0,28620.0,27
HCPCS,C1721,ICD DR GALLANT DF4 IS1,31800.0,25440.0,1.0,28620.0,27
HCPCS,C1721,ICD DR ILIVIA PROMRI DR-T DF1,35618.4,28494.72,1.0,32056.56,27
HCPCS,C1721,ICD DR MOMENTUM EL DR,68668.8,54935.04,1.0,61801.92,27
HCPCS,C1721,ICD DR RESONATE EL DF4,68668.8,54935.04,1.0,61801.92,27
HCPCS,C1721,ICD DR RESONATE HF DF4,69446.4,55557.12,1.0,62501.76,27
HCPCS,C1721,ICD DR-T RIVACOR 7 DF4,38018.4,30414.72,1.0,34216.56,27
HCPCS,C1721,ICD IPERIA7 PRO *DISC NO REPL*,34320.0,27456.0,1.0,30888.0,27
HCPCS,C1721,ICD VR CROME MRI SURESCAN DF1,25949.66,20759.73,1.0,23354.69,27
HCPCS,C1722,ICD DX ACTICOR SGL DF4,39182.4,31345.92,1.0,35264.16,27
HCPCS,C1722,ICD INTICA DX PR*DISC 6320736*,37015.2,29612.16,1.0,33313.68,27
HCPCS,C1722,ICD S EMBLEM MRI S-ICD,85536.0,68428.8,1.0,76982.4,27
HCPCS,C1722,ICD VISIA AF*DISC USE 6274032*,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1722,ICD VR AURORA EV MRI,49800.0,39840.0,1.0,44820.0,27
HCPCS,C1722,ICD VR COBALT ICD VR MRI DF1,25949.66,20759.73,1.0,23354.69,27
HCPCS,C1722,ICD VR COBALT ICD VR MRI DF4,25949.66,20759.73,1.0,23354.69,27
HCPCS,C1722,ICD VR COBALT XT MRI DF1,28284.58,22627.67,1.0,25456.12,27
HCPCS,C1722,ICD VR COBALT XT MRI DF4,28284.58,22627.67,1.0,25456.12,27
HCPCS,C1722,ICD VR CROME MRI SURESCAN DF4,25949.66,20759.73,1.0,23354.69,27
HCPCS,C1722,ICD VR DYNAGELVR*DISC 6295813*,56452.8,45162.24,1.0,50807.52,27
HCPCS,C1722,ICD VR DYNAGEN EL DF4,57636.0,46108.8,1.0,51872.4,27
HCPCS,C1722,ICD VR ELLIPSE DF1 IS1,27389.52,21911.62,1.0,24650.57,27
HCPCS,C1722,ICD VR FORT ASSURA CTD DF1 IS1,27389.52,21911.62,1.0,24650.57,27
HCPCS,C1722,ICD VR FORT ASSURA DF4,27389.52,21911.62,1.0,24650.57,27
HCPCS,C1722,ICD VR ILIVIA PROMRI VR-T DF1,35618.4,28494.72,1.0,32056.56,27
HCPCS,C1722,ICD VR MOMENTUM EL VR,64116.0,51292.8,1.0,57704.4,27
HCPCS,C1722,ICD VR RESONATE EL DF4,64116.0,51292.8,1.0,57704.4,27
HCPCS,C1722,ICD VR VISIA AF MRI DF1,25949.16,20759.33,1.0,23354.24,27
HCPCS,C1722,ICD VR VISIA AF MRI DF4,25949.16,20759.33,1.0,23354.24,27
HCPCS,C1722,ICD VR-T INTICA NEO 7 DX DF1,37015.2,29612.16,1.0,33313.68,27
HCPCS,C1722,ICD VR-T RIVACOR MRI DF4,38018.4,30414.72,1.0,34216.56,27
HCPCS,C1724,CATH 360 XCHG SOLID 2.0MM145CM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1724,CATH 360 XCHG SOLID1.25MM145CM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1724,CATH BUR ROTAPRO 1.25MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1724,CATH BUR ROTAPRO 1.50MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1724,CATH BUR ROTAPRO 1.75MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1724,CATH BUR ROTAPRO 2.00MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1724,CATH BUR SYS ROTALINK 1.25MM,2617.2,2093.76,1.0,2355.48,27
HCPCS,C1724,CATH BUR SYS ROTALINK 1.50MM,2617.2,2093.76,1.0,2355.48,27
HCPCS,C1724,CATH BUR SYS ROTALINK 1.75MM,2617.2,2093.76,1.0,2355.48,27
HCPCS,C1724,CATH BUR SYS ROTALINK 2.00MM,2617.2,2093.76,1.0,2355.48,27
HCPCS,C1724,CATH BUR SYS ROTALINK 2.50MM,2617.2,2093.76,1.0,2355.48,27
HCPCS,C1724,CATH JETSTREAM SC 1.85MM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1724,CATH JETSTREAM XC 2.1/3.0MM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1724,CATH LASER OTW TURBO-ELITE 2.3,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1724,CATH LASER OTW X-80 0.9MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1724,CATH STEALTH SOLID CORO 1.25MM,9867.0,7893.6,1.0,8880.3,27
HCPCS,C1724,CATH SYS 360 CLASC 1.5MM *NLU*,8827.0,7061.6,1.0,7944.3,27
HCPCS,C1724,CATH SYS 360 SOLID 1.25MM145CM,8827.0,7061.6,1.0,7944.3,27
HCPCS,C1724,CATH SYS 360 SOLID 1.5MM 145CM,8827.0,7061.6,1.0,7944.3,27
HCPCS,C1724,CATH SYS 360 SOLID 2.0MM 145CM,8827.0,7061.6,1.0,7944.3,27
HCPCS,C1724,CATH SYS ATHER ROTAREX6FR135CM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1724,CATH SYS ATHER ROTAREX8FR110CM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1724,CATH SYS XCHG CLASC1.50MM145CM,9607.0,7685.6,1.0,8646.3,27
HCPCS,C1724,CATH SYS XCHG CLASC2.00MM145CM,9607.0,7685.6,1.0,8646.3,27
HCPCS,C1724,CATH SYS XCHG MICRO1.25MM145CM,9607.0,7685.6,1.0,8646.3,27
HCPCS,C1724,CATH SYS XCHG SOLID1.25MM145CM,9607.0,7685.6,1.0,8646.3,27
HCPCS,C1724,CATH SYS XCHG SOLID1.50MM145CM,9607.0,7685.6,1.0,8646.3,27
HCPCS,C1724,CATH SYS XCHG SOLID2.00MM145CM,9607.0,7685.6,1.0,8646.3,27
HCPCS,C1725,BLN ADMRL 4X200*DISC NO REPLC*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN ADMRL 4X300MM 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN ADMRL 4X350MM 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN ADMRL OTW 4X200MM130CM,5446.0,4356.8,1.0,4901.4,27
HCPCS,C1725,BLN ADMRL OTW 4X250MM130CM,5992.0,4793.6,1.0,5392.8,27
HCPCS,C1725,BLN ADMRL OTW 5X3*USE 6300493*,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN ADMRL OTW 6X200MM130CM,5446.0,4356.8,1.0,4901.4,27
HCPCS,C1725,BLN ADMRL OTW 6X300MM 130*NLU*,607.5,486.0,1.0,546.75,27
HCPCS,C1725,BLN ADMRL OTW 6X300MM 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN ADMRL OTW 7X250MM 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN ADMRL OTW5*DISC NO REPLC*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN ADMRL OTW7*DISC NO REPLC*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN AMPHIRION DEEP 4X40*DISC*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN ANGI SABER 2.5X20MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 2X20MM 90CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 2X250MM 90CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 3.5X100MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 3.5X200MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 3.5X20MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 3.5X40MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 3X150MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 3X200MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 3X250MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 3X40MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 4X150MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 4X200MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 4X60MM 90CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 4X80MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 5X200MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 5X80MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 6X200MM 150CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN ANGI SABER 6X60MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 6X80MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 7X30MM 90CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI SABER 7X40MM 150CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN ANGI ULTRAVERSE 4.0X6075CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN ANGIOSCULPT PTA 6FR 8X40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1725,BLN ARMADA 14 1.5X120,1218.0,974.4,1.0,1096.2,27
HCPCS,C1725,BLN ARMADA 14 4.0X120,1218.0,974.4,1.0,1096.2,27
HCPCS,C1725,BLN ARMADA 14 4.0X200*NLU*,1218.0,974.4,1.0,1096.2,27
HCPCS,C1725,BLN ARMADA 35 10X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 10X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 12X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 12X20MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 12X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 12X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 14X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 14X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 14X40MM80CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 14X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 14X80MM80CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 3X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 3X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 3X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X100MM135C*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X100MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X120MM135C*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X120MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X60MM135CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X80MM135CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 4X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 5X100MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 5X120MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 5X20MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 5X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 5X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 5X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 6X100MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 6X20MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 6X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 6X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 6X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 7X100MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 7X20MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 7X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 7X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 7X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X20MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X60MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X80MM135CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 8X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X20MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X40MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X60MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X60MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X80MM135CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35 9X80MM80CM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 4X150MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 4X200MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 4X250MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 5X100MM13*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 5X120MM13*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 5X150MM13*NLU*,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 5X200MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 5X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 5X250MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 5X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 5X60MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 5X80MM135*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 6X100MM13*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 6X150MM13*NLU*,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 6X200MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 6X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 6X250MM135CM,967.5,774.0,1.0,870.75,27
HCPCS,C1725,BLN ARMADA 35LL 6X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 6X60MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 6X80MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 7X100MM13*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 7X20MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 7X40MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 7X60MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL 7X80MM135*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ARMADA 35LL6X120MM135*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN ATLAS 12MMX4CM 75CM,1281.0,1024.8,1.0,1152.9,27
HCPCS,C1725,BLN ATLAS 14MMX4CM 75CM,1281.0,1024.8,1.0,1152.9,27
HCPCS,C1725,BLN ATLAS 16MMX4CM 120CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATLAS 16MMX4CM 75CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATLAS GLD 12MMX4CM80CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATLAS GLD 14MMX4CM80CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATLAS GLD 16MMX4CM 120CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATLAS GLD 16MMX4CM 80CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATLAS GLD 18MMX4CM 120CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1725,BLN ATTAIN LEAD VENOGRAM LFT,337.5,270.0,1.0,303.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 4X20MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 4X30MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 4X40MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 5X15MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 5X20MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 5X30MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 5X40MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 6X20MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 6X30MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 6X40MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 7X*NLU*,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM 7X20MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM4.5X30MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM4.5X40MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM5.5X30MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN AVIATOR PLUS 142CM5.5X40MM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN BAV/PTV ZMEDII 16MMX4CM,2503.9,2003.12,1.0,2253.51,27
HCPCS,C1725,BLN BAV/PTV ZMEDII 18MMX4CM,2503.9,2003.12,1.0,2253.51,27
HCPCS,C1725,BLN BAV/PTV ZMEDII 20MMX4CM,2503.9,2003.12,1.0,2253.51,27
HCPCS,C1725,BLN BAV/PTV ZMEDII 22MMX4CM,2503.9,2003.12,1.0,2253.51,27
HCPCS,C1725,BLN BAV/PTV ZMEDII 28MMX2CM,2503.9,2003.12,1.0,2253.51,27
HCPCS,C1725,BLN CHARGER OTW 10X20MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 10X20MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 10X30MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 10X40MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 10X40MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 10X60MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 10X80MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X20MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X20MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X30MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X40MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X40MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X60MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 12X80MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X100MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X120MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 3X150MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 3X180MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 3X200MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 3X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X20MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 3X80MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X100MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X100MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X120MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 4X150MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 4X180MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 4X200MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 4X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X20MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X60MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X80MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 4X80MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X100MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X100MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X120MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 5X150MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 5X180MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 5X200MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 5X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X20MM 75CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN CHARGER OTW 5X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X60MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X80MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 5X80MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X100MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X100MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X120MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 6X150MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 6X180MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 6X200MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 6X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X20MM 75CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN CHARGER OTW 6X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X60MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X80MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 6X80MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X100MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X100MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X120MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 7X150MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 7X180MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 7X200MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 7X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X20MM 75CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN CHARGER OTW 7X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X60MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X80MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 7X80MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X100MM 1*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X100MM 7*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X120MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 8X150MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 8X180MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 8X200MM 1*NLU*,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN CHARGER OTW 8X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X20MM 75CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1725,BLN CHARGER OTW 8X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X80MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 8X80MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X20MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X20MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X30MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X40MM 13*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X40MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X60MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHARGER OTW 9X80MM 75*NLU*,855.0,684.0,1.0,769.5,27
HCPCS,C1725,BLN CHOC P2.5X10*DISC 6325108*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC P2.5X15*DISC 6325109*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC P2.5X20*DISC 6325110*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC P3.5X15*DISC 6325115*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC PTA OTW 2.5X80MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,BLN CHOC PTA OTW 3.5X80MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,BLN CHOC PTA OTW 3X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,BLN CHOC PTA OTW 3X80MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,BLN CHOC PTA OTW 4X40MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,BLN CHOC PTA OTW 4X80CM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,BLN CHOC PTC2X10*DISC 6325105*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC PTC2X15*DISC 6325106*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC PTC2X20*DISC 6325107*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CHOC PTC3X15*DISC 6325112*,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1725,BLN CONQUEST 40 10MMX4CM 75CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,BLN CONQUEST 40 6MMX2CM 50CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,BLN CONQUEST 40 7MMX2CM 50CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,BLN CONQUEST 40 7MMX4CM 75CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,BLN CONQUEST 40 8MMX4CM 75CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,BLN CONQUEST 6CMX4MM 75CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,BLN COYOTE ES OTW 142CM 2.0X20,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE ES OTW 144CM 2.0X40,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE ES OTW145CM 3.0X40,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 1.5X40,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X100,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X120,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X150,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X220,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.0X80,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X120,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X150,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 2.5X80,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X120,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X150,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN COYOTE OTW 150CM 3.0X80,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM2.0X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM3.0X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM4.0X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM5.0X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CROSSTELLA RX 200CM6.0X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN CUT OTW 5X20MM 90CM,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1725,BLN CUT OTW 6X20MM 90CM,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1725,BLN CUT OTW 7X20MM 135CM,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1725,BLN CUT OTW 7X20MM 90CM,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1725,BLN DIL TRUE 11FR 18MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 11FR 20MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 12FR 21MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 12FR 22MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 12FR 23MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 12FR 24MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 13FR 25MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN DIL TRUE 13FR 26MM,2553.6,2042.88,1.0,2298.24,27
HCPCS,C1725,BLN DIL TRUE 14FR 28MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1725,BLN EMERGE MR 1.20X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.20X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.20X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.20X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 1.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.00X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.25X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.25X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.25X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.25X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.25X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.50X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.75X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.75X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.75X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.75X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 2.75X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.00X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.25X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.25X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.25X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.25X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.25X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.5X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.75X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.75X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.75X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.75X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 3.75X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 4.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 4.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 4.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 4.00X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR 4.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.20X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.20X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.20X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.20X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE MR PUSH 1.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1*DISC NO REPL*,562.5,450.0,1.0,506.25,54
HCPCS,C1725,BLN EMERGE OTW 1.20X12MM*CIP*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.20X12MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.20X20MM*CIP*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.20X8MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.50X12MM*CIP*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.50X12MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.50X20MM*CIP*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 1.50X8MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 2*DISC NO REPL*,562.5,450.0,1.0,506.25,162
HCPCS,C1725,BLN EMERGE OTW 2.50X12MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 2.50X8MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 3.00X12MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 3.00X15MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 3.00X20MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW 3.00X8MM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EMERGE OTW P*DISC NO REPL*,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN EVERCROSS 10X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X30 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X30MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 10X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 12X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 12X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 12X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 12X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 12X60MMX135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X100MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X100MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X120 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X120MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X150MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X150MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X200MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X200MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X30MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 3X80MM135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X100MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X100MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X120MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X120MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X150MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X150MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X200MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X200MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X30 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X30MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X80MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 4X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X100MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X100MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X120MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X120MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X150MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X150MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X200MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X200MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X20MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X30 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X30 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X30MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X80MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 5X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X100MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X100MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X120MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X120MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X150MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X150MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X200MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X200MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X20MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X30 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X30MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X80MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 6X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X100MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X100MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X120MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X120MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X150MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X150MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X200MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X200MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X20MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X30 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X30MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X80MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 7X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X30 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X30 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X80MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 8X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X20MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X20MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X30MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X30MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X40MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X40MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X60MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X60MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X80MM 135CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS 9X80MM 80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCROSS PTA 12X60X80CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCRSOSS 5X40MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCRSOSS 6X40MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCRSOSS 7X40MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN EVERCRSOSS 8X40MM 40CM,405.0,324.0,1.0,364.5,27
HCPCS,C1725,BLN FLOWGATE2 8FRX85CM,4124.74,3299.8,1.0,3712.27,27
HCPCS,C1725,BLN FLOWGATE2 8FRX95CM,4124.74,3299.8,1.0,3712.27,27
HCPCS,C1725,BLN FOX SV PTA 2*DISC NO REPL*,990.0,792.0,1.0,891.0,270
HCPCS,C1725,BLN FOX SV PTA 3*DISC NO REPL*,990.0,792.0,1.0,891.0,135
HCPCS,C1725,BLN FOX SV PTA 4*DISC NO REPL*,990.0,792.0,1.0,891.0,189
HCPCS,C1725,BLN FOX SV PTA 5*DISC NO REPL*,990.0,792.0,1.0,891.0,216
HCPCS,C1725,BLN FOX SV PTA 6*DISC NO REPL*,990.0,792.0,1.0,891.0,216
HCPCS,C1725,BLN GATEWAY PTA 2.00X9.0MM,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1725,BLN GATEWAY PTA 2.50X9MM*NLU*,3710.0,2968.0,1.0,3339.0,27
HCPCS,C1725,BLN GATEWAY PTA 3.00X9.0MM,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1725,BLN GATEWAY PTA 3.5X9MM*NLU*,3710.0,2968.0,1.0,3339.0,27
HCPCS,C1725,BLN GATEWAY PTA 4.00X9.0MM,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1725,BLN MAVERICK RX *DISC 6194263*,495.0,396.0,1.0,445.5,27
HCPCS,C1725,BLN MAVERICK RX 3.50X30MM135CM,495.0,396.0,1.0,445.5,27
HCPCS,C1725,BLN MAVERICK RX 4.00X20MM142CM,495.0,396.0,1.0,445.5,27
HCPCS,C1725,BLN MAXI LD PTA 14MMX4CM *NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MAXI LD PTA 14MMX6CM *NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MAXI LD PTA 15MMX4CM *NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MAXI LD PTA 18MMX4CM *NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MAXI LD PTA 20MMX4CM *NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MAXI LD PTA 22MMX4CM *NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X20,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X60,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 3X80,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X20,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X60,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 4X80,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X20,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X60,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 5X80,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X20,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X60,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 6X80,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 7X60,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 7X80,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X20,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X60,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM 8X80,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X120,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM3X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X120,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM4X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X120,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM5X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X120,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM6X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X100,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X120,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X150,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X20,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X200,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN METACROSSRX 6FR 200CM7X40,1335.6,1068.48,1.0,1202.04,27
HCPCS,C1725,BLN MINI TREK OT*DISC 6200513*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OT*DISC 6200517*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW 1.2X08M*NLU*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW 1.2X12M*NLU*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW 1.2X15M*NLU*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW 1.2X20M*NLU*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW 1.5X8MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW 2X20MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW1.5X12MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK OTW1.5X20MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.20X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.20X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.20X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.20X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.20X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.50X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.50X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 1.50X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 2X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 2X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 2X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MINI TREK RX 2X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN MUSTANG 10.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 10.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 10.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 10.0X40MM 40CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 10.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 10.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 10.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 12.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 12.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 12.0X40MM 40CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 12.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 12.0X60MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 12.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 3.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 3.0X40MM 135C*NLU*,1125.0,900.0,1.0,1012.5,27
HCPCS,C1725,BLN MUSTANG 3.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 3.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 3.0X80MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X100MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X120MM 135*NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MUSTANG 4.0X150MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X150MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X200MM 135*NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1725,BLN MUSTANG 4.0X200MM 75CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 4.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 4.0X80MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X100MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X100MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X120MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X150MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X150MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X200MM 135CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 5.0X200MM 75CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 5.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X60MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 5.0X80MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X100MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X100MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X120MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X150MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X150MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X200MM 135CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 6.0X200MM 75CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 6.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X60MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 6.0X80MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X100MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X100MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X120MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X150MM 135XM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X150MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X200MM 135CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 7.0X200MM 75CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 7.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X60MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 7.0X80MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X100MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X100MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X120MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X120MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X150MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X150MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X200MM 135CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 8.0X200MM 75CM,1386.0,1108.8,1.0,1247.4,27
HCPCS,C1725,BLN MUSTANG 8.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X60MM 135XM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X80MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 8.0X80MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X20MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X20MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X40MM 135CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X40MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X60MM 75CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X80MM 40CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C1725,BLN MUSTANG 9.0X80MM 75CM*NLU*,1125.0,900.0,1.0,1012.5,27
HCPCS,C1725,BLN NANOCROSS 150CM 1.5X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 1.5X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X 210MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X60MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.0X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X100MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X150MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X210MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X60MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 2.5X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X150MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X210MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X60MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.0X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X150MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X210MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 3.5X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X150MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X210MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 4.0X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X200MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 5.0X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X120MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X200MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 150CM 6.0X80MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 1.5X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 1.5X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 2X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 2X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 2X60MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 5.0X20MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NANOCROSS 90CM 5.0X40MM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN NC EMERGE MR 2.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.00X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.00X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.25X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.25X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.25X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.25X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.25X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.25X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.50X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.50X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.75X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.75X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.75X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.75X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.75X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 2.75X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.00X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.00X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.25X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.25X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.25X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.25X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.25X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.25X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.50X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.50X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.75X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.75X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.75X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.75X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.75X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 3.75X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.00X30MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.00X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.50X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 4.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.00X6MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.50X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.50X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.50X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 5.50X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 6.00X12MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 6.00X15MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 6.00X20MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EMERGE MR 6.00X8MM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,BLN NC EUPHORA RX 2.0X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.0X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.0X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.25X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.25X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.25X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.5X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.5X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.5X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.5X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.5X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.5X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.75X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.75X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.75X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.75X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.75X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 2.75X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.0X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.0X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.0X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.0X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.25X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.25X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.25X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.25X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.5X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.5X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.5X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.5X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.5X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.5X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.75X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.75X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.75X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.75X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.75X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 3.75X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.0X06MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.0X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.0X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.0X27MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.5X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.5X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.5X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 4.5X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 5.0X08MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 5.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC EUPHORA RX 5.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN NC TREK NEO RX 1.5X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK NEO RX 1.5X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK NEO RX 1.5X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK NEO RX 1.5X6MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK NEO RX 1.5X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331337*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331338*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331339*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331340*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 1*DISC 6331341*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331342*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331343*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331344*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331345*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331346*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331347*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331348*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331349*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331350*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331351*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331352*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331353*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331354*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331355*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331356*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331357*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331358*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331359*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331360*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331361*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 2*DISC 6331362*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331363*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331364*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331365*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331366*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331367*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331368*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331369*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331370*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331371*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331372*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331373*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331374*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331376*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331377*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331378*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331379*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331380*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331381*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 3*DISC 6331382*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331384*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331385*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331386*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331387*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331388*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331389*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331390*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 4*DISC 6331391*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331392*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331393*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331394*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX 5*DISC 6331395*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREK RX3.*DISC 6331383*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN NC TREKRX 3.*DISC 6331375*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN OPTA PRO 10X2 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 10X3 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 10X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 12X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 5X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 6X3 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 6X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 7X3 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 7X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 8X3X80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 8X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 9X3 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN OPTA PRO 9X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN POWERFLEX 10X6 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN POWERFLEX P3 10X4 80CM,468.0,374.4,1.0,421.2,27
HCPCS,C1725,BLN POWERFLEX PRO 10X100M*NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 10X20MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 10X40MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 10X60MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 10X80MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 12X20MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 12X40MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 12X60MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 3X100MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 3X120MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 3X150MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 3X20MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 3X220MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 3X40MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 3X60MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 3X80MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 4X100MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 4X120MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 4X150MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 4X20MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 4X220MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 4X40MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 4X60MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 4X80MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 5X100MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 5X120MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 5X150MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN POWERFLEX PRO 5X150MM80CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN POWERFLEX PRO 5X20MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 5X220MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 5X40MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 5X60MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 5X80MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 5X80MM 135CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X100MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X100MM135CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X120MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 6X150MM*NLU*,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN POWERFLEX PRO 6X150MM135CM,652.5,522.0,1.0,587.25,27
HCPCS,C1725,BLN POWERFLEX PRO 6X20MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X20MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X220MM*NLU*,652.5,522.0,1.0,587.25,54
HCPCS,C1725,BLN POWERFLEX PRO 6X40MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 6X60MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X60MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X80MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 6X80MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 7X100MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 7X20MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 7X40MM 135CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 7X40MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 7X60MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 7X60MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 7X80MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 8X100MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 8X20MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 8X40MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 8X40MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 8X60MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 8X80MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 9X100MM*NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 9X20MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 9X40MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 9X60MM *NLU*,603.0,482.4,1.0,542.7,54
HCPCS,C1725,BLN POWERFLEX PRO 9X80MM *NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO 9X80MM 80CM,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN POWERFLEX PRO10X100MM*NLU*,603.0,482.4,1.0,542.7,27
HCPCS,C1725,BLN PTCA SAPPHIRE NC 2.5*NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1725,BLN PTCA SAPPHIRE NC 3.0*NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1725,BLN PTCA SAPPHIREIIPRO2.0*NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1725,BLN PTCA SAPPHIREIIPRO2.5*NLU*,480.0,384.0,1.0,432.0,54
HCPCS,C1725,BLN PTCASAPPHIREIIPRO2.25*NLU*,480.0,384.0,1.0,432.0,81
HCPCS,C1725,BLN PTV TYSHAKII 14MMX4CM,2023.7,1618.96,1.0,1821.33,27
HCPCS,C1725,BLN PTV TYSHAKII 16MMX4CM,2023.7,1618.96,1.0,1821.33,27
HCPCS,C1725,BLN PTV TYSHAKII 18MMX4CM,2023.7,1618.96,1.0,1821.33,27
HCPCS,C1725,BLN PTV TYSHAKII 22MMX4CM,2023.7,1618.96,1.0,1821.33,27
HCPCS,C1725,BLN PTV VIDA 16MMX4CM 100CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.0X120MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.0X150MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.0X20MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.0X40MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.0X80MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.5X120MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.5X150MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.5X20MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.5X40MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 2.5X80MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X120MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X150MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X20MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X210MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X40MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X60MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.0X80 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.5X20MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 3.5X40MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X120MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X150MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X20MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X20MM 90CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X40MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X60MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN RAPIDCROSS 4.0X80MM 170CM,900.0,720.0,1.0,810.0,27
HCPCS,C1725,BLN SABER 10X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 10X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 10X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 10X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 10X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 10X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X150MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X200MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X250MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X250MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X300MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2.5X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X40MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X80MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2.5X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X150MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X200MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X250MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X300MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 2X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X40MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X80MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 2X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X150MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X250MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X250MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X300MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3.5X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X80MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3.5X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,54
HCPCS,C1725,BLN SABER 3X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X250MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3X300MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 3X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X80MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 3X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 4X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 4X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X250MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 4X250MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 4X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 4X300MM 90CM*NLU*,1149.75,919.8,1.0,1077.3,54
HCPCS,C1725,BLN SABER 4X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X40MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 4X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X150MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X250MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X250MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X300MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 5X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X40MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 5X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X150MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X150MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X200MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X250MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X250MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X300MM 150CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X300MM 90CM*NLU*,1197.0,957.6,1.0,1077.3,27
HCPCS,C1725,BLN SABER 6X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X40MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 6X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X80MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 7X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X100MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X20MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X30MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X40MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X60MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X80MM 150CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 8X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 9X100MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 9X20MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 9X30MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 9X40MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 9X60MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SABER 9X80MM 90CM*NLU*,1102.5,882.0,1.0,992.25,27
HCPCS,C1725,BLN SC EUPHORA 1.5X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 1.5X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 1.5X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 1.5X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 1.5X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.25X10MM,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 2.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.25X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.25X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.25X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.5X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.75X10MM,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 2.75X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.75X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.75X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2.75X25MM,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 2.75X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 2X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.25X10MM,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 3.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.25X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.25X25MM,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 3.5X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.5X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.5X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.5X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.5X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.5X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.5X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.75X10MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 3.75X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.75X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.75X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3.75X25MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SC EUPHORA 3.75X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 3X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SC EUPHORA 4X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.0X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 2.75X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.0X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.50X30M,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 3.50X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX 4.0X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX1.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX1.25X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX1.50X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.00X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X30MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.50X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX2.75X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.25*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.50X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.75*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.75X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER LEGENDRX3.75X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER NC 2.0X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.0X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.25X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.25X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.50X21MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.5X09MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.5X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.5X27MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.5X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.75X09MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.75X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.75X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 2.75X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.0X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.0X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER NC 3.0X21MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.0X27MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.0X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.0X9MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.25X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.25X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.25X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.25X9MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.5X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.5X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.5X9MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.75X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.75X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.75X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 3.75X9MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.0X12MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.0X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.0X21MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.0X27MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.0X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.0X9MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 4.5X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER NC 5.0X15MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN SPRINTER OTW 1.25X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER OTW*DISC 6297804*,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 1.25X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 1.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 1.25X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 1.50X6MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 2.25X10MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 2.25X12MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 2.25X15MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 2.25X20MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 2.25X25MM,408.0,326.4,1.0,367.2,27
HCPCS,C1725,BLN SPRINTER RX 2.25X6MM*NLU*,475.2,380.16,1.0,427.68,27
HCPCS,C1725,BLN STERLING 2.5X20MM 150*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING MR 2.0X220MM150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING MR 2.0X40MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 2.5X220MM150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING MR 3.0X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 3.0X220MM150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING MR 3.0X40MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 3.0X60MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 3.5X40MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 4.0X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 4.0X220MM150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING MR 4.0X40MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 4.5X30MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 4.5X30MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 5.0X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 5.0X30MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 5.0X30MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 5.5X30MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING MR 6.0X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 2.5X20MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2.5X220 *NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING OTW 2.5X30MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2.5X40MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2.5X40MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 2.5X60MM*NLU*,1470.0,1176.0,1.0,1323.0,54
HCPCS,C1725,BLN STERLING OTW 2X100MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2X150MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2X150MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 2X20MM 1*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2X20MM 9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2X220MM 150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 2X40MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 2X40MM 9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2X60MM 1*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 2X60MM 9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 3.5X20MM*NLU*,1470.0,1176.0,1.0,1323.0,54
HCPCS,C1725,BLN STERLING OTW 3.5X40MM*NLU*,1470.0,1176.0,1.0,1323.0,54
HCPCS,C1725,BLN STERLING OTW 3.5X60MM*NLU*,1470.0,1176.0,1.0,1323.0,54
HCPCS,C1725,BLN STERLING OTW 3X120MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 3X150MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 3X20MM 1*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 3X20MM 9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 3X220MM *NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING OTW 3X40MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 3X40MM 9*NLU*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,BLN STERLING OTW 3X40MM 90CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 3X60MM 1*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 3X60MM 9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 3X80MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 3X80MM 9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 4X100MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 4X100MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 4X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 4X20MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 4X20MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 4X220MM 150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 4X40MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 4X40MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 4X40MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 4X60MM 1*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 4X60MM 8*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 4X80MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 4X8CM 13*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 5X100MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 5X100MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X120MM *NLU*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1725,BLN STERLING OTW 5X120MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X150MM *NLU*,1522.5,1218.0,1.0,1417.5,54
HCPCS,C1725,BLN STERLING OTW 5X150MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X200MM *NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING OTW 5X200MM 150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 5X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X20MM 40CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X20MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X220MM *NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING OTW 5X220MM 150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 5X30MM 1*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 5X40MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X40MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 5X40MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X60MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X6MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X80MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 5X8MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X100MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 6X100MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X120MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X120MM 90CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X150MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X150MM 90CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X200MM *NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING OTW 6X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X20MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 6X20MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X220MM *NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING OTW 6X220MM 150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 6X40MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X40MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 6X40MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X60MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X60MM 8*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 6X80MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 6X8MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X100MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X150MM 150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X20MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 7X20MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X220MM 150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 7X220MM 90CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,BLN STERLING OTW 7X40MM 4*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 7X40MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X60MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X80MM 135MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 7X80MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 8X20MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 8X2MM 80CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 8X4MM 135CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING OTW 8X4MM 80*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 8X8MM 13*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW 8X8MM 80*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW2.5X40MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING OTW3.5X220MM*NLU*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1725,BLN STERLING SL OTW2X80MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING SL OTW2X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SL OTW3X100M*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING SL OTW3X120M*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING SL OTW4X120M*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING SL OTW4X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SLMR2.0X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SLMR2.5X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SLMR3.0X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SLMR4.0X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SLOTW3X100MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLING SLOTW4X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLING SLOTW4X150MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGOTW2.5X100MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLINGOTW2.5X150MM *NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLINGSLMR2.0X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR2.0X150MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR2.5X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR2.5X150MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR3.0X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR3.0X150MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR4.0X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLMR4.0X150MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLOTW2.5X100M*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLINGSLOTW2.5X120MM90CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLOTW2.5X80MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLOTW2X100MM9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLINGSLOTW2X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLN STERLINGSLOTW2X120MM9*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLINGSLOTW3.5X100M*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN STERLINGSLOTW3.5X120M*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLN TREK OTW 2.5*DISC 6200530*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 2.5*DISC 6200533*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 2.50X12MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 2.75X20MM*NLU*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 2.75X8MM*NLU*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 3X1*DISC 6200546*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 3X12MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 3X2*DISC 6200547*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK OTW 3X8MM*CIP*,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 2.50X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 2.50X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 2.50X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 2.50X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 2.75X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 2.75X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.25X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.25X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.25X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.25X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.25X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.50X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.50X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.50X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.50X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.75X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3.75X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 3X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4.5X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4.5X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4X30MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 4X8MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 5.0X12MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TREK RX 5.0X15MM,540.0,432.0,1.0,486.0,27
HCPCS,C1725,BLN TYSHAK Z-MED*DISC 6330983*,2687.87,2150.3,1.0,2419.08,27
HCPCS,C1725,BLN ULTVERSE 1.5X120MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 1.5X20MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 1.5X40MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 1.5X80MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X100MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X120MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X150MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X200MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X20MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X250MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X300MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X40MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X60MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2.5X80MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X100MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X120MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X150MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X200MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X20MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X250MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X300MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X40MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X60MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 2X80MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X100MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X120MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X150MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X200MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X20MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X250MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X300MMX20*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X40MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X60MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3.5X80MMX200*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X100MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X120MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X150MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X200MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X20MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X250MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X300MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X40MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X60MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 3X80MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X100MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X120MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X150MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X200MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X20MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X250MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X300MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X40MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X60MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 4X80MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X100MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X120MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X150MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X200MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X20MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X250MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X300MMX200C*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X40MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X60MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN ULTVERSE 5X80MMX200CM*NLU*,832.5,666.0,1.0,749.25,27
HCPCS,C1725,BLN VIATRAC 6X20MM 135CM,990.0,792.0,1.0,891.0,27
HCPCS,C1725,BLN VIATRAC PLUS 6X15MM 135CM,990.0,792.0,1.0,891.0,27
HCPCS,C1725,BLN WOLVERINE MR 2.00X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.00X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.00X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.25X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.25X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.25X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.50X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.50X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.50X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.75X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 2.75X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.00X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.00X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.00X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.25X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.25X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.25X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.50X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.50X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.50X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.75X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.75X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 3.75X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 4.00X10MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 4.00X15MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN WOLVERINE MR 4.00X6MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1725,BLN XTREME ADMRL 5X300MM 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN XTREME ADMRL 6X250MM 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLN XTREMEADMRLLOPRO6X250MM130,535.5,428.4,1.0,481.95,27
HCPCS,C1725,BLNCATHFORTREX6FR10X40MMX135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,BLNCATHFORTREX6FR12X40MMX135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,BLNSTERLINGSLOTW2.5X120MM150CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1725,BLNSTERLINGSLOTW3.5X100MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLNSTERLINGSLOTW3.5X120MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,BLNSTERLINGSLOTW3.5X150MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1725,CATH BLN 2XL 7FR 14X20MM 120CM,1428.0,1142.4,1.0,1285.2,27
HCPCS,C1725,CATH BLN 2XL 7FR 14X40MM 75CM,1428.0,1142.4,1.0,1285.2,27
HCPCS,C1725,CATH BLN ADV MICRO14 2X2 150CM,1700.5,1360.4,1.0,1530.45,27
HCPCS,C1725,CATH BLN APEX OTW 2.00X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX OTW 2.00X15*NLU*,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX OTW FLEX1.50X8MM,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX OTWPUSH1.50X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX PUSH RX1.50*NLU*,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX PUSHOTW1.50*NLU*,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX RX FLEX 1.5*NLU*,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX RX FLEX1.50*NLU*,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN APEX RX PUSH1.50X12MM,495.0,396.0,1.0,445.5,27
HCPCS,C1725,CATH BLN CONTURA*DISC 6213272*,6935.5,5548.4,1.0,6241.95,27
HCPCS,C1725,CATH BLN CONTURAFLXCONCAV*NLU*,6930.0,5544.0,1.0,6237.0,27
HCPCS,C1725,CATH BLN DIL PTV OTW10FR100CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,CATH BLN DIL PTV*DISC NO REPL*,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1725,CATH BLN FORTREX 6FR7X40MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X100MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X20MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X20MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X40MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X40MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X80MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR4X80MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X100MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X20MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X20MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X40MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X40MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X40MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X80MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR5X80MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X100MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X20MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X20MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X40MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X40MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X40MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X80MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR6X80MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X100MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X20MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X20MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X40MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X40MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X80MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR7X80MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X100MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X100MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X40MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X40MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X40MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X80MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X80MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX6FR8X80MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX7FR9X40MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX7FR9X40MM80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX7FR9X80MM 80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX7FR9X80MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN FORTREX7FR9X80MM40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN IVL L6 7FR 12X30MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH BLN IVL L6 7FR 9X30MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH BLN IVL L6 8FR 10X30MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH BLN OCCL BIV,305.0,244.0,1.0,274.5,27
HCPCS,C1725,CATH BLN POWERFLEX 80CM 12X2,468.0,374.4,1.0,421.2,27
HCPCS,C1725,CATH BLN POWERFLEX 80CM 12X4,468.0,374.4,1.0,421.2,27
HCPCS,C1725,CATH BLN PRFSN RINGER 2.5X20MM,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1725,CATH BLN PRFSN RINGER 3.0X20MM,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1725,CATH BLN PTA OTW JADE 2.0X100,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,CATH BLN PTA OTW JADE 2.5X100,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,CATH BLN PTA OTW JADE 3.0X100,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,CATH BLN PTA OTW JADE 5.0X40,1012.5,810.0,1.0,911.25,27
HCPCS,C1725,CATH BLN PTAOTW6FR12X80MMX40CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLN RELIANT 12FR 100CM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1725,CATH BLN TAKERU OTW 1.5X20MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 2.0X15MM,634.5,507.6,1.0,571.05,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X12MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X15MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X20MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.0X8MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X12MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X15MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X20MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 3.5X8MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X12MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X15MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X20MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLN TAKERU OTW 4.0X8MM,598.5,478.8,1.0,538.65,27
HCPCS,C1725,CATH BLNFORTREX6FR10X40MMX80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX6FR4X100MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX6FR5X100MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX6FR6X100MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX6FR7X100MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX6FR8X100MM135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX7FR12X40MMX80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH BLNFORTREX7FR12X80MMX80CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH CROSSBOSS CTO 6FR 135CM,2913.9,2331.12,1.0,2622.51,27
HCPCS,C1725,CATH DILATATION COOK 5FR*NLU*,1757.45,1405.96,1.0,1581.71,27
HCPCS,C1725,CATH GLIDE C2 4FR 100CM,305.1,244.08,1.0,274.59,27
HCPCS,C1725,CATH GLIDE C2 4FR 65CM,305.1,244.08,1.0,274.59,27
HCPCS,C1725,CATH IVL BLN 7FR L6 8X30MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH IVL JAVELIN 0.014 5FR 150,12220.0,9776.0,1.0,10998.0,27
HCPCS,C1725,CATH IVL M5+ SHWV 3.5X60MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH IVL M5+ SHWV 4.0X60MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH IVL M5+ SHWV 4.5X60MM,8970.0,7176.0,1.0,8073.0,27
HCPCS,C1725,CATH IVL S4 SHWV 2.5X40MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1725,CATH IVL S4 SHWV 3.0X40MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1725,CATH IVL S4 SHWV 3.5X40MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1725,CATH IVL S4 SHWV 4.0X40MM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1725,CATH MICRO DIL THREADEROTW12MM,1932.0,1545.6,1.0,1738.8,27
HCPCS,C1725,CATH MONGOOSE PIGT 3.3FR 80CM,562.5,450.0,1.0,506.25,27
HCPCS,C1725,CATH PACIFIC 4X120MM*DISC*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 4X2*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 4X6*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 5X1*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 5X20MM 130C*DISC*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 5X4*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 5X60MM 130C*DISC*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 5X8*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 6X1*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 6X2*DISC*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC 6X8*DISC NO REPL*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLU*DISC*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2.5X20MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2.5X40MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2.5X60MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2.5X80MM 130,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2.5X80MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X120MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X120MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X150MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X150MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X150MM150CM,760.5,608.4,1.0,684.45,27
HCPCS,C1725,CATH PACIFIC PLUS 2X20MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X20MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X20MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X40MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X40MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X40MM 180CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X40MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X60MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X60MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X60MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X80MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X80MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 2X80MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X150MM130,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X20MM 130,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X20MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X40MM 180,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X40MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X60MM 130,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X60MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3.5X80MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X120MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X120MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X150MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X150MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X150MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X20MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X20MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X20MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X40MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X40MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X40MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X60MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X60MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X60MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X80MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X80MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 3X80MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X100MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X100MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X120MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X150MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X150MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X200MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X200MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 4X20MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X20MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X250MM 90CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 4X250MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 4X300MM 90CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 4X300MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 4X40MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X40MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X60MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X60MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X80MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 4X80MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X100MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X100MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X120MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X150M 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X150MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X200MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X200MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X20MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X20MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X250MM 90CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 5X250MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 5X300MM 90CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 5X300MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 5X40MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X40MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X60MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X60MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X80MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 5X80MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X100MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X100MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X120MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X150MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X150MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X200MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X200MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X200MM200CM,2076.9,1661.52,1.0,1869.21,27
HCPCS,C1725,CATH PACIFIC PLUS 6X20MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X20MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X250MM 90CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 6X250MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 6X300MM 90CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 6X300MM150CM,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFIC PLUS 6X40MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X40MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X60MM 130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X60MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X60MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X80MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 6X80MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X100MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X100MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X120MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X20MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X20MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X40MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X40MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X60MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X60MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X80MM 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS 7X80MM 90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X120MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X150MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X20MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X40MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X40MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X40MM180CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X60MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS2.5X80MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X120MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X150MM90CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X20MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X40MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X40MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X60MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFIC PLUS3.5X80MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS*DISC 6260750*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS2.5X120MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS2.5X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS2.5X150MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS2.5X150MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS3.5X120MM130CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS3.5X120MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICPLUS3.5X150MM150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 4X*DISC 6338346*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 4X*DISC 6338348*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 4X*DISC 6338350*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX 4X*DISC 6338352*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX 5X*DISC 6338354*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 5X*DISC 6338356*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 5X*DISC 6338358*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX 5X*DISC 6338360*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX 6X*DISC 6338362*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 6X*DISC 6338364*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX 6X*DISC 6338366*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX 6X*DISC 6338368*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX4X1*DISC 6338347*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX4X2*DISC 6338349*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX4X2*DISC 6338351*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX4X3*DISC 6338353*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX5X1*DISC 6338355*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX5X2*DISC 6338357*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX5X2*DISC 6338359*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX5X3*DISC 6338361*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX6X1*DISC 6338363*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX6X2*DISC 6338365*,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PACIFICX6X2*DISC 6338367*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PACIFICX6X3*DISC 6338369*,765.0,612.0,1.0,688.5,27
HCPCS,C1725,CATH PTCA ANGIOSCULPT 2.5X6MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,CATH PTCA ANGIOSCULPT 3.0X15MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,CATH PTCA ANGIOSCULPT 3.0X6MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,CATH PTCA ANGIOSCULPT 3.5X10MM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1725,CATH PTCA CHOC XD HC 2.0X10MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 2.0X15MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 2.0X20MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 2.5X10MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 2.5X15MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 2.5X20MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 3.0X15MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA CHOC XD HC 3.5X15MM,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1725,CATH PTCA OPN NC HP 2.5X15MM,3528.0,2822.4,1.0,3175.2,27
HCPCS,C1725,CATH PTCA OPN NC HP 3.0X15MM,3528.0,2822.4,1.0,3175.2,27
HCPCS,C1725,CATH PTCA OPN NC HP 3.5X15MM,3528.0,2822.4,1.0,3175.2,27
HCPCS,C1725,CATH PTCA OPN NC HP 4.0X15MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1725,CATH PTCA OTW SAPPHIREII PRO15,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.0X10,720.0,576.0,1.0,648.0,27
HCPCS,C1725,CATH PTCA SAPPHIREII PRO1.25X5,480.0,384.0,1.0,432.0,27
HCPCS,C1725,CATH PTCA SAPPHIREII PRO2.0X15,480.0,384.0,1.0,432.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 1.75X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 1.75X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 1.75X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.0X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.0X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.0X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.25X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.25X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.25X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.5X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.5X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.5X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.75X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.75X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 2.75X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 3.0X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 3.0X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 3.5X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 3.5X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 3.5X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 4.0X10MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 4.0X15MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH PTCA SCOREFLEX 4.0X20MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1725,CATH REENTRY STINGRAY LPCTO3.2,4282.12,3425.7,1.0,3853.91,27
HCPCS,C1725,CATH TCS ENROUTE 4.5X25,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 4.5X35,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 4X35,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 5.5X25,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 5.5X35,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 5X25,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 5X35,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 6X25,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TCS ENROUTE 6X35,1465.8,1172.64,1.0,1319.22,27
HCPCS,C1725,CATH TRI LOBE BLN GORE 26-48MM,2437.2,1949.76,1.0,2193.48,27
HCPCS,C1725,CATH TRI LOBE BLN GORE100*CIP*,2437.2,1949.76,1.0,2193.48,27
HCPCS,C1725,INTR TEAR AWAY LNG 6FR 44CM,475.68,380.55,1.0,428.11,27
HCPCS,C1725,STNT PALMAZ XL 10X39MM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1726,BLN BILI CRE 7.5FR 180CM 6-8MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR 180CM8-10MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR 5.5CM8-10MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR3.7CM10-12MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR3.7CM12-15MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM10-12MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM12-15MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM15-18MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI CRE 7.5FR5.5CM18-20MM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1726,BLN BILI RX DIL 0.035 5F6X4 80,1932.0,1545.6,1.0,1738.8,27
HCPCS,C1726,BLN BILI RX DIL 0.035 5F8X4 80,1932.0,1545.6,1.0,1738.8,27
HCPCS,C1726,BLN BILI RX DIL 5.8FR 4MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1726,BLN BILI RX DIL 5.8FR 4MMX4CM,1030.5,824.4,1.0,927.45,27
HCPCS,C1726,BLN CERV RIPENING W STYLET,389.56,311.65,1.0,350.6,27
HCPCS,C1726,BLN CERV RIPENING*USE 6216577*,315.09,252.08,1.0,283.58,27
HCPCS,C1726,BLN CRE ESOPH PYLORIC 10-11-12,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN CRE ESOPH PYLORIC180CM12MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN CRE ESOPH PYLORIC180CM15MM,967.23,773.79,1.0,870.51,27
HCPCS,C1726,BLN CRE ESOPH PYLORIC180CM18MM,967.23,773.79,1.0,870.51,27
HCPCS,C1726,BLN DIL AIRW INSP*USE 6319875*,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1726,BLN DIL AIRW INSP*USE 6319876*,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 10X40,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 12X40,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 14X40,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 16X40,2524.03,2019.23,1.0,2271.63,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 5X24,2378.74,1903.0,1.0,2140.87,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR 7X24,2378.74,1903.0,1.0,2140.87,27
HCPCS,C1726,BLN DIL AIRW INSPIRA AIR8.5X24,2378.74,1903.0,1.0,2140.87,27
HCPCS,C1726,BLN DIL CRE 7.5FR 180CM10-12MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 180CM6-8MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 180CM8-10MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM 6-8MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM 8-10MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM10-12MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM12-15MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM15-18MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR 240CM18-20MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL CRE 7.5FR180CM12-15MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL ESOPH 12-13.5-15,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1726,BLN DIL ESOPH 15-16.5-18,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1726,BLN DIL ESOPH 18-19-20,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1726,BLN DIL ESOPH CRE 6-8MM,819.72,655.78,1.0,737.75,27
HCPCS,C1726,BLN DIL ESOPH CRE FIX 10-12MM,726.57,581.26,1.0,653.91,27
HCPCS,C1726,BLN DIL ESOPH CRE FIX 12-15MM,614.79,491.84,1.0,553.31,27
HCPCS,C1726,BLN DIL ESOPH CRE FIX 15-18MM,614.79,491.84,1.0,553.31,27
HCPCS,C1726,BLN DIL ESOPH CRE FIX 18-20MM,614.79,491.84,1.0,553.31,27
HCPCS,C1726,BLN DIL ESOPH CRE FIX 6-8MM,726.57,581.26,1.0,653.91,27
HCPCS,C1726,BLN DIL ESOPH CRE FIX 8-10MM,726.57,581.26,1.0,653.91,27
HCPCS,C1726,BLN DIL HERC 24-30FR,1008.0,806.4,1.0,907.2,27
HCPCS,C1726,BLN DIL HERCULES 36-45FR,1008.0,806.4,1.0,907.2,27
HCPCS,C1726,BLN DIL HERCULES 45-54FR,1008.0,806.4,1.0,907.2,27
HCPCS,C1726,BLN DIL HERCULES 54-60FR,1008.0,806.4,1.0,907.2,27
HCPCS,C1726,BLN DIL KT UROMAX ULT HP 18FR4,2054.63,1643.71,1.0,1849.17,27
HCPCS,C1726,BLN DIL KT UROMAX ULT HP18FR10,2054.63,1643.71,1.0,1849.17,27
HCPCS,C1726,BLN DIL RIGIFLEX 35X105,1701.0,1360.8,1.0,1530.9,27
HCPCS,C1726,BLN DIL RIGIFLEX II 30X90,1701.0,1360.8,1.0,1530.9,27
HCPCS,C1726,BLN DIL TB EUSTACHIAN SYS 6MM,4834.56,3867.65,1.0,4351.1,27
HCPCS,C1726,BLN DIL UROMAX ULT HP 12FR4CM,1858.54,1486.84,1.0,1672.69,27
HCPCS,C1726,BLN DIL UROMAX ULT HP 15F*NLU*,1901.21,1520.97,1.0,1711.09,27
HCPCS,C1726,BLN DILATOR C*DNR 6230199*,726.57,581.26,1.0,653.91,27
HCPCS,C1726,BLN DILATOR C*DNR USE 6230176*,726.57,581.26,1.0,653.91,27
HCPCS,C1726,BLN DILATOR C*DNR USE 6230179*,726.57,581.26,1.0,653.91,27
HCPCS,C1726,BLN ERCP MAXFORCE 4-4/5X180MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1726,BLN ERCP MAXFORCE 6-4/5X180CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1726,BLN ESOPH MAXFORCE TTS45F15MM,432.0,345.6,1.0,388.8,27
HCPCS,C1726,BLN ESOPH MAXFORCE TTS54FR18MM,432.0,345.6,1.0,388.8,27
HCPCS,C1726,BLN HERC 3STAGE 15-18MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1726,BLN HERC 3STAGE 18-20MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1726,BLN HERC 8-10MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1726,BLN HERCULES 12-15MM,1100.4,880.32,1.0,990.36,27
HCPCS,C1726,BLN KT IVAS AVAMAX 13G 15MM,4108.1,3286.48,1.0,3697.29,27
HCPCS,C1726,BLN PULM CRE 10-12MM 3.0CM,1238.87,991.1,1.0,1114.98,27
HCPCS,C1726,BLN PULM CRE 12-15MM 3.0CM,1251.47,1001.18,1.0,1126.32,27
HCPCS,C1726,BLN PULM CRE 12-15MM 5.5CM,1071.0,856.8,1.0,963.9,27
HCPCS,C1726,BLN PULM CRE 15-18MM 5.5CM,1071.0,856.8,1.0,963.9,27
HCPCS,C1726,BLN PULM CRE 18-20MM 5.5CM,1071.0,856.8,1.0,963.9,27
HCPCS,C1726,BLN PULM CRE 8-10MM 3.0CM,1238.87,991.1,1.0,1114.98,27
HCPCS,C1726,BLN PULM DIL ELATION 4-5-6MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1726,BLN PULM DIL ELATION 6-7-8MM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1726,BLN PULM DIL ELATION 8-9-10,1155.0,924.0,1.0,1039.5,27
HCPCS,C1726,BLN PULM DIL ELATION10-11-12MM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1726,BLN PULM DIL ELATION12-13.5-15,1197.0,957.6,1.0,1077.3,27
HCPCS,C1726,BLN SEEKER EM FRNTL 6X17MM,2404.08,1923.27,1.0,2163.67,27
HCPCS,C1726,BLN SINUS NUVENT KT,615.6,492.48,1.0,554.04,27
HCPCS,C1726,BLN SYS RELIEVA SPINPLUS 5X16,5569.2,4455.36,1.0,5012.28,27
HCPCS,C1726,BLN SYS RELIEVA SPINPLUS 6X16,5569.2,4455.36,1.0,5012.28,27
HCPCS,C1726,BLN URTHRL INFLOPTILUME18FR5CM,8905.0,7124.0,1.0,8014.5,27
HCPCS,C1726,BLN URTHRL INFLOPTILUME24FR5CM,8905.0,7124.0,1.0,8014.5,27
HCPCS,C1726,BLN URTHRL INFLOPTILUME30FR5CM,8905.0,7124.0,1.0,8014.5,27
HCPCS,C1726,BLN URTHRL INFLOPTILUME36FR5CM,8905.0,7124.0,1.0,8014.5,27
HCPCS,C1726,BLN XFORCE U30 6MMX4CM,1036.49,829.2,1.0,932.84,27
HCPCS,C1726,BLN XFORCE U30 W EAGLE10M*NLU*,972.0,777.6,1.0,874.8,27
HCPCS,C1726,CATH BARRX 360 EXPRESS RFA 8CM,7085.0,5668.0,1.0,6376.5,27
HCPCS,C1726,CATH BLN DIL URTHRL COUDE 9FR,475.2,380.16,1.0,427.68,27
HCPCS,C1726,CATH BLN DILATE*DISC NO REPL*,1414.01,1131.21,1.0,1272.61,27
HCPCS,C1726,CATH BLN NEPHROMAX 30FR 12CM,1909.76,1527.81,1.0,1718.78,27
HCPCS,C1726,CATH BLN RELIEVA ULTIRRA 6X16,2521.18,2016.95,1.0,2269.06,27
HCPCS,C1726,CATH BLN UROFORC*DISC 6346069*,968.72,774.98,1.0,871.85,27
HCPCS,C1726,CATH BLN UROFORCE 6FR 10CM,900.0,720.0,1.0,810.0,27
HCPCS,C1726,CATH BLN UROFORCE 6FR 4CM,900.0,720.0,1.0,810.0,27
HCPCS,C1726,CATH INTMT DCB 30*DUP 6332330*,5866.0,4692.8,1.0,5279.4,27
HCPCS,C1726,DIL BILI BALLON 4X3X180CM,1348.2,1078.56,1.0,1213.38,27
HCPCS,C1726,DIL BLN SYS RELIEVA SCOUT*NLU*,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1726,DIL SET AMPLZ 20CM SHEATH,927.0,741.6,1.0,834.3,27
HCPCS,C1726,INFL DEV BLN SINUS ACCL,364.99,292.0,1.0,328.49,27
HCPCS,C1726,KT BLN3GD RELIEVA SPINPLUS5X16,6272.7,5018.16,1.0,5645.43,27
HCPCS,C1726,KT BLN3GD RELIEVA SPINPLUS6X16,6272.7,5018.16,1.0,5645.43,27
HCPCS,C1726,NPHRSTMY BLN CATHPTFEULTXX10MM,1097.55,878.04,1.0,987.8,27
HCPCS,C1726,PATCH PERICARDIAL SJM 4X5CM,1453.2,1162.56,1.0,1307.88,27
HCPCS,C1726,SET BLN ULTR10MM*DISC 6323199*,1113.84,891.08,1.0,1002.46,27
HCPCS,C1726,SYS BLN DIL RELIEVA TRACT16X40,2552.04,2041.64,1.0,2296.84,27
HCPCS,C1727,BLN BTT SPACEMAK*DISC 6269407*,1954.8,1563.84,1.0,1759.32,27
HCPCS,C1727,BLN DISECT SPACEMAKER +RD10-12,1954.8,1563.84,1.0,1759.32,27
HCPCS,C1727,BLN DISECT SPACEMAKER RD 10-12,1993.9,1595.12,1.0,1794.51,27
HCPCS,C1727,BLN DISECT SPACEMAKEROVAL10-12,1993.9,1595.12,1.0,1794.51,27
HCPCS,C1727,BLN ENDO DISSECTION KDN,1351.22,1080.98,1.0,1216.1,27
HCPCS,C1727,BLN ENDO DISSECTION OVAL,1351.22,1080.98,1.0,1216.1,27
HCPCS,C1727,BLN ENDO DISSECTION RD,1351.22,1080.98,1.0,1216.1,27
HCPCS,C1728,CATH BLN CONTURAFLEX BLNT*NLU*,6930.0,5544.0,1.0,6237.0,54
HCPCS,C1728,MAMMOSITE CAVITY*DISC NO REPL*,697.5,558.0,1.0,627.75,27
HCPCS,C1728,TRAY MAMMOSITE M*DISC NO REPL*,6649.5,5319.6,1.0,5984.55,27
HCPCS,C1729,BG DRN CSF EXTL REPL DUET,259.13,207.31,1.0,233.22,27
HCPCS,C1729,CATH ASPIR SET PTX 14FR 30CM,443.04,354.44,1.0,398.74,27
HCPCS,C1729,CATH BTL DRN KT PLEURX 1000ML,412.13,329.71,1.0,370.92,27
HCPCS,C1729,CATH BTL DRN KT PLEURX 500ML,360.53,288.43,1.0,324.48,27
HCPCS,C1729,CATH BTL START KT PLEURX1000ML,2570.88,2056.71,1.0,2313.79,27
HCPCS,C1729,CATH CENTESIS FIX ST 5FR 7CM,112.85,90.28,1.0,101.57,27
HCPCS,C1729,CATH CENTESIS FIX ST 6FR 7CM,112.85,90.28,1.0,101.57,27
HCPCS,C1729,CATH CENTESIS SLIP ST 6FR 7CM,112.85,90.28,1.0,101.57,27
HCPCS,C1729,CATH CENTESIS SLIP ST 8FR 10CM,112.85,90.28,1.0,101.57,27
HCPCS,C1729,CATH CENTESIS VALV PIGT4FR10CM,112.85,90.28,1.0,101.57,27
HCPCS,C1729,CATH CENTESIS VALV PIGT5FR12CM,274.5,219.6,1.0,247.05,27
HCPCS,C1729,CATH CENTESIS VALV PIGT5FR17CM,274.5,219.6,1.0,247.05,27
HCPCS,C1729,CATH CENTESIS VALVSLIPST5FR7CM,122.0,97.6,1.0,109.8,27
HCPCS,C1729,CATH CENTESIS VALVSLIPST6FR7CM,122.0,97.6,1.0,109.8,27
HCPCS,C1729,CATH DRN AMPLZ PIG 10.2FR 50CM,405.55,324.44,1.0,365.0,27
HCPCS,C1729,CATH DRN AMPLZ PIG 12FR 50CM,405.55,324.44,1.0,365.0,27
HCPCS,C1729,CATH DRN APD LOOP REG 14FR25CM,408.0,326.4,1.0,367.2,27
HCPCS,C1729,CATH DRN APD LOOP REG 8FR 25CM,408.0,326.4,1.0,367.2,27
HCPCS,C1729,CATH DRN APD REG 8FR 20CM,408.0,326.4,1.0,367.2,27
HCPCS,C1729,CATH DRN APDL 20FR 25CM,539.96,431.97,1.0,485.96,27
HCPCS,C1729,CATH DRN APDL 6FR 30CM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1729,CATH DRN ARRAY 14FR25*6338553*,393.12,314.5,1.0,353.81,27
HCPCS,C1729,CATH DRN ARRAY STD 10FR 25CM,357.26,285.81,1.0,321.53,27
HCPCS,C1729,CATH DRN ARRAY STD 12FR 25CM,340.2,272.16,1.0,306.18,27
HCPCS,C1729,CATH DRN ARRAY STD 14FR 35CM,576.0,460.8,1.0,526.5,54
HCPCS,C1729,CATH DRN ARRAY STD 8FR 25CM,340.2,272.16,1.0,306.18,27
HCPCS,C1729,CATH DRN BILI COPE 16FR 40CM,496.89,397.52,1.0,447.2,27
HCPCS,C1729,CATH DRN BILI MACLOC 12FR 35CM,474.71,379.77,1.0,427.24,27
HCPCS,C1729,CATH DRN BILI MACLOC 12FR 40CM,475.15,380.12,1.0,427.64,27
HCPCS,C1729,CATH DRN BILI MACLOC 14FR 40CM,475.15,380.12,1.0,427.64,27
HCPCS,C1729,CATH DRN BILI MACLOC 8.5FR35CM,474.71,379.77,1.0,427.24,27
HCPCS,C1729,CATH DRN BILI MACLOC 8.5FR40CM,473.76,379.01,1.0,426.38,27
HCPCS,C1729,CATH DRN BILI MACLOC EXT 8.5FR,475.15,380.12,1.0,427.64,27
HCPCS,C1729,CATH DRN BILI MACLOC10.2FR35CM,474.71,379.77,1.0,427.24,27
HCPCS,C1729,CATH DRN BILI MACLOC10.2FR40CM,475.15,380.12,1.0,427.64,27
HCPCS,C1729,CATH DRN BILI NASAL PIGT 10FR,585.0,468.0,1.0,526.5,27
HCPCS,C1729,CATH DRN BILI RESOLVE 12FR40CM,372.6,298.08,1.0,335.34,27
HCPCS,C1729,CATH DRN BILI RO REG 10FR 35CM,408.0,326.4,1.0,367.2,27
HCPCS,C1729,CATH DRN BILI RO REG 14FR 35CM,408.0,326.4,1.0,367.2,27
HCPCS,C1729,CATH DRN DAWSON MUELLER8.5FR25,388.66,310.93,1.0,349.79,27
HCPCS,C1729,CATH DRN DAWSONMUELLER10.2FR25,388.66,310.93,1.0,349.79,27
HCPCS,C1729,CATH DRN EXPEL L*DISC 6207381*,460.8,368.64,1.0,414.72,27
HCPCS,C1729,CATH DRN EXPEL LK PIGT10FR25CM,460.8,368.64,1.0,414.72,27
HCPCS,C1729,CATH DRN EXPEL LK PIGT10FR45CM,460.8,368.64,1.0,414.72,27
HCPCS,C1729,CATH DRN EXPEL LK PIGT12FR25CM,460.8,368.64,1.0,414.72,27
HCPCS,C1729,CATH DRN EXPEL LK PIGT12FR45CM,460.8,368.64,1.0,414.72,27
HCPCS,C1729,CATH DRN EXPEL LK PIGT14FR45CM,460.8,368.64,1.0,414.72,27
HCPCS,C1729,CATH DRN GORDON 20FR 40CM,411.98,329.59,1.0,370.78,27
HCPCS,C1729,CATH DRN KT LIDO PERITX 15.5FR,2039.4,1631.52,1.0,1835.46,27
HCPCS,C1729,CATH DRN KT LIDO PLEURX 15.5FR,2039.4,1631.52,1.0,1835.46,27
HCPCS,C1729,CATH DRN LK BILI PIGT 10FR40CM,393.6,314.88,1.0,354.24,27
HCPCS,C1729,CATH DRN LK SKAT*DISC 6329669*,369.6,295.68,1.0,332.64,27
HCPCS,C1729,CATH DRN LK SKATER 10FR 45CM,412.8,330.24,1.0,371.52,27
HCPCS,C1729,CATH DRN LK SKATER 10FR 60CM,412.8,330.24,1.0,371.52,27
HCPCS,C1729,CATH DRN LK SKATER 12FR 60CM,412.8,330.24,1.0,371.52,27
HCPCS,C1729,CATH DRN LK SKATER 14FR 45CM,412.8,330.24,1.0,371.52,27
HCPCS,C1729,CATH DRN LK SKATER 16FR 25CM,393.6,314.88,1.0,354.24,27
HCPCS,C1729,CATH DRN MALECOT 4WING 12FR,75.03,60.03,1.0,67.53,27
HCPCS,C1729,CATH DRN MALECOT 4WING 14FR,75.03,60.03,1.0,67.53,27
HCPCS,C1729,CATH DRN MALECOT 4WING 16FR,75.03,60.03,1.0,67.53,27
HCPCS,C1729,CATH DRN MALECOT 4WING 18FR,224.72,179.78,1.0,202.25,27
HCPCS,C1729,CATH DRN MALECOT 4WING 20FR,71.37,57.1,1.0,64.23,27
HCPCS,C1729,CATH DRN MALECOT 4WING 24FR,75.03,60.03,1.0,67.53,27
HCPCS,C1729,CATH DRN MALECOT 4WING 28FR,268.34,214.68,1.0,241.51,27
HCPCS,C1729,CATH DRN MALECOT 4WING 30FR,75.03,60.03,1.0,67.53,27
HCPCS,C1729,CATH DRN MULTPRP LK 12FR 25CM,430.85,344.68,1.0,387.77,27
HCPCS,C1729,CATH DRN MULTPRP LK 12FR 45CM,453.89,363.12,1.0,408.5,27
HCPCS,C1729,CATH DRN MULTPRP LK 12FR 60CM,706.46,565.17,1.0,635.81,27
HCPCS,C1729,CATH DRN MULTPRP LK 14FR 25CM,430.85,344.68,1.0,387.77,27
HCPCS,C1729,CATH DRN MULTPRP LK 14FR 45CM,453.89,363.12,1.0,408.5,27
HCPCS,C1729,CATH DRN MULTPRP LK 14FR 60CM,733.46,586.77,1.0,660.11,27
HCPCS,C1729,CATH DRN MULTPRP LK 8.5FR 25CM,430.85,344.68,1.0,387.77,27
HCPCS,C1729,CATH DRN MULTPRP LK 8.5FR 45CM,453.89,363.12,1.0,408.5,27
HCPCS,C1729,CATH DRN MULTPRP LK10.2FR 25CM,430.85,344.68,1.0,387.77,27
HCPCS,C1729,CATH DRN MULTPRP LK10.2FR 45CM,453.89,363.12,1.0,408.5,27
HCPCS,C1729,CATH DRN MULTPRP LK10.2FR 60CM,706.46,565.17,1.0,635.81,27
HCPCS,C1729,CATH DRN PERITON*DISC 6323102*,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1729,CATH DRN PIGT LK 14FR 21CM,324.0,259.2,1.0,291.6,27
HCPCS,C1729,CATH DRN PIGT LK GEN 14FR45CM,385.92,308.74,1.0,347.33,27
HCPCS,C1729,CATH DRN SET LOOP UNIVERSA10FR,673.2,538.56,1.0,605.88,27
HCPCS,C1729,CATH DRN ULT 18FR 25CM,539.96,431.97,1.0,485.96,27
HCPCS,C1729,CATH EDM VENT 2MM 35CM,725.67,580.54,1.0,653.1,27
HCPCS,C1729,CATH EDM VENT TRNSLUC2.6MM35CM,667.17,533.74,1.0,600.45,27
HCPCS,C1729,CATH EVD CEREBROFLO 10FR 35CM,2588.42,2070.74,1.0,2329.58,27
HCPCS,C1729,CATH LK PIGT MDRAIN 10FR 35CM,367.2,293.76,1.0,330.48,27
HCPCS,C1729,CATH LK PIGT MDRAIN 12FR 25CM,367.2,293.76,1.0,330.48,27
HCPCS,C1729,CATH LK PIGT MDRAIN 16FR 25CM,396.9,317.52,1.0,357.21,27
HCPCS,C1729,CATH LK PIGT MDRAIN 6FR 25CM,355.7,284.56,1.0,320.13,27
HCPCS,C1729,CATH LK PIGTMDRAINMINI10FR25CM,367.2,293.76,1.0,330.48,27
HCPCS,C1729,CATH NPHRSTMY REG 10FR 25CM,408.0,326.4,1.0,367.2,27
HCPCS,C1729,CATH PERITON CSF ARES ABI 120,1879.2,1503.36,1.0,1691.28,27
HCPCS,C1729,CATH SET PTX 9FR 29CM 18G,1012.05,809.64,1.0,910.85,27
HCPCS,C1729,CATH SET WAYNE PTXTROC10.2FR29,1091.7,873.36,1.0,982.53,27
HCPCS,C1729,CATH THORACIC ARGYLE ST 20FR,99.84,79.88,1.0,89.86,27
HCPCS,C1729,CATH THORACIC ARGYLE ST 24FR,100.39,80.32,1.0,90.35,27
HCPCS,C1729,CATH THORACIC ARGYLE ST 32FR,94.84,75.88,1.0,85.36,27
HCPCS,C1729,CATH THORACIC FIRM PVC ST 20FR,46.12,36.9,1.0,41.51,27
HCPCS,C1729,CATH THORACIC FIRM PVC ST 24FR,45.02,36.02,1.0,40.52,27
HCPCS,C1729,CATH THORACIC FIRM PVC ST 28FR,43.13,34.51,1.0,38.82,27
HCPCS,C1729,CATH THORACIC FIRM PVC ST 32FR,44.23,35.39,1.0,39.81,27
HCPCS,C1729,CATH THORACIC FIRM PVC ST 36FR,44.35,35.48,1.0,39.92,27
HCPCS,C1729,CATH THORACIC SOFT ST TELE32FR,42.09,33.68,1.0,37.88,27
HCPCS,C1729,CATH THORACIC TROC TELE 12FR,131.15,104.92,1.0,118.04,27
HCPCS,C1729,CATH VENT CSF ARES ABI,1918.8,1535.04,1.0,1726.92,27
HCPCS,C1729,CATH VENT SET 3.3MMX35CM,1213.8,971.04,1.0,1092.42,27
HCPCS,C1729,CATH VENT SET STD 1.3MMX35CM,1163.4,930.72,1.0,1047.06,27
HCPCS,C1729,CATH VNTRCL DEFLECTOR LG 180MM,1061.17,848.94,1.0,955.05,27
HCPCS,C1729,CATH VNTRCL XABO 250MM,1193.47,954.78,1.0,1074.12,27
HCPCS,C1729,DRN CFS LUMB CLSD 80CM,1005.8,804.64,1.0,905.22,27
HCPCS,C1729,DRN CHEST SET FUHRMAN 5FR 15CM,626.4,501.12,1.0,563.76,27
HCPCS,C1729,DRN CHEST SET FUHRMAN 6FR 15CM,626.4,501.12,1.0,563.76,27
HCPCS,C1729,DRN CHEST SETFUHRMAN10.2FR15CM,655.2,524.16,1.0,589.68,27
HCPCS,C1729,DRN CHEST SGL 1TB ATS ADLT,262.36,209.89,1.0,236.12,27
HCPCS,C1729,DRN CHEST UNIT INFANT,301.64,241.32,1.0,271.48,27
HCPCS,C1729,DRN CSF EDMS DUETINTERLINKCATH,1565.8,1252.64,1.0,1409.22,27
HCPCS,C1729,DRN SYS PERITON INSRT KT ASEPT,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1729,DRN SYS PERITON STARTKT ASEPT,354.62,283.7,1.0,319.16,27
HCPCS,C1729,DRN TROC CATH CHEST TB 10*CIP*,217.77,174.22,1.0,195.99,27
HCPCS,C1729,DRN TROC CATH CHEST TB 10FR,236.0,188.8,1.0,212.4,27
HCPCS,C1729,DRN TROC CATH CHEST TB 12*CIP*,217.77,174.22,1.0,195.99,27
HCPCS,C1729,DRN TROC CATH CHEST TB 12FR,233.78,187.03,1.0,210.4,27
HCPCS,C1729,DRN TROC CATH CHEST TB 16*CIP*,217.77,174.22,1.0,195.99,27
HCPCS,C1729,DRN TROC CATH CHEST TB 16FR,235.59,188.48,1.0,212.03,27
HCPCS,C1729,DRN TROC CATH CHEST TB 20*CIP*,218.2,174.56,1.0,196.38,27
HCPCS,C1729,DRN TROC CATH CHEST TB 20FR,236.28,189.03,1.0,212.65,27
HCPCS,C1729,DRN TROC CATH CHEST TB 24*CIP*,222.65,178.12,1.0,200.39,27
HCPCS,C1729,DRN TROC CATH CHEST TB 24FR,241.13,192.91,1.0,217.02,27
HCPCS,C1729,DRN TROC CATH CHEST TB 28*CIP*,227.16,181.73,1.0,204.44,27
HCPCS,C1729,DRN TROC CATH CHEST TB 28FR,242.52,194.02,1.0,218.27,27
HCPCS,C1729,DRN TROC CATH CHEST TB 32*CIP*,231.74,185.4,1.0,208.57,27
HCPCS,C1729,DRN TROC CATH CHEST TB 32FR,246.54,197.24,1.0,221.89,27
HCPCS,C1729,DRN TROC CATH CHEST TB 8FR,235.17,188.14,1.0,211.65,27
HCPCS,C1729,KT CATH *DISC 6147653 6234385*,2713.6,2170.88,1.0,2442.24,27
HCPCS,C1729,KT CATH BECKER EDM VENT,1314.56,1051.65,1.0,1183.1,27
HCPCS,C1729,KT DRN COMPL PERITON ASPIRA,3052.0,2441.6,1.0,2746.8,27
HCPCS,C1729,KT DRN COMPL PLEURAL ASPIRA,3052.0,2441.6,1.0,2746.8,27
HCPCS,C1729,KT STARTER PLEURX W 4 DRN KT,1125.0,900.0,1.0,1012.5,27
HCPCS,C1729,KT THORACENTESIS PLEURA-SEAL,505.04,404.04,1.0,454.54,27
HCPCS,C1729,LVL DEV CSF DRN SYS EDS3,217.04,173.64,1.0,195.34,27
HCPCS,C1729,NDLE CATH YUEH PIGT 5FR 15CM,259.19,207.36,1.0,233.27,27
HCPCS,C1729,NDLE CATH YUEH ST 5FR 10CM,118.95,95.16,1.0,107.06,27
HCPCS,C1729,NDLE CATH YUEH ST 5FR 7CM,118.95,95.16,1.0,107.06,27
HCPCS,C1729,NDLE CATH YUEH ST UT 6FR 10CM,118.95,95.16,1.0,107.06,27
HCPCS,C1729,RSVR BUR HL PROX CATH SM 14MM,1762.07,1409.66,1.0,1585.86,27
HCPCS,C1729,SET ABSCESS DRN THAL QK 16FR,605.21,484.17,1.0,544.69,27
HCPCS,C1729,SET PERICAR LK 8*DISC 6164961*,721.04,576.84,1.0,648.94,27
HCPCS,C1729,SET PERICARDCENT PIGT6PORT8.3F,572.4,457.92,1.0,515.16,27
HCPCS,C1729,SET PTX*DISC 6323284*,1050.76,840.61,1.0,945.68,27
HCPCS,C1729,SHNT CSF REFLOW MINI 150MM,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1729,SHNT VLAV HAKIM PROGM CYLINDRI,12190.67,9752.54,1.0,10971.6,27
HCPCS,C1729,TB CHEST SET THAL QK 10FR 20CM,732.6,586.08,1.0,659.34,27
HCPCS,C1729,TB CHEST SET THAL QK 12FR 22CM,732.6,586.08,1.0,659.34,27
HCPCS,C1729,TB CHEST SET THAL QK 28FR 41CM,904.5,723.6,1.0,814.05,27
HCPCS,C1729,TB CHEST SET THAL QK 8FR 18CM,732.6,586.08,1.0,659.34,27
HCPCS,C1729,TRAY CHEST THA*DISC NO REPLC*,805.14,644.12,1.0,724.63,27
HCPCS,C1729,TRAY CHEST THAL QK 16FR 41CM,917.1,733.68,1.0,825.39,27
HCPCS,C1729,TRAY CHEST THAL QK 20FR 41CM,937.8,750.24,1.0,844.02,27
HCPCS,C1729,TRAY SFTY PARACENTESIS 5FR 10,237.9,190.32,1.0,214.11,27
HCPCS,C1729,VALV CFS BURHL PROGAV2.0,6148.49,4918.8,1.0,5533.64,27
HCPCS,C1729,VALV CFS PED BURHL PROGAV2.0,6879.96,5503.97,1.0,6191.96,27
HCPCS,C1729,VALV CSF LOW-LOW PRSS ULTSM,2869.44,2295.56,1.0,2582.5,27
HCPCS,C1729,VALV CSF SGL M.BLUE 0CMH2O,8604.6,6883.68,1.0,7744.14,27
HCPCS,C1730,CATH DPOLR FIXED CURV 5FR,379.2,303.36,1.0,341.28,27
HCPCS,C1730,CATH DPOLR XT CURV 6FR 5MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1730,CATH DYNAMIC XT CURV 6FR *NLU*,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1730,CATH EP BPOLR INQUIRY 7FR LG,2268.0,1814.4,1.0,2041.2,27
HCPCS,C1730,CATH EP DAMATO DPOLR 40MM*NLU*,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1730,CATH EP DAMATO DPOLR 50MM,1790.88,1432.71,1.0,1611.79,27
HCPCS,C1730,CATH EP DAMATO DPOLR 60MM,1790.88,1432.71,1.0,1611.79,27
HCPCS,C1730,CATH EP DAMATO DPOLR 70MM,1790.88,1432.71,1.0,1611.79,27
HCPCS,C1730,CATH EP DEFLECT 2-5-2 D CURV,1654.8,1323.84,1.0,1489.32,27
HCPCS,C1730,CATH EP DPOLR INQUIRY 6FR LG,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1730,CATH EP DPOLR2 INQUIRY 6FR LG,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1730,CATH EP DYNAMICXT 8E 5MM 6FR,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1730,CATH EP HEX 5-5-5 CRD-2 5FR,729.0,583.2,1.0,656.1,27
HCPCS,C1730,CATH EP LIVEWIREQPOLRMD2-*NLU*,1281.0,1024.8,1.0,1152.9,27
HCPCS,C1730,CATH EP MAP ACHIEVE ADV 15MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1730,CATH EP MAP ACHIEVE ADV 20MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1730,CATH EP MARINR MCXL2-5-2 110CM,2196.0,1756.8,1.0,1976.4,27
HCPCS,C1730,CATH EP OCTPOLR DEFELCT D2-5-2,2030.4,1624.32,1.0,1827.36,27
HCPCS,C1730,CATH EP OCTPOLR INQUIRY 6FR LG,1503.6,1202.88,1.0,1353.24,27
HCPCS,C1730,CATH EP OCTPOLR2 INQUIRY 6FRLG,1503.6,1202.88,1.0,1353.24,27
HCPCS,C1730,CATH EP QPOLAR FIX L 2-5-2,630.0,504.0,1.0,567.0,27
HCPCS,C1730,CATH EP QPOLR DAO 5MM 6FR120CM,486.0,388.8,1.0,437.4,27
HCPCS,C1730,CATH EP QPOLR F CURV 5MM 6FR,634.5,507.6,1.0,571.05,27
HCPCS,C1730,CATH EP QPOLR INQUIRY 6FR MD,1503.6,1202.88,1.0,1353.24,27
HCPCS,C1730,CATH EP QPOLR JSN 2-5-2 6FR,459.0,367.2,1.0,413.1,27
HCPCS,C1730,CATH EP QPOLR JSN 5MM 6FR120CM,459.0,367.2,1.0,413.1,27
HCPCS,C1730,CATH EP QPOLR SUPREMECRD-2 5FR,465.6,372.48,1.0,419.04,27
HCPCS,C1730,CATH EP QPOLR SUPREMEJSN-1 6FR,459.0,367.2,1.0,413.1,27
HCPCS,C1730,CATH EP WEBSTER CURV HIS-F 5FR,990.0,792.0,1.0,891.0,27
HCPCS,C1730,CATH LASSO 4.5MM 7FR 115CM,3819.2,3055.36,1.0,3437.28,27
HCPCS,C1730,CATH MAP SENS ENABLED DF BIDIR,6899.2,5519.36,1.0,6209.28,27
HCPCS,C1730,CATH MAP SENSE ENABLED HDGRIDX,6926.4,5541.12,1.0,6233.76,27
HCPCS,C1730,CATH MAPPING ACHIEVE 15MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1730,CATH OCTPOLR EP XT 6FR,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1730,CATH VIKING COURNAND 6FR 2MM,1092.0,873.6,1.0,982.8,27
HCPCS,C1730,CATH VIKING ELMHURST 6FR 65CM,1266.72,1013.38,1.0,1140.05,27
HCPCS,C1730,CATH VIKING JOSEPHSON 5FR 5MM,865.8,692.64,1.0,779.22,27
HCPCS,C1730,CATH VIKING JOSEPHSON 5FR2-5-2,865.8,692.64,1.0,779.22,27
HCPCS,C1731,CATH EP DPOLR INQUIRY 7FR 2XL,2484.0,1987.2,1.0,2235.6,27
HCPCS,C1731,CATH EP DPOLR INQUIRY 7FR MD,2484.0,1987.2,1.0,2235.6,27
HCPCS,C1731,CATH EP LIVEWIRE LG2-5-2MM95CM,2828.0,2262.4,1.0,2545.2,27
HCPCS,C1731,CATH EP LIVEWIRE LG2-8-2MM95CM,3273.2,2618.56,1.0,2945.88,27
HCPCS,C1731,CATH EP LIVEWIRELG2-25-2MM95CM,2895.2,2316.16,1.0,2605.68,27
HCPCS,C1731,CATH EP LIVEWIRELG2-4-2MM115CM,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1731,CATH EP LIVEWIREMD2-2-2MM115CM,2828.0,2262.4,1.0,2545.2,27
HCPCS,C1731,CATH EP REFLEXION SPIRAL *NLU*,4233.6,3386.88,1.0,3810.24,27
HCPCS,C1731,CATH LASSO 2-6-2MM 7FR 115CM,7137.0,5709.6,1.0,6423.3,27
HCPCS,C1732,CATH ABL THERMOCOOL SFD-F2-5-2,5644.8,4515.84,1.0,5080.32,27
HCPCS,C1732,CATH DECALNAV 2-8-2 7FR 2MM,3612.0,2889.6,1.0,3250.8,27
HCPCS,C1732,CATH EP NAVISTAR F 1-7-4 7F115,6510.4,5208.32,1.0,5859.36,27
HCPCS,C1732,CATH NAVISTAR F/J 1-7-4 7FR4MM,7092.8,5674.24,1.0,6383.52,27
HCPCS,C1733,CATH ABL FARAWAVE 12FR 31MM,20280.0,16224.0,1.0,18252.0,27
HCPCS,C1733,CATH ABL FARAWAVE 2.0 31MM,20280.0,16224.0,1.0,18252.0,27
HCPCS,C1733,CATH ABL FARAWAVE 2.0 35MM,20280.0,16224.0,1.0,18252.0,27
HCPCS,C1733,CATH ABL FARAWAVE NAV 2.0 31MM,20280.0,16224.0,1.0,18252.0,27
HCPCS,C1733,CATH ABL FARAWAVE NAV 2.0 35MM,20280.0,16224.0,1.0,18252.0,27
HCPCS,C1733,CATH ABL FREEZOR *DISC 6161001,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1733,CATH ABL FREEZOR MAX3 MD 8MM,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1733,CATH ABL FREEZOR MAX5 LG 8MM,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1733,CATH ABL FREEZOR XT1 SM 6MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1733,CATH ABL FREEZOR XT5 LG 6MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1733,CATH ABL FREEZOR3 MD 4MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1733,CATH ABL SAFIRE LG CURL 7FR4MM,2498.4,1998.72,1.0,2248.56,27
HCPCS,C1733,CATH ABL SAFIRE MD CURL 7*NLU*,2124.0,1699.2,1.0,1911.6,27
HCPCS,C1733,CATH ABL SAFIRE MD CURL 7FR4MM,2498.4,1998.72,1.0,2248.56,27
HCPCS,C1733,CATH ABL SAFIRE MDSWEEP7FR4MM,2498.4,1998.72,1.0,2248.56,27
HCPCS,C1733,CATH ABL SAFIRE SM CURL 7FR4MM,2498.4,1998.72,1.0,2248.56,27
HCPCS,C1733,CATH ABL SAFIRETX LGCURV7*NLU*,2752.0,2201.6,1.0,2476.8,27
HCPCS,C1733,CATH BIDIR VARIPULSE 8.5FR,16632.0,13305.6,1.0,14968.8,27
HCPCS,C1733,CATH BLAZER II STD CURV 7FR4MM,3290.0,2632.0,1.0,2961.0,27
HCPCS,C1733,CATH BLAZER II STD CURV 7FR5MM,3290.0,2632.0,1.0,2961.0,27
HCPCS,C1733,CATH BLAZERII LGCURV STD7*NLU*,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1733,CATH CRYOABL ADV PRO 23MM,11310.0,9048.0,1.0,10179.0,27
HCPCS,C1733,CATH CRYOABL ADV PRO 28MM,11310.0,9048.0,1.0,10179.0,27
HCPCS,C1733,CATH EP FREEZOR X*USE 6332359*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1733,CATH EP MARINR RFMCXL2-5-2 110,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1733,CATH FREEZOR MAX5*USE 6332361*,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1733,CRYOCATH ARCTIC *DISC 6301786*,11310.0,9048.0,1.0,10179.0,27
HCPCS,C1733,CRYOCATH ARCTIC *DISC 6301787*,11310.0,9048.0,1.0,10179.0,27
HCPCS,C1734,SCAF BONE AUG INJ 1.5CC,5531.4,4425.12,1.0,4978.26,27
HCPCS,C1734,SCAF BONE AUG INJ 3.0CC,9336.6,7469.28,1.0,8402.94,27
HCPCS,C1734,SCAF BONE KT AUG 3CC,9090.9,7272.72,1.0,8181.81,27
HCPCS,C1735,CATH RDN SYMPLICITY SPYRAL 4FR,43700.0,34960.0,12135.49,39330.0,27
HCPCS,C1737,SPNL SCRL CLSD HD IFUSE 9.5X90,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X40,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X50,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X70,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X80,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE 9.5X90,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X50,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X60,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X70,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE10.5X80,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1737,SPNL SCRL IFUSE GRANITE9.5X100,9750.0,7800.0,2707.58,8775.0,27
HCPCS,C1739,MARKER TISS MAGSEED 18GX12CM,2600.0,2080.0,722.02,2340.0,27
HCPCS,C1739,MARKER TISS MAGSEED 18GX7CM,2600.0,2080.0,722.02,2340.0,27
HCPCS,C1739,MARKER TISS MAGSEED PRO 17GX12,2750.0,2200.0,763.68,2475.0,27
HCPCS,C1739,MARKER TISS MAGSEED PRO 17GX7,2750.0,2200.0,763.68,2475.0,27
HCPCS,C1743,STNT OTW ESPRIT BTK 2.5X28MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT OTW ESPRIT BTK 3.0X38MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT OTW ESPRIT BTK 3.5X28MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT OTW ESPRIT BTK 3.5X38MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT OTW ESPRIT BTK 3.75X28MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT OTW ESPRIT BTK 3.75X38MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT RX ESPRIT BTK 2.5X38MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT RX ESPRIT BTK 3.0X28MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT RX ESPRIT BTK 3.0X38MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT RX ESPRIT BTK 3.5X38MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1743,STNT RX ESPRIT BTK 3.75X28MM,7800.0,6240.0,2166.06,7020.0,27
HCPCS,C1747,CYSTOSCP APTRA RVRS DEFLECTION,1470.0,1176.0,408.22,1323.0,27
HCPCS,C1747,URETEROSCP DIG FLEX REV DISP,2643.2,2114.56,734.02,2378.88,27
HCPCS,C1747,URETRSCP FLEX ASCEND RVRS8.6FR,2560.0,2048.0,710.91,2304.0,27
HCPCS,C1747,URETRSCP LITHOVUE REV EMPOWER,4200.0,3360.0,1166.34,3780.0,27
HCPCS,C1747,URETRSCP LITHOVUE RVRS DISP,4200.0,3360.0,1166.34,3780.0,27
HCPCS,C1748,DUODENOSCP EXALT MODELD DISP,8138.0,6510.4,1.0,7324.2,27
HCPCS,C1749,"Endo, colon, retro imaging",,,1.0,1.0,2
HCPCS,C1750,CATH DIALYS PERITON ADLT LG,783.0,626.4,1.0,704.7,27
HCPCS,C1750,CATH DIALYS PERITON ADLT STD,783.0,626.4,1.0,704.7,27
HCPCS,C1750,CATH DIALYS PERITONADLTPRESTER,2095.8,1676.64,1.0,1886.22,27
HCPCS,C1750,CATH DIALYS PERITONADLTSTD ARC,720.0,576.0,1.0,648.0,27
HCPCS,C1750,CATH GLIDEPATH EXCH 14.5FR19CM,1285.2,1028.16,1.0,1156.68,27
HCPCS,C1750,CATH GLIDEPATH STD 13FR 19CM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1750,CATH GLIDEPATH STD 7.5FR 19CM,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1750,CATH HEMO-CATH DL 12FR 18CM,922.5,738.0,1.0,830.25,27
HCPCS,C1750,CATH HEMO-CATH DL CURV12.5FR28,1060.92,848.74,1.0,954.83,27
HCPCS,C1750,CATH HEMO-CATH DL CURV12.5FR32,1060.92,848.74,1.0,954.83,27
HCPCS,C1750,CATH HEMO-FLOW X*DISC 6318994*,810.0,648.0,1.0,729.0,54
HCPCS,C1750,CATH HEMO-FLOW X*DISC 6320083*,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW X*DISC 6329780*,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW XF ST 24CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW XF ST 28CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW XF ST 32CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW XF ST 36CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW XF ST 40CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH HEMO-FLOW XF ST 55CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CATH III SPLIT S*DISC 6324493*,388.8,311.04,1.0,349.92,27
HCPCS,C1750,CATH KT BASIC CURV DURAFLOW 24,1155.0,924.0,1.0,1039.5,27
HCPCS,C1750,CATH KT BASIC CURV DURAFLOW 28,1155.0,924.0,1.0,1039.5,27
HCPCS,C1750,CATH KT BASIC DURAFLOW2 28CM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1750,CATH KT BASIC DURAFLOW2 40CM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1750,CATH KT BASIC DURAMAX 32CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1750,CATH KT VASCPAKDURAMAX15.5FR28,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1750,CATH PERITON PRESTRNL SWAN15FR,1809.94,1447.96,1.0,1628.95,27
HCPCS,C1750,CATH PERITON SWAN 59CM,477.32,381.86,1.0,429.59,27
HCPCS,C1750,CATH PERITON SWAN LFT 42CM,773.33,618.67,1.0,696.0,27
HCPCS,C1750,CATH PERITON SWAN PEDS 38.9CM,491.63,393.31,1.0,442.47,27
HCPCS,C1750,CATH PERITON XABO 1200MM,1239.97,991.98,1.0,1115.97,27
HCPCS,C1750,CATH SPLIT HEMODIALYS16FRX24CM,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1750,CATHPERITONPRESTERNALSWAN112.3,1809.94,1447.96,1.0,1628.95,27
HCPCS,C1750,CVC DL SPLIT III CURV 14FR28CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1750,CVC DL SPLIT III ST 10FR 18CM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1750,CVC DL SPLIT III ST 10FR 24CM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1750,CVC DL SPLIT III ST 14FR 24CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1750,CVC DL SPLIT III ST 14FR 28CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1750,CVC DL SPLIT III ST 14FR 32CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1750,CVC DL SPLIT III ST 14FR 36CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1750,CVC DL SPLIT III ST 16FR 28CM,1197.0,957.6,1.0,1077.3,27
HCPCS,C1750,CVC FULL DL TI15.5FR24CM*DISC*,810.0,648.0,1.0,729.0,27
HCPCS,C1750,CVC FULL DL TI15.5FR28CM*DISC*,810.0,648.0,1.0,729.0,27
HCPCS,C1750,GRAFT ART CMPNT HERO,3388.0,2710.4,1.0,3049.2,27
HCPCS,C1750,GRAFT VEN OUTFLOW CMPNT HERO,6864.0,5491.2,1.0,6177.6,27
HCPCS,C1750,GRAFT VEN OUTFLOW*USE 6331791*,6748.0,5398.4,1.0,6073.2,27
HCPCS,C1750,HDCVC DL PALINDROME CURV 23CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,HDCVC DL PALINDROME CURV 36CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,HDCVC DL PALINDROME TAL 19CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,HDCVC DL PALINDROME TAL 23CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,HDCVC DL PALINDROME TAL 28CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,HDCVC DL PRISTINE 15.5FR 19CM,1743.0,1394.4,1.0,1568.7,27
HCPCS,C1750,HDCVC DL PRISTINE 15.5FR 23CM,1743.0,1394.4,1.0,1568.7,27
HCPCS,C1750,HDCVC FULL DL TITAN HD 32CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT AIRGUARD ST 10FR19CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1750,HDCVC KT DL PALINDROME 55CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,HDCVC KT DL TITAN HD CURV24CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT DL TITAN HD CURV28CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT DL TITAN HD CURV36CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT DL TITAN HD ST 24CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT DL TITAN HD ST 28CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT DL TITAN HD ST 32CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC KT DL TITAN HD ST 36CM,810.0,648.0,1.0,729.0,27
HCPCS,C1750,HDCVC PALINDROME HSI 19CM,1837.88,1470.31,1.0,1654.09,27
HCPCS,C1750,HDCVC PALINDROME HSI 23CM,1837.88,1470.31,1.0,1654.09,27
HCPCS,C1750,HDCVC PALINDROME TAL 33CM,1546.48,1237.19,1.0,1391.83,27
HCPCS,C1750,KT CATH TENCKHOFF CURL 62CM,463.59,370.88,1.0,417.23,27
HCPCS,C1750,TRAY CATH HEMODIAL 11.5FR15CM,495.0,396.0,1.0,445.5,27
HCPCS,C1751,CATH INFUS CRAGG 2.9FR15*DISC*,765.0,612.0,1.0,688.5,27
HCPCS,C1751,CATH INFUS CRAGG 4FR 100/5CM,423.36,338.69,1.0,381.02,27
HCPCS,C1751,CATH INFUS CRAGG 4FR 135/10CM,423.36,338.69,1.0,381.02,27
HCPCS,C1751,CATH INFUS CRAGG 5FR 100/20CM,376.32,301.06,1.0,338.69,27
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/10CM,399.84,319.88,1.0,359.86,27
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/20CM,399.84,319.88,1.0,359.86,27
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/40CM,573.3,458.64,1.0,515.97,27
HCPCS,C1751,CATH INFUS CRAGG 5FR 135/50CM,573.3,458.64,1.0,515.97,27
HCPCS,C1751,CATH INFUS MICR2.9FR150/*DISC*,765.0,612.0,1.0,688.5,27
HCPCS,C1751,CATH INFUS STD 7FR 15CM,116.94,93.56,1.0,105.25,27
HCPCS,C1751,CATH IV ACCUCATH ACE 18GX2.25,292.03,233.63,1.0,262.83,27
HCPCS,C1751,CATH IV ACCUCATH ACE 20GX2.25,292.03,233.63,1.0,262.83,27
HCPCS,C1751,CATH IV PE22GX4*DISC 63245394*,465.46,372.37,1.0,418.91,27
HCPCS,C1751,CATH IV PERPH EPIV 22GX4MM,551.12,440.9,1.0,496.01,27
HCPCS,C1751,CATH IV POLY MID*VAT 6294020*,436.8,349.44,1.0,393.12,27
HCPCS,C1751,CATH JUG DL CRESCENT 26FR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1751,CATH JUG DL CRESCENT 28FR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1751,CATH JUG DL CRESCENT 30FR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1751,CATH JUG DL CRESCENT 32FR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1751,CATH KT ART 0.021 20G 8CM,297.68,238.15,1.0,267.91,27
HCPCS,C1751,CATH PICC TURBOF*DISC NO REPL*,478.42,382.74,1.0,430.58,27
HCPCS,C1751,CATH QL SWAN GANZ HI-SHORE 7FR,1019.03,815.23,1.0,917.13,27
HCPCS,C1751,CATH QL TD SWAN GANZ CTIP 7FR,856.31,685.05,1.0,770.68,27
HCPCS,C1751,CATH SET ART 0.021 20G 8CM,283.04,226.44,1.0,254.74,27
HCPCS,C1751,CATH UMBLCL DL PU CARD 3.5FR,214.11,171.29,1.0,192.7,27
HCPCS,C1751,CATH UMBLCL DL PU CARD 5FR,214.11,171.29,1.0,192.7,27
HCPCS,C1751,CATH UMBLCL SL PU CARD 3.5FR,85.03,68.03,1.0,76.53,27
HCPCS,C1751,CATH UMBLCL SL PU CARD 5FR,85.03,68.03,1.0,76.53,27
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 12CM,1035.0,828.0,1.0,931.5,27
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 15CM,1035.0,828.0,1.0,931.5,27
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 5CM,879.75,703.8,1.0,791.78,27
HCPCS,C1751,CVC DL MAX SPECTRUM 4FR 8CM,850.5,680.4,1.0,765.45,27
HCPCS,C1751,CVC KT DL ADV8.5X11.5BLU+8FR16,675.9,540.72,1.0,608.31,27
HCPCS,C1751,CVC KT DL ARROWG+ARD 4FR 8CM,594.0,475.2,1.0,534.6,27
HCPCS,C1751,CVC KT DL CHG 3.5X4.5BLU+8FR16,653.4,522.72,1.0,588.06,27
HCPCS,C1751,CVC KT DL HICK PE9FR65CM*DISC*,598.5,478.8,1.0,538.65,27
HCPCS,C1751,CVC KT DL HICK PEEL 7FR 65CM,585.0,468.0,1.0,526.5,27
HCPCS,C1751,CVC KT DL HICK PEEL12FR 90CM,585.0,468.0,1.0,526.5,27
HCPCS,C1751,CVC KT DL LEONAR*DISC NO REPL*,585.0,468.0,1.0,526.5,27
HCPCS,C1751,CVC KT DL MAC 9FRX11.5CM,576.45,461.16,1.0,518.81,27
HCPCS,C1751,CVC KT DL POWERHICKINTRMD9.5FR,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1751,CVC KT DL POWERHICKMICRO9.5FR,1520.4,1216.32,1.0,1368.36,27
HCPCS,C1751,CVC KT DL POWERLINE 6FR 50CM,1111.5,889.2,1.0,1000.35,27
HCPCS,C1751,CVC KT DL POWERLINE MICINTR6FR,1054.2,843.36,1.0,948.78,27
HCPCS,C1751,CVC KT DL TEGA 10X12 BLU+8FR16,571.5,457.2,1.0,514.35,27
HCPCS,C1751,CVC KT SL ARROWG+ARD 16GX16CM,392.04,313.64,1.0,352.84,27
HCPCS,C1751,CVC KT SL ARROWG+ARD 16GX20CM,392.04,313.64,1.0,352.84,27
HCPCS,C1751,CVC KT SL BROVIAC CUTDOWN2.7FR,369.6,295.68,1.0,332.64,27
HCPCS,C1751,CVC KT SL BROVIAC PEEL 4.2FR,553.5,442.8,1.0,498.15,27
HCPCS,C1751,CVC KT SL BROVIAC PEEL 6.6FR,477.0,381.6,1.0,429.3,27
HCPCS,C1751,CVC KT SL GROSHONG PEEL 8FR,846.0,676.8,1.0,761.4,27
HCPCS,C1751,CVC KT SL HICK PEEL 9.6FR 90CM,468.0,374.4,1.0,421.2,27
HCPCS,C1751,CVC KT SL POWERLINE MICINTR5FR,1039.5,831.6,1.0,935.55,27
HCPCS,C1751,CVC KT TL ARROWG+ARD 5.5FRX8CM,620.1,496.08,1.0,558.09,27
HCPCS,C1751,CVC KT TL ARROWG+ARD12FRX16CM,819.0,655.2,1.0,737.1,27
HCPCS,C1751,CVC KT TL ARROWG+ARD5.5FRX13CM,620.1,496.08,1.0,558.09,27
HCPCS,C1751,CVC KT TL BLU ANTIMIC12FRX16CM,710.1,568.08,1.0,639.09,27
HCPCS,C1751,CVC KT TL BLU FL*DISC 6325506*,280.64,224.52,1.0,252.58,27
HCPCS,C1751,CVC KT TL HICK PEEL 10FR 97CM,774.0,619.2,1.0,696.6,27
HCPCS,C1751,CVC KT TL HICK PEEL 12.5FR90CM,778.5,622.8,1.0,700.65,27
HCPCS,C1751,CVC KT TL LG BORE BLU 12FR16CM,614.7,491.76,1.0,553.23,27
HCPCS,C1751,CVC KT TL PE CUFF 12FR 90CM,666.0,532.8,1.0,599.4,27
HCPCS,C1751,CVC KT TL POWERLINE 6FR 50CM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1751,CVC KT TL PRSS INJ 7FRX16CM,347.76,278.21,1.0,312.98,27
HCPCS,C1751,CVC KT TL PRSS INJ 7FRX20CM,408.96,327.17,1.0,368.06,27
HCPCS,C1751,CVC KT TL PRSS INJGOWN7FRX16CM,676.8,541.44,1.0,609.12,27
HCPCS,C1751,CVC KT TL PRSS INJGOWN7FRX20CM,676.8,541.44,1.0,609.12,27
HCPCS,C1751,CVC KT TL TRIFUSION 12FR 19CM,1621.2,1296.96,1.0,1459.08,27
HCPCS,C1751,CVC KT TL TRIFUSION 12FR 23CM,1621.2,1296.96,1.0,1459.08,27
HCPCS,C1751,CVC KT TL TRIFUSION 12FR 27CM,1621.2,1296.96,1.0,1459.08,27
HCPCS,C1751,CVC KTDLPRSSINJB*DISC 6347175*,504.0,403.2,1.0,453.6,27
HCPCS,C1751,CVC KTTLPRSSINJB*DISC 6343671*,458.1,366.48,1.0,412.29,27
HCPCS,C1751,CVC KTTLPRSSINJBLU+7FRX16*CIP*,504.9,403.92,1.0,454.41,27
HCPCS,C1751,CVC SET J 0.035 *DISC 6337741*,256.81,205.45,1.0,231.13,27
HCPCS,C1751,CVC TL HICK TRIFUSION 12FR19CM,1621.2,1296.96,1.0,1459.08,27
HCPCS,C1751,CVC TL HICK TRIFUSION 12FR23CM,1621.2,1296.96,1.0,1459.08,27
HCPCS,C1751,KT CATH CENT*DISC 6296577*,218.62,174.9,1.0,196.76,27
HCPCS,C1751,KT CVC DL ARROWG *VAT 6328839*,485.96,388.77,1.0,437.36,27
HCPCS,C1751,KT CVC DL ARROWG*DISC 6305551*,303.75,243.0,1.0,273.38,27
HCPCS,C1751,KT CVC DL BLU FL*DISC 6305551*,236.68,189.35,1.0,245.19,54
HCPCS,C1751,KT CVC DL BLU FL*DISC 6325510*,200.87,160.7,1.0,180.78,27
HCPCS,C1751,KT CVC DL BLU FLE*VAT 6328838*,157.38,125.91,1.0,141.64,27
HCPCS,C1751,KT CVC DL BLU FLE*VAT 6328839*,157.38,125.91,1.0,141.64,27
HCPCS,C1751,KT CVC DL BLU FLE*VAT 6328840*,157.38,125.91,1.0,141.64,27
HCPCS,C1751,KT CVC DL HICK P*DISC 6186793*,598.5,478.8,1.0,538.65,27
HCPCS,C1751,KT CVC DL MEDCOMP*VAT 6328838*,213.5,170.8,1.0,192.15,27
HCPCS,C1751,KT CVC SL 14GX16C*VAT 6328923*,108.21,86.57,1.0,97.39,27
HCPCS,C1751,KT CVC SL W LIDO *VAT 6328924*,80.89,64.72,1.0,72.8,27
HCPCS,C1751,KT CVC TL AN 12FR*VAT 6325349*,369.04,295.24,1.0,332.14,27
HCPCS,C1751,KT CVC TL ANTIM12*VAT 6325349*,410.02,328.02,1.0,369.02,27
HCPCS,C1751,KT CVC TL ARROWG *VAT 6325509*,279.61,223.69,1.0,251.65,27
HCPCS,C1751,KT CVC TL ARROWG*DISC 6325508*,370.99,296.8,1.0,333.89,27
HCPCS,C1751,KT CVC TL BLU FL *VAT 6325509*,227.16,181.73,1.0,204.44,27
HCPCS,C1751,KT CVC TL BLU FL *VAT 6328921*,259.01,207.21,1.0,233.11,27
HCPCS,C1751,KT CVC TL BLU FL*DISC 6325506*,200.93,160.75,1.0,180.84,27
HCPCS,C1751,KT CVC TL BLU FL*DISC 6325511*,218.32,174.66,1.0,196.49,27
HCPCS,C1751,KT CVC TL BLU FL5*VAT 6328922*,259.01,207.21,1.0,233.11,54
HCPCS,C1751,KT CVC TL HICK 1*DISC 6313506*,1362.69,1090.16,1.0,1226.42,27
HCPCS,C1751,KT CVC TL HICK P*DISC 6129739*,1362.69,1090.16,1.0,1226.42,27
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325678*,302.4,241.92,1.0,272.16,27
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325679*,302.4,241.92,1.0,272.16,27
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325680*,302.4,241.92,1.0,272.16,27
HCPCS,C1751,KT POWERGLIDE PR*VAT 6325681*,313.2,250.56,1.0,281.88,27
HCPCS,C1751,PICC DL POWERPIC MAX TRAY 5FR,502.97,402.38,1.0,452.67,27
HCPCS,C1751,PICC DL POWERPIC*VAT 6325312*,937.105,749.69,1.0,937.82,54
HCPCS,C1751,PICC DL PROVENA *DISC 6325313*,783.27,626.62,1.0,704.94,27
HCPCS,C1751,PICC DL PROVENA *VAT 6325312*,1147.915,918.335,1.0,1095.26,54
HCPCS,C1751,PICC DL PROVENA *VAT 6325314*,873.27,698.62,1.0,785.94,27
HCPCS,C1751,PICC DL PROVENA MIDLINE MAX4FR,772.2,617.76,1.0,694.98,27
HCPCS,C1751,PICC DL PROVENA SOLO 3CG 4FR,1198.47,958.78,1.0,1078.62,27
HCPCS,C1751,PICC DL PROVENA SOLO MAX 4FR,890.73,712.59,1.0,801.66,27
HCPCS,C1751,PICC DL PROVENA SOLO SM 4FR,982.53,786.03,1.0,884.28,27
HCPCS,C1751,PICC DL PROVENA SOLO3CGMAX+4FR,1164.2,931.36,1.0,1047.78,27
HCPCS,C1751,PICC DL TRAY ARGYLE 1.9FR 30CM,1091.07,872.86,1.0,981.96,27
HCPCS,C1751,PICC DL TRAY POLY 1.9FR,724.5,579.6,1.0,652.05,27
HCPCS,C1751,PICC DL XCELA IR-145 5FR,408.0,326.4,1.0,367.2,27
HCPCS,C1751,PICC DL XCELA IR-145 6FR,408.0,326.4,1.0,367.2,27
HCPCS,C1751,PICC DL XCELA IR-145 NIT 5FR,684.0,547.2,1.0,615.6,27
HCPCS,C1751,PICC MICROFLASH STYLET 20G20CM,878.99,703.2,1.0,791.09,27
HCPCS,C1751,PICC SL *VAT 6325315 6188116*,855.0,684.0,1.0,769.5,27
HCPCS,C1751,PICC SL ARGYLE 1.9FR 30CM,658.17,526.54,1.0,592.35,27
HCPCS,C1751,PICC SL KT PEEL-AWAY PU 1.4FR,567.0,453.6,1.0,510.3,27
HCPCS,C1751,PICC SL KT PEEL-AWAY PU 1.9FR,540.0,432.0,1.0,486.0,27
HCPCS,C1751,PICC SL KT UWING PU 1.2FR 25CM,622.53,498.03,1.0,560.28,27
HCPCS,C1751,PICC SL POWERPIC*VAT 6325311*,812.93,650.35,1.0,731.64,27
HCPCS,C1751,PICC SL POWERPICCSOLO3CGMAX4FR,1019.61,815.69,1.0,917.65,27
HCPCS,C1751,PICC SL PROVENA *VAT 6325310*,851.36,681.09,1.0,766.22,27
HCPCS,C1751,PICC SL PROVENA BIOPATCH 3FR55,1176.63,941.31,1.0,1058.97,27
HCPCS,C1751,PICC SL PROVENA GUARDIVA 3FR55,1210.9,968.72,1.0,1089.81,27
HCPCS,C1751,PICC SL PROVENA NDLE GDS 3FR55,1219.47,975.58,1.0,1097.52,27
HCPCS,C1751,PICC SL PROVENA SHERLKTCS3FR55,1082.38,865.91,1.0,974.14,27
HCPCS,C1751,PICC SL PROVENA SOLO 3CG SM3FR,1168.06,934.45,1.0,1051.25,27
HCPCS,C1751,PICC SL PROVENA SOLO 3FR SM,960.17,768.14,1.0,864.15,27
HCPCS,C1751,PICC SL PROVENA SOLO MAX 3FR,868.37,694.7,1.0,781.53,27
HCPCS,C1751,PICC SL PROVENA SOLO3CGMAX+3FR,1133.79,907.04,1.0,1020.41,27
HCPCS,C1751,PICC SL PROVENASOLO3CGMAX3FR55,1168.06,934.45,1.0,1051.25,27
HCPCS,C1751,PICC SL TRAY ARGYLE 1.9FR 30CM,470.11,376.09,1.0,423.1,27
HCPCS,C1751,PICC SL XCELA IR-145 5FR,334.8,267.84,1.0,301.32,27
HCPCS,C1751,PICC SPLIT NDLE STYLET 24G20CM,799.47,639.58,1.0,719.52,27
HCPCS,C1751,PICC TL POWERPICC SOLOHFMAX5FR,1148.66,918.93,1.0,1033.79,27
HCPCS,C1751,PICC TL PROVENA *VAT 6325319*,1168.44,934.76,1.0,1051.6,27
HCPCS,C1751,PICC TL PROVENA SOLO IR135 5FR,872.1,697.68,1.0,784.89,27
HCPCS,C1751,PICC TL PROVENA SOLO IR70 5FR,766.53,613.23,1.0,689.88,27
HCPCS,C1751,PICC TL PROVENA SOLO MAX 5FR,1083.24,866.6,1.0,974.92,27
HCPCS,C1751,PICC TL XCELA NIT 6FR 145CM,1092.0,873.6,1.0,982.8,27
HCPCS,C1751,PICC TLPROVENASOLO3CGD1MAX+5FR,1243.2,994.56,1.0,1118.88,27
HCPCS,C1751,PICC TLPROVENASOLO3CGD2MAX+5FR,1277.47,1021.98,1.0,1149.72,27
HCPCS,C1751,PICC TLPROVENASOLO3CGD3MAX+5FR,1320.31,1056.25,1.0,1188.28,27
HCPCS,C1751,PORT INFUS HICK SL TI 9.6FR,859.5,687.6,1.0,773.55,27
HCPCS,C1751,POWERGLIDE PRO KT FULL 18G 8CM,505.22,404.18,1.0,454.7,27
HCPCS,C1751,POWERGLIDE PRO KT FULL 18G10CM,505.22,404.18,1.0,454.7,27
HCPCS,C1751,POWERGLIDE PRO KT FULL 20G 8CM,505.22,404.18,1.0,454.7,27
HCPCS,C1751,POWERGLIDE PRO KT FULL 20G10CM,505.22,404.18,1.0,454.7,27
HCPCS,C1751,POWERGLIDE PRO KT IVFULL20G8CM,505.22,404.18,1.0,454.7,27
HCPCS,C1751,POWERGLIDE PRO KTRTBASIC18G8CM,372.65,298.12,1.0,335.39,27
HCPCS,C1751,POWERGLIDE PRO KTRTBASIC20G8CM,372.65,298.12,1.0,335.39,27
HCPCS,C1751,POWERGLIDE PROKTBIOPATCH20G8CM,523.76,419.01,1.0,471.38,27
HCPCS,C1751,POWERGLIDE PROKTRTBASIC18G10CM,372.65,298.12,1.0,335.39,27
HCPCS,C1751,POWERGLIDE PROKTRTBASIC20G10CM,372.65,298.12,1.0,335.39,27
HCPCS,C1751,PRSS MON ART SET*DISC 6337742*,384.96,307.97,1.0,346.46,27
HCPCS,C1751,PRSS MON ART SET*DISC 6337743*,384.96,307.97,1.0,346.46,27
HCPCS,C1751,TRAY CATH POWERM*VAT 6316494*,598.5,478.8,1.0,538.65,54
HCPCS,C1751,TRAY CATH POWERM*VAT 6325320*,720.0,576.0,1.0,648.0,54
HCPCS,C1751,TRAY MAX BARR MIDLINE SL 3FR,659.88,527.91,1.0,593.89,27
HCPCS,C1751,TRAY MAX BARR SL GUARDIVA 3FR,669.24,535.4,1.0,602.32,27
HCPCS,C1751,TRAY POWERGLIDES*VAT 6294020*,639.0,511.2,1.0,575.1,27
HCPCS,C1751,TRAY POWERGLIDES*VAT 6294022*,639.0,511.2,1.0,575.1,27
HCPCS,C1751,TRAY POWERGLIDES*VAT 6299089*,639.0,511.2,1.0,575.1,27
HCPCS,C1751,TRAY POWERGLIDES*VAT 6325320*,639.0,511.2,1.0,575.1,27
HCPCS,C1752,CATH BASIC SCHON XL ACUTE 15CM,417.6,334.08,1.0,375.84,27
HCPCS,C1752,CATH BASIC SCHON XL ACUTE 20CM,417.6,334.08,1.0,375.84,27
HCPCS,C1752,CATH BASIC SCHON XL ACUTE 24CM,417.6,334.08,1.0,375.84,27
HCPCS,C1752,CATH DL DUO-FLOW 11.5FR 15CM,334.8,267.84,1.0,301.32,27
HCPCS,C1752,CATH DL DUO-FLOW 11.5FR 20CM,334.8,267.84,1.0,301.32,27
HCPCS,C1752,CATH HEMO-CATH DL ST 8FR 12CM,499.5,399.6,1.0,449.55,27
HCPCS,C1752,CATH HEMO-CATH DL ST 8FR 18CM,994.5,795.6,1.0,895.05,27
HCPCS,C1752,CATH HEMO-CATH DL ST 8FR 24CM,994.5,795.6,1.0,895.05,27
HCPCS,C1752,CATH HEMO-CATH DL ST11.5FR15CM,369.6,295.68,1.0,332.64,27
HCPCS,C1752,CATH HEMO-CATH DL ST11.5FR20CM,369.6,295.68,1.0,332.64,27
HCPCS,C1752,CATH IC ELITE DL CURV 12FR16CM,477.46,381.97,1.0,429.71,27
HCPCS,C1752,CATH IC ELITE TLST12.5FR16CM,527.94,422.36,1.0,475.15,27
HCPCS,C1752,CATH KT BASIC SCHON XL ACUTE15,417.6,334.08,1.0,375.84,27
HCPCS,C1752,CATH KT BASIC SCHON XL ACUTE20,417.6,334.08,1.0,375.84,27
HCPCS,C1752,CATH KT BASIC SCHON XL ACUTE24,417.6,334.08,1.0,375.84,27
HCPCS,C1752,CATH PASS ELITE TLST12.5FR16CM,628.7,502.96,1.0,565.83,27
HCPCS,C1752,CATH PASS ELITE TLST12.5FR20CM,626.27,501.02,1.0,563.64,27
HCPCS,C1752,CATH PASS ELITE TLST12.5FR24CM,628.7,502.96,1.0,565.83,27
HCPCS,C1752,CATH PASSELITETLCURV12.5FR20CM,626.27,501.02,1.0,563.64,27
HCPCS,C1752,CVC DL MAHURK ELITE ST 12FR 16,296.4,237.12,1.0,266.76,27
HCPCS,C1752,CVC KT DL ARROWG*DISC 6347176*,640.8,512.64,1.0,576.72,27
HCPCS,C1752,CVC KT DL ARROWG+ARD 12FR 20CM,640.8,512.64,1.0,576.72,27
HCPCS,C1752,CVC KT TL DIALYS MAX13.5FR20CM,675.0,540.0,1.0,607.5,27
HCPCS,C1752,CVC TL DIALYS SFTY12FRX20CM,504.9,403.92,1.0,454.41,27
HCPCS,C1752,CVC TL IC 12FR20*DISC NO REPL*,527.94,422.36,1.0,475.15,27
HCPCS,C1752,CVC TL ICMAHURKH*DISC 6348931*,527.94,422.36,1.0,475.15,27
HCPCS,C1752,CVC TL KT MAHURK HP CURV12FR16,412.7,330.16,1.0,371.43,27
HCPCS,C1752,CVC TL KT MAHURK HP CURV12FR20,412.7,330.16,1.0,371.43,27
HCPCS,C1752,CVC TL MAHURK ELITE ST12.5FR20,527.94,422.36,1.0,475.15,27
HCPCS,C1752,CVC TL MAHURK ELITE ST12.5FR24,527.94,422.36,1.0,475.15,27
HCPCS,C1752,CVCTLPASSMAHURKH*DISC 6315872*,626.27,501.02,1.0,563.64,27
HCPCS,C1752,CVCTLPASSMAHURKH*DISC 6316430*,626.27,501.02,1.0,563.64,27
HCPCS,C1752,CVCTLPASSMAHURKH*DISC 6350362*,626.27,501.02,1.0,563.64,27
HCPCS,C1752,CVCTLPASSMAHURKH*DISC 6350363*,626.27,501.02,1.0,563.64,27
HCPCS,C1752,HDCVC DL DUOGLIDE13FR 30CM,720.32,576.26,1.0,648.29,27
HCPCS,C1752,HDCVC DL MAHURK *DISC 6272877*,296.4,237.12,1.0,266.76,27
HCPCS,C1752,HDCVC11.5FR15CM*DISC NO REPL*,256.2,204.96,1.0,230.58,27
HCPCS,C1752,TRAY CATH DL CU1*DISC 6274925*,477.46,381.97,1.0,429.71,27
HCPCS,C1752,TRAY CATH DL ST1*DISC 6274924*,477.46,381.97,1.0,429.71,27
HCPCS,C1752,TRAY CATH TRIALYSIS CURV 20CM,1042.92,834.34,1.0,938.63,27
HCPCS,C1753,CATH EAGLE EYE PLAT 5FR 150CM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1753,CATH ICROSS IMAGING 3.2FR*NLU*,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1753,CATH IVUS PIONEER PLUS 6FR,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1753,CATH IVUS VISIONS PV 0.018,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1753,CATH IVUS VISIONS PV 0.035,3072.0,2457.6,1.0,2764.8,27
HCPCS,C1753,CATH IVUS VISIONS PV NESC0.035,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1753,CATH OPTICROSS 6HD 6FR 135MM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1753,CATH OPTICROSS HD BGLESS3FR135,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1753,CATH OPTICROSS IVUS 5FR 135CM,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1753,CATH ULT ICE PLUS 9MHZ 9FR,3130.4,2504.32,1.0,2817.36,27
HCPCS,C1753,CATH VERISIGHT PRO ICE10FR90CM,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1754,"Catheter, intradiscal",,,1.0,1.0,2
HCPCS,C1755,CATH INTH ASCENDA 66CM,3081.6,2465.28,1.0,2773.44,27
HCPCS,C1755,CATH INTH ASCENDA 86CM,3081.6,2465.28,1.0,2773.44,27
HCPCS,C1755,KT CATH INTH DIST REV,1184.4,947.52,1.0,1065.96,27
HCPCS,C1756,"Cath, pacing, transesoph",,,1.0,1.0,2
HCPCS,C1757,ASPIR KT HIPPO 6FR 132CM,12350.0,9880.0,1.0,11115.0,27
HCPCS,C1757,CATH ANGIOJET AVX OTW 6FR 50CM,4270.0,3416.0,1.0,3843.0,27
HCPCS,C1757,CATH ANGIOJET OTW 8F 105CM,15876.0,12700.8,1.0,14288.4,27
HCPCS,C1757,CATH ASPIR ALPHAVAC 18FR C85,21600.0,17280.0,1.0,19440.0,27
HCPCS,C1757,CATH ASPIR ALPHAVAC 22FR 180D,21600.0,17280.0,1.0,19440.0,27
HCPCS,C1757,CATH ASPIR ALPHAVAC 25FR C20,21600.0,17280.0,1.0,19440.0,27
HCPCS,C1757,CATH ASPIR MILLIPEDE 70X136CM,7267.0,5813.6,1.0,6540.3,27
HCPCS,C1757,CATH ASPIR RAPTOR 0.071X132CM,6426.0,5140.8,1.0,5783.4,27
HCPCS,C1757,CATH ASPIR RAPTOR 0.071X140CM,6426.0,5140.8,1.0,5783.4,27
HCPCS,C1757,CATH ASPIR RAPTOR 0.074X120CM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1757,CATH ASPIR RAPTOR 0.074X132CM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1757,CATH ASPIR SOCRATES 38 4FR 127,6860.0,5488.0,1.0,6174.0,27
HCPCS,C1757,CATH ASPIR SOCRATES 38 4FR 156,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1757,CATH EMBOL 3FR 80CM*NLU*,311.85,249.48,1.0,280.67,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6117284*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6117286*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6117287*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6117503*,438.05,350.44,1.0,394.25,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6117504*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6188363*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART F*DISC 6242332*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART FO 3FR80CM*CIP*,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART FOGARTY 2FR 40,472.18,377.75,1.0,424.96,27
HCPCS,C1757,CATH EMBOL ART FOGARTY 4FR 80,377.35,301.88,1.0,339.62,27
HCPCS,C1757,CATH EMBOL ART FOGARTY 5FR 40,377.35,301.88,1.0,339.62,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB2FR60,451.76,361.41,1.0,406.58,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB3FR40,270.22,216.18,1.0,243.2,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB3FR80,270.22,216.18,1.0,243.2,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB4FR40,270.22,216.18,1.0,243.2,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB4FR80,270.22,216.18,1.0,243.2,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB5FR80,277.49,222.0,1.0,249.74,27
HCPCS,C1757,CATH EMBOL ART FOGARTY TB6FR80,270.22,216.18,1.0,243.2,27
HCPCS,C1757,CATH EMBOL AXS VECTA 46 125CM,4934.97,3947.98,1.0,4441.47,27
HCPCS,C1757,CATH EMBOL AXS VECTA 46 146CM,4731.47,3785.18,1.0,4258.32,27
HCPCS,C1757,CATH EMBOL AXS VECTA 46 160CM,4731.47,3785.18,1.0,4258.32,27
HCPCS,C1757,CATH EMBOL OTW FOGARTY 3FR 80,488.88,391.11,1.0,439.99,27
HCPCS,C1757,CATH EMBOL OTW FOGARTY 4FR 80,488.88,391.11,1.0,439.99,27
HCPCS,C1757,CATH EMBOL OTW FOGARTY 5.5FR40,488.88,391.11,1.0,439.99,27
HCPCS,C1757,CATH EMBOL OTW FOGARTY 5.5FR80,488.88,391.11,1.0,439.99,27
HCPCS,C1757,CATH EMBOL OTW FOGARTY 6FR 40,488.88,391.11,1.0,439.99,27
HCPCS,C1757,CATH EMBOL OTW FOGARTY 6FR 80,488.88,391.11,1.0,439.99,27
HCPCS,C1757,CATH EMBOL TUFFTEX OTW 3FR,535.5,428.4,1.0,481.95,27
HCPCS,C1757,CATH EXPORT SYS 6FR,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1757,CATH FREECLIMB 54 TENZING5 125,12412.4,9929.92,1.0,11171.16,27
HCPCS,C1757,CATH IND3.4FR150*DISC 6293144*,3256.4,2605.12,1.0,2930.76,27
HCPCS,C1757,CATH INDIG5FR132*DISC 6293144*,3256.4,2605.12,1.0,2930.76,27
HCPCS,C1757,CATH INDIG8FR115*DISC 6336372*,10729.0,8583.2,1.0,12549.6,54
HCPCS,C1757,CATH INDIGO CAT6 6FR 135,5292.0,4233.6,1.0,4762.8,27
HCPCS,C1757,CATH INDIGO CAT6X+ ST 6FR 132,18528.0,14822.4,1.0,16675.2,27
HCPCS,C1757,CATH INDIGO CAT6X+ ST 6FR 150,18528.0,14822.4,1.0,16675.2,27
HCPCS,C1757,CATH INDIGO CAT8*DISC 6336372*,7514.0,6011.2,1.0,6762.6,27
HCPCS,C1757,CATH INDIGO HTORQ H1 16FR 115,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INDIGO HTORQ H1 6FR 100,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INDIGO HTORQ H1 6FR 80,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INDIGO HTORQ+ 12FR 100,16344.0,13075.2,1.0,14709.6,27
HCPCS,C1757,CATH INDIGO HTORQ+ 12FR 115,16344.0,13075.2,1.0,14709.6,27
HCPCS,C1757,CATH INDIGO HTORQ+ BOLT12FR100,23328.0,18662.4,1.0,20995.2,27
HCPCS,C1757,CATH INDIGO TORQ+ BOLT 7FR 130,19248.0,15398.4,1.0,17323.2,27
HCPCS,C1757,CATH INDIGO XTORQ H1 6FR 100,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INDIGO XTORQ+ 12FR 100,16344.0,13075.2,1.0,14709.6,27
HCPCS,C1757,CATH INDIGO XTORQ+ 7FR 130,13464.0,10771.2,1.0,12117.6,27
HCPCS,C1757,CATH INDIGO XTORQ+ BOLT12FR100,23328.0,18662.4,1.0,20995.2,27
HCPCS,C1757,CATH INDIGO6FR80*DISC 6351801*,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INDIGO8FR50*DISC 6319627*,6994.0,5595.2,1.0,6294.6,27
HCPCS,C1757,CATH INDIGO8FR85*DISC 6336372*,7514.0,6011.2,1.0,6762.6,27
HCPCS,C1757,CATH INDIGOHTORQ*DISC 6343542*,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INDIGOHTORQ*DISC 6344711*,23448.0,18758.4,1.0,21103.2,27
HCPCS,C1757,CATH INFUS CRAGG 5FR 135/30CM,399.84,319.88,1.0,359.86,27
HCPCS,C1757,CATH INFUS CRAGG 5FR 65/10CM,376.32,301.06,1.0,338.69,27
HCPCS,C1757,CATH INFUS CRAGG 5FR 65/20CM,376.32,301.06,1.0,338.69,27
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X10CM,1394.4,1115.52,1.0,1254.96,27
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X20CM,1394.4,1115.52,1.0,1254.96,27
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X30CM,1394.4,1115.52,1.0,1254.96,27
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X40CM,1394.4,1115.52,1.0,1254.96,27
HCPCS,C1757,CATH INFUS UNIFUSE 5FR135X50CM,1394.4,1115.52,1.0,1254.96,27
HCPCS,C1757,CATH KT 3.4FR150*DISC 6293144*,4278.4,3422.72,1.0,3850.56,27
HCPCS,C1757,CATH KT IN5FR132*DISC 6293144*,4278.4,3422.72,1.0,3850.56,27
HCPCS,C1757,CATH KT IN8FR115*DISC 6336372*,8463.0,6770.4,1.0,7616.7,27
HCPCS,C1757,CATH KT IND8FR85*DISC 6336372*,8463.0,6770.4,1.0,7616.7,27
HCPCS,C1757,CATH KT INDIGO CAT RX 5.3FR140,5432.0,4345.6,1.0,4888.8,27
HCPCS,C1757,CATH KT INDIGO CAT6 6FR 135,6314.0,5051.2,1.0,5682.6,27
HCPCS,C1757,CATH KT INDIGO CAT7D TB 7FR 50,6994.0,5595.2,1.0,6294.6,27
HCPCS,C1757,CATH PRONTO LP,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1757,CATH PRONTO V3,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1757,CATH PROWLER 2.3FR-1.9FR 150CM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1757,CATH PROWLERSELCT LP ST5X*NLU*,2923.2,2338.56,1.0,2630.88,27
HCPCS,C1757,CATH PROWLERSELCT ST 15X*NLU*,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1757,CATH PROWLERSELCT ST 5X1*NLU*,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1757,CATH PROWLERSELCT+ 45 15X150CM,3138.8,2511.04,1.0,2824.92,27
HCPCS,C1757,CATH RENEGADE STC ST 20X150CM,1908.0,1526.4,1.0,1717.2,27
HCPCS,C1757,CATH REPERFUSION KTRED72D 132C,12688.0,10150.4,1.0,11419.2,27
HCPCS,C1757,CATH REPERFUSION RED62 138CM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1757,CATH RETRV THROMB 132CM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1757,CATH RETRV THROMB 137CM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1757,CATH RETRV THROMB INTRMD 125CM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1757,CATH SOLENT DISTA 4FR 145CM,11752.0,9401.6,1.0,10576.8,27
HCPCS,C1757,CATH SOLENT OMNI 6FR 120CM,11453.0,9162.4,1.0,10307.7,27
HCPCS,C1757,CATH SOLENT PROXI 6FR 90CM,11453.0,9162.4,1.0,10307.7,27
HCPCS,C1757,CATH SPIROFLEX 4FR,5570.6,4456.48,1.0,5013.54,27
HCPCS,C1757,CATH THROMB ESPERANCE 5FR131CM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1757,CATH THROMB ESPERANCE 6FR131CM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1757,CATH THROMB FOGARTY 6FR 50,1921.0,1536.8,1.0,1728.9,27
HCPCS,C1757,CATH THROMB LIBERANT 6FR 135,18240.0,14592.0,1.0,16416.0,27
HCPCS,C1757,CATH THROMB LIBERANT 8FRLNG115,21120.0,16896.0,1.0,19008.0,27
HCPCS,C1757,CATH THROMB LIBERANT 8FRSHRT50,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1757,CATH THROMB LIBERANT12FRLNG115,23280.0,18624.0,1.0,20952.0,27
HCPCS,C1757,CATH THROMB SMARTCLAW 32MM,11115.0,8892.0,1.0,10003.5,27
HCPCS,C1757,CATH THROMB ZOOM45 144CM,6981.0,5584.8,1.0,6282.9,27
HCPCS,C1757,CATH THROMB ZOOM7X 137CM,6981.0,5584.8,1.0,6282.9,27
HCPCS,C1757,CATH TREROTOLA P*DISC 6325871*,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1757,DEV SOLITAIRE PLAT 4X20MM,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV SOLITAIRE PLAT 4X40MM,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV SOLITAIRE3 4X20MM*NLU*,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV SOLITAIRE3 4X40MM*NLU*,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV SOLITAIRE3 6X20MM*NLU*,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV SOLITAIRE3 6X40MM*NLU*,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV SOLITAIRE3 PLAT 10MM 4X20,15660.0,12528.0,1.0,14094.0,27
HCPCS,C1757,DEV THROMB EXCIPIO LV 12FR 150,10140.0,8112.0,1.0,9126.0,27
HCPCS,C1757,DEV THROMB EXCIPIO LV 16FR 125,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1757,DEV THROMB EXCIPIO SV 7FR 165,8580.0,6864.0,1.0,7722.0,27
HCPCS,C1757,DEV THROMB RETRV PRESET 6X30,14388.0,11510.4,1.0,12949.2,27
HCPCS,C1757,DEV THROMB RETRV PRESET2 4X20,14388.0,11510.4,1.0,12949.2,27
HCPCS,C1757,DEV THROMB RETRV PRESET2 6X30,12467.0,9973.6,1.0,11220.3,27
HCPCS,C1757,KT CATH TREROTOL*DISC 6289553*,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1757,KT EKOSONIC INFUS 106CM 12CM,15446.4,12357.12,1.0,13901.76,27
HCPCS,C1757,KT EKOSONIC INFUS 106CM 18CM,14436.0,11548.8,1.0,12992.4,27
HCPCS,C1757,KT EKOSONIC INFUS 106CM 24CM,15446.4,12357.12,1.0,13901.76,27
HCPCS,C1757,KT EKOSONIC INFUS 135CM 12CM,14436.0,11548.8,1.0,12992.4,27
HCPCS,C1757,KT EKOSONIC INFUS 135CM 30CM,14436.0,11548.8,1.0,12992.4,27
HCPCS,C1757,KT EKOSONIC INFUS 135CM 40CM,14436.0,11548.8,1.0,12992.4,27
HCPCS,C1757,KT EKOSONIC INFUS 135CM 50CM,14436.0,11548.8,1.0,12992.4,27
HCPCS,C1757,PK DVT THROMBECTOMY INARI,20952.0,16761.6,1.0,18856.8,27
HCPCS,C1757,PK THROMB ARTIX INAR,18000.0,14400.0,1.0,16200.0,27
HCPCS,C1757,PK VTE THROMBECTOMY INARI,27936.0,22348.8,1.0,25142.4,27
HCPCS,C1757,RETRV EMBOL ERIC 3 3X20MM,16200.0,12960.0,1.0,14580.0,27
HCPCS,C1757,RETRV EMBOL ERIC 4 4X30MM,16200.0,12960.0,1.0,14580.0,27
HCPCS,C1757,RETRV EMBOL ERIC 6 6X44MM,16200.0,12960.0,1.0,14580.0,27
HCPCS,C1757,ROTATOR DRIVE TR*DISC 6289553*,666.0,532.8,1.0,599.4,27
HCPCS,C1757,SEP FLEX REPERFUSION.041*NLU*,7722.0,6177.6,1.0,6949.8,27
HCPCS,C1757,SEP FLEX REPERFUSION.054,7722.0,6177.6,1.0,6949.8,27
HCPCS,C1757,SEP INDIGO 12 0.072 150CM,5446.0,4356.8,1.0,4901.4,27
HCPCS,C1757,SEP INDIGO 4 0.035 200CM,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1757,SEP INDIGO 7 0.072 190CM,4704.0,3763.2,1.0,4233.6,27
HCPCS,C1757,SEP INDIGO 7D 0.038 90CM,4704.0,3763.2,1.0,4233.6,27
HCPCS,C1757,SEP INDIGO D 090*DISC 6319736*,4704.0,3763.2,1.0,4233.6,27
HCPCS,C1757,SYS FLOWT*USE 6331168 6331171*,28800.0,23040.0,1.0,25920.0,27
HCPCS,C1757,SYS THROMB CLNR 7FR 65CM,3175.2,2540.16,1.0,2857.68,27
HCPCS,C1757,SYS THROMB POUNCE 7FR 135CM,12350.0,9880.0,1.0,11115.0,27
HCPCS,C1757,SYS THROMB POUNCE LP 7FR 150CM,12350.0,9880.0,1.0,11115.0,27
HCPCS,C1757,SYS THROMBECTOMY DCLOT 6FR65CM,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1758,CATH ACCESS DL FLEX 6-10FR50CM,295.85,236.68,1.0,266.27,27
HCPCS,C1758,CATH AXXCESS SL 6FR 70CM,146.1,116.88,1.0,131.49,27
HCPCS,C1758,CATH COUVELAIRE *DISC 6206363*,168.42,134.74,1.0,151.58,27
HCPCS,C1758,CATH FOLEY SIL 3W 20FR 30ML,37.09,29.68,1.0,33.38,27
HCPCS,C1758,CATH RUTNER 8FR*DISC 6268530*,80.7,64.56,1.0,72.63,27
HCPCS,C1758,CATH RUTNER UNIV*DISC NO REPL*,69.6,55.68,1.0,62.64,27
HCPCS,C1758,CATH URETRL ACCESS DL 6/10FR50,201.91,161.53,1.0,181.72,27
HCPCS,C1758,CATH URETRL CONE 5FR 70CM,83.88,67.11,1.0,75.49,27
HCPCS,C1758,CATH URETRL CONE 6FR 70CM,54.53,43.63,1.0,49.08,27
HCPCS,C1758,CATH URETRL CONE TIP 6FR *NLU*,67.41,53.93,1.0,60.67,27
HCPCS,C1758,CATH URETRL DL 0.038 10FR 50CM,274.5,219.6,1.0,247.05,27
HCPCS,C1758,CATH URETRL FLEXIMAOPEN6FR70CM,134.99,108.0,1.0,121.49,27
HCPCS,C1758,CATH URETRL FLEXIMAOPEN7FR70CM,134.99,108.0,1.0,121.49,27
HCPCS,C1758,CATH URETRL OLIV*DISC 6343423*,97.6,78.08,1.0,87.84,27
HCPCS,C1758,CATH URETRL OPEN CONE4.8FR70CM,69.85,55.88,1.0,62.87,27
HCPCS,C1758,CATH URETRL OPEN END 3FR 70CM,57.04,45.64,1.0,51.34,27
HCPCS,C1758,CATH URETRL OPEN END 4FR 70CM,55.27,44.22,1.0,49.74,27
HCPCS,C1758,CATH URETRL OPEN END 5FR *NLU*,59.05,47.24,1.0,53.15,27
HCPCS,C1758,CATH URETRL OPEN END 5FR 70CM,55.27,44.22,1.0,49.74,27
HCPCS,C1758,CATH URETRL OPEN END 6FR 70CM,56.24,45.0,1.0,50.62,27
HCPCS,C1758,CATH URETRL OPEN END FLEX 4FR,73.32,58.66,1.0,65.99,27
HCPCS,C1758,CATH URETRL OPEN END FLEX 5FR,75.64,60.52,1.0,68.08,27
HCPCS,C1758,CATH URETRL OPEN END FLEX 6FR,75.15,60.12,1.0,67.64,27
HCPCS,C1758,CATH URETRL OPEN SOF-FLEX4FR70,58.56,46.85,1.0,52.7,27
HCPCS,C1758,CATH URETRL OPEN*DISC 6331000*,403.65,322.92,1.0,363.29,27
HCPCS,C1758,CATH URETRL OPEN*DISC 6331001*,403.65,322.92,1.0,363.29,27
HCPCS,C1758,CATH URETRL RUSCH WHSTLTP 3FR,51.85,41.48,1.0,46.67,27
HCPCS,C1758,CATH URETRL RUSCH WHSTLTP 5FR,51.85,41.48,1.0,46.67,27
HCPCS,C1758,CATH URETRL SPIRAL TIP 5FR,101.14,80.92,1.0,91.03,27
HCPCS,C1758,CATH URETRL TIGERTAIL 5FR 70CM,84.49,67.6,1.0,76.04,27
HCPCS,C1758,CATH URETRL TIGERTAIL 6FR 70CM,75.4,60.32,1.0,67.86,27
HCPCS,C1758,CATH URETRL WHSTLTP 6FR,52.46,41.97,1.0,47.21,27
HCPCS,C1758,CATH URETRL WHSTLTP BARD 4FR,49.11,39.29,1.0,44.2,27
HCPCS,C1758,CATH URETRL WHSTLTP BARD 5FR,38.8,31.04,1.0,34.92,27
HCPCS,C1758,CATH URETRLOPENE*DISC 6203586*,363.79,291.04,1.0,327.41,27
HCPCS,C1758,SHEATH URETRL RETRACE10/12FR35,745.34,596.28,1.0,670.81,27
HCPCS,C1758,SHEATH URETRL RETRACE10/12FR45,745.34,596.28,1.0,670.81,27
HCPCS,C1758,SHEATH URETRL RETRACE12/14FR35,745.34,596.28,1.0,670.81,27
HCPCS,C1758,SHEATH URETRL RETRACE12/14FR45,745.34,596.28,1.0,670.81,27
HCPCS,C1758,SHEATH URETRL UROPASS10-1*NLU*,525.15,420.12,1.0,472.64,27
HCPCS,C1758,SHEATH URETRL UROPASS12/14FR24,551.93,441.55,1.0,496.74,27
HCPCS,C1758,SHEATH URETRL UROPASS12/14FR38,551.93,441.55,1.0,496.74,27
HCPCS,C1759,CATH ACUNAV ULTRSND 10FR 90CM,8192.6,6554.08,1.0,7373.34,27
HCPCS,C1759,CATH ACUNAV ULTRSND GE 8FR90CM,8192.6,6554.08,1.0,7373.34,27
HCPCS,C1759,CATH ACUNAV ULTRSND GE10FR90CM,8192.6,6554.08,1.0,7373.34,27
HCPCS,C1759,CATH ACUNAV ULTRSND L 8FR 90CM,8192.6,6554.08,1.0,7373.34,27
HCPCS,C1759,CATH ICE CRYSTAL 2D 90D 9FR,8798.4,7038.72,1.0,7918.56,27
HCPCS,C1759,CATH ICE VIEWFLEX XTR,6034.0,4827.2,1.0,5430.6,27
HCPCS,C1759,CATH NAV ULTSND NUVISION ICE,10335.0,8268.0,1.0,9301.5,27
HCPCS,C1759,CATH SOUNDSTAR CRYSTAL GE 2D,8798.4,7038.72,1.0,7918.56,27
HCPCS,C1760,ANGIOSEAL EVOLUT*DISC 6117497*,1012.5,810.0,1.0,911.25,27
HCPCS,C1760,DEPTH LOCATOR VASC MANTA 8FR,305.0,244.0,1.0,274.5,27
HCPCS,C1760,DEV MANUAL ASS*DUP 6322225*,760.5,608.4,1.0,684.45,27
HCPCS,C1760,DEV VASC CLSR ANGIOSEAL VIP6FR,1012.5,810.0,1.0,911.25,27
HCPCS,C1760,DEV VASC CLSR ANGIOSEAL VIP8FR,1012.5,810.0,1.0,911.25,27
HCPCS,C1760,DEV VASC CLSR CA*DISC NO REPL*,738.0,590.4,1.0,664.2,27
HCPCS,C1760,DEV VASC CLSR EXOSEAL 5FR,729.0,583.2,1.0,656.1,27
HCPCS,C1760,DEV VASC CLSR EXOSEAL 6FR,729.0,583.2,1.0,656.1,27
HCPCS,C1760,DEV VASC CLSR MANTA 14FR,2864.0,2291.2,1.0,2577.6,27
HCPCS,C1760,DEV VASC CLSR MANTA 18FR,2864.0,2291.2,1.0,2577.6,27
HCPCS,C1760,DEV VASC CLSR MYNX CTRL 5FR,1066.5,853.2,1.0,959.85,27
HCPCS,C1760,DEV VASC CLSR MYNX CTRL 6-7FR,1066.5,853.2,1.0,959.85,27
HCPCS,C1760,DEV VASC CLSR MYNXGRIP 5FR,999.0,799.2,1.0,899.1,27
HCPCS,C1760,DEV VASC CLSR MYNXGRIP 6-7FR,1028.25,822.6,1.0,925.43,27
HCPCS,C1760,DEV VASC CLSR PERCLOSEPROGLIDE,1035.0,828.0,1.0,931.5,27
HCPCS,C1760,DEV VASC CLSR STARCLOSE 5-6FR,922.5,738.0,1.0,830.25,27
HCPCS,C1760,DEV VASC CLSR VASCADE 5FR,900.0,720.0,1.0,810.0,27
HCPCS,C1760,DEV VASC CLSR VASCADE 6/7FR,900.0,720.0,1.0,810.0,27
HCPCS,C1760,DEV VASC CLSR VASCADEMVP6-12FR,1080.0,864.0,1.0,972.0,27
HCPCS,C1760,DEV VASC CLSRVASCADEMVPXL10-12,1071.0,856.8,1.0,963.9,27
HCPCS,C1761,BLN CATH IVL C*DISC 6337971*,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,BLN CATH IVL C2 *DISC 6337969*,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,BLN CATH IVL C2 2.5X12MM*DISC*,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,BLN CATH IVL C2*DISC 6337970*,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL C2+ CORO 2.5X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL C2+ CORO 3.0X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL C2+ CORO 3.5X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL C2+ CORO 4.0X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL E8 PERIPH3.0X80MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL E8 PERIPH5.0X80MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH BLN IVL E8 PERIPH6.0X80MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH IVL C2 AERO 2.5X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH IVL C2 AERO 3.0X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH IVL C2 AERO 3.5X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH IVL C2 AERO 4.0X12MM,12220.0,9776.0,3393.49,10998.0,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 3.5X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 4.0X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 4.5X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 5.0X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 5.5X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 6.0X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 6.5X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 7.0X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1761,CATH IVL SEISMIQ LITHO 8.0X60,12207.0,9765.6,3389.88,10986.3,27
HCPCS,C1762,ALLO AMNION THICK 3X6CM,10582.0,8465.6,1.0,9523.8,27
HCPCS,C1762,ALLO AMNION THICK 3X8CM,12584.0,10067.2,1.0,11325.6,27
HCPCS,C1762,ALLO BONE CONN 4.0X230MM,3593.58,2874.87,1.0,3234.22,27
HCPCS,C1762,ALLO BONE FLEXIGRAFT STD 10MM,2873.86,2299.09,1.0,2586.47,27
HCPCS,C1762,ALLO CARTLG CORE OCA 10MM,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1762,ALLO CARTLG CORE OCA 16MM,12480.0,9984.0,1.0,11232.0,27
HCPCS,C1762,ALLO CARTLG COSTAL 30-59MM,1870.13,1496.11,1.0,1683.12,27
HCPCS,C1762,ALLO CARTLG FEM OCA LAT RT,28800.0,23040.0,1.0,25920.0,27
HCPCS,C1762,ALLO CARTLG FEM OCA MEDL LFT,28008.0,22406.4,1.0,25207.2,27
HCPCS,C1762,ALLO CARTLG MENISCPLATEAULATRT,14565.6,11652.48,1.0,13109.04,27
HCPCS,C1762,ALLO CARTLGMENISCPLATEAULATLFT,14565.6,11652.48,1.0,13109.04,27
HCPCS,C1762,ALLO COSTAL CARTLG SHT LG4.1X1,2648.06,2118.45,1.0,2383.25,27
HCPCS,C1762,ALLO COSTAL CARTLG SHT SM3.1X1,2084.5,1667.6,1.0,1876.05,27
HCPCS,C1762,ALLO CTIMAX CTILAGE,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1762,ALLO DENOVO NT ZIMM,12142.0,9713.6,1.0,10927.8,27
HCPCS,C1762,ALLO FASCIA LATA FRZN10CMX60MM,2226.42,1781.14,1.0,2003.78,27
HCPCS,C1762,ALLO FASCIA LATA FZD 10CMX25MM,1004.4,803.52,1.0,903.96,27
HCPCS,C1762,ALLO FASCIA LATAFRZN18CMX100MM,3111.78,2489.43,1.0,2800.6,27
HCPCS,C1762,ALLO FT ANK BIOCARTLG 1CC,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1762,ALLO KNEE BIOCARTLG 1CC,3018.4,2414.72,1.0,2716.56,27
HCPCS,C1762,ALLO NERVE AVANCE 1-2X15MM,7038.2,5630.56,1.0,6334.38,27
HCPCS,C1762,ALLO NERVE AVANCE 1-2X30MM,11622.0,9297.6,1.0,10459.8,27
HCPCS,C1762,ALLO NERVE AVANCE 1-2X50MM,16173.6,12938.88,1.0,14556.24,27
HCPCS,C1762,ALLO NERVE AVANCE 2-3X15MM,7038.2,5630.56,1.0,6334.38,27
HCPCS,C1762,ALLO NERVE AVANCE 2-3X30MM,11622.0,9297.6,1.0,10459.8,27
HCPCS,C1762,ALLO NERVE AVANCE 2-3X50MM,16173.6,12938.88,1.0,14556.24,27
HCPCS,C1762,ALLO NERVE AVANCE 2-3X70MM,20529.6,16423.68,1.0,18476.64,27
HCPCS,C1762,ALLO NERVE AVANCE 3-4X30MM,11622.0,9297.6,1.0,10459.8,27
HCPCS,C1762,ALLO NERVE AVANCE 3-4X70MM,22504.8,18003.84,1.0,20254.32,27
HCPCS,C1762,ALLO NERVE AVANCE 4-5X30MM,9692.8,7754.24,1.0,8723.52,27
HCPCS,C1762,ALLO NERVE AVANCE 4-5X50MM,16761.6,13409.28,1.0,15085.44,27
HCPCS,C1762,ALLO NERVE AVANCE 4-5X70MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1762,ALLO SAPHENOUS VEIN 26CM,14904.0,11923.2,1.0,13413.6,27
HCPCS,C1762,ALLO SEMI-TENDINOSUS >4 >230MM,4448.22,3558.58,1.0,4003.4,27
HCPCS,C1762,ALLO TENDON ACHILLES WCAL/SPEC,4726.4,3781.12,1.0,4253.76,27
HCPCS,C1762,ALLO TENDON ANT TIB 20CMX6MM,4247.6,3398.08,1.0,3822.84,27
HCPCS,C1762,ALLO TENDON ANT TIB <11X220MM,3126.9,2501.52,1.0,2814.21,27
HCPCS,C1762,ALLO TENDON ANT TIB W SPEC,4247.6,3398.08,1.0,3822.84,27
HCPCS,C1762,ALLO TENDON GRACILIS 20-38CM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1762,ALLO TENDON GRACILIS 230MM,3087.0,2469.6,1.0,2778.3,27
HCPCS,C1762,ALLO TENDON GRAFTLINK 77-95MM,6708.0,5366.4,1.0,6037.2,27
HCPCS,C1762,ALLO TENDON PILOTGRAFT 25-45MM,9256.0,7404.8,1.0,8330.4,27
HCPCS,C1762,ALLO TENDON PRSHPACHILLESWSPEC,5661.1,4528.88,1.0,5094.99,27
HCPCS,C1762,ALLO TENDON PSTR TIB W SPEC,4247.6,3398.08,1.0,3822.84,27
HCPCS,C1762,ALLO TENDON SEMITENDIN 20-26CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1762,ALLO TENDON SEMITENDIN 26-38CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1762,ALLO TENDON SEMITENDIN <26CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1762,ALLO TENDON SPEEDGRAFT 175-295,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1762,ALLO TENDON SPEEDGRAFT 9.5X196,6510.0,5208.0,1.0,5859.0,27
HCPCS,C1762,ALLO TENDON SPEEDGRAFTQUADLINK,7410.0,5928.0,1.0,6669.0,27
HCPCS,C1762,ALLO TENDON TIBLIS 6.5X270MM,4448.22,3558.58,1.0,4003.4,27
HCPCS,C1762,ALLO TENDON VERSAGRAFT 150-250,3724.0,2979.2,1.0,3351.6,27
HCPCS,C1762,ALLO TENDONVERSAGRAFT180X4-5MM,3612.0,2889.6,1.0,3250.8,27
HCPCS,C1762,ALLO TUTOPLAST PERICARD 5X5CM,2908.8,2327.04,1.0,2617.92,27
HCPCS,C1762,ALLO TUTOPLAST SCLERA 5X8MM,1339.8,1071.84,1.0,1205.82,27
HCPCS,C1762,ALLO VASC FEM ART >30CM,15964.56,12771.65,1.0,14368.1,27
HCPCS,C1762,ALLOTENDONPERONEUSLNGUSF*DISC*,5230.4,4184.32,1.0,4707.36,27
HCPCS,C1762,SCAF BONE AGILI-C 10 10MM,15403.2,12322.56,1.0,13862.88,27
HCPCS,C1762,SCAF BONE AGILI-C 12.5 10MM,15403.2,12322.56,1.0,13862.88,27
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK1,13200.0,10560.0,1.0,11880.0,27
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK2,13519.2,10815.36,1.0,12167.28,27
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK3,14035.2,11228.16,1.0,12631.68,27
HCPCS,C1762,SCAF BONE AGILI-C 7.5 10MM PK5,15067.2,12053.76,1.0,13560.48,27
HCPCS,C1762,SCLERA WHOLE,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1763,DEL SYS BIOBRACE RC 23X25MM,12565.8,10052.64,1.0,11309.22,27
HCPCS,C1763,GRAFT FISTULA BIODESIGN 0.2CM,3322.2,2657.76,1.0,2989.98,27
HCPCS,C1763,GRAFT GENTRIX HIATAL 6X7.5CM,2924.99,2340.0,1.0,2632.49,27
HCPCS,C1763,GRAFT MD BIOINDUCTIVE W DELV,6305.6,5044.48,1.0,5675.04,27
HCPCS,C1763,GRAFT MTX GENTRIX 5X5CM,2253.85,1803.08,1.0,2028.47,27
HCPCS,C1763,GRAFT MTX GENTRIX THIN 10X15CM,6836.67,5469.34,1.0,6153.0,27
HCPCS,C1763,GRAFT MTX GENTRIX THIN 7X10CM,3435.88,2748.71,1.0,3092.29,27
HCPCS,C1763,GRAFT NERVE AXOGUARD 10X40MM,7896.2,6316.96,1.0,7106.58,27
HCPCS,C1763,GRAFT NERVE AXOGUARD2X20MM,6678.0,5342.4,1.0,6010.2,27
HCPCS,C1763,GRAFT NERVE AXOGUARD3.5X40MM,7971.6,6377.28,1.0,7174.44,27
HCPCS,C1763,GRAFT NERVE AXOGUARD5X40MM,7971.6,6377.28,1.0,7174.44,27
HCPCS,C1763,GRAFT NERVE AXOGUARD7X20MM,6311.2,5048.96,1.0,5680.08,27
HCPCS,C1763,GRAFT NERVE AXOGUARD7X40MM,7896.2,6316.96,1.0,7106.58,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD2X10MM,3598.0,2878.4,1.0,3238.2,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD2X15MM,6143.2,4914.56,1.0,5528.88,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD3X10MM,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD3X15MM,6143.2,4914.56,1.0,5528.88,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD4X15MM,6143.2,4914.56,1.0,5528.88,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD5X15MM,6143.2,4914.56,1.0,5528.88,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD6X15MM,6143.2,4914.56,1.0,5528.88,27
HCPCS,C1763,GRAFT NERVE CONNAXOGUARD7X15MM,6143.2,4914.56,1.0,5528.88,27
HCPCS,C1763,GRAFT NERVE PROTECT WRAP 4X8CM,6860.0,5488.0,1.0,6174.0,27
HCPCS,C1763,GRAFT NERVE TAPE 1.5X14MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVE TAPE 2.0X14MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVE TAPE 3.0X14MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVE TAPE 4.0X16MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVE TAPE 5.0X16MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVE TAPE 6.0X22MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVE TAPE 7.0X22MM,5037.2,4029.76,1.0,4533.48,27
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+2X2,6939.4,5551.52,1.0,6245.46,27
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+2X4,8528.0,6822.4,1.0,7675.2,27
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+3X6,9713.6,7770.88,1.0,8742.24,27
HCPCS,C1763,GRAFT NERVEPROTECTAXOGRDHA+4X8,12573.6,10058.88,1.0,11316.24,27
HCPCS,C1763,GRAFT OTO BIODESIGN 0.6-0.9CM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1763,GRAFT OTO BIODESIGN 2.5X2.5CM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1763,GRAFT PRESUT SPEEDFLEX 20X25X2,5544.0,4435.2,1.0,4989.6,27
HCPCS,C1763,GRAFT SUTURABLE DURAMATRIX 1X3,1812.97,1450.38,1.0,1631.67,27
HCPCS,C1763,GRAFT SUTURABLE DURAMATRIX 3X3,2517.57,2014.06,1.0,2265.81,27
HCPCS,C1763,GRAFT SUTURABLE DURAMATRIX 4X5,3233.64,2586.92,1.0,2910.28,27
HCPCS,C1763,GRAFT TISS BIODESIGN 4LYR2X3CM,2120.4,1696.32,1.0,1908.36,27
HCPCS,C1763,GRAFT TISS BIODESIGN4LYR7X10CM,3774.4,3019.52,1.0,3396.96,27
HCPCS,C1763,LAMINA EPIFILM O*DISC NO REPL*,954.72,763.78,1.0,859.25,27
HCPCS,C1763,MESH BIOLG RE*DISC 6305394*,6006.0,4804.8,1.0,5405.4,27
HCPCS,C1763,MESH BIOLG RE*DISC 6305395*,6006.0,4804.8,1.0,5405.4,27
HCPCS,C1763,MESH BIOLG REGENETEN W DEL LG,6305.6,5044.48,1.0,5675.04,27
HCPCS,C1763,MTX DURAL LYOPLANT ONLAY 3X3,1990.62,1592.5,1.0,1791.56,27
HCPCS,C1763,MTX DURAL LYOPLANT ONLAY 4X5,3182.75,2546.2,1.0,2864.48,27
HCPCS,C1763,MTX DURALLYOPLANTSUTURABLE6X14,1860.14,1488.12,1.0,1674.13,27
HCPCS,C1763,MTX DUREPAIR DURA REGEN 1X1,1265.04,1012.04,1.0,1138.54,27
HCPCS,C1763,MTX ROTATOR CUFFBIOCHARGE2X1.2,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1763,SHT SIL MDTR 0.51MM 5X5CM,966.6,773.28,1.0,869.94,27
HCPCS,C1763,SHT SIL MDTR 1.02MM 5X5CM,963.0,770.4,1.0,866.7,27
HCPCS,C1764,ICM ASSERT-IQ 3+ 46.5X9.4X3.1,11960.0,9568.0,1.0,10764.0,27
HCPCS,C1764,ICM ASSERT-IQ EL+ 49X9.4X4.4,12480.0,9984.0,1.0,11232.0,27
HCPCS,C1764,ICM BIOMONITOR IV,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1764,ICM LOOP REC CONFIRM RX,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1764,ICM REMOTE PROGM LINQ II,12987.0,10389.6,1.0,11688.3,27
HCPCS,C1764,ICM REMOTE PROGM*DISC NO REPL*,12597.0,10077.6,1.0,11337.3,27
HCPCS,C1764,ICM REVEAL LINQ *DISC NO REPL*,12597.0,10077.6,1.0,11337.3,27
HCPCS,C1764,MON CARDIAC BIOMONITOR III,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1764,MON CARDIACBIOMO*DISC 6341057*,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1764,SYS ICM LINQ II*DISC 6315682*,12987.0,10389.6,1.0,11688.3,27
HCPCS,C1765,BARR SURG INTERCEED 3X4,2089.33,1671.47,1.0,1880.4,27
HCPCS,C1765,BARR SURG INTERCEED 5X6,1966.21,1572.97,1.0,1769.59,27
HCPCS,C1765,BARR SURG SEPRAFILM 5X6,1678.07,1342.46,1.0,1510.26,27
HCPCS,C1765,BARR SURG SEPRAFILM PRCD PK3X5,3007.33,2405.87,1.0,2706.6,27
HCPCS,C1766,INTR EP AGILIS NXT LG8.5FR71CM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1766,INTR EP AGILIS NXT MD 13FR71CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1766,INTR EP AGILIS NXT MD8.5FR71CM,3088.0,2470.4,1.0,2779.2,27
HCPCS,C1766,INTR EP AGILIS NXT MD8.5FR82CM,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1766,INTR EP AGILIS NXT SM8.5FR71CM,3088.0,2470.4,1.0,2779.2,27
HCPCS,C1766,INTR TRNSPTL AGILIS MD 8.5FR,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1766,INTR TRNSPTL AGILIS SM 8.5FR,2918.4,2334.72,1.0,2626.56,27
HCPCS,C1766,SHEATH FLEXCATH ADVANCE 12FR,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1766,SHEATH FLEXCATH CONTOUR 12FR13,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1766,SHEATH STEER FARADRIVE13FR74CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 17MM 45,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 17MM 55,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 9MM 45,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1766,SHEATH TOURGUIDE 6.5FR 9MM 55,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1766,SHEATH TOURGUIDE 7.0FR 17MM 55,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1766,SHEATH TOURGUIDE 8.5FR 22MM 55,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1767,GENERATOR VNS SEN*USE 6289026*,86395.2,69116.16,1.0,77755.68,27
HCPCS,C1767,IPG ALPHA PRIME 16,37200.0,29760.0,1.0,33480.0,27
HCPCS,C1767,IPG ALPHA PRIME 32,38400.0,30720.0,1.0,34560.0,27
HCPCS,C1767,IPG GP GENRTR ENTERRA II,30600.0,24480.0,1.0,27540.0,27
HCPCS,C1767,IPG INFINITY 5 DBS 5.3 BAT 10N,54000.0,43200.0,1.0,48600.0,27
HCPCS,C1767,IPG INFINITY 7 DBS 7.5 BAT 10N,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1767,IPG PREC NOVI,31920.0,25536.0,1.0,28728.0,27
HCPCS,C1767,IPG PROCLAIM PLUS 7,55864.8,44691.84,1.0,50278.32,27
HCPCS,C1767,NEUROSTIMULATOR *DISC 6325306*,27192.0,21753.6,1.0,24472.8,27
HCPCS,C1767,PUMP PAIN VANTA ADAPTIVSTIM,38508.0,30806.4,1.0,34657.2,27
HCPCS,C1767,STIM DBS ACTIVA PC MDTR,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1767,STIM DBS ACTIVA SC FOR 37085,21540.0,17232.0,1.0,19386.0,27
HCPCS,C1767,STIM DBS ACTIVA SC MDTR,21540.0,17232.0,1.0,19386.0,27
HCPCS,C1767,STIM DBS PERCEPT PC BRAINSENSE,51256.8,41005.44,1.0,46131.12,27
HCPCS,C1767,STIM GENRTR DUO VNS SENTIVA,91250.02,73000.02,1.0,82125.02,27
HCPCS,C1767,STIM GENRTR VNS ASPIRESR 14CC,78743.9,62995.12,1.0,70869.51,27
HCPCS,C1767,STIM GENRTR VNS SENTIVA,91250.02,73000.02,1.0,82125.02,27
HCPCS,C1767,STIM NERVE ENT IPG INSPIRE3028,43740.0,34992.0,1.0,39366.0,27
HCPCS,C1767,STIM NERVE IPG ENT INSPIRE3150,51840.0,41472.0,1.0,46656.0,27
HCPCS,C1767,STIM NEURO SCRL NON-RECHG F15,29160.0,23328.0,1.0,26244.0,27
HCPCS,C1767,STIM RESTRO ADV SURSCAN,30000.0,24000.0,1.0,27000.0,27
HCPCS,C1767,STIM SNM INTERSTIM X,26280.0,21024.0,1.0,23652.0,27
HCPCS,C1767,STIM VNS DEMIPULSE 10CC,69103.78,55283.03,1.0,62193.4,27
HCPCS,C1767,STIM VNS DEMIPULSE 8CC,65016.0,52012.8,1.0,58514.4,27
HCPCS,C1767,SYS STIM SPNL SENZA OMNIA,63585.6,50868.48,1.0,57227.04,27
HCPCS,C1768,ALLO FEM ART DIA4-5+MM10-30+CM,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1768,ALLO FEM POP ART 7MM-6MMX20CM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1768,ALLO FEM VEIN WO VALV 21-29CM,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1768,ALLO FEM VEIN WO VALV =>30CM,15360.0,12288.0,1.0,13824.0,27
HCPCS,C1768,ALLO SAPHENOUS VEIN 70-79CM,18960.0,15168.0,1.0,17064.0,27
HCPCS,C1768,ENDOL ENDUR II 16X10X146MM,12902.4,10321.92,1.0,11612.16,27
HCPCS,C1768,GRAFT ANTEFLO PR*DISC 6347663*,6980.4,5584.32,1.0,6282.36,27
HCPCS,C1768,GRAFT ANTEFLO PRECURV 50CMX28,6980.4,5584.32,1.0,6282.36,27
HCPCS,C1768,GRAFT ANTEFLO PRECURV 50CMX30,6980.4,5584.32,1.0,6282.36,27
HCPCS,C1768,GRAFT BIF HEMA 14X7MM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT BIF HEMA 18X9MM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT BIF HEMA 20X10MM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT BIF HEMA 22X11MM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT BIF HEMA 24X12MM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT CARBOFLO STEPPD 4-7 45CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1768,GRAFT COLLAGEN ARTE 4MMX35CM,7303.4,5842.72,1.0,6573.06,27
HCPCS,C1768,GRAFT COLLAGEN ARTE 6MMX30CM,6885.2,5508.16,1.0,6196.68,27
HCPCS,C1768,GRAFT COLLAGEN ARTE 6MMX35CM,6523.4,5218.72,1.0,5871.06,27
HCPCS,C1768,GRAFT COLLAGEN ARTE 6MMX40CM,6705.4,5364.32,1.0,6034.86,27
HCPCS,C1768,GRAFT COLLAGEN ARTE 7MMX30CM,6885.2,5508.16,1.0,6196.68,27
HCPCS,C1768,GRAFT COLLAGEN ARTE 7MMX40CM,6969.2,5575.36,1.0,6272.28,27
HCPCS,C1768,GRAFT CV PERIGUARD 10X16CM,3033.44,2426.76,1.0,2730.1,27
HCPCS,C1768,GRAFT CV PERIGUARD 4X4CM,1634.18,1307.35,1.0,1470.76,27
HCPCS,C1768,GRAFT CV VASCU-GUARD 0.8X8CM,1062.39,849.92,1.0,956.15,27
HCPCS,C1768,GRAFT FLIXENE 4-7MMX45CM,3705.49,2964.4,1.0,3334.94,27
HCPCS,C1768,GRAFT FLIXENE GRAD 6MM40CM,3176.15,2540.92,1.0,2858.54,27
HCPCS,C1768,GRAFT FLIXENE GW 7MMX30CM,3043.8,2435.04,1.0,2739.42,27
HCPCS,C1768,GRAFT FLIXENE GW 7MMX40CM,3176.15,2540.92,1.0,2858.54,27
HCPCS,C1768,GRAFT FLIXENE GWT 7MMX40CM,4234.86,3387.89,1.0,3811.37,27
HCPCS,C1768,GRAFT GELWEAVE 1*DISC 6347632*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 1*DISC 6347633*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 1*DISC 6347634*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 1*DISC 6347635*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 10MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 12MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 14MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 16MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 2*DISC 6347627*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 2*DISC 6347636*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 2*DISC 6347637*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 2*DISC 6347638*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 2*DISC 6347639*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 20MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 22MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 24MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 26MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 28MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 3*DISC 6347640*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 3*DISC 6347641*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 3*DISC 6347642*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 30MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 32MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 34MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 6*DISC 6347629*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 6MMX15CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 8*DISC 6347630*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 8*DISC 6347631*,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 8MMX15CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE 8MMX30CM,2963.2,2370.56,1.0,2666.88,27
HCPCS,C1768,GRAFT GELWEAVE A*DISC 6347628*,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE A*DISC 6347649*,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE A*DISC 6347650*,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE A*DISC 6347652*,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 24/8,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 26/8,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 28/8,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 30/8,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE ANTE-FLO 32/8,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347653*,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347654*,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347655*,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347657*,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347658*,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE P*DISC 6347661*,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X26,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X28,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X30,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 10X8X32,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X26,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X28,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS4 8X8X30,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE PLEXUS410X10X32,9126.0,7300.8,1.0,8213.4,27
HCPCS,C1768,GRAFT GELWEAVE S*DISC 6347659*,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE S*DISC 6347660*,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE S*DISC 6347662*,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE SIENA 4 10X8X2,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE SIENA 4 10X8X30,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE SIENA 4 8X8X26,10706.8,8565.44,1.0,9636.12,27
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347644*,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347645*,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE V*DISC 6347646*,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 24X15,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 26X15,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 28X15,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 30X15,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 32X15,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GELWEAVE VALSALVA 34X15,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1768,GRAFT GORERINGED14MMX30CMX30CM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1768,GRAFT HEMA BRANCH 12/10/8/8 26,5278.17,4222.54,1.0,4750.35,27
HCPCS,C1768,GRAFT HEMA GLD 6MM 30CM,2041.12,1632.9,1.0,1837.01,27
HCPCS,C1768,GRAFT HEMA MD 10MM 30CM,2041.12,1632.9,1.0,1837.01,27
HCPCS,C1768,GRAFT HEMA MDV 12MM 30CM,2041.12,1632.9,1.0,1837.01,27
HCPCS,C1768,GRAFT HEMA MDV BIF 12X6MM 40CM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT HEMA ST 14MMX30CM,1811.81,1449.45,1.0,1630.63,27
HCPCS,C1768,GRAFT HEMA ST 16MMX30CM,1811.81,1449.45,1.0,1630.63,27
HCPCS,C1768,GRAFT HEMA ST 18MMX30CM,1811.81,1449.45,1.0,1630.63,27
HCPCS,C1768,GRAFT HEMA ST 20MMX30CM,1811.81,1449.45,1.0,1630.63,27
HCPCS,C1768,GRAFT HEMA ST 26MMX30CM,2104.42,1683.54,1.0,1893.98,27
HCPCS,C1768,GRAFT HEMA ST 28MMX30CM,2104.42,1683.54,1.0,1893.98,27
HCPCS,C1768,GRAFT HEMA ST 30MMX30CM,2104.42,1683.54,1.0,1893.98,27
HCPCS,C1768,GRAFT HEMA1 BRANCH PLAT GR30MM,3600.44,2880.36,1.0,3240.4,27
HCPCS,C1768,GRAFT HEMA1 BRANCH PLAT GR32MM,3808.56,3046.85,1.0,3427.7,27
HCPCS,C1768,GRAFT HEMAGARD BIF KNIT 16X8MM,2590.02,2072.02,1.0,2331.02,27
HCPCS,C1768,GRAFT PROPATN 6MMX10CM*NLU*,1327.2,1061.76,1.0,1194.48,27
HCPCS,C1768,GRAFT PROPATN RING 6MMX40X50CM,5359.2,4287.36,1.0,4823.28,27
HCPCS,C1768,GRAFT PROPATN RING 6MMX60X70CM,6999.2,5599.36,1.0,6299.28,27
HCPCS,C1768,GRAFT PROPATN RING 6MMX70X90CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1768,GRAFT PROPATN RING 8MMX40X50CM,5359.2,4287.36,1.0,4823.28,27
HCPCS,C1768,GRAFT PROPATN RING 8MMX70X90CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1768,GRAFT PROPATN RING TW 6MMX40CM,4538.8,3631.04,1.0,4084.92,27
HCPCS,C1768,GRAFT PROPATN RING TW 6MMX60CM,6633.2,5306.56,1.0,5969.88,27
HCPCS,C1768,GRAFT PROPATN RING TW 8MMX40CM,4538.8,3631.04,1.0,4084.92,27
HCPCS,C1768,GRAFT PROPATN RING TW 8MMX60CM,6557.6,5246.08,1.0,5901.84,27
HCPCS,C1768,GRAFT PROPATN STD 5MMX60CM,4695.6,3756.48,1.0,4226.04,27
HCPCS,C1768,GRAFT PROPATN STD 6MMX40CM,3138.8,2511.04,1.0,2824.92,27
HCPCS,C1768,GRAFT PROPATN STD 6MMX60CM,4695.6,3756.48,1.0,4226.04,27
HCPCS,C1768,GRAFT PROPATN STD 8MMX60CM,4695.6,3756.48,1.0,4226.04,27
HCPCS,C1768,GRAFT PROPATN THIN 6MMX80CM,6536.4,5229.12,1.0,5882.76,27
HCPCS,C1768,GRAFT PROPATN THIN 7MMX40CM,3659.6,2927.68,1.0,3293.64,27
HCPCS,C1768,GRAFT PROPATN THIN 8MMX40CM,3659.6,2927.68,1.0,3293.64,27
HCPCS,C1768,GRAFT PROPATN TPR 4-7X45CM,3726.8,2981.44,1.0,3354.12,27
HCPCS,C1768,GRAFT VASC ACUSEAL 4-7MMX45CM,4351.2,3480.96,1.0,3916.08,27
HCPCS,C1768,GRAFT VASC ACUSEAL 6MMX20CM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1768,GRAFT VASC ACUSEAL 6MMX40CM,3796.8,3037.44,1.0,3417.12,27
HCPCS,C1768,GRAFT VASC BIOLINE 10MMX40CM,3308.48,2646.79,1.0,2977.63,27
HCPCS,C1768,GRAFT VASC CARDIOROOT 24MM,5808.24,4646.6,1.0,5227.42,27
HCPCS,C1768,GRAFT VASC CARDIOROOT 26MM,5808.24,4646.6,1.0,5227.42,27
HCPCS,C1768,GRAFT VASC CARDIOROOT 28MM,5808.24,4646.6,1.0,5227.42,27
HCPCS,C1768,GRAFT VASC CARDIOROOT 30MM,5808.24,4646.6,1.0,5227.42,27
HCPCS,C1768,GRAFT VASC CARDIOROOT 32MM,5808.24,4646.6,1.0,5227.42,27
HCPCS,C1768,GRAFT VASC CARDIOROOT 34MM,5808.24,4646.6,1.0,5227.42,27
HCPCS,C1768,GRAFTGELWEAVEANT*DISC 6347651*,5594.4,4475.52,1.0,5034.96,27
HCPCS,C1768,PATCH CAROTID TERUMO 8X7*DISC*,778.5,622.8,1.0,700.65,27
HCPCS,C1768,PATCH CV GORETEX 0.4MM 2X9CM,1066.5,853.2,1.0,959.85,27
HCPCS,C1768,PATCH CV GORETEX 1MM 10X15CM,2595.6,2076.48,1.0,2336.04,27
HCPCS,C1768,PATCH CV GORETEX 1MM 15X20CM,3824.8,3059.84,1.0,3442.32,27
HCPCS,C1768,PATCH CV GORETEX 2MM 10X15CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C1768,PATCH CV GORETEX 2MM 5X10CM,1898.4,1518.72,1.0,1708.56,27
HCPCS,C1768,PATCH PERIGUARD *DISC 6343136*,2595.2,2076.16,1.0,2335.68,27
HCPCS,C1768,PATCH VASC XENOSURE 0.8X8CM,1108.8,887.04,1.0,997.92,27
HCPCS,C1768,PATCH VASC XENOSURE 1X14CM,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1768,PATCH VASCUGUARD*DISC 6332181*,1022.54,818.04,1.0,920.29,27
HCPCS,C1769,CANN FEM VEN BIOMEDICUS 25FR,1657.91,1326.33,1.0,1492.12,27
HCPCS,C1769,CATH EXT GDZILLAII 6FR25X150CM,1491.0,1192.8,1.0,1341.9,27
HCPCS,C1769,CATH EXT GDZILLAII 7FR25X150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1769,CATH EXT GDZILLAII 8FR25X*NLU*,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1769,CATH EXT GDZILLAIILNG6FR40X150,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1769,CATH GD COMMAND SV MP,720.0,576.0,1.0,648.0,27
HCPCS,C1769,CATH LK PIGT MDRAIN 8FR 25CM,367.2,293.76,1.0,330.48,27
HCPCS,C1769,DIL SET URTHRL 8-24FR 37CM,880.38,704.31,1.0,792.34,27
HCPCS,C1769,EXT GDWIRE HT DOC 0.14 0.18,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GD DRILL 3.2MM FOR 4MM,1097.1,877.68,1.0,987.39,27
HCPCS,C1769,GDWI0.027 260CM*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1769,GDWIRE 0.8X100MM,56.91,45.53,1.0,51.22,27
HCPCS,C1769,GDWIRE 1.6 FOR 3.7MM,782.6,626.08,1.0,704.34,27
HCPCS,C1769,GDWIRE 260CM,356.4,285.12,1.0,320.76,27
HCPCS,C1769,GDWIRE 3.2X230MM,81.31,65.05,1.0,73.18,27
HCPCS,C1769,GDWIRE 3.2X290MM,381.02,304.82,1.0,342.92,27
HCPCS,C1769,GDWIRE 3.2X400MM,389.09,311.28,1.0,350.18,27
HCPCS,C1769,GDWIRE 3.2X475MM,467.71,374.17,1.0,420.94,27
HCPCS,C1769,GDWIRE 5.0 FOR 2.5MM,1097.1,877.68,1.0,987.39,27
HCPCS,C1769,GDWIRE 7.3 FOR 2.5MM*NLU*,606.78,485.43,1.0,546.1,27
HCPCS,C1769,GDWIRE ACUITY MAILMAN 182CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ACUM 0.054X7,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE ACUTRAK2 0.062,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE ADDWIRE 145CM,279.45,223.56,1.0,251.51,27
HCPCS,C1769,GDWIRE ADVANTAGE 0.018 180CM,1226.4,981.12,1.0,1103.76,27
HCPCS,C1769,GDWIRE ADVANTAGE 0.018 300CM,1304.1,1043.28,1.0,1173.69,27
HCPCS,C1769,GDWIRE ADVANTAGE 0.035 180CM,960.75,768.6,1.0,864.68,27
HCPCS,C1769,GDWIRE ADVANTAGE 0.035 260CM,1048.5,838.8,1.0,943.65,27
HCPCS,C1769,GDWIRE ADVANTAGE ANG 0.014 180,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1769,GDWIRE ADVANTAGE ANG 0.014 300,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1769,GDWIRE ADX FIX J 0.025 150CM,84.79,67.84,1.0,76.31,27
HCPCS,C1769,GDWIRE ADX FIX J 0.025 260CM,80.52,64.42,1.0,72.47,27
HCPCS,C1769,GDWIRE AMPLZ CURVXSTIFF.035 80,162.75,130.2,1.0,146.48,27
HCPCS,C1769,GDWIRE AMPLZ FIX STIFFDBL0.038,167.75,134.2,1.0,150.98,27
HCPCS,C1769,GDWIRE AMPLZ FIX USTIFF 0.035,167.75,134.2,1.0,150.98,27
HCPCS,C1769,GDWIRE AMPLZ FIX XSTIFF 0.035,167.75,134.2,1.0,150.98,27
HCPCS,C1769,GDWIRE AMPLZ FIXUSTIFFDBL0.035,167.75,134.2,1.0,150.98,27
HCPCS,C1769,GDWIRE AMPLZ FIXX STIFF 0.035,167.75,134.2,1.0,150.98,27
HCPCS,C1769,GDWIRE AMPLZ FIXXSTIFFDBL0.038,167.75,134.2,1.0,150.98,27
HCPCS,C1769,GDWIRE AMPLZ JTIP0.035 3.5X180,285.48,228.39,1.0,256.93,27
HCPCS,C1769,GDWIRE AMPLZ JTIP0.035 3.5X260,285.48,228.39,1.0,256.93,27
HCPCS,C1769,GDWIRE AMPLZ ST 0.035 260CM,285.48,228.39,1.0,256.93,27
HCPCS,C1769,GDWIRE AMPLZ ST INQ0.035 7X180,285.48,228.39,1.0,256.93,27
HCPCS,C1769,GDWIRE AMPLZ STIFF ST0.035 260,197.52,158.02,1.0,177.77,27
HCPCS,C1769,GDWIRE AMPLZ SUP STIFF ST 6X75,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUP STIFF ST 7X75,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF BT 7X145,304.56,243.65,1.0,274.1,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF J 3X180,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF J 3X260,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 1X260,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 4X145,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 7X145,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 7X180,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ SUPSTIFF ST 7X260,329.4,263.52,1.0,296.46,27
HCPCS,C1769,GDWIRE AMPLZ USTIFF ST.035 80,158.54,126.84,1.0,142.69,27
HCPCS,C1769,GDWIRE AMPLZ XSTIFF 0.035 145,151.22,120.98,1.0,136.1,27
HCPCS,C1769,GDWIRE AMPLZ XSTIFF 0.035 180,197.52,158.02,1.0,177.77,27
HCPCS,C1769,GDWIRE AMPLZ XSTIFF 0.035 260,157.01,125.61,1.0,141.31,27
HCPCS,C1769,GDWIRE AMPLZ XSTIFF ST.035 300,227.65,182.12,1.0,204.89,27
HCPCS,C1769,GDWIRE AMPLZ XSTIFF ST.035 80,162.75,130.2,1.0,146.48,27
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.032 180,137.25,109.8,1.0,123.53,27
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.032 260,137.25,109.8,1.0,123.53,27
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.035 145,162.75,130.2,1.0,146.48,27
HCPCS,C1769,GDWIRE AMPLZCURVXSTIFF.035 260,137.25,109.8,1.0,123.53,27
HCPCS,C1769,GDWIRE AMPLZXSTI.035 260*DISC*,349.65,279.72,1.0,314.69,27
HCPCS,C1769,GDWIRE AMPLZXSTIFFCURV.035 260,425.62,340.5,1.0,383.06,27
HCPCS,C1769,GDWIRE ARISTOTLE 14 SOFT 200CM,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 14 STD 200CM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 18 SOFT 200CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 18 STD 200CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 18 SUPP 200CM,2640.0,2112.0,1.0,2376.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 24 SOFT 200CM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 24 STD 200CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1769,GDWIRE ARISTOTLE 24 SUPP 200CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1769,GDWIRE ARTX 0.090X4IN,417.12,333.7,1.0,375.41,27
HCPCS,C1769,GDWIRE ARTX 0.86X120MM,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE ARTX 1.0X120MM,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE ARTX 1.0X80MM,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE ARTX 1.1MM,46.97,37.58,1.0,42.27,27
HCPCS,C1769,GDWIRE ARTX 12,301.95,241.56,1.0,271.76,27
HCPCS,C1769,GDWIRE ARTX 6,268.4,214.72,1.0,241.56,27
HCPCS,C1769,GDWIRE ARTX 7,268.4,214.72,1.0,241.56,27
HCPCS,C1769,GDWIRE ASAHI GAIA NEXT 1 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASAHI GAIA NEXT 2 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASAHI SION ST BLK 190CM,562.5,450.0,1.0,506.25,27
HCPCS,C1769,GDWIRE ASIN ASTATO XS20 300CM,720.0,576.0,1.0,648.0,27
HCPCS,C1769,GDWIRE ASIN FIELDER XT 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN FIELDER XT 300CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN FIELDER XT-A190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN FIELDER XT-R190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN GAIA FIRST 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN GAIA SECOND 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN GAIA THIRD 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN RG3 ST0.010 330CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN SION 300CM*NLU*,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN SION*DISC 6317413*,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE ASIN SION*DISC 6319377*,562.5,450.0,1.0,506.25,27
HCPCS,C1769,GDWIRE ASNIS JFX 2X200MM,421.2,336.96,1.0,379.08,27
HCPCS,C1769,GDWIRE ASSY ACUTRAK2 MICRO,1516.2,1212.96,1.0,1364.58,27
HCPCS,C1769,GDWIRE ASSY ACUTRAK2 MINI,1411.2,1128.96,1.0,1270.08,27
HCPCS,C1769,GDWIRE ASSY ACUTRAK2 STD,1411.2,1128.96,1.0,1270.08,27
HCPCS,C1769,GDWIRE ATTAIN 4.0FR 88CM,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE ATTAIN 6.2FR 88CM,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE ATTAIN ABILITY 4FR*NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE AVIGO EV3 0.014 205CM,1398.6,1118.88,1.0,1258.74,27
HCPCS,C1769,GDWIRE BALL NOSE 3.0X900MM,1861.2,1488.96,1.0,1675.08,27
HCPCS,C1769,GDWIRE BALL NOSE STRL 3X900MM,991.98,793.59,1.0,892.78,27
HCPCS,C1769,GDWIRE BALL TIP 2.7/3.75X800MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1769,GDWIRE BALL TIP ILLS 1.2MM,308.77,247.02,1.0,277.89,27
HCPCS,C1769,GDWIRE BALL TIP ILLS 2.0MM,371.68,297.35,1.0,334.51,27
HCPCS,C1769,GDWIRE BALL TIP STER 3.0X600MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1769,GDWIRE BALL TIP STRY 2.5X800MM,584.28,467.43,1.0,525.85,27
HCPCS,C1769,GDWIRE BALL TIP STRY 3X1000MM,630.86,504.69,1.0,567.77,27
HCPCS,C1769,GDWIRE BALL TIP STRY 3X800MM,601.25,481.0,1.0,541.13,27
HCPCS,C1769,GDWIRE BEAD TIP 3.1X500MM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE BEN *DISC SEE CONV DOC*,102.18,81.75,1.0,91.96,27
HCPCS,C1769,GDWIRE BENTSON 0.035 145CM,110.96,88.77,1.0,99.86,27
HCPCS,C1769,GDWIRE BENTSON FLOP 0.035 80CM,126.51,101.21,1.0,113.86,27
HCPCS,C1769,GDWIRE BENTSON FLOP0.035 260CM,131.33,105.07,1.0,118.2,27
HCPCS,C1769,GDWIRE BENTSON PTFE0.018 180CM,81.07,64.86,1.0,72.96,27
HCPCS,C1769,GDWIRE BENTSON ST 0.035 150CM,69.48,55.59,1.0,62.53,27
HCPCS,C1769,GDWIRE BENTSON ST 0.035 180CM,213.5,170.8,1.0,192.15,27
HCPCS,C1769,GDWIRE BENTSON STD 0.035 180CM,110.96,88.77,1.0,99.86,27
HCPCS,C1769,GDWIRE BENTSONEXCST.035 23X260,74.54,59.64,1.0,67.09,27
HCPCS,C1769,GDWIRE BEV FT 1.4X3.5MM,291.06,232.85,1.0,261.95,27
HCPCS,C1769,GDWIRE BEV FT 1.6X4.0MM,291.06,232.85,1.0,261.95,27
HCPCS,C1769,GDWIRE BILI RDRN ANG 0.035 3CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE BIOCOMP TROC 0.045X8MM,46.97,37.58,1.0,42.27,27
HCPCS,C1769,GDWIRE BLNT VR 2 DEPU,499.5,399.6,1.0,449.55,27
HCPCS,C1769,GDWIRE BLNT/TROC SS FLOR2.3MM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE BREAK AWAY DEPU 2.5MM,860.63,688.51,1.0,774.57,27
HCPCS,C1769,GDWIRE BULLET TI*DISC NO REPL*,694.98,555.99,1.0,625.48,27
HCPCS,C1769,GDWIRE BULLET ZIMM 3MMX100CM,704.52,563.62,1.0,634.07,27
HCPCS,C1769,GDWIRE CALAXO SN 1.2MMX12IN,244.0,195.2,1.0,219.6,27
HCPCS,C1769,GDWIRE CALAXO SN 1.2MMX9IN,223.57,178.86,1.0,201.21,27
HCPCS,C1769,GDWIRE CALIB 3.2X300MM,451.71,361.37,1.0,406.54,27
HCPCS,C1769,GDWIRE CANNUFLEX SCREW2MM*NLU*,178.91,143.13,1.0,161.02,27
HCPCS,C1769,GDWIRE CANNUFLEX SS 2MMX9*NLU*,286.2,228.96,1.0,257.58,27
HCPCS,C1769,GDWIRE CAPITAL FRAG 1.6X150MM,291.06,232.85,1.0,261.95,27
HCPCS,C1769,GDWIRE CGR LS J 190CM,391.5,313.2,1.0,352.35,27
HCPCS,C1769,GDWIRE CGR XT HY*DISC 6117431*,351.0,280.8,1.0,315.9,27
HCPCS,C1769,GDWIRE CGR XT HY*DISC 6154066*,351.0,280.8,1.0,315.9,27
HCPCS,C1769,GDWIRE CGR XT J*DISC NO REPLC*,391.5,313.2,1.0,352.35,27
HCPCS,C1769,GDWIRE CHIKAI 008 ST 200CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1769,GDWIRE CHIKAI BLK 18 200CM,1976.4,1581.12,1.0,1778.76,27
HCPCS,C1769,GDWIRE CHIKAI BLK SHP 200CM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1769,GDWIRE CHIKAI NEXUS 0.014X215,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1769,GDWIRE CHIKAI ST 200CM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1769,GDWIRE CHIKAI X010 RD 0.01 200,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1769,GDWIRE CHIKAIBLK14SFT0.014 200,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1769,GDWIRE CHOICE PT 182CM*NLU*,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE CHOICE PT ST0.014 300CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341612*,1123.2,898.56,1.0,1010.88,27
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341613*,1123.2,898.56,1.0,1010.88,27
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341614*,1123.2,898.56,1.0,1010.88,27
HCPCS,C1769,GDWIRE COCR ORPE*DISC 6341616*,1192.8,954.24,1.0,1073.52,27
HCPCS,C1769,GDWIRE COIL SS TORAY 230CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE CONFIANZA 180CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIANZA PRO 12 180CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIANZA PRO 12 300CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIANZA PRO 180CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIANZA PRO 300CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIANZA PRO8-20 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIANZA*DISC 6317412*,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CONFIDA 0.035 260CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE COONS ST PTFE 0.035 80,176.84,141.48,1.0,159.16,27
HCPCS,C1769,GDWIRE COONS ST PTFE.038 *NLU*,112.97,90.38,1.0,101.67,27
HCPCS,C1769,GDWIRE COPEMANDRILSS0.018 60CM,212.77,170.22,1.0,191.49,27
HCPCS,C1769,GDWIRE CPS COURIER FIRM,361.53,289.23,1.0,325.38,27
HCPCS,C1769,GDWIRE CPS COURIER MD,361.53,289.23,1.0,325.38,27
HCPCS,C1769,GDWIRE CPS COURIER SOFT,361.53,289.23,1.0,325.38,27
HCPCS,C1769,GDWIRE CROSSIT 100XT.014 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE CROSSLEAD 0.035 300CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE CSS 1.4MM,77.47,61.98,1.0,69.72,27
HCPCS,C1769,GDWIRE CSS 1.9MM,96.99,77.6,1.0,87.29,27
HCPCS,C1769,GDWIRE CSS 2.3MM,161.65,129.32,1.0,145.49,27
HCPCS,C1769,GDWIRE CSS THRD 2.3MM,161.65,129.32,1.0,145.49,27
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 3 180CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 3 300CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 6 *NLU*,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CTO MIRACLEBROS 6 180CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CTO MIRACLEBROS12 180CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CTO MIRACLEBROS12 300CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE CURV 0.032IN 145CM,94.73,75.79,1.0,85.26,27
HCPCS,C1769,GDWIRE CV ZIP ST 0.035 3CM 150,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE DBL END ARTX 1.1MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE DBL END TROC 0.045MM,201.3,161.04,1.0,181.17,27
HCPCS,C1769,GDWIRE DBL END TROC 0.86MM,201.3,161.04,1.0,181.17,27
HCPCS,C1769,GDWIRE DBL FLEX 0.035 145*NLU*,110.96,88.77,1.0,99.86,27
HCPCS,C1769,GDWIRE DBL TIP NIT 2ZONE 1.1MM,688.05,550.44,1.0,619.25,27
HCPCS,C1769,GDWIRE DBL TIP NIT 2ZONE 1.6MM,183.85,147.08,1.0,165.47,27
HCPCS,C1769,GDWIRE DBL TIP NIT 2ZONE0.86MM,688.05,550.44,1.0,619.25,27
HCPCS,C1769,GDWIRE DEFLECT HEP0.025 5MM145,562.5,450.0,1.0,506.25,27
HCPCS,C1769,GDWIRE DEFLECT SS0.035 10MM100,394.7,315.76,1.0,355.23,27
HCPCS,C1769,GDWIRE DEFLECT SS0.035 10MM145,394.7,315.76,1.0,355.23,27
HCPCS,C1769,GDWIRE DEFLECT*DISC 6319621*,351.0,280.8,1.0,315.9,27
HCPCS,C1769,GDWIRE DREAMWIRE ANG STD 450CM,322.92,258.34,1.0,290.63,27
HCPCS,C1769,GDWIRE DREAMWIRE ST STD 260CM,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE DREAMWIRE ST STD 450CM,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE DREAMWIRE ST STIFF260CM,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE DREAMWIRE ST STIFF450CM,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE DRILL TIP 1.6X150MM,162.63,130.11,1.0,146.37,27
HCPCS,C1769,GDWIRE DRILL TIP 1.6X200MM,192.15,153.72,1.0,172.94,27
HCPCS,C1769,GDWIRE DRILL TIP 2.4MM 10IN,320.71,256.57,1.0,288.64,27
HCPCS,C1769,GDWIRE DRILL TIP 2.5 200MM,292.57,234.06,1.0,263.31,27
HCPCS,C1769,GDWIRE DRILL TIP 2.5 300MM,319.79,255.84,1.0,287.81,27
HCPCS,C1769,GDWIRE DRILL TIP 2.5X300MM,310.72,248.58,1.0,279.65,27
HCPCS,C1769,GDWIRE DRILL TIP 3.2X400MM,441.6,353.28,1.0,397.44,27
HCPCS,C1769,GDWIRE DRILL TIP MINI FRAG 1.6,396.0,316.8,1.0,356.4,27
HCPCS,C1769,GDWIRE DUAL TROC 1.35MM,275.11,220.09,1.0,247.6,27
HCPCS,C1769,GDWIRE DYNANAIL 2.4X229MM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE EM ST 0.035 150CM*DISC*,61.0,48.8,1.0,54.9,27
HCPCS,C1769,GDWIRE EMERALD J3 0.025 1*NLU*,57.58,46.07,1.0,51.82,27
HCPCS,C1769,GDWIRE EMERALD J3 0.035 7X150,70.46,56.37,1.0,63.41,27
HCPCS,C1769,GDWIRE EMERALD J3 0.035 7X175,70.46,56.37,1.0,63.41,27
HCPCS,C1769,GDWIRE EMERALD J3 0.035 7X260,89.67,71.74,1.0,80.7,27
HCPCS,C1769,GDWIRE EMERALD J3 0.035 7X80,70.46,56.37,1.0,63.41,27
HCPCS,C1769,GDWIRE EMERALD J6 0.035 7X150,70.46,56.37,1.0,63.41,27
HCPCS,C1769,GDWIRE EMERALD ST 0.035 10X150,113.16,90.53,1.0,101.84,27
HCPCS,C1769,GDWIRE EMERALD ST 0.035 20X150,113.16,90.53,1.0,101.84,27
HCPCS,C1769,GDWIRE EMERALD ST 0.035 7X150,46.06,36.85,1.0,41.45,27
HCPCS,C1769,GDWIRE ENROUTE 0.014 95CM,805.5,644.4,1.0,724.95,27
HCPCS,C1769,GDWIRE ENTEER STD 0.014 300CM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1769,GDWIRE ENTRY BALL 1.6X400MM,740.25,592.2,1.0,666.23,27
HCPCS,C1769,GDWIRE ENTRY TROC 1.6X230MM,233.33,186.67,1.0,210.0,27
HCPCS,C1769,GDWIRE ENTRY TROC 1.6X400MM,233.33,186.67,1.0,210.0,27
HCPCS,C1769,GDWIRE F-14 FLEX 0.014 300CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE F-14 TPR 15 0.014 300CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE F-14 TPR 30 0.014 300CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE F-18 FLEX 0.018 300CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE F-18 HARD15 0.018 300CM,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE FATHOM 0.016 20X140CM,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,GDWIRE FATHOM 0.016 20X180CM,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,GDWIRE FATHOM 0.016 25X180CM,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,GDWIRE FATHOM ANG 0.014 300CM,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,GDWIRE FATHOM ST 0.014 200CM,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,GDWIRE FATHOM ST 0.014 300CM,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,GDWIRE FBRSNARE NIT 1.1MM,164.4,131.52,1.0,147.96,27
HCPCS,C1769,GDWIRE FIELDER 180CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE FIELDER 300CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE FIELDER FC 180CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE FIELDER FC 300CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE FIX BETSON FLEX 0.038,137.25,109.8,1.0,123.53,27
HCPCS,C1769,GDWIRE FIX CORE FLEX.035 145CM,99.13,79.31,1.0,89.22,27
HCPCS,C1769,GDWIRE FIX CORE ST 0.018 145CM,104.25,83.4,1.0,93.83,27
HCPCS,C1769,GDWIRE FIX CORE ST 0.018 50CM,68.69,54.96,1.0,61.82,27
HCPCS,C1769,GDWIRE FIX CORE ST 0.018 60CM,45.14,36.12,1.0,40.63,27
HCPCS,C1769,GDWIRE FIX CORE ST 0.021 *NLU*,112.06,89.65,1.0,100.85,27
HCPCS,C1769,GDWIRE FIX CORE ST 0.021 50CM,68.69,54.96,1.0,61.82,27
HCPCS,C1769,GDWIRE FIX HD ST 0.035 145CM,124.01,99.21,1.0,111.61,27
HCPCS,C1769,GDWIRE FIX HDDBLFLEX0.032 60CM,214.11,171.29,1.0,192.7,27
HCPCS,C1769,GDWIRE FIX J 0.021 180CM,97.11,77.69,1.0,87.4,27
HCPCS,C1769,GDWIRE FIX J 0.035 260CM,143.66,114.93,1.0,129.29,27
HCPCS,C1769,GDWIRE FIX J MEDL 0.035 260CM,101.32,81.06,1.0,91.19,27
HCPCS,C1769,GDWIRE FIX J PFTE 0.032 1*NLU*,77.35,61.88,1.0,69.62,27
HCPCS,C1769,GDWIRE FIX J PTFE 0.035 145CM,79.61,63.69,1.0,71.65,27
HCPCS,C1769,GDWIRE FIX J PTFE 0.035 50CM,74.36,59.49,1.0,66.92,27
HCPCS,C1769,GDWIRE FIX J PTFE 0.038 145CM,77.35,61.88,1.0,69.62,27
HCPCS,C1769,GDWIRE FIX JSS3M*DISC 6220080*,215.94,172.76,1.0,194.35,27
HCPCS,C1769,GDWIRE FIX ST SS 0.015 20CM,187.88,150.31,1.0,169.09,27
HCPCS,C1769,GDWIRE FIX ST SS 0.018 50CM,187.88,150.31,1.0,169.09,27
HCPCS,C1769,GDWIRE FIXEDCORE ST0.035 260CM,71.25,57.0,1.0,64.13,27
HCPCS,C1769,GDWIRE FIXEDCORE TJ0.025 180CM,77.35,61.88,1.0,69.62,27
HCPCS,C1769,GDWIRE FLOPPY 0.035 50CM,63.75,51.0,1.0,57.38,27
HCPCS,C1769,GDWIRE FLOPPY 2.5 0.025 145CM,94.73,75.79,1.0,85.26,27
HCPCS,C1769,GDWIRE FLTR DEL BAREWIRE 315CM,720.0,576.0,1.0,648.0,27
HCPCS,C1769,GDWIRE FLUTES 2.8X450MM,360.86,288.69,1.0,324.77,27
HCPCS,C1769,GDWIRE FREEHAND TEMPLATE,660.33,528.27,1.0,594.3,27
HCPCS,C1769,GDWIRE GAIA NEXT3 PRSHP 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE GLADIUS MONGO ES ST 190,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE GLADIUS MONGO ST 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE GLADIUS MONGOPRSHP190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE GLD 45D 0.018 180CM,596.25,477.0,1.0,536.63,27
HCPCS,C1769,GDWIRE GLD 45D 0.018 300CM,911.25,729.0,1.0,820.13,27
HCPCS,C1769,GDWIRE GLD 70D 0.018 180CM,596.25,477.0,1.0,536.63,27
HCPCS,C1769,GDWIRE GLIDEWIRE ST .018 150CM,320.98,256.79,1.0,288.88,27
HCPCS,C1769,GDWIRE GRANDSLAM 180CM,607.5,486.0,1.0,546.75,27
HCPCS,C1769,GDWIRE GRANDSLAM 300CM,607.5,486.0,1.0,546.75,27
HCPCS,C1769,GDWIRE HALO ST TIP 0.038,796.5,637.2,1.0,716.85,27
HCPCS,C1769,GDWIRE HDLSS FMED 1.6MMX9IN,540.0,432.0,1.0,486.0,27
HCPCS,C1769,GDWIRE HDLSS SCREW SYS 2.0MM,422.4,337.92,1.0,380.16,27
HCPCS,C1769,GDWIRE HIWIRE NIT STIFFANG.035,293.53,234.83,1.0,264.18,27
HCPCS,C1769,GDWIRE HIWIRE STDANG.035*NLU*,165.92,132.74,1.0,149.33,27
HCPCS,C1769,GDWIRE HIWIRE STIFF ST.03*NLU*,165.92,132.74,1.0,149.33,27
HCPCS,C1769,GDWIRE HORNET ST 0.014 190CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1769,GDWIRE HT BMW HC J 0.014 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT BMW HC J 0.014 300CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT BMW UNIV J 300CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT BMW UNIV ST 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT BMW UNIV ST 300CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT COMMAND 0.014 300CM,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE HT COMMAND18 ST10X300CM,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE HT COMMAND18 ST25X*NLU*,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE HT FLOPPY II ST 19*NLU*,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT PILOT 150 ST 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT PILOT 200 J 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT PILOT 200 ST 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT PILOT 200 ST 300CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT PILOT 50 J 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT PILOT 50 J 300CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT WHISPER ES ST 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT WHISPER MS J 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT WIGGLE ST .014 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HT XTR SPORT0.014 190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HYBRID ST 0.007 200CM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1769,GDWIRE HYBRID ST 0.008 200CM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1769,GDWIRE HYBRID ST 0.010 300CM,2464.0,1971.2,1.0,2217.6,27
HCPCS,C1769,GDWIRE HYBRID ST 0.012 200CM,1738.8,1391.04,1.0,1564.92,27
HCPCS,C1769,GDWIRE HYBRID ST 0.012 30*NLU*,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1769,GDWIRE HYBRIDDBLANG0.007 200CM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1769,GDWIRE HYBRIDDBLANG0.008 200CM,2466.0,1972.8,1.0,2219.4,27
HCPCS,C1769,GDWIRE HYBRIDDBLANG0.012 200CM,1831.2,1464.96,1.0,1648.08,27
HCPCS,C1769,GDWIRE HYDROPHILIC 0.035 180CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE HYPROCURE 9.75IN,91.5,73.2,1.0,82.35,27
HCPCS,C1769,GDWIRE IABP8FR0*DISC NO REPL*,140.42,112.34,1.0,126.38,27
HCPCS,C1769,GDWIRE INQ J STDEXC0.035 3X260,74.54,59.64,1.0,67.09,27
HCPCS,C1769,GDWIRE INQWIRE J 0.021 180CM,66.61,53.29,1.0,59.95,27
HCPCS,C1769,GDWIRE IO FIX 2.0 1.6MM,97.6,78.08,1.0,87.84,27
HCPCS,C1769,GDWIRE J PRELUDE 0.035 50CM,44.1,35.28,1.0,39.69,27
HCPCS,C1769,GDWIRE J TIP 0.035 150CM 3MM,70.09,56.08,1.0,63.08,27
HCPCS,C1769,GDWIRE J TIP 0.035 2.5X80CM,74.36,59.49,1.0,66.92,27
HCPCS,C1769,GDWIRE J TIP 3MM 0.035 2600CM,61.98,49.59,1.0,55.78,27
HCPCS,C1769,GDWIRE JAG ANG 260CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ANG 450CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ANG STIFF 450CM,503.1,402.48,1.0,452.79,27
HCPCS,C1769,GDWIRE JAG EXT STIFF ST 260CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG HYDRA ST 260CM,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE JAG HYDRA ST 450CM,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE JAG HYDRA STIFF ST 260,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE JAG HYDRA STIFF ST 450,672.75,538.2,1.0,605.48,27
HCPCS,C1769,GDWIRE JAG REVO ANG 260CM,895.5,716.4,1.0,805.95,27
HCPCS,C1769,GDWIRE JAG REVO ANG 450CM,895.5,716.4,1.0,805.95,27
HCPCS,C1769,GDWIRE JAG REVO ST 260CM,895.5,716.4,1.0,805.95,27
HCPCS,C1769,GDWIRE JAG REVO ST 450CM,895.5,716.4,1.0,805.95,27
HCPCS,C1769,GDWIRE JAG REVO ST 500CM,765.0,612.0,1.0,688.5,27
HCPCS,C1769,GDWIRE JAG ST 0.025 260CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ST 0.025 450CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ST 0.035 260CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ST 0.035 450CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ST 0.038 260CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG ST EXT ST 260CM,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG STIFF ANG 0.025 260,466.61,373.29,1.0,419.95,27
HCPCS,C1769,GDWIRE JAG STIFF ANG 0.035 260,466.61,373.29,1.0,419.95,27
HCPCS,C1769,GDWIRE JAG STIFF ST 0.025 260,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE JAG STIFF ST 0.035 260,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE K STORZ 0.4MM,218.87,175.1,1.0,196.98,27
HCPCS,C1769,GDWIRE K STORZ 0.6MM,199.23,159.39,1.0,179.31,27
HCPCS,C1769,GDWIRE LA150CM*DISC 6340900*,183.0,146.4,1.0,164.7,27
HCPCS,C1769,GDWIRE LARYN RETROGRD PROVOX,635.4,508.32,1.0,571.86,27
HCPCS,C1769,GDWIRE LASERLINE THRD SS0.86MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE LAT ACC NIAGARA 1.7MM,268.4,214.72,1.0,241.56,27
HCPCS,C1769,GDWIRE LAURE ANG*DISC 6340902*,207.4,165.92,1.0,186.66,27
HCPCS,C1769,GDWIRE LUGE ST 0.014 182CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE LUGE ST 0.014 300CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE LUNDERQUIST XSTIFFST145,359.8,287.84,1.0,323.82,27
HCPCS,C1769,GDWIRE LUNDERQUIST XSTIFFST260,650.7,520.56,1.0,585.63,27
HCPCS,C1769,GDWIRE LUNDERQUISTXSTIFF ST180,317.52,254.02,1.0,285.77,27
HCPCS,C1769,GDWIRE LUNDERQUISTXSTIFFDBL260,725.4,580.32,1.0,652.86,27
HCPCS,C1769,GDWIRE MAGICTORQ*DISC NO REPL*,306.02,244.82,1.0,275.42,27
HCPCS,C1769,GDWIRE MAILMAN ST 0.014 182CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE MAILMAN ST 0.014 300CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE MAK MINI PLAT NIT 40CM,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE MARKED SPRING DISP210CM,305.0,244.0,1.0,274.5,27
HCPCS,C1769,GDWIRE MEIER CURV 0.035 260CM,562.5,450.0,1.0,506.25,27
HCPCS,C1769,GDWIRE MEIER J 0.035 185CM,562.5,450.0,1.0,506.25,27
HCPCS,C1769,GDWIRE MEISTER 45D 180CM,1113.0,890.4,1.0,1001.7,27
HCPCS,C1769,GDWIRE MEISTER DBL ANG 180CM,1113.0,890.4,1.0,1001.7,27
HCPCS,C1769,GDWIRE MEISTER16 RD CURV *NLU*,1239.0,991.2,1.0,1115.1,27
HCPCS,C1769,GDWIRE MINAMO J 0.36MMX190CM,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE MINAMO ST 0.36MMX190CM,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE MINAMO ST 0.36MMX300CM,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE MONGO ES ST 0.014 300CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE MOTION HYBRID CURV0.035,301.58,241.27,1.0,271.42,27
HCPCS,C1769,GDWIRE MOTION HYBRID ST 0.035,301.58,241.27,1.0,271.42,27
HCPCS,C1769,GDWIRE MOTION HYBRID ST 0.038,301.58,241.27,1.0,271.42,27
HCPCS,C1769,GDWIRE MS 0.059X5,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE NANO FX PLEURISTIK*NLU*,697.5,558.0,1.0,627.75,27
HCPCS,C1769,GDWIRE NAVIPRO ST 0.025X260CM,449.1,359.28,1.0,404.19,27
HCPCS,C1769,GDWIRE NEWTON ST 0.035 145CM,75.03,60.03,1.0,67.53,27
HCPCS,C1769,GDWIRE NEWTON ST 0.035 260CM,77.17,61.74,1.0,69.45,27
HCPCS,C1769,GDWIRE NIT BABY0*DISC 6346082*,14.34,11.48,1.0,12.91,27
HCPCS,C1769,GDWIRE NIT COPE MANDRIL 7X60CM,258.52,206.82,1.0,232.67,27
HCPCS,C1769,GDWIRE NIT DBL TROC 1.6MM,291.06,232.85,1.0,261.95,27
HCPCS,C1769,GDWIRE NIT EVEREST 1.4X485MM,422.4,337.92,1.0,380.16,27
HCPCS,C1769,GDWIRE NIT INTRAFIX 1.1MMX15IN,294.81,235.85,1.0,265.33,27
HCPCS,C1769,GDWIRE NIT MANDR*DISC NO REPL*,152.5,122.0,1.0,137.25,27
HCPCS,C1769,GDWIRE NIT STER STRY 2.0MM,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE NITREX STD 0.018 180CM,399.98,319.99,1.0,359.98,27
HCPCS,C1769,GDWIRE NITREX STD 0.018 300CM,517.5,414.0,1.0,465.75,27
HCPCS,C1769,GDWIRE NITREX STD 0.018 80CM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE NITREXINTRMD 0.014 80CM,399.98,319.99,1.0,359.98,27
HCPCS,C1769,GDWIRE NITREXINTRMD0.018 180CM,399.98,319.99,1.0,359.98,27
HCPCS,C1769,GDWIRE NITREXINTRMD0.025 180CM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE NITREXINTRMD0.035 *NLU*,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE NOVAGOLD HIPERF.018X260,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE NOVAGOLD HIPERF.018X480,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE NS HYPERCOAT 180CM,618.75,495.0,1.0,556.88,27
HCPCS,C1769,GDWIRE NS XTR FLOPPY 180CM,474.75,379.8,1.0,427.28,27
HCPCS,C1769,GDWIRE NTHRD 1.25X150MM,105.9,84.72,1.0,95.31,27
HCPCS,C1769,GDWIRE NTHRD TRIANG TROC 1.1,105.9,84.72,1.0,95.31,27
HCPCS,C1769,GDWIRE NTHRD TROC 1.6X220MM,138.04,110.44,1.0,124.24,27
HCPCS,C1769,GDWIRE OLIVE 6.5 2.0X150 45,1036.8,829.44,1.0,933.12,27
HCPCS,C1769,GDWIRE OMNIWIRE FFR STTIP185CM,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1769,GDWIRE PEMD 2.0MM,362.88,290.31,1.0,326.59,27
HCPCS,C1769,GDWIRE PERFORM+ 2.5X220MM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE PIGGYBACK 0.014 145CM,3161.6,2529.28,1.0,2845.44,27
HCPCS,C1769,GDWIRE PLAT + 0.014 180CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE PLAT + 0.018 180CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE PLAT + 0.018 300CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE PLAT +ST 0.018 180CM,855.0,684.0,1.0,769.5,27
HCPCS,C1769,GDWIRE PLAT +ST 0.018 260CM,855.0,684.0,1.0,769.5,27
HCPCS,C1769,GDWIRE PLAT+ GLIDEX0.014 180CM,855.0,684.0,1.0,769.5,27
HCPCS,C1769,GDWIRE PLAT+ GLIDEX0.014 300CM,855.0,684.0,1.0,769.5,27
HCPCS,C1769,GDWIRE PLAT+ GLIDEX0.018 180CM,855.0,684.0,1.0,769.5,27
HCPCS,C1769,GDWIRE PLAT+ GLIDEX0.018 260CM,855.0,684.0,1.0,769.5,27
HCPCS,C1769,GDWIRE PLAT+ SIL 0.014 300CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ANG 20,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ANG 30,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ANG 40,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1769,GDWIRE POWERWIRE PRO RF ST 75,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1769,GDWIRE PROTRACK PIGT.025 230CM,1057.5,846.0,1.0,951.75,27
HCPCS,C1769,GDWIRE PRSS COMET II 185MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1769,GDWIRE PRSSWIRE X WRLSS 175CM,1980.0,1584.0,1.0,1782.0,27
HCPCS,C1769,GDWIRE PTCA EXT ASIN 165CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE PTCA PROWATER GW 180CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE PTCA PROWATERFLEX 180CM,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE PTFE FIXCORE0.035STFLEX,170.56,136.45,1.0,153.5,27
HCPCS,C1769,GDWIRE PTFE SS ST 0.035 150CM,55.33,44.27,1.0,49.8,27
HCPCS,C1769,GDWIRE PTFE SS ST 0.035 180CM,157.01,125.61,1.0,141.31,27
HCPCS,C1769,GDWIRE R350 0.013 350CM,875.7,700.56,1.0,788.13,27
HCPCS,C1769,GDWIRE RDRN PC ANGSTD0.035 3CM,228.75,183.0,1.0,205.88,27
HCPCS,C1769,GDWIRE RDRN PC ST STD0.035 3CM,228.75,183.0,1.0,205.88,27
HCPCS,C1769,GDWIRE RDRN XTR SUPP 0.018 480,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE ROSEN J INQ.035 1.5X180,71.37,57.1,1.0,64.23,27
HCPCS,C1769,GDWIRE ROSEN PTFE 0.035 145CM,82.9,66.32,1.0,74.61,27
HCPCS,C1769,GDWIRE ROSEN PTFE 0.035 180CM,82.9,66.32,1.0,74.61,27
HCPCS,C1769,GDWIRE ROSEN PTFE 0.035 260CM,172.14,137.72,1.0,154.93,27
HCPCS,C1769,GDWIRE ROTA*DISC 6321480*,608.4,486.72,1.0,547.56,27
HCPCS,C1769,GDWIRE ROTAWIR*DISC 6321481*,608.4,486.72,1.0,547.56,27
HCPCS,C1769,GDWIRE ROTAWIRE FLOPPY 0.014,900.9,720.72,1.0,810.81,27
HCPCS,C1769,GDWIRE ROTAWIRE XTRA SUPP,900.9,720.72,1.0,810.81,27
HCPCS,C1769,GDWIRE RUNTHROUGHNS0.014 300CM,474.75,379.8,1.0,427.28,27
HCPCS,C1769,GDWIRE SAFARI2 CURV LG 275CM,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1769,GDWIRE SAFARI2 CURV SM 275CM,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1769,GDWIRE SAFARI2 CURV XS 275CM,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1769,GDWIRE SELECT ACC SOFT 215CM,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SELECT ACC ST SOFT215CM,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SELECT ACC STD PRSHP215,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SELECTACCSYNCHROSOFT300,2976.74,2381.4,1.0,2679.07,27
HCPCS,C1769,GDWIRE SENS FLEX ANG 0.038 150,453.94,363.16,1.0,408.55,27
HCPCS,C1769,GDWIRE SENS FLEX ST 0.035 150,453.94,363.16,1.0,408.55,27
HCPCS,C1769,GDWIRE SENS FLEX ST 0.038 150,453.94,363.16,1.0,408.55,27
HCPCS,C1769,GDWIRE SENS ST 0.035 150CM,435.5,348.4,1.0,391.95,27
HCPCS,C1769,GDWIRE SEXTANT BLNT,389.47,311.58,1.0,350.52,27
HCPCS,C1769,GDWIRE SGL TROC VILX 1.6X150MM,540.0,432.0,1.0,486.0,27
HCPCS,C1769,GDWIRE SHEPHERD 4G 0.014 ST300,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE SHLDR ALTIVATE 2.4MM,183.0,146.4,1.0,164.7,27
HCPCS,C1769,GDWIRE SHLDR ALTIVATE2.4X228MM,1092.0,873.6,1.0,982.8,27
HCPCS,C1769,GDWIRE SION ST ASIN 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE SION ST BLU ASIN 190CM,562.5,450.0,1.0,506.25,27
HCPCS,C1769,GDWIRE SLIM PEMD 1.6MM,372.6,298.08,1.0,335.34,27
HCPCS,C1769,GDWIRE SMTH ORPE 1.60MM,209.84,167.88,1.0,188.86,27
HCPCS,C1769,GDWIRE SMTH ORPE 1.6X200MM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE SMTH ORPE*DISC 6341609*,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE SMTH ORPE*DISC 6341610*,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE SMTH ORPE*DISC 6341617*,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1769,GDWIRE SMTH PEDIFRAG1.25X150MM,195.2,156.16,1.0,175.68,27
HCPCS,C1769,GDWIRE SMTH PEDIFRAG1.6X150MM,195.2,156.16,1.0,175.68,27
HCPCS,C1769,GDWIRE SMTH SS ORPE 1.10X120MM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE SMTH SS ORPE 1.25X150MM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE SMTH SS ORPE 2.00X800MM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1769,GDWIRE SMTH SS ORPE 2.0X230MM,1065.6,852.48,1.0,959.04,27
HCPCS,C1769,GDWIRE SMTH TIP STRY 2.2X800MM,571.59,457.28,1.0,514.43,27
HCPCS,C1769,GDWIRE SMTH TIP STRY 3X800MM,592.79,474.24,1.0,533.51,27
HCPCS,C1769,GDWIRE SMTH ZIMM 3.0MMX100CM,556.2,444.96,1.0,500.58,27
HCPCS,C1769,GDWIRE SMTH ZIMM*DISC NO REPL*,556.2,444.96,1.0,500.58,27
HCPCS,C1769,GDWIRE SPADE BLU 2.0X230,145.61,116.49,1.0,131.05,27
HCPCS,C1769,GDWIRE SPLASHWIRE ANG0.35 260,215.7,172.56,1.0,194.13,27
HCPCS,C1769,GDWIRE SPLASHWIRE STIFF ANG260,215.7,172.56,1.0,194.13,27
HCPCS,C1769,GDWIRE SPRING ST 0.018 25CM,55.14,44.12,1.0,49.63,27
HCPCS,C1769,GDWIRE SS ACUM 0.62X6,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE SS EVEREST 1.4X20.5,422.4,337.92,1.0,380.16,27
HCPCS,C1769,GDWIRE ST ACUM 0.035X6,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE ST ACUM 0.045X6,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE ST ACUM 0.054X6,128.1,102.48,1.0,115.29,27
HCPCS,C1769,GDWIRE ST PT2 ADDWIRE 300CM,398.4,318.72,1.0,358.56,27
HCPCS,C1769,GDWIRE STARTEROSENJ0.035 180CM,178.12,142.5,1.0,160.31,27
HCPCS,C1769,GDWIRE STARTEROSENJ0.035 260CM,178.12,142.5,1.0,160.31,27
HCPCS,C1769,GDWIRE STD ANG 0.018 150CM,334.8,267.84,1.0,301.32,27
HCPCS,C1769,GDWIRE STD ANG 0.018 180CM,334.8,267.84,1.0,301.32,27
HCPCS,C1769,GDWIRE STD ANG 0.025 150CM,289.75,231.8,1.0,260.78,27
HCPCS,C1769,GDWIRE STD ANG 0.025 260CM,359.1,287.28,1.0,323.19,27
HCPCS,C1769,GDWIRE STD ANG 0.035 150CM,207.4,165.92,1.0,186.66,27
HCPCS,C1769,GDWIRE STD ANG 0.035 180CM,277.55,222.04,1.0,249.8,27
HCPCS,C1769,GDWIRE STD ANG 0.035 260CM,275.4,220.32,1.0,247.86,27
HCPCS,C1769,GDWIRE STD ANG 0.038 150CM,207.4,165.92,1.0,186.66,27
HCPCS,C1769,GDWIRE STD JTIP 0.035 180CM,277.55,222.04,1.0,249.8,27
HCPCS,C1769,GDWIRE STD ST 0.018 150CM,334.8,267.84,1.0,301.32,27
HCPCS,C1769,GDWIRE STD ST 0.025 150CM,289.75,231.8,1.0,260.78,27
HCPCS,C1769,GDWIRE STD ST 0.035 150CM,207.4,165.92,1.0,186.66,27
HCPCS,C1769,GDWIRE STD ST 0.035 180CM,277.55,222.04,1.0,249.8,27
HCPCS,C1769,GDWIRE STD ST 0.038 150CM,207.4,165.92,1.0,186.66,27
HCPCS,C1769,GDWIRE STEDI XSUPP 0.035 275CM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1769,GDWIRE STIFF ANG 0.035 180CM,291.6,233.28,1.0,262.44,27
HCPCS,C1769,GDWIRE STIFF ANG 0.035 260CM,310.5,248.4,1.0,279.45,27
HCPCS,C1769,GDWIRE STINGRAY HPC 185CM,1344.88,1075.91,1.0,1210.39,27
HCPCS,C1769,GDWIRE STINGRAY HPC 300CM,1344.88,1075.91,1.0,1210.39,27
HCPCS,C1769,GDWIRE STORQ SOFT 0.035 180CM,278.1,222.48,1.0,250.29,27
HCPCS,C1769,GDWIRE STORQ SOFT 0.035 300CM,394.09,315.28,1.0,354.68,27
HCPCS,C1769,GDWIRE STORQ STD 0.035 180CM,292.03,233.63,1.0,262.83,27
HCPCS,C1769,GDWIRE STORQ STD 0.035 300CM,394.09,315.28,1.0,354.68,27
HCPCS,C1769,GDWIRE STORQWIRE .035 180*NLU*,278.1,222.48,1.0,250.29,27
HCPCS,C1769,GDWIRE SUOH 03 ST 0.014 190CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE SUPPORTRAK LV-1 90CM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE SUPRA CORE 0.035 300CM,351.0,280.8,1.0,315.9,27
HCPCS,C1769,GDWIRE SV-5 0.018 180CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE SV-5 0.018 300CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE SV-8 0.018 180CM,405.0,324.0,1.0,364.5,27
HCPCS,C1769,GDWIRE SYNCHRO PRSHP 300CM,2976.74,2381.4,1.0,2679.07,27
HCPCS,C1769,GDWIRE SYNCHRO STD ST 215CM,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SYNCHRO10 ACC 200CM,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SYNCHRO10 EXCH 300CM,2976.74,2381.4,1.0,2679.07,27
HCPCS,C1769,GDWIRE SYNCHRO14 EXCH 300CM,2976.74,2381.4,1.0,2679.07,27
HCPCS,C1769,GDWIRE SYNCHRO2 ACC SOFT 200CM,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SYNCHRO2 ACC STD 200CM,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SYNCHRO2 ACCSTDPRSHP200,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SYNCHRO2 EXCH SOFT 300,2976.74,2381.4,1.0,2679.07,27
HCPCS,C1769,GDWIRE SYNCHRO2ACCSOFTPRSHP200,2692.33,2153.87,1.0,2423.1,27
HCPCS,C1769,GDWIRE SYNT 2.8X350MM,179.65,143.72,1.0,161.69,27
HCPCS,C1769,GDWIRE TAD II CTD 0.035 145CM,379.2,303.36,1.0,341.28,27
HCPCS,C1769,GDWIRE TAD II CTD 0.035 260CM,460.8,368.64,1.0,414.72,27
HCPCS,C1769,GDWIRE TE2.0X240*DISC NO REPL*,171.65,137.32,1.0,154.49,27
HCPCS,C1769,GDWIRE THRD AS3 STRY 1.4X150MM,343.44,274.76,1.0,309.1,27
HCPCS,C1769,GDWIRE THRD AS3 STRY 2X150MM,343.44,274.76,1.0,309.1,27
HCPCS,C1769,GDWIRE THRD AS3 STRY 3.2X300MM,218.08,174.47,1.0,196.27,27
HCPCS,C1769,GDWIRE THRD ASNIS 3.2X450MM,280.11,224.09,1.0,252.1,27
HCPCS,C1769,GDWIRE THRD DBL END SPADE 1.25,105.9,84.72,1.0,95.31,27
HCPCS,C1769,GDWIRE THRD DEPU 1.37MM,499.5,399.6,1.0,449.55,27
HCPCS,C1769,GDWIRE THRD MDTR 24,539.78,431.83,1.0,485.8,27
HCPCS,C1769,GDWIRE THRD ORPE 1.6X200MM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE THRD ORPE 2.4X150MM,1078.56,862.85,1.0,970.7,27
HCPCS,C1769,GDWIRE THRD ORPE*DISC 6341611*,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE THRD RECTANG TROC 1.1,113.46,90.77,1.0,102.11,27
HCPCS,C1769,GDWIRE THRD SPADE 1.6X150MM,111.57,89.26,1.0,100.41,27
HCPCS,C1769,GDWIRE THRD SPADE 2.0X230MM,149.39,119.52,1.0,134.45,27
HCPCS,C1769,GDWIRE THRD SPADE 2.5X230MM,248.51,198.81,1.0,223.66,27
HCPCS,C1769,GDWIRE THRD SS ORPE 1.25X150MM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE THRD SS ORPE 1.60X200MM,324.0,259.2,1.0,291.6,27
HCPCS,C1769,GDWIRE THRD SS ORPE 1.60X230MM,1123.2,898.56,1.0,1010.88,27
HCPCS,C1769,GDWIRE THRD SS ORPE 2.00X150MM,1123.2,898.56,1.0,1010.88,27
HCPCS,C1769,GDWIRE THRD SS ORPE 2.00X230MM,1123.2,898.56,1.0,1010.88,27
HCPCS,C1769,GDWIRE THRD SS ORPE 2.50X200MM,1192.8,954.24,1.0,1073.52,27
HCPCS,C1769,GDWIRE THRD SS ORPE 3.20X200MM,1192.8,954.24,1.0,1073.52,27
HCPCS,C1769,GDWIRE THRD TIP *DISC 6341611*,229.36,183.49,1.0,206.42,27
HCPCS,C1769,GDWIRE THRD TIP 3.2MM,487.58,390.07,1.0,438.82,27
HCPCS,C1769,GDWIRE THRD TIP SYNT 2.8X300MM,757.35,605.88,1.0,681.62,27
HCPCS,C1769,GDWIRE THRD TRIANG TROC2.8X300,173.97,139.18,1.0,156.57,27
HCPCS,C1769,GDWIRE THRD TROC 1.25X150MM,113.46,90.77,1.0,102.11,27
HCPCS,C1769,GDWIRE THRD TROC 1.6X220MM,141.83,113.47,1.0,127.65,27
HCPCS,C1769,GDWIRE THRD TROC 1.6X410MM,279.26,223.41,1.0,251.33,27
HCPCS,C1769,GDWIRE THRD TROC 2.0X230MM,153.17,122.54,1.0,137.85,27
HCPCS,C1769,GDWIRE THRD TROC 2.8X450MM,298.78,239.03,1.0,268.9,27
HCPCS,C1769,GDWIRE THRD TROC TIP 1.35MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE THRD TROC TIP 1.6MM,147.62,118.1,1.0,132.86,27
HCPCS,C1769,GDWIRE THRD TROC TIP 1.6X150,126.7,101.36,1.0,114.03,27
HCPCS,C1769,GDWIRE THRUWAY 0.018 190CM,742.5,594.0,1.0,668.25,27
HCPCS,C1769,GDWIRE THRUWAY SHRT ST 19*NLU*,456.0,364.8,1.0,410.4,27
HCPCS,C1769,GDWIRE THRUWAY ST 0.014 300CM,918.0,734.4,1.0,826.2,27
HCPCS,C1769,GDWIRE THRUWAY ST 0.018 300CM,810.0,648.0,1.0,729.0,27
HCPCS,C1769,GDWIRE TMPR PACING 0.035 280CM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1769,GDWIRE TPR ANG 0.035 260CM,275.4,220.32,1.0,247.86,27
HCPCS,C1769,GDWIRE TRANSC 0.014 190CM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1769,GDWIRE TRANSC 0.018 165CM,1155.0,924.0,1.0,1039.5,27
HCPCS,C1769,GDWIRE TRANSEND FLOP 300CM,2408.7,1926.96,1.0,2167.83,27
HCPCS,C1769,GDWIRE TRANSEND PLAT.014 205CM,2322.18,1857.75,1.0,2089.96,27
HCPCS,C1769,GDWIRE TRANSEND STD0.014 182CM,2322.18,1857.75,1.0,2089.96,27
HCPCS,C1769,GDWIRE TRAXCESS 14 EX SUPP,1606.5,1285.2,1.0,1445.85,27
HCPCS,C1769,GDWIRE TRAXCESS 14 SOFT,1535.1,1228.08,1.0,1381.59,27
HCPCS,C1769,GDWIRE TRAXCESS 7 MINI SOFT,1912.5,1530.0,1.0,1721.25,27
HCPCS,C1769,GDWIRE TRAXCESS DOCKING 115CM,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE TRAXCESS14SH0.014 *NLU*,1695.75,1356.6,1.0,1526.18,27
HCPCS,C1769,GDWIRE TRIWAY 3.2X350MM,949.5,759.6,1.0,854.55,27
HCPCS,C1769,GDWIRE TRNSPTL SAFE0.014X135CM,992.7,794.16,1.0,893.43,27
HCPCS,C1769,GDWIRE TROC ARTX 1.6MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE TROC LASER LINE 0.045,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE TROC LASER THRD 0.86MM,147.62,118.1,1.0,132.86,27
HCPCS,C1769,GDWIRE TROC NTHRD 2.8X300MM,155.06,124.05,1.0,139.55,27
HCPCS,C1769,GDWIRE TROC SGL VILX 2.2X250MM,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE TROC SHRT SHARP 1.6X350,451.2,360.96,1.0,406.08,27
HCPCS,C1769,GDWIRE TROC SMTH STER 0.062X9,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1769,GDWIRE TROC THRD 0.062X9.25,201.3,161.04,1.0,181.17,27
HCPCS,C1769,GDWIRE TROC THRD ARTX 2.4MMX12,201.3,161.04,1.0,181.17,27
HCPCS,C1769,GDWIRE TROC TIP 0.092X9.25,16.78,13.43,1.0,15.1,27
HCPCS,C1769,GDWIRE TROC TIP 0.8X100MM,303.05,242.44,1.0,272.75,27
HCPCS,C1769,GDWIRE TROC TIP 1.1X150MM,298.08,238.47,1.0,268.27,27
HCPCS,C1769,GDWIRE TROC TIP 1.35X150MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE TROC TIP 1.4X150MM,345.28,276.23,1.0,310.75,27
HCPCS,C1769,GDWIRE TROC TIP 1.6X200MM,375.08,300.07,1.0,337.57,27
HCPCS,C1769,GDWIRE TROC TIP 2.8X220MM,441.6,353.28,1.0,397.44,27
HCPCS,C1769,GDWIRE TROC TIP 2.8X300MM,441.6,353.28,1.0,397.44,27
HCPCS,C1769,GDWIRE TROC TIP 3.0X370MM,1012.5,810.0,1.0,911.25,27
HCPCS,C1769,GDWIRE TROC TIP 3.1X400MM,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE TROC TIP ARTX 0.045,147.62,118.1,1.0,132.86,27
HCPCS,C1769,GDWIRE TROC TIP ARTX 1.3MM,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE TROC TIP ARTX 1.6MM,100.65,80.52,1.0,90.59,27
HCPCS,C1769,GDWIRE TROC TIP LASER LN0.86MM,174.46,139.57,1.0,157.01,27
HCPCS,C1769,GDWIRE TROC TIP LASERARTX1.1MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE TROC TIP STER 1.1X150MM,421.92,337.54,1.0,379.73,27
HCPCS,C1769,GDWIRE TROC TIP THRD2.35X235MM,201.3,161.04,1.0,181.17,27
HCPCS,C1769,GDWIRE TROC TIPTHRD ARTX 1.1MM,174.46,139.57,1.0,157.01,27
HCPCS,C1769,GDWIRE TROC ZIMM 1.8X200MM,281.45,225.16,1.0,253.31,27
HCPCS,C1769,GDWIRE TROCAR TIP ARTX 2MM,27.94,22.36,1.0,25.15,27
HCPCS,C1769,GDWIRE TROCTIP ARTX 1.35X150MM,134.2,107.36,1.0,120.78,27
HCPCS,C1769,GDWIRE TROCTIP ARTX 2.4MMX12IN,147.62,118.1,1.0,132.86,27
HCPCS,C1769,GDWIRE TROCTIP THRD ARTX 2.4MM,201.3,161.04,1.0,181.17,27
HCPCS,C1769,GDWIRE TRQFLX*DISC NO REPLC*,290.18,232.15,1.0,261.16,27
HCPCS,C1769,GDWIRE UNIGLIDE *DISC 6255100*,265.96,212.77,1.0,239.36,27
HCPCS,C1769,GDWIRE UNTHRD FIXOS 1.4X150MM,686.52,549.22,1.0,617.87,27
HCPCS,C1769,GDWIRE UNTHRD FIXOS 2.0X150MM,399.6,319.68,1.0,359.64,27
HCPCS,C1769,GDWIRE UROSTREAM STD ST 0.035,186.05,148.84,1.0,167.45,27
HCPCS,C1769,GDWIRE UROSTREAM STIFF ST0.038,293.53,234.83,1.0,264.18,27
HCPCS,C1769,GDWIRE V-14 CTRLWIRE ST8X182CM,1285.2,1028.16,1.0,1156.68,27
HCPCS,C1769,GDWIRE V-14 CTRLWIRE ST8X300CM,1285.2,1028.16,1.0,1156.68,27
HCPCS,C1769,GDWIRE V-18 CTRLWIRE ST8X110CM,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE V-18 CTRLWIRE ST8X150CM,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE V-18 CTRLWIRE ST8X200CM,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE V-18 CTRLWIRE ST8X300CM,787.5,630.0,1.0,708.75,27
HCPCS,C1769,GDWIRE VASC PERI 0.010INX60CM,244.0,195.2,1.0,219.6,27
HCPCS,C1769,GDWIRE VERRATA *DISC 6316416*,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1769,GDWIRE VERSACORE FLOP0.035 260,417.6,334.08,1.0,375.84,27
HCPCS,C1769,GDWIRE VERSATURN UNCTD ST190CM,378.0,302.4,1.0,340.2,27
HCPCS,C1769,GDWIRE VISIGLIDE2 ANG0.035 450,769.64,615.72,1.0,692.68,27
HCPCS,C1769,GDWIRE VNUS DBL END0.025 150CM,73.81,59.05,1.0,66.43,27
HCPCS,C1769,GDWIRE VNUS SGL J 0.025 260CM,104.31,83.45,1.0,93.88,27
HCPCS,C1769,GDWIRE VNUS SGL ST 0.018 45CM,88.76,71.01,1.0,79.88,27
HCPCS,C1769,GDWIRE VPRWIRE 0.014 335CM,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE VPRWIRE ADV 0.017 335CM,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE VPRWIREADVFLEX0.012X325,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE VPRWIREADVFLEX0.014 325,877.5,702.0,1.0,789.75,27
HCPCS,C1769,GDWIRE VPRWIREFLEX 0.014 335CM,675.0,540.0,1.0,607.5,27
HCPCS,C1769,GDWIRE W STOP 3.2MM TIP 1.2MM,437.47,349.98,1.0,393.72,27
HCPCS,C1769,GDWIRE W STOP DEPU 3.2MM,705.87,564.7,1.0,635.28,27
HCPCS,C1769,GDWIRE WHISPERVIEW EDS CS J,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE WHISPERVIEW ES CS J,630.0,504.0,1.0,567.0,27
HCPCS,C1769,GDWIRE WHOLEY EXT ST.035 175CM,313.2,250.56,1.0,281.88,27
HCPCS,C1769,GDWIRE WHOLEY EXT ST.035 300CM,372.6,298.08,1.0,335.34,27
HCPCS,C1769,GDWIRE WHOLEY MOD J0.035 145CM,313.2,250.56,1.0,281.88,27
HCPCS,C1769,GDWIRE WHOLEY MOD J0.035 260CM,313.2,250.56,1.0,281.88,27
HCPCS,C1769,GDWIRE WHOLEY STD EXTST.035175,313.2,250.56,1.0,281.88,27
HCPCS,C1769,GDWIRE WHOLEY STD EXTST.035300,313.2,250.56,1.0,281.88,27
HCPCS,C1769,GDWIRE WO THRD AS3 3.2X300MM,218.08,174.47,1.0,196.27,27
HCPCS,C1769,GDWIRE ZILIENT 12GM0.014 *NLU*,585.0,468.0,1.0,526.5,27
HCPCS,C1769,GDWIRE ZILIENT 12GM0.018 *NLU*,585.0,468.0,1.0,526.5,27
HCPCS,C1769,GDWIRE ZILIENT 30GM0.014 *NLU*,585.0,468.0,1.0,526.5,27
HCPCS,C1769,GDWIRE ZILIENT 30GM0.018 *NLU*,585.0,468.0,1.0,526.5,27
HCPCS,C1769,GDWIRE ZILIENT 4*DISC 6331690*,432.0,345.6,1.0,388.8,27
HCPCS,C1769,GDWIRE ZILIENT 4GM 0.018 *NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE ZILIENT 6GM 0.014 *NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE ZILIENT 6GM 0.018 *NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1769,GDWIRE ZIPWIRE 0*DISC 6203124*,372.28,297.83,1.0,335.05,27
HCPCS,C1769,GDWIRE ZOOM 14 SUPP 200CM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1769,GDWIRE ZOOM 14 X-SUPP 200CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1769,GDWIREHIWIRENITS*DISC 6336197*,293.33,234.67,1.0,264.0,27
HCPCS,C1769,GDWIREHIWIRENITS*DISC 6336200*,209.96,167.97,1.0,188.96,27
HCPCS,C1769,GDWIREHIWIRESTIA*DISC 6337365*,262.12,209.7,1.0,235.91,27
HCPCS,C1769,GDWIRELAUREATEST*DISC 6339687*,207.4,165.92,1.0,186.66,27
HCPCS,C1769,GDWIRERUNTHROUGHBLU0.014 180CM,474.75,379.8,1.0,427.28,27
HCPCS,C1769,GDWIRERUNTHROUGHWHT0.014 180CM,474.75,379.8,1.0,427.28,27
HCPCS,C1769,GDWIRERUNTHROUGHWHT0.014 300CM,474.75,379.8,1.0,427.28,27
HCPCS,C1769,GWIRE 3MMJ .*DISC USE 6160629*,54.9,43.92,1.0,49.41,27
HCPCS,C1769,GWIRE J STEERANT CURV 200CM,697.5,558.0,1.0,627.75,27
HCPCS,C1769,GWIRE TEMP FIX METRX 1.5X305MM,268.4,214.72,1.0,241.56,27
HCPCS,C1769,INST KT INNATE 4.5MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1769,INTR ACCUSTIKGDWIRE0.0187.5X60,179.34,143.48,1.0,161.41,27
HCPCS,C1769,INTR KT IMPELLA 14FR LNG,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1769,INTR KT IMPELLA 14FR SHRT,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1769,INTR TRAY G2 DIL7.5/8.5/9.0,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1769,INTR TRAY G2 EVAC SHILEY 7.5,2021.4,1617.12,1.0,1819.26,27
HCPCS,C1769,INTR TRAY G2 EVAC SHILEY 8.5,2021.4,1617.12,1.0,1819.26,27
HCPCS,C1769,INTR TRAY G2 SHILEY 7.5,1931.04,1544.84,1.0,1737.94,27
HCPCS,C1769,INTR TRAY G2 SHILEY 8.5,1931.04,1544.84,1.0,1737.94,27
HCPCS,C1769,INTR TRAY RX G2 DIL7.5/8.5/9.0,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1769,INTR TRAY RX G2 EVAC SHILEY8.5,2139.84,1711.88,1.0,1925.86,27
HCPCS,C1769,INTR TRAY RX G2 SHILEY 7.5,1991.88,1593.51,1.0,1792.69,27
HCPCS,C1769,INTR TRAY RX G2 SHILEY 8.5,1991.88,1593.51,1.0,1792.69,27
HCPCS,C1769,KT CRIC CATH MELKER 3.5MM,931.95,745.56,1.0,838.76,27
HCPCS,C1769,KT CRIC CATH MELKER 4.0MM,902.7,722.16,1.0,812.43,27
HCPCS,C1769,KT CRIC CATH MELKER 6.0MM,946.8,757.44,1.0,852.12,27
HCPCS,C1769,KT CRIC CATH MELKER CUFF 5.0,1273.02,1018.42,1.0,1145.72,27
HCPCS,C1769,KT CRIC CATH MELKER UNCUFF 4X6,1094.52,875.62,1.0,985.07,27
HCPCS,C1769,KT CRIC CATH MELKER UNIV,2087.64,1670.12,1.0,1878.88,27
HCPCS,C1769,KT CRIC CATH UNIV CHLORAPREP,2103.48,1682.79,1.0,1893.13,27
HCPCS,C1769,KT CRIC MELKER CUFF 5.0,1834.2,1467.36,1.0,1650.78,27
HCPCS,C1769,KT DRILL NANO DX SWVLK,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1769,KT DRIV GDWIRE FIBULOCK STER,2464.0,1971.2,1.0,2217.6,27
HCPCS,C1769,KT FEM PERC ART 19FR 31.8CM,1538.46,1230.77,1.0,1384.61,27
HCPCS,C1769,KT PERC TRACH BL RHINO 6FR,1507.8,1206.24,1.0,1357.02,27
HCPCS,C1769,KT TENODESIS DISP 2.5X6MM,1362.9,1090.32,1.0,1226.61,27
HCPCS,C1769,KT VASC ACC BICAVAL 100CM,714.87,571.9,1.0,643.38,27
HCPCS,C1769,NAIL ELAS STER PUR TI 1.5X300,1086.75,869.4,1.0,978.08,27
HCPCS,C1769,PIN ENTRY ORPE 3.2MM,1246.56,997.25,1.0,1121.9,27
HCPCS,C1769,PK SURG ARTHRO HIP SN*NLU*,1146.39,917.12,1.0,1031.75,27
HCPCS,C1769,PK SURG TAVI CUST FA,764.64,611.72,1.0,688.18,27
HCPCS,C1769,ROD GD SS SMTH 3X950MM,506.52,405.22,1.0,455.87,27
HCPCS,C1769,SET CATH NIT PLATGDWIRE5FR10CM,303.41,242.73,1.0,273.07,27
HCPCS,C1769,SET CATH SS GDWIRE 5FR 10CM,272.43,217.95,1.0,245.19,27
HCPCS,C1769,SET CATH SS TRNSTNLESS 5FR10CM,272.43,217.95,1.0,245.19,27
HCPCS,C1769,SET INTR BLUE RHINO W EZ-PASS,1213.8,971.04,1.0,1092.42,27
HCPCS,C1769,SET RETROGRD INT*DISC 6332391*,704.21,563.37,1.0,633.79,27
HCPCS,C1769,SET RETROGRD INTUB 14FR 110CM,809.55,647.64,1.0,728.6,27
HCPCS,C1769,SPHOTOME FUSN OMNI TRACER480CM,1726.2,1380.96,1.0,1553.58,27
HCPCS,C1769,SPHOTOME JAGTOME RX39 260CM,1255.8,1004.64,1.0,1130.22,27
HCPCS,C1769,TB CHEST SET THAL QK 20FR 41CM,732.6,586.08,1.0,659.34,27
HCPCS,C1769,TRAY ART CATH 20G 6IN,189.1,151.28,1.0,170.19,27
HCPCS,C1769,TRAY INTR BLU RH*DISC 6320648*,1738.8,1391.04,1.0,1564.92,27
HCPCS,C1769,TRAY INTR BLU RH*DISC 6321602*,1919.4,1535.52,1.0,1727.46,27
HCPCS,C1769,TRAY INTR BLU RHI*USE 6320648*,1533.0,1226.4,1.0,1379.7,27
HCPCS,C1769,TRNSPTL D0 0.035*DISC 6345488*,2856.0,2284.8,1.0,2570.4,27
HCPCS,C1770,"Imaging coil, MR, insertable",,,1.0,1.0,2
HCPCS,C1771,SLING GYN ADVANTAGE FIT ULT,4130.39,3304.32,1.0,3717.35,27
HCPCS,C1771,SLING GYN ARIS CURV,3068.8,2455.04,1.0,2761.92,27
HCPCS,C1771,SLING GYN DESARA BLU 45CM*NLU*,2652.8,2122.24,1.0,2387.52,27
HCPCS,C1771,SLING GYN GYNECARE TVT EXACT,4396.03,3516.83,1.0,3956.43,27
HCPCS,C1771,SLING GYN GYNECARE TVT MECHCUT,5602.69,4482.16,1.0,5042.42,27
HCPCS,C1771,SLING GYN GYNECARE TVT SECURE,1852.6,1482.08,1.0,1667.34,27
HCPCS,C1771,SLING GYN LYNX SUPRAPUBIC,3934.42,3147.54,1.0,3540.98,27
HCPCS,C1771,SLING GYN LYNX ULT SUPRAPUBIC,3934.42,3147.54,1.0,3540.98,27
HCPCS,C1771,SLING GYN OBTRYX CURV,4091.78,3273.43,1.0,3682.6,27
HCPCS,C1771,SLING GYN OBTRYX II HALO,4406.53,3525.23,1.0,3965.88,27
HCPCS,C1771,SLING GYN SOLYX SGL INCISION,4844.87,3875.9,1.0,4360.38,27
HCPCS,C1771,SLING GYN SOLYX SYS BLU,4844.87,3875.9,1.0,4360.38,27
HCPCS,C1771,SLING GYNECARE TVTABBREVO,6461.17,5168.94,1.0,5815.05,27
HCPCS,C1771,SLING SUI MALE ADVANCE XP3YEAR,24492.0,19593.6,1.0,22042.8,27
HCPCS,C1772,PAIN PUMP SYNCR*DISC 6340161*,25579.2,20463.36,1.0,23021.28,27
HCPCS,C1772,PAIN PUMP SYNCR*DISC 6340162*,25579.2,20463.36,1.0,23021.28,27
HCPCS,C1772,PUMP PAIN SYNCHROMED III 20ML,28392.0,22713.6,1.0,25552.8,27
HCPCS,C1772,PUMP PAIN SYNCHROMED III 40ML,28392.0,22713.6,1.0,25552.8,27
HCPCS,C1773,BLN TYSHAK 15MMX*DISC 6140824*,1931.04,1544.84,1.0,1737.94,27
HCPCS,C1773,CATH AVEIR RETRV,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1773,CATH SNARE 4FR48*DISC 6293403*,213.5,170.8,1.0,192.15,27
HCPCS,C1773,CATH SNARE 6F-100CM 12-20MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1773,CATH SNARE 6FR 9-15MM 120CM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1773,CATH SNARE 6FR10*DISC 6293402*,213.5,170.8,1.0,192.15,27
HCPCS,C1773,CATH SNARE 6FR48*DISC 6140818*,213.5,170.8,1.0,192.15,27
HCPCS,C1773,CONN LAT DBL HD WIDE12MM 5.5-6,3486.0,2788.8,1.0,3137.4,27
HCPCS,C1773,CONN LAT TOP LOAD SGLHD5.5-6.0,3052.0,2441.6,1.0,2746.8,27
HCPCS,C1773,DEV ALLIGATOR RETRV 5MM*DISC*,6650.0,5320.0,1.0,5985.0,27
HCPCS,C1773,FORCEPS GRASCOAX*DISC 6332383*,717.21,573.77,1.0,645.49,27
HCPCS,C1773,KT SNARE 4FR10MM*DISC 6243932*,213.5,170.8,1.0,192.15,27
HCPCS,C1773,KT SNARE ATRIEVE 6FR 12-20MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1773,LEAD LK DEV LLD E,2328.01,1862.41,1.0,2095.21,27
HCPCS,C1773,LEAD LK DEV LLD EZ,2328.01,1862.41,1.0,2095.21,27
HCPCS,C1773,LEAD LK DEV LLD SZ1,2328.01,1862.41,1.0,2095.21,27
HCPCS,C1773,LEAD LK DEV LLD SZ2,2328.01,1862.41,1.0,2095.21,27
HCPCS,C1773,RETRV FLTR IVC GUNTHER TULIP,1446.86,1157.49,1.0,1302.17,27
HCPCS,C1773,RETRV VASC 3LOOP 7FR 76CM,2432.0,1945.6,1.0,2188.8,27
HCPCS,C1773,RETRV VASC 4LOOP CLOVER6FR90CM,2413.33,1930.67,1.0,2172.0,27
HCPCS,C1773,RETRV VASC ONO BSKT 30MM7FR100,22804.8,18243.84,1.0,20524.32,27
HCPCS,C1773,SHEATH DIL TIGHTRAIL C 11FR,5726.0,4580.8,1.0,5153.4,27
HCPCS,C1773,SHEATH DILATOR TIGHTRAIL *NLU*,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1773,SNARE AMPLZ GOOSENECK 10MM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE AMPLZ GOOSENECK 15MM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE AMPLZ GOOSENECK 20CM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE AMPLZ GOOSENECK 35MM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE AMPLZ GOOSENECK 5MM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE AMPLZ GOOSENECK25MMX65CM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE AMPLZ MICRO 2MM 175CM,2026.8,1621.44,1.0,1824.12,27
HCPCS,C1773,SNARE AMPLZ MICRO 2MM 200CM,2026.8,1621.44,1.0,1824.12,27
HCPCS,C1773,SNARE AMPLZ MICRO 4MM 175CM,2026.8,1621.44,1.0,1824.12,27
HCPCS,C1773,SNARE AMPLZ MICRO 4MM 200CM,2026.8,1621.44,1.0,1824.12,27
HCPCS,C1773,SNARE AMPLZ MICRO 7MM 175CM,2026.8,1621.44,1.0,1824.12,27
HCPCS,C1773,SNARE AMPLZ MICRO 7MM 200CM,2026.8,1621.44,1.0,1824.12,27
HCPCS,C1773,SNARE AMPLZGOOSENECK25MMX120CM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE ATRIEVE 6FR 100CM 6-10MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1773,SNARE ATRIEVE 7FR 18-30MM120CM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1773,SNARE ATRIEVE 7FR 27-45MM120CM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1773,SNARE ENSNARE 2-4MM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1773,SNARE ENSNARE 7FR 18-30MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1773,SNARE EXPRO ELIT*DISC 6281101*,1986.6,1589.28,1.0,1787.94,27
HCPCS,C1773,SNARE GOOSENECK 10MM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE GOOSENECK 30MM,1129.8,903.84,1.0,1016.82,27
HCPCS,C1773,SNARE ONE SNARE 6FR 30MM 120CM,1080.0,864.0,1.0,972.0,27
HCPCS,C1773,SNARE ONE SNARE 6FR 35MM 120CM,1080.0,864.0,1.0,972.0,27
HCPCS,C1776,ALLO BONE FEM DIST LFT 214MM,22339.2,17871.36,1.0,20105.28,27
HCPCS,C1776,ALLO CARTLGMENISCPLATEAUMEDLRT,14565.6,11652.48,1.0,13109.04,27
HCPCS,C1776,ALLO FEM HEMI LAT LFT,27694.56,22155.65,1.0,24925.1,27
HCPCS,C1776,ALLO TENDON ANT TIB SM,3305.68,2644.55,1.0,2975.11,27
HCPCS,C1776,ALLO TENDON PSTR TIB SM,3199.0,2559.2,1.0,2879.1,27
HCPCS,C1776,ALLOCARTLGMENISCPLATEAUMEDLLFT,3326.4,2661.12,1.0,2993.76,27
HCPCS,C1776,ANK ATS SPHERE NO FLAT 36MM,47940.0,38352.0,1.0,43146.0,27
HCPCS,C1776,ANK BEARING RANGE LFT 6MM SZ3,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE LFT 6MMSZ0/1,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE LFT10MMSZ0/1,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 10MM SZ2,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 10MMSZ0/1,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 6MM SZ3,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 7MM SZ0/1,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 7MM SZ2,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 8MM SZ0/1,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1776,ANK BEARING RANGE RT 8MM SZ4,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,ANK CAGE DOME OSSERA AFX 38D,43188.0,34550.4,1.0,38869.2,27
HCPCS,C1776,ANK CAGE LWR COMPLEXITY CUST,28788.0,23030.4,1.0,25909.2,27
HCPCS,C1776,ANK CAGE SM CUST,52788.0,42230.4,1.0,47509.2,27
HCPCS,C1776,ANK FUSN CUP 10HL 18MM,3052.0,2441.6,1.0,2746.8,27
HCPCS,C1776,ANK FUSN CUP 7HL 14MM,3052.0,2441.6,1.0,2746.8,27
HCPCS,C1776,ANK IMPLT STEM INTRMD CUST SZ0,55188.0,44150.4,1.0,49669.2,27
HCPCS,C1776,ANK IMPLT STEM MID W SCREW 14,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,ANK IMPLT STEM MID W SCREW 16,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,ANK IMPLT STEM PROX W SCREW 14,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,ANK IMPLT STEM PROX W SCREW 16,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,ANK INBONE PE EVERLAST SZ5 9MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INBONE PE SULCUS SZ5 9MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INFINITY FIX PIN 3.2X102MM,558.0,446.4,1.0,502.2,27
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ1+,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ2,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ2+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ3,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 10MM SZ3+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 10MMSZ4+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 11MM SZ4,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 12MM SZ2+,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 12MM SZ3,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 12MM SZ3+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 12MMSZ4+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 14MM SZ2+,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 14MM SZ3,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 14MM SZ3+,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 14MMSZ4+,28442.83,22754.27,1.0,25598.55,27
HCPCS,C1776,ANK INSRT EVERLAST 16MM SZ3,10350.6,8280.48,1.0,9315.54,27
HCPCS,C1776,ANK INSRT EVERLAST 16MM SZ3+,9406.8,7525.44,1.0,8466.12,27
HCPCS,C1776,ANK INSRT EVERLAST 6MM SZ1+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 6MM SZ2,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 8MM SZ1+,21060.22,16848.18,1.0,18954.2,27
HCPCS,C1776,ANK INSRT EVERLAST 8MM SZ2,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 8MM SZ2+,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 8MM SZ3,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT EVERLAST 9MM SZ4,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE EVERLAST SZ2 6MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE EVERLAST SZ2+10MM,6874.4,5499.52,1.0,6186.96,27
HCPCS,C1776,ANK INSRT PE EVERLAST SZ2á8MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE EVERLAST SZ3+ 7MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE EVERLAST SZ3+ 9MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ1+ 6MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ1+ 8MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ1+10MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ2 +6MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ2 +8MM,6874.4,5499.52,1.0,6186.96,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ2 6MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ2 8MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ2+ 6MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ3 +6MM,6874.4,5499.52,1.0,6186.96,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ3 +8MM,6874.4,5499.52,1.0,6186.96,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ3 8MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ3+ 7MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ3+ 9MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 10MM,8179.6,6543.68,1.0,7361.64,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 6MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 7MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 8MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4 9MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4+ 6MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4+ 7MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4+ 8MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ4+ 9MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ5 6MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ5 8MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ5+ 6MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITY SZ5+ 8MM,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT PE INFINITYSZ1/1+6MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT PE INFINITYSZ1/1+8MM,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT POLY TRIAL 10MM SZ3,1759.8,1407.84,1.0,1583.82,27
HCPCS,C1776,ANK INSRT POLY TRIAL 12MM SZ3,1759.8,1407.84,1.0,1583.82,27
HCPCS,C1776,ANK INSRT POLY TRIAL 14MM SZ3,1709.4,1367.52,1.0,1538.46,27
HCPCS,C1776,ANK INSRT POLY TRIAL 8MM SZ3,1759.8,1407.84,1.0,1583.82,27
HCPCS,C1776,ANK INSRT POLY TRIAL SZ 2+ 8MM,1709.4,1367.52,1.0,1538.46,27
HCPCS,C1776,ANK INSRT POLY TRIAL SZ 2+10MM,1759.8,1407.84,1.0,1583.82,27
HCPCS,C1776,ANK INSRT TLR SULCUS 10MM SZ2+,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 10MM SZ3,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 10MM SZ3+,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 10MM SZ4+,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 11MM SZ4,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 12MM SZ3+,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 14MM SZ3+,8179.6,6543.68,1.0,7361.64,27
HCPCS,C1776,ANK INSRT TLR SULCUS 16MM SZ4+,8179.6,6543.68,1.0,7361.64,27
HCPCS,C1776,ANK INSRT TLR SULCUS 6MM SZ2,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 8MM SZ1,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 8MM SZ2,6960.2,5568.16,1.0,6264.18,27
HCPCS,C1776,ANK INSRT TLR SULCUS 8MM SZ2+,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK INSRT TLR SULCUS 9MM SZ4,6518.4,5214.72,1.0,5866.56,27
HCPCS,C1776,ANK POLY INSRT TRIALSZ1/1+ 6,1554.0,1243.2,1.0,1398.6,27
HCPCS,C1776,ANK STEM BASE INBONE II 16MM,2806.4,2245.12,1.0,2525.76,27
HCPCS,C1776,ANK STEM BASE INBONE II 18MM,2806.4,2245.12,1.0,2525.76,27
HCPCS,C1776,ANK STEM MID INBONE II 12MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1776,ANK STEM MID INBONE II 14MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1776,ANK STEM MID INBONE II 16MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1776,ANK STEM TLR INBONE LNG 10MM,4625.6,3700.48,1.0,4163.04,27
HCPCS,C1776,ANK STEM TOP INBONE II 12MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1776,ANK STEM TOP INBONE II 14MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1776,ANK STEM TOP INBONE II 16MM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1776,ANK TIB INBONE LFT LNG S*NLU*,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TIB INBONE LFT LNG SZ3,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TIB INVISION LNG SZ2 +4MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB INVISION LNG SZ3 +4MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB INVISION LNG SZ4 +4MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB INVISION SHRT SZ2 +4MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB INVISION SHRT SZ2 +8MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB INVISION SHRT SZ3 +4MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB INVISION STD SZ4 +4MM,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,ANK TIB TRAY ADAPTIS LNG SZ3,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY ADAPTIS LNG SZ4,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY ADAPTIS LNG SZ5,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY INFINITY LNG SZ3,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY LNG SZ4,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY LNG SZ5,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ1,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ2,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ3,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ4,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY STD SZ5,15962.4,12769.92,1.0,14366.16,27
HCPCS,C1776,ANK TIB TRAY INFINITY SZ1,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY INFINITY SZ2,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY INFINITY SZ3,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY INFINITY SZ4,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB TRAY INFINITY SZ5,18357.6,14686.08,1.0,16521.84,27
HCPCS,C1776,ANK TIB X-STEM TIDAL LNG SZ3,33600.0,26880.0,1.0,30240.0,27
HCPCS,C1776,ANK TIB X-STEM TIDAL LNG SZ5,28800.0,23040.0,1.0,25920.0,27
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ1,32400.0,25920.0,1.0,29160.0,27
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ2,32400.0,25920.0,1.0,29160.0,27
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ4,32400.0,25920.0,1.0,29160.0,27
HCPCS,C1776,ANK TIB X-STEM TIDALLNGTALLSZ5,32400.0,25920.0,1.0,29160.0,27
HCPCS,C1776,ANK TLR BONE MILL STERSZ2/3,1516.2,1212.96,1.0,1364.58,27
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ2,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ3,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ4,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITY FLAT SZ5,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITY SZ1,16939.2,13551.36,1.0,15245.28,27
HCPCS,C1776,ANK TLR DOME INFINITY SZ2,16939.2,13551.36,1.0,15245.28,27
HCPCS,C1776,ANK TLR DOME INFINITY SZ3,16939.2,13551.36,1.0,15245.28,27
HCPCS,C1776,ANK TLR DOME INFINITY SZ4,16939.2,13551.36,1.0,15245.28,27
HCPCS,C1776,ANK TLR DOME INFINITY SZ5,16939.2,13551.36,1.0,15245.28,27
HCPCS,C1776,ANK TLR DOME INFINITYADAPTIS 1,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITYADAPTIS 2,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITYADAPTIS 3,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITYADAPTIS 4,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INFINITYADAPTIS 5,19480.8,15584.64,1.0,17532.72,27
HCPCS,C1776,ANK TLR DOME INVISION STD SZ1,15456.0,12364.8,1.0,13910.4,27
HCPCS,C1776,ANK TLR DOME INVISION STD SZ2,15456.0,12364.8,1.0,13910.4,27
HCPCS,C1776,ANK TLR DOME INVISION STD SZ3,15456.0,12364.8,1.0,13910.4,27
HCPCS,C1776,ANK TLR DOME MAPPING CUSTRTSZ3,39600.0,31680.0,1.0,35640.0,27
HCPCS,C1776,ANK TLR DOME MAPPING LFT SZ2,39600.0,31680.0,1.0,35640.0,27
HCPCS,C1776,ANK TLR DOME MAPPING LFT SZ3,39600.0,31680.0,1.0,35640.0,27
HCPCS,C1776,ANK TLR DOME MAPPING LFT SZ5,39600.0,31680.0,1.0,35640.0,27
HCPCS,C1776,ANK TLR DOME MAPPING RT SZ3,39600.0,31680.0,1.0,35640.0,27
HCPCS,C1776,ANK TLR DOME STD INVISION SZ2,15456.0,12364.8,1.0,13910.4,27
HCPCS,C1776,ANK TLR DOME STD INVISION SZ3,22219.2,17775.36,1.0,19997.28,27
HCPCS,C1776,ANK TLR DOME STD INVISION SZ4,22219.2,17775.36,1.0,19997.28,27
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ1,13867.2,11093.76,1.0,12480.48,27
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ2,13867.2,11093.76,1.0,12480.48,27
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ3,13867.2,11093.76,1.0,12480.48,27
HCPCS,C1776,ANK TLR DOME SULCUS INBONE SZ4,13867.2,11093.76,1.0,12480.48,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL LFT SZ0,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL LFT SZ1,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL LFT SZ3,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ0,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ1,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ2,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ3,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1776,ANK TLR FLAT-CUT TIDAL RT SZ4,21600.0,17280.0,1.0,19440.0,27
HCPCS,C1776,ANK TLR FLATCUT INFINITY SZ1,33189.07,26551.26,1.0,29870.16,27
HCPCS,C1776,ANK TLR PLATE INVISION LFT SZ1,9305.4,7444.32,1.0,8374.86,27
HCPCS,C1776,ANK TLR PLATE INVISION LFT SZ4,9305.4,7444.32,1.0,8374.86,27
HCPCS,C1776,ANK TLR PLATE INVISION RT SZ1,9305.4,7444.32,1.0,8374.86,27
HCPCS,C1776,ANK TLR PLATE INVISION RT SZ2,9305.4,7444.32,1.0,8374.86,27
HCPCS,C1776,ANK TLR PLATE STD LFT 3MM SZ3,9305.4,7444.32,1.0,8374.86,27
HCPCS,C1776,ANK TLR PLATE STD RT 3MM SZ3,9305.4,7444.32,1.0,8374.86,27
HCPCS,C1776,ANK TLR RAIL DRILL STER,1516.2,1212.96,1.0,1364.58,27
HCPCS,C1776,ANK TRAY INBONE II LFT LNG SZ2,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY INBONE II LFT LNG SZ3,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY INBONE II LFT LNG SZ4,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY INBONE II LFT LNG SZ5,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY LFT LNG SZ2,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY LFT LNG SZ4,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNG SZ2,17114.64,13691.72,1.0,15403.18,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNG SZ3,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNG SZ4,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNG SZ5,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNGSTDSZ2,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNGSTDSZ3,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNGSTDSZ4,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ANK TRAY PROPHECY RT LNGSTDSZ5,6358.8,5087.04,1.0,5722.92,27
HCPCS,C1776,ARM EXT FLEX REMOV CMF 30MM,3315.9,2652.72,1.0,2984.31,27
HCPCS,C1776,BLADE IMPLT FEM *DISC 6169927*,1864.55,1491.64,1.0,1678.1,27
HCPCS,C1776,BLADE IMPLT FEM *DISC 6171681*,1864.55,1491.64,1.0,1678.1,27
HCPCS,C1776,BLADE IMPLT FEM *DISC 6174728*,1864.55,1491.64,1.0,1678.1,27
HCPCS,C1776,BLADE IMPLT FEM *DISC 6177448*,1864.55,1491.64,1.0,1678.1,27
HCPCS,C1776,BLADE IMPLT FEM *DISC 6182942*,1864.55,1491.64,1.0,1678.1,27
HCPCS,C1776,BLADE IMPLT FEM *DISC 6208628*,1864.55,1491.64,1.0,1678.1,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 45,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 50,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 55,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 60,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 65,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 70,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 75,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 80,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 85,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 90,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER 95,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,BLADE IMPLT FEM SPIRAL STER100,2058.59,1646.88,1.0,1852.73,27
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ10,305.0,244.0,1.0,274.5,27
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ12,305.0,244.0,1.0,274.5,27
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ14,305.0,244.0,1.0,274.5,27
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ16,305.0,244.0,1.0,274.5,27
HCPCS,C1776,CENTRALIZER C-STEM VOID SZ18,305.0,244.0,1.0,274.5,27
HCPCS,C1776,DART PIP ST PEEK 3X30MM,2356.2,1884.96,1.0,2120.58,27
HCPCS,C1776,DISTRAC BC END CMF 15MM,12461.76,9969.41,1.0,11215.58,27
HCPCS,C1776,DISTRAC BC END CMF 20MM,16003.2,12802.56,1.0,14402.88,27
HCPCS,C1776,DISTRAC BC END CMF 25MM,12274.46,9819.57,1.0,11047.01,27
HCPCS,C1776,DISTRAC BC END U-JOINT CMF15MM,13145.76,10516.61,1.0,11831.18,27
HCPCS,C1776,DISTRAC BC END U-JOINT CMF25MM,12948.19,10358.56,1.0,11653.37,27
HCPCS,C1776,DISTRAC BC END U-JOINT CMF30MM,12948.19,10358.56,1.0,11653.37,27
HCPCS,C1776,ELBOW CMNT RESTRCT 16MM/25MM,1113.0,890.4,1.0,1001.7,27
HCPCS,C1776,ELBOW DIST HUMR SCREW SRSLFT60,12285.0,9828.0,1.0,11056.5,27
HCPCS,C1776,ELBOW DIST HUMR SCREW SRSLFT70,12285.0,9828.0,1.0,11056.5,27
HCPCS,C1776,ELBOW HUMR SPOOL LFT MD,3144.18,2515.35,1.0,2829.76,27
HCPCS,C1776,ELBOW HUMR SPOOL LFT SM,3144.18,2515.35,1.0,2829.76,27
HCPCS,C1776,ELBOW HUMR SPOOL RT LG,3144.18,2515.35,1.0,2829.76,27
HCPCS,C1776,ELBOW HUMR SPOOL RT MD,3144.18,2515.35,1.0,2829.76,27
HCPCS,C1776,ELBOW HUMR STEM LFT MD 150MM,9431.19,7544.96,1.0,8488.07,27
HCPCS,C1776,ELBOW HUMR STEM LFT STD SM,12774.55,10219.64,1.0,11497.1,27
HCPCS,C1776,ELBOW HUMR STEM RT LG 100MM,9431.19,7544.96,1.0,8488.07,27
HCPCS,C1776,ELBOW HUMR STEM RT LG 200MM,9431.19,7544.96,1.0,8488.07,27
HCPCS,C1776,ELBOW HUMR STEM RT STD LG,12774.55,10219.64,1.0,11497.1,27
HCPCS,C1776,ELBOW HUMR STEM RT STD MD,12774.55,10219.64,1.0,11497.1,27
HCPCS,C1776,ELBOW HUMR ZIMM SM 4IN,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1776,ELBOW HUMR ZIMM SZ4 100MM,12870.0,10296.0,1.0,11583.0,27
HCPCS,C1776,ELBOW HUMR ZIMM SZ5 100MM,12870.0,10296.0,1.0,11583.0,27
HCPCS,C1776,ELBOW HUMR ZIMM SZ6 100MM,12870.0,10296.0,1.0,11583.0,27
HCPCS,C1776,ELBOW RAD HD ALIGN 20MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1776,ELBOW RAD HD ALIGN 26MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 22MM,8767.2,7013.76,1.0,7890.48,27
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 24MM,8767.2,7013.76,1.0,7890.48,27
HCPCS,C1776,ELBOW RAD HD ANATOM LFT 26MM,8767.2,7013.76,1.0,7890.48,27
HCPCS,C1776,ELBOW RAD HD ARH SOL2 LFT 22MM,8842.6,7074.08,1.0,7958.34,27
HCPCS,C1776,ELBOW RAD HD ARH SOL2 RT 20MM,8842.6,7074.08,1.0,7958.34,27
HCPCS,C1776,ELBOW RAD HD ARH SOLS2 LFT26MM,8842.6,7074.08,1.0,7958.34,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 18MM,5706.4,4565.12,1.0,5135.76,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 18MM +2,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 20MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 20MM +2,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 22MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 22MM +2,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 24MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EVOLVE 24MM +4,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,ELBOW RAD HD EXPLOR 10X20MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,ELBOW RAD HD EXPLOR 10X22MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,ELBOW RAD HD EXPLOR 18X22MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,ELBOW RAD HD STEM 5.5MM,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD HD STER 19X5.5X9 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 19X5.5X9 +6,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 19X6.5MM +0,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 19X6.5MM +3,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 19X6.5X9 +6,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 19X7.5X9 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 19X7.5X9 +3,7702.24,6161.8,1.0,6932.02,27
HCPCS,C1776,ELBOW RAD HD STER 19X7.5X9 +6,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 22X5.5X10 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X5.5X10 +3,7702.24,6161.8,1.0,6932.02,27
HCPCS,C1776,ELBOW RAD HD STER 22X5.5X10 +6,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X6.5MM +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X6.5MM +3,7702.24,6161.8,1.0,6932.02,27
HCPCS,C1776,ELBOW RAD HD STER 22X6.5X10 +6,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X7.5X10 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X7.5X10 +3,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 22X7.5X10 +6,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 22X8.5X10 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X8.5X10 +3,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 22X8.5X10 +6,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 25X6.5X11 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 25X6.5X11 +3,7702.24,6161.8,1.0,6932.02,27
HCPCS,C1776,ELBOW RAD HD STER 25X6.5X11 +6,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 25X7.5MM +3,7702.24,6161.8,1.0,6932.02,27
HCPCS,C1776,ELBOW RAD HD STER 25X7.5X11 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 25X7.5X11 +6,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 25X8.5MM +6,8131.6,6505.28,1.0,7318.44,27
HCPCS,C1776,ELBOW RAD HD STER 25X8.5X11 +0,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD HD STER 25X8.5X11 +3,8558.58,6846.87,1.0,7702.72,27
HCPCS,C1776,ELBOW RAD STEM ALIGN 10X2MM,7339.8,5871.84,1.0,6605.82,27
HCPCS,C1776,ELBOW RAD STEM ALIGN 9X-2MM,7339.8,5871.84,1.0,6605.82,27
HCPCS,C1776,ELBOW RAD STEM ALIGN10X30X17-2,7339.8,5871.84,1.0,6605.82,27
HCPCS,C1776,ELBOW RAD STEM ANATOM 8X0MM,5807.2,4645.76,1.0,5226.48,27
HCPCS,C1776,ELBOW RAD STEM ANATOM 9X0MM,5807.2,4645.76,1.0,5226.48,27
HCPCS,C1776,ELBOW RAD STEM ANATOM 9X4MM,5807.2,4645.76,1.0,5226.48,27
HCPCS,C1776,ELBOW RAD STEM ARH STD11.0X0.0,5322.8,4258.24,1.0,4790.52,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 5.5MM +4,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 6.5MM,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 6.5MM +2,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 6.5MM +4,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 7.5MM,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 7.5MM +2,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 8.5MM,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 8.5MM +2,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 8.5MM +4,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 9.5MM,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EVOLVE 9.5MM +2,6724.76,5379.81,1.0,6052.28,27
HCPCS,C1776,ELBOW RAD STEM EXPLOR 6X24MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,ELBOW RAD STEM EXPLOR 7X26MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,ELBOW RAD STEM EXPLOR 8X28MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,ELBOW RAD STEM MORSE TPR LNG 9,5910.8,4728.64,1.0,5319.72,27
HCPCS,C1776,ELBOW STEM NEXEL LFT SZ4 75MM,11635.0,9308.0,1.0,10471.5,27
HCPCS,C1776,ELBOW ULNA STEM LFT SM STD,7910.42,6328.34,1.0,7119.38,27
HCPCS,C1776,ELBOW ULNA STEM LFT STD MD,7910.42,6328.34,1.0,7119.38,27
HCPCS,C1776,ELBOW ULNA STEM RT LG 80MM,7910.42,6328.34,1.0,7119.38,27
HCPCS,C1776,ELBOW ULNA STEM RT MD ST*NLU*,7909.2,6327.36,1.0,7118.28,27
HCPCS,C1776,ELBOW ULNA ZIMM LFT SM,10790.0,8632.0,1.0,9711.0,27
HCPCS,C1776,ELBOW ULNA ZIMM RT SZ5 75MM,11635.0,9308.0,1.0,10471.5,27
HCPCS,C1776,ELBOW ULNAR CAPS LG,2725.02,2180.02,1.0,2452.52,27
HCPCS,C1776,ELBOW ULNAR CAPS MD,2725.02,2180.02,1.0,2452.52,27
HCPCS,C1776,ELBOW ULNAR CAPS SM,2725.02,2180.02,1.0,2452.52,27
HCPCS,C1776,FEMNEXCR-FLEXOPTRTSZF*DISC*,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,FINGER IMPLT GROMMETSWANSONSZ5,3301.76,2641.41,1.0,2971.58,27
HCPCS,C1776,FINGER IMPLT GROMMETSWANSONSZ6,3301.76,2641.41,1.0,2971.58,27
HCPCS,C1776,FINGER IMPLT SWANSON SZ0,3670.8,2936.64,1.0,3303.72,27
HCPCS,C1776,FINGER IMPLT SWANSON SZ1,3670.8,2936.64,1.0,3303.72,27
HCPCS,C1776,FINGER IMPLT SWANSON SZ2,3222.8,2578.24,1.0,2900.52,27
HCPCS,C1776,FINGER MCP ASCENSION DIST 30,7631.0,6104.8,1.0,6867.9,27
HCPCS,C1776,FINGER MCP ASCENSION PROX 30,11921.0,9536.8,1.0,10728.9,27
HCPCS,C1776,FINGER MCP PIP S*DISC NO REPL*,3184.27,2547.42,1.0,2865.84,27
HCPCS,C1776,FINGER MCP PIP SILFLEX II SZ60,3005.8,2404.64,1.0,2705.22,27
HCPCS,C1776,FINGER PIP PROX SBI SZ1,5703.6,4562.88,1.0,5133.24,27
HCPCS,C1776,FINGER PIP PROX SBI SZ2,5703.6,4562.88,1.0,5133.24,27
HCPCS,C1776,FINGER PIP PROX SBI SZ3,5703.6,4562.88,1.0,5133.24,27
HCPCS,C1776,FINGER PIP PROX SBI SZ4,5703.6,4562.88,1.0,5133.24,27
HCPCS,C1776,FINGER PIP SIL ACSENSION SZ1,3396.43,2717.15,1.0,3056.79,27
HCPCS,C1776,FINGER PIP SIL ACSENSION SZ2,3174.22,2539.38,1.0,2856.8,27
HCPCS,C1776,FINGER PIP SIL ASCENSION SZ0,3174.22,2539.38,1.0,2856.8,27
HCPCS,C1776,FINGER PIP SOFT SIL SBI SZ30,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,FINGER PIP SOFT*DISC NO REPL*,3184.27,2547.42,1.0,2865.84,54
HCPCS,C1776,FINGER SIL MSP SZ05,6903.0,5522.4,1.0,6212.7,27
HCPCS,C1776,FINGER SIL MSP SZ10,3174.22,2539.38,1.0,2856.8,27
HCPCS,C1776,FINGER SIL MSP SZ20,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,FINGER SIL MSP SZ30,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,FOSSA TMJ CMPNT LFT SM,12492.0,9993.6,1.0,11242.8,27
HCPCS,C1776,HAMMERTOE2STEPGRIDLK2.6X2.4X14,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,HIP ADPTR ENDOII TPR +3MM,706.5,565.2,1.0,635.85,27
HCPCS,C1776,HIP ADPTR ENDOII TPR +6MM,706.5,565.2,1.0,635.85,27
HCPCS,C1776,HIP ADPTR ENDOII TPR -3MM,706.5,565.2,1.0,635.85,27
HCPCS,C1776,HIP ADPTR ENDOII TPR -6MM,706.5,565.2,1.0,635.85,27
HCPCS,C1776,HIP ADPTR ENDOII TPR STD,706.5,565.2,1.0,635.85,27
HCPCS,C1776,HIP AUG COL BTRS LFTPSTR RTANT,6728.4,5382.72,1.0,6055.56,27
HCPCS,C1776,HIP AUG COL BTRS RTPSTR LFTANT,6728.4,5382.72,1.0,6055.56,27
HCPCS,C1776,HIP AUG ST BTRS TRABECMTL SZ54,6728.4,5382.72,1.0,6055.56,27
HCPCS,C1776,HIP AUG ST BTRS TRABECMTL SZ58,6728.4,5382.72,1.0,6055.56,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM50X10MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM50X15MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM50X20MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM50X30MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM54X10MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM54X15MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM58X10MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM58X15MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM62X10MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM66X10MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM70X10MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP AUG TRABEC MTL ZIMM70X15MM,5947.2,4757.76,1.0,5352.48,27
HCPCS,C1776,HIP BEARING E1 22X32MM SZA,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP BEARING E1 22X36MM SZB,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP BEARING HD EMPHASYS38X28MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP BEARING HD EMPHASYS40X28MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP BEARING HD EMPHASYS42X28MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP BEARING HD EMPHASYS44X28MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP BEARING HD EMPHASYS46X28MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP BEARING VIV-E 22.2X32 SZA,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP BEARING VIV-E 22.2X36,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP BLOCK VERS 10MM SZ13,1568.7,1254.96,1.0,1411.83,27
HCPCS,C1776,HIP BLOCK VERS 30MM SZ13*NLU*,1568.7,1254.96,1.0,1411.83,27
HCPCS,C1776,HIP BODY BROACH HIGH SZA 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH HIGH SZB 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH HIGH SZC 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH HIGH SZD 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH HIGH SZE 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH HIGH SZF 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH STD SZA 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH STD SZB 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH STD SZC 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH STD SZD 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY BROACH STD SZE 60MM,13143.6,10514.88,1.0,11829.24,27
HCPCS,C1776,HIP BODY CONE HIGH SZA 50MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZA 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZA 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZA 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZB 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZB 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZB 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZC 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZC 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZC 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZD 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZD 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZD 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZE 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZE 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE HIGH SZE 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZA 50MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZA 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZA 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZA 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZB 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZB 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZC 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZC 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZC 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZD 60MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZD 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZD 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZE 70MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY CONE STD SZE 80MM,13910.4,11128.32,1.0,12519.36,27
HCPCS,C1776,HIP BODY PROX RECLAIM 20X75MM,12504.96,10003.97,1.0,11254.46,27
HCPCS,C1776,HIP BODY PROX RECLAIM 20X85MM,12504.96,10003.97,1.0,11254.46,27
HCPCS,C1776,HIP BODY PROX RECLAIM 24X105MM,12504.96,10003.97,1.0,11254.46,27
HCPCS,C1776,HIP BODY PROX RECLAIM 24X75MM,12504.96,10003.97,1.0,11254.46,27
HCPCS,C1776,HIP BOLT LK RECLAIM 85MM,1354.08,1083.27,1.0,1218.67,27
HCPCS,C1776,HIP CAGE FLG LNGRT 62/64 54,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG LNGRT 72/74 64,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG LNGRT56/58/60/48,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG LNGRT66/68/70/58,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG LNGRT76/78/80/68,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG PROVRT66/68/70/58,1224.3,979.44,1.0,1101.87,27
HCPCS,C1776,HIP CAGE FLG SHRT LFT 62/64 54,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG SHRT LFT 72/74 64,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG SHRTRT 62/64 54,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG SHRTRT 72/74 64,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG SHRTRT56/58/60 48,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG SHRTRT66/68/70/58,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLG SHRTRT76/78/80 68,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLGPROVLFT56/58/60 48,1224.3,979.44,1.0,1101.87,27
HCPCS,C1776,HIP CAGE FLGSHRTLFT56/58/60 48,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CAGE FLGSHRTLFT76/78/80 68,7078.5,5662.8,1.0,6370.65,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 10.5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 10MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 11MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 12MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 13MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 8.5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CEMENTRALIZER DEPU 9.25MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 10MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 11MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 12MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 13MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 14MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 16MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 18MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER DIST VERS 9MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 11MM,589.5,471.6,1.0,530.55,27
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 13MM,589.5,471.6,1.0,530.55,27
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 14MM,589.5,471.6,1.0,530.55,27
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 17MM,405.0,324.0,1.0,364.5,27
HCPCS,C1776,HIP CENTRALIZER ECHO ZIMM 9MM,589.5,471.6,1.0,530.55,27
HCPCS,C1776,HIP CONE BODY RESTO 19MM +20,10324.6,8259.68,1.0,9292.14,27
HCPCS,C1776,HIP CONE BODY RESTO 21MM +0,10324.6,8259.68,1.0,9292.14,27
HCPCS,C1776,HIP CONE BODY RESTO 21MM +10,10324.6,8259.68,1.0,9292.14,27
HCPCS,C1776,HIP CONE BODY RESTO 23MM +0,10324.6,8259.68,1.0,9292.14,27
HCPCS,C1776,HIP CONE BODY RESTO 23MM +10,10324.6,8259.68,1.0,9292.14,27
HCPCS,C1776,HIP CONE BODY RESTO 25MM +0,10324.6,8259.68,1.0,9292.14,27
HCPCS,C1776,HIP FEM EXT GMRS STRY 100MM,8639.54,6911.64,1.0,7775.59,27
HCPCS,C1776,HIP FEM EXT GMRS STRY 140MM,8639.54,6911.64,1.0,7775.59,27
HCPCS,C1776,HIP FEM EXT GMRS STRY 40MM,8639.54,6911.64,1.0,7775.59,27
HCPCS,C1776,HIP FEM EXT GMRS STRY 50MM,8639.54,6911.64,1.0,7775.59,27
HCPCS,C1776,HIP FEM EXT GMRS STRY 60MM,8639.54,6911.64,1.0,7775.59,27
HCPCS,C1776,HIP FEM EXT GMRS STRY 80MM,8639.54,6911.64,1.0,7775.59,27
HCPCS,C1776,HIP FEM HD CER 12/14 22.225 +4,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 22.225 +7,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 28 +1.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 28 +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 28 +8.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 32 +1,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 32 +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 32 +9,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 36 +1.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 36 +12,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 36 +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 36 +8.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 36 -2,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 40 +1.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 40 +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 40 +8.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER 12/14 40 -2,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP FEM HD CER GM 36MM +0,6888.0,5510.4,1.0,6199.2,27
HCPCS,C1776,HIP FEM HD CER GM 36MM +3.5,6888.0,5510.4,1.0,6199.2,27
HCPCS,C1776,HIP FEM HD CER ITOTAL SHRT36MM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP FEM HD CER REST CUST 32MM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP FEM HD CER TYPE 1 40MM+0MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP FEM HD CER TYPE 1 40MM+3MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP FEM HD CER TYPE 1 40MM-3MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP FEM HD COCR 6D 28MM +3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR TYPE1 40M+3MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR TYPE1 40M-3MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR TYPE1 40M-6MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR TYPE1 40MMSTD,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR TYPE1 44MM+0MM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 22.2MM +0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 22.2MM -2,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 28MM+10.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM +0,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM +3,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM +6,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP FEM HD COCR UNIV 32MM -3,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +10.,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM HD COCR UNIV 40MM +7,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP FEM PROX TROCH NEUT,13194.72,10555.78,1.0,11875.25,27
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +11,3016.96,2413.57,1.0,2715.26,27
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +3,3016.96,2413.57,1.0,2715.26,27
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +5,3016.96,2413.57,1.0,2715.26,27
HCPCS,C1776,HIP HD AML MTL 14/16 28MM +8,3016.96,2413.57,1.0,2715.26,27
HCPCS,C1776,HIP HD AML MTL 14/16 36MM +5,4448.64,3558.92,1.0,4003.78,27
HCPCS,C1776,HIP HD BHR RESURF MTL 54MM,12984.0,10387.2,1.0,11685.6,27
HCPCS,C1776,HIP HD BIOLOX CE*DISC 6315098*,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,HIP HD BIOLOX CER 28MM-3*DISC*,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,HIP HD BIOLOX CER 32 -3*DISC*,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 28MM +0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 28MM +5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 28MM -0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 32MM -0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM +0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM +5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM -0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 36MM -5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 40MM -0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY 44MM -0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY28MM+2.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY36MM+2.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY36MM+7.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER STRY36MM-2.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 28MM +0,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 28MM +3,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 28MM -3,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 32MM +0,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 32MM +3,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 32MM +6,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 32MM +7,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 32MM -3,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 36MM +0,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 36MM +6,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 36MM +7,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 40MM +0,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM 40MM +7,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM28MM+3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM28MM-3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM32MM+3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM32MM-3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM36MM+3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM36MM-3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM40MM+3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX CER ZIMM40MM-3.5,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX DELTA CER 28MM+0,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX DELTA CER 32MM+0,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX TYPE1 DELTA 36MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX TYPE1DELTA36MM+3,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIOLOX TYPE1DELTA36MM-3,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1776,HIP HD BIPOLR COCR 28X46MM,4662.0,3729.6,1.0,4195.8,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 22MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+10,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+2.5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM+7.5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 28MM-3,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 32MM-5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+10,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+2.5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM+7.5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM-2.5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 36MM-5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD C-TPR LFIT MTL 40MM-5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 41,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 42,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 43,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 44,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 45,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 46,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 47,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 48,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 49,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 50,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 51,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 52,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 53,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 54,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 56,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 58,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CATHCART UNIPOLR MTL 60,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X40,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X43,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X44,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X45,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X46,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X47,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X48,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X50,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X52,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X53,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X55,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD CORAIL SLF CTR MTL28X56,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ43,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ44,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ45,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ46,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ47,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ48,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ49,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ50,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ51,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ52,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ53,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ54,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ55,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ56,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD ENDOII MTL UNIPOLR SZ59,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD EZE CER 12/14 28MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 28MM +1.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 28MM +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 32MM +1,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 32MM +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 32MM +9,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +1.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +12,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER 12/14 36MM +8.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE CER TS12/1436MM+1.5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE MTL 12/14 22MM +4MM,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 22MM +7,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +1.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +12,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM +8.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 28MM+15.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +1,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +13,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 32MM +9,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +1.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +12,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM +8.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM -2,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 40MM+15.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM +1.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM +12,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM +5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM +8.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE MTL 12/14 44MM -2,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZE TS CER 12/14 28MM+5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER 12/14 32MM+1,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER 12/14 32MM+5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER 12/14 32MM+9,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER 12/14 36MM+5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER 12/14 40MM+5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE TS CER12/14 28MM+12,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER12/14 36MM+12,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TS CER12/14 40MM+12,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE TSCER12/14 28MM+1.5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TSCER12/14 28MM+8.5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TSCER12/14 36MM+8.5,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP HD EZE TSCER12/14 40MM+1.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZE TSCER12/14 40MM+8.5,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD EZEM MTL 12/14 36MM -2,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZEM MTL12/14 36 +15.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM +1.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM +12,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM +5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD EZEM MTL12/14 36MM+8.5,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD FEM BIOLOX DELTACER28MM,4762.8,3810.24,1.0,4286.52,27
HCPCS,C1776,HIP HD FEM CER 11/13 28MM +3,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD FEM COCR 12/14 32MM +0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD FEM COCR 12/14 32MM-3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD FEM PROFORM 28MM -3.5,3332.0,2665.6,1.0,2998.8,27
HCPCS,C1776,HIP HD FEMBIOLOX DELTA32MM-3.5,6888.0,5510.4,1.0,6199.2,27
HCPCS,C1776,HIP HD FREEDOM MTL12/14 28MM+0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD FREEDOM MTL12/14 36MM+0,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMCOCR T1 36MM+9,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMCOCR12/14 36MM+3,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMCOCR12/14 36MM+6,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMCOCR12/14 36MM+9,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMCOCR12/14 36MM-3,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMCOCR12/14 36MM-6,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD FREEDOMMTL 12/14 36 +7,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD FREEDOMMTL 12/14 36+3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD FREEDOMMTL12/14 36+10.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD FREEDOMMTL12/1436MM-3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 28MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 32MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 36MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD G7 BIOLOX OPT CER 40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 22.2MM -6,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +12,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +3,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM +6,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM -3,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM -6,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 28MM*NLU*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +12,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +3,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +6,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 32MM +9,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +0,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +12,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +3,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +6,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM +9,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM -3,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD G7 TYPE 1 MTL 36MM -6,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD M2A MTL 40MM +0*DISC*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD M2A MTL 40MM +3*DISC*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD M2A MTL 40MM +6*DISC*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD M2A MTL 40MM +9*DISC*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD MOD FREEDOM 36MM +3,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD MOD FREEDOM 36MM +6,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD MOD FREEDOM 36MM -3,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD MOD FREEDOM 36MM -6,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD MOD FREEDOM STD 36MM,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD MODLR 1 COCR STD 32MM,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIP HD OXIN MTL 12/14 28MM +0,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD OXIN MTL 12/14 32MM +0,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD OXIN MTL 12/14 36MM +0,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD OXIN MTL 12/14 36MM +4,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD OXIN MTL 12/14 36MM -3,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD PCA COCR 36MM +10,2593.8,2075.04,1.0,2334.42,27
HCPCS,C1776,HIP HD PCA MTL 28MM +0,2593.8,2075.04,1.0,2334.42,27
HCPCS,C1776,HIP HD PCA MTL 28MM +5,2593.8,2075.04,1.0,2334.42,27
HCPCS,C1776,HIP HD SMF MTL 12/14 36MM +0,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SMF MTL 12/14 36MM +4,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SMF MTL 12/14 36MM +8,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SMF MTL 12/14 36MM -3,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SROM CER 11/13 36MM +6,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP HD SROM MTL 11/13 28MM +9,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SYNRG MTL 12/14 28MM +0,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SYNRG MTL 12/14 28MM +4,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SYNRG MTL 12/14 32MM +0,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD SYNRG MTL 12/14 32MM -3,1591.8,1273.44,1.0,1432.62,27
HCPCS,C1776,HIP HD TRID V40 CER 32MM +0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD TRID V40 CER 32MM -4,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL28MM+8,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL36MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL36MM+5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL36MM-5,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL40MM+0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL40MM+8,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD TRID V40 LFIT MTL40MM-4,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD TRID V40 LFITMTL36MM+10,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X44MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X45MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X46MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X47MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X48MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X49MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X50MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X51MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X52MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X53MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X54MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X55MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X56MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UHR BIPOLR MTL 28X58MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 43MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 44MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 45MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 46MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 47MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 48MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 50MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 52MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 54MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD UNIPOLR UNITRAX 55MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 22.2MM+0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 28MM +0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 28MM +4,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 28MM -4,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 28MM-2.7,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 32MM +0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 32MM +4,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 32MM -4,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 36MM +0,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 36MM +5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 36MM -5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 36MM+2.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 36MM+7.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 EXETER CER 36MM-2.5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL22MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL22MM+3,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL28MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL28MM+4,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL28MM-4,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL32MM+0,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUM MTL32MM+4,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD V40 VITALLIUMMTL28MM+12,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 28MM +0,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 28MM +7,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 32MM +7,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 32MM -3,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 36MM +0,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 36MM +7,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 40MM +0,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER 40MM +7,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER28MM+3.5,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER28MM-3.0,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER32MM+3.5,4485.6,3588.48,1.0,4037.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER36MM+3.5,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER36MM-3.5,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER40MM+3.5,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS BIOLOX CER40MM-3.0,5115.6,4092.48,1.0,4604.04,27
HCPCS,C1776,HIP HD VERS MTL *DISC NO REPL*,1470.0,1176.0,1.0,1323.0,459
HCPCS,C1776,HIP HD VERS MTL1*DISC NO REPL*,1470.0,1176.0,1.0,1323.0,108
HCPCS,C1776,HIP HD ZIMM MTL 6D 28MM +10.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HD ZIMM MTL 6D 28MM +7,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HDFREEDOMMTL 12/14 28MM +7,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HDFREEDOMMTL12/14 28MM+3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HDFREEDOMMTL12/14 28MM-3.5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP HDVERSMTL12/*DISC NO REPL*,1470.0,1176.0,1.0,1323.0,54
HCPCS,C1776,HIP HL COV RFLCT SN,472.8,378.24,1.0,425.52,27
HCPCS,C1776,HIP HL ELIMINATOR DEPU,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP INSRT ADM/MDM X3 42MM SZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP INSRT ADM/MDM X3 46MM SZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP INSRT ADM/MDM X3 48MM SZG,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP INSRT ADM/MDM X3 52MM SZH,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP INSRT MDM X3 22.2 36MM SZC,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP INSRT MDM X3 22.2 38MM SZD,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP INSRT MDM X3 28.0 38MM SZD,4495.68,3596.55,1.0,4046.11,27
HCPCS,C1776,HIP INSRT OR3O XPLE 28/40MM,4764.48,3811.59,1.0,4288.03,27
HCPCS,C1776,HIP INSRT SYS12 CRSFR 10D 32P3,3120.04,2496.04,1.0,2808.04,27
HCPCS,C1776,HIP INSRT SYS12 CRSFR 10D 32P4,3120.04,2496.04,1.0,2808.04,27
HCPCS,C1776,HIP LNR ACET ARCT*USE 6315618*,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR ACET ONVOY 36X50-52,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1776,HIP LNR ACET ONVOYHOOD36X50-52,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1776,HIP LNR ACET ONVOYHOOD36X58-60,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 22X41,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 22X43,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 22X45,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 28X47,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX BIMENTUM 28X49,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 32X48MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 32X50MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 32X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X54MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 36X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 40X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 44X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 44X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D 44X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D28X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D28X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 0D28X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X44MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X46MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X54MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D28X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D32X48MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D32X50MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X54MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D36X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D40X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D44X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D44X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE +4 10D44X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X44MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X46MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X48MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X50MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 28X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X48MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X50MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X54MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 32X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X54MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 36X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X56MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X58MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X60MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE 0D 40X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ALTRX PE LIP 28X51MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX PE LIP 28X53MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX PE LIP 28X55MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR ALTRX PE LIP 32X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR APR PE 0D 53X32MM,2848.0,2278.4,1.0,2563.2,27
HCPCS,C1776,HIP LNR ARCOMXL PE 0D 32X23MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ARCOMXL PE MR*VAT NLU*,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ARCOMXL PE MROM22X32+3,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR BIMENTUM PE 22X41MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,HIP LNR BIMENTUM PE 22X43MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,HIP LNR BIMENTUM PE 28X47MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,HIP LNR BIMENTUM PE 28X49MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,HIP LNR BIMENTUM PE 28X51MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,HIP LNR BIMENTUM PE 28X53MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ23 +5,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ24 +5,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ26 +5,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ27 +5,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR CNSTND FREEDOM SZ28 +5,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR CONFORMIS 60MM SZE,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,HIP LNR CONTM PE OFFSET 58X36,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR CONTMPEOFFSET36X50SZHH,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR DUAL EMPHASYS 48X38MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP LNR DUAL EMPHASYS 50X40MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP LNR DUAL EMPHASYS 52X42MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP LNR DUAL EMPHASYS 54X44MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP LNR DUAL EMPHASYS 56X46MM,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 48X41MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 50X43MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 52X45MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 60X51MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 62X53MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 64X53MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITY 66X55MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR DUAL MOBILITYPE58X49MM,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR E1 PE 10D 36X24*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIP LNR E1 PE HIGH 36X24*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL44,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL46,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL48,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL50,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL52,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL54,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL56,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL58,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL60,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL62,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS CMNTLSS 3HL64,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIP LNR EMPHASYS PE ELEV 54X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 44X32,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 46X32,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 48X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 50X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 52X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 54X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 54X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 56X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 56X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 60X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 60X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 62X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 64X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE NEUT 64X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE+4NEUT50X36,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR EMPHASYS PE+4NEUT56X40,2572.8,2058.24,1.0,2315.52,27
HCPCS,C1776,HIP LNR ENDURANCE PE 28X44MM,810.0,648.0,1.0,729.0,27
HCPCS,C1776,HIP LNR FREEDOM G7 10D D 36MM,6048.0,4838.4,1.0,5443.2,27
HCPCS,C1776,HIP LNR FREEDOM G7 10D F 36MM,6048.0,4838.4,1.0,5443.2,27
HCPCS,C1776,HIP LNR FREEDOM G7 10D G 36MM,6048.0,4838.4,1.0,5443.2,27
HCPCS,C1776,HIP LNR FREEDOM G7 10D H 36MM,6048.0,4838.4,1.0,5443.2,27
HCPCS,C1776,HIP LNR FREEDOM G7 10D I 36MM,6048.0,4838.4,1.0,5443.2,27
HCPCS,C1776,HIP LNR FREEDOM PE 0D SZ27,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP LNR FREEDOM PE 10D SZG 36,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE 10D SZH 36,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE 10D SZI 36,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE SZ50,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP LNR FREEDOM PE SZ52,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP LNR FREEDOM PE SZ54,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP LNR FREEDOM PE SZ56,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP LNR FREEDOM PE SZ58,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP LNR FREEDOM PE SZD 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE SZE 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE SZF 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE SZH 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR FREEDOM PE SZI 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR G7 ART *DISC 6313789*,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR G7 ARTI*DISC 6313787*,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X38MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X44MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X54MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR G7 ARTICU E1 PE28X60MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZA 32MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZB 36MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZC 38MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZD 40MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZE 42MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZF 44MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZG 46MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZH 50MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZI 54MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE DUAL SZI 60MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP LNR G7 PE NEUT +5 40 SZF,4928.0,3942.4,1.0,4435.2,27
HCPCS,C1776,HIP LNR G7 PE NEUT +5 40 SZG,4928.0,3942.4,1.0,4435.2,27
HCPCS,C1776,HIP LNR G7SZF40MM*USE 6311805*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIP LNR HW LNGVTY G7 32MM SZB,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR HW LNGVTY G7 36MM SZE,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ITOTAL STD 36MM SZE,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D 28X48,4438.0,3550.4,1.0,3994.2,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D 32X54,4438.0,3550.4,1.0,3994.2,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D 40X62,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D GG 32MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D HH 32MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D II 36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D JJ 36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D KK 40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D LL 40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D MM 36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D MM 40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 0D NN 40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE 10D 40X62MM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,HIP LNR LNGVTY PE 10D 48X28MM,4438.0,3550.4,1.0,3994.2,27
HCPCS,C1776,HIP LNR LNGVTY PE 10D 50X28MM,4438.0,3550.4,1.0,3994.2,27
HCPCS,C1776,HIP LNR LNGVTY PE 10D 54X32MM,4438.0,3550.4,1.0,3994.2,27
HCPCS,C1776,HIP LNR LNGVTY PE 10D 58X36MM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,HIP LNR LNGVTY PE ELEV GG 32MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTY PE ELEV HH 32MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR LNGVTYPE10D66-68-70X40,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,HIP LNR LONGEVITY 28X40MM SZD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP LNR LONGEVITY 28X44MM SZF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP LNR LONGEVITY 28X46MM SZG,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP LNR LONGEVITY 28X48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP LNR LONGEVITY 40MM SZG,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR MDM XL PE 36MM C,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR MDM XL PE 38MM D,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR MDM XL PE 42MM E,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR MDM XL PE 46MM F,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR MDM XL PE 48MM G,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR NEUT LNGVTY G7 32MMSZB,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR NEUT LNGVTY G7 40MMSZF,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR NEUT REST CUST,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1776,HIP LNR ONVOY CMNTLSS 56MM,7397.0,5917.6,1.0,6657.3,27
HCPCS,C1776,HIP LNR ONVOY CMNTLSS 58MM,7397.0,5917.6,1.0,6657.3,27
HCPCS,C1776,HIP LNR OR3O DUAL MOBIL40/52MM,6636.86,5309.49,1.0,5973.17,27
HCPCS,C1776,HIP LNR PE E1 G7 10D SZD 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE E1 G7 10D SZF 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZB 32MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZC 32MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZD 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZE 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZF 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZG 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZH 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE FREEDOM E1 SZI 36MM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZA 28MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZB 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZC 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZD 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZE 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZF 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZF 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZG 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZG 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZH 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZH 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZH 44MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZI 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZI 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZI 44MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZJ 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE NEUT E1 G7 SZJ 44MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZB 32MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZC 32MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZD 36MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZE 36MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZF 36MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZF 40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZG 36MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 0D SZI 40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZG,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PE TRID X3 10D 36MMSZH,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D36X60,11999.52,9599.62,1.0,10799.57,27
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D47X54,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR PNCLE ESC PE+4 0D56X49,4566.8,3653.44,1.0,4110.12,27
HCPCS,C1776,HIP LNR PNCLE ESC PE+410D36X56,11637.6,9310.08,1.0,10473.84,27
HCPCS,C1776,HIP LNR PNCLE PE +4 0D 28X58,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 22MMSZ43,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ47,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ49,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ51,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ53,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ55,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ57,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ59,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ61,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE 28MMSZ63,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE SZ49,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR POLARCUP XLPE X-LINKED,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X60 +4,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X62 +4,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X62MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X64MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 0D 40X66MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 28X46MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 32X48MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 32X50MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 32X52MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 32X54MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 36X52,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 36X54,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 36X56,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 36X58,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE 20D 36X60,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR R3 XLPE PE0D40X66/70+4,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TI REST CUST,33588.0,26870.4,1.0,30229.2,27
HCPCS,C1776,HIP LNR TRIAL NEUT 40IDX56OD,2440.0,1952.0,1.0,2196.0,27
HCPCS,C1776,HIP LNR TRID CER 0D 32MM SZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID CER 0D 32MM SZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID CNSTND PE 0D22SZE,7277.27,5821.82,1.0,6549.54,27
HCPCS,C1776,HIP LNR TRID X3 ECCN 0D36MMSZG,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 ECCN 0D36MMSZH,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 HA 0D 36MM SZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 HA 0D 36MM SZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 28MM SZA,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 32MM SZC,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 32MM SZD,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZD,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZG,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 36MM SZH,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 0D 40MM SZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 10D 32MMSZD,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 10D 32MMSZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 10D 36MMSZE,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 10D 36MMSZF,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE 10D 36MMSZG,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE ELEVA36MM E,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRID X3 PE ELEVA36MM F,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 50X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 56X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 58X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 58X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 60X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 60X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 62X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 62X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 64X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 64X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 66X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 66X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 68X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 68X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 70X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 0D 70X40MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE 10D 64X36MM,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR TRILOGY PE CNSTND50X28,8281.0,6624.8,1.0,7452.9,27
HCPCS,C1776,HIP LNR TRILOGY PE CNSTND62X36,8281.0,6624.8,1.0,7452.9,27
HCPCS,C1776,HIP LNR VERS BIP*DISC NO REPL*,1260.0,1008.0,1.0,1134.0,162
HCPCS,C1776,HIP LNR VIT E PE 0D FF 28MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D GG 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D HH 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D II 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D II 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D JJ36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D KK 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D KK 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D LL 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D LL 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D MM 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D NN 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D OO 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE 0D PP 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE ELEV GG 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE ELEV HH 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE ELEV II 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE ELEV JJ 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE ELEV KK *NLU*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIP LNR VIT E PE ELEV KK 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIT E PE ELEV MM 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E 28X38MM SZC,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X40MM SZD,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X42MM SZE,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X44MM SZF,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X46MM SZG,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X48MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X50MM SZH,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X52MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X54MM SZI,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X56MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X58MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E 28X60MM SZJ,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZB 32,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZC 32,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZD 36,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZE 36,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZF 36,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZF 40,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZG 40,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZH 36,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZH 40,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE HW SZI 36,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZA 28MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZB 28MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZB 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZC 32MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZD 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZE 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZF 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZF 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZG 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZG 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZH 36MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZH 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZH 44MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE SZI 40MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE10D SZG 40,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE10D SZH 40,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR VIV-E PE10D SZI 44,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,HIP LNR X3 STRY PE 22.2X36 C,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP LNR X3 STRY PE 22.2X38 D,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP LNR X3 STRY PE 28X42 E,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR X3 STRY PE 28X46 F,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR X3 STRY PE 28X48 G,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,HIP LNR XLPE PE 20ANT 4 3*NLU*,2390.4,1912.32,1.0,2151.36,27
HCPCS,C1776,HIP LNR ZCA STD POLY 49X32MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,HIP LNREMPHASYSCMNTLSSMULTHL56,9310.08,7448.07,1.0,8379.07,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV AA,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV BB,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV CC,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV DD,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV E1,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV E2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV J2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV K1,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV K2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV P2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV R1,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV R2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV S1,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV S2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV X1,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ANTV RETV X2,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST A,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST B,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST D,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST E,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST J,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST K,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST P,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST SZR,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP NECK KINECTIV ST X,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,HIP PLUG APICAL HL ZIMM,716.04,572.84,1.0,644.44,27
HCPCS,C1776,HIP PLUG DOME HL ZIMM,280.8,224.64,1.0,252.72,27
HCPCS,C1776,HIP PLUG HEX DOME HL TRID II,475.2,380.16,1.0,427.68,27
HCPCS,C1776,HIP PLUG SCREW HL G7,716.04,572.84,1.0,644.44,27
HCPCS,C1776,HIP REPL SYS ITOTAL PTSPECIFIC,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP RING REPL LK RINGLOC SZ22,475.2,380.16,1.0,427.68,27
HCPCS,C1776,HIP RING REPL LK RINGLOC SZ24,900.0,720.0,1.0,810.0,27
HCPCS,C1776,HIP RING REPL LK RINGLOC SZ25,900.0,720.0,1.0,810.0,27
HCPCS,C1776,HIP SCREW ACET ONVOY 6.5X20MM,967.5,774.0,1.0,870.75,27
HCPCS,C1776,HIP SCREW ACET ONVOY 6.5X25MM,967.5,774.0,1.0,870.75,27
HCPCS,C1776,HIP SCREW CNCLS ITOTAL 6.5X15,480.0,384.0,1.0,432.0,27
HCPCS,C1776,HIP SCREW CNCLS ITOTAL 6.5X25,480.0,384.0,1.0,432.0,27
HCPCS,C1776,HIP SCREW DOME LOPROG7 6.5X15M,213.5,170.8,1.0,192.15,27
HCPCS,C1776,HIP SCREW DOME LOPROG7 6.5X30M,213.5,170.8,1.0,192.15,27
HCPCS,C1776,HIP SCREW G7 LOPRODOME6.5X50MM,213.5,170.8,1.0,192.15,27
HCPCS,C1776,HIP SCREW LK ARCOS ZIMM,2559.6,2047.68,1.0,2303.64,27
HCPCS,C1776,HIP SCREW PERIPH 5.0X60MM,874.8,699.84,1.0,787.32,27
HCPCS,C1776,HIP SCREW PERIPH 5.0X65MM,874.8,699.84,1.0,787.32,27
HCPCS,C1776,HIP SHELL BHR 54HD 60MM,3052.0,2441.6,1.0,2746.8,27
HCPCS,C1776,HIP SHELL CONTM 1HL GG 48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL HH 50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL II52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL JJ 54MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL KK 56MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL LL 58MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL MM 60MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL NN 62MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM 1HL OO 64MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER GG46MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER GG48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER HH50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER II52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER JJ54MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER KK56MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER LL58MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER MM60MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER NN62MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM CLUSTER PP66MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL CONTM MULT HH 50MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP SHELL CONTM MULT II 52MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP SHELL CONTM MULT JJ 54MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP SHELL CONTM MULT MM 60MM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL B 46MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL C 48MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL D 50MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL E 52MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL F 54MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL F 56MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL G 58MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL G 60MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL H 62MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL H 64MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL I 66MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL G7 PPS 3HL I 68MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 44X38MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 46X40MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 48X42MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 50X44MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 52X46MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 54X48MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 56X50MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 58X52MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 60X54MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL M2A ZIMM 62X56MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL ONVOY CLUSTER HL 50,7397.0,5917.6,1.0,6657.3,27
HCPCS,C1776,HIP SHELL ONVOY CLUSTER HL 52,7397.0,5917.6,1.0,6657.3,27
HCPCS,C1776,HIP SHELL OSSEOTI 3HL B 46MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 3HL C 48MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 3HL D 50MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 3HL E 52MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 4HL F 54MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 4HL F 56MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 4HL G 58MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 4HL G 60MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 4HL H 62MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI 4HL H 64MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT A 42MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT A 44MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT B 46MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT C 48MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT D 50MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT E 52MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT F 54MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT F 56MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT G 58MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT G 60MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT H 62MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT H 64MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT I 66MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT I 68MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT I 70MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT I 72MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT J 74MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL OSSEOTI MULT J 76MM,7030.4,5624.32,1.0,6327.36,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 44,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 46,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 48,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 52,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 54,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 56,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 58,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 60,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 62,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 64,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE GRIPTN MULT 66,8674.64,6939.72,1.0,7807.18,27
HCPCS,C1776,HIP SHELL PNCLE REV GRIPTN56MM,10213.84,8171.08,1.0,9192.46,27
HCPCS,C1776,HIP SHELL PNCLE REV GRIPTN58MM,10213.84,8171.08,1.0,9192.46,27
HCPCS,C1776,HIP SHELL PNCLE REV GRIPTN60MM,10213.84,8171.08,1.0,9192.46,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 48,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 50,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 52,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 54,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 56,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 58,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 60,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 62,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 64,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT GRIPTN 66,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 48MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 50MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 52MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 54MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 56MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 58MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 60MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 62MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 64MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE SECT POR 66MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 46MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 48MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 50MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 52MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 54MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 56MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 58MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 60MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 62MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 GRIPTN 64MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 48MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 50MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 52MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 54MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 56MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 58MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 60MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE100 POR 62MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL PNCLE300 POR 50MM,2403.2,1922.56,1.0,2162.88,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 43MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 47MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 49MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 51MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 53MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 55MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 57MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 59MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 61MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL POLARCUP CMNT 63MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,HIP SHELL R3 0HL 46MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 48MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 50MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 52MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 54MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 56MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 58MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 60MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 0HL 64MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 3HL 52MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 3HL 58MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 3HL 60MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 3HL 66MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL R3 MULT HL 62MM,3021.2,2416.96,1.0,2719.08,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR *NLU*,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X41,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X43,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X44,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X45,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X46,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X47,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X48,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X49,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X50,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X51,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X52,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X54,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X56,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL RINGLOC BIPOLR 28X60,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,HIP SHELL TRABEC CLUS*VAT NLU*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRABEC REV 48MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 50MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 52MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 54MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 56MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 58MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 60MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 62MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 64MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 66MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 68MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 70MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 74MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 76MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REV 78MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REVNOTAIL72MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRABEC REVNOTAIL80MM,7962.24,6369.8,1.0,7166.02,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 44MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 46MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 54MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 56MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 58MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA 0HL 60MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 46MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 54MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 56MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 58MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 60MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID HA CLUSTER 62MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID MULT HL 50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID MULT HL 52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID MULT HL 54MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID MULT HL 56MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER44MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER46MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER54MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER56MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER58MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID PSL CLUSTER60MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER42A,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER44B,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER46C,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER48D,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER50D,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER52E,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER54E,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER56F,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER58F,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER60G,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER62G,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER64H,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRID TRIT CLUSTER66H,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA42A,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA44B,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA46C,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA48D,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA50D,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA52E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA54E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA56F,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA58F,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA60G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA62G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA64H,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII CLUSTER HA66H,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID42A,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID44B,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID46C,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID48D,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID50D,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID52E,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID54E,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID56F,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID58F,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID60G,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID62G,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID64H,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRIT SOLID66H,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL42A,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL44B,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL46C,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL48D,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL50D,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL52E,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL54E,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL56F,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL58F,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL60G,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL62G,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL64H,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL66H,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL68I,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL70I,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIDII TRITMULTHL72J,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1776,HIP SHELL TRIT CLUSTER 50MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIT CLUSTER 52MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIT CLUSTER 54MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIT CLUSTER 56MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIT CLUSTER 58MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL TRIT MULT HL 54MM,7491.77,5993.42,1.0,6742.59,27
HCPCS,C1776,HIP SHELL TRIT SOLID BACK 52MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,HIP SHELL VERS B*DISC NO REPL*,1260.0,1008.0,1.0,1134.0,459
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA42A,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA44B,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA46C,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA48D,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA50D,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA52E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA54E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA56F,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA58F,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA60G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA62G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA64H,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLTRIDIIPSLCLUSTERHA66H,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP SHELLVERSBIP*DISC NO REPL*,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIP SLV ADPTR ALUMINA HD,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR C-TPR +0MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR C-TPR +2.5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR C-TPR +5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR C-TPR -2.5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR MORSE/C-TPR,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR V40 STRYUNIV+0MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTR V40 STRYUNIV+4MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV ADPTRV40STRYUNIV-2.5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV BIOLOX DELTA CER NEUT,508.5,406.8,1.0,457.65,27
HCPCS,C1776,HIP SLV C TPR UNITRAX +10MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV C TPR UNITRAX +5MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV C TPR UNITRAX+0MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV TI MODLR 12/14 +8,1053.0,842.4,1.0,947.7,27
HCPCS,C1776,HIP SLV TYPE 12/14 OPT CER 0MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE 12/14 OPT CER+7MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE 12/14 OPT CER-3MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE I OPT CER +3MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE I OPT CER +4MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE I OPT CER +6MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE I OPT CER -3MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE I OPT CER -6MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV TYPE I OPT CER 0MM,675.0,540.0,1.0,607.5,27
HCPCS,C1776,HIP SLV V-40 TPR UNITRAX+0MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP SLV V-40 TPR UNITRAX-4MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,HIP STEM ACLD C 127D SZ2,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD C 127D SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD C 127D SZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD C 132D SZ2,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD C 132D SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD C 132D SZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD C 132D SZ5,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM ACLD TMZF 127D SZ2.5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ1,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ10,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ11,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ2,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ3,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ4,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ6,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ7,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ8,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 127D SZ9,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D 126MMSZ11,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ1,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ10,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ2,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ3,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ4,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ6,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ7,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ8,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACLDII 132D SZ9,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS HIGH SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ACTIS STD SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML HIGH LG SZ16.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML HIGH LG SZ18,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML HIGH LG SZ19.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML LG SZ15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML LG SZ19.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML SM SZ13.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML SM SZ15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML SM SZ16.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AML SM SZ19.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ARCOS ETO STS13X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS14X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS15X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS16X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS17X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS18X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS19X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS20X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS ETO STS30X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 12X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 12X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 13X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 13X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 14X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 14X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 15X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 15X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 16X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 16X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 17X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 17X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 18X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 18X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 19X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 19X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 20X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 20X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 21X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 21X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 21X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 22X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 22X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 23X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 24X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 24X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 25X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 25X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 26X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 26X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 26X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 27X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 27X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 27X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 28X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 28X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 29X150MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 29X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM ARCOS STS 29X250MM,9137.7,7310.16,1.0,8223.93,27
HCPCS,C1776,HIP STEM ARCOS STS 30X190MM,7768.8,6215.04,1.0,6991.92,27
HCPCS,C1776,HIP STEM AVENIR COMPL CV SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ6.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL HO SZ7.5,5412.0,4329.6,1.0,4870.8,27
HCPCS,C1776,HIP STEM AVENIR COMPL SO SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM AVENIR COMPL SO SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR LAT SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT AVENIR STD SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNT HO SZ1,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT HO SZ3,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT HO SZ4,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT HO SZ6,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT HO SZ7,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT HO SZ8,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ1,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ2,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ4,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ5,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ6,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ7,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNT STD OFFSET SZ8,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR LATSZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR LATSZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR LATSZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR LATSZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR STDSZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR STDSZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR STDSZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR STDSZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR STDSZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CMNTLSS AVENIR STDSZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLAR ACTERA STD SZ7,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,HIP STEM COLAR LAT PLR STEMSZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLAR STD PLRSTEM SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTIS STDSZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSS ACTISHIGHSZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COLARLSSACTISHIGHSZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HO COLAR SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ6.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ7.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ8.0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ8.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA HOCOLARSZ9.0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HA STD COLARSZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ6.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ7.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ8.0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ8.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COMPL HASTDCOLARSZ9.0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CONIC RESTO BOW14X195,8268.26,6614.61,1.0,7441.43,27
HCPCS,C1776,HIP STEM CONIC RESTO BOW25X195,8268.26,6614.61,1.0,7441.43,27
HCPCS,C1776,HIP STEM CONIC RESTO BOW26X195,8268.26,6614.61,1.0,7441.43,27
HCPCS,C1776,HIP STEM CONIC RESTO BOW27X195,8268.26,6614.61,1.0,7441.43,27
HCPCS,C1776,HIP STEM CONIC RESTO BOW28X195,8268.26,6614.61,1.0,7441.43,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 15X115,8686.16,6948.93,1.0,7817.54,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 16X115,8272.52,6618.02,1.0,7445.27,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 17X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 18X115,7397.39,5917.92,1.0,6657.65,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 19X115,8686.16,6948.93,1.0,7817.54,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 21X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 22X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 23X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 24X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 25X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 26X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 27X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONIC RESTO ST 28X195,7833.54,6266.84,1.0,7050.19,27
HCPCS,C1776,HIP STEM CONQUEST PRIM STDSZ13,2066.4,1653.12,1.0,1859.76,27
HCPCS,C1776,HIP STEM CONQUEST PRIM STDSZ14,2066.4,1653.12,1.0,1859.76,27
HCPCS,C1776,HIP STEM CONQUEST PRIM STDSZ15,2066.4,1653.12,1.0,1859.76,27
HCPCS,C1776,HIP STEM CONQUEST PRIM STDSZ16,2066.4,1653.12,1.0,1859.76,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL BOW COLAR SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL COLAR SHRT SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL COLAR SHRTSZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL KS STD SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL KS STD SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL KS STD SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL KS STD SZ15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL KS STD SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL REV STD SZ10,19802.88,15842.31,1.0,17822.59,27
HCPCS,C1776,HIP STEM CORAIL REV STD SZ20,19802.88,15842.31,1.0,17822.59,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM CORAIL2 BOW STD SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM COXAVARA HIGH SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO FX LAT 15X150MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM ECHO FX LAT 17X150MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM ECHO FX STD 11MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM ECHO FX STD 13MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM ECHO FX STD 7MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM ECHO FX STD 9MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM ECHO HIGH 130D SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO HIGH 130D SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO HIGH 130D SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO HIGH 130D SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO HIGH 130D SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO RPP STD 10X130MM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM ECHO RPP STD 12X140MM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM ECHO RPP STD 9X125MM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ16,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM ECHO STD 135D SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM FEM PT SPECIFIC SZ1,25428.0,20342.4,1.0,22885.2,27
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ0,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ1,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ3,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ4,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ5,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEM FEM Z1 CMNTLSS SZ6,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEM FEM Z1 UNCTD SZ5,9678.76,7743.01,1.0,8710.88,27
HCPCS,C1776,HIP STEM FLUTESTPRESSFIT11X125,12040.56,9632.45,1.0,10836.5,27
HCPCS,C1776,HIP STEM HA RESTO 12X155 -5SZ8,12074.04,9659.24,1.0,10866.64,27
HCPCS,C1776,HIP STEM HA RESTO 13X155 -5SZ9,12074.04,9659.24,1.0,10866.64,27
HCPCS,C1776,HIP STEM HA RESTO 13X205 -5SZ9,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM HA RESTO 14X155 -5SZ8,12074.04,9659.24,1.0,10866.64,27
HCPCS,C1776,HIP STEM HA RESTO 14X205-5SZ10,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM HA RESTO 15X155 -5SZ9,12074.04,9659.24,1.0,10866.64,27
HCPCS,C1776,HIP STEM HA RESTO 15X205 -5SZ9,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM HA RESTO 16X155-5SZ10,12074.04,9659.24,1.0,10866.64,27
HCPCS,C1776,HIP STEM HA RESTO 16X205-5SZ10,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM HA RESTO 17X205-5SZ11,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM HA RESTO 19X205-5SZ13,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM HERITAGE STD 11X120MM,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM INSIGNIA HO 33.5X93,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA HO 33.5X96,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA HO 36X99,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA HO 41X113,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA HO 43.5X115,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 30.5X96,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 32.5X101,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 32.5X103,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 32.5X99,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 35X105,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 35X107,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 38X111,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 38X113,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INSIGNIA STD 40.5X115,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM INTERSPACE SHRT LG,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,HIP STEM INTERSPACE TPR LNG SM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,HIP STEM INTERSPACE TPR SHRTSM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,HIP STEM INTERSPACE WDG LNG MD,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,HIP STEM INTERSPACE WDG SHRTMD,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,HIP STEM KINECTIV 132D15X129MM,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV 132D17.5X134,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ10,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ11,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ12,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ13.5,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ16.5,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ6,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ7.5,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM KINECTIV SZ9,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ2,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ5,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM LAT PLRSTEM CMNT SZ8,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM LAT PROVIDENT 11.25MM,18912.0,15129.6,1.0,17020.8,27
HCPCS,C1776,HIP STEM LAT PROVIDENT 7.5MM,18912.0,15129.6,1.0,17020.8,27
HCPCS,C1776,HIP STEM LAT PROVIDENT II SZ3,18912.0,15129.6,1.0,17020.8,27
HCPCS,C1776,HIP STEM M/L EXT SZ10,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L EXT SZ11,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L EXT SZ12.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L EXT SZ5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L EXT SZ6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L EXT SZ7.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L EXT SZ9,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECK EXT10,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECK EXT11,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECK STD10,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECK STD11,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXT7.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXTSZ4,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXTSZ6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKEXTSZ9,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTD7.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ4,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTN NECKSTDSZ9,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTNNECKEXT12.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTNNECKEXT13.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTNNECKEXT17.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTNNECKSTD12.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L RDCTNNECKSTD13.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ10,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ11,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ12.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ13.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ15,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ16.25,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ17.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ20,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ7.5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/L STD SZ9,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM M/LRDCTNNECKSTD16.25,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 10X105,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 12X109,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 13X111,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 14X113,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 5X95,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 6X97.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH 7X99,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY HIGH9X102.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTY STD SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MICRPLSTYHIGH11X107.5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM MOD FEM HD 28MM +5,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIP STEM MRS WO BODY LNG11X203,11200.28,8960.23,1.0,10080.25,27
HCPCS,C1776,HIP STEM MRS WO BODY ST9X102MM,7978.88,6383.11,1.0,7180.99,27
HCPCS,C1776,HIP STEM MRS WO BODYCURV17X203,11200.28,8960.23,1.0,10080.25,27
HCPCS,C1776,HIP STEM OMNIFIT EON 127D SZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM OMNIFIT EON 127D SZ6,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM OMNIFIT EON 127D SZ7,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM OMNIFIT EON 132D SZ5,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM OMNIFIT EON 132D SZ7,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ5,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 127D SZ7,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ10,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ5,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ7,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM OMNIFIT HFX 132D SZ9,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP STEM PLASMA RESTO 16X155MM,7397.39,5917.92,1.0,6657.65,27
HCPCS,C1776,HIP STEM PLASMA RESTO 18X155MM,7397.39,5917.92,1.0,6657.65,27
HCPCS,C1776,HIP STEM PLASMA RESTO 19X155MM,7397.39,5917.92,1.0,6657.65,27
HCPCS,C1776,HIP STEM POLARSTEMSTDCMNTEDSZ4,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM PRIM FITMORE B EXTSZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM PRIM FITMORE B EXTSZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM RECLAIM ANG 21X40MM,10762.96,8610.37,1.0,9686.66,27
HCPCS,C1776,HIP STEM RECLAIM DIST ST16X140,10167.04,8133.64,1.0,9150.34,27
HCPCS,C1776,HIP STEM RECLAIM DIST ST17X140,10167.04,8133.64,1.0,9150.34,27
HCPCS,C1776,HIP STEM RECLAIM DIST ST17X190,10648.56,8518.85,1.0,9583.7,27
HCPCS,C1776,HIP STEM RECLAIM DIST ST19X140,10167.04,8133.64,1.0,9150.34,27
HCPCS,C1776,HIP STEM RECLAIM DIST ST21X140,10167.04,8133.64,1.0,9150.34,27
HCPCS,C1776,HIP STEM RECLAIM DIST ST24X190,10648.56,8518.85,1.0,9583.7,27
HCPCS,C1776,HIP STEM RESTO CONIC ST 17X115,8686.16,6948.93,1.0,7817.54,27
HCPCS,C1776,HIP STEM RESTO HA -5 11 1*NLU*,12788.16,10230.53,1.0,11509.34,27
HCPCS,C1776,HIP STEM REV CORAIL HO SZ10,19802.88,15842.31,1.0,17822.59,27
HCPCS,C1776,HIP STEM REV HO CMNTLSS 15MM,20753.28,16602.63,1.0,18677.95,27
HCPCS,C1776,HIP STEM REV RECLAIM STD HO 18,20753.28,16602.63,1.0,18677.95,27
HCPCS,C1776,HIP STEM REVRECLAIMSTDOFFSET17,20753.28,16602.63,1.0,18677.95,27
HCPCS,C1776,HIP STEM REVRECLAIMSTDOFFSET18,57674.4,46139.52,1.0,51906.96,27
HCPCS,C1776,HIP STEM SECFIT ADV 132D SZ8,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT HA SZ10 *NLU*,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ10,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ6,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ7,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 127D SZ8,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 132D *NLU*,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ10,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ4,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ8,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM SECFIT MAX 132D SZ9,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ0,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ3,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ5,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM STD PLRSTEM CMNT SZ6,2948.4,2358.72,1.0,2653.56,27
HCPCS,C1776,HIP STEM STD PROVIDENT 11.25MM,18912.0,15129.6,1.0,17020.8,27
HCPCS,C1776,HIP STEM STD PROVIDENT 13.75MM,18912.0,15129.6,1.0,17020.8,27
HCPCS,C1776,HIP STEM STD PROVIDENT 15MM,18912.0,15129.6,1.0,17020.8,27
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ3,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ4,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ5,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ6,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ7,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT HIGH SZ8,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ2,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ3,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ4,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ5,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ6,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ7,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT CMNT SZ8,3802.4,3041.92,1.0,3422.16,27
HCPCS,C1776,HIP STEM SUMMIT DUOFIX HIGHSZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR HIGH SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SUMMIT POR STD SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR HIGH SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR HIGH SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR HIGH SZ16,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR HIGH SZ18,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS HIGH12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS HIGH13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 15,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 16,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR PLUS STD 17,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR STD SZ*NLU*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR STD SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR STD SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR STD SZ13,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR STD SZ14,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM SYNRG POR STD SZ16,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ7,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL HIGHSZ8,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ5,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ7,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC FULL STD SZ8,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC HIGH14X148MM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGH SZ1,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGH SZ9,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ11,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ12,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ13,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ15,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ16,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ17,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ18,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ20,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ22,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV HIGHSZ24,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ10,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ11,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ12,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ13,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ14,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ15,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ16,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ17,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ18,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ20,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ24,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TAPERLOC REV STD SZ9,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK HIGH SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ0,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ1,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ10,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ11,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ12,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ2,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ3,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ4,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ5,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ6,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ7,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ8,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM TRI-LOCK STD SZ9,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIP STEM VERS CM*DISC NO REPL*,2940.0,2352.0,1.0,2646.0,81
HCPCS,C1776,HIP STEM VERS CMNT16X145*DISC*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIP STEM VERS ST*DISC NO REPL*,5412.4,4329.92,1.0,4871.16,81
HCPCS,C1776,HIP STEM VERS ZIMM 13X170MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 13X210MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 13X250MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 13X300MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 15X180MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 15X210MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 15X300MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM VERS ZIMM 19X200MM,11302.2,9041.76,1.0,10171.98,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 13MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 17MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 19MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 20MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 21MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 23MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 125D 24MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 13MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 14MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 15MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 16MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 17MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 19MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 20MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 23MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER CONE 135D 24MM,7277.4,5821.92,1.0,6549.66,27
HCPCS,C1776,HIP STEM WAGNER SL 14X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 14X225MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 14X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 14X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 15X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 15X225MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 15X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 15X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 16X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 16X225MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 16X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 17X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 17X225MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 17X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 17X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 18X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 18X225MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 18X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 19X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 19X225MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 19X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 20X190MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 20X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 21X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 22X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 23X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 24X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 25X265MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEM WAGNER SL 25X305MM,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1776,HIP STEMFEMZ1WOCOLARCMNTLSSSZ5,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP STEMFEMZ1WOCOLARCMNTLSSSZ8,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,HIP TROCH 5HL 4CBL 23X261MM,12268.8,9815.04,1.0,11041.92,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 24MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 26MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 30MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 32MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 34MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 36MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 38MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 40MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 44MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 48MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 50MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 52MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BOLT ARCOS 54MM,1911.6,1529.28,1.0,1720.44,27
HCPCS,C1776,HIP TROCH BTN ARCOS 25MM,2577.6,2062.08,1.0,2319.84,27
HCPCS,C1776,HIP TROCH CLAW ARCOS LG,2721.6,2177.28,1.0,2449.44,27
HCPCS,C1776,HIP TROCH CLAW ARCOS SM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,HIP TROCH LNG 4CBL 23X121MM,8382.4,6705.92,1.0,7544.16,27
HCPCS,C1776,HIP TROCH SHRT 2CBL 23X53MM,5667.2,4533.76,1.0,5100.48,27
HCPCS,C1776,HIP VERS NT 14X135*DISC*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,HIPACETCOMPTRIFLGDCUST*DISC*,30000.0,24000.0,1.0,27000.0,27
HCPCS,C1776,HIPBEADFC+EXTSZ16*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+EXTSZ17*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMEXTSZ13*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMEXTSZ15*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMEXTSZ16*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMEXTSZ17*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMSTDSZ14*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMSTDSZ15*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMSTDSZ16*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+LMSTDSZ18*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+STDSZ15*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+STDSZ16*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPBEADFC+STDSZ17*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPECHOPRESSFITSTD10*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPECHOPRESSFITSTD11*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPECHOPRESSFITSTD12*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPECHOPRESSFITSTD13*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPECHOPRESSFITSTD14*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPECHOPRESSFITSTD15*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPECHOPRESSFITSTD9*DISC*,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,HIPFREEDOMMTL12/14STD36*DISC*,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIPHDFREEDOMMTL12/1436+3*DISC*,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIPHDFREEDOMMTL12/1436+6*DISC*,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIPHDFREEDOMMTL12/1436+9*DISC*,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIPHDFREEDOMMTL12/1436-3*DISC*,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIPHDFREEDOMMTL12/1436-6*DISC*,3603.6,2882.88,1.0,3243.24,27
HCPCS,C1776,HIPHDPROTASULMTL28+8*DISC*,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,HIPLNRE1PEHIGH+336X23*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIPLNRE1PEHIGH+340X24*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIPLNRE1PEMROM+332X22*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIPLNRE1PEMROM+336X23*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIPLNRE1PEMROM+340X24*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIPLNRE1PEMROM+340X25*DISC*,3084.8,2467.84,1.0,2776.32,27
HCPCS,C1776,HIPLNRVERSBIPOLR*DISC NO REPL*,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,HIPVERS6BEADEXTLMSZ12*DISC*,5412.4,4329.92,1.0,4871.16,27
HCPCS,C1776,HIPZCARECONROOFRG50X54*DISC*,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1776,HIPZCARECONROOFRG60X64*DISC*,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1776,INTR CLASC *DISC NO REPL*,211.98,169.59,1.0,190.78,27
HCPCS,C1776,KNEE ADPTR OFFSET 360 ZIMM 5MM,2492.28,1993.83,1.0,2243.05,27
HCPCS,C1776,KNEE ADPTR OFFSET 360ZIMM2.5MM,2492.28,1993.83,1.0,2243.05,27
HCPCS,C1776,KNEE ADPTR SLV DEPU FEM +0MM,2419.2,1935.36,1.0,2177.28,27
HCPCS,C1776,KNEE ADPTR TIB OFFSETVNGD NEUT,2445.84,1956.68,1.0,2201.26,27
HCPCS,C1776,KNEE ADPTR TS OFFSET TRLON 2MM,3043.04,2434.44,1.0,2738.74,27
HCPCS,C1776,KNEE ADPTR TS OFFSET TRLON 6MM,3043.04,2434.44,1.0,2738.74,27
HCPCS,C1776,KNEE ADPTR TS OFFSET TRLON 8MM,3043.04,2434.44,1.0,2738.74,27
HCPCS,C1776,KNEE ARTICU INSRT SN 11MMSZ1-2,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE ARTICU INSRT SN 15MMSZ1-2,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE ARTICU INSRT SN 18MMSZ1-2,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE ARTICU INSRT SN 30MMSZ1-2,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE ARTICU INSRT SN 9MM SZ1-2,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE ARTICU LFT *DISC NO REPL*,2610.0,2088.0,1.0,2349.0,108
HCPCS,C1776,KNEE ARTICU LFT 16MM SZ1-2,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE ARTICU RT 1*DISC NO REPL*,2610.0,2088.0,1.0,2349.0,81
HCPCS,C1776,KNEE ARTICU RT 9*DISC NO REPL*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE ASF INSRT TIP*NLU*,480.0,384.0,1.0,432.0,27
HCPCS,C1776,KNEE AUG DIST FEM SZC 10MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZC 15MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZC 20MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZC 5MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZD 10MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZD 15MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZD 20MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZD 5MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZE 10MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZE 15MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZE 20MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZE 5MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZF 10MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZF 15MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZF 20MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG DIST FEM SZF 5MM,5249.44,4199.56,1.0,4724.5,27
HCPCS,C1776,KNEE AUG PSTR FEM SZC 10MM,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE AUG PSTR FEM SZD 5MM,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE AUG PSTR FEM SZE 10MM,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE AUG PSTR FEM SZE 5MM,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE AUG PSTR FEM SZF 5MM,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE AXLE GMRS STRY,3161.48,2529.19,1.0,2845.33,27
HCPCS,C1776,KNEE AXLE OSS RS ZIMM*VAT NLU*,1756.86,1405.49,1.0,1581.17,27
HCPCS,C1776,KNEE AXLE OSS ZIMM,1756.86,1405.49,1.0,1581.17,27
HCPCS,C1776,KNEE AXLE STRY,3155.6,2524.48,1.0,2840.04,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTA,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTB,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTC,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTD,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTE,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTF,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTG,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTH,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL LFTJ,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT A,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT B,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT C,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT D,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT E,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT F,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT G,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT H,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE PSN REV FIXKEEL RT J,5681.2,4544.96,1.0,5113.08,27
HCPCS,C1776,KNEE BASE TRLON PKR RM/LL SZ2,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE BUMPER INSRT STRY 3D,2434.32,1947.46,1.0,2190.89,27
HCPCS,C1776,KNEE BUMPER INSRT STRY NEUT,2434.32,1947.46,1.0,2190.89,27
HCPCS,C1776,KNEE BUSHING FEM GMRS STRY,1425.9,1140.72,1.0,1283.31,27
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTSZB,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTSZC,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTSZD,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTSZE,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTSZF,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE CMNT SHIELD HNG SVC KTXTB,5843.04,4674.44,1.0,5258.74,27
HCPCS,C1776,KNEE COLAR LK MOD OSS 0D,8431.8,6745.44,1.0,7588.62,27
HCPCS,C1776,KNEE CONE ASYM TRIT LM/RL SZC,10723.57,8578.86,1.0,9651.21,27
HCPCS,C1776,KNEE CONE ASYM TRIT RM/LL SZD,10723.57,8578.86,1.0,9651.21,27
HCPCS,C1776,KNEE CONE ASYM TRIT RM/LL SZE,10723.57,8578.86,1.0,9651.21,27
HCPCS,C1776,KNEE CONE FEM CENT TRIT LFTSZ6,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM CENTTRITLFTSZ1-2,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM CENTTRITLFTSZ3-4,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ3,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ4,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ5,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM TRIT LFT SZ6,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM TRIT RT SZ3,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONE FEM TRIT RT SZ6,11419.98,9135.99,1.0,10277.98,27
HCPCS,C1776,KNEE CONN DIAPHYSEAL OSS 1CM,7283.12,5826.5,1.0,6554.81,27
HCPCS,C1776,KNEE CONN DIAPHYSEAL OSS 3CM,7283.12,5826.5,1.0,6554.81,27
HCPCS,C1776,KNEE CUST FEM ILOK TILFT67.5MM,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,KNEE DCM PRI LIPBEAR10X71/75MM,2570.4,2056.32,1.0,2313.36,27
HCPCS,C1776,KNEE DCMPRILIPBER12X63/67MM,2570.4,2056.32,1.0,2313.36,27
HCPCS,C1776,KNEE DIAPHYSEAL SEG ELLPOSSLG3,13468.32,10774.66,1.0,12121.49,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 10MM SZ5,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 10MM SZ6,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 10MM SZ8,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ3,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ4,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ5,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ7,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 15MM SZ8,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 5MM SZ8,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE DIST FEM WDG LGN 5MMSZ3-5,6453.3,5162.64,1.0,5807.97,27
HCPCS,C1776,KNEE FEB TM DIST AUG PSNSZ7 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM ADPTR DEPU +2/2,1212.75,970.2,1.0,1091.48,27
HCPCS,C1776,KNEE FEM ADPTR DEPU 5D,5684.14,4547.32,1.0,5115.73,27
HCPCS,C1776,KNEE FEM ADPTR DEPU NEUT,1212.75,970.2,1.0,1091.48,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ3,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ4,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ5,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 4 SZ8,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ3,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ4,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG CMNT ATTUNE 8 SZ5,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ1,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ2,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 10MM SZ5,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ1,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ2,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ3,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ4,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ5,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ6,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 15MM SZ7,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST LFT 5MM SZ1,2909.06,2327.25,1.0,2618.15,27
HCPCS,C1776,KNEE FEM AUG DIST LL/RM 5X65,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM AUG DIST LL/RM10X55MM,3151.04,2520.84,1.0,2835.94,27
HCPCS,C1776,KNEE FEM AUG DIST LL/RM10X60MM,3151.04,2520.84,1.0,2835.94,27
HCPCS,C1776,KNEE FEM AUG DIST ONLY 15MMSZD,2961.0,2368.8,1.0,2664.9,27
HCPCS,C1776,KNEE FEM AUG DIST RL/LM10X55MM,3151.04,2520.84,1.0,2835.94,27
HCPCS,C1776,KNEE FEM AUG DIST RL/LM10X60MM,3151.04,2520.84,1.0,2835.94,27
HCPCS,C1776,KNEE FEM AUG DIST RT 10MM SZ1,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG DIST RT 10MM SZ2,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ1,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ2,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ7,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST RT 15MM SZ8,3206.28,2565.03,1.0,2885.65,27
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ1,2909.06,2327.25,1.0,2618.15,27
HCPCS,C1776,KNEE FEM AUG DIST RT 5MM SZ4,2909.06,2327.25,1.0,2618.15,27
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 10MMSZD,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 10MMSZE,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 5MM SZC,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 5MM SZD,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG DIST ZIMM 5MM SZF,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG NEX 5MM SZC,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE FEM AUG PSTR 10MM SZ1,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ1,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG PSTR 5MM SZ8,3056.9,2445.52,1.0,2751.21,27
HCPCS,C1776,KNEE FEM AUG PSTR ZIMM 10MMSZD,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG PSTR ZIMM 5MM SZD,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUG PSTR ZIMM 5MM SZF,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEE FEM AUGDIST RL/LM 5X65,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM BUSHING AXLE TRLONSTD,7374.9,5899.92,1.0,6637.41,27
HCPCS,C1776,KNEE FEM BUSHING OSS PE,1618.68,1294.95,1.0,1456.81,27
HCPCS,C1776,KNEE FEM BUSHING OSS RS SET,1618.68,1294.95,1.0,1456.81,27
HCPCS,C1776,KNEE FEM BUSHING STRY,1381.8,1105.44,1.0,1243.62,27
HCPCS,C1776,KNEE FEM CENT CONE PSN REV LG,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM CENT CONE PSN REV MD,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM CENT CONE PSN REV SM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM CENT CONE PSN REV XL,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM CMNT PSN STD LFT SZ4,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CMNT PSN STD LFT SZ9,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CMNT PSN STD RT SZ6,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CMNT PSN STD RT SZ8,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CMNT PSN STD RT SZ9,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CMPNT PTLARMDLFT69-62,50069.42,40055.54,1.0,45062.48,27
HCPCS,C1776,KNEE FEM COMP DIST LFT SEG SZB,18848.88,15079.11,1.0,16963.99,27
HCPCS,C1776,KNEE FEM COMP DIST LFT SEG SZC,18848.88,15079.11,1.0,16963.99,27
HCPCS,C1776,KNEE FEM COMP DIST RT SEG SZB,18848.88,15079.11,1.0,16963.99,27
HCPCS,C1776,KNEE FEM COMP DIST RT SEG SZC,18848.88,15079.11,1.0,16963.99,27
HCPCS,C1776,KNEE FEM COMP MRH LFT SM,14248.08,11398.47,1.0,12823.27,27
HCPCS,C1776,KNEE FEM COMP PSN MEDL LFT SZ3,4670.4,3736.32,1.0,4203.36,27
HCPCS,C1776,KNEE FEM COMP PSN MEDL LFT SZ4,4670.4,3736.32,1.0,4203.36,27
HCPCS,C1776,KNEE FEM CONE LFT LG 35MM,11414.78,9131.83,1.0,10273.3,27
HCPCS,C1776,KNEE FEM CONE LFT MD 35MM,11414.78,9131.83,1.0,10273.3,27
HCPCS,C1776,KNEE FEM CONE LT SM 35MM,11414.78,9131.83,1.0,10273.3,27
HCPCS,C1776,KNEE FEM CONE RT LG 35MM,11414.78,9131.83,1.0,10273.3,27
HCPCS,C1776,KNEE FEM CONE RT MD 36MM,11414.78,9131.83,1.0,10273.3,27
HCPCS,C1776,KNEE FEM CONE RT SM 35MM,11414.78,9131.83,1.0,10273.3,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ3,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ4,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ5,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ6,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ7,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFT SZ8,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ4N,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ5N,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR LFTSZ6N,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ10,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ3,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ4,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ4N,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ5,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ5N,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ6,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ7,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR ATTUNE POR RT SZ8,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ3,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ4,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ5,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ6,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ7,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ8,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE LFTSZ9,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ2,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ3,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ4,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ5,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ6,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ7,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ8,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RT SZ9,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT ATTUNE RTSZ10,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ3,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ4,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ5,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW LFT SZ6,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW RT SZ4,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW RT SZ5,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT NARW RT SZ6,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ4,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ5,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ6,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ7,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ8,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STD RTSZ9,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ4,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ5,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ6,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ7,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ8,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDLFTSZ9,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDRTSZ10,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDRTSZ12,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDTIVRT4,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN STDTIVRT6,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIV RTSZ3,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIV RTSZ4,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIV RTSZ5,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIV RTSZ6,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIVLFTSZ3,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIVLFTSZ4,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIVLFTSZ5,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSN TIVLFTSZ6,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDLFTSZ10,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDLFTSZ11,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDLFTSZ12,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDRTSZ111,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDTIVLFT4,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDTIVLFT7,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR CMNT PSNSTDTIVRT11,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR CMNT SIGMA LFT 4N,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR CMNT SIGMA RT 4N,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 3,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 4,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU LFT 6,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT 3,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT 4,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT 5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR NONPOR DEPU RT2.5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM CR PSN NARW TIV RTSZ7,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR PSN NARW TIV RTSZ8,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR PSN NARW TIVLFTSZ6,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CR PSN NARW TIVLFTSZ9,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ4,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ5,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ6,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ7,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNE RTSZ8,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ5,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ7,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRS CMNT ATTUNELFTSZ8,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRSCMNT ATTUNELFTSZ9,16142.4,12913.92,1.0,14528.16,27
HCPCS,C1776,KNEE FEM CRUC SUB SIGMA *DISC*,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1776,KNEE FEM DIAPHYSEALCONE RTLG30,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE FEM DIAPHYSEALCONE RTMD30,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE FEM DIAPHYSEALCONE RTSM30,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE FEM DIAPHYSEALCONELFTLG30,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE FEM DIAPHYSEALCONELFTMD30,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE FEM DIAPHYSEALCONELFTSM30,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ2,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ3,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ4,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MM SZ5,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG LFT 4MMSZ2.5,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG LL/RM 5X70MM,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM DIST AUG LL/RM70X10MM,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV 5SZ1,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV 5SZ3,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV 5SZ5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV 5SZ7,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV 5SZ9,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV10SZ1,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV10SZ3,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV10SZ5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV10SZ7,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV10SZ9,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV15SZ5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV15SZ7,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV15SZ9,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV5SZ11,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSN REV5SZ13,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSNREV10SZ11,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSNREV10SZ13,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSNREV15SZ11,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG PSNREV15SZ13,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM DIST AUG RL/LM 5X70MM,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ2,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ3,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ4,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG RT 4MM SZ5,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG RT 4MMSZ2.5,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST AUG RT 8MM SZ3,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM DIST LPS DEPU LFT 2XS,27900.0,22320.0,1.0,25110.0,27
HCPCS,C1776,KNEE FEM DIST LPS DEPU LFT XS,27900.0,22320.0,1.0,25110.0,27
HCPCS,C1776,KNEE FEM DIST LPS DEPU RT 2XS,27900.0,22320.0,1.0,25110.0,27
HCPCS,C1776,KNEE FEM DIST RESURF OSS RT5CM,16648.8,13319.04,1.0,14983.92,27
HCPCS,C1776,KNEE FEM DIST SEG OSS LFT8.5CM,17664.48,14131.59,1.0,15898.03,27
HCPCS,C1776,KNEE FEM DIST STRY STD RT65MM,18841.2,15072.96,1.0,16957.08,27
HCPCS,C1776,KNEE FEM GMRS STRY SM LFT65MM,19014.24,15211.4,1.0,17112.82,27
HCPCS,C1776,KNEE FEM HNG AXLE LGN SZ4,2167.2,1733.76,1.0,1950.48,27
HCPCS,C1776,KNEE FEM HNG BOLT SLV LGN 15MM,4370.8,3496.64,1.0,3933.72,27
HCPCS,C1776,KNEE FEM HNG BUMPER TRLON +3D,3045.0,2436.0,1.0,2740.5,27
HCPCS,C1776,KNEE FEM HNG BUMPER TRLON NEUT,3045.0,2436.0,1.0,2740.5,27
HCPCS,C1776,KNEE FEM HNG DIST TRLON 5 SZ1,4459.0,3567.2,1.0,4013.1,27
HCPCS,C1776,KNEE FEM HNG DIST TRLON 5 SZ4,5145.0,4116.0,1.0,4630.5,27
HCPCS,C1776,KNEE FEM HNG DIST TRLON 5 SZ6,5145.0,4116.0,1.0,4630.5,27
HCPCS,C1776,KNEE FEM HNG LINK LGN SZ2-5,4689.3,3751.44,1.0,4220.37,27
HCPCS,C1776,KNEE FEM HNG NEX SZB,2538.0,2030.4,1.0,2284.2,27
HCPCS,C1776,KNEE FEM HNG NEX SZE,3487.4,2789.92,1.0,3138.66,27
HCPCS,C1776,KNEE FEM HNG NEXGEN SZD 14MM,3487.4,2789.92,1.0,3138.66,27
HCPCS,C1776,KNEE FEM HNG ROTATE LFT SZB,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE LFT SZC,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE LFT SZD,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE LFT SZE,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE LFT SZF,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE RT SZB,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE RT SZC,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE RT SZD,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE RT SZE,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG ROTATE RT SZF,19142.16,15313.73,1.0,17227.94,27
HCPCS,C1776,KNEE FEM HNG TRLON LFT SZ3,22887.0,18309.6,1.0,20598.3,27
HCPCS,C1776,KNEE FEM HNG TRLON LFT SZ4,22887.0,18309.6,1.0,20598.3,27
HCPCS,C1776,KNEE FEM HNG TRLON RT SZ1,19835.4,15868.32,1.0,17851.86,27
HCPCS,C1776,KNEE FEM HNG TRLON RT SZ2,18309.6,14647.68,1.0,16478.64,27
HCPCS,C1776,KNEE FEM HNG TRLON RT SZ6,22887.0,18309.6,1.0,20598.3,27
HCPCS,C1776,KNEE FEM IBALANCE PFJ LFT SZ2,12376.0,9900.8,1.0,11138.4,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 60.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 62.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 65.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 67.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 70.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 72.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 75.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM LFT 80.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 57.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 60.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 62.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 65.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 67.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 70.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 72.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 75.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM ILOK ZIMM RT 80.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM INSRT PE XT SEG SZB,1322.58,1058.07,1.0,1190.32,27
HCPCS,C1776,KNEE FEM INSRT PE XT SEG SZC,1322.58,1058.07,1.0,1190.32,27
HCPCS,C1776,KNEE FEM INTLK ZIMM LFT 65MM,13519.2,10815.36,1.0,12167.28,27
HCPCS,C1776,KNEE FEM INTLK ZIMM RT 65MM,13519.2,10815.36,1.0,12167.28,27
HCPCS,C1776,KNEE FEM JII CR OXIN LFT SZ3,5868.8,4695.04,1.0,5281.92,27
HCPCS,C1776,KNEE FEM LATCMNTLESSMDLFT19X25,8205.08,6564.07,1.0,7384.57,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZC,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZD,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZE,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZF,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM LFT SZG,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZC,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZD,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZE,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZF,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LCCK OPT ZIMM RT SZG,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM LGN CNSTND RT SZ4,29202.6,23362.08,1.0,26282.34,27
HCPCS,C1776,KNEE FEM LGN CNSTND RT SZ6,16602.0,13281.6,1.0,14941.8,27
HCPCS,C1776,KNEE FEM LGN CR NP LFT SZ3,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP LFT SZ4,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP LFT SZ5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP LFT SZ6,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP RT SZ3,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP RT SZ4,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP RT SZ5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP RT SZ6,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR NP RT SZ7,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM LGN CR OXIN LFTSZ2,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN LFTSZ3,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN LFTSZ4,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN LFTSZ5,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN LFTSZ6,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN LFTSZ7,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARW RT3N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARW RT4N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARW RT5N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARW RT6N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARWLFT3N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARWLFT4N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARWLFT5N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN NARWLFT6N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN RT SZ3,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN RT SZ4,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN RT SZ5,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN RT SZ6,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN RT SZ7,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN CR OXIN RT SZ8,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS NP LFT SZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM LGN PS NP RT SZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM LGN PS NP RT SZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN LFT SZ3,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN LFT SZ4,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN LFT SZ5,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN LFT SZ6,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT3N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT4N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT5N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN NARW RT6N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN NARWLFT3N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN NARWLFT5N,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ3,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ4,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ5,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LGN PS OXIN RT SZ7,4701.2,3760.96,1.0,4231.08,27
HCPCS,C1776,KNEE FEM LPS FLEX OPT RT SZD,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZD,5054.0,4043.2,1.0,4548.6,27
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZE,5054.0,4043.2,1.0,4548.6,27
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZF,5054.0,4043.2,1.0,4548.6,27
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZG,5054.0,4043.2,1.0,4548.6,27
HCPCS,C1776,KNEE FEM LPS OPT ZIMM LFT SZH,5054.0,4043.2,1.0,4548.6,27
HCPCS,C1776,KNEE FEM LPS OPT ZIMM RT SZD,5054.0,4043.2,1.0,4548.6,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZD,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZE,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZF,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT LFT SZG,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT RT SZE,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT RT SZF,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPS-FLEX OPT RT SZG,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM LPSFLX FIX 5-6CD 17MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE FEM METAP CONE REV LFT LG,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV LFT MD,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV LFT SM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV LFT XL,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV RT LG,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV RT MD,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV RT SM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM METAP CONE REV RT XL,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE FEM MODLR DIST PEG,305.0,244.0,1.0,274.5,27
HCPCS,C1776,KNEE FEM NEX PRECOAT LFT SZE-,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM NEX PRECOAT LFT SZF-,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,KNEE FEM NXGN LP*DISC NO REPL*,7000.0,5600.0,1.0,6300.0,81
HCPCS,C1776,KNEE FEM OXFORD LG,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1776,KNEE FEM OXFORD MD,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1776,KNEE FEM OXFORD SM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1776,KNEE FEM OXFORD XL,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1776,KNEE FEM OXFORD XS,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1776,KNEE FEM PART OXFORD TWINPEGLG,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1776,KNEE FEM PART OXFORD TWINPEGMD,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1776,KNEE FEM PART OXFORD TWINPEGSM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1776,KNEE FEM PFC CR NONPOR RT SZ6,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA LFT 2,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA LFT 3,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 1.5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 2,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 2.5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 3,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 4,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMA RT 6,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 1.5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 2.5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 4,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 4.5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 5,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS CMNT SIGMALFT 6,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ3,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ4,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ5,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ6,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ7,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ8,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNE RTSZ9,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ2,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ3,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ4,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ6,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ7,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ8,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNELFTSZ9,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNERTSZ10,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL ATTUNERTTSZ2,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL NARW LFTSZ4N,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL NARW LFTSZ5N,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL NARW LFTSZ6N,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ3N,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ4N,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ5N,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBL NARW RT SZ6N,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM POS STBLATTUNELFTSZ10,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM PROX SEG TM OFFSET 38,15713.04,12570.44,1.0,14141.74,27
HCPCS,C1776,KNEE FEM PS CMNT ATTUNE LFTSZ5,3990.0,3192.0,1.0,3591.0,27
HCPCS,C1776,KNEE FEM PS CMNT DEPU RT 4N,3007.2,2405.76,1.0,2706.48,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT55.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT57.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT60.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT62.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT65.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT67.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT70.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT72.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT75.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMM RT80.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT57.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT60.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT62.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT65.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT67.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT70.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT72.5MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PS INTL ZIMMLFT75.0MM,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CCR STD LFT SZ10,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ3,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT LFTSTDSZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ3,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RT STDSZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RTSTDSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RTSTDSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNT RTSTDSZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNTLFTSTDSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNTLFTSTDSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNTLFTSTDSZ12,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR CMNTRT STDSZ12,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ11,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ12,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ36,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ7,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ8,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR LFT STD SZ9,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ4,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ5,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ6,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ7,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ8,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFT STDSZ9,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ5,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ6,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ7,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ8,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTNARWSZ9,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTSTDSZ10,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTSTDSZ11,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS LFTSTDSZ12,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ5,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ7,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ8,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT NARWSZ9,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ4,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ5,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ6,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ7,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ8,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STD SZ9,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STDSZ10,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STDSZ11,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RT STDSZ12,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RTNARWSZ10,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPS RTNARWSZ11,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR PPSLFTNARWSZ10,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ10,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ11,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ12,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ4,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ5,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ6,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ7,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ8,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CR RT STD SZ9,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ3,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT LFTNARWSZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RT NARWSZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RTNARWSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNT RTNARWSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNTLFTNARWSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN CRCMNTLFTNARWSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE FEM PSN PPS LFT STD SZ6,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN PPS RT STD SZ6,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1776,KNEE FEM PSN PS STD LFT SZ6,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STD 11,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STD 13,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STDSZ1,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STDSZ3,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STDSZ5,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STDSZ7,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFT STDSZ9,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR LFTPLUS 11,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR LFTPLUSSZ1,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR LFTPLUSSZ3,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR LFTPLUSSZ5,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR LFTPLUSSZ7,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR LFTPLUSSZ9,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUS 11,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUSSZ1,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUSSZ3,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUSSZ5,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUSSZ7,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT PLUSSZ9,15738.0,12590.4,1.0,14164.2,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD 11,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD 13,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD SZ1,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD SZ3,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD SZ5,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD SZ7,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSN REV CR RT STD SZ9,14004.24,11203.4,1.0,12603.82,27
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ2,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ2.5,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ3,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ4,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 4MM SZ5,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 8MM SZ2,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 8MM SZ4,3025.44,2420.36,1.0,2722.9,27
HCPCS,C1776,KNEE FEM PSTR AUG 8MM SZ5,3056.0,2444.8,1.0,2750.4,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN 10 SZ11,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN 10MM SZ9,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN 5MM SZ3,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN 5MM SZ9,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV 5SZ1,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV 5SZ3,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV 5SZ5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV 5SZ7,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV 5SZ9,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV10SZ1,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV10SZ3,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV10SZ5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV10SZ7,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV10SZ9,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV15SZ5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV15SZ7,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV15SZ9,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV5SZ11,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSN REV5SZ13,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSNREV10SZ11,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSNREV10SZ13,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSNREV15SZ11,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG PSNREV15SZ13,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE FEM PSTR AUG UNIV 5X70MM,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM PSTR CMNTLSS LFT SZ10,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM PSTR CMNTLSS LFT SZ5,5549.6,4439.68,1.0,4994.64,27
HCPCS,C1776,KNEE FEM PSTR UNIV AUG 10X70MM,3096.0,2476.8,1.0,2786.4,27
HCPCS,C1776,KNEE FEM RESURF OSS RT 3*DISC*,15679.2,12543.36,1.0,14111.28,27
HCPCS,C1776,KNEE FEM ROTATING HNG NEX SZC,3487.4,2789.92,1.0,3138.66,27
HCPCS,C1776,KNEE FEM ROTATING HNG NEX SZF,3487.4,2789.92,1.0,3138.66,27
HCPCS,C1776,KNEE FEM SEG HNG SVC KT SZC,5843.04,4674.44,1.0,5258.74,27
HCPCS,C1776,KNEE FEM SLV LPS ATTUNE +0MM,2534.4,2027.52,1.0,2280.96,27
HCPCS,C1776,KNEE FEM SLV PARTCTD ATTUNE 30,8911.76,7129.41,1.0,8020.58,27
HCPCS,C1776,KNEE FEM SLV UNIV CMNT 20MM,7543.12,6034.5,1.0,6788.81,27
HCPCS,C1776,KNEE FEM SLV UNIV DISTPOR 40MM,8890.96,7112.77,1.0,8001.86,27
HCPCS,C1776,KNEE FEM SLV UNIV FULLPOR 31MM,8890.96,7112.77,1.0,8001.86,27
HCPCS,C1776,KNEE FEM SLV UNIV FULLPOR 34MM,8890.96,7112.77,1.0,8001.86,27
HCPCS,C1776,KNEE FEM SLV UNIV FULLPOR 46MM,8890.96,7112.77,1.0,8001.86,27
HCPCS,C1776,KNEE FEM SROM XS LFT 66X58MM,16014.72,12811.78,1.0,14413.25,27
HCPCS,C1776,KNEE FEM SROM XS RT 66X58MM,14699.52,11759.62,1.0,13229.57,27
HCPCS,C1776,KNEE FEM STEM EXTNDR STRY 80MM,2557.28,2045.83,1.0,2301.55,27
HCPCS,C1776,KNEE FEM TC3 DEPU LFT 3,13362.36,10689.89,1.0,12026.12,27
HCPCS,C1776,KNEE FEM TC3 DEPU RT 3,13362.36,10689.89,1.0,12026.12,27
HCPCS,C1776,KNEE FEM TC3 DEPU RT 4,14668.8,11735.04,1.0,13201.92,27
HCPCS,C1776,KNEE FEM TC3 DEPU RT 5,13362.36,10689.89,1.0,12026.12,27
HCPCS,C1776,KNEE FEM TI VNGD LFT 55MM,15407.76,12326.21,1.0,13866.98,27
HCPCS,C1776,KNEE FEM TI VNGD RT 55MM,15407.76,12326.21,1.0,13866.98,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSN SZ3 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSN SZ5 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSN SZ7 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSN SZ9 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSNSZ5 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSNSZ5 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSNSZ9 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DIST AUG PSNSZ9 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ11 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ3 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ5 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ5 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ5 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ7 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ7 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ7 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSN SZ9 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSNSZ11 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM DISTAUG PSNSZ11 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM PSTRAUG PSN SZ11 5,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TM PSTRAUG PSNSZ11 15,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TMDIST AUGPSN SZ7 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FEM TRLON CR RT SZ2,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,KNEE FEM TRLON CR RT SZ4,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ1,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ2,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ6,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFT SZ8,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFTSZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFTSZ5,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY LFTSZ7,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ2,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ5,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ6,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ7,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON CR STRY RT SZ8,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PKR RM/LL SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS RT SZ8,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ1,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFT SZ6,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ5,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ7,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY LFTSZ8,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ2,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ3,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ4,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ5,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ6,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON PS STRY RT SZ7,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ1,14504.16,11603.33,1.0,13053.74,27
HCPCS,C1776,KNEE FEM TRLON TS STRY LFT SZ5,14504.16,11603.33,1.0,13053.74,27
HCPCS,C1776,KNEE FEM TRLON TS STRY RT SZ1,14504.16,11603.33,1.0,13053.74,27
HCPCS,C1776,KNEE FEM TRLON TS STRY RTSZ4,14504.16,11603.33,1.0,13053.74,27
HCPCS,C1776,KNEE FEM UNI HIGH FLEX LFT SZD,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,KNEE FEM UNI HIGH FLEX RT SZD,4958.8,3967.04,1.0,4462.92,27
HCPCS,C1776,KNEE FEM VNGD XP LFT 65*DISC*,5513.2,4410.56,1.0,4961.88,27
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT 60MM,13777.2,11021.76,1.0,12399.48,27
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT 75MM,13777.2,11021.76,1.0,12399.48,27
HCPCS,C1776,KNEE FEM VNGD ZIMM LFT70MM,13777.2,11021.76,1.0,12399.48,27
HCPCS,C1776,KNEE FEM VNGD ZIMM RT 70MM,13777.2,11021.76,1.0,12399.48,27
HCPCS,C1776,KNEE FEM WEDGE LGN 5-6 5*NLU*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE FEM YOKE REINF OSS,3098.24,2478.6,1.0,2788.42,27
HCPCS,C1776,KNEE FEMMEDLCMNTLESSMDLFT19X25,8205.08,6564.07,1.0,7384.57,27
HCPCS,C1776,KNEE FEMTM DIST AUG PSN SZ3 10,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE FLEX GSF NO*DISC NO REPL*,4001.2,3200.96,1.0,3601.08,108
HCPCS,C1776,KNEE FLEX GSM NO*DISC NO REPL*,4001.2,3200.96,1.0,3601.08,189
HCPCS,C1776,KNEE HNG STOP HYPREXT LGN,3577.0,2861.6,1.0,3219.3,27
HCPCS,C1776,KNEE INSRT AOX ATTUNE LPS 12XS,11717.16,9373.73,1.0,10545.44,27
HCPCS,C1776,KNEE INSRT AOX ATTUNELPS16 2XS,11717.16,9373.73,1.0,10545.44,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 10 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 10 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 12 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 12 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 5 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 5 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 5 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 5 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 5 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 6 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 6 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 6 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 6 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 7 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 7 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 7 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 7 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 8 SZ4,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 8 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE 8 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CR RP ATTUNE*NLU*,2800.0,2240.0,1.0,2520.0,162
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 10SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 12SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 14SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 16SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 18SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 20SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 22SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 23SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 24SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ4,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ6,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 26SZ8,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 6 SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 6 SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 8 SZ3,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 8 SZ5,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS FB ATTUNE 8 SZ7,6951.84,5561.48,1.0,6256.66,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 10SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 12SZ4,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 14SZ9,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ4,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ5,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 16SZ6,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ4,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ6,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ7,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 18SZ8,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ4,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 20SZ8,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ5,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ6,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ7,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 22SZ8,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ4,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ5,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ6,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ7,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 24SZ8,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ4,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ5,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ6,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 26SZ7,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 6 SZ9,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ3,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CRS RP ATTUNE 8 SZ5,7576.4,6061.12,1.0,6818.76,27
HCPCS,C1776,KNEE INSRT CURV DEPU 2.5 17.5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CURV DEPU 5 17.5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT CURV DEPU 8MM SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 10 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 12 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 14SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 16SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 18SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 20SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 5 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 6 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 7 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS FB ATTUNE 8 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 10 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 10 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 10 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 10 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 12 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 5 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 6 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 7 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 7 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 8 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 8 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT PS RP ATTUNE 8 SZ9,2052.0,1641.6,1.0,1846.8,27
HCPCS,C1776,KNEE INSRT TIB ONLAY LM/RL 8MM,1821.6,1457.28,1.0,1639.44,27
HCPCS,C1776,KNEE INSRT XLPE CRDD SZ1-2 9MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDD SZ3-4 9MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDD SZ5-6 9MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDD SZ7-8 9MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ1-2 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ1-2 13MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ1-2 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ3-4 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ3-4 13MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ3-4 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ5-6 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ5-6 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE CRDDSZ7-8 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ3-4 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ3-4 13MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ3-4 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ5-6 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ5-6 13MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ5-6 9MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PS SZ7-8 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PSHF SZ3-4 9MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ1-2 13MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ1-2 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ3-4 11MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ3-4 13MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XLPE PSHFSZ5-6 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 13MMSZ1-2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 15MMSZ1-2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 15MMSZ7-8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ1-2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ3-4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ5-6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRT XPLE CRHF 18MMSZ7-8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INSRTJIIDEEPLFTSZ3-4 12MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE INTERSPACE HIGH RELEASELG,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,KNEE INTERSPACE HIGH RELEASEMD,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,KNEE INTERSPACE HIGH RELEASESM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,KNEE INTERSPACE HIGHRELEASE XL,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,KNEE LPS-FLEX FIXED 7-10EF10MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED 7-10EF12MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED 7-10EF14MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 10MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 12MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 14MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 17MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 20MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4CD 23MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 10MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 12MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 14MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 17MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED3-4EF 20MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6 EF 10MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6 EF 12MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6EF 14MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6EF 17MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6EF 20MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 10MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 12MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 14MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 17MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED5-6GH 20MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 10MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 12MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 14MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LPS-FLEX FIXED7-10GH 17MM,3168.0,2534.4,1.0,2851.2,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ3,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ4,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ5,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ7,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X10MMSZ8,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X5MM SZ3,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X5MM SZ6,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 10X5MM SZ7,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ3,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ4,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ6,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ7,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X10MMSZ8,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ3,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ4,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ5,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ6,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ7,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 15X5MM SZ8,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ3,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ4,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ5,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X10MM SZ8,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X5MM SZ3,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X5MM SZ4,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE LWDG DIST PSTR 5X5MM SZ8,8767.85,7014.28,1.0,7891.07,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX CD1-2 10MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX CD3-4 12MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX CD3-4 14MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX EF3-4 10MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX EF5-6 10MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX EF5-6 12MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX EF5-6 14MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEX LPSFLEXFIX EF5-6 17MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE NEXLPSFLEXFIX EF7-10 12MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE OFFSET CPLE 2MM,3675.0,2940.0,1.0,3307.5,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM LFT SZ1,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM LFT SZ2,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM LFT SZ4,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM LFT SZ5,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM RT SZ1,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM RT SZ2,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM RT SZ3,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM RT SZ4,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PFJ TROCHLEA ZIMM RT SZ5,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1776,KNEE PIN HNG DEPU XSM/SM,1787.94,1430.36,1.0,1609.15,27
HCPCS,C1776,KNEE PIN LK OSS PE ZIMM,930.6,744.48,1.0,837.54,27
HCPCS,C1776,KNEE PLUG TPR ZIMM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 10 10-11E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 10 10-12G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 10 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 10 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 10 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 10 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 10-11E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 10-12G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 3-5EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 12 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 14 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 14 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 14 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 16 10-11E,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 16 10-12G,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 16 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 18 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 18 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 20 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS LFT 20 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT10 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT10 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT10 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT10 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT12 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT12 3-5EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT12 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT12 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT12 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT14 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT14 3-5EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT14 6-9CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT14 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT16 3-5EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT16 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT18 3-5CD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT18 6-9EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPS VE RT18 6-9GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPSLFT14MM10-12GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPSVERT10 10-12GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPSVERT12 10-11EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPSVERT12 10-12GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPSVERT14 10-12GH,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CPSVERT16 10-11EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASF CR VELFT12MM3-9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT 12MM J,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT10MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT10MM12 J,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT11MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT11MM12J/C,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT12MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT13MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT13MM12J/C,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT14MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT16MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT16MM12J/C,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VE RT18MM12J/C,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM12 CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM4-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM6-7CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT10MM8-9CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM4-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM6-7CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT11MM8-9CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM4-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM6-7CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT12MM8-9CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM 12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM4-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM6-7CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT13MM8-9CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM4-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM6-7CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT14MM8-9CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM4-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM6-7CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT16MM8-9CN,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT18MM6-7EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT20MM12 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VELFT20MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT10MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT10MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT10MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT10MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT10MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT10MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT11MM8/9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT12MM8/9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT13MM8/9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM12J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT14MM8/9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT16MM8/9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT18MM4-5 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT18MM4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT18MM6-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT18MM6-7 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT18MM8-11 E,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT18MM8/9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MC VERT20MM8-11 G,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT10MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM12J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM14J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM16J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT11MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT12MM12J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT12MM8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT12MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT13MM12J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT13MM8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT13MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT14MM8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT14MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT16MM8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT16MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT18MM8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT18MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT20MM12J/CR,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF MCVELFT20MM8-11GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS LFT 12MM 10-11,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-5 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM-9 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT10MM3-5AB,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-5 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-9 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM-9 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT11MM3-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-5 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-9 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM-9 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT12MM3-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT13MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT13MM-9 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT13MM3-5AB,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT14MM-5 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT14MM-9 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT16MM-9 EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PS VE RT18MM-5 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSPLYLFT12MM10-11,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM3-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM3-5EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM6-9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT10MM6-9EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT11MM3-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT11MM6-9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT11MM6-9EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT12MM3-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT12MM6-9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT12MM6-9EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT13MM3-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT13MM6-9EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT14MM3-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT14MM6-9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT14MM6-9EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE LFT16MM6-9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVE RT 10MM-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVELFT10MM6-9 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVELFT11MM6-9 GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF PSVELFT12MM10-12J,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC LFT12MMSZ3-4AB,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASF UC VE RT10MM-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VE RT11MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VE RT11MM-7 CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VE RT13MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VE RT14MM-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VELFT10MM3-7CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VELFT11MM3-7CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VELFT12MM3-7CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UC VELFT14MM3-7CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UCVELFT124-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASF UCVELFT12MM7-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFCPSV1010-11EF,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASFMCVELFT10MM 4-5CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFMCVELFT10MM 8-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT10MM10-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT10MM10-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT11MM10-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT11MM10-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT12MM10-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT13MM10-12GH,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFPSVELFT18MM10-11EF,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PSN ASFUCPL*DISC NO REPL*,1926.0,1540.8,1.0,1733.4,54
HCPCS,C1776,KNEE PSN ASFUCPLY RT10MM 3-7CD,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT10MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT11MM 3-7CD,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT11MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT12MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT12MM7-12GH,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT13MM 3-7CD,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT13MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT13MM7-12GH,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT14MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLY RT14MM7-12GH,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT10MM 3-7CD,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT10MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT10MM7-12GH,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT11MM 3-7CD,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT11MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT12MM 3-7CD,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT12MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT12MM7-12GH,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT13MM4-11EF,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCPLYLFT13MM7-12GH,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE PSN ASFUCVERT13 7 CD*NLU*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN ASFUCVERT14 7 CD*NLU*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ10,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ3,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ7,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ8,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW LFT SZ9,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ10,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ11,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ3,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ5,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ6,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ7,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ8,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR NARW RT SZ9,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR STD LFT SZ3,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM CR STD LFT SZ4,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NARW RTSZ3,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NARW RTSZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ1,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRW RT SZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFT SZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFTSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT NRWLFTSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD LFTSZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ3,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ4,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ5,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ6,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ7,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ8,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RT SZ9,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RTSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RTSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STD RTSZ12,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STDLFTSZ10,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STDLFTSZ11,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEM PSCMNT STDLFTSZ12,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN FEMPSCMNTSTDLFT3*NLU*,4001.2,3200.96,1.0,3601.08,27
HCPCS,C1776,KNEE PSN STR HYB ST 14MM +30D,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PSNASFCPSLFT16 3-5CD*NLU*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSNASFCPSVERT203-5EF*NLU*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE PSNASFMCVERT10 8/9CD,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE PTLA 3 PEG OPTETRAK 38MM,3124.8,2499.84,1.0,2812.32,27
HCPCS,C1776,KNEE PTLA 3PEG STD 31X8MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA 3PEG STD 34X8.5MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA 3PEG THIN 37X8.6MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE32,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE35,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA ANATOM CMNT ATTUNE38,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA ASYM BEADED 32X10MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,KNEE PTLA ASYM BEADED 35X10MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,KNEE PTLA ASYM BEADED 38X10MM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,KNEE PTLA ASYM PE 29X9MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA ASYM PE 32X10MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA ASYM PE 35X10MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA ASYM PE 38X11MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA ASYM PE 40X11MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA ASYM X3 29X9MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA ASYM X3 32X10MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA ASYM X3 35X10MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA ASYM X3 38X10MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA ASYM X3 40X10MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA CMNT ITOTAL 10X41MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1776,KNEE PTLA CMNT ITOTAL 11X44MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1776,KNEE PTLA CMNT ITOTAL 9X35MM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1776,KNEE PTLA COMP SN 38MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 32MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 35MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 38MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA DOME 3PEG DEPU 41MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 29,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 32,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 35,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 38,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA DOME CMNT ATTUNE 41,1638.0,1310.4,1.0,1474.2,27
HCPCS,C1776,KNEE PTLA DOME I/B II*DISC*,4454.8,3563.84,1.0,4009.32,27
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 32,2052.0,1641.6,1.0,1846.8,27
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 35,2052.0,1641.6,1.0,1846.8,27
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 38,2052.0,1641.6,1.0,1846.8,27
HCPCS,C1776,KNEE PTLA DOME MEDL ATTUNE 41,2052.0,1641.6,1.0,1846.8,27
HCPCS,C1776,KNEE PTLA DUR STRY 29X8MM,2201.76,1761.41,1.0,1981.58,27
HCPCS,C1776,KNEE PTLA DUR STRY LG,2201.76,1761.41,1.0,1981.58,27
HCPCS,C1776,KNEE PTLA DUR STRY MD,2201.76,1761.41,1.0,1981.58,27
HCPCS,C1776,KNEE PTLA DUR STRY SM,2201.76,1761.41,1.0,1981.58,27
HCPCS,C1776,KNEE PTLA DUR STRY XL,2201.76,1761.41,1.0,1981.58,27
HCPCS,C1776,KNEE PTLA DUR STRY XS,2201.76,1761.41,1.0,1981.58,27
HCPCS,C1776,KNEE PTLA FLEX P*DISC 6124645*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA FLEX P*DISC 6124646*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA FLEX P*DISC 6124647*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA FLEX P*DISC 6124648*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA GSII W PEG 29MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA GSII W PEG 32MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA GSII W PEG 35MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA IPOLY XE ITOTAL10X41,1125.0,900.0,1.0,1012.5,27
HCPCS,C1776,KNEE PTLA IPOLY XE ITOTAL11X44,1125.0,900.0,1.0,1012.5,27
HCPCS,C1776,KNEE PTLA JII RESURF 32MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA NEX POLY STD 35X9MM,234.85,187.88,1.0,211.37,27
HCPCS,C1776,KNEE PTLA NEX PROLONG 29*DISC*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA NEX PROLONG 32*DISC*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA NEX PROLONG 35*DISC*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA NEX PROLONG 38*DISC*,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1776,KNEE PTLA NEX ZIMM 26MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA NEX ZIMM 29MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA NEX ZIMM 32MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA NEX ZIMM 35MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA NEX ZIMM 38MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA NEX ZIMM 41MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA OVAL GII SN 35MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE 26MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE 29MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE 32MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE 35MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE 38MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE 41MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 26MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 29MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 32MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 35MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 38MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE PTLA PSN ALL PE VE 41MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG29MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG32MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG35MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG38MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA PSN OSSEOTI 3PEG41MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA STD ZIMM 29X10MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA STD ZIMM 32X10MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA STD ZIMM 35X10MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA STD ZIMM 38X10MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA STD ZIMM 41X10MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,KNEE PTLA SYM PE 27X8MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA SYM PE 29X8MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA SYM PE 31X9MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA SYM PE 33X9MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA SYM PE 36X10MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA SYM PE 39X11MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,KNEE PTLA SYM TRIT 31X9MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,KNEE PTLA SYM TRIT 33X9MM,2471.87,1977.5,1.0,2224.68,27
HCPCS,C1776,KNEE PTLA SYM TRIT 36X10MM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1776,KNEE PTLA SYM X3 27X8MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA SYM X3 29X8MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA SYM X3 31X9MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA SYM X3 33X9MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA SYM X3 36X10MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA SYM X3 39X11MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 28MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 31MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 34MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE PTLA W WIRE ZIMM 37MM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C1776,KNEE REV CNCT CONE ATTUNE MD,12119.04,9695.24,1.0,10907.14,27
HCPCS,C1776,KNEE REV CNCT CONE ATTUNE SM,12119.04,9695.24,1.0,10907.14,27
HCPCS,C1776,KNEE REV CNCT CONE ATTUNE XL,12119.04,9695.24,1.0,10907.14,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ3 12MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ3 8MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ4 12MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ4 8MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ5 4MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ6 12MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ6 16MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ7 16MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ7 4MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ8 16MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ8 4MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV DIST FEM AUG SZ9 8MM,3381.28,2705.03,1.0,3043.15,27
HCPCS,C1776,KNEE REV OFFSET STEM ADP 4MM,3054.08,2443.27,1.0,2748.67,27
HCPCS,C1776,KNEE REV OFFSET STEM ADP 6MM,3054.08,2443.27,1.0,2748.67,27
HCPCS,C1776,KNEE REV PRESSFIT STEM 10X60MM,4603.2,3682.56,1.0,4142.88,27
HCPCS,C1776,KNEE REV PRESSFIT STEM10X110MM,4603.2,3682.56,1.0,4142.88,27
HCPCS,C1776,KNEE REV PRESSFIT STEM12X110MM,4603.2,3682.56,1.0,4142.88,27
HCPCS,C1776,KNEE REV PRESSFIT STEM14X110MM,4603.2,3682.56,1.0,4142.88,27
HCPCS,C1776,KNEE REV PRESSFIT STEM18X110MM,4603.2,3682.56,1.0,4142.88,27
HCPCS,C1776,KNEE REV PRESSFIT STEM20X110MM,4603.2,3682.56,1.0,4142.88,27
HCPCS,C1776,KNEE REV TIB BILOBE CONE SM,11837.28,9469.83,1.0,10653.55,27
HCPCS,C1776,KNEE SEG LPS DEPU 25MM,5937.12,4749.7,1.0,5343.41,27
HCPCS,C1776,KNEE SEG LPS DEPU 35MM,4843.02,3874.42,1.0,4358.72,27
HCPCS,C1776,KNEE SEG M/F TPR 100MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 140MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 180MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 220MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 30MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 35MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 40MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 45MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 60MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/F TPR 80MM,8847.28,7077.83,1.0,7962.55,27
HCPCS,C1776,KNEE SEG M/M TPR 200MM,8541.78,6833.43,1.0,7687.6,27
HCPCS,C1776,KNEE SEG M/M TPR 80MM,8541.78,6833.43,1.0,7687.6,27
HCPCS,C1776,KNEE SEG M/M TPR 90MM,8541.78,6833.43,1.0,7687.6,27
HCPCS,C1776,KNEE SIG M PKA GDE/MDL PH3 SM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,KNEE SPACER FEM CMPNT 74MM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,KNEE SPACER TIB CMPNT 80MM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,KNEE STEM BOW CMNT OSS 9X90MM,4250.68,3400.55,1.0,3825.61,27
HCPCS,C1776,KNEE STEM BOW CMNT OSS11X225MM,4921.84,3937.48,1.0,4429.66,27
HCPCS,C1776,KNEE STEM BOW CMNT OSS15.5X150,5448.24,4358.6,1.0,4903.42,27
HCPCS,C1776,KNEE STEM BOW CMNT OSS15X225MM,4921.84,3937.48,1.0,4429.66,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 10X120MM,6649.3,5319.44,1.0,5984.37,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 12X120MM,6649.3,5319.44,1.0,5984.37,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 14X120MM,6649.3,5319.44,1.0,5984.37,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 16X120MM,6649.3,5319.44,1.0,5984.37,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 18X120MM,6649.3,5319.44,1.0,5984.37,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 18X160MM,6967.8,5574.24,1.0,6271.02,27
HCPCS,C1776,KNEE STEM CMNT LGN ST 20X120MM,6649.3,5319.44,1.0,5984.37,27
HCPCS,C1776,KNEE STEM CMNT OSS ST 13X150,4619.16,3695.33,1.0,4157.24,27
HCPCS,C1776,KNEE STEM CMNTLSS CONIC 200X16,8302.58,6642.07,1.0,7472.32,27
HCPCS,C1776,KNEE STEM CMNTLSS CYL 240X14,9217.13,7373.71,1.0,8295.42,27
HCPCS,C1776,KNEE STEM COLAR SEG 17-19 35MM,6422.08,5137.67,1.0,5779.87,27
HCPCS,C1776,KNEE STEM COLAR SEG 9-16 25MM,6422.08,5137.67,1.0,5779.87,27
HCPCS,C1776,KNEE STEM COLAR SEG 9-16 30MM,6422.08,5137.67,1.0,5779.87,27
HCPCS,C1776,KNEE STEM COLAR SEG 9-16 35MM,6422.08,5137.67,1.0,5779.87,27
HCPCS,C1776,KNEE STEM EXT 13X60MM,3040.96,2432.77,1.0,2736.86,27
HCPCS,C1776,KNEE STEM EXT NE*DISC NO REPL*,4498.2,3598.56,1.0,4048.38,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH10X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH10X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH12X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH12X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH14X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH14X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH16X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH16X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH18X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH18X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH20X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH20X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH22X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH22X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH24X135,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV STSMTH24X175,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV TPRSMTH11X30,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV TPRSMTH11X75,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT REV TPRSMTH14X75,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE STEM EXT TRLON STRY 25MM,2807.42,2245.94,1.0,2526.68,27
HCPCS,C1776,KNEE STEM EXT TRLON STRY 50MM,2807.42,2245.94,1.0,2526.68,27
HCPCS,C1776,KNEE STEM EXT*DISC 6203576*,3127.52,2502.02,1.0,2814.77,27
HCPCS,C1776,KNEE STEM EXT*DISC 6271726*,3127.52,2502.02,1.0,2814.77,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X10X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X10X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X11X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X11X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X12X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X12X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X13X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X13X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X14X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X14X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X15X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X15X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X16X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X16X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X17X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X17X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X18X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X18X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X20X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X20X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X22X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X22X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X24X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET3X24X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X10X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X10X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X11X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X11X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X12X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X12X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X13X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X13X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X14X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X14X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X15X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X15X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X16X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X16X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X17X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X17X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X18X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X18X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X20X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X20X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X22X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X22X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X24X135,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM EXTREVOFFSET6X24X175,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1776,KNEE STEM FEM REMEDY MD,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,KNEE STEM FLUT EXT ST 11X190MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUT EXT ST 12X190MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUT EXT ST 14X190MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUT EXT ST 15X190MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUT EXT ST 16X190MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUT EXT ST 9X190MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 150X12MM,4378.08,3502.47,1.0,3940.27,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 150X14MM,4139.52,3311.62,1.0,3725.57,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X12MM,4139.52,3311.62,1.0,3725.57,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X14MM,4139.52,3311.62,1.0,3725.57,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X16MM,4139.52,3311.62,1.0,3725.57,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X18MM,4139.52,3311.62,1.0,3725.57,27
HCPCS,C1776,KNEE STEM FLUTE DEPU 75X20MM,4139.52,3311.62,1.0,3725.57,27
HCPCS,C1776,KNEE STEM FLUTE SEG 10X130MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTE SEG 11X130MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTE SEG 12X130MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTE SEG 12X190MM,11266.84,9013.48,1.0,10140.16,27
HCPCS,C1776,KNEE STEM FLUTE SEG 15X130MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTE SEG 17X130MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTE SEG 9X130MM,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTEDSEG13X130*NLU*,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTEDSEG14X130*NLU*,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM FLUTEDSEG16X130*NLU*,9824.88,7859.91,1.0,8842.39,27
HCPCS,C1776,KNEE STEM GENESIS II LNG 10X70,7330.05,5864.04,1.0,6597.05,27
HCPCS,C1776,KNEE STEM LGN PRESSFIT11X120MM,6321.0,5056.8,1.0,5688.9,27
HCPCS,C1776,KNEE STEM LGN PRESSFIT13X120MM,6321.0,5056.8,1.0,5688.9,27
HCPCS,C1776,KNEE STEM LGN PRESSFIT14X120MM,3584.0,2867.2,1.0,3225.6,27
HCPCS,C1776,KNEE STEM LGN PRESSFIT15X120MM,6321.0,5056.8,1.0,5688.9,27
HCPCS,C1776,KNEE STEM LPS ST CMNT 14X125MM,12193.92,9755.14,1.0,10974.53,27
HCPCS,C1776,KNEE STEM LPS ST CMNT 16X125MM,10565.88,8452.71,1.0,9509.29,27
HCPCS,C1776,KNEE STEM PLS ST CMNT 13X125MM,12193.92,9755.14,1.0,10974.53,27
HCPCS,C1776,KNEE STEM PRESSFIT LGN10X160MM,6556.2,5244.96,1.0,5900.58,27
HCPCS,C1776,KNEE STEM PRESSFIT LGN12X160MM,6556.2,5244.96,1.0,5900.58,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST10X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST11X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST12X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST13X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST14X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST15X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST18X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM PRESSFIT LGNST20X220,6847.75,5478.2,1.0,6162.98,27
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE14X30,2914.24,2331.4,1.0,2622.82,27
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE14X50,2914.24,2331.4,1.0,2622.82,27
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE14X80,2914.24,2331.4,1.0,2622.82,27
HCPCS,C1776,KNEE STEM REV CMNT ATTUNE16X80,2914.24,2331.4,1.0,2622.82,27
HCPCS,C1776,KNEE STEM REV CMNTATTUNE14X130,2914.24,2331.4,1.0,2622.82,27
HCPCS,C1776,KNEE STEM REV CMNTATTUNE16X130,2914.24,2331.4,1.0,2622.82,27
HCPCS,C1776,KNEE STEM SIGMA TPR 13X120MM,3002.56,2402.05,1.0,2702.3,27
HCPCS,C1776,KNEE STEM SIGMA TPR 15X90MM,3002.56,2402.05,1.0,2702.3,27
HCPCS,C1776,KNEE STEM SPLINED V2 13X80MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 14X120MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 14X80MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 17X80MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 19X80MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 20X8OMM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 21X80MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM SPLINED V2 24X120MM,3973.2,3178.56,1.0,3575.88,27
HCPCS,C1776,KNEE STEM ST SCREW OSS 11X225,4895.52,3916.42,1.0,4405.97,27
HCPCS,C1776,KNEE STEM TIB BA*DISC NO REPL*,2620.8,2096.64,1.0,2358.72,270
HCPCS,C1776,KNEE STEM TIB EXT REMEDY 100MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE STEM TIB REMEDY SM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1776,KNEE STEM TRAPER FEMALE12/09MM,11362.57,9090.06,1.0,10226.31,27
HCPCS,C1776,KNEE STEM TRAPER MALE 16/13MM,11362.57,9090.06,1.0,10226.31,27
HCPCS,C1776,KNEE STEMCOLARSEGSMTH9-16 30MM,6422.08,5137.67,1.0,5779.87,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE10X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE10X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE11X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE11X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE12X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE12X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE13X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE13X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE14X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE14X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE15X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE15X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE16X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE16X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE17X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE17X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE18X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE18X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE20X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE20X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE22X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE22X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE24X135,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE STEMEXT REVSTSPLINE24X175,4153.8,3323.04,1.0,3738.42,27
HCPCS,C1776,KNEE SUTPLATE II POLE STER MD,8565.7,6852.56,1.0,7709.13,27
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 67X10MM,2875.84,2300.68,1.0,2588.26,27
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 71X10MM,2875.84,2300.68,1.0,2588.26,27
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 71X5MM,2875.84,2300.68,1.0,2588.26,27
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 75X5MM,2875.84,2300.68,1.0,2588.26,27
HCPCS,C1776,KNEE TIB AUG 360 ZIMM 79X5MM,2875.84,2300.68,1.0,2588.26,27
HCPCS,C1776,KNEE TIB AUG BLK LL/RM 5MM SZ5,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE TIB AUG BLOCK RL/LM5MMSZ3,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE TIB AUG BLOCK ZIMM10X75MM,2655.68,2124.55,1.0,2390.11,27
HCPCS,C1776,KNEE TIB AUG BLOCKLL/RM10MMSZ5,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE TIB AUG FULL BLCKSZ3 10MM,4013.8,3211.04,1.0,3612.42,27
HCPCS,C1776,KNEE TIB AUG FULL LL/RM10MMSZ7,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG FULL LM/RL10MMSZ6,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG FULL LM/RL10MMSZ8,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG FULL RM/LL10MMSZ6,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG FULL RM/LL10MMSZ8,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ2 10MM,4013.8,3211.04,1.0,3612.42,27
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ3 10MM,9122.88,7298.31,1.0,8210.59,27
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ4 10MM,9122.88,7298.31,1.0,8210.59,27
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ5 10MM,9122.88,7298.31,1.0,8210.59,27
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ6 10MM,9122.88,7298.31,1.0,8210.59,27
HCPCS,C1776,KNEE TIB AUG FULLBLOCKSZ7 10MM,9122.88,7298.31,1.0,8210.59,27
HCPCS,C1776,KNEE TIB AUG FULLTRABEC10MMSZ2,9122.88,7298.31,1.0,8210.59,27
HCPCS,C1776,KNEE TIB AUG HALF LM/RL 5MMSZ1,3189.12,2551.3,1.0,2870.21,27
HCPCS,C1776,KNEE TIB AUG HALF LM/RL10MMSZ1,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG HALF LM/RL10MMSZ2,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG HALF LM/RL10MMSZ5,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG HALF RM/LL 5MMSZ1,3189.12,2551.3,1.0,2870.21,27
HCPCS,C1776,KNEE TIB AUG HALF RM/LL10MMSZ1,3113.44,2490.76,1.0,2802.1,27
HCPCS,C1776,KNEE TIB AUG HALFBLOCK SZ3 5MM,4671.52,3737.22,1.0,4204.37,27
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ2 10MM,9971.52,7977.22,1.0,8974.37,27
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ3 10MM,9971.52,7977.22,1.0,8974.37,27
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ4 10MM,9971.52,7977.22,1.0,8974.37,27
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ5 10MM,9971.52,7977.22,1.0,8974.37,27
HCPCS,C1776,KNEE TIB AUG HNG FULL SZ6 10MM,9971.52,7977.22,1.0,8974.37,27
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 10SZ4,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 10SZ6,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 5 SZ1,4342.52,3474.02,1.0,3908.27,27
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 5 SZ4,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG LM/RL TRLON 5 SZ5,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG OSS UNIV 10X63/67,2868.88,2295.11,1.0,2581.99,27
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 10SZ4,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ1,4342.52,3474.02,1.0,3908.27,27
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ4,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ5,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG RM/LL TRLON 5 SZ6,5010.6,4008.48,1.0,4509.54,27
HCPCS,C1776,KNEE TIB AUG ZIMM 6X67MM,2655.68,2124.55,1.0,2390.11,27
HCPCS,C1776,KNEE TIB AUG ZIMM 6X71MM,2655.68,2124.55,1.0,2390.11,27
HCPCS,C1776,KNEE TIB BASE A/P WDG SZ4,5682.88,4546.31,1.0,5114.59,27
HCPCS,C1776,KNEE TIB BASE A/P WDG SZ5,5682.88,4546.31,1.0,5114.59,27
HCPCS,C1776,KNEE TIB BASE ADPTR ZIMM 2.5MM,5264.0,4211.2,1.0,4737.6,27
HCPCS,C1776,KNEE TIB BASE ADPTR ZIMM 5MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,KNEE TIB BASE CCCR ZIMM 79MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 63MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 67MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 71MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 75MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 79MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 83MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CCIB ZIMM 87MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE CMNT LGNREVRTSZ2,12653.55,10122.84,1.0,11388.2,27
HCPCS,C1776,KNEE TIB BASE CMNT LGNREVRTSZ3,12653.55,10122.84,1.0,11388.2,27
HCPCS,C1776,KNEE TIB BASE CMNT LGNREVRTSZ6,12981.15,10384.92,1.0,11683.04,27
HCPCS,C1776,KNEE TIB BASE CMNT REV 3 15MM,17741.76,14193.41,1.0,15967.58,27
HCPCS,C1776,KNEE TIB BASE CMNT REV 3 25MM,17741.76,14193.41,1.0,15967.58,27
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 2,12077.52,9662.02,1.0,10869.77,27
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 2.5,12077.52,9662.02,1.0,10869.77,27
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 3,12077.52,9662.02,1.0,10869.77,27
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT 4,12077.52,9662.02,1.0,10869.77,27
HCPCS,C1776,KNEE TIB BASE CMNT REV MBT4+15,17741.76,14193.41,1.0,15967.58,27
HCPCS,C1776,KNEE TIB BASE CMNTLGNREVLFTSZ2,12653.55,10122.84,1.0,11388.2,27
HCPCS,C1776,KNEE TIB BASE CMNTLGNREVLFTSZ3,12653.55,10122.84,1.0,11388.2,27
HCPCS,C1776,KNEE TIB BASE CMNTLGNREVLFTSZ4,12653.55,10122.84,1.0,11388.2,27
HCPCS,C1776,KNEE TIB BASE CMNTLGNREVLFTSZ5,12653.55,10122.84,1.0,11388.2,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ10,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ2,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ3,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ4,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ5,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ6,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ7,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ8,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB CMNT S+ SZ9,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ2,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ5,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE FB POR ATTUNESZ7,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE FB PORATTUNESZ10,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE JOURNEY LFT SZ3,3399.2,2719.36,1.0,3059.28,27
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZD,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZE,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZF,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL LFT 0D SZG,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZC,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZD,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZE,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZF,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZG,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN LFT SZH,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZC,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZD,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZE,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZF,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZG,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL PSN RT SZH,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZC,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZD,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZG,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE KEEL RT 0D SZH,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ3,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ4,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ5,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW LFT SZ6,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW RT SZ3,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW RT SZ4,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW RT SZ5,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE LGN NARW RT SZ6,5146.4,4117.12,1.0,4631.76,27
HCPCS,C1776,KNEE TIB BASE MEDL PSN LFT SZE,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE MEDL PSN LFT SZF,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE MEDL PSN RT SZD,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOAT SZ6,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOAT SZ7,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOAT SZ8,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ2,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ3,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ4,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE NEX PRECOATSZ5,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 59MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 67MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 71MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,KNEE TIB BASE OFFSET CMNT 79MM,5706.96,4565.57,1.0,5136.26,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6150612*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6150616*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6163083*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6163765*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6163830*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6164860*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6167181*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE PR*DISC 6171900*,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASE REV CMNTLGNRTSZ5,7189.0,5751.2,1.0,6470.1,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ3,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ4,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ5,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ6,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ7,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ8,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV FIX CMNT SZ9,8653.84,6923.08,1.0,7788.46,27
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ10,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ4,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ6,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ7,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ8,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1776,KNEE TIB BASE REV RP CMNT SZ9,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ2,12423.6,9938.88,1.0,11181.24,27
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ3,12423.6,9938.88,1.0,11181.24,27
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ4,12423.6,9938.88,1.0,11181.24,27
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ5,12423.6,9938.88,1.0,11181.24,27
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ6,12423.6,9938.88,1.0,11181.24,27
HCPCS,C1776,KNEE TIB BASE REV TRLON SZ7,12423.6,9938.88,1.0,11181.24,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ2,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ3,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ4,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ5,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ6,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ7,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ8,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNT S+ SZ9,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP CMNTATTUNESZ8,3180.8,2544.64,1.0,2862.72,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ3,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ4,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ5,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ6,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ7,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ8,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE RP POR ATTUNESZ9,3816.4,3053.12,1.0,3434.76,27
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZA,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZB,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZC,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZD,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI LM ZIMM SZE,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZA,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZB,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZC,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZD,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI RM ZIMM SZE,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB BASE UNI SN LFT SZ3,2864.4,2291.52,1.0,2577.96,27
HCPCS,C1776,KNEE TIB BASE UNI SN RT SZ4,2864.4,2291.52,1.0,2577.96,27
HCPCS,C1776,KNEE TIB BASE ZIMM NEX SZ5,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE ZIMM NEX SZ6,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124402*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124403*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124404*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124405*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124406*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124407*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124408*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6124409*,4008.62,3206.9,1.0,3607.76,27
HCPCS,C1776,KNEE TIB BASE*DISC 6167822*,9454.9,7563.92,1.0,8509.41,27
HCPCS,C1776,KNEE TIB BASE*DISC 6172763*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6173415*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6173616*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6176109*,9454.9,7563.92,1.0,8509.41,27
HCPCS,C1776,KNEE TIB BASE*DISC 6177137*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6177378*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6179891*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6180436*,9454.9,7563.92,1.0,8509.41,27
HCPCS,C1776,KNEE TIB BASE*DISC 6182288*,9454.9,7563.92,1.0,8509.41,27
HCPCS,C1776,KNEE TIB BASE*DISC 6194534*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASE*DISC 6209385*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASEPLATE OSS 63MM,8920.6,7136.48,1.0,8028.54,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ1,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ2,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ3,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ5,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ6,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ7,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON PRIM SZ8,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ3,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BASETRLON TS STRY SZ5,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB BLK HALF LL SZCD5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LL SZGH5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LLSZCD10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LLSZCD15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LLSZEF10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LLSZEF15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LLSZGH10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LLSZGH15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LM SZAB5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LM SZGH5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LMSZCD10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LMSZCD15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LMSZEF15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LMSZGH10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF LMSZGH15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RL SZCD5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RL SZEF5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RLSZCD10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RLSZCD15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RLSZEF10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RLSZGH10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RLSZGH15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RM SZCD5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RM SZEF5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RMSZCD15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RMSZEF10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RMSZEF15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RMSZGH10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLK HALF RMSZGH15MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLOCK HALF LL SZEF5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLOCK HALF LM SZEF5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLOCK HALF LMSZEF10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLOCK HALF RL SZGH5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLOCK HALF RM SZGH5MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BLOCK HALF RMSZCD10MM,4557.0,3645.6,1.0,4101.3,27
HCPCS,C1776,KNEE TIB BUSHING OSS PE,1164.66,931.73,1.0,1048.19,27
HCPCS,C1776,KNEE TIB CENT CONE PSN REV LG,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB CENT CONE PSN REV MD,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB CENT CONE PSN REV SM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB CENT CONE PSN REV TM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB CENT CONE PSN REV XS,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZA,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZB,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZC,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZD,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZE,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD LFTSZF,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZA,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZB,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZC,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZD,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZE,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMNTLSS OXFORD RT SZF,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1776,KNEE TIB CMPNT NEUT MD 65X45MM,31124.38,24899.51,1.0,28011.94,27
HCPCS,C1776,KNEE TIB COMP HNG NEXGEN SZ2,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB COMP HNG NEXGEN SZ3,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB COMP HNG NEXGEN SZ4,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB COMP HNG NEXGEN SZ5,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB COMP HNG NEXGEN SZ6,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB COMP HNG NONMOD SZ1,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB COMP HNG NONMOD SZ2,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB CONN HNG NEUT MD,12015.77,9612.62,1.0,10814.19,27
HCPCS,C1776,KNEE TIB CR PE NEXGEN SZ6 14MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB CRUC WING 360 SM,2275.56,1820.45,1.0,2048.0,27
HCPCS,C1776,KNEE TIB CS P*DISC 6248713*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS P*DISC 6249319*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS P*DISC 6258951*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS P*DISC 6270029*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS P*DISC 6275969*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS PE TRLON SZ5 13MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS PE TRLON SZ5 16MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB CS PE TRLON SZ7 16MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB DIST*DISC 6178200*,3797.02,3037.62,1.0,3417.32,27
HCPCS,C1776,KNEE TIB DURASUL*DISC NO REPL*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE TIB GENESIS II CMNT RTSZ2,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS II CMNT RTSZ4,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS II CMNT RTSZ6,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS II CMNTLFTSZ3,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS II CMNTLFTSZ4,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS II CMNTLFTSZ6,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS IICMNT LFTSZ2,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS IICMNT LFTSZ5,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS IICMNT RT SZ3,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESIS IICMNT RT SZ5,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESISII CMNT LFTSZ1,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESISII CMNT LFTSZ7,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GENESISII CMNT RT SZ7,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GII CR PE LFT SZ4 9MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GII CR PE RT SZ4 11MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GII CR PE RT SZ4 13MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB GII CR PE RT SZ4 9MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LL AB5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LL CD5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LL EF5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LL GH5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LL J 5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LM AB5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LM CD5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LM EF5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LM GH5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV LM J 5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RL AB5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RL CD5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RL EF5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RL GH5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RL J 5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RM AB5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RM CD5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RM EF5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RM GH5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALF BLOCK REV RM J 5,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL AB10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL AB15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL CD10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL CD15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL EF10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL EF15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL GH10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL GH15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL J 10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LL J 15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM AB10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM AB15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM CD10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM CD15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM EF10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM EF15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM GH10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM GH15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM J 10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV LM J 15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL AB10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL AB15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL CD10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL CD15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL EF10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL EF15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL GH10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL GH15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL J 10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RL J 15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM AB10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM AB15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM CD10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM CD15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM EF10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM EF15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM GH10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM GH15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM J 10,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HALFBLOCK REV RM J 15,3027.2,2421.76,1.0,2724.48,27
HCPCS,C1776,KNEE TIB HNG BEARINGTRLONSZ1-2,13647.6,10918.08,1.0,12282.84,27
HCPCS,C1776,KNEE TIB HNG BEARINGTRLONSZ5-6,13647.6,10918.08,1.0,12282.84,27
HCPCS,C1776,KNEE TIB HNG ROTATE PMMA SZ3,10301.46,8241.17,1.0,9271.31,27
HCPCS,C1776,KNEE TIB HNG ROTATE STRY,8461.18,6768.95,1.0,7615.06,27
HCPCS,C1776,KNEE TIB HNG TRLONBEARINGSZ3-4,13647.6,10918.08,1.0,12282.84,27
HCPCS,C1776,KNEE TIB INSRT 1-2CD 14MM,326.7,261.36,1.0,294.03,27
HCPCS,C1776,KNEE TIB INSRT 7-10GH 10MM,635.9,508.72,1.0,572.31,27
HCPCS,C1776,KNEE TIB INSRT A/P STRY LG 9MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/P STRY MD 9MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/P STRY SM 9MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/P STRY XL 9MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/P STRY XS 9MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 11MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 13MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 16MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 19MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 22MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY LG 25MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 11MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 13MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 16MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 19MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 22MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY MD 25MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 11MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 13MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 16MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 19MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 22MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY SM 25MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 11MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 13MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 16MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 19MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 22MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XL 25MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XS 11MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XS 13MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT A/PSTRY XS 16MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT AOX RT 5 SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT AOX RT 7 SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT AOX STB SZ4 10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 10X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 11X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 12X67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 14X87MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X63MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 16X83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X63MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 18X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 79X18MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VITE 87X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 10X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 10X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 10X79MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 10X83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 11X67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 11X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 11X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 11X79MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 12X63MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 12X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 12X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 12X83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 13X67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 13X71MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 13X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 13X83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 14X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 14X79MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 14X87MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 16X67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 16X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 16X79MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT AS VNGD 18X75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 5SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 6SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 7SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT 8SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT10SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT12SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT14SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT14SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT5SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE LFT6SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 10SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 14SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 5 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 6 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 7 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNE RT 8 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ATTUNELFT10SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT AUGZIMM 10MMSZ3,3298.96,2639.17,1.0,2969.06,27
HCPCS,C1776,KNEE TIB INSRT CH 3-4 10MM,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 10SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 10SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 10SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 10SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 10SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 12SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 14SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 16SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 16SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 5 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 6 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 7 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ6,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ7,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ8,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE 8 SZ9,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE*NLU*,2800.0,2240.0,1.0,2520.0,135
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE14SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR ATTUNE16SZ10,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR FB SZ10 5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CR TRLON SZ4 11,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ2 9MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ3 9MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ4 9MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ5 9MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ7 9MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLON SZ8 9MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 11MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ2 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 11MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ3 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ4 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ4 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ4 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 11MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ5 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 11MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ6 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 11MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ7 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 11MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 13MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 16MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRTRLONSZ8 19MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 10MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 11MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 12MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 13MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 14MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 16MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3 9MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CRX3UNIV 9MMSZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ1 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ2 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ3 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ4 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ5 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ6 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ7 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 10MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 11MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 13MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 14MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CS X3 SZ8 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 10MM SZ2.5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 10MM SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 10MM SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 10MM SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 12.5 SZ2.5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 12.5MM SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 20MM SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT CURV 8MM SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT DUR STRY MD 9MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DUR STRY SM 9MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DUR STRY XL 9MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 11MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 13MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 16MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 19MM,2449.92,1959.94,1.0,2204.93,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY LG 9MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 11MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 13MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 16MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY MD 19MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 11MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 13MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 16MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY SM 19MM,2421.12,1936.9,1.0,2179.01,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 11MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 13MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 16MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XL 19MM,2560.8,2048.64,1.0,2304.72,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 11MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 13MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 16MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT DURSTRY XS 9MM,2496.0,1996.8,1.0,2246.4,27
HCPCS,C1776,KNEE TIB INSRT GII SZ1-2 18MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE TIB INSRT GII SZ3-4 21MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE TIB INSRT GII SZ3-4 85MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE TIB INSRT GII SZ5-6 18MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE TIB INSRT GII SZ5-6 21MM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,KNEE TIB INSRT GRMS SM 13MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT GVF STBL 4 20MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT HNG DEPU 18MM,10380.24,8304.2,1.0,9342.22,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB12MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB14MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB17MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB23MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZB26MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC12MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC14MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC17MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC20MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC23MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZC26MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD12MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD14MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD17MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD20MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD23MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZD26MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE12MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE14MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE17MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE20MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE23MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZE26MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF12MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF14MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF17MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF20MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF23MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG POSTSZF26MM,4908.68,3926.95,1.0,4417.81,27
HCPCS,C1776,KNEE TIB INSRT HNG SZC13*DISC*,3487.4,2789.92,1.0,3138.66,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ2,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ3,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ4,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ6,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 11SZ7,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 13SZ4,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 16SZ4,7630.35,6104.28,1.0,6867.32,27
HCPCS,C1776,KNEE TIB INSRT HNG TRLON 19SZ2,10682.49,8546.0,1.0,9614.24,27
HCPCS,C1776,KNEE TIB INSRT HNG15MMSZ2-3LFT,9263.8,7411.04,1.0,8337.42,27
HCPCS,C1776,KNEE TIB INSRT LM/RL X3SZ2 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT LPS HNG XS 12MM,10380.24,8304.2,1.0,9342.22,27
HCPCS,C1776,KNEE TIB INSRT LPS HNG XS 21MM,10380.24,8304.2,1.0,9342.22,27
HCPCS,C1776,KNEE TIB INSRT MRH M2/L2 10MM,3551.52,2841.22,1.0,3196.37,27
HCPCS,C1776,KNEE TIB INSRT MRH M2/L2 13MM,3551.52,2841.22,1.0,3196.37,27
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 10MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 13MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 20MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT MRH S1/S2 24MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ1,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO8MMSZ3,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRT ONLAYMAKO9MMSZ1,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRT OSS PE 22MM,2895.2,2316.16,1.0,2605.68,27
HCPCS,C1776,KNEE TIB INSRT PFCCURVSZ3 15MM,4142.88,3314.31,1.0,3728.59,27
HCPCS,C1776,KNEE TIB INSRT PFCCURVSZ3 20MM,3800.72,3040.58,1.0,3420.65,27
HCPCS,C1776,KNEE TIB INSRT PS 10X63/67MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 10X71/75MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 10X79/83MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 12X63/67MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 12X71/75MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 12X79/83MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 14X71/75MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 14X79/83MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS 20X71/75MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ2,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ3,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ4,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ5,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ6,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 11MM SZ7,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ3,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ4,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ5,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 13MM SZ6,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 16MM SZ4,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 16MM SZ5,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ2,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ3,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ4,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ5,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ6,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS PE 9MM SZ7,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRT PS VITE 10X87/9,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS VITE11X71/75,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS VITE12X63/67,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS VITE14X71/75,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS VNGD16X71/75,5165.16,4132.13,1.0,4648.64,27
HCPCS,C1776,KNEE TIB INSRT PS X3 -E11MMSZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 -E13MMSZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 -E16MMSZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 10MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 11MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 12MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 13MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 14MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 16MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 19MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 22MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 25MM SZ3,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 25MM SZ6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ6,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ7,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS X3 9MM SZ8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,KNEE TIB INSRT PS+ 12X71/75MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT PS+VITE10X63/67,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS+VITE12X63/67,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS+VITE12X79/83,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PS+VITE18X71/75,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT PSC 10X59MM,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT PSC 10X71/75MM,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT PSC 14X59MM,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT PSC 14X71/75MM,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT PSC 16X59MM,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT PSC 20X63/67MM,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT REV X3 11 SZ2,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 11 SZ3,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 11 SZ5,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 13 SZ4,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 13 SZ5,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 16 SZ3,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 16 SZ4,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 16 SZ6,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 19 SZ4,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 19 SZ5,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 9 SZ2,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 9 SZ3,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT REV X3 9 SZ5,10920.0,8736.0,1.0,9828.0,27
HCPCS,C1776,KNEE TIB INSRT RM/LL X3SZ2 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT RM/LL X3SZ3 9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRT SMPOST 12X63/67,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT SMPOST 22X63/67,5261.48,4209.19,1.0,4735.33,27
HCPCS,C1776,KNEE TIB INSRT STBL 10MM SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT STBL CR 10X71MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT STBL CR 12X67MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT STBL CR 16X71MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT STBL CR 20X71MM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT STBL SZ2.5 25MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT STBL SZ3 *NLU*,2800.0,2240.0,1.0,2520.0,54
HCPCS,C1776,KNEE TIB INSRT STRY SM 10MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT STRY SM 16MM,3520.16,2816.13,1.0,3168.14,27
HCPCS,C1776,KNEE TIB INSRT TC3 10MM SZ4,7629.44,6103.56,1.0,6866.5,27
HCPCS,C1776,KNEE TIB INSRT TC3 15MM SZ2.5,6816.81,5453.45,1.0,6135.13,27
HCPCS,C1776,KNEE TIB INSRT TC3 15MM SZ3,6816.81,5453.45,1.0,6135.13,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ1 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ2 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ3 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ4 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ5 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ6 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ7 9MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 11MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 13MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 19MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 22MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 25MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 28MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+ X3 SZ8 31MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT TS+X3NSSZ1 16MM,6187.72,4950.18,1.0,5568.95,27
HCPCS,C1776,KNEE TIB INSRT XLK CURV 2 10MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK CURV 3 15MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK CURV 4 10MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK STBL 10 SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK STBL 10 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK STBL 15 SZ3,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1776,KNEE TIB INSRT XLK STBL 8 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK STBL12.5SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLK STBL12.5SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT XLTUNIRM/LL8SZ2,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT XLTUNIRM/LL8SZ4,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT XLTUNIRM/LL9SZ4,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT LG 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT LG 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT LG 6MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT LG 8MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT M*NLU*,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT MD 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT MD 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT MD 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT MD 6MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT MD 8MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 6MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 7MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT SM 8MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT XL 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT XL 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT XS 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM LFT XS 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 6MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT LG 8MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT MD 6MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT SM 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT SM 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT SM 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT SM 6MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT XL 3MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT XL 4MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT XL 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRT ZIMM RT XS 5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRTCRVNGD14X63/67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTFOUNDATIONSZ6 11,2959.6,2367.68,1.0,2663.64,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND3-4 1,9755.2,7804.16,1.0,8779.68,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND3-4 13,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND3-4 15,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND3-4 21,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND5-6 11,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND5-6 13,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND5-6 21,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTGII CNSTND5-6 9,10105.55,8084.44,1.0,9095.0,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ1,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ2,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ4,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ6,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ7,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO10MMSZ8,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ1,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ2,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ3,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ4,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ5,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ6,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ7,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO12MMSZ8,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO9MMSZ5,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO9MMSZ7,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTONLAYMAKO9MMSZ8,2996.0,2396.8,1.0,2696.4,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X63/67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X71/75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD10X79/83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X63/67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X71/75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD12X79/83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD14X71/75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD14X79/83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD16X63/67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD16X71/75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD16X79/83MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD18X63/67MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTPSVNGD18X71/75MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEE TIB INSRTSCORPIOCRSZ515MM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1776,KNEE TIB INSRTSIGMACURV2.5 8MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIB INSRTXLTUNIRM/LL10SZ3,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIB LAT BEARING OSS RS 22,2782.4,2225.92,1.0,2504.16,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDLFTSZA3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDLFTSZB3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDLFTSZD3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDLFTSZE3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDLFTSZE4,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZA3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZC3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZC4,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZD3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZD4,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZE3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LATFIXEDOXFORDRTTSZF3,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1776,KNEE TIB LCCK BLU 10MM SZG,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK BLU 14MM SZG,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK GRN 10MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK GRN 10MM SZG,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK GRN 12MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK GRN 12MM SZG,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK GRN 14MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK GRN 17MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK PUR 10MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK PUR 12MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK PUR 14MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 10MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 10MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 12MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 12MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 14MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 14MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 17MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 17MM SZE/F,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 20MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LCCK YEL 23MM SZC/D,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB LK BAR ZIMM,503.1,402.48,1.0,452.79,27
HCPCS,C1776,KNEE TIB LM/RL ATTUNE 10 SZ5/6,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB LM/RL ATTUNE 15 SZ5/6,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB LM/RL ATTUNE 15 SZ7/8,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB LNR CNSTND PCK SZF5-6,9620.0,7696.0,1.0,8658.0,27
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 10 SZF,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 11 SZF,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 12 SZH,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 8 SZE,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT 9 SZF,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E LFT12 SZD,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 12 SZC,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 12 SZF,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 8 SZD,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 8 SZF,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 9 SZD,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MEDL VIV-E RT 9 SZH,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1776,KNEE TIB MR/LL OSS 20X63/67,2868.88,2295.11,1.0,2581.99,27
HCPCS,C1776,KNEE TIB MR/LR OSS 20X63/67,2868.88,2295.11,1.0,2581.99,27
HCPCS,C1776,KNEE TIB NEX PS STEM 10MM SZ5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB NEX PS STEM 14MM SZ3,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB NEX PS STEM 14MM SZ5,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB OXFORD UNI LFT SZAA,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB OXFORD UNI RT SZAA,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB OXFORD ZIMM LFT SZF,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB OXFORD ZIMM RT SZF,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1776,KNEE TIB PERIPH CONE PSNREV RT,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE PSNREVLFT,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE REV RT LG,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE REV RT MD,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE REV RT SM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE REVLFT LG,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE REVLFT MD,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PERIPH CONE REVLFT SM,11459.5,9167.6,1.0,10313.55,27
HCPCS,C1776,KNEE TIB PROX*DISC 6178199*,2714.3,2171.44,1.0,2442.87,27
HCPCS,C1776,KNEE TIB PROX*DISC 6299765*,18977.28,15181.83,1.0,17079.55,27
HCPCS,C1776,KNEE TIB PS P*DISC 6282957*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB PS P*DISC 6285719*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB PS PE TRLON 11MM SZ3,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB PS PE TRLON 11MM SZ4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZD,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZE,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZF,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZG,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG LFT SZH,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZC,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZD,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZE,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZF,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZG,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN 2-PEG RT SZH,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1776,KNEE TIB PSN RT SZ1-2 20MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1776,KNEE TIB PSN RT SZGH +0MM,940.5,752.4,1.0,846.45,27
HCPCS,C1776,KNEE TIB REV AUG ATTUNE 5SZ3/4,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB REV AUG ATTUNE10SZ3/4,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB REV AUG ATTUNE15SZ3/4,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB REV AUG ATTUNE5SZ9/10,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB REV AUG LM/RL10SZ9/10,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB REV AUG RM/LL10SZ9/10,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB RHMODLRFULLBLOCK10SZ4,4013.8,3211.04,1.0,3612.42,27
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 10 SZ3/4,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 10 SZ7/8,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 15 SZ3/4,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 15 SZ5/6,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB RM/LL ATTUNE 15 SZ7/8,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB ROTA*DISC 6179832*,8461.18,6768.95,1.0,7615.06,27
HCPCS,C1776,KNEE TIB SEG HNG POST 12MM SZB,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST 14MM SZB,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST 17MM SZB,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST 23MM SZB,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST 26MM SZB,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 12MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 14MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 17MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 20MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 26MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZC 38MM,11780.08,9424.07,1.0,10602.07,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 12MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 14MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 17MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 20MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 23MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZD 26MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 12MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 14MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 17MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 20MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 23MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZE 26MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 12MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 14MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 17MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 20MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 23MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG HNG POST SZF 26MM,5342.96,4274.37,1.0,4808.66,27
HCPCS,C1776,KNEE TIB SEG PROX SZ1,20191.2,16152.96,1.0,18172.08,27
HCPCS,C1776,KNEE TIB SLV *DISC 6167821*,2036.16,1628.93,1.0,1832.54,27
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 61MM,9604.4,7683.52,1.0,8643.96,27
HCPCS,C1776,KNEE TIB SLV CTD ATTUNE 69MM,9604.4,7683.52,1.0,8643.96,27
HCPCS,C1776,KNEE TIB STEM C*DISC 6172766*,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM C*DISC 6173417*,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM C*DISC 6251083*,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM C*DISC 6263728*,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM CMNT 12X100MM,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM CMNT 12X150MM,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM CMNT 12X50MM,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM CMNT 15X150MM,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM CMNT 9X50MM,3093.86,2475.09,1.0,2784.47,27
HCPCS,C1776,KNEE TIB STEM CMNT PFC 13X30MM,3146.24,2517.0,1.0,2831.62,27
HCPCS,C1776,KNEE TIB STEM CMNT PFC 13X60MM,3002.56,2402.05,1.0,2702.3,27
HCPCS,C1776,KNEE TIB STEM CMNT PFC 15X30MM,3002.56,2402.05,1.0,2702.3,27
HCPCS,C1776,KNEE TIB STEM CMNTLSS TI17X100,3240.16,2592.13,1.0,2916.14,27
HCPCS,C1776,KNEE TIB STEM EXT ST 10X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 11X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 12X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 12X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 13X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 13X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 14X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 14X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 15X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 15X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 15X30MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 16X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 16X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 17X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 17X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 18X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 18X155MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 20X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM EXT ST 22X100MM,2865.52,2292.42,1.0,2578.97,27
HCPCS,C1776,KNEE TIB STEM I-BEAM ZIMM 40MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1776,KNEE TIB STEM NEX SZ7 12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ3 14MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ3 17MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ5 10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ5 14MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ6 12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM NEXGEN SZ8 10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT11X100,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT12X100,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT12X155,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT13X100,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT14X100,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT14X155,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT15X100,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT15X155,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT16X100,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT16X155,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT17X155,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM OFFSET EXT18X155,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB STEM PLATE ZIMM 71MM,6164.48,4931.59,1.0,5548.03,27
HCPCS,C1776,KNEE TIB STEM PLATE ZIMM 75MM,6164.48,4931.59,1.0,5548.03,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZB,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZC,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZD,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZE,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZF,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZG,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZH,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D LFT SZJ,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZB,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZC,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZD,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZE,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZF,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZG,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZH,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM PSN 5D RT SZJ,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB STEM REV 90MM*DISC*,3106.32,2485.06,1.0,2795.69,27
HCPCS,C1776,KNEE TIB STEM REV ZIMM 20X80MM,3443.44,2754.76,1.0,3099.1,27
HCPCS,C1776,KNEE TIB STEM REV ZIMM12X80MM,3443.44,2754.76,1.0,3099.1,27
HCPCS,C1776,KNEE TIB STEM REV ZIMM14X120MM,3443.44,2754.76,1.0,3099.1,27
HCPCS,C1776,KNEE TIB STEM REV ZIMM14X80MM,3443.44,2754.76,1.0,3099.1,27
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM10X80MM,3383.24,2706.6,1.0,3044.92,27
HCPCS,C1776,KNEE TIB STEM SMTH ZIMM12X80MM,3383.24,2706.6,1.0,3044.92,27
HCPCS,C1776,KNEE TIB STEM SMTHZIMM14X120MM,3383.24,2706.6,1.0,3044.92,27
HCPCS,C1776,KNEE TIB STEM*DISC 6219914*,3240.16,2592.13,1.0,2916.14,27
HCPCS,C1776,KNEE TIB STEM*DISC 6261386*,3240.16,2592.13,1.0,2916.14,27
HCPCS,C1776,KNEE TIB STEM*DISC 6277464*,3240.16,2592.13,1.0,2916.14,27
HCPCS,C1776,KNEE TIB STEM*DISC 6278547*,3240.16,2592.13,1.0,2916.14,27
HCPCS,C1776,KNEE TIB STEM*DISC 6288567*,3351.04,2680.84,1.0,3015.94,27
HCPCS,C1776,KNEE TIB STEM*DISC 6313181*,3351.04,2680.84,1.0,3015.94,27
HCPCS,C1776,KNEE TIB STEM0FFEXT13X155MM,3732.4,2985.92,1.0,3359.16,27
HCPCS,C1776,KNEE TIB TRABEC CONE RTLG51X34,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONE RTMD36X31,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONE RTMD46X34,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONE RTMD55X36,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONELFTLG51X34,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONELFTLG60X36,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONELFTLG67X38,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONELFTMD31X31,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONELFTMD41X34,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONELFTMD55X36,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRABEC CONERTLG67X38,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 71MM,6272.84,5018.28,1.0,5645.56,27
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 75MM,6272.84,5018.28,1.0,5645.56,27
HCPCS,C1776,KNEE TIB TRAY 360 ZIMM 79MM,6272.84,5018.28,1.0,5645.56,27
HCPCS,C1776,KNEE TIB TRAY KEEL MBT CMNT 4,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIB UNIV ATTUNE 5 SZ5/6,3913.28,3130.63,1.0,3521.95,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 10RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 12RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 14RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 16RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 18RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 20RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 22RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 24RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV 26RT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV10RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV12RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV14RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV16RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV18RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV20RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV22RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV24RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT1-1+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT1-1+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT11-13J,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT3-5+AB,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT3-5+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT3-5+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT7-9+CD,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT7-9+EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26LFT7-9+GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26RT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VE PSN REV26RT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIB VNGD XP CR SZ71*DISC*,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,KNEE TIB VNGD XP CR SZ75*DISC*,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,KNEE TIB WDG FIN LGN LFT 15SZ2,7898.8,6319.04,1.0,7108.92,27
HCPCS,C1776,KNEE TIB WDG LGN LL/RM5MMSZ1-2,7675.85,6140.68,1.0,6908.27,27
HCPCS,C1776,KNEE TIB WDG LGN LL/RM5MMSZ3-4,7675.85,6140.68,1.0,6908.27,27
HCPCS,C1776,KNEE TIB WDG LGN LM/RL5MMSZ1-2,7675.85,6140.68,1.0,6908.27,27
HCPCS,C1776,KNEE TIBDURASULU*DISC NO REPL*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE TIBINSRT GVF STBL2.5 12.5,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEE TIBINSRT XLK CURV5 17.5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIBINSRT XLK STBL2.5 12.5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIBINSRT XLK STBL2.5 17.5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIBINSRT XLK STBL3 12.5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIBINSRT XLK STBL4 12.5MM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,KNEE TIBLAUGBLOCKNEXLLRMSZ5 20,2961.0,2368.8,1.0,2664.9,27
HCPCS,C1776,KNEE TIBLAUGBLOCKNEXRLLMSZ5 20,2961.0,2368.8,1.0,2664.9,27
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 2MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 3MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 4MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 5MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIBTRAY GVF CMNT COCR 6MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIBTRAY GVF CMNTCOCR2.5MM,2620.8,2096.64,1.0,2358.72,27
HCPCS,C1776,KNEE TIBVE PSN REV10LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV10LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV12LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV12LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV14LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV14LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV16LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV16LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV18LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV18LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV20LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV20LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV22LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV22LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV24LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV24LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV26LFT11-13EF,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TIBVE PSN REV26LFT11-13GH,5694.92,4555.94,1.0,5125.43,27
HCPCS,C1776,KNEE TRAY SLV MBT POR 37MM,7750.08,6200.07,1.0,6975.07,27
HCPCS,C1776,KNEE TRAY SLV MBT POR 45MM,7750.08,6200.07,1.0,6975.07,27
HCPCS,C1776,KNEE TRAY SLV MBT POR 53MM,7750.08,6200.07,1.0,6975.07,27
HCPCS,C1776,KNEE TRAY SLV MBT POR 61MM,7750.08,6200.07,1.0,6975.07,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ00/0 19MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ1/2 11MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ1/2 13MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ1/2 9MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ3/4/5 11M,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ3/4/5 13M,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU LFT SZ3/4/5 16M,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU RT 1/2 16*NLU*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU RT SZ00/0 19MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU RT SZ1/2 11MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU RT SZ1/2 19MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE UL ARTICU RT SZ3/4/5 16MM,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1776,KNEE VNGD XP BRG*DISC NO REPL*,2720.0,2176.0,1.0,2448.0,54
HCPCS,C1776,KNEE VNGD XP-AS *DISC 6332536*,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,KNEE VNGD XP-AS *DISC NO REPL*,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,KNEE WDG FEM PSTR LNG10MMSZ3-4,5943.7,4754.96,1.0,5349.33,27
HCPCS,C1776,KNEE WDG FEM PSTR LNG10MMSZ7-8,5943.7,4754.96,1.0,5349.33,27
HCPCS,C1776,KNEE WDG TIB FULL HNG10MMSZ1-2,7020.65,5616.52,1.0,6318.59,27
HCPCS,C1776,KNEE WDG TIB FULL HNG10MMSZ3-4,7020.65,5616.52,1.0,6318.59,27
HCPCS,C1776,KNEE WDG TIB FULL HNG10MMSZ5-6,7020.65,5616.52,1.0,6318.59,27
HCPCS,C1776,KNEE WDG TIB FULL STEP1-2 10MM,8294.65,6635.72,1.0,7465.19,27
HCPCS,C1776,KNEE WDG TIB FULL STEP3-4 10MM,8294.65,6635.72,1.0,7465.19,27
HCPCS,C1776,KNEE WDG TIB FULL STEP5-6 10MM,8294.65,6635.72,1.0,7465.19,27
HCPCS,C1776,KNEE WDG TIB FULLSTEP10MMSZ7-8,8294.65,6635.72,1.0,7465.19,27
HCPCS,C1776,KNEE WDG TIB FULLSTEP15MMSZ5-6,8294.65,6635.72,1.0,7465.19,27
HCPCS,C1776,KNEE WDG TIB FULLSTEP15MMSZ7-8,8294.65,6635.72,1.0,7465.19,27
HCPCS,C1776,KNEE WDG TIB LL/RM 10MM SZ1-2,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LL/RM 10MM SZ3-4,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LL/RM 10MM SZ7-8,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ1-2,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ3-4,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ5-6,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LL/RM 15MM SZ7-8,7671.3,6137.04,1.0,6904.17,27
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM S8-10,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM SZ1-2,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM SZ3-4,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LM/RL 10MM SZ5-6,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LM/RL 15MM SZ1-2,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LM/RL 15MM SZ3-4,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDG TIB LM/RL 15MM SZ5-6,7616.7,6093.36,1.0,6855.03,27
HCPCS,C1776,KNEE WDGTIBHEMILM/RLLFT15SZ7-8,6012.3,4809.84,1.0,5411.07,27
HCPCS,C1776,KNEEEXTNEXST12X245*DISC*,4172.0,3337.6,1.0,3754.8,27
HCPCS,C1776,KNEEEXTNEXST13X245*DISC*,4172.0,3337.6,1.0,3754.8,27
HCPCS,C1776,KNEEEXTNEXST14X245*DISC*,4172.0,3337.6,1.0,3754.8,27
HCPCS,C1776,KNEEEXTNEXST16X200*DISC*,4198.32,3358.66,1.0,3778.49,27
HCPCS,C1776,KNEEEXTNEXST17X200*DISC*,4172.0,3337.6,1.0,3754.8,27
HCPCS,C1776,KNEEEXTNEXST18X245*DISC*,4172.0,3337.6,1.0,3754.8,27
HCPCS,C1776,KNEEEXTNEXST20X200*DISC*,4198.32,3358.66,1.0,3778.49,27
HCPCS,C1776,KNEEEXTNEXST22X200*DISC*,4198.32,3358.66,1.0,3778.49,27
HCPCS,C1776,KNEEEXTNEXST24X200*DISC*,4198.32,3358.66,1.0,3778.49,27
HCPCS,C1776,KNEEFEMAUGDISTONLYSZD10*DISC*,2917.12,2333.7,1.0,2625.41,27
HCPCS,C1776,KNEEFEMREVNKIILATLFTSZ24*DISC*,3178.56,2542.85,1.0,2860.7,27
HCPCS,C1776,KNEEFEMREVNKIIPORLFTSZ2*DISC*,16439.76,13151.81,1.0,14795.78,27
HCPCS,C1776,KNEEPSNASFUCPLFT167-12GH*DISC*,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEEPSNASFUCPLYR164-11EF*DISC*,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1776,KNEEPSNASFUCVERT16-7CD*DISC*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEETIBBASEREVNKIILFTSZ1*DISC*,8496.8,6797.44,1.0,7647.12,27
HCPCS,C1776,KNEETIBSMTHREV12.5X125*DISC*,3190.6,2552.48,1.0,2871.54,27
HCPCS,C1776,KNEETIBSRTASVNGD14X71*DISC*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,KNEEVNGDXP-ASBRGSZ14X75*DISC*,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,KT DISP HIP QFIX 1.8MM*NLU*,1835.46,1468.37,1.0,1651.91,27
HCPCS,C1776,KT REPL ANK AXIOM STER,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1776,KT TOTAL ELBOW ZIMM SZ4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,MAND TMJ CMPNT STD RT 45MM,14899.2,11919.36,1.0,13409.28,27
HCPCS,C1776,MAND TMJ CMPNT STD RT 55MM,14899.2,11919.36,1.0,13409.28,27
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 60MM,5838.0,4670.4,1.0,5254.2,27
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 65MM,5838.0,4670.4,1.0,5254.2,27
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 70MM,5838.0,4670.4,1.0,5254.2,27
HCPCS,C1776,MOLD CMNT KNEE SPACER FEM 75MM,5838.0,4670.4,1.0,5254.2,27
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 65MM,2805.6,2244.48,1.0,2525.04,27
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 70MM,2805.6,2244.48,1.0,2525.04,27
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 75MM,2805.6,2244.48,1.0,2525.04,27
HCPCS,C1776,MOLD CMNT KNEE SPACER TIB 80MM,2805.6,2244.48,1.0,2525.04,27
HCPCS,C1776,MOLD NT HIP SPACER HD 48*DISC*,2811.2,2248.96,1.0,2530.08,27
HCPCS,C1776,MOLD NT HIP SPACER HD 52*DISC*,2811.2,2248.96,1.0,2530.08,27
HCPCS,C1776,MOLD NT HIP SPACER HD 56*DISC*,2811.2,2248.96,1.0,2530.08,27
HCPCS,C1776,MOLD NT HIP SPACER HD 60*DISC*,2811.2,2248.96,1.0,2530.08,27
HCPCS,C1776,MOLD NT HIP SPACER HD 64*DISC*,2811.2,2248.96,1.0,2530.08,27
HCPCS,C1776,MOLDNTHIPSPACER11X135*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER11X200*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER13X135*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER13X200*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER15X155*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER15X200*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER17X165*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER17X200*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER9X125*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACER9X200*DISC*,3516.8,2813.44,1.0,3165.12,27
HCPCS,C1776,MOLDNTHIPSPACERNECK+6*DISC*,1058.4,846.72,1.0,952.56,27
HCPCS,C1776,MOLDNTHIPSPACERNECK-6*DISC*,1058.4,846.72,1.0,952.56,27
HCPCS,C1776,MOLDNTHIPSPACERNECKSTD*DISC*,1058.4,846.72,1.0,952.56,27
HCPCS,C1776,MOLDNTHIPSPACERWHD43*DISC*,5846.4,4677.12,1.0,5261.76,27
HCPCS,C1776,MOLDNTHIPSPACERWHD51*DISC*,5846.4,4677.12,1.0,5261.76,27
HCPCS,C1776,MOLDNTHIPSPACERWHD57*DISC*,5846.4,4677.12,1.0,5261.76,27
HCPCS,C1776,PLATE CALC PERIMETER LFT XS,3372.6,2698.08,1.0,3035.34,27
HCPCS,C1776,PLATE MESH FT B-TYPE CMF 1.0MM,3190.72,2552.58,1.0,2871.65,27
HCPCS,C1776,PLATE MESH FT C-TYPE CMF 1.0MM,3190.72,2552.58,1.0,2871.65,27
HCPCS,C1776,RESTRICTOR CMNT TORN 5-8MM,378.0,302.4,1.0,340.2,27
HCPCS,C1776,ROD Z EXPD DEPU TI 300MM,747.0,597.6,1.0,672.3,27
HCPCS,C1776,ROD Z OFFSET TI 5.5 12X100-200,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,SCAFBONEKTSCPSIDEDEL5CC*DISC*,8190.0,6552.0,1.0,7371.0,27
HCPCS,C1776,SCREW HEX HD NEX 3.5X48MM,631.8,505.44,1.0,568.62,27
HCPCS,C1776,SCREW SHLDR RVRSALTIVATE6.5X30,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1776,SCREW WRIST LK KINEMATX4.75X35,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,SHLDR ADPTR COMP VERSA-DIALSTD,967.5,774.0,1.0,870.75,27
HCPCS,C1776,SHLDR ADPTR HUMR HD OSSEOFIT,1129.8,903.84,1.0,1016.82,27
HCPCS,C1776,SHLDR ADPTR MINI BASE SRS 25MM,3078.4,2462.72,1.0,2770.56,27
HCPCS,C1776,SHLDR ADPTR OFFSET INHANCE,994.5,795.6,1.0,895.05,27
HCPCS,C1776,SHLDR ADPTR VERSADIAL 25MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,SHLDR ADPTR ZIMM STD,900.0,720.0,1.0,810.0,27
HCPCS,C1776,SHLDR ANCHOR ONLAY LFT SZ5,21360.0,17088.0,1.0,19224.0,27
HCPCS,C1776,SHLDR ANCHOR ONLAY RT SZ2,22308.0,17846.4,1.0,20077.2,27
HCPCS,C1776,SHLDR AUG GLENO RVRS PSTRLFT8D,8216.0,6572.8,1.0,7394.4,27
HCPCS,C1776,SHLDR BASE CMPRHNSV W ADPTR LG,6403.6,5122.88,1.0,5763.24,27
HCPCS,C1776,SHLDR BASE CMPRHNSV W ADPTR MD,6403.6,5122.88,1.0,5763.24,27
HCPCS,C1776,SHLDR BASE CMPRHNSV W ADPTR SM,6403.6,5122.88,1.0,5763.24,27
HCPCS,C1776,SHLDR BASE PERF FULL 15D 25MM,6323.94,5059.16,1.0,5691.55,27
HCPCS,C1776,SHLDR BASE PERF FULL 15D 29MM,6323.94,5059.16,1.0,5691.55,27
HCPCS,C1776,SHLDR BASE PERF RVRS STD 25MM,3849.3,3079.44,1.0,3464.37,27
HCPCS,C1776,SHLDR BASE PERF RVRS STD 29MM,3849.3,3079.44,1.0,3464.37,27
HCPCS,C1776,SHLDR BASE PERF RVRSLAT+3 25MM,6007.68,4806.15,1.0,5406.91,27
HCPCS,C1776,SHLDR BASE PERF RVRSLAT+3 29MM,6007.68,4806.15,1.0,5406.91,27
HCPCS,C1776,SHLDR BASE PERF RVRSLAT+6 25MM,6007.68,4806.15,1.0,5406.91,27
HCPCS,C1776,SHLDR BASE PERF RVRSLAT+6 29MM,6007.68,4806.15,1.0,5406.91,27
HCPCS,C1776,SHLDR BASE PLATE RVRS 25X2MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR BASEPLATE INHANCE LG29MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR BASEPLATE INHANCE SM24MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR BASEPLATE REUNION 2*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR BASEPLATE RSPEED SM 24MM,5502.0,4401.6,1.0,4951.8,27
HCPCS,C1776,SHLDR BASEPLATE RVRS TPR KT 65,7134.4,5707.52,1.0,6420.96,27
HCPCS,C1776,SHLDR BASEPLATE THRD 25X25MM,4682.64,3746.12,1.0,4214.38,27
HCPCS,C1776,SHLDR BASEPLATE THRD 25X30MM,4595.89,3676.72,1.0,4136.3,27
HCPCS,C1776,SHLDR BASEPLATE THRD 25X35MM,4595.89,3676.72,1.0,4136.3,27
HCPCS,C1776,SHLDR BASEPLATE THRD 25X40MM,4682.64,3746.12,1.0,4214.38,27
HCPCS,C1776,SHLDR BASEPLATE THRD 29X25MM,4682.64,3746.12,1.0,4214.38,27
HCPCS,C1776,SHLDR BASEPLATE THRD 29X30MM,4595.89,3676.72,1.0,4136.3,27
HCPCS,C1776,SHLDR BASEPLATE THRD 29X35MM,4595.89,3676.72,1.0,4136.3,27
HCPCS,C1776,SHLDR BASEPLATE THRD TI36*NLU*,4682.64,3746.12,1.0,4214.38,27
HCPCS,C1776,SHLDR BASEPLATE UNITI LG 29MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR BASEPLATE UNITI SM 24MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR BASEPLATERSPEEDPLTFMLG29,5502.0,4401.6,1.0,4951.8,27
HCPCS,C1776,SHLDR BASEPLATERSPEEDPLTFMSM24,5502.0,4401.6,1.0,4951.8,27
HCPCS,C1776,SHLDR BEARING TRIAL STD 36MM,922.5,738.0,1.0,830.25,27
HCPCS,C1776,SHLDR COMP SCREW 23MM,275.02,220.02,1.0,247.52,27
HCPCS,C1776,SHLDR CONVERTIBLE BASEPLATESTD,5255.6,4204.48,1.0,4730.04,27
HCPCS,C1776,SHLDR CPLE HD CTR TI 0MM,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1776,SHLDR CPLE HD HO TI 3.5MM,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1776,SHLDR CPLE HD LO TI 1.5MM,2250.0,1800.0,1.0,2025.0,27
HCPCS,C1776,SHLDR DELTA EXT METAGLENE+10MM,6676.8,5341.44,1.0,6009.12,27
HCPCS,C1776,SHLDR DELTA EXT METAGLENE+15MM,6676.8,5341.44,1.0,6009.12,27
HCPCS,C1776,SHLDR ECLIPSE HUMR HD 51/19,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR ECLIPSE HUMR HD 51/20,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR ECLIPSE HUMR HD 55/21,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR ECLIPSE SPEEDSCAP TSA,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR FLG CMPRHNSV SRS SM,2476.8,1981.44,1.0,2229.12,27
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 2 PEG MONO SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 2MM 25X36MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENO 2MM 29X36MM*NLU*,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MOD SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ1,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ2,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ3,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ4,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 3 PEG MONO SZ5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD LFT SZ4,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD LFT SZ5,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD RT SZ2,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD RT SZ3,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ2,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ3,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ4,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDR GLENO 4PEG MOD SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDR GLENO AUG UNIVERSRT25DMD,7995.0,6396.0,1.0,7195.5,27
HCPCS,C1776,SHLDR GLENO BASE +4LAT 28MM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,SHLDR GLENO BASE 20D28MM,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,SHLDR GLENO BASE AUG 10D 24MM,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,SHLDR GLENO BASE AUG 20D 24MM,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,SHLDR GLENO BASE LAT+2 25D24MM,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,SHLDR GLENO BASE POST 24MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1776,SHLDR GLENO BASE STD 20MM,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1776,SHLDR GLENO BASE STD 24MM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,SHLDR GLENO BASE STD 28MM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1776,SHLDR GLENO BASE STD 30MM,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1776,SHLDR GLENO BASE VERSADIAL28MM,3078.4,2462.72,1.0,2770.56,27
HCPCS,C1776,SHLDR GLENO CANN ECCN COCR 39,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO CANN LAT COCR 39MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO CANN STD COCR 33MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO CANN STD COCR 36MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO CANN STD COCR 39MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO CANN STD TI 36MM,8016.97,6413.58,1.0,7215.27,27
HCPCS,C1776,SHLDR GLENO CANN STD TI 39MM,8016.97,6413.58,1.0,7215.27,27
HCPCS,C1776,SHLDR GLENO CMNT INHANCE 29.0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR GLENO CORTILOC RT 15D MD,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,SHLDR GLENO CROSSLINK 44,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO CROSSLINK 52,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO CTR 25X36MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENO CTR 25X42MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENO CTR 29X36MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENO CTR 29X42MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENO ECCN TPR 24 36+2.5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO ECCN TPR 24 39+2.5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO ECCN TPR 24 42+2.5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO ECCN TPR 28 39+2.5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO ECCN TPR 28 42+2.5,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO INHANCE 40MM +4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENO INHANCE CMNTXS21.5,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR GLENO INHANCE ECCN 36+4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENO INHANCE ECCN 36+8,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENO INHANCE ECCN 40+4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENO INHANCE HYBRID24.0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR GLENO INHANCE HYBRID26.5,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR GLENO INHANCE HYBRID31.5,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR GLENO INHANCE VITEXS21.5,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1776,SHLDR GLENO INHANCE X-LINK24.0,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1776,SHLDR GLENO INHANCE X-LINK26.5,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1776,SHLDR GLENO INHANCE X-LINK29.0,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1776,SHLDR GLENO INHANCE X-LINK31.5,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1776,SHLDR GLENO KEEL AEGU L40,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO KEEL ARTICU 52MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO KEEL ARTICU40X46MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO KEEL ARTICU46X52MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO KEEL BIGLIANI 40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO KEEL BIGLIANI*NLU*,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO LASER CAGE MD RT8D,9256.0,7404.8,1.0,8330.4,27
HCPCS,C1776,SHLDR GLENO LAT ECCN 38MM +4,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LAT ECCN 42MM +4,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LAT STD 38MM +4,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LAT STD 38MM +6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LAT STD 42MM +4,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LAT TI 24 36+4,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1776,SHLDR GLENO LAT TI 24 42+4,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1776,SHLDR GLENO LAT TPR 24 33+4,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO LAT TPR 24 36+4,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO LAT TPR 24 39+4,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO LATE STD 38MM +0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATE STD 38MM +2,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATE STD 42MM +0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATE STD 42MM +2,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+2,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND38MM+8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+2,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LATECCNXTEND42MM+8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LXTENDSTD38MM+8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LXTENDSTD42MM+6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO LXTENDSTD42MM+8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO MODEL CMPRHNSVVRS,2509.2,2007.36,1.0,2258.28,27
HCPCS,C1776,SHLDR GLENO PEG AEQUALIS 35,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG BIGLIANI 46MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC L40,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC L50,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC L60,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC M35,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC M40,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC S30,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOC S40,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG CORTILOCXL50,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR GLENO PEG DEPU 40MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO PEG DEPU 44MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO PEG DEPU 48MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO PEG DEPU 52MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO PEG DEPU 56MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR GLENO PEG POLY E+ SZ38,6566.0,5252.8,1.0,5909.4,27
HCPCS,C1776,SHLDR GLENO PEG POLY E+ SZ42,6566.0,5252.8,1.0,5909.4,27
HCPCS,C1776,SHLDR GLENO PEG STRY SZ44*NLU*,4760.0,3808.0,1.0,4284.0,27
HCPCS,C1776,SHLDR GLENO POST MODLR PPS,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,SHLDR GLENO POST MODLR TM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,SHLDR GLENO POST ZIMM*DISC*,1281.0,1024.8,1.0,1152.9,27
HCPCS,C1776,SHLDR GLENO REUNION CNCT 32X6,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR GLENO REUNION CNCT 36X6,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR GLENO REUNION CNCT36X2MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR GLENO RVRS CTR 25X25MM,12372.23,9897.79,1.0,11135.01,27
HCPCS,C1776,SHLDR GLENO RVRS ECCN 36MM +2,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS ECCN 39MM +3,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS ECCN 42MM +4,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS LAT 33MM +3,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS LAT 36MM +3,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS LAT 39MM +3,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS PRIM 25X25 +3,12372.23,9897.79,1.0,11135.01,27
HCPCS,C1776,SHLDR GLENO RVRS PRIM 25X35 +3,12372.23,9897.79,1.0,11135.01,27
HCPCS,C1776,SHLDR GLENO RVRS PRIM 29X25 +3,12372.23,9897.79,1.0,11135.01,27
HCPCS,C1776,SHLDR GLENO RVRS PRIM 29X35 +3,12372.23,9897.79,1.0,11135.01,27
HCPCS,C1776,SHLDR GLENO RVRS PRIM 29X35MM,12372.23,9897.79,1.0,11135.01,27
HCPCS,C1776,SHLDR GLENO RVRS STD 36MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS STD 39MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS STD 42MM,6716.97,5373.58,1.0,6045.27,27
HCPCS,C1776,SHLDR GLENO RVRS XTEND STD42MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO RVRSEXPAND40MM+4MM,7320.3,5856.24,1.0,6588.27,27
HCPCS,C1776,SHLDR GLENO TPR 28MM 36,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO TPR 28MM 42,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR GLENO TRABECULAR MTL36MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO TRABECULAR MTL40MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO UNIV 36 +4 LAT,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,SHLDR GLENO UNIV 39 +4 LAT,5880.0,4704.0,1.0,5292.0,27
HCPCS,C1776,SHLDR GLENO UNIV BASE MD,4802.0,3841.6,1.0,4321.8,27
HCPCS,C1776,SHLDR GLENO UNIV BASE SM,4802.0,3841.6,1.0,4321.8,27
HCPCS,C1776,SHLDR GLENO VAULTLOCK LG,4410.0,3528.0,1.0,3969.0,27
HCPCS,C1776,SHLDR GLENO VAULTLOCK MD,4410.0,3528.0,1.0,3969.0,27
HCPCS,C1776,SHLDR GLENO VAULTLOCK SM,4410.0,3528.0,1.0,3969.0,27
HCPCS,C1776,SHLDR GLENO VAULTLOCK XL,4410.0,3528.0,1.0,3969.0,27
HCPCS,C1776,SHLDR GLENO VERSADIAL +3 36MM,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR GLENO VERSADIAL +6 36MM,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR GLENO VERSADIAL STD 36MM,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR GLENO VERSADIAL STD 41MM,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR GLENO XTEND ECCN 42MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO XTEND STD 38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR GLENO ZIMM 40X46MM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,SHLDR GLENO ZIMM 46X52MM*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,SHLDR GLENOSPERE 2MM 25X42MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENOSPERE TILT 25X39MM,6907.85,5526.28,1.0,6217.07,27
HCPCS,C1776,SHLDR GLENOSPERE TILT 29X39MM,6907.85,5526.28,1.0,6217.07,27
HCPCS,C1776,SHLDR GLENOSPERE TILT25X36MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENOSPERE TILT25X42MM,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENOSPERE TILT29X3*NLU*,3711.88,2969.51,1.0,3340.69,27
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 32+4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 32+8,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 36+4,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 36+8,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR GLENOSPHERE INHANCE 40+8,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1776,SHLDR HD SUP EAS SRS 40X15MM,6515.6,5212.48,1.0,5864.04,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 38X18X39MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 38X21X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 40MM +3,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 40MM +6,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 42X18X46MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 42X21X43MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 42X24X42MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X18X53MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X21X50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X24X47MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 46X27X46MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 50X24X52MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 50X27X50MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 54X21X64MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 54X24X58MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL 58X27X61MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HD VERSA-DIAL STD 40MM,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1776,SHLDR HD VERSA-DIALTISTD 40MM,2870.0,2296.0,1.0,2583.0,27
HCPCS,C1776,SHLDR HUM TRAY NEUT STD+0MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +0MM,6690.6,5352.48,1.0,6021.54,27
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +10MM,6690.6,5352.48,1.0,6021.54,27
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +15MM,6690.6,5352.48,1.0,6021.54,27
HCPCS,C1776,SHLDR HUMR ADPTR TRAY +5MM,6690.6,5352.48,1.0,6021.54,27
HCPCS,C1776,SHLDR HUMR ANCHOR SIDUS SM,10790.0,8632.0,1.0,9711.0,27
HCPCS,C1776,SHLDR HUMR BASE RVRS +3 +5,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASE RVRS +3 40MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMR BASE RVRS STD +3,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASE RVRS STD +5,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASE RVRSTI40MM+6+5,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASE STD STD,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASERVRS 40MM +10+3,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASERVRS 40MM +10+6,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASERVRS 40MM +6 +5,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASERVRS STD+0 40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BASERVRS STD+6 40MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR BEARING STD 44-36MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMR BEARING+3STD44-36MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMR CUP DEPU +3 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP DEPU +6 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP DEPU +9 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP HIGH +3 38MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP HIGH +3 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP HIGH +6 38MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP HIGH +6 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP HIGH +9 38MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP HIGH +9 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP RETENT +6 42MM,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP RETENT 38MM +6,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP REUNION 32X4MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR HUMR CUP REUNION 36X4MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 33MM,6020.0,4816.0,1.0,5418.0,27
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 36MM,6020.0,4816.0,1.0,5418.0,27
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 39MM,6020.0,4816.0,1.0,5418.0,27
HCPCS,C1776,SHLDR HUMR CUP RVRS CA 42MM,6020.0,4816.0,1.0,5418.0,27
HCPCS,C1776,SHLDR HUMR CUP RVRS CTD RT36+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR CUP RVRS CTD RT39+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR CUP STD +3 38,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP STD +6 38,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR CUP STD +9 38,2483.2,1986.56,1.0,2234.88,27
HCPCS,C1776,SHLDR HUMR EPIP HA CTR SZ1,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR EPIP HA CTR SZ2,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN LFTSZ1,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN LFTSZ2,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN RT SZ1,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR EPIP HA ECCN RT SZ2,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR FX SLV ZIMM SZ9,877.5,702.0,1.0,789.75,27
HCPCS,C1776,SHLDR HUMR HD 44X17MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD 45X19MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HUMR HD 48X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HUMR HD 54X22MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HUMR HD ALTIVATE 40X16MM,5468.4,4374.72,1.0,4921.56,27
HCPCS,C1776,SHLDR HUMR HD COCR 39X14,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,SHLDR HUMR HD COCR 43X16,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,SHLDR HUMR HD COCR 48X20,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,SHLDR HUMR HD COCR 50X16,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,SHLDR HUMR HD COCR 50X19,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,SHLDR HUMR HD COCR 54X24,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,SHLDR HUMR HD CTA 48X26MM,9997.0,7997.6,1.0,8997.3,27
HCPCS,C1776,SHLDR HUMR HD CTA 52X21MM,9997.0,7997.6,1.0,8997.3,27
HCPCS,C1776,SHLDR HUMR HD CTA 52X26MM,9997.0,7997.6,1.0,8997.3,27
HCPCS,C1776,SHLDR HUMR HD DJO NEUT 46X16MM,5468.4,4374.72,1.0,4921.56,27
HCPCS,C1776,SHLDR HUMR HD ECC 48X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECC 52X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECC 52X21MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECC 56X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN 44X15MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN 44X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN 44X21MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN 52X18MM,5621.0,4496.8,1.0,5058.9,27
HCPCS,C1776,SHLDR HUMR HD ECCN TI3.5X43X16,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN TI4.0X46X17,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN TI4.0X50X16,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD ECCN TI4.0X52X19,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 37X16,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 41/18,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 41X16,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 43/16,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 43/18,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 45/17,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 45/19,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 47/18,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 47/20,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 49/18,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 49/20,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 53X20,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE 53X22,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD ECLIPSE TI 47/18,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR HUMR HD GLOBAL 44X15MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD GLOBAL 44X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 38X13.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 40X13.75,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 40X15.75,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 42X14.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 42X16.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 44X15.25,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 44X17.25,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 46X16,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 46X18.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 48.5X17,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 51X18,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 51X20.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 54X19,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 54X22,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 57X20.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD INHANCE 57X24,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD OFF 15X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD OFF 18X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD OFF 24X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD OFF 24X52MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD OFF 30X52MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X16X43,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X16X50,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X17X46,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X18X48,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 1.5X19X50,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 4X16X50,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 4X17X46,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 4X18X48,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 4X19X50,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD PCBN 4X19X52,15060.0,12048.0,1.0,13554.0,27
HCPCS,C1776,SHLDR HUMR HD REVERS CA 44X17,6580.0,5264.0,1.0,5922.0,27
HCPCS,C1776,SHLDR HUMR HD REVERS CA 50X19,6580.0,5264.0,1.0,5922.0,27
HCPCS,C1776,SHLDR HUMR HD REVERS CA 56X22,6580.0,5264.0,1.0,5922.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 42X14,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 42X16,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 42X18,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 45X15,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 45X17,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 45X19,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 48X16,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 48X18,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 48X20,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 51X17,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 51X20,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 51X23,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 54X18,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 54X21,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB HIGH 54X24,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB LOW 45X15,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB LOW 45X17,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB LOW 45X19,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB LOW 48X18,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB LOW 48X20,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STB LOW 54X18,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR HUMR HD STD 18X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 21X40MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 21X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 21X52MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 24X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 24X52MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 27X46MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 27X52MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 30X52MM,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STD 48X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD STD 52X18MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD STD 56X21MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI15X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI15X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI18X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI18X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI24X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI27X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI30X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI33X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI33X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI36X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDR HUMR HD STDBIGLIANI6X130,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR HUMR HD TI 46X17,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 40X15,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 40X18,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 44X21,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 48X15,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 48X15MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 48X21,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 52X15,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 52X21,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE 56X18,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE ECC 48X21,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNITE ECC40X15,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS CA 52X22,6580.0,5264.0,1.0,5922.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 40X17,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 44X19,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 46X18,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 46X20,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 48X19,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 48X21,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 50X19,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 50X21,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 52X20,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 52X22,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 54X21,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR HD UNIVERS II 56X22,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1776,SHLDR HUMR INSRT CNSTND33+3/36,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR HUMR INSRT CNSTND39+3/42,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR HUMR INSRT CNSTND39+6/42,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR HUMR INSRT E+ STD SZ36,3698.8,2959.04,1.0,3328.92,27
HCPCS,C1776,SHLDR HUMR INSRT PROLNG +3 36,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMR INSRT PROLNGSTD40MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMR INSRT PROLONGSTTD36,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMR INSRT RSP 36MM,3698.8,2959.04,1.0,3328.92,27
HCPCS,C1776,SHLDR HUMR INSRT VITE +3 36MM,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR HUMR INSRT VITE STD 36MM,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR HUMR INSRT VITE STD 40MM,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR HUMR KT STEM NECK SZ1,15967.2,12773.76,1.0,14370.48,27
HCPCS,C1776,SHLDR HUMR LNR 145D 36MM +0,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR LNR 145D 38MM+0,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR LNR 145D 40MM +0,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR LNR 145D 42MM +0,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR LNR 145D 42MM +2.5,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR LNR CNSTND 145D42+0,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR LNRCNSTND145D42+2.5,3050.6,2440.48,1.0,2745.54,27
HCPCS,C1776,SHLDR HUMR PROX BODY SM 12.5MM,17037.89,13630.32,1.0,15334.1,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 28MM+0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 32MM+0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 36MM+0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 36MM+8,6890.0,5512.0,1.0,6201.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 40MM+0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 40MM+8,6890.0,5512.0,1.0,6201.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 44MM+0,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1776,SHLDR HUMR RVRS INHANCE 44MM+8,6890.0,5512.0,1.0,6201.0,27
HCPCS,C1776,SHLDR HUMR RVRS STD 44MM,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR HUMR SPACER DEPU +9MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR HUMR SPACER ZIMM 12MM,1933.2,1546.56,1.0,1739.88,27
HCPCS,C1776,SHLDR HUMR SPACER ZIMM 9MM,1933.2,1546.56,1.0,1739.88,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI40X15,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI40X18,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI44X15,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI44X18,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI44X21,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI48X15,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI48X18,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI48X21,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI52X15,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI52X18,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI52X21,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI56X18,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STB SIMPLICITI56X21,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMR STEM 12MM SZ12,20567.52,16454.02,1.0,18510.77,27
HCPCS,C1776,SHLDR HUMR STEM 14MM SZ14,20565.6,16452.48,1.0,18509.04,27
HCPCS,C1776,SHLDR HUMR STEM PROS 30MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1776,SHLDR HUMR STEM PROS 32MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1776,SHLDR HUMR STEM PROS 34MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1776,SHLDR HUMR STEM PROS 36MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1776,SHLDR HUMR STEM PROS 38MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1776,SHLDR HUMR STEM PROS 40MM,11570.0,9256.0,1.0,10413.0,27
HCPCS,C1776,SHLDR HUMR STEM REUNION 10X123,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR HUMR STEM REUNION 11X123,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1776,SHLDR HUMR STEM REUNION 12X128,18170.4,14536.32,1.0,16353.36,27
HCPCS,C1776,SHLDR HUMR STEM REUNION 13X128,7670.0,6136.0,1.0,6903.0,27
HCPCS,C1776,SHLDR HUMR STEM REUNION 7X113,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1776,SHLDR HUMR SUT CUPRVRSNEUT36MM,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR SUT CUPRVRSNEUT39MM,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR SUTCUP RVRS CTDRT33,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR SUTCUPRVRSCTDRT36+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR SUTCUPRVRSCTDRT39+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMR TRAY *DISC NO REPL*,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR TRAY IDENTITYNEUT+0,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMR TRAY IDENTITYNEUT-6,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR HUMRBEARING+3RTNV44-41MM,2700.0,2160.0,1.0,2430.0,27
HCPCS,C1776,SHLDR HUMRHD SIMPLICITI43X16,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR HUMRINSRTVITERETENT+3 36,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR HUMRINSRTVITERETENT+3 40,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT33+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT36+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR HUMRSUTCUPRVRSCTDLFT39+2,4998.0,3998.4,1.0,4498.2,27
HCPCS,C1776,SHLDR IMPLT KTONKOCUST*NLU*,71640.0,57312.0,1.0,64476.0,27
HCPCS,C1776,SHLDR INSRT E+ POLYSMSEMISTD32,3698.8,2959.04,1.0,3328.92,27
HCPCS,C1776,SHLDR INSRT FLEX RETENT39MM+6B,4933.77,3947.02,1.0,4440.39,27
HCPCS,C1776,SHLDR INSRT FLEX RETENT39MM+9B,4933.77,3947.02,1.0,4440.39,27
HCPCS,C1776,SHLDR INSRT HUMR CNSTND L/33+3,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR CNSTND L/33+6,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/33+3,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/33+6MM,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/36 +3,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/36 +6,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/39 +3,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/39 +6,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT HUMR L/42 +3,2842.0,2273.6,1.0,2557.8,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 33+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 33+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 36+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 36+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 36+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 39+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 39+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS1/2 39+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 36+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 36+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 36+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 39+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 39+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 39+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 42+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RETENTRVRS3/4 42+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT REUNION STD 3*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR INSRT REUNION STD 36X4MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR INSRT RVRS +6 12.5D 33MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 33MM +0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 33MM +3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 33MM +6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 36MM +0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 36MM +3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 36MM +6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 39MM +3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 1/2 39MM +6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 36MM +0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 36MM +3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 36MM +6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 39MM +0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 39MM +3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 39MM +6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 42MM +0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS 3/4 42MM +3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR INSRT RVRS FLEX 39MM +6B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS FLEX 39MM +9B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS RETENT36MM+6B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS RETENT36MM+6C,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS RETENT36MM+9B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS RETENT36MM+9C,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS RETENT42MM+6B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS RETENT42MM+9B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS REV 36MM +6A,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS REV 36MM +6C,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS REV 36MM +9A,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS STD 36MM +6B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS STD 36MM +9B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS STD 42MM +6B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRS STD 42MM +9B,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1776,SHLDR INSRT RVRSVE45 36MMSZ3/4,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR INSRT RVRSVE45 42MMSZ3/4,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR INSRT RVRSVE55 36MMSZ3/4,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR INSRT RVRSVE55 39MMSZ3/4,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR INSRT RVRSVE65 36MMSZ3/4,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR INSRTREUNIONSTD36X8*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR KICKSTAND AUG CMNTLSS4MM,5139.4,4111.52,1.0,4625.46,27
HCPCS,C1776,SHLDR KICKSTAND AUG CMNTLSS6MM,5139.4,4111.52,1.0,4625.46,27
HCPCS,C1776,SHLDR KT TRUNION ARTRX*NLU*,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1776,SHLDR LNR REV/RET ZIMM +0X40MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR REV/RET ZIMM +3X40MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR REV/RET ZIMM +6X40MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RR ZIMM 65D +0X36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RR ZIMM 65D +3X36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RR ZIMM 65D +6X36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RVRS INHANCE 32+0MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS INHANCE 32+4MM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS INHANCE 36MM +0,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS INHANCE 36MM +4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS INHANCE 40MM +0,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS INHANCE 40MM +4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS RETENT 32MM +0,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS RETENT 32MM +4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS RETENT 36MM +0,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS RETENT 36MM +4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS RETENT 40MM +0,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS RETENT 40MM +4,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1776,SHLDR LNR RVRS ZIMM +0X40MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RVRS ZIMM +3 36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RVRS ZIMM +3X40MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RVRS ZIMM 0X36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RVRS ZIMM 6X36MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR RVRS ZIMM 6X40MM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1776,SHLDR LNR VIV-E 65D 36MM +3,4373.6,3498.88,1.0,3936.24,27
HCPCS,C1776,SHLDR LNR VIV-E 65D 40MM +3,4373.6,3498.88,1.0,3936.24,27
HCPCS,C1776,SHLDR LNR VIV-E STD 36MM,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR LNR VIV-E STD 40MM,3351.6,2681.28,1.0,3016.44,27
HCPCS,C1776,SHLDR METAGLENE DEPU,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR NUCLEUS ANATOM SZ1,15350.16,12280.13,1.0,13815.14,27
HCPCS,C1776,SHLDR NUCLEUS ANATOM SZ2,15350.16,12280.13,1.0,13815.14,27
HCPCS,C1776,SHLDR NUCLEUS ANATOM SZ3,15350.16,12280.13,1.0,13815.14,27
HCPCS,C1776,SHLDR PEG LK ALTIVATE RVRS18MM,4032.0,3225.6,1.0,3628.8,27
HCPCS,C1776,SHLDR PIN NIT GLENOTARGETER2.8,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1776,SHLDR POST MOD CENT FIX 25MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR POST MOD CENT FIX 30MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR POST MOD CENT FIX 35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR POST PERF PRESSFIT SHRT7,2027.63,1622.11,1.0,1824.87,27
HCPCS,C1776,SHLDR PRESS HUMR STEM 13X128MM,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1776,SHLDR PROV AUG TRIAL MD,875.75,700.6,1.0,788.18,27
HCPCS,C1776,SHLDR PROX BODY AFR 11X40MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFR 13X40MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFR 15X40MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFR 17X40MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFR 19X40MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFR 9X40MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFR SHRT9X30MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFRSHRT11X30MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFRSHRT13X30MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFRSHRT15X30MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFRSHRT17X30MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY AFRSHRT19X30MM,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY HRS MAX SM,27423.36,21938.69,1.0,24681.02,27
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D 9,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D11,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D13,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D15,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY PTC STD 135D17,13816.8,11053.44,1.0,12435.12,27
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ10,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ12,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ14,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 128DSZ16,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ10,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ12,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ14,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE 142DSZ16,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE128DSZ6-8,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROX BODY UNITE142DSZ6-8,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR PROXBODY CMPRHNSVSR 52M,11978.2,9582.56,1.0,10780.38,27
HCPCS,C1776,SHLDR PROXBODY CMPRHNSVSRSLG42,11978.2,9582.56,1.0,10780.38,27
HCPCS,C1776,SHLDR PROXBODY CMPRHNSVSRSSM58,11978.2,9582.56,1.0,10780.38,27
HCPCS,C1776,SHLDR REUNION HD OFFSET44X16,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR REUNION HD OFFSET48X15,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR REUNION HD OFFSET56X28,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR REUNION HD STD 48X15,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR REV INSRT 36X12MM,5047.0,4037.6,1.0,4542.3,27
HCPCS,C1776,SHLDR REV PERFORM VE1/2 36MM+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM VE3/4 36MM+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM VE3/4 39MM+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM VE3/4 39MM+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM VE3/4 42MM+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM VE3/4 42MM+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM1/2 10D36MM+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D36MM+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D36MM+6,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D39MM+0,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D39MM+3,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D39MM+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D42MM+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV PERFORM3/4 10D42MM+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDR REV SPACER 36MM +9MM,3360.9,2688.72,1.0,3024.81,27
HCPCS,C1776,SHLDR REV SYM RET*USE 6336569*,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1776,SHLDR REV TM BASE POST 15MM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1776,SHLDR RVRS FRAC EPIP CTR,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR RVRS FRAC EPIP RT,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1776,SHLDR RVRS HUMR ZIMM +5 44MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR RVRS HUMR ZIMM STD 44MM,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1776,SHLDR SCREW CMPRHNSV 6.5X25MM,393.6,314.88,1.0,354.24,27
HCPCS,C1776,SHLDR SCREW CMPRHNSV 6.5X30MM,393.6,314.88,1.0,354.24,27
HCPCS,C1776,SHLDR SCREW CTRREUNION6.5X36MM,305.0,244.0,1.0,274.5,27
HCPCS,C1776,SHLDR SCREW MOD CENT FIX 20MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR SCREW MOD CENT FIX 30MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR SCREW MOD CENT FIX 35MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1776,SHLDR SCREW PERIPH LK 5.5X20MM,540.0,432.0,1.0,486.0,27
HCPCS,C1776,SHLDR SCREW PERIPH LK 5.5X36MM,540.0,432.0,1.0,486.0,27
HCPCS,C1776,SHLDR SEG CMPRHNSV AUG SRS LG,9276.8,7421.44,1.0,8349.12,27
HCPCS,C1776,SHLDR SEG INTRCLY ANTIROTSRS30,16471.2,13176.96,1.0,14824.08,27
HCPCS,C1776,SHLDR SEG INTRCLY SCREW SRS 30,16471.2,13176.96,1.0,14824.08,27
HCPCS,C1776,SHLDR SEG INTRCLY SCREW SRS 60,16636.8,13309.44,1.0,14973.12,27
HCPCS,C1776,SHLDR SEG INTRCLY SCREW SRS 90,16821.6,13457.28,1.0,15139.44,27
HCPCS,C1776,SHLDR SIMPLICITI NUCLEUS SZ1,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR SIMPLICITI NUCLEUS SZ2,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR SIMPLICITI NUCLEUS SZ3,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR SPACER ARF 11X20MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 11X30MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 13X20MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 13X30MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 15X20MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 15X30MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 17X20MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 17X30MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 19X20MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 19X30MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 9X20MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER ARF 9X30MM,8980.4,7184.32,1.0,8082.36,27
HCPCS,C1776,SHLDR SPACER HRS MAX 20MM SZ20,12378.6,9902.88,1.0,11140.74,27
HCPCS,C1776,SHLDR SPACER HUMR FRAC 9 SZ1/2,4033.62,3226.9,1.0,3630.26,27
HCPCS,C1776,SHLDR SPACER HUMR FRAC 9 SZ3/4,4033.62,3226.9,1.0,3630.26,27
HCPCS,C1776,SHLDR SPACER INTERSPACE 41MM,9804.6,7843.68,1.0,8824.14,27
HCPCS,C1776,SHLDR SPACER INTERSPACE 46MM,9804.6,7843.68,1.0,8824.14,27
HCPCS,C1776,SHLDR SPACER UNIV 36 +9MM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR SPACER UNIV 39 +6MM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR SPACER UNIV 42 +6MM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR SPACERHUMRPERFORMSZ1/2+9,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR SPACERHUMRPERFORMSZ3/4+9,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 12,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 15,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 6,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR SPACERUNIVERSREVERS33 9,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 10MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 11MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 12MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 13MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 14MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 15MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 16MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 17MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 4MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 7MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 8MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MICRO 9MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 10MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 11MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 12MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 13MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 14MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 15MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 16MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 17MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 18MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 19MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 6MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 7MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI 9MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV MINI MM8,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV REV 6MM,11962.6,9570.08,1.0,10766.34,27
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 10MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 15MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM CMPRHNSV STD 7MM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM DIST COLAR 21.5MM,5139.51,4111.61,1.0,4625.56,27
HCPCS,C1776,SHLDR STEM DIST PTC 11X130MM,21708.0,17366.4,1.0,19537.2,27
HCPCS,C1776,SHLDR STEM DIST PTC 11X170MM,24924.0,19939.2,1.0,22431.6,27
HCPCS,C1776,SHLDR STEM DIST PTC 11X90MM,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC 13X130MM,21708.0,17366.4,1.0,19537.2,27
HCPCS,C1776,SHLDR STEM DIST PTC 13X90MM,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC 15X130MM,21708.0,17366.4,1.0,19537.2,27
HCPCS,C1776,SHLDR STEM DIST PTC 15X90MM,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC 17X90MM,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC 18X90MM,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC 9X130MM,21708.0,17366.4,1.0,19537.2,27
HCPCS,C1776,SHLDR STEM DIST PTC 9X170MM,24924.0,19939.2,1.0,22431.6,27
HCPCS,C1776,SHLDR STEM DIST PTC 9X90MM,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART 9X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART11X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART12X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART13X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART14X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART15X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART16X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART17X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM DIST PTC PART19X90,12434.4,9947.52,1.0,11190.96,27
HCPCS,C1776,SHLDR STEM EPIP HA 10MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR STEM EPIP HA 12MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR STEM EPIP HA 14MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR STEM EPIP HA 16MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1776,SHLDR STEM EPIP LG 10D SZ2,15534.0,12427.2,1.0,13980.6,27
HCPCS,C1776,SHLDR STEM EPIP LG 12D SZ1,15534.0,12427.2,1.0,13980.6,27
HCPCS,C1776,SHLDR STEM EPIP LG 12D SZ2,15534.0,12427.2,1.0,13980.6,27
HCPCS,C1776,SHLDR STEM EPIP LG 14D SZ1,15534.0,12427.2,1.0,13980.6,27
HCPCS,C1776,SHLDR STEM EPIP LG 14D SZ2,15534.0,12427.2,1.0,13980.6,27
HCPCS,C1776,SHLDR STEM EPIP STD 10D SZ1,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM EPIP STD 10D SZ2,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM EPIP STD 12D SZ1,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM EPIP STD 12D SZ2,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM EPIP STD 14D SZ1,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM EPIP STD 14SZ2,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM EPIP STD 8D SZ1,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ10,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ11,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ12,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ13,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ14,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ15,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ17,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ7S,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ8S,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ9,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PERFORM SZ9S,13478.4,10782.72,1.0,12130.56,27
HCPCS,C1776,SHLDR STEM FRAC PPS 10X122MM,5908.0,4726.4,1.0,5317.2,27
HCPCS,C1776,SHLDR STEM FRAC PPS 14X122MM,5908.0,4726.4,1.0,5317.2,27
HCPCS,C1776,SHLDR STEM FRAC PPS 8X122MM,5908.0,4726.4,1.0,5317.2,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ10,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ11,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ12,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ13,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ14,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ15,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ16,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ6,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ8,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY MICRO SZ9,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY STD SZ13,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM IDENTITY STD SZ16,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1776,SHLDR STEM LNG INHANCE LG 40MM,13864.8,11091.84,1.0,12478.32,27
HCPCS,C1776,SHLDR STEM LNG INHANCE MD 36MM,13864.8,11091.84,1.0,12478.32,27
HCPCS,C1776,SHLDR STEM LNG INHANCE SM 32MM,13864.8,11091.84,1.0,12478.32,27
HCPCS,C1776,SHLDR STEM LNG INHANCE XL 44MM,13864.8,11091.84,1.0,12478.32,27
HCPCS,C1776,SHLDR STEM MOD SCREW 10X100MM,9586.2,7668.96,1.0,8627.58,27
HCPCS,C1776,SHLDR STEM MOD SCREW 10X200MM,9586.2,7668.96,1.0,8627.58,27
HCPCS,C1776,SHLDR STEM MOD SCREW 18X75MM,9586.2,7668.96,1.0,8627.58,27
HCPCS,C1776,SHLDR STEM MOD SCREW 6X75MM,9586.2,7668.96,1.0,8627.58,27
HCPCS,C1776,SHLDR STEM MOD SCREW 9X100MM,9586.2,7668.96,1.0,8627.58,27
HCPCS,C1776,SHLDR STEM MOD SCREW SRS 8X100,9586.2,7668.96,1.0,8627.58,27
HCPCS,C1776,SHLDR STEM MOD SCREW SRS1*NLU*,10192.0,8153.6,1.0,9172.8,27
HCPCS,C1776,SHLDR STEM MOD STD 10X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 11X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 12X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 13X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 14X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 15X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 16X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM MOD STD 9X130MM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ1+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ2+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ3+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM LNG SZ4+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ1,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ2,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ2+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ3,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ3+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ4,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM SHRT SZ4+,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1776,SHLDR STEM PERFORM XLNG SZ2,12974.0,10379.2,1.0,11676.6,27
HCPCS,C1776,SHLDR STEM PERFORM XLNG SZ3,12974.0,10379.2,1.0,11676.6,27
HCPCS,C1776,SHLDR STEM POROCOAT STD 10X113,4970.0,3976.0,1.0,4473.0,27
HCPCS,C1776,SHLDR STEM POROCOAT STD 12X120,4970.0,3976.0,1.0,4473.0,27
HCPCS,C1776,SHLDR STEM POROCOAT STD 12X145,11614.2,9291.36,1.0,10452.78,27
HCPCS,C1776,SHLDR STEM POROCOAT STD 14X129,4970.0,3976.0,1.0,4473.0,27
HCPCS,C1776,SHLDR STEM POROCOAT STD 16X138,4970.0,3976.0,1.0,4473.0,27
HCPCS,C1776,SHLDR STEM POROCOAT STD 8X107,4970.0,3976.0,1.0,4473.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 104MM SZ4B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 109MM SZ5B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 115MM SZ6B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 120MM SZ7B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 125MM SZ8B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 88MM SZ1B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 93MM SZ2B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC LNG 98MM SZ4B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 66MM SZ1B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 70MM SZ2A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 70MM SZ2B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 70MM SZ2C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 74MM SZ3A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 74MM SZ3B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 74MM SZ3C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 78MM SZ4A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 78MM SZ4B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 78MM SZ4C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 82MM SZ5A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 82MM SZ5B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 82MM SZ5C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 86MM SZ6A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 86MM SZ6B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 86MM SZ6C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 90MM SZ7A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 90MM SZ7B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 90MM SZ7C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 94MM SZ8A,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 94MM SZ8B,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM PTC STD 94MM SZ8C,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1776,SHLDR STEM REV FRAC 9X130MM,13414.8,10731.84,1.0,12073.32,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ11,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ12,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ13,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ14,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ15,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ8,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS APEX SZ9,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1776,SHLDR STEM REVERS CAP COAT SZ9,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM REVERS CAPCOAT SZ11,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM REVERS CAPCOAT SZ12,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM REVERS SM 8X108MM,15948.0,12758.4,1.0,14353.2,27
HCPCS,C1776,SHLDR STEM RVRS ALTIVATE 10X48,19893.6,15914.88,1.0,17904.24,27
HCPCS,C1776,SHLDR STEM SHRT INHANCE LG40MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM SHRT INHANCE MD36MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM SHRT INHANCE SM32MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM SHRT INHANCE XL44MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM SHRT INHANCE XS28MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM STD INHANCE LG 40MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM STD INHANCE MD 36MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM STD INHANCE SM 28MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM STD INHANCE SM 32MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM STD INHANCE XL 44MM,5639.2,4511.36,1.0,5075.28,27
HCPCS,C1776,SHLDR STEM TRABEC 42D 13X130MM,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1776,SHLDR STEM TRABEC 42D 14X130MM,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1776,SHLDR STEM TRABEC REV 10X130MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM TRABEC REV 10X170MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM TRABEC REV 12X130MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM TRABEC REV 12X170MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM TRABEC REV 14X130MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM TRABEC REV 16X130MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM TRABEC REV 8X130MM,11245.0,8996.0,1.0,10120.5,27
HCPCS,C1776,SHLDR STEM UNIV REVERS MONOSZ4,10631.4,8505.12,1.0,9568.26,27
HCPCS,C1776,SHLDR STEM UNIV REVERS MONOSZ5,9555.0,7644.0,1.0,8599.5,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ10,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ11,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ12,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ5,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ6,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ7,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ8,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIV REVERS SZ9,6958.0,5566.4,1.0,6262.2,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 10MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 11MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 12MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 13MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 5MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 6MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 7 MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 8MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS APEX 9MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS II 9X146MM,9555.0,7644.0,1.0,8599.5,27
HCPCS,C1776,SHLDR STEM UNIVERS OPTIFIT 7MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEM UNIVERS OPTIFIT 8MM,10855.0,8684.0,1.0,9769.5,27
HCPCS,C1776,SHLDR STEMLESS INHANCE LG 40MM,8096.4,6477.12,1.0,7286.76,27
HCPCS,C1776,SHLDR STEMLESS INHANCE MD 36MM,8096.4,6477.12,1.0,7286.76,27
HCPCS,C1776,SHLDR STEMLESS INHANCE SM 32MM,8096.4,6477.12,1.0,7286.76,27
HCPCS,C1776,SHLDR STEMLESS INHANCE XL 44MM,8096.4,6477.12,1.0,7286.76,27
HCPCS,C1776,SHLDR STEMLESS INHANCE XS 28MM,8096.4,6477.12,1.0,7286.76,27
HCPCS,C1776,SHLDR TRABECULAR GLENO 40*NLU*,4060.0,3248.0,1.0,3654.0,27
HCPCS,C1776,SHLDR TRAY RVRS 0MM +0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 0MM +12,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 1.5MM +0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 1.5MM +12,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 1.5MM +6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 3.5MM +0,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 3.5MM +6,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1776,SHLDR TRAY RVRS 8MM +3.5 SZ3/4,6770.4,5416.32,1.0,6093.36,27
HCPCS,C1776,SHLDR TRAY RVRS 8MM SZ3/4,13003.2,10402.56,1.0,11702.88,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 39MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 41MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 43MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 45MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 47MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 49MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 51MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 53MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TRUNION ECLIPSE 55MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1776,SHLDR TUMOR BODY COMPRHSVSRS61,11978.2,9582.56,1.0,10780.38,27
HCPCS,C1776,SHLDR UNITE COLAR ECC 44MM,900.0,720.0,1.0,810.0,27
HCPCS,C1776,SHLDR UNITE PROX BODY 10 +5,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY 12 +0,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY 12 +5,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY 12 -5,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY 14 +5,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY 16 +5,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY 16 -5,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY SZ10,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY SZ12,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY SZ14,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY SZ16,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR UNITE PROX BODY SZ6/8,2512.0,2009.6,1.0,2260.8,27
HCPCS,C1776,SHLDR ZIMM TPR INSRT,2383.2,1906.56,1.0,2144.88,27
HCPCS,C1776,SHLDRAUGMODLRSCREWSRSSM*DISC*,9620.0,7696.0,1.0,8658.0,27
HCPCS,C1776,SHLDRGLENO BASEAUG OBLIQ 10D24,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,SHLDRGLENO BASEAUG OBLIQ20D24,8320.0,6656.0,1.0,7488.0,27
HCPCS,C1776,SHLDRGLENOBASEHYBRIDLRLG*DISC*,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDRGLENOBASEHYBRIDLRMD*DISC*,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDRGLENOBASEHYBRIDLRSM*DISC*,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1776,SHLDRGLENOPOSTHYBRIDMODL*DISC*,1125.0,900.0,1.0,1012.5,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI15X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI17X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI18X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI18X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI19X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI21X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI21X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI21X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI23X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI23X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI24X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI27X40,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI27X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI30X46,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRHUMRHDOFFSETBIGLIANI33X52,2960.0,2368.0,1.0,2664.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 33+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 33+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 33+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 36+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 36+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 36+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 39+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE1/2 39+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 36+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 36+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 36+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 39+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 39+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 39+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 42+0,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 42+3,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRINSRTRETENTRVRSVE3/4 42+6,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1776,SHLDRTRABECULARGLENO46*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,SHLDRTRABECULARGLENO52*DISC*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1776,SINUS TARIS HYPROCURE SZ8,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1776,SYS IMPLT CUFFMEND ARTX,8008.57,6406.86,1.0,7207.71,27
HCPCS,C1776,SYSSHLDRINHANCEHUMRHD48.5X19.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1776,TIB TRAY INVISION LNG +4MM SZ5,16872.0,13497.6,1.0,15184.8,27
HCPCS,C1776,TOE FLEX HNG LAT SWANSON SZ2-0,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNG LAT SWANSON SZ3-0,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNG LAT SWANSON SZ4-0,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNG LAT SWANSON SZ5-0,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNG LAT SWANSON SZ6-0,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNGGROMMETSWANSONSZ0S,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNGGROMMETSWANSONSZ1S,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE FLEX HNGGROMMETSWANSONSZ2S,3079.52,2463.62,1.0,2771.57,27
HCPCS,C1776,TOE META 15MM 2.5X4.5MM,4858.0,3886.4,1.0,4372.2,27
HCPCS,C1776,TOE MOD PROX 2.5X4.6MM -02,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1776,TOE TPR POST HEMI CAP 9.5X18MM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1776,ULNA STEM APTIS EXTED 6MMX1CM,6627.6,5302.08,1.0,5964.84,27
HCPCS,C1776,WIRE PILOT SHLDR REUNION CALIB,394.2,315.36,1.0,354.78,27
HCPCS,C1776,WRIST CAP CARPAL KINEMATX STER,7508.8,6007.04,1.0,6757.92,27
HCPCS,C1776,WRIST CAPITATE 12MM 35X17MM,13200.0,10560.0,1.0,11880.0,27
HCPCS,C1776,WRIST CAPITATE 15MM 22X23MM,13200.0,10560.0,1.0,11880.0,27
HCPCS,C1776,WRIST CAPITATE 15MM 35X23MM,13200.0,10560.0,1.0,11880.0,27
HCPCS,C1776,WRIST CARPAL ARTICU CMPNT SM,9276.8,7421.44,1.0,8349.12,27
HCPCS,C1776,WRIST CARPAL PYROCBN LUNATESZ1,20292.0,16233.6,1.0,18262.8,27
HCPCS,C1776,WRIST PLATE BASE STER STD 15,6076.0,4860.8,1.0,5468.4,27
HCPCS,C1776,WRIST RAD BODY LFT +2,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1776,WRIST RAD BODY RT STD,6076.0,4860.8,1.0,5468.4,27
HCPCS,C1776,WRIST RAD POLY LFT SM +3.0MM,6624.8,5299.84,1.0,5962.32,27
HCPCS,C1776,WRIST STEM RAD STER SZ1,14071.2,11256.96,1.0,12664.08,27
HCPCS,C1776,WRIST STEM RAD STER SZ2,14071.2,11256.96,1.0,12664.08,27
HCPCS,C1776,WRIST TPR POST 7.5X16MM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1777,LEAD 4FRONT SGL ACTIVE 59CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1777,LEAD 4FRONT SGL ACTIVE 64CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR64CM,12708.0,10166.4,1.0,11437.2,27
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR69CM,12708.0,10166.4,1.0,11437.2,27
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR74CM,12708.0,10166.4,1.0,11437.2,27
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR79CM,12708.0,10166.4,1.0,11437.2,27
HCPCS,C1777,LEAD OMNIASECURE SGL 4.7FR84CM,12708.0,10166.4,1.0,11437.2,27
HCPCS,C1777,LEAD PAMIRA S 65,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PAMIRA S 75,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PAMIRA S DX 65/15,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PAMIRA S DX 65/17,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PLEXA PROMR*DISC 6341679*,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PLEXA PROMRI DF1 S 65,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PLEXA PROMRI S 60,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PLEXA PROMRI S 65/17*CIP*,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD PLEXA S 60*DISC NO REPL*,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1777,LEAD RELIANCE G4 SGL59CM*DISC*,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1777,LEAD RELIANCE G4 SGL64CM*DISC*,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1777,LEAD RELIANCE S SGL SIL 59CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1777,LEAD RELIANCE S SGL SIL 64CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1778,KNEE INSRT PS RP ATTUNE 6 SZ5,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1778,KNEE TIB TRABEC CONE RTLG60X36,9391.2,7512.96,1.0,8452.08,27
HCPCS,C1778,KT ACC STIM LEAD TEST MDTR,378.0,302.4,1.0,340.2,27
HCPCS,C1778,KT LEAD 8CH DBS 0.5MM 40C,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1778,KT LEAD 8CH DBS 1.5MM 40CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1778,KT LEAD INTE*DISC 6315875*,8964.8,7171.84,1.0,8068.32,27
HCPCS,C1778,KT LEAD INTERSTIM SURECAN 28CM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1778,KT LEAD INTERSTIM SURECAN 33CM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1778,KT LEAD NEUR IMPLT AXON,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1778,KT LEAD STIM SCRL PNE AXON,1092.0,873.6,1.0,982.8,27
HCPCS,C1778,KT STIM SPNL LEAD BLU 50CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1778,KT STIM SPNL LEAD BLU 70CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1778,KT STIM SPNL LEAD SURG 50CM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1778,KT TINED LEAD PERC *VAT MULT*,8517.6,6814.08,1.0,7665.84,27
HCPCS,C1778,LEAD KT INFINION PRO 16 70CM,13200.0,10560.0,1.0,11880.0,27
HCPCS,C1778,LEAD KT LINEAR TRIAL 8 ST 70CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1778,LEAD LINEAR PREC PLUS50CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1778,LEAD LINEAR ST STYLET 70CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1778,LEAD NEURO TINED AXON,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1778,LEAD STIM BASIC EVAL COHORT 1,324.0,259.2,1.0,291.6,27
HCPCS,C1778,LEAD STIM DBS ACTIVA 40CM,7017.4,5613.92,1.0,6315.66,27
HCPCS,C1778,LEAD STIM ENT INSPIRE 4063,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1778,LEAD STIM ENT INSPIRE 4340,8775.0,7020.0,1.0,7897.5,27
HCPCS,C1778,LEAD STIM GASTRIC ENTERRA 35CM,6825.0,5460.0,1.0,6142.5,27
HCPCS,C1778,LEAD STIM MRI SURSCAN 28CM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1778,LEAD STIM MRI SURSCAN 33CM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1778,LEAD STIM MRI SURSCAN 4.32MM,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1778,LEAD STIM RESPIN*DISC 6352089*,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1778,LEAD STIM RESTOR SURSCAN 90CM,6006.0,4804.8,1.0,5405.4,27
HCPCS,C1778,LEAD STIM RESTORE SURSCAN 60CM,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1778,LEAD STIM RESTORE SURSCAN 75CM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1778,LEAD TRICENTRUS 3 COL 60CM,13000.0,10400.0,1.0,11700.0,27
HCPCS,C1778,LEAD VNS THERAPY CYB 304 2MM,21648.6,17318.88,1.0,19483.74,27
HCPCS,C1778,LEAD VNS THERAPY CYB 304 3MM,21648.6,17318.88,1.0,19483.74,27
HCPCS,C1778,STIM KT VERCISE DBS PT CTRLLER,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1779,LEAD CAPSURE SENSE BIPOLR 52,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1780,"Lens, intraocular (new tech)",,,1.0,1.0,2
HCPCS,C1781,ANCHOR SUT FLEXBAND 0.7X16CM,12593.88,10075.11,1.0,11334.49,27
HCPCS,C1781,ANCHOR SUT FLEXBAND+ 0.5X16CM,7939.62,6351.7,1.0,7145.66,27
HCPCS,C1781,ANCHOR SUT FLEXPATCH 4X6CM,6832.8,5466.24,1.0,6149.52,27
HCPCS,C1781,ANCHOR SUT FLEXPATCH 6X9CM,10324.86,8259.89,1.0,9292.37,27
HCPCS,C1781,APPL OMNISPAN W GRAFT *NLU*,720.0,576.0,1.0,648.0,27
HCPCS,C1781,GRAFT FT ANK BIOBRCREINFD5X250,6695.0,5356.0,1.0,6025.5,27
HCPCS,C1781,GRAFT OVITEX LPR PERMANENT 9CM,3365.6,2692.48,1.0,3029.04,27
HCPCS,C1781,GRAFT TENDON TAPESTRY 40X30MM,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1781,GRAFT TENDON TAPESTRY SLV50X40,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1781,GRAFT TENDON TAPESTRY SLV70X50,6832.0,5465.6,1.0,6148.8,27
HCPCS,C1781,GRAFT XENMATRIX AB 10X15CM,12900.0,10320.0,1.0,11610.0,27
HCPCS,C1781,GRAFT XENMATRIX AB 15X20CM,28800.0,23040.0,1.0,25920.0,27
HCPCS,C1781,GRAFT XENMATRIX AB 19X28CM,46200.0,36960.0,1.0,41580.0,27
HCPCS,C1781,GRAFT XENMATRIX AB 19X35CM,55200.0,44160.0,1.0,49680.0,27
HCPCS,C1781,GRAFT XENMATRIX AB 20X25CM,42600.0,34080.0,1.0,38340.0,27
HCPCS,C1781,GRAFT XENMATRIX RECTANG10X15CM,12727.0,10181.6,1.0,11454.3,27
HCPCS,C1781,GRAFT XENMATRIX RECTANG15X20CM,23160.0,18528.0,1.0,20844.0,27
HCPCS,C1781,GRAFT XENMATRIX RECTANG15X25CM,28680.0,22944.0,1.0,25812.0,27
HCPCS,C1781,GRAFT XENMATRIX RECTANG20X40CM,59400.0,47520.0,1.0,53460.0,27
HCPCS,C1781,GRAFT XENMATRIX*DISC NO REPL*,15960.0,12768.0,1.0,14364.0,27
HCPCS,C1781,MESH 3D MAX LFT LG,753.75,603.0,1.0,678.38,27
HCPCS,C1781,MESH 3D MAX LFT MD,693.0,554.4,1.0,623.7,27
HCPCS,C1781,MESH 3D MAX LFT XL,954.45,763.56,1.0,859.01,27
HCPCS,C1781,MESH 3D MAX RT LG,753.75,603.0,1.0,678.38,27
HCPCS,C1781,MESH 3D MAX RT MD,693.0,554.4,1.0,623.7,27
HCPCS,C1781,MESH 3D MAX RT XL,954.45,763.56,1.0,859.01,27
HCPCS,C1781,MESH 3D STER TI KLS 138MM1.0MM,11769.81,9415.85,1.0,10592.83,27
HCPCS,C1781,MESH 3D TI KLS 125MM 1.0MM,7375.91,5900.73,1.0,6638.32,27
HCPCS,C1781,MESH 3D TI KLS 200X200MM 1.0MM,12919.17,10335.34,1.0,11627.25,27
HCPCS,C1781,MESH 3D TI KLS 80X80MM 0.3MM,3213.42,2570.74,1.0,2892.08,27
HCPCS,C1781,MESH 3DMAX LT LFT LG 4.1X6.2,982.35,785.88,1.0,884.12,27
HCPCS,C1781,MESH 3DMAX LT LFT MD 3.1X5.3,926.55,741.24,1.0,833.9,27
HCPCS,C1781,MESH 3DMAX LT LFT XL 4.8X6.7,1083.6,866.88,1.0,975.24,27
HCPCS,C1781,MESH 3DMAX LT RT LG 4.1X6.2,982.35,785.88,1.0,884.12,27
HCPCS,C1781,MESH 3DMAX LT RT MD 3.1X5.3,926.55,741.24,1.0,833.9,27
HCPCS,C1781,MESH 3DMAX LT RT XL 4.8X6.7,1115.55,892.44,1.0,1004.0,27
HCPCS,C1781,MESH 3DMAX MID LFT MD 3X5,900.0,720.0,1.0,810.0,27
HCPCS,C1781,MESH ALLOMAX 10X10CM,12572.56,10058.05,1.0,11315.3,27
HCPCS,C1781,MESH ALLOMAX 2X4CM,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1781,MESH ALLOMAXTHN*DISC NO REPL*,3953.6,3162.88,1.0,3558.24,27
HCPCS,C1781,MESH BIO-A GORE 7X10CM,1954.8,1563.84,1.0,1759.32,27
HCPCS,C1781,MESH COMPOSITE SYMBOTEX25X20CM,3169.15,2535.32,1.0,2852.24,27
HCPCS,C1781,MESH COMPOSIX E/X 10X14,4156.04,3324.84,1.0,3740.44,27
HCPCS,C1781,MESH COMPOSIX E/X 4X6,1484.7,1187.76,1.0,1336.23,27
HCPCS,C1781,MESH COMPOSIX E/X 6X8,2688.48,2150.79,1.0,2419.63,27
HCPCS,C1781,MESH COMPOSIX E/X 7X9,2861.44,2289.16,1.0,2575.3,27
HCPCS,C1781,MESH COMPOSIX E/X 8X10,3123.4,2498.72,1.0,2811.06,27
HCPCS,C1781,MESH COMPOSIX LP 10.2X13.2,4440.8,3552.64,1.0,3996.72,27
HCPCS,C1781,MESH COMPOSIX LP 10.2X14.2,4672.92,3738.34,1.0,4205.63,27
HCPCS,C1781,MESH COMPOSIX LP 4.5IN,2039.04,1631.24,1.0,1835.14,27
HCPCS,C1781,MESH COMPOSIX LP 6.2X10.2,3087.68,2470.15,1.0,2778.91,27
HCPCS,C1781,MESH COMPOSIX LP 6.2X8.2,2427.52,1942.02,1.0,2184.77,27
HCPCS,C1781,MESH COMPOSIX LP 7.2X9.2,3064.0,2451.2,1.0,2757.6,27
HCPCS,C1781,MESH CONT TI SZ11 0.6MM,14508.0,11606.4,1.0,13057.2,27
HCPCS,C1781,MESH DUALMESH 10X15CMX2MM,3193.6,2554.88,1.0,2874.24,27
HCPCS,C1781,MESH DUALMESH 15X19CMX2MM,5538.4,4430.72,1.0,4984.56,27
HCPCS,C1781,MESH DULEX R*DISC 6128300*,3739.71,2991.77,1.0,3365.74,27
HCPCS,C1781,MESH DULEX R*DISC 6128303*,4533.34,3626.68,1.0,4080.01,27
HCPCS,C1781,MESH DURASORB MONOFIL 10X25CM,8710.0,6968.0,1.0,7839.0,27
HCPCS,C1781,MESH FLEX OPEN P*DISC NO REPL*,1671.6599999999999,1337.33,1.0,1832.96,54
HCPCS,C1781,MESH GYNEMESH PS*DISC NO REPL*,3015.94,2412.76,1.0,2714.35,27
HCPCS,C1781,MESH KLS 85X50X0.3,2614.25,2091.4,1.0,2352.83,27
HCPCS,C1781,MESH KUGEL SM OV*DISC 6271252*,942.75,754.2,1.0,848.48,27
HCPCS,C1781,MESH MASTOID TI PUR0.6X57X47MM,2643.46,2114.77,1.0,2379.11,27
HCPCS,C1781,MESH MONOFIL BARD 10X14,772.65,618.12,1.0,695.39,27
HCPCS,C1781,MESH MONOFIL BARD 1X4,158.6,126.88,1.0,142.74,27
HCPCS,C1781,MESH MONOFIL BARD 2X12,273.89,219.12,1.0,246.5,27
HCPCS,C1781,MESH MONOFIL BARD 2X4,234.24,187.4,1.0,210.82,27
HCPCS,C1781,MESH MONOFIL BARD 3X6,222.65,178.12,1.0,200.39,27
HCPCS,C1781,MESH MONOFIL BARD 6X6,475.2,380.16,1.0,427.68,27
HCPCS,C1781,MESH ONFLEX LG,1153.74,923.0,1.0,1038.37,27
HCPCS,C1781,MESH ONFLEX MD 3.4X5.6,1035.9,828.72,1.0,932.31,27
HCPCS,C1781,MESH ONFLEX MOD 8.6X14.2CM,886.5,709.2,1.0,797.85,27
HCPCS,C1781,MESH OVITEX PRS 2LYR 16.5*NLU*,15312.0,12249.6,1.0,13780.8,27
HCPCS,C1781,MESH PARIETEX 15X10CM,1806.34,1445.08,1.0,1625.71,27
HCPCS,C1781,MESH PARIETEX 20X15CM,2613.82,2091.06,1.0,2352.44,27
HCPCS,C1781,MESH PARIETEX LFT 6X4,734.94,587.96,1.0,661.45,27
HCPCS,C1781,MESH PARIETEX PROGRIP 15X10CM,1417.96,1134.37,1.0,1276.16,27
HCPCS,C1781,MESH PARIETEX PROGRIP SGL15X10,1688.02,1350.42,1.0,1519.22,27
HCPCS,C1781,MESH PARIETEX RD 12CM,1900.96,1520.77,1.0,1710.86,27
HCPCS,C1781,MESH PARIETEX RD 15CM,2364.3,1891.44,1.0,2127.87,27
HCPCS,C1781,MESH PARIETEX RD 9CM,1386.17,1108.94,1.0,1247.55,27
HCPCS,C1781,MESH PARIETEX RT 6X4,734.94,587.96,1.0,661.45,27
HCPCS,C1781,MESH PARIETEX SKIRT 15X10CM,2070.72,1656.58,1.0,1863.65,27
HCPCS,C1781,MESH PATCH PHASIX ST RD 4.3CM,5530.0,4424.0,1.0,4977.0,27
HCPCS,C1781,MESH PATCH PHASIX ST RD 6.4CM,6300.0,5040.0,1.0,5670.0,27
HCPCS,C1781,MESH PATCH PHASIX ST RD 8CM,6832.0,5465.6,1.0,6148.8,27
HCPCS,C1781,MESH PHASIX RECT 10.2X15.2CM,6468.0,5174.4,1.0,5821.2,27
HCPCS,C1781,MESH PHASIX RECT 15.2X20.3CM,11739.0,9391.2,1.0,10565.1,27
HCPCS,C1781,MESH PHASIX RECT 20.3X25.4CM,17388.0,13910.4,1.0,15649.2,27
HCPCS,C1781,MESH PHASIX RECT 20X30CM,22327.2,17861.76,1.0,20094.48,27
HCPCS,C1781,MESH PHASIX RECT 25.4X30.5CM,26712.0,21369.6,1.0,24040.8,27
HCPCS,C1781,MESH PHASIX SQ 30X30CM,33541.2,26832.96,1.0,30187.08,27
HCPCS,C1781,MESH PHASIX SQ 45X45CM,73080.0,58464.0,1.0,65772.0,27
HCPCS,C1781,MESH PHASIX ST RECT 30X35CM,46323.84,37059.08,1.0,41691.46,27
HCPCS,C1781,MESH PHASIXST ECHO2 RD 15CM,11438.7,9150.96,1.0,10294.83,27
HCPCS,C1781,MESH PHASIXST OPS ELLP 15X20CM,15246.0,12196.8,1.0,13721.4,27
HCPCS,C1781,MESH PHASIXST OPS ELLP 20X25CM,24721.2,19776.96,1.0,22249.08,27
HCPCS,C1781,MESH PHASIXST OPS ELLP 25X30CM,36716.4,29373.12,1.0,33044.76,27
HCPCS,C1781,MESH PHASIXST OPS ELLP 8X12CM,6174.0,4939.2,1.0,5556.6,27
HCPCS,C1781,MESH PHASIXST OPS OVAL 30X35CM,50954.4,40763.52,1.0,45858.96,27
HCPCS,C1781,MESH PHASIXST OPS RD 11CM,6552.0,5241.6,1.0,5896.8,27
HCPCS,C1781,MESH PHASIXST RD 15CM,10535.98,8428.79,1.0,9482.38,27
HCPCS,C1781,MESH PHASIXST RECT 10X15CM,8143.98,6515.19,1.0,7329.58,27
HCPCS,C1781,MESH PHASIXST RECT 13X25CM,14953.68,11962.95,1.0,13458.31,27
HCPCS,C1781,MESH PHASIXST RECT 20X25CM,22484.64,17987.72,1.0,20236.18,27
HCPCS,C1781,MESH PHASIXST RECT 25X30CM,33388.56,26710.85,1.0,30049.7,27
HCPCS,C1781,MESH PHASIXST RECT 7X10CM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1781,MESH PLUG MESH ULTPRO 3X5CMBX2,879.98,703.99,1.0,791.98,27
HCPCS,C1781,MESH PLUG MESH ULTPRO 3X5CMBX6,788.0,630.4,1.0,709.2,27
HCPCS,C1781,MESH PLUG MESH ULTPRO 4X5CMBX2,888.75,711.0,1.0,799.88,27
HCPCS,C1781,MESH PLUG MESH ULTPRO 4X5CMBX6,773.01,618.41,1.0,695.71,27
HCPCS,C1781,MESH PLUG MESH ULTPRO 5X5CMBX2,897.48,717.99,1.0,807.73,27
HCPCS,C1781,MESH PLUG MESH ULTPRO 5X5CMBX6,803.97,643.18,1.0,723.57,27
HCPCS,C1781,MESH PLUG PERFIX 2.5X3.4CM CA2,600.75,480.6,1.0,540.68,27
HCPCS,C1781,MESH PLUG PERFIX 3.3X3.9CM CA2,612.9,490.32,1.0,551.61,27
HCPCS,C1781,MESH PLUG PERFIX 4.1X4.8CM,612.9,490.32,1.0,551.61,27
HCPCS,C1781,MESH PLUG PERFIX 4.1X4.8CM CA2,625.95,500.76,1.0,563.36,27
HCPCS,C1781,MESH PLUG PERFIX 4.1X5.0CM CA2,722.25,577.8,1.0,650.03,27
HCPCS,C1781,MESH PROCEED MESH 3X6CM,1352.61,1082.09,1.0,1217.35,27
HCPCS,C1781,MESH PROCEED OVAL 20X25CM,3852.72,3082.18,1.0,3467.45,27
HCPCS,C1781,MESH PROCEED VENTRAL 4.3X4.3CM,1575.08,1260.07,1.0,1417.57,27
HCPCS,C1781,MESH PROCEED VENTRAL 6.4X6.4CM,1883.83,1507.07,1.0,1695.45,27
HCPCS,C1781,MESH PROGRIP ANATOM LFT15X10CM,2014.53,1611.63,1.0,1813.08,27
HCPCS,C1781,MESH PROGRIP ANATOM RT 15X10CM,2014.53,1611.63,1.0,1813.08,27
HCPCS,C1781,MESH PROGRIP SLF FIXATING16X12,1890.59,1512.48,1.0,1701.53,27
HCPCS,C1781,MESH PROLENE HERNIA FLAT 2X4,1072.18,857.75,1.0,964.96,27
HCPCS,C1781,MESH PROLENE HERNIA FLAT 3X6,343.66,274.93,1.0,309.29,27
HCPCS,C1781,MESH PROLENE HERNIA FLAT 6X6,380.27,304.22,1.0,342.24,27
HCPCS,C1781,MESH PROLENE HERNIA SYS,1158.28,926.63,1.0,1042.45,27
HCPCS,C1781,MESH PROLENE HERNIA SYS MD,1158.28,926.63,1.0,1042.45,27
HCPCS,C1781,MESH PROLENE SOFT 10X10IN,4041.86,3233.49,1.0,3637.67,27
HCPCS,C1781,MESH PROLENE SOFT 12X14,2086.73,1669.39,1.0,1878.06,27
HCPCS,C1781,MESH PROLENE SYS LG 4IN,1158.28,926.63,1.0,1042.45,27
HCPCS,C1781,MESH PRSHP LG KEYHOLE 6X13.7CM,309.42,247.54,1.0,278.48,27
HCPCS,C1781,MESH PRSHP SOFT LG PORE2.4X5.4,377.46,301.97,1.0,339.71,27
HCPCS,C1781,MESH RESORB 1.5MM 50X50X0.5MM,2840.04,2272.04,1.0,2556.04,27
HCPCS,C1781,MESH SCREEN KLS 85X54MM,1822.34,1457.88,1.0,1640.11,27
HCPCS,C1781,MESH SEPRAMESH 3X6,1104.75,883.8,1.0,994.28,27
HCPCS,C1781,MESH SEPRAMESH 4X8,1611.54,1289.24,1.0,1450.39,27
HCPCS,C1781,MESH SEPRAMESH 6X8,2578.32,2062.66,1.0,2320.49,27
HCPCS,C1781,MESH SEPRAMESH 8X12,3438.12,2750.5,1.0,3094.31,27
HCPCS,C1781,MESH SEPRAMESH IP 12X14,4553.08,3642.47,1.0,4097.77,27
HCPCS,C1781,MESH SOFT FLAT LG PORE 12X12,2181.6,1745.28,1.0,1963.44,27
HCPCS,C1781,MESH SOFT FLAT LG PORE 2X4,256.81,205.45,1.0,231.13,27
HCPCS,C1781,MESH SOFT FLAT LG PORE 3X6,267.79,214.24,1.0,241.01,27
HCPCS,C1781,MESH SOFT FLAT LG PORE 4X6,283.5,226.8,1.0,255.15,27
HCPCS,C1781,MESH SOFT FLAT LG PORE 6X6,568.35,454.68,1.0,511.52,27
HCPCS,C1781,MESH SOFT KEYHOLE LG 2.4X5.4,377.46,301.97,1.0,339.71,27
HCPCS,C1781,MESH ULTPRO ADV 15X30CM,617.94,494.36,1.0,556.15,27
HCPCS,C1781,MESH ULTPRO ADV 30X30CM,1077.09,861.68,1.0,969.38,27
HCPCS,C1781,MESH ULTRAPRO LG 4IN,1180.79,944.64,1.0,1062.71,27
HCPCS,C1781,MESH ULTRAPRO MD 3IN,1158.28,926.63,1.0,1042.45,27
HCPCS,C1781,MESH ULTRAPRO OVAL 4IN,1158.28,926.63,1.0,1042.45,27
HCPCS,C1781,MESH ULTRAPRO PA 3X6,474.84,379.88,1.0,427.36,27
HCPCS,C1781,MESH UPSYLON Y,3295.96,2636.77,1.0,2966.36,27
HCPCS,C1781,MESH VENTRALEX CIR LG,2108.88,1687.11,1.0,1897.99,27
HCPCS,C1781,MESH VENTRALEX CIR MD,1951.32,1561.06,1.0,1756.19,27
HCPCS,C1781,MESH VENTRALEX CIR SM,1633.38,1306.71,1.0,1470.04,27
HCPCS,C1781,MESH VENTRALEX ST CIR LG 3.2,2276.64,1821.32,1.0,2048.98,27
HCPCS,C1781,MESH VENTRALEX ST CIR MD 2.5,1950.48,1560.39,1.0,1755.43,27
HCPCS,C1781,MESH VENTRALEX ST CIR SM 1.7,1610.7,1288.56,1.0,1449.63,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 10X13,6260.8,5008.64,1.0,5634.72,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 12X14,6527.36,5221.89,1.0,5874.62,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 4.5,2171.52,1737.22,1.0,1954.37,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 4X6,2036.16,1628.93,1.0,1832.54,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 6,2862.08,2289.67,1.0,2575.87,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 6X10,3891.72,3113.38,1.0,3502.55,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 6X8,3037.72,2430.18,1.0,2733.95,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 7X9,4001.76,3201.41,1.0,3601.58,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 8,4136.72,3309.38,1.0,3723.05,27
HCPCS,C1781,MESH VENTRALIGHT ECHO 8X10,4860.8,3888.64,1.0,4374.72,27
HCPCS,C1781,MESH VENTRALIGHT ST CIR 4.5,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1781,MESH VENTRALIGHT ST CIR 6,2039.4,1631.52,1.0,1835.46,27
HCPCS,C1781,MESH VENTRALIGHT ST CIR 8,2812.04,2249.64,1.0,2530.84,27
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 4X6,2150.64,1720.52,1.0,1935.58,27
HCPCS,C1781,MESH VENTRALIGHT ST ECHO2 8X10,5119.24,4095.4,1.0,4607.32,27
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 4X6,1491.0,1192.8,1.0,1341.9,27
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 6X8,2633.4,2106.72,1.0,2370.06,27
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 7X9,3197.12,2557.7,1.0,2877.41,27
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP 8X10,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1781,MESH VENTRALIGHT ST ELLIP10X13,4499.04,3599.24,1.0,4049.14,27
HCPCS,C1781,MESH VENTRALIGHT ST OVAL 6X10,3131.2,2504.96,1.0,2818.08,27
HCPCS,C1781,MESH VENTRALIGHT ST RECT 12X14,4830.0,3864.0,1.0,4347.0,27
HCPCS,C1781,MESH VENTRIO CI*DISC NO REPLC*,1648.0,1318.4,1.0,1483.2,27
HCPCS,C1781,MESH VENTRIO ST CIR 3,1912.26,1529.81,1.0,1721.03,27
HCPCS,C1781,MESH VENTRIO ST CIR 4.5,2341.8,1873.44,1.0,2107.62,27
HCPCS,C1781,MESH VENTRIO ST OVAL 10.8X13.7,6374.2,5099.36,1.0,5736.78,27
HCPCS,C1781,MESH VENTRIO ST OVAL 3.1X4.7,2087.64,1670.12,1.0,1878.88,27
HCPCS,C1781,MESH VENTRIO ST OVAL 4.3X5.5,2740.16,2192.13,1.0,2466.14,27
HCPCS,C1781,MESH VENTRIO ST OVAL 5.4X7,3106.04,2484.84,1.0,2795.44,27
HCPCS,C1781,MESH VENTRIO ST OVAL 7.7X9.7,4249.56,3399.65,1.0,3824.6,27
HCPCS,C1781,MESH VENTRIO ST OVAL 8.7X10.7,5008.08,4006.47,1.0,4507.27,27
HCPCS,C1781,MESH VENTRIO*DISC 6205977*,4339.83,3471.87,1.0,3905.85,27
HCPCS,C1781,MESH VENTRIOST MIDLINE6.1X10.1,4999.4,3999.52,1.0,4499.46,27
HCPCS,C1781,MESH VICRYL KNITTED 6X6,1573.32,1258.66,1.0,1415.99,27
HCPCS,C1781,MESH XENMTX RECTANG 19X28CM,39840.0,31872.0,1.0,35856.0,27
HCPCS,C1781,MESHALLOMAXTHN1MMX7X10CM*CIP*,6936.72,5549.38,1.0,6243.05,27
HCPCS,C1781,MTX DURAL DURAGEN 3X3,2624.0,2099.2,1.0,2361.6,27
HCPCS,C1781,MTX DURAL DURAGEN 4X5,4319.84,3455.88,1.0,3887.86,27
HCPCS,C1781,MTX DURAL DURAGEN SECURE 3X3,3381.22,2704.98,1.0,3043.1,27
HCPCS,C1781,MTX DURAL DURAGEN SGL UNIT 3X3,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE1X3,2067.41,1653.93,1.0,1860.67,27
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE2X2,2132.82,1706.26,1.0,1919.54,27
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE3X3,3001.54,2401.24,1.0,2701.39,27
HCPCS,C1781,MTX DURAL DURAGEN SUTURABLE4X5,5041.96,4033.57,1.0,4537.76,27
HCPCS,C1781,PATCH CV GORETEX 0.4MM 3CMX6CM,1080.0,864.0,1.0,972.0,27
HCPCS,C1781,PLUG PATCH PHASIX LG 4.1X4.8CM,1968.54,1574.84,1.0,1771.69,27
HCPCS,C1781,PLUG PATCH PHASIX XL 3.6X5.1CM,2011.8,1609.44,1.0,1810.62,27
HCPCS,C1781,SCAF GALAFLEX 2D LITE 20X25,16800.0,13440.0,1.0,15120.0,27
HCPCS,C1781,SCAF GALAFLEX 2D LITE 20X30,25200.0,20160.0,1.0,22680.0,27
HCPCS,C1781,SCAF GALAFLEX 3DP4HB2.1X6.1PK1,4312.0,3449.6,1.0,3880.8,27
HCPCS,C1781,SCAF GALAFLEX 3DP4HB2.1X6.1PK2,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1781,SCAF GALAFLEX 3DP4HB3X8.3PK1,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1781,SCAF GALAFLEX 3DR P4HB6.4X18.5,5740.0,4592.0,1.0,5166.0,27
HCPCS,C1781,SCAF INTEGRITY IMPLT 25X30MM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1782,Morcellator,,,1.0,1.0,2
HCPCS,C1783,GLAUCOMA VALV AHMED FLEX PLATE,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1783,SHNT MINI GLAUCOMA EX-PRESSP50,3822.34,3057.88,1.0,3440.11,27
HCPCS,C1783,SHNT OPHT CLPATH GLAUCOMA 250,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1783,SHNT OPHT CLPATH GLAUCOMA 350,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1783,STNT GLAUCOMA XEN GEL,6635.2,5308.16,1.0,5971.68,27
HCPCS,C1783,STNT TRABEC BYPA*DISC 6316113*,5530.0,4424.0,1.0,4977.0,27
HCPCS,C1783,STNT TRABEC BYPASS ISTENT LFT,5250.0,4200.0,1.0,4725.0,27
HCPCS,C1783,STNT TRABEC BYPASS ISTENT RT,5250.0,4200.0,1.0,4725.0,27
HCPCS,C1783,STNT TRABEC MICRO BYPASS INJ W,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1784,"Ocular dev, intraop, det ret",,,1.0,1.0,2
HCPCS,C1785,PPM ADAPTA DR 5/6*USE 6290164*,7667.4,6133.92,1.0,6900.66,27
HCPCS,C1785,PPM ADAPTA DR IS1*USE 6290164*,7667.4,6133.92,1.0,6900.66,27
HCPCS,C1785,PPM ADAPTA DR LONGEVITY *NLU*,7761.0,6208.8,1.0,6984.9,27
HCPCS,C1785,PPM ADAPTA DR MVP*USE 6290164*,7667.4,6133.92,1.0,6900.66,54
HCPCS,C1785,PPM DR ACCOLADE EL RA RV IS1,21921.6,17537.28,1.0,19729.44,27
HCPCS,C1785,PPM DR ACCOLADE MRI RA RV IS1,24417.6,19534.08,1.0,21975.84,27
HCPCS,C1785,PPM DR ASSURITY MRI RF IS1,9750.0,7800.0,1.0,8775.0,27
HCPCS,C1785,PPM DR AZURE XT MRI SURESCAN,10213.92,8171.14,1.0,9192.53,27
HCPCS,C1785,PPM DR ESSENTIO RA RV IS1,18926.4,15141.12,1.0,17033.76,27
HCPCS,C1785,PPM DR-EL ACCOLADE MRI RARVIS1,26464.8,21171.84,1.0,23818.32,27
HCPCS,C1785,PPM DR-T AMVIA EDGE PROMRI,12048.4,9638.72,1.0,10843.56,27
HCPCS,C1785,PPM EDORA 8 HF-T*DISC 6341056*,20520.0,16416.0,1.0,18468.0,27
HCPCS,C1785,PPM EDORA DR-T P*DISC 6341054*,11473.8,9179.04,1.0,10326.42,27
HCPCS,C1785,PPM EDORA SR-T P*DISC 6341055*,11473.8,9179.04,1.0,10326.42,27
HCPCS,C1785,PPM S-DR AZURE MRI SURESCAN,9736.64,7789.32,1.0,8762.98,27
HCPCS,C1785,PPM SR ACCOLADE RA/RV IS1,20800.8,16640.64,1.0,18720.72,27
HCPCS,C1786,IPG ATTESTA SR MRI SURESCAN,7246.2,5796.96,1.0,6521.58,27
HCPCS,C1786,PPM ADAPTA SR IS1*USE 6290166*,6546.8,5237.44,1.0,5892.12,27
HCPCS,C1786,PPM ADAPTA SR LOP*USE 6290166*,6546.8,5237.44,1.0,5892.12,27
HCPCS,C1786,PPM ADVISA MRI SURESCAN SR,38178.17,30542.54,1.0,34360.35,27
HCPCS,C1786,PPM AVEIR LEADLESS RA 32.3X6.5,30360.0,24288.0,1.0,27324.0,27
HCPCS,C1786,PPM AVEIR LEADLESS RV 38X6.5,24600.0,19680.0,1.0,22140.0,27
HCPCS,C1786,PPM S-SR AZURE MRI SURESCAN,7636.56,6109.25,1.0,6872.9,27
HCPCS,C1786,PPM SR AZURE XT MRI SURESCAN,8113.85,6491.08,1.0,7302.47,27
HCPCS,C1786,PPM SR-T AMVIA EDGE PROMRI,12048.4,9638.72,1.0,10843.56,27
HCPCS,C1786,PPM SYS MICRA AV TRANSCATH,29400.0,23520.0,1.0,26460.0,27
HCPCS,C1786,PPM SYS MICRA AV2 TRANSCATH,29328.0,23462.4,1.0,26395.2,27
HCPCS,C1786,PPM SYS MICRA TRANSCATH,23400.0,18720.0,1.0,21060.0,27
HCPCS,C1786,PPM SYS MICRA VR2 TRANSCATH,22584.0,18067.2,1.0,20325.6,27
HCPCS,C1786,PPM VR ACCOLADE RA/RV IS1,22317.6,17854.08,1.0,20085.84,27
HCPCS,C1786,PPMAVEIRLEADLSSR*DISC 6349403*,30360.0,24288.0,1.0,27324.0,27
HCPCS,C1787,CNTRLR PT INFINITY DBS SYSI-SE,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1787,PROGM STIM DBS ACTIVA,3978.8,3183.04,1.0,3580.92,27
HCPCS,C1787,PROGM STIM DBS PERCEPT PC,3978.8,3183.04,1.0,3580.92,27
HCPCS,C1787,PROGM STIM DBS PERCEPT RC,3978.8,3183.04,1.0,3580.92,27
HCPCS,C1787,PROGM STIM DBS VANTA,7917.0,6333.6,1.0,7125.3,27
HCPCS,C1787,PROGM STIM DBS*DISC 6345813*,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1787,PROGM STIM S*DISC USE 6315828*,5297.6,4238.08,1.0,4767.84,27
HCPCS,C1787,PROGM STIM SCRL INTERSTIM,5297.6,4238.08,1.0,4767.84,27
HCPCS,C1787,PROGM STIM SCRL INTERSTIM X,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1787,PROGM STIM SPNL *DISC 6330489*,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1787,PROGM STIM SPNL INTELLIS NT,5320.0,4256.0,1.0,4788.0,27
HCPCS,C1787,PROGM STIM SPNL RESTOR*NLU*,3184.0,2547.2,1.0,2865.6,27
HCPCS,C1787,PROGM STIM VANTA MYSTIM,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1787,REMOTE CTRL KT ALPHA FREELINK,3113.6,2490.88,1.0,2802.24,27
HCPCS,C1787,REMOTE CTRL PT AXON,2816.0,2252.8,1.0,2534.4,27
HCPCS,C1787,REMOTE CTRL PT KT FREELINK,3113.6,2490.88,1.0,2802.24,27
HCPCS,C1787,REMOTE PT SPNL STIM SENZAOMNIA,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1787,REMOTE STIM IPG INSPIRE 2580,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1787,REMOTE STIM SLEE*DISC 6330606*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C1788,KT CATH VEN TILO*DISC 6275045*,859.5,687.6,1.0,773.55,27
HCPCS,C1788,KT PORT SUB Q MICROPORT 6FR,859.5,687.6,1.0,773.55,27
HCPCS,C1788,PORT CLEARVUE 8FR,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1788,PORT CLEARVUE ISP INTRMD 8FR,1035.0,828.0,1.0,931.5,27
HCPCS,C1788,PORT CLEARVUE SIL SLIM 8FR,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1788,PORT CLEARVUE SLIM INTRMD 6FR,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1788,PORT CT TITA JET LIGHTII TI8FR,1239.0,991.2,1.0,1115.1,27
HCPCS,C1788,PORT INFUS PERITON SL TI14.3FR,819.0,655.2,1.0,737.1,27
HCPCS,C1788,PORT INFUS PERITON WCUFF14.3FR,819.0,655.2,1.0,737.1,27
HCPCS,C1788,PORT INFUSTITAJETLIGHTII8FR750,1239.0,991.2,1.0,1115.1,27
HCPCS,C1788,PORT MRI DL 10FR,1159.2,927.36,1.0,1043.28,27
HCPCS,C1788,PORT MRI POWERPORT 9.6FR,1218.0,974.4,1.0,1096.2,27
HCPCS,C1788,PORT MRI W OPEN END SL 6.6FR,859.5,687.6,1.0,773.55,27
HCPCS,C1788,PORT MRI W OPEN END SL 9.6FR,859.5,687.6,1.0,773.55,27
HCPCS,C1788,PORT POWER INJ PLST 6.6FR2.2MM,1520.4,1216.32,1.0,1368.36,27
HCPCS,C1788,PORT POWER INJ XCELAPLST/TI8FR,1381.8,1105.44,1.0,1243.62,27
HCPCS,C1788,PORT POWERPORT CLVUE SLIM 6FR,1600.2,1280.16,1.0,1440.18,27
HCPCS,C1788,PORT POWERPORT DL MICINTR9.5FR,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1788,PORT POWERPORT MRI SIL 6FR,1218.0,974.4,1.0,1096.2,27
HCPCS,C1788,PORT POWERPORT MRI SIL 8FR,1218.0,974.4,1.0,1096.2,27
HCPCS,C1788,PORT POWERPORT SIL 8FR,1306.2,1044.96,1.0,1175.58,27
HCPCS,C1788,PORT POWERPORT SLIM OPENSIL8FR,1218.0,974.4,1.0,1096.2,27
HCPCS,C1788,PORT SIL CATH VORTEX MP SGL5FR,2850.4,2280.32,1.0,2565.36,27
HCPCS,C1788,PORT SL LP DETACHED PU FILL8FR,1163.4,930.72,1.0,1047.06,27
HCPCS,C1788,PORT VACCESS CT 8FR,810.0,648.0,1.0,729.0,27
HCPCS,C1788,PORT XPORT INTRMD PRE SL 9.6FR,1908.9,1527.12,1.0,1718.01,27
HCPCS,C1789,BREAST COHESIVEHIPRO 425CC,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEHIPRO 550CC,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+350,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+375,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+400,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+450,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+500,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+550,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST COHESIVEI MODER+600,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST ENHANCE MEMORY GEL 1240,5782.0,4625.6,1.0,5203.8,27
HCPCS,C1789,BREAST ENHANCE MEMORY GEL930CC,5782.0,4625.6,1.0,5203.8,27
HCPCS,C1789,BREAST HIPRO MODER SMTHRD260CC,3850.0,3080.0,1.0,3465.0,27
HCPCS,C1789,BREAST HIPRO SALINE 200CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SALINE 240CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SALINE 320CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SALINE 350CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SALINE 400CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SALINE 425CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SALINE 465CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST HIPRO SIL RD 425CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO SIL RD 450CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO SIL RD 475CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO SIL RD 500CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO SIL RD 700CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO SIL RD 750CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO SIL RD 800CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL260CC,3710.0,2968.0,1.0,3339.0,27
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL355CC,3710.0,2968.0,1.0,3339.0,27
HCPCS,C1789,BREAST HIPRO XTRMEMORYGEL490CC,3710.0,2968.0,1.0,3339.0,27
HCPCS,C1789,BREAST MEMORYGEL MODER 300CC,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1789,BREAST MEMORYGEL MODER+425,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST MEMORYGEL MODER+475,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1789,BREAST MODER SALINE 210CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 240CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 270CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 300CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 330CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 360CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 390CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 420CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 450CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 480CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 510CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 550CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 600CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 650CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 700CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 750CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER SALINE 800-850CC,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1789,BREAST MODER+SALINE 275+55,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE 300+60,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE 325+65,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE 400+80,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE 425+85,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE 450+90,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE 475+95,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE500+100,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST MODER+SALINE550+110,2556.0,2044.8,1.0,2300.4,27
HCPCS,C1789,BREAST NATRELLE SIL MID 213CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 265CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 304CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 339CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 371CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 397CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 421CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 457CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 492CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST NATRELLE SIL MID 533CC,2574.0,2059.2,1.0,2316.6,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 180CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 200CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 220CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 240CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 265CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 295CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 325CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 335CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 345CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 365CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 385CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 415CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 450CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 485CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 520CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 560CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 605CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 650CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 695CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 745CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH FULL 770CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER140CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER175CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER195CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER210CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER240CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER255CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER275CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER295CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER310CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER330CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER345CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER360CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER375CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER385CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER405CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER445CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER485CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER520CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER560CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER600CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER640CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SFTOUCH SMTH MODER755CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SIL SIEN MODER 600CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SIL SIEN OPUS 160CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMITH RD HI PROJ 505CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMITH RD HI PROJ 535CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMITH RD HI PROJ 565CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMITH RD MODER+PRO525CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMITH SOFT XFULL 285CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 180ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 200ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 220ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 240ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 265ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 295ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 325ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 335ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 345ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 365ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 385ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 415ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 450ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 485ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 520ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 560ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 605ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 650ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 695ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 745ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVE 770ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL 200M,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL225ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL255ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL285ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL310ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL340ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL375ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL400ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL420ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL445ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL470ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL495ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL525ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL545ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL560ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL580ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL615ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL650ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL700ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL750ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH COHESIVEXFULL800ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 240CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 265CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 295CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 325CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 335CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 365CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 385CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 415CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 450CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 485CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 520CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 560CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 605CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 650CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 695CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 745CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRF 770CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRL 170CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRL 200CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRL 290CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRLP 165CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRLP 190CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRLP 250CC,2646.0,2116.8,1.0,2381.4,27
HCPCS,C1789,BREAST SMTH INSPIRA SRLP 300CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRLP 320CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRLP 340CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 175CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 330CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 360CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 405CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 485CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 560CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 600CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 640CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRM 755CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 285CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 310CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 340CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 375CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 400CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 420CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 445CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 470CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 495CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 525CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 545CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 560CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 580CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 615CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 650CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 700CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 750CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH INSPIRA SRX 800CC,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 190ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 205ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 220ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 235ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 250ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 265ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 280ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 300ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 320ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 340ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 360ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 400ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 440ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 490ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH L-P COHESIVE 540ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH LOW COHESIVE 140ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 140ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 175ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 195ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 210ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 240ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 255ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 275ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 295ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 310ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 330ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 345ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 360ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 375ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 405ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 445ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 485ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 520ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 560ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 600ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 640ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 685ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH MOD COHESIVE 755ML,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH RD HI PROJ 350CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD HI PROJ 385CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD HI PROJ 440CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD HI PROJ 470CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD HIPRO HSC+240CC,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1789,BREAST SMTH RD HP GEL 280CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD MODER+HSC+195CC,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1789,BREAST SMTH RD MODER+HSC+215CC,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1789,BREAST SMTH RD MODER+HSC+235CC,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1789,BREAST SMTH RD MODER+HSC+355CC,2912.0,2329.6,1.0,2620.8,27
HCPCS,C1789,BREAST SMTH RD MODER+HSC+650CC,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1789,BREAST SMTH RD MODER+PROJ255CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD MODER+PROJ285CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD MODER+PROJ305CC,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1789,BREAST SMTH RD XTRHIPROHSC+340,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 110CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 125CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 140CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 170CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 200CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 230CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 260CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 290CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 320CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 350CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 380CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 410CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 460CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 510CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 560CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT LOPRO 610CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 200CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 225CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 255CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 310CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 340CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 375CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 400CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 420CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 445CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 470CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 495CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 525CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 545CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 560CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 580CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 615CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 650CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 700CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 750CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFT XFULL 800CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS145CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS165CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS190CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS205CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS220CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS235CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS250CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS265CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS280CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS300CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS320CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS340CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS360CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS400CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS440CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS490CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS540CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS590CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST SMTH SOFTLOPROPLUS640CC,3066.0,2452.8,1.0,2759.4,27
HCPCS,C1789,BREAST TXT HIGH OVAL 550CC,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1789,BREAST TXT LOW OVAL 170CC,3120.0,2496.0,1.0,2808.0,27
HCPCS,C1813,CYL PUMP INFRAPUBIC TITAN 0D14,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,CYL PUMP INFRAPUBIC TITAN 0D16,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,CYL PUMP INFRAPUBIC TITAN 0D18,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,CYL PUMP PENOSCROTAL TITAN18CM,34065.6,27252.48,1.0,30659.04,27
HCPCS,C1813,CYL PUMP SCROTAL TITAN 0D 18CM,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,CYL PUMP SCROTAL TITAN 0D 20CM,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,CYL PUMP SCROTAL TITAN 0D 22CM,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,CYL PUMP SCROTAL TITAN NB 0D,29752.8,23802.24,1.0,26777.52,27
HCPCS,C1813,KT EXTER TITAN NARWBASEREARTIP,1969.8,1575.84,1.0,1772.82,27
HCPCS,C1813,KT TITAN NB RTE,1969.8,1575.84,1.0,1772.82,27
HCPCS,C1813,PROS ASSY KT TITAN,2873.6,2298.88,1.0,2586.24,27
HCPCS,C1813,PROS INFRAPUBIC TITAN 0D 18CM,29752.8,23802.24,1.0,26777.52,27
HCPCS,C1813,PROS INFRAPUBIC TITAN 0D 20CM,29752.8,23802.24,1.0,26777.52,27
HCPCS,C1813,PROS INFRAPUBIC TITAN 0D16,31836.0,25468.8,1.0,28652.4,27
HCPCS,C1813,PROS PENILE AMS700 CX PS 15CM,33756.0,27004.8,1.0,30380.4,27
HCPCS,C1813,PROS PENILE AMS700 CX PS 18CM,33756.0,27004.8,1.0,30380.4,27
HCPCS,C1813,PROS PENILE AMS700 CX PS 21CM,33759.6,27007.68,1.0,30383.64,27
HCPCS,C1813,PROS PENILE AMS700 CX PS 24CM,33756.0,27004.8,1.0,30380.4,27
HCPCS,C1813,PROS PENILE AMS700 CXR PS 16CM,35136.0,28108.8,1.0,31622.4,27
HCPCS,C1813,PROS PENILE AMS700 LGX IP 18CM,34716.0,27772.8,1.0,31244.4,27
HCPCS,C1813,PROS PENILE AMS700 LGX MS 21CM,34716.0,27772.8,1.0,31244.4,27
HCPCS,C1813,PROS PENILE AMS700 LGX PS 15CM,34716.0,27772.8,1.0,31244.4,27
HCPCS,C1813,PROS PENILE AMS700 LGX PS 18CM,34716.0,27772.8,1.0,31244.4,27
HCPCS,C1813,PROS PENILE AMS700 LGX PS 21CM,34716.0,27772.8,1.0,31244.4,27
HCPCS,C1813,PROS PENILE AMS700 LGX PS18X10,34716.0,27772.8,1.0,31244.4,27
HCPCS,C1813,PROS PENILE MS PUMP IZ,17316.0,13852.8,1.0,15584.4,27
HCPCS,C1813,PROS PENILE PUMP CXTENACIOPS15,42264.0,33811.2,1.0,38037.6,27
HCPCS,C1813,PROS PENILE PUMP CXTENACIOPS18,42264.0,33811.2,1.0,38037.6,27
HCPCS,C1813,PROS PENILE PUMP TENACIO IZ,28524.0,22819.2,1.0,25671.6,27
HCPCS,C1813,RSVR LK-OUT VALV CLOVERLF125ML,8106.8,6485.44,1.0,7296.12,27
HCPCS,C1813,RSVR PENILE AMS 700 100ML,9373.0,7498.4,1.0,8435.7,27
HCPCS,C1813,RSVR PENILE AMS 700 65ML,9373.0,7498.4,1.0,8435.7,27
HCPCS,C1813,RSVR PENILE CONCEAL AMS 100ML,9854.0,7883.2,1.0,8868.6,27
HCPCS,C1813,RSVR TITAN CL 75CC,7079.8,5663.84,1.0,6371.82,27
HCPCS,C1814,KT PERFLUORON VITREO 7ML,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1814,OIL SIL ADATOSIL 10ML,1911.0,1528.8,1.0,1719.9,27
HCPCS,C1814,OIL SILIKON 1000 STER 8.5ML,2303.68,1842.95,1.0,2073.31,27
HCPCS,C1815,BLN URN AMS 800 61-70CM,9997.0,7997.6,1.0,8997.3,27
HCPCS,C1815,CUFF URN AMS 800 3.5CM IZ,19536.0,15628.8,1.0,17582.4,27
HCPCS,C1815,CUFF URN AMS 800 4.0CM IZ,20124.0,16099.2,1.0,18111.6,27
HCPCS,C1815,CUFF URN AMS 800 4.5CM IZ,20124.0,16099.2,1.0,18111.6,27
HCPCS,C1815,CUFF URN AMS 800 5.0CM IZ,19536.0,15628.8,1.0,17582.4,27
HCPCS,C1816,"Receiver/transmitter, neuro",,,1.0,1.0,2
HCPCS,C1817,OCCL AMPLZ AMULETLFT 32X10X25,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT 35X10X28,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT 38X10X31,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT 41X10X34,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT22X7.5X16,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT24X7.5X18,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT26X7.5X20,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ AMULETLFT28X7.5X22,43200.0,34560.0,1.0,38880.0,27
HCPCS,C1817,OCCL AMPLZ PFO *DISC 6323339*,25188.0,20150.4,1.0,22669.2,27
HCPCS,C1817,OCCL AMPLZ PFO *DISC 6324106*,25188.0,20150.4,1.0,22669.2,27
HCPCS,C1817,OCCL AMPLZ PFO 18MM*CIP*,25188.0,20150.4,1.0,22669.2,27
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 25MM,25188.0,20150.4,1.0,22669.2,27
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 30MM,25188.0,20150.4,1.0,22669.2,27
HCPCS,C1817,OCCL AMPLZ TALISMAN PFO 35MM,25188.0,20150.4,1.0,22669.2,27
HCPCS,C1817,OCCL DUCT PDA AMPLZ 12X10MM,12720.0,10176.0,1.0,11448.0,27
HCPCS,C1817,OCCL MULT-FEN 18MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL MULT-FEN 25MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL MULT-FEN 30MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL MULT-FEN 35MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 10MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 11MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 12MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 13MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 14MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 15MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 16MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 17MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 18MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 20MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 22MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 24MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 26MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 28MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 30MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 32MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 36MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 38MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 4MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 5MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 6MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 7MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 8MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD 9MM,19200.0,15360.0,1.0,17280.0,27
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM32MM,20049.6,16039.68,1.0,18044.64,27
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM37MM,20049.6,16039.68,1.0,18044.64,27
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM44MM,20049.6,16039.68,1.0,18044.64,27
HCPCS,C1817,OCCL SEPTAL ASD CARDIOFORM48MM,20049.6,16039.68,1.0,18044.64,27
HCPCS,C1817,OCCL SEPTAL WLGO 20MM,22332.0,17865.6,1.0,20098.8,27
HCPCS,C1817,OCCL SEPTAL WLGO 25MM,22332.0,17865.6,1.0,20098.8,27
HCPCS,C1817,OCCL SEPTAL WLGO 30MM,22332.0,17865.6,1.0,20098.8,27
HCPCS,C1817,OCCL VSD 10MM,23280.0,18624.0,1.0,20952.0,27
HCPCS,C1817,OCCL VSD 12MM,23280.0,18624.0,1.0,20952.0,27
HCPCS,C1817,OCCL VSD 4MM,23280.0,18624.0,1.0,20952.0,27
HCPCS,C1817,OCCL VSD 6MM,23280.0,18624.0,1.0,20952.0,27
HCPCS,C1817,OCCL VSD 8MM,23280.0,18624.0,1.0,20952.0,27
HCPCS,C1817,PLUG EMBOL IMPEDE 2-5MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1817,PLUG EMBOL IMPEDE 4-7MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1817,PLUG EMBOL IMPEDE 6-10MM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1817,PLUG EMBOL IMPEDE-FX 12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1817,PLUG EMBOL IMPEDE-FX 6MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1817,PLUG EMBOL IMPEDE-FX 8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1817,PLUG II VASC 10X7MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG II VASC 12X9MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG II VASC 14X10MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG II VASC 16X12MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG II VASC 18X14MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG II VASC 22X18MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG II VASC 8X7MM,2822.4,2257.92,1.0,2540.16,27
HCPCS,C1817,PLUG VASC AMPLZ 16X8MM,2470.4,1976.32,1.0,2223.36,27
HCPCS,C1817,SHEATH ANT CURV WATCHMAN ACC,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH ANT WATCH*DISC 6328203*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH DBL CURV WATCHMAN ACC,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH DBL CURV WATCHMAN FXD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH DBL WATCH*DISC 6328203*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH SGL CURV WATCHMAN ACC,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH SGL CURV WATCHMAN FXD,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1817,SHEATH SGL WATCH*DISC 6328202*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1818,Integrated keratoprosthesis,,,1.0,1.0,2
HCPCS,C1819,NDLE BREAST DUALOK 20GX10.7CM,107.85,86.28,1.0,97.07,27
HCPCS,C1819,NDLE BREAST DUALOK 20GX13.7CM,107.85,86.28,1.0,97.07,27
HCPCS,C1819,NDLE BREAST DUALOK 20GX5.7CM,107.85,86.28,1.0,97.07,27
HCPCS,C1819,NDLE BREAST DUALOK 20GX7.7CM,107.85,86.28,1.0,97.07,27
HCPCS,C1819,NDLE BREAST KOPANS 20GX15CM,150.67,120.54,1.0,135.6,27
HCPCS,C1819,NDLE BREAST KOPANS 20GX5CM,150.67,120.54,1.0,135.6,27
HCPCS,C1819,NDLE BREAST KOPANS 20GX9CM,150.67,120.54,1.0,135.6,27
HCPCS,C1819,NDLE BREAST KOPANS ECOTIP20GX7,181.17,144.94,1.0,163.05,27
HCPCS,C1819,NDLE BREAST KOPANS IZIM20GX7CM,150.67,120.54,1.0,135.6,27
HCPCS,C1819,NDLE BX MARQUEE COAX 14G 10CM,362.07,289.66,1.0,325.86,27
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX14CM,286.2,228.96,1.0,257.58,27
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX5CM,115.23,92.19,1.0,103.71,27
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX7CM,115.23,92.19,1.0,103.71,27
HCPCS,C1819,WIRE GHIATAS LOCAL 20GX9CM,115.23,92.19,1.0,103.71,27
HCPCS,C1820,IPG ALPHA 16,41760.0,33408.0,1.0,37584.0,27
HCPCS,C1820,IPG ALPHA 32,44160.0,35328.0,1.0,39744.0,27
HCPCS,C1820,IPG SPECTRA WAVE WRITER,39120.0,31296.0,1.0,35208.0,27
HCPCS,C1820,STIM DBS ACTIVA RC RECHG,60000.0,48000.0,1.0,54000.0,27
HCPCS,C1820,STIM DBS IPG LIBERTA RC,60000.0,48000.0,1.0,54000.0,27
HCPCS,C1820,STIM DBS PERCEPT RC BRAINSENSE,72278.4,57822.72,1.0,65050.56,27
HCPCS,C1820,STIM INTELLIS ADPTV RECHG,37200.0,29760.0,1.0,33480.0,27
HCPCS,C1820,STIM NEURO SCRL *DISC NO REPL*,24482.4,19585.92,1.0,22034.16,27
HCPCS,C1820,STIM SNM INTERSTIM MICRO RECHG,26280.0,21024.0,1.0,23652.0,27
HCPCS,C1820,STIM TIB UUI ALTAVIVA,39600.0,31680.0,1.0,35640.0,27
HCPCS,C1820,SYS PREC MONTAGE MRI W LEADS,39120.0,31296.0,1.0,35208.0,27
HCPCS,C1821,CONN CROSS POLARIS TI MD 5.5MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN CROSS POLARIS TI SM 5.5MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN DOMINO AXIAL SS 5.5X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL SS4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL SS5.5X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI 3.5X3.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI 3.5X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI 5.5X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI 5.5X6.0MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI 6.0X3.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI3.5X4.75MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI3.5X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIAL TI4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIALSS4.75X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIALSS6.35X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIALTI 5.5X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIALTI4.75X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO AXIALTI6.35X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL BANDSS5.5X5.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL BANDTI3.5X3.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL BANDTI3.5X5.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL BANDTI5.5X5.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL BANDTI5.5X6.0,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL SS 4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL SS 5.5X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL SS 5.5X6.0MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL SS 5.5X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL SS4.75X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 3.5X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 3.5X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 4.75X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 5.5X5.5MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 5.5X6.0MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 5.5X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI 6.0X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI4.75X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLL TI6.35X6.35MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLLBANDSS4.75X5.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLLBANDSS5.5X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLLBANDTI3.5X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLLBANDTI4.75X5.5,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINO PRLLBANDTI6.0X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINOPRLLBANDSS4.75X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINOPRLLBANDSS6.35X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINOPRLLBANDTI4.75X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINOPRLLBANDTI5.5X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN DOMINOPRLLBANDTI6.35X6.35,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,CONN LAT POLARIS TI 5.5X25MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN LAT POLARIS TI 5.5X50MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN LAT POLARIS TI 5.5X75MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN OPEN LAT TI 5.5X35MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN ROD SIDE CLSD ANG 5.5/6.0,2134.8,1707.84,1.0,1921.32,27
HCPCS,C1821,CONN X FIXED TI 5.5X12MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,CONN X FIXED TI 5.5X14MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,ENDPLT LWR NO SPIKE 0D 12X14,2656.0,2124.8,1.0,2390.4,27
HCPCS,C1821,ENDPLT UPP NO SPIKE 0D 12X14,2656.0,2124.8,1.0,2390.4,27
HCPCS,C1821,HOOK ANG BLADE 6*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,54
HCPCS,C1821,HOOK ANG BLADE S*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,108
HCPCS,C1821,HOOK ANG BLADE T*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK EXT 6.35 SS*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK EXT LAM SS *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LAM EXT TI LG 5.5X9MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM EXT TI MD 5.5X7.5MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM EXT TI SM 5.5X6MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW RED TI LG 5.5X9MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW RED TI SM 5.5X6MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW RED TIMD5.5X7.5MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW RED*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW SS *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,135
HCPCS,C1821,HOOK LAM NRW TI LG 5.5X9MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW TI MD 5.5X7.5MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM NRW TI SM 5.5X6MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM WIDE SS*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LAM WIDE TI LG 5.5X9MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM WIDE TI MD 5.5X7.5MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAM WIDE TI SM 5.5X6MM,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK LAMINAR EXT*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LAMINAR NAR*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LAMINAR NRW*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LAMINAR WID*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LFT ANG SS *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,162
HCPCS,C1821,HOOK LFT ANG TI *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK LFT OFFSET *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK NARW RDCTN*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK NARW SS LG *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK NARW SS MD *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK NARW SS SM *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK OFFSET LFT *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,162
HCPCS,C1821,HOOK OFFSET RT S*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK OFFSET RT T*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK PED POLARIS TI LG 5.5X9,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK PED POLARIS TI MD 5.5X7.5,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK PED POLARIS TI SM 5.5X6,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK PEDICLE SS *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,162
HCPCS,C1821,HOOK PEDICLE TI *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK POLARIS ANG TI MD 5.5X7.5,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS ANG TI MD 5.5X9,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS ANG TI SM 5.5X6,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS LFT ANG TILG5.5X9,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS LFT ANG TISM5.5X6,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS LFT TI O/SLG5.5X9,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS LFT TI O/SSM5.5X6,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS LFTANGTIMD5.5X7.5,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS LFTTIO/SMD5.5X7.5,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS RT ANG TI LG5.5X9,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS RT ANG TI SM5.5X6,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS RT ANGTIMD5.5X7.5,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS RT TI O/S LG5.5X9,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS RT TI O/S SM5.5X6,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK POLARIS RT TIO/SMD5.5X7.5,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK RT ANG SS L*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,54
HCPCS,C1821,HOOK RT ANG SS M*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,54
HCPCS,C1821,HOOK RT ANG SS S*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,54
HCPCS,C1821,HOOK RT ANG TI L*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK RT ANG TI M*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK RT ANG TI S*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK RT OFFSET S*DISC NO REPL*,1944.0,1555.2,1.0,1749.6,81
HCPCS,C1821,HOOK WIDE SS LG *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK WIDE SS MD *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,HOOK WIDE SS SM *DISC NO REPL*,1944.0,1555.2,1.0,1749.6,27
HCPCS,C1821,ROD DBL BE SS 6.*DISC NO REPL*,1890.0,1512.0,1.0,1701.0,135
HCPCS,C1821,ROD HEX HARD SS *DISC NO REPL*,747.0,597.6,1.0,672.3,27
HCPCS,C1821,ROD HEX MD HARD *DISC NO REPL*,747.0,597.6,1.0,672.3,27
HCPCS,C1821,ROD HEX STD TI 5.5X300MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1821,ROD HEX STD TI 5.5X510MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1821,ROD HEX XTRAHARD*DISC NO REPL*,747.0,597.6,1.0,672.3,27
HCPCS,C1821,ROD LOW COCR TI 5.5X300MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1821,ROD LOW COCR TI 5.5X510MM,1030.5,824.4,1.0,927.45,27
HCPCS,C1821,ROD SGL BE SS 6.*DISC NO REPL*,747.0,597.6,1.0,672.3,162
HCPCS,C1821,ROD SGL BE TI 6.*DISC NO REPL*,747.0,597.6,1.0,672.3,297
HCPCS,C1821,SCREW EXT MAS RE*DISC NO REPL*,2610.0,2088.0,1.0,2349.0,81
HCPCS,C1821,SCREW EXT RED TI*DISC NO REPL*,2610.0,2088.0,1.0,2349.0,378
HCPCS,C1821,SCREW FIX POLARIS TI5.5X4.0X20,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X4.0X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X4.0X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X4.0X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X4.0X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X4.0X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X5.5X55,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X6.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X6.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X6.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X6.5X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X6.5X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X6.5X55,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X7.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X7.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X7.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X7.5X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X7.5X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X7.5X55,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X8.5X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X8.5X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X8.5X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X8.5X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X8.5X50,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARIS TI5.5X8.5X55,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARISTI5.5X4.75X20,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARISTI5.5X4.75X25,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARISTI5.5X4.75X30,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARISTI5.5X4.75X35,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARISTI5.5X4.75X40,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIX POLARISTI5.5X4.75X45,2113.2,1690.56,1.0,1901.88,27
HCPCS,C1821,SCREW FIXED SS 5*DISC NO REPL*,2113.2,1690.56,1.0,1901.88,1026
HCPCS,C1821,SCREW FIXED SS 6*DISC NO REPL*,2113.2,1690.56,1.0,1901.88,972
HCPCS,C1821,SCREW ILIAC MA TI 5.5X6.5X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X6.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X6.5X80MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X6.5X90MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X7.5X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X7.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X7.5X80MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X7.5X90MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X8.5X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X8.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X8.5X80MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC MA TI 5.5X8.5X90MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW ILIAC SS 5*DISC NO REPL*,2435.4,1948.3200000000002,1.0,2349.0,351
HCPCS,C1821,SCREW MA ILC SS *DISC NO REPL*,2260.8,1808.64,1.0,2034.72,297
HCPCS,C1821,SCREW MA RED SS *DISC NO REPL*,2610.0,2088.0,1.0,2349.0,972
HCPCS,C1821,SCREW MA SS 5.5X*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,54
HCPCS,C1821,SCREW MA SS 6.35*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,972
HCPCS,C1821,SCREW MA TI 6.35*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,729
HCPCS,C1821,SCREW MA TI LG D*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,162
HCPCS,C1821,SCREW MA TI STD *DISC NO REPL*,2260.8,1808.64,1.0,2034.72,162
HCPCS,C1821,SCREW MAS ILIAC *DISC NO REPL*,2260.8,1808.64,1.0,2034.72,324
HCPCS,C1821,SCREW MAS SS 5.5*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,1053
HCPCS,C1821,SCREW MULT AXIAL 5.5X5.5X30MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X5.5X35MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X5.5X40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X5.5X45MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X5.5X50MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X6.5X30MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X6.5X40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X6.5X45MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X6.5X50MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X6.5X55MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X7.5X40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X7.5X45MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X7.5X50MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X7.5X55MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X8.5X40MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X8.5X45MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X8.5X50MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW MULT AXIAL 5.5X8.5X55MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SCREW PA EVEREST 5.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS MA TI RED 5.5X30,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 5.5X35,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 5.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 5.5X45,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 5.5X50,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 5.5X55,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 6.5X30,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 6.5X35,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 6.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 6.5X45,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 6.5X50,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 6.5X55,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 7.5X30,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 7.5X35,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 7.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 7.5X45,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 7.5X50,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS MA TI RED 7.5X55,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.0X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.75X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.75X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.75X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.75X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.75X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X4.75X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X5.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X6.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X7.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X7.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X7.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X7.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X7.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X100MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X60MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X65MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X70MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X75MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X80MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X85MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X90MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW POLARIS TI 5.5X8.5X95MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW SLFTP SKYLN ANG 22MM,621.0,496.8,1.0,558.9,27
HCPCS,C1821,SCREW SPNL LK LNG OBELISC,487.35,389.88,1.0,438.62,27
HCPCS,C1821,SCREW UNI RD SS *DISC NO REPL*,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNI RDCTN *DISC NO REPL*,2610.0,2088.0,1.0,2349.0,540
HCPCS,C1821,SCREW UNI SS 5.5*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,702
HCPCS,C1821,SCREW UNI TI 6.3*DISC NO REPL*,2260.8,1808.64,1.0,2034.72,729
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X4.75X3,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X5.5X25,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X5.5X30,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X5.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X6.5X30,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X6.5X35,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X6.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X6.5X45,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X7.5X40,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI 5.5X7.5X45,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI5.5X4.75X25,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP RDCTN TI5.5X4.75X30,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.0X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.0X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.0X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.0X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.75X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.75X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X4.75X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X5.5X20MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X5.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X6.5X30MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X6.5X35MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X6.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X6.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X6.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X7.5X40MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X7.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X7.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP TI 5.5X7.5X55MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP VITALITY 4.5X25MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP VITALITY 5.5X45MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SCREW UNIP VITALITY 6.5X50MM,2260.8,1808.64,1.0,2034.72,27
HCPCS,C1821,SPACER ACIS LORD STER SM 7MM,2636.8,2109.44,1.0,2373.12,27
HCPCS,C1821,SPACER ACIS LORD STER STD 8MM,2636.8,2109.44,1.0,2373.12,27
HCPCS,C1821,SPACER ACIS PROTI 12D LORD LG9,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1821,SPACER ACIS PROTI 12D LORD MD7,2937.2,2349.76,1.0,2643.48,27
HCPCS,C1821,SPACER ACIS PROTI 15D LORD LG8,8424.0,6739.2,1.0,7581.6,27
HCPCS,C1821,SPACER ACIS PROTI 15D LORD MD8,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1821,SPACER ALIF 15D 25X31 10-13MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 15D 26X34 14-18MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 8D 25X31 10-13MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 8D 25X31 12-15MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 8D 25X31 14-17MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 8D 25X31 16-19MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 8D 25X31 8-11MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALIF 8D 26X34 14-18MM,17004.0,13603.2,1.0,15303.6,27
HCPCS,C1821,SPACER ALTERA 15D10X31 10-14MM,12896.0,10316.8,1.0,11606.4,27
HCPCS,C1821,SPACER ALTERA 15D10X31 9-13MM,12896.0,10316.8,1.0,11606.4,27
HCPCS,C1821,SPACER ALTERA 8D 10X31 10-14MM,12896.0,10316.8,1.0,11606.4,27
HCPCS,C1821,SPACER ALTERA 8D 10X31 12-16MM,12896.0,10316.8,1.0,11606.4,27
HCPCS,C1821,SPACER ALTERA 8D 10X31 8-12MM,12896.0,10316.8,1.0,11606.4,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D 5MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D 6MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D 7MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D 8MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D 9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 0D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D 5MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D 6MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D 7MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D 8MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D 9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 10X16 7D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 8X14 0D 9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 8X14 7D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX 8X14 7D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 0D5MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 0D6MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 0D7MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 0D8MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 0D9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 7D5MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 7D6MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 7D7MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 7D8MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX10.5X18 7D9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN AGX8X14 7D 7MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTN MIS 7D 12X14X5MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 12X14X6MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 12X14X7MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 12X14X8MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 12X14X9MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 14X16X5MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 14X16X6MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 14X16X7MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 14X16X8MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 14X16X9MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 15X18X6MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 15X18X7MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 15X18X8MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D 15X18X9MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D14X16X10MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTN MIS 7D15X18X12MM,7436.0,5948.8,1.0,6692.4,27
HCPCS,C1821,SPACER COALTNAGX*DISC NO REPL*,6700.2,5360.16,1.0,6030.18,162
HCPCS,C1821,SPACER COALTNAGX10.5X18 0D10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X18 0D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X18 0D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X18 7D10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X18 7D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X18 7D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D5MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D6MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D8MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 0D9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 7D5MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 7D6MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 7D7MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 7D8MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COALTNAGX10.5X20 7D9MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACER COLONIAL LORD2XL15X18X6,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORD2XL15X18X7,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORD2XL15X18X8,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORD2XL15X18X9,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDLG 12X14X5,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDLG 12X14X6,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDLG 12X14X7,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDLG 12X14X8,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDXL 14X16X5,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDXL 14X16X6,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDXL 14X16X7,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDXL 14X16X8,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER COLONIAL LORDXL 14X16X9,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1821,SPACER CORNERSTONE 5X14X11MM,2636.8,2109.44,1.0,2373.12,27
HCPCS,C1821,SPACER CORNERSTONE 8X14X11MM,2636.8,2109.44,1.0,2373.12,27
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X50MM,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X55MM,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA 5-20D 20X8-17X60MM,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA 6D 20X8-15X50MM,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA 6D 20X8-15X55MM,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA 6D 20X8-15X60MM,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA ATP 0D 20X7-14X50M,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA ATP 10D 20X8-17X40,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELSA ATP 6D 20X8-15X40,20640.0,16512.0,1.0,18576.0,27
HCPCS,C1821,SPACER ELVTE X-LOR 28X10MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1821,SPACER ELVTE X-LOR 28X11MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1821,SPACER ELVTE X-LOR 28X7MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1821,SPACER ELVTE X-LOR 28X8MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1821,SPACER ELVTE X-LOR 28X9MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1821,SPACER MIS INDEPEND 8D24X30X11,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND 8D26X34X15,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND 8D29X39X15,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND15D24X30X15,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND15D26X34X15,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND15D29X39X15,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND15D29X39X17,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND20D29X39X15,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER MIS INDEPEND20D29X39X17,13140.0,10512.0,1.0,11826.0,27
HCPCS,C1821,SPACER NANOLK TITAN 7D 22X55X8,13000.0,10400.0,1.0,11700.0,27
HCPCS,C1821,SPACER NANOLK TITAN 7D22X55X10,13000.0,10400.0,1.0,11700.0,27
HCPCS,C1821,SPACER NANOLK TITAN 7D22X60X10,13000.0,10400.0,1.0,11700.0,27
HCPCS,C1821,SPACER OLIF25 0D 20X10X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X10X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X10X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X10X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X10X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X12X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X12X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X12X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X12X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X12X60*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X14X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X14X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X14X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X14X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X14X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X16X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X16X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X16X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X16X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X16X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X8X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X8X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X8X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X8X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 0D 20X8X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X12X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X12X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X12X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X12X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X12X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X14X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X14X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X14X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X14X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X14X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X16X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X16X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X16X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X16X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X16X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X18X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X18X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X18X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X18X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 12D 27X18X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X14X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X14X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X14X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X14X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X14X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X16X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X16X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X16X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X16X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X16X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X18X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X18X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X18X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X18X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 18D 27X18X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 10*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 10X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 10X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 10X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 12*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 12X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 12X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 12X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 12X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 14*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 14X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 14X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 14X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 14X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 16X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 18*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 18X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 18X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 18X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 12D 18X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 12*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 12X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 12X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 12X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 12X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 14*NLU*,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 14X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 14X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 14X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 14X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 16*NLU*,9448.4,7558.72,1.0,8503.56,54
HCPCS,C1821,SPACER OLIF25 20MM 18D 16X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 16X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 18D 16X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 12X40,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 12X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 12X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 12X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 12X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 14X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 14X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 14X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 14X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 16X40,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 16X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 16X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 16X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 20MM 6D 16X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 10X40,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 10X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 10X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 10X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 10X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 12X40,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 12X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 12X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 12X55,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 12X60,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 14X40,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 14X45,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 27MM 6D 14X50,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X10X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X10X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X10X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X8X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X8X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X8X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X8X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 20X8X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 27X14X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 27X14X60MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 27X16X40MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 27X16X45MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 27X16X50MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER OLIF25 6D 27X16X55MM,9448.4,7558.72,1.0,8503.56,27
HCPCS,C1821,SPACER RADL CANOPY 7MM,1908.0,1526.4,1.0,1717.2,27
HCPCS,C1821,SPACER RISE 10-17MM 12X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 10-17MM 12X30MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 10-17MM 15D10X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 10-17MM 15D10X30MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 10-17MM 15D12X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 10-17MM 15D12X30MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 11-17MM 10X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 11-17MM 15D 8X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 11-17MM 15D10X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 7-13MM 10X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 7-13MM 8X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 7-14MM 10X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 7-14MM 12X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 8-14MM 10D 10X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 8-14MM 10D 8X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 8-15MM 10D 10X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 8-15MM 10D 10X30MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 8-15MM 10D 12X26MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 8-15MM 10D 12X30MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 9-15MM 10X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE 9-15MM 8X22MM,10972.0,8777.6,1.0,9874.8,27
HCPCS,C1821,SPACER RISE-L 10-17MM 18X50MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L 7-14MM 22X45MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L 7-14MM 22X50MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L 8-15MM 6D18X40MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L 8-15MM 6D18X45MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L 8-15MM 6D22X45MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L 8-15MM 6D22X50MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L10-17MM10D18X40MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L10-17MM10D18X50MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L10-17MM10D18X60MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L10-17MM10D22X55MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER RISE-L10-17MM10D22X60MM,15168.0,12134.4,1.0,13651.2,27
HCPCS,C1821,SPACER SABLE 15D 10-16 10X22MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 10X26 10-17MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 10X26 7-15MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 10X30 10-17MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 10X30 7-14MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 12X26 10-17MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 12X26 7-14MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 7-13 10X22MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 15D 8X22 7-13MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 22D 10X26 9-17MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 22D 12X26 9-17MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 22D 9-15 10X22MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 10X26 6-12MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 10X26 9-16MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 12X26 8-12MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 12X26 9-16MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 12X30 6-12MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 12X30 9-16MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 8X22 6-12MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SABLE 8D 9-15 10X22MM,14076.0,11260.8,1.0,12668.4,27
HCPCS,C1821,SPACER SPNL 6D 12X14X7MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1821,SPACER SPNL CORBEL 15D26X34X15,21192.0,16953.6,1.0,19072.8,27
HCPCS,C1821,SPACER SPNL MDTR 28X10MM,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1821,SPACER SPNL MONUMENT 15D SM 13,15264.0,12211.2,1.0,13737.6,27
HCPCS,C1821,SPACER SPNL NONOLK6D14X16X10MM,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1821,SPACER SPNL OPAL 10X10X28MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 11X10X28MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 11X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 12X10X28MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 12X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 13X10X28MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 13X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 15X10X28MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 15X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 17X10X28MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 17X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 7X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 8X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACER SPNL OPAL 9X10X32MM,6955.0,5564.0,1.0,6259.5,27
HCPCS,C1821,SPACERCOALTNAGX*DISC NO REPL*,6700.2,5360.16,1.0,6030.18,81
HCPCS,C1821,SPACERCOALTNAGX10.5X20 7D10MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACERCOALTNAGX10.5X20 7D11MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPACERCOALTNAGX10.5X20 7D12MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1821,SPNL CONN LAT EX*DISC NO REPL*,2185.2,1748.16,1.0,1966.68,54
HCPCS,C1821,SPNL CONN OPEN L*DISC NO REPL*,2185.2,1748.16,1.0,1966.68,108
HCPCS,C1821,SPNL DCOMP TOPS - 21 LNG,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 21 MD,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 21 SHRT,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 30 LNG,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 30 MD,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 30 SHRT,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 38 LNG,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 38 MD,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS - 38 SHRT,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 21 LNG,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 21 MD,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 21 SHRT,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 30 LNG,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 30 MD,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 30 SHRT,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 38 LNG,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 38 MD,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP TOPS 2 - 38 SHRT,47904.0,38323.2,1.0,43113.6,27
HCPCS,C1821,SPNL DCOMP VERTIFLEX SUPERION,22200.0,17760.0,1.0,19980.0,27
HCPCS,C1821,SPNL PLUG DEROTA*DISC NO REPL*,399.6,319.68,1.0,359.64,27
HCPCS,C1821,SPNL PLUG POLARI*DISC NO REPL*,399.6,319.68,1.0,359.64,27
HCPCS,C1821,SPNL XCONN ANG SS LG 6.35MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN ANG SS MD 6.35MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN ANG SS SM 6.35MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN ANG SS XS 6.35MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN ANG SS XXS 6.35MM,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXED CROSS 6.35X14,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X12,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X14,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X16,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X18,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X20,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X22,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1821,SPNL XCONN FIXPOLARISSS6.35X24,2185.2,1748.16,1.0,1966.68,27
HCPCS,C1822,SYS STIM SPNL IPG HFXIQCHARGER,61185.6,48948.48,1.0,55067.04,27
HCPCS,C1822,SYS STIM SPNL SENZA II IPG,61401.6,49121.28,1.0,55261.44,27
HCPCS,C1822,SYS STIM SPNL SENZA IPG,52113.6,41690.88,1.0,46902.24,27
HCPCS,C1823,"Gen, neuro, trans sen/stim",,,1.0,1.0,2
HCPCS,C1824,"Generator, ccm, implant",,,1.0,1.0,2
HCPCS,C1826,STIM NEURO GENRTR INCEPTIV SCS,48000.0,38400.0,13329.6,43200.0,27
HCPCS,C1827,IPG VNS VIVISTIM,70800.0,56640.0,19661.16,63720.0,27
HCPCS,C1827,LEAD VNS VIVISTIM 2MM,15600.0,12480.0,4332.12,14040.0,27
HCPCS,C1830,Power bone marrow bx needle,,,1.0,1.0,2
HCPCS,C1832,SYS RECELL AUTOLGS CELLHARVEST,18000.0,14400.0,4998.6,16200.0,27
HCPCS,C1833,BRC KNEE RDRN WR*DISC 6344808*,366.71,293.37,101.84,330.04,28
HCPCS,C1839,Iris prosthesis,,,1.0,1.0,2
HCPCS,C1840,Telescopic intraocular lens,,,1.0,1.0,2
HCPCS,C1874,ENDOL ICAST 10X3*DISC 6340270*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 5X16*DISC 6340271*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 5X22*DISC 6340272*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 6X16*DISC 6340274*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 6X22*DISC 6340275*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 6X38*DISC 6340276*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 7X16*DISC 6340278*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 7X22*DISC 6340279*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 7X38*DISC 6340280*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 7X59*DISC 6340281*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 8X38*DISC 6340282*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 9X38*DISC 6340284*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST 9X59*DISC 6340285*,6160.0,4928.0,1.0,5544.0,27
HCPCS,C1874,ENDOL ICAST COV 10X38MM120CM,7047.77,5638.22,1.0,6342.99,27
HCPCS,C1874,ENDOL ICAST COV 5X22MM 120CM,6883.55,5506.84,1.0,6195.2,27
HCPCS,C1874,ENDOL ICAST COV 6X22MM 120CM,6883.55,5506.84,1.0,6195.2,27
HCPCS,C1874,ENDOL ICAST COV 7X16MM 80CM,6596.17,5276.94,1.0,5936.55,27
HCPCS,C1874,ENDOL ICAST COV 7X22MM 120CM,6883.55,5506.84,1.0,6195.2,27
HCPCS,C1874,ENDOL ICAST COV 7X38MM 120CM,7047.77,5638.22,1.0,6342.99,27
HCPCS,C1874,ENDOL ICAST COV 7X59MM 120CM,7595.17,6076.14,1.0,6835.65,27
HCPCS,C1874,ENDOL ICAST COV 9X38MM 120CM,7047.77,5638.22,1.0,6342.99,27
HCPCS,C1874,ENDOL THORACIC CLSD 32X32X185,37788.0,30230.4,1.0,34009.2,27
HCPCS,C1874,ENDOL THORACIC CLSD 36X36X200,37789.92,30231.94,1.0,34010.93,27
HCPCS,C1874,ENDOL THORACIC TPR 38X34X160,32749.92,26199.94,1.0,29474.93,27
HCPCS,C1874,ENDOL ZENITH ALP*DISC NO REPL*,41880.26,33504.21,1.0,37703.03,108
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 28X109,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 32X201,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA PROX 40X217,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA TPR 34X209,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA TPR 35X85,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX24X105,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX28X109,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX28X155,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX30X109,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX30X155,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX30X201,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX32X109,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2 PROX32X155,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2PROXP34X161,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH ALPHA2PROXP38X117,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH APLHA PROX 28X201,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITH CONVERT RENU 30MM,18124.7,14499.76,1.0,16312.23,27
HCPCS,C1874,ENDOL ZENITH DIST BIF12X28X76,10537.93,8430.35,1.0,9484.14,27
HCPCS,C1874,ENDOL ZENITH DIST BIF12X28X91,10537.93,8430.35,1.0,9484.14,27
HCPCS,C1874,ENDOL ZENITH DIST BIF12X45X76,10537.93,8430.35,1.0,9484.14,27
HCPCS,C1874,ENDOL ZENITH FEN 2 PROX 26X94,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 24X109,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 30X124,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 30X94,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 32X109,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 32X94,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 36X137,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FEN 2PROX 45X124,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,ENDOL ZENITH FLEX BIF 30X125MM,23530.97,18824.78,1.0,21177.87,27
HCPCS,C1874,ENDOL ZENITH FLEX BIF32X96MM,23530.97,18824.78,1.0,21177.87,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 26X39,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 26X58,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 28X58,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 30X39,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 32X39,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 32X58,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH FLEX EXT 36X50,6307.31,5045.85,1.0,5676.58,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X45X41,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X45X58,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X61X41,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF10X61X58,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X45X41,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X45X58,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X61X41,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH ILIAC BIF12X61X58,28799.98,23039.99,1.0,25919.98,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X107MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 11X122MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X122MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X56MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X74MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 13X90MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X56MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X74MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 16X90MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X56MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X74MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 20X90MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X56MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X74MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 24X90MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH SPIRAL-Z 9X122MM,10385.28,8308.23,1.0,9346.75,27
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 28X82,43952.16,35161.73,1.0,39556.94,27
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 30X38,43952.16,35161.73,1.0,39556.94,27
HCPCS,C1874,ENDOL ZENITH TX2 PROFORM 34X79,43952.16,35161.73,1.0,39556.94,27
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT30X108,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT32X178,44879.98,35903.99,1.0,40391.98,27
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT32X201,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT34X209,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT36X209,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOL ZENITHALPHA2PROXPT38X167,41868.26,33494.61,1.0,37681.43,27
HCPCS,C1874,ENDOLZENITHTX2PROFORM34/26X156,43952.16,35161.73,1.0,39556.94,27
HCPCS,C1874,ENDOLZENITHTX2PROFORM34/26X194,43952.16,35161.73,1.0,39556.94,27
HCPCS,C1874,ENDOLZENITHTX2PROFORM36/28X199,43952.16,35161.73,1.0,39556.94,27
HCPCS,C1874,GRAFT AAA CUST P234137R,28848.24,23078.6,1.0,25963.42,27
HCPCS,C1874,STNT AXIOS W DEL SYS 10X10MM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1874,STNT AXIOS W ELECCAUT 15X10MM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1874,STNT AXIOS W ELECCAUT 20X10MM,12987.0,10389.6,1.0,11688.3,27
HCPCS,C1874,STNT AXIOX W ELECCAUT 10X10MM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1874,STNT BILI WALLFLEX PLUS10X40MM,6803.06,5442.45,1.0,6122.75,27
HCPCS,C1874,STNT BILI WALLFLEX PLUS10X60MM,6803.06,5442.45,1.0,6122.75,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X15MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X17MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X24MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X28MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X33MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.5X8MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X15MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X17MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X24MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X28MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X33MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 2.75X8MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X15MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X17MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X24MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X28MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X33MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.0X8MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X15MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X17MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X24MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X28MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X33MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 3.5X8MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X12MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X15MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X17MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X20MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X24MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X28MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X33MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X38MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO ELUNIR DES 4.0X8MM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X12,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X16,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X20,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X24,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X28,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X32,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG3.5X8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X12,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X16,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X20,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X24,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X28,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X32,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.0X8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X12,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X16,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X20,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X24,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X28,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X32,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG4.5X8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X12,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X16,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X20,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X24,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X28,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X32,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO MEGATRON SYNRG5.0X8,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321303*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321304*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321305*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321306*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321307*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321308*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321309*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321310*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321311*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321312*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321313*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321316*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321317*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321318*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321319*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321320*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321321*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321324*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321325*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321326*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321327*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321328*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321329*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321332*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321333*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321334*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321335*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321336*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321337*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321340*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321341*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321342*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321343*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321344*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321345*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321348*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321349*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321350*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321351*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321352*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321353*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321356*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321357*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321358*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321359*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNER*DISC 6321361*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNERG*DISC 6321302*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO SYNERG*DISC 6321360*,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.25X8MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.50X8MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 2.75X8MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.00X8MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 3.50X8MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X38MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.00X8MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.0X048MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.50X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.50X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.50X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.50X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.50X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 4.50X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 5.00X12MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 5.00X16MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 5.00X20MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 5.00X24MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 5.00X28MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT CORO XD SYNRG 5.00X32MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1874,STNT COVA VASC ST 10X100MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 10X30MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 10X40MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 10X60MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 10X80MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 8X100MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 8X30MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 8X40MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 8X60MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 8X80MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 9X100MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 9X30MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 9X40MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 9X60MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT COVA VASC ST 9X80MM,6630.0,5304.0,1.0,5967.0,27
HCPCS,C1874,STNT DES ORSIRO *DISC 6323889*,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X13MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.25X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X13MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X35MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X40MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.5X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X13MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X35MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X40MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 2.75X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X13MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X35MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X40MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.0X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X13MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X35MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X40MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 3.5X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X13MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X35MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X40MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO 4.0X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.25X9,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X13,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X15,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X18,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X22,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X26,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X30,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X35,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X40,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.5X9,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 2.75X9,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X13,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X15,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X18,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X22,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X26,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X30,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X35,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X40,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.0X9,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X13,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X15,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X18,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X22,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X26,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X30,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X35,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X40,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 3.5X9,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X13,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X15,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X18,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X22,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X26,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X30,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X35,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X40,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION 4.0X9,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X13,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X15,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X18,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X22,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X26,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.25X30,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X13,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X15,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X18,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X22,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X26,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X30,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X35,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DES ORSIRO MISSION2.75X40,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT DESORSIROMI*DISC NO REPL*,2502.0,2001.6,1.0,2251.8,54
HCPCS,C1874,STNT ELEMENT 2.25X32 *DISC*,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1874,STNT ELUVIA 6X100MM 130CM,12298.0,9838.4,1.0,11068.2,27
HCPCS,C1874,STNT ELUVIA 6X120MM 130CM,12298.0,9838.4,1.0,11068.2,27
HCPCS,C1874,STNT ELUVIA 6X40MM 130CM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1874,STNT ELUVIA 6X60MM 130CM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1874,STNT ELUVIA 6X80MM 130CM,12298.0,9838.4,1.0,11068.2,27
HCPCS,C1874,STNT ELUVIA 7X100MM 130CM,12298.0,9838.4,1.0,11068.2,27
HCPCS,C1874,STNT ELUVIA 7X120MM 130CM,12298.0,9838.4,1.0,11068.2,27
HCPCS,C1874,STNT ELUVIA 7X40MM 130CM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1874,STNT ELUVIA 7X60MM 130CM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1874,STNT ELUVIA 7X80MM 130CM,12298.0,9838.4,1.0,11068.2,27
HCPCS,C1874,STNT ENDOMAXX ESOPH 23X100MM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1874,STNT ENDOMAXX ESOPH 23X150MM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV 14X62,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV 18X59,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV 18X97,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV14X102,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV14X119,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV14X148,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV18X119,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE FULLCOV18X149,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X102,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X119,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X148,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV14X62,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X149,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X59,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH AGILE PARTCOV18X97,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT ESOPH TTS 20MMX10CM,6903.0,5522.4,1.0,6212.7,27
HCPCS,C1874,STNT ESOPHAGILEOTWPARTCOV23X62,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNT FORTEGRA 10FR 10X100MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 10FR 10X150MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 10FR 10X50MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 10FR 10X75MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 12X100MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 12X150MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 12X50MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 12X75MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 14X100MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 14X150MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 14X50MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 14X75MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 16X100MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 16X150MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 16X50MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 11FR 16X75MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 18X100MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 18X150MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 18X50MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 18X75MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 20X100MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 20X150MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 20X50MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 12FR 20X75MM,4132.8,3306.24,1.0,3719.52,27
HCPCS,C1874,STNT FORTEGRA 14FR 24X100MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 24X150MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 24X50MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 24X75MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 28X100MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 28X150MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 28X50MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FORTEGRA 14FR 28X75MM,7404.8,5923.84,1.0,6664.32,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X18MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X22MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X26MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X30MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.0X8MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.25X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.50X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX2.75X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.0X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX3.50X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.0X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X18MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X22MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X26MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX4.50X30MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X18MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X22MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X26MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT FRONTIER ONYX RX5.0X30MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT GRAFT CONFORMABLE21X21X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE26X21X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE26X26X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE28X28X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE28X28X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE31X26X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE31X31X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE31X31X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE31X31X20,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE34X28X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE34X34X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE34X34X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE34X34X20,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE37X37X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE37X37X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE37X37X20,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE40X40X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE40X40X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE40X40X20,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE45X37X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE45X45X10,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE45X45X15,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFT CONFORMABLE45X45X20,43080.0,34464.0,1.0,38772.0,27
HCPCS,C1874,STNT GRAFTMASTER 2.80X16MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 2.80X19MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 2.8X26MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 3.50X16MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 3.50X19MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 3.50X26MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 4.00X19MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 4.0X16MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 4.50X19MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 4.80X16MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT GRAFTMASTER 4.80X19MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT PALMAZ GENESIS10X59 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 2.5X15MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 2.5X20MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.0X15MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.0X20MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.0X26MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.5X15MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.5X20MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 3.5X26MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 4.0X15MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 4.0X20MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 5FR 4.0X26MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 6FR 4.5X15MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 6FR 4.5X20MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 6FR 4.5X26MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 6FR 5.0X15MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 6FR 5.0X20MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT PK PAPYRUS 6FR 5.0X26MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT POLYFLEX 16/20X120MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 16/20X150MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 16/20X90MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 18/23X120MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 18/23X150MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 21/25X120MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 21/25X150MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT POLYFLEX 21/25X90MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X16MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X20MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X24MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X28MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X32MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.25X8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X16MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X20MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X24MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X28MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X32MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X38MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.5X8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X16MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X20MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X24MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X28MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X32MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X38MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 2.75X8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X16MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X20MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X24MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X28MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X32MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X38MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.0X8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X16MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X20MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X24MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X28MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X32MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X38MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 3.5X8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X12MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X16MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X20MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X24MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X28MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X32MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X38MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT PROMUS PREMIER 4.0X8MM,3220.0,2576.0,1.0,2898.0,27
HCPCS,C1874,STNT RDCPRO VBX 5X15MM 135CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 5X15MM 80CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 5X19MM 135CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 5X19MM 80CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 5X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 5X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 5X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 5X79MM 80CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 6X15MM 135CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 6X15MM 80CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 6X19MM 135CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 6X19MM 80CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 6X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 6X29MM 80MM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 6X39MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 6X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 6X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 6X79MM 135CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 6X79MM 80CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 7X15MM 80CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 7X19MM 135CM,6978.4,5582.72,1.0,6280.56,27
HCPCS,C1874,STNT RDCPRO VBX 7X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 7X29MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 7X39MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 7X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 7X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 7X59MM135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 7X79MM 135CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 8X11X29MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X11X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X11X39MM135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X11X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X11X59MM135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X11X79MM 135C,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 8X16X29MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X16X29MM135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X16X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X16X39MM135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X16X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X16X59MM135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 8X79MM 80CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 9X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 9X29MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 9X39MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 9X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 9X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT RDCPRO VBX 9X79MM 135CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RDCPRO VBX 9X79MM 80CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT RESOLUTE 2.25X08MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.25X12MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.25X14MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.25X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.25X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.25X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.25X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X08MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X12MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X14MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.50X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X08MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X12MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X14MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 2.75X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X09MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X12MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X34MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.00X38MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X09MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X12MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.50X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.5X34MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 3.5X38MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.00X12MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.00X15MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.00X18MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.00X22MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.00X26MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.00X30MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.0X34MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.0X38MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE 4.0X9MM,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW 2.0X8MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW 2.5X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW2.0X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW2.0X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW2.5X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW2.5X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX OTW2.75X8MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X18MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X22MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X26MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X30MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 2.0X8MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X08MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.0X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X08MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 3.5X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X08MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.0X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X18MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X22MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X26MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 4.5X30MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X12MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X15MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X18MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X22MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X26MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX 5.0X30MM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X08MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.25X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X08MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.50X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X08MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X18MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X22MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X26MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X30MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X34MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYX RX2.75X38MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYXOTW2.75X12MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT RESOLUTE ONYXOTW2.75X15MM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1874,STNT TIGRIS VASC*DISC NO REPL*,3768.8,3015.04,1.0,3391.92,162
HCPCS,C1874,STNT TRACHBRONC AERO 10X30MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AERO 10X40MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AERO 12X20MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AERO 12X30MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AERO 12X40MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AERO 14X30MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AERO 14X40MM,6440.0,5152.0,1.0,5796.0,27
HCPCS,C1874,STNT TRACHBRONC AEROMINI6X15MM,6580.0,5264.0,1.0,5922.0,27
HCPCS,C1874,STNT ULTRAFLEX 15MMCOV 10X30MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 15MMCOV 12X30MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 15MMCOV 14X30MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 10X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 12X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 14X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 16X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 18X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 20X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 25MMCOV 8X40MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 14X60MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 16X60MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 18X60MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 45MMCOV 20X60MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 14X80MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 16X80MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 18X80MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRAFLEX 65MMCOV 20X80MM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1874,STNT ULTRFX COV DIST 18MM 10CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV DIST 18MM 12CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV DIST 18MM 15CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV DIST 23MM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV DIST 23MM 12CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV PROX 18MM 10CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV PROX 18MM 12CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV PROX 18MM 15CM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX COV PROX 23MM,4396.0,3516.8,1.0,3956.4,27
HCPCS,C1874,STNT ULTRFX ESOPH COV P 23X120,4634.0,3707.2,1.0,4170.6,27
HCPCS,C1874,STNT VIABAHN 0.018 5MM 5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN 0.018 5MM10X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN 0.018 5MM15X120CM,10462.4,8369.92,1.0,9416.16,27
HCPCS,C1874,STNT VIABAHN 0.018 5MM25X120CM,15818.4,12654.72,1.0,14236.56,27
HCPCS,C1874,STNT VIABAHN 0.018 6MM 5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN 0.018 6MM10X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN 0.018 6MM15X120CM,10462.4,8369.92,1.0,9416.16,27
HCPCS,C1874,STNT VIABAHN 0.018 6MM25X120CM,15818.4,12654.72,1.0,14236.56,27
HCPCS,C1874,STNT VIABAHN 0.018 7MM 5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN 0.018 7MM10X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN 0.018 7MM15X120CM,10462.4,8369.92,1.0,9416.16,27
HCPCS,C1874,STNT VIABAHN 0.018 7MM25X120CM,15818.4,12654.72,1.0,14236.56,27
HCPCS,C1874,STNT VIABAHN 0.018 8MM 5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN 0.018 8MM10X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN 0.018 8MM15X120CM,10462.4,8369.92,1.0,9416.16,27
HCPCS,C1874,STNT VIABAHN 0.035 10X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 10X15 120CM,10285.6,8228.48,1.0,9257.04,27
HCPCS,C1874,STNT VIABAHN 0.035 10X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN 0.035 11X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 11X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN 0.035 13X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 13X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN 0.035 6X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 6X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN 0.035 7X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 7X15 120CM,10285.6,8228.48,1.0,9257.04,27
HCPCS,C1874,STNT VIABAHN 0.035 7X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN 0.035 8X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 8X15 120CM,10285.6,8228.48,1.0,9257.04,27
HCPCS,C1874,STNT VIABAHN 0.035 8X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN 0.035 8X7.5 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 9X10 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHN 0.035 9X15 120CM,10285.6,8228.48,1.0,9257.04,27
HCPCS,C1874,STNT VIABAHN 0.035 9X5 120CM,7810.4,6248.32,1.0,7029.36,27
HCPCS,C1874,STNT VIABAHN VBX 10X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 10X29MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 10X39MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 10X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 10X59MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 10X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 10X79MM 135CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT VIABAHN VBX 10X79MM 80CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT VIABAHN VBX 11X29MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 11X39MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 11X39MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 11X59MM 135CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 11X59MM 80CM,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1874,STNT VIABAHN VBX 11X79MM 135CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT VIABAHN VBX 11X79MM 80CM,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340311*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340313*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340316*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340318*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340320*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340322*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340324*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340327*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340329*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340331*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340333*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340335*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340336*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340338*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340340*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340342*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340344*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340345*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340346*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340347*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340348*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340349*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHN VBX*DISC 6340350*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHN0.018 5MM2.5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN0.018 6MM2.5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN0.018 6MM7.5X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN0.018 7MM2.5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN0.018 7MM7.5X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN0.018 8MM2.5X120CM,8236.8,6589.44,1.0,7413.12,27
HCPCS,C1874,STNT VIABAHN0.018 8MM7.5X120CM,9175.4,7340.32,1.0,8257.86,27
HCPCS,C1874,STNT VIABAHN0.035 10X2.5 120CM,6921.6,5537.28,1.0,6229.44,27
HCPCS,C1874,STNT VIABAHN0.035 6X2.5 120CM,6921.6,5537.28,1.0,6229.44,27
HCPCS,C1874,STNT VIABAHN0.035 9X7.5 120CM,8868.6,7094.88,1.0,7981.74,27
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340312*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340314*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340315*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340317*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340319*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX5X*DISC 6340321*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340323*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340325*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340326*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340328*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340330*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX6X*DISC 6340332*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340334*,6518.2,5214.56,1.0,5866.38,27
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340337*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340339*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340341*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX7X*DISC 6340343*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340359*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340360*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340361*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340362*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340363*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340364*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX8X*DISC 6340365*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHVBX8X79MM135CM*CIP*,8946.6,7157.28,1.0,8051.94,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340351*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340352*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340353*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340354*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340355*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340356*,7742.8,6194.24,1.0,6968.52,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340357*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABAHVBX9X*DISC 6340358*,8572.2,6857.76,1.0,7714.98,27
HCPCS,C1874,STNT VIABIL COV 10X60MM 200CM,6860.0,5488.0,1.0,6174.0,27
HCPCS,C1874,STNT VIABIL HL 8X60MM 40CM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1874,STNT VIABIL WO HL 10X40MM 40CM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1874,STNT VIABIL WO HL 10X60MM 40CM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1874,STNT VIABIL WO HL 8X40MM 10CM,8125.0,6500.0,1.0,7312.5,27
HCPCS,C1874,STNT VIATORR TIP*DISC 6350772*,12271.2,9816.96,1.0,11044.08,27
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 4X2CM,12271.2,9816.96,1.0,11044.08,27
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 5X2CM,12093.6,9674.88,1.0,10884.24,27
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 6X2CM,12026.4,9621.12,1.0,10823.76,27
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 7X2CM,12247.2,9797.76,1.0,11022.48,27
HCPCS,C1874,STNT VIATORR TIPS 6-10MM 8X2CM,12002.4,9601.92,1.0,10802.16,27
HCPCS,C1874,STNT VIATORR TIPS 8-10MM 5X2CM,12688.0,10150.4,1.0,11419.2,27
HCPCS,C1874,STNT VIATORRTIPS*DISC 6350774*,12026.4,9621.12,1.0,10823.76,27
HCPCS,C1874,STNT VIATORRTIPS*DISC 6350775*,12247.2,9797.76,1.0,11022.48,27
HCPCS,C1874,STNT VIATORRTIPS*DISC 6350776*,12002.4,9601.92,1.0,10802.16,27
HCPCS,C1874,STNT WLLFLX ESOPH 18MM10.3X7CM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1874,STNT WLLFLX ESOPH 18MM12.3X9CM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1874,STNT WLLFLX ESOPH 23MM10.3X7CM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1874,STNT WLLFLX ESOPH 23MM12.3X9CM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1874,STNT WLLFLX ESOPH18MM15.3X12CM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1874,STNT WLLFLX ESOPH23MM15.3X12CM,4746.0,3796.8,1.0,4271.4,27
HCPCS,C1874,STNT WLLFLX ESOPHCOV18MM10.3CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX ESOPHCOV18MM12.3CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX ESOPHCOV18MM15.3CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX ESOPHCOV23MM10.3CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX ESOPHCOV23MM12.3CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX ESOPHCOV23MM15.3CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX FULL 8.5FR10X40MM,9100.0,7280.0,1.0,8190.0,27
HCPCS,C1874,STNT WLLFLX RX FULL8.5FR8X60MM,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1874,STNT WLLFLX RX FULL8.5FR8X80MM,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1874,STNT WLLFLX RXFULL8.5FR10X40MM,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1874,STNT WLLFLX RXFULL8.5FR10X60MM,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1874,STNT WLLFLX RXFULL8.5FR10X80MM,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1874,STNT WLLFLX RXPART8.5FR10X40MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX RXPART8.5FR10X60MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLFLX RXPART8.5FR10X80MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT WLLSTNT PART 8FR 10X60MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1874,STNT WLLSTNT RX 8FR 10X80MM,3872.54,3098.04,1.0,3485.29,27
HCPCS,C1874,STNT WLLSTNT RX PART 8FR8X80MM,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1874,STNT WLLSTNT RX PART8FR10X40MM,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1874,STNT XIENCE ALPINE OTW 2.5X8MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW 3.0X8MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW 3.5X8MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW2.5X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW2.5X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW2.5X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.0X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.0X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.0X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.0X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.0X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.5X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.5X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.5X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW3.5X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW4.0X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW4.0X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW4.0X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW4.0X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE OTW4.0X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.25X8MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X33MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X38MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.5X8MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 2.75X8MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X33MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X38MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.0X8MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X33MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 3.5X38MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X33MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X38MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX 4.0X8MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.25X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X33MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX2.75X38MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X12MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X15MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X18MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X23MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINE RX3.25X28MM,2544.0,2035.2,1.0,2289.6,27
HCPCS,C1874,STNT XIENCE ALPINEOTW2.25X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE ALPINEOTW2.75X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.25X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.50X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX2.75X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.00X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.25X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX3.50X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X08MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X12MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X15MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X18MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X23MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X28MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X33MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SIERRA RX4.00X38MM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 2.25X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 2.50X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.0X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.25X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 3.5X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX 4.0X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.25X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.50X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX2.75X8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X12,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X15,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X18,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X23,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X28,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X33,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT XIENCE SKYPOINT RX3.25X38,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNT ZILVER 6FR 5X120MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1874,STNT ZILVER 6FR 5X80MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT ZILVER 6FR 6X100MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT ZILVER 6FR 6X120MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1874,STNT ZILVER 6FR 6X140MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT ZILVER 6FR 6X60MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1874,STNT ZILVER 6FR 6X80MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT ZILVER 6FR 7X100MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNT ZILVER 6FR 7X120MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1874,STNT ZILVER 6FR 7X140MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1874,STNT ZILVER 6FR 7X80MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1874,STNTALPIN2.25X12*DISC NO REPL*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNTALPIN2.25X15*DISC NO REPL*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNTALPIN2.25X18*DISC NO REPL*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNTALPIN2.25X23*DISC NO REPL*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNTALPINE2.25X8*DISC NO REPL*,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X101,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X120,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X150,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNTESOPHAGILEOTWFULLCOV23X62,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNTESOPHAGILEOTWPARTCOV23X101,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNTESOPHAGILEOTWPARTCOV23X120,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,STNTESOPHAGILEOTWPARTCOV23X150,7540.0,6032.0,1.0,6786.0,27
HCPCS,C1874,SYS COVSL ST 22X22X180*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS COVSL ST 28X28X90MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS COVSL ST 31X31X223*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS COVSL ST 40X40X95MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS COVSL ST 43X43X218*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS COVSL ST 46X46X95MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS COVSLTAPER25X20X186*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 20X20X96MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 22X22X185MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 22X22X96MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 25X25X185MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 25X25X96MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 28X28X174MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 28X28X97MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 31X31X174MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 31X31X229MM*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS FREE ST 31X31X97MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 34X34X174MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 34X34X229MM*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS FREE ST 34X34X97MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 37X37X174MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 37X37X229MM*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS FREE ST 37X37X59MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 37X37X97MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 40X40X103MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 40X40X183MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 40X40X223MM*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS FREE ST 40X40X62MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 43X43X103MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 43X43X183MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 43X43X223MM*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1874,SYS FREE ST 43X43X62MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 46X46X103MM*DISC*,37285.92,29828.74,1.0,33557.33,27
HCPCS,C1874,SYS FREE ST 46X46X183MM*DISC*,40309.92,32247.94,1.0,36278.93,27
HCPCS,C1874,SYS FREE ST 46X46X223MM*DISC*,43333.92,34667.14,1.0,39000.53,27
HCPCS,C1875,"Stent, coated/cov w/o del sy",,,1.0,1.0,2
HCPCS,C1876,DEL SYS NUDEL 14FR4.5 24MMX5CM,25598.66,20478.93,1.0,23038.79,27
HCPCS,C1876,ENDOL ZENITH TX2 PROFORM36X120,37428.55,29942.84,1.0,33685.7,27
HCPCS,C1876,ENDOL ZENITH TX2 PROFORM36X180,37428.55,29942.84,1.0,33685.7,27
HCPCS,C1876,STNT ABRE SLF EXPAND 10X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 10X120MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 10X150MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 10X40MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 10X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 10X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 12X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 12X120MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 12X150MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 12X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 12X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 14X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 14X120MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 14X150MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 14X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 14X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 16X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 16X120MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 16X150MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 16X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 16X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 18X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 18X120MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 18X150MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 18X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 18X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 20X100MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 20X120MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 20X150MM,4200.0,3360.0,1.0,3780.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 20X60MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABRE SLF EXPAND 20X80MM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT ABSOLUTE 7X40MMX80CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1876,STNT ABSOLUTE 7X60MMX80CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1876,STNT ABSOLUTE 7X80MMX80CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1876,STNT ABSOLUTE 8X60MMX80CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1876,STNT ABSOLUTE 8X80MMX80CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1876,STNT BILI EPIC 6FR 6X100MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1876,STNT BILI EPIC 6FR 8X100MM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C1876,STNT BILI PALMAZ BL 4X12 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT BILI PALMAZ BL 5X12 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT BILI PALMAZ BL 6X12 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT BILI PALMAZ BL 7X12 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT BILI PERCUFLEX 7FR 50MM,274.5,219.6,1.0,247.05,27
HCPCS,C1876,STNT BILI PERCUFLEX OTW 2X70MM,302.26,241.81,1.0,272.03,27
HCPCS,C1876,STNT BILI SMART 10X80 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART 12X30 120CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1876,STNT BILI SMART 12X30MM 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1876,STNT BILI SMART 12X40 120CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1876,STNT BILI SMART 12X60 120CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1876,STNT BILI SMART 12X80 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1876,STNT BILI SMART 14X60 120CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1876,STNT BILI SMART 6X120 120CM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART 6X150 120CM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART 7X120 120CM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART 8X150 120CM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART 9X80 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART 9X80MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 5X100X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 5X120X120,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART FLEX 5X40X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 5X60X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 5X80X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 6X100X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 6X120X120,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART FLEX 6X150X120,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART FLEX 6X40X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 6X60X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 6X80X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 7X100X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 7X120X120,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART FLEX 7X150X120,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART FLEX 7X40X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 7X60X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 7X80X120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 8X10*NLU*,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 8X12*NLU*,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1876,STNT BILI SMART FLEX 8X40*NLU*,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 8X60*NLU*,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI SMART FLEX 8X80*NLU*,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT BILI WALLSTNT 7.5FR 194CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1876,STNT BILI ZILVER 12X60MM *NLU*,2610.0,2088.0,1.0,2349.0,27
HCPCS,C1876,STNT BILI ZILVER 6FR 8MMX4CM,4754.4,3803.52,1.0,4278.96,27
HCPCS,C1876,STNT BILI ZILVER 6FR 8MMX6CM,4754.4,3803.52,1.0,4278.96,27
HCPCS,C1876,STNT CAROTID PRE*DISC NO REPL*,3822.0,3057.6,1.0,3439.8,27
HCPCS,C1876,STNT CAROTID PREC PRO RX6X20MM,3822.0,3057.6,1.0,3439.8,27
HCPCS,C1876,STNT CAROTID PREC PRO RX6X30MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX6X40MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX7X30MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX7X40MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX8X20MM,3822.0,3057.6,1.0,3439.8,27
HCPCS,C1876,STNT CAROTID PREC PRO RX8X30MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX8X40MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX9X20MM,3822.0,3057.6,1.0,3439.8,27
HCPCS,C1876,STNT CAROTID PREC PRO RX9X30MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRO RX9X40MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRORX10X20MM,3822.0,3057.6,1.0,3439.8,27
HCPCS,C1876,STNT CAROTID PREC PRORX10X30MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC PRORX10X40MM,5040.0,4032.0,1.0,4536.0,27
HCPCS,C1876,STNT CAROTID PREC RX 10X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1876,STNT CAROTID PREC RX 10X40MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1876,STNT CAROTID PREC RX 9X30MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 6-8X30,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 6-8X40,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 6X20MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 6X30MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 6X40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 6X60MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 7X20MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 7X30MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 7X40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 7X60MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 8X20MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 8X30MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 8X40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 8X60MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 9X20MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 9X30MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 9X40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX 9X60MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX10X20MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX10X30MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX10X40MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX10X60MM,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX7-10X30,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CAROTID PROTEGE RX7-10X40,3080.0,2464.0,1.0,2772.0,27
HCPCS,C1876,STNT CORO REBEL MR 4.00X8*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR2.75X32*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR3.00X32*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR3.50X32*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.00X12*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.00X16*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.00X20*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.00X24*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.00X28*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.00X32*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.50X12*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.50X16*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.50X20*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.50X24*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.50X28*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CORO REBEL MR4.50X32*NLU*,2412.0,1929.6,1.0,2170.8,27
HCPCS,C1876,STNT CP COV 10ZIG 26X39MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT CP COV 8ZIG 18X34MM,16191.6,12953.28,1.0,14572.44,27
HCPCS,C1876,STNT CP COV 8ZIG 22X34MM,16191.6,12953.28,1.0,14572.44,27
HCPCS,C1876,STNT EPIC 10X100MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 10X30MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 10X40MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 10X60MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 10X60MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 10X80MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 12X40MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 12X60MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 9X30MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 9X40MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 9X60MM 120CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EPIC 9X60MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EVERFLEX 5FR 6X40MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 5FR 6X60MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 5FR 7X40MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 5FR 7X60MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 5FR 8X40MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 5FR 8X60MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X100MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X120MM 120CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT EVERFLEX 6X150MM 120CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT EVERFLEX 6X20MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X20MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X40MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X60MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X80MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 6X80MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X100MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X100MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X120MM 120CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT EVERFLEX 7X150MM 120CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT EVERFLEX 7X20MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X20MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X20MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X40MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X60MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X80MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X80MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 7X80MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X100MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X100MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X120MM 120CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT EVERFLEX 8X150MM 120CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT EVERFLEX 8X20MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X20MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X20MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X40MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X40MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X60MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X80MM 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X80MM 150CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EVERFLEX 8X80MM 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT EXPRESS LD 10X25MM 135CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 10X25MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 10X4MM 135CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 10X57MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 5X17MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 5X27MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 5X37MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 5X57MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 6X17MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 6X27MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 6X37MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 6X57MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 7X17MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 7X27MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 7X37MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 7X40MM 135CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 7X57MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 7X60MM 135CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 8X17MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 8X27MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 8X40MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 8X57MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 8X60MM 135CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 9X25MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 9X37MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 9X40MM 135CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS LD 9X57MM 75CM,3640.0,2912.0,1.0,3276.0,27
HCPCS,C1876,STNT EXPRESS SD 4X15MM 150CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 4X15MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 4X19MM 150CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 5X15MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 5X19MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 6X14MM 150CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 6X14MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 6X18MM 150CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 6X18MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 7X15MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT EXPRESS SD 7X19MM 90CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1876,STNT FORMULA 418 135CM 5X16MM,3175.46,2540.37,1.0,2857.91,27
HCPCS,C1876,STNT FORMULA 418 135CM 5X20MM,3175.46,2540.37,1.0,2857.91,27
HCPCS,C1876,STNT FORMULA 418 135CM 6X16MM,3175.46,2540.37,1.0,2857.91,27
HCPCS,C1876,STNT FORMULA 418 135CM 6X20MM,3175.46,2540.37,1.0,2857.91,27
HCPCS,C1876,STNT FORMULA 418 135CM 7X16MM,3175.46,2540.37,1.0,2857.91,27
HCPCS,C1876,STNT FORMULA 418 135CM 7X20MM,3175.46,2540.37,1.0,2857.91,27
HCPCS,C1876,STNT HERCULINK ELITE 4.0X15,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1876,STNT INNOVA 5X100MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 5X120MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 5X150MM 130CM,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1876,STNT INNOVA 5X40MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 5X40MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 5X60MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 5X80MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 5X80MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X100MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X120MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X150MM 130CM,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1876,STNT INNOVA 6X20MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X40MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X40MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X60MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X60MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 6X80MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X100MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X120MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X150MM 130CM,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1876,STNT INNOVA 7X20MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X40MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X40MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X60MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X60MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 7X80MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 8X120MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 8X150MM 130CM,5950.0,4760.0,1.0,5355.0,27
HCPCS,C1876,STNT INNOVA 8X20MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 8X40MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 8X40MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 8X60MM 75CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INNOVA 8X80MM 130CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT INTE2.25X12*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.25X14*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.25X18*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.25X22*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.25X26*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.25X8*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.50X08*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.50X12*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.50X14*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.50X18*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.50X22*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE2.50X26*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X12*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X15*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X18*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X22*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X26*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X30*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.00X9*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X12*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X15*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X18*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X22*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X26*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X30*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE3.50X9*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X12*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X15*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X18*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X22*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X26*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X30*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTE4.00X9*DISC NO REPL*,1995.0,1596.0,1.0,1795.5,27
HCPCS,C1876,STNT INTEGRITY O*DISC*,1839.6,1471.68,1.0,1655.64,27
HCPCS,C1876,STNT LVIS EVO 2.5X12MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 2.5X17MM,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS EVO 2.5X22MM,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS EVO 2.5X27MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 3.0X18MM,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS EVO 3.0X24MM,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS EVO 3.0X28MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 3.0X32MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 3.5X17MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 3.5X22MM,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS EVO 3.5X28MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 3.5X34MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 4.0X13MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 4.0X18MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 4.0X21MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS EVO 4.0X27MM,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS EVO 4.0X31MM,19080.0,15264.0,1.0,17172.0,27
HCPCS,C1876,STNT LVIS JR 2.5X13,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 2.5X17,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 2.5X23,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 2.5X34,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 3.5X18,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 3.5X23,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 3.5X28,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS JR 3.5X33,17172.0,13737.6,1.0,15454.8,27
HCPCS,C1876,STNT LVIS LOPRO 3.5X22MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 4.0X17MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 4.0X22MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 4.0X28MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 4.5X23MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 4.5X32MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 5.5X30MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT LVIS LOPRO 5.5X33MM,15444.0,12355.2,1.0,13899.6,27
HCPCS,C1876,STNT MINI-VISION*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,486
HCPCS,C1876,STNT MULTLINK RX 5.00X13M*CIP*,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1876,STNT MULTLINK RX 5.00X28M*CIP*,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1876,STNT NEUROFORM ATLAS 4.0X21MM,22728.26,18182.61,1.0,20455.43,27
HCPCS,C1876,STNT PALMAZ BL 4X15 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 4X18 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 5X15 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 5X15 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 5X18 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 5X18 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 5X24 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 6X15 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 6X15 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 6X18 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 6X18 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 7X15 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 7X15 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 7X18 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BL 7X18 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BLU 6X24 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ BLU 6X24 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GEN5*DISC*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 10X29 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 10X39 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 10X60 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 10X79 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 5X15 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 6X15 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 6X18 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 7X18 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 7X24 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 7X39 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X18 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X24 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X29 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X29 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X39 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X59 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 8X59 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 9X29 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 9X39 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 9X59 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 9X59 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 9X79 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS 9X80 80CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNT PALMAZ GENESIS LG 29MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1876,STNT PALMAZ GENESIS LG 39MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1876,STNT PALMAZ GENESIS MD 24MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1876,STNT PALMAZ GENESIS XD 19MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1876,STNT PALMAZ GENESIS XD 25MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1876,STNT PALMAZ XL 40MM,3290.0,2632.0,1.0,2961.0,27
HCPCS,C1876,STNT POLYFLEX 18/23X90MM,5572.0,4457.6,1.0,5014.8,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 5X40MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 5X80MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 6X30MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 7X30MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 8X30MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 8X60MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX 8X80MM80,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX5X20MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX5X30MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX5X40MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX5X60MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX5X80MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX6X20MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX6X30MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX6X40MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX6X60MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX6X80MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX7X150MM80,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX7X20MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX7X30MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX7X40MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX7X60MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX7X80MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX8X20MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX8X30MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX8X40MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX8X60MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE EVERFLEX8X80MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X20MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X20MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X30MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X30MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X40MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X40MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X60MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X60MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X80MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 10X80MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X30MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X40MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X40MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X60MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X60MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X80MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 12X80MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X30MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X40MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X40MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X60MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X60MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X80MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 14X80MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 8X40MM 80CM,2553.6,2042.88,1.0,2298.24,27
HCPCS,C1876,STNT PROTEGE GPS 8X60MM 80CM,2553.6,2042.88,1.0,2298.24,27
HCPCS,C1876,STNT PROTEGE GPS 9X20MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X20MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X30MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X40MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X40MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X60MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X60MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X80MM 120CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGE GPS 9X80MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX5X100MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX5X120MM120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX6X100MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX6X120MM120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX6X150MM120,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX6X200MM120,4830.0,3864.0,1.0,4347.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX7X100MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX7X120MM120,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX7X150MM120,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX7X200MM120,4830.0,3864.0,1.0,4347.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX8X100MM120,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX8X150MM120,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX8X200MM120,4830.0,3864.0,1.0,4347.0,27
HCPCS,C1876,STNT PROTEGEEVERFLEX8X40MM80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT ROADSAVER 10X30MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT ROADSAVER 6X30MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT ROADSAVER 7X25MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT ROADSAVER 7X30MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT ROADSAVER 8X30MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT ROADSAVER 8X40MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT ROADSAVER 9X30MMX143CM,6720.0,5376.0,1.0,6048.0,27
HCPCS,C1876,STNT SMART 10X40 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 10X60 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 6X80 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 7X20 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 7X30 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 8X100 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 8X30 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 8X30 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 8X40 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 8X60 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 9X40 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SMART 9X60 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX100MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX120MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX40MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX60MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 4.5MMX80MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.0X120MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.0X80MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX100MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX120MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX40MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX60MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 5.5MMX80MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX100MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX120MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX40MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX60MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 6.5MMX80MM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C1876,STNT SUPERA 6FR 6.5X150X120MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1876,STNT SUPERA 6FR5.5X150X120MM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1876,STNT TCS ENROUTE 10-8X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 10-8X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 10X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 10X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 6X20,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 6X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 6X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 7X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 7X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 8-6X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 8-6X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 8X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 8X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 9-7X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 9-7X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 9X30,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TCS ENROUTE 9X40,7407.4,5925.92,1.0,6666.66,27
HCPCS,C1876,STNT TRANS10X20*DISC NO REPL*,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1876,STNT TRANS8X20*DISC NO REPL*,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1876,STNT TRANSC7X20*DISC NO REPL*,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1876,STNT TRANSC9X20*DISC NO REPL*,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1876,STNT ULTRFX NONCOVDIST18MM10CM,3830.4,3064.32,1.0,3447.36,27
HCPCS,C1876,STNT ULTRFX NONCOVDIST18MM15CM,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1876,STNT ULTRFX NONCOVDIST18MM7CM,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1876,STNT ULTRFX NONCOVPROX18MM10CM,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1876,STNT ULTRFX NONCOVPROX18MM15CM,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1876,STNT ULTRFX NONCOVPROX18MM7CM,4284.0,3427.2,1.0,3855.6,27
HCPCS,C1876,STNT VASC ZILVER VENA7FR14X100,5317.2,4253.76,1.0,4785.48,27
HCPCS,C1876,STNT VASC ZILVER VENA7FR16X100,5317.2,4253.76,1.0,4785.48,27
HCPCS,C1876,STNT VENOVO 10FR 14X140MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 14X160MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X100MM120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X120MM120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X140MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X160MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X40MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X60MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 10FR 16X80MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X100MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X120MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X140MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X160MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X40MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X60MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 18X80MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X100MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X120MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X140MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X160MM120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X40MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X60MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 10FR 20X80MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 14X60MM 80CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 14X80MM 80CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 16X60MM 80CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 16X80MM 80CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 18X60MM 80CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 18X80MM 80CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 20X60MM 80CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 20X80MM 80CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X100MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X120MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X140MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X160MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X40MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X60MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 10X80MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X100MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X120MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X140MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X160MM 120CM,9880.0,7904.0,1.0,8892.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X40MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X60MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 8FR 12X80MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 9FR 14X100MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 9FR 14X120MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 9FR 14X40MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 9FR 14X60MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VENOVO 9FR 14X80MM 120CM,9360.0,7488.0,1.0,8424.0,27
HCPCS,C1876,STNT VICI 14X120*DISC NO REPL*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1876,STNT VICI 14X60M*DISC NO REPL*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1876,STNT VICI 14X90M*DISC NO REPL*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1876,STNT VICI 16X120*DISC NO REPL*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1876,STNT VICI 16X60M*DISC NO REPL*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1876,STNT VICI 16X90M*DISC NO REPL*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1876,STNT VISI-PRO 10X17MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X17MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X27MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X27MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X37MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X37MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X57MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 10X57MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X12MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X17MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X17MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X27MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X37MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X37MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 5X57MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6FR 5X57MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X12MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X17MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X17MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X27MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X27MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X37MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X37MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X57MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 6X57MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X12MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X17MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X17MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X27MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X27MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X37MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X37MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X57MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 7X57MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X17MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X17MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X27MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X27MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X37MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X37MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X57MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 8X57MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X17MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X17MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X27MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X27MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X37MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X37MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X57MM 135CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISI-PRO 9X57MM 80CM,2070.0,1656.0,1.0,1863.0,27
HCPCS,C1876,STNT VISION RX 2*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,162
HCPCS,C1876,STNT VISION RX 3*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,324
HCPCS,C1876,STNT VISION RX 4*DISC NO REPL*,2100.0,1680.0,1.0,1890.0,162
HCPCS,C1876,STNT WINGSPAN 3.0X20MM,22315.2,17852.16,1.0,20083.68,27
HCPCS,C1876,STNT WLLFLX COLON 22X230MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX COLON 22X60MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX COLON 25X60MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX COLON 25X90MM230CM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX COLON22X120MM230CM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX COLON25X120MM230CM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX DUODEN 22X120MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX DUODEN 22X60MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX DUODEN 22X90MM,5460.0,4368.0,1.0,4914.0,27
HCPCS,C1876,STNT WLLFLX RX 8FR 10X100MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT WLLFLX RX 8FR 10X40MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT WLLFLX RX 8FR 10X60MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT WLLFLX RX 8FR 10X80MM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1876,STNT WLLSTNT BILI UNCOV 8X80MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1876,STNT WLLSTNT UNISTEP 22X35MM75,8476.0,6780.8,1.0,7628.4,27
HCPCS,C1876,STNT WLLSTNT UNISTEP 22X70MM75,8476.0,6780.8,1.0,7628.4,27
HCPCS,C1876,STNT WLLSTNT UNISTEP 24X35MM75,8476.0,6780.8,1.0,7628.4,27
HCPCS,C1876,STNT WLLSTNT UNISTEP 24X45MM75,8476.0,6780.8,1.0,7628.4,27
HCPCS,C1876,STNT WLLSTNT UNISTEP22X90MM230,4788.0,3830.4,1.0,4309.2,27
HCPCS,C1876,STNT WLLSTNT VEN 20X40MM75,6591.0,5272.8,1.0,5931.9,27
HCPCS,C1876,STNT WLLSTNT VEN 20X55MM75,6591.0,5272.8,1.0,5931.9,27
HCPCS,C1876,STNT WLLSTNT VEN 20X80MM75,6591.0,5272.8,1.0,5931.9,27
HCPCS,C1876,STNT ZILVER VENA 120CM 12X140,5317.2,4253.76,1.0,4785.48,27
HCPCS,C1876,STNT ZILVER VENA 120CM 12X60,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1876,STNT ZILVER VENA 120CM 14X140,5317.2,4253.76,1.0,4785.48,27
HCPCS,C1876,STNT ZILVER VENA 120CM 14X60,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1876,STNT ZILVER VENA 120CM 16X140,5317.2,4253.76,1.0,4785.48,27
HCPCS,C1876,STNT ZILVER VENA 120CM 16X60,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1876,STNTG4X12 135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNTG5X18 135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNTG5X24 135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNTG6X12 135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNTG6X15 135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNTG6X24 135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,STNTG7X15X135CM*DISC NO REPL*,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1876,SYS TACK ENDO 4F 1.5-4.5 150MM,7267.0,5813.6,1.0,6540.3,27
HCPCS,C1876,SYS TACK ENDO 6F 3.5-6.0 135MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1876,SYS TACK ENDO 6F 4.0-8.0 135MM,5586.0,4468.8,1.0,5027.4,27
HCPCS,C1877,ENDOL ENDUR II 16X13X146MM,12902.4,10321.92,1.0,11612.16,27
HCPCS,C1877,STNT BILI DUODENAL BEND10FR120,299.82,239.86,1.0,269.84,27
HCPCS,C1877,STNT BILI PALMAZ BL 5X15 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1877,STNT BILI PALMAZ BL 6X15 135CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1877,STNT BILI SMART 10X80 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT BILI SMART 12X40 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1877,STNT BILI SMART 12X60 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1877,STNT BILI SMART 14X30MM 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1877,STNT BILI SMART 14X40 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1877,STNT BILI SMART 14X60 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1877,STNT BILI SMART 14X80 80CM,2800.0,2240.0,1.0,2520.0,27
HCPCS,C1877,STNT BILI SMART 7X150 120CM,3150.0,2520.0,1.0,2835.0,27
HCPCS,C1877,STNT PALMAZ GENESIS MD 15MM,2560.0,2048.0,1.0,2304.0,27
HCPCS,C1877,STNT PALMAZ GENESIS XD 59MM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1877,STNT PALMAZ XL 50MM,3290.0,2632.0,1.0,2961.0,27
HCPCS,C1877,STNT PANCR SGL PIGT 4FR 7CM,399.6,319.68,1.0,359.64,27
HCPCS,C1877,STNT PANCR SGL PIGT 5FR 12CM,374.4,299.52,1.0,336.96,27
HCPCS,C1877,STNT PANCR SGL PIGT 5FR 15CM,374.4,299.52,1.0,336.96,27
HCPCS,C1877,STNT PANCR SGL PIGT 5FR 3CM,405.0,324.0,1.0,364.5,27
HCPCS,C1877,STNT PANCR SGL PIGT 5FR 9CM,381.6,305.28,1.0,343.44,27
HCPCS,C1877,STNT SMART 10X20 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 10X20 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 10X30 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 10X30 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 10X40 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 10X60 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X100 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X100 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X30 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X40 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X40 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X60 120MM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X60 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 6X80 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X100 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X100 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X40 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X40 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X60 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X60 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X80 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 7X80 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 8X20 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 8X20 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 8X40 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 8X60 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 8X80 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 8X80 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 9X30 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 9X40 120CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1877,STNT SMART 9X60 80CM,2430.0,1944.0,1.0,2187.0,27
HCPCS,C1878,DEV THYROPLASTY FEMALE SZ6,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1878,DEV THYROPLASTY FEMALE SZ7,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1878,DEV THYROPLASTY FEMALE SZ8,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1878,DEV THYROPLASTY FEMALE SZ9,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1878,DEV THYROPLASTY MALE SZ10,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1878,DEV THYROPLASTY MALE SZ11,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1878,DEV THYROPLASTY MALE SZ12,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1878,DEV THYROPLASTY MALE SZ13,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1878,DEV THYROPLASTY MALE SZ9,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1878,KT IMPLT THYROPLASTY FEMALE,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1878,KT IMPLT THYROPLASTY MALE,2502.0,2001.6,1.0,2251.8,27
HCPCS,C1878,LARYNGEAL GEL PROLARYN 1CC,2646.0,2116.8,1.0,2381.4,27
HCPCS,C1878,LARYNGEAL GEL PROLARYN+ 1CC,2646.0,2116.8,1.0,2381.4,27
HCPCS,C1880,FLTR DENALI VENA CAVA FEM,4690.0,3752.0,1.0,4221.0,27
HCPCS,C1880,FLTR DENALI VENA CAVA JUGULAR,4690.0,3752.0,1.0,4221.0,27
HCPCS,C1880,FLTR IVC CELECT PLAT FEM,1113.53,890.83,1.0,1002.18,27
HCPCS,C1880,FLTR IVC CELECT PLAT JGLR,3464.3,2771.44,1.0,3117.87,27
HCPCS,C1880,FLTR IVC OPT ELITE,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1880,FLTR TULIP FEM W NAVALIGN DELV,3117.88,2494.31,1.0,2806.09,27
HCPCS,C1880,FLTR VENA CAVA 5FR 100CM,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1881,Dialysis access system,,,1.0,1.0,2
HCPCS,C1882,CRT-D AMPLIA MRI IS1 DF1,38178.17,30542.54,1.0,34360.35,27
HCPCS,C1882,CRT-D AMPLIA MRI IS1 DF4,38178.17,30542.54,1.0,34360.35,27
HCPCS,C1882,CRT-D AMPLIA MRI QUAD IS4 DF1,39651.43,31721.15,1.0,35686.29,27
HCPCS,C1882,CRT-D AMPLIA MRI QUAD IS4 DF4,39651.43,31721.15,1.0,35686.29,27
HCPCS,C1882,CRT-D CLARIA MRI IS1 DF1,38683.06,30946.45,1.0,34814.75,27
HCPCS,C1882,CRT-D CLARIA MRI IS1 DF4,38683.06,30946.45,1.0,34814.75,27
HCPCS,C1882,CRT-D CLARIA MRI QUAD IS4 DF1,41376.26,33101.01,1.0,37238.63,27
HCPCS,C1882,CRT-D CLARIA MRI QUAD IS4 DF4.,41376.26,33101.01,1.0,37238.63,27
HCPCS,C1882,CRT-D COBALT HF MRI DF1,38682.17,30945.74,1.0,34813.95,27
HCPCS,C1882,CRT-D COBALT HF MRI DF4,38682.17,30945.74,1.0,34813.95,27
HCPCS,C1882,CRT-D COBALT HF QUAD MRI DF1,41376.26,33101.01,1.0,37238.63,27
HCPCS,C1882,CRT-D COBALT HF QUAD MRI DF4,41376.26,33101.01,1.0,37238.63,27
HCPCS,C1882,CRT-D COBALT XT HF MRI DF1,42164.54,33731.64,1.0,37948.09,27
HCPCS,C1882,CRT-D COBALT XT HF MRI DF4,42164.54,33731.64,1.0,37948.09,27
HCPCS,C1882,CRT-D COBALT XT HF QUAD DF1,45100.13,36080.11,1.0,40590.12,27
HCPCS,C1882,CRT-D COBALT XT HF QUAD DF4,45100.13,36080.11,1.0,40590.12,27
HCPCS,C1882,CRT-D COMPIA MRI QUAD IS4 DF4,39287.95,31430.36,1.0,35359.16,27
HCPCS,C1882,CRT-D CROME HF MRI SURESCANDF4,38177.71,30542.17,1.0,34359.94,27
HCPCS,C1882,CRT-D CROME HF QUAD MRI DF1,39651.43,31721.15,1.0,35686.29,27
HCPCS,C1882,CRT-D CROME HF QUAD MRI DF4,39651.43,31721.15,1.0,35686.29,27
HCPCS,C1882,CRT-D DYNAGEN DF1,72132.0,57705.6,1.0,64918.8,27
HCPCS,C1882,CRT-D DYNAGEN DF4,77995.2,62396.16,1.0,70195.68,27
HCPCS,C1882,CRT-D DYNAGEN IS1 DF1,77167.2,61733.76,1.0,69450.48,27
HCPCS,C1882,CRT-D DYNAGEN X4 IS4 DF1,77167.2,61733.76,1.0,69450.48,27
HCPCS,C1882,CRT-D DYNAGEN X4 IS4 DF4,77995.2,62396.16,1.0,70195.68,27
HCPCS,C1882,CRT-D GALLANT HF DF-1 79X51X12,44760.0,35808.0,1.0,40284.0,27
HCPCS,C1882,CRT-D GALLANT HF DF-4 75X51X12,44760.0,35808.0,1.0,40284.0,27
HCPCS,C1882,CRT-D GALLANT HF DF4 75X51X12,44760.0,35808.0,1.0,40284.0,27
HCPCS,C1882,CRT-D ILIVIAPROM*DISC 6329168*,70356.0,56284.8,1.0,63320.4,27
HCPCS,C1882,CRT-D INTICA PRO*DISC 6320735*,43300.8,34640.64,1.0,38970.72,27
HCPCS,C1882,CRT-D INTICA PROMRI HFT DF1,45700.8,36560.64,1.0,41130.72,27
HCPCS,C1882,CRT-D INTICA PROMRI HFT QP DF1,43300.8,34640.64,1.0,38970.72,27
HCPCS,C1882,CRT-D MOMENTUM IS1 DF1,83647.2,66917.76,1.0,75282.48,27
HCPCS,C1882,CRT-D MOMENTUM IS1 DF1 LV1,79908.0,63926.4,1.0,71917.2,27
HCPCS,C1882,CRT-D MOMENTUM IS1 DF4,84475.2,67580.16,1.0,76027.68,27
HCPCS,C1882,CRT-D QUADRA ASSURA MP MRI DF4,43383.6,34706.88,1.0,39045.24,27
HCPCS,C1882,CRT-D RESONATE X4 IS1 DF4,86548.8,69239.04,1.0,77893.92,27
HCPCS,C1882,CRT-D RESONATE X4 IS4 DF4,85771.2,68616.96,1.0,77194.08,27
HCPCS,C1882,CRT-D RIVACOR HF-T QP DF4IS4,45468.0,36374.4,1.0,40921.2,27
HCPCS,C1882,CRT-D UNIFY ASSURA DF1 COATED,39614.78,31691.83,1.0,35653.3,27
HCPCS,C1882,CRT-D UNIFY ASSURA DF4,39614.78,31691.83,1.0,35653.3,27
HCPCS,C1882,CRT-DX ACTICOR HF-T DF4 IS1,45700.8,36560.64,1.0,41130.72,27
HCPCS,C1882,CRT-DX ACTICOR HF-T QP DF4 IS4,45700.8,36560.64,1.0,41130.72,27
HCPCS,C1882,ICD INTICA D*DISC 6320733*,45700.8,36560.64,1.0,41130.72,27
HCPCS,C1883,ADAPT LEAD OSCOR BIPOLR*NLU*,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1883,ADPTR LEAD IS-1 TO 14CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1883,ADPTR LEAD IS-1/3.2 TO IS-1,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1883,ADPTR STIM M8 PREC 15CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1883,CAP LEAD END PIN IS-1,305.0,244.0,1.0,274.5,27
HCPCS,C1883,CBL EXT PERC 2.16MM MRI LEAD,1125.0,900.0,1.0,1012.5,27
HCPCS,C1883,CBL EXT PERC 4.32MM MRI LEAD,1125.0,900.0,1.0,1012.5,27
HCPCS,C1883,EXT PERC TMPR IMPLT AXON,480.0,384.0,1.0,432.0,27
HCPCS,C1883,EXTNDR LEAD BULLDOG 70CM,1348.2,1078.56,1.0,1213.38,27
HCPCS,C1883,KT LEAD ADPTR 24CM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1883,KT LEAD ADPTR 38CM*DISC*,562.5,450.0,1.0,506.25,27
HCPCS,C1883,KT LEAD ADPTR 40*DISC NO REPL*,562.5,450.0,1.0,506.25,27
HCPCS,C1883,KT Y-ADPTR EXTNDR,305.0,244.0,1.0,274.5,27
HCPCS,C1883,LEAD EXT 50CM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1883,LEAD EXT 60CM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1883,SLV CONN EP IS4/DF4,385.63,308.51,1.0,347.07,27
HCPCS,C1883,STIM EXT RESTORE MDTR 20*NLU*,2142.0,1713.6,1.0,1927.8,27
HCPCS,C1883,STIM EXT RESTORE MDTR 40CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1884,EMBOL SYS LIQ TRUFILL 1GM,11830.0,9464.0,1.0,10647.0,27
HCPCS,C1884,FLTR SPIDERFX 0.014 5MM 190CM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 0.014 6MM 190CM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 0.014 7MM 190CM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 3MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 4.0MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 5MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 6.0MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTR SPIDERFX 7MM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1884,FLTRWIRE EZ LG 3.5-5.5MMX190CM,3982.33,3185.87,1.0,3584.1,27
HCPCS,C1884,FLTRWIRE EZ LG 3.5-5.5MMX300CM,3982.33,3185.87,1.0,3584.1,27
HCPCS,C1884,GDWIRE ANGIOGUARD RX 4MMX*NLU*,3346.0,2676.8,1.0,3011.4,27
HCPCS,C1884,GDWIRE ANGIOGUARD RX 5MMX180CM,3346.0,2676.8,1.0,3011.4,27
HCPCS,C1884,GDWIRE ANGIOGUARD RX 6MMX180CM,3346.0,2676.8,1.0,3011.4,27
HCPCS,C1884,GDWIRE ANGIOGUARD RX 6MMX300CM,3346.0,2676.8,1.0,3011.4,27
HCPCS,C1884,GDWIRE ANGIOGUARD RX 7MMX180CM,3346.0,2676.8,1.0,3011.4,27
HCPCS,C1884,GDWIRE ANGIOGUARD RX 8MMX180CM,3346.0,2676.8,1.0,3011.4,27
HCPCS,C1884,GDWIRE EPS NANOPARASOL LG7.2MM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1884,GDWIRE EPS NANOPARASOL SM5.2MM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C1884,SYS CRBL PROTECT SENTINEL,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1884,SYS TCS NEURO ENROUTE +,10397.4,8317.92,1.0,9357.66,27
HCPCS,C1885,CATH LASER AURYON 4FR 0.9MM,7797.4,6237.92,1.0,7017.66,27
HCPCS,C1885,CATH LASER AURYON 5FR 1.5MM,7797.4,6237.92,1.0,7017.66,27
HCPCS,C1885,CATH LASER AURYON 6FR 2MM,7797.4,6237.92,1.0,7017.66,27
HCPCS,C1885,CATH LASER AURYON 7FR 2.35MM,7797.4,6237.92,1.0,7017.66,27
HCPCS,C1885,CATH LASER AURYON CTD 4FR0.9MM,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1885,CATH LASER AURYON CTD 5FR1.5MM,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1885,CATH LASER AURYON CTD 6FR 2MM,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1885,CATH LASER AURYON CTD7FR2.35MM,7787.0,6229.6,1.0,7008.3,27
HCPCS,C1885,CATH LASER OTW 0.9MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1885,CATH LASER OTW TURBO-ELITE 1.7,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1885,CATH LASER RX 1.4MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1885,CATH LASER RX X-80 0.9MM,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1885,CATH LASER X-80*DISC 6321963*,7280.0,5824.0,1.0,6552.0,27
HCPCS,C1885,DEL SYS TORQVUE 7FR 45/80,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1886,CATH BARRX 60 RFA FOCAL ABL,4880.4,3904.32,1.0,4392.36,27
HCPCS,C1886,CATH BARRX 90 RFA FOCAL ABL,4880.4,3904.32,1.0,4392.36,27
HCPCS,C1886,CATH BARRX ULTLNG RFA FOCALABL,6188.0,4950.4,1.0,5569.2,27
HCPCS,C1886,CATH ENDO BARRX CH RFA,5210.8,4168.64,1.0,4689.72,27
HCPCS,C1886,PROBE ABL NEUWAVE PRS 15G 15CM,6398.0,5118.4,1.0,5758.2,27
HCPCS,C1886,PROBE ABL NEUWAVE SR 13G 25CM,6115.2,4892.16,1.0,5503.68,27
HCPCS,C1886,PROBE ERBE FIAPC 2.3X300MM,1171.8,937.44,1.0,1054.62,27
HCPCS,C1886,PROBE ERBE W FLTR 2200C,1065.54,852.44,1.0,958.99,27
HCPCS,C1886,PROBE ERBE W FLTR SIDEFIRE,1065.54,852.44,1.0,958.99,27
HCPCS,C1886,PROBE ERBE W FLTR ST FIRE,1107.0,885.6,1.0,996.3,27
HCPCS,C1886,PROBE ERBE W FLTR ST FIRE FLEX,1107.0,885.6,1.0,996.3,27
HCPCS,C1886,PROBE KT RF OSTEOCOOL DUAL15MM,10829.0,8663.2,1.0,9746.1,27
HCPCS,C1886,PROBE KT RF OSTEOCOOL SGL 15MM,8471.84,6777.48,1.0,7624.66,27
HCPCS,C1886,PROBE KT RF OSTEOCOOL SGL 20MM,8471.84,6777.48,1.0,7624.66,27
HCPCS,C1886,PROBE KT RF OSTEOCOOL SGL 7MM,8471.84,6777.48,1.0,7624.66,27
HCPCS,C1886,PROBE NEUWAVE PR XT 15G 15CM,6115.2,4892.16,1.0,5503.68,27
HCPCS,C1886,PROBE NEUWAVE PR XT 15G 20CM,6115.2,4892.16,1.0,5503.68,27
HCPCS,C1886,PROBE SPNL ABL KT DUAL,16200.0,12960.0,1.0,14580.0,27
HCPCS,C1886,PROBE SPNL ABL KT SGL,13344.0,10675.2,1.0,12009.6,27
HCPCS,C1886,STYLUS ELECSURG RHINAER+,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1886,SYS AIRW NASAL W STYLUS VIVAER,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1887,BLN ECLIPSE 2L DL 6X12,4558.4,3646.72,1.0,4102.56,27
HCPCS,C1887,BLN ECLIPSE 2L DL 6X15,4558.4,3646.72,1.0,4102.56,27
HCPCS,C1887,BLN ECLIPSE 2L DL 6X20,4558.4,3646.72,1.0,4102.56,27
HCPCS,C1887,BLN ECLIPSE 2L DL 6X7,5306.0,4244.8,1.0,4775.4,27
HCPCS,C1887,BLN ECLIPSE 2L DL 6X9,4558.4,3646.72,1.0,4102.56,27
HCPCS,C1887,CATH ACC DEL ZIPLINE 19X44X158,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH ACUITY BREAK-AWAY CS-EH S,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1887,CATH ACUITY BREAK-AWAY CS-ST,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1887,CATH ACUITY BREAK-AWAY CS-W,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1887,CATH ACUITY BREAK-AWAY IC130,877.5,702.0,1.0,789.75,27
HCPCS,C1887,CATH ADROIT IM 6FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH ADROIT JR3.5 6FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH ADROIT JR4 *DISC NO REPL*,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH ADROIT JR4 6FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH ADROIT RDC RENAL 6FR 55CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH ADROIT XB3.5 6FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH ANGI TRAILBLZR.014X150CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR.018X135CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR.018X150CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR.035X135CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR.035X150CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR0.014X90CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR0.018X90CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH ANGI TRAILBLZR0.035X90CM,748.8,599.04,1.0,673.92,27
HCPCS,C1887,CATH APOLLO ST 1.5FR 1.5X165CM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1887,CATH APOLLO ST 3.0FR 3.0X165CM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C1887,CATH ASPIR SOFIAPLUS 6FR 125CM,5588.8,4471.04,1.0,5029.92,27
HCPCS,C1887,CATH ASPIR SOFIAPLUS 6FR 131CM,5588.8,4471.04,1.0,5029.92,27
HCPCS,C1887,CATH ASPIR TENZI*DISC 6351836*,11700.0,9360.0,1.0,10530.0,27
HCPCS,C1887,CATH ATTAIN SELECTII SV LNG 90,681.75,545.4,1.0,613.58,27
HCPCS,C1887,CATH ATTAIN SELECTII SV LNG130,681.75,545.4,1.0,613.58,27
HCPCS,C1887,CATH ATTAIN SELECTII SV SHRT90,681.75,545.4,1.0,613.58,27
HCPCS,C1887,CATH ATTAINSELECT II SV 130,681.75,545.4,1.0,613.58,27
HCPCS,C1887,CATH BEACON ANG MPA.038 5FR100,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON ANG MPB.038 5FR 80,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON C1 0.038 5FR *NLU*,152.5,122.0,1.0,137.25,54
HCPCS,C1887,CATH BEACON C2 0.038 5FR 65,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON CHG-B 0.038 5FR 80,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON CHG2.5 .038 5*NLU*,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH BEACON DAV 0.035 5FR 100,149.08,119.27,1.0,134.17,27
HCPCS,C1887,CATH BEACON H1 0.038 5FR 100,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON HN5 0.038 5FR 100,149.08,119.27,1.0,134.17,27
HCPCS,C1887,CATH BEACON JB1 0.038 5FR 100,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON JB1 0.038 5FR 65,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON KMP 0.035 5FR 40,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON KMP 0.038 5FR 100,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON KMP 0.038 5FR 40,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON KMP 0.038 5FR 65,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON MIK 0.038 5FR 80,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON MPA 0.038 5FR 65,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON MPA 0.038 5FR 80,149.08,119.27,1.0,134.17,27
HCPCS,C1887,CATH BEACON RC1 0.035 5FR 65,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON RC2 0.038 5FR*NLU*,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH BEACON SIM1 0.038 5FR 65,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON SIM2 0.038 5FR 100,149.08,119.27,1.0,134.17,27
HCPCS,C1887,CATH BEACON SIM2 5FR 125CM,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON VANC4 0.035 5FR125,374.74,299.8,1.0,337.27,27
HCPCS,C1887,CATH BEACON VANC5 0.035 5FR 65,203.74,163.0,1.0,183.37,27
HCPCS,C1887,CATH BEACON VERT 0.038 5FR 125,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEACON VS 0.038 5FR 80,166.53,133.23,1.0,149.88,27
HCPCS,C1887,CATH BEBACK 0.018 4FR 120CM,6997.2,5597.76,1.0,6297.48,27
HCPCS,C1887,CATH BERN 0.035 4FR 110CM,311.04,248.84,1.0,279.94,27
HCPCS,C1887,CATH BERN 0.035 5FR 130CM,517.5,414.0,1.0,465.75,27
HCPCS,C1887,CATH BERN BRD 0.035 5FR 100CM,165.92,132.74,1.0,149.33,27
HCPCS,C1887,CATH BMX96 SIM ST 6FR 90X125CM,3056.0,2444.8,1.0,2750.4,27
HCPCS,C1887,CATH COBRA2 HT 0.038 5FR 65CM,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH CONVEY JL3.*DISC NO REPL*,305.0,244.0,1.0,274.5,27
HCPCS,C1887,CATH CONVEY JL3.5 6FR 100CM,305.0,244.0,1.0,274.5,27
HCPCS,C1887,CATH CORO SINUS BLN VENOGRAPHY,397.71,318.17,1.0,357.94,27
HCPCS,C1887,CATH CTRL RUBICON SHAL 5FR 135,1102.5,882.0,1.0,992.25,27
HCPCS,C1887,CATH CTRL RUBICON SHAL 5FR 65,1102.5,882.0,1.0,992.25,27
HCPCS,C1887,CATH CTRL RUBICON ST TIP4FR150,1102.5,882.0,1.0,992.25,27
HCPCS,C1887,CATH CTRL RUBICON ST TIP5FR135,1102.5,882.0,1.0,992.25,27
HCPCS,C1887,CATH CTRL RUBICON STEEP 4FR150,1102.5,882.0,1.0,992.25,27
HCPCS,C1887,CATH CTRL RUBICON STEEP 5FR 90,1113.0,890.4,1.0,1001.7,27
HCPCS,C1887,CATH CTRL RUBICON STEEP 5FR135,1102.5,882.0,1.0,992.25,27
HCPCS,C1887,CATH CXI SUPP ANG 2.3 FR150CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH CXI SUPP ANG 2.6FR 135CM,913.5,730.8,1.0,822.15,27
HCPCS,C1887,CATH CXI SUPP ANG 2.6FR 150CM,913.5,730.8,1.0,822.15,27
HCPCS,C1887,CATH CXI SUPP ANG2 2.3FR 150CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH CXI SUPP DAV 4FR 135CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH CXI SUPP DAV 4FR 90CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH CXI SUPP ST 2.3FR 150CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH CXI SUPP ST 2.6FR 135CM,913.5,730.8,1.0,822.15,27
HCPCS,C1887,CATH CXI SUPP ST 2.6FR 150CM,913.5,730.8,1.0,822.15,27
HCPCS,C1887,CATH CXI SUPP ST 4FR 135CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH CXI SUPP ST 4FR 90CM,822.15,657.72,1.0,739.94,27
HCPCS,C1887,CATH DAC SOFIA 6FR 115CM,5588.8,4471.04,1.0,5029.92,27
HCPCS,C1887,CATH DAC SOFIA ST 115CM,3572.8,2858.24,1.0,3215.52,27
HCPCS,C1887,CATH DAC SOFIA ST 125CM,3572.8,2858.24,1.0,3215.52,27
HCPCS,C1887,CATH DEFLECTBL PRSHP 9FR 43CM,1680.0,1344.0,1.0,1512.0,27
HCPCS,C1887,CATH DEL C315 S10 7FR 40CM,652.5,522.0,1.0,587.25,27
HCPCS,C1887,CATH DEL C315 S5 7FR 30CM,652.5,522.0,1.0,587.25,27
HCPCS,C1887,CATH DEL CARRIER 7071 152CM,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH DEL CARRIER 7074 152CM,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH DEL CARRIER 7074 162CM,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH DEL CARRIER 8081 152CM,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH DEL CARRIER X069 162CM,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH DEL CARRIER XL 142CM,6986.0,5588.8,1.0,6287.4,27
HCPCS,C1887,CATH DEL NO SIDEHL RTSIDE 43CM,652.5,522.0,1.0,587.25,27
HCPCS,C1887,CATH DEL S4 7FR 30CM,652.5,522.0,1.0,587.25,27
HCPCS,C1887,CATH DL SASUKE 0.014 38CM,1827.0,1461.6,1.0,1644.3,27
HCPCS,C1887,CATH ENTEER REENTRYBTK 2.75X20,6426.0,5140.8,1.0,5783.4,27
HCPCS,C1887,CATH EXCEL MICRO SL10 45D150CM,3533.52,2826.82,1.0,3180.17,27
HCPCS,C1887,CATH EXCELSIOR SL10 90D*NLU*,3014.76,2411.81,1.0,2713.28,27
HCPCS,C1887,CATH EXCELSIOR SL10 C 6CM*NLU*,3014.76,2411.81,1.0,2713.28,27
HCPCS,C1887,CATH EXT TELESCP GD 6FR,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1887,CATH EXT TELESCP GD 7FR,1575.0,1260.0,1.0,1417.5,27
HCPCS,C1887,CATH FREECLIMB 70 W TENZING 7,12412.4,9929.92,1.0,11171.16,27
HCPCS,C1887,CATH GD AXIS SU 5FR 80CM*DISC*,1125.0,900.0,1.0,1012.5,27
HCPCS,C1887,CATH GD COBRA SUREFIRE 5FR65CM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1887,CATH GD COMMAND SV 3D,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV AMPLZ,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV EH,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV EXHL,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV MB2 XTR,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV MULTPRP RT,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV MULTPRP XTR,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV ST 45,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD COMMAND SV ST 50,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH GD ENVOY 6FR 100CM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1887,CATH GD ENVOY DAXB MPD 6FR90CM,2592.0,2073.6,1.0,2332.8,27
HCPCS,C1887,CATH GD ENVOY MPD 6FR 90CM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1887,CATH GD ENVOY ST 5FR 90CM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1887,CATH GD ENVOY XB MPD6FR90CM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1887,CATH GD EXT LIQ 051 6FR,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1887,CATH GD EXT LIQ 061 6FR,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1887,CATH GD EXT LIQ 071 7FR,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1887,CATH GD FUBUKI XF ST 6FR 80CM,2336.4,1869.12,1.0,2102.76,27
HCPCS,C1887,CATH GD FUBUKI XF ST 6FR 90CM,2336.4,1869.12,1.0,2102.76,27
HCPCS,C1887,CATH GD GLOBAL LG 7FR 45CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1887,CATH GD GLOBAL LG 7FR 48CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1887,CATH GD GLOBAL SM 7FR 45CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1887,CATH GD GLOBAL SM 7FR 48CM,1365.0,1092.0,1.0,1228.5,27
HCPCS,C1887,CATH GD LAUNCH 3DRC 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH 3DRC 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL.75 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL.75 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL.75 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL.75 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL.75 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL.75 SH 8FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 7FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 SH 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 SH 7FR 90,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1 SH 7FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1.5 SH 8FR 90,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL1.5 SH 8FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL2 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL2 6FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL2 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL2 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL2 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL3 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL4 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL4 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL7.5 7FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AL7.5 SH 7FR 90,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR1 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR1 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR1 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR1 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR2 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR2 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR2 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH AR2 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 5FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 7FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 7FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 8FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 SH 7FR90,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 SH 8FR90,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5 SH7FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.5SH 6FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75 5FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75 6FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75 7FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75 8FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75SH6FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75SH7FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU3.75SH8FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 7FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 SH 6FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4 SH 7FR 90,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4.5 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU4.5 7FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH EBU5 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH HSI 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH HSII 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 5FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 6FR 55CM,274.5,219.6,1.0,247.05,27
HCPCS,C1887,CATH GD LAUNCH IMA 6FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 7FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH IMA 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3.5 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3.5 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3.5 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3.5 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL3.5 SH 6FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 SH 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4 SH 8FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4.5 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL4.5 SH 6FR100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL5 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL5 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL6 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JL6 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR3.5 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR3.5 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 6FR 55CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 6FR 90CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 7FR 55CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 RT 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 SH 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 SH 7FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4 SH 8FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR4.5 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR5 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH JR5 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH LCB 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH LCB 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MAC3030 5FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MAC3030 6FR 100,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MB1 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MP1 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MP1 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MP1 7FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MP1 8FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MP2 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MRAD 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH MRAD 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH RBU3.5 6FR100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH RBU4 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH RCB 5FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD LAUNCH RCB 6FR 100CM,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD MACH1 MP2 7FR 90CM,540.0,432.0,1.0,486.0,27
HCPCS,C1887,CATH GD MACH1 MP2 8FR 90CM,540.0,432.0,1.0,486.0,27
HCPCS,C1887,CATH GD MACH1 RDC 7FR 55CM,540.0,432.0,1.0,486.0,27
HCPCS,C1887,CATH GD MACH1 VL3.0 6FR 100CM,305.0,244.0,1.0,274.5,27
HCPCS,C1887,CATH GD MACH1 VL3.5 6FR 100CM,305.0,244.0,1.0,274.5,27
HCPCS,C1887,CATH GD OTW VENTURE 6FR140CM,2646.0,2116.8,1.0,2381.4,27
HCPCS,C1887,CATH GD SHERPA NX EBU4.5 6FR,250.1,200.08,1.0,225.09,27
HCPCS,C1887,CATH GD SIM1 SUR*DISC NO REPL*,1125.0,900.0,1.0,1012.5,27
HCPCS,C1887,CATH GD ZOOM 88 RDL 6FR-8FR103,8307.0,6645.6,1.0,7476.3,27
HCPCS,C1887,CATH GD ZOOM 88 SUPP 8FR 110CM,8307.0,6645.6,1.0,7476.3,27
HCPCS,C1887,CATH GLIDE ANG 4FR 100CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE ANG 4FR 120CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE ANG 4FR 65CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE ANG 5FR 100CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE C1 5FR 65CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE MANI 5FR 100CM*NLU*,287.17,229.74,1.0,258.45,27
HCPCS,C1887,CATH GLIDE SIM1 5FR 100CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE SIM2 5FR 100CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GLIDE SIM3 5FR 100CM,305.1,244.08,1.0,274.59,27
HCPCS,C1887,CATH GPC PIGT 6.7FR 100CM,158.6,126.88,1.0,142.74,27
HCPCS,C1887,CATH GUIDELINER COAST 5.5FR,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1887,CATH GUIDELINER COAST 6FR,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1887,CATH GUIDELINER COAST 7FR,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1887,CATH GUIDELINER COAST 8FR,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1887,CATH GUIDELINER V3 COAST 6FR,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1887,CATH GUIDELINER V3 COAST 7FR,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1887,CATH GUIDELINER V3 COAST 8FR,1617.0,1293.6,1.0,1455.3,27
HCPCS,C1887,CATH HIGHTORQUE 0.035 5FR65CM,233.02,186.42,1.0,209.72,27
HCPCS,C1887,CATH HIPOINT 88 W TENZING 8,14868.0,11894.4,1.0,13381.2,27
HCPCS,C1887,CATH IMPRESS A1 5FR 65CM,73.2,58.56,1.0,65.88,27
HCPCS,C1887,CATH IMPRESS BERN 5FR 125CM,73.2,58.56,1.0,65.88,27
HCPCS,C1887,CATH IMPRESS KA2 5FR 40CM,237.9,190.32,1.0,214.11,27
HCPCS,C1887,CATH IMPRESS MHK1 0.035 8*NLU*,73.2,58.56,1.0,65.88,27
HCPCS,C1887,CATH IMPRESS UAC 5FR 90CM,73.2,58.56,1.0,65.88,27
HCPCS,C1887,CATH IMPRESS VERT 5FR 125CM,73.2,58.56,1.0,65.88,27
HCPCS,C1887,CATH INFUS CRAGG 5FR 65/5CM,376.32,301.06,1.0,338.69,27
HCPCS,C1887,CATH KT BRDWAY8 132/156/100/11,12960.0,10368.0,1.0,11664.0,27
HCPCS,C1887,CATH KT BRDWAY8 132/156/105/11,15600.0,12480.0,1.0,14040.0,27
HCPCS,C1887,CATH KUMPE 0.038 5FR 100CM,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH KUMPE 0.038 5FR 40CM,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH KUMPE 0.038 5FR 65CM,311.04,248.84,1.0,279.94,27
HCPCS,C1887,CATH LANGSTON DL 145D 110CM,590.4,472.32,1.0,531.36,27
HCPCS,C1887,CATH LFT VNTRCL SUMP VENT 18FR,371.09,296.88,1.0,333.98,27
HCPCS,C1887,CATH MARINER ST 0.038 4FR*NLU*,90.28,72.23,1.0,81.25,27
HCPCS,C1887,CATH MICRO CANTANA 2.8FR 135CM,1757.24,1405.8,1.0,1581.52,27
HCPCS,C1887,CATH MICRO CANTANA 2.8FR 150CM,1757.28,1405.83,1.0,1581.55,27
HCPCS,C1887,CATH MICRO CANTATA 2.8FR 100CM,1757.28,1405.83,1.0,1581.55,27
HCPCS,C1887,CATH MICRO ECHELON 10 45D150CM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1887,CATH MICRO ECHELON 10 90D150CM,1814.4,1451.52,1.0,1632.96,27
HCPCS,C1887,CATH MICRO ECHELON 10 ST 150CM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1887,CATH MICRO FINECROSS M3 130CM,2097.0,1677.6,1.0,1887.3,27
HCPCS,C1887,CATH MICRO FINECROSS M3 150CM,2097.0,1677.6,1.0,1887.3,27
HCPCS,C1887,CATH MICRO HEADWAY DUO 156CM,2580.0,2064.0,1.0,2322.0,27
HCPCS,C1887,CATH MICRO HEADWAY DUO 167CM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1887,CATH MICRO HEADWAY17 ADV 45D,2433.6,1946.88,1.0,2190.24,27
HCPCS,C1887,CATH MICRO HEADWAY17 ADV ST,2513.16,2010.53,1.0,2261.84,27
HCPCS,C1887,CATH MICRO HEADWAY21 ST 156CM,3072.0,2457.6,1.0,2764.8,27
HCPCS,C1887,CATH MICRO HEADWAY27 ST 150CM,3136.0,2508.8,1.0,2822.4,27
HCPCS,C1887,CATH MICRO MAMBA FLEX 150CM,3626.0,2900.8,1.0,3263.4,27
HCPCS,C1887,CATH MICRO MARKSMAN 135CM,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1887,CATH MICRO MARKSMAN 160CM,3024.0,2419.2,1.0,2721.6,27
HCPCS,C1887,CATH MICRO PGPRO 2.8FR 140CM,1888.2,1510.56,1.0,1699.38,27
HCPCS,C1887,CATH MICRO PLATO 17 ST 160CM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1887,CATH MICRO PNOVUS 0.001 160CM,3184.0,2547.2,1.0,2865.6,27
HCPCS,C1887,CATH MICRO PNOVUS 0.017 150CM,3184.0,2547.2,1.0,2865.6,27
HCPCS,C1887,CATH MICRO PROWLER ST 2.3FR170,3010.0,2408.0,1.0,2709.0,27
HCPCS,C1887,CATH MICRO RX IMD 5FR 15CM,1764.0,1411.2,1.0,1587.6,27
HCPCS,C1887,CATH MICRO RX SHAPEIT 5FR150CM,1890.0,1512.0,1.0,1701.0,27
HCPCS,C1887,CATH MICRO VIA 21 2.8FR 154CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1887,CATH MICRO VIA 27 3.2FR 154CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1887,CATH MICRO VIA 33 3.8FR 133CM,3906.0,3124.8,1.0,3515.4,27
HCPCS,C1887,CATH MICROGUIDE *DISC 6339489*,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1887,CATH MICROGUIDE *DISC 6339490*,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1887,CATH MPA SOFTVU 0.038 4FR 100,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH MPA1 SUP TORQUE5.2FR*NLU*,205.88,164.71,1.0,185.29,27
HCPCS,C1887,CATH NAVICROSS ANG 0.035 200CM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1887,CATH NAVICROSS ST 0.035 90CM,1028.25,822.6,1.0,925.43,27
HCPCS,C1887,CATH NAVIEN MULTPRP 6FR 115CM,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1887,CATH NAVIEN ST 5FR 105CM*NLU*,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1887,CATH NAVIEN ST 5FR 115CM,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1887,CATH NAVIEN ST 5FR 125CM,2867.2,2293.76,1.0,2580.48,27
HCPCS,C1887,CATH NAVIEN ST 6FR 115CM,1929.6,1543.68,1.0,1736.64,27
HCPCS,C1887,CATH NEURON 0.053 6FR 105/6CM,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1887,CATH NEURON BER 0.035 5FR130CM,562.5,450.0,1.0,506.25,27
HCPCS,C1887,CATH NEURON BER 0.035 6FR125CM,562.5,450.0,1.0,506.25,27
HCPCS,C1887,CATH NEURON MP 0.070 6FR 105CM,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1887,CATH NEURON MP 0.070 6FR 95CM,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1887,CATH NEURON MP0.053 6FR105/6CM,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1887,CATH NEURON SIM 0.035 6FR125CM,562.5,450.0,1.0,506.25,27
HCPCS,C1887,CATH NEURON SIM-V 0.035 6FR125,562.5,450.0,1.0,506.25,27
HCPCS,C1887,CATH NEURON ST 0.070 6FR 105CM,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1887,CATH NEURON ST 0.070 6FR 95CM,2358.0,1886.4,1.0,2122.2,27
HCPCS,C1887,CATH OMNIFLUSH 0.038 5FR 90CM,153.11,122.49,1.0,137.8,27
HCPCS,C1887,CATH OPTITORQ JACKY3.5 5FR 100,244.0,195.2,1.0,219.6,27
HCPCS,C1887,CATH OPTITORQ JACKY3.5 6FR 100,244.0,195.2,1.0,219.6,27
HCPCS,C1887,CATH OPTITORQ TIG4.0 5FR 100,244.0,195.2,1.0,219.6,27
HCPCS,C1887,CATH OPTITORQ TIG4.0 6FR 100,244.0,195.2,1.0,219.6,27
HCPCS,C1887,CATH PERFORMA PRC 5FR 100CM,57.4,45.92,1.0,51.66,27
HCPCS,C1887,CATH PHENOM 021 160CM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1887,CATH PHENOM 027 160CM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1887,CATH PHENOM 27 160CM,3040.0,2432.0,1.0,2736.0,27
HCPCS,C1887,CATH PROGREAT ST 2.4FR 130CM,1470.0,1176.0,1.0,1323.0,27
HCPCS,C1887,CATH PROGREAT ST 2.4FR 150CM,1467.9,1174.32,1.0,1321.11,27
HCPCS,C1887,CATH PROWLERSELCT+ 45 5X150CM,3138.8,2511.04,1.0,2824.92,27
HCPCS,C1887,CATH QUICKCROSS .035 65CM,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH QUICKCROSS 0.014 135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH QUICKCROSS 0.014 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH QUICKCROSS 0.018 135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH QUICKCROSS 0.035 135CM,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH QUICKCROSS 0.035 150CM,720.0,576.0,1.0,648.0,27
HCPCS,C1887,CATH QUICKCROSS ANG 0.035 90CM,810.0,648.0,1.0,729.0,27
HCPCS,C1887,CATH QUICKCROSS ANG0.018 135CM,810.0,648.0,1.0,729.0,27
HCPCS,C1887,CATH QUICKCROSS ANG0.035 135CM,810.0,648.0,1.0,729.0,27
HCPCS,C1887,CATH RAD ACC ARMADILLO 7FR95CM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1887,CATH RAD ACC ARMADILLO7FR105CM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1887,CATH RENEGADE SYS 10X135CM,2624.0,2099.2,1.0,2361.6,27
HCPCS,C1887,CATH RENEGADE SYS 10X150CM,2624.0,2099.2,1.0,2361.6,27
HCPCS,C1887,CATH RENEGADE SYS 20X135CM,2624.0,2099.2,1.0,2361.6,27
HCPCS,C1887,CATH RENEGADE SYS 20X150CM,2624.0,2099.2,1.0,2361.6,27
HCPCS,C1887,CATH REPERFUSION 5MAX 6FR132CM,6692.0,5353.6,1.0,6022.8,27
HCPCS,C1887,CATH REPERFUSION KTRED62 138CM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1887,CATH REPERFUSION KTRED68 132CM,7150.0,5720.0,1.0,6435.0,27
HCPCS,C1887,CATH REPERFUSION KTRED72 132CM,7371.0,5896.8,1.0,6633.9,27
HCPCS,C1887,CATH REPERFUSION RED72 132CM,6692.0,5353.6,1.0,6022.8,27
HCPCS,C1887,CATH REPERFUSION*DISC 6340726*,10907.0,8725.6,1.0,9816.3,27
HCPCS,C1887,CATH REPERFUSION0.035 4FR157CM,4368.0,3494.4,1.0,3931.2,27
HCPCS,C1887,CATH REPERFUSION0.041 4FR143CM,4368.0,3494.4,1.0,3931.2,27
HCPCS,C1887,CATH SFTVU SIDEWINDER1 5FR65CM,247.66,198.13,1.0,222.89,27
HCPCS,C1887,CATH SIDEWINDER2 BRD 5FR 100CM,275.4,220.32,1.0,247.86,27
HCPCS,C1887,CATH SIZING 20CM ST 5FR 70CM,611.1,488.88,1.0,549.99,27
HCPCS,C1887,CATH SLIP-CATH SIM2 5FR 120CM,312.12,249.7,1.0,280.91,27
HCPCS,C1887,CATH SLIP-CATH VS 0.038 5FR 80,312.12,249.7,1.0,280.91,27
HCPCS,C1887,CATH SOFT VU PIGTAIL 6FRX100CM,165.92,132.74,1.0,149.33,27
HCPCS,C1887,CATH SOFTVU C2 0.038 5FR 90,165.92,132.74,1.0,149.33,27
HCPCS,C1887,CATH SOFTVU KUMPE 0.038 5FR 65,152.5,122.0,1.0,137.25,27
HCPCS,C1887,CATH SOFTVU NAVIGATE 5FR 65CM,97.6,78.08,1.0,87.84,27
HCPCS,C1887,CATH SOFTVU SW1 0.038 5FR 65,247.66,198.13,1.0,222.89,27
HCPCS,C1887,CATH SOFTVU SW2 0.038 5FR 100,165.92,132.74,1.0,149.33,27
HCPCS,C1887,CATH SUPERCROSS *DISC 6291695*,1839.6,1471.68,1.0,1655.64,27
HCPCS,C1887,CATH SUPERCROSS COIL 120D130CM,1825.2,1460.16,1.0,1642.68,27
HCPCS,C1887,CATH SUPERCROSS COIL 45D 150CM,1825.2,1460.16,1.0,1642.68,27
HCPCS,C1887,CATH SUPERCROSS COIL 90D 130CM,1825.2,1460.16,1.0,1642.68,27
HCPCS,C1887,CATH SUPERCROSS COIL 90D 150CM,1825.2,1460.16,1.0,1642.68,27
HCPCS,C1887,CATH SUPP SOFIA EX 5FR 105CM,4379.2,3503.36,1.0,3941.28,27
HCPCS,C1887,CATH SUPP SOFIA EX 5FR 115CM,4379.2,3503.36,1.0,3941.28,27
HCPCS,C1887,CATH SYS TENZING 7 HIPOINT 70,13116.0,10492.8,1.0,11804.4,27
HCPCS,C1887,CATH TEMPO VERT 5FR 100CM,91.2,72.96,1.0,82.08,27
HCPCS,C1887,CATH TORNUS ASIN 2.6FR 135CM,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1887,CATH TRAILBLAZER 0.014 150CM,573.3,458.64,1.0,515.97,27
HCPCS,C1887,CATH TRAILBLAZER 0.018 150CM,573.3,458.64,1.0,515.97,27
HCPCS,C1887,CATH TRAILBLAZER 0.018 90CM,573.3,458.64,1.0,515.97,27
HCPCS,C1887,CATH TRAILBLAZER 0.035 135CM,573.3,458.64,1.0,515.97,27
HCPCS,C1887,CATH TRAILBLAZER 0.035 65CM,573.3,458.64,1.0,515.97,27
HCPCS,C1887,CATH TRAILBLAZER 0.035 90CM,573.3,458.64,1.0,515.97,27
HCPCS,C1887,CATH ULT TO5FR65*DISC 6338550*,247.66,198.13,1.0,222.89,27
HCPCS,C1887,CATH VELOCITY ST 160CM,2926.0,2340.8,1.0,2633.4,27
HCPCS,C1887,CATH VI5FR 100CM*DISC NO REPL*,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VIPERCATH XC ST 5FR 200CM,900.0,720.0,1.0,810.0,27
HCPCS,C1887,CATH VISTA AR1 SH 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA CBL 6FR 90CM*NLU*,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA HS 8FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA IG RDC I 7FR 55CM,456.0,364.8,1.0,410.4,27
HCPCS,C1887,CATH VISTA IG RDC I 8FR 55CM,456.0,364.8,1.0,410.4,27
HCPCS,C1887,CATH VISTA IG RDC II 7FR 55CM,456.0,364.8,1.0,410.4,27
HCPCS,C1887,CATH VISTA IM 6FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA IM 7FR 90CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA JL3.5 5FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA JR4 5FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA MPA IG 8FR 55CM,456.0,364.8,1.0,410.4,27
HCPCS,C1887,CATH VISTA MPA1 6FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA MPA1 6FR 90CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA RDC 7FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA RDC II 8FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA RDC1 6FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA ST 6FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA ST 6FR 90CM,351.0,280.8,1.0,315.9,27
HCPCS,C1887,CATH VISTA XB3 LBT 5FR 10CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA XB3.5 6FR 125CM,324.0,259.2,1.0,291.6,27
HCPCS,C1887,CATH VISTA XBLAD3.5 6FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CATH VISTA XBLAD4 7FR 100CM,292.8,234.24,1.0,263.52,27
HCPCS,C1887,CNTRLR GDWIRE DIST ACC SPINR-5,1113.0,890.4,1.0,1001.7,27
HCPCS,C1887,COIL INTRLK35 2D HEL 12MMX40CM,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1887,GD CATH LAUNCH AL.75 6FR *NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH AL1 6FR 90*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH AL2 7FR 90*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH EBU3.5 6FR*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH EBU3.75 8F*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH EBU4 6FR 9*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH JL4 6FR 90*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH JL4 7FR 90*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH JR3.5 6FR *NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH JR3.5 7FR *NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH JR3.5 8FR *NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH JR4 7FR 90*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH MAC3 6FR 1*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH PAL1 6FR 1*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH PAPA 5FR 1*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH SL4 6FR 10*NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH LAUNCH SL4.5 6FR *NLU*,250.1,200.08,1.0,225.09,27
HCPCS,C1887,GD CATH MACHA RDC 8FR 55CM,499.5,399.6,1.0,449.55,27
HCPCS,C1887,GD CATH RAD 5TIP 5FR 100C*NLU*,324.0,259.2,1.0,291.6,27
HCPCS,C1887,GD CATH RELIEVA FLEX F-70*NLU*,1554.0,1243.2,1.0,1398.6,27
HCPCS,C1887,GD CATH RELIEVA FLEX M-110,1554.0,1243.2,1.0,1398.6,27
HCPCS,C1887,GD CATH RELIEVA FLEX S-0,1585.08,1268.07,1.0,1426.57,27
HCPCS,C1887,GD CATH RENAL DBLCURV1 7F*NLU*,351.0,280.8,1.0,315.9,27
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 40X39,1080.0,864.0,1.0,972.0,27
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 40X42,1080.0,864.0,1.0,972.0,27
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 55X39,1080.0,864.0,1.0,972.0,27
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 55X42,1080.0,864.0,1.0,972.0,27
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 65X39,1080.0,864.0,1.0,972.0,27
HCPCS,C1887,GD CATH SELECTRA 3D 7FR 65X42,1080.0,864.0,1.0,972.0,27
HCPCS,C1887,GDWIRE FUBUKI LNG ST 5FR 90CM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1887,GDWIRE FUBUKI LNG ST 6FR 90CM,1239.0,991.2,1.0,1115.1,27
HCPCS,C1887,INTR SET TRIFORCE CURV 4FR 100,1518.26,1214.61,1.0,1366.43,27
HCPCS,C1887,MICROCATH CORSAIR PRO XS 135CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH CORSAIR PRO XS 150CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH DL NHANCERRX5FR135CM,2448.0,1958.4,1.0,2203.2,27
HCPCS,C1887,MICROCATH LANTERN 45D TIP115CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN 45D TIP135CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN 45D TIP150CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN 45D TIP160CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN 90D TIP115CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN 90D TIP150CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN ST TIP 115CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN ST TIP 135CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH LANTERN ST TIP 150CM,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1887,MICROCATH SUBLIME ST.035 200CM,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1887,MICROCATH SUBLIMEANG.035 200CM,1596.0,1276.8,1.0,1436.4,27
HCPCS,C1887,MICROCATH TELEPORT 2.1FR 135CM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1887,MICROCATH TELEPORT 2FR 150CM,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1887,MICROCATH TELEPORT CTRL 2.1FR,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1887,MICROCATH TRUSELECT BERN 105CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH TRUSELECT BERN 130CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH TRUSELECT BERN 155CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH TRUSELECT BERN 175CM,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1887,MICROCATH TRUSELECT ST 105CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH TRUSELECT ST 155CM,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,MICROCATH WEDGE XL DEL ST 160,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1887,NDLE BX LIVER ACC 19G 60CM,1614.86,1291.89,1.0,1453.37,27
HCPCS,C1887,NDLE BX SET LIVER ACC 18G 60CM,1858.46,1486.77,1.0,1672.61,27
HCPCS,C1887,NDLE BX SET LIVER ACC 19G 60CM,1843.76,1475.01,1.0,1659.38,27
HCPCS,C1887,SET ACCESS RING TRANSJGLR 16FR,1835.96,1468.77,1.0,1652.36,27
HCPCS,C1887,SET ACCESS ROSCH TRANSJGLR10FR,1889.96,1511.97,1.0,1700.96,27
HCPCS,C1887,SHEALTH BASE 8FR*DISC 6347910*,2720.0,2176.0,1.0,2448.0,27
HCPCS,C1887,SHEATH 100/4 ST LNG 6FR 100CM,2058.0,1646.4,1.0,1852.2,27
HCPCS,C1887,SHEATH BALLAST MEGA 0.091 90CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1887,SHEATH GD REACH 12FR 22MMX71CM,2480.0,1984.0,1.0,2232.0,27
HCPCS,C1887,SHEATH PASSPORT 6.5FR 55X73CM9,2880.0,2304.0,1.0,2592.0,27
HCPCS,C1887,SHEATH TOURGD 8.5FR 17MM 55,1885.8,1508.64,1.0,1697.22,27
HCPCS,C1887,SHEATH TWIST 8.5FR 90X108CMX17,3360.0,2688.0,1.0,3024.0,27
HCPCS,C1887,SHEATH VASC ACC ELEMENT 33CM,3072.0,2457.6,1.0,2764.8,27
HCPCS,C1887,SHEATH VERSACROSS D0 MD 7*CIP*,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1888,CATH ABL BIDIR IRG CURV D-F,5980.8,4784.64,1.0,5382.72,27
HCPCS,C1888,CATH RFA CLSRF7F*DISC 6340062*,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1888,CATH RFA CLSRFAST 6FR 8X100CM,2756.32,2205.06,1.0,2480.69,27
HCPCS,C1888,CATH RFA CLSRFAST 6FR 8X60CM,2756.32,2205.06,1.0,2480.69,27
HCPCS,C1888,CATH RFA CLSRFAST 7FR 3X60CM,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1888,CATH RFACLSRFAST*DISC 6338428*,2576.0,2060.8,1.0,2318.4,27
HCPCS,C1888,LASER ABL FRS 0.035 21G 65CM,1327.2,1061.76,1.0,1194.48,27
HCPCS,C1888,SYS CLSR VARICOSE VENASEAL,4186.0,3348.8,1.0,3767.4,27
HCPCS,C1889,CAGE 3D PRNT LORD 15D 16X14X7,6020.0,4816.0,1.0,5418.0,27
HCPCS,C1889,CAGE CERV DIVERGENCE 5X15X12MM,6788.6,5430.88,1.0,6109.74,27
HCPCS,C1889,CATH ABL RF HABIB BIPOLR8FR180,4466.0,3572.8,1.0,4019.4,27
HCPCS,C1889,CATH PROBE GLD 10FR 300CM,720.0,576.0,1.0,648.0,27
HCPCS,C1889,CATH PROBE GLD 7FR 300CM,720.0,576.0,1.0,648.0,27
HCPCS,C1889,CATH PROBE GLD 7FR 350CM,702.0,561.6,1.0,631.8,27
HCPCS,C1889,CATH VASC ACC EL*DISC NO REPL*,21480.0,17184.0,1.0,19332.0,27
HCPCS,C1889,CERV DISK MOBI-C H5 13X15MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CERV DISK MOBI-C H5 15X15MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CERV DISK MOBI-C H5 15X17MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CERV DISK MOBI-C H5 17X17MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CERV DISK MOBI-C H6 13X15MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CERV DISK MOBI-C H6 15X19MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CERV DISK MOBI-C H6 17X19MM,14280.0,11424.0,1.0,12852.0,27
HCPCS,C1889,CLAMP UNIV STER SS 5.50MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1889,CLAMP UNIV STER SS 6.00MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1889,CLAMP UNIV STER SS 6.3.5MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1889,CLAMP UNIV STER TI 6.35MM,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1889,CLAMP UNIV TI STER 4.50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1889,CLAMP UNIV TI STER 4.75*DISC*,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1889,CLAMP UNIV TI STER 5.50MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1889,CLAMP UNIV TI STER 6.00MM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1889,ENDPLT SECURE-C 6D11X12MM,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1889,ENDPLT SECURE-C 6D13X14MM,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1889,ENDPLT SECURE-C 6D14X16MM,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1889,ENDPLT SECURE-C 6D15X18MM,8840.0,7072.0,1.0,7956.0,27
HCPCS,C1889,ENDPLT SECURE-C CORE 6D11X12MM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1889,ENDPLT SECURE-C CORE 6D13X14MM,11440.0,9152.0,1.0,10296.0,27
HCPCS,C1889,EXPAND MAM CPX4 8200 MD 450CC,5432.0,4345.6,1.0,4888.8,27
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 450CC,5432.0,4345.6,1.0,4888.8,27
HCPCS,C1889,EXPAND MAM CPX4 9200 MD 650CC,5432.0,4345.6,1.0,4888.8,27
HCPCS,C1889,EXPAND MAM HIPRO SMTH 600CC,5824.0,4659.2,1.0,5241.6,27
HCPCS,C1889,EXPAND MAM MENT HP 375CC,6314.0,5051.2,1.0,5682.6,27
HCPCS,C1889,EXPAND MAM MENT HP 600CC,6314.0,5051.2,1.0,5682.6,27
HCPCS,C1889,EXPAND MAM MENT ULT HP 475CC,6314.0,5051.2,1.0,5682.6,27
HCPCS,C1889,EXPAND MAM MENT ULT HP 850CC,6314.0,5051.2,1.0,5682.6,27
HCPCS,C1889,EXPAND MAM SMTH FULL 480-575CC,3626.0,2900.8,1.0,3263.4,27
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 300CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 400CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 500CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 600CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 750CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ FULL 850CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ MODER250CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ MODER300CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ MODER400CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ MODER500CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ MODER600CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ MODER700CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 200CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 250CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 300CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 375CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM VAR PROJ SHRT 450CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 350CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 450CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 550CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 650CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ FULL 800CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ MODER300CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ MODER400CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ MODER500CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ MODER600CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ MODER700CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ MODER850CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 250CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 350CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 400CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 500CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 650CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAM XTR PROJ SHRT 800CC,3780.0,3024.0,1.0,3402.0,27
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID225-250,5110.0,4088.0,1.0,4599.0,27
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID460-530,5110.0,4088.0,1.0,4599.0,27
HCPCS,C1889,EXPAND MAMALLOX2SMTHMID580-690,4732.0,3785.6,1.0,4258.8,27
HCPCS,C1889,EXPAND MAMALLOX2TXTFULL360-430,5110.0,4088.0,1.0,4599.0,27
HCPCS,C1889,EXPAND TISS EXT DERMACLOSE,3196.8,2557.44,1.0,2877.12,27
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL270-300,5110.0,4088.0,1.0,4599.0,27
HCPCS,C1889,EXPANDMAMALLOX2SMTHFULL600-720,5110.0,4088.0,1.0,4599.0,27
HCPCS,C1889,GRAFT NASAL LATERA 20MM,5591.6,4473.28,1.0,5032.44,27
HCPCS,C1889,GRAFT NASAL LATERA 24MM,5591.6,4473.28,1.0,5032.44,27
HCPCS,C1889,IMPLT NASAL LAT*DISC NO REPLC*,3272.0,2617.6,1.0,3024.0,54
HCPCS,C1889,KT GRAFT NASAL*DISC 6319659*,6706.0,5364.8,1.0,6035.4,27
HCPCS,C1889,MESH ENV NEURO ABSORB TYRX LG,2864.0,2291.2,1.0,2577.6,27
HCPCS,C1889,MESH ENV NEURO ABSORB TYRX MD,2864.0,2291.2,1.0,2577.6,27
HCPCS,C1889,PRCD NEURO KT MILD VERTOS DISP,8613.8,6891.04,1.0,7752.42,27
HCPCS,C1889,ROD HUNTER TENDON PASSIVE 6X25,4885.44,3908.36,1.0,4396.9,27
HCPCS,C1889,ROD HUNTER TENDON PASSIVE4X250,4885.44,3908.36,1.0,4396.9,27
HCPCS,C1889,ROD HUNTER TENDON STD 3X245,5185.04,4148.04,1.0,4666.54,27
HCPCS,C1889,ROD HUNTER TENDON STD 4X245,5185.04,4148.04,1.0,4666.54,27
HCPCS,C1889,ROD HUNTER TENDON STD 5X24.5,5185.04,4148.04,1.0,4666.54,27
HCPCS,C1889,SHLDR SPACER HUMR HD REMEDY LG,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1889,SHLDR SPACER HUMR HD REMEDY MD,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1889,SHLDR SPACER HUMR STEMREMEDYLG,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1889,SHLDR SPACER HUMR STEMREMEDYMD,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1889,SHLDR SPACER HUMR STEMREMEDYSM,7020.0,5616.0,1.0,6318.0,27
HCPCS,C1889,SHLDR SPACER INSPACE LG,18000.0,14400.0,1.0,16200.0,27
HCPCS,C1889,SHLDR SPACER INSPACE MD,18000.0,14400.0,1.0,16200.0,27
HCPCS,C1889,SHLDR SPACER INSPACE SM,18000.0,14400.0,1.0,16200.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER11X12X7,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER11X12X8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER11X12X9,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER13X14X7,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER13X14X8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER13X14X9,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER14X16X7,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER14X16X8,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL CORE SECURE-C STER14X16X9,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1889,SPNL DISC C VIVO LG DEEP 5MM,10400.0,8320.0,1.0,9360.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 4MMSZ2,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 5MMSZ1,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 5MMSZ2,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 5MMSZ3,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 6MMSZ1,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 6MMSZ2,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY 6MMSZ3,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY LG 5MM,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY SM 6MM,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERV SIMPLIFY SZ1 4M,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D5MMSZ2,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D5MMSZ3,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D6MMSZ2,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SPNL DISC CERVSIMPLIFY5D6MMSZ3,13920.0,11136.0,1.0,12528.0,27
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 13,16585.9,13268.72,1.0,14927.31,27
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 14,16585.9,13268.72,1.0,14927.31,27
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 15,16585.9,13268.72,1.0,14927.31,27
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 16,16585.9,13268.72,1.0,14927.31,27
HCPCS,C1889,SYS LINX REFLUX 1.5T CLASP 17,16585.9,13268.72,1.0,14927.31,27
HCPCS,C1889,TADV KT LIMFLOW,60000.0,48000.0,1.0,54000.0,27
HCPCS,C1889,URTHRL UROLIFT 2 CARTRDG HNDL,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1891,"Infusion pump,non-prog, perm",,,1.0,1.0,2
HCPCS,C1892,CATH ATTAIN SELECT II SV 90,681.75,545.4,1.0,613.58,27
HCPCS,C1892,GD SINUS WORLEY ADV STD9F*NLU*,1155.0,924.0,1.0,1039.5,27
HCPCS,C1892,INTR SAFESHEATH *DISC NO REPL*,198.25,158.6,1.0,178.43,27
HCPCS,C1892,INTR SAFESHEATH II 6FRX13CM,226.92,181.54,1.0,204.23,27
HCPCS,C1892,INTR SAFESHEATH II 7FRX13CM,226.92,181.54,1.0,204.23,27
HCPCS,C1892,INTR SAFESHEATH II 7FRX23CM,302.56,242.05,1.0,272.3,27
HCPCS,C1892,INTR SAFESHEATH II 8FRX13CM,302.56,242.05,1.0,272.3,27
HCPCS,C1892,INTR SAFESHEATH II 8FRX23CM,302.56,242.05,1.0,272.3,27
HCPCS,C1892,INTR SAFESHEATH II 9.5FRX13CM,226.92,181.54,1.0,204.23,27
HCPCS,C1892,INTR SAFESHEATH II 9FRX13CM,226.92,181.54,1.0,204.23,27
HCPCS,C1892,INTR SAFESHEATH IIBTRN9FRX23CM,351.0,280.8,1.0,315.9,27
HCPCS,C1892,INTR SAFESHEATH ULT LT8.5FRX13,202.52,162.02,1.0,182.27,27
HCPCS,C1892,INTR SAFESHEATHII 6FR 13C*NLU*,305.0,244.0,1.0,274.5,27
HCPCS,C1892,INTR TRANSITIONLESS 10FR,330.05,264.04,1.0,297.05,27
HCPCS,C1892,INTR TRANSITIONLESS 11FR,330.05,264.04,1.0,297.05,27
HCPCS,C1892,INTR TRANSITIONLESS 12FR,330.05,264.04,1.0,297.05,27
HCPCS,C1892,INTR TRANSITIONLESS 9FR,330.05,264.04,1.0,297.05,27
HCPCS,C1892,INTR WORLEY BRD CORE 9FR 50CM,866.25,693.0,1.0,779.63,27
HCPCS,C1892,INTR WORLEY JUMBO CURV 9FR50CM,866.25,693.0,1.0,779.63,27
HCPCS,C1892,SHEATH AXS INFINITY LS LN*NLU*,1898.1,1518.48,1.0,1708.29,54
HCPCS,C1892,SHEATH INFINITYAXS LS LNG 90CM,2028.06,1622.45,1.0,1825.25,27
HCPCS,C1892,SHEATH INFINITYAXS LS LNG*NLU*,1829.7,1463.76,1.0,1646.73,27
HCPCS,C1892,SHEATH PEELAWAY 0.038 11FR15.5,454.5,363.6,1.0,409.05,27
HCPCS,C1892,SHEATH PEELAWAY 0.038 12FR15.5,291.52,233.22,1.0,262.37,27
HCPCS,C1892,SHEATH PEELAWAY 0.038 14FR15.5,288.23,230.59,1.0,259.41,27
HCPCS,C1892,SHEATH PEELAWAY 0.038 9FR 15.5,460.8,368.64,1.0,414.72,27
HCPCS,C1892,SHEATH PEELAWAY ABBT 7FR 14CM,195.2,156.16,1.0,175.68,27
HCPCS,C1892,SHEATH PEELAWAY CODMAN 14FR,485.73,388.59,1.0,437.16,27
HCPCS,C1892,SHEATH PEELAWAY SET 10FR 15.5,454.5,363.6,1.0,409.05,27
HCPCS,C1892,SHEATH PEELAWAY SET 8FR 15.5,394.2,315.36,1.0,354.78,27
HCPCS,C1892,SHEATH PRELUDESNAP 7FR 25CM,285.48,228.39,1.0,256.93,27
HCPCS,C1892,SHEATH PRELUDESNAP 9FR 25CM,285.48,228.39,1.0,256.93,27
HCPCS,C1892,SHEATH SAFE ULT 8FR*NLU*,198.25,158.6,1.0,178.43,27
HCPCS,C1892,SHEATH VIZIGOBIDIR LGCURV8.5FR,3164.0,2531.2,1.0,2847.6,27
HCPCS,C1892,SHEATH VIZIGOBIDIR MDCURV8.5FR,3164.0,2531.2,1.0,2847.6,27
HCPCS,C1892,SHEATH VIZIGOBIDIR SMCURV8.5FR,3164.0,2531.2,1.0,2847.6,27
HCPCS,C1893,CATH BLN P1 CORODYN 6FR 80CM,275.4,220.32,1.0,247.86,27
HCPCS,C1893,DEL SYS CS LEAD SELCTRA,2340.0,1872.0,1.0,2106.0,27
HCPCS,C1893,INTR FASTCATH RAMP 8.5FR 60CM,589.5,471.6,1.0,530.55,27
HCPCS,C1893,INTR FASTCATH RAMP 8FR 60CM,666.0,532.8,1.0,599.4,27
HCPCS,C1893,INTR FASTCATH RAMP-1 8.5FR60CM,666.0,532.8,1.0,599.4,27
HCPCS,C1893,INTR TRNSPTL BRD SL1 8.5F*NLU*,661.5,529.2,1.0,595.35,27
HCPCS,C1893,INTR TRNSPTL BRD SL1 8.5FR81CM,855.0,684.0,1.0,769.5,27
HCPCS,C1893,INTR TRNSPTL LAMP90 8.5FR 63CM,715.5,572.4,1.0,643.95,27
HCPCS,C1893,INTR TRNSPTL LAMP90 8.5FR 81CM,855.0,684.0,1.0,769.5,27
HCPCS,C1893,INTR TRNSPTL SL0 10FR 63CM,1125.0,900.0,1.0,1012.5,27
HCPCS,C1893,INTR TRNSPTL SL1 8.5FR 63CM,666.0,532.8,1.0,599.4,27
HCPCS,C1893,INTR TRNSPTL SL1 8FR 81CM,760.5,608.4,1.0,684.45,27
HCPCS,C1893,INTR TRNSPTL SL2 8FR 63CM,711.0,568.8,1.0,639.9,27
HCPCS,C1893,INTR TRNSPTL SL3 8FR 63CM,666.0,532.8,1.0,599.4,27
HCPCS,C1893,INTR TRNSPTL SR0 8FR 81CM,760.5,608.4,1.0,684.45,27
HCPCS,C1893,INTR WORLEY ADV LVI HS 7F*NLU*,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1893,SHEATH TRNSPTL RFVERSACROSS45D,990.0,792.0,1.0,891.0,27
HCPCS,C1893,SHEATH VERSACROS*DISC 6345482*,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1893,SHEATH VERSACROS*DISC 6345483*,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1893,SHEATH VERSACROS*DISC 6345484*,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1893,SHEATH VERSACROSS D1 MD 72CM,2940.0,2352.0,1.0,2646.0,27
HCPCS,C1893,SHEATH VERSACROSS PIGT D0*CIP*,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1893,SHEATH VERSACROSS PIGT D1MD180,4620.0,3696.0,1.0,4158.0,27
HCPCS,C1894,ADV ROTABLATOR ROTALINK*DISC*,729.0,583.2,1.0,656.1,27
HCPCS,C1894,CATH AVEIR DEL DR 111,4900.0,3920.0,1.0,4410.0,27
HCPCS,C1894,CATH AVEIR DEL DR 201,5600.0,4480.0,1.0,5040.0,27
HCPCS,C1894,CATH AVEIR INTR 30CM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1894,CATH AVEIR INTR 50CM,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1894,CATH VISTA IG RDC II 8FR 55CM,456.0,364.8,1.0,410.4,27
HCPCS,C1894,CVC KT DL ARROWG+ARDBLU8FR11.5,675.9,540.72,1.0,608.31,27
HCPCS,C1894,DEL SYS TREVISIO 10FR 45/80,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1894,DEL SYS TREVISIO 12FR 45/80,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1894,DEL SYS TREVISIO 6FR 45/60,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1894,DEL SYS TREVISIO 7FR 45/80,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1894,DEL SYS TREVISIO 8FR 45/80,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1894,DEL SYS TREVISIO 9FR 45/80,2889.6,2311.68,1.0,2600.64,27
HCPCS,C1894,ENDOL ZENITH DIST BIF12X45X91,10537.93,8430.35,1.0,9484.14,27
HCPCS,C1894,INTR CATH COPE 6.3FR 22CM*NLU*,426.38,341.11,1.0,383.74,27
HCPCS,C1894,INTR CATH DVILL 14FR 85CM*NLU*,1075.5,860.4,1.0,967.95,27
HCPCS,C1894,INTR CHECKFLO XL 20FR 25CM,1696.8,1357.44,1.0,1527.12,27
HCPCS,C1894,INTR CHECKFLO XL 20FR 40CM,1648.21,1318.57,1.0,1483.39,27
HCPCS,C1894,INTR CHECKFLO XL 20FR 65CM,1648.21,1318.57,1.0,1483.39,27
HCPCS,C1894,INTR CHECKFLO XL 22FR 25CM,1648.21,1318.57,1.0,1483.39,27
HCPCS,C1894,INTR CLASC*DISC NO REPL*,32.94,26.36,1.0,29.65,27
HCPCS,C1894,INTR FASTCAT18G7*DISC NO REPL*,189.1,151.28,1.0,170.19,27
HCPCS,C1894,INTR FASTCATH LG*DISC 6160138*,146.4,117.12,1.0,131.76,27
HCPCS,C1894,INTR FASTCATH LG*DISC 6160511*,146.4,117.12,1.0,131.76,27
HCPCS,C1894,INTR FASTCATH LL*DISC NO REPL*,189.1,151.28,1.0,170.19,27
HCPCS,C1894,INTR FASTCATH SAFL 8.5FR 63CM,666.0,532.8,1.0,599.4,27
HCPCS,C1894,INTR FASTCATH SR0 8.5FR 63CM,666.0,532.8,1.0,599.4,27
HCPCS,C1894,INTR FASTCATH SR0 8FR 63C*NLU*,616.5,493.2,1.0,554.85,27
HCPCS,C1894,INTR FASTCATH SR2 8.5FR 63CM,666.0,532.8,1.0,599.4,27
HCPCS,C1894,INTR FASTCATH SR3 8.5FR 63CM,666.0,532.8,1.0,599.4,27
HCPCS,C1894,INTR FLEXOR CHECKFLO 8FR 45CM,393.66,314.93,1.0,354.29,27
HCPCS,C1894,INTR FLEXOR CHECKFLO ST 5FR 70,419.76,335.81,1.0,377.78,27
HCPCS,C1894,INTR FLEXOR CHECKFLO ST 5FR 90,603.72,482.98,1.0,543.35,27
HCPCS,C1894,INTR FLEXOR LG CHECKFLO 12FR40,391.88,313.51,1.0,352.69,27
HCPCS,C1894,INTR FLEXOR LG CHECKFLO 12FR80,453.12,362.5,1.0,407.81,27
HCPCS,C1894,INTR FLEXOR RAABE 5FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR RAABE 6FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR RAABE 6FR 70CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR RAABE 6FR 90CM,383.35,306.68,1.0,345.02,27
HCPCS,C1894,INTR FLEXOR RAABE 7FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR RAABE 7FR 70CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR RAABE 7FR 90CM,383.35,306.68,1.0,345.02,27
HCPCS,C1894,INTR FLEXOR RAABE 8FR 70CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR RAABE 9FR 70CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 6FR 30,306.94,245.56,1.0,276.25,27
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 6FR 45,364.5,291.6,1.0,328.05,27
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 7FR 30,342.58,274.07,1.0,308.32,27
HCPCS,C1894,INTR FLEXOR SM CHECKFLO 7FR 45,364.5,291.6,1.0,328.05,27
HCPCS,C1894,INTR KT MICRO BRTRC NIT4FR15CM,334.96,267.97,1.0,301.46,27
HCPCS,C1894,INTR MICRA SHEATH,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1894,INTR PERFORMER 0.035 6FR 13CM,201.24,161.0,1.0,181.12,27
HCPCS,C1894,INTR PERFORMER 0.038 10FR 30CM,244.24,195.4,1.0,219.82,27
HCPCS,C1894,INTR PERFORMER 0.038 11FR 70CM,444.29,355.44,1.0,399.86,27
HCPCS,C1894,INTR PERFORMER 0.038 12FR 30CM,361.92,289.54,1.0,325.73,27
HCPCS,C1894,INTR PERFORMER 0.038 14FR 13CM,273.89,219.12,1.0,246.5,27
HCPCS,C1894,INTR PERFORMER 0.038 14FR 30CM,533.52,426.82,1.0,480.17,27
HCPCS,C1894,INTR PERFORMER 0.038 14FR 45CM,698.63,558.91,1.0,628.77,27
HCPCS,C1894,INTR PERFORMER 0.038 16FR 13CM,273.89,219.12,1.0,246.5,27
HCPCS,C1894,INTR PERFORMER 0.038 16FR 30CM,530.96,424.77,1.0,477.86,27
HCPCS,C1894,INTR PERFORMER 0.038 16FR 35CM,530.96,424.77,1.0,477.86,27
HCPCS,C1894,INTR PERFORMER 0.038 18FR 13CM,273.89,219.12,1.0,246.5,27
HCPCS,C1894,INTR PERFORMER 0.038 18FR 30CM,530.96,424.77,1.0,477.86,27
HCPCS,C1894,INTR PERFORMER 0.038 18FR 40CM,535.46,428.37,1.0,481.91,27
HCPCS,C1894,INTR PERFORMER 0.038 18FR 85CM,530.96,424.77,1.0,477.86,27
HCPCS,C1894,INTR PERFORMER 0.038 8FR 30CM,182.88,146.31,1.0,164.59,27
HCPCS,C1894,INTR PERFORMER 0.038 9FR 30CM,367.15,293.72,1.0,330.44,27
HCPCS,C1894,INTR SAFESHEATH II 9FRX23CM,302.56,242.05,1.0,272.3,27
HCPCS,C1894,INTR SET MDRAIN 21G 6FR 20CM,321.84,257.48,1.0,289.66,27
HCPCS,C1894,INTR SET MDRAIN 22G 6FR 20CM,321.84,257.48,1.0,289.66,27
HCPCS,C1894,INTR SET TRIFORCE ST 4FR 100,1518.26,1214.61,1.0,1366.43,27
HCPCS,C1894,INTR SHEATH 14F*DISC NO REPL*,67.1,53.68,1.0,60.39,27
HCPCS,C1894,INTR SHEATH 4FR*DISC NO REPL*,67.1,53.68,1.0,60.39,27
HCPCS,C1894,INTR SHEATH 8FR*DISC NO REPL*,67.1,53.68,1.0,60.39,27
HCPCS,C1894,INTR SHEATH ADELANTE 8FR 13CM,372.6,298.08,1.0,335.34,27
HCPCS,C1894,INTR SHEATH ADELANTE10FR 13CM,372.6,298.08,1.0,335.34,27
HCPCS,C1894,INTR SHEATH ADELANTE10FR 23CM,379.2,303.36,1.0,341.28,27
HCPCS,C1894,INTR SHEATH ADELANTE11FR 23CM,379.2,303.36,1.0,341.28,27
HCPCS,C1894,INTR SHEATH ADELANTE12FR 13CM,372.6,298.08,1.0,335.34,27
HCPCS,C1894,INTR SHEATH PERITON XLNG *NLU*,271.08,216.87,1.0,243.97,27
HCPCS,C1894,INTR SHEATH SIGM*DISC 6193461*,34.53,27.63,1.0,31.08,27
HCPCS,C1894,INTR SHEATH TEAR AWAY 5FR 14CM,200.75,160.6,1.0,180.68,27
HCPCS,C1894,INTR ULTIMU8FR12*DISC NO REPL*,48.5,38.8,1.0,43.65,27
HCPCS,C1894,INTR VALV AIRGUARD 8FR 15CM,446.16,356.93,1.0,401.54,27
HCPCS,C1894,KT INTR PTFE PEELABLE 11F*NLU*,297.0,237.6,1.0,267.3,27
HCPCS,C1894,KT INTR SUPRAPUBIC ONESTEP18FR,375.3,300.24,1.0,337.77,27
HCPCS,C1894,KT INTRLEADINTER*DISC 6315875*,1176.0,940.8,1.0,1058.4,27
HCPCS,C1894,KT MICINTR NIT 4FR 10CM 21GX7,102.18,81.75,1.0,91.96,27
HCPCS,C1894,KT MICINTR NIT STIFF 5FR21GX40,215.7,172.56,1.0,194.13,27
HCPCS,C1894,KT MICINTR SILK 21G 7CM,895.5,716.4,1.0,805.95,27
HCPCS,C1894,KT MICINTR SS 5FR 21GX7CM,139.69,111.76,1.0,125.72,27
HCPCS,C1894,KT MICINTR SS B BEV 3.5FRX5CM,201.12,160.9,1.0,181.01,27
HCPCS,C1894,KT PERC SHEATH ARROWGAR+ 8.5FR,533.7,426.96,1.0,480.33,27
HCPCS,C1894,KT PERC SHEATHSI*DISC 6347173*,285.48,228.39,1.0,256.93,27
HCPCS,C1894,KT SHEATH INTR ARROWG PERC 8.5,378.24,302.6,1.0,340.42,27
HCPCS,C1894,NDLE TROC INTR ECHOTIP MM21G15,62.53,50.03,1.0,56.28,27
HCPCS,C1894,PICC DL POWERPIC*VAT 6325313*,726.75,581.4,1.0,654.08,27
HCPCS,C1894,PICC SL POWERPICC SV MAX *NLU*,705.6,564.48,1.0,635.04,27
HCPCS,C1894,RETRV TIP EZ BENT 150CM,383.4,306.72,1.0,345.06,27
HCPCS,C1894,SET INTR APPEL-BERCI 12FR15CM,544.5,435.6,1.0,490.05,27
HCPCS,C1894,SET INTR CHECK-FLO 10FR 40CM,391.88,313.51,1.0,352.69,27
HCPCS,C1894,SET INTR CHECK-FLO 9FR 38.5CM,412.75,330.2,1.0,371.48,27
HCPCS,C1894,SET INTR DENNY 4.5FR65CM*DISC*,345.33,276.27,1.0,310.8,27
HCPCS,C1894,SET INTR DENNY 5.5FR65C*DISC*,373.06,298.45,1.0,335.75,27
HCPCS,C1894,SET INTR DENNY 6*DISC 6324554*,373.06,298.45,1.0,335.75,27
HCPCS,C1894,SET INTR DESILETS-HOFFMAN 8FR,363.96,291.17,1.0,327.56,27
HCPCS,C1894,SET INTR GDWIRE PERFORMER 12FR,273.89,219.12,1.0,246.5,27
HCPCS,C1894,SET INTR MICRO PEDAL 2.9-4FR,276.45,221.16,1.0,248.81,27
HCPCS,C1894,SET MICPUNC ECHOGENIC PEDS4FR4,204.35,163.48,1.0,183.92,27
HCPCS,C1894,SET MICPUNC INTR PEDS NIT 4FR4,170.25,136.2,1.0,153.23,27
HCPCS,C1894,SET MICPUNC INTR PEDS SS4FR4CM,170.25,136.2,1.0,153.23,27
HCPCS,C1894,SHEATH 12FR 4.0MM 100CM,2777.6,2222.08,1.0,2499.84,27
HCPCS,C1894,SHEATH 12FR 4.0X4.8X80CM,2777.6,2222.08,1.0,2499.84,27
HCPCS,C1894,SHEATH 14FR 4.7X5.5X100CM,2777.6,2222.08,1.0,2499.84,27
HCPCS,C1894,SHEATH 14FR 4.7X5.5X80CM,2777.6,2222.08,1.0,2499.84,27
HCPCS,C1894,SHEATH 80/4 ST LNG 6FR 80CM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1894,SHEATH 90/4 ST LNG 6FR 90CM,2037.0,1629.6,1.0,1833.3,27
HCPCS,C1894,SHEATH ACUITY PRO 54CM CS*NLU*,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1894,SHEATH ACUITY PRO CS-A6 45CM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1894,SHEATH ACUITY PRO CS-EH 45CM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1894,SHEATH ACUITY PRO CS-IC 9 60CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1894,SHEATH ACUITY PRO CS-IC13 60CM,1102.5,882.0,1.0,992.25,27
HCPCS,C1894,SHEATH ACUITY PRO CS-MP 45CM,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1894,SHEATH ACUITY PRO HOOK,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1894,SHEATH ACUITY PRO WIDE*NLU*,2079.0,1663.2,1.0,1871.1,27
HCPCS,C1894,SHEATH AMPLZ OPQ*DISC 6323197*,150.3,120.24,1.0,135.27,27
HCPCS,C1894,SHEATH AMPLZER STEER 14FR,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1894,SHEATH ANSEL CHECKFLO ST4*NLU*,603.72,482.98,1.0,543.35,27
HCPCS,C1894,SHEATH ANSEL CHECKFLO ST4FR45,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL HI FLEX 7FR 70CM,419.76,335.81,1.0,377.78,27
HCPCS,C1894,SHEATH ANSEL HI FLEX MULT6FR55,368.88,295.11,1.0,331.99,27
HCPCS,C1894,SHEATH ANSEL HI FLEX ST12FR 45,368.88,295.11,1.0,331.99,27
HCPCS,C1894,SHEATH ANSEL HI FLEX ST6FR55CM,368.88,295.11,1.0,331.99,27
HCPCS,C1894,SHEATH ANSEL HI FLEX ST6FR70CM,419.76,335.81,1.0,377.78,27
HCPCS,C1894,SHEATH ANSEL HI FLEX ST8FR55CM,368.88,295.11,1.0,331.99,27
HCPCS,C1894,SHEATH ANSEL HIFLEX MULTPRP7FR,368.88,295.11,1.0,331.99,27
HCPCS,C1894,SHEATH ANSEL MULTPRP 5FR 45CM,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL MULTPRP 5FR 90CM,603.72,482.98,1.0,543.35,27
HCPCS,C1894,SHEATH ANSEL MULTPRP 6FR 45CM,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL MULTPRP SIDE*NLU*,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL MULTPRP SIDE6FR55,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL RENAL DBL5FR 45CM,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL RENAL DBL6FR 45CM,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL RENAL DBL7FR 45CM,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ANSEL RENALDBLSIDE*NLU*,393.66,314.93,1.0,354.29,27
HCPCS,C1894,SHEATH ARROWFLEX 6FR 11CM,193.37,154.7,1.0,174.03,27
HCPCS,C1894,SHEATH ARROWFLEX 6FR 24CM,401.76,321.41,1.0,361.58,27
HCPCS,C1894,SHEATH ARROWFLEX 7FR 11CM,167.14,133.72,1.0,150.43,27
HCPCS,C1894,SHEATH ARROWFLEX 8FR 24CM,368.28,294.63,1.0,331.45,27
HCPCS,C1894,SHEATH ARROWFLEX 8FR 45CM,468.0,374.4,1.0,421.2,27
HCPCS,C1894,SHEATH AVANTI 10FR 11CM,50.94,40.76,1.0,45.85,27
HCPCS,C1894,SHEATH AVANTI 5FR 11CM,50.94,40.76,1.0,45.85,27
HCPCS,C1894,SHEATH AVANTI 6FR 11CM,50.94,40.76,1.0,45.85,27
HCPCS,C1894,SHEATH AVANTI 7FR 11CM,50.94,40.76,1.0,45.85,27
HCPCS,C1894,SHEATH AVANTI 8FR 11CM,50.94,40.76,1.0,45.85,27
HCPCS,C1894,SHEATH AVANTI GDWIRE 10FR 11CM,53.5,42.8,1.0,48.15,27
HCPCS,C1894,SHEATH AVANTI+ SHRT 11FR 7.5CM,48.5,38.8,1.0,43.65,27
HCPCS,C1894,SHEATH AVANTI+ SHRT 4FR 7.5CM,133.9,107.12,1.0,120.51,27
HCPCS,C1894,SHEATH AVANTI+ SHRT 5FR 7.5CM,145.97,116.78,1.0,131.37,27
HCPCS,C1894,SHEATH AVANTI+ SHRT 6FR 7.5CM,133.9,107.12,1.0,120.51,27
HCPCS,C1894,SHEATH AVANTI+ STD 10FR 11CM,58.26,46.61,1.0,52.43,27
HCPCS,C1894,SHEATH AVANTI+ STD 10FR 23CM,145.97,116.78,1.0,131.37,27
HCPCS,C1894,SHEATH AVANTI+ STD 5.5FR 11CM,58.26,46.61,1.0,52.43,27
HCPCS,C1894,SHEATH AVANTI+ STD 5FR 11CM,58.26,46.61,1.0,52.43,27
HCPCS,C1894,SHEATH AVANTI+ STD 6.5FR 11CM,58.26,46.61,1.0,52.43,27
HCPCS,C1894,SHEATH AVANTI+ STD 7.5FR 11CM,58.26,46.61,1.0,52.43,27
HCPCS,C1894,SHEATH AVANTI+ STD 8.5FR 11CM,58.26,46.61,1.0,52.43,27
HCPCS,C1894,SHEATH AVANTI+ STD NOGDWIRE 5,52.89,42.32,1.0,47.6,27
HCPCS,C1894,SHEATH AVANTI+ STD NOGDWIRE4FR,48.5,38.8,1.0,43.65,27
HCPCS,C1894,SHEATH AVANTI+ STD NOGDWIRE6.5,48.5,38.8,1.0,43.65,27
HCPCS,C1894,SHEATH BALKIN HYDRPHL 6FR 40CM,394.04,315.24,1.0,354.64,27
HCPCS,C1894,SHEATH BALKIN HYDRPHL 7FR 40CM,394.04,315.24,1.0,354.64,27
HCPCS,C1894,SHEATH BALKIN HYDRPHL 8FR 40CM,394.04,315.24,1.0,354.64,27
HCPCS,C1894,SHEATH BRITE TIP 10FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 10FR 23CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 11FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 11FR 23CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 4FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 5FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 5FR 35CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 5FR 45CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 23CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 35CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 45CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 5.5CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 55CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 6FR 90CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 7FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 7FR 23CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 7FR 35CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 7FR 45CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 7FR 5.5CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 7FR 90CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 8FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 8FR 23CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 8FR 35CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 8FR 45CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 8FR 55CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP 9FR 11CM,118.95,95.16,1.0,107.06,27
HCPCS,C1894,SHEATH BRITE TIP 9FR 23CM,152.5,122.0,1.0,137.25,27
HCPCS,C1894,SHEATH BRITE TIP RADIANZ6FR110,1012.5,810.0,1.0,911.25,27
HCPCS,C1894,SHEATH BRITE TIP RADIANZ6FR135,1071.0,856.8,1.0,963.9,27
HCPCS,C1894,SHEATH CORO GDWIRE PNCLE10FR10,67.1,53.68,1.0,60.39,27
HCPCS,C1894,SHEATH COROWOGDWIREPNCLE10FR10,67.1,53.68,1.0,60.39,27
HCPCS,C1894,SHEATH CROSSCUT MP 7FR 90CM,580.5,464.4,1.0,522.45,27
HCPCS,C1894,SHEATH CROSSCUT RDC 5FR 45CM,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH CROSSCUT ST 6FR 65CM,528.75,423.0,1.0,475.88,27
HCPCS,C1894,SHEATH CROSSCUT ST 6FR 90CM,580.5,464.4,1.0,522.45,27
HCPCS,C1894,SHEATH CROSSCUT ST 7FR 65CM,528.75,423.0,1.0,475.88,27
HCPCS,C1894,SHEATH CROSSCUT ST 7FR 90CM,580.5,464.4,1.0,522.45,27
HCPCS,C1894,SHEATH CROSSCUT ST 8FR 45CM,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH CROSSCUT ST 8FR 65CM,528.75,423.0,1.0,475.88,27
HCPCS,C1894,SHEATH CROSSCUT ST 8FR 90CM,580.5,464.4,1.0,522.45,27
HCPCS,C1894,SHEATH CROSSCUT ST CURV5FR45CM,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343818*,2088.0,1670.4,1.0,1879.2,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343819*,2956.8,2365.44,1.0,2661.12,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343820*,3130.4,2504.32,1.0,2817.36,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343823*,2088.0,1670.4,1.0,1879.2,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343825*,3130.4,2504.32,1.0,2817.36,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343826*,2521.6,2017.28,1.0,2269.44,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343828*,2521.6,2017.28,1.0,2269.44,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343829*,3130.4,2504.32,1.0,2817.36,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343830*,2521.6,2017.28,1.0,2269.44,27
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343832*,3130.4,2504.32,1.0,2817.36,54
HCPCS,C1894,SHEATH DRYSEAL F*DISC 6343833*,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 10FR 33CM,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 12FR 33CM,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 12FR 45CM,2732.8,2186.24,1.0,2459.52,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 14FR 33CM,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 14FR3*CIP*,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 15FR 33CM,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 16FR 33CM,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 16FR 65CM,3177.6,2542.08,1.0,2859.84,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 16FR3*CIP*,1983.6,1586.88,1.0,1785.24,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 18FR 33CM,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 18FR 65CM,3177.6,2542.08,1.0,2859.84,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 18FR6*CIP*,3177.6,2542.08,1.0,2859.84,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 20FR 33CM,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 22FR *NLU*,2080.8,1664.64,1.0,1872.72,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 22FR 33CM,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 24FR 33CM,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 24FR3*CIP*,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 26FR *NLU*,2080.8,1664.64,1.0,1872.72,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 26FR 33CM,2628.0,2102.4,1.0,2365.2,27
HCPCS,C1894,SHEATH DRYSEAL FLEX 26FR 65CM,3177.6,2542.08,1.0,2859.84,27
HCPCS,C1894,SHEATH FLEXOR RAABE 9FR 55CM,351.0,280.8,1.0,315.9,27
HCPCS,C1894,SHEATH FLEXOR URETRL 14FR*NLU*,554.4,443.52,1.0,498.96,27
HCPCS,C1894,SHEATH FORTE ACC*DISC NO REPL*,461.25,369.0,1.0,415.13,27
HCPCS,C1894,SHEATH GD SHUTTLE 6FR 90CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH GD SHUTTLE 7FR 90CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH GD SHUTTLE 8FR 80CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH GD SHUTTLE 8FR 90CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH GLIDE 0.021 5FR 25CM,262.3,209.84,1.0,236.07,27
HCPCS,C1894,SHEATH GLIDE 0.021 6FR 25CM,262.3,209.84,1.0,236.07,27
HCPCS,C1894,SHEATH GLIDE 5FR 0.025 45,434.4,347.52,1.0,390.96,27
HCPCS,C1894,SHEATH GLIDE 6FR 0.021 45,434.4,347.52,1.0,390.96,27
HCPCS,C1894,SHEATH INTR FAST*DISC NO REPL*,146.4,117.12,1.0,131.76,27
HCPCS,C1894,SHEATH INTR SENTRANT 12FR 28CM,607.5,486.0,1.0,546.75,27
HCPCS,C1894,SHEATH INTR SENTRANT 14FR 28CM,810.0,648.0,1.0,729.0,27
HCPCS,C1894,SHEATH INTR SENTRANT 16FR 28CM,810.0,648.0,1.0,729.0,27
HCPCS,C1894,SHEATH INTR SENTRANT 18FR 64CM,1512.0,1209.6,1.0,1360.8,27
HCPCS,C1894,SHEATH INTR SENTRANT 20FR 28CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1894,SHEATH INTR SENTRANT 24FR 28CM,1012.5,810.0,1.0,911.25,27
HCPCS,C1894,SHEATH LIEBERMAN 6.5 FR 37,294.33,235.47,1.0,264.9,27
HCPCS,C1894,SHEATH MICRO CLSRFAST 6FR 11CM,186.05,148.84,1.0,167.45,27
HCPCS,C1894,SHEATH MICRO CLSRFAST 6FR 7CM,186.05,148.84,1.0,167.45,27
HCPCS,C1894,SHEATH MICRO CLSRFAST 7FR 11CM,167.75,134.2,1.0,150.98,27
HCPCS,C1894,SHEATH MICRO CLSRFAST 7FR 7CM,167.75,134.2,1.0,150.98,27
HCPCS,C1894,SHEATH NPHRST AMPLZ OPQ 30FR30,176.29,141.04,1.0,158.66,27
HCPCS,C1894,SHEATH PEELABLE OPTISEAL 7FR,198.25,158.6,1.0,178.43,27
HCPCS,C1894,SHEATH PEELAPART BAAS 5FR 10.5,1625.4,1300.32,1.0,1462.86,27
HCPCS,C1894,SHEATH PEELAPART BAAS 6.5FR 15,909.0,727.2,1.0,818.1,27
HCPCS,C1894,SHEATH PEELAPART BAAS 7FR 13,1625.4,1300.32,1.0,1462.86,27
HCPCS,C1894,SHEATH PEELAWAY 0.018 3.5FR 7,468.0,374.4,1.0,421.2,27
HCPCS,C1894,SHEATH PEELAWAY 0.035 5FR 13,258.7,206.96,1.0,232.83,27
HCPCS,C1894,SHEATH PEELAWAY 0.038 18FR 30,330.05,264.04,1.0,297.05,27
HCPCS,C1894,SHEATH PEELAWAY 0.038 18FR15.5,258.7,206.96,1.0,232.83,27
HCPCS,C1894,SHEATH PEELAWAY FTPR 1.9FR,256.2,204.96,1.0,230.58,27
HCPCS,C1894,SHEATH PEELAWAY TELE 5FR 7CM,213.38,170.71,1.0,192.04,27
HCPCS,C1894,SHEATH PERFORMER MTS 10FR 75CM,484.38,387.51,1.0,435.94,27
HCPCS,C1894,SHEATH PERIPH CROSSCUT ST6FR45,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH PERIPH CROSSCUT ST7FR45,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH PERIPH PNCLE 11FR 10CM,70.15,56.12,1.0,63.14,27
HCPCS,C1894,SHEATH PERIPH PNCLE 8FR 10CM,70.15,56.12,1.0,63.14,27
HCPCS,C1894,SHEATH PERIPH WGDWIRE 10FR10CM,70.15,56.12,1.0,63.14,27
HCPCS,C1894,SHEATH PERIPH WOGDWIRE10FR10CM,70.15,56.12,1.0,63.14,27
HCPCS,C1894,SHEATH PNCLE RO NO GD 4FR 10CM,176.9,141.52,1.0,159.21,27
HCPCS,C1894,SHEATH PNCLE RO NO GD 5FR 10CM,176.9,141.52,1.0,159.21,27
HCPCS,C1894,SHEATH PNCLE RO NO GD 6FR 10CM,176.9,141.52,1.0,159.21,27
HCPCS,C1894,SHEATH PNCLE RO NO GD 6FR 7CM,161.65,129.32,1.0,145.49,27
HCPCS,C1894,SHEATH PNCLE RO NO GD 9FR 10CM,176.9,141.52,1.0,159.21,27
HCPCS,C1894,SHEATH PNCLE RO W GD 9FR 10CM,204.35,163.48,1.0,183.92,27
HCPCS,C1894,SHEATH PNCLE TIF TIP 0.038 6FR,76.25,61.0,1.0,68.63,27
HCPCS,C1894,SHEATH PNCLE TIF TIP 0.038 7FR,76.25,61.0,1.0,68.63,27
HCPCS,C1894,SHEATH PRELUDE ACT 0.038 8.5FR,58.38,46.71,1.0,52.54,27
HCPCS,C1894,SHEATH PRELUDE SHRT 0.035 8FR,91.5,73.2,1.0,82.35,27
HCPCS,C1894,SHEATH PRELUDE SHRT 0.038 5FR,91.5,73.2,1.0,82.35,27
HCPCS,C1894,SHEATH PRELUDE SHRT 0.038 6FR,91.5,73.2,1.0,82.35,27
HCPCS,C1894,SHEATH PRELUDE SHRT 0.038 7FR,91.5,73.2,1.0,82.35,27
HCPCS,C1894,SHEATH PRELUDESNAP 6FR 13CM,222.04,177.64,1.0,199.84,27
HCPCS,C1894,SHEATH PRELUDESNAP 7FR 13CM,198.25,158.6,1.0,178.43,27
HCPCS,C1894,SHEATH PRELUDESNAP 8FR 13CM,198.25,158.6,1.0,178.43,27
HCPCS,C1894,SHEATH PRELUDESNAP 8FR 25CM,285.48,228.39,1.0,256.93,27
HCPCS,C1894,SHEATH PRELUDESNAP 9.5FR 13CM,222.04,177.64,1.0,199.84,27
HCPCS,C1894,SHEATH PRELUDESNAP 9FR 13CM,198.25,158.6,1.0,178.43,27
HCPCS,C1894,SHEATH R2P SLENDER ST 6FR 75CM,1344.0,1075.2,1.0,1209.6,27
HCPCS,C1894,SHEATH RAABE 8FR 90CM,1554.0,1243.2,1.0,1398.6,27
HCPCS,C1894,SHEATH RB RCFW 16FR 45CM,530.96,424.77,1.0,477.86,27
HCPCS,C1894,SHEATH RB RCFW 16FR 70CM,530.96,424.77,1.0,477.86,27
HCPCS,C1894,SHEATH RDC CROSSCUT 6FR 45CM,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH RDC CROSSCUT 7FR 45CM,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH RENAL CROSSCUT ST 6FR45,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH RENAL CROSSCUT ST 7FR45,477.0,381.6,1.0,429.3,27
HCPCS,C1894,SHEATH ROADSTER REG ST 6FR 65,408.0,326.4,1.0,367.2,27
HCPCS,C1894,SHEATH ROADSTER XTRBODYST6FR90,531.0,424.8,1.0,477.9,27
HCPCS,C1894,SHEATH ROADSTER XTRBODYST7FR65,408.0,326.4,1.0,367.2,27
HCPCS,C1894,SHEATH SHUTTLE FLEXOR 4FR 90CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH SHUTTLE FLEXOR 5FR110CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH SHUTTLE SELECT 6FR 90CM,652.05,521.64,1.0,586.85,27
HCPCS,C1894,SHEATH SLENDER A 5FR 0.021 45,465.6,372.48,1.0,419.04,27
HCPCS,C1894,SHEATH SLENDER A 6FR 0.021 45,465.6,372.48,1.0,419.04,27
HCPCS,C1894,SHEATH SLENDER A 6FR 0.025 45,465.6,372.48,1.0,419.04,27
HCPCS,C1894,SHEATH SLENDER A 7FR 0.021 45,465.6,372.48,1.0,419.04,27
HCPCS,C1894,SHEATH SLENDER SS 5FR 0.021 45,326.7,261.36,1.0,294.03,27
HCPCS,C1894,SHEATH SLENDER SS 6FR 0.021 45,326.7,261.36,1.0,294.03,27
HCPCS,C1894,SHEATH SLENDER SS 6FR 0.021 80,326.7,261.36,1.0,294.03,27
HCPCS,C1894,SHEATH SLENDER SS 7FR 0.021 45,326.7,261.36,1.0,294.03,27
HCPCS,C1894,SHEATH SOLOTRACK LNG 9FR23.5CM,259.25,207.4,1.0,233.33,27
HCPCS,C1894,SHEATH SUP 7FR 7*DISC NO REPL*,146.4,117.12,1.0,131.76,27
HCPCS,C1894,SHEATH SUP WOWIR*DISC 6141902*,146.4,117.12,1.0,131.76,27
HCPCS,C1894,SHEATH SUP WOWIR*DISC 6261825*,158.6,126.88,1.0,142.74,27
HCPCS,C1894,SHEATH SUP WOWIR*DISC NO REPL*,158.6,126.88,1.0,142.74,27
HCPCS,C1894,SHEATH SUP WOWIRE0.038 9F*NLU*,215.33,172.27,1.0,193.8,27
HCPCS,C1894,SHEATH TEAR-AWAY SIDEPORT 9FR,720.0,576.0,1.0,648.0,27
HCPCS,C1894,SHEATH TIB SL SHUTTLE 5FR90CM,600.84,480.68,1.0,540.76,27
HCPCS,C1894,SHEATH TUOHY-BORST ST 6FR 90CM,580.5,464.4,1.0,522.45,27
HCPCS,C1894,SHEATH TUOHY-BORST ST 7FR 90CM,580.5,464.4,1.0,522.45,27
HCPCS,C1894,SHEATH ULTIMUM 9*DISC NO REPL*,115.9,92.72,1.0,104.31,27
HCPCS,C1894,SHEATH ULTIMUM A*DISC NO REPL*,48.5,38.8,1.0,43.65,81
HCPCS,C1894,SHEATH URETRL FLEXOR 12FR 20CM,510.98,408.79,1.0,459.88,27
HCPCS,C1894,SHEATH URETRL FLEXOR 12FR 28CM,510.98,408.79,1.0,459.88,27
HCPCS,C1894,SHEATH URETRL FLEXOR 12FR 35CM,510.98,408.79,1.0,459.88,27
HCPCS,C1894,SHEATH URETRL FLEXOR 12FR 45CM,531.0,424.8,1.0,477.9,27
HCPCS,C1894,SHEATH URETRL FLEXOR 14FR 35CM,510.98,408.79,1.0,459.88,27
HCPCS,C1894,SHEATH URETRL FLEXOR 9.5FR45CM,510.98,408.79,1.0,459.88,27
HCPCS,C1894,SHEATH URETRL FLEXOR10.7FR28CM,531.0,424.8,1.0,477.9,27
HCPCS,C1894,SHEATH URETRL FLEXOR10.7FR35CM,531.0,424.8,1.0,477.9,27
HCPCS,C1894,SHEATH URETRL FLEXOR10.7FR45CM,531.0,424.8,1.0,477.9,27
HCPCS,C1894,SHEATH VISI 12FR 33CM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1894,SHEATH VISI 14FR 33CM,1260.0,1008.0,1.0,1134.0,27
HCPCS,C1894,SHEATHSUPWOWIRE0*DISC 6261825*,158.6,126.88,1.0,142.74,27
HCPCS,C1894,SHEATHSUPWOWIRE0.0387FR11*CIP*,158.6,126.88,1.0,142.74,27
HCPCS,C1894,SHEATHSUPWOWIRE0.0388FR25*CIP*,215.33,172.27,1.0,193.8,27
HCPCS,C1894,STNT CORO XD SYNRG 2.50X48MM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1895,LEAD 4FRONT DUAL ACTIVE 59CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1895,LEAD 4FRONT DUAL ACTIVE 64CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1895,LEAD DURATA DUAL DF1 IS1 17X65,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1895,LEAD DURATA DUAL DF4 17X58CM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1895,LEAD DURATA DUAL DF4 21X58CM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1895,LEAD DURATA DUAL DF4 21X65CM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1895,LEAD DURATA SGL DF4 58CM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1895,LEAD DURATA SGL DF4 65CM,7800.0,6240.0,1.0,7020.0,27
HCPCS,C1895,LEAD PAMIRA SD 65/18,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1895,LEAD RELIANCE DUAL SIL 59CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1895,LEAD RELIANCE DUAL SIL 64CM,17366.4,13893.12,1.0,15629.76,27
HCPCS,C1895,LEAD RELIANCE G ACTIVE64*DISC*,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1895,LEAD RELIANCE G4 DUAL 59*DISC*,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1895,LEAD RELIANCE G4 DUAL 64*DISC*,8060.0,6448.0,1.0,7254.0,27
HCPCS,C1895,LEAD SPRINT QUATTRO 58CM 7.5FR,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1895,LEAD SPRINT QUATTRO DF4 55CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO DF4 62CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SECURE55CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SECURE62CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SECURE65CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 55CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 58CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 62CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 65CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1895,LEAD SPRINT QUATTRO SGL 72CM,8171.8,6537.44,1.0,7354.62,27
HCPCS,C1896,DEL SYS ELTD S-ICD,3500.0,2800.0,1.0,3150.0,27
HCPCS,C1896,ELTD EMBLEM S-ICD,15552.0,12441.6,1.0,13996.8,27
HCPCS,C1896,LEAD PATCH EXTL UNI EPI DF-1,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1896,LEAD SUBSTERNAL EPSILA EV 52CM,12936.0,10348.8,1.0,11642.4,27
HCPCS,C1896,LEAD SUBSTERNAL EPSILA EV 63CM,12936.0,10348.8,1.0,11642.4,27
HCPCS,C1897,CBL MULT LEAD TRIAL,1785.0,1428.0,1.0,1606.5,27
HCPCS,C1897,KT STIM BASIC EVAL COHORT 1,480.0,384.0,1.0,432.0,27
HCPCS,C1897,LEAD KT INFINION TRIAL 16 50CM,3200.0,2560.0,1.0,2880.0,27
HCPCS,C1897,LEAD STIM TRIAL 1X8X60,2520.0,2016.0,1.0,2268.0,27
HCPCS,C1897,LEAD TRIAL 50CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1897,LEAD TRIAL 70CM,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1898,LEAD CAPSURE EPI BIPOLR IS1 35,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSURE EPI BIPOLR IS1 60,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSURE EPI UNIPOLRIS1 35,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSURE EPI UNIPOLRIS1 50,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSURE SENSE BIPOLR 58,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSURE SENSE J BIPOLR 45,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSURE SENSE J BIPOLR 53,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 45CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 52CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 58CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 65CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS 85CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 45CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 52CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 58CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD CAPSUREFIX NOVUS MRI 65CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD FINELINEII STEROXEZ55D 52,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD INGEVITY *DISC 6314300*,2100.0,1680.0,1.0,1890.0,27
HCPCS,C1898,LEAD INGEVITY PASSIVE IS1 52CM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD INGEVITY PASSIVE IS1 59CM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD INGEVITY PASSIVE J IS1 52,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1898,LEAD INGEVITY PLUS ACTIVE 45CM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD INGEVITY PLUS ACTIVE 52CM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD INGEVITY PLUS ACTIVE 59CM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD ISOFLEX OPTIM ST 52CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 46CM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 52CM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 58CM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1898,LEAD MRI ULTIPACE 6FR 65CM,1869.0,1495.2,1.0,1682.1,27
HCPCS,C1898,LEAD MYOPORE SUT LESS 35CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD MYOPORE SUT LESS 54CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD PLEXA PROMR*DISC 6341682*,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1898,LEAD PLEXA PROMR*DISC 6341683*,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1898,LEAD PLEXA PROMRI DF1 SDX65/17,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1898,LEAD PLEXA PROMRI S 65*CIP*,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1898,LEAD PLEXA PROMRIDF1S DX 65/15,8450.0,6760.0,1.0,7605.0,27
HCPCS,C1898,LEAD PPM DEXTRUS BI IS1 45CM,2872.8,2298.24,1.0,2585.52,27
HCPCS,C1898,LEAD PPM DEXTRUS BI IS1 53CM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1898,LEAD PPM DEXTRUS BI IS1 60CM,1926.0,1540.8,1.0,1733.4,27
HCPCS,C1898,LEAD SELECTSECURE IS-1 BI 59CM,1722.0,1377.6,1.0,1549.8,27
HCPCS,C1898,LEAD SELECTSECURE IS-1 BI 69CM,1722.0,1377.6,1.0,1549.8,27
HCPCS,C1898,LEAD SELECTSECURE IS-1 BI 74CM,1722.0,1377.6,1.0,1549.8,27
HCPCS,C1898,LEAD SENTUSPROMRIOTWQP L-85/49,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1898,LEAD SENTUSPROMRIOTWQP S-85/49,7000.0,5600.0,1.0,6300.0,27
HCPCS,C1898,LEAD SOLIA JT PROMRI 45,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SOLIA JT PROMRI 53,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SOLIA S PRO MRI 45,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SOLIA S PRO MRI 53,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SOLIA S PRO MRI 60,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SOLIA T PROMRI 53,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SOLIA T PROMRI 60,2160.0,1728.0,1.0,1944.0,27
HCPCS,C1898,LEAD SUTURELESS SCREW 35CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD SUTURELESS SCREW 53CM,101.44,81.16,1.0,91.3,27
HCPCS,C1898,LEAD TENDRIL STS IS1 46CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD TENDRIL STS IS1 52CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD TENDRIL STS IS1 58CM,1659.0,1327.2,1.0,1493.1,27
HCPCS,C1898,LEAD TMPR PACING TEM6FR*DISC*,1743.0,1394.4,1.0,1568.7,27
HCPCS,C1898,LEAD TMPR PACINGTEMPO*DISC*,1743.0,1394.4,1.0,1568.7,27
HCPCS,C1899,"Lead, pmkr/AICD combination",,,1.0,1.0,2
HCPCS,C1900,LEAD ACUITY SPIRAL 90CM,8985.6,7188.48,1.0,8087.04,27
HCPCS,C1900,LEAD ACUITY X4 SPIRAL 86CM,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1900,LEAD ACUITY X4 SPIRAL LN*NLU*,6692.0,5353.6,1.0,6022.8,27
HCPCS,C1900,LEAD ACUITY X4 ST 86CM,12693.2,10154.56,1.0,11423.88,27
HCPCS,C1900,LEAD ATTAIN ABILITY PLUS ST 88,4270.0,3416.0,1.0,3843.0,27
HCPCS,C1900,LEAD ATTAIN ABILITY ST 88CM,4270.0,3416.0,1.0,3843.0,27
HCPCS,C1900,LEAD ATTAIN CV 88CM*DISC*,4270.0,3416.0,1.0,3843.0,27
HCPCS,C1900,LEAD ATTAIN PERFORMA DUAL 88,5496.4,4397.12,1.0,4946.76,27
HCPCS,C1900,LEAD ATTAIN PERFORMA OFFSET 88,5496.4,4397.12,1.0,4946.76,27
HCPCS,C1900,LEAD ATTAIN PERFORMA ST 88CM,5496.4,4397.12,1.0,4946.76,27
HCPCS,C1900,LEAD ATTAIN STABILITY QUAD,6532.4,5225.92,1.0,5879.16,27
HCPCS,C1900,LEAD ATTAIN STAR*USE 6203531*,4813.2,3850.56,1.0,4331.88,27
HCPCS,C1900,LEAD EASYTRAK2 IS1 BIPOLR 90CM,8143.2,6514.56,1.0,7328.88,27
HCPCS,C1900,LEAD QUARTET QL 86CM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1900,LEAD QUARTET QPOLR 16MM4.7FR86,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1900,LEAD QUARTET QPOLR 8MM 4.7FR86,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1900,LEAD QUICKFLEX MICRO 86CM,6760.0,5408.0,1.0,6084.0,27
HCPCS,C1982,MICROCATH PREC INFUS O25L*NLU*,7540.0,6032.0,1.0,6786.0,27
HCPCS,C2596,"Probe, robotic, water-jet",,,1.0,1.0,2
HCPCS,C2613,MESH PLUG SEAL LUNG BIOSENTRY,1543.92,1235.14,1.0,1389.53,27
HCPCS,C2614,"Probe, perc lumb disc",,,1.0,1.0,2
HCPCS,C2615,HEMO SEAL PROGEL PLEURAL 4ML,3529.34,2823.48,1.0,3176.41,27
HCPCS,C2616,MICRSPHR SET SIR-SPHERE Y-90,42600.0,34080.0,11830.02,38340.0,36
HCPCS,C2616,Y90 BRACYTX NONSTRANDED PER SOURCE,46759.0,37407.2,12984.97,42083.1,36
HCPCS,C2617,KT STNT ADVANIX NOBARB 5FR 3CM,765.0,612.0,1.0,688.5,27
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 10CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 12CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 15CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX BARB ST 10FR 18CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX BARB ST 5FR 13CM,367.78,294.23,1.0,331.0,27
HCPCS,C2617,STNT ADVANIX BARB ST 5FR 7CM,367.78,294.23,1.0,331.0,27
HCPCS,C2617,STNT ADVANIX BARB ST 7FR 6CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT ADVANIX DBLP*DUP 6203450*,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DBLPIGT 10FR 3CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DBLPIGT 10FR 5CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DBLPIGT 7FR 15CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DUODEN SGL10FR7CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT ADVANIX DUODENSGL10FR12CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DUODENSGL10FR15CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DUODENSGL10FR9CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DUODENSGL7FR12CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DUODENSGL7FR15CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX DUODENSGL7FR9CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT ADVANIX NOBARB ST 5FR 4CM,367.78,294.23,1.0,331.0,27
HCPCS,C2617,STNT ADVANIX PANCR ST 7FR 5CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX PANCR ST 7FR 7CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX PIGT BARB 7FR15CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX PIGT BARB 7FR18CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIX PIGT NOBARB4FR5CM,367.78,294.23,1.0,331.0,27
HCPCS,C2617,STNT ADVANIX PIGT NOBARB4FR7CM,367.78,294.23,1.0,331.0,27
HCPCS,C2617,STNT ADVANIX PIGT NOBARB5FR3CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT ADVANIX PIGT NOBARB5FR5CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT ADVANIX PIGT NOBARB5FR7CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT ADVANIX PIGTNOBARB5FR12CM,367.78,294.23,1.0,331.0,27
HCPCS,C2617,STNT ADVANIX ST PANCR 10FR 9CM,415.54,332.44,1.0,373.99,27
HCPCS,C2617,STNT ADVANIXDUODENSGL8.5FR15CM,280.8,224.64,1.0,252.72,27
HCPCS,C2617,STNT AXIOS W ELECCAUT 8X8MM,12987.0,10389.6,1.0,11688.3,27
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 12CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 15CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 5CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 7CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 10FR 9CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 15CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 5CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 7CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX CB 7FR 9CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX DB 7FR 5CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI ADVANIX DB 7FR 7CM,289.93,231.95,1.0,260.94,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 10FR 10,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 10FR 12,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 10FR 15,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 10FR 5,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 7FR 10,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 8.5FR 7,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI COTTON-LEUNG 8.5FR10,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI ZIMMON 10FR 10CM,334.8,267.84,1.0,301.32,27
HCPCS,C2617,STNT BILI ZIMMON 10FR 12CM,334.8,267.84,1.0,301.32,27
HCPCS,C2617,STNT BILI ZIMMON 10FR 15CM,351.0,280.8,1.0,315.9,27
HCPCS,C2617,STNT BILI ZIMMON 10FR 7CM,334.8,267.84,1.0,301.32,27
HCPCS,C2617,STNT BILI ZIMMON 7FR 10CM,334.8,267.84,1.0,301.32,27
HCPCS,C2617,STNT BILI ZIMMON 7FR 12CM,324.0,259.2,1.0,291.6,27
HCPCS,C2617,STNT BILI ZIMMON 7FR 5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT BILI ZIMMON 7FR 7CM,334.8,267.84,1.0,301.32,27
HCPCS,C2617,STNT CONVERTX 8.3-10.3FR 24CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C2617,STNT CONVERTX 8.3-10.3FR 26CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C2617,STNT CONVERTX 8.3-10.3FR 28CM,4186.0,3348.8,1.0,3767.4,27
HCPCS,C2617,STNT DBL PIGT 6FR 28CM,441.31,353.05,1.0,397.18,27
HCPCS,C2617,STNT EXPEL DBLPI*DISC 6325962*,594.0,475.2,1.0,534.6,27
HCPCS,C2617,STNT EXPEL DBLPIGT 10FR 22CM,594.0,475.2,1.0,534.6,27
HCPCS,C2617,STNT EXPEL DBLPIGT 10FR 26CM,594.0,475.2,1.0,534.6,27
HCPCS,C2617,STNT FILI5FR22CM*DISC 6323191*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFOR*DISC 6323190*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFOR*DISC USE 6323195*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFOR*DISC USE 6323196*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFORM DB*DISC 6323193*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFORM DB*DISC 6323194*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFORM DBLPIGT BLK6FR24,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORM DBLPIGT BLK6FR26,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORM DBLPIGT BLK6FR28,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORM DBLPIGT BLK7FR26,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORM8.5*DISC 6323192*,516.6,413.28,1.0,464.94,27
HCPCS,C2617,STNT FILIFORMDBLPIGTBLK8.5FR22,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORMDBLPIGTBLK8.5FR24,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORMDBLPIGTBLK8.5FR26,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT FILIFORMDBLPIGTBLK8.5FR28,531.0,424.8,1.0,477.9,27
HCPCS,C2617,STNT INLAY GDWIRE 4.7FR 22CM,524.84,419.88,1.0,472.36,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 6FR22CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 6FR24CM,473.04,378.44,1.0,425.74,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 6FR26CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 6FR28CM,1555.3,1244.24,1.0,1399.77,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 7FR,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 8FR24CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAY HYDRO-GLIDE 8FR26CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAY OPTIMA 6FR 14CM,469.68,375.75,1.0,422.71,27
HCPCS,C2617,STNT INLAY OPTIMA 6FR 24CM,456.0,364.8,1.0,410.4,27
HCPCS,C2617,STNT INLAY OPTIMA 6FR 26CM,480.0,384.0,1.0,432.0,27
HCPCS,C2617,STNT INLAY OPTIMA 7FR 26CM,384.0,307.2,1.0,345.6,27
HCPCS,C2617,STNT INLAY WO WIRE 4.7FR 20CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT INLAY WO WIRE 4.7FR 22CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT INLAY WO WIRE 4.7FR 24CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT INLAY WO WIRE 4.7FR 26CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT INLAY WO WIRE 6FR 22CM,396.31,317.05,1.0,356.68,27
HCPCS,C2617,STNT INLAY WO WIRE 6FR 24CM,405.02,324.02,1.0,364.52,27
HCPCS,C2617,STNT INLAY WO WIRE 6FR 26CM,405.02,324.02,1.0,364.52,27
HCPCS,C2617,STNT INLAY WO WIRE 6FR 28CM,396.31,317.05,1.0,356.68,27
HCPCS,C2617,STNT INLAY WO WIRE 7FR 22-32CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT INLAY WO WIRE 7FR 22CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT INLAY WO WIRE 7FR 24CM,396.31,317.05,1.0,356.68,27
HCPCS,C2617,STNT INLAY WO WIRE 7FR 26CM,396.31,317.05,1.0,356.68,27
HCPCS,C2617,STNT INLAY WO WIRE 7FR 28CM,364.5,291.6,1.0,328.05,27
HCPCS,C2617,STNT INLAY WO WIRE 8FR 20CM,378.0,302.4,1.0,340.2,27
HCPCS,C2617,STNT INLAY WO WIRE 8FR 22CM,396.31,317.05,1.0,356.68,27
HCPCS,C2617,STNT INLAY WO WIRE 8FR 24CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT INLAY WO WIRE 8FR 26CM,396.31,317.05,1.0,356.68,27
HCPCS,C2617,STNT INLAY WO WIRE 8FR 28CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT INLAYHYDRO-GLIDE4.7FR22CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAYHYDRO-GLIDE4.7FR24CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT INLAYHYDRO-GLIDE4.7FR26CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT PANCR NO FLAPZIMMON5FR5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR SGL PIGT 4FR 5CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT PANCR SGL PIGT 5FR 5CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT PANCR SGL PIGT 5FR 7CM,367.2,293.76,1.0,330.48,27
HCPCS,C2617,STNT PANCR SGL PIGT 7FR 7CM,405.0,324.0,1.0,364.5,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR 3CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR 5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR 7CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 5FR12CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR12CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR15CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR18CM,324.0,259.2,1.0,291.6,27
HCPCS,C2617,STNT PANCR ZIMMON COOK 7FR5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2617,STNT PANCRSGLPIGTPROXFLG4FR9CM,381.6,305.28,1.0,343.44,27
HCPCS,C2617,STNT POLARIS ULT 6FR 22CM,1295.15,1036.12,1.0,1165.64,27
HCPCS,C2617,STNT POLARIS ULT 6FR 24CM,1295.15,1036.12,1.0,1165.64,27
HCPCS,C2617,STNT POLARIS ULT 6FR 26CM,1295.15,1036.12,1.0,1165.64,27
HCPCS,C2617,STNT POLARIS ULT 6FR 28CM,1295.15,1036.12,1.0,1165.64,27
HCPCS,C2617,STNT PSTNR UNIVERSA 6FR 18CM,294.3,235.44,1.0,264.87,27
HCPCS,C2617,STNT PSTNR UNIVERSA 8FR 18CM,294.3,235.44,1.0,264.87,27
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 10CM,458.64,366.92,1.0,412.78,27
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 12CM,458.64,366.92,1.0,412.78,27
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 14CM,458.64,366.92,1.0,412.78,27
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 16CM,495.0,396.0,1.0,445.5,27
HCPCS,C2617,STNT SET SOFFLEX PEDS 3FR 8CM,458.64,366.92,1.0,412.78,27
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR 10CM,472.5,378.0,1.0,425.25,27
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR 12CM,472.5,378.0,1.0,425.25,27
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR 14CM,472.5,378.0,1.0,425.25,27
HCPCS,C2617,STNT SET SOFFLEX SM 4.7FR16CM,472.5,378.0,1.0,425.25,27
HCPCS,C2617,STNT SET SOFFLEX SM 6FR 10CM,458.64,366.92,1.0,412.78,27
HCPCS,C2617,STNT SET SOFFLEX SM 6FR 12CM,458.64,366.92,1.0,412.78,27
HCPCS,C2617,STNT SET URETRL SOFT 5FR 18CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT SET URETRL SOFT 5FR 20CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT SET URETRL SOFT 5FR 22CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT SET URETRL SOFT 5FR 24CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT SET URETRL SOFT 5FR 26CM,432.0,345.6,1.0,388.8,27
HCPCS,C2617,STNT UNIVERSA SOFT TETHER6FR26,294.3,235.44,1.0,264.87,27
HCPCS,C2617,STNT UNIVERSA SOFT TETHER8FR30,294.3,235.44,1.0,264.87,27
HCPCS,C2617,STNT URETRL CASCADE 6FR 22CM,504.0,403.2,1.0,453.6,27
HCPCS,C2617,STNT URETRL CASCADE 6FR 24CM,504.0,403.2,1.0,453.6,27
HCPCS,C2617,STNT URETRL CASCADE 6FR 26CM,504.0,403.2,1.0,453.6,27
HCPCS,C2617,STNT URETRL CASCADE 6FR 28CM,504.0,403.2,1.0,453.6,27
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR12CM,477.36,381.89,1.0,429.62,27
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR14CM,477.36,381.89,1.0,429.62,27
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR16CM,477.36,381.89,1.0,429.62,27
HCPCS,C2617,STNT URETRL CFLEX DBL3.7FR18CM,477.36,381.89,1.0,429.62,27
HCPCS,C2617,STNT URETRL DBL JOLYM8.5FR28CM,1654.76,1323.81,1.0,1489.28,27
HCPCS,C2617,STNT URETRL DBL PIGT 10FR 28CM,495.0,396.0,1.0,445.5,27
HCPCS,C2617,STNT URETRL DBL PIGT 8FR 26CM,495.0,396.0,1.0,445.5,27
HCPCS,C2617,STNT URETRL DBL PIGT 8FR 28CM,495.0,396.0,1.0,445.5,27
HCPCS,C2617,STNT URETRL FLEXIMA 8FR 28CM,585.0,468.0,1.0,526.5,27
HCPCS,C2617,STNT URETRL KOYLE 6FR 50CM,245.83,196.67,1.0,221.25,27
HCPCS,C2617,STNT URETRL PERCUFLEX 8FR 22CM,495.0,396.0,1.0,445.5,27
HCPCS,C2617,STNT URETRL PERCUFLEX+ 4.8FR26,1143.53,914.83,1.0,1029.18,27
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR22CM,1143.53,914.83,1.0,1029.18,27
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR24CM,1143.53,914.83,1.0,1029.18,27
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR26CM,1143.53,914.83,1.0,1029.18,27
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR28CM,1143.53,914.83,1.0,1029.18,27
HCPCS,C2617,STNT URETRL PERCUFLEX+ 6FR30CM,1143.53,914.83,1.0,1029.18,27
HCPCS,C2617,STNT URETRL SIL 12FR 26CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C2617,STNT URETRL SIL 8FR 24CM,1176.0,940.8,1.0,1058.4,27
HCPCS,C2617,STNT URETRL SILHOUETTE 8FR 28C,1428.0,1142.4,1.0,1285.2,27
HCPCS,C2617,STNT URETRL SOFCURL 4.5FR 14CM,500.9,400.72,1.0,450.81,27
HCPCS,C2617,STNT URETRL SOFCURL 4.5FR 16CM,1183.35,946.68,1.0,1065.02,27
HCPCS,C2617,STNT URETRL SOFCURL 6FR 28CM,500.9,400.72,1.0,450.81,27
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 22CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 24CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 26CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 6FR 28CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 7FR 24CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 7FR 26CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 7FR 28CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 24CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 26CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 28CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA FIRM 8FR 30CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA SOFT 6FR 24CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA SOFT 6FR 26CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA SOFT 6FR 28CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA SOFT 7FR 24CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA SOFT 7FR 26CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URETRL TRIA SOFT 7FR 28CM,1855.18,1484.15,1.0,1669.66,27
HCPCS,C2617,STNT URTHRL ZAONTZ 10FR 12CM,173.24,138.6,1.0,155.92,27
HCPCS,C2617,STNT URTHRL ZAONTZ 6FR 12CM,166.53,133.23,1.0,149.88,27
HCPCS,C2617,STNT URTHRL ZAONTZ 8FR 12CM,172.02,137.62,1.0,154.82,27
HCPCS,C2617,STNTEXPEL8FR26CM*DISC 6324430*,589.95,471.96,1.0,530.96,27
HCPCS,C2618,ANTENNA EMPRINT 20CM,8824.4,7059.52,1.0,7941.96,27
HCPCS,C2618,ANTENNA EMPRINT SHRT 15CM,8824.4,7059.52,1.0,7941.96,27
HCPCS,C2618,DEV CRYOTHERAPY CLARIFIX,4060.0,3248.0,1.0,3654.0,27
HCPCS,C2618,NDLE CRYO ICEFORCE2.1CXLGRY90D,5306.0,4244.8,1.0,4775.4,27
HCPCS,C2618,NDLE ICEFORCE 2.1CX GRY ANG90D,5306.0,4244.8,1.0,4775.4,27
HCPCS,C2618,NDLE ICEPEARL 2.1CX WHT ANG90D,5306.0,4244.8,1.0,4775.4,27
HCPCS,C2618,NDLE ICEROD 1.5 CX RED ANG 90D,5306.0,4244.8,1.0,4775.4,27
HCPCS,C2618,NDLE ICESPHERE 1.5 YEL AN*NLU*,4270.0,3416.0,1.0,3843.0,27
HCPCS,C2619,"Pmkr, dual, non rate-resp",,,1.0,1.0,2
HCPCS,C2620,"Pmkr, single, non rate-resp",,,1.0,1.0,2
HCPCS,C2621,CRT-D VIVA S DF1*DISC 6278500*,37908.0,30326.4,1.0,34117.2,27
HCPCS,C2621,CRT-P AMVIA EDGE HF-T QPPROMRI,21547.2,17237.76,1.0,19392.48,27
HCPCS,C2621,CRT-P EDORA HF-T PROMRI,20520.0,16416.0,1.0,18468.0,27
HCPCS,C2621,CRT-P PERCEPTA MRI,14930.98,11944.79,1.0,13437.88,27
HCPCS,C2621,CRT-P PERCEPTA MRI QUAD,14930.98,11944.79,1.0,13437.88,27
HCPCS,C2621,CRT-P QUADRA ALLURE MRI IS1,17798.4,14238.72,1.0,16018.56,27
HCPCS,C2621,CRT-P QUADRA ALLURE RF IS1,13284.0,10627.2,1.0,11955.6,27
HCPCS,C2621,CRT-P VALITUDE IS1,29030.4,23224.32,1.0,26127.36,27
HCPCS,C2621,CRT-P VALITUDE X4 IS1 IS4,27508.8,22007.04,1.0,24757.92,27
HCPCS,C2622,PENILE IMPLT TACTRA 9.5MM,30744.0,24595.2,1.0,27669.6,27
HCPCS,C2622,PROS PENILE GENESIS 11MM 16-25,29359.2,23487.36,1.0,26423.28,27
HCPCS,C2623,BLN INPACT 018 DCB 4X100 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X120 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X150 130CM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X150 200CM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X40 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X40 200CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X60 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X80 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 4X80 200CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X100 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X100 200CM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X120 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X120 200CM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X150 130CM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X150 200CM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X40 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X40 200CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X60 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X80 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 5X80 200CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X100 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X100 200CM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X120 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X120 200CM,4900.0,3920.0,1.0,4410.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X150 130CM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X150 200CM,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X40 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X40 200CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X60 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X80 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 6X80 200CM,4480.0,3584.0,1.0,4032.0,27
HCPCS,C2623,BLN INPACT 018 DCB 7X40 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 7X60 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 7X80 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT 018 DCB 7X80 200CM,3976.0,3180.8,1.0,3578.4,27
HCPCS,C2623,BLN INPACT 018XL DCB 4X200 130,5446.0,4356.8,1.0,4901.4,27
HCPCS,C2623,BLN INPACT 018XL DCB 4X250 130,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT 018XL DCB 5X200 130,5446.0,4356.8,1.0,4901.4,27
HCPCS,C2623,BLN INPACT 018XL DCB 5X200 200,5446.0,4356.8,1.0,4901.4,27
HCPCS,C2623,BLN INPACT 018XL DCB 5X250 130,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT 018XL DCB 5X250 200,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT 018XL DCB 6X200 130,5446.0,4356.8,1.0,4901.4,27
HCPCS,C2623,BLN INPACT 018XL DCB 6X200 200,5446.0,4356.8,1.0,4901.4,27
HCPCS,C2623,BLN INPACT 018XL DCB 6X250 130,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT 018XL DCB 6X250 200,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT ADMRL 4X150MM 130CM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLN INPACT ADMRL 5X150MM 130CM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLN INPACT ADMRL 5X200MM 130CM,5446.0,4356.8,1.0,4901.4,27
HCPCS,C2623,BLN INPACT ADMRL 5X250MM 130CM,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT ADMRL DCB 6X250 130,5992.0,4793.6,1.0,5392.8,27
HCPCS,C2623,BLN INPACT ADMRL DCB4X40X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB4X60X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB4X80X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB5X120X80*CIP*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB5X40X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB5X60X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB5X80X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB6X40 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB6X60 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB6X80 130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB7X40X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB7X60X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL DCB7X80X130CM,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL*DISC 6314106*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL*DISC 6314112*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACT ADMRL*DISC NO REPL*,3500.0,2800.0,1.0,3528.0,108
HCPCS,C2623,BLN INPACT ADMRLDCB4X120X130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT ADMRLDCB5X120X130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT ADMRLDCB5X250 130CM,535.5,428.4,1.0,481.95,27
HCPCS,C2623,BLN INPACT ADMRLDCB6X120 130CM,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,BLN INPACT ADMRLDCB6X150 130CM,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLN INPACTADMRLD*DISC 6314120*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTADMRLDCB4X40X80*CIP*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTADMRLDCB5X40X80*CIP*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTADMRLDCB5X80X80*CIP*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTADMRLDCB7X60X80*CIP*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTADMRLDCB7X80X80*CIP*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 5FR 4X12*NLU*,3500.0,2800.0,1.0,3150.0,54
HCPCS,C2623,BLN INPACTAV DCB 5FR 4X40X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 5FR 4X4X*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 5FR 4X60*NLU*,3500.0,2800.0,1.0,3150.0,54
HCPCS,C2623,BLN INPACTAV DCB 5FR 4X80*NLU*,3500.0,2800.0,1.0,3150.0,54
HCPCS,C2623,BLN INPACTAV DCB 5FR 5X40*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X12*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X120X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X40X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X60*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X60X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X80*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 5X80X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X12*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X120X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X40*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X40X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X60*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X60X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X80*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 6FR 6X80X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 10X4*NLU*,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 10X40X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X40*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X40X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X60*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X60X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X80*NLU*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 7X80X80,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X40*NLU*,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X40X130,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X40X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X60*NLU*,5180.0,4144.0,1.0,4662.0,54
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X60X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X80*NLU*,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X80X130,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 8X80X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X40*NLU*,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X40X130,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X40X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X60*NLU*,5180.0,4144.0,1.0,4662.0,54
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X60X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X80*NLU*,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X80X130,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR 9X80X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 7FR1 0X40X130,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN INPACTAV DCB 9FR 12X4*NLU*,5180.0,4144.0,1.0,4662.0,54
HCPCS,C2623,BLN INPACTAV DCB 9FR 12X40X80,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 4X100X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 4X150X130,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 4X220X130,7280.0,5824.0,1.0,6552.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 4X300X130,8580.0,6864.0,1.0,7722.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 4X40X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 4X60X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X100X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X150X130,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X220X130,7280.0,5824.0,1.0,6552.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X300X130,8580.0,6864.0,1.0,7722.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X40X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X60X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 5X80X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X100X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X150X130,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X220X130,7280.0,5824.0,1.0,6552.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X300X130,8580.0,6864.0,1.0,7722.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X40X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X60X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 6X80X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 7X100X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 7X150X130,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 7X220X130,7280.0,5824.0,1.0,6552.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 7X40X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 7X60X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 018 DCB 7X80X130,5320.0,4256.0,1.0,4788.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB 6FR8X40X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB 6FR8X60X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 4X40X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 5X40X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 5X60X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 6X40X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 6X60X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 6X80X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 7X40X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 7X60X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 8X*NLU*,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 9X40X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV 9X60X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV10X40X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV10X60X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV12X40X75,5460.0,4368.0,1.0,4914.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV5X100X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN LUTONIX 035 DCB AV6X100X75,4620.0,3696.0,1.0,4158.0,27
HCPCS,C2623,BLN STELLAREX DCB 4X100MM135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 4X120MM135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 4X40MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 4X60MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 4X80MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 5X100MM135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 5X120MM135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 5X40MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 5X60MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 5X80MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 6X100MM135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 6X120MM135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 6X40MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 6X60MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLN STELLAREX DCB 6X80MM 135CM,3486.0,2788.8,1.0,3137.4,27
HCPCS,C2623,BLNINPACTADMRLDC*DISC 6314114*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLNINPACTADMRLDC*DISC NO REPL*,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLNINPACTADMRLDCB 6X80X80*CIP*,3500.0,2800.0,1.0,3150.0,27
HCPCS,C2623,BLNINPACTADMRLDCB5X150X80*CIP*,4340.0,3472.0,1.0,3906.0,27
HCPCS,C2623,BLNINPACTADMRLDCB6X120X80*CIP*,3920.0,3136.0,1.0,3528.0,27
HCPCS,C2623,CATH DCB RANGER 4.0X120MM150CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C2623,CATH DCB RANGER 4.0X150MM150CM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,CATH DCB RANGER 4.0X200MM150CM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,CATH DCB RANGER 4.0X40MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 4.0X60MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 4.0X80MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 5.0X120MM150CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C2623,CATH DCB RANGER 5.0X150MM150CM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,CATH DCB RANGER 5.0X200MM150CM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,CATH DCB RANGER 5.0X60MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 5.0X80MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 6.0X120MM150CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C2623,CATH DCB RANGER 6.0X150MM150CM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,CATH DCB RANGER 6.0X200MM150CM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,CATH DCB RANGER 6.0X60MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 6.0X80MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 7.0X120MM150CM,5026.0,4020.8,1.0,4523.4,27
HCPCS,C2623,CATH DCB RANGER 7.0X150MM150CM,5180.0,4144.0,1.0,4662.0,27
HCPCS,C2623,CATH DCB RANGER 7.0X200MM150CM,6160.0,4928.0,1.0,5544.0,27
HCPCS,C2623,CATH DCB RANGER 7.0X60MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2623,CATH DCB RANGER 7.0X80MM 135CM,4760.0,3808.0,1.0,4284.0,27
HCPCS,C2624,KT PA CARDIOMEM SENSOR DEL SYS,54000.0,43200.0,1.0,48600.0,27
HCPCS,C2625,CATH NASOBILI 7.5FR,591.75,473.4,1.0,532.58,27
HCPCS,C2625,CATH NASOBILI 8.5FR,591.75,473.4,1.0,532.58,27
HCPCS,C2625,SET STNT BILI 10FR 50CM,684.0,547.2,1.0,615.6,27
HCPCS,C2625,SET STNT RETROINJ DBL 6FR 24CM,504.0,403.2,1.0,453.6,27
HCPCS,C2625,SET STNT RETROINJ DBL 6FR 26CM,504.0,403.2,1.0,453.6,27
HCPCS,C2625,STNT ADVANIX CNTRBEND 10FR 5CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX CNTRBEND 7FR 5CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 10CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 12CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 15CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 10FR 7CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 10CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 12CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 3CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 5CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DBLPIGT 7FR 7CM,280.8,224.64,1.0,252.72,27
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR12CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR15CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR18CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR5CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR7CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX10FR9CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR12CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR15CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR5CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR7CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX7FR9CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX8.5FR5CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX8.5FR7CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODEN RX8.5FR9CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODENRX5.5FR18CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODENRX8.5FR12CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX DUODENRX8.5FR15CM,580.5,464.4,1.0,522.45,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 5*DISC*,367.78,294.23,1.0,331.0,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 5FR 3CM,367.78,294.23,1.0,331.0,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 5FR 5CM,378.0,302.4,1.0,340.2,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 5FR 7CM,367.78,294.23,1.0,331.0,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 5FR 9CM,367.78,294.23,1.0,331.0,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR 3CM,415.54,332.44,1.0,373.99,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR 5CM,415.54,332.44,1.0,373.99,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR 7CM,415.54,332.44,1.0,373.99,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR 9CM,415.54,332.44,1.0,373.99,27
HCPCS,C2625,STNT ADVANIX PIGT BARB 7FR12CM,415.54,332.44,1.0,373.99,27
HCPCS,C2625,STNT ADVANIX PIGT*USE 6271225*,765.0,612.0,1.0,688.5,27
HCPCS,C2625,STNT ADVANIXDUODENRX11.5FR10CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT ADVANIXDUODENRX11.5FR12CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT ADVANIXDUODENRX11.5FR15CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT ADVANIXDUODENRX11.5FR5CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT ADVANIXDUODENRX11.5FR7CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT BANDER SOFFLEX LFT 7FR75,297.54,238.04,1.0,267.79,27
HCPCS,C2625,STNT BANDER SOFFLEX RT 7FR 75,297.54,238.04,1.0,267.79,27
HCPCS,C2625,STNT BILI HUIBREGTSE 10FR 10CM,738.0,590.4,1.0,664.2,27
HCPCS,C2625,STNT BILI HUIBREGTSE 10FR 12CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 10FR 15CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 10FR 5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 7FR 10CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 7FR 15CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 7FR 5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 7FR 7CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 8.5FR 5CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 8.5FR 7CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI HUIBREGTSE 8.5FR10CM,432.0,345.6,1.0,388.8,27
HCPCS,C2625,STNT BILI HUIBREGTSE 8.5FR12CM,374.4,299.52,1.0,336.96,27
HCPCS,C2625,STNT BILI OASIS LEUNG 10FR12CM,738.0,590.4,1.0,664.2,27
HCPCS,C2625,STNT BILIADVANIXPRELOADCB7FR15,587.61,470.09,1.0,528.85,27
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR20CM,553.46,442.77,1.0,498.11,27
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR22CM,553.46,442.77,1.0,498.11,27
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR24CM,553.46,442.77,1.0,498.11,27
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR26CM,553.46,442.77,1.0,498.11,27
HCPCS,C2625,STNT COPE NEPHUROST 10.2FR28CM,553.46,442.77,1.0,498.11,27
HCPCS,C2625,STNT COPE NEPHUROST 8.5FR 20CM,544.46,435.57,1.0,490.01,27
HCPCS,C2625,STNT COPE NEPHUROST 8.5FR 22CM,544.46,435.57,1.0,490.01,27
HCPCS,C2625,STNT COPE NEPHUROST 8.5FR 24CM,544.46,435.57,1.0,490.01,27
HCPCS,C2625,STNT COPE NEPHUROST 8.5FR 26CM,523.85,419.08,1.0,471.47,27
HCPCS,C2625,STNT COPE NEPHUROST 8.5FR 28CM,523.85,419.08,1.0,471.47,27
HCPCS,C2625,STNT DUODEN RX 10FR10CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 10FR12CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 10FR15CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 10FR5CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 10FR7CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 7FR10CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 7FR12CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 7FR15CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 7FR5CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 7FR7CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 8.5FR10CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 8.5FR12CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 8.5FR5CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT DUODEN RX 8.5FR7CM,427.2,341.76,1.0,384.48,27
HCPCS,C2625,STNT INLAY HYDO-GLIDE 8FR 22CM,472.64,378.12,1.0,425.38,27
HCPCS,C2625,STNT INLAY HYDRO-GLIDE 8FR28CM,432.0,345.6,1.0,388.8,27
HCPCS,C2625,STNT INLAY OPTIMA 4.7FR 22-32,456.0,364.8,1.0,410.4,27
HCPCS,C2625,STNT INLAY OPTIMA 4.7FR 22CM,456.0,364.8,1.0,410.4,27
HCPCS,C2625,STNT INLAY OPTIMA 6FR 22-32CM,469.68,375.75,1.0,422.71,27
HCPCS,C2625,STNT INLAY OPTIMA 6FR 22CM,480.0,384.0,1.0,432.0,27
HCPCS,C2625,STNT INLAY OPTIMA 8FR 20CM,480.0,384.0,1.0,432.0,27
HCPCS,C2625,STNT INLAY OPTIMA 8FR 28CM,480.0,384.0,1.0,432.0,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 10FR 12,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 10FR 14,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 10FR 16,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 10FR 18,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 10FR 20,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 10FR 22,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 8.5FR 10,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 8.5FR 14,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 8.5FR 16,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT JOHLIN WDG PANCR 8.5FR 8,760.5,608.4,1.0,684.45,27
HCPCS,C2625,STNT PANCR FREEMAN ST 5FR3CM,399.6,319.68,1.0,359.64,27
HCPCS,C2625,STNT PANCR SGL PIGT 4FR 9CM,381.6,305.28,1.0,343.44,27
HCPCS,C2625,STNT SILHOUETTE XT6FR26C*DISC*,832.5,666.0,1.0,749.25,27
HCPCS,C2625,STNT SILHOUETTES*DISC NO REPL*,1428.0,1142.4,1.0,1285.2,27
HCPCS,C2625,STNT SILHOUXTRFLO6F*DISC REPL*,832.5,666.0,1.0,749.25,27
HCPCS,C2625,STNT SINUS CONT PROPEL 8MM,2628.8,2103.04,1.0,2365.92,27
HCPCS,C2625,STNT SINUS MINI PROPEL 16MM,2628.8,2103.04,1.0,2365.92,27
HCPCS,C2625,STNT SINUS PROPEL 23MM,2628.8,2103.04,1.0,2365.92,27
HCPCS,C2625,STNT SINUS SALMAN FES STER,275.4,220.32,1.0,247.86,27
HCPCS,C2625,STNT URETRL DBL J 10.2FR 22CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 10.2FR 24CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 10.2FR 26CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 10.2FR 28CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 8.5FR 12CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 8.5FR 22CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 8.5FR 26CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBL J 8.5FR 28CM,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL DBLJ COOK 8.5FR 24,681.71,545.37,1.0,613.54,27
HCPCS,C2625,STNT URETRL RESONANCE 6FR24CM,2849.28,2279.43,1.0,2564.35,27
HCPCS,C2625,STNT URETRL RESONANCE 6FR26CM,2849.28,2279.43,1.0,2564.35,27
HCPCS,C2626,"Infusion pump, non-prog,temp",,,1.0,1.0,2
HCPCS,C2627,CATH DRN MALECOT 15G 14FR 30CM,297.07,237.66,1.0,267.36,27
HCPCS,C2627,CATH SUPRAPUBIC BONANNO 14GX11,415.54,332.44,1.0,373.99,27
HCPCS,C2627,CATH SUPRAPUBIC MINISPC14FR3.5,895.5,716.4,1.0,805.95,27
HCPCS,C2627,KT CATH CYSTOSTO 8FR 54C*DISC*,387.79,310.24,1.0,349.01,27
HCPCS,C2628,CATH BLN BERN OCCL 6FR 80CM,1071.0,856.8,1.0,963.9,27
HCPCS,C2628,CATH BLN CODA 10FR 46MM,2033.22,1626.58,1.0,1829.9,27
HCPCS,C2628,CATH BLN CODA 9FR 32MM,2033.22,1626.58,1.0,1829.9,27
HCPCS,C2628,CATH BLN EQUALIZER7FR20MM*NLU*,1116.0,892.8,1.0,1004.4,27
HCPCS,C2628,CATH BLN EQUALIZER7FR27MM100CM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C2628,CATH BLN EQUALIZER7FR33MM100CM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C2628,CATH BLN EQUALIZER7FR40MM100CM,1323.0,1058.4,1.0,1190.7,27
HCPCS,C2628,CATH BLN OCCL FOGARTY 8-14FR,1651.65,1321.32,1.0,1486.49,27
HCPCS,C2628,CATH BLN OCCL FOGARTY 8-22FR,1651.65,1321.32,1.0,1486.49,27
HCPCS,C2628,CATH BLN SCEPTER C 4X15MM150CM,3503.5,2802.8,1.0,3153.15,27
HCPCS,C2628,CATH BLN SCEPTER C4X20MM150CM,3503.5,2802.8,1.0,3153.15,27
HCPCS,C2628,CATH BLN SCEPTER MINI 2.2X9MM,6903.0,5522.4,1.0,6212.7,27
HCPCS,C2628,CATH BLN SCEPTER XC4X11MM150CM,4214.98,3371.99,1.0,3793.48,27
HCPCS,C2628,CATH ENTEER REENTRY ATK3.75X20,6426.0,5140.8,1.0,5783.4,27
HCPCS,C2628,STNT URETRL ITIN*DISC 6352287*,8190.0,6552.0,1.0,7371.0,27
HCPCS,C2628,STNT URETRL ITIND 1SNARE TMPR,8190.0,6552.0,1.0,7371.0,27
HCPCS,C2629,KT SHEATH LASER GLIDELIGHT 12F,8996.0,7196.8,1.0,8096.4,27
HCPCS,C2629,KT SHEATH LASER GLIDELIGHT 14F,8996.0,7196.8,1.0,8096.4,27
HCPCS,C2629,KT SHEATH LASER GLIDELIGHT 16F,8996.0,7196.8,1.0,8096.4,27
HCPCS,C2630,CATH ABL BIDIR TACTICATHD-F8FR,8600.8,6880.64,1.0,7740.72,27
HCPCS,C2630,CATH ABL BIDIR TACTIFLEXD-F8FR,10587.2,8469.76,1.0,9528.48,27
HCPCS,C2630,CATH ABL BIDIR TACTIFLEXD-X8FR,10600.2,8480.16,1.0,9540.18,27
HCPCS,C2630,CATH ABL COOL PATH 7FR LG*NLU*,3175.2,2540.16,1.0,2857.68,27
HCPCS,C2630,CATH ABL COOL PATH 7FR MD*NLU*,3175.2,2540.16,1.0,2857.68,27
HCPCS,C2630,CATH ABL COOLPATH ABFLUTT*NLU*,3175.2,2540.16,1.0,2857.68,27
HCPCS,C2630,CATH EP DPOLR INQUIRY 4FR MD,1512.0,1209.6,1.0,1360.8,27
HCPCS,C2630,CATH EP FIX EPSTAR5-5-5 2FR130,4200.0,3360.0,1.0,3780.0,27
HCPCS,C2630,CBL CONN COOLPATH ABL SJM,706.5,565.2,1.0,635.85,27
HCPCS,C2631,DEV SUT CAPIO CAPTURE OPEN,2086.13,1668.91,1.0,1877.52,27
HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,150.97,170.98,11
HCPCS,C2635,"Brachytx, non-str, HA, P-103",,,59.19,72.85,11
HCPCS,C2636,"Brachy linear, non-str,P-103",,,50.26,55.56,11
HCPCS,C2638,"Brachytx, stranded, I-125",,,35.19,41.82,11
HCPCS,C2639,"Brachytx, non-stranded,I-125",,,33.35,36.87,11
HCPCS,C2640,"Brachytx, stranded, P-103",,,66.21,76.27,11
HCPCS,C2641,"Brachytx, non-stranded,P-103",,,73.93,83.76,11
HCPCS,C2642,"Brachytx, stranded, C-131",,,97.61,113.25,11
HCPCS,C2643,"Brachytx, non-stranded,C-131",,,80.42,101.39,11
HCPCS,C2644,Brachytx cesium-131 chloride,,,52.03,52.03,2
HCPCS,C2645,"Brachytx planar, p-103",,,4.46,4.92,11
HCPCS,C2698,"Brachytx, stranded, NOS",,,35.19,41.82,11
HCPCS,C2699,"Brachytx, non-stranded, NOS",,,33.35,36.87,11
HCPCS,C5271,Outpatient Services,,,581.52,642.74,9
HCPCS,C5271,Outpatient Services - CPT/HCPCS,,,457.59,1109.03,2
HCPCS,C5272,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C5273,Outpatient Services,,,1737.77,1920.69,9
HCPCS,C5273,Outpatient Services - CPT/HCPCS,,,1328.68,3220.2,2
HCPCS,C5274,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C5275,Outpatient Services,,,581.52,642.74,9
HCPCS,C5275,Outpatient Services - CPT/HCPCS,,,457.59,1109.03,2
HCPCS,C5276,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C5277,Outpatient Services,,,581.52,642.74,9
HCPCS,C5277,Outpatient Services - CPT/HCPCS,,,457.59,1109.03,2
HCPCS,C5278,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,400.87,971.56,2
HCPCS,C7501,Perc bx breast lesions stero,,,1181.26,2862.91,2
HCPCS,C7502,Perc bx breast lesions mr,,,1181.26,2862.91,2
HCPCS,C7503,Open exc cerv node(s) w/ id,,,316.29,766.55,2
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,171.82,416.42,2
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,171.82,416.42,2
HCPCS,C7506,Fusion of finger joints,,,171.82,416.42,2
HCPCS,C7507,Perq thor&lumb vert aug,,,171.82,416.42,2
HCPCS,C7508,Perq lumb&thor vert aug,,,171.82,416.42,2
HCPCS,C7509,Dx bronch w/ navigation,,,144.32,349.77,2
HCPCS,C7510,Bronch/lavag w/ navigation,,,144.32,349.77,2
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,144.32,349.77,2
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,297.51,721.05,2
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,2322.4,5628.59,2
HCPCS,C7514,Cath/angio dial cir w/stents,,,8015.42,19426.22,2
HCPCS,C7515,Cath/angio dial cir w/embol,,,8015.42,19426.22,2
HCPCS,C7516,Cor angio w/ ivus or oct,,,2322.4,5628.59,2
HCPCS,C7517,Cor angio w/ilic/fem angio,,,2322.4,5628.59,2
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,2322.4,5628.59,2
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,2322.4,5628.59,2
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,2322.4,5628.59,2
HCPCS,C7521,R hrt angio w/ ivus or oct,,,2322.4,5628.59,2
HCPCS,C7522,R hrt angio w/flow resrv,,,2322.4,5628.59,2
HCPCS,C7523,L hrt angio w/ ivus or oct,,,2322.4,5628.59,2
HCPCS,C7524,L hrt angio w/flow resrv,,,2322.4,5628.59,2
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,2322.4,5628.59,2
HCPCS,C7526,L hrt gft ang w/flow resrv,,,2322.4,5628.59,2
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,2322.4,5628.59,2
HCPCS,C7528,R&l hrt angio w/flow resrv,,,2322.4,5628.59,2
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,2322.4,5628.59,2
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,8015.42,19426.22,2
HCPCS,C7531,Angio fem/pop w/ us,,,4164.42,10092.93,2
HCPCS,C7532,Angio w/ us non-coronary,,,4164.42,10092.93,2
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,4164.42,10092.93,2
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,8015.42,19426.22,2
HCPCS,C7535,Fem/pop revasc w/stent & us,,,8015.42,19426.22,2
HCPCS,C7537,Insrt atril pm w/l vent lead,,,2322.4,5628.59,2
HCPCS,C7538,Insrt vent pm w/l vent lead,,,2322.4,5628.59,2
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,2322.4,5628.59,2
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,2322.4,5628.59,2
HCPCS,C7541,Ercp w/ pancreatoscopy,,,1386.39,3360.07,2
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,1386.39,3360.07,2
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,1386.39,3360.07,2
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,2520.7,6109.19,2
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,4203.99,10188.81,2
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,2540.0,6155.96,2
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,2540.0,6155.96,2
HCPCS,C7548,Exch neph cath w/ dil stric,,,2540.0,6155.96,2
HCPCS,C7549,Chge urtr stent w/ dil stric,,,2540.0,6155.96,2
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,497.71,1206.26,2
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,1406.76,3409.43,2
HCPCS,C7552,R hrt art/grft ang hrt flow,,,2322.4,5628.59,2
HCPCS,C7553,R&i hrt art/vent ang drg ad,,,2322.4,5628.59,2
HCPCS,C7554,Cystureth blu li cyst fl img,,,497.71,1206.26,2
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,4203.99,10188.81,2
HCPCS,C7556,Bronch lavage w/ebus,,,297.51,721.05,2
HCPCS,C7557,Cor angio/vent w/ffr,,,2322.4,5628.59,2
HCPCS,C7558,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
HCPCS,C7560,Ercp remove forgn body&endo,,,2520.7,6109.19,2
HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,20.92,50.69,11
HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,64.94,157.39,11
HCPCS,C7903,"Hopd mntl hlt, grp",,,20.92,50.69,13
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ2,14800.0,11840.0,4109.96,13320.0,27
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ3,14700.0,11760.0,4082.19,13230.0,27
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ4,14700.0,11760.0,4082.19,13230.0,27
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ5,14700.0,11760.0,4082.19,13230.0,27
HCPCS,C8000,EXTL SUPP AV FIST VASQ SZ6,14700.0,11760.0,4082.19,13230.0,27
HCPCS,C8001,3d anat seg imaging preop,,,148.64,164.28,9
HCPCS,C8002,"Prep skin cell susp, automtd",,,6887.98,7613.03,9
HCPCS,C8003,Imp extar knee shck absrb,,,17470.55,19309.55,9
HCPCS,C8004,Sim ang w/prs cath rad emb,,,10773.54,11907.6,9
HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,16625.48,18375.53,9
HCPCS,C8006,Inst pleu-perit shnt w pump,,,5927.76,6551.74,9
HCPCS,C8900,"MRA w/cont, abd",,,280.2,679.09,13
HCPCS,C8901,"MRA w/o cont, abd",,,178.53,432.69,13
HCPCS,C8902,"MRA w/o fol w/cont, abd",,,280.2,679.09,13
HCPCS,C8903,"MRI w/cont, breast,  uni",,,133.87,324.44,13
HCPCS,C8904,Outpatient Services - CPT/HCPCS,,,66.21,160.46,2
HCPCS,C8905,"MRI w/o fol w/cont, brst, un",,,280.2,679.09,13
HCPCS,C8906,"MRI w/cont, breast,  bi",,,280.2,679.09,13
HCPCS,C8907,Outpatient Services - CPT/HCPCS,,,66.21,160.46,2
HCPCS,C8908,"MRI w/o fol w/cont, breast,",,,280.2,679.09,13
HCPCS,C8909,"MRA w/cont, chest",,,280.2,679.09,13
HCPCS,C8910,"MRA w/o cont, chest",,,178.53,432.69,13
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,280.2,679.09,13
HCPCS,C8912,"MRA w/cont, lwr ext",,,280.2,679.09,13
HCPCS,C8913,"MRA w/o cont, lwr ext",,,178.53,432.69,13
HCPCS,C8914,"MRA w/o fol w/cont, lwr ext",,,280.2,679.09,13
HCPCS,C8918,"MRA w/cont, pelvis",,,280.2,679.09,13
HCPCS,C8919,"MRA w/o cont, pelvis",,,178.53,432.69,13
HCPCS,C8920,"MRA w/o fol w/cont, pelvis",,,280.2,679.09,13
HCPCS,C8921,ECHO  W CONTRAST COMPL CONGENITAL CARDIAC,2393.0,1914.4,583.37,2153.7,38
HCPCS,C8922,ECHO W CONTRAST COMPL CONGENITAL CARDIAC LMTD,1805.0,1444.0,501.25,1624.5,38
HCPCS,C8923,ECHO W CONTRAST 2D WO DOPPLER,2062.0,1649.6,572.62,1855.8,38
HCPCS,C8924,ECHO WWO FOL WCONTRAST 2D LMTD,1997.0,1597.6,280.2,1797.3,38
HCPCS,C8925,TEE 2D W CONTRAST INTERP REPORT,3228.0,2582.4,583.37,2905.2,38
HCPCS,C8926,TEE W CONTRAST CONGENITAL CARDIAC INTERP REPORT,2472.0,1977.6,583.37,2224.8,38
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,583.37,1413.86,13
HCPCS,C8928,ECHO W CONTRAST 2D STRESS INTERP REPORT,2900.0,2320.0,583.37,2610.0,38
HCPCS,C8929,ECHO WWO FOL WCONT 2D COMPLETE,3131.0,2504.8,583.37,2817.9,38
HCPCS,C8930,STRESS ECHO W CONTRAST 2D W INT RPT,3179.0,2543.2,583.37,2861.1,38
HCPCS,C8931,"MRA, w/dye, spinal canal",,,280.2,679.09,13
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,178.53,432.69,13
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,280.2,679.09,13
HCPCS,C8934,"MRA, w/dye, upper extremity",,,280.2,679.09,13
HCPCS,C8935,"MRA, w/o dye, upper extr",,,178.53,432.69,13
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,280.2,679.09,13
HCPCS,C8937,Cad breast mri,,,1.0,1.0,2
HCPCS,C8957,"Prolonged IV inf, req pump",,,246.76,598.04,13
HCPCS,C9014,Pharmacy,,,91.8,91.8,4
HCPCS,C9015,Pharmacy,,,9.59,9.59,4
HCPCS,C9016,Pharmacy,,,2788.0,2788.0,4
HCPCS,C9024,Pharmacy,,,185.07,185.07,4
HCPCS,C9025,Pharmacy,,,54.1,54.1,4
HCPCS,C9028,Pharmacy,,,2119.33,2119.33,4
HCPCS,C9029,Pharmacy,,,103.62,103.62,4
HCPCS,C9030,Pharmacy,,,77.76,77.76,4
HCPCS,C9031,Pharmacy,,,242.25,242.25,4
HCPCS,C9032,Pharmacy,,,2890.0,2890.0,4
HCPCS,C9033,Pharmacy,,,520.2,520.2,4
HCPCS,C9034,Pharmacy,,,1.06,1.06,4
HCPCS,C9035,Pharmacy,,,2.99,2.99,4
HCPCS,C9036,Pharmacy,,,96.9,96.9,4
HCPCS,C9037,Pharmacy,,,9.69,9.69,4
HCPCS,C9038,Pharmacy,,,193.29,193.29,4
HCPCS,C9039,Pharmacy,,,3.21,3.21,4
HCPCS,C9040,Pharmacy,,,2.61,2.61,4
HCPCS,C9041,Pharmacy,,,280.5,280.5,4
HCPCS,C9042,Pharmacy,,,25.24,25.24,4
HCPCS,C9043,Pharmacy,,,4.08,4.08,4
HCPCS,C9044,Pharmacy,,,26.52,26.52,4
HCPCS,C9045,Pharmacy,,,21.25,21.25,4
HCPCS,C9046,Cocaine HCl Nasal Soln 40 MG/ML (4%),899.1,719.28,1.56,1010.15,81
HCPCS,C9047,Caplacizumab-yhdp for Inj Kit 11 MG,16485.22,13188.18,745.65,14836.7,27
HCPCS,C9048,Pharmacy,,,137.4,137.4,4
HCPCS,C9049,Pharmacy,,,260.4,260.4,4
HCPCS,C9050,Pharmacy,,,738.89,738.89,4
HCPCS,C9051,Pharmacy,,,3.52,3.52,4
HCPCS,C9052,Pharmacy,,,217.74,217.74,4
HCPCS,C9053,Pharmacy,,,24.05,24.05,4
HCPCS,C9054,Pharmacy,,,0.7,0.7,4
HCPCS,C9055,Pharmacy,,,75.99,75.99,4
HCPCS,C9056,Pharmacy,,,105.24,105.24,4
HCPCS,C9057,Pharmacy,,,30.6,30.6,4
HCPCS,C9058,Pharmacy,,,333.67,333.67,4
HCPCS,C9059,Pharmacy,,,3.2,3.2,4
HCPCS,C9060,Pharmacy,,,3723.0,3723.0,4
HCPCS,C9061,Pharmacy,,,303.96,303.96,4
HCPCS,C9062,Pharmacy,,,42.92,42.92,4
HCPCS,C9063,Pharmacy,,,15.25,15.25,4
HCPCS,C9064,Pharmacy,,,272.54,272.54,4
HCPCS,C9065,Pharmacy,,,326.26,326.26,4
HCPCS,C9066,Pharmacy,,,28.51,28.51,4
HCPCS,C9067,Gallium ga-68 dotatoc,,,1.0,3092.23,15
HCPCS,C9068,Pharmacy,,,892.5,892.5,4
HCPCS,C9069,Pharmacy,,,42.21,42.21,4
HCPCS,C9070,Pharmacy,,,12.24,12.24,4
HCPCS,C9071,Pharmacy,,,57.53,57.53,4
HCPCS,C9072,Pharmacy,,,463.59,463.59,4
HCPCS,C9073,Outpatient Services - CPT/HCPCS,,,343253.43,831911.5,2
HCPCS,C9073,Pharmacy,,,380460.0,380460.0,4
HCPCS,C9074,Pharmacy,,,296.83,296.83,4
HCPCS,C9075,Pharmacy,,,163.2,163.2,4
HCPCS,C9076,Outpatient Services - CPT/HCPCS,,,343253.43,831911.5,2
HCPCS,C9076,Pharmacy,,,418506.0,418506.0,4
HCPCS,C9077,Pharmacy,,,10.1,10.1,4
HCPCS,C9078,Pharmacy,,,4.82,4.82,4
HCPCS,C9079,Pharmacy,,,159.38,159.38,4
HCPCS,C9080,Pharmacy,,,484.5,484.5,4
HCPCS,C9081,Outpatient Services - CPT/HCPCS,,,343253.43,831911.5,2
HCPCS,C9081,Pharmacy,,,427890.0,427890.0,4
HCPCS,C9082,Pharmacy,,,2115.35,2115.35,4
HCPCS,C9083,Pharmacy,,,87.03,87.03,4
HCPCS,C9084,Pharmacy,,,242.45,242.45,4
HCPCS,C9085,Pharmacy,,,69.97,69.97,4
HCPCS,C9086,Pharmacy,,,15.64,15.64,4
HCPCS,C9087,Pharmacy,,,7.45,7.45,4
HCPCS,C9088,Outpatient Services,,,0.77,0.85,9
HCPCS,C9088,Outpatient Services - CPT/HCPCS,,,0.73,0.73,2
HCPCS,C9088,Pharmacy,,,0.77,0.77,4
HCPCS,C9089,Outpatient Services,,,0.84,0.92,9
HCPCS,C9089,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C9089,Pharmacy,,,0.85,0.85,4
HCPCS,C9090,Pharmacy,,,30.6,30.6,4
HCPCS,C9091,Pharmacy,,,69.21,69.21,4
HCPCS,C9092,Pharmacy,,,46.75,46.75,4
HCPCS,C9093,Pharmacy,,,81.6,81.6,4
HCPCS,C9094,Pharmacy,,,16.69,16.69,4
HCPCS,C9095,Pharmacy,,,191.35,191.35,4
HCPCS,C9096,Pharmacy,,,0.77,0.77,4
HCPCS,C9097,Pharmacy,,,37.23,37.23,4
HCPCS,C9098,Outpatient Services - CPT/HCPCS,,,343253.43,831911.5,2
HCPCS,C9098,Pharmacy,,,474300.0,474300.0,4
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.25,1.25,2
HCPCS,C9113,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C9121,Pharmacy,,,20.2,20.2,4
HCPCS,C9122,Pharmacy,,,10.37,10.37,4
HCPCS,C9132,Pharmacy,,,2.67,2.67,4
HCPCS,C9137,Pharmacy,,,2.02,2.02,4
HCPCS,C9138,Pharmacy,,,1.73,1.73,4
HCPCS,C9139,Pharmacy,,,4.34,4.34,4
HCPCS,C9140,Pharmacy,,,1.68,1.68,4
HCPCS,C9141,Pharmacy,,,2.24,2.24,4
HCPCS,C9142,Pharmacy,,,73.3,73.3,4
HCPCS,C9143,Cocaine HCl Nasal Soln 40 MG/ML (4%),552.96,442.37,1.41,497.66,27
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.49,0.54,15
HCPCS,C9145,Outpatient Services,,,1.81,2.01,9
HCPCS,C9145,Outpatient Services - CPT/HCPCS,,,1.88,1.88,2
HCPCS,C9145,Pharmacy,,,1.95,1.95,4
HCPCS,C9146,Pharmacy,,,63.44,63.44,4
HCPCS,C9147,Pharmacy,,,132.6,132.6,4
HCPCS,C9148,Pharmacy,,,30.09,30.09,4
HCPCS,C9149,Pharmacy,,,35.32,35.32,4
HCPCS,C9150,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C9151,Pharmacy,,,148.92,148.92,4
HCPCS,C9152,Pharmacy,,,5.78,5.78,4
HCPCS,C9153,Pharmacy,,,9.18,9.18,4
HCPCS,C9154,Pharmacy,,,12.71,12.71,4
HCPCS,C9155,Pharmacy,,,51.77,51.77,4
HCPCS,C9157,Pharmacy,,,145.15,145.15,4
HCPCS,C9158,Pharmacy,,,25.13,25.13,4
HCPCS,C9159,Outpatient Services - CPT/HCPCS,,,3.25,3.25,2
HCPCS,C9159,Pharmacy,,,3.21,3.21,4
HCPCS,C9160,Outpatient Services - CPT/HCPCS,,,5.34,5.34,2
HCPCS,C9160,Pharmacy,,,4.28,4.28,4
HCPCS,C9161,Outpatient Services - CPT/HCPCS,,,337.97,337.97,2
HCPCS,C9161,Pharmacy,,,334.69,334.69,4
HCPCS,C9162,Outpatient Services - CPT/HCPCS,,,108.15,108.15,2
HCPCS,C9162,Pharmacy,,,107.1,107.1,4
HCPCS,C9163,Outpatient Services - CPT/HCPCS,,,66.69,66.69,2
HCPCS,C9163,Pharmacy,,,66.05,66.05,4
HCPCS,C9164,Outpatient Services - CPT/HCPCS,,,705.55,705.55,2
HCPCS,C9164,Pharmacy,,,698.7,698.7,4
HCPCS,C9165,Outpatient Services - CPT/HCPCS,,,176.87,176.87,2
HCPCS,C9165,Pharmacy,,,175.15,175.15,4
HCPCS,C9166,Pharmacy,,,17.26,17.26,4
HCPCS,C9167,Pharmacy,,,3.35,3.35,4
HCPCS,C9168,Pharmacy,,,32.61,32.61,4
HCPCS,C9169,Pharmacy,,,91.29,91.29,4
HCPCS,C9170,Pharmacy,,,1530.0,1530.0,4
HCPCS,C9171,Pharmacy,,,36.09,36.09,4
HCPCS,C9172,Pharmacy,,,3570000.0,3570000.0,4
HCPCS,C9173,Pharmacy,,,0.53,0.53,4
HCPCS,C9174,Pharmacy,,,49.89,49.89,4
HCPCS,C9175,Pharmacy,,,31.11,31.11,4
HCPCS,C9248,Clevidipine IV Emulsion 25 MG/50ML,239.25,191.4,1.0,215.33,36
HCPCS,C9250,Artiss fibrin sealant,,,99.59,246.04,15
HCPCS,C9254,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),26.425,21.145000000000003,1.0,46.35,162
HCPCS,C9257,Bevacizumab IV Soln 100 MG/4ML (For Infusion),148.5,118.8,1.74,133.65,36
HCPCS,C9285,"Patch, lidocaine/tetracaine",,,1.0,1.0,2
HCPCS,C9290,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,C9293,Glucarpidase For IV Inj 1000 UNIT,57715.14,46172.12,440.98,51943.63,27
HCPCS,C9296,Pharmacy,,,16.32,16.32,4
HCPCS,C9300,Pharmacy,,,10.2,10.2,4
HCPCS,C9301,Pharmacy,,,535500.0,535500.0,4
HCPCS,C9302,Pharmacy,,,24.17,24.17,4
HCPCS,C9303,Pharmacy,,,16.32,16.32,4
HCPCS,C9304,Pharmacy,,,52.02,52.02,4
HCPCS,C9305,Outpatient Services,,,30.53,33.74,9
HCPCS,C9305,Pharmacy,,,31.82,31.82,4
HCPCS,C9306,Outpatient Services,,,136.79,151.19,9
HCPCS,C9306,Pharmacy,,,142.6,142.6,4
HCPCS,C9349,Pharmacy,,,104.96,104.96,4
HCPCS,C9352,GRAFT NERVENEURAGEN2MMX3CM(3U),2232.65,1786.12,1.0,2009.39,27
HCPCS,C9352,GRAFT NERVENEURAGEN3MMX3CM(3U),2232.65,1786.12,1.0,2009.39,27
HCPCS,C9352,GRAFT NERVENEURAGEN4MMX3CM(3U),2232.65,1786.12,1.0,2009.39,27
HCPCS,C9352,GRAFT NERVENEURAGEN5MMX3CM(3U),2232.65,1786.12,1.0,2009.39,27
HCPCS,C9353,GRAFTNERVENEURAWRAP10MMX4(4U),1631.79,1305.44,1.0,1468.61,27
HCPCS,C9354,"Veritas collagen matrix, cm2",,,1.0,1.0,2
HCPCS,C9355,"Neuromatrix nerve cuff, cm",,,1.0,1.0,2
HCPCS,C9356,GRAFT TENOGLIDE 5X5=25SQCM,322.93,258.35,1.0,290.64,27
HCPCS,C9358,"SurgiMend, fetal",,,1.0,1.0,2
HCPCS,C9359,"Implnt,bon void filler-putty",,,1.0,1.0,2
HCPCS,C9360,"SurgiMend, neonatal",,,1.0,1.0,2
HCPCS,C9361,NeuroMend nerve wrap,,,1.0,1.0,2
HCPCS,C9362,"Implnt,bon void filler-strip",,,1.0,1.0,2
HCPCS,C9363,Integra Meshed Bil Wound Mat,,,1.0,1.0,2
HCPCS,C9364,"Porcine implant, Permacol",,,1.0,1.0,2
HCPCS,C9399,Dinutuximab IV Soln 17.5 MG/5ML (3.5 MG/ML),31698.1,25358.48,8802.56,28528.29,27
HCPCS,C9407,Pharmacy,,,308.01,308.01,4
HCPCS,C9408,Pharmacy,,,308.04,308.04,4
HCPCS,C9442,Pharmacy,,,31.48,31.48,4
HCPCS,C9444,Pharmacy,,,24.65,24.65,4
HCPCS,C9445,Pharmacy,,,26.53,26.53,4
HCPCS,C9447,Pharmacy,,,474.3,474.3,4
HCPCS,C9448,Pharmacy,,,509.8,509.8,4
HCPCS,C9450,Pharmacy,,,472.42,472.42,4
HCPCS,C9451,Pharmacy,,,1.62,1.62,4
HCPCS,C9453,Pharmacy,,,24.83,24.83,4
HCPCS,C9454,Pharmacy,,,274.62,274.62,4
HCPCS,C9455,Pharmacy,,,87.52,87.52,4
HCPCS,C9456,Pharmacy,,,0.65,0.65,4
HCPCS,C9457,Pharmacy,,,29.58,29.58,4
HCPCS,C9459,Pharmacy,,,3324.27,3324.27,4
HCPCS,C9460,"Injection, cangrelor",,,18.24,20.98,15
HCPCS,C9462,"Injection, delafloxacin",,,0.48,0.51,6
HCPCS,C9463,Pharmacy,,,2.52,2.52,4
HCPCS,C9464,Pharmacy,,,0.9,0.9,4
HCPCS,C9465,Pharmacy,,,994.5,994.5,4
HCPCS,C9466,Pharmacy,,,161.57,161.57,4
HCPCS,C9467,Pharmacy,,,47.91,47.91,4
HCPCS,C9468,Pharmacy,,,4.08,4.08,4
HCPCS,C9469,Pharmacy,,,18.17,18.17,4
HCPCS,C9470,Pharmacy,,,2.52,2.52,4
HCPCS,C9471,Pharmacy,,,17.0,17.0,4
HCPCS,C9472,Pharmacy,,,44.88,44.88,4
HCPCS,C9473,Pharmacy,,,26.27,26.27,4
HCPCS,C9474,Pharmacy,,,38.43,38.43,4
HCPCS,C9475,Pharmacy,,,5.2,5.2,4
HCPCS,C9476,Pharmacy,,,47.18,47.18,4
HCPCS,C9477,Pharmacy,,,6.04,6.04,4
HCPCS,C9478,Pharmacy,,,510.0,510.0,4
HCPCS,C9479,Pharmacy,,,28.88,28.88,4
HCPCS,C9480,Pharmacy,,,275.4,275.4,4
HCPCS,C9481,Pharmacy,,,8.52,8.52,4
HCPCS,C9482,Sotalol HCl Inj 150 MG/10ML (15 MG/ML),143373.83,114699.07,20.67,129036.45,36
HCPCS,C9483,Pharmacy,,,73.27,73.27,4
HCPCS,C9484,Pharmacy,,,163.2,163.2,4
HCPCS,C9485,Pharmacy,,,49.11,49.11,4
HCPCS,C9486,Pharmacy,,,5.18,5.18,4
HCPCS,C9487,Pharmacy,,,12.55,12.55,4
HCPCS,C9488,Conivaptan HCL,,,47.24,47.24,2
HCPCS,C9489,Pharmacy,,,1062.5,1062.5,4
HCPCS,C9490,Pharmacy,,,38.76,38.76,4
HCPCS,C9491,Pharmacy,,,77.85,77.85,4
HCPCS,C9492,Pharmacy,,,71.5,71.5,4
HCPCS,C9493,Pharmacy,,,18.83,18.83,4
HCPCS,C9494,Pharmacy,,,55.25,55.25,4
HCPCS,C9497,Pharmacy,,,153.0,153.0,4
HCPCS,C9507,CONVALESCENT PLASMA,1214.0,971.2,337.13,1092.6,36
HCPCS,C9600,COR DES SGL MAJ ARTERY BRNCH,22238.0,17790.4,6175.49,20014.2,38
HCPCS,C9601,COR DES EA ADL BRNCH MAJ ART,18207.0,14565.6,1.0,16386.3,27
HCPCS,C9602,COR ATHER DES PTCA ART BRNCH,33088.0,26470.4,9188.54,30964.11,38
HCPCS,C9603,COR ATH DES PTCA EA+ART BRNCH,14947.0,11957.6,1.0,13452.3,27
HCPCS,C9604,COR BYP GRFT REVASC ANY COMBO DES ATHERECTOMY AND ANGIO SGL VES,20142.0,16113.6,5593.43,19426.22,38
HCPCS,C9605,"COR BYP GRFT REVASC ANY COMBO DES, ATHERERECTOMY AND ANGIOPLASTY EA+VES",16568.0,13254.4,1.0,14911.2,27
HCPCS,C9606,COR REVASC DES ACUTE TOTAL SGL,19112.0,15289.6,4164.42,18378.04,29
HCPCS,C9607,COR REVASC DES CHRON TOTAL SGL,22488.0,17990.4,6244.92,30964.11,38
HCPCS,C9608,COR REVASC DES CHRON TOT EA+VS,15745.0,12596.0,1.0,14170.5,27
HCPCS,C9610,CATH DCB AGENT MR 2.00X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.00X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.00X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.25X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.25X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.25X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.50X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.50X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.50X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.75X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.75X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 2.75X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 3.00X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 3.00X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 3.00X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 3.50X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 3.50X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 3.50X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 4.00X15MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 4.00X20MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9610,CATH DCB AGENT MR 4.00X30MM,13900.0,11120.0,3860.03,12510.0,27
HCPCS,C9725,Place endorectal app,,,665.9,1613.88,13
HCPCS,C9726,Rxt breast appl place/remov,,,1.0,1.0,2
HCPCS,C9727,Insert palate implants,,,1111.14,2692.97,11
HCPCS,C9728,"Place device/marker, non pro",,,1009.56,2446.77,11
HCPCS,C9733,Non-ophthalmic FVA,,,280.2,679.09,13
HCPCS,C9734,"U/S trtmt, not leiomyomata",,,9589.17,23240.38,13
HCPCS,C9738,Blue light cysto imag agent,,,1.0,1.0,2
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,3770.02,9137.05,13
HCPCS,C9740,Cysto impl 4 or more,,,6712.06,16267.4,13
HCPCS,C9741,Outpatient Services - CPT/HCPCS,,,7780.16,18856.05,2
HCPCS,C9745,Outpatient Services - CPT/HCPCS,,,297.51,721.05,2
HCPCS,C9746,Outpatient Services - CPT/HCPCS,,,1484.03,3596.7,2
HCPCS,C9747,Outpatient Services - CPT/HCPCS,,,2540.0,6155.96,2
HCPCS,C9748,Outpatient Services - CPT/HCPCS,,,1484.03,3596.7,2
HCPCS,C9749,Outpatient Services - CPT/HCPCS,,,400.87,971.56,2
HCPCS,C9750,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
HCPCS,C9751,Outpatient Services,,,3562.98,3938.03,9
HCPCS,C9751,Outpatient Services - CPT/HCPCS,,,2865.02,6943.68,4
HCPCS,C9752,Outpatient Services - CPT/HCPCS,,,171.82,416.42,2
HCPCS,C9753,Outpatient Services - CPT/HCPCS,,,5212.43,12632.88,2
HCPCS,C9754,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
HCPCS,C9755,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
HCPCS,C9756,Fluorescence lymph map w/ICG,,,1.0,1.0,2
HCPCS,C9757,Spine device implant surgery,,,9589.17,23240.38,13
HCPCS,C9758,Blind interatrial shunt ide,,,13368.68,32400.43,13
HCPCS,C9759,Transcath intraop microinf,,,1.0,1.0,2
HCPCS,C9760,Non-blind interatrial shunt,,,21007.71,50914.43,13
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,6712.06,16267.4,11
HCPCS,C9762,Cardiac mri seg dys strain,,,401.94,974.15,13
HCPCS,C9763,Cardiac mri seg dys stress,,,401.94,974.15,13
HCPCS,C9764,REVASC INTRAVASC LITHOTRIPSY,19819.0,15855.2,5503.74,19426.22,38
HCPCS,C9765,REVASC INTRA LITHOTRIP-STENT,33649.0,26919.2,9344.33,30964.11,38
HCPCS,C9766,REVASC INTRA LITHOTRIP-ATHER,33557.0,26845.6,9318.78,30964.11,38
HCPCS,C9767,REVASC LITHOTRIP-STENT-ATHER,43460.0,34768.0,12068.84,39114.0,38
HCPCS,C9768,Endo us-guide hep porto grad,,,1.0,1.0,2
HCPCS,C9769,Outpatient Services - CPT/HCPCS,,,6712.06,16267.4,2
HCPCS,C9770,Outpatient Services - CPT/HCPCS,,,1697.9,4115.05,2
HCPCS,C9771,Outpatient Services - CPT/HCPCS,,,1236.62,2997.08,2
HCPCS,C9772,Revasc lithotrip tibi/perone,,,8015.42,19426.22,13
HCPCS,C9773,Revasc lithotr-stent tib/per,,,12776.04,30964.11,13
HCPCS,C9774,REVASC LITHOTRIP W ATHERECTOMY TIBIAL PERONEAL ARTERY,30000.0,24000.0,8331.0,30964.11,38
HCPCS,C9775,Revasc lith-sten-ath tib/per,,,12776.04,30964.11,13
HCPCS,C9776,Fluo bile duct imaging w/icg,,,1.0,1.0,2
HCPCS,C9777,Esophag muc integ w/eso egd,,,2790.35,6762.7,11
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,3623.98,8783.1,11
HCPCS,C9779,Esd endoscopy or colonoscopy,,,2790.35,6762.7,11
HCPCS,C9780,Insert cv cath inf & sup app,,,6302.58,15274.98,11
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,9589.17,23240.38,11
HCPCS,C9782,Blind myocar trpl bon marrow,,,13368.68,32400.43,11
HCPCS,C9783,Blind cor sinus reducer impl,,,8015.42,19426.22,11
HCPCS,C9784,Outpatient Services,,,9890.66,10931.78,9
HCPCS,C9784,Outpatient Services - CPT/HCPCS,,,7499.97,18176.99,4
HCPCS,C9785,Endo outlet restrict w/tube,,,7499.97,18176.99,13
HCPCS,C9786,Outpatient Services - CPT/HCPCS,,,217.62,527.43,4
HCPCS,C9787,Outpatient Services - CPT/HCPCS,,,390.51,946.44,4
HCPCS,C9789,Instill pharm renal pelvis,,,1719.16,4166.58,13
HCPCS,C9790,Outpatient Services - CPT/HCPCS,,,9549.17,23143.43,4
HCPCS,C9791,Mri hyperpolarized xenon129,,,955.26,2315.18,13
HCPCS,C9792,Blind/nonblind trans atrial,,,7448.43,18052.08,13
HCPCS,C9793,Pre 3d mdl w/ccta and/or mri,,,761.78,1846.25,13
HCPCS,C9794,Outpatient Services - CPT/HCPCS,,,1489.99,3611.16,4
HCPCS,C9795,Outpatient Services - CPT/HCPCS,,,2865.02,6943.68,4
HCPCS,C9796,Rpr intst excl anrect fist,,,2605.27,2879.51,9
HCPCS,C9797,VASC EMB OR OCC W PRS CATH INCL IMAGING,34417.0,27533.6,9557.6,30975.3,36
HCPCS,C9803,Covid Codes - CPT/HCPCS,,,22.98,22.98,1
HCPCS,C9808,PROBE CRYOABL 2ND GEN 10CM,6580.0,5264.0,1827.27,5922.0,27
HCPCS,C9808,PROBE CRYOABL 3RD GEN 10CM,6580.0,5264.0,1827.27,5922.0,27
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE *NLU*,6630.0,5304.0,1841.15,5967.0,27
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE 11,7000.0,5600.0,1943.9,6300.0,27
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE MAX11,7280.0,5824.0,2021.66,6552.0,27
HCPCS,C9808,PROBE CRYOABL CRYOSPHERE+ 11,7000.0,5600.0,1943.9,6300.0,27
HCPCS,C9809,CRYO TIP IOVERA 307 3X7MM*NLU*,1680.0,1344.0,466.54,1512.0,27
HCPCS,C9809,TIP CRYO IOVERA SMART 1X190MM,2158.67,1726.94,599.46,1942.8,27
HCPCS,C9809,TIP CRYO IOVERA SMART 3X8.5MM,2158.2,1726.56,599.33,1942.38,27
HCPCS,C9898,Inpnt stay radiolabeled item,,,1.0,1.0,2
HCPCS,C9901,Endo defect closure gi tract,,,9890.66,10931.78,9
HCPCS,E0100,Cane adjust/fixed with tip,,,27.32,27.32,2
HCPCS,E0105,Cane adjust/fixed quad/3 pro,,,60.81,60.81,2
HCPCS,E0110,Crutch forearm pair,,,100.58,100.58,2
HCPCS,E0111,Crutch forearm each,,,62.07,62.07,2
HCPCS,E0112,Crutch underarm pair wood,,,47.97,47.97,2
HCPCS,E0113,Crutch underarm each wood,,,27.41,27.41,2
HCPCS,E0114,Crutch underarm pair no wood,,,60.41,60.41,2
HCPCS,E0116,Crutch underarm each no wood,,,32.99,32.99,2
HCPCS,E0117,Underarm springassist crutch,,,262.1,262.1,2
HCPCS,E0118,Crutch substitute,,,197.7,197.7,2
HCPCS,E0130,Walker rigid adjust/fixed ht,,,63.8,63.8,2
HCPCS,E0135,Walker folding adjust/fixed,,,72.98,72.98,2
HCPCS,E0140,Walker w trunk support,,,392.2,392.2,2
HCPCS,E0141,Rigid wheeled walker adj/fix,,,87.21,87.21,2
HCPCS,E0143,Walker folding wheeled w/o s,,,88.94,88.94,2
HCPCS,E0144,Enclosed walker w rear seat,,,348.9,348.9,2
HCPCS,E0147,Walker variable wheel resist,,,571.25,571.25,2
HCPCS,E0148,Heavyduty walker no wheels,,,121.69,121.69,2
HCPCS,E0149,Heavy duty wheeled walker,,,206.4,206.4,2
HCPCS,E0153,Forearm crutch platform atta,,,81.73,81.73,2
HCPCS,E0154,Walker platform attachment,,,69.42,69.42,2
HCPCS,E0155,"Walker wheel attachment,pair",,,30.43,30.43,2
HCPCS,E0156,Walker seat attachment,,,22.19,22.19,2
HCPCS,E0157,Walker crutch attachment,,,77.88,77.88,2
HCPCS,E0158,Walker leg extenders set of4,,,31.09,31.09,2
HCPCS,E0159,Brake for wheeled walker,,,18.97,18.97,2
HCPCS,E0160,Sitz type bath or equipment,,,39.13,39.13,2
HCPCS,E0161,Sitz bath/equipment w/faucet,,,32.16,32.16,2
HCPCS,E0162,Sitz bath chair,,,160.54,160.54,2
HCPCS,E0163,Commode chair with fixed arm,,,93.13,93.13,2
HCPCS,E0165,Commode chair with detacharm,,,194.2,194.2,2
HCPCS,E0167,Commode chair pail or pan,,,14.42,14.42,2
HCPCS,E0168,Heavyduty/wide commode chair,,,169.6,169.6,2
HCPCS,E0170,Commode chair electric,,,2145.1,2145.1,2
HCPCS,E0171,Commode chair non-electric,,,393.6,393.6,2
HCPCS,E0172,Seat lift mechanism toilet,,,834.4,834.4,2
HCPCS,E0175,Commode chair foot rest,,,72.97,72.97,2
HCPCS,E0181,Press pad alternating w/ pum,,,277.5,277.5,2
HCPCS,E0182,"Replace pump, alt press pad",,,312.3,312.3,2
HCPCS,E0183,Press underlay alter w/pump,,,277.5,277.5,2
HCPCS,E0184,Dry pressure mattress,,,205.95,205.95,2
HCPCS,E0185,Gel pressure mattress pad,,,311.26,311.26,2
HCPCS,E0186,Air pressure mattress,,,234.8,234.8,2
HCPCS,E0187,Water pressure mattress,,,268.6,268.6,2
HCPCS,E0188,Synthetic sheepskin pad,,,31.87,31.87,2
HCPCS,E0189,Lambswool sheepskin pad,,,64.2,64.2,2
HCPCS,E0190,Positioning cushion,,,37.23,37.23,2
HCPCS,E0191,Protector heel or elbow,,,11.97,11.97,2
HCPCS,E0193,Powered air flotation bed,,,9570.2,9570.2,2
HCPCS,E0194,Air fluidized bed,,,3764.88,3764.88,2
HCPCS,E0196,Gel pressure mattress,,,375.8,375.8,2
HCPCS,E0197,Air pressure pad for mattres,,,324.9,324.9,2
HCPCS,E0198,Water pressure pad for mattr,,,301.6,301.6,2
HCPCS,E0199,Dry pressure pad for mattres,,,36.26,36.26,2
HCPCS,E0200,Heat lamp without stand,,,87.34,87.34,2
HCPCS,E0202,Phototherapy light w/ photom,,,745.8,745.8,2
HCPCS,E0203,Therapeutic lightbox tabletp,,,229.72,229.72,2
HCPCS,E0205,Heat lamp with stand,,,224.49,224.49,2
HCPCS,E0210,Electric heat pad standard,,,42.33,42.33,2
HCPCS,E0215,Electric heat pad moist,,,78.05,78.05,2
HCPCS,E0217,Water circ heat pad w pump,,,643.53,643.53,2
HCPCS,E0218,Fluid circ cold pad w pump,,,200.71,200.71,2
HCPCS,E0221,Infrared heating pad system,,,2113.46,2113.46,2
HCPCS,E0225,Hydrocollator unit,,,503.78,503.78,2
HCPCS,E0235,Paraffin bath unit portable,,,234.8,234.8,2
HCPCS,E0236,Pump for water circulating p,,,511.9,511.9,2
HCPCS,E0239,Hydrocollator unit portable,,,495.62,495.62,2
HCPCS,E0240,Bath/shower chair,,,145.6,145.6,2
HCPCS,E0243,Toilet rail,,,27.47,27.47,2
HCPCS,E0244,Toilet seat raised,,,52.44,52.44,2
HCPCS,E0245,Tub stool or bench,,,145.6,145.6,2
HCPCS,E0246,Transfer tub rail attachment,,,76.26,76.26,2
HCPCS,E0247,Trans bench w/wo comm open,,,34.39,34.39,2
HCPCS,E0248,HDtrans bench w/wo comm open,,,54.69,54.69,2
HCPCS,E0249,Pad water circulating heat u,,,109.74,109.74,2
HCPCS,E0250,Hosp bed fixed ht w/ mattres,,,965.0,965.0,2
HCPCS,E0251,Hosp bed fixd ht w/o mattres,,,802.6,802.6,2
HCPCS,E0255,Hospital bed var ht w/ mattr,,,1083.6,1083.6,2
HCPCS,E0256,Hospital bed var ht w/o matt,,,829.6,829.6,2
HCPCS,E0260,Hosp bed semi-electr w/ matt,,,1218.8,1218.8,2
HCPCS,E0261,Hosp bed semi-electr w/o mat,,,1077.2,1077.2,2
HCPCS,E0265,Hosp bed total electr w/ mat,,,1878.1,1878.1,2
HCPCS,E0266,Hosp bed total elec w/o matt,,,1796.6,1796.6,2
HCPCS,E0271,Mattress innerspring,,,199.89,199.89,2
HCPCS,E0272,Mattress foam rubber,,,199.1,199.1,2
HCPCS,E0274,Over-bed table,,,52.8,52.8,2
HCPCS,E0275,Bed pan standard,,,17.2,17.2,2
HCPCS,E0276,Bed pan fracture,,,15.01,15.01,2
HCPCS,E0277,Powered pres-redu air mattrs,,,5366.3,5366.3,2
HCPCS,E0280,Bed cradle,,,36.28,36.28,2
HCPCS,E0290,Hosp bed fx ht w/o rails w/m,,,740.0,740.0,2
HCPCS,E0291,Hosp bed fx ht w/o rail w/o,,,604.4,604.4,2
HCPCS,E0292,Hosp bed var ht no sr w/matt,,,833.9,833.9,2
HCPCS,E0293,Hosp bed var ht no sr no mat,,,713.2,713.2,2
HCPCS,E0294,Hosp bed semi-elect w/ mattr,,,1064.9,1064.9,2
HCPCS,E0295,Hosp bed semi-elect w/o matt,,,1029.3,1029.3,2
HCPCS,E0296,Hosp bed total elect w/ matt,,,1495.6,1495.6,2
HCPCS,E0297,Hosp bed total elect w/o mat,,,1368.7,1368.7,2
HCPCS,E0300,Enclosed ped crib hosp grade,,,3173.3,3173.3,2
HCPCS,E0301,"HD hosp bed, 350-600 lbs",,,2624.5,2624.5,2
HCPCS,E0302,Ex hd hosp bed > 600 lbs,,,7227.2,7227.2,2
HCPCS,E0303,Hosp bed hvy dty xtra wide,,,2833.9,2833.9,2
HCPCS,E0304,Hosp bed xtra hvy dty x wide,,,7634.5,7634.5,2
HCPCS,E0305,Rails bed side half length,,,173.3,173.3,2
HCPCS,E0310,Rails bed side full length,,,177.06,177.06,2
HCPCS,E0316,Bed safety enclosure,,,2478.4,2478.4,2
HCPCS,E0325,Urinal male jug-type,,,12.15,12.15,2
HCPCS,E0326,Urinal female jug-type,,,11.56,11.56,2
HCPCS,E0328,"Ped hospital bed, manual",,,6104.22,6104.22,2
HCPCS,E0329,Ped hospital bed semi/elect,,,1534.42,1534.42,2
HCPCS,E0352,Disposable pack w/bowel syst,,,43.6,43.6,2
HCPCS,E0370,Air elevator for heel,,,21.16,21.16,2
HCPCS,E0371,Nonpower mattress overlay,,,3845.9,3845.9,2
HCPCS,E0372,Powered air mattress overlay,,,4403.4,4403.4,2
HCPCS,E0373,Nonpowered pressure mattress,,,4844.2,4844.2,2
HCPCS,E0424,Stationary compressed gas 02,,,160.51,160.51,2
HCPCS,E0425,Gas system stationary compre,,,2982.13,2982.13,2
HCPCS,E0430,Oxygen system gas portable,,,6.29,6.29,2
HCPCS,E0431,Portable gaseous 02,,,28.64,28.64,2
HCPCS,E0433,Portable liquid oxygen sys,,,48.62,48.62,2
HCPCS,E0434,Portable liquid 02,,,48.62,48.62,2
HCPCS,E0435,Oxygen system liquid portabl,,,515.38,515.38,2
HCPCS,E0439,Stationary liquid 02,,,160.51,160.51,2
HCPCS,E0440,Oxygen system liquid station,,,2982.13,2982.13,2
HCPCS,E0441,"Stationary O2 contents, gas",,,63.8,88.89,15
HCPCS,E0442,"Stationary O2 contents, liq",,,63.8,88.89,15
HCPCS,E0443,"Portable 02 contents, gas",,,58.83,81.97,15
HCPCS,E0444,"Portable 02 contents, liquid",,,58.83,81.97,15
HCPCS,E0445,Oximeter non-invasive,,,1.0,1.0,2
HCPCS,E0447,"Port o2 cont, liq over 4 lpm",,,88.26,122.96,15
HCPCS,E0455,Oxygen tent excl croup/ped t,,,125.16,125.16,2
HCPCS,E0457,Chest shell,,,565.54,565.54,2
HCPCS,E0459,Chest wrap,,,468.83,468.83,2
HCPCS,E0462,Rocking bed w/ or w/o side r,,,3475.2,3475.2,2
HCPCS,E0465,Home vent invasive interface,,,1237.28,1237.28,2
HCPCS,E0466,Home vent non-invasive inter,,,1237.28,1237.28,2
HCPCS,E0467,Home vent multi-function,,,1454.65,1454.65,2
HCPCS,E0470,RAD w/o backup non-inv intfc,,,1346.7,1346.7,2
HCPCS,E0471,RAD w/backup non inv intrfc,,,3350.5,3350.5,2
HCPCS,E0472,RAD w backup invasive intrfc,,,538.73,538.73,2
HCPCS,E0480,Percussor elect/pneum home m,,,508.4,508.4,2
HCPCS,E0482,Cough stimulating device,,,5852.9,5852.9,2
HCPCS,E0483,Hi freq chest wall oscil sys,,,14469.7,14469.7,2
HCPCS,E0484,Non-elec oscillatory pep dvc,,,47.88,47.88,2
HCPCS,E0485,Oral device/appliance prefab,,,323.53,323.53,2
HCPCS,E0486,Oral device/appliance cusfab,,,1351.42,1351.42,2
HCPCS,E0487,Electronic spirometer,,,1.0,1.0,2
HCPCS,E0490,Control unit nm hw remote,,,1218.5,1218.5,2
HCPCS,E0491,Oral dv nm mouthpc hw remote,,,95.84,136.73,15
HCPCS,E0500,Ippb all types,,,123.06,123.06,2
HCPCS,E0530,Electronic posa treatment,,,354.5,354.5,2
HCPCS,E0550,Humidif extens supple w ippb,,,682.4,682.4,2
HCPCS,E0555,Humidifier for use w/ regula,,,61.86,61.86,2
HCPCS,E0560,Humidifier supplemental w/ i,,,191.61,191.61,2
HCPCS,E0561,Humidifier nonheated w PAP,,,82.3,82.3,2
HCPCS,E0562,Humidifier heated used w PAP,,,161.19,161.19,2
HCPCS,E0565,Compressor air power source,,,662.4,662.4,2
HCPCS,E0570,Nebulizer with compression,,,146.9,146.9,2
HCPCS,E0572,Aerosol compressor adjust pr,,,445.2,445.2,2
HCPCS,E0574,Ultrasonic generator w svneb,,,547.9,547.9,2
HCPCS,E0575,Nebulizer ultrasonic,,,1269.2,1269.2,2
HCPCS,E0580,Nebulizer for use w/ regulat,,,149.76,149.76,2
HCPCS,E0585,Nebulizer w/ compressor & he,,,422.1,422.1,2
HCPCS,E0600,Suction pump portab hom modl,,,623.1,623.1,2
HCPCS,E0601,Cont airway pressure device,,,503.3,503.3,2
HCPCS,E0602,Manual breast pump,,,38.26,38.26,2
HCPCS,E0603,Electric breast pump,,,1.0,1.0,2
HCPCS,E0604,Hosp grade elec breast pump,,,58.72,58.72,2
HCPCS,E0605,Vaporizer room type,,,34.24,34.24,2
HCPCS,E0606,Drainage board postural,,,312.4,312.4,2
HCPCS,E0607,Blood glucose monitor home,,,86.61,86.61,2
HCPCS,E0610,Pacemaker monitr audible/vis,,,308.3,308.3,2
HCPCS,E0615,Pacemaker monitr digital/vis,,,546.41,546.41,2
HCPCS,E0616,Cardiac event recorder,,,1.0,1.0,2
HCPCS,E0617,Automatic ext defibrillator,,,4138.0,4138.0,2
HCPCS,E0618,Apnea monitor,,,3815.9,3815.9,2
HCPCS,E0619,Apnea monitor w recorder,,,303.12,303.12,2
HCPCS,E0620,Cap bld skin piercing laser,,,1190.0,1190.0,2
HCPCS,E0621,Patient lift sling or seat,,,109.25,109.25,2
HCPCS,E0625,Patient lift bathroom or toi,,,508.75,508.75,2
HCPCS,E0627,"Seat lift mech, electric any",,,379.73,379.73,2
HCPCS,E0629,"Seat lift mech, non-electric",,,373.62,373.62,2
HCPCS,E0630,Patient lift hydraulic,,,977.6,977.6,2
HCPCS,E0635,Patient lift electric,,,1415.6,1415.6,2
HCPCS,E0636,PT support & positioning sys,,,13540.3,13540.3,2
HCPCS,E0637,Combination sit to stand sys,,,2233.81,2233.81,2
HCPCS,E0638,Standing frame sys,,,1459.16,1459.16,2
HCPCS,E0639,Moveable patient lift system,,,1290.6,1290.6,2
HCPCS,E0640,Fixed patient lift system,,,1290.6,1290.6,2
HCPCS,E0641,Multi-position stnd fram sys,,,923.93,923.93,2
HCPCS,E0642,Dynamic standing frame,,,888.05,888.05,2
HCPCS,E0650,Pneuma compresor non-segment,,,933.55,933.55,2
HCPCS,E0651,Pneum compressor segmental,,,1074.95,1074.95,2
HCPCS,E0652,Pneum compres w/cal pressure,,,5841.1,5841.1,2
HCPCS,E0655,Pneumatic appliance half arm,,,134.92,134.92,2
HCPCS,E0656,Segmental pneumatic trunk,,,786.5,786.5,2
HCPCS,E0657,Segmental pneumatic chest,,,738.8,738.8,2
HCPCS,E0660,Pneumatic appliance full leg,,,185.25,185.25,2
HCPCS,E0665,Pneumatic appliance full arm,,,167.52,167.52,2
HCPCS,E0666,Pneumatic appliance half leg,,,158.36,158.36,2
HCPCS,E0667,Seg pneumatic appl full leg,,,356.72,356.72,2
HCPCS,E0668,Seg pneumatic appl full arm,,,486.86,486.86,2
HCPCS,E0669,Seg pneumatic appli half leg,,,237.62,237.62,2
HCPCS,E0670,Seg pneum int legs/trunk,,,1385.01,1385.01,2
HCPCS,E0671,Pressure pneum appl full leg,,,538.39,538.39,2
HCPCS,E0672,Pressure pneum appl full arm,,,418.31,418.31,2
HCPCS,E0673,Pressure pneum appl half leg,,,347.6,347.6,2
HCPCS,E0675,Pneumatic compression device,,,5233.7,5233.7,2
HCPCS,E0677,Non pneum seq comp trunk,,,786.5,786.5,2
HCPCS,E0678,Non pneum seq comp full leg,,,374.6,374.6,2
HCPCS,E0679,Non pneum seq comp half leg,,,249.5,249.5,2
HCPCS,E0680,Non pneum comp control cal,,,6133.1,6133.1,2
HCPCS,E0681,Non pneu comp control w/o ca,,,1128.7,1128.7,2
HCPCS,E0682,Non pneum compress full arm,,,511.2,511.2,2
HCPCS,E0691,Uvl pnl 2 sq ft or less,,,1164.77,1164.77,2
HCPCS,E0692,Uvl sys panel 4 ft,,,1462.64,1462.64,2
HCPCS,E0693,Uvl sys panel 6 ft,,,1803.01,1803.01,2
HCPCS,E0694,Uvl md cabinet sys 6 ft,,,5738.84,5738.84,2
HCPCS,E0700,Safety equipment,,,10.94,10.94,2
HCPCS,E0705,Transfer device,,,58.73,58.73,2
HCPCS,E0710,Restraints any type,,,15.0,15.0,2
HCPCS,E0720,Tens two lead,,,246.79,246.79,2
HCPCS,E0730,Tens four lead,,,272.51,272.51,2
HCPCS,E0731,Conductive garment for tens/,,,247.89,247.89,2
HCPCS,E0732,Ces system,,,432.2,432.2,2
HCPCS,E0733,Trans elec nerv for trigemin,,,432.2,432.2,2
HCPCS,E0734,Ext up limb tremor stim wris,,,4281.6,4281.6,2
HCPCS,E0735,Non-invasive vagus nerv stim,,,432.2,432.2,2
HCPCS,E0740,Non-implant pelv flr e-stim,,,711.7,711.7,2
HCPCS,E0744,Neuromuscular stim for scoli,,,1119.6,1119.6,2
HCPCS,E0745,Neuromuscular stim for shock,,,1218.5,1218.5,2
HCPCS,E0746,Electromyograph biofeedback,,,1.0,1.0,2
HCPCS,E0747,Elec osteogen stim not spine,,,4926.36,4926.36,2
HCPCS,E0748,Elec osteogen stim spinal,,,5043.24,5043.24,2
HCPCS,E0749,Elec osteogen stim implanted,,,1.0,1.0,2
HCPCS,E0760,Osteogen ultrasound stimltor,,,4190.83,4190.83,2
HCPCS,E0761,Nontherm electromgntc device,,,4299.5,4299.5,2
HCPCS,E0762,Trans elec jt stim dev sys,,,1272.1,1272.1,2
HCPCS,E0764,Functional neuromuscularstim,,,15062.1,15062.1,2
HCPCS,E0765,Nerve stimulator for tx n&v,,,109.05,109.05,2
HCPCS,E0766,Elec stim cancer treatment,,,149026.2,149026.2,2
HCPCS,E0770,Functional electric stim NOS,,,2312.42,2312.42,2
HCPCS,E0776,Iv pole,,,157.74,157.74,2
HCPCS,E0779,Amb infusion pump mechanical,,,226.1,226.1,2
HCPCS,E0780,Mech amb infusion pump <8hrs,,,13.44,13.44,2
HCPCS,E0781,External ambulatory infus pu,,,3261.0,3261.0,2
HCPCS,E0782,Non-programble infusion pump,,,1.0,1.0,2
HCPCS,E0783,Programmable infusion pump,,,1.0,1.0,2
HCPCS,E0784,Ext amb infusn pump insulin,,,5471.4,5471.4,2
HCPCS,E0785,Replacement impl pump cathet,,,1.0,1.0,2
HCPCS,E0786,Implantable pump replacement,,,1.0,1.0,2
HCPCS,E0791,Parenteral infusion pump sta,,,3561.6,3561.6,2
HCPCS,E0830,Ambulatory traction device,,,1.0,1.0,2
HCPCS,E0840,Tract frame attach headboard,,,94.97,94.97,2
HCPCS,E0849,Cervical pneum trac equip,,,701.5,701.5,2
HCPCS,E0850,Traction stand free standing,,,136.16,136.16,2
HCPCS,E0855,Cervical traction equipment,,,684.1,684.1,2
HCPCS,E0856,Cervic collar w air bladders,,,209.5,209.5,2
HCPCS,E0860,Tract equip cervical tract,,,44.22,44.22,2
HCPCS,E0870,Tract frame attach footboard,,,137.05,137.05,2
HCPCS,E0880,Trac stand free stand extrem,,,140.94,140.94,2
HCPCS,E0890,Traction frame attach pelvic,,,154.07,154.07,2
HCPCS,E0900,Trac stand free stand pelvic,,,166.1,166.1,2
HCPCS,E0910,Trapeze bar attached to bed,,,171.6,171.6,2
HCPCS,E0911,HD trapeze bar attach to bed,,,563.4,563.4,2
HCPCS,E0912,HD trapeze bar free standing,,,1197.5,1197.5,2
HCPCS,E0920,Fracture frame attached to b,,,566.2,566.2,2
HCPCS,E0930,Fracture frame free standing,,,556.2,556.2,2
HCPCS,E0935,Cont pas motion exercise dev,,,29.49,29.49,2
HCPCS,E0936,"CPM device, other than knee",,,24.11,24.11,2
HCPCS,E0940,Trapeze bar free standing,,,339.4,339.4,2
HCPCS,E0941,Gravity assisted traction de,,,590.7,590.7,2
HCPCS,E0942,Cervical head harness/halter,,,25.73,25.73,2
HCPCS,E0944,Pelvic belt/harness/boot,,,59.46,59.46,2
HCPCS,E0945,Belt/harness extremity,,,57.45,57.45,2
HCPCS,E0946,Fracture frame dual w cross,,,684.5,684.5,2
HCPCS,E0947,Fracture frame attachmnts pe,,,668.19,668.19,2
HCPCS,E0948,Fracture frame attachmnts ce,,,646.28,646.28,2
HCPCS,E0950,Tray,,,95.46,95.46,2
HCPCS,E0951,Loop heel,,,17.24,17.24,2
HCPCS,E0952,"Toe loop/holder, each",,,17.89,17.89,2
HCPCS,E0953,W/c lateral thigh/knee sup,,,101.25,101.25,2
HCPCS,E0954,"Foot box, any type each foot",,,61.93,61.93,2
HCPCS,E0955,Cushioned headrest,,,210.7,210.7,2
HCPCS,E0956,W/c lateral trunk/hip suppor,,,101.25,101.25,2
HCPCS,E0957,W/c medial thigh support,,,149.71,149.71,2
HCPCS,E0958,Whlchr att- conv 1 arm drive,,,538.7,538.7,2
HCPCS,E0959,Amputee adapter,,,51.99,51.99,2
HCPCS,E0960,W/c shoulder harness/straps,,,94.62,94.62,2
HCPCS,E0961,Wheelchair brake extension,,,31.64,31.64,2
HCPCS,E0966,Wheelchair head rest extensi,,,89.09,89.09,2
HCPCS,E0967,Man wc rim/projection rep ea,,,85.13,85.13,2
HCPCS,E0968,Wheelchair commode seat,,,241.6,241.6,2
HCPCS,E0969,Wheelchair narrowing device,,,203.02,203.02,2
HCPCS,E0970,Wheelchair no. 2 footplates,,,42.86,42.86,2
HCPCS,E0971,Wheelchair anti-tipping devi,,,46.38,46.38,2
HCPCS,E0973,W/Ch access det adj armrest,,,96.49,96.49,2
HCPCS,E0974,W/Ch access anti-rollback,,,95.16,95.16,2
HCPCS,E0978,"W/C acc,saf belt pelv strap",,,37.49,37.49,2
HCPCS,E0980,Wheelchair safety vest,,,41.43,41.43,2
HCPCS,E0981,"Seat upholstery, replacement",,,44.77,44.77,2
HCPCS,E0982,"Back upholstery, replacement",,,48.93,48.93,2
HCPCS,E0983,Add pwr joystick,,,3401.7,3401.7,2
HCPCS,E0984,Add pwr tiller,,,2488.7,2488.7,2
HCPCS,E0985,W/c seat lift mechanism,,,274.8,274.8,2
HCPCS,E0986,Man w/c powr assist syst,,,6620.6,6620.6,2
HCPCS,E0988,Lever-activated wheel drive,,,4074.3,4074.3,2
HCPCS,E0990,Wheelchair elevating leg res,,,100.16,100.16,2
HCPCS,E0992,Wheelchair solid seat insert,,,104.76,104.76,2
HCPCS,E0994,Wheelchair arm rest,,,19.43,19.43,2
HCPCS,E0995,"Wc calf rest, pad replacemnt",,,31.98,31.98,2
HCPCS,E1002,Pwr seat tilt,,,4562.4,4562.4,2
HCPCS,E1003,Pwr seat recline,,,5133.3,5133.3,2
HCPCS,E1004,Pwr seat recline mech,,,5666.9,5666.9,2
HCPCS,E1005,Pwr seat recline pwr,,,6166.4,6166.4,2
HCPCS,E1006,Pwr seat combo w/o shear,,,7572.8,7572.8,2
HCPCS,E1007,Pwr seat combo w/shear,,,9833.6,9833.6,2
HCPCS,E1008,Pwr seat combo pwr shear,,,9955.1,9955.1,2
HCPCS,E1010,Add pwr leg elevation,,,1327.0,1327.0,2
HCPCS,E1012,Ctr mount pwr elev leg rest,,,1327.0,1327.0,2
HCPCS,E1014,Reclining back add ped w/c,,,497.1,497.1,2
HCPCS,E1015,Shock absorber for man w/c,,,146.28,146.28,2
HCPCS,E1016,Shock absorber for power w/c,,,140.88,140.88,2
HCPCS,E1020,Residual limb support system,,,256.6,256.6,2
HCPCS,E1028,W/c manual swingaway,,,206.5,206.5,2
HCPCS,E1029,W/c vent tray fixed,,,433.3,433.3,2
HCPCS,E1030,W/c vent tray gimbaled,,,1367.0,1367.0,2
HCPCS,E1031,Rollabout chair with casters,,,563.7,563.7,2
HCPCS,E1035,Patient transfer system <300,,,7916.2,7916.2,2
HCPCS,E1036,Patient transfer system >300,,,11296.1,11296.1,2
HCPCS,E1037,"Transport chair, ped size",,,1418.7,1418.7,2
HCPCS,E1038,Transport chair pt wt<=300lb,,,215.7,215.7,2
HCPCS,E1039,Transport chair pt wt >300lb,,,441.9,441.9,2
HCPCS,E1050,Whelchr fxd full length arms,,,1185.4,1185.4,2
HCPCS,E1060,Wheelchair detachable arms,,,1477.8,1477.8,2
HCPCS,E1070,Wheelchair detachable foot r,,,1433.6,1433.6,2
HCPCS,E1083,Hemi-wheelchair fixed arms,,,911.0,911.0,2
HCPCS,E1084,Hemi-wheelchair detachable a,,,1134.9,1134.9,2
HCPCS,E1085,Hemi-wheelchair fixed arms,,,792.12,792.12,2
HCPCS,E1086,Hemi-wheelchair detachable a,,,817.68,817.68,2
HCPCS,E1087,Wheelchair lightwt fixed arm,,,1722.2,1722.2,2
HCPCS,E1088,Wheelchair lightweight det a,,,1744.2,1744.2,2
HCPCS,E1089,Wheelchair lightwt fixed arm,,,1026.26,1026.26,2
HCPCS,E1090,Wheelchair lightweight det a,,,1324.8,1324.8,2
HCPCS,E1092,Wheelchair wide w/ leg rests,,,1749.1,1749.1,2
HCPCS,E1093,Wheelchair wide w/ foot rest,,,1314.9,1314.9,2
HCPCS,E1100,Whchr s-recl fxd arm leg res,,,1200.9,1200.9,2
HCPCS,E1110,Wheelchair semi-recl detach,,,1383.5,1383.5,2
HCPCS,E1130,Whlchr stand fxd arm ft rest,,,92.95,92.95,2
HCPCS,E1140,Wheelchair standard detach a,,,75.01,75.01,2
HCPCS,E1150,Wheelchair standard w/ leg r,,,1042.6,1042.6,2
HCPCS,E1160,Wheelchair fixed arms,,,765.7,765.7,2
HCPCS,E1161,Manual adult wc w tiltinspac,,,3220.2,3220.2,2
HCPCS,E1170,Whlchr ampu fxd arm leg rest,,,1033.4,1033.4,2
HCPCS,E1171,Wheelchair amputee w/o leg r,,,1000.1,1000.1,2
HCPCS,E1172,Wheelchair amputee detach ar,,,1333.6,1333.6,2
HCPCS,E1180,Wheelchair amputee w/ foot r,,,1379.2,1379.2,2
HCPCS,E1190,Wheelchair amputee w/ leg re,,,1593.4,1593.4,2
HCPCS,E1195,Wheelchair amputee heavy dut,,,1453.3,1453.3,2
HCPCS,E1200,Wheelchair amputee fixed arm,,,1006.6,1006.6,2
HCPCS,E1220,Whlchr special size/constrc,,,777.26,777.26,2
HCPCS,E1221,Wheelchair spec size w foot,,,549.7,549.7,2
HCPCS,E1222,Wheelchair spec size w/ leg,,,899.0,899.0,2
HCPCS,E1223,Wheelchair spec size w foot,,,890.3,890.3,2
HCPCS,E1224,Wheelchair spec size w/ leg,,,938.9,938.9,2
HCPCS,E1225,Manual semi-reclining back,,,546.9,546.9,2
HCPCS,E1226,Manual fully reclining back,,,582.45,582.45,2
HCPCS,E1227,Wheelchair spec sz spec ht a,,,305.75,305.75,2
HCPCS,E1228,Wheelchair spec sz spec ht b,,,324.2,324.2,2
HCPCS,E1230,Power operated vehicle,,,2931.81,2931.81,2
HCPCS,E1232,Folding ped wc tilt-in-space,,,2910.7,2910.7,2
HCPCS,E1233,Rig ped wc tltnspc w/o seat,,,3015.6,3015.6,2
HCPCS,E1234,Fld ped wc tltnspc w/o seat,,,2625.4,2625.4,2
HCPCS,E1235,Rigid ped wc adjustable,,,2528.1,2528.1,2
HCPCS,E1236,Folding ped wc adjustable,,,2230.4,2230.4,2
HCPCS,E1237,Rgd ped wc adjstabl w/o seat,,,2249.8,2249.8,2
HCPCS,E1238,Fld ped wc adjstabl w/o seat,,,2230.4,2230.4,2
HCPCS,E1240,Whchr litwt det arm leg rest,,,1336.5,1336.5,2
HCPCS,E1250,Wheelchair lightwt fixed arm,,,662.55,662.55,2
HCPCS,E1260,Wheelchair lightwt foot rest,,,103.38,103.38,2
HCPCS,E1270,Wheelchair lightweight leg r,,,1036.8,1036.8,2
HCPCS,E1280,Whchr h-duty det arm leg res,,,1518.5,1518.5,2
HCPCS,E1285,Wheelchair heavy duty fixed,,,98.07,98.07,2
HCPCS,E1290,Wheelchair hvy duty detach a,,,126.67,126.67,2
HCPCS,E1295,Wheelchair heavy duty fixed,,,1405.1,1405.1,2
HCPCS,E1296,Wheelchair special seat heig,,,618.36,618.36,2
HCPCS,E1297,Wheelchair special seat dept,,,133.61,133.61,2
HCPCS,E1298,Wheelchair spec seat depth/w,,,529.3,529.3,2
HCPCS,E1310,Whirlpool non-portable,,,2366.0,2366.0,2
HCPCS,E1352,O2 flow reg pos inspir press,,,26.59,26.59,2
HCPCS,E1353,Oxygen supplies regulator,,,36.71,52.37,15
HCPCS,E1354,"Wheeled cart, port cyl/conc",,,23.51,23.51,2
HCPCS,E1355,Oxygen supplies stand/rack,,,27.66,39.47,15
HCPCS,E1356,"Batt pack/cart, port conc",,,23.36,23.36,2
HCPCS,E1357,"Battery charger, port conc",,,100.77,100.77,2
HCPCS,E1372,Oxy suppl heater for nebuliz,,,173.36,173.36,2
HCPCS,E1390,Oxygen concentrator,,,94.68,94.68,2
HCPCS,E1391,"Oxygen concentrator, dual",,,160.51,160.51,2
HCPCS,E1392,Portable oxygen concentrator,,,48.62,48.62,2
HCPCS,E1405,O2/water vapor enrich w/heat,,,2007.1,2007.1,2
HCPCS,E1406,O2/water vapor enrich w/o he,,,1745.0,1745.0,2
HCPCS,E1510,Kidney dialysate delivry sys,,,724.92,724.92,2
HCPCS,E1520,Heparin infusion pump,,,74.65,74.65,2
HCPCS,E1530,Replacement air bubble detec,,,107.78,107.78,2
HCPCS,E1540,Replacement pressure alarm,,,66.68,66.68,2
HCPCS,E1560,Replace blood leak detector,,,122.56,122.56,2
HCPCS,E1570,Adjustable chair for esrd pt,,,117.63,117.63,2
HCPCS,E1575,Transducer protect/fld bar,,,31.47,31.47,2
HCPCS,E1590,Hemodialysis machine,,,1208.18,1208.18,2
HCPCS,E1594,Cycler dialysis machine,,,498.22,498.22,2
HCPCS,E1600,Deli/install chrg hemo equip,,,540.72,540.72,2
HCPCS,E1610,Reverse osmosis h2o puri sys,,,719.58,719.58,2
HCPCS,E1615,Deionizer H2O puri system,,,292.68,292.68,2
HCPCS,E1634,Peritoneal dialysis clamp,,,3.78,3.78,2
HCPCS,E1636,Sorbent cartridges per 10,,,1690.88,1690.88,2
HCPCS,E1637,"Hemostats for dialysis, each",,,4.67,4.67,2
HCPCS,E1639,"Scale, each",,,155.81,155.81,2
HCPCS,E1700,Jaw motion rehab system,,,469.4,469.4,2
HCPCS,E1701,Repl cushions for jaw motion,,,13.74,19.6,15
HCPCS,E1702,Repl measr scales jaw motion,,,29.24,41.72,15
HCPCS,E1800,Adjust elbow ext & flex dev,,,1667.3,1667.3,2
HCPCS,E1801,Sps/pass elbow device,,,1755.9,1755.9,2
HCPCS,E1802,Adjst forearm pro/sup device,,,4448.1,4448.1,2
HCPCS,E1805,Adjust wrist ext & flex dev,,,1719.7,1719.7,2
HCPCS,E1806,SPS wrist device,,,1441.8,1441.8,2
HCPCS,E1810,Adjust knee ext & flex dev,,,1695.8,1695.8,2
HCPCS,E1811,Sps/pass knee device,,,1825.3,1825.3,2
HCPCS,E1812,Knee ext/flex w act res ctrl,,,1170.4,1170.4,2
HCPCS,E1815,Adjust ankle ext & flex dev,,,1719.7,1719.7,2
HCPCS,E1816,Sps/pass ankle device,,,1854.4,1854.4,2
HCPCS,E1818,Sps/pass forearm device,,,1893.0,1893.0,2
HCPCS,E1820,Soft interface material,,,105.96,105.96,2
HCPCS,E1821,Replacement interface SPSD,,,136.41,136.41,2
HCPCS,E1825,Adjust finger ext & flex dev,,,1719.7,1719.7,2
HCPCS,E1830,Adjust toe ext & flex device,,,1719.7,1719.7,2
HCPCS,E1831,Static str toe dev ext/flex,,,899.2,899.2,2
HCPCS,E1840,Adj shoulder ext/flex device,,,5098.4,5098.4,2
HCPCS,E1841,Sps/pass shoulder device,,,6165.3,6165.3,2
HCPCS,E1905,Vr cbt therapy,,,6444.2,6444.2,2
HCPCS,E2000,Gastric suction pump hme mdl,,,705.5,705.5,2
HCPCS,E2001,Suct pum ext mgmt sys,,,623.1,623.1,2
HCPCS,E2100,Bld glucose monitor w voice,,,806.62,806.62,2
HCPCS,E2101,Bld glucose monitor w lance,,,244.41,244.41,2
HCPCS,E2102,Adju cgm receiver/monitor,,,194.6,194.6,2
HCPCS,E2103,Non-adju cgm receiver/mon,,,253.29,253.29,2
HCPCS,E2120,Pulse gen sys tx endolymp fl,,,3858.8,3858.8,2
HCPCS,E2201,"Man w/ch acc seat w>=20""<24""",,,426.84,426.84,2
HCPCS,E2202,Seat width 24-27 in,,,576.75,576.75,2
HCPCS,E2203,Frame depth less than 22 in,,,562.63,562.63,2
HCPCS,E2204,Frame depth 22 to 25 in,,,968.45,968.45,2
HCPCS,E2205,"Manual wc accessory, handrim",,,42.03,42.03,2
HCPCS,E2206,Man wc whl lock comp repl ea,,,49.24,49.24,2
HCPCS,E2207,Crutch and cane holder,,,55.46,55.46,2
HCPCS,E2208,Cylinder tank carrier,,,112.31,112.31,2
HCPCS,E2209,Arm trough each,,,110.0,110.0,2
HCPCS,E2210,Wheelchair bearings,,,6.86,6.86,2
HCPCS,E2211,Pneumatic propulsion tire,,,42.94,42.94,2
HCPCS,E2212,Pneumatic prop tire tube,,,7.54,7.54,2
HCPCS,E2213,Pneumatic prop tire insert,,,37.53,37.53,2
HCPCS,E2214,Pneumatic caster tire each,,,42.95,42.95,2
HCPCS,E2215,Pneumatic caster tire tube,,,12.38,12.38,2
HCPCS,E2216,Foam filled propulsion tire,,,55.74,55.74,2
HCPCS,E2217,Foam filled caster tire each,,,49.32,49.32,2
HCPCS,E2218,Foam propulsion tire each,,,55.74,55.74,2
HCPCS,E2219,Foam caster tire any size ea,,,49.32,49.32,2
HCPCS,E2220,"Solid propuls tire, repl, ea",,,32.81,32.81,2
HCPCS,E2221,"Solid caster tire repl, each",,,32.5,32.5,2
HCPCS,E2222,"Solid caster integ whl, repl",,,26.97,26.97,2
HCPCS,E2224,Propulsion whl excl tire rep,,,120.16,120.16,2
HCPCS,E2225,Caster wheel excludes tire,,,22.51,22.51,2
HCPCS,E2226,Caster fork replacement only,,,48.15,48.15,2
HCPCS,E2227,Gear reduction drive wheel,,,2546.2,2546.2,2
HCPCS,E2228,"Mwc acc, wheelchair brake",,,1235.9,1235.9,2
HCPCS,E2231,Solid seat support base,,,182.91,182.91,2
HCPCS,E2291,Planar back for ped size wc,,,166.16,166.16,2
HCPCS,E2292,Planar seat for ped size wc,,,90.49,90.49,2
HCPCS,E2293,Contour back for ped size wc,,,298.86,298.86,2
HCPCS,E2294,Contour seat for ped size wc,,,312.64,312.64,2
HCPCS,E2295,Ped dynamic seating frame,,,354.45,354.45,2
HCPCS,E2300,Outpatient Services - CPT/HCPCS,,,1848.79,1848.79,2
HCPCS,E2301,Pwr standing,,,4828.68,4828.68,2
HCPCS,E2310,Electro connect btw control,,,1326.2,1326.2,2
HCPCS,E2311,Electro connect btw 2 sys,,,2680.8,2680.8,2
HCPCS,E2312,Mini-prop remote joystick,,,2744.6,2744.6,2
HCPCS,E2313,"PWC harness, expand control",,,436.1,436.1,2
HCPCS,E2321,Hand interface joystick,,,1801.5,1801.5,2
HCPCS,E2322,Mult mech switches,,,1648.4,1648.4,2
HCPCS,E2323,Special joystick handle,,,76.77,76.77,2
HCPCS,E2324,Chin cup interface,,,48.95,48.95,2
HCPCS,E2325,Sip and puff interface,,,1575.1,1575.1,2
HCPCS,E2326,Breath tube kit,,,407.4,407.4,2
HCPCS,E2327,Head control interface mech,,,3064.4,3064.4,2
HCPCS,E2328,Head/extremity control inter,,,5804.7,5804.7,2
HCPCS,E2329,Head control nonproportional,,,2071.8,2071.8,2
HCPCS,E2330,Head control proximity switc,,,4014.2,4014.2,2
HCPCS,E2331,Attendant control,,,1034.8,1034.8,2
HCPCS,E2340,W/c wdth 20-23 in seat frame,,,464.5,464.5,2
HCPCS,E2341,W/c wdth 24-27 in seat frame,,,696.82,696.82,2
HCPCS,E2342,W/c dpth 20-21 in seat frame,,,580.7,580.7,2
HCPCS,E2343,W/c dpth 22-25 in seat frame,,,929.12,929.12,2
HCPCS,E2351,Electronic SGD interface,,,780.81,780.81,2
HCPCS,E2358,Gr 34 nonsealed leadacid,,,91.99,91.99,2
HCPCS,E2359,Gr34 sealed leadacid battery,,,213.23,213.23,2
HCPCS,E2360,22nf nonsealed leadacid,,,123.79,123.79,2
HCPCS,E2361,22nf sealed leadacid battery,,,147.12,147.12,2
HCPCS,E2362,Gr24 nonsealed leadacid,,,119.23,119.23,2
HCPCS,E2363,Gr24 sealed leadacid battery,,,191.41,191.41,2
HCPCS,E2364,U1nonsealed leadacid battery,,,123.79,123.79,2
HCPCS,E2365,U1 sealed leadacid battery,,,108.79,108.79,2
HCPCS,E2366,"Battery charger, single mode",,,241.38,241.38,2
HCPCS,E2367,"Battery charger, dual mode",,,460.44,460.44,2
HCPCS,E2368,Pwr wc drivewheel motor repl,,,561.0,561.0,2
HCPCS,E2369,Pwr wc drivewheel gear repl,,,508.3,508.3,2
HCPCS,E2370,Pwr wc dr wh motor/gear comb,,,805.6,805.6,2
HCPCS,E2371,Gr27 sealed leadacid battery,,,168.2,168.2,2
HCPCS,E2372,Gr27 non-sealed leadacid,,,91.99,91.99,2
HCPCS,E2373,Hand/chin ctrl spec joystick,,,944.4,944.4,2
HCPCS,E2374,Hand/chin ctrl std joystick,,,608.1,608.1,2
HCPCS,E2375,Non-expandable controller,,,928.5,928.5,2
HCPCS,E2376,"Expandable controller, repl",,,1519.8,1519.8,2
HCPCS,E2377,"Expandable controller, initl",,,556.2,556.2,2
HCPCS,E2378,Pw actuator replacement,,,693.7,693.7,2
HCPCS,E2381,Pneum drive wheel tire,,,79.14,79.14,2
HCPCS,E2382,"Tube, pneum wheel drive tire",,,21.83,21.83,2
HCPCS,E2383,"Insert, pneum wheel drive",,,161.63,161.63,2
HCPCS,E2384,Pneumatic caster tire,,,82.11,82.11,2
HCPCS,E2385,"Tube, pneumatic caster tire",,,52.21,52.21,2
HCPCS,E2386,Foam filled drive wheel tire,,,145.64,145.64,2
HCPCS,E2387,Foam filled caster tire,,,67.25,67.25,2
HCPCS,E2388,Foam drive wheel tire,,,54.86,54.86,2
HCPCS,E2389,Foam caster tire,,,30.23,30.23,2
HCPCS,E2390,Solid drive wheel tire,,,47.03,47.03,2
HCPCS,E2391,Solid caster tire,,,22.05,22.05,2
HCPCS,E2392,"Solid caster tire, integrate",,,55.45,55.45,2
HCPCS,E2394,Drive wheel excludes tire,,,77.85,77.85,2
HCPCS,E2395,Caster wheel excludes tire,,,56.66,56.66,2
HCPCS,E2396,Caster fork,,,66.92,66.92,2
HCPCS,E2397,"Pwc acc, lith-based battery",,,535.78,535.78,2
HCPCS,E2398,Wc dynamic pos back hardware,,,148.69,148.69,2
HCPCS,E2402,Neg press wound therapy pump,,,41.28,41.28,2
HCPCS,E2500,SGD digitized pre-rec <=8min,,,506.88,506.88,2
HCPCS,E2502,SGD prerec msg >8min <=20min,,,1550.01,1550.01,2
HCPCS,E2504,SGD prerec msg>20min <=40min,,,2044.69,2044.69,2
HCPCS,E2506,SGD prerec msg > 40 min,,,2998.11,2998.11,2
HCPCS,E2508,SGD spelling phys contact,,,4636.09,4636.09,2
HCPCS,E2510,SGD w multi methods msg/accs,,,8773.17,8773.17,2
HCPCS,E2512,"SGD accessory, mounting sys",,,627.35,627.35,2
HCPCS,E2601,Gen w/c cushion wdth < 22 in,,,57.57,57.57,2
HCPCS,E2602,Gen w/c cushion wdth >=22 in,,,117.18,117.18,2
HCPCS,E2603,Skin protect wc cus wd <22in,,,146.55,146.55,2
HCPCS,E2604,Skin protect wc cus wd>=22in,,,192.87,192.87,2
HCPCS,E2605,Position wc cush wdth <22 in,,,276.63,276.63,2
HCPCS,E2606,Position wc cush wdth>=22 in,,,437.05,437.05,2
HCPCS,E2607,Skin pro/pos wc cus wd <22in,,,284.16,284.16,2
HCPCS,E2608,Skin pro/pos wc cus wd>=22in,,,348.46,348.46,2
HCPCS,E2610,Powered w/c cushion,,,65.41,65.41,2
HCPCS,E2611,Gen use back cush wdth <22in,,,268.57,268.57,2
HCPCS,E2612,Gen use back cush wdth>=22in,,,419.67,419.67,2
HCPCS,E2613,Position back cush wd <22in,,,405.39,405.39,2
HCPCS,E2614,Position back cush wd>=22in,,,578.05,578.05,2
HCPCS,E2615,Pos back post/lat wdth <22in,,,464.65,464.65,2
HCPCS,E2616,Pos back post/lat wdth>=22in,,,625.47,625.47,2
HCPCS,E2619,Replace cover w/c seat cush,,,56.18,56.18,2
HCPCS,E2620,WC planar back cush wd <22in,,,533.16,533.16,2
HCPCS,E2621,WC planar back cush wd>=22in,,,590.2,590.2,2
HCPCS,E2622,Adj skin pro w/c cus wd<22in,,,359.72,359.72,2
HCPCS,E2623,Adj skin pro wc cus wd>=22in,,,456.35,456.35,2
HCPCS,E2624,Adj skin pro/pos cus<22in,,,364.07,364.07,2
HCPCS,E2625,Adj skin pro/pos wc cus>=22,,,455.86,455.86,2
HCPCS,E2626,Seo mobile arm sup att to wc,,,790.41,790.41,2
HCPCS,E2627,Arm supp att to wc rancho ty,,,1092.0,1092.0,2
HCPCS,E2628,Mobile arm supports reclinin,,,945.5,945.5,2
HCPCS,E2629,Friction dampening arm supp,,,1178.41,1178.41,2
HCPCS,E2630,Monosuspension arm/hand supp,,,778.14,778.14,2
HCPCS,E2631,Elevat proximal arm support,,,291.2,291.2,2
HCPCS,E2632,Offset/lat rocker arm w/ela,,,197.07,197.07,2
HCPCS,E2633,Mobile arm support supinator,,,157.06,157.06,2
HCPCS,E3000,Speech volume modulation sys,,,2338.2,2338.2,2
HCPCS,E8000,Posterior gait trainer,,,869.63,869.63,2
HCPCS,E8001,Upright gait trainer,,,2044.03,2044.03,2
HCPCS,E8002,Anterior gait trainer,,,1163.15,1163.15,2
HCPCS,G0008,Admin influenza virus vac,,,34.6,83.87,11
HCPCS,G0009,Admin pneumococcal vaccine,,,34.6,83.87,11
HCPCS,G0010,Admin hepatitis b vaccine,,,34.6,83.87,11
HCPCS,G0011,"Hiv prep counsel, md 15-30m",,,22.3,38.97,15
HCPCS,G0012,Injection of hiv prep drug,,,14.31,74.73,15
HCPCS,G0013,"Hiv prep counsel, clin staff",,,8.65,31.28,15
HCPCS,G0017,Crisis psychotherapy 60m,,,185.74,324.59,15
HCPCS,G0018,Crisis psychotherapy add 30m,,,93.2,162.88,15
HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,49.6,157.39,17
HCPCS,G0022,Comm hlth intg svs add 30 m,,,1.0,50.11,15
HCPCS,G0023,Pin service 60m per month,,,49.6,157.39,17
HCPCS,G0024,Pin srv add 30 min pr m,,,1.0,50.11,15
HCPCS,G0027,Semen analysis,,,6.18,17.86,15
HCPCS,G0068,Adm IV infusion drug in home,,,34.6,83.87,2
HCPCS,G0069,Adm sq infusion drug in home,,,34.6,83.87,2
HCPCS,G0070,Adm of chemo drug in home,,,34.6,83.87,2
HCPCS,G0071,Outpatient Services,,,13.02,14.39,9
HCPCS,G0071,Outpatient Services - CPT/HCPCS,,,30.25,30.25,2
HCPCS,G0071,Therapy,,,17.31,17.31,4
HCPCS,G0076,Care manag h vst new pt 20 m,,,44.72,86.09,15
HCPCS,G0077,Care manag h vst new pt 30 m,,,66.58,127.97,15
HCPCS,G0078,Care manag h vst new pt 45 m,,,108.65,209.99,15
HCPCS,G0079,Care manag h vst new pt 60 m,,,142.62,275.73,15
HCPCS,G0080,Care manag h vst new pt 75 m,,,185.77,361.82,15
HCPCS,G0081,Care man h v ext pt 20 mi,,,43.8,84.35,15
HCPCS,G0082,Care man h v ext pt 30 m,,,70.69,136.12,15
HCPCS,G0083,Care man h v ext pt 45 m,,,110.04,214.07,15
HCPCS,G0084,Care man h v ext pt 60 m,,,154.81,302.48,15
HCPCS,G0085,Care man h v ext pt 75 m,,,185.77,361.82,15
HCPCS,G0086,Care man home care plan 30 m,,,66.32,129.14,15
HCPCS,G0087,Care man home care plan 60 m,,,92.91,180.91,15
HCPCS,G0088,Adm IV drug 1st home visit,,,34.6,83.87,2
HCPCS,G0089,Adm subq drug 1st home visit,,,34.6,83.87,2
HCPCS,G0090,Adm IV chemo 1st home visit,,,34.6,83.87,2
HCPCS,G0101,CA screen;pelvic/breast exam,,,27.3,157.39,15
HCPCS,G0102,Prostate ca screening; dre,,,1.0,23.56,15
HCPCS,G0103,PSA screening,,,18.34,53.05,15
HCPCS,G0104,SCREENING FLEX SIG,2948.0,2358.4,56.26,2653.2,38
HCPCS,G0105,SCREEN COLON WHI RISK,3034.0,2427.2,181.42,2730.6,38
HCPCS,G0106,Outpatient Services - CPT/HCPCS,,,133.87,324.44,4
HCPCS,G0106,Therapy,,,218.7,218.7,4
HCPCS,G0108,Diab manage trn  per indiv,,,49.64,94.82,15
HCPCS,G0109,Diab manage trn ind/group,,,14.25,27.34,15
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,21.7,63.58,17
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,29.23,70.83,17
HCPCS,G0120,Outpatient Services - CPT/HCPCS,,,280.2,679.09,4
HCPCS,G0120,Therapy,,,218.7,218.7,4
HCPCS,G0121,SCREEN COLON WO HI RISK,3034.0,2427.2,181.75,2730.6,38
HCPCS,G0122,Outpatient Services - CPT/HCPCS,,,561.92,561.92,2
HCPCS,G0122,Therapy,,,321.56,321.56,4
HCPCS,G0123,Screen cerv/vag thin layer,,,19.25,55.66,15
HCPCS,G0124,Screen c/v thin layer by MD,,,22.86,41.88,15
HCPCS,G0127,Trim nail(s),,,7.32,108.01,17
HCPCS,G0128,CORF skilled nursing service,,,8.72,16.87,15
HCPCS,G0129,PARTIAL HOSP PROG OR IOP OT SERVICE,258.0,206.4,35.03,232.2,27
HCPCS,G0130,Single energy x-ray study,,,36.62,194.16,15
HCPCS,G0136,Adm of pa/n assess 5-15 m,,,8.99,50.69,17
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,617.98,683.03,9
HCPCS,G0140,Nav srv peer sup 60 min pr m,,,49.6,157.39,15
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,22.86,41.88,15
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,25.7,74.31,15
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,41.77,120.79,15
HCPCS,G0145,CYTOPAP TLP AUTO MAN REV G0145,106.0,84.8,25.17,95.4,36
HCPCS,G0145,SCR C V CYTO THINLAYER RESCR,106.0,84.8,25.17,95.4,36
HCPCS,G0146,Nav srv peer sup add 30 pr m,,,1.0,50.11,15
HCPCS,G0147,"Scr c/v cyto, automated sys",,,17.28,49.97,15
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,30.34,87.75,15
HCPCS,G0151,"HHCP-serv of pt,ea 15 min",,,36.67,36.67,2
HCPCS,G0152,"HHCP-serv of ot,ea 15 min",,,37.45,37.45,2
HCPCS,G0153,"HHCP-svs of s/l path,ea 15mn",,,37.94,37.94,2
HCPCS,G0157,HHC PT assistant ea 15,,,35.95,35.95,2
HCPCS,G0158,HHC OT assistant ea 15,,,36.72,36.72,2
HCPCS,G0159,HHC PT maint ea 15 min,,,35.95,35.95,2
HCPCS,G0166,ECP PER TREATMENT,495.0,396.0,93.07,445.5,38
HCPCS,G0168,Wound closure by adhesive,,,14.65,353.51,15
HCPCS,G0175,MULTIDISCIPLINARY VISIT,855.0,684.0,237.43,782.11,38
HCPCS,G0176,ACTIVITY THERAPY,277.0,221.6,76.92,249.3,27
HCPCS,G0177,TRAIN & EDUCATION SERVICES,277.0,221.6,1.0,249.3,27
HCPCS,G0179,Md recertification hha pt,,,38.46,73.29,15
HCPCS,G0180,Md certification hha patient,,,48.71,93.65,15
HCPCS,G0181,Home health care supervision,,,94.64,182.65,15
HCPCS,G0182,Hospice care supervision,,,93.6,182.07,15
HCPCS,G0183,Software meas of cardiac vol,,,83.65,92.45,9
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,423.51,1026.42,13
HCPCS,G0219,PET img wholbod melano nonco,,,300.5,728.3,2
HCPCS,G0235,PET not otherwise specified,,,300.5,728.3,11
HCPCS,G0237,RESP MUSCLE STRENGTH 15 MINS,156.0,124.8,11.32,140.4,38
HCPCS,G0238,THER PROC IMPROVE RESP FUNCT 15 MIN,146.0,116.8,10.32,131.4,38
HCPCS,G0239,THER PROC IMPROVE RESP FUNCT 2 OR MORE INDV,218.0,174.4,12.98,196.2,38
HCPCS,G0245,Initial foot exam pt lops,,,39.28,233.42,15
HCPCS,G0246,Followup eval of foot pt lop,,,19.64,233.42,15
HCPCS,G0247,Routine footcare pt w lops,,,21.3,353.51,15
HCPCS,G0248,Demonstrate use home inr mon,,,96.31,233.42,17
HCPCS,G0249,Provide INR test mater/equip,,,65.58,233.42,17
HCPCS,G0250,MD INR test revie inter mgmt,,,7.8,15.12,15
HCPCS,G0252,PET imaging initial dx,,,300.5,728.3,2
HCPCS,G0255,Current percep threshold tst,,,102.24,102.24,2
HCPCS,G0257,UNSCHED OP ESRD HEMODIALYSIS,2025.0,1620.0,509.15,1822.5,38
HCPCS,G0259,Inject for sacroiliac joint,,,1.0,1.0,2
HCPCS,G0260,Inj for sacroiliac jt anesth,,,503.85,1221.15,13
HCPCS,G0268,Removal of impacted wax md,,,1.0,51.3,15
HCPCS,G0269,SURG G0269 OCC DEVICE VEIN ART,985.0,788.0,1.0,886.5,27
HCPCS,G0270,MNT subs tx for change dx,,,26.96,47.12,15
HCPCS,G0271,Group MNT 2 or more 30 mins,,,15.31,26.76,15
HCPCS,G0276,Pild/placebo control clin tr,,,364.5,12632.88,15
HCPCS,G0277,HYPERBARIC OXYGEN CHAMBER PER 30 MIN,592.0,473.6,56.25,532.8,38
HCPCS,G0278,ILIAC ANGIO CARDIAC CATH,3422.0,2737.6,1.0,3079.8,36
HCPCS,G0279,TOMOSYNTHESIS MAMMO DIAG UNILAT BILAT,108.0,86.4,39.99,97.2,36
HCPCS,G0281,Elec stim unattend for press,,,10.57,353.51,15
HCPCS,G0282,Elect stim wound care not pd,,,145.86,353.51,2
HCPCS,G0283,Elec stim other than wound,,,11.49,20.36,15
HCPCS,G0288,"Recon, CTA for surg plan",,,1.0,46.08,15
HCPCS,G0289,"Arthro, loose body + chondro",,,1.0,84.55,15
HCPCS,G0293,"Non-cov surg proc,clin trial",,,29.23,70.83,11
HCPCS,G0294,"Non-cov proc, clinical trial",,,29.23,70.83,11
HCPCS,G0295,Electromagnetic therapy onc,,,145.86,353.51,2
HCPCS,G0296,Visit to determ ldct elig,,,24.97,157.39,17
HCPCS,G0297,Outpatient Services - CPT/HCPCS,,,66.21,160.46,2
HCPCS,G0299,Hhs/hospice of rn ea 15 min,,,10.02,10.02,2
HCPCS,G0300,Hhs/hospice of lpn ea 15 min,,,7.69,7.69,2
HCPCS,G0302,Pre-op service LVRS complete,,,390.51,946.44,13
HCPCS,G0303,PREOP PULM SVC 10-15 DOS,1398.0,1118.4,228.69,1258.2,38
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,390.51,946.44,13
HCPCS,G0305,POSTOP PULM SVC MIN 6 DOS,1729.0,1383.2,390.51,1556.1,38
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.38,21.35,15
HCPCS,G0307,CBC without platelet,,,6.15,17.77,15
HCPCS,G0308,Outpatient Services - CPT/HCPCS,,,145.86,353.51,2
HCPCS,G0309,Outpatient Services - CPT/HCPCS,,,145.86,353.51,2
HCPCS,G0316,Prolong inpt eval add15 m,,,1.0,31.43,15
HCPCS,G0317,Prolong nursin fac eval 15m,,,28.13,52.35,15
HCPCS,G0318,Prolong home eval add 15m,,,27.82,51.77,15
HCPCS,G0323,Care manage beh svs 20mins,,,20.92,50.69,15
HCPCS,G0328,Fecal blood scrn immunoassay,,,17.15,49.59,15
HCPCS,G0329,Electromagntic tx for ulcers,,,9.64,353.51,15
HCPCS,G0330,Facility svs dental rehab,,,2345.8,5685.3,13
HCPCS,G0337,Hospice evaluation preelecti,,,61.78,119.83,15
HCPCS,G0339,"Robot lin-radsurg com, first",,,5673.79,13751.03,2
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,5673.79,13751.03,2
HCPCS,G0341,Percutaneous islet celltrans,,,304.25,10188.81,15
HCPCS,G0342,Laparoscopy islet cell trans,,,644.01,10188.81,15
HCPCS,G0343,Laparotomy islet cell transp,,,1048.99,10188.81,15
HCPCS,G0372,MD service required for PMD,,,7.8,15.12,15
HCPCS,G0378,OBSERVATION CARVE OUT,93.0,74.4,1.0,83.7,27
HCPCS,G0379,DIRECT ADMIT OBSERVATION,143.0,114.4,39.71,1134.22,38
HCPCS,G0380,Lev 1 hosp type B ED visit,,,54.65,132.45,13
HCPCS,G0381,Lev 2 hosp type B ED visit,,,88.74,215.08,13
HCPCS,G0382,Lev 3 hosp type B ED visit,,,145.74,353.21,13
HCPCS,G0383,Lev 4 hosp type B ED visit,,,214.62,520.15,13
HCPCS,G0384,Lev 5 hosp type B ED visit,,,277.72,673.08,13
HCPCS,G0390,TRAUMA ACTIVATION ALERT/ EVAL W CCARE,2194.0,1755.2,416.28,2417.63,39
HCPCS,G0390,TRAUMA ACTIVATION FULL W CCARE,8455.0,6764.0,416.28,7609.5,39
HCPCS,G0390,TRAUMA ACTIVATION PARTIAL W CCARE,6919.0,5535.2,416.28,6227.1,39
HCPCS,G0396,Alcohol/subs interv 15-30mn,,,20.92,50.69,17
HCPCS,G0397,Alcohol/subs interv >30 min,,,63.58,281.54,17
HCPCS,G0398,HOME SLEEP TEST W TYPE II PORTAB,448.0,358.4,113.81,403.2,36
HCPCS,G0399,SLEEP STUDY UNATTENDED HOME TYPE 3,372.0,297.6,103.3,334.8,36
HCPCS,G0400,HST WTYPEIV MONITOR,560.0,448.0,155.51,554.25,36
HCPCS,G0402,Initial preventive exam,,,96.31,233.42,17
HCPCS,G0403,EKG for initial prevent exam,,,12.83,25.01,15
HCPCS,G0404,EKG tracing for initial prev,,,6.32,52.6,17
HCPCS,G0405,EKG interpret & report preve,,,7.19,13.96,15
HCPCS,G0406,Inpt/tele follow up 15,,,35.97,71.55,15
HCPCS,G0407,Inpt/tele follow up 25,,,63.91,124.48,15
HCPCS,G0408,Inpt/tele follow up 35,,,92.65,181.49,15
HCPCS,G0409,CORF related serv 15 mins ea,,,20.92,50.69,15
HCPCS,G0410,Grp psych php/iop 45-50,,,20.92,50.69,2
HCPCS,G0411,Interactive grp psyc php/iop,,,20.92,50.69,2
HCPCS,G0412,Open tx iliac spine uni/bil,,,638.36,7497.96,17
HCPCS,G0413,Pelvic ring fracture uni/bil,,,1069.19,12632.88,17
HCPCS,G0414,Pelvic ring fx treat int fix,,,883.11,13793.8,17
HCPCS,G0415,Open tx post pelvic fxcture,,,1171.0,13793.8,17
HCPCS,G0416,GROSS & MICRO PROSTATE NEEDLE BIOPSY G0416,616.0,492.8,252.56,634.72,36
HCPCS,G0420,Ed svc CKD ind per session,,,97.09,188.47,15
HCPCS,G0421,Ed svc CKD grp per session,,,23.4,47.12,15
HCPCS,G0422,Intens cardiac rehab w/exerc,,,96.27,233.33,17
HCPCS,G0423,Intens cardiac rehab no exer,,,96.27,233.33,17
HCPCS,G0425,Inpt/ED teleconsult30,,,81.28,159.97,15
HCPCS,G0426,Inpt/ED teleconsult50,,,115.36,226.28,15
HCPCS,G0427,Inpt/ED teleconsult70,,,164.61,319.94,15
HCPCS,G0428,Collagen Meniscus Implant,,,1171.0,2838.05,2
HCPCS,G0429,Dermal filler injection(s),,,67.91,3220.2,17
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,18.59,53.76,15
HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,17.38,50.25,15
HCPCS,G0435,Oral HIV-1/HIV-2 screen,,,11.38,32.91,15
HCPCS,G0438,"PPPS, initial visit",,,149.38,289.1,15
HCPCS,G0439,"PPPS, subseq visit",,,117.68,227.44,15
HCPCS,G0442,Annual alcohol screen 15 min,,,8.99,50.69,15
HCPCS,G0443,Brief alcohol misuse counsel,,,22.3,157.39,15
HCPCS,G0444,Depression screen annual,,,8.99,50.69,15
HCPCS,G0445,High inten beh couns STD 30m,,,22.3,157.39,15
HCPCS,G0446,Intens behave ther cardio dx,,,20.92,50.69,15
HCPCS,G0447,Behavior counsel obesity 15m,,,22.3,157.39,15
HCPCS,G0448,Place perm pacing cardiovert,,,7780.16,18856.05,2
HCPCS,G0451,Devlopment test interpt&rep,,,11.65,157.39,17
HCPCS,G0452,Molecular pathology interpr,,,44.48,85.51,15
HCPCS,G0453,Cont intraop neuro monitor,,,1.0,31.62,15
HCPCS,G0454,MD document visit by NPP,,,7.8,15.12,15
HCPCS,G0455,Fecal microbiota prep instil,,,69.57,1613.88,17
HCPCS,G0458,LDR prostate brachy comp rat,,,211.12,211.12,2
HCPCS,G0459,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy",,,39.0,73.29,15
HCPCS,G0460,Autolog prp not diab ulcer,,,1328.68,3220.2,11
HCPCS,G0463,Hospital outpt clinic visit,,,96.31,233.42,13
HCPCS,G0465,Autolog prp diab wound ulcer,,,1328.68,3220.2,11
HCPCS,G0466,Fqhc visit new patient,,,243.6,243.6,2
HCPCS,G0467,"Fqhc visit, estab pt",,,181.57,181.57,2
HCPCS,G0468,"Fqhc visit, ippe or awv",,,243.6,243.6,2
HCPCS,G0469,"Fqhc visit, mh new pt",,,243.6,243.6,2
HCPCS,G0470,"Fqhc visit, mh estab pt",,,181.57,181.57,2
HCPCS,G0471,ven blood coll SNF/HHA,,,10.54,30.47,15
HCPCS,G0472,Hep c screen high risk/other,,,44.03,127.33,15
HCPCS,G0473,Group behave couns 2-10,,,11.32,50.69,15
HCPCS,G0475,Hiv combination assay,,,22.88,66.15,15
HCPCS,G0476,Hpv combo assay ca screen,,,33.34,96.4,15
HCPCS,G0480,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,108.71,314.36,15
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,148.76,430.18,15
HCPCS,G0482,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,188.8,545.98,15
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,234.57,678.34,15
HCPCS,G0490,"Home visit RN, LPN by RHC/FQ",,,92.66,92.66,2
HCPCS,G0491,ACUTE DIALYSIS IN ESRD UNIT,2025.0,1620.0,410.24,1822.5,27
HCPCS,G0491,AKI CAPD OUTPT DAILY RATE,1295.0,1036.0,175.82,1165.5,27
HCPCS,G0491,AKI CAPD RETRAIN DAILY NOT COMPLETE,1530.0,1224.0,175.82,1377.0,27
HCPCS,G0491,AKI CAPD TRAIN DAILY NOT COMPLETE,1941.0,1552.8,175.82,1746.9,27
HCPCS,G0491,AKI CCPD OUTPT DAILY RATE,1295.0,1036.0,293.0,1165.5,27
HCPCS,G0491,AKI CCPD RETRAIN DAILY NOT COMPLETE,1530.0,1224.0,293.0,1377.0,27
HCPCS,G0491,AKI CCPD TRAIN DAILY NOT COMPLETE,2025.0,1620.0,293.0,1822.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS DAILY,2025.0,1620.0,410.24,1822.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS DAILY IN NURSING HOME,2025.0,1620.0,410.24,1822.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS RETRAINING DAILY,1985.0,1588.0,410.24,1786.5,27
HCPCS,G0491,AKI HOME HEMODIALYSIS TRAINING DAILY,1985.0,1588.0,410.24,1786.5,27
HCPCS,G0491,AKI UNSCHED OP ESRD PERITONEAL DIALYSIS,1150.0,920.0,319.36,1035.0,27
HCPCS,G0492,Md/oth eval acut kid no esrd,,,322.7,782.11,2
HCPCS,G0493,Rn care ea 15 min hh/hospice,,,8.71,8.71,2
HCPCS,G0494,Lpn care ea 15min hh/hospice,,,6.69,6.69,2
HCPCS,G0495,Rn care train/edu in hh,,,8.71,8.71,2
HCPCS,G0496,Lpn care train/edu in hh,,,6.69,6.69,2
HCPCS,G0498,Chemo extend iv infus w/pump,,,246.76,598.04,11
HCPCS,G0499,Hepb screen high risk indiv,,,26.86,77.66,15
HCPCS,G0500,MOD SED GI ENDO SERVICE >5YRS INT 15 MIN,268.0,214.4,1.0,241.2,36
HCPCS,G0501,Resource-inten svc during ov,,,1.0,1.0,2
HCPCS,G0506,Comp asses care plan ccm svc,,,1.0,62.8,15
HCPCS,G0508,Crit care telehea consult 60,,,182.64,356.0,15
HCPCS,G0509,Crit care telehea consult 50,,,167.62,328.08,15
HCPCS,G0511,Outpatient Services,,,50.6,55.93,9
HCPCS,G0511,Outpatient Services - CPT/HCPCS,,,73.29,73.29,2
HCPCS,G0511,Therapy,,,41.94,41.94,4
HCPCS,G0512,Outpatient Services,,,129.78,143.45,9
HCPCS,G0512,Outpatient Services - CPT/HCPCS,,,20.92,50.69,2
HCPCS,G0512,Therapy,,,69.9,69.9,4
HCPCS,G0513,"Prolong prev svcs, first 30m",,,1.0,62.38,15
HCPCS,G0514,"Prolong prev svcs, addl 30m",,,1.0,62.38,15
HCPCS,G0516,"insert drug implant,>=4",,,95.54,703.57,17
HCPCS,G0517,Remove drug implant,,,108.85,703.57,17
HCPCS,G0518,Remove w insert drug implant,,,178.42,703.57,17
HCPCS,G0532,Take home supp nasal spray,,,99.96,99.96,4
HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,28.3,31.28,9
HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,87.88,97.13,9
HCPCS,G0539,Initial care training 30 m,,,48.9,54.05,9
HCPCS,G0540,Train for caregiver add 15,,,24.09,26.62,9
HCPCS,G0541,CAREGIVER TRAIN PATIENT NOT PRESENT INITIAL 30 MIN,165.0,132.0,45.82,148.5,36
HCPCS,G0542,CAREGIVER TRAIN PATIENT NOT PRESENT EA ADDL 15 MIN,82.0,65.6,22.77,73.8,36
HCPCS,G0543,GROUP CAREGIVER TRAIN PATIENT NOT PRESENT MULT CAREGIVERS,69.0,55.2,19.16,62.1,36
HCPCS,G0544,Post d/c phone follow up,,,87.88,97.13,9
HCPCS,G0545,Inherent visit to inpt,,,39.73,43.91,9
HCPCS,G0546,Phone/internet ehr assess,,,15.72,17.37,9
HCPCS,G0547,Phone/internet svs 11-20 m,,,31.74,35.08,9
HCPCS,G0548,Phone/inter svs 21-30 m,,,47.88,52.92,9
HCPCS,G0549,Phone/inter for treat>31m,,,64.21,70.97,9
HCPCS,G0550,Phone/inter for dx/treat >5m,,,29.97,33.12,9
HCPCS,G0551,Phn/intr svs fr dx treat 30m,,,31.51,34.82,9
HCPCS,G0552,Supply of digital device,,,122.43,135.31,9
HCPCS,G0553,Monthly tx for dmht 20mins,,,122.43,135.31,9
HCPCS,G0554,Add 20 m of monthly tx,,,37.04,40.94,9
HCPCS,G0555,Replacment pt electronic sys,,,966.52,1068.26,9
HCPCS,G0556,Adv prim care mgmt lvl 1,,,28.3,31.28,9
HCPCS,G0557,Adv prim care mgmt lvl 2,,,28.3,31.28,9
HCPCS,G0558,Adv prim care mgmt lvl 3,,,87.88,97.13,9
HCPCS,G0559,Unrelat prac follow up visit,,,7.73,8.54,9
HCPCS,G0560,Safety plan interven,,,38.76,42.84,9
HCPCS,G0561,SURG G0561 TYMPANOSTOMY TEMP TUBE DELIVERY UNILATERAL,618.0,494.4,171.62,556.2,27
HCPCS,G0562,Complex simulation w/pet-ct,,,1852.98,2048.03,9
HCPCS,G0563,Sbrt w/positron emission del,,,3562.98,3938.03,9
HCPCS,G0566,3d bn img algor drvd fr mri,,,148.64,164.28,9
HCPCS,G0659,Drug test def simple all cl,,,59.03,170.71,15
HCPCS,G1028,Take home supply 8mg per 0.1,,,127.5,127.5,4
HCPCS,G2000,Blinded conv. tx mdd clin tr,,,390.51,946.44,11
HCPCS,G2001,Post D/C H Vst new pt 20 m,,,44.72,88.5,15
HCPCS,G2002,Post-D/C H Vst new pt 30 m,,,66.58,131.56,15
HCPCS,G2003,Post-d/c h vst new pt 45 m,,,108.65,215.88,15
HCPCS,G2004,Post-d/c h vst new pt 60 m,,,142.62,283.45,15
HCPCS,G2005,Post-d/c h vst new pt 75 m,,,185.77,371.96,15
HCPCS,G2006,Post-d/c h vst ext pt 20 m,,,43.8,86.71,15
HCPCS,G2007,Post-d/c h vst ext pt 30 m,,,70.69,139.93,15
HCPCS,G2008,Post-d/c h vst ext pt 45 m,,,110.04,220.06,15
HCPCS,G2009,Post-d/c h vst ext pt 60 m,,,154.81,310.96,15
HCPCS,G2010,Remot image submit by pt,,,8.99,15.71,15
HCPCS,G2011,Alcohol/sub misuse assess,,,16.64,52.6,15
HCPCS,G2012,Outpatient Services - CPT/HCPCS,,,22.1,22.1,2
HCPCS,G2012,Therapy,,,12.65,12.65,4
HCPCS,G2013,Post-d/c h vst ext pt 75 m,,,185.77,371.96,15
HCPCS,G2014,Post-d/c care plan overs 30m,,,66.32,132.76,15
HCPCS,G2015,Post-d/c care plan overs 60m,,,92.91,185.98,15
HCPCS,G2023,Covid Codes - CPT/HCPCS,,,23.46,23.46,1
HCPCS,G2024,Covid Codes - CPT/HCPCS,,,25.46,25.46,1
HCPCS,G2025,Dis site tele svcs RHC/FQHC,,,87.83,169.27,15
HCPCS,G2067,Med assist tx meth wk,,,207.49,207.49,2
HCPCS,G2068,Med assist tx bupre oral,,,258.47,258.47,2
HCPCS,G2069,Med assist tx inject,,,1757.29,1757.29,2
HCPCS,G2070,Outpatient Services - CPT/HCPCS,,,5326.84,5326.84,2
HCPCS,G2071,Outpatient Services - CPT/HCPCS,,,427.32,427.32,2
HCPCS,G2072,Outpatient Services - CPT/HCPCS,,,5545.95,5545.95,2
HCPCS,G2073,Med tx naltrexone,,,1342.67,1342.67,2
HCPCS,G2074,Med assist tx no drug,,,161.71,161.71,2
HCPCS,G2076,Intake act w/med exam,,,20.92,50.69,2
HCPCS,G2077,Periodic assessment,,,20.92,50.69,2
HCPCS,G2078,Take-home meth,,,35.28,35.28,2
HCPCS,G2079,Take-hom buprenorphine,,,86.26,86.26,2
HCPCS,G2080,Add 30 mins counsel,,,30.94,30.94,2
HCPCS,G2082,Visit esketamine 56m or less,,,34.95,2130.04,17
HCPCS,G2083,"Visit esketamine, > 56m",,,34.95,3426.02,17
HCPCS,G2086,Off base opioid tx 70min,,,116.17,399.12,17
HCPCS,G2087,"Off base opioid tx, 60 m",,,116.17,385.14,17
HCPCS,G2088,"Off base opioid tx, add30",,,1.0,57.24,15
HCPCS,G2170,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
HCPCS,G2171,Outpatient Services - CPT/HCPCS,,,2322.4,5628.59,2
HCPCS,G2211,Complex e/m visit add on,,,14.37,28.5,15
HCPCS,G2212,Prolong outpt/office vis,,,28.74,54.1,15
HCPCS,G2213,Initiat med assist tx in er,,,1.0,59.92,15
HCPCS,G2214,Init/sub psych care m 1st 30,,,37.95,157.39,15
HCPCS,G2215,Home supply nasal naloxone,,,45.89,92.16,6
HCPCS,G2250,"Remot img sub by pt, non E/M",,,8.99,16.15,15
HCPCS,G2251,"Brief chkin, 5-10, non-E/M",,,12.65,22.72,15
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,23.71,44.25,15
HCPCS,G3002,Chronic pain mgmt 30 mins,,,73.57,132.16,15
HCPCS,G3003,Chronic pain mgmt addl 15m,,,25.63,46.05,15
HCPCS,G6001,Outpatient Services,,,162.6,179.72,9
HCPCS,G6001,Outpatient Services - CPT/HCPCS,,,314.12,314.12,2
HCPCS,G6001,Therapy,,,179.75,179.75,4
HCPCS,G6002,Outpatient Services,,,69.19,76.47,9
HCPCS,G6002,Outpatient Services - CPT/HCPCS,,,148.57,148.57,2
HCPCS,G6002,Therapy,,,75.23,75.23,4
HCPCS,G6003,Outpatient Services,,,139.32,153.99,9
HCPCS,G6003,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6003,Therapy,,,153.79,153.79,4
HCPCS,G6004,Outpatient Services,,,112.89,124.78,9
HCPCS,G6004,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6004,Therapy,,,126.16,126.16,4
HCPCS,G6005,Outpatient Services,,,112.89,124.78,9
HCPCS,G6005,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6005,Therapy,,,126.49,126.49,4
HCPCS,G6006,Outpatient Services,,,112.28,124.1,9
HCPCS,G6006,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6006,Therapy,,,125.49,125.49,4
HCPCS,G6007,Outpatient Services,,,200.47,221.57,9
HCPCS,G6007,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6007,Therapy,,,229.68,229.68,4
HCPCS,G6008,Outpatient Services,,,155.42,171.78,9
HCPCS,G6008,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6008,Therapy,,,174.09,174.09,4
HCPCS,G6009,Outpatient Services,,,156.65,173.14,9
HCPCS,G6009,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6009,Therapy,,,173.76,173.76,4
HCPCS,G6010,Outpatient Services,,,154.19,170.42,9
HCPCS,G6010,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6010,Therapy,,,172.43,172.43,4
HCPCS,G6011,Outpatient Services,,,204.89,226.46,9
HCPCS,G6011,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6011,Therapy,,,229.02,229.02,4
HCPCS,G6012,Outpatient Services,,,205.2,226.8,9
HCPCS,G6012,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6012,Therapy,,,229.35,229.35,4
HCPCS,G6013,Outpatient Services,,,206.12,227.82,9
HCPCS,G6013,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6013,Therapy,,,230.35,230.35,4
HCPCS,G6014,Outpatient Services,,,204.89,226.46,9
HCPCS,G6014,Outpatient Services - CPT/HCPCS,,,87.37,211.74,2
HCPCS,G6014,Therapy,,,228.69,228.69,4
HCPCS,G6015,Outpatient Services,,,319.56,353.19,9
HCPCS,G6015,Outpatient Services - CPT/HCPCS,,,195.81,474.57,2
HCPCS,G6015,Therapy,,,355.51,355.51,4
HCPCS,G6016,Outpatient Services,,,319.09,352.67,9
HCPCS,G6016,Outpatient Services - CPT/HCPCS,,,618.35,618.35,2
HCPCS,G6016,Therapy,,,353.85,353.85,4
HCPCS,G6017,Outpatient Services - CPT/HCPCS,,,62.22,62.22,2
HCPCS,G9012,Other Specified Case Mgmt,,,20.6,20.6,2
HCPCS,G9017,Pharmacy,,,1.72,1.72,4
HCPCS,G9019,Pharmacy,,,13.14,13.14,4
HCPCS,G9020,Pharmacy,,,2.76,2.76,4
HCPCS,G9034,Pharmacy,,,6.02,6.02,4
HCPCS,G9035,Pharmacy,,,15.5,15.5,4
HCPCS,G9036,Pharmacy,,,2.23,2.23,4
HCPCS,G9037,Outpatient Services,,,37.34,41.28,9
HCPCS,G9038,Outpatient Services,,,46.49,51.38,9
HCPCS,G9050,Oncology work-up evaluation,,,7.44,7.44,2
HCPCS,G9051,Oncology tx decision-mgmt,,,9.56,9.56,2
HCPCS,G9052,Onc surveillance for disease,,,10.41,10.41,2
HCPCS,G9053,Onc expectant management pt,,,23.0,23.0,2
HCPCS,G9054,Onc supervision palliative,,,23.0,23.0,2
HCPCS,G9055,Onc visit unspecified NOS,,,23.0,23.0,2
HCPCS,G9056,Onc prac mgmt adheres guide,,,23.0,23.0,2
HCPCS,G9057,Onc pract mgmt differs trial,,,23.0,23.0,2
HCPCS,G9058,Onc prac mgmt disagree w/gui,,,23.0,23.0,2
HCPCS,G9059,Onc prac mgmt pt opt alterna,,,23.0,23.0,2
HCPCS,G9060,Onc prac mgmt dif pt comorb,,,23.0,23.0,2
HCPCS,G9061,Onc prac cond noadd by guide,,,23.0,23.0,2
HCPCS,G9062,Onc prac guide differs nos,,,23.0,23.0,2
HCPCS,G9063,Onc dx nsclc stgI no progres,,,23.0,23.0,2
HCPCS,G9064,Onc dx nsclc stg2 no progres,,,23.0,23.0,2
HCPCS,G9065,Onc dx nsclc stg3A no progre,,,23.0,23.0,2
HCPCS,G9066,Onc dx nsclc stg3B-4 metasta,,,23.0,23.0,2
HCPCS,G9067,Onc dx nsclc dx unknown nos,,,23.0,23.0,2
HCPCS,G9068,Onc dx sclc/nsclc limited,,,23.0,23.0,2
HCPCS,G9069,Onc dx sclc/nsclc ext at dx,,,23.0,23.0,2
HCPCS,G9070,Onc dx sclc/nsclc ext unknwn,,,23.0,23.0,2
HCPCS,G9071,"Onc dx brst stg1-2B HR,nopro",,,23.0,23.0,2
HCPCS,G9072,Onc dx brst stg1-2 noprogres,,,23.0,23.0,2
HCPCS,G9073,"Onc dx brst stg3-HR, no pro",,,23.0,23.0,2
HCPCS,G9074,Onc dx brst stg3-noprogress,,,23.0,23.0,2
HCPCS,G9075,Onc dx brst metastic/ recur,,,23.0,23.0,2
HCPCS,G9077,Onc dx prostate T1no progres,,,23.0,23.0,2
HCPCS,G9078,Onc dx prostate T2no progres,,,23.0,23.0,2
HCPCS,G9079,Onc dx prostate T3b-T4noprog,,,23.0,23.0,2
HCPCS,G9080,Onc dx prostate w/rise PSA,,,23.0,23.0,2
HCPCS,G9083,Onc dx prostate unknwn nos,,,23.0,23.0,2
HCPCS,G9084,"Onc dx colon t1-3,n1-2,no pr",,,23.0,23.0,2
HCPCS,G9085,"Onc dx colon T4, N0 w/o prog",,,23.0,23.0,2
HCPCS,G9086,Onc dx colon T1-4 no dx prog,,,23.0,23.0,2
HCPCS,G9087,Onc dx colon metas evid dx,,,23.0,23.0,2
HCPCS,G9088,Onc dx colon metas noevid dx,,,23.0,23.0,2
HCPCS,G9089,Onc dx colon extent unknown,,,23.0,23.0,2
HCPCS,G9090,Onc dx rectal T1-2 no progr,,,23.0,23.0,2
HCPCS,G9091,Onc dx rectal T3 N0 no prog,,,23.0,23.0,2
HCPCS,G9092,"Onc dx rectal T1-3,N1-2noprg",,,23.0,23.0,2
HCPCS,G9093,"Onc dx rectal T4,N,M0 no prg",,,23.0,23.0,2
HCPCS,G9094,Onc dx rectal M1 w/mets prog,,,23.0,23.0,2
HCPCS,G9095,Onc dx rectal extent unknwn,,,23.0,23.0,2
HCPCS,G9096,Onc dx esophag T1-T3 noprog,,,23.0,23.0,2
HCPCS,G9097,Onc dx esophageal T4 no prog,,,23.0,23.0,2
HCPCS,G9098,Onc dx esophageal mets recur,,,23.0,23.0,2
HCPCS,G9099,Onc dx esophageal unknown,,,23.0,23.0,2
HCPCS,G9100,Onc dx gastric no recurrence,,,23.0,23.0,2
HCPCS,G9101,Onc dx gastric p R1-R2noprog,,,23.0,23.0,2
HCPCS,G9102,Onc dx gastric unresectable,,,23.0,23.0,2
HCPCS,G9103,Onc dx gastric recurrent,,,23.0,23.0,2
HCPCS,G9104,Onc dx gastric unknown NOS,,,23.0,23.0,2
HCPCS,G9105,Onc dx pancreatc p R0 res no,,,23.0,23.0,2
HCPCS,G9106,Onc dx pancreatc p R1/R2 no,,,23.0,23.0,2
HCPCS,G9107,Onc dx pancreatic unresectab,,,23.0,23.0,2
HCPCS,G9108,Onc dx pancreatic unknwn NOS,,,23.0,23.0,2
HCPCS,G9109,Onc dx head/neck T1-T2no prg,,,23.0,23.0,2
HCPCS,G9110,Onc dx head/neck T3-4 noprog,,,23.0,23.0,2
HCPCS,G9111,Onc dx head/neck M1 mets rec,,,23.0,23.0,2
HCPCS,G9112,Onc dx head/neck ext unknown,,,23.0,23.0,2
HCPCS,G9113,Onc dx ovarian stg1A-B no pr,,,23.0,23.0,2
HCPCS,G9114,Onc dx ovarian stg1A-B or 2,,,23.0,23.0,2
HCPCS,G9115,Onc dx ovarian stg3/4 noprog,,,23.0,23.0,2
HCPCS,G9116,Onc dx ovarian recurrence,,,23.0,23.0,2
HCPCS,G9117,Onc dx ovarian unknown NOS,,,23.0,23.0,2
HCPCS,G9123,Onc dx CML chronic phase,,,23.0,23.0,2
HCPCS,G9124,Onc dx CML acceler phase,,,23.0,23.0,2
HCPCS,G9125,Onc dx CML blast phase,,,23.0,23.0,2
HCPCS,G9126,Onc dx CML remission,,,23.0,23.0,2
HCPCS,G9128,Onc dx multi myeloma stage I,,,23.0,23.0,2
HCPCS,G9129,Onc dx mult myeloma stg2 hig,,,23.0,23.0,2
HCPCS,G9130,Onc dx multi myeloma unknown,,,23.0,23.0,2
HCPCS,G9131,Onc dx brst unknown NOS,,,23.0,23.0,2
HCPCS,G9132,Onc dx prostate mets no cast,,,23.0,23.0,2
HCPCS,G9133,Onc dx prostate clinical met,,,23.0,23.0,2
HCPCS,G9134,Onc NHLstg 1-2 no relap no,,,23.0,23.0,2
HCPCS,G9135,Onc dx NHL stg 3-4 not relap,,,23.0,23.0,2
HCPCS,G9136,Onc dx NHL trans to lg Bcell,,,23.0,23.0,2
HCPCS,G9137,Onc dx NHL relapse/refractor,,,23.0,23.0,2
HCPCS,G9138,Onc dx NHL stg unknown,,,23.0,23.0,2
HCPCS,G9139,Onc dx CML dx status unknown,,,23.0,23.0,2
HCPCS,G9140,Frontier extended stay demo,,,41.84,41.84,2
HCPCS,G9143,Warfarin respon genetic test,,,1.0,331.64,15
HCPCS,G9147,Outpt IV insulin tx any mea,,,34.6,83.87,2
HCPCS,G9148,Medical Home Level I,,,10.14,10.14,2
HCPCS,G9149,Medical Home Level II,,,10.14,10.14,2
HCPCS,G9150,Medical Home Level III,,,10.14,10.14,2
HCPCS,G9157,Transesoph doppl cardiac mon,,,82.2,432.69,15
HCPCS,G9187,Bpci home visit,,,43.37,83.18,15
HCPCS,G9481,Remote e/m new pt 10mins,,,15.34,31.41,15
HCPCS,G9482,Remote E/M new pt 20mins,,,29.4,58.75,15
HCPCS,G9483,Remote E/M new pt 30mins,,,45.51,91.91,15
HCPCS,G9484,Remote E/M new pt 45mins,,,77.49,155.31,15
HCPCS,G9485,Remote E/M new pt 60mins,,,101.4,203.6,15
HCPCS,G9486,Remote E/M est. pt 10mins,,,15.34,31.41,15
HCPCS,G9487,Remote E/M est. pt 15mins,,,30.98,62.24,15
HCPCS,G9488,Remote E/M est. pt 25mins,,,47.85,95.4,15
HCPCS,G9489,Remote E/M est. pt 40mins,,,67.3,135.54,15
HCPCS,G9490,CMMI mod home visit,,,43.37,83.18,15
HCPCS,G9679,Acute care pneumonia,,,74.84,74.84,2
HCPCS,G9680,Acute care congestive heart failure (CHF),,,74.84,74.84,2
HCPCS,G9681,Acute care chronic obstructive pulmonary disease (COPD) /asthma,,,74.84,74.84,2
HCPCS,G9682,Acute care skin infection,,,74.84,74.84,2
HCPCS,G9683,Acute fluid/electro disorder,,,74.84,74.84,2
HCPCS,G9684,Acute care urinary tract infection (UTI),,,74.84,74.84,2
HCPCS,G9685,Acute nursing facility care,,,164.73,321.68,15
HCPCS,G9868,CMMI asyntelehealth <10min,,,24.58,46.54,15
HCPCS,G9869,CMMI asyntelehealth 10-20min,,,32.88,62.24,15
HCPCS,G9870,CMMI asyntelehealth >20min,,,41.18,77.95,15
HCPCS,G9873,1 EM core session,,,25.0,25.0,2
HCPCS,G9874,4 EM core sessions,,,50.0,50.0,2
HCPCS,G9875,9 EM core sessions,,,90.0,90.0,2
HCPCS,G9876,2 EM core MS mo 7-9 no WL,,,15.0,15.0,2
HCPCS,G9877,2 EM core MS mo 10-12 no WL,,,15.0,15.0,2
HCPCS,G9878,2 EM core MS mo 7-9  WL,,,60.0,60.0,2
HCPCS,G9879,2 EM core MS mo 10-12 WL,,,60.0,60.0,2
HCPCS,G9880,EM 5 percent WL,,,160.0,160.0,2
HCPCS,G9881,EM 9 percent WL,,,25.0,25.0,2
HCPCS,G9882,2 EM ongoing MS mo 13-15 WL,,,50.0,50.0,2
HCPCS,G9883,2 EM ongoing MS mo 16-18 WL,,,50.0,50.0,2
HCPCS,G9884,2 EM ongoing MS mo 19-21 WL,,,50.0,50.0,2
HCPCS,G9885,2 EM ongoing MS mo 22-24 WL,,,50.0,50.0,2
HCPCS,G9978,Remote E/M new pt 10mins,,,27.63,49.22,15
HCPCS,G9979,Remote E/M new pt 20mins,,,46.94,82.02,15
HCPCS,G9980,Remote E/M new pt 30 mins,,,75.23,131.46,15
HCPCS,G9981,Remote E/M new pt 45mins,,,126.49,221.05,15
HCPCS,G9982,Remote E/M new pt 60mins,,,168.77,294.92,15
HCPCS,G9983,Remote E/M est. pt 10mins,,,27.63,49.22,15
HCPCS,G9984,Remote E/M est. pt  15mins,,,54.26,94.82,15
HCPCS,G9985,Remote E/M est. pt 25mins,,,82.22,143.68,15
HCPCS,G9986,Remote E/M est. pt 40mins,,,119.84,209.41,15
HCPCS,G9987,BPCI Advanced In home visit,,,43.37,83.18,15
HCPCS,H0001,Alcohol and/or drug assess,,,20.92,50.69,2
HCPCS,H0002,Alcohol and/or drug screenin,,,20.92,50.69,2
HCPCS,H0004,Alcohol and/or drug services,,,20.92,50.69,2
HCPCS,H0005,Alcohol and/or drug services,,,20.92,50.69,2
HCPCS,H0006,Alcohol and/or drug services,,,20.92,50.69,2
HCPCS,H0008,Alcohol and/or drug services,,,113.3,113.3,2
HCPCS,H0009,Alcohol and/or drug services,,,126.7,126.7,2
HCPCS,H0011,Alcohol and/or drug services,,,298.6,298.6,2
HCPCS,H0014,Alcohol and/or drug services,,,122.01,122.01,2
HCPCS,H0015,Alcohol and/or drug services,,,226.86,226.86,2
HCPCS,H0018,Alcohol and/or drug services,,,523.1,523.1,2
HCPCS,H0019,Alcohol and/or drug services,,,173.97,173.97,2
HCPCS,H0020,Alcohol and/or drug services,,,13.79,13.79,2
HCPCS,H0022,Alcohol and/or drug interven,,,20.92,50.69,2
HCPCS,H0025,Alcohol and/or drug preventi,,,11.92,11.92,2
HCPCS,H0031,MH health assess by non-md,,,20.92,50.69,2
HCPCS,H0032,MH svc plan dev by non-md,,,20.92,50.69,2
HCPCS,H0033,Oral med adm direct observe,,,36.19,36.19,2
HCPCS,H0034,Med trng & support per 15min,,,70.13,70.13,2
HCPCS,H0035,MH partial hosp tx under 24h,,,348.68,348.68,2
HCPCS,H0038,Self-help/peer svc per 15min,,,16.24,16.24,2
HCPCS,H0039,Asser com tx face-face/15min,,,30.96,30.96,2
HCPCS,H0043,"Supported housing, per diem",,,197.26,197.26,2
HCPCS,H0046,"Mental health service, nos",,,20.92,50.69,2
HCPCS,H0047,Alcohol/drug abuse svc nos,,,20.92,50.69,2
HCPCS,H0048,Spec coll non-blood:a/d test,,,42.14,42.14,2
HCPCS,H0049,Alcohol/drug screening,,,17.97,17.97,2
HCPCS,H0050,Alcohol/drug service 15 min,,,20.92,50.69,2
HCPCS,H1000,Prenatal care atrisk assessm,,,5.6,5.6,2
HCPCS,H1001,Antepartum management,,,66.84,66.84,2
HCPCS,H1002,Carecoordination prenatal,,,26.73,26.73,2
HCPCS,H1003,Prenatal at risk education,,,40.09,40.09,2
HCPCS,H1004,Follow up home visit/prental,,,54.37,54.37,2
HCPCS,H1005,Prenatalcare enhanced srv pk,,,73.39,73.39,2
HCPCS,H1010,Nonmed family planning ed,,,193.3,193.3,2
HCPCS,H1011,Family assessment,,,20.92,50.69,2
HCPCS,H2000,Comp multidisipln evaluation,,,20.92,50.69,2
HCPCS,H2010,Comprehensive med svc 15 min,,,17.01,17.01,2
HCPCS,H2011,"Crisis interven svc, 15 min",,,40.21,40.21,2
HCPCS,H2012,"Behav hlth day treat, per hr",,,22.07,22.07,2
HCPCS,H2014,"Skills train and dev, 15 min",,,13.18,13.18,2
HCPCS,H2015,"Comp comm supp svc, 15 min",,,14.06,14.06,2
HCPCS,H2016,"Comp comm supp svc, per diem",,,104.0,104.0,2
HCPCS,H2017,"Psysoc rehab svc, per 15 min",,,20.92,50.69,2
HCPCS,H2019,"Ther behav svc, per 15 min",,,20.92,50.69,2
HCPCS,H2020,"Ther behav svc, per diem",,,162.97,162.97,2
HCPCS,H2027,"Psychoed svc, per 15 min",,,20.92,50.69,2
HCPCS,H2028,"Sex offend tx svc, 15 min",,,20.92,50.69,2
HCPCS,H2029,"Sex offend tx svc, per diem",,,94.54,94.54,2
HCPCS,H2030,"MH clubhouse svc, per 15 min",,,54.95,54.95,2
HCPCS,H2032,"Activity therapy, per 15 min",,,53.35,53.35,2
HCPCS,H2035,"A/D tx program, per hour",,,20.92,50.69,2
HCPCS,H2040,"Coord specialty care, month",,,20.92,50.69,2
HCPCS,H2041,Coord special care encounter,,,20.92,50.69,2
HCPCS,J0120,Tetracyclin injection,,,1.0,1.0,2
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,3.6,4.4,15
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.13,1.13,2
HCPCS,J0129,Abatacept For IV Soln 250 MG,2083.81,1667.05,41.9,1875.43,36
HCPCS,J0130,Abciximab injection,,,1.0,1.0,2
HCPCS,J0131,Acetaminophen IV Soln 10 MG/ML,37.41,29.93,1.0,39.15,81
HCPCS,J0132,Acetylcysteine Inj 200 MG/ML,443.57,354.86,1.0,710.81,216
HCPCS,J0133,Acyclovir Sodium IV Soln 50 MG/ML,66.295,53.040000000000006,1.0,272.8,297
HCPCS,J0134,Acetaminophen IV Soln 10 MG/ML,23.93,19.15,0.05,21.54,54
HCPCS,J0135,Outpatient Services - CPT/HCPCS,,,1834.49,1834.49,2
HCPCS,J0135,Pharmacy,,,1765.27,1765.27,4
HCPCS,J0136,Acetaminophen IV Soln 10 MG/ML,34.8,27.84,0.05,44.24,108
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.07,0.07,2
HCPCS,J0138,Inj acetaminoph 10mg/ibu 3mg,,,0.04,0.05,13
HCPCS,J0139,Adalimumab Auto-injector Kit 40 MG/0.8ML,7743.795,6195.04,87.14,10405.58,72
HCPCS,J0139,Adalimumab Auto-injector Kit 80 MG/0.8ML,11696.18,9356.95,87.14,10526.56,36
HCPCS,J0152,Pharmacy,,,119.7,119.7,4
HCPCS,J0153,Adenosine IV Soln 3 MG/ML (Diagnostic),330.6,264.48,1.0,627.88,297
HCPCS,J0153,Adenosine IV Soln 6 MG/2ML,24.27,19.42,1.0,40.42,108
HCPCS,J0165,Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),806.49,645.2,223.96,725.84,27
HCPCS,J0165,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",806.49,645.2,223.96,725.84,27
HCPCS,J0166,Epinephrine Inj 1 MG/ML,21.0,16.8,5.83,18.9,54
HCPCS,J0166,Epinephrine PF Inj 1 MG/ML,35.62,28.5,5.83,35.21,108
HCPCS,J0166,"Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML (1:1000)",35.62,28.5,9.89,32.06,27
HCPCS,J0167,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),21.0,16.8,5.83,18.9,27
HCPCS,J0168,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),38.19,30.56,10.61,34.37,27
HCPCS,J0169,Epinephrine Inj 1 MG/ML (1:1000),21.0,16.8,5.83,18.9,81
HCPCS,J0169,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",56.55,45.24,15.7,50.9,27
HCPCS,J0171,"Epinephrine HCl-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML)",257.74,206.2,1.0,231.97,54
HCPCS,J0172,Outpatient Services,,,5.68,6.28,9
HCPCS,J0172,Outpatient Services - CPT/HCPCS,,,5.98,5.98,2
HCPCS,J0172,Pharmacy,,,6.54,6.54,4
HCPCS,J0173,Outpatient Services - CPT/HCPCS,,,1.71,1.71,2
HCPCS,J0174,"Lecanemab-irmb, for iv inj",,,1.26,1.45,16
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg",,,3.93,4.52,14
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,295.81,340.76,13
HCPCS,J0178,Aflibercept Intravitreal Inj 2 MG/0.05ML (40 MG/ML),3718.5,2974.8,732.98,3346.65,36
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,319.25,378.76,15
HCPCS,J0180,Agalsidase beta For IV Soln 35 MG,11382.63,9106.11,217.6,10244.37,36
HCPCS,J0180,Agalsidase beta For IV Soln 5 MG,1626.09,1300.88,217.6,1463.48,36
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.13,10.09,15
HCPCS,J0185,Aprepitant IV Emulsion 130 MG/18ML,1243.89,995.12,1.56,1119.5,36
HCPCS,J0190,Outpatient Services - CPT/HCPCS,,,5.96,5.96,2
HCPCS,J0200,Outpatient Services - CPT/HCPCS,,,980.39,980.39,2
HCPCS,J0202,"Injection, alemtuzumab",,,2292.77,2659.13,16
HCPCS,J0205,Outpatient Services - CPT/HCPCS,,,44.97,44.97,2
HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.48,5.63,15
HCPCS,J0207,Amifostine For Inj 500 MG,3681.94,2945.56,1092.83,3313.75,27
HCPCS,J0208,"Inj, pedmark, 100 mg",,,90.36,99.87,15
HCPCS,J0209,Sodium Thiosulfate IV Soln 250 MG/ML (25%),177.58,142.07,49.31,159.82,27
HCPCS,J0210,Methyldopate hcl injection,,,42.4,42.4,2
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,1.52,2.34,13
HCPCS,J0215,Outpatient Services - CPT/HCPCS,,,41.64,41.64,2
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,2.57,2.57,2
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,424.0,509.12,16
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,373.98,430.8,16
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,75.63,88.54,16
HCPCS,J0220,Alglucosidase alfa injection,,,122.56,122.56,2
HCPCS,J0221,Lumizyme injection,,,196.26,226.08,16
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,94.97,109.4,16
HCPCS,J0223,Inj givosiran 0.5 mg,,,111.49,128.44,16
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,312.6,360.1,16
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,4753.46,5475.68,16
HCPCS,J0248,Remdesivir IV Soln 100 MG/20ML (5 MG/ML),1100.0,880.0,5.63,990.0,36
HCPCS,J0248,Remdesivir for IV Soln 100 MG,1100.0,880.0,5.63,990.0,72
HCPCS,J0256,Alpha1-Proteinase Inhibitor (Human) For IV Soln 1000 MG,924.6,739.68,4.81,832.14,36
HCPCS,J0256,Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/20ML,924.6,739.68,4.81,832.14,36
HCPCS,J0257,Glassia injection,,,5.36,6.17,16
HCPCS,J0270,Alprostadil Inj 500 MCG/ML,282.99,226.4,6.69,362.65,54
HCPCS,J0275,Alprostadil urethral suppos,,,69.51,69.51,2
HCPCS,J0278,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),42.56,34.05,1.0,45.31,81
HCPCS,J0278,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),23.07,18.46,1.0,27.29,162
HCPCS,J0280,Aminophylline Inj 25 MG/ML,39.67,31.74,1.0,38.76,108
HCPCS,J0281,Aminocaproic Acid Inj 250 MG/ML,26.535,21.229999999999997,5.83,58.73,135
HCPCS,J0282,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,216
HCPCS,J0282,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),24.945,19.96,1.0,26.0,81
HCPCS,J0282,Amiodarone HCl Inj 900 MG/18ML (50 MG/ML),21.0,16.8,1.0,18.9,27
HCPCS,J0283,Amiodarone HCl in Dextrose 4.14% IV Soln 360 MG/200ML,69.6,55.68,3.92,62.64,27
HCPCS,J0283,Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML,60.47,48.38,3.92,54.42,27
HCPCS,J0285,Amphotericin B For IV Soln 50 MG,50.59,40.48,1.0,45.53,27
HCPCS,J0287,Amphotericin b lipid complex,,,9.78,11.28,15
HCPCS,J0288,Outpatient Services - CPT/HCPCS,,,14.98,14.98,2
HCPCS,J0289,Amphotericin B Liposome IV For Susp 50 MG,696.71,557.37,20.41,700.0,108
HCPCS,J0290,Ampicillin Sodium For IV Soln 2 GM,80.28999999999999,64.24000000000001,1.0,72.31,54
HCPCS,J0290,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,243
HCPCS,J0290,Ampicillin Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,81
HCPCS,J0290,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,216
HCPCS,J0290,Ampicillin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,108
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.33,3.84,15
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,54
HCPCS,J0295,Ampicillin & Sulbactam Sodium For IV Soln 3 (2-1) GM,22.14,17.72,1.0,19.93,54
HCPCS,J0295,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.18,16.945,1.0,19.22,297
HCPCS,J0295,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,24.11,19.29,1.0,31.11,513
HCPCS,J0300,Amobarbital 125 MG inj,,,171.17,171.17,2
HCPCS,J0330,Succinycholine chloride inj,,,1.0,1.0,2
HCPCS,J0348,Anidulafungin injection,,,1.0,1.0,2
HCPCS,J0349,"Inj, rezafungin, 1 mg",,,10.04,11.62,15
HCPCS,J0350,Outpatient Services - CPT/HCPCS,,,2325.18,2325.18,2
HCPCS,J0360,Hydralazine HCl Inj 20 MG/ML,27.225,21.78,1.0,30.11,270
HCPCS,J0364,Apomorphine hydrochloride,,,39.88,45.07,6
HCPCS,J0365,Outpatient Services - CPT/HCPCS,,,2.83,2.83,2
HCPCS,J0380,Outpatient Services - CPT/HCPCS,,,11.76,11.76,2
HCPCS,J0390,Chloroquine injection,,,1.0,1.0,2
HCPCS,J0391,Artesunate For IV Soln 110 MG,10918.88,8735.11,47.31,9826.99,36
HCPCS,J0395,Outpatient Services - CPT/HCPCS,,,123.84,123.84,2
HCPCS,J0400,Aripiprazole injection,,,1.0,1.0,2
HCPCS,J0401,Aripiprazole IM For ER Susp Prefilled Syringe 300 MG,3057.61,2446.09,6.82,2751.85,36
HCPCS,J0401,Aripiprazole IM For ER Susp Prefilled Syringe 400 MG,5917.04,4733.64,6.82,5325.34,36
HCPCS,J0401,Aripiprazole IM For Extended Release Susp 300 MG,4657.56,3726.05,6.82,4191.8,36
HCPCS,J0401,Aripiprazole IM For Extended Release Susp 400 MG,8424.16,6739.33,6.82,7581.74,36
HCPCS,J0402,Aripiprazole IM ER Susp Prefilled Syringe 960 MG/3.2ML,9734.83,7787.87,5.73,8761.35,36
HCPCS,J0456,Azithromycin IV For Soln 500 MG,24.4,19.52,1.0,26.95,297
HCPCS,J0457,Aztreonam For Inj 1 GM,103.49000000000001,82.795,2.52,106.25,189
HCPCS,J0457,Aztreonam For Inj 2 GM,228.09,182.47500000000002,2.52,212.46,54
HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.6,1.77,13
HCPCS,J0461,Atropine Sulfate IV Soln 0.4 MG/ML,21.0,16.8,1.0,18.9,54
HCPCS,J0461,Atropine Sulfate IV Soln 1 MG/ML,21.0,16.8,1.0,18.9,54
HCPCS,J0461,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,243
HCPCS,J0470,Dimecaprol injection,,,59.81,59.81,2
HCPCS,J0475,Baclofen Intrathecal Soln Prefilled Syringe 10000 MCG/20ML,660.45,528.36,172.16,594.41,36
HCPCS,J0475,Baclofen Intrathecal Soln Prefilled Syringe 20000 MCG/20ML,1302.4,1041.92,172.16,1172.16,36
HCPCS,J0475,Baclofen Intrathecal Soln Prefilled Syringe 40000 MCG/20ML,2373.92,1899.14,172.16,2136.53,36
HCPCS,J0476,Baclofen Intrathecal Soln Prefilled Syringe 50 MCG/ML,319.46,255.57,1.0,287.51,27
HCPCS,J0480,Basiliximab For IV Soln 20 MG,8664.85,6931.88,3552.59,7798.37,36
HCPCS,J0485,Belatacept injection,,,3.69,4.26,15
HCPCS,J0490,Belimumab injection,,,51.97,61.35,16
HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,16.6,19.79,16
HCPCS,J0500,Dicyclomine HCl Inj 10 MG/ML,152.945,122.36000000000001,1.0,335.44,189
HCPCS,J0515,Benztropine Mesylate Inj 1 MG/ML,93.61,74.89,1.0,245.87,108
HCPCS,J0517,Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML,17582.84,14066.28,156.36,15824.56,36
HCPCS,J0520,Bethanechol chloride inject,,,4.49,4.49,2
HCPCS,J0558,Penicillin G Benzathine & Procaine Inj 900000-300000 Unt/2ML,388.98,311.19,15.74,350.08,36
HCPCS,J0558,Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML,209.97,167.98,15.74,188.97,36
HCPCS,J0561,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",534.66,427.73,20.16,575.9,144
HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,37.83,43.58,15
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,108.73,126.38,16
HCPCS,J0570,Buprenorphine implant 74.2mg,,,1311.75,1311.75,2
HCPCS,J0571,Buprenorphine oral 1mg,,,1.84,1.84,4
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,4.9,4.9,4
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,7.48,7.48,4
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,8.76,8.76,4
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,15.32,15.32,4
HCPCS,J0576,Outpatient Services - CPT/HCPCS,,,12.84,12.84,2
HCPCS,J0576,Pharmacy,,,13.61,13.61,4
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,399.6,460.32,13
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1598.42,1841.28,13
HCPCS,J0583,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),437.11,349.69,1.0,824.3,216
HCPCS,J0584,Burosumab-twza Inj 10 MG/ML,12580.0,10064.0,433.52,11322.0,36
HCPCS,J0584,Burosumab-twza Inj 20 MG/ML,25160.0,20128.0,433.52,22644.0,36
HCPCS,J0584,Burosumab-twza Inj 30 MG/ML,37740.0,30192.0,433.52,33966.0,36
HCPCS,J0585,OnabotulinumtoxinA For Inj 100 Unit,1308.51,1046.81,6.17,1177.66,36
HCPCS,J0586,AbobotulinumtoxinA,,,8.22,9.58,15
HCPCS,J0587,"Inj, rimabotulinumtoxinB",,,12.62,14.55,15
HCPCS,J0588,Incobotulinumtoxin a,,,5.19,6.09,15
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,2.99,3.45,13
HCPCS,J0592,Buprenorphine HCl Inj 0.3 MG/ML (Base Equiv),28.490000000000002,22.799999999999997,1.0,27.8,81
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,82.92,95.51,16
HCPCS,J0594,Busulfan Inj 6 MG/ML,225.525,180.425,0.84,242.53,216
HCPCS,J0595,Butorphanol Tartrate Inj 2 MG/ML,102.505,82.00500000000001,1.0,165.61,81
HCPCS,J0596,"Injection, ruconest",,,33.7,40.23,16
HCPCS,J0597,C1 Esterase Inhibitor (Human) For IV Inj Kit 500 Unit,3686.34,2949.08,64.41,3317.71,36
HCPCS,J0598,C1 Esterase Inhibitor (Human) For IV Inj 500 Unit,6118.04,4894.44,60.73,5506.24,36
HCPCS,J0599,"Inj., haegarda 10 units",,,11.15,14.43,16
HCPCS,J0600,Edetate calcium disodium inj,,,5708.59,7012.94,15
HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.13,0.13,4
HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.39,0.39,4
HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.17,0.17,4
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.87,0.88,6
HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.18,0.18,4
HCPCS,J0606,Etelcalcetide HCl IV Solution 10 MG/2ML (Base Equiv),995.72,796.58,2.61,896.15,54
HCPCS,J0606,Etelcalcetide HCl IV Solution 2.5 MG/0.5ML (Base Equiv),355.61,284.49,2.61,320.05,27
HCPCS,J0606,Etelcalcetide HCl IV Solution 5 MG/ML (Base Equiv),711.23,568.99,2.61,640.11,27
HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.06,0.06,4
HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.06,0.06,4
HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.11,0.11,4
HCPCS,J0612,Calcium Gluconate Inj 10%,42.980000000000004,34.385,0.05,73.6,216
HCPCS,J0613,Calcium glucon (wg critical),,,0.09,0.09,2
HCPCS,J0614,"Inj, treosulfan, 50 mg",,,30.71,35.38,13
HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.03,0.03,4
HCPCS,J0616,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,270
HCPCS,J0618,Calcium Chloride Inj 10%,32.63,26.11,5.83,31.79,351
HCPCS,J0620,Calcium glycer & lact/10 ML,,,1.0,1.0,2
HCPCS,J0630,Calcitonin (Salmon) Inj 200 Unit/ML,322.42,257.94,94.07,1296.36,72
HCPCS,J0636,Calcitriol Inj 1 MCG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J0637,Caspofungin acetate,,,1.0,1.0,2
HCPCS,J0638,Canakinumab injection,,,122.06,154.96,16
HCPCS,J0640,Leucovorin Calcium For Inj 100 MG,31.58,25.27,1.0,31.75,54
HCPCS,J0640,Leucovorin Calcium For Inj 200 MG,65.9,52.72,1.0,93.92,189
HCPCS,J0640,Leucovorin Calcium For Inj 350 MG,62.425,49.945,1.0,65.77,108
HCPCS,J0640,Leucovorin Calcium For Inj 500 MG,278.83500000000004,223.07,1.0,283.64,54
HCPCS,J0641,Inj levoleucovorin nos 0.5mg,,,0.06,0.06,2
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.06,1.06,2
HCPCS,J0650,Levothyroxine Sodium For IV Inj 100 MCG,404.245,323.4,94.32,386.88,108
HCPCS,J0651,Levothyroxine Sodium IV Soln 100 MCG/5ML (20 MCG/ML),145.58499999999998,116.475,6.49,132.33,72
HCPCS,J0652,"Inj, levothyroxine, hikma",,,4.88,5.63,13
HCPCS,J0665,Bupivacaine HCl Inj 0.5%,32.63,26.11,0.02,29.37,54
HCPCS,J0665,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.45,17.16,0.02,22.19,432
HCPCS,J0665,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,25.84,20.68,0.02,28.19,324
HCPCS,J0665,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,162
HCPCS,J0666,"Inj, bupivacaine liposome",,,1.4,1.61,13
HCPCS,J0668,"Instill, bupivac and meloxic",,,0.77,0.85,13
HCPCS,J0670,Mepivacaine HCl Preservative Free (PF) Inj 2%,26.97,21.58,1.0,24.27,27
HCPCS,J0675,"Inj, carboprost, 0.1 mg",,,48.5,53.86,13
HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,1.03,1.14,13
HCPCS,J0687,Inj cefazolin (wg crit care),,,0.9,1.03,13
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,0.88,1.01,15
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,1.21,1.21,2
HCPCS,J0690,Cefazolin Sodium (Bulk) For Inj 300 GM,21.0,16.8,1.0,18.9,27
HCPCS,J0690,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,243
HCPCS,J0690,Cefazolin Sodium For Inj 10 GM,23.725,18.98,1.0,23.81,54
HCPCS,J0690,Cefazolin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
HCPCS,J0690,Cefazolin Sodium IV Soln Pref Syringe 1 GM/10ML,21.0,16.8,1.0,18.9,54
HCPCS,J0690,Cefazolin Sodium IV Soln Pref Syringe 2 GM/20ML,21.0,16.8,1.0,18.9,54
HCPCS,J0690,Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML),21.0,16.8,1.0,18.9,27
HCPCS,J0691,Inj lefamulin 1 mg,,,0.72,0.72,2
HCPCS,J0692,Cefepime HCl (Bulk) For IV Soln 100 GM,1522.5,1218.0,1.0,1370.25,27
HCPCS,J0692,Cefepime HCl For IV Soln 2 GM,21.0,16.8,1.0,18.9,54
HCPCS,J0692,Cefepime HCl For Inj 1 GM,22.095,17.68,1.0,20.87,108
HCPCS,J0692,Cefepime HCl and Dextrose 5% For IV Soln 2 GM/50ML,43.5,34.8,1.0,286.58,81
HCPCS,J0693,Pharmacy,,,0.97,0.97,4
HCPCS,J0694,Cefoxitin Sodium For IV Soln 1 GM,26.1,20.88,1.0,34.22,162
HCPCS,J0694,Cefoxitin Sodium For IV Soln 2 GM,31.71,25.37,1.0,46.31,135
HCPCS,J0695,Ceftolozane-Tazobactam For Inj 1.5 GM (1-0.5 GM),378.45,302.76,7.48,340.61,36
HCPCS,J0696,Ceftriaxone Sodium (Bulk) For Inj 100 GM,21.0,16.8,1.0,18.9,27
HCPCS,J0696,Ceftriaxone Sodium For IV Soln 1 GM,21.0,16.8,1.0,18.9,54
HCPCS,J0696,Ceftriaxone Sodium For IV Soln 2 GM,30.54,24.44,1.0,27.49,27
HCPCS,J0696,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,297
HCPCS,J0696,Ceftriaxone Sodium For Inj 10 GM,56.595,45.28,1.0,56.14,54
HCPCS,J0696,Ceftriaxone Sodium For Inj 2 GM,23.55,18.84,1.0,23.49,108
HCPCS,J0696,Ceftriaxone Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,54
HCPCS,J0696,Ceftriaxone Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,108
HCPCS,J0696,Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML,21.0,16.8,1.0,18.9,27
HCPCS,J0697,Cefuroxime Sodium For IV Soln 1.5 GM,21.55,17.240000000000002,1.0,19.89,108
HCPCS,J0698,Cefotaxime sodium injection,,,1.0,1.0,2
HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.17,2.64,15
HCPCS,J0701,Inj. cefepime hcl (baxter),,,5.69,5.69,2
HCPCS,J0702,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,32.32,25.86,1.0,58.18,135
HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,5.09,5.09,2
HCPCS,J0706,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),24.49,19.6,1.0,128.17,243
HCPCS,J0710,Outpatient Services - CPT/HCPCS,,,2.35,2.35,2
HCPCS,J0712,Ceftaroline Fosamil for IV Soln 400 MG,624.96,499.97,3.86,562.46,72
HCPCS,J0712,Ceftaroline Fosamil for IV Soln 600 MG,352.41,281.92999999999995,3.86,615.44,72
HCPCS,J0713,Ceftazidime For IV Soln 1 GM,21.0,16.8,1.0,18.9,27
HCPCS,J0713,Ceftazidime For IV Soln 2 GM,25.880000000000003,20.71,1.0,37.35,135
HCPCS,J0713,Ceftazidime For Inj 1 GM,21.0,16.8,1.0,18.9,108
HCPCS,J0714,Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM),1333.36,1066.69,95.44,1200.02,72
HCPCS,J0715,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J0716,Centruroides immune f(ab),,,4628.34,5351.02,15
HCPCS,J0717,Certolizumab Pegol For Inj Kit 2 X 200 MG,4821.51,3857.21,3.72,4339.36,36
HCPCS,J0717,Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML,13791.79,11033.44,3.72,12412.61,36
HCPCS,J0718,Pharmacy,,,5.66,5.66,4
HCPCS,J0720,Chloramphenicol sodium injec,,,1.0,1.0,2
HCPCS,J0725,Chorionic gonadotropin/1000u,,,1.0,1.0,2
HCPCS,J0735,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,51.39,41.115,1.0,73.6,81
HCPCS,J0736,Clindamycin Phosphate Inj 300 MG/2ML,21.0,16.8,2.18,18.9,108
HCPCS,J0736,Clindamycin Phosphate Inj 600 MG/4ML,21.0,16.8,2.18,18.9,54
HCPCS,J0736,Clindamycin Phosphate Inj 900 MG/6ML,21.0,16.8,2.18,18.9,81
HCPCS,J0736,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,162
HCPCS,J0736,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,23.27,18.62,2.18,45.03,135
HCPCS,J0736,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,27.41,21.93,2.18,56.38,162
HCPCS,J0737,"Inj, clindamycin (baxter)",,,2.19,2.19,2
HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,15.33,17.66,13
HCPCS,J0739,Cabotegravir IM Extended Release Susp 600 MG/3ML,7513.8,6011.04,6.58,6762.42,36
HCPCS,J0740,Cidofovir IV Inj 75 MG/ML,1931.125,1544.9050000000002,518.98,1815.35,72
HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,22.29,25.88,15
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,2.46,2.85,15
HCPCS,J0743,Imipenem-Cilastatin Intravenous For Soln 250 MG,25.8,20.64,1.0,23.22,27
HCPCS,J0743,Imipenem-Cilastatin Intravenous For Soln 500 MG,50.754999999999995,40.605000000000004,1.0,99.71,216
HCPCS,J0744,Ciprofloxacin 200 MG/100ML in D5W,21.0,16.8,1.0,18.9,135
HCPCS,J0744,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,162
HCPCS,J0745,Inj codeine phosphate /30 MG,,,1.0,1.0,2
HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,1.65,59.51,15
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,67.76,78.06,15
HCPCS,J0752,"Hiv prep, oral lenacapavir",,,426.58,491.39,13
HCPCS,J0759,"Inj, clevidipine, 1 mg",,,2.71,3.6,13
HCPCS,J0770,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),78.605,62.89,1.0,101.64,54
HCPCS,J0770,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",52.2,41.76,1.0,46.98,27
HCPCS,J0775,Collagenase Clostridium Histolyticum For Inj 0.9 MG,13695.14,10956.12,67.75,12325.63,36
HCPCS,J0780,Prochlorperazine Edisylate Inj 10 MG/2ML,21.4,17.12,1.0,23.61,486
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,123.01,141.69,16
HCPCS,J0795,Outpatient Services - CPT/HCPCS,,,9.31,9.31,2
HCPCS,J0800,Pharmacy,,,4180.14,4180.14,4
HCPCS,J0801,Inj. acthar gel to 40 units,,,4090.09,4090.09,2
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3477.54,3477.54,2
HCPCS,J0834,Cosyntropin For Inj 0.25 MG,179.285,143.43,1.0,404.34,108
HCPCS,J0840,Crotalidae poly immune fab,,,1737.28,2076.46,15
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,992.89,1143.75,15
HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1667.59,1979.27,15
HCPCS,J0870,Imetelstat Sodium For IV Soln 188 MG,36384.05,29107.24,54.18,32745.65,36
HCPCS,J0870,Imetelstat Sodium For IV Soln 47 MG,9096.01,7276.81,54.18,8186.41,36
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.04,0.05,13
HCPCS,J0873,Daptomycin For IV Soln 350 MG,53.29,42.64,0.03,47.96,36
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.1,0.1,2
HCPCS,J0875,Dalbavancin HCl For IV Soln 500 MG (Base Equivalent),1880.96,1504.77,14.83,1692.86,36
HCPCS,J0877,Daptomycin For IV Soln 350 MG,124.85,99.88,0.06,112.37,27
HCPCS,J0878,Daptomycin For IV Soln 350 MG,75.11,60.09,1.0,90.44,135
HCPCS,J0878,Daptomycin For IV Soln 500 MG,66.99000000000001,53.599999999999994,1.0,92.3,108
HCPCS,J0879,Difelikefalin Acetate 65 MCG/1.3ML (50 MCG/ML),555.0,444.0,0.06,499.5,36
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1162.73,930.19,2.78,1046.46,36
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,1769.15,1415.32,2.78,1592.24,36
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML,2357.12,1885.7,2.78,2121.41,36
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,294.89,235.92,2.78,265.4,72
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML,3690.48,2952.39,2.78,3321.43,36
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,551.47,441.18,2.78,511.29,72
HCPCS,J0881,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,747.59,598.08,2.78,672.83,72
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1162.73,930.19,2.78,1046.46,72
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,1769.15,1415.32,2.78,1592.24,72
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML,2357.12,1885.7,2.78,2121.41,36
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,294.89,235.92,2.78,265.4,72
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML,3690.48,2952.39,2.78,3321.43,36
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,551.47,441.18,2.78,511.29,72
HCPCS,J0882,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,747.59,598.08,2.78,672.83,72
HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.76,1.21,15
HCPCS,J0884,Argatroban IV Soln 50 MG/50ML (1 MG/ML),518.74,414.995,1.21,707.63,162
HCPCS,J0885,"Epoetin alfa, non-esrd",,,7.09,9.35,15
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML,925.0,740.0,1.71,832.5,27
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML,1387.5,1110.0,1.71,1248.75,27
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML,1839.83,1471.87,1.71,1655.85,27
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML,277.5,222.0,1.71,249.75,27
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML,462.5,370.0,1.71,416.25,27
HCPCS,J0887,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML,691.9,553.52,1.71,622.71,27
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML,925.0,740.0,1.39,832.5,36
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML,1387.5,1110.0,1.39,1248.75,36
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML,1839.83,1471.87,1.39,1655.85,36
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML,277.5,222.0,1.39,249.75,36
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML,462.5,370.0,1.39,416.25,36
HCPCS,J0888,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML,691.9,553.52,1.39,622.71,36
HCPCS,J0889,Outpatient Services - CPT/HCPCS,,,3.99,3.99,2
HCPCS,J0889,Pharmacy,,,3.99,3.99,4
HCPCS,J0890,Peginesatide injection,,,9.7,9.7,2
HCPCS,J0891,Argatroban nonesrd (accord),,,0.37,4.04,15
HCPCS,J0892,Argatroban in Sodium Chloride 0.9% IV Soln 50 MG/50ML,800.4,640.32,0.37,720.36,27
HCPCS,J0893,Decitabine For Inj 50 MG,793.0999999999999,634.485,2.12,1134.78,54
HCPCS,J0894,Decitabine For Inj 50 MG,248.95,199.16,1.0,4388.72,297
HCPCS,J0895,Deferoxamine Mesylate For Inj 2 GM,114.235,91.39,1.0,149.82,135
HCPCS,J0895,Deferoxamine Mesylate For Inj 500 MG,52.68,42.15,1.0,123.8,81
HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,39.21,45.95,16
HCPCS,J0897,Denosumab Inj 120 MG/1.7ML,9874.56,7899.65,24.22,8887.1,36
HCPCS,J0897,Denosumab Inj Soln Prefilled Syringe 60 MG/ML,4394.71,3515.77,24.22,3955.24,36
HCPCS,J0898,Argatroban nonesrd (auromed),,,1.54,4.13,15
HCPCS,J0899,Argatroban in Sodium Chloride 0.9% IV Soln 50 MG/50ML,639.45,511.56,4.13,575.51,27
HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.15,0.15,4
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,6.09,8.5,13
HCPCS,J0945,Brompheniramine maleate inj,,,0.88,0.88,2
HCPCS,J1000,Depo-estradiol cypionate inj,,,1.0,1.0,2
HCPCS,J1010,Methylprednisolone Acetate Inj Susp 40 MG/ML,24.509999999999998,19.615000000000002,0.11,27.56,180
HCPCS,J1010,Methylprednisolone Acetate Inj Susp 80 MG/ML,24.465,19.575,0.11,45.14,252
HCPCS,J1020,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1030,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1040,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1050,Medroxyprogesterone Acetate IM Susp 150 MG/ML,116.715,93.375,1.0,137.54,81
HCPCS,J1050,Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML,279.97,223.98000000000002,1.0,354.35,108
HCPCS,J1071,Testosterone Cypionate IM Inj in Oil 200 MG/ML,24.14,19.314999999999998,1.0,33.71,135
HCPCS,J1072,"Inj, testosterone, azmiro",,,1.26,1.45,13
HCPCS,J1094,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1095,"Injection, dexamethasone 9%",,,1.0,1.0,2
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,1.0,112.65,15
HCPCS,J1097,Phenylephrine-Ketorolac Intraocular Soln 1-0.3%,2022.75,1618.2,1.0,1820.48,36
HCPCS,J1100,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,22.68,18.145,1.0,21.92,189
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,1.0,18.9,135
HCPCS,J1100,"Dexamethasone Sodium Phosphate Inj 10 MG/ML,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML",2.2,1.76,0.61,1.98,27
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,21.0,16.8,1.0,18.9,27
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 120 MG/30ML,40.905,32.725,1.0,54.73,54
HCPCS,J1100,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,216
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,0.6,0.89,15
HCPCS,J1110,Dihydroergotamine Mesylate Inj 1 MG/ML,270.7,216.565,1.0,562.77,270
HCPCS,J1110,Dihydroergotamine Mesylate Nasal Spray 4 MG/ML,979.835,783.875,1.0,1041.19,54
HCPCS,J1120,Acetazolamide Sodium For Inj 500 MG,144.4,115.525,1.0,146.39,108
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,1.0,1.0,2
HCPCS,J1160,Digoxin Inj 0.1 MG/ML,374.8,299.84,1.0,337.32,27
HCPCS,J1160,Digoxin Inj 0.25 MG/ML,242.77,194.22,1.0,418.09,135
HCPCS,J1162,Digoxin Immune Fab For Inj 40 MG,8255.37,6604.3,3384.7,7429.83,36
HCPCS,J1163,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,162
HCPCS,J1163,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,189
HCPCS,J1163,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),21.0,16.8,5.83,18.9,81
HCPCS,J1165,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,189
HCPCS,J1170,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1171,Hydromorphone HCl Inj 0.2 MG/ML,21.0,16.8,5.83,18.9,108
HCPCS,J1171,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,378
HCPCS,J1171,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,162
HCPCS,J1171,Hydromorphone HCl Preservative Free (PF) Inj 1 MG/ML,21.0,16.8,5.83,18.9,54
HCPCS,J1171,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,30.45,24.36,5.83,444.36,189
HCPCS,J1180,Dyphylline injection,,,7.78,7.78,2
HCPCS,J1190,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),209.62,167.7,59.91,646.87,180
HCPCS,J1190,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),855.03,684.03,59.91,1847.99,252
HCPCS,J1200,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,162
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,15.18,18.07,15
HCPCS,J1202,Miglustat oral 65 mg,,,34.63,34.63,4
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,86.65,99.82,14
HCPCS,J1205,Chlorothiazide Sodium For Inj 500 MG,211.63,169.31,1.0,457.16,189
HCPCS,J1212,Dimethyl Sulfoxide - Solution,25.725,20.580000000000002,0.62,819.49,72
HCPCS,J1212,Dimethyl Sulfoxide Soln 50%,1220.0,976.0,500.2,1098.0,36
HCPCS,J1230,Methadone HCl Inj 10 MG/ML,1034.08,827.265,1.0,1317.79,54
HCPCS,J1240,Dimenhydrinate injection,,,1.0,1.0,2
HCPCS,J1245,Dipyridamole IV Soln 5 MG/ML,21.0,16.8,1.0,18.9,54
HCPCS,J1250,Dobutamine HCl Inj 12.5 MG/ML,21.0,16.8,1.0,18.9,108
HCPCS,J1250,Dobutamine in Dextrose 5% Inj 2 MG/ML,50.03,40.03,1.0,95.92,81
HCPCS,J1250,Dobutamine in Dextrose 5% Inj 4 MG/ML,92.44,73.96,1.0,83.2,27
HCPCS,J1260,Dolasetron mesylate,,,1.0,1.0,2
HCPCS,J1265,Dopamine HCl Inj 40 MG/ML,21.0,16.8,1.0,18.9,81
HCPCS,J1265,Dopamine in Dextrose 5% Inj 1.6 MG/ML,26.1,20.88,1.0,38.17,108
HCPCS,J1265,Dopamine in Dextrose 5% Inj 3.2 MG/ML,54.375,43.505,1.0,61.66,81
HCPCS,J1267,Outpatient Services - CPT/HCPCS,,,0.88,0.88,2
HCPCS,J1270,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),35.925,28.740000000000002,1.0,45.77,216
HCPCS,J1271,Doxycycline Hyclate For Inj 100 MG,66.565,53.254999999999995,7.66,73.8,243
HCPCS,J1290,Ecallantide injection,,,532.25,634.68,16
HCPCS,J1299,"Inj, eculizumab, 2 mg",,,42.58,49.04,13
HCPCS,J1300,Drug & Admin Codes,,,228.86,228.86,1
HCPCS,J1300,Outpatient Services - CPT/HCPCS,,,225.26,225.26,2
HCPCS,J1300,Pharmacy,,,245.31,245.31,4
HCPCS,J1301,"Injection, edaravone, 1 mg",,,19.94,22.97,16
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,17.74,20.64,16
HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,213.85,246.35,16
HCPCS,J1304,Tofersen Intrathecal Soln 100 MG/15ML (6.7 MG/ML),28602.31,22881.85,146.57,25742.08,36
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,179.14,212.04,16
HCPCS,J1306,"Injection, inclisiran, 1 mg",,,11.7,13.48,15
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,523.94,579.09,13
HCPCS,J1308,Famotidine Inj 200 MG/20ML,21.0,16.8,5.83,18.9,81
HCPCS,J1308,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,162
HCPCS,J1320,Amitriptyline injection,,,1.0,1.0,2
HCPCS,J1322,"Elosulfase alfa, injection",,,280.92,337.8,16
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,174.87,201.43,13
HCPCS,J1324,Enfuvirtide injection,,,0.68,0.68,6
HCPCS,J1325,Epoprostenol Sodium For Inj 0.5 MG,89.91,71.93,1.0,80.92,27
HCPCS,J1325,Epoprostenol Sodium For Inj 1.5 MG,179.79,143.84,1.0,161.81,27
HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,32.02,36.89,13
HCPCS,J1327,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),94.4,75.52,1.7,101.4,81
HCPCS,J1327,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),237.08,189.67,1.7,229.03,81
HCPCS,J1330,Outpatient Services - CPT/HCPCS,,,4.83,4.83,2
HCPCS,J1335,Ertapenem Sodium For Inj 1 GM (Base Equivalent),148.17,118.54,1.0,471.37,216
HCPCS,J1364,Erythromycin Lactobionate For Inj 500 MG,301.06,240.85500000000002,81.5,277.77,54
HCPCS,J1380,Estradiol valerate 10 MG inj,,,1.0,1.0,2
HCPCS,J1410,Inj estrogen conjugate 25 MG,,,372.46,429.05,15
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,3501003.33,3869530.0,15
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,11926.03,13181.4,15
HCPCS,J1413,Inj delandistrogene mox rokl,,,3150639.46,3482285.72,15
HCPCS,J1414,"Inj, beqvez, per tx dose",,,3570000.0,3570000.0,4
HCPCS,J1426,"Injection, casimersen, 10 mg",,,157.76,174.36,16
HCPCS,J1427,Inj. viltolarsen,,,56.4,58.78,3
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,158.98,175.71,16
HCPCS,J1429,Inj golodirsen 10 mg,,,160.0,166.19,3
HCPCS,J1430,Ethanolamine Oleate Inj 5%,1572.06,1257.65,469.26,1414.85,36
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.7,3.11,13
HCPCS,J1435,Injection estrone per 1 MG,,,0.15,0.15,2
HCPCS,J1436,Etidronate disodium inj,,,78.55,78.55,2
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,20.06,24.09,15
HCPCS,J1438,Etanercept injection,,,790.78,1134.93,15
HCPCS,J1439,Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent),2846.54,2277.24,1.05,2561.89,36
HCPCS,J1440,Fecal microbiota jslm 1 ml,,,60.65,69.87,15
HCPCS,J1441,Pharmacy,,,501.2,501.2,4
HCPCS,J1442,Filgrastim Inj 300 MCG/ML,993.45,794.765,0.95,933.07,72
HCPCS,J1442,Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML),1527.36,1221.89,0.95,1374.62,72
HCPCS,J1443,Outpatient Services - CPT/HCPCS,,,0.04,0.04,2
HCPCS,J1443,Pharmacy,,,0.03,0.03,4
HCPCS,J1444,Outpatient Services - CPT/HCPCS,,,0.03,0.03,2
HCPCS,J1444,Pharmacy,,,0.03,0.03,4
HCPCS,J1445,Outpatient Services - CPT/HCPCS,,,0.16,0.16,2
HCPCS,J1445,Pharmacy,,,0.16,0.16,4
HCPCS,J1446,Pharmacy,,,4.22,4.22,4
HCPCS,J1447,Tbo-Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML,924.68,739.75,0.27,832.21,36
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.19,5.97,15
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,19.83,31.34,16
HCPCS,J1450,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,32.19,25.755,1.0,62.64,108
HCPCS,J1450,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,26.535,21.229999999999997,1.0,25.84,189
HCPCS,J1451,Fomepizole Inj 1 GM/ML (For IV Infusion),2614.05,2091.24,5.96,3566.43,144
HCPCS,J1452,Outpatient Services - CPT/HCPCS,,,820.0,820.0,2
HCPCS,J1453,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),102.77,82.22,1.0,1215.61,162
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,528.38,629.8,15
HCPCS,J1455,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1455.6,1164.48,15.27,1598.4,144
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.17,1.13,15
HCPCS,J1457,Outpatient Services - CPT/HCPCS,,,2.04,2.04,2
HCPCS,J1458,Galsulfase injection,,,463.04,493.88,3
HCPCS,J1459,Immune Globulin (Human) IV Soln 10 GM/100ML,1307.51,1046.01,47.59,1176.76,36
HCPCS,J1459,Immune Globulin (Human) IV Soln 20 GM/200ML,2615.01,2092.01,47.59,2353.51,36
HCPCS,J1459,Immune Globulin (Human) IV Soln 40 GM/400ML,5230.02,4184.02,47.59,4707.02,36
HCPCS,J1459,Immune Globulin (Human) IV Soln 5 GM/50ML,694.86,555.89,47.59,625.37,36
HCPCS,J1459,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",1961.2600000000002,1569.0100000000002,47.59,4707.02,144
HCPCS,J1460,Immune Globulin (Human) IM Inj,1138.44,910.76,46.58,1024.6,36
HCPCS,J1551,Inj cutaquig 100 mg,,,14.04,14.78,3
HCPCS,J1552,"Inj, alyglo, 500 mg",,,123.72,142.52,13
HCPCS,J1554,Inj. asceniv,,,471.9,543.6,16
HCPCS,J1555,"Inj cuvitru, 100 mg",,,15.73,18.43,16
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,72.96,76.58,3
HCPCS,J1557,Gammaplex injection,,,57.01,69.69,16
HCPCS,J1558,"Inj. xembify, 100 mg",,,13.97,16.24,16
HCPCS,J1559,Immune Globulin (Human) Subcutaneous Inj 4 GM/20ML,1505.97,1204.78,12.73,1355.37,36
HCPCS,J1560,Gamma globulin > 10 CC inj,,,161.95,507.94,16
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,172.02,137.62,46.52,154.82,36
HCPCS,J1561,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",1224.04,979.2350000000001,46.52,3235.94,144
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,1720.16,1376.13,46.52,1548.14,36
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,3595.49,2876.4,46.52,3235.94,36
HCPCS,J1561,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,727.92,582.34,46.52,655.13,36
HCPCS,J1562,Outpatient Services - CPT/HCPCS,,,183.95,183.95,2
HCPCS,J1566,"Immune globulin, powder",,,74.86,86.22,16
HCPCS,J1568,Octagam injection,,,44.79,52.0,16
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,1381.67,1105.34,43.05,1243.5,72
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,2763.35,2210.68,43.05,2487.02,72
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML,4178.79,3343.04,43.05,3760.91,72
HCPCS,J1569,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,690.84,552.68,43.05,621.76,72
HCPCS,J1570,Ganciclovir Sodium For Inj 500 MG,200.085,160.075,1.0,246.58,54
HCPCS,J1571,Hepagam b im injection,,,62.16,72.93,15
HCPCS,J1572,Drug & Admin Codes,,,52.94,52.94,1
HCPCS,J1572,Outpatient Services,,,52.97,58.55,9
HCPCS,J1572,Outpatient Services - CPT/HCPCS,,,56.12,56.12,2
HCPCS,J1572,Pharmacy,,,54.0,54.0,4
HCPCS,J1573,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,760.7249999999999,608.58,62.16,739.94,72
HCPCS,J1574,"Inj, ganciclovir (exela)",,,51.0,51.0,6
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,16.89,19.86,16
HCPCS,J1576,"Inj, panzyga, 500 mg",,,65.7,79.88,16
HCPCS,J1580,Gentamicin Sulfate Inj 10 MG/ML,21.0,16.8,1.0,18.9,81
HCPCS,J1580,Gentamicin Sulfate Inj 40 MG/ML,73.25,58.6,1.0,78.53,270
HCPCS,J1580,Gentamicin in Saline Inj 1.6 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J1580,Gentamicin in Saline Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J1595,Glatiramer Acetate Soln Prefilled Syringe 20 MG/ML,803.01,642.41,153.01,722.71,36
HCPCS,J1596,Glycopyrrolate Inj 0.2 MG/ML,21.0,16.8,0.43,18.9,108
HCPCS,J1596,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),29.5,23.6,0.43,28.73,252
HCPCS,J1596,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,29.23,504
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.27,1.47,13
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,1.0,156.45,3
HCPCS,J1600,Gold sodium thiomaleate inj,,,23.06,23.06,2
HCPCS,J1602,Golimumab IV Soln 50 MG/4ML,3915.96,3132.77,10.49,3524.36,36
HCPCS,J1610,Glucagon hydrochloride/1 MG,,,173.32,199.66,15
HCPCS,J1611,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),304.95,243.96499999999997,88.1,355.51,180
HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,2.57,3.62,13
HCPCS,J1620,Outpatient Services - CPT/HCPCS,,,198.32,198.32,2
HCPCS,J1626,Granisetron HCl Inj 1 MG/ML,34.04,27.24,1.0,36.37,81
HCPCS,J1626,Granisetron HCl Inj 4 MG/4ML (1 MG/ML),21.0,16.8,1.0,18.9,27
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,4.07,5.78,15
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,72.17,83.14,15
HCPCS,J1630,Haloperidol Lactate Inj 5 MG/ML,21.95,17.560000000000002,1.0,20.61,243
HCPCS,J1631,Haloperidol Decanoate IM Soln 100 MG/ML,80.82,64.66,1.0,150.22,162
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,72.22,72.22,2
HCPCS,J1640,"Hemin, 1 mg",,,31.4,37.41,15
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,1.0,18.9,108
HCPCS,J1642,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,108
HCPCS,J1643,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,5.18,18.9,54
HCPCS,J1644,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,21.0,16.8,1.0,18.9,54
HCPCS,J1644,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",21.0,16.8,1.0,18.9,135
HCPCS,J1644,Heparin Sodium (Porcine) 100 Unit/ML in D5W,30.450000000000003,24.365000000000002,1.0,35.24,216
HCPCS,J1644,Heparin Sodium (Porcine) Inj 1000 Unit/ML,7.07,5.66,0.51,18.9,486
HCPCS,J1644,Heparin Sodium (Porcine) Inj 10000 Unit/ML,21.0,16.8,1.0,18.9,27
HCPCS,J1644,Heparin Sodium (Porcine) Inj 5000 Unit/ML,26.075,20.86,1.0,28.04,486
HCPCS,J1644,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,81
HCPCS,J1644,Heparin Sodium (Porcine)-Dextrose IV Sol 25000 Unit/500ML-5%,36.98,29.59,1.0,33.28,54
HCPCS,J1645,Dalteparin sodium,,,1.0,1.0,2
HCPCS,J1650,Enoxaparin Sodium Inj 300 MG/3ML,167.66500000000002,134.135,1.0,210.03,108
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,40.465,32.375,1.0,268.06,243
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.525,35.625,1.0,243.59,324
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,64.72,51.78,1.0,88.4,351
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,24.39,19.52,1.0,806.29,432
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,26.13,20.91,1.0,53.69,486
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,35.89,28.72,1.0,80.65,378
HCPCS,J1650,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,40.47,32.38,1.0,240.83,324
HCPCS,J1652,Fondaparinux Sodium Inj 10 MG/0.8ML,132.24,105.8,1.0,130.13,108
HCPCS,J1652,Fondaparinux Sodium Inj 5 MG/0.4ML,128.33,102.67,1.0,130.18,81
HCPCS,J1652,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,40.52,32.42,1.0,170.28,81
HCPCS,J1652,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,130.33,104.27,1.0,130.13,135
HCPCS,J1655,Outpatient Services - CPT/HCPCS,,,4.94,4.94,2
HCPCS,J1670,Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML,1774.0549999999998,1419.245,563.35,1746.32,72
HCPCS,J1700,Hydrocortisone acetate inj,,,1.0,1.0,2
HCPCS,J1710,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1720,Hydrocortisone Sodium Succinate PF For Inj 100 MG,33.475,26.785,1.0,57.16,108
HCPCS,J1720,Hydrocortisone Sodium Succinate PF For Inj 250 MG,50.24,40.2,1.0,45.22,27
HCPCS,J1720,Hydrocortisone Sodium Succinate PF For Inj 500 MG,94.26,75.41,1.0,84.83,27
HCPCS,J1725,Pharmacy,,,3.12,3.12,4
HCPCS,J1726,Hydroxyprogesterone Caproate IM 250 MG/ML,565.03,452.03,13.82,508.53,27
HCPCS,J1729,Hydroxyprogesterone Caproate IM 250 MG/ML,848.24,678.595,8.85,1061.33,54
HCPCS,J1730,Diazoxide injection,,,63.23,63.23,2
HCPCS,J1738,Inj. meloxicam 1 mg,,,1.0,1.0,2
HCPCS,J1740,Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent),196.92,157.54,1.0,177.23,27
HCPCS,J1741,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),1339.335,1071.47,1.0,1689.98,54
HCPCS,J1742,Ibutilide Fumarate Inj 1 MG/10ML,1006.2,804.96,163.69,1082.57,108
HCPCS,J1743,Idursulfase injection,,,530.53,611.15,16
HCPCS,J1744,Icatibant injection,,,93.19,360.06,16
HCPCS,J1745,Infliximab For IV Inj 100 MG,1402.97,1122.38,29.54,1687.98,72
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,74.46,86.73,16
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,60.22,71.93,15
HCPCS,J1750,Iron Dextran Inj 50 MG/ML,136.37,109.1,17.2,122.73,72
HCPCS,J1750,Iron Dextran Inj 50 MG/ML (Elemental Iron),136.37,109.1,17.2,122.73,72
HCPCS,J1756,Iron Sucrose Inj 20 MG/ML (Fe Equiv),35.355000000000004,28.29,1.0,56.43,162
HCPCS,J1786,Imuglucerase injection,,,41.03,47.27,16
HCPCS,J1790,Droperidol Inj 2.5 MG/ML,26.465,21.175,1.0,28.74,108
HCPCS,J1800,Propranolol HCl Inj 1 MG/ML,26.29,21.035,1.0,28.42,81
HCPCS,J1805,Esmolol HCl Inj 100 MG/10ML,23.115000000000002,18.495,0.25,22.71,108
HCPCS,J1805,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,784.96,627.97,0.25,1299.78,135
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.47,0.47,2
HCPCS,J1807,"Inj, ethacrynate sod, 1 mg",,,19.92,77.52,13
HCPCS,J1808,Folic Acid Inj 5 MG/ML,21.0,16.8,5.83,18.9,54
HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,16.12,18.57,13
HCPCS,J1810,Outpatient Services - CPT/HCPCS,,,13.74,13.74,2
HCPCS,J1811,Fiasp for insulin pump use,,,6.67,9.04,15
HCPCS,J1812,Inj. insulin (fiasp),,,1.0,1.0,2
HCPCS,J1813,Lyumjev for insulin pump use,,,15.68,15.68,2
HCPCS,J1814,Inj. insulin (lyumjev),,,1.0,1.0,2
HCPCS,J1815,Insulin Aspart Inj Soln 100 Unit/ML,100.17,80.14,1.0,90.15,27
HCPCS,J1815,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",100.17,80.14,1.0,90.15,27
HCPCS,J1815,"Insulin Glargine Inj 100 Unit/ML,Insulin Glargine Soln Cartridge 100 Unit/ML,Insulin Glargine Soln Pen-Injector 100 Unit/ML",296.54,237.24,1.0,266.89,54
HCPCS,J1815,Insulin Regular (Human) Inj 100 Unit/ML,28.14,22.515,0.42,49.3,54
HCPCS,J1817,Insulin for insulin pump use,,,1.0,1.0,2
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,470.77,542.3,16
HCPCS,J1826,Interferon Beta-1A inj,,,1819.71,2313.3,15
HCPCS,J1830,Interferon beta-1b / .25 MG,,,540.11,724.77,6
HCPCS,J1833,Isavuconazonium Sulfate For IV Soln 372 MG,1219.315,975.455,0.94,1322.4,72
HCPCS,J1834,"Inj, isoniazid, 1 mg",,,0.3,0.33,13
HCPCS,J1835,Itraconazole injection,,,46.51,46.51,2
HCPCS,J1836,Metronidazole IV Soln 500 MG/100ML,40.95,32.76,0.02,54.81,216
HCPCS,J1840,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1850,Outpatient Services - CPT/HCPCS,,,1.15,1.15,2
HCPCS,J1885,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,468
HCPCS,J1885,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,216
HCPCS,J1885,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",21.0,16.8,0.29,18.9,180
HCPCS,J1885,Ketorolac Tromethamine Inj 15 MG/ML,11.945,9.56,0.29,18.9,324
HCPCS,J1885,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,540
HCPCS,J1890,Outpatient Services - CPT/HCPCS,,,8.8,8.8,2
HCPCS,J1920,Labetalol HCl IV Soln 5 MG/ML,15.175,12.14,0.18,43.85,351
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,2.72,2.72,2
HCPCS,J1930,Lanreotide injection,,,32.34,51.16,15
HCPCS,J1931,Laronidase injection,,,37.44,43.63,16
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,28.35,49.97,15
HCPCS,J1938,Furosemide Inj 10 MG/ML,22.375,17.9,5.83,21.38,1107
HCPCS,J1939,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,360
HCPCS,J1940,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J1941,"Inj, furoscix, 20 mg",,,229.0,250.05,6
HCPCS,J1942,Pharmacy,,,2.91,2.91,4
HCPCS,J1943,"Inj., Aristada Initio, 1 mg",,,3.05,3.55,15
HCPCS,J1944,Aripiprazole Lauroxil IM ER Susp Prefilled Syr 1064 MG/3.9ML,11377.35,9101.88,3.11,10239.62,36
HCPCS,J1945,Outpatient Services - CPT/HCPCS,,,610.48,610.48,2
HCPCS,J1950,Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG,9594.71,7675.77,1524.34,8635.24,36
HCPCS,J1950,Leuprolide Acetate (3 Month) For Inj Pediatric Kit 30 MG,23079.93,18463.95,1524.34,20771.94,36
HCPCS,J1950,Leuprolide Acetate For Inj Kit 3.75 MG,3198.21,2558.57,1311.27,2878.39,36
HCPCS,J1951,Inj fensolvi 0.25 mg,,,133.64,154.29,15
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,74.35,86.36,15
HCPCS,J1953,Levetiracetam Inj 500 MG/5ML (100 MG/ML),41.395,33.12,1.0,171.01,405
HCPCS,J1954,Inj leu acet lutr dpt 7.5 mg,,,362.05,773.34,15
HCPCS,J1955,Levocarnitine Inj 200 MG/ML,100.85499999999999,80.69,24.97,395.18,135
HCPCS,J1956,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,162
HCPCS,J1956,Levofloxacin in D5W IV Soln 750 MG/150ML,33.34,26.674999999999997,1.0,41.11,81
HCPCS,J1960,Levorphanol tartrate inj,,,1.0,1.0,2
HCPCS,J1961,Inj lenacapavir (hiv tx) 1mg,,,21.05,24.24,15
HCPCS,J1980,Hyoscyamine sulfate inj,,,1.0,1.0,2
HCPCS,J1990,Chlordiazepoxide injection,,,23.16,23.16,2
HCPCS,J2001,Lidocaine HCl Local Preservative Free (PF) Inj 1%,21.0,16.8,1.0,18.9,27
HCPCS,J2002,Lidocaine IV Infusion in D5W Inj 4 MG/ML,21.375,17.1,0.01,19.58,72
HCPCS,J2003,"Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,81
HCPCS,J2003,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,108
HCPCS,J2003,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,324
HCPCS,J2003,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,405
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,21.0,16.8,5.83,18.9,108
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 1%,6.54,5.24,0.21,22.15,756
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,3.58,19.66,432
HCPCS,J2003,Lidocaine HCl Local Preservative Free (PF) Inj 4%,21.0,16.8,5.83,18.9,81
HCPCS,J2004,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,21.0,16.8,5.83,18.9,81
HCPCS,J2004,Lidocaine Inj 1% w/ Epinephrine-1:100000,22.68,18.145,5.83,21.92,351
HCPCS,J2004,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,108
HCPCS,J2004,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,54
HCPCS,J2004,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,297
HCPCS,J2004,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,162
HCPCS,J2010,Lincomycin injection,,,1.0,1.0,2
HCPCS,J2020,Linezolid IV Soln 600 MG/300ML (2 MG/ML),155.3,124.24,1.0,146.82,162
HCPCS,J2021,"Inj, linezolid (hospira)",,,13.74,13.74,2
HCPCS,J2060,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,378
HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.11,16.7,15
HCPCS,J2150,Mannitol IV Soln 25%,21.0,16.8,1.0,18.9,81
HCPCS,J2170,Mecasermin injection,,,1.0,1.0,2
HCPCS,J2175,Meperidine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2175,Meperidine HCl Inj 25 MG/ML,22.75,18.2,1.0,21.02,108
HCPCS,J2175,Meperidine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2175,Meperidine HCl Inj 75 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2180,Meperidine/promethazine inj,,,1.0,1.0,2
HCPCS,J2182,Mepolizumab For Inj 100 MG,8904.42,7123.54,29.71,8013.98,36
HCPCS,J2183,Inj meropenem (wg crit care),,,1.54,1.77,13
HCPCS,J2184,"Inj, meropenem (b. braun)",,,2.1,2.1,2
HCPCS,J2185,Meropenem IV For Soln 1 GM,30.145,24.119999999999997,1.0,42.22,270
HCPCS,J2185,Meropenem IV For Soln 500 MG,21.0,16.8,1.0,18.9,81
HCPCS,J2186,Meropenem-Vaborbactam For IV Soln 2 GM (1-1 GM),718.4,574.72,2.07,646.56,36
HCPCS,J2210,Methylergonovine Maleate Inj 0.2 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2212,Methylnaltrexone Bromide Inj 12 MG/0.6ML (20 MG/ML),114.57000000000001,91.66,1.15,132.97,54
HCPCS,J2247,Micafungin Sodium For IV Soln 50 MG,98.94,79.16,0.4,89.05,27
HCPCS,J2248,Micafungin Sodium For IV Soln 100 MG,184.595,147.68,1.0,301.54,135
HCPCS,J2248,Micafungin Sodium For IV Soln 50 MG,123.21,98.57,1.0,217.59,135
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,1.0,1.0,2
HCPCS,J2250,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,89.18,71.35,1.0,80.26,27
HCPCS,J2250,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",4.025,3.2199999999999998,0.68,18.9,189
HCPCS,J2250,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,81
HCPCS,J2250,Midazolam HCl Inj 5 MG/5ML (Base Equivalent),12.46,9.97,1.0,18.9,54
HCPCS,J2250,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),29.1,23.28,1.0,101.79,324
HCPCS,J2250,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),21.0,16.8,1.0,18.9,54
HCPCS,J2250,Midazolam HCl Inj PF 5 MG/5ML (Base Equivalent),2.1,1.685,0.53,18.9,108
HCPCS,J2250,Midazolam HCl Inj PF 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
HCPCS,J2251,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,74.82,59.86,0.29,67.34,54
HCPCS,J2260,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),21.025,16.82,1.0,18.95,108
HCPCS,J2260,Milrinone Lactate IV Soln 20 MG/20ML (Base Equivalent),27.84,22.28,1.0,25.06,27
HCPCS,J2260,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,43.5,34.8,1.0,289.71,108
HCPCS,J2260,"Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",43.5,34.8,1.0,289.71,108
HCPCS,J2260,"Milrinone in Dextrose IV Soln 20 MG/100 ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",182.7,146.16,1.0,289.71,54
HCPCS,J2265,Minocycline HCl IV For Soln 100 MG,962.76,770.21,2.47,866.48,36
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,40.9,47.11,13
HCPCS,J2270,Morphine Sulfate IV Soln 10 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2270,Morphine Sulfate IV Soln 2 mg/mL,32.795,26.240000000000002,1.0,40.13,81
HCPCS,J2270,Morphine Sulfate IV Soln 4 MG/ML,21.0,16.8,1.0,18.9,108
HCPCS,J2270,Morphine Sulfate IV Soln 50 MG/ML,80.91,64.73,1.0,72.82,27
HCPCS,J2270,Morphine Sulfate IV Soln PF 10 MG/ML,28.53,22.825000000000003,1.0,32.45,135
HCPCS,J2270,Morphine Sulfate IV Soln PF 2 MG/ML,21.0,16.8,1.0,18.9,54
HCPCS,J2270,Morphine Sulfate IV Soln PF 4 MG/ML,21.0,16.8,1.0,18.9,108
HCPCS,J2270,Morphine Sulfate IV Soln PF 8 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2270,Morphine Sulfate Inj PF 0.5 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J2270,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,38.28,30.63,1.0,34.45,27
HCPCS,J2271,Pharmacy,,,0.95,0.95,4
HCPCS,J2272,Morphine Sulfate Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
HCPCS,J2272,Morphine Sulfate Inj 4 MG/ML,21.0,16.8,5.83,18.9,27
HCPCS,J2272,Morphine Sulfate Inj PF 10 MG/ML,21.0,16.8,5.83,18.9,27
HCPCS,J2272,Morphine Sulfate Inj PF 4 MG/ML,21.0,16.8,5.83,18.9,27
HCPCS,J2274,Morphine Sulf For Microinfusion PF Inj 500 MG/20ML (25MG/ML),1364.595,1091.6799999999998,1.0,1285.69,54
HCPCS,J2274,Morphine Sulfate Inj PF 0.5 MG/ML,44.63,35.71,1.0,60.33,81
HCPCS,J2274,Morphine Sulfate Inj PF 1 MG/ML,24.97,19.98,1.0,41.62,135
HCPCS,J2275,Pharmacy,,,11.1,11.1,4
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,23.96,27.6,13
HCPCS,J2278,Ziconotide injection,,,9.04,11.1,15
HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,1.0,1.0,2
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,5.32,5.32,2
HCPCS,J2290,Nafcillin Sodium For IV Soln 10 GM,231.725,185.385,53.97,242.18,54
HCPCS,J2290,Nafcillin Sodium For Inj 1 GM,23.64,18.915,5.83,36.87,162
HCPCS,J2290,Nafcillin Sodium For Inj 2 GM,35.105,28.085,6.52,105.01,243
HCPCS,J2300,Nalbuphine HCl Inj 10 MG/ML,21.725,17.380000000000003,1.0,20.21,135
HCPCS,J2300,Nalbuphine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,54
HCPCS,J2305,Nitroglycerin IV Soln 5 MG/ML,21.0,16.8,1.29,18.9,27
HCPCS,J2310,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J2311,Outpatient Services - CPT/HCPCS,,,4.31,4.31,2
HCPCS,J2312,Naloxone HCl Inj 0.4 MG/ML,28.59,22.88,5.83,35.0,216
HCPCS,J2312,Naloxone HCl Inj 4 MG/10ML,21.0,16.8,5.83,18.9,108
HCPCS,J2312,Naloxone HCl Soln Cartridge 0.4 MG/ML,21.0,16.8,5.83,18.9,27
HCPCS,J2312,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,21.0,16.8,5.83,18.9,108
HCPCS,J2315,"Naltrexone, depot form",,,3.96,4.64,15
HCPCS,J2320,Nandrolone decanoate 50 MG,,,1.0,1.0,2
HCPCS,J2323,Natalizumab injection,,,22.8,26.26,16
HCPCS,J2325,Nesiritide injection,,,71.98,71.98,2
HCPCS,J2326,Nusinersen Intrathecal Soln 12 MG/5ML (2.4 MG/ML),52083.34,41666.68,1169.8,46875.01,36
HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.19,16.36,15
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,67.08,77.43,16
HCPCS,J2350,Ocrelizumab Soln For IV Infusion 300 MG/10ML,32662.7,26130.16,56.44,29396.43,36
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,44.87,51.69,13
HCPCS,J2353,"Octreotide injection, depot",,,193.4,222.79,15
HCPCS,J2354,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),21.0,16.8,1.0,18.9,135
HCPCS,J2355,Oprelvekin injection,,,467.22,467.22,2
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,17.11,19.71,16
HCPCS,J2357,Omalizumab For Inj 150 MG,3004.76,2403.81,39.04,2704.28,36
HCPCS,J2357,Omalizumab Subcutaneous Soln Prefilled Syringe 150 MG/ML,4013.24,3210.6,39.04,3611.92,36
HCPCS,J2357,Omalizumab Subcutaneous Soln Prefilled Syringe 75 MG/0.5ML,2006.62,1605.3,39.04,1805.96,36
HCPCS,J2358,Olanzapine Pamoate For Extended Rel IM Susp 300 MG (Base Eq),3116.88,2493.51,2.77,2805.19,36
HCPCS,J2359,Olanzapine For IM Inj 10 MG,79.39,63.52,0.89,182.75,135
HCPCS,J2360,Orphenadrine injection,,,1.0,1.0,2
HCPCS,J2370,Pharmacy,,,3.26,3.26,4
HCPCS,J2371,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),Phen",25.13,20.11,0.01,22.62,27
HCPCS,J2371,Phenylephrine HCl IV Soln 10 MG/ML,45.02,36.02,0.01,172.26,729
HCPCS,J2371,Phenylephrine-NaCl Pref Syr 1 MG/10ML-0.9% (100 MCG/ML),89.75,71.8,0.01,80.78,27
HCPCS,J2372,Phenylephrine HCl (PF) IV Soln 0.5 MG/5ML (100 MCG/ML),31.01,24.810000000000002,0.18,36.92,81
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.13,0.15,13
HCPCS,J2401,Chloroprocaine HCl Inj 1%,68.51,54.81,0.04,61.66,27
HCPCS,J2401,Chloroprocaine HCl Preservative Free (PF) Inj 2%,80.82,64.66,0.04,72.74,27
HCPCS,J2401,Chloroprocaine HCl Preservative Free (PF) Inj 3%,83.52,66.82,0.04,77.52,81
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.31,0.31,2
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.55,0.71,15
HCPCS,J2404,Nicardipine HCl IV Soln 2.5 MG/ML,59.94,47.955,0.41,111.77,351
HCPCS,J2405,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,594
HCPCS,J2405,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,243
HCPCS,J2406,"Injection, oritavancin 10 mg",,,40.35,46.48,15
HCPCS,J2407,"Injection, oritavancin",,,27.25,31.39,15
HCPCS,J2410,Oxymorphone hcl injection,,,2.91,2.91,2
HCPCS,J2425,Palifermin injection,,,26.51,38.91,15
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 117 MG/0.75ML,1535.66,1228.53,14.34,1382.09,36
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 156 MG/ML,2061.03,1648.83,14.34,1854.93,36
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML,6517.28,5213.83,14.34,5865.55,36
HCPCS,J2426,Paliperidone Palmitate ER Susp Pref Syr 78 MG/0.5ML,1710.78,1368.63,14.34,1539.7,36
HCPCS,J2427,Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML,12366.18,9892.95,12.2,11129.56,36
HCPCS,J2428,"Inj, erzofri, 1 mg",,,15.93,18.35,13
HCPCS,J2430,Pamidronate Disodium IV Soln 3 MG/ML,42.915,34.335,1.0,43.18,54
HCPCS,J2430,Pamidronate Disodium IV Soln 9 MG/ML,150.51,120.41499999999999,1.0,144.07,54
HCPCS,J2440,Papaverine HCl Inj 30 MG/ML,104.065,83.255,1.0,122.19,135
HCPCS,J2460,Oxytetracycline injection,,,0.53,0.53,2
HCPCS,J2468,"Inj, palonosetron (posfrea)",,,55.32,63.73,13
HCPCS,J2469,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),71.17,56.94,1.0,475.75,135
HCPCS,J2470,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,567
HCPCS,J2471,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,54
HCPCS,J2501,Paricalcitol IV Soln 5 MCG/ML,43.62,34.900000000000006,1.0,56.91,54
HCPCS,J2502,Pasireotide Pamoate For IM ER Susp 20 MG (Base Equiv),48316.08,38652.87,455.82,43484.47,36
HCPCS,J2502,Pasireotide Pamoate For IM ER Susp 40 MG (Base Equiv),22512.0,18009.6,455.82,20260.8,36
HCPCS,J2502,Pasireotide Pamoate For IM ER Susp 60 MG (Base Equiv),26247.38,20997.91,455.82,23622.64,36
HCPCS,J2503,Outpatient Services - CPT/HCPCS,,,755.86,755.86,2
HCPCS,J2504,Outpatient Services - CPT/HCPCS,,,354.08,354.08,2
HCPCS,J2505,Pharmacy,,,2431.21,2431.21,4
HCPCS,J2506,Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML,8818.88,7055.11,31.73,7936.99,36
HCPCS,J2507,Pegloticase injection,,,3307.05,4006.2,16
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,216.75,249.68,16
HCPCS,J2510,Penicillin G Procaine Intramuscular Susp 600000 Unit/ML,59.49,47.6,24.39,53.54,36
HCPCS,J2513,Outpatient Services - CPT/HCPCS,,,13.99,13.99,2
HCPCS,J2515,Pentobarbital Sodium Inj 50 MG/ML,1306.9,1045.52,1.0,3527.55,189
HCPCS,J2540,Penicillin G Potassium For Inj 20000000 Unit,213.77,171.02,1.0,443.74,135
HCPCS,J2540,Penicillin G Potassium For Inj 5000000 Unit,25.665,20.535,1.0,81.1,162
HCPCS,J2540,Penicillin G Potassium Inj 60000 Unit/ML in Dextrose,21.0,16.8,1.0,18.9,54
HCPCS,J2543,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),21.0,16.8,1.0,18.9,27
HCPCS,J2543,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),21.0,16.8,1.0,18.9,27
HCPCS,J2543,Piperacillin Sod-Tazobactam Sod in Dex IV Sol 3-0.375GM/50ML,48.07,38.46,1.0,48.74,108
HCPCS,J2543,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,53.51,42.81,1.0,48.16,54
HCPCS,J2545,Pentamidine Isethionate For Nebulization Soln 300 MG,253.495,202.8,52.22,243.17,135
HCPCS,J2545,Pentamidine Isethionate for Nebulization Soln 300 MG,237.61,190.09,52.22,213.85,27
HCPCS,J2547,"Injection, peramivir",,,1.59,1.76,15
HCPCS,J2550,Promethazine hcl injection,,,1.0,1.0,2
HCPCS,J2560,Phenobarbital Sodium Inj 130 MG/ML,114.38499999999999,91.51,1.0,199.99,162
HCPCS,J2560,Phenobarbital Sodium Inj 65 MG/ML,70.57,56.46,1.0,66.29,162
HCPCS,J2561,Phenobarbital Sodium For IV Soln 100 MG,495.94,396.76,1.0,446.35,36
HCPCS,J2562,Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML),1578.0949999999998,1262.48,24.06,13349.62,144
HCPCS,J2590,Oxytocin Inj 10 Unit/ML,32.25,25.799999999999997,1.0,39.15,297
HCPCS,J2597,Desmopressin Acetate Inj 4 MCG/ML,59.48,47.59,3.35,96.68,288
HCPCS,J2597,Desmopressin Acetate Preservative Free (PF) Inj 4 MCG/ML,21.35,17.08,3.35,19.53,144
HCPCS,J2598,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),82.375,65.905,2.56,86.57,378
HCPCS,J2599,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),43.03,34.43,0.56,38.73,54
HCPCS,J2601,"Inj, vasopressin (baxter)",,,1.91,2.19,13
HCPCS,J2650,Prednisolone acetate inj,,,0.19,0.19,2
HCPCS,J2670,Totazoline hcl injection,,,3.3,3.3,2
HCPCS,J2675,Inj progesterone per 50 MG,,,1.0,1.0,2
HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,1.0,8.03,15
HCPCS,J2680,Fluphenazine Decanoate Inj 25 MG/ML,81.215,64.975,1.0,248.61,108
HCPCS,J2690,Procainamide HCl Inj 100 MG/ML,71.10499999999999,56.885,8.61,340.44,108
HCPCS,J2690,Procainamide HCl Inj 500 MG/ML,390.03,312.03,85.36,514.68,108
HCPCS,J2700,Oxacillin sodium injeciton,,,1.0,1.0,2
HCPCS,J2704,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",1.525,1.225,0.42,1.39,54
HCPCS,J2704,Propofol IV Emul 1000 MG/100ML (10 MG/ML),77.025,61.620000000000005,1.0,121.05,297
HCPCS,J2704,Propofol IV Emul 200 MG/20ML (10 MG/ML),28.0,22.4,1.0,27.22,162
HCPCS,J2704,Propofol IV Emul 500 MG/50ML (10 MG/ML),43.775,35.019999999999996,1.0,60.53,243
HCPCS,J2710,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),4.13,3.31,0.66,67.1,486
HCPCS,J2710,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),11.9,9.52,1.0,15.12,54
HCPCS,J2720,Protamine Sulfate Inj 10 MG/ML,35.11,28.09,1.0,81.83,135
HCPCS,J2724,Protein c concentrate,,,14.29,16.46,15
HCPCS,J2725,Inj protirelin per 250 mcg,,,42.12,42.12,2
HCPCS,J2730,Pralidoxime Chloride For IV Soln 1 GM,359.15999999999997,287.33000000000004,1.0,328.91,54
HCPCS,J2760,Phentolamine Mesylate For Inj 5 MG,1331.78,1065.43,410.42,1198.6,72
HCPCS,J2765,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,216
HCPCS,J2770,Quinupristin/dalfopristin,,,4.05,493.97,11
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,32.18,37.07,15
HCPCS,J2778,Ranibizumab Intravitreal Soln Pref Syr 0.5 MG/0.05ML,7215.0,5772.0,82.06,6493.5,36
HCPCS,J2779,"Inj, Susvimo 0.1 mg",,,74.99,86.39,15
HCPCS,J2780,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,132.22,153.52,15
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,99.87,115.04,13
HCPCS,J2783,Rasburicase For IV Soln 1.5 MG,2181.0,1744.8049999999998,358.43,1991.53,108
HCPCS,J2785,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),93.24000000000001,74.595,1.0,827.83,108
HCPCS,J2786,"Injection, reslizumab, 1mg",,,10.3,11.98,16
HCPCS,J2787,Riboflavin 5'Phos opth<=3ml,,,1.0,1.0,2
HCPCS,J2788,Rho d immune globulin 50 mcg,,,1.0,1.0,2
HCPCS,J2790,Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG),175.0,140.0,1.0,157.5,54
HCPCS,J2791,Rho D Immune Globulin Sol Pref Syr 1500 Unt/2ML (300MCG/2ML),326.77,261.42,1.0,294.09,54
HCPCS,J2792,"Rho(D) immune globulin h, sd",,,24.18,33.46,15
HCPCS,J2793,Rilonacept injection,,,26.2,27.64,6
HCPCS,J2794,Risperidone Microspheres For IM Extended Rel Susp 25 MG,1682.69,1346.155,10.43,1652.99,72
HCPCS,J2794,Risperidone Microspheres For IM Extended Rel Susp 37.5 MG,2355.24,1884.2,10.43,2119.72,36
HCPCS,J2794,Risperidone Microspheres For IM Extended Rel Susp 50 MG,3324.5249999999996,2659.625,10.43,3389.08,72
HCPCS,J2795,Ropivacaine HCl Inj 10 MG/ML,41.54,33.24,1.0,37.39,27
HCPCS,J2795,Ropivacaine HCl Inj 2 MG/ML,97.88,78.31,1.0,369.9,432
HCPCS,J2795,Ropivacaine HCl Inj 5 MG/ML,33.795,27.04,1.0,41.93,324
HCPCS,J2795,Ropivacaine HCl Inj 7.5 MG/ML,67.385,53.91,1.0,67.73,54
HCPCS,J2796,Outpatient Services - CPT/HCPCS,,,95.75,95.75,2
HCPCS,J2796,Pharmacy,,,110.58,110.58,4
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.9,0.9,2
HCPCS,J2798,"Inj., Perseris, 0.5 mg",,,11.53,13.28,15
HCPCS,J2799,"Inj, uzedy, 1 mg",,,23.79,27.4,15
HCPCS,J2800,Methocarbamol Inj 1000 MG/10ML,75.9,60.72,1.0,117.72,54
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,12.38,13.68,13
HCPCS,J2802,Romiplostim For Inj 250 MCG,5504.79,4403.84,10.46,4954.31,36
HCPCS,J2802,Romiplostim For Inj 500 MCG,11009.55,8807.64,10.46,9908.6,36
HCPCS,J2804,Rifampin For Inj 600 MG,622.18,497.75,163.14,564.03,81
HCPCS,J2805,Sincalide For Inj 5 MCG,324.87,259.9,1.0,370.59,135
HCPCS,J2806,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J2810,Inj theophylline per 40 MG,,,0.4,0.4,2
HCPCS,J2820,Sargramostim Lyophilized For Inj 250 MCG,1168.37,934.7,47.85,1051.53,72
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,510.5,566.91,16
HCPCS,J2850,Secretin Acetate (Human) For Inj 16 MCG,1805.28,1444.23,38.49,1624.75,36
HCPCS,J2860,Siltuximab For IV Infusion 100 MG,3003.06,2402.45,148.96,2702.75,36
HCPCS,J2860,Siltuximab For IV Infusion 400 MG,12334.12,9867.3,148.96,11100.71,36
HCPCS,J2865,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,27.41,21.93,5.83,134.95,270
HCPCS,J2865,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.5,1.2,0.42,1.35,27
HCPCS,J2910,Outpatient Services - CPT/HCPCS,,,26.95,26.95,2
HCPCS,J2916,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),31.82,25.46,1.0,116.51,108
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),74.93,59.95,0.2,153.27,144
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),21.0,16.8,0.2,18.9,36
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),21.0,16.8,0.2,18.9,72
HCPCS,J2919,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),54.915,43.934999999999995,0.2,79.95,72
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv),181.83,145.47,0.2,163.65,36
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),28.93,23.15,0.2,28.07,144
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),21.0,16.8,0.2,18.9,144
HCPCS,J2919,Methylprednisolone Sod Succ For Inj PF 500 MG (Base Equiv),157.86,126.29,0.2,142.07,36
HCPCS,J2919,Methylprednisolone Sodium Succinate For Inj 1000 MG,170.3,136.24,0.2,153.27,36
HCPCS,J2919,"Methylprednisolone Sodium Succinate For Inj 1000 MG,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv)",170.3,136.24,0.2,153.27,36
HCPCS,J2920,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J2930,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J2940,Outpatient Services - CPT/HCPCS,,,42.3,42.3,2
HCPCS,J2941,Somatropin injection,,,46.47,169.57,15
HCPCS,J2950,Promazine hcl injection,,,1.0,1.0,2
HCPCS,J2993,Reteplase injection,,,2759.35,3081.45,15
HCPCS,J2995,Outpatient Services - CPT/HCPCS,,,87.45,87.45,2
HCPCS,J2997,Alteplase For Inj 100 MG,16008.605,12806.89,89.16,14786.35,72
HCPCS,J2997,Alteplase For Inj 2 MG,451.05,360.84,89.16,405.95,36
HCPCS,J2997,Alteplase For Inj 50 MG,5447.48,4357.99,89.16,7393.19,108
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,31.13,40.71,15
HCPCS,J3000,Streptomycin Sulfate For Inj 1 GM,44.26,35.41,1.0,39.83,27
HCPCS,J3010,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,57.935,46.35,1.0,85.38,81
HCPCS,J3010,Fentanyl Citrate Powder,1460.0,1168.0,1.0,1314.0,27
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,10.57,8.46,0.54,23.94,216
HCPCS,J3010,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",14.98,11.99,1.0,21.92,81
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,11.695,9.36,0.66,18.9,81
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,2.95,2.36,0.74,6.98,81
HCPCS,J3010,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,10.99,8.795,0.27,18.9,135
HCPCS,J3030,Sumatriptan Succinate Inj 6 MG/0.5ML,97.745,78.2,1.0,650.35,243
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,1.97,1.97,2
HCPCS,J3032,Eptinezumab-jjmr IV Soln 100 MG/ML,3004.95,2403.96,17.43,2704.46,36
HCPCS,J3055,Talquetamab-tgvs Subcutaneous Soln 3 MG/1.5ML (2 MG/ML),2529.96,2023.97,68.99,2276.96,36
HCPCS,J3055,Talquetamab-tgvs Subcutaneous Soln 40 MG/ML,16009.01,12807.21,68.99,14408.11,36
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,39.05,45.18,16
HCPCS,J3070,Pentazocine injection,,,1.0,1.0,2
HCPCS,J3090,Inj tedizolid phosphate,,,1.74,2.15,15
HCPCS,J3095,Telavancin injection,,,6.76,7.78,15
HCPCS,J3101,Tenecteplase For IV Soln Kit 50 MG,12271.805,9817.45,153.1,11640.32,72
HCPCS,J3105,Terbutaline Sulfate Inj 1 MG/ML,21.0,16.8,1.0,18.9,135
HCPCS,J3110,Teriparatide injection,,,67.26,72.07,6
HCPCS,J3111,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,5771.55,4617.24,10.35,8709.62,144
HCPCS,J3121,Testosterone Enanthate IM Inj in Oil 200 MG/ML,286.45,229.16,1.0,257.81,27
HCPCS,J3145,Testosterone undecanoate 1mg,,,1.74,2.26,15
HCPCS,J3230,Chlorpromazine HCl Inj 50 MG/2ML,103.7,82.96,1.0,97.17,108
HCPCS,J3240,Thyrotropin injection,,,2010.51,2315.97,15
HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,328.0,393.08,16
HCPCS,J3243,Tigecycline For IV Soln 50 MG,183.72,146.98000000000002,1.0,463.91,297
HCPCS,J3244,Inj. tigecycline (accord),,,2.65,2.65,2
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,121.08,142.22,16
HCPCS,J3246,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),858.04,686.44,4.41,772.24,27
HCPCS,J3246,Tirofiban HCl in NaCl 0.9% IV Soln 5 MG/100ML (Base Equiv),704.265,563.4200000000001,4.41,678.86,54
HCPCS,J3247,Inj secukinumab intrav 1mg,,,16.95,19.52,13
HCPCS,J3250,Trimethobenzamide HCl Inj 100 MG/ML,43.96,35.17,1.0,39.56,27
HCPCS,J3260,Tobramycin Sulfate For Inj 1.2 GM,232.075,185.66500000000002,1.0,214.31,54
HCPCS,J3260,Tobramycin Sulfate Inj 2 GM/50ML (40 MG/ML) (Base Equiv),82.65,66.12,1.0,74.39,27
HCPCS,J3260,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,135
HCPCS,J3262,Tocilizumab IV Inj 200 MG/10ML,2056.03,1644.83,5.42,1850.43,36
HCPCS,J3262,Tocilizumab IV Inj 400 MG/20ML,5204.73,4163.79,5.42,4684.26,36
HCPCS,J3262,Tocilizumab IV Inj 80 MG/4ML,926.93,741.55,5.42,834.24,36
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,37.44,46.57,14
HCPCS,J3265,Injection torsemide 10 mg/ml,,,1.09,1.09,2
HCPCS,J3280,Outpatient Services - CPT/HCPCS,,,11.87,11.87,2
HCPCS,J3285,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),5452.91,4362.33,51.97,4935.25,108
HCPCS,J3285,Treprostinil Inj Soln 50 MG/20ML (2.5 MG/ML),9872.34,7897.88,51.97,8885.11,36
HCPCS,J3290,"Inj, tranexamic acid 5 mg",,,0.04,0.04,4
HCPCS,J3299,Inj xipere 1 mg,,,45.57,52.5,15
HCPCS,J3300,Triamcinolone Acetonide Ophth Inj 40 MG/ML,600.78,480.63,1.0,540.7,36
HCPCS,J3301,Triamcinolone Acetonide Inj Susp 10 MG/ML,47.63,38.11,1.0,42.87,27
HCPCS,J3301,Triamcinolone Acetonide Inj Susp 40 MG/ML,30.44,24.275,1.0,33.2,243
HCPCS,J3302,Triamcinolone diacetate inj,,,1.0,1.0,2
HCPCS,J3303,Triamcinolone Hexacetonide Intra-articular Inj Susp 20 MG/ML,38.06,30.45,1.0,34.25,27
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,17.13,20.02,15
HCPCS,J3305,Outpatient Services - CPT/HCPCS,,,159.57,159.57,2
HCPCS,J3310,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J3315,Triptorelin Pamoate For IM Susp 3.75 MG,2235.8,1788.64,401.75,2012.22,36
HCPCS,J3316,Triptorelin Pamoate For IM ER Susp 22.5 MG (Base Equiv),59200.0,47360.0,3225.08,53280.0,36
HCPCS,J3320,Outpatient Services - CPT/HCPCS,,,20.13,20.13,2
HCPCS,J3350,Urea injection,,,71.09,71.09,2
HCPCS,J3355,Outpatient Services - CPT/HCPCS,,,127.66,127.66,2
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,82.59,156.87,15
HCPCS,J3358,Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion),3373.59,2698.88,12.34,3036.23,36
HCPCS,J3360,Diazepam Inj 5 MG/ML,36.44,29.155,1.0,46.63,297
HCPCS,J3364,Outpatient Services - CPT/HCPCS,,,10.07,10.07,2
HCPCS,J3365,Outpatient Services - CPT/HCPCS,,,489.77,489.77,2
HCPCS,J3370,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J3371,Outpatient Services - CPT/HCPCS,,,6.25,6.25,2
HCPCS,J3372,Outpatient Services - CPT/HCPCS,,,6.49,6.49,2
HCPCS,J3373,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),36.95,29.560000000000002,5.83,47.61,324
HCPCS,J3373,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),213.26,170.615,20.08,777.92,324
HCPCS,J3373,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),122.91,98.33,24.58,269.62,108
HCPCS,J3373,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),21.0,16.8,5.83,18.9,81
HCPCS,J3373,Vancomycin HCl For IV Soln 750 MG (Base Equivalent),30.41,24.33,8.44,27.37,54
HCPCS,J3373,"Vancomycin HCl in Dextrose Inj 1 GM/200ML,Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5%",21.0,16.8,5.83,18.9,27
HCPCS,J3380,Vedolizumab For IV Solution 300 MG,18717.46,14973.97,20.25,16845.71,36
HCPCS,J3385,Velaglucerase alfa,,,362.29,417.33,16
HCPCS,J3391,"Inj, atidarsagene autotemcel",,,4279750.0,4730250.0,13
HCPCS,J3392,"Inj, exagamglogene autotem",,,2215400.0,2448600.0,13
HCPCS,J3393,"Inj, betibeglogene autotemce",,,2798453.0,3093027.0,13
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,3086023.43,3410868.0,13
HCPCS,J3396,Verteporfin injection,,,10.96,12.62,15
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,263.7,293.92,16
HCPCS,J3398,Inj luxturna 1 billion vec g,,,2852.45,3152.71,15
HCPCS,J3399,Onasemnogene Abeparvovec-xioi 7x8.3 ML Susp Kit,2704250.0,2163400.0,1108742.5,2577866.14,36
HCPCS,J3400,Outpatient Services - CPT/HCPCS,,,12.48,12.48,2
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,974.16,2570.5,15
HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,195358.0,225040.0,13
HCPCS,J3403,"Revakinagene, per implant",,,244625.0,270375.0,13
HCPCS,J3410,Hydroxyzine HCl IM Soln 50 MG/ML,33.05,26.439999999999998,1.0,40.59,54
HCPCS,J3411,Thiamine HCl Inj 100 MG/ML,25.75,20.605,1.0,32.37,351
HCPCS,J3415,Pyridoxine HCl Inj 100 MG/ML,23.880000000000003,19.105,1.0,21.69,54
HCPCS,J3420,Cyanocobalamin Inj 1000 MCG/ML,23.115000000000002,18.495,1.0,22.71,378
HCPCS,J3424,Hydroxocobalamin (Antidote) For IV Soln 5 GM,3133.125,2506.505,4.93,3080.75,72
HCPCS,J3425,Hydroxocobalamin Acetate Inj 1000 MCG/ML (Base Equivalent),98.66,78.93,0.01,88.79,36
HCPCS,J3430,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),52.845,42.28,1.0,76.22,54
HCPCS,J3430,Phytonadione Inj 10 MG/ML,159.055,127.25,1.0,151.47,135
HCPCS,J3465,Voriconazole For Inj 200 MG,173.41500000000002,138.735,1.0,194.18,108
HCPCS,J3470,Hyaluronidase Bovine Inj 150 Unit/ML,136.72,109.38,1.0,123.05,27
HCPCS,J3471,"Ovine, up to 999 USP units",,,1.0,1.0,2
HCPCS,J3472,"Ovine, 1000 USP units",,,1.0,1.0,2
HCPCS,J3473,Hyaluronidase Human Inj 150 Unit/ML,185.395,148.32,1.0,187.92,54
HCPCS,J3475,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),25.665,20.534999999999997,1.0,43.85,243
HCPCS,J3475,"Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),",21.0,16.8,1.0,18.9,27
HCPCS,J3475,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),21.375,17.1,1.0,19.58,108
HCPCS,J3475,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),22.244999999999997,17.8,1.0,21.14,162
HCPCS,J3475,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",37.19,29.755000000000003,1.0,43.85,108
HCPCS,J3475,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),Magnesium Sulfate IV Soln 40 GM",21.375,17.1,1.0,19.58,54
HCPCS,J3475,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,297
HCPCS,J3475,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,23.93,19.15,1.0,23.1,189
HCPCS,J3480,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,21.0,16.8,1.0,18.9,54
HCPCS,J3480,KCl 20 MEQ/L (0.15%) in NaCl 0.45% Inj,21.0,16.8,1.0,18.9,27
HCPCS,J3480,KCl 40 MEQ/L (0.3%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,1.0,18.9,54
HCPCS,J3480,Potassium Chloride Inj 2 mEq/ML,49.105,39.285000000000004,1.0,69.49,378
HCPCS,J3480,Potassium Chloride Inj 20 mEq/50ML,58.35,46.68,1.0,86.13,81
HCPCS,J3480,Potassium Chloride Inj 40 mEq/100ML,21.0,16.8,1.0,18.9,54
HCPCS,J3485,Zidovudine,,,1.0,1.0,2
HCPCS,J3486,Ziprasidone mesylate,,,1.0,1.0,2
HCPCS,J3487,Pharmacy,,,241.79,241.79,4
HCPCS,J3488,Pharmacy,,,245.87,245.87,4
HCPCS,J3489,Zoledronic Acid IV Soln 4 MG/100ML,171.825,137.465,1.0,162.86,54
HCPCS,J3489,Zoledronic Acid IV Soln 5 MG/100ML,2568.675,2054.9449999999997,1.0,4111.53,54
HCPCS,J3489,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,396.86,317.49,1.0,548.55,54
HCPCS,J3490,Acetaminophen Tab 325 MG,1.5,1.2,0.42,1.35,27
HCPCS,J3490,Candida Albicans Skin Test Antigen,606.13,484.91,1.0,545.52,27
HCPCS,J3490,Cupric Chloride Inj 0.4 MG/ML (Elemental),71.6,57.285,1.0,69.37,81
HCPCS,J3490,Defibrotide Sodium IV Soln 200 MG/2.5ML (80 MG/ML),1949.7,1559.76,1.0,1754.73,54
HCPCS,J3490,Dexmedetomidine HCl in NaCl 0.9% IV Soln 80 MCG/20ML,76.56,61.25,1.0,68.9,27
HCPCS,J3490,Dextrose 5% w/ Sodium Chloride 0.45%,50.0,40.0,1.0,45.0,27
HCPCS,J3490,Dextrose Inj 50%,33.06,26.45,1.0,41.9,162
HCPCS,J3490,Diphenhydramine HCl Cap 50 MG,1.5,1.2,0.42,1.35,54
HCPCS,J3490,Diphenhydramine HCl Liquid 12.5 MG/5ML,1.5,1.2,0.42,1.35,27
HCPCS,J3490,Enalaprilat IV Soln 1.25 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J3490,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),48.345,38.68,1.0,57.82,54
HCPCS,J3490,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),24.77,19.82,1.0,25.69,189
HCPCS,J3490,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,162
HCPCS,J3490,Lidocaine-Prilocaine Cream 2.5-2.5%,18.14,14.52,1.0,179.85,378
HCPCS,J3490,Multiple Vitamin IV Soln,32.06,25.655,1.0,256.44,108
HCPCS,J3490,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",114.94,91.955,1.0,359.98,351
HCPCS,J3490,Sodium Bicarbonate IV Soln 8.4%,38.06,30.45,1.0,70.27,324
HCPCS,J3490,Sodium Chloride IV Soln 3%,21.0,16.8,1.0,18.9,81
HCPCS,J3490,Sodium Chloride IV Soln 4 mEq/ML (23.4%),33.78,27.029999999999998,1.0,48.94,243
HCPCS,J3490,Sodium Chloride Inj 3%,21.0,16.8,1.0,18.9,27
HCPCS,J3490,Sodium Chloride Soln Nebu 7%,1.94,1.555,0.42,2.14,162
HCPCS,J3490,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),100.78,80.63,1.0,131.43,81
HCPCS,J3490,Sugammadex Sodium IV 200 MG/2ML (Base Equivalent),444.15999999999997,355.33500000000004,1.0,399.76,54
HCPCS,J3490,Sugammadex Sodium IV 500 MG/5ML (Base Equivalent),709.605,567.685,1.0,639.91,54
HCPCS,J3490,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,71.775,57.425,1.0,67.37,54
HCPCS,J3490,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),23.73,18.99,1.0,146.5,567
HCPCS,J3490,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,34.37,27.5,1.0,74.39,216
HCPCS,J3490,Valproate Sodium Inj 100 MG/ML,23.985,19.189999999999998,1.0,24.27,162
HCPCS,J3520,Edetate disodium per 150 mg,,,6.38,6.38,2
HCPCS,J3530,Nasal vaccine inhalation,,,1.0,1.0,2
HCPCS,J3590,Anakinra Subcutaneous Soln Prefilled Syringe 100 MG/0.67ML,685.815,548.6600000000001,1.0,667.07,54
HCPCS,J3590,Idarucizumab IV Soln 2.5 GM/50ML,4962.56,3970.05,1.0,4466.3,27
HCPCS,J7030,Normal saline solution infus,,,1.0,1.0,2
HCPCS,J7040,Normal saline solution infus,,,1.0,1.0,2
HCPCS,J7042,Dextrose 5% w/ Sodium Chloride 0.9%,21.0,16.8,1.0,18.9,27
HCPCS,J7050,Sodium Chloride IV Soln 0.9%,0.02,0.02,0.01,1.0,27
HCPCS,J7060,5% dextrose/water,,,1.0,1.0,2
HCPCS,J7070,D5w infusion,,,1.0,1.0,2
HCPCS,J7100,Dextran 40 infusion,,,1.0,1.0,2
HCPCS,J7110,Dextran 75 infusion,,,1.0,1.0,2
HCPCS,J7120,Ringers lactate infusion,,,1.0,1.0,2
HCPCS,J7121,5% dextrose in lac ringers,,,1.0,1.0,2
HCPCS,J7131,Sodium Chloride Soln Nebu 3%,1.6800000000000002,1.345,0.42,1.67,108
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.47,3.21,13
HCPCS,J7168,Prothrombin Complex Conc Human For Inj Kit 1000 Unit,3698.4,2958.72,2.03,3328.56,36
HCPCS,J7168,Prothrombin Complex Conc Human For Inj Kit 500 Unit,1849.2,1479.36,2.03,1664.28,36
HCPCS,J7168,"Prothrombin Complex Conc Human For Inj Kit 500 Unit,Prothrombin Complex Conc Human For Inj Kit 1000 Unit",2773.8,2219.04,2.03,3328.56,72
HCPCS,J7169,"Inj andexxa, 10 mg",,,124.81,137.94,15
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,51.22,61.4,15
HCPCS,J7171,"Inj, adzynma, 10 iu",,,33.81,38.94,14
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,48.54,55.91,13
HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,82.08,94.55,13
HCPCS,J7174,Injection fitusiran 0.04 mg,,,126.59,139.91,13
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.11,10.7,15
HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.1,1.35,15
HCPCS,J7178,Inj human fibrinogen con nos,,,1.38,1.66,15
HCPCS,J7179,Von Willebrand Factor (Recombinant) For Inj 1300 Unit,21.0,16.8,1.76,18.9,36
HCPCS,J7180,Factor XIII anti-hem factor,,,9.67,11.77,15
HCPCS,J7181,Factor xiii recomb a-subunit,,,17.1,19.87,15
HCPCS,J7182,Factor viii recomb novoeight,,,1.31,1.68,15
HCPCS,J7183,Wilate injection,,,1.22,1.4,15
HCPCS,J7185,Xyntha inj,,,1.31,1.83,15
HCPCS,J7186,Antihemophilic Factor/VWF (Human) For Inj 1000 Unit,21.0,16.8,1.18,18.9,108
HCPCS,J7186,Antihemophilic Factor/VWF (Human) For Inj 1500 Unit,21.0,16.8,1.18,18.9,72
HCPCS,J7186,Antihemophilic Factor/VWF (Human) For Inj 2000 Unit,21.0,16.8,1.18,18.9,72
HCPCS,J7186,Antihemophilic Factor/VWF (Human) For Inj 250 Unit,21.0,16.8,1.18,18.9,36
HCPCS,J7186,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,21.0,16.8,1.18,18.9,144
HCPCS,J7187,Antihemophilic Factor/VWF (Human) For Inj 1000-2400 Unit,21.0,16.8,1.35,18.9,36
HCPCS,J7188,Antihemophilic Factor (Recomb Porc) rpFVIII For Inj 500 Unit,2964.75,2371.8,3.07,2668.28,36
HCPCS,J7189,Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG),4204.92,3363.94,2.41,3784.43,36
HCPCS,J7189,Coagulation Factor VIIa (Recomb) For Inj 2 MG (2000 MCG),8409.84,6727.88,2.41,7568.86,36
HCPCS,J7189,Coagulation Factor VIIa (Recomb) For Inj 5 MG (5000 MCG),21024.6,16819.68,2.41,18922.14,36
HCPCS,J7190,Antihemophilic Factor (Human) For Inj 1000 Unit,21.0,16.8,1.03,18.9,36
HCPCS,J7191,Factor VIII (porcine),,,1.8,1.8,2
HCPCS,J7192,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 1000 Unit,2773.8,2219.04,1.5,2496.42,36
HCPCS,J7192,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 250 Unit,1202.5,962.0,1.5,1082.25,36
HCPCS,J7192,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 500 Unit,1244.19,995.36,1.5,1119.77,36
HCPCS,J7193,Coagulation Factor IX For Inj 1000 Unit,21.0,16.8,1.32,18.9,72
HCPCS,J7193,Coagulation Factor IX For Inj 500 Unit,21.0,16.8,1.32,18.9,36
HCPCS,J7194,Factor IX Complex For Inj 500 Unit,21.0,16.8,1.61,18.9,36
HCPCS,J7195,Coagulation Factor IX (Recombinant) For Inj Kit 1000 Unit,21.0,16.8,1.74,18.9,36
HCPCS,J7195,Coagulation Factor IX (Recombinant) For Inj Kit 500 Unit,21.0,16.8,1.74,18.9,36
HCPCS,J7196,Antithrombin recombinant,,,143.31,143.31,6
HCPCS,J7197,Antithrombin III (Human) For Inj 500 Unit,21.0,16.8,3.71,18.9,36
HCPCS,J7198,Antiinhibitor Coagulant Complex For IV Soln 1000 Unit,21.0,16.8,2.29,18.9,36
HCPCS,J7198,Antiinhibitor Coagulant Complex For IV Soln 2500 Unit,21.0,16.8,2.29,18.9,36
HCPCS,J7200,Factor ix recombinan rixubis,,,1.6,1.6,2
HCPCS,J7201,Factor ix alprolix recomb,,,3.41,3.93,15
HCPCS,J7202,Coagulation Factor IX (Recomb) (rIX-FP) For Inj 500 Unit,21.0,16.8,4.93,18.9,36
HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.24,4.88,15
HCPCS,J7204,Inj recombin esperoct per iu,,,2.06,2.44,15
HCPCS,J7205,Factor viii fc fusion recomb,,,2.18,2.66,15
HCPCS,J7207,Factor viii pegylated recomb,,,1.99,2.3,15
HCPCS,J7208,Inj. jivi 1 iu,,,2.35,2.9,15
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.06,1.3,15
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.45,1.72,15
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.43,1.72,15
HCPCS,J7212,Factor viia recomb sevenfact,,,2.02,2.02,2
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.76,2.09,15
HCPCS,J7214,Altuviiio per factor viii iu,,,4.43,5.1,15
HCPCS,J7294,Seg acet and eth estr yearly,,,2351.39,2468.96,6
HCPCS,J7295,Eth estr and eton monthly,,,157.59,157.59,6
HCPCS,J7296,Levonorgestrel Releasing IUD 17.5 MCG/DAY (19.5 MG Total),3175.82,2540.66,1179.93,2858.24,27
HCPCS,J7297,"Liletta, 52 mg",,,905.11,950.37,6
HCPCS,J7298,Levonorgestrel IUD 20 MCG/DAY (Initial) (52 MG Total),865.32,692.26,354.78,1238.93,27
HCPCS,J7300,CNTRCPT IUD PARAGARD,3323.6,2658.88,1106.7,2991.24,27
HCPCS,J7300,Copper IUD,2152.03,1721.63,882.33,1936.83,27
HCPCS,J7301,Levonorgestrel Releasing IUD 14 MCG/DAY (13.5 MG Total),1212.27,969.82,497.03,1091.04,27
HCPCS,J7303,Pharmacy,,,157.59,157.59,4
HCPCS,J7304,Contraceptive hormone patch,,,43.26,43.27,6
HCPCS,J7306,Levonorgestrel implant sys,,,507.5,507.5,2
HCPCS,J7307,Etonogestrel Subdermal Implant 68 MG,3813.37,3050.7,1179.41,3432.03,27
HCPCS,J7308,Aminolevulinic acid hcl top,,,372.49,429.08,15
HCPCS,J7309,Outpatient Services - CPT/HCPCS,,,80.53,80.53,2
HCPCS,J7310,Outpatient Services - CPT/HCPCS,,,16960.0,16960.0,2
HCPCS,J7311,"Inj., Retisert, 0.01 mg",,,323.3,372.42,15
HCPCS,J7312,Dexamethasone intra implant,,,194.38,223.91,15
HCPCS,J7313,"Inj., Iluvien, 0.01 mg",,,473.23,545.13,15
HCPCS,J7314,"Inj., Yutiq, 0.01 mg",,,503.39,579.88,15
HCPCS,J7315,Opthalmic mitomycin,,,1.0,1.0,2
HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1.0,1.0,2
HCPCS,J7318,"Inj, durolane 1 mg",,,6.27,7.41,15
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,5.48,6.32,15
HCPCS,J7321,Hyalgan supartz visco-3 dose,,,1.0,1.0,2
HCPCS,J7322,"Hyaluronan, hymo or hymo one",,,16.74,19.28,15
HCPCS,J7323,Euflexxa inj per dose,,,106.83,123.14,15
HCPCS,J7324,Orthovisc inj per dose,,,108.81,136.26,15
HCPCS,J7325,"Hylan Intra-articular Inj 8 MG/ML,Hylan Intra-articular Solution Prefilled Syringe,Hylan Intra-articular Solution Prefilled Syringe",349.915,279.94,7.55,567.76,72
HCPCS,J7326,Gel-one,,,502.8,579.19,15
HCPCS,J7327,Hyaluronan Intra-articular Soln Prefilled Syringe 88 MG/4ML,4791.5,3833.2,604.76,4312.35,36
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.54,0.54,2
HCPCS,J7329,"Inj, trivisc 1 mg",,,4.46,8.56,15
HCPCS,J7330,Cultured chondrocytes implnt,,,71167.44,71167.44,4
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,11.83,11.83,2
HCPCS,J7332,"Inj., Triluron, 1 mg",,,9.76,11.24,15
HCPCS,J7335,Pharmacy,,,29.0,29.0,4
HCPCS,J7336,Capsaicin 8% patch,,,3.25,3.75,15
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,226.8,266.59,15
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,30.02,30.02,2
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.66,1.96,15
HCPCS,J7351,Inj bimatoprost itc imp1mcg,,,203.15,234.02,15
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2796.25,3213.59,15
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,55.39,61.22,15
HCPCS,J7354,"Cantharidin top, applicator",,,622.02,716.53,13
HCPCS,J7355,Inj travoprost intra impl,,,185.93,214.18,13
HCPCS,J7402,STNT SINUS SINUVA 1350MCG 135U,30.58,24.47,10.78,27.52,36
HCPCS,J7500,Azathioprine Tab 50 MG,1.5350000000000001,1.23,0.42,1.41,162
HCPCS,J7501,Azathioprine parenteral,,,237.83,266.77,15
HCPCS,J7502,Cyclosporine Cap 100 MG,20.875,16.705,1.0,18.98,54
HCPCS,J7502,Cyclosporine Modified Cap 100 MG,4.125,3.3049999999999997,1.0,3.72,81
HCPCS,J7502,Cyclosporine Modified Oral Soln 100 MG/ML,616.95,493.56,1.0,1055.84,81
HCPCS,J7502,Cyclosporine Oral Soln 100 MG/ML,1003.19,802.56,1.0,902.87,27
HCPCS,J7503,Tacrol envarsus ex rel oral,,,1.0,1.0,2
HCPCS,J7504,Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq),4708.325,3766.665,1669.54,5619.53,72
HCPCS,J7505,Outpatient Services - CPT/HCPCS,,,1237.0,1237.0,2
HCPCS,J7507,Tacrolimus Cap 0.5 MG,3.46,2.77,0.42,4.51,189
HCPCS,J7507,Tacrolimus Cap 1 MG,3.9299999999999997,3.145,0.42,5.93,189
HCPCS,J7507,Tacrolimus Cap 5 MG,13.095,10.48,1.0,30.47,162
HCPCS,J7508,Tacrol astagraf ex rel oral,,,1.0,1.0,2
HCPCS,J7509,Methylprednisolone Tab 16 MG,4.64,3.72,1.0,5.18,81
HCPCS,J7509,Methylprednisolone Tab 4 MG,2.625,2.105,0.42,3.69,108
HCPCS,J7510,Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
HCPCS,J7510,Prednisolone Sod Phosphate Oral Soln 5 MG/5ML (Base Equiv),19.08,15.27,1.0,22.12,81
HCPCS,J7511,Anti-Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG),2250.13,1800.11,921.17,2025.12,36
HCPCS,J7512,Prednisone ir or dr oral 1mg,,,1.0,1.0,2
HCPCS,J7513,Outpatient Services - CPT/HCPCS,,,563.19,563.19,2
HCPCS,J7515,Cyclosporine Cap 25 MG,5.18,4.15,1.0,4.74,81
HCPCS,J7515,Cyclosporine Modified Cap 25 MG,1.925,1.545,0.42,2.58,162
HCPCS,J7516,Cyclosporine IV Soln 50 MG/ML,157.99,126.4,1.0,142.19,54
HCPCS,J7517,Mycophenolate Mofetil Cap 250 MG,1.5350000000000001,1.23,0.42,1.41,405
HCPCS,J7517,Mycophenolate Mofetil Tab 500 MG,1.5,1.2,0.42,1.35,54
HCPCS,J7518,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),8.96,7.175,0.42,9.21,216
HCPCS,J7518,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),17.55,14.04,0.42,18.42,162
HCPCS,J7519,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),137.03,109.63,0.74,395.22,108
HCPCS,J7520,Sirolimus Oral Soln 1 MG/ML,48.815,39.055,1.0,56.61,108
HCPCS,J7520,Sirolimus Tab 0.5 MG,12.475,9.985,1.0,30.06,108
HCPCS,J7520,Sirolimus Tab 1 MG,34.02,27.22,1.0,60.09,135
HCPCS,J7525,Tacrolimus Inj 5 MG/ML,865.22,692.18,248.75,778.7,36
HCPCS,J7527,Everolimus Tab 10 MG,262.9,210.32,1.0,236.61,27
HCPCS,J7527,Everolimus Tab 5 MG,670.62,536.5,1.0,1090.47,135
HCPCS,J7599,Immunosuppressive drug noc,,,1.0,1.0,2
HCPCS,J7601,Ensifentrine inh 3 mg,,,57.04,57.04,4
HCPCS,J7604,Acetylcysteine comp unit,,,3.4,3.4,2
HCPCS,J7605,Arformoterol non-comp unit,,,0.78,2.32,6
HCPCS,J7606,"Formoterol fumarate, inh",,,2.98,4.1,6
HCPCS,J7607,Levalbuterol comp con,,,1.22,1.22,2
HCPCS,J7608,Acetylcysteine Inhal Soln 20%,20.95,16.76,5.0,29.06,81
HCPCS,J7609,Albuterol comp unit,,,0.19,0.33,6
HCPCS,J7610,Albuterol comp con,,,0.14,0.14,2
HCPCS,J7611,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),10.44,8.36,0.15,24.3,81
HCPCS,J7612,Levalbuterol non-comp con,,,0.3,0.31,6
HCPCS,J7613,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,324
HCPCS,J7613,Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv),2.3,1.84,0.04,74.54,108
HCPCS,J7613,Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv),1.9,1.52,0.04,2.12,135
HCPCS,J7614,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),3.01,2.41,0.05,12.68,189
HCPCS,J7614,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.97,3.18,0.05,17.87,243
HCPCS,J7614,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),9.594999999999999,7.68,0.05,21.87,162
HCPCS,J7615,Levalbuterol comp unit,,,0.14,0.14,2
HCPCS,J7620,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.56,1.25,0.17,1.46,405
HCPCS,J7624,Betamethasone comp unit,,,0.94,0.94,2
HCPCS,J7626,Budesonide Inhalation Susp 0.5 MG/2ML,8.86,7.09,1.01,22.14,297
HCPCS,J7627,Budesonide comp unit,,,9.42,9.42,2
HCPCS,J7628,Bitolterol mesylate comp con,,,0.22,0.22,2
HCPCS,J7629,Bitolterol mesylate comp unt,,,0.22,0.22,2
HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.48,1.03,6
HCPCS,J7632,Cromolyn sodium comp unit,,,2.89,2.89,2
HCPCS,J7633,Budesonide non-comp con,,,8.0,8.0,2
HCPCS,J7634,Budesonide comp con,,,5.17,5.17,2
HCPCS,J7635,Atropine comp con,,,12.81,12.81,2
HCPCS,J7636,Atropine comp unit,,,12.81,12.81,2
HCPCS,J7637,Dexamethasone comp con,,,0.15,0.15,2
HCPCS,J7638,Dexamethasone comp unit,,,0.23,0.23,2
HCPCS,J7639,Dornase Alfa Inhal Soln 2.5 MG/2.5ML,258.945,207.16,52.08,248.83,54
HCPCS,J7640,Formoterol comp unit,,,5.1,5.1,2
HCPCS,J7642,Glycopyrrolate comp con,,,15.3,15.3,2
HCPCS,J7643,Glycopyrrolate comp unit,,,15.3,15.3,2
HCPCS,J7644,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,162
HCPCS,J7645,Ipratropium bromide comp,,,0.23,0.23,2
HCPCS,J7647,Isoetharine comp con,,,0.14,0.14,2
HCPCS,J7648,Isoetharine non-comp con,,,0.14,0.14,2
HCPCS,J7649,Isoetharine non-comp unit,,,0.14,0.14,2
HCPCS,J7650,Isoetharine comp unit,,,0.14,0.14,2
HCPCS,J7657,Isoproterenol comp con,,,8.8,8.8,2
HCPCS,J7658,Isoproterenol non-comp con,,,943.5,943.5,2
HCPCS,J7659,Isoproterenol non-comp unit,,,943.5,943.5,2
HCPCS,J7660,Isoproterenol comp unit,,,8.8,8.8,2
HCPCS,J7665,Mannitol for inhaler,,,1.0,1.0,2
HCPCS,J7667,Metaproterenol comp con,,,0.69,0.69,2
HCPCS,J7668,Metaproterenol non-comp con,,,0.69,0.69,2
HCPCS,J7669,Metaproterenol non-comp unit,,,0.45,0.45,2
HCPCS,J7670,Metaproterenol comp unit,,,0.24,0.24,2
HCPCS,J7674,Methacholine Chloride Inhal For Soln 100 MG,195.14,156.12,1.0,175.63,27
HCPCS,J7676,Pentamidine comp unit dose,,,124.53,124.53,2
HCPCS,J7677,Revefenacin Inhalation Solution 175 MCG/3ML,17.25,13.8,0.19,15.53,54
HCPCS,J7680,Terbutaline sulf comp con,,,25.98,25.98,2
HCPCS,J7681,Terbutaline sulf comp unit,,,25.98,25.98,2
HCPCS,J7682,Tobramycin Nebu Soln 300 MG/5ML,73.49,58.8,12.07,189.2,108
HCPCS,J7683,Triamcinolone comp con,,,0.22,0.22,2
HCPCS,J7684,Triamcinolone comp unit,,,0.22,0.22,2
HCPCS,J7685,Tobramycin comp unit,,,69.87,69.87,2
HCPCS,J7686,Treprostinil Inhalation Solution 0.6 MG/ML,2700.58,2160.47,730.32,2430.52,27
HCPCS,J7699,Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent),2.945,2.36,0.59,3.4,54
HCPCS,J7799,"Water For Inject, Bacteriostatic Benzyl Alcohol",21.0,16.8,1.0,18.9,27
HCPCS,J7999,Baclofen Powder,53513.0,42810.4,1.0,48161.7,27
HCPCS,J7999,Bevacizumab Intravitreal Soln Pref Syr 2.75 MG/0.11ML,287.1,229.68,1.0,258.39,27
HCPCS,J7999,Bevacizumab Intravitreal Soln Pref Syr 3.25 MG/0.13ML,287.1,229.68,1.0,258.39,27
HCPCS,J7999,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),22.619999999999997,18.1,1.0,21.14,54
HCPCS,J7999,Fentanyl Citrate-NaCl 0.9% IV Soln 2 MG/100ML (20 MCG/ML),79.61,63.69,1.0,71.65,27
HCPCS,J7999,Hydromorphone HCl-NaCl Soln Pref Syr 1 MG/ML-0.9%,21.0,16.8,1.0,18.9,27
HCPCS,J7999,Methacholine Chloride Inhalation Soln Kit,218.02,174.42,1.0,304.34,54
HCPCS,J7999,Mitomycin For IV Soln 5 MG,238.51999999999998,190.82,1.0,307.52,54
HCPCS,J7999,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),35.7,28.56,1.0,32.13,27
HCPCS,J7999,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),85.92999999999999,68.75,1.0,113.69,54
HCPCS,J8499,Bicalutamide Tab 50 MG,1.6949999999999998,1.3599999999999999,0.42,1.7,81
HCPCS,J8499,Exemestane Tab 25 MG,10.99,8.8,2.0,33.95,135
HCPCS,J8499,Nitroglycerin SL Tab 0.4 MG,7.16,5.73,0.42,37.06,216
HCPCS,J8499,Oyster Shell Calcium Tab 500 MG,1.5,1.2,0.42,1.35,27
HCPCS,J8499,Pilocarpine HCl Tab 5 MG,1.5,1.2,0.42,1.35,54
HCPCS,J8501,Aprepitant Capsule 125 MG,490.66,392.53,1.0,579.27,135
HCPCS,J8501,Aprepitant Capsule 80 MG,262.52,210.02,1.0,283.31,108
HCPCS,J8510,Oral busulfan,,,1.0,306.37,15
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,15.58,15.58,6
HCPCS,J8520,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J8521,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J8522,Capecitabine Tab 150 MG,16.15,12.92,0.03,21.0,180
HCPCS,J8522,Capecitabine Tab 500 MG,45.370000000000005,36.3,0.03,102.76,216
HCPCS,J8530,Cyclophosphamide Cap 25 MG,12.2,9.76,1.0,10.98,27
HCPCS,J8530,Cyclophosphamide Cap 50 MG,22.49,18.0,1.0,20.24,27
HCPCS,J8540,Dexamethasone Conc 1 MG/ML,37.99,30.4,1.0,34.19,27
HCPCS,J8540,Dexamethasone Soln 0.5 MG/5ML,77.92,62.34,1.0,103.81,54
HCPCS,J8540,Dexamethasone Tab 0.5 MG,1.5,1.2,0.42,1.35,54
HCPCS,J8540,Dexamethasone Tab 0.75 MG,1.5,1.2,0.42,1.35,27
HCPCS,J8540,Dexamethasone Tab 1 MG,1.5,1.2,0.42,1.35,54
HCPCS,J8540,Dexamethasone Tab 2 MG,1.5,1.2,0.42,1.35,54
HCPCS,J8540,Dexamethasone Tab 4 MG,1.925,1.54,0.42,2.12,81
HCPCS,J8560,Etoposide Cap 50 MG,164.41,131.53,38.85,170.02,54
HCPCS,J8562,Outpatient Services - CPT/HCPCS,,,81.77,81.77,2
HCPCS,J8565,Gefitinib oral,,,242.98,251.58,6
HCPCS,J8597,Antiemetic drug oral NOS,,,1.0,1.0,2
HCPCS,J8600,Melphalan Tab 2 MG,20.24,16.2,8.3,18.22,27
HCPCS,J8610,Methotrexate Sodium Tab 2.5 MG (Base Equiv),4.995,4.0,0.74,5.39,162
HCPCS,J8611,Oral methotrexate (jylamvo),,,17.54,20.21,13
HCPCS,J8612,Oral methotrexate (xatmep),,,21.55,24.82,13
HCPCS,J8650,Outpatient Services - CPT/HCPCS,,,39.99,39.99,2
HCPCS,J8655,"Oral netupitant, palonosetro",,,401.75,462.79,15
HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.73,2.03,15
HCPCS,J8700,Temozolomide Cap 100 MG,39.14,31.315,1.0,70.61,108
HCPCS,J8700,Temozolomide Cap 140 MG,62.435,49.955,1.0,90.52,54
HCPCS,J8700,Temozolomide Cap 180 MG,27.55,22.04,1.0,24.8,27
HCPCS,J8700,Temozolomide Cap 20 MG,15.09,12.08,1.0,13.58,27
HCPCS,J8700,Temozolomide Cap 250 MG,186.25,149.0,1.0,167.63,27
HCPCS,J8700,Temozolomide Cap 5 MG,6.48,5.19,1.0,6.61,81
HCPCS,J8705,Topotecan oral,,,113.78,113.78,2
HCPCS,J8999,Abiraterone Acetate Tab 250 MG,11.2,8.96,3.11,10.08,27
HCPCS,J8999,Alectinib HCl Cap 150 MG (Base Equivalent),149.77,119.82,41.59,134.79,27
HCPCS,J8999,Erlotinib HCl Tab 150 MG (Base Equivalent),438.17,350.54,121.68,394.35,27
HCPCS,J8999,Imatinib Mesylate Tab 100 MG (Base Equivalent),140.83,112.67,39.11,126.75,27
HCPCS,J8999,Letrozole Tab 2.5 MG,22.715,18.175,0.42,39.54,108
HCPCS,J8999,Pazopanib HCl Tab 200 MG (Base Equiv),272.46,217.97,75.66,245.21,27
HCPCS,J8999,Raloxifene HCl Tab 60 MG,6.94,5.56,0.42,12.32,162
HCPCS,J8999,Tamoxifen Citrate Tab 20 MG (Base Equivalent),1.9,1.525,0.52,1.75,54
HCPCS,J9000,Doxorubicin HCl For Inj 50 MG,483.19,386.56,1.0,434.87,27
HCPCS,J9000,Doxorubicin HCl Inj 2 MG/ML,26.08,20.87,1.0,156.47,540
HCPCS,J9002,Pharmacy,,,594.29,594.29,4
HCPCS,J9010,Pharmacy,,,682.46,682.46,4
HCPCS,J9011,"Datopotamab deruxtecan, 1 mg",,,48.98,56.42,13
HCPCS,J9015,Aldesleukin injection,,,3628.26,6181.2,15
HCPCS,J9017,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),408.96500000000003,327.175,7.75,1346.68,468
HCPCS,J9019,Asparaginase Erwinia Chrysanthemi For Inj 10000 Unit,6383.33,5106.67,427.27,5745.0,27
HCPCS,J9020,Outpatient Services - CPT/HCPCS,,,67.79,67.79,2
HCPCS,J9021,Asparaginase Erwinia Chrys (Recomb)-rywn IM Soln 10 MG/0.5ML,9879.15,7903.320000000001,49.71,9298.26,72
HCPCS,J9022,"Inj, atezolizumab,10 mg",,,82.62,103.32,16
HCPCS,J9023,Avelumab Soln for IV Infusion 200 MG/10ML (20 MG/ML),3067.26,2453.81,90.89,2760.53,36
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,30.0,34.57,13
HCPCS,J9025,Azacitidine For Inj 100 MG,244.53000000000003,195.625,0.37,1354.01,270
HCPCS,J9026,Tarlatamab-dlle For IV Infusion 1 MG,4254.05,3403.24,1486.4,3828.65,36
HCPCS,J9027,Clofarabine IV Soln 1 MG/ML,1920.13,1536.105,3.98,4690.02,144
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,89.93,103.59,13
HCPCS,J9029,"Instill adstiladrin, tx dose",,,60175.17,69317.97,15
HCPCS,J9030,Bcg live intravesical 1mg,,,1.0,1.0,2
HCPCS,J9031,Pharmacy,,,155.37,155.37,4
HCPCS,J9032,"Injection, belinostat, 10mg",,,48.39,57.42,15
HCPCS,J9033,"Inj, bendamustine hcl, 1mg",,,1.79,11.42,15
HCPCS,J9034,Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML),3199.68,2559.75,12.81,2879.71,36
HCPCS,J9035,Bevacizumab IV Soln 100 MG/4ML (For Infusion),1162.34,929.88,69.54,1046.11,36
HCPCS,J9035,Bevacizumab IV Soln 400 MG/16ML (For Infusion),4649.37,3719.5,69.54,4184.43,36
HCPCS,J9036,"Inj., belrapzo/bendamustine",,,11.67,23.87,15
HCPCS,J9037,Outpatient Services - CPT/HCPCS,,,46.78,46.78,2
HCPCS,J9037,Pharmacy,,,45.02,45.02,4
HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,52.87,60.9,13
HCPCS,J9039,Blinatumomab For IV Infusion 35 MCG,11111.08,8888.87,145.31,9999.97,36
HCPCS,J9040,Bleomycin Sulfate For Inj 15 Unit,78.23,62.59,1.0,164.94,81
HCPCS,J9041,Bortezomib For Inj 3.5 MG,76.10499999999999,60.885000000000005,2.29,4111.7,216
HCPCS,J9042,Brentuximab Vedotin For IV Soln 50 MG,25338.22,20270.58,222.11,22804.4,36
HCPCS,J9043,Cabazitaxel injection,,,209.34,248.72,15
HCPCS,J9044,Pharmacy,,,9.16,9.16,4
HCPCS,J9045,Carboplatin IV Soln 150 MG/15ML,28.64,22.92,1.0,53.33,81
HCPCS,J9045,Carboplatin IV Soln 450 MG/45ML,89.78,71.83,1.0,193.8,216
HCPCS,J9045,Carboplatin IV Soln 50 MG/5ML,12.57,10.06,1.0,30.78,81
HCPCS,J9045,Carboplatin IV Soln 600 MG/60ML,74.56,59.65,1.0,135.74,81
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,4.66,48.55,15
HCPCS,J9047,Carfilzomib For Inj 10 MG,864.0,691.2,46.9,777.6,36
HCPCS,J9047,Carfilzomib For Inj 30 MG,2333.01,1866.41,46.9,2099.71,36
HCPCS,J9047,Carfilzomib For Inj 60 MG,7069.95,5655.96,46.9,6362.96,36
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,15.68,48.55,15
HCPCS,J9049,"Inj, bortezomib, hospira",,,3.09,3.09,2
HCPCS,J9050,Carmustine For Inj 100 MG,760.495,608.4000000000001,220.12,787.37,180
HCPCS,J9051,"Inj, bortezomib (maia)",,,3.49,3.5,6
HCPCS,J9052,"Inj, carmustine (accord)",,,246.72,1916.76,15
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,24.84,28.62,13
HCPCS,J9055,Cetuximab IV Soln 100 MG/50ML (2 MG/ML),963.19,770.56,72.28,866.87,36
HCPCS,J9056,"Inj, vivimusta, 1 mg",,,28.36,33.18,15
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,85.71,89.31,6
HCPCS,J9058,Outpatient Services - CPT/HCPCS,,,33.06,33.06,2
HCPCS,J9058,Pharmacy,,,33.23,33.23,4
HCPCS,J9059,Outpatient Services - CPT/HCPCS,,,23.13,23.13,2
HCPCS,J9059,Pharmacy,,,23.87,23.87,4
HCPCS,J9060,Cisplatin Inj 100 MG/100ML (1 MG/ML),43.18,34.545,1.0,42.84,54
HCPCS,J9060,Cisplatin Inj 200 MG/200ML (1 MG/ML),86.925,69.545,1.0,82.59,54
HCPCS,J9060,Cisplatin Inj 50 MG/50ML (1 MG/ML),43.82,35.06,1.0,113.89,162
HCPCS,J9061,"Inj, amivantamab-vmjw",,,19.99,24.66,15
HCPCS,J9063,"Inj, elahere, 1 mg",,,65.75,76.04,15
HCPCS,J9065,Cladribine IV Soln 10 MG/10ML (1 MG/ML),527.25,421.8,10.14,869.92,108
HCPCS,J9070,Outpatient Services - CPT/HCPCS,,,17.94,17.94,2
HCPCS,J9070,Pharmacy,,,22.05,22.05,4
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.6,3.87,15
HCPCS,J9072,Inj cyclophos frindovyx 5 mg,,,3.76,9.96,15
HCPCS,J9073,Inj cyclophos dr reddys 5 mg,,,0.74,2.99,13
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.74,4.3,13
HCPCS,J9075,Cyclophosphamide For Inj 1 GM,322.31,257.85,0.46,1572.61,216
HCPCS,J9075,Cyclophosphamide For Inj 2 GM,975.74,780.595,0.46,2008.73,216
HCPCS,J9075,Cyclophosphamide For Inj 500 MG,373.71000000000004,298.97,0.46,669.23,216
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,4.76,5.49,13
HCPCS,J9098,Outpatient Services - CPT/HCPCS,,,659.79,659.79,2
HCPCS,J9100,Cytarabine Inj 20 MG/ML,46.0,36.8,1.0,41.4,27
HCPCS,J9100,Cytarabine Inj PF 100 MG/ML,54.58,43.665,1.0,54.89,108
HCPCS,J9100,Cytarabine Inj PF 20 MG/ML,21.0,16.8,1.0,18.9,27
HCPCS,J9118,Calaspargase Pegol-mknl IV Soln 3750 Unit/5ML (750 Unit/ML),58362.62,46690.1,72.88,52526.36,36
HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,26.92,33.82,16
HCPCS,J9120,Dactinomycin For Inj 0.5 MG,1299.03,1039.23,267.38,2222.72,252
HCPCS,J9130,Dacarbazine For Inj 200 MG,36.24,29.0,1.0,44.29,108
HCPCS,J9144,Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML,19283.94,15427.16,49.31,17355.55,36
HCPCS,J9145,Daratumumab IV Soln 100 MG/5ML,1019.67,815.74,62.13,917.7,36
HCPCS,J9145,Daratumumab IV Soln 400 MG/20ML,4078.69,3262.96,62.13,3670.82,36
HCPCS,J9150,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),141.62,113.3,20.61,226.23,108
HCPCS,J9151,Outpatient Services - CPT/HCPCS,,,234.6,234.6,2
HCPCS,J9153,Daunorubicin-Cytarabine Liposome For IV Inj 44-100 MG,21455.965,17164.775,227.94,19358.51,72
HCPCS,J9155,Degarelix Acetate For Inj 120 MG/VIAL (240 MG Dose),1916.45,1533.16,4.13,1724.81,36
HCPCS,J9165,Outpatient Services - CPT/HCPCS,,,12.14,12.14,2
HCPCS,J9171,Docetaxel Soln for IV Infusion 160 MG/16ML,888.54,710.84,1.0,1438.87,54
HCPCS,J9171,Docetaxel Soln for IV Infusion 20 MG/2ML,55.95,44.76,1.0,155.13,81
HCPCS,J9171,Docetaxel Soln for IV Infusion 80 MG/8ML,689.47,551.58,1.0,620.52,27
HCPCS,J9172,"Docetaxel (docivyx), 1 mg",,,48.24,55.56,13
HCPCS,J9173,"Inj., durvalumab, 10 mg",,,79.74,98.03,16
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,45.65,55.09,13
HCPCS,J9175,Elliotts b solution per ml,,,1.0,1.0,2
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,7.22,8.63,15
HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,34.91,40.21,15
HCPCS,J9178,Epirubicin HCl IV Soln 50 MG/25ML (2 MG/ML),143.07,114.46,1.0,128.76,27
HCPCS,J9179,Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML),2819.65,2255.72,84.88,2537.69,36
HCPCS,J9181,Etoposide Inj 1 GM/50ML (20 MG/ML),329.18,263.35,1.0,296.26,27
HCPCS,J9181,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",14.05,11.24,1.0,34.88,135
HCPCS,J9181,Etoposide Inj 500 MG/25ML (20 MG/ML),58.07,46.46,1.0,52.26,27
HCPCS,J9185,Fludarabine Phosphate For Inj 50 MG,221.345,177.07999999999998,62.12,500.46,72
HCPCS,J9185,Fludarabine Phosphate Inj 25 MG/ML,166.82,133.46,54.57,4160.7,108
HCPCS,J9190,Fluorouracil IV Soln 1 GM/20ML (50 MG/ML),21.0,16.8,1.0,18.9,27
HCPCS,J9190,Fluorouracil IV Soln 2.5 GM/50ML (50 MG/ML),42.63,34.11,1.0,38.37,27
HCPCS,J9190,Fluorouracil IV Soln 5 GM/100ML (50 MG/ML),46.46,37.17,1.0,106.19,81
HCPCS,J9190,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),16.955,13.565000000000001,1.0,116.2,135
HCPCS,J9196,Inj gemcitabine hcl (accord),,,3.69,3.69,2
HCPCS,J9198,"Inj. infugem, 100 mg",,,38.76,40.28,6
HCPCS,J9200,Floxuridine injection,,,3551.0,4517.46,15
HCPCS,J9201,Gemcitabine HCl For Inj 2 GM,299.88,239.91,1.0,269.89,27
HCPCS,J9201,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),101.885,81.515,1.0,156.82,54
HCPCS,J9201,Gemcitabine HCl Inj 2 GM/52.6ML (38 MG/ML) (Base Equiv),93.09,74.48,1.0,83.78,27
HCPCS,J9201,Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv),21.0,16.8,1.0,31.37,81
HCPCS,J9202,Goserelin acetate implant,,,611.35,802.88,15
HCPCS,J9203,Gemtuzumab Ozogamicin For IV Soln 4.5 MG,19494.25,15595.4,221.84,17544.83,36
HCPCS,J9204,"Inj, mogamulizumab-kpkc, 1 mg",,,227.34,271.94,15
HCPCS,J9205,Inj irinotecan liposome 1 mg,,,62.49,72.22,15
HCPCS,J9206,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),33.2,26.56,1.0,45.38,108
HCPCS,J9206,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),22.03,17.63,1.0,23.99,81
HCPCS,J9207,Ixabepilone injection,,,127.57,152.34,15
HCPCS,J9208,Ifosfamide For Inj 1 GM,72.36,57.89,1.0,159.29,135
HCPCS,J9208,Ifosfamide For Inj 3 GM,288.96,231.17,1.0,324.48,81
HCPCS,J9209,Mesna Inj 100 MG/ML,43.94,35.16,1.0,125.2,81
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,365.61,421.15,15
HCPCS,J9211,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),280.53,224.43,1.0,303.45,54
HCPCS,J9211,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),674.42,539.54,1.0,790.17,81
HCPCS,J9211,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),118.19,94.56,1.0,182.05,81
HCPCS,J9212,Outpatient Services - CPT/HCPCS,,,54.71,54.71,2
HCPCS,J9213,Interferon alfa-2a inj,,,20.89,20.89,2
HCPCS,J9214,Interferon Alfa-2B For Inj 50000000 Unit,3389.45,2711.56,32.57,3050.51,27
HCPCS,J9215,Interferon alfa-n3 inj,,,30.72,30.72,6
HCPCS,J9216,Interferon gamma 1-b inj,,,8304.94,8628.84,6
HCPCS,J9217,Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG,943.26,754.61,166.69,848.93,36
HCPCS,J9217,Leuprolide Acetate (4 Month) For Inj Kit 30 MG,1257.68,1006.15,166.69,1131.91,36
HCPCS,J9217,Leuprolide Acetate (6 Month) For Inj Kit 45 MG,1534.03,1227.23,166.69,1380.63,36
HCPCS,J9217,Leuprolide Acetate (6 Month) For Subcutaneous Inj Kit 45 MG,1411.02,1128.82,166.69,1269.92,36
HCPCS,J9217,Leuprolide Acetate For Inj Kit 7.5 MG,314.42,251.54,128.91,282.98,36
HCPCS,J9218,Leuprolide acetate injeciton,,,7.88,7.88,2
HCPCS,J9219,Leuprolide acetate implant,,,5398.2,5398.2,2
HCPCS,J9220,Indigotindisulfonate Sodium IV Soln 8 MG/ML,1495.3649999999998,1196.295,9.46,1454.5,72
HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,196.77,226.66,15
HCPCS,J9225,Vantas implant,,,5166.29,5166.29,2
HCPCS,J9226,Histrelin Acetate (CPP) Implant Kit 50 MG,90810.17,72648.14,37232.17,81729.15,36
HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,74.64,89.62,15
HCPCS,J9228,Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML),17356.5,13885.2,168.56,15620.85,36
HCPCS,J9229,Inotuzumab Ozogamicin For IV Soln 0.9 MG,50879.82,40703.86,2529.55,45791.84,36
HCPCS,J9230,Mechlorethamine hcl inj,,,315.9,315.9,2
HCPCS,J9245,Melphalan HCl For Inj 50 MG (Base Equiv),342.43,273.95,91.11,632.6,360
HCPCS,J9246,"Inj., evomela, 1 mg",,,16.08,20.24,15
HCPCS,J9247,Outpatient Services - CPT/HCPCS,,,503.5,503.5,2
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,755.25,870.0,13
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,61.54,68.02,9
HCPCS,J9250,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J9258,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,J9258,Pharmacy,,,16.32,16.32,4
HCPCS,J9259,Outpatient Services - CPT/HCPCS,,,16.23,16.23,2
HCPCS,J9259,Pharmacy,,,16.72,16.72,4
HCPCS,J9260,Methotrexate Sodium Inj 250 MG/10ML (25 MG/ML),43.92,35.14,1.0,39.53,27
HCPCS,J9260,Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),12.795,10.24,1.0,11.52,54
HCPCS,J9260,"Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Me",12.0,9.6,1.0,10.8,27
HCPCS,J9260,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),88.92,71.14,1.0,86.8,81
HCPCS,J9260,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),16.5,13.2,1.0,18.9,108
HCPCS,J9261,Nelarabine IV Soln 5 MG/ML,1369.285,1095.43,75.87,1839.11,108
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,3.88,3.96,6
HCPCS,J9263,Oxaliplatin IV Soln 100 MG/20ML,105.41499999999999,84.33500000000001,1.0,340.02,216
HCPCS,J9263,Oxaliplatin IV Soln 50 MG/10ML,105.095,84.08,1.0,166.6,54
HCPCS,J9264,Paclitaxel Protein-Bound Particles For IV Susp 100 MG,4201.53,3361.23,10.02,3781.38,36
HCPCS,J9266,Pegaspargase Inj 750 Unit/ML,51331.86,41065.49,21046.06,46198.67,36
HCPCS,J9267,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),121.27,97.02,1.0,154.8,216
HCPCS,J9268,Pentostatin For Inj 10 MG,5580.78,4464.63,2288.12,5022.7,36
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,324.48,390.61,15
HCPCS,J9270,Outpatient Services - CPT/HCPCS,,,74.05,74.05,2
HCPCS,J9271,Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML),10193.61,8154.895,56.41,9811.11,72
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,230.82,283.24,16
HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,168.26,206.57,15
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,203.83,237.57,15
HCPCS,J9275,"Inj cosibelimab-ipdl, 2 mg",,,22.06,22.06,4
HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,23.79,27.41,13
HCPCS,J9280,Mitomycin For IV Soln 20 MG,715.935,572.75,19.33,1505.57,216
HCPCS,J9280,Mitomycin For IV Soln 40 MG,1280.69,1024.555,19.33,1698.88,216
HCPCS,J9280,Mitomycin For IV Soln 5 MG,145.41,116.33,19.33,521.99,252
HCPCS,J9281,Mitomycin For Pyelocalyceal Soln 40 MG,21482.88,17186.31,294.37,19334.59,36
HCPCS,J9285,"Inj, olaratumab, 10 mg",,,50.1,50.1,2
HCPCS,J9286,Glofitamab-gxbm IV Soln 10 MG/10ML (1 MG/ML),21671.22,17336.98,2629.49,19504.1,36
HCPCS,J9286,Glofitamab-gxbm IV Soln 2.5 MG/2.5ML (1 MG/ML),5263.16,4210.53,2157.9,4736.84,36
HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,25.99,29.94,13
HCPCS,J9292,"Inj, pemetrexed dipotassium",,,78.22,90.11,13
HCPCS,J9293,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),394.73,315.79,22.68,374.59,108
HCPCS,J9293,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),454.75,363.8,22.68,1841.82,108
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,3.37,4.98,15
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.44,6.28,15
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.25,10.65,15
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,2.29,2.29,2
HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,183.62,228.2,16
HCPCS,J9299,Nivolumab IV Soln 240 MG/24ML,13226.68,10581.35,30.43,11904.01,36
HCPCS,J9299,Nivolumab IV Soln 40 MG/4ML,2446.25,1957.0,30.43,2201.63,36
HCPCS,J9300,Pharmacy,,,3001.33,3001.33,4
HCPCS,J9301,Obinutuzumab Soln for IV Infusion 1000 MG/40ML (25 MG/ML),17223.29,13778.64,70.29,15500.96,36
HCPCS,J9302,Ofatumumab injection,,,59.12,65.35,15
HCPCS,J9303,Panitumumab IV Soln 100 MG/5ML,2298.07,1838.46,149.72,2068.26,36
HCPCS,J9303,Panitumumab IV Soln 400 MG/20ML,7960.81,6368.65,149.72,7164.73,36
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,44.0,66.23,15
HCPCS,J9305,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),51.3,41.04,3.22,1128.2,108
HCPCS,J9305,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),1881.97,1505.58,3.22,5641.02,108
HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,15.42,18.62,15
HCPCS,J9307,Pralatrexate injection,,,298.18,429.66,15
HCPCS,J9308,"Injection, ramucirumab",,,69.0,81.37,15
HCPCS,J9309,Polatuzumab Vedotin-piiq For IV Solution 140 MG,32173.87,25739.1,121.23,28956.48,36
HCPCS,J9310,Pharmacy,,,1006.64,1006.64,4
HCPCS,J9311,"Inj rituximab, hyaluronidase",,,34.86,40.16,15
HCPCS,J9312,Rituximab IV Soln 100 MG/10ML,1888.4,1510.72,71.46,1699.56,36
HCPCS,J9312,Rituximab IV Soln 500 MG/50ML,9441.98,7553.59,71.46,8497.78,36
HCPCS,J9313,"Inj., Lumoxiti, 0.01 mg",,,22.22,24.56,15
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,14.77,19.96,15
HCPCS,J9315,Pharmacy,,,368.61,368.61,4
HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,58.99,67.95,15
HCPCS,J9317,Sacituzumab govitecan-hziy,,,33.26,39.7,15
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,27.09,33.91,15
HCPCS,J9319,Romidepsin For IV Inj 10 MG,6429.29,5143.44,29.24,5786.36,36
HCPCS,J9320,Streptozocin injection,,,370.18,370.18,2
HCPCS,J9321,Epcoritamab-bysp Subcutaneous Soln 4 MG/0.8ML,3693.0,2954.4,52.27,3323.7,36
HCPCS,J9321,Epcoritamab-bysp Subcutaneous Soln 48 MG/0.8ML,30461.92,24369.54,52.27,27415.73,36
HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.07,11.13,9
HCPCS,J9323,Inj pemetrexed ditromethamin,,,0.12,7.08,15
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,72.02,82.96,13
HCPCS,J9325,Inj talimogene laherparepvec,,,66.3,80.91,15
HCPCS,J9328,Temozolomide For IV Soln 100 MG,1441.27,1153.02,9.87,1297.14,36
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,54.57,66.09,14
HCPCS,J9330,Temsirolimus Soln For IV Infusion 25 MG/ML,3751.88,3001.51,25.38,3376.69,36
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,80.34,107.66,15
HCPCS,J9332,Inj efgartigimod 2mg,,,30.54,35.18,16
HCPCS,J9333,Inj rozanolixizum-noli 1 mg,,,22.01,25.35,16
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,32.19,37.09,16
HCPCS,J9340,Outpatient Services - CPT/HCPCS,,,260.25,260.25,2
HCPCS,J9340,Pharmacy,,,268.17,268.17,4
HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,37.88,37.88,4
HCPCS,J9342,Thiotepa For Inj 100 MG,3492.27,2793.82,10.01,5176.4,108
HCPCS,J9342,Thiotepa For Inj 15 MG,308.03,246.43,10.01,345.79,180
HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,29.03,34.97,16
HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,133.85,154.19,15
HCPCS,J9348,Naxitamab-gqgk IV Soln 40 MG/10ML (4 MG/ML),44097.13,35277.71,579.54,39687.42,36
HCPCS,J9349,"Inj., tafasitamab-cxix",,,13.29,15.66,15
HCPCS,J9350,Mosunetuzumab-axgb IV Soln 1 MG/ML,2187.26,1749.81,621.9,1968.53,36
HCPCS,J9350,Mosunetuzumab-axgb IV Soln 30 MG/30ML (1 MG/ML),36166.13,28932.91,621.9,32549.52,36
HCPCS,J9351,Topotecan HCl For Inj 4 MG (Base Equiv),110.41,88.33000000000001,1.0,107.88,54
HCPCS,J9351,Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion),362.52,290.02,1.0,868.94,81
HCPCS,J9352,Injection trabectedin 0.1mg,,,338.41,427.96,15
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,45.93,57.44,15
HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,38.34,46.13,15
HCPCS,J9355,Trastuzumab For IV Soln 150 MG,3041.23,2432.99,71.27,2737.11,36
HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,58.36,76.42,16
HCPCS,J9357,Valrubicin injection,,,1257.18,1448.19,15
HCPCS,J9358,Fam-Trastuzumab Deruxtecan-nxki For IV Soln 100 MG,5299.79,4239.84,26.38,4769.81,36
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,195.94,237.37,15
HCPCS,J9360,Vinblastine Sulfate Inj 1 MG/ML,97.79,78.24,1.0,88.01,27
HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,117.3,117.3,4
HCPCS,J9370,Vincristine Sulfate IV Soln 1 MG/ML,21.88,17.51,1.0,48.98,135
HCPCS,J9371,Outpatient Services - CPT/HCPCS,,,3420.78,3420.78,2
HCPCS,J9371,Pharmacy,,,3508.13,3508.13,4
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,87.14,96.32,14
HCPCS,J9380,Teclistamab-cqyv Subcutaneous Soln 153 MG/1.7ML (90 MG/ML),14544.92,11635.94,30.9,13090.43,36
HCPCS,J9380,Teclistamab-cqyv Subcutaneous Soln 30 MG/3ML (10 MG/ML),2694.81,2155.85,30.9,2425.33,36
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,35.78,41.21,15
HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,31.26,36.02,13
HCPCS,J9390,Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv),84.75,67.8,1.0,132.8,54
HCPCS,J9390,Vinorelbine Tartrate Inj 50 MG/5ML (10 MG/ML) (Base Equiv),241.79,193.44,1.0,217.61,27
HCPCS,J9393,"Inj, fulvestrant (teva)",,,21.2,89.0,15
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,25.43,53.0,15
HCPCS,J9395,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,2694.08,2155.27,6.39,2424.67,36
HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,7.49,8.62,15
HCPCS,J9600,Porfimer sodium injection,,,22490.02,25439.84,15
HCPCS,J9999,Chemotherapy drug,,,1.0,1.0,2
HCPCS,K0001,Standard wheelchair,,,491.4,491.4,2
HCPCS,K0002,Stnd hemi (low seat) whlchr,,,738.8,738.8,2
HCPCS,K0003,Lightweight wheelchair,,,820.1,820.1,2
HCPCS,K0004,High strength ltwt whlchr,,,1046.1,1046.1,2
HCPCS,K0005,Ultralightweight wheelchair,,,2396.43,2396.43,2
HCPCS,K0006,Heavy duty wheelchair,,,1131.0,1131.0,2
HCPCS,K0007,Extra heavy duty wheelchair,,,1784.1,1784.1,2
HCPCS,K0009,Other manual wheelchair/base,,,1011.8,1011.8,2
HCPCS,K0010,Stnd wt frame power whlchr,,,4928.1,4928.1,2
HCPCS,K0011,Stnd wt pwr whlchr w control,,,6972.2,6972.2,2
HCPCS,K0012,Ltwt portbl power whlchr,,,4422.2,4422.2,2
HCPCS,K0015,Detach non-adjus hght armrst,,,196.3,196.3,2
HCPCS,K0017,Detach adjust armrest base,,,55.04,55.04,2
HCPCS,K0018,Detach adjust armrst upper,,,30.92,30.92,2
HCPCS,K0019,"Arm pad repl, each",,,17.63,17.63,2
HCPCS,K0020,Fixed adjust armrest pair,,,51.91,51.91,2
HCPCS,K0037,Hi mount flip-up footrest ea,,,50.04,50.04,2
HCPCS,K0038,Leg strap each,,,26.8,26.8,2
HCPCS,K0039,Leg strap h style each,,,58.53,58.53,2
HCPCS,K0040,Adjustable angle footplate,,,73.28,73.28,2
HCPCS,K0041,Large size footplate each,,,56.72,56.72,2
HCPCS,K0042,Standard size ftplate rep ea,,,37.8,37.8,2
HCPCS,K0043,Ftrst lowr exten tube rep ea,,,21.67,21.67,2
HCPCS,K0044,Ftrst upr hanger brac rep ea,,,18.59,18.59,2
HCPCS,K0045,Ftrst compl assembly repl ea,,,62.46,62.46,2
HCPCS,K0046,Elev lgrst lwr exten repl ea,,,21.75,21.75,2
HCPCS,K0047,Elev legrst upr hangr rep ea,,,81.03,81.03,2
HCPCS,K0050,Ratchet assembly replacement,,,35.93,35.93,2
HCPCS,K0051,Cam rel asm ft/legrst rep ea,,,57.5,57.5,2
HCPCS,K0052,Swingaway detach ftrest repl,,,94.38,94.38,2
HCPCS,K0053,Elevate footrest articulate,,,107.87,107.87,2
HCPCS,K0056,Seat ht <17 or >=21 ltwt wc,,,118.36,118.36,2
HCPCS,K0065,Spoke protectors,,,57.03,57.03,2
HCPCS,K0069,Rr whl compl sol tire rep ea,,,121.78,121.78,2
HCPCS,K0070,Rear whl compl pneum tire,,,225.1,225.1,2
HCPCS,K0071,Fr cstr comp pne tire rep ea,,,136.55,136.55,2
HCPCS,K0072,Fr cstr semi-pne tire rep ea,,,83.48,83.48,2
HCPCS,K0073,Caster pin lock each,,,43.95,43.95,2
HCPCS,K0077,Fr cstr asmb sol tire rep ea,,,70.47,70.47,2
HCPCS,K0098,"Drive belt for pwc, repl",,,29.68,29.68,2
HCPCS,K0105,Iv hanger,,,124.42,124.42,2
HCPCS,K0195,Elevating whlchair leg rests,,,192.8,192.8,2
HCPCS,K0455,Pump uninterrupted infusion,,,3433.2,3433.2,2
HCPCS,K0462,Temporary replacement eqpmnt,,,122.98,122.98,2
HCPCS,K0552,Sup/ext non-ins inf pump syr,,,3.21,4.47,15
HCPCS,K0601,Repl batt silver oxide 1.5 v,,,1.42,1.42,2
HCPCS,K0602,Repl batt silver oxide 3 v,,,8.1,8.1,2
HCPCS,K0603,Repl batt alkaline 1.5 v,,,0.72,0.72,2
HCPCS,K0604,Repl batt lithium 3.6 v,,,7.78,7.78,2
HCPCS,K0605,Repl batt lithium 4.5 v,,,18.65,18.65,2
HCPCS,K0606,AED garment w elec analysis,,,34274.7,34274.7,2
HCPCS,K0607,Repl batt for AED,,,264.5,264.5,2
HCPCS,K0608,Repl garment for AED,,,157.11,157.11,2
HCPCS,K0609,Repl electrode for AED,,,1044.86,1490.7,15
HCPCS,K0669,Seat/back cus no dmepdac ver,,,71.48,71.48,2
HCPCS,K0672,LNR REPL AFO STD GRY PEDS,270.54,216.44,94.8,243.49,37
HCPCS,K0730,Ctrl dose inh drug deliv sys,,,2346.3,2346.3,2
HCPCS,K0733,12-24hr sealed lead acid,,,33.75,33.75,2
HCPCS,K0738,Portable gas oxygen system,,,48.62,48.62,2
HCPCS,K0739,Repair/svc DME non-oxygen eq,,,18.46,22.98,11
HCPCS,K0740,Repair/svc oxygen equipment,,,10.31,10.31,2
HCPCS,K0744,Absorp drg <= 16 suc pump,,,1.79,1.79,2
HCPCS,K0800,POV group 1 std up to 300lbs,,,1229.81,1229.81,2
HCPCS,K0801,POV group 1 hd 301-450 lbs,,,2092.65,2092.65,2
HCPCS,K0802,POV group 1 vhd 451-600 lbs,,,2554.75,2554.75,2
HCPCS,K0806,POV group 2 std up to 300lbs,,,1658.9,1658.9,2
HCPCS,K0807,POV group 2 hd 301-450 lbs,,,2542.63,2542.63,2
HCPCS,K0808,POV group 2 vhd 451-600 lbs,,,3932.29,3932.29,2
HCPCS,K0812,Power operated vehicle NOC,,,2261.79,2261.79,2
HCPCS,K0813,PWC gp 1 std port seat/back,,,3799.7,3799.7,2
HCPCS,K0814,PWC gp 1 std port cap chair,,,4451.6,4451.6,2
HCPCS,K0815,PWC gp 1 std seat/back,,,5007.6,5007.6,2
HCPCS,K0816,PWC gp 1 std cap chair,,,4737.7,4737.7,2
HCPCS,K0820,PWC gp 2 std port seat/back,,,3990.0,3990.0,2
HCPCS,K0821,PWC gp 2 std port cap chair,,,4688.2,4688.2,2
HCPCS,K0822,PWC gp 2 std seat/back,,,5429.2,5429.2,2
HCPCS,K0823,PWC gp 2 std cap chair,,,5319.6,5319.6,2
HCPCS,K0824,PWC gp 2 hd seat/back,,,7003.0,7003.0,2
HCPCS,K0825,PWC gp 2 hd cap chair,,,6441.6,6441.6,2
HCPCS,K0826,PWC gp 2 vhd seat/back,,,10159.2,10159.2,2
HCPCS,K0827,PWC gp vhd cap chair,,,8747.2,8747.2,2
HCPCS,K0828,PWC gp 2 xtra hd seat/back,,,11832.5,11832.5,2
HCPCS,K0829,PWC gp 2 xtra hd cap chair,,,11162.6,11162.6,2
HCPCS,K0830,PWC gp2 std seat elevate s/b,,,3914.1,3914.1,2
HCPCS,K0831,PWC gp2 std seat elevate cap,,,3914.1,3914.1,2
HCPCS,K0835,PWC gp2 std sing pow opt s/b,,,5688.3,5688.3,2
HCPCS,K0836,PWC gp2 std sing pow opt cap,,,5899.4,5899.4,2
HCPCS,K0837,PWC gp 2 hd sing pow opt s/b,,,6978.0,6978.0,2
HCPCS,K0838,PWC gp 2 hd sing pow opt cap,,,6220.0,6220.0,2
HCPCS,K0839,PWC gp2 vhd sing pow opt s/b,,,9125.6,9125.6,2
HCPCS,K0840,PWC gp2 xhd sing pow opt s/b,,,13898.5,13898.5,2
HCPCS,K0841,PWC gp2 std mult pow opt s/b,,,6187.2,6187.2,2
HCPCS,K0842,PWC gp2 std mult pow opt cap,,,6183.7,6183.7,2
HCPCS,K0843,PWC gp2 hd mult pow opt s/b,,,7404.9,7404.9,2
HCPCS,K0848,PWC gp 3 std seat/back,,,9298.7,9298.7,2
HCPCS,K0849,PWC gp 3 std cap chair,,,8940.0,8940.0,2
HCPCS,K0850,PWC gp 3 hd seat/back,,,10785.8,10785.8,2
HCPCS,K0851,PWC gp 3 hd cap chair,,,10370.8,10370.8,2
HCPCS,K0852,PWC gp 3 vhd seat/back,,,12462.5,12462.5,2
HCPCS,K0853,PWC gp 3 vhd cap chair,,,12802.2,12802.2,2
HCPCS,K0854,PWC gp 3 xhd seat/back,,,16960.1,16960.1,2
HCPCS,K0855,PWC gp 3 xhd cap chair,,,16021.3,16021.3,2
HCPCS,K0856,PWC gp3 std sing pow opt s/b,,,9980.9,9980.9,2
HCPCS,K0857,PWC gp3 std sing pow opt cap,,,10181.0,10181.0,2
HCPCS,K0858,PWC gp3 hd sing pow opt s/b,,,12383.4,12383.4,2
HCPCS,K0859,PWC gp3 hd sing pow opt cap,,,11810.0,11810.0,2
HCPCS,K0860,PWC gp3 vhd sing pow opt s/b,,,17691.4,17691.4,2
HCPCS,K0861,PWC gp3 std mult pow opt s/b,,,9996.9,9996.9,2
HCPCS,K0862,PWC gp3 hd mult pow opt s/b,,,12383.4,12383.4,2
HCPCS,K0863,PWC gp3 vhd mult pow opt s/b,,,17691.4,17691.4,2
HCPCS,K0864,PWC gp3 xhd mult pow opt s/b,,,21052.8,21052.8,2
HCPCS,K0868,PWC gp 4 std seat/back,,,4785.17,4785.17,2
HCPCS,K0869,PWC gp 4 std cap chair,,,4785.17,4785.17,2
HCPCS,K0877,PWC gp4 std sing pow opt s/b,,,4202.83,4202.83,2
HCPCS,K0879,PWC gp4 hd sing pow opt s/b,,,5675.77,5675.77,2
HCPCS,K0880,PWC gp4 vhd sing pow opt s/b,,,8881.95,8881.95,2
HCPCS,K0884,PWC gp4 std mult pow opt s/b,,,6809.07,6809.07,2
HCPCS,K0885,PWC gp4 std mult pow opt cap,,,6340.95,6340.95,2
HCPCS,K0886,PWC gp4 hd mult pow s/b,,,5856.37,5856.37,2
HCPCS,K0890,PWC gp5 ped sing pow opt s/b,,,9850.52,9850.52,2
HCPCS,K0891,PWC gp5 ped mult pow opt s/b,,,12789.42,12789.42,2
HCPCS,K1007,Bil hkaf pc s/d micro sensor,,,88555.87,123381.62,13
HCPCS,K1034,COVID test self-admn/collect,,,12.0,12.0,3
HCPCS,L0112,Cranial cervical orthosis,,,1564.47,2256.51,15
HCPCS,L0113,Cranial cervical torticollis,,,318.77,459.79,15
HCPCS,L0120,COLAR CERV *DISC 6240756*,21.66,17.33,8.88,39.58,37
HCPCS,L0120,COLAR CERV ASPEN PEDS PD2,197.7,158.16,28.41,177.93,37
HCPCS,L0120,COLAR CERV ASPEN PEDS PD5,134.2,107.36,28.41,120.78,37
HCPCS,L0120,COLAR CERV CONT *DISC 6350635*,28.37,22.7,11.63,39.58,37
HCPCS,L0120,COLAR CERV CONT *DISC 6350636*,28.37,22.7,11.63,39.58,37
HCPCS,L0120,COLAR CERV CONT FM SM 8-12IN,8.44,6.76,3.46,39.58,37
HCPCS,L0120,COLAR CERV FM CERVO XFIRM SM,12.67,10.14,5.19,39.58,37
HCPCS,L0120,COLAR CERV FM COMFO-EZE PED SM,42.76,34.21,17.53,39.58,37
HCPCS,L0120,COLAR CERV FM OSSU LG,34.77,27.82,14.26,39.58,37
HCPCS,L0120,COLAR CERV FM OSSU LNG,34.77,27.82,14.26,39.58,37
HCPCS,L0120,COLAR CERV FM OSSU MD,35.38,28.31,14.51,39.58,37
HCPCS,L0120,COLAR CERV FM OSSU SM,38.13,30.51,15.63,39.58,37
HCPCS,L0120,COLAR CERV FM SERP XFIRM MD,12.29,9.84,5.04,39.58,37
HCPCS,L0120,COLAR CERV FM SERP XFIRM SM,12.29,9.84,5.04,39.58,37
HCPCS,L0120,COLAR CERV FM XSM*DISC 6335833,213.5,170.8,28.41,192.15,37
HCPCS,L0120,COLAR CERV MD DENSITY 2XL,28.85,23.08,11.83,39.58,37
HCPCS,L0120,COLAR CERV MD DENSITY LG,28.85,23.08,11.83,39.58,37
HCPCS,L0120,COLAR CERV MD DENSITY MD,28.85,23.08,11.83,39.58,37
HCPCS,L0120,COLAR CERV MD DENSITY XL,28.85,23.08,11.83,39.58,37
HCPCS,L0120,COLAR CERV OPEN TRACH 2.25 MD,87.41,69.93,28.41,78.67,37
HCPCS,L0120,COLAR CERV REG LG 3.25X19,38.37,30.7,15.73,39.58,37
HCPCS,L0120,COLAR CERV REG MD 3.25X17,38.37,30.7,15.73,39.58,37
HCPCS,L0120,COLAR CERV REG XL 3.25X21,38.37,30.7,15.73,39.58,37
HCPCS,L0120,COLAR CERV SERP *DISC 6241232*,3.6,2.88,1.48,39.58,37
HCPCS,L0120,COLAR CERV SERP *DISC 6306283*,25.62,20.5,10.5,39.58,37
HCPCS,L0120,COLAR CERV SERP *DISC NO REPL*,23.79,19.04,9.75,39.58,37
HCPCS,L0120,COLAR CERV SERP FM FIRM LG,25.56,20.45,10.48,39.58,37
HCPCS,L0120,COLAR CERV SERP FM FIRM MD,25.56,20.45,10.48,39.58,37
HCPCS,L0120,COLAR CERV SERP FM FIRM SM,25.56,20.45,10.48,39.58,37
HCPCS,L0120,COLAR CERV SERP FM FIRM XL,25.56,20.45,10.48,39.58,37
HCPCS,L0120,COLAR CERV SERP*DISC 6319578*,22.63,18.11,9.28,39.58,37
HCPCS,L0120,COLAR CERV VISTA ADJ,266.75,213.4,28.41,240.08,37
HCPCS,L0130,Flex thermoplastic collar mo,,,170.62,243.28,15
HCPCS,L0140,COLAR CERV PHILADEL ONEPC 4IN,49.11,39.29,20.14,107.78,37
HCPCS,L0140,COLAR CERV PHILADEL ONEPC3.5IN,49.11,39.29,20.14,107.78,37
HCPCS,L0140,COLAR CERV STIFN*DISC 6179311*,32.39,25.92,13.28,107.78,37
HCPCS,L0140,COLAR CERV STIFNECK ADLT,96.32,77.06,39.49,107.78,37
HCPCS,L0140,COLAR CERV STIFNECK GRN ADLT,73.14,58.52,29.99,107.78,37
HCPCS,L0140,COLAR CERV STIFNECK PEDS,73.14,58.52,29.99,107.78,37
HCPCS,L0140,COLAR EXTRIC EMS EAGAN II SHRT,60.27,48.22,24.71,107.78,37
HCPCS,L0140,COLAR EXTRIC NECLOC ADLT STOUT,69.54,55.64,28.51,107.78,37
HCPCS,L0140,COLAR EXTRICEMSEAGANIIREG*CIP*,58.07,46.46,23.81,107.78,37
HCPCS,L0140,COLAR PHILLY 1PC LOW,22.57,18.06,9.25,107.78,37
HCPCS,L0140,COLAR PHILLY 1PC TALL,29.28,23.43,12.0,107.78,37
HCPCS,L0140,COLAR PHILLY 1PC*DISC 6176555*,29.28,23.43,12.0,107.78,37
HCPCS,L0140,COLAREXTRICEMSEA*DISC 6342092*,58.07,46.46,23.81,107.78,37
HCPCS,L0150,Cerv semi-rig adj molded chn,,,115.65,161.14,15
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,167.63,233.55,15
HCPCS,L0170,Cervical collar molded to pt,,,690.22,961.66,15
HCPCS,L0172,COLAR CERV *DISC 6324095*,199.71,159.77,81.88,196.66,37
HCPCS,L0172,COLAR CERV ADLT *DISC 6316255*,157.2,125.76,64.45,196.66,37
HCPCS,L0172,COLAR CERV AS*OBS 6324080*,463.05,370.44,141.15,416.75,37
HCPCS,L0172,COLAR CERV ASCEND PEDS 1-3 PD3,245.89,196.72,100.81,221.3,37
HCPCS,L0172,COLAR CERV ASCEND PEDS 3-6 PD5,245.89,196.72,100.81,221.3,37
HCPCS,L0172,COLAR CERV ASCEND PEDS 9-24PD2,245.89,196.72,100.81,221.3,37
HCPCS,L0172,COLAR CERV ASPEN ADLT REG,134.2,107.36,55.02,196.66,37
HCPCS,L0172,COLAR CERV ASPEN PADS SHRTADLT,388.46,310.77,141.15,349.61,37
HCPCS,L0172,COLAR CERV ASPEN PEDS PD4,197.7,158.16,81.06,196.66,37
HCPCS,L0172,COLAR CERV ASPEN SHRT ADLT,289.63,231.71,118.75,260.67,37
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD1,183.0,146.4,75.03,196.66,37
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD2,183.0,146.4,75.03,196.66,37
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD3,183.0,146.4,75.03,196.66,37
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD4,336.15,268.92,137.82,302.54,37
HCPCS,L0172,COLAR CERV ASPEN XTRA PAD PD5,183.0,146.4,75.03,196.66,37
HCPCS,L0172,COLAR CERV ASPEN*DISC 6180897*,281.27,225.02,115.32,253.14,37
HCPCS,L0172,COLAR CERV MI J *DISC 6354026*,92.3,73.84,37.84,196.66,37
HCPCS,L0172,COLAR CERV MI J W PAD XS,684.0,547.2,141.15,615.6,37
HCPCS,L0172,COLAR CERV MI JR PEDS 2-6YR,318.71,254.97,130.67,286.84,37
HCPCS,L0172,COLAR CERV OPEN TRACH 2.25PEDS,87.41,69.93,35.84,196.66,37
HCPCS,L0172,COLAR CERV OPEN TRACH 4.25 LG,87.41,69.93,35.84,196.66,37
HCPCS,L0172,COLAR CERV OPEN TRACH 4.25 SM,87.41,69.93,35.84,196.66,37
HCPCS,L0172,COLAR CERV PEDS REG 13-16IN,157.69,126.16,64.65,196.66,37
HCPCS,L0172,COLAR CERV PHIL *DISC 6316250*,157.2,125.76,64.45,196.66,37
HCPCS,L0172,COLAR CERV PHIL *DISC 6316252*,151.46,121.17,62.1,196.66,37
HCPCS,L0172,COLAR CERV PHIL *DISC 6345652*,77.17,61.74,31.64,196.66,37
HCPCS,L0172,COLAR CERV PHIL *DISC NO REPL*,173.12,138.5,70.98,196.66,37
HCPCS,L0172,COLAR CERV PHILADEL LG 3.25,87.41,69.93,35.84,196.66,37
HCPCS,L0172,COLAR CERV PHILADEL MD 3.25IN,87.41,69.93,35.84,196.66,37
HCPCS,L0172,COLAR CERV PHILADEL ONEPC5.5IN,49.11,39.29,20.14,196.66,37
HCPCS,L0172,COLAR CERV PHILADEL SM 3.25,87.41,69.93,35.84,196.66,37
HCPCS,L0172,COLAR CERV PNCLE XTR PADS 172,160.06,128.05,65.62,196.66,37
HCPCS,L0172,COLAR CERV PNCLE XTR PADS 174,234.61,187.69,96.19,211.15,37
HCPCS,L0172,COLAR CERV SET MI JR YTH,348.19,278.56,141.15,313.37,37
HCPCS,L0172,COLAR CERV TPC PHILADEL LG,90.71,72.57,37.19,196.66,37
HCPCS,L0172,COLAR CERV TPC PHILADEL SM,90.52,72.42,37.11,196.66,37
HCPCS,L0172,COLAR CERV VISTA *USE 6287094*,680.27,544.22,141.15,612.24,37
HCPCS,L0172,COLAR CERV XTR PAD ECLIPSE,252.42,201.94,103.49,227.18,37
HCPCS,L0172,COLAR PHILADEL TRACH 2.25IN LG,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 2.25IN MD,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 2.25IN SM,41.18,32.95,16.88,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 3.25IN LG,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 3.25IN MD,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 3.25IN SM,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 4.25IN LG,51.24,41.0,21.01,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 4.25IN MD,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 4.25IN SM,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 5.25IN LG,48.13,38.51,19.73,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH 5.25IN MD,48.8,39.04,20.01,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH ADJ UNIV,41.18,32.95,16.88,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH HL 3.25LG,86.38,69.11,35.42,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH HL 3.25MD,86.38,69.11,35.42,196.66,37
HCPCS,L0172,COLAR PHILADEL TRACH HL 4.25MD,86.38,69.11,35.42,196.66,37
HCPCS,L0172,PAD REPL COLARVIS*USE 6219017*,300.83,240.67,123.34,270.75,37
HCPCS,L0174,COLAR CERV MI LG*CIP*,423.36,338.69,173.58,479.12,37
HCPCS,L0174,COLAR CERV MI MD*CIP*,423.36,338.69,173.58,479.12,37
HCPCS,L0174,COLAR CERV MI PEDS*CIP*,423.36,338.69,173.58,479.12,37
HCPCS,L0174,COLAR CERV MI SM*CIP*,423.36,338.69,173.58,479.12,37
HCPCS,L0174,COLAR CERV MI STOUT*CIP*,423.36,338.69,173.58,479.12,37
HCPCS,L0174,COLAR CERV OCCIAN BACK UNIV,422.06,337.65,173.04,479.12,37
HCPCS,L0174,COLAR CERV SET MI J REG,278.64,222.92,114.24,479.12,37
HCPCS,L0174,COLAR CERV SET MI J SELECTUNIV,272.38,217.91,111.68,479.12,37
HCPCS,L0174,COLAR CERV SET MI J SHRT,272.67,218.14,111.79,479.12,37
HCPCS,L0174,COLAR CERV SET MI J STOUT,436.7,349.36,179.05,479.12,37
HCPCS,L0174,COLAR CERV SET MI J SUP SHRT,436.7,349.36,179.05,479.12,37
HCPCS,L0174,COLAR CERV SET MI J TALL,276.94,221.56,113.55,479.12,37
HCPCS,L0174,COLAR CERV SET MI J XS,318.71,254.97,130.67,479.12,37
HCPCS,L0174,COLAR CERV VISTA TX W REPL PAD,374.74,299.8,153.64,479.12,37
HCPCS,L0174,L0174 CERV COLAR 2PC THOR EXT,389.76,311.81,159.8,479.12,37
HCPCS,L0180,COLAR CERV MULT POST*NLU*,576.43,461.15,236.34,552.51,37
HCPCS,L0190,BRC SPINE ASPEN CTO ADLT TALL,2750.72,2200.58,550.49,2475.65,37
HCPCS,L0190,IMMOB CERV ORTHS SOMI REG,784.13,627.31,321.49,766.97,37
HCPCS,L0200,BRC CERV POS UPGRADE KT CTO4,474.75,379.8,194.65,832.95,37
HCPCS,L0200,BRC CERV VISTA CTO4 4POST,1573.57,1258.86,597.84,1416.21,37
HCPCS,L0200,COLAR CERV VISTA CTO 2POST,237.38,189.91,97.33,832.95,37
HCPCS,L0220,Thor rib belt custom fabrica,,,131.08,182.63,15
HCPCS,L0450,BRC SPINE ASPEN CTO ADLT SHRT,1572.27,1257.82,131.59,1415.04,37
HCPCS,L0452,tlso flex custom fab thoraci,,,120.78,120.78,2
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,387.67,559.14,15
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,244.28,340.35,15
HCPCS,L0456,BRC ASPEN TLSO SM*NLU*,1084.5,867.6,444.65,1603.51,37
HCPCS,L0456,BRC SPINE EPIC LP TLSO 456/457,669.6,535.68,274.54,1603.51,37
HCPCS,L0456,BRC SPNL TLSO SLEEQ FLEXTALL,201.84,161.48,82.75,1603.51,37
HCPCS,L0456,BRC TLSO HORIZON 456 UNIV,263.75,211.0,108.14,1603.51,37
HCPCS,L0456,L0456 TLSO FLEX PREFAB,1304.46,1043.57,534.83,1603.51,37
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,700.54,976.04,15
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,996.91,1437.87,15
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1122.08,1618.45,15
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1395.66,2013.05,15
HCPCS,L0464,BRC BACK TLSO TR*DISC 6341605*,235.22,188.18,96.44,2396.5,37
HCPCS,L0464,BRC SPNL TLSO SLEEQ MAX UNIV,1181.04,944.84,484.23,2396.5,37
HCPCS,L0464,BRC TLSO PINNACLE 464,1114.39,891.52,456.9,2396.5,37
HCPCS,L0464,BRC TSLO VISTA 464,1080.0,864.0,442.8,2396.5,37
HCPCS,L0466,Tlso r fram soft ant pre cst,,,417.79,582.09,15
HCPCS,L0467,Tlso r fram soft pre ots,,,273.97,381.71,15
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,490.59,683.52,15
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,349.09,486.37,15
HCPCS,L0470,TLSO rigid frame pre subclav,,,682.35,950.69,15
HCPCS,L0472,BRC DORSO RIGID HYPER EXT XL,469.35,375.48,192.43,602.94,37
HCPCS,L0472,BRC DORSO RIGID HYPEREXTSHRTLG,523.4,418.72,214.59,602.94,37
HCPCS,L0472,BRC DORSO RIGID HYPR EXT LG,469.35,375.48,192.43,602.94,37
HCPCS,L0472,BRC DORSO RIGID HYPR EXT MD,469.35,375.48,192.43,602.94,37
HCPCS,L0472,BRC DORSO RIGID HYPR EXT SM,610.16,488.13,250.17,602.94,37
HCPCS,L0472,BRC DORSO RIGID HYPR EXTSHRTMD,523.4,418.72,214.59,602.94,37
HCPCS,L0472,CASH ORTHS STD,917.91,734.33,376.34,826.12,37
HCPCS,L0480,TLSO rigid plastic custom fa,,,1688.38,2638.5,15
HCPCS,L0482,L0482 1 PIECE TLSO,6237.43,4989.95,1885.93,5613.69,37
HCPCS,L0484,TLSO rigid plastic cust fab,,,2036.71,3184.22,15
HCPCS,L0486,TLSO LINED BI-VALV SPNL T*NLU*,2424.74,1939.8,994.14,3226.3,37
HCPCS,L0486,TLSO ST FLEXFM B*DISC NO REPL*,6789.27,5431.42,2287.31,6110.34,37
HCPCS,L0486,TLSO ST FLEXFM BIVALV CUST,2512.22,2009.78,1030.01,3226.3,37
HCPCS,L0486,TLSO ST POLY BIVALVE CUST,6789.27,5431.42,2287.31,6110.34,37
HCPCS,L0486,TLSO TRIPLANAR CTRL 2PC W*NLU*,2424.74,1939.8,994.14,3226.3,36
HCPCS,L0488,TLSO rigid lined pre one pie,,,1122.08,1618.45,15
HCPCS,L0490,TLSO rigid plastic pre one,,,316.19,456.03,15
HCPCS,L0491,TLSO 2 piece rigid shell,,,858.46,1238.23,15
HCPCS,L0492,TLSO 3 piece rigid shell,,,559.0,780.33,15
HCPCS,L0621,BELT MATERNITY SI-LOC SM/MD,46.76,37.41,19.17,96.66,37
HCPCS,L0621,BELT SACROILIAC LG 40-46,143.35,114.68,58.77,129.02,37
HCPCS,L0621,BELT SI ASCEND 621 MD,184.22,147.38,69.38,165.8,37
HCPCS,L0621,BELT SI ASCEND 621 SM,184.22,147.38,69.38,165.8,37
HCPCS,L0621,BELT SI EVERGREEN 621 ASME LG,88.62,70.9,36.33,96.66,37
HCPCS,L0621,BELT SI EVERGREEN 621 ASME MD,88.62,70.9,36.33,96.66,37
HCPCS,L0621,BELT SI EVERGREEN 621 ASME SM,88.62,70.9,36.33,96.66,37
HCPCS,L0621,BINDER ABD 3PNL *DISC 6329846*,57.65,46.12,23.64,96.66,74
HCPCS,L0621,SUPP BACK ELAS W SIDE PULL SM,180.44,144.36,69.38,162.4,37
HCPCS,L0621,SUPP BACK ELAS W SIDE PULL XL,180.44,144.36,69.38,162.4,37
HCPCS,L0622,SIO flex pelvisacral custom,,,276.49,385.22,15
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,124.36,173.27,15
HCPCS,L0624,SIO panel custom,,,36.84,36.84,2
HCPCS,L0625,BINDER ABD CRISSCROSS 2XL*NLU*,43.43,34.75,17.81,54.07,37
HCPCS,L0625,BRC LSO ELAS BELT 26-36 XS,161.28,129.03,38.81,145.15,37
HCPCS,L0625,BRC LSO ELAS BELT 40-55 XL,178.67,142.94,38.81,160.8,37
HCPCS,L0625,BRC LSO ELAS BELT 44-65 2XL,195.14,156.12,38.81,175.63,37
HCPCS,L0625,BRC SPNL SPINOMED IV A/P GRYSM,1071.67,857.34,38.81,964.5,37
HCPCS,L0625,L0625 BINDER ADDED TO TLSO,730.75,584.6,38.81,657.68,37
HCPCS,L0625,SUPP BACK COMFORTFORM LG,89.06,71.25,36.51,80.15,37
HCPCS,L0625,SUPP BACK COMFORTFORM MD,89.06,71.25,36.51,80.15,37
HCPCS,L0625,SUPP BACK COMFORTFORM SM,89.06,71.25,36.51,80.15,37
HCPCS,L0625,SUPP BACK EPX W STAYS 2XL,35.69,28.56,14.63,54.07,37
HCPCS,L0625,SUPP BACK SAFE-T-LIFT LG,144.81,115.85,38.81,130.33,37
HCPCS,L0625,SUPP BACK SAFE-T-LIFT MD,144.81,115.85,38.81,130.33,37
HCPCS,L0625,SUPP BACK SAFE-T-LIFT SM,144.81,115.85,38.81,130.33,37
HCPCS,L0625,SUPP BACK SAFE-T-LIFT XL,144.81,115.85,38.81,130.33,37
HCPCS,L0625,SUPP LUMB DELX W VELC WHT MD,122.0,97.6,38.81,109.8,37
HCPCS,L0625,SUPP LUMB DELX W VELC WHT SM,122.0,97.6,38.81,109.8,37
HCPCS,L0625,SUPP LUMB DELX W VELC WHT XL,122.0,97.6,38.81,109.8,37
HCPCS,L0625,SUPP LUMB W ABD BELT 10IN XL,128.77,103.02,38.81,115.89,37
HCPCS,L0625,SUPP LUMB W ABD BELT 10IN3XL,128.77,103.02,38.81,115.89,37
HCPCS,L0625,SUPP LUMBAR SAC*DISC 6115137*,187.03,149.63,38.81,168.33,37
HCPCS,L0625,SUPP LUMBAR SAC*DISC 6115139*,187.03,149.63,38.81,168.33,37
HCPCS,L0625,SUPP MATERNITY LOVING CMF*NLU*,24.07,19.26,9.87,54.07,37
HCPCS,L0625,SUPP MATERNITY MOM-EZ LG,48.48,38.79,19.88,54.07,37
HCPCS,L0625,SUPP MATERNITY MOM-EZ MD,48.48,38.79,19.88,54.07,37
HCPCS,L0625,SUPP MATERNITY MOM-EZ XL,48.48,38.79,19.88,54.07,37
HCPCS,L0625,SUPP MATERNITY WO INSRT SM,23.23,18.59,9.52,54.07,37
HCPCS,L0625,SUPP MATERNITYLOVINCMFTLG*NLU*,24.07,19.26,9.87,54.07,37
HCPCS,L0626,LSO CYBERTECH MAC PLUS 2X*NLU*,850.5,680.4,87.12,765.45,37
HCPCS,L0626,SUPP LUMB BASIC ELAS 2XL,44.45,35.56,18.22,125.9,37
HCPCS,L0626,SUPP LUMB BASIC ELAS LG,44.45,35.56,18.22,125.9,37
HCPCS,L0626,SUPP LUMB BASIC ELAS MD,44.45,35.56,18.22,125.9,37
HCPCS,L0626,SUPP LUMB BASIC ELAS SM,44.45,35.56,18.22,125.9,37
HCPCS,L0626,SUPP LUMB BASIC ELAS XL,44.45,35.56,18.22,125.9,37
HCPCS,L0626,SUPP LUMB BASIC ELAS XS,44.51,35.61,18.25,125.9,37
HCPCS,L0627,BRC SPINE HORIZON 637,500.13,400.11,205.05,664.04,37
HCPCS,L0627,BRC SPNL LSO SLEEQ AP UNIV,85.0,68.0,34.85,664.04,37
HCPCS,L0628,SUPP LUMBOSACRAL*DISC 6115136*,32.56,26.05,13.35,82.34,37
HCPCS,L0628,SUPP LUMBOSACRAL*DISC 6269188*,32.28,25.83,13.23,82.34,37
HCPCS,L0628,SUPP LUMBOSACRAL*DISC 6278921*,33.57,26.86,13.76,82.34,37
HCPCS,L0629,LSO flex w/rigid stays cust,,,139.7,139.7,2
HCPCS,L0630,BRC BACK CYBERTECH MAC B*NLU*,193.5,154.8,77.49,261.6,74
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1147.48,1658.4,15
HCPCS,L0632,LSO sag rigid frame cust,,,1054.48,1054.48,2
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,320.53,463.23,15
HCPCS,L0634,LSO flexion control custom,,,58.82,58.82,2
HCPCS,L0635,LSO sagit rigid panel prefab,,,1024.45,1427.33,15
HCPCS,L0636,LSO sagittal rigid panel cus,,,1515.5,2483.81,15
HCPCS,L0637,BRC BACK SMT 637 MD,1129.93,903.95,463.27,1672.14,36
HCPCS,L0637,BRC LSO PINNACLE 637/650,765.59,612.48,313.89,1672.14,37
HCPCS,L0637,BRC SPINE EPIC LP LSO 637/650,414.72,331.78,170.04,1672.14,37
HCPCS,L0638,LSO sag-coronal panel custom,,,1474.29,2126.44,15
HCPCS,L0639,Lso s/c shell/panel prefab,,,1200.16,1672.14,15
HCPCS,L0640,LSO LINED BI-VALV SPNL TE*NLU*,1979.2,1583.36,811.47,1781.28,37
HCPCS,L0640,LSO POLY BIVALV ST CUST,5541.76,4433.41,1169.64,4987.58,37
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,54.91,76.5,15
HCPCS,L0642,BRC BACK EXOS FORM II 627SM/MD,555.71,444.57,227.84,500.14,37
HCPCS,L0642,BRC LSO PINNACLE 627/642,473.52,378.82,194.14,426.17,37
HCPCS,L0642,BRC SPINE EPIC LP LO 627/642,369.04,295.24,151.31,403.49,37
HCPCS,L0642,BRC SPINE EPIC LP LSO 631/648,419.04,335.24,171.81,403.49,37
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,114.1,158.96,15
HCPCS,L0648,BRC BACK EXOS FORM II 631LG/XL,622.98,498.39,255.42,1007.66,37
HCPCS,L0648,BRC BACK EXOS FORM II 631SM/MD,622.98,498.39,255.42,1007.66,37
HCPCS,L0648,BRC LSO PNCLE 631/648,838.85,671.08,343.93,1007.66,37
HCPCS,L0648,BRC SPNL LSO SLEEQ AP PLUS,172.0,137.6,70.52,1007.66,37
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,202.03,281.48,15
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,836.84,1165.93,15
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,836.84,1165.93,15
HCPCS,L0700,Ctlso a-p-l control molded,,,2188.92,3049.75,15
HCPCS,L0710,BRC CTLSO BIVALV FLEXFM STCUST,7640.36,6112.29,2446.15,6876.32,36
HCPCS,L0710,BRC CTLSO BIVALV POLY-E STCUST,623.0,498.4,255.43,3558.84,36
HCPCS,L0710,BRC CTLSO BIVALV ST POLYE,2403.2,1922.56,985.31,3558.84,36
HCPCS,L0710,BRC CTLSO MOLDED W INNERF*NLU*,2674.62,2139.7,1096.59,3558.84,37
HCPCS,L0720,Ctlso a-p-l control custom,,,2116.62,2339.42,9
HCPCS,L0810,HALO CERV BREMER CROWN LG*NLU*,2620.0,2096.0,1074.2,4018.33,37
HCPCS,L0810,HALO CERV LERMAN NIV ADLT,3183.74,2547.0,1305.33,4018.33,37
HCPCS,L0810,VEST HALO LNR TALL*NLU*,4690.0,3752.0,1922.9,4221.0,37
HCPCS,L0820,Halo cervical into body jack,,,2350.27,3476.37,15
HCPCS,L0830,Halo cerv into milwaukee typ,,,3356.1,4675.93,15
HCPCS,L0859,MRI compatible system,,,1273.27,2422.1,15
HCPCS,L0861,Halo repl liner/interface,,,240.93,347.5,15
HCPCS,L0970,Tlso corset front,,,119.45,227.24,15
HCPCS,L0972,Lso corset front,,,108.73,165.07,15
HCPCS,L0974,Tlso full corset,,,191.62,266.97,15
HCPCS,L0976,Lso full corset,,,167.12,302.52,15
HCPCS,L0978,Axillary crutch extension,,,206.02,287.04,15
HCPCS,L0980,Peroneal straps pair pre ots,,,18.69,26.04,15
HCPCS,L0982,Stocking sup grips 4 pre ots,,,17.43,24.29,15
HCPCS,L0984,STKNG TLSO TORSO AXILLA LNG LG,91.5,73.2,37.52,99.36,37
HCPCS,L1000,Ctlso milwauke initial model,,,2266.62,3527.79,15
HCPCS,L1001,CTLSO infant immobilizer,,,1602.67,1602.67,2
HCPCS,L1005,Tension based scoliosis orth,,,3577.65,5160.21,15
HCPCS,L1006,Scoliosis orth sag/ cor,,,1219.25,1698.73,13
HCPCS,L1010,Ctlso axilla sling,,,71.83,100.08,15
HCPCS,L1020,Kyphosis pad,,,92.51,128.89,15
HCPCS,L1025,Kyphosis pad floating,,,133.47,185.95,15
HCPCS,L1030,Lumbar bolster pad,,,68.09,94.86,15
HCPCS,L1040,Lumbar or lumbar rib pad,,,83.5,116.33,15
HCPCS,L1050,Sternal pad,,,89.11,124.15,15
HCPCS,L1060,Thoracic pad,,,102.35,142.6,15
HCPCS,L1070,Trapezius sling,,,96.31,134.19,15
HCPCS,L1080,Outrigger,,,58.48,106.02,15
HCPCS,L1085,Outrigger bil w/ vert extens,,,164.74,229.53,15
HCPCS,L1090,Lumbar sling,,,105.96,147.63,15
HCPCS,L1100,Ring flange plastic/leather,,,170.2,237.14,15
HCPCS,L1110,Ring flange plas/leather mol,,,273.34,380.84,15
HCPCS,L1120,Covers for upright each,,,42.51,64.04,15
HCPCS,L1200,Furnsh initial orthosis only,,,2000.31,2801.77,15
HCPCS,L1210,Lateral thoracic extension,,,273.48,520.23,15
HCPCS,L1220,Anterior thoracic extension,,,247.22,344.44,15
HCPCS,L1230,Milwaukee type superstructur,,,745.69,1126.71,15
HCPCS,L1240,Lumbar derotation pad,,,83.11,115.79,15
HCPCS,L1250,Anterior asis pad,,,77.32,107.73,15
HCPCS,L1260,Anterior thoracic derotation,,,80.97,112.81,15
HCPCS,L1270,Abdominal pad,,,82.93,115.54,15
HCPCS,L1280,Rib gusset (elastic) each,,,92.33,128.64,15
HCPCS,L1290,Lateral trochanteric pad,,,84.12,117.2,15
HCPCS,L1300,Body jacket mold to patient,,,1926.48,3095.49,15
HCPCS,L1310,Post-operative body jacket,,,2006.59,3277.91,15
HCPCS,L1499,BRC CTLSO BIVALVE W ASPEN,2403.2,1922.56,667.37,2162.88,28
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,141.05,196.51,15
HCPCS,L1610,Ho frejka cov only pre cst,,,46.99,65.47,15
HCPCS,L1620,HARNESS PAVLICK LG 18-21IN,397.39,317.92,143.39,357.65,37
HCPCS,L1620,HARNESS PAVLICK PRM 12-14IN,397.39,317.92,143.39,357.65,37
HCPCS,L1620,HARNESS PAVLICK SM 14-16IN,397.39,317.92,143.39,357.65,37
HCPCS,L1630,Abduct control hip semi-flex,,,181.36,252.68,15
HCPCS,L1640,Pelv band/spread bar thigh c,,,529.16,844.21,15
HCPCS,L1650,HO abduction hip adjustable,,,275.66,389.05,15
HCPCS,L1652,Ho bi thighcuffs w sprdr bar,,,398.46,574.72,15
HCPCS,L1653,Ho abduction static ots,,,412.5,574.72,13
HCPCS,L1660,BRC HIP ABDCTN CRUISER BLU LG,391.5,313.2,160.52,352.35,37
HCPCS,L1660,BRC HIP ABDCTN CRUISER BLU MD,391.5,313.2,160.52,352.35,37
HCPCS,L1660,BRC HIP ABDCTN CRUISER BLU SM,391.5,313.2,160.52,352.35,37
HCPCS,L1660,BRC HIP ABDCTN CRUISER BLU XL,405.0,324.0,166.05,364.5,37
HCPCS,L1660,BRC HIP ABDCTN CRUISER BLU XS,391.5,313.2,160.52,352.35,37
HCPCS,L1660,BRC HIP ABDCTN SPLT CRUISER MD,499.01,399.21,183.16,449.11,37
HCPCS,L1680,Pelvic & hip control thigh c,,,1273.47,1816.85,15
HCPCS,L1681,Ho bilateral hip abduction,,,2094.79,3066.2,15
HCPCS,L1685,Post-op hip abduct custom fa,,,1243.23,1773.7,15
HCPCS,L1686,BRC HIP DONJOY VERSAROM ADJ,1063.86,851.09,436.18,1533.1,37
HCPCS,L1686,BRC HIP POSTOP TSCOPE LFT,1137.44,909.96,466.35,1533.1,37
HCPCS,L1690,Combination bilateral HO,,,2161.53,3117.65,15
HCPCS,L1700,Leg perthes orth toronto typ,,,1634.41,2277.16,15
HCPCS,L1710,Legg perthes orth newington,,,1913.25,2665.66,15
HCPCS,L1720,Legg perthes orthosis trilat,,,1410.29,1964.91,15
HCPCS,L1730,Legg perthes orth scottish r,,,1213.33,1690.49,15
HCPCS,L1755,Legg perthes patten bottom t,,,1694.49,2360.87,15
HCPCS,L1810,BRC KNEE HIPERF OPBK PTO LFTSM,392.31,313.85,108.07,353.08,37
HCPCS,L1810,BRC KNEE HNG TRU-PULL LFT XL,389.77,311.82,108.07,350.79,37
HCPCS,L1810,BRC KNEE LAT STBL HNG LFT MD,226.37,181.1,92.81,203.73,37
HCPCS,L1810,BRC KNEE LAT STBL HNG LFT SM,226.37,181.1,92.81,203.73,37
HCPCS,L1810,BRC KNEE LAT STBL HNG RT MD,226.37,181.1,92.81,203.73,37
HCPCS,L1810,BRC KNEE LAT STBL HNG RT SM,226.37,181.1,92.81,203.73,37
HCPCS,L1810,BRC KNEE REDDIE HNG 3XL,105.71,84.57,43.34,150.57,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE LFT LG,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE LFT MD,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE LFT SM,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE LFT XL,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE RT LG,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE RT MD,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE RT SM,302.13,241.71,108.07,271.92,37
HCPCS,L1810,BRC KNEE TRU-PULL LITE RT XL,302.13,241.71,108.07,271.92,37
HCPCS,L1812,BRC KNEE AIRM HIPREF LFT MD,393.41,314.73,71.54,354.07,37
HCPCS,L1812,BRC KNEE AIRM HIPREF RT SM,393.41,314.73,71.54,354.07,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL LFT 2XL,174.09,139.28,71.38,156.68,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL LFT LG,161.28,129.03,66.12,145.15,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL LFT MD,161.28,129.03,66.12,145.15,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL LFT SM,161.28,129.03,66.12,145.15,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL RT 2XL,174.09,139.28,71.38,156.68,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL RT LG,161.28,129.03,66.12,145.15,37
HCPCS,L1812,BRC KNEE AIRM LAT STBL RT SM,153.23,122.59,62.82,137.91,37
HCPCS,L1812,BRC KNEE AIRM PTO LFT 3XL,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO LFT LG,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO LFT MD,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO LFT SM,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO LFT XL,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO LFT XS,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO RT 2XL,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO RT LG,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO RT MD,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO RT SM,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO RT XL,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE AIRM PTO RT XS,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE DYNMC M.4S PCLLFTMD,1679.96,1343.97,71.54,1511.96,37
HCPCS,L1812,BRC KNEE DYNMC M.4S PCLLFTSM,1679.96,1343.97,71.54,1511.96,37
HCPCS,L1812,BRC KNEE ECON HNG AIRM 2XL,183.79,147.04,71.54,165.41,37
HCPCS,L1812,BRC KNEE ECON HNG AIRM LG,183.79,147.04,71.54,165.41,37
HCPCS,L1812,BRC KNEE ECON HNG AIRM MD,183.79,147.04,71.54,165.41,37
HCPCS,L1812,BRC KNEE ECON HNG AIRM XL,183.79,147.04,71.54,165.41,37
HCPCS,L1812,BRC KNEE HIPERF OPBK PTO RT2XL,392.31,313.85,71.54,353.08,37
HCPCS,L1812,BRC KNEE HIPERF OPBK PTOLFT2XL,392.31,313.85,71.54,353.08,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM 2XL,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM 3XL,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM LG,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM MD,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM SM,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM XL,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON AIRM XS,193.49,154.8,71.54,174.14,37
HCPCS,L1812,BRC KNEE HNG ECON WRAP OPBK XS,175.56,140.45,71.54,158.0,37
HCPCS,L1812,BRC KNEE HNG NEOP BERG 2XL,218.93,175.15,71.54,197.04,37
HCPCS,L1812,BRC KNEE HNG NEOP BERG LG,218.93,175.15,71.54,197.04,37
HCPCS,L1812,BRC KNEE HNG NEOP BERG MD,218.93,175.15,71.54,197.04,37
HCPCS,L1812,BRC KNEE HNG NEOP BERG SM,218.93,175.15,71.54,197.04,37
HCPCS,L1812,BRC KNEE HNG NEOP BERG XL,218.93,175.15,71.54,197.04,37
HCPCS,L1812,BRC KNEE HNG NEOP XS,223.26,178.61,71.54,200.93,37
HCPCS,L1812,BRC KNEE NEOP HNG STBL BLK LG,160.31,128.25,65.73,144.28,37
HCPCS,L1812,BRC KNEE NEOP HNG STBL BLK MD,160.31,128.25,65.73,144.28,37
HCPCS,L1812,BRC KNEE NEOP LAT STBL RT MD,143.41,114.73,58.8,129.07,37
HCPCS,L1812,BRC KNEE PTO AIRM LFT LG,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE PTO AIRM LFT XL,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE PTO AIRM RT XL,331.94,265.56,71.54,298.75,37
HCPCS,L1812,BRC KNEE RDRN WR*DISC 6344805*,366.71,293.37,71.54,330.04,37
HCPCS,L1812,BRC KNEE RDRN WR*DISC 6344806*,366.71,293.37,71.54,330.04,37
HCPCS,L1812,BRC KNEE SHRT RUNNER MD,272.65,218.12,71.54,245.39,37
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT LG,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT MD,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT SM,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT LFT XL,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT RT LG,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT RT MD,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT RT SM,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE SLV FREEPORT RT XL,292.19,233.76,71.54,262.97,37
HCPCS,L1812,BRC KNEE STBL PTLA NEOP BLK LG,92.72,74.18,38.02,99.68,37
HCPCS,L1812,BRC KNEE WEB REACTION 3XL,289.6,231.68,71.54,260.64,37
HCPCS,L1812,PROTECT RIGID ROOKE,1199.1,959.28,71.54,1079.19,37
HCPCS,L1812,SUPP KNEE NEOP BREG 2XL,53.8,43.04,22.06,99.68,37
HCPCS,L1812,SUPP KNEE NEOP BREG LG,53.8,43.04,22.06,99.68,37
HCPCS,L1812,SUPP KNEE NEOP BREG SM,53.8,43.04,22.06,99.68,37
HCPCS,L1812,SUPP KNEE NEOP BREG XL,53.8,43.04,22.06,99.68,37
HCPCS,L1812,SUPP KNEE NEOP BREG XS,53.8,43.04,22.06,99.68,37
HCPCS,L1812,SUPP KNEE NEOP OPEN PTLA XL,53.8,43.04,22.06,99.68,37
HCPCS,L1820,BRC KNEE HNG CONFORMAULTIMA4XL,303.05,242.44,124.25,272.75,37
HCPCS,L1820,BRC KNEE HNG CONFORMAULTIMA5XL,303.05,242.44,124.25,272.75,37
HCPCS,L1820,BRC KNEE HNG FRONT CLOSE LG,232.29,185.84,95.24,211.45,37
HCPCS,L1820,BRC KNEE HNG FRONT CLOSE MD,232.29,185.84,95.24,211.45,37
HCPCS,L1820,BRC KNEE HNG FRONT CLOSE SM,232.29,185.84,95.24,211.45,37
HCPCS,L1820,BRC KNEE HNG NEOP OSSU 2XL,128.1,102.48,52.52,211.45,37
HCPCS,L1820,BRC KNEE HNG NEOP OSSU LG,136.03,108.83,55.77,211.45,37
HCPCS,L1820,BRC KNEE HNG NEOP OSSU MD,115.9,92.72,47.52,211.45,37
HCPCS,L1820,BRC KNEE HNG NEOP OSSU SM,115.9,92.72,47.52,211.45,37
HCPCS,L1820,BRC KNEE HNG NEOP OSSU XL,136.03,108.83,55.77,211.45,37
HCPCS,L1820,BRC KNEE HNG PREM J LT 2XL,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J LT LG,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J LT MD,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J LT SM,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J LT XL,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J RT 2XL,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J RT LG,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J RT MD,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J RT SM,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PREM J RT XL,345.6,276.48,141.7,311.04,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 2XL,351.0,280.8,143.91,315.9,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 3XL,351.0,280.8,143.91,315.9,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 4XL,360.45,288.36,147.78,324.41,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA 5XL,360.45,288.36,147.78,324.41,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA LG,351.0,280.8,143.91,315.9,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA MD,351.0,280.8,143.91,315.9,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA SM,351.0,280.8,143.91,315.9,37
HCPCS,L1820,BRC KNEE HNG PULLON ULTIMA XL,351.0,280.8,143.91,315.9,37
HCPCS,L1820,BRC KNEE HNG SHIELDS II LG,431.42,345.14,151.76,388.28,37
HCPCS,L1820,BRC KNEE HNG SHIELDS II MD,431.42,345.14,151.76,388.28,37
HCPCS,L1820,BRC KNEE HNG SHIELDS II XL,431.42,345.14,151.76,388.28,37
HCPCS,L1820,BRC KNEE HNG TRI*DISC 6146659*,232.29,185.84,95.24,211.45,37
HCPCS,L1820,BRC KNEE HNG TRI*DISC 6215999*,232.29,185.84,95.24,211.45,37
HCPCS,L1820,BRC KNEE HNG TRI*DISC 6216000*,232.29,185.84,95.24,211.45,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD 2XL,372.6,298.08,151.76,335.34,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD 3XL,372.6,298.08,151.76,335.34,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD 4XL,372.6,298.08,151.76,335.34,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD LG,372.6,298.08,151.76,335.34,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD MD,372.6,298.08,151.76,335.34,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD SM,400.52,320.42,151.76,360.47,37
HCPCS,L1820,BRC KNEE HNG WRAP ARD XL,372.6,298.08,151.76,335.34,37
HCPCS,L1820,BRC KNEE HNG WRAPAROUND 2XL,103.7,82.96,42.52,211.45,37
HCPCS,L1820,BRC KNEE PTLA LG*DISC 6301082*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA MD*DISC 6301081*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA SM*DISC 6301080*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA XL*DISC 6301083*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA XS*DISC 6301079*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA2XL*DISC 6270634*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA3XL*DISC 6328373*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA4XL*DISC 6332399*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE PTLA5XL*DISC 6332400*,303.21,242.57,124.32,272.89,37
HCPCS,L1820,BRC KNEE REDDIE HNG 2XL,102.18,81.75,41.89,211.45,37
HCPCS,L1821,Ko elas w/ condyle pads otf,,,151.76,211.45,13
HCPCS,L1830,IMMOB KNEE 1PNL BRTRC 21*NLU*,214.72,171.78,64.47,193.25,37
HCPCS,L1830,IMMOB KNEE 3PNL 24IN,52.15,41.72,21.38,89.82,37
HCPCS,L1830,IMMOB KNEE 3PNL*DISC 6328322*,95.77,76.62,39.27,89.82,37
HCPCS,L1830,IMMOB KNEE COMFO*DISC 6282766*,102.48,81.99,42.02,92.23,37
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 16IN,133.29,106.64,54.65,119.96,37
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 18IN,133.29,106.64,54.65,119.96,37
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 20IN,133.29,106.64,54.65,119.96,37
HCPCS,L1830,IMMOB KNEE DELX TRI PNL 24IN,133.29,106.64,54.65,119.96,37
HCPCS,L1830,IMMOB KNEE EXOFORM FULL UNIV,183.0,146.4,64.47,164.7,37
HCPCS,L1830,IMMOB KNEE REBOUND 16IN,95.77,76.62,39.27,89.82,37
HCPCS,L1830,IMMOB KNEE REBOUND 18IN,95.77,76.62,39.27,89.82,37
HCPCS,L1830,IMMOB KNEE REBOUND 20IN,95.77,76.62,39.27,89.82,37
HCPCS,L1830,IMMOB KNEE REBOUND 24IN,95.77,76.62,39.27,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 12IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 16IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 18IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 20IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 24IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 27IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE SGL PNL 9IN,90.46,72.37,37.09,89.82,37
HCPCS,L1830,IMMOB KNEE TRI PNL 12IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE TRI PNL 16IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE TRI PNL 20IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE TRI PNL 24IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE TRI PNL BREG 18IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE TRI PNL XL 16IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE TRI PNL XL 20IN,108.76,87.01,44.59,97.88,37
HCPCS,L1830,IMMOB KNEE UNIV COTTON 16IN,154.39,123.52,63.3,138.95,37
HCPCS,L1830,IMMOB KNEE UNIV COTTON 20IN,173.73,138.99,64.47,156.36,37
HCPCS,L1830,IMMOB KNEE UNIV COTTON 24IN,212.46,169.97,64.47,191.21,37
HCPCS,L1830,IMMOB KNEE3PNLFO*DISC 6343582*,95.77,76.62,39.27,89.82,37
HCPCS,L1831,Knee orth pos locking joint,,,328.99,474.51,15
HCPCS,L1832,BRC KNEE BTRS ADJ LG,146.95,117.56,60.25,906.57,37
HCPCS,L1832,BRC KNEE POST-OP LITE SHRT,350.24,280.2,143.6,906.57,37
HCPCS,L1832,BRC KNEE POST-OP T-SCOPE LG,381.19,304.96,156.29,906.57,37
HCPCS,L1832,BRC KNEE POST-OP T-SCOPE XL,365.66,292.53,149.92,906.57,37
HCPCS,L1832,BRC KNEE POSTOP BREG LNG,341.6,273.28,140.06,906.57,37
HCPCS,L1832,BRC KNEE POSTOP REHAB BREG15IN,336.96,269.57,138.15,906.57,37
HCPCS,L1832,BRC KNEE PTLA ST*DISC 6312417*,112.73,90.19,46.22,906.57,37
HCPCS,L1832,BRC KNEE RDRN OPBK XS,394.69,315.76,161.82,906.57,37
HCPCS,L1832,BRC KNEE RDRN WR*DISC 6344804*,366.71,293.37,150.35,906.57,37
HCPCS,L1832,BRC KNEE RDRN WR*DISC 6344807*,366.71,293.37,150.35,906.57,37
HCPCS,L1832,BRC KNEE RDRN WR*DISC 6344809*,366.71,293.37,150.35,906.57,37
HCPCS,L1832,L1832 KO ADJ KNEE,737.51,590.01,302.38,906.57,37
HCPCS,L1833,BRC KNEE CROSSRUN PULLONSHRTLG,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUN PULLONSHRTSM,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUN PULLONSHRTXL,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER PULLON LG,366.71,293.37,150.35,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER PULLON MD,366.71,293.37,150.35,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER PULLON SM,366.71,293.37,150.35,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT 2XL,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT 3XL,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT LG,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT MD,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT SM,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT XL,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER SHRT XS,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNNER WRAP 3XL,366.71,293.37,150.35,647.0,37
HCPCS,L1833,BRC KNEE CROSSRUNPULLONSHRT2XL,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE FREESPORT WRAPUNIVLG,311.74,249.4,127.81,647.0,37
HCPCS,L1833,BRC KNEE FREESPORT WRAPUNIVMD,311.74,249.4,127.81,647.0,37
HCPCS,L1833,BRC KNEE FREESPORT WRAPUNIVSM,311.74,249.4,127.81,647.0,37
HCPCS,L1833,BRC KNEE GLADIAT*DISC 6342662*,303.21,242.57,124.32,647.0,37
HCPCS,L1833,BRC KNEE GLADIATOR HNG 2XL,303.21,242.57,124.32,647.0,37
HCPCS,L1833,BRC KNEE GLADIATOR HNG MD,303.21,242.57,124.32,647.0,37
HCPCS,L1833,BRC KNEE GLADIATOR HNG SM,549.5,439.6,225.3,647.0,37
HCPCS,L1833,BRC KNEE GLADIATOR HNG XL,548.6,438.88,224.93,647.0,37
HCPCS,L1833,BRC KNEE GONIOMETERDKBLUPEDSLG,673.2,538.56,276.01,647.0,37
HCPCS,L1833,BRC KNEE RDRN OPBK XL,394.69,315.76,161.82,647.0,37
HCPCS,L1833,BRC KNEE SHORTRUNNER WRAP LG,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE SHORTRUNNER WRAP XL,272.65,218.12,111.79,647.0,37
HCPCS,L1833,BRC KNEE SHRTRUNNER LG,292.25,233.8,119.82,647.0,37
HCPCS,L1833,BRC KNEE SHRTRUNNER XL,292.25,233.8,119.82,647.0,37
HCPCS,L1833,PTLA BTRS KT CROSSRUNNER,91.5,73.2,37.52,647.0,37
HCPCS,L1834,L1834 MC KNEE GUTTER,685.13,548.11,280.9,1222.74,37
HCPCS,L1836,Ko rigid w/o joints pre ots,,,91.15,127.0,15
HCPCS,L1840,Ko derot ant cruciate custom,,,984.09,1371.09,15
HCPCS,L1843,BRC KNEE Z-12 LFT LG,1497.93,1198.35,614.15,1446.64,37
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1702.22,2676.58,15
HCPCS,L1845,BRC KNEE AXIOM-D ELITE LFT LG,1330.52,1064.42,545.51,1258.8,37
HCPCS,L1845,BRC KNEE AXIOM-D ELITE LFT SM,1330.52,1064.42,545.51,1258.8,37
HCPCS,L1845,BRC KNEE FUSN LAT OAPREFABRTSM,1083.42,866.74,444.2,1258.8,37
HCPCS,L1845,BRC KNEE FUSN WOM RT LG,964.22,771.38,395.33,1258.8,37
HCPCS,L1845,BRC KNEE HNG TRU-PULL LFT LG,389.77,311.82,159.81,1258.8,37
HCPCS,L1845,BRC KNEE HNG TRU-PULL LFT MD,389.77,311.82,159.81,1258.8,37
HCPCS,L1845,BRC KNEE HNG TRU-PULL RT LG,389.77,311.82,159.81,1258.8,37
HCPCS,L1845,BRC KNEE HNG TRU-PULL RT MD,389.77,311.82,159.81,1258.8,37
HCPCS,L1845,BRC KNEE HNG TRU-PULL RT XL,389.77,311.82,159.81,1258.8,37
HCPCS,L1845,BRC KNEE KO DBL THIGH CALF,946.03,756.83,387.87,1258.8,37
HCPCS,L1845,BRC KNEE PTO AIRM LFT MD,331.94,265.56,136.1,1258.8,37
HCPCS,L1845,BRC KNEE PTO AIRM LFT SM,331.94,265.56,136.1,1258.8,37
HCPCS,L1845,BRC KNEE PTO AIRM RT LG,331.94,265.56,136.1,1258.8,37
HCPCS,L1845,BRC KNEE PTO AIRM RT MD,331.94,265.56,136.1,1258.8,37
HCPCS,L1845,BRC KNEE REBEL PRO ACL KO MD,1879.99,1504.0,770.8,1691.99,37
HCPCS,L1845,BRC KNEE REBEL RELIEVER LFTSTD,2016.25,1613.0,826.66,1814.63,37
HCPCS,L1845,BRC KNEE REBELPRO ACL KO *NLU*,2706.66,2165.33,903.49,2435.99,37
HCPCS,L1845,BRC KNEE X2K HI*OBS 6253528*,3027.3,2421.84,903.49,2724.57,37
HCPCS,L1846,BRC KNEE FUSN WOM CUST,1352.11,1081.69,554.37,1673.64,37
HCPCS,L1847,Ko dbl upright w/air pre cst,,,642.92,927.3,15
HCPCS,L1848,Ko dbl upright w/air pre ots,,,642.92,927.3,15
HCPCS,L1850,Ko swedish type pre ots,,,209.94,292.5,15
HCPCS,L1851,Ko single upright prefab ots,,,612.94,853.99,15
HCPCS,L1852,BRC KNEE FUSN OA + LFT SM,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN OA + LFT XL,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN OA + RT MD+,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN OTS LFT LG,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN OTS LFT XSM,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN OTS RT XL,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN WOM LFT MD,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN WOM LFT MD+,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN WOM OA LFT MD,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN WOM OA LFT MD+,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN WOM OA RT MD,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN WOM OA RT MD+,1049.72,839.78,430.39,944.75,37
HCPCS,L1852,BRC KNEE FUSN WOM RT MD,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN WOM RT MD+,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN WOM RT SM,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN WOM RT XL,964.22,771.38,395.33,867.8,37
HCPCS,L1852,BRC KNEE FUSN XT LFT LG,1007.55,806.04,413.1,906.8,37
HCPCS,L1852,BRC KNEE FUSN XT LFT MD,1007.55,806.04,413.1,906.8,37
HCPCS,L1852,BRC KNEE FUSN XT LFT MD+,1007.55,806.04,413.1,906.8,37
HCPCS,L1852,BRC KNEE FUSN XT LFT SM,1007.55,806.04,413.1,906.8,37
HCPCS,L1852,BRC KNEE FUSN XT LFT XL,1007.55,806.04,413.1,906.8,37
HCPCS,L1852,BRC KNEE FUSN XT RT LG,1007.55,806.04,413.1,906.8,37
HCPCS,L1860,Ko supracondylar socket mold,,,1148.45,1600.09,15
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,314.86,438.68,15
HCPCS,L1902,BRC ANK ASO LACE-UP BLK LG,27.93,22.35,11.45,119.03,37
HCPCS,L1902,BRC ANK ASO LACE-UP BLK XL,27.93,22.35,11.45,119.03,37
HCPCS,L1902,BRC ANK FORMFIT FIGURE 8 XS,76.19,60.96,31.24,119.03,37
HCPCS,L1902,BRC ANK LACE UP FIG8 STRAP XL,65.82,52.66,26.99,119.03,37
HCPCS,L1902,BRC ANK LACE UP TIB STRAP LG,15.11,12.09,6.2,119.03,37
HCPCS,L1902,BRC ANK LACE UP TIB STRAP MD,15.11,12.09,6.2,119.03,37
HCPCS,L1902,BRC ANK LACE UP TIB STRAP SM,15.11,12.09,6.2,119.03,37
HCPCS,L1902,BRC ANK LACE UP TIB STRAP XS,15.11,12.09,6.2,119.03,37
HCPCS,L1902,BRC ANK LACE UP W STAYS LG,94.43,75.55,38.72,119.03,37
HCPCS,L1902,BRC ANK LACE UP W STAYS MD,94.43,75.55,38.72,119.03,37
HCPCS,L1902,BRC ANK LACE UP W STAYS SM,94.43,75.55,38.72,119.03,37
HCPCS,L1902,BRC ANK LACE UP W STAYS XL,94.43,75.55,38.72,119.03,37
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP 2XS,130.24,104.2,53.4,119.03,37
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP LG,130.24,104.2,53.4,119.03,37
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP MD,21.35,17.08,8.75,119.03,37
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP SM,130.24,104.2,53.4,119.03,37
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP XL,138.04,110.44,56.6,124.24,37
HCPCS,L1902,BRC ANK LACE UP WEBLY ZAP XS,130.24,104.2,53.4,119.03,37
HCPCS,L1902,BRC ANK LACEUPXL*DISC 6313108*,70.76,56.61,29.01,119.03,37
HCPCS,L1902,BRC ANK SWEDE-O WO STBL X*NLU*,178.12,142.5,73.03,160.31,37
HCPCS,L1902,BRC ANK TRILK LG,237.9,190.32,83.44,214.11,37
HCPCS,L1902,BRC ANK TRILK MD,237.9,190.32,83.44,214.11,37
HCPCS,L1902,BRC ANK TRILK SM,237.9,190.32,83.44,214.11,37
HCPCS,L1902,BRC ANK TRILK XL,237.9,190.32,83.44,214.11,37
HCPCS,L1902,BRC ANK WRAPTOR SPEED LG,91.81,73.45,37.64,119.03,37
HCPCS,L1902,BRC ANK WRAPTOR SPEED MD,91.81,73.45,37.64,119.03,37
HCPCS,L1902,BRC ANK WRAPTOR SPEED SM,91.81,73.45,37.64,119.03,37
HCPCS,L1902,BRC ANK WRAPTOR SPEED XL,91.81,73.45,37.64,119.03,37
HCPCS,L1902,BRC ANK WRAPTOR SPEED XS,91.81,73.45,37.64,119.03,37
HCPCS,L1904,Afo molded ankle gauntlet,,,503.27,701.19,15
HCPCS,L1906,AFO DROP FT LFT LG,157.62,126.1,64.62,239.11,37
HCPCS,L1906,AFO DROP FT LFT MD,157.62,126.1,64.62,239.11,37
HCPCS,L1906,AFO DROP FT LFT SM*NLU*,154.82,123.86,63.48,239.11,37
HCPCS,L1906,AFO DROP FT LFT XL,157.62,126.1,64.62,239.11,37
HCPCS,L1906,AFO DROP FT RT LG,162.38,129.91,66.58,239.11,37
HCPCS,L1906,AFO DROP FT RT MD,162.38,129.91,66.58,239.11,37
HCPCS,L1906,AFO DROP FT RT XL,162.38,129.91,66.58,239.11,37
HCPCS,L1906,BAR AFO PONSETI SHRT 20-30CM,405.0,324.0,125.69,364.5,37
HCPCS,L1906,BOOT WLK REBOUND LG,285.48,228.39,117.05,256.93,37
HCPCS,L1906,BOOT WLK REBOUND MD,285.48,228.39,117.05,256.93,37
HCPCS,L1906,BRC AFO PONSETI GRY STD SZ0,1083.6,866.88,125.69,975.24,37
HCPCS,L1906,BRC AFO PONSETI GRY STD SZ00,1083.6,866.88,125.69,975.24,37
HCPCS,L1906,BRC AFO PONSETI GRY STD SZ000,1089.0,871.2,125.69,980.1,37
HCPCS,L1906,BRC AFO PONSETI GRY STD SZ1,1083.6,866.88,125.69,975.24,37
HCPCS,L1906,BRC AFO PONSETI GRY STD SZ2,1083.6,866.88,125.69,975.24,37
HCPCS,L1906,BRC AFO PONSETI GRY STD SZ4,1083.6,866.88,125.69,975.24,37
HCPCS,L1906,BRC ANK ACTIVE T1 *NLU*,28.18,22.55,11.55,239.11,37
HCPCS,L1906,BRC ANK ACTIVE T1 BLK LG*NLU*,31.19,24.96,12.79,239.11,37
HCPCS,L1906,BRC ANK ACTIVE T1 BLK SM*NLU*,46.13,36.91,18.91,239.11,37
HCPCS,L1906,BRC ANK ACTIVE T1 BLK XS*NLU*,31.19,24.96,12.79,239.11,37
HCPCS,L1906,BRC ANK ACTIVE T1 WHT LG*NLU*,28.18,22.55,11.55,239.11,37
HCPCS,L1906,BRC ANK ASO LACE-UP BLK XS,121.7,97.36,49.9,239.11,37
HCPCS,L1906,BRC ANK LACEUP W STRAP 2XL,78.69,62.96,32.26,239.11,37
HCPCS,L1906,BRC ANK STIRRUP FORMFITAIRADLT,72.59,58.08,29.76,239.11,37
HCPCS,L1906,BRC ANK ULT HIGH 5 LG,41.56,33.25,17.04,239.11,37
HCPCS,L1906,BRC ANK ULT HIGH 5 MD,253.52,202.82,103.94,239.11,37
HCPCS,L1906,BRC ANK ULT HIGH 5 SM,253.52,202.82,103.94,239.11,37
HCPCS,L1906,BRC ANK ULTRA AURORA LG,205.45,164.36,84.23,239.11,37
HCPCS,L1906,BRC ANK ULTRA AURORA MD,205.45,164.36,84.23,239.11,37
HCPCS,L1906,BRC ANK ULTRA AURORA SM,205.45,164.36,84.23,239.11,37
HCPCS,L1907,Afo supramalleolar custom,,,629.0,907.17,15
HCPCS,L1910,Afo sing bar clasp attach sh,,,289.36,403.16,15
HCPCS,L1920,Afo sing upright w/ adjust s,,,459.19,655.67,15
HCPCS,L1930,SPLT AFO PSTR LEAF LFT LG,41.99,33.6,17.22,385.01,37
HCPCS,L1930,SPLT AFO PSTR LEAF LFT MD,41.99,33.6,17.22,385.01,37
HCPCS,L1930,SPLT AFO PSTR LEAF LFT XL,45.12,36.1,18.5,385.01,36
HCPCS,L1930,SPLT AFO PSTR LEAF RT SM*NLU*,41.99,33.6,17.22,385.01,37
HCPCS,L1930,SPLT AFO PSTR LEAF RT XL*NLU*,45.12,36.1,18.5,385.01,37
HCPCS,L1932,AFO MATRIX MAX CBN FBR LF*NLU*,2484.11,1987.29,997.44,2235.7,37
HCPCS,L1932,AFO MATRIX MAX CBN FBR RT LG,1463.7,1170.96,600.12,1438.63,37
HCPCS,L1932,AFO MTX MAX2 RT LG,3093.44,2474.76,997.44,2784.1,37
HCPCS,L1932,AFO MTX MAX2 RT MD,431.6,345.28,176.96,1438.63,37
HCPCS,L1932,AFO OTS BLUROCKER SHRT LFT LG,1388.9,1111.12,569.45,1438.63,37
HCPCS,L1932,AFO RIG ANT TIB SEC CBN F*NLU*,1081.21,864.97,443.3,1438.63,37
HCPCS,L1932,AFO W D-RING BLUEROCKER2.0RTLG,291.17,232.94,119.38,1438.63,37
HCPCS,L1932,AFO W D-RING BLUROCKER2.5RTXL,1805.58,1444.47,740.29,1625.02,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 LFT LG,320.76,256.61,131.51,1438.63,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 LFT MD,320.77,256.62,131.52,1438.63,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 LFT SM,1222.91,978.33,501.39,1438.63,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 LFT XL,1347.23,1077.79,552.36,1438.63,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 RT LG,320.77,256.62,131.52,1438.63,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 RT MD,320.77,256.62,131.52,1438.63,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 RT SM,3093.44,2474.76,997.44,2784.1,37
HCPCS,L1932,AFO W D-RING TOEOFF 2.0 RT XL,3390.69,2712.56,997.44,3051.62,37
HCPCS,L1932,BRC AFO SPRYSTEP MAX LFT LG,1758.96,1407.17,721.17,1583.06,37
HCPCS,L1932,BRC AFO SPRYSTEP MAX LFT XL,1886.6,1509.28,773.51,1697.94,37
HCPCS,L1932,BRC AFO SPRYSTEP MAX RT XL,1451.23,1160.99,595.0,1438.63,37
HCPCS,L1932,SOCK AFO X STATIC BLK ADLT SM,82.96,66.37,34.01,1438.63,37
HCPCS,L1932,STKNG AFO INTRFC WHT ADLT REG,13.6,10.88,5.58,1438.63,37
HCPCS,L1932,STKNG AFO INTRFC WHT CHILD SM,63.5,50.8,26.04,1438.63,37
HCPCS,L1933,AFO ANT TIB SECTION RIGID,1805.58,1444.47,501.41,1625.02,37
HCPCS,L1933,BRC AFO SPRYSTEP MAX LFT MD,1758.96,1407.17,488.46,1583.06,37
HCPCS,L1933,BRC AFO SPRYSTEP MAX RT MD,1758.96,1407.17,488.46,1583.06,37
HCPCS,L1940,L1940 MC DORSAL AFO,974.33,779.47,399.48,876.9,37
HCPCS,L1940,L1940 MC NIGHT RESTING AFO,974.33,779.47,399.48,876.9,37
HCPCS,L1945,Afo molded plas rig ant tib,,,1019.38,1420.26,15
HCPCS,L1950,MOLD AFO POLY SPIRAL IRM CUST,903.11,722.49,370.28,1201.68,37
HCPCS,L1951,BRC AFO SPIRAL IRM NOODLE RTSM,1218.0,974.4,499.38,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP LFT LG,1741.07,1392.86,713.84,1566.96,37
HCPCS,L1951,BRC AFO SPRYSTEP LFT MD,1352.4,1081.92,554.48,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP LFT SM,1396.96,1117.57,572.75,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP LFT XL,1352.4,1081.92,554.48,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP RT LG,1396.96,1117.57,572.75,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP RT MD,322.0,257.6,132.02,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP RT SM,322.0,257.6,132.02,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP RT XL,1352.4,1081.92,554.48,1354.03,37
HCPCS,L1951,BRC AFO SPRYSTEP RT XS,1352.4,1081.92,554.48,1354.03,37
HCPCS,L1951,BRC AFO WALKON TRIMABLERT39-42,1681.93,1345.55,689.59,1513.74,37
HCPCS,L1951,BRC AFO WALKON TRIMABLERT42-45,1681.93,1345.55,689.59,1513.74,37
HCPCS,L1952,BRC AFO SPRYSTEP LFT XS,1758.12,1406.5,488.23,1582.31,37
HCPCS,L1960,AFO PP SOLID ANK,595.0,476.0,243.95,826.54,37
HCPCS,L1960,L1960 AFO POLY SOLID ANK,2022.59,1618.08,593.24,1820.33,37
HCPCS,L1970,AFO PP MOLD ARTICUL*NLU*,837.77,670.22,343.49,1114.71,37
HCPCS,L1970,L1970 AFO PLST MOLDED WANK JOI,1997.88,1598.31,773.66,1798.09,37
HCPCS,L1970,ORTHOTICS JOINT CLEVISPHERE LG,441.6,353.28,181.06,1114.71,37
HCPCS,L1970,ORTHOTICS JOINT FLEXURE NAT LG,179.95,143.96,73.78,1114.71,37
HCPCS,L1970,ORTHOTICS JOINT FLEXURE NAT MD,145.3,116.24,59.57,1114.71,37
HCPCS,L1970,ORTHOTICS JOINT FLEXURENATPEDS,152.99,122.4,62.73,1114.71,37
HCPCS,L1971,BRC ANK ULT CTS LG/XL,319.46,255.57,130.98,755.67,37
HCPCS,L1971,BRC ANK ULT CTS SM/MD,319.46,255.57,130.98,755.67,37
HCPCS,L1980,Afo sing solid stirrup calf,,,423.51,590.06,15
HCPCS,L1990,L1990 AFO DBL UPRIGHT FREE MOT,1191.28,953.03,477.07,1072.15,37
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1124.74,1567.06,15
HCPCS,L2005,KAFO sng/dbl mechanical act,,,4580.4,6619.77,15
HCPCS,L2006,Kaf sng/dbl swg/stn mcpr cus,,,35961.43,52258.9,15
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,975.34,1613.2,15
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1231.82,1741.14,15
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1084.22,1510.6,15
HCPCS,L2034,KAFO pla sin up w/wo k/a cus,,,2270.76,3355.5,15
HCPCS,L2035,KAFO plastic pediatric size,,,193.66,279.32,15
HCPCS,L2036,Kafo plas doub free knee mol,,,2072.33,3036.91,15
HCPCS,L2037,Kafo plas sing free knee mol,,,1782.62,2483.66,15
HCPCS,L2038,Kafo w/o joint multi-axis an,,,1494.32,2131.95,15
HCPCS,L2040,Hkafo torsion bil rot straps,,,226.14,344.0,15
HCPCS,L2050,Hkafo torsion cable hip pelv,,,544.71,785.91,15
HCPCS,L2060,Hkafo torsion ball bearing j,,,633.43,882.54,15
HCPCS,L2070,Hkafo torsion unilat rot str,,,143.93,200.54,15
HCPCS,L2080,Hkafo unilat torsion cable,,,384.96,536.35,15
HCPCS,L2090,Hkafo unilat torsion ball br,,,521.71,726.88,15
HCPCS,L2106,Afo tib fx cast plaster mold,,,727.69,1013.86,15
HCPCS,L2108,Afo tib fx cast molded to pt,,,1285.06,1814.28,15
HCPCS,L2112,Afo tibial fracture soft,,,499.34,695.71,15
HCPCS,L2114,Afo tib fx semi-rigid,,,626.31,872.61,15
HCPCS,L2116,Afo tibial fracture rigid,,,761.91,1061.54,15
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1427.29,2005.19,15
HCPCS,L2128,Kafo fem fx cast molded to p,,,1792.2,2556.93,15
HCPCS,L2132,Kafo femoral fx cast soft,,,1087.84,1555.36,15
HCPCS,L2134,L2134 KAFO FRAC FEM SEMI,1173.23,938.59,481.02,1442.21,37
HCPCS,L2136,BRC FEM FRAC DF2 LFT LG,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 LFT MD,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 LFT SM,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 LFT XS,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 RT LG,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 RT MD,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 RT SM,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2136,BRC FEM FRAC DF2 RT XS,7000.0,5600.0,1409.67,6300.0,37
HCPCS,L2180,Plas shoe insert w ank joint,,,148.19,227.41,15
HCPCS,L2182,Drop lock knee,,,104.45,145.53,15
HCPCS,L2184,LIMIT MOTION JOINT EA,82.0,65.6,33.62,202.34,37
HCPCS,L2186,Adj motion knee jnt lerman t,,,172.19,268.81,15
HCPCS,L2188,Quadrilateral brim,,,313.02,446.58,15
HCPCS,L2190,Waist belt,,,95.34,134.87,15
HCPCS,L2192,Pelvic band & belt thigh fla,,,372.67,531.68,15
HCPCS,L2200,L2200 AFO ADD LOWER EXT ANK,252.1,201.68,56.16,226.89,37
HCPCS,L2210,L2210 AFO ADD LOWER EXT DORSI,315.53,252.43,70.25,283.98,37
HCPCS,L2220,BAND X-TENSIONDYNAMICADLT4-8MM,144.69,115.76,59.32,158.22,37
HCPCS,L2230,Split flat caliper stirr & p,,,89.59,124.82,15
HCPCS,L2232,"Rocker bottom, contact AFO",,,108.59,154.91,15
HCPCS,L2240,Round caliper and plate atta,,,89.52,124.72,15
HCPCS,L2250,Foot plate molded stirrup at,,,373.37,627.24,15
HCPCS,L2260,Reinforced solid stirrup,,,209.51,341.81,15
HCPCS,L2265,Long tongue stirrup,,,126.05,175.62,15
HCPCS,L2270,BRC T-STRAP VALGUS CUST*NLU*,66.1,52.88,27.1,87.93,37
HCPCS,L2275,BRC T-STRAP VALGUS CORREC*NLU*,166.94,133.56,68.45,222.11,37
HCPCS,L2275,L2270 AFO VARUS/VALGUS T STRAP,466.1,372.88,145.7,419.49,37
HCPCS,L2275,L2275 VALGUS CORRECT POLY,694.92,555.94,145.7,625.43,37
HCPCS,L2280,Molded inner boot,,,484.62,675.21,15
HCPCS,L2300,BAR SPRING ASSIST DOBBS REG,675.0,540.0,276.75,607.5,37
HCPCS,L2310,Abduction bar-straight,,,128.58,199.11,15
HCPCS,L2320,Non-molded lacer,,,215.63,391.52,15
HCPCS,L2330,Lacer molded to patient mode,,,410.4,645.36,15
HCPCS,L2335,Anterior swing band,,,255.13,355.47,15
HCPCS,L2340,SHELL PRE TIB,500.86,400.69,205.35,666.45,37
HCPCS,L2350,Prosthetic type socket molde,,,931.3,1551.92,15
HCPCS,L2360,Extended steel shank,,,57.64,85.73,15
HCPCS,L2370,Patten bottom,,,274.74,382.79,15
HCPCS,L2375,Torsion ank & half solid sti,,,120.93,168.48,15
HCPCS,L2380,Torsion straight knee joint,,,144.26,244.77,15
HCPCS,L2385,Straight knee joint heavy du,,,164.25,266.31,15
HCPCS,L2387,Add LE poly knee custom KAFO,,,177.12,246.77,15
HCPCS,L2390,Offset knee joint each,,,114.41,217.64,15
HCPCS,L2395,Offset knee joint heavy duty,,,163.53,277.2,15
HCPCS,L2397,Suspension sleeve lower ext,,,136.43,192.01,15
HCPCS,L2405,Knee joint drop lock ea jnt,,,97.45,140.55,15
HCPCS,L2415,L2415 BRC KNEE LK W REL,765.9,612.72,135.79,689.31,37
HCPCS,L2425,Knee disc/dial lock/adj flex,,,160.24,231.14,15
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,160.24,231.14,15
HCPCS,L2492,Knee lift loop drop lock rin,,,131.11,190.4,15
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,337.64,470.42,15
HCPCS,L2510,Th/wght bear quad-lat brim m,,,777.41,1083.14,15
HCPCS,L2520,Th/wght bear quad-lat brim c,,,527.68,735.19,15
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1274.05,2043.76,15
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,715.89,1322.98,15
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,268.07,467.14,15
HCPCS,L2540,Thigh/wght bear lacer molded,,,507.25,715.55,15
HCPCS,L2550,Thigh/wght bear high roll cu,,,380.33,571.03,15
HCPCS,L2570,Hip clevis type 2 posit jnt,,,497.83,710.24,15
HCPCS,L2580,Pelvic control pelvic sling,,,485.08,905.2,15
HCPCS,L2600,Hip clevis/thrust bearing fr,,,238.41,332.55,15
HCPCS,L2610,Hip clevis/thrust bearing lo,,,263.44,379.09,15
HCPCS,L2620,Pelvic control hip heavy dut,,,279.45,398.69,15
HCPCS,L2622,Hip joint adjustable flexion,,,328.21,457.28,15
HCPCS,L2624,Hip adj flex ext abduct cont,,,354.41,493.78,15
HCPCS,L2627,Plastic mold recipro hip & c,,,2388.99,3408.38,15
HCPCS,L2628,Metal frame recipro hip & ca,,,1751.08,3331.01,15
HCPCS,L2630,Pelvic control band & belt u,,,258.81,492.33,15
HCPCS,L2640,Pelvic control band & belt b,,,351.23,501.1,15
HCPCS,L2650,Pelv & thor control gluteal,,,128.44,178.95,15
HCPCS,L2660,Thoracic control thoracic ba,,,200.28,370.56,15
HCPCS,L2670,Thorac cont paraspinal uprig,,,178.29,339.15,15
HCPCS,L2680,Thorac cont lat support upri,,,163.55,311.13,15
HCPCS,L2750,Plating chrome/nickel pr bar,,,87.35,124.63,15
HCPCS,L2755,Carbon graphite lamination,,,146.05,210.6,15
HCPCS,L2760,Extension per extension per,,,63.51,120.8,15
HCPCS,L2768,Ortho sidebar disconnect,,,145.63,210.07,15
HCPCS,L2780,Non-corrosive finish,,,70.74,100.92,15
HCPCS,L2785,Drop lock retainer each,,,33.13,47.25,15
HCPCS,L2795,Knee control full kneecap,,,90.94,126.71,15
HCPCS,L2800,Knee cap medial or lateral p,,,112.57,174.45,15
HCPCS,L2810,Knee control condylar pad,,,83.59,116.46,15
HCPCS,L2820,ADD SOFT INNERFACE PAD CU*NLU*,129.76,103.81,53.2,172.65,37
HCPCS,L2830,Soft interface above knee se,,,98.19,186.79,15
HCPCS,L2840,SOCK AFO X STATIC BLK ADLT REG,13.6,10.88,5.58,65.15,37
HCPCS,L2840,SOCK AFO X STATIC BLK CHILD SM,63.5,50.8,26.04,65.15,37
HCPCS,L2840,SOCK AFO X STATIC BLK CHILDREG,63.5,50.8,26.04,65.15,37
HCPCS,L2840,SOCK AFO XSTATIC GRY CH*NLU*,120.78,96.63,46.76,108.7,37
HCPCS,L2840,STKNG AFO INTRFC WHT ADLT SM,13.6,10.88,5.58,65.15,37
HCPCS,L2840,STKNG AFO INTRFC WHT INFANT,53.19,42.56,21.81,65.15,37
HCPCS,L2850,Femoral lgth sock fx or equa,,,67.61,118.57,15
HCPCS,L2861,Torsion mechanism knee/ankle,,,302.26,302.26,2
HCPCS,L2999,KT PLANTARFASCIITISLIMIT L2999,22.22,17.78,6.17,20.0,28
HCPCS,L2999,L2999 CUST STERNAL SHIELD,227.31,181.85,63.12,204.58,28
HCPCS,L3000,Ft insert ucb berkeley shell,,,351.14,506.41,15
HCPCS,L3001,Foot insert remov molded spe,,,147.85,213.25,15
HCPCS,L3002,Foot insert plastazote or eq,,,180.53,260.35,15
HCPCS,L3003,Foot insert silicone gel eac,,,194.74,280.91,15
HCPCS,L3010,Foot longitudinal arch suppo,,,194.74,280.91,15
HCPCS,L3020,Foot longitud/metatarsal sup,,,221.78,319.85,15
HCPCS,L3030,L3030 MC GREAT TOE SPLNT,324.85,259.88,85.29,292.37,37
HCPCS,L3031,INSOLE CARBOPLAST CONT RIGIDLG,365.15,292.12,136.89,328.64,37
HCPCS,L3031,INSOLE CARBOPLAST CONT RIGIDSM,346.95,277.56,136.89,312.26,37
HCPCS,L3031,INSOLE CARBOPLAST CONT SEMI MD,346.95,277.56,136.89,312.26,37
HCPCS,L3040,L3040 C CONTOUR ORTHOTIC EA,88.32,70.66,36.21,79.49,37
HCPCS,L3050,Foot arch supp premold metat,,,52.61,75.9,15
HCPCS,L3060,HEEL LIFT ADJ BR*DISC 6355013*,32.33,25.87,13.26,118.94,37
HCPCS,L3060,HEEL LIFT ADJ BREG LG,32.33,25.87,13.26,118.94,37
HCPCS,L3060,HEEL LIFT ADJ BREG MD,32.33,25.87,13.26,118.94,37
HCPCS,L3060,HEEL LIFT ADJ BREG SM,32.33,25.87,13.26,118.94,37
HCPCS,L3070,Arch suprt att to sho longit,,,35.54,51.26,15
HCPCS,L3080,Arch supp att to shoe metata,,,35.54,51.26,15
HCPCS,L3090,Arch supp att to shoe long/m,,,45.5,65.56,15
HCPCS,L3100,SPLT BUNION RT SM,23.79,19.04,9.75,69.69,37
HCPCS,L3140,Abduction rotation bar shoe,,,99.51,143.53,15
HCPCS,L3150,Abduct rotation bar w/o shoe,,,91.0,131.21,15
HCPCS,L3160,Shoe styled positioning dev,,,16.2,16.2,2
HCPCS,L3170,HEEL CUP PLST JR*NLU*,5.01,4.01,2.05,82.02,37
HCPCS,L3170,HEEL CUP SIL BREG SM,54.66,43.73,22.41,82.02,37
HCPCS,L3170,HEEL CUP TULI CLASC LG,51.12,40.9,20.96,82.02,37
HCPCS,L3170,HEEL CUP TULI REG,11.73,9.39,4.81,82.02,37
HCPCS,L3201,Oxford w supinat/pronat inf,,,26.42,26.42,2
HCPCS,L3202,Oxford w/ supinat/pronator c,,,28.43,28.43,2
HCPCS,L3204,Hightop w/ supp/pronator inf,,,56.36,56.36,2
HCPCS,L3206,Hightop w/ supp/pronator chi,,,57.72,57.72,2
HCPCS,L3208,BOOT ORTHS STATIC INFANT,423.7,338.96,50.0,381.33,28
HCPCS,L3208,SHOE POSTOP MEDSURG PEDS 12-1,53.5,42.8,14.86,50.0,28
HCPCS,L3209,Surgical boot each child,,,50.0,50.0,2
HCPCS,L3211,Surgical boot each junior,,,50.0,50.0,2
HCPCS,L3215,Orthopedic ftwear ladies oxf,,,25.25,25.25,2
HCPCS,L3216,Orthoped ladies shoes dpth i,,,32.61,32.61,2
HCPCS,L3217,Ladies shoes hightop depth i,,,50.69,50.69,2
HCPCS,L3219,Orthopedic mens shoes oxford,,,97.27,97.27,2
HCPCS,L3221,Orthopedic mens shoes dpth i,,,96.19,96.19,2
HCPCS,L3222,Mens shoes hightop depth inl,,,109.32,109.32,2
HCPCS,L3224,Woman's shoe oxford brace,,,65.44,91.17,15
HCPCS,L3225,Man's shoe oxford brace,,,82.5,121.68,15
HCPCS,L3230,Custom shoes depth inlay,,,188.12,188.12,2
HCPCS,L3250,Custom mold shoe remov prost,,,123.75,123.75,2
HCPCS,L3252,Shoe molded plastazote cust,,,268.0,268.0,2
HCPCS,L3253,Shoe molded plastazote cust,,,185.6,185.6,2
HCPCS,L3254,Orth foot non-stndard size/w,,,15.69,15.69,2
HCPCS,L3255,Orth foot non-standard size/,,,15.69,15.69,2
HCPCS,L3257,Orth foot add charge split s,,,63.65,63.65,2
HCPCS,L3260,SHOE HEELWEDGE BLK XL,247.6,198.08,9.95,222.84,28
HCPCS,L3265,Plastazote sandal each,,,14.4,14.4,2
HCPCS,L3300,Sho lift taper to metatarsal,,,58.3,84.08,15
HCPCS,L3310,Shoe lift elev heel/sole neo,,,91.0,131.21,15
HCPCS,L3320,Shoe lift elev heel/sole cor,,,24.04,24.04,2
HCPCS,L3330,Lifts elevation metal extens,,,632.6,912.41,15
HCPCS,L3332,ARCH LONGITUDINA*DISC 6320841*,14.15,11.32,5.8,118.94,37
HCPCS,L3332,CUSH HEEL VISCOELAS ALIM 6MMLG,19.85,15.88,8.14,118.94,37
HCPCS,L3332,CUSH HEEL VISCOELAS ALIM 6MMMD,19.85,15.88,8.14,118.94,37
HCPCS,L3332,CUSH HEEL VISCOELAS ALIM 6MMSM,19.85,15.88,8.14,118.94,37
HCPCS,L3332,CUSH HEEL VISCOELAS ALIM 9MMLG,39.4,31.52,16.15,118.94,37
HCPCS,L3332,CUSH HEEL VISCOELAS ALIM 9MMMD,39.4,31.52,16.15,118.94,37
HCPCS,L3332,CUSH HEEL VISCOELAS ALIM 9MMSM,19.85,15.88,8.14,118.94,37
HCPCS,L3332,HEEL LIFT ADJ SAMMONS LG,28.55,22.84,11.71,118.94,37
HCPCS,L3332,HEEL LIFT ADJ SAMMONS MD,28.55,22.84,11.71,118.94,37
HCPCS,L3332,HEEL LIFT ADJ SAMMONS SM,28.55,22.84,11.71,118.94,37
HCPCS,L3332,LIFT ELEV HEEL TPR MET IN,39.0,31.2,15.99,118.94,37
HCPCS,L3332,WDG HEEL LIFT LE*DISC 6336833*,48.19,38.56,19.76,118.94,37
HCPCS,L3332,WDG HEEL LIFT LE*DISC 6336834*,48.19,38.56,19.76,118.94,37
HCPCS,L3334,Shoe lifts elevation heel /i,,,42.63,61.55,15
HCPCS,L3340,Shoe wedge sach,,,95.27,137.36,15
HCPCS,L3350,Shoe heel wedge,,,25.56,36.85,15
HCPCS,L3360,WDG HEEL LIFT LE*DISC 6336689*,7.9,6.32,3.24,57.39,37
HCPCS,L3370,Shoe sole wedge between sole,,,55.44,79.99,15
HCPCS,L3380,Shoe clubfoot wedge,,,55.44,79.99,15
HCPCS,L3390,Shoe outflare wedge,,,55.44,79.99,15
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,45.5,65.56,15
HCPCS,L3410,Shoe metatarsal bar between,,,103.77,149.74,15
HCPCS,L3420,Full sole/heel wedge btween,,,61.13,88.15,15
HCPCS,L3430,Sho heel count plast reinfor,,,179.12,258.38,15
HCPCS,L3440,Heel leather reinforced,,,85.29,122.99,15
HCPCS,L3450,BRC ANK VALV KOOLAIR UNIV,106.32,85.06,43.59,170.14,37
HCPCS,L3455,Shoe heel new leather standa,,,45.5,65.56,15
HCPCS,L3460,Shoe heel new rubber standar,,,38.4,55.41,15
HCPCS,L3465,Shoe heel thomas with wedge,,,65.44,94.33,15
HCPCS,L3470,Shoe heel thomas extend to b,,,69.64,100.53,15
HCPCS,L3480,Shoe heel pad & depress for,,,69.64,100.53,15
HCPCS,L3485,CUSH HEEL SPUR SZ A*NLU*,33.35,26.68,6.15,30.02,28
HCPCS,L3485,CUSH HEEL SPUR SZ B*NLU*,33.35,26.68,6.15,30.02,28
HCPCS,L3485,PAD HEEL HAPAD 2.5X.5*NLU*,27.45,21.96,6.15,24.71,28
HCPCS,L3500,Ortho shoe add leather insol,,,32.68,47.12,15
HCPCS,L3510,Orthopedic shoe add rub insl,,,32.68,47.12,15
HCPCS,L3520,O shoe add felt w leath insl,,,35.54,51.26,15
HCPCS,L3530,Ortho shoe add half sole,,,35.54,51.26,15
HCPCS,L3540,Ortho shoe add full sole,,,56.86,82.02,15
HCPCS,L3550,O shoe add standard toe tap,,,9.99,14.39,15
HCPCS,L3560,O shoe add horseshoe toe tap,,,25.56,36.85,15
HCPCS,L3570,O shoe add instep extension,,,95.27,137.36,15
HCPCS,L3580,O shoe add instep velcro clo,,,72.49,104.55,15
HCPCS,L3590,O shoe convert to sof counte,,,59.72,86.11,15
HCPCS,L3595,Ortho shoe add march bar,,,46.88,67.62,15
HCPCS,L3600,Trans shoe calip plate exist,,,85.29,122.99,15
HCPCS,L3610,Trans shoe caliper plate new,,,112.31,162.0,15
HCPCS,L3620,Trans shoe solid stirrup exi,,,85.29,122.99,15
HCPCS,L3630,Trans shoe solid stirrup new,,,112.31,162.0,15
HCPCS,L3640,Shoe dennis browne splint bo,,,48.36,69.69,15
HCPCS,L3650,BRC CLAV COMFOR *DISC 6306756*,43.92,35.14,18.01,86.54,37
HCPCS,L3650,BRC CLAV COMFOR W VELC XS*CIP*,43.92,35.14,18.01,86.54,37
HCPCS,L3650,BRC SHLDR POSTUR*DISC 6345017*,86.93,69.55,35.64,86.54,37
HCPCS,L3650,BRC SHLDR POSTURE CTRL WHT LG,86.93,69.55,35.64,86.54,37
HCPCS,L3650,IMMOB SHLDR DELX UNIV CHILD,34.4,27.52,14.1,86.54,37
HCPCS,L3650,IMMOB SHLDR SLINGSHOT NEUT LG,281.39,225.12,62.11,253.25,37
HCPCS,L3650,SUPP CLAV FRONT CLSR SM,96.38,77.11,39.52,86.74,37
HCPCS,L3650,SUPP CLAV FRONT CLSR XL,95.77,76.62,39.27,86.54,37
HCPCS,L3650,SUPP CLAV FRONT CLSR XS,96.38,77.11,39.52,86.74,37
HCPCS,L3660,BRC HUMR FRAC AQUAFORM LFT LG,37.27,29.82,15.28,195.76,37
HCPCS,L3660,BRC HUMR FRAC AQUAFORM LFT MD,37.27,29.82,15.28,195.76,37
HCPCS,L3660,BRC HUMR FRAC AQUAFORM LFT SM,37.27,29.82,15.28,195.76,37
HCPCS,L3660,BRC HUMR FRAC AQUAFORM RT LG,37.27,29.82,15.28,195.76,37
HCPCS,L3660,BRC HUMR FRAC AQUAFORM RT MD,35.84,28.68,14.69,195.76,37
HCPCS,L3660,BRC HUMR FRAC AQUAFORM RT SM,37.27,29.82,15.28,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS MEN LG,123.46,98.77,50.62,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS MEN MD,123.46,98.77,50.62,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS MEN SM,123.46,98.77,50.62,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS MEN XL,115.0,92.0,47.15,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS WOM 2XL,123.59,98.88,50.67,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS WOM 3XL,208.13,166.51,85.33,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS WOM LG,123.59,98.88,50.67,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS WOM MD,123.59,98.88,50.67,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS WOM SM,123.59,98.88,50.67,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX ELAS WOM XL,115.0,92.0,47.15,195.76,37
HCPCS,L3660,IMMOB SHLDR DELX*DISC 6242045*,115.0,92.0,47.15,195.76,37
HCPCS,L3660,SUPP CLAV INFANT 15-20IN,65.15,52.12,26.71,195.76,37
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 LG,282.92,226.34,115.65,254.63,37
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 MD,282.92,226.34,115.65,254.63,37
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 SM,282.92,226.34,115.65,254.63,37
HCPCS,L3670,BRC SHLDR SLINGSHOT 3 XL,282.92,226.34,115.65,254.63,37
HCPCS,L3670,BRC SHLDR SLINGSHOT II XL,250.59,200.48,102.74,225.53,37
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282701*,48.8,39.04,20.01,165.0,37
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282702*,48.8,39.04,20.01,165.0,37
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282704*,48.8,39.04,20.01,165.0,37
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282705*,51.24,41.0,21.01,165.0,37
HCPCS,L3670,IMMOB SHLDR BICR*DISC 6282765*,43.86,35.09,17.98,165.0,37
HCPCS,L3670,IMMOB SHLDR CLIN SM 13.5,50.02,40.02,20.51,165.0,37
HCPCS,L3670,IMMOB SHLDR COMFOR C24-50*CIP*,75.95,60.76,31.14,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX BREG LG,42.33,33.87,17.36,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX BREG MD,42.33,33.87,17.36,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX BREG SM,42.33,33.87,17.36,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX BREG UNIV,40.81,32.65,16.73,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX BREG XL,42.33,33.87,17.36,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX BREG XS,42.33,33.87,17.36,165.0,37
HCPCS,L3670,IMMOB SHLDR DELX UNIV,34.4,27.52,14.1,165.0,37
HCPCS,L3670,IMMOB SHLDR ST 2XL,57.52,46.02,23.58,165.0,37
HCPCS,L3670,IMMOB SHLDR ST 2XS,57.52,46.02,23.58,165.0,37
HCPCS,L3670,IMMOB SHLDR ST DELX LG,76.62,61.3,31.41,165.0,37
HCPCS,L3670,IMMOB SHLDR ST DELX MD,76.62,61.3,31.41,165.0,37
HCPCS,L3670,IMMOB SHLDR ST LG,57.52,46.02,23.58,165.0,37
HCPCS,L3670,IMMOB SHLDR ST MD,57.52,46.02,23.58,165.0,37
HCPCS,L3670,IMMOB SHLDR ST XL,57.52,46.02,23.58,165.0,37
HCPCS,L3670,IMMOB SHLDR ST XS,57.52,46.02,23.58,165.0,37
HCPCS,L3670,IMMOB SHLDR VELPEAU LG*CIP*,36.91,29.53,15.13,165.0,37
HCPCS,L3670,IMMOB SHLDR VELPEAU MD*CIP*,36.91,29.53,15.13,165.0,37
HCPCS,L3670,IMMOB SHLDR W WAIST STRAP LG,27.15,21.72,11.13,165.0,37
HCPCS,L3670,SLING SHLDR ATLAS UNIV,218.5,174.8,89.59,196.65,37
HCPCS,L3670,SLING SHLDR SUPP GIVMOHR LG,272.16,217.73,111.59,244.94,37
HCPCS,L3670,SLING SHLDR SUPP GIVMOHR MD,325.67,260.54,115.65,293.1,37
HCPCS,L3671,L3671 SHLDR JOINT DSN W/OSPLNT,1394.45,1115.56,571.72,1322.09,37
HCPCS,L3674,SO airplane w/wo joint CF,,,1202.47,1734.43,15
HCPCS,L3675,BRC SHLDR STBL MD 38-42IN,513.5,410.8,178.55,462.15,37
HCPCS,L3675,BRC SHLDR STBL SM 34-38IN,513.5,410.8,178.55,462.15,37
HCPCS,L3677,So hard plas stabili pre cst,,,151.12,151.12,2
HCPCS,L3678,So hard plas stabili pre ots,,,120.01,120.01,2
HCPCS,L3702,L3702 MC ELBOW STATIC SHRT,395.91,316.73,162.32,423.68,37
HCPCS,L3710,BRC ELBOW TSCP RT REG,382.05,305.64,129.47,343.85,37
HCPCS,L3720,L3720 MC ELBOW STATIC FOREARM,644.24,515.4,264.14,954.41,37
HCPCS,L3730,L3730 MC DYNAMIC ELBOW,759.21,607.37,311.28,1315.37,37
HCPCS,L3730,L3730 STAT-A-DYNE ELBOW,772.86,618.29,316.87,1315.37,37
HCPCS,L3740,Cuffs adj lock w/ active con,,,1093.07,1559.48,15
HCPCS,L3760,BRC ELBOW HEX 2XL,364.55,291.64,149.47,733.78,37
HCPCS,L3760,BRC ELBOW HEX LG,364.55,291.64,149.47,733.78,37
HCPCS,L3760,BRC ELBOW HEX MD,364.55,291.64,149.47,733.78,37
HCPCS,L3760,BRC ELBOW HEX SM,364.55,291.64,149.47,733.78,37
HCPCS,L3760,BRC ELBOW HEX XL,364.55,291.64,149.47,733.78,37
HCPCS,L3760,BRC ELBOW HNG MACKIE LFT SM,1670.26,1336.21,508.76,1503.23,37
HCPCS,L3760,BRC ELBOW HNG MACKIE RT SM,1670.26,1336.21,508.76,1503.23,37
HCPCS,L3760,BRC ELBOW INNOVATOR-X LFT,74.22,59.38,30.43,733.78,37
HCPCS,L3760,BRC ELBOW INNOVATOR-X RT,245.8,196.64,100.78,733.78,37
HCPCS,L3760,BRC ELBOW TELESCOPING LFT UNIV,109.77,87.82,45.01,733.78,37
HCPCS,L3760,BRC ELBOW TELESCOPING RT UNIV,109.77,87.82,45.01,733.78,37
HCPCS,L3760,SPLT ELBOW COMFY *USE 6319943*,121.83,97.47,49.95,733.78,37
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ1,119.76,95.81,49.1,733.78,37
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ2,119.76,95.81,49.1,733.78,36
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ3,119.76,95.81,49.1,733.78,36
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ4,119.76,95.81,49.1,733.78,36
HCPCS,L3761,BRC ELBOW PUSH MED UNIV SZ5,119.76,95.81,49.1,733.78,36
HCPCS,L3762,BRC CUBITAL CMFT LNG,37.8,30.24,15.5,157.73,37
HCPCS,L3762,BRC CUBITAL CMFT SHRT,37.8,30.24,15.5,157.73,37
HCPCS,L3762,BRC ELBOW CUBITAL TUNNEL LG/XL,30.55,24.44,12.53,157.73,37
HCPCS,L3762,SPLT ELBOW PIL-O-SPLINT STD,63.07,50.46,25.86,157.73,37
HCPCS,L3762,SPLT WRIST PIL-O-SPLINT UNIV,40.36,32.29,16.55,157.73,37
HCPCS,L3763,EWHO rigid w/o jnts CF,,,707.41,985.61,15
HCPCS,L3764,EWHO w/joint(s) CF,,,796.7,1126.67,15
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1304.43,1881.44,15
HCPCS,L3766,L3766 STAT-A-DYNE ESP,1351.96,1081.57,554.3,1992.3,37
HCPCS,L3766,L3766 STAT-A-DYNE PRO/SUP,1297.4,1037.92,531.93,1992.3,37
HCPCS,L3806,L3806 MC WHFO ADDN FLEX CTRL,537.07,429.66,220.2,666.5,37
HCPCS,L3806,L3806 MC WHFO ADDN FLX CTRL IP,537.07,429.66,220.2,666.5,37
HCPCS,L3806,L3806 MC WHFO DYNAMIC FINGER,564.68,451.75,231.52,666.5,37
HCPCS,L3806,L3806 MC WHFO MP EXT ASSIST,537.07,429.66,220.2,666.5,37
HCPCS,L3807,BRC ARM SAMO FASTFORM LFT,393.94,315.16,161.52,366.85,37
HCPCS,L3807,BRC ARM SAMO FASTFORM LFT XS,394.61,315.69,161.79,366.85,37
HCPCS,L3807,BRC ARM SAMO FASTFORM RT MD/LG,394.61,315.69,161.79,366.85,37
HCPCS,L3807,BRC ARM SAMO FASTFORM RT SM/MD,393.94,315.16,161.52,366.85,37
HCPCS,L3807,BRC ARM SAMO FASTFORM RT XS,394.61,315.69,161.79,366.85,37
HCPCS,L3807,BRC HAND REST RACI LFT CHILD,298.35,238.68,122.32,366.85,37
HCPCS,L3807,BRC HAND REST RACI LFT INFANT,240.1,192.08,98.44,366.85,37
HCPCS,L3807,BRC HAND REST RACI RT INFANT,240.1,192.08,98.44,366.85,37
HCPCS,L3807,BRC HAND REST SEP RCAI LFT LG,328.1,262.48,134.52,366.85,37
HCPCS,L3807,BRC HAND REST SEP RCAI LFT MD,300.12,240.1,123.05,366.85,37
HCPCS,L3807,BRC HAND REST SEP RCAI LFT SM,345.38,276.31,141.61,366.85,37
HCPCS,L3807,BRC HAND REST SEP RCAI LFT XL,345.38,276.31,141.61,366.85,37
HCPCS,L3807,BRC HAND REST SEP RCAI RT LG,328.1,262.48,134.52,366.85,37
HCPCS,L3807,BRC HAND REST SEP RCAI RT MD,362.61,290.09,148.67,366.85,37
HCPCS,L3807,BRC THB HBSO FASTFORM MD/LG,214.17,171.34,87.81,366.85,37
HCPCS,L3807,BRC THB HBSO FASTFORM SM/MD,214.17,171.34,87.81,366.85,37
HCPCS,L3807,BRC W THB SPI UNIV,61.55,49.24,25.24,366.85,37
HCPCS,L3807,BRC WRIST APOLLO W SPI UNIV RT,64.11,51.29,26.29,366.85,37
HCPCS,L3807,BRC WRIST BREG T*DISC 6305953*,63.99,51.2,26.24,366.85,37
HCPCS,L3807,BRC WRIST BREG T*DISC 6305955*,63.99,51.2,26.24,366.85,37
HCPCS,L3807,BRC WRIST BREG T*DISC 6305956*,63.99,51.2,26.24,366.85,37
HCPCS,L3807,BRC WRIST BREG T*DISC 6305957*,63.99,51.2,26.24,366.85,37
HCPCS,L3807,BRC WRIST BREG T*DISC 6305958*,63.99,51.2,26.24,366.85,37
HCPCS,L3807,BRC WRIST BREG T*DISC 6305959*,63.99,51.2,26.24,366.85,37
HCPCS,L3807,BRC WRIST PEDS W THB SPI LFT,60.88,48.71,24.96,366.85,37
HCPCS,L3807,BRC WRIST PEDS W THB SPI RT,60.88,48.71,24.96,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI LFT LG,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI LFT MD,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI LFT SM,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI LFT XL,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI LFT XS,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI RT LG,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI RT MD,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI RT SM,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI RT XL,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST PRO THB SPI RT XS,50.14,40.12,20.56,366.85,37
HCPCS,L3807,BRC WRIST THB SPI PEDS LFT,60.88,48.71,24.96,366.85,37
HCPCS,L3807,BRC WRIST THB SPI PEDS RT,60.88,48.71,24.96,366.85,37
HCPCS,L3807,BRC WRIST THB SPI UNIV LFT,14.71,11.77,6.03,366.85,37
HCPCS,L3807,BRC WRIST THB SPI UNIV RT,64.11,51.29,26.29,366.85,37
HCPCS,L3807,BRC WRIST THB TITAN LFT XL,34.06,27.25,13.96,366.85,37
HCPCS,L3807,BRC WRIST THB TITAN LFT XS,34.06,27.25,13.96,366.85,37
HCPCS,L3807,BRC WRIST THB TITAN RT XL,34.06,27.25,13.96,366.85,37
HCPCS,L3807,BRC WRIST THB TITAN RT XS,34.06,27.25,13.96,366.85,37
HCPCS,L3807,ORTHS HAND THB STD COV ADLT,313.25,250.6,128.43,366.85,37
HCPCS,L3807,SPLT PIL-0-SPLINT*DUP 6207861*,288.04,230.44,118.1,366.85,37
HCPCS,L3807,SPLT RAD NERVE W-711 LFT MD/LG,165.0,132.0,67.65,366.85,37
HCPCS,L3807,SPLT RAD NERVE W-711 LFT SM/MD,165.0,132.0,67.65,366.85,37
HCPCS,L3807,SPLT RAD NERVE W-711 RT MD/LG,159.32,127.46,65.32,366.85,37
HCPCS,L3807,SPLT RAD NERVE W-711 RT SM/MD,165.0,132.0,67.65,366.85,37
HCPCS,L3807,SPLT THB JOE COOL PRM RT*NLU*,22.33,17.87,9.16,366.85,37
HCPCS,L3807,SPLT THB JOE COOL S*SCMVA NLU*,22.33,17.87,9.16,366.85,37
HCPCS,L3807,SPLT THB SPI FORMFIT 8 RT LG,105.53,84.43,43.27,366.85,37
HCPCS,L3807,SPLT THB SPI FORMFIT 8 RT SM,105.53,84.43,43.27,366.85,37
HCPCS,L3807,SPLT THB SPI FORMFIT 8 RT XS,92.72,74.18,38.02,366.85,37
HCPCS,L3807,WHFO NO JTS PREFAB CO FIT,275.7,220.56,113.04,366.85,37
HCPCS,L3808,L3808 MC DORSAL BLOCK,540.53,432.43,221.62,532.48,37
HCPCS,L3808,L3808 MC WHFO LNG OPPONENS,469.3,375.44,192.41,532.48,37
HCPCS,L3808,L3808 MC WHFO SHRT OPPONENS,429.15,343.32,175.95,532.48,37
HCPCS,L3808,L3808 MC WHFO WRST GAUNT THUMB,412.31,329.85,169.05,532.48,37
HCPCS,L3808,L3808 MC WRIST BASED THUMB,412.31,329.85,169.05,532.48,37
HCPCS,L3808,L3808 MC WRIST BASEULNARGUTTER,412.31,329.85,169.05,532.48,37
HCPCS,L3808,L3808 RESTING HAND SPLNT,540.53,432.43,221.62,532.48,37
HCPCS,L3808,L3808 WHFO,1997.4,1597.92,362.39,1797.66,37
HCPCS,L3808,SPLT WRIST THB THERMOPLST*NLU*,1845.29,1476.24,362.39,1660.76,37
HCPCS,L3809,BRC HAND REST COMFY LFT ADLTLG,77.35,61.88,31.71,366.85,37
HCPCS,L3809,BRC HAND REST COMFY LFT ADLTMD,93.91,75.13,38.5,366.85,37
HCPCS,L3809,BRC HAND REST COMFY LFT ADLTSM,89.12,71.3,36.54,366.85,37
HCPCS,L3809,BRC HAND REST COMFY RT ADLT LG,89.12,71.3,36.54,366.85,37
HCPCS,L3809,BRC HAND REST COMFY RT ADLT MD,85.69,68.56,35.13,366.85,37
HCPCS,L3809,BRC HAND REST COMFY RT ADLT SM,89.12,71.3,36.54,366.85,37
HCPCS,L3809,BRC HAND REST RACI LFT TODDLER,345.38,276.31,141.61,366.85,37
HCPCS,L3809,BRC HAND REST RACI RT TODDLER,345.38,276.31,141.61,366.85,37
HCPCS,L3809,BRC HAND REST SEP RCAI RT SM,345.38,276.31,141.61,366.85,37
HCPCS,L3809,BRC HAND SOFTPRO PALMER RT LG,382.75,306.2,156.93,366.85,37
HCPCS,L3809,BRC KNUCKLE TKO L*DUP 6299679*,220.82,176.66,90.54,366.85,37
HCPCS,L3809,BRC KNUCKLE TKO LFT REG,192.94,154.36,79.11,366.85,37
HCPCS,L3809,BRC KNUCKLE TKO R*DUP 6298194*,220.82,176.66,90.54,366.85,37
HCPCS,L3809,BRC KNUCKLE TKO RT REG,192.94,154.36,79.11,366.85,37
HCPCS,L3809,BRC SAMO FASTFORM LFT MD/LG,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC SAMO FASTFORM LFT SM/MD,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC SAMO FASTFORM RT MD/LG,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC SAMO FASTFORM RT SM/MD,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC THB U2 UNIV *DISC 6305941*,83.57,66.86,34.26,366.85,37
HCPCS,L3809,BRC TSMO FASTFORM LFT MD/LG,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC TSMO FASTFORM LFT SM/MD,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC TSMO FASTFORM RT MD/LG,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC TSMO FASTFORM RT SM/MD,103.89,83.12,42.59,366.85,37
HCPCS,L3809,BRC UGMO FASTFORM UNIV MD/LG,103.89,83.12,42.59,366.85,37
HCPCS,L3809,SPLT ANTISPASTICITY BALL *NLU*,43.754999999999995,35.004999999999995,15.42,366.85,74
HCPCS,L3809,SPLT ANTISPASTICITY BALL RT SM,49.92,39.94,20.47,366.85,37
HCPCS,L3809,SPLT FUNC PSTN STRAP LFT LG1/8,42.85,34.28,17.57,366.85,37
HCPCS,L3809,SPLT FUNC PSTN STRAP LFT MD1/8,42.91,34.33,17.59,366.85,37
HCPCS,L3809,SPLT FUNC PSTN STRAP RT MD 1/8,42.91,34.33,17.59,366.85,37
HCPCS,L3809,SPLT FUNC PSTN STRAP RT S*NLU*,42.91,34.33,17.59,366.85,37
HCPCS,L3809,SPLT HAND NEUT PSTN LFT M*NLU*,46.69,37.36,19.14,366.85,37
HCPCS,L3809,SPLT HAND SOFT PRO LG LFT,382.75,306.2,156.93,366.85,37
HCPCS,L3809,SPLT HAND SOFT PRO SM RT,382.75,306.2,156.93,366.85,37
HCPCS,L3809,SPLT RESTING HAND RCAI LFT MED,329.56,263.65,135.12,366.85,37
HCPCS,L3809,SPLT RESTING HAND RCAI RT LG,329.56,263.65,135.12,366.85,37
HCPCS,L3809,SPLT RESTING HAND RCAI RT MED,329.56,263.65,135.12,366.85,37
HCPCS,L3809,SPLT RESTING PAN MITT LFT SM,178.0,142.4,72.98,366.85,37
HCPCS,L3809,SPLT THB SPI FORMFIT 8 LFT SM,92.72,74.18,38.02,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN LMB LFT SZB,19.5,15.6,8.0,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN LMB LFT SZD,19.5,15.6,8.0,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN LMB RT SZC,19.78,15.83,8.11,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN LMB RT SZD,19.5,15.6,8.0,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN POLYCENT RTSM,92.65,74.12,37.99,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN WIRE FM LFTMD,19.78,15.83,8.11,366.85,37
HCPCS,L3809,SPLT ULNA DEVTN WIRE FM RT SM,19.78,15.83,8.11,366.85,37
HCPCS,L3809,SPLT ULNAR POLYCENTRIC LF*NLU*,92.65,74.12,37.99,366.85,37
HCPCS,L3809,SPLT WRIST BLK LFT PEDS 4IN,54.9,43.92,22.51,366.85,37
HCPCS,L3809,SPLT WRIST BLK RT PEDS 4IN,54.9,43.92,22.51,366.85,37
HCPCS,L3891,Torsion mechanism wrist/elbo,,,273.76,273.76,2
HCPCS,L3900,L3900 MC DYNAMIC WRIST,685.13,548.11,280.9,1888.09,37
HCPCS,L3900,L3900 MC HAND BASE FINGERTHUMB,685.13,548.11,280.9,1888.09,37
HCPCS,L3900,L3900 MC WHFO FLEXOR HNG EXT,602.34,481.88,246.96,1888.09,37
HCPCS,L3900,L3900 MC WRIST BASEFINGERTHUMB,685.13,548.11,280.9,1888.09,37
HCPCS,L3900,L3900 STAT-A-DYNE WHFO,1136.56,909.25,465.99,1888.09,37
HCPCS,L3901,Hinge ext/flex wrist finger,,,2156.39,3004.41,15
HCPCS,L3904,Whfo electric custom fitted,,,3433.74,5697.46,15
HCPCS,L3905,L3905 STAT-A-DYNE WRIST,1070.09,856.08,438.74,1455.13,37
HCPCS,L3906,L3906 MC CHILD WHO/WRST GNT,522.73,418.19,214.32,596.72,37
HCPCS,L3906,L3906 MC WHO WRIST GAUNT MOLD,466.09,372.88,191.1,596.72,37
HCPCS,L3906,L3906 MC WHO WRST GAUNT MOLDED,480.62,384.5,197.05,596.72,37
HCPCS,L3906,L3906 MC WRIST COCK-UP,466.09,372.88,191.1,596.72,37
HCPCS,L3906,L3906 WHO CUSTOM MUENSTER,562.44,449.96,230.6,596.72,37
HCPCS,L3906,SUPP HAND NEOP BENIK SZA,147.8,118.24,60.6,596.72,37
HCPCS,L3906,SUPP HAND NEOP BENIK SZAAAA,360.45,288.36,147.78,596.72,37
HCPCS,L3908,BRC WRIST APOLLO PEDS LFT UNIV,52.83,42.27,21.66,87.42,37
HCPCS,L3908,BRC WRIST APOLLO PEDS UNIV LFT,40.02,32.02,16.41,87.42,37
HCPCS,L3908,BRC WRIST APOLLO PEDS UNIV RT,40.02,32.02,16.41,87.42,37
HCPCS,L3908,BRC WRIST APOLLO UNIV RT,12.4,9.92,5.08,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305949*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305950*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305961*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305962*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305963*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305964*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305966*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST BREG C*DISC 6305968*,37.76,30.21,15.48,87.42,37
HCPCS,L3908,BRC WRIST CINCHLK RT XL*DISC*,55.51,44.41,22.76,87.42,37
HCPCS,L3908,BRC WRIST CK*DISC 6305962*,58.56,46.85,24.01,87.42,37
HCPCS,L3908,BRC WRIST CKUP DELX RT LG*DISC,45.93,36.75,18.83,87.42,37
HCPCS,L3908,BRC WRIST CKUP LFT MD,80.95,64.76,33.19,87.42,37
HCPCS,L3908,BRC WRIST CLASC LFT LG,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC LFT MD,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC LFT SM,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC LFT XL,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC LFT XS,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC RT LG,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC RT MD,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC RT SM,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC RT XL,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST CLASC RT XS,26.23,20.99,10.75,87.42,37
HCPCS,L3908,BRC WRIST ELAS VELC RT XS,35.08,28.07,14.38,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN LFT LG,53.38,42.71,21.89,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN LFT MD,48.19,38.56,19.76,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN LFT SM,48.19,38.56,19.76,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN RT LG,48.19,38.56,19.76,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN RT MD,49.41,39.53,20.26,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN RT SM,48.19,38.56,19.76,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 10IN RT XL,53.38,42.71,21.89,87.42,36
HCPCS,L3908,BRC WRIST FORMFIT 6IN LFT LG,80.52,64.42,33.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 6IN LFT XL,36.6,29.28,15.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 6IN RT LG,80.52,64.42,33.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 6IN RT MD,39.59,31.68,16.23,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 6IN RT XL,36.6,29.28,15.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT LG,79.48,63.59,32.59,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT MD,48.19,38.56,19.76,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT SM,79.48,63.59,32.59,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT XL,79.48,63.59,32.59,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN LFT XSM,48.19,38.56,19.76,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT LG,43.92,35.14,18.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT MD,43.92,35.14,18.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT SM,43.92,35.14,18.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT XL,43.92,35.14,18.01,87.42,37
HCPCS,L3908,BRC WRIST FORMFIT 8IN RT XSM,41.48,33.19,17.01,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX LFT LG,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX LFT MD,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX LFT SM,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX LFT XL,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX RT LG,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX RT MD,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX RT SM,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST GELFLEX RT XL,36.4,29.12,14.92,87.42,37
HCPCS,L3908,BRC WRIST LACER *DISC 6305940*,48.62,38.9,19.93,87.42,37
HCPCS,L3908,BRC WRIST LACER *DISC 6305947*,62.65,50.12,25.69,87.42,37
HCPCS,L3908,BRC WRIST LACER *DISC 6305948*,62.65,50.12,25.69,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT LG,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT MD,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT SM,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT XL,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG LFT XS,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT LG,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT MD,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT SM,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT XL,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PHOMFIT LNG RT XS,23.3,18.64,9.55,87.42,37
HCPCS,L3908,BRC WRIST PRO 10 LFT XS*CIP*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305950*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305961*,35.08,28.07,14.38,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305962*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305963*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305964*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305965*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305966*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305967*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST PRO 10*DISC 6305968*,33.98,27.19,13.93,87.42,37
HCPCS,L3908,BRC WRIST QUICK-FIT LFT UNIV,44.04,35.24,18.06,87.42,37
HCPCS,L3908,BRC WRIST SOFT FIT RT SM,75.21,60.17,30.84,87.42,37
HCPCS,L3908,BRC WRIST SPECTRA 8IN LFT XL,44.23,35.39,18.13,87.42,36
HCPCS,L3908,BRC WRIST SUPP LFT REG *NLU*,28.5,22.8,11.69,87.42,37
HCPCS,L3908,BRC WRIST SUPP RT LG 3.5I*NLU*,117.43,93.95,48.15,105.69,37
HCPCS,L3908,BRC WRIST SUPP RT REG 3IN*NLU*,124.2,99.36,50.92,111.78,37
HCPCS,L3908,BRC WRIST THB SP*DISC 6305953*,30.73,24.59,12.6,87.42,37
HCPCS,L3908,BRC WRIST THB SP*DISC 6305954*,30.73,24.59,12.6,87.42,37
HCPCS,L3908,BRC WRIST THB SP*DISC 6305955*,30.73,24.59,12.6,87.42,37
HCPCS,L3908,BRC WRIST THB SP*DISC 6305957*,30.73,24.59,12.6,87.42,37
HCPCS,L3908,BRC WRIST THB SP*DISC 6305958*,30.73,24.59,12.6,87.42,37
HCPCS,L3908,BRC WRIST THB SP*DISC 6305959*,30.73,24.59,12.6,87.42,37
HCPCS,L3908,BRC WRIST THB TITAN LFT REG,31.88,25.51,13.07,87.42,37
HCPCS,L3908,BRC WRIST THB TITAN RT REG,25.7,20.56,10.54,87.42,37
HCPCS,L3908,BRC WRIST TITAN LFT REG,21.34,17.08,8.75,87.42,37
HCPCS,L3908,BRC WRIST TITAN RT REG,17.21,13.77,7.06,87.42,37
HCPCS,L3908,BRC WRIST U2 UNI*DISC 6305939*,63.44,50.76,26.01,87.42,37
HCPCS,L3908,BRC WRIST U2 UNI*DISC 6305940*,63.44,50.76,26.01,87.42,37
HCPCS,L3908,BRC WRIST UNIV LFT,54.05,43.24,22.16,87.42,37
HCPCS,L3908,BRC WRIST UNIV LFT 10IN,65.58,52.47,26.89,87.42,37
HCPCS,L3908,BRC WRIST UNIV PEDS LFT,38.55,30.84,15.81,87.42,37
HCPCS,L3908,BRC WRIST UNIV PEDS RT,38.55,30.84,15.81,87.42,37
HCPCS,L3908,BRC WRIST UNIV RT,54.05,43.24,22.16,87.42,37
HCPCS,L3908,BRC WRIST UNIV RT 10IN,65.58,52.47,26.89,87.42,37
HCPCS,L3908,BRC WRIST WRAP GEL LFT,208.8,167.04,62.75,187.92,37
HCPCS,L3908,BRC WRIST WRAP GEL RT,208.8,167.04,62.75,187.92,37
HCPCS,L3908,SPLNT WRISTTALON10.5BLKRTMD/LG,87.78,70.23,35.99,87.42,37
HCPCS,L3908,SPLNT WRISTTALON10.5BLKRTXS/SM,87.78,70.23,35.99,87.42,37
HCPCS,L3908,SPLNTWRISTTALON10.5BLKRTXL/2XL,87.78,70.23,35.99,87.42,37
HCPCS,L3908,SPLT TAILOR 1% BLK 1/8X18X24,158.8,127.04,62.75,142.92,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT LG,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT MD,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT SM,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT LFT XS,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT LG,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT MD,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT SM,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT THB SPI EXOS SHRT RT XS,49.28,39.43,20.2,87.42,37
HCPCS,L3908,SPLT WRIST FOREARM TITAN LFT,71.31,57.05,29.24,87.42,37
HCPCS,L3908,SPLT WRIST FOREARM TITAN RT,71.31,57.05,29.24,87.42,37
HCPCS,L3908,SPLT WRIST MICRO*DISC 6330407*,84.73,67.79,34.74,87.42,37
HCPCS,L3908,SPLT WRIST MICRO*DISC 6330408*,84.73,67.79,34.74,87.42,37
HCPCS,L3908,SPLT WRIST MODABBER LFT LNG,26.22,20.98,10.75,87.42,37
HCPCS,L3908,SPLT WRIST MODABBER RT LNG,25.31,20.25,10.38,87.42,37
HCPCS,L3908,SPLT WRIST MODABBER SHRT LFT,23.13,18.51,9.48,87.42,37
HCPCS,L3908,SPLT WRIST MODABBER SHRT RT,23.13,18.51,9.48,87.42,37
HCPCS,L3908,SPLT WRIST PIL-O-SPLINT ADJ,44.13,35.31,18.09,87.42,37
HCPCS,L3908,SPLT WRIST QUICKFITUNIV 8IN RT,44.04,35.24,18.06,87.42,37
HCPCS,L3908,SPLT WRIST TALON BLK LFT PEDS,87.11,69.69,35.72,87.42,37
HCPCS,L3908,SPLT WRIST TALON BLK RT PEDS,87.11,69.69,35.72,87.42,37
HCPCS,L3908,SPLT WRIST UNIV FM 9IN,70.46,56.37,28.89,87.42,37
HCPCS,L3908,SPLT WRIST W ABDUCT THB RT LG,118.65,94.92,48.65,106.79,37
HCPCS,L3908,SPLT WRISTTALON10.5BLKLFTMD/LG,87.78,70.23,35.99,87.42,37
HCPCS,L3908,SPLT WRISTTALON10.5BLKLFTXS/SM,87.78,70.23,35.99,87.42,37
HCPCS,L3908,SPLTWRISTTALON10.5BLKLFTXL/2XL,87.78,70.23,35.99,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299283*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299284*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299285*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299286*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299287*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299288*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299289*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6299290*,40.26,32.21,16.51,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305961*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305962*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305963*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305964*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305965*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305966*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305967*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST LOPRO*DISC 6305968*,33.49,26.8,13.73,87.42,37
HCPCS,L3908,SUPP WRIST W SWIVEL CLIP *NLU*,195.63,156.51,62.75,176.07,37
HCPCS,L3912,Hfo flexion glove pre ots,,,99.32,138.38,15
HCPCS,L3913,L3913 MC HAND BASED THUMBSPICA,378.13,302.51,155.03,397.4,37
HCPCS,L3913,L3913 MC HAND BASIC STATIC,378.13,302.51,155.03,397.4,37
HCPCS,L3915,Who nontorsion jnts pre cst,,,540.76,779.98,15
HCPCS,L3916,Who nontorsion jnts pre ots,,,540.76,779.98,15
HCPCS,L3917,BRC HAND METACARPAL LG*NLU*,279.99,224.0,107.43,251.99,37
HCPCS,L3917,BRC HAND METACARPAL MD*NLU*,279.99,224.0,107.43,251.99,37
HCPCS,L3917,BRC HAND METACARPAL SM*NLU*,279.99,224.0,107.43,251.99,37
HCPCS,L3917,BRC HAND METACARPAL XL*NLU*,279.99,224.0,107.43,251.99,37
HCPCS,L3918,Metacarp fx orthosis pre ots,,,107.43,154.95,15
HCPCS,L3919,HO w/o joints CF,,,275.5,397.4,15
HCPCS,L3921,HFO w/joint(s) CF,,,326.78,471.25,15
HCPCS,L3923,BRC HAND XTENDER BLK LNG,156.47,125.18,64.15,140.82,37
HCPCS,L3923,BRC HAND XTENDER BLK SHRT,156.47,125.18,64.15,140.82,37
HCPCS,L3923,SPLT THB CMC ABDCTN COOL LFTLG,196.48,157.19,80.56,176.83,37
HCPCS,L3923,SPLT THB CMC ABDCTN COOL LFTSM,262.0,209.6,91.11,235.8,37
HCPCS,L3923,SPLT THB CMC ABDCTN COOL RT LG,196.48,157.19,80.56,176.83,37
HCPCS,L3923,SPLT THB CMC ABDCTN COOL RT MD,196.48,157.19,80.56,176.83,37
HCPCS,L3923,SPLT THB CMC ABDCTN COOL RT SM,182.76,146.21,74.93,164.48,37
HCPCS,L3923,SPLT THB CMC GUARD RT LG,49.96,39.97,20.48,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL LFTLG,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL LFTMD,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL LFTSM,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL RT LG,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL RT MD,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL RT SM,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL RTLG+,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL RTMD+,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOL RTSM+,201.0,160.8,82.41,180.9,37
HCPCS,L3923,SPLT THB CMC RESTRC COOLLFTLG+,31.44,25.16,12.89,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOLLFTMD+,36.9,29.52,15.13,126.93,37
HCPCS,L3923,SPLT THB CMC RESTRC COOLLFTSM+,160.8,128.64,65.93,144.72,37
HCPCS,L3923,SPLT THB CMC RESTRCCOOLBGERTLG,201.0,160.8,82.41,180.9,37
HCPCS,L3923,SPLT THB COOL RESTRCT BLKLFTXL,160.8,128.64,65.93,144.72,37
HCPCS,L3923,SPLT THB COOL RESTRCT BLKRTXL,160.8,128.64,65.93,144.72,37
HCPCS,L3923,SPLT THB MCKIE N1 LFT NEO,36.4,29.12,14.92,126.93,37
HCPCS,L3923,SPLT THB MCKIE N1 RT NEO,36.4,29.12,14.92,126.93,37
HCPCS,L3923,SPLT THB MCKIE N2 LFT NEO,36.4,29.12,14.92,126.93,37
HCPCS,L3923,SPLT THB MCKIE N2 RT NEO,36.4,29.12,14.92,126.93,37
HCPCS,L3923,SPLT THB MCKIE N3 LFT NEO,36.4,29.12,14.92,126.93,37
HCPCS,L3923,SPLT THB MCKIE N3 RT NEO,36.4,29.12,14.92,126.93,37
HCPCS,L3923,SPLT THB MCKIE P1 LFT PEDS,39.2,31.36,16.07,126.93,37
HCPCS,L3923,SPLT THB MCKIE P2 RT PEDS,39.2,31.36,16.07,126.93,37
HCPCS,L3923,SPLT THB MCKIE P3 LFT PEDS,39.2,31.36,16.07,126.93,37
HCPCS,L3923,SPLT THB MCKIE P3 RT PEDS,33.6,26.88,13.78,126.93,37
HCPCS,L3923,SPLT THB PREFAB SZ1 LFT,111.72,89.38,45.81,126.93,37
HCPCS,L3923,SPLT THB PREFAB SZ1 RT,111.72,89.38,45.81,126.93,37
HCPCS,L3923,SPLT THB PREFAB SZ2 LFT,111.72,89.38,45.81,126.93,37
HCPCS,L3923,SPLT THB PREFAB SZ2 RT,111.72,89.38,45.81,126.93,37
HCPCS,L3923,SPLT THB PREFAB SZ3 LFT,111.72,89.38,45.81,126.93,37
HCPCS,L3923,SPLT THB PREFAB SZ3 RT,111.72,89.38,45.81,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK LFT LG,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK LFT MD,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK LFT SM,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK LFT XS,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK RT LG,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK RT MD,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK RT SM,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB SPI EXT BLK RT XS,53.96,43.17,22.12,126.93,37
HCPCS,L3923,SPLT THB W/STAYS,65.15,52.12,26.71,126.93,37
HCPCS,L3924,BRC TMB BREG LG 7.5-9IN,43.49,34.8,17.83,126.93,37
HCPCS,L3924,BRC TMB BREG SM 5-6.25IN,43.49,34.8,17.83,126.93,37
HCPCS,L3925,EXT SPRING LMB ACU SZA,30.28,24.23,12.41,72.03,37
HCPCS,L3925,EXT SPRING LMB ACU SZAA,31.36,25.09,12.86,72.03,37
HCPCS,L3925,EXT SPRING LMB ACU SZB,30.28,24.23,12.41,72.03,37
HCPCS,L3925,EXT SPRING LMB ACU SZC,30.28,24.23,12.41,72.03,37
HCPCS,L3925,EXT SPRING LMB ACU SZD,30.28,24.23,12.41,72.03,37
HCPCS,L3925,GLOVE TRAC EXER LFT LG/XL,74.79,59.84,30.66,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK LGPK5,14.74,11.8,6.04,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK MD,14.81,11.85,6.07,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK MDPK5,14.74,11.8,6.04,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK SM,76.68,61.35,31.44,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK SMPK5,15.29,12.24,6.27,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK XLPK5,15.29,12.24,6.27,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT BLK XS,17.71,14.17,7.26,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT WHT LGPK5,15.34,12.28,6.29,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT WHT MD,17.71,14.17,7.26,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT WHT MDPK5,15.34,12.28,6.29,72.03,37
HCPCS,L3925,SPLT FINGER EXT SHRT WHT SMPK5,15.34,12.28,6.29,72.03,37
HCPCS,L3925,SPLT KNUCKLE BENDER RVRS LG,19.19,15.36,7.87,72.03,37
HCPCS,L3925,SPLT KNUCKLE BENDER RVRS MD,19.19,15.36,7.87,72.03,37
HCPCS,L3925,SPLT KNUCKLE BENDER RVRS XL,19.19,15.36,7.87,72.03,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ10,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ11,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ12,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ13,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ14,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ15,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ2,5.94,4.76,2.44,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ3,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ4,6.22,4.98,2.55,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ5,6.22,4.98,2.55,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ6,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ7,6.15,4.92,2.52,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ8,6.19,4.96,2.54,51.33,37
HCPCS,L3927,SPLT FINGER OVAL 8 SZ9,6.15,4.92,2.52,51.33,37
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,81.87,114.07,15
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,81.87,114.07,15
HCPCS,L3931,WHFO nontorsion joint prefab,,,202.25,281.78,15
HCPCS,L3933,L3933 FINGER GUTTER SPLNT,186.09,148.88,76.3,313.06,37
HCPCS,L3935,L3935 MC FINGER ORTHOSIS,276.07,220.86,113.19,324.24,37
HCPCS,L3960,BRC SHLDR ARC 2.0,550.62,440.5,225.75,1072.38,37
HCPCS,L3961,SEWHO cap design w/o jnts CF,,,1709.18,2465.22,15
HCPCS,L3962,Sewho erbs palsey design abd,,,733.82,1046.94,15
HCPCS,L3967,SEWHO airplane w/o jnts CF,,,2017.94,2910.6,15
HCPCS,L3971,SEWHO cap design w/jnt(s) CF,,,1915.5,2762.78,15
HCPCS,L3973,SEWHO airplane w/jnt(s) CF,,,2017.94,2910.6,15
HCPCS,L3975,SEWHFO cap design w/o jnt CF,,,1709.18,2465.22,15
HCPCS,L3976,SEWHFO airplane w/o jnts CF,,,1709.18,2465.22,15
HCPCS,L3977,SEWHFO cap desgn w/jnt(s) CF,,,1915.5,2762.78,15
HCPCS,L3978,SEWHFO airplane w/jnt(s) CF,,,2017.94,2910.6,15
HCPCS,L3980,BRC HUMR FRAC LFT LG,381.29,305.04,156.33,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRDJOGLG,79.46,63.57,32.58,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRDJOGMD,79.46,63.57,32.58,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRDJOGXL,79.46,63.57,32.58,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRMARALG,398.36,318.69,163.33,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRMARAMD,398.36,318.69,163.33,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRMARASM,398.36,318.69,163.33,451.1,37
HCPCS,L3980,BRC HUMR FRAC OVER SHLDRMARAXL,489.83,391.87,200.83,451.1,37
HCPCS,L3980,BRC HUMR FRAC SHRT LG,563.36,450.69,230.98,507.02,37
HCPCS,L3980,BRC HUMR FRAC SHRT MD,563.36,450.69,230.98,507.02,37
HCPCS,L3980,BRC HUMR FRAC SHRT SM,563.36,450.69,230.98,507.02,37
HCPCS,L3980,BRC HUMR FX S*USE 6320059*,338.92,271.14,138.96,451.1,37
HCPCS,L3980,BRC HUMR FX S*USE 6320061*,103.28,82.63,42.34,451.1,37
HCPCS,L3980,BRC HUMR FX S*USE 6320062*,103.28,82.63,42.34,451.1,37
HCPCS,L3980,BRC HUMR FX SHLDR PEME SM,450.96,360.77,184.89,451.1,37
HCPCS,L3980,BRC SHLDR HUMR F*DISC 6340728*,539.55,431.64,221.22,485.6,37
HCPCS,L3980,BRC SHLDR HUMR F*DISC 6341844*,469.49,375.6,192.49,451.1,37
HCPCS,L3980,BRC SHLDR HUMR F*DISC 6342115*,469.49,375.6,192.49,451.1,37
HCPCS,L3980,BRC SHLDR HUMR F*DISC 6344925*,469.49,375.6,192.49,451.1,37
HCPCS,L3980,BRD HUMR FRAC UNIV MD,99.43,79.55,40.77,451.1,37
HCPCS,L3980,BRD HUMR FRAC UNIV SM,99.43,79.55,40.77,451.1,37
HCPCS,L3980,L3980 EXOS HUMR FRAC BRC,645.95,516.76,264.84,581.36,37
HCPCS,L3980,L3980 MC HUMR FX,788.87,631.1,323.44,709.98,37
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1023.97,1479.93,15
HCPCS,L3982,BRC ARM EXOS PEDS BLK LFT 2XS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM EXOS PEDS BLK LFT 3XS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM EXOS PEDS BLK LFT XS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM EXOS PEDS BLK RT 2XS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM EXOS PEDS BLK RT 3XS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM EXOS PEDS BLK RT XS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRAC BLK RT LG,114.59,91.68,46.98,557.77,37
HCPCS,L3982,BRC ARM FRAC EXOS LFT BLK XL,120.33,96.27,49.34,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRT RTLG,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRT RTMD,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRT RTSM,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRT RTXL,120.33,96.27,49.34,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRT RTXS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRTLFTLG,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRTLFTMD,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRTLFTSM,120.32,96.26,49.33,557.77,37
HCPCS,L3982,BRC ARM FRACOPEN BLK SHRTLFTXS,120.32,96.26,49.33,557.77,37
HCPCS,L3982,L3982 MC SHORT ARM FX  BRC,283.74,227.0,116.33,557.77,37
HCPCS,L3982,SPLT HAND FUNC PSTN WHT LFT MD,97.23,77.79,39.86,557.77,37
HCPCS,L3984,BRC WRIST BOXER FRAC LFT MD,120.32,96.26,49.33,577.09,37
HCPCS,L3984,BRC WRIST BOXER FRAC RT SM,120.32,96.26,49.33,577.09,37
HCPCS,L3984,BRC WRIST LNG TB SPI RT SM,87.14,69.72,35.73,577.09,37
HCPCS,L3984,BRC WRIST LNG THB SPI LFT LG,87.14,69.72,35.73,577.09,37
HCPCS,L3984,BRC WRIST LNG THB SPI LFT MD,87.14,69.72,35.73,577.09,37
HCPCS,L3984,BRC WRIST LNG THB SPI RT MD,87.14,69.72,35.73,577.09,37
HCPCS,L3984,L3984 MC WRIST BRC/THUMB SPICA,288.29,230.64,118.2,577.09,37
HCPCS,L3995,UNDERSLEEVE WRIST EXOS LG/XL,23.73,18.99,9.73,47.72,37
HCPCS,L3995,UNDERSLEEVE WRIST EXOS MD,23.73,18.99,9.73,47.72,37
HCPCS,L3995,UNDERSLEEVE WRIST EXOS XS/SM,23.73,18.99,9.73,47.72,37
HCPCS,L3999,L3999 MC BUBBLE SPLNT LG,395.91,316.73,109.94,356.32,28
HCPCS,L3999,L3999 MC BUBBLE SPLNT MD,395.91,316.73,109.94,356.32,28
HCPCS,L3999,L3999 MC BUBBLE SPLNT SM,395.91,316.73,109.94,356.32,28
HCPCS,L3999,L3999 MC ELBOW SPLNT,358.89,287.12,99.66,323.0,28
HCPCS,L3999,SPLT HAND FUNC PSTN WHT LFT SM,29.32,23.46,8.14,26.39,28
HCPCS,L3999,STRAP ARM WRIST THB SUPINATOR,35.08,28.07,9.74,31.57,28
HCPCS,L3999,STRAP ELBOW TENNIS BANDIT UNIV,35.0,28.0,9.72,31.5,28
HCPCS,L3999,STRAP SUPINATOR PEDS MD*NLU*,23.8,19.04,6.61,21.42,28
HCPCS,L3999,STRAP SUPINATOR PEDS SM*NLU*,21.0,16.8,5.83,18.9,28
HCPCS,L3999,STRAP SUPINATOR PEDS XS*NLU*,19.6,15.68,5.44,17.64,28
HCPCS,L3999,WDG ARM CONT FM 2.5X5,15.36,12.29,4.27,13.82,28
HCPCS,L4000,Repl girdle milwaukee orth,,,1477.07,2156.26,15
HCPCS,L4002,BAND CALF PAD WALKON RT*NLU*,351.0,280.8,37.4,315.9,28
HCPCS,L4002,L4002 REPL STRAP ANY ORTHOSIS,21.63,17.31,6.01,37.4,28
HCPCS,L4010,Replace trilateral socket br,,,778.6,1084.8,15
HCPCS,L4020,Replace quadlat socket brim,,,921.84,1284.37,15
HCPCS,L4030,Replace socket brim cust fit,,,540.36,752.86,15
HCPCS,L4040,Replace molded thigh lacer,,,456.05,635.39,15
HCPCS,L4045,Replace non-molded thigh lac,,,342.85,588.78,15
HCPCS,L4050,Replace molded calf lacer,,,441.85,615.61,15
HCPCS,L4055,Replace non-molded calf lace,,,279.4,398.63,15
HCPCS,L4060,Replace high roll cuff,,,363.19,631.86,15
HCPCS,L4070,Replace prox & dist upright,,,294.14,419.65,15
HCPCS,L4080,Repl met band kafo-afo prox,,,108.25,150.82,15
HCPCS,L4090,Repl met band kafo-afo calf/,,,94.48,134.66,15
HCPCS,L4100,Repl leath cuff kafo prox th,,,111.63,155.54,15
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,88.63,128.12,15
HCPCS,L4130,Replace pretibial shell,,,535.76,850.23,15
HCPCS,L4205,L4205 ORTHO DEV REPAIR 1*NLU*,56.0,44.8,15.55,50.4,37
HCPCS,L4210,PAD REPL COLAR VISTA CTO CTO4,268.4,214.72,18.32,241.56,28
HCPCS,L4210,PAD REPL SET ASPEN CTO,99.0,79.2,18.32,89.1,28
HCPCS,L4210,PAD REPL SET MI J REG,15.9,12.72,4.42,18.32,28
HCPCS,L4210,PAD SET REPL ECLIPSE COLAR,317.9,254.32,18.32,286.11,28
HCPCS,L4350,ANK CTRL ORTHO PNEUM GEL *NLU*,100.18,80.15,41.07,133.29,36
HCPCS,L4350,BRC ANK AIR-STIRRUP CUST *NLU*,427.2,341.76,95.67,384.48,74
HCPCS,L4350,BRC ANK AIR-STIRRUP LFT LG,112.42,89.94,46.09,133.29,37
HCPCS,L4350,BRC ANK AIR-STIRRUP LFT SM,115.53,92.43,47.37,133.29,37
HCPCS,L4350,BRC ANK AIR-STIRRUP RT LG,112.42,89.94,46.09,133.29,37
HCPCS,L4350,BRC ANK AIR-STIRRUP RT PEDS,115.53,92.43,47.37,133.29,37
HCPCS,L4350,BRC ANK STIRRUP AIRFORM YTHLFT,80.52,64.42,33.01,133.29,37
HCPCS,L4350,BRC ANK STIRRUP AIRFORMYTHRT,80.52,64.42,33.01,133.29,37
HCPCS,L4350,BRC ANK STIRRUP KOOLAIR UNIV,78.81,63.05,32.31,133.29,37
HCPCS,L4350,BRC ANK STIRRUP PLUS UNIV,72.41,57.93,29.69,133.29,37
HCPCS,L4350,BRC ANK STIRRUPFORMFIT ADLTLFT,89.0,71.2,36.49,133.29,37
HCPCS,L4350,BRC ANK STIRUP AIR-GELBLK*CIP*,97.23,77.79,39.86,133.29,37
HCPCS,L4350,BRC ANK VALV KOOLAIR REG,81.62,65.3,33.46,133.29,37
HCPCS,L4360,BOOT WLK ACHILLES HITOP AIR MD,471.06,376.85,193.13,445.55,37
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY LG,260.9,208.72,106.97,445.55,37
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY MD,260.9,208.72,106.97,445.55,37
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY SM,260.9,208.72,106.97,445.55,37
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY XL,260.9,208.72,106.97,445.55,37
HCPCS,L4360,BOOT WLK GENESIS 4STRAP GRY XS,260.9,208.72,106.97,445.55,37
HCPCS,L4360,BOOT WLK PNEUMAT*DISC 6333056*,361.75,289.4,148.32,445.55,37
HCPCS,L4360,BOOT WLK PNEUMAT*DISC 6333057*,361.75,289.4,148.32,445.55,37
HCPCS,L4360,BOOT WLK PROGAIT STD MD*CIP*,360.88,288.71,147.96,445.55,37
HCPCS,L4360,BOOT WLK PROGAIT STD SM*CIP*,360.88,288.71,147.96,445.55,37
HCPCS,L4360,BOOT WLK PROGAIT STD XL*CIP*,360.88,288.71,147.96,445.55,37
HCPCS,L4360,BOOT WLK PROGAIT*DISC 6333298*,360.88,288.71,147.96,445.55,37
HCPCS,L4360,BOOT WLK PROGAIT*DISC 6333301*,360.88,288.71,147.96,445.55,37
HCPCS,L4360,BOOT WLK REBOUND SHRT LG,269.62,215.7,110.54,445.55,37
HCPCS,L4360,BOOT WLK REBOUND SHRT MD,269.62,215.7,110.54,445.55,37
HCPCS,L4360,BOOT WLK REBOUND SHRT SM,269.62,215.7,110.54,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR SHRT LG,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR SHRT MD,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR SHRT SM,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL LG,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL MD,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL SM,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK SOFTGAIT AIR TALL XL,140.3,112.24,57.52,445.55,37
HCPCS,L4360,BOOT WLK VECTRA *DISC 6348845*,202.89,162.32,83.18,445.55,37
HCPCS,L4360,BOOT WLK VECTRA *DISC 6348847*,202.89,162.32,83.18,445.55,37
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348840*,202.89,162.32,83.18,445.55,37
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348841*,202.89,162.32,83.18,445.55,37
HCPCS,L4360,BOOT WLKVECTRABA*DISC 6348846*,202.89,162.32,83.18,445.55,37
HCPCS,L4361,BOOT AFO PEDS CAM SM,270.84,216.68,111.04,445.55,37
HCPCS,L4361,BOOT CAST TCC-EZ TRANSMET LG,416.5,333.2,170.77,445.55,37
HCPCS,L4361,BOOT WLK AIR FORMFIT STD XL,142.74,114.2,58.52,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT ELITE MD,367.15,293.72,150.53,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT ELITE SM,367.15,293.72,150.53,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT ELITE XL,367.15,293.72,150.53,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT STD LG,258.95,207.16,106.17,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT STD MD,258.95,207.16,106.17,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT STD SM,258.95,207.16,106.17,445.55,37
HCPCS,L4361,BOOT WLK AIRSELECT STD XS,258.95,207.16,106.17,445.55,37
HCPCS,L4361,BOOT WLK DIABETIC XP LG,478.8,383.04,196.31,445.55,37
HCPCS,L4361,BOOT WLK FT DEFENDER LG,675.0,540.0,276.75,607.5,37
HCPCS,L4361,BOOT WLK GENESIS SHRT XS,260.9,208.72,106.97,445.55,37
HCPCS,L4361,BOOT WLK SOFTGAIT AIR SHRT XS,135.24,108.2,55.45,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTLG,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTMD,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTSM,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTXL,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR SHRTXS,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLLG,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLMD,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLSM,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLXL,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK VECTRA PRO AIR TALLXS,244.92,195.94,100.42,445.55,37
HCPCS,L4361,BOOT WLK WEE WLK PEDS LG*CIP*,201.73,161.39,82.71,445.55,37
HCPCS,L4361,BOOT WLK WEE WLK PEDS XL*CIP*,201.73,161.39,82.71,445.55,37
HCPCS,L4361,BOOT WLK WEE WLKPEDSSM/MD*CIP*,201.73,161.39,82.71,445.55,37
HCPCS,L4370,Pneum full leg splnt pre ots,,,221.62,308.77,15
HCPCS,L4386,BOOT AFO PEDS CAM LG,270.84,216.68,111.04,255.61,37
HCPCS,L4386,BOOT AFO PEDS CAM MD,383.94,307.16,157.42,345.55,37
HCPCS,L4386,BOOT WLK NEXTEP CONTOUR2 MD,194.16,155.33,79.61,255.61,37
HCPCS,L4386,BOOT WLK NEXTEP CONTOUR2 SM,223.5,178.8,91.64,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLLG,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLMD,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLSM,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLXL,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT FRAC TALLXS,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT LG,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT MD,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT SM,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT XL,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK SOFTGAIT SHRT XS,113.16,90.53,46.4,255.61,37
HCPCS,L4386,BOOT WLK VECTRA SHRT LG,218.5,174.8,89.59,255.61,37
HCPCS,L4386,BOOT WLK VECTRA SHRT MD,218.5,174.8,89.59,255.61,37
HCPCS,L4387,BOOT CAST TCC-EZ CHARCOT LG,430.37,344.3,176.45,387.33,37
HCPCS,L4387,BOOT CAST TCC-EZ CHARCOT XL,453.5,362.8,177.23,408.15,37
HCPCS,L4387,BOOT CAST TCC-EZ LG,374.83,299.87,153.68,337.35,37
HCPCS,L4387,BOOT CAST TCC-EZ REG,353.97,283.18,145.13,318.57,37
HCPCS,L4387,BOOT CAST TCC-EZ XL,393.31,314.65,161.26,353.98,37
HCPCS,L4387,BOOT PROGAIT PLUS EZ SET BLK L,363.98,291.19,149.23,327.58,37
HCPCS,L4387,BOOT PROGAIT PLUS EZ SET BLK M,434.69,347.76,177.23,391.22,37
HCPCS,L4387,BOOT PROGAIT PLUS EZ SET BLK S,434.69,347.76,177.23,391.22,37
HCPCS,L4387,BOOT PROGAIT PLUS EZ SETBLK XL,434.69,347.76,177.23,391.22,37
HCPCS,L4387,BOOT PROGAIT PLUS EZ SETBLK XS,434.69,347.76,177.23,391.22,37
HCPCS,L4387,BOOT VECTRA WEE WLKER PEDS LG,251.2,200.96,102.99,255.61,37
HCPCS,L4387,BOOT VECTRA WEE WLKER PEDS MD,251.2,200.96,102.99,255.61,37
HCPCS,L4387,BOOT VECTRA WEE WLKER PEDS SM,251.2,200.96,102.99,255.61,37
HCPCS,L4387,BOOT WLK NEXTEP CONTOUR2 LG,198.68,158.95,81.46,255.61,37
HCPCS,L4392,Replace AFO soft interface,,,26.3,37.29,15
HCPCS,L4394,Replace foot drop spint,,,19.19,27.17,15
HCPCS,L4396,BOOT AFO APU HD BLK STD BRTRC,2022.72,1618.18,187.58,1820.45,37
HCPCS,L4396,BOOT AFO PRAFO KODEL STD ADLT,483.75,387.0,187.58,435.38,37
HCPCS,L4396,BOOT AFO PRAFO KODEL STD PEDS,483.75,387.0,187.58,435.38,37
HCPCS,L4396,BOOT AFO RAFO KODEL GRY ADLT,422.69,338.16,173.3,380.42,37
HCPCS,L4396,BOOT AFO RAFO KODEL GRY INFANT,483.75,387.0,187.58,435.38,37
HCPCS,L4396,BOOT AFO RAFO KODEL GRY PEDS,483.75,387.0,187.58,435.38,37
HCPCS,L4396,BOOT AFO RAPOPRAFOKODELBLKPEDS,483.75,387.0,187.58,435.38,37
HCPCS,L4396,BOOT ORTHS PRAFO L,298.84,239.08,122.52,268.96,37
HCPCS,L4396,BOOT ORTHS PRAFO MD,284.58,227.67,116.68,265.69,37
HCPCS,L4396,BOOTAFOPRAFOKODE*DISC 6350227*,540.0,432.0,187.58,486.0,37
HCPCS,L4396,BRC FT ANK PODUS ATTACHSM7-8IN,385.02,308.02,157.86,346.52,37
HCPCS,L4396,BRC FT ANK PODUSTODDLER4.5-6IN,290.3,232.24,119.02,265.69,37
HCPCS,L4396,L4396 STATIC DYNAMIC AFOPRECST,216.48,173.19,88.76,265.69,37
HCPCS,L4396,SPLT DORSAL OVATION NIGHTLG/XL,121.7,97.36,49.9,265.69,37
HCPCS,L4396,SPLT FT NIGHT SM/MED,167.75,134.2,68.78,265.69,37
HCPCS,L4397,Static or dynami afo pre ots,,,187.58,265.69,15
HCPCS,L4398,SPLT DORSAL EXOFORM NIGHT MD,195.2,156.16,80.03,175.68,37
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1592.69,2219.04,15
HCPCS,L5000,Sho insert w arch toe filler,,,576.11,802.67,15
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1522.89,2121.78,15
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2671.96,3722.74,15
HCPCS,L5050,Ank symes mold sckt sach ft,,,2838.73,3955.1,15
HCPCS,L5060,Symes met fr leath socket ar,,,3782.94,5360.82,15
HCPCS,L5100,Molded socket shin sach foot,,,2650.07,3692.25,15
HCPCS,L5105,Plast socket jts/thgh lacer,,,4312.21,6054.2,15
HCPCS,L5150,Mold sckt ext knee shin sach,,,4435.07,6179.21,15
HCPCS,L5160,Mold socket bent knee shin s,,,4884.17,6804.93,15
HCPCS,L5200,Kne sing axis fric shin sach,,,3766.72,5248.03,15
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2982.32,4155.15,15
HCPCS,L5220,No knee joint with artic ali,,,3436.39,4787.79,15
HCPCS,L5230,Fem focal defic constant fri,,,5340.62,8057.94,15
HCPCS,L5250,Hip canad sing axi cons fric,,,6262.03,10353.79,15
HCPCS,L5270,Tilt table locking hip sing,,,6778.73,9444.55,15
HCPCS,L5280,Hemipelvect canad sing axis,,,6782.03,10728.23,15
HCPCS,L5301,BK mold socket SACH ft endo,,,2639.58,3677.62,15
HCPCS,L5312,"Knee disart, SACH ft, endo",,,4158.5,5793.89,15
HCPCS,L5321,AK open end SACH,,,3747.6,5221.39,15
HCPCS,L5331,Hip disart canadian SACH ft,,,5860.29,8900.03,15
HCPCS,L5341,Hemipelvectomy canadian SACH,,,6229.42,9636.92,15
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1399.33,1949.64,15
HCPCS,L5410,Postop dsg bk ea add cast ch,,,476.41,663.76,15
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,1949.22,2715.78,15
HCPCS,L5430,Postop dsg ak ea add cast ch,,,573.78,799.43,15
HCPCS,L5450,DRSG TRANSTIB LIMGUARD LG,205.47,164.38,84.24,778.37,37
HCPCS,L5450,DRSG TRANSTIB LIMGUARD MD,205.47,164.38,84.24,778.37,37
HCPCS,L5450,DRSG TRANSTIB LIMGUARD XL,205.47,164.38,84.24,778.37,36
HCPCS,L5460,PROTECT AMPUTATION ROOKE AK,1972.45,1577.96,654.33,1775.21,37
HCPCS,L5500,Init bk ptb plaster direct,,,1651.58,2687.79,15
HCPCS,L5505,Init ak ischal plstr direct,,,2245.57,3128.67,15
HCPCS,L5510,Prep BK ptb plaster molded,,,1922.12,2678.01,15
HCPCS,L5520,Perp BK ptb thermopls direct,,,1639.71,2284.55,15
HCPCS,L5530,Prep BK ptb thermopls molded,,,2157.9,3006.52,15
HCPCS,L5535,Prep BK ptb open end socket,,,1933.61,2694.03,15
HCPCS,L5540,Prep BK ptb laminated socket,,,2294.61,3227.02,15
HCPCS,L5560,Prep AK ischial plast molded,,,2614.59,3772.68,15
HCPCS,L5570,Prep AK ischial direct form,,,2537.55,4082.7,15
HCPCS,L5580,Prep AK ischial thermo mold,,,3149.48,4585.89,15
HCPCS,L5585,Prep AK ischial open end,,,3300.09,4597.9,15
HCPCS,L5590,Prep AK ischial laminated,,,3283.64,4877.32,15
HCPCS,L5595,Hip disartic sach thermopls,,,4591.13,6396.65,15
HCPCS,L5600,Hip disart sach laminat mold,,,5069.99,7063.83,15
HCPCS,L5610,Above knee hydracadence,,,2816.79,4259.41,15
HCPCS,L5611,Ak 4 bar link w/fric swing,,,1794.06,3412.77,15
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,2728.87,4880.81,15
HCPCS,L5614,4-bar link above knee w/swng,,,1889.92,2725.93,15
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6301.29,10301.18,15
HCPCS,L5616,Ak univ multiplex sys frict,,,1645.42,2833.14,15
HCPCS,L5617,AK/BK self-aligning unit ea,,,626.64,901.05,15
HCPCS,L5618,Test socket symes,,,320.67,446.78,15
HCPCS,L5620,Test socket below knee,,,317.0,441.66,15
HCPCS,L5622,Test socket knee disarticula,,,413.36,575.92,15
HCPCS,L5624,Test socket above knee,,,415.83,579.37,15
HCPCS,L5626,Test socket hip disarticulat,,,543.65,757.44,15
HCPCS,L5628,Test socket hemipelvectomy,,,550.52,767.01,15
HCPCS,L5629,Below knee acrylic socket,,,353.87,504.86,15
HCPCS,L5630,Syme typ expandabl wall sckt,,,558.86,778.63,15
HCPCS,L5631,Ak/knee disartic acrylic soc,,,489.25,698.01,15
HCPCS,L5632,Symes type ptb brim design s,,,301.55,433.62,15
HCPCS,L5634,Symes type poster opening so,,,377.11,644.33,15
HCPCS,L5636,Symes type medial opening so,,,288.25,539.71,15
HCPCS,L5637,Below knee total contact,,,329.4,458.95,15
HCPCS,L5638,Below knee leather socket,,,722.53,1030.83,15
HCPCS,L5639,Below knee wood socket,,,1248.43,2374.87,15
HCPCS,L5640,Knee disarticulat leather so,,,820.6,1354.44,15
HCPCS,L5642,Above knee leather socket,,,760.67,1312.36,15
HCPCS,L5643,Hip flex inner socket ext fr,,,2243.6,3296.82,15
HCPCS,L5644,Above knee wood socket,,,657.69,1251.09,15
HCPCS,L5645,Bk flex inner socket ext fra,,,1091.06,1690.08,15
HCPCS,L5646,Below knee cushion socket,,,691.43,1127.43,15
HCPCS,L5647,Below knee suction socket,,,885.75,1542.96,15
HCPCS,L5648,Above knee cushion socket,,,816.98,1394.56,15
HCPCS,L5649,Isch containmt/narrow m-l so,,,2417.28,3367.9,15
HCPCS,L5650,Tot contact ak/knee disart s,,,543.6,1034.06,15
HCPCS,L5651,Ak flex inner socket ext fra,,,1592.67,2543.76,15
HCPCS,L5652,Suction susp ak/knee disart,,,485.47,923.49,15
HCPCS,L5653,Knee disart expand wall sock,,,757.47,1232.79,15
HCPCS,L5654,Socket insert symes,,,380.18,529.69,15
HCPCS,L5655,Socket insert below knee,,,302.43,421.37,15
HCPCS,L5656,Socket insert knee articulat,,,436.47,608.11,15
HCPCS,L5658,Socket insert above knee,,,475.2,662.08,15
HCPCS,L5661,Multi-durometer symes,,,693.89,966.77,15
HCPCS,L5665,Multi-durometer below knee,,,583.82,813.42,15
HCPCS,L5666,PROTECT LIMBCUFF WHT LG/XL,186.9,149.52,76.63,168.21,37
HCPCS,L5668,Bk molded distal cushion,,,115.15,160.43,15
HCPCS,L5670,Bk molded supracondylar susp,,,302.15,574.77,15
HCPCS,L5671,BK/AK locking mechanism,,,553.88,1053.63,15
HCPCS,L5672,Bk removable medial brim sus,,,399.84,631.62,15
HCPCS,L5673,Socket insert w lock mech,,,863.93,1203.68,15
HCPCS,L5676,Bk knee joints single axis p,,,403.5,711.98,15
HCPCS,L5677,Bk knee joints polycentric p,,,562.19,783.28,15
HCPCS,L5678,Bk joint covers pair,,,44.21,82.08,15
HCPCS,L5679,LNR PROS CUSH ALPHA HYBRID MD,2037.42,1629.94,719.9,1833.68,37
HCPCS,L5680,Bk thigh lacer non-molded,,,338.92,590.33,15
HCPCS,L5681,Intl custm cong/latyp insert,,,1473.22,2129.14,15
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,696.37,993.52,15
HCPCS,L5683,Initial custom socket insert,,,1473.22,2129.14,15
HCPCS,L5684,Bk fork strap,,,53.6,77.97,15
HCPCS,L5685,SLV THIGH DERMA PROFLEX SLVR1,397.2,317.76,143.48,357.48,37
HCPCS,L5685,SLV THIGH DERMA PROFLEX SLVR2,397.2,317.76,143.48,357.48,37
HCPCS,L5686,Bk back check,,,64.46,95.88,15
HCPCS,L5688,Bk waist belt webbing,,,68.47,97.05,15
HCPCS,L5690,Bk waist belt padded and lin,,,111.58,155.46,15
HCPCS,L5692,Ak pelvic control belt light,,,147.96,218.45,15
HCPCS,L5694,Ak pelvic control belt pad/l,,,202.01,321.29,15
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,181.59,314.98,15
HCPCS,L5696,Ak/knee disartic pelvic join,,,210.97,293.93,15
HCPCS,L5697,Ak/knee disartic pelvic band,,,99.74,138.96,15
HCPCS,L5698,Ak/knee disartic silesian ba,,,118.94,165.71,15
HCPCS,L5699,Shoulder harness,,,212.6,296.21,15
HCPCS,L5700,Replace socket below knee,,,3235.54,4507.96,15
HCPCS,L5701,Replace socket above knee,,,4261.84,6016.83,15
HCPCS,L5702,Replace socket hip,,,5371.4,8292.9,15
HCPCS,L5703,Symes ankle w/o (SACH) foot,,,2579.83,3594.38,15
HCPCS,L5704,Custom shape cover BK,,,675.19,940.72,15
HCPCS,L5705,Custom shape cover AK,,,1146.44,1597.29,15
HCPCS,L5706,Custom shape cvr knee disart,,,1131.21,1576.08,15
HCPCS,L5707,Custom shape cvr hip disart,,,1560.71,2174.48,15
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,400.48,674.22,15
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,595.38,829.53,15
HCPCS,L5712,Knee-shin exo frict swg & st,,,479.81,684.54,15
HCPCS,L5714,Knee-shin exo variable frict,,,488.2,806.31,15
HCPCS,L5716,Knee-shin exo mech stance ph,,,965.35,1543.81,15
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1032.26,1929.61,15
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1145.25,1595.64,15
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1798.86,2506.29,15
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,1983.51,2763.54,15
HCPCS,L5728,Knee-shin fluid swg & stance,,,2699.46,4550.34,15
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1310.5,1825.87,15
HCPCS,L5781,Lower limb pros vacuum pump,,,4481.23,6463.47,15
HCPCS,L5782,HD low limb pros vacuum pump,,,4724.23,6813.95,15
HCPCS,L5783,Add low ext mec limb vol lam,,,2933.89,4087.67,13
HCPCS,L5785,Exoskeletal bk ultralt mater,,,578.53,825.38,15
HCPCS,L5790,Exoskeletal ak ultra-light m,,,819.85,1142.27,15
HCPCS,L5795,Exoskel hip ultra-light mate,,,1195.56,1705.71,15
HCPCS,L5810,Endoskel knee-shin mnl lock,,,616.35,858.74,15
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,879.04,1500.76,15
HCPCS,L5812,Endo knee-shin frct swg & st,,,661.52,1104.7,15
HCPCS,L5814,Endo knee-shin hydral swg ph,,,4159.45,5999.36,15
HCPCS,L5816,Endo knee-shin polyc mch sta,,,946.98,1801.41,15
HCPCS,L5818,Endo knee-shin frct swg & st,,,1069.33,2034.15,15
HCPCS,L5822,Endo knee-shin pneum swg frc,,,1961.66,2992.12,15
HCPCS,L5824,Endo knee-shin fluid swing p,,,1854.33,3248.37,15
HCPCS,L5826,Miniature knee joint,,,3497.58,5044.74,15
HCPCS,L5827,Endo knee shin single axis,,,6945.7,7676.82,9
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3300.26,5044.82,15
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2163.63,3014.5,15
HCPCS,L5840,Multi-axial knee/shin system,,,4367.59,6199.77,15
HCPCS,L5841,Addition endoskletl knee-shi,,,3016.75,4203.13,13
HCPCS,L5845,Knee-shin sys stance flexion,,,2007.41,2895.35,15
HCPCS,L5848,Knee-shin sys hydraul stance,,,1204.34,1737.01,15
HCPCS,L5850,Endo ak/hip knee extens assi,,,142.44,270.95,15
HCPCS,L5855,Mech hip extension assist,,,343.89,650.43,15
HCPCS,L5856,Elec knee-shin swing/stance,,,26885.91,38751.46,15
HCPCS,L5857,Elec knee-shin swing only,,,9540.13,13732.85,15
HCPCS,L5858,Stance phase only,,,20814.95,30022.28,15
HCPCS,L5859,Knee-shin pro flex/ext cont,,,16250.03,23438.12,15
HCPCS,L5910,Endo below knee alignable sy,,,403.28,767.16,15
HCPCS,L5920,Endo ak/hip alignable system,,,590.82,1116.15,15
HCPCS,L5925,Above knee manual lock,,,374.15,711.73,15
HCPCS,L5926,Endoskel posit rotat unit,,,687.77,958.25,15
HCPCS,L5930,High activity knee frame,,,3769.74,5420.29,15
HCPCS,L5940,Endo bk ultra-light material,,,558.54,1062.51,15
HCPCS,L5950,Endo ak ultra-light material,,,866.31,1284.21,15
HCPCS,L5960,Endo hip ultra-light materia,,,1099.23,1531.51,15
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5345.93,8145.66,15
HCPCS,L5962,Below knee flex cover system,,,654.5,1189.57,15
HCPCS,L5964,Above knee flex cover system,,,1206.6,1681.12,15
HCPCS,L5966,Hip flexible cover system,,,1534.4,2137.83,15
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4069.86,5870.19,15
HCPCS,L5969,Ak/ft power asst incl motors,,,12338.23,12338.23,2
HCPCS,L5970,Foot external keel sach foot,,,243.28,360.71,15
HCPCS,L5971,"SACH foot, replacement",,,243.28,360.71,15
HCPCS,L5972,Flexible keel foot,,,443.16,699.39,15
HCPCS,L5973,Ank-foot sys dors-plant flex,,,19773.03,28173.98,15
HCPCS,L5974,Foot single axis ankle/foot,,,259.48,375.37,15
HCPCS,L5975,Combo ankle/foot prosthesis,,,519.22,748.88,15
HCPCS,L5976,Energy storing foot,,,658.18,960.59,15
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,332.75,463.6,15
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2792.4,4387.89,15
HCPCS,L5980,Flex foot system,,,4254.47,7853.62,15
HCPCS,L5981,Flex-walk sys low ext prosth,,,3683.56,5132.17,15
HCPCS,L5982,Exoskeletal axial rotation u,,,717.91,1224.56,15
HCPCS,L5984,Endoskeletal axial rotation,,,687.77,958.25,15
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,316.27,454.68,15
HCPCS,L5986,Multi-axial rotation unit,,,868.68,1342.28,15
HCPCS,L5987,Shank ft w vert load pylon,,,8056.83,11620.68,15
HCPCS,L5988,Vertical shock reducing pylo,,,2237.36,3226.96,15
HCPCS,L5990,User adjustable heel height,,,2031.8,2930.62,15
HCPCS,L5991,Low pros ext osseo connector,,,10691.72,15253.89,15
HCPCS,L5999,SOCK STUMP 18IN 6X5,15.41,12.33,4.28,13.87,28
HCPCS,L5999,SOCK STUMP 18IN 8X6,119.56,95.65,33.2,107.6,28
HCPCS,L5999,SOCK STUMP 18IN 9X7,136.09,108.88,37.79,122.48,28
HCPCS,L6000,Durable Medical Equipment (DME),,,1594.75,2110.81,4
HCPCS,L6000,Outpatient Services,,,1515.01,1674.49,9
HCPCS,L6000,Outpatient Services - CPT/HCPCS,,,1972.68,1972.68,2
HCPCS,L6010,Durable Medical Equipment (DME),,,1889.43,2500.85,4
HCPCS,L6010,Outpatient Services,,,1794.96,1983.9,9
HCPCS,L6010,Outpatient Services - CPT/HCPCS,,,2195.27,2195.27,2
HCPCS,L6020,Durable Medical Equipment (DME),,,1682.06,2226.37,4
HCPCS,L6020,Outpatient Services,,,1597.96,1766.16,9
HCPCS,L6020,Outpatient Services - CPT/HCPCS,,,2046.73,2046.73,2
HCPCS,L6026,Part hand myo exclu term dev,,,4871.74,7566.84,15
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2330.96,3247.64,15
HCPCS,L6055,Wrst mold sock w/exp interfa,,,3227.12,4496.23,15
HCPCS,L6100,Elb mold sock flex hinge pad,,,2307.17,3214.49,15
HCPCS,L6110,Elbow mold sock suspension t,,,2381.1,3317.5,15
HCPCS,L6120,Elbow mold doub splt soc ste,,,2989.53,4165.2,15
HCPCS,L6130,Elbow stump activated lock h,,,3225.37,4493.79,15
HCPCS,L6200,Elbow mold outsid lock hinge,,,3476.85,4844.16,15
HCPCS,L6205,Elbow molded w/ expand inter,,,4258.33,5932.97,15
HCPCS,L6250,Elbow inter loc elbow forarm,,,3095.62,4313.02,15
HCPCS,L6300,Shlder disart int lock elbow,,,4539.15,6324.23,15
HCPCS,L6310,Shoulder passive restor comp,,,3460.15,4820.9,15
HCPCS,L6320,Shoulder passive restor cap,,,2077.37,2894.32,15
HCPCS,L6350,Thoracic intern lock elbow,,,5215.48,7266.54,15
HCPCS,L6360,Thoracic passive restor comp,,,3631.83,5060.1,15
HCPCS,L6370,Thoracic passive restor cap,,,2315.9,3226.66,15
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1327.76,1849.92,15
HCPCS,L6382,Postop dsg cast chg elb dis/,,,1804.61,2514.3,15
HCPCS,L6384,Postop dsg cast chg shlder/t,,,2388.76,3486.63,15
HCPCS,L6386,Postop ea cast chg & realign,,,457.9,637.98,15
HCPCS,L6388,Postop applicat rigid dsg on,,,576.46,803.16,15
HCPCS,L6400,Below elbow prosth tiss shap,,,3047.58,4915.03,15
HCPCS,L6450,Elb disart prosth tiss shap,,,3983.04,6530.55,15
HCPCS,L6500,Above elbow prosth tiss shap,,,3911.26,6422.0,15
HCPCS,L6550,Shldr disar prosth tiss shap,,,5065.89,8032.7,15
HCPCS,L6570,Scap thorac prosth tiss shap,,,5655.41,8357.9,15
HCPCS,L6580,Wrist/elbow bowden cable mol,,,2144.9,2988.41,15
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1899.07,2915.28,15
HCPCS,L6584,Elbow fair lead cable molded,,,2333.84,3251.65,15
HCPCS,L6586,Elbow fair lead cable dir fo,,,2428.27,3383.21,15
HCPCS,L6588,Shdr fair lead cable molded,,,3222.88,4490.33,15
HCPCS,L6590,Shdr fair lead cable direct,,,3232.38,4503.56,15
HCPCS,L6600,Polycentric hinge pair,,,213.88,298.0,15
HCPCS,L6605,Single pivot hinge pair,,,211.19,294.24,15
HCPCS,L6610,Flexible metal hinge pair,,,193.27,269.27,15
HCPCS,L6611,"Additional switch, ext power",,,461.11,665.1,15
HCPCS,L6615,Disconnect locking wrist uni,,,222.61,310.16,15
HCPCS,L6616,Disconnect insert locking wr,,,72.23,103.04,15
HCPCS,L6620,Flexion/extension wrist unit,,,387.89,540.44,15
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2561.72,3694.9,15
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,731.41,1019.05,15
HCPCS,L6624,Flex/ext/rotation wrist unit,,,4217.9,6083.74,15
HCPCS,L6625,Rotation wrst w/ cable lock,,,592.22,844.92,15
HCPCS,L6628,Quick disconn hook adapter o,,,637.47,1014.71,15
HCPCS,L6629,Lamination collar w/ couplin,,,209.0,291.19,15
HCPCS,L6630,Stainless steel any wrist,,,245.75,342.39,15
HCPCS,L6632,Latex suspension sleeve each,,,72.34,137.61,15
HCPCS,L6635,Lift assist for elbow,,,231.26,329.09,15
HCPCS,L6637,Nudge control elbow lock,,,418.68,583.34,15
HCPCS,L6638,Elec lock on manual pw elbow,,,2800.76,4039.67,15
HCPCS,L6640,Shoulder abduction joint pai,,,334.45,465.97,15
HCPCS,L6641,Excursion amplifier pulley t,,,184.05,256.43,15
HCPCS,L6642,Excursion amplifier lever ty,,,247.94,345.45,15
HCPCS,L6645,Shoulder flexion-abduction j,,,363.99,507.14,15
HCPCS,L6646,Multipo locking shoulder jnt,,,3532.39,5094.95,15
HCPCS,L6647,Shoulder lock actuator,,,581.55,838.84,15
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,3643.16,5254.71,15
HCPCS,L6650,Shoulder universal joint,,,385.95,537.73,15
HCPCS,L6655,Standard control cable extra,,,85.65,119.34,15
HCPCS,L6660,Heavy duty control cable,,,107.17,149.32,15
HCPCS,L6665,Teflon or equal cable lining,,,51.28,73.16,15
HCPCS,L6670,Hook to hand cable adapter,,,53.4,76.19,15
HCPCS,L6672,Harness chest/shlder saddle,,,230.58,321.26,15
HCPCS,L6675,Harness figure of 8 sing con,,,133.72,190.78,15
HCPCS,L6676,Harness figure of 8 dual con,,,139.91,224.93,15
HCPCS,L6677,UE triple control harness,,,332.22,479.21,15
HCPCS,L6680,Test sock wrist disart/bel e,,,280.16,390.34,15
HCPCS,L6682,Test sock elbw disart/above,,,305.43,425.54,15
HCPCS,L6684,Test socket shldr disart/tho,,,434.17,604.91,15
HCPCS,L6686,Suction socket,,,673.15,937.88,15
HCPCS,L6687,Frame typ socket bel elbow/w,,,642.29,1221.8,15
HCPCS,L6688,Frame typ sock above elb/dis,,,604.03,841.57,15
HCPCS,L6689,Frame typ socket shoulder di,,,847.19,1427.24,15
HCPCS,L6690,Frame typ sock interscap-tho,,,784.04,1092.38,15
HCPCS,L6691,Removable insert each,,,393.59,548.38,15
HCPCS,L6692,Silicon gel insert w/wo lock,,,716.29,1111.56,15
HCPCS,L6693,Lockingelbow forearm cntrbal,,,3179.62,4586.09,15
HCPCS,L6694,Elbow socket ins use w/lock,,,863.93,1203.68,15
HCPCS,L6695,Elbow socket ins use w/o lck,,,719.9,1003.01,15
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1473.22,2129.14,15
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1473.22,2129.14,15
HCPCS,L6698,Add up-ex prosthes lock mech,,,553.88,1053.63,15
HCPCS,L6700,Ue add ext power myoel,,,27484.98,30378.14,9
HCPCS,L6703,"Term dev, passive hand mitt",,,391.73,587.56,15
HCPCS,L6704,"Term dev, sport/rec/work att",,,756.15,1143.72,15
HCPCS,L6706,Term dev mech hook vol open,,,469.24,735.18,15
HCPCS,L6707,Term dev mech hook vol close,,,1629.58,2270.44,15
HCPCS,L6708,Term dev mech hand vol open,,,1097.29,1582.15,15
HCPCS,L6709,Term dev mech hand vol close,,,1557.33,2453.39,15
HCPCS,L6711,"Ped term dev, hook, vol open",,,752.97,1086.11,15
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1386.4,1999.64,15
HCPCS,L6713,"Ped term dev, hand, vol open",,,1749.73,2523.76,15
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1482.01,2137.57,15
HCPCS,L6715,"Term device, multi art digit",,,3535.94,5110.22,15
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2634.17,3799.34,15
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2270.8,3275.35,15
HCPCS,L6805,Term dev modifier wrist unit,,,406.05,565.73,15
HCPCS,L6810,Term dev precision pinch dev,,,228.35,349.76,15
HCPCS,L6880,Elec hand ind art digits,,,26758.95,38672.85,15
HCPCS,L6881,Term dev auto grasp feature,,,4578.75,6604.05,15
HCPCS,L6882,Microprocessor control uplmb,,,3473.2,5009.57,15
HCPCS,L6883,Replc sockt below e/w disa,,,1954.19,2722.7,15
HCPCS,L6884,Replc sockt above elbow disa,,,2545.58,3546.67,15
HCPCS,L6885,Replc sockt shldr dis/interc,,,3631.83,5060.1,15
HCPCS,L6890,Prefab glove for term device,,,207.22,288.72,15
HCPCS,L6895,Custom glove for term device,,,650.74,906.65,15
HCPCS,L6900,Hand restorat thumb/1 finger,,,1722.27,2399.58,15
HCPCS,L6905,Hand restoration multiple fi,,,1674.1,2332.46,15
HCPCS,L6910,Hand restoration no fingers,,,1630.91,2272.29,15
HCPCS,L6915,Hand restoration replacmnt g,,,713.81,994.53,15
HCPCS,L6920,Wrist disarticul switch ctrl,,,9250.01,12887.69,15
HCPCS,L6925,Wrist disart myoelectronic c,,,9976.49,13899.88,15
HCPCS,L6930,Below elbow switch control,,,9036.13,13541.09,15
HCPCS,L6935,Below elbow myoelectronic ct,,,9975.95,14538.03,15
HCPCS,L6940,Elbow disarticulation switch,,,11668.6,18584.4,15
HCPCS,L6945,Elbow disart myoelectronic c,,,13017.84,21620.79,15
HCPCS,L6950,Above elbow switch control,,,11646.96,21123.8,15
HCPCS,L6955,Above elbow myoelectronic ct,,,13506.82,25298.62,15
HCPCS,L6960,Shldr disartic switch contro,,,14208.65,25515.55,15
HCPCS,L6965,Shldr disartic myoelectronic,,,16832.35,27644.7,15
HCPCS,L6970,Interscapular-thor switch ct,,,18017.17,27985.99,15
HCPCS,L6975,Interscap-thor myoelectronic,,,19859.16,29984.2,15
HCPCS,L7007,Adult electric hand,,,3923.6,5466.61,15
HCPCS,L7008,Pediatric electric hand,,,6343.47,9199.36,15
HCPCS,L7009,Adult electric hook,,,4108.43,5724.12,15
HCPCS,L7040,Prehensile actuator,,,3214.51,4478.65,15
HCPCS,L7045,Pediatric electric hook,,,1799.79,2567.77,15
HCPCS,L7170,Electronic elbow hosmer swit,,,6736.88,9773.67,15
HCPCS,L7180,Electronic elbow sequential,,,40711.21,56721.44,15
HCPCS,L7181,Electronic elbo simultaneous,,,44875.22,64725.52,15
HCPCS,L7185,Electron elbow adolescent sw,,,7082.65,10140.01,15
HCPCS,L7186,Electron elbow child switch,,,11906.93,18377.8,15
HCPCS,L7190,Elbow adolescent myoelectron,,,9207.95,12829.1,15
HCPCS,L7191,Elbow child myoelectronic ct,,,12524.2,18829.4,15
HCPCS,L7259,Electronic wrist rotator any,,,4396.95,6126.11,15
HCPCS,L7360,Six volt bat otto bock/eq ea,,,259.28,361.25,15
HCPCS,L7362,Battery chrgr six volt otto,,,323.67,530.71,15
HCPCS,L7364,Twelve volt battery utah/equ,,,454.36,633.04,15
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,612.04,852.73,15
HCPCS,L7367,Replacemnt lithium ionbatter,,,436.05,628.9,15
HCPCS,L7368,Lithium ion battery charger,,,565.24,815.27,15
HCPCS,L7400,"Add UE prost be/wd, ultlite",,,343.25,495.12,15
HCPCS,L7401,Add UE prost a/e ultlite mat,,,384.24,554.3,15
HCPCS,L7402,Add UE prost s/d ultlite mat,,,415.0,598.55,15
HCPCS,L7403,Add UE prost b/e acrylic,,,412.46,594.88,15
HCPCS,L7404,Add UE prost a/e acrylic,,,622.53,897.88,15
HCPCS,L7405,Add UE prost s/d acrylic,,,814.11,1174.23,15
HCPCS,L7406,Add upp ext mec limb vol lam,,,2933.89,3242.72,9
HCPCS,L7520,Repair prosthesis per 15 min,,,37.33,55.6,11
HCPCS,L7600,AID DONNING ARM SLV SLIPPIE,56.0,44.8,15.55,51.27,28
HCPCS,L7700,Pros soc insert gasket/seal,,,136.33,189.94,15
HCPCS,L7900,Male vacuum erection system,,,503.88,503.88,2
HCPCS,L7902,"Tension ring, vac erect dev",,,16.22,16.22,2
HCPCS,L8000,Mastectomy bra,,,42.9,59.77,15
HCPCS,L8001,Breast prosthesis bra & form,,,140.51,202.62,15
HCPCS,L8002,Brst prsth bra & bilat form,,,184.77,266.52,15
HCPCS,L8010,Outpatient Services - CPT/HCPCS,,,48.11,48.11,2
HCPCS,L8015,Ext breastprosthesis garment,,,67.13,96.86,15
HCPCS,L8020,Mastectomy form,,,228.74,318.7,15
HCPCS,L8030,Breast prosthes w/o adhesive,,,391.46,565.55,15
HCPCS,L8031,Breast prosthesis w adhesive,,,391.46,565.55,15
HCPCS,L8032,Reusable nipple prosthesis,,,43.86,63.25,15
HCPCS,L8035,Custom breast prosthesis,,,4103.14,5918.16,15
HCPCS,L8040,Nasal prosthesis,,,2678.06,3731.24,15
HCPCS,L8041,Midfacial prosthesis,,,3228.09,4497.58,15
HCPCS,L8042,Orbital prosthesis,,,3627.07,5053.47,15
HCPCS,L8043,Upper facial prosthesis,,,4062.32,5659.89,15
HCPCS,L8044,Hemi-facial prosthesis,,,4497.55,6266.27,15
HCPCS,L8045,Auricular prosthesis,,,2816.12,3923.6,15
HCPCS,L8046,Partial facial prosthesis,,,2901.64,4042.75,15
HCPCS,L8047,Nasal septal prosthesis,,,1487.08,2071.9,15
HCPCS,L8049,Repair maxillofacial prosth,,,15.69,15.69,2
HCPCS,L8300,BELT HERNIA SOFT FORM BGE LG,140.54,112.44,57.62,152.9,37
HCPCS,L8300,BELT HERNIA SOFT FORM BGE MD,140.54,112.44,57.62,152.9,37
HCPCS,L8300,BELT HERNIA SOFT FORM BGE SM,140.54,112.44,57.62,152.9,37
HCPCS,L8310,BELT HERNIA ACTIMOVE BGE LG,213.44,170.76,87.51,246.61,37
HCPCS,L8310,BELT HERNIA ACTIMOVE BGE MD,178.3,142.64,73.1,246.61,37
HCPCS,L8320,Truss addition to std pad wa,,,60.94,84.91,15
HCPCS,L8330,Truss add to std pad scrotal,,,54.97,78.42,15
HCPCS,L8400,SHEATH PROS JSS REG REG*NLU*,20.5,16.4,8.41,25.0,37
HCPCS,L8400,SHEATH PROS JSS REG SHRT*NLU*,20.5,16.4,8.41,25.0,37
HCPCS,L8400,SHEATH PROS WHT REG MD,64.84,51.88,17.53,58.36,37
HCPCS,L8400,SHEATH PROS WHT REG SHRT,10.63,8.51,4.36,25.0,37
HCPCS,L8400,SHEATH PROS WHT REG XSHRT,10.63,8.51,4.36,25.0,37
HCPCS,L8400,SHEATH PROS WHT WIDE MD,10.63,8.51,4.36,25.0,37
HCPCS,L8400,SHEATH PROS WHT WIDE SHRT,10.63,8.51,4.36,25.0,37
HCPCS,L8400,SHEATH PROS WIDE SHRT WHT*NLU*,20.5,16.4,8.41,25.0,37
HCPCS,L8410,Sheath above knee,,,23.07,34.78,15
HCPCS,L8415,Sheath upper limb,,,23.87,37.6,15
HCPCS,L8417,Pros sheath/sock w gel cushn,,,84.24,121.45,15
HCPCS,L8420,SOCK PROS 2PLY MD LNG*NLU*,22.75,18.2,9.33,30.89,37
HCPCS,L8420,SOCK PROS 2PLY WHT REG MD,50.45,40.36,20.68,45.41,37
HCPCS,L8420,SOCK PROS 2PLY WHT SHRT REG MD,7.58,6.07,3.11,30.89,37
HCPCS,L8420,SOCK PROS 2PLY WHT XSHRT REGMD,7.42,5.94,3.04,30.89,37
HCPCS,L8420,SOCK PROS 2PLY WHT XSHRTNARWSM,38.98,31.19,15.98,35.08,37
HCPCS,L8420,SOCK SOFT 3PLY XSHRT REG,10.41,8.33,4.27,30.89,37
HCPCS,L8420,STKNG CORESPUN BLK 15-20 REGXL,115.35,92.28,22.17,103.82,37
HCPCS,L8430,Prosthetic sock multi ply AK,,,26.46,39.02,15
HCPCS,L8435,Pros sock multi ply upper lm,,,23.98,33.41,15
HCPCS,L8440,SHRINKER AK 4W 30-40 WHT 8 SZ6,367.74,294.2,47.68,330.97,37
HCPCS,L8440,SHRINKER BK 30-40 BGESZ2*NLU*,46.25,37.0,18.96,66.43,37
HCPCS,L8440,SHRINKER BK 30-40 BGESZ3*NLU*,46.25,37.0,18.96,66.43,37
HCPCS,L8440,SHRINKER BK 30-40 BGESZ4*NLU*,46.25,37.0,18.96,66.43,37
HCPCS,L8440,SHRINKER BK 30-40 BGESZ5*NLU*,46.25,37.0,18.96,66.43,37
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ1,277.45,221.96,47.68,249.71,37
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ4,274.26,219.41,47.68,246.83,37
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ5,184.4,147.52,47.68,165.96,37
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 12SZ6,277.45,221.96,47.68,249.71,37
HCPCS,L8440,SHRINKER BK 4W 30-40 BLK 15SZ4,326.48,261.19,47.68,293.83,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ0,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ1,282.13,225.71,47.68,253.92,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ2,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ3,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ4,103.7,82.96,42.52,93.33,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ5,259.01,207.21,47.68,233.11,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 12SZ6,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 15SZ0,91.93,73.55,37.69,82.74,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 15SZ1,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 15SZ3,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 15SZ4,134.81,107.85,47.68,121.33,37
HCPCS,L8440,SHRINKER BK 4W 30-40 WHT 15SZ5,106.32,85.06,43.59,95.69,37
HCPCS,L8440,SHRINKER BK 4W30-40WHTSZ6*NLU*,282.13,225.71,47.68,253.92,37
HCPCS,L8440,SHRINKER BK ELAS WHT 18 SZ5,67.41,53.93,27.64,66.43,36
HCPCS,L8440,SHRINKER BK ELAS WHT 24 SZ3,55.75,44.6,22.86,66.43,37
HCPCS,L8440,SHRINKER BK ELAS WHT 24 SZ4,131.15,104.92,47.68,118.04,37
HCPCS,L8440,SHRINKER BK ELAS WHT 24 SZ5,11.05,8.84,4.53,66.43,37
HCPCS,L8440,SHRINKER BK XSTATIC GRY S*NLU*,134.2,107.36,47.68,120.78,37
HCPCS,L8440,SHRINKER STUMP BK30-40SZ6*NLU*,46.25,37.0,18.96,66.43,37
HCPCS,L8460,L8460 RT SHRINKER AK,73.72,58.98,30.23,105.87,37
HCPCS,L8460,SHRINKER AK 4W 3*DISC 6344853*,100.53,80.43,41.22,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 10SZ5,122.24,97.8,50.12,110.02,37
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 10SZ6,163.42,130.74,67.0,147.08,37
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 12SZ4,340.52,272.42,74.21,306.47,37
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 12SZ6,192.33,153.87,74.21,173.1,37
HCPCS,L8460,SHRINKER AK 4W 30-40 BLK 8 SZ1,274.26,219.41,74.21,246.83,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 10SZ2,105.47,84.38,43.24,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 10SZ4,302.32,241.86,74.21,272.09,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 10SZ6,100.53,80.43,41.22,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 12SZ1,105.47,84.38,43.24,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 12SZ2,367.74,294.2,74.21,330.97,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 12SZ3,105.47,84.38,43.24,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 12SZ4,367.74,294.2,74.21,330.97,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 12SZ5,367.74,294.2,74.21,330.97,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 12SZ6,114.25,91.4,46.84,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 8 SZ1,105.47,84.38,43.24,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 8 SZ3,274.26,219.41,74.21,246.83,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 8 SZ4,105.47,84.38,43.24,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40 WHT 8 SZ5,105.47,84.38,43.24,105.87,37
HCPCS,L8460,SHRINKER AK 4W 30-40WHTSZ*NLU*,367.74,294.2,74.21,330.97,37
HCPCS,L8460,SHRINKER AK ELAS LG 9IN*NLU*,174.22,139.38,71.43,156.8,37
HCPCS,L8460,SHRINKER AK ELAS MD 7.5IN,301.83,241.47,74.21,271.65,37
HCPCS,L8460,SHRINKER AK ELAS W BELT LG 9IN,346.95,277.56,74.21,312.26,37
HCPCS,L8460,SHRINKER AK W BELT MD*NLU*,68.1,54.48,27.92,105.87,37
HCPCS,L8460,SHRINKER AK XSTATIC GRY M*NLU*,297.0,237.6,74.21,267.3,37
HCPCS,L8460,SHRINKER BK ELAS WHT S4 SZ6,12.33,9.87,5.06,105.87,37
HCPCS,L8460,SHRINKER STUMP A*DISC 6342350*,367.74,294.2,74.21,330.97,37
HCPCS,L8465,Shrinker upper limb,,,55.61,77.48,15
HCPCS,L8470,Pros sock single ply BK,,,7.43,14.14,15
HCPCS,L8480,Pros sock single ply AK,,,10.25,19.5,15
HCPCS,L8485,Pros sock single ply upper l,,,13.79,21.19,15
HCPCS,L8499,L8499 MC COMPRESSION SPLING LG,186.09,148.88,51.68,167.48,28
HCPCS,L8499,L8499 MC COMPRESSION SPLINT SM,186.09,148.88,51.68,167.48,28
HCPCS,L8499,L8499 MC COMPRESSION SPLNT MD,186.09,148.88,51.68,167.48,28
HCPCS,L8499,STRAP KNEE SPORT*DISC 6282770*,14.28,11.43,3.97,12.85,28
HCPCS,L8499,STRAP KNEE SPORT*DISC 6282771*,14.28,11.43,3.97,12.85,28
HCPCS,L8499,STRAP KNEE SPORT-TRAC LG*NLU*,14.28,11.43,3.97,12.85,28
HCPCS,L8499,STRAP KNEE SPORT-TRAC XL*NLU*,14.28,11.43,3.97,12.85,28
HCPCS,L8500,Artificial larynx,,,737.02,1048.44,15
HCPCS,L8501,VALV SPEAKING PASSY-MUIR AQUA,465.48,372.39,134.51,418.93,37
HCPCS,L8501,VALV SPEAKING PASSY-MUIR CL,485.28,388.23,134.51,436.75,37
HCPCS,L8501,VALV SPEAKING PHONATE 15MM,208.13,166.51,85.33,191.91,37
HCPCS,L8507,PROS VOICE LOW PRES 16FR 14MM,408.0,326.4,46.89,367.2,37
HCPCS,L8509,PROS VOI17FR10MM*DISC 6299560*,359.8,287.84,122.31,323.82,37
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 10MM,588.0,470.4,122.31,529.2,37
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 12MM,452.2,361.76,122.31,406.98,37
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 6MM,452.2,361.76,122.31,406.98,37
HCPCS,L8509,PROS VOICE ADVANTAGE 16FR 8MM,616.0,492.8,122.31,554.4,37
HCPCS,L8509,PROS VOICE ADVANTAGE 20FR 4MM,518.7,414.96,122.31,466.83,37
HCPCS,L8509,PROS VOICE CLASC 16FR 10MM,385.0,308.0,122.31,346.5,37
HCPCS,L8509,PROS VOICE CLASC 16FR 12MM,357.0,285.6,122.31,321.3,37
HCPCS,L8509,PROS VOICE CLASC 16FR 4MM,329.84,263.88,122.31,296.86,37
HCPCS,L8509,PROS VOICE CLASC 16FR 6MM,357.0,285.6,122.31,321.3,37
HCPCS,L8509,PROS VOICE CLASC 16FR 8MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE CLASC 20FR 10MM,357.0,285.6,122.31,321.3,37
HCPCS,L8509,PROS VOICE CLASC 20FR 12MM,357.0,285.6,122.31,321.3,37
HCPCS,L8509,PROS VOICE CLASC 20FR 14MM,357.0,285.6,122.31,321.3,37
HCPCS,L8509,PROS VOICE CLASC 20FR 4MM,357.0,285.6,122.31,321.3,37
HCPCS,L8509,PROS VOICE CLASC 20FR 6MM,385.0,308.0,122.31,346.5,37
HCPCS,L8509,PROS VOICE CLASC 20FR 8MM,364.0,291.2,122.31,327.6,37
HCPCS,L8509,PROS VOICE DUAL VALV 20FR 10MM,644.0,515.2,122.31,579.6,37
HCPCS,L8509,PROS VOICE DUAL VALV 20FR 12MM,644.0,515.2,122.31,579.6,37
HCPCS,L8509,PROS VOICE DUAL VALV 20FR 8MM,644.0,515.2,122.31,579.6,37
HCPCS,L8509,PROS VOICE HARD ADVANTAGE20FR6,1932.0,1545.6,122.31,1738.8,37
HCPCS,L8509,PROS VOICE HARD ADVANTAGE20FR8,644.0,515.2,122.31,579.6,37
HCPCS,L8509,PROS VOICE HARDADVANTAGE20FR10,1356.6,1085.28,122.31,1220.94,37
HCPCS,L8509,PROS VOICE HARDADVANTAGE20FR12,1932.0,1545.6,122.31,1738.8,37
HCPCS,L8509,PROS VOICE IR 16FR 10MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 16FR 12MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 16FR 6MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 16FR 8MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 20FR 10MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 20FR 12MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 20FR 6MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE IR 20FR 8MM,406.0,324.8,122.31,365.4,37
HCPCS,L8509,PROS VOICE LEF 16FR 10MM,403.2,322.56,122.31,362.88,37
HCPCS,L8509,PROS VOICE LEF 16FR 12MM,403.2,322.56,122.31,362.88,37
HCPCS,L8509,PROS VOICE LEF 16FR 6MM,403.2,322.56,122.31,362.88,37
HCPCS,L8509,PROS VOICE LEF 16FR 8MM,403.2,322.56,122.31,362.88,37
HCPCS,L8509,PROS VOICE LEF 20FR 10MM,420.0,336.0,122.31,378.0,37
HCPCS,L8509,PROS VOICE LEF 20FR 12MM,420.0,336.0,122.31,378.0,37
HCPCS,L8509,PROS VOICE LEF 20FR 6MM,403.2,322.56,122.31,362.88,37
HCPCS,L8509,PROS VOICE LEF 20FR 8MM,420.0,336.0,122.31,378.0,37
HCPCS,L8509,PROS VOICE PROVOX 2 10MM,511.04,408.84,122.31,459.94,37
HCPCS,L8509,PROS VOICE PROVOX 2 12.5MM,511.04,408.84,122.31,459.94,37
HCPCS,L8509,PROS VOICE PROVOX 2 4.5MM,511.04,408.84,122.31,459.94,37
HCPCS,L8509,PROS VOICE PROVOX 2 6MM,511.04,408.84,122.31,459.94,37
HCPCS,L8509,PROS VOICE PROVOX 2 8MM,511.04,408.84,122.31,459.94,37
HCPCS,L8509,PROS VOICE PROVOX NID 17FR 6MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 17FR 8MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 17FR10MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 17FR12MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 20FR10MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 20FR12MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 20FR6MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX NID 20FR8MM,179.34,143.48,73.53,176.38,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 12.5MM,424.2,339.36,122.31,381.78,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 17FR4MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 17FR6MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 17FR8MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 20FR4MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 20FR6MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 20FR8MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA 4MM,424.2,339.36,122.31,381.78,37
HCPCS,L8509,PROS VOICE PROVOX VEGA12.5MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA17FR10MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA17FR15MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOX VEGA20FR10MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOXVEGA22.5FR4MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOXVEGA22.5FR6MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE PROVOXVEGA22.5FR8MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE SOFT ADVANTAGE20FR6,452.2,361.76,122.31,406.98,37
HCPCS,L8509,PROS VOICE SOFTADVANTAGE20FR10,452.2,361.76,122.31,406.98,37
HCPCS,L8509,PROS VOICE SOFTADVANTAGE20FR12,452.2,361.76,122.31,406.98,37
HCPCS,L8509,PROS VOICE VEGAINSRT22.5FR10MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICE VEGAS*DISC 6297411*,1117.2,893.76,122.31,1005.48,37
HCPCS,L8509,PROS VOICE VEGAS*DISC 6299559*,359.8,287.84,122.31,323.82,37
HCPCS,L8509,PROS VOICEPROVOXVEGA17FR12.5MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROS VOICEPROVOXVEGA20FR12.5MM,399.0,319.2,122.31,359.1,37
HCPCS,L8509,PROS VOICEVEGASMARTINSRT20FR10,415.8,332.64,122.31,374.22,37
HCPCS,L8509,PROS VOICEXTRASEALVEGA22.5FR10,424.2,339.36,122.31,381.78,37
HCPCS,L8509,PROSVOICEPROVOXTRSEAL22.5FR4MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXTRSEAL22.5FR6MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXTRSEAL22.5FR8MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXVEG22.5FR12.5MM,431.72,345.38,122.31,388.55,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR10MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR4MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR6MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL17FR8MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR10MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR4MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR6MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVOXXTRSEAL20FR8MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVXTRSEAL17FR12.5MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVXTRSEAL20FR12.5MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVXTRSEAL22.5FR10MM,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEPROVXTRSEAL22.5FR12.5,501.49,401.2,122.31,451.34,37
HCPCS,L8509,PROSVOICEVEGASMARTINSRT20R12.5,383.6,306.88,122.31,345.24,37
HCPCS,L8510,Voice amplifier,,,283.02,408.19,15
HCPCS,L8511,Indwelling trach insert,,,81.44,117.48,15
HCPCS,L8512,Gel cap for trach voice pros,,,2.44,3.52,15
HCPCS,L8513,BRUSH PROVOX 4.5-10MM,78.23,62.59,5.82,70.41,37
HCPCS,L8514,Repl trach puncture dilator,,,105.62,152.33,15
HCPCS,L8515,Gel cap app device for trach,,,70.71,102.0,15
HCPCS,L8600,Implant breast silicone/eq,,,1.0,1322.69,15
HCPCS,L8603,Collagen imp urinary 2.5 ml,,,1.0,695.66,15
HCPCS,L8604,MICRSPHR UROL GEL DEFLUX Q-MED,9451.0,7560.8,1.0,8505.9,27
HCPCS,L8605,Inj bulking agent anal canal,,,1.0,1159.3,15
HCPCS,L8606,SOL URTHRL PFS COAPITITE 1ML,1909.8,1527.84,1.0,1718.82,36
HCPCS,L8606,SYR PRE FILLED COAPTIT1ML*CIP*,1834.56,1467.65,1.0,1651.1,36
HCPCS,L8606,TISS MACROPLASTIQUE 2.5ML,1962.0,1569.6,1.0,1765.8,36
HCPCS,L8607,Inj vocal cord bulking agent,,,1.0,69.45,15
HCPCS,L8608,Arg ii ext com/sup/acc misc,,,1.0,1.0,2
HCPCS,L8609,Artificial cornea,,,1.0,10545.98,15
HCPCS,L8610,EYELID IMPLT GLD SLIM 1.2GM,1626.24,1301.0,1.0,1463.62,36
HCPCS,L8610,EYELID IMPLT GLD SLIM 1.4GM,1449.0,1159.2,1.0,1304.1,36
HCPCS,L8610,EYELID IMPLT GLD SLIM 1.6GM,1449.0,1159.2,1.0,1304.1,36
HCPCS,L8612,SHNT GLAUCOMA BAERVELDT 250MM,2160.0,1728.0,1.0,1944.0,36
HCPCS,L8612,SHNT GLAUCOMA BAERVELDT 350MM,2160.0,1728.0,1.0,1944.0,36
HCPCS,L8613,EAR DORNHOFFER FOOTPLATE SHOE,656.78,525.43,1.0,591.1,36
HCPCS,L8613,EAR FRISBEE PART TI 0.5MM,1592.01,1273.61,1.0,1432.81,36
HCPCS,L8613,EAR FRISBEE PART TI 1.0MM,1592.01,1273.61,1.0,1432.81,36
HCPCS,L8613,EAR FRISBEE PART TI 1.5MM,1671.6,1337.28,1.0,1504.44,36
HCPCS,L8613,EAR HA LITE ALTO PART TI 3MM,2006.59,1605.28,1.0,1805.93,36
HCPCS,L8613,EAR HA LITE ALTO TOTAL W SHOE,2024.19,1619.36,1.0,1821.77,36
HCPCS,L8613,EAR INCUDSTAP APPLEBAUM 2.5MM,1485.5,1188.4,1.0,1336.95,36
HCPCS,L8613,EAR MI IS COUPL PART SHRT,1864.8,1491.84,1.0,1678.32,36
HCPCS,L8613,EAR TORP CTR 0.84X4MM,1699.7,1359.76,1.0,1529.73,36
HCPCS,L8613,HNDL BK LIPPY NOTCH 0.4X4.00MM,1115.94,892.76,1.0,1004.35,36
HCPCS,L8613,HNDL BK LIPPY NOTCH 0.4X4.50MM,1115.94,892.76,1.0,1004.35,36
HCPCS,L8613,PROS GOLDENBERG PORP 5.5MM,1551.86,1241.49,1.0,1396.67,36
HCPCS,L8613,PROS INCUS FLEX HA 0.8MM MD,2195.06,1756.05,1.0,1975.55,36
HCPCS,L8613,PROS INCUS FLEX HA 1MM LG,2130.48,1704.39,1.0,1917.43,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.5X4.25MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.5X4.50MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.5X4.75MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X4.00MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X4.25MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X4.50MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X4.75MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X5.00MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X5.25MM,1428.84,1143.08,1.0,1285.96,36
HCPCS,L8613,STAPES PIST ECLIPSE 0.6X6.00MM,1474.2,1179.36,1.0,1326.78,36
HCPCS,L8613,STAPES PIST FLAT NIT 0.6X4.50,1635.23,1308.19,1.0,1471.71,36
HCPCS,L8614,COCHLEAR HIRES ULT 3D MIDSCALA,39261.26,31409.01,1.0,35335.13,36
HCPCS,L8614,COCHLEAR HIRES ULT SLIM J ELTD,39261.26,31409.01,1.0,35335.13,36
HCPCS,L8614,COCHLEAR HIRES ULTMIDSCALAELTD,39261.26,31409.01,1.0,35335.13,36
HCPCS,L8614,COCHLEAR MI1250 FLEX26,58800.0,47040.0,1.0,52920.0,36
HCPCS,L8614,COCHLEAR NUCLEUS CI512,66360.0,53088.0,1.0,59724.0,36
HCPCS,L8614,COCHLEAR NUCLEUS CI522,66360.0,53088.0,1.0,59724.0,36
HCPCS,L8614,COCHLEAR NUCLEUS CI532,70080.0,56064.0,1.0,63072.0,36
HCPCS,L8614,COCHLEAR NUCLEUS CONTOUR ADV,49037.86,39230.29,1.0,44134.07,36
HCPCS,L8614,COCHLEAR NUCLEUS SLIM MODIOLAR,48993.14,39194.52,1.0,44093.83,36
HCPCS,L8614,COCHLEAR PROCESS NUCLEUS7 BRN,33240.0,26592.0,1.0,30842.96,36
HCPCS,L8614,COCHLEAR PROCESS NUCLEUS7*NLU*,33240.0,26592.0,1.0,30842.96,36
HCPCS,L8614,COCHLEAR PROCESS*DISC 6336651*,33240.0,26592.0,1.0,30842.96,36
HCPCS,L8614,COCHLEAR PROCESS*DISC 6336652*,33240.0,26592.0,1.0,30842.96,36
HCPCS,L8614,COCHLEAR PROCESS*DISC 6336653*,33240.0,26592.0,1.0,30842.96,36
HCPCS,L8614,COCHLEAR PROFILE+ CONT ADV,46800.0,37440.0,1.0,42120.0,36
HCPCS,L8614,COCHLEAR PROFILE+ SLIM ST ELTD,46800.0,37440.0,1.0,42120.0,36
HCPCS,L8614,COCHLEAR PROFILE+SLIM MODIOLAR,46800.0,37440.0,1.0,42120.0,36
HCPCS,L8614,COCHLEAR ULT 3D HIFOCUS SLIMJ,39261.26,31409.01,1.0,35335.13,36
HCPCS,L8614,EAR AIM ACTIVE INSRT STER,1125.0,900.0,1.0,30842.96,36
HCPCS,L8614,ELTD COCHLEAR SYCHRONY FLEX28,54240.0,43392.0,1.0,48816.0,36
HCPCS,L8614,PROCESSOR AUDIO SONNET 2,38232.0,30585.6,1.0,34408.8,36
HCPCS,L8614,PROCESSOR DU*DISC 6317671*,34795.2,27836.16,1.0,31315.68,36
HCPCS,L8614,PROCESSOR DUAL NAIDA CI*NLU*,28605.6,22884.48,1.0,30842.96,36
HCPCS,L8614,PROCESSOR DUAL SKY CI M90,24338.74,19471.0,1.0,30842.96,36
HCPCS,L8614,PROCESSOR KT DUAL K2,36000.0,28800.0,1.0,32400.0,36
HCPCS,L8614,PROCESSOR KT DUAL K3,29664.05,23731.24,1.0,30842.96,36
HCPCS,L8614,PROCESSOR KT DUAL N7,33240.0,26592.0,1.0,30842.96,36
HCPCS,L8614,PROCESSOR KT DUAL N8,28800.0,23040.0,1.0,30842.96,36
HCPCS,L8614,PROCESSOR NAIDA CI M90,24338.74,19471.0,1.0,30842.96,36
HCPCS,L8614,PROCESSOR ONE BAHA 5 SUPPOWER,9503.0,7602.4,1.0,30842.96,36
HCPCS,L8614,SHEATH COCHLEAR SLIM MODIOLAR,1944.6,1555.68,1.0,30842.96,36
HCPCS,L8615,Coch implant headset replace,,,505.12,730.06,15
HCPCS,L8616,Coch implant microphone repl,,,117.64,169.99,15
HCPCS,L8617,Coch implant trans coil repl,,,102.75,148.49,15
HCPCS,L8618,Coch implant tran cable repl,,,29.37,42.43,15
HCPCS,L8619,Coch imp ext proc/contr rplc,,,9413.83,13240.67,15
HCPCS,L8621,Repl zinc air battery,,,0.69,1.02,15
HCPCS,L8622,Repl alkaline battery,,,0.36,0.52,15
HCPCS,L8623,"Lith ion batt CID,non-earlvl",,,72.45,104.72,15
HCPCS,L8624,"Lith ion batt cid, ear level",,,180.61,260.97,15
HCPCS,L8625,Charger coch impl/aoi battry,,,211.54,305.7,15
HCPCS,L8627,CID ext speech process repl,,,7990.26,11216.56,15
HCPCS,L8628,CID ext controller repl,,,1423.56,2024.12,15
HCPCS,L8629,CID transmit coil and cable,,,200.54,289.8,15
HCPCS,L8630,Metacarpophalangeal implant,,,1.0,703.59,15
HCPCS,L8631,METACARPAL LG 6X30,4264.4,3411.52,1.0,3837.96,36
HCPCS,L8631,REAMER METACARPAL EXMD,1436.4,1149.12,1.0,3506.84,36
HCPCS,L8641,Metatarsal joint implant,,,1.0,741.47,15
HCPCS,L8642,Hallux implant,,,1.0,485.32,15
HCPCS,L8658,Interphalangeal joint spacer,,,1.0,646.47,15
HCPCS,L8659,Interphalangeal joint repl,,,1.0,3123.43,15
HCPCS,L8670,"Vascular graft, synthetic",,,1.0,884.34,15
HCPCS,L8678,Ext sply implt neurostim,,,1.0,15.79,15
HCPCS,L8679,Imp neurosti pls gn any type,,,1.0,13652.4,15
HCPCS,L8680,Implt neurostim elctr each,,,445.7,445.7,2
HCPCS,L8681,Pt prgrm for implt neurostim,,,1230.08,1713.82,15
HCPCS,L8682,Implt neurostim radiofq rec,,,1.0,9754.44,15
HCPCS,L8683,Radiofq trsmtr for implt neu,,,6035.38,8586.15,15
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,911.16,1269.49,15
HCPCS,L8685,Implt nrostm pls gen sng rec,,,11839.72,11839.72,2
HCPCS,L8686,Implt nrostm pls gen sng non,,,7554.69,7554.69,2
HCPCS,L8687,Implt nrostm pls gen dua rec,,,15408.19,15408.19,2
HCPCS,L8688,Implt nrostm pls gen dua non,,,9831.68,9831.68,2
HCPCS,L8689,External recharg sys intern,,,1931.89,2792.03,15
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 10MM,5355.0,4284.0,1.0,7700.07,36
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 12MM,5355.0,4284.0,1.0,7700.07,36
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 14MM,5355.0,4284.0,1.0,7700.07,36
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 6MM,5355.0,4284.0,1.0,7700.07,36
HCPCS,L8690,ABUTMENT DERMALOCK BAHA 8MM,5355.0,4284.0,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT BHX 4X12MM,9237.8,7390.24,1.0,8314.02,36
HCPCS,L8690,ABUTMENT IMPLT BHX 4X14MM,9237.8,7390.24,1.0,8314.02,36
HCPCS,L8690,ABUTMENT IMPLT BHX 4X6MM,9237.8,7390.24,1.0,8314.02,36
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 10MM,7757.1,6205.68,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 12MM,7757.1,6205.68,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 14MM,7757.1,6205.68,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 6MM,7757.1,6205.68,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT BIA400 4MM 8MM,7757.1,6205.68,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT VISTAFIX 6MM,1858.5,1486.8,1.0,7700.07,36
HCPCS,L8690,ABUTMENT IMPLT VISTAFIX 7MM,1858.5,1486.8,1.0,7700.07,36
HCPCS,L8690,CAP HEALING BAHA W PLUG 30MM,93.33,74.67,1.0,7700.07,36
HCPCS,L8690,CAP HEALING EAR 14MM,354.24,283.4,1.0,7700.07,36
HCPCS,L8690,COCHLEAR BAHA BI300 3MM,4046.0,3236.8,1.0,7700.07,36
HCPCS,L8690,COCHLEAR BAHA BI300 4MM,4046.0,3236.8,1.0,7700.07,36
HCPCS,L8690,COCHLEAR BAHA BIA300 3MM,7027.8,5622.24,1.0,7700.07,36
HCPCS,L8690,COCHLEAR BAHA BIA300 4MM,7027.8,5622.24,1.0,7700.07,36
HCPCS,L8690,COCHLEAR IMPLT O*DISC 6337215*,10985.65,8788.52,1.0,9887.09,36
HCPCS,L8690,COCHLEAR MAGNET BAHA BIM400,5759.6,4607.68,1.0,7700.07,36
HCPCS,L8690,COCHLEAR OSIA OSI300,11997.0,9597.6,1.0,10797.3,36
HCPCS,L8690,COCHLEAR PROCESS BAHA 6MAX BLK,9812.4,7849.92,1.0,8831.16,36
HCPCS,L8690,CONN DISC BAHA SOUNDARC*NLU*,114.38,91.51,1.0,7700.07,36
HCPCS,L8690,COV SCREW BAHA CONIC,726.75,581.4,1.0,7700.07,36
HCPCS,L8690,COV SNDPRCSR PONTO4 PNK/BLU,149.88,119.91,1.0,7700.07,36
HCPCS,L8690,DOOR BAT BAHA 5 GRY PK3*NLU*,152.5,122.0,1.0,7700.07,36
HCPCS,L8690,DOOR BAT BAHA 5 TAMPER PR*NLU*,152.5,122.0,1.0,7700.07,36
HCPCS,L8690,DOOR BAT POWER BAHA 5*NLU*,152.5,122.0,1.0,7700.07,36
HCPCS,L8690,DRSG ALLEVYN 5X5CM*NLU*,22.88,18.31,1.0,7700.07,36
HCPCS,L8690,DRSG ALLEVYN SGL 5X5CM,46.67,37.34,1.0,7700.07,36
HCPCS,L8690,EAR ABUTMENT BA300 12MM,4831.4,3865.12,1.0,7700.07,36
HCPCS,L8690,EAR ABUTMENT BA300 9MM,4831.4,3865.12,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOFTBAND BIL BAHA *NLU*,303.75,243.0,1.0,7700.07,216
HCPCS,L8690,HDGEAR SOFTBAND BIL BAHAB*NLU*,303.75,243.0,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOFTBAND BIL BAHAJ*NLU*,303.75,243.0,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOFTBAND UNIL BAHA*NLU*,228.75,183.0,1.0,7700.07,216
HCPCS,L8690,HDGEAR SOFTBAND UNILBAHAB*NLU*,228.75,183.0,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOFTBAND UNILBAHAJ*NLU*,228.75,183.0,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOUNDARC BAHA LG*NLU*,251.63,201.31,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOUNDARC BAHA MD*NLU*,251.63,201.31,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOUNDARC BAHA SM*NLU*,251.63,201.31,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOUNDARC BAHA XL*NLU*,251.63,201.31,1.0,7700.07,36
HCPCS,L8690,HDGEAR SOUNDARC BAHA XS*NLU*,251.63,201.31,1.0,7700.07,36
HCPCS,L8690,HEADBAND COCHLEAR BLK LG 58CM,73.2,58.56,1.0,7700.07,36
HCPCS,L8690,HEADBAND COCHLEAR BLK MD 54CM,73.2,58.56,1.0,7700.07,36
HCPCS,L8690,HEADBAND COCHLEAR BLU SM *NLU*,73.2,58.56,1.0,7700.07,36
HCPCS,L8690,HEADBAND COCHLEAR PNK XS *NLU*,73.2,58.56,1.0,7700.07,36
HCPCS,L8690,HEADBAND COCHLEAR PUR MD 54CM,73.2,58.56,1.0,7700.07,36
HCPCS,L8690,HEADBAND COCHLEAR VAN XXS*NLU*,73.2,58.56,1.0,7700.07,36
HCPCS,L8690,HEARING AID CONNECTCLIP 2.4GBL,814.91,651.93,1.0,7700.07,36
HCPCS,L8690,IMPLT KT BONEBRIDGE BCI 602,14400.0,11520.0,1.0,12960.0,36
HCPCS,L8690,KT BAHA ATTRACT MAGNET,742.05,593.64,1.0,7700.07,36
HCPCS,L8690,KT SNDPRCSR DUAL OSIA 2I,17774.4,14219.52,1.0,15996.96,36
HCPCS,L8690,KT SNDPRCSR OSIA 2I,11532.85,9226.28,1.0,10379.57,36
HCPCS,L8690,KT SNDPRCSR OSIA*DISC 6337214*,10439.65,8351.72,1.0,9395.69,36
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRE*NLU*,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRENGTH2,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRENGTH3,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSR OSIA2STRENGTH4,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH1,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH2,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH3,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,MAGNET SNDPRCSROSIA2ISTRENGTH4,114.07,91.26,1.0,7700.07,36
HCPCS,L8690,PAD SOFTWEAR BAHA*NLU*,6.65,5.32,1.0,7700.07,36
HCPCS,L8690,PROCESSOR AUDIO LFT BB SAMBA 2,13200.0,10560.0,1.0,11880.0,36
HCPCS,L8690,PROCESSOR AUDIO RT BB SAMBA 2,13200.0,10560.0,1.0,11880.0,36
HCPCS,L8690,PROCESSOR BAHA 5 BLK*NLU*,7907.9,6326.32,1.0,7700.07,36
HCPCS,L8690,PROCESSOR BAHA 5 BLONDE,7702.5,6162.0,1.0,7700.07,36
HCPCS,L8690,PROCESSOR BAHA 5 BRN,7702.5,6162.0,1.0,7700.07,36
HCPCS,L8690,PROCESSOR BAHA 5 COPPER*NLU*,7907.9,6326.32,1.0,7700.07,36
HCPCS,L8690,PROCESSOR BAHA 5 POWER SLVR,7702.5,6162.0,1.0,7700.07,36
HCPCS,L8690,PROCESSOR BAHA 5 SLVR*NLU*,7907.9,6326.32,1.0,7700.07,36
HCPCS,L8690,PROCESSOR BAHA 5 SUPPOWER*NLU*,8385.0,6708.0,1.0,7700.07,36
HCPCS,L8690,PROCESSORDUA*DISC 6319021*,34795.2,27836.16,1.0,31315.68,36
HCPCS,L8690,SFTY LN HAIR CLIP SHRT DB*NLU*,45.75,36.6,1.0,7700.07,72
HCPCS,L8690,SFTY LN HAIR CLIP SHRT DBL BLK,48.8,39.04,1.0,7700.07,36
HCPCS,L8690,SFTY LN NUCLEUS COCHLEAR 21CM,61.0,48.8,1.0,7700.07,36
HCPCS,L8690,SFTY LN NUCLEUS COCHLEAR 26CM,28.98,23.19,1.0,7700.07,36
HCPCS,L8690,SNDPRCSR PONTO4 CHROMA BGE,10556.0,8444.8,1.0,9500.4,36
HCPCS,L8691,SNDPRCSR PONTO 5 SUPPOWERBGE,7191.6,5753.28,1928.76,6472.44,36
HCPCS,L8691,SYS RONDO 2 ONE PROCESSOR*NLU*,23760.0,19008.0,1928.76,21384.0,36
HCPCS,L8691,SYS RONDO 2 TWO PROCESSOR*NLU*,29760.0,23808.0,1928.76,26784.0,36
HCPCS,L8691,SYS SONNET 1 PROCESSOR*NLU*,23760.0,19008.0,1928.76,21384.0,36
HCPCS,L8691,SYS SONNET 2 PROCESSOR*NLU*,29760.0,23808.0,1928.76,26784.0,36
HCPCS,L8691,SYS SONNET EAS 1E PROCESS*NLU*,23760.0,19008.0,1928.76,21384.0,36
HCPCS,L8691,SYS SONNET EAS 2 PROCESSO*NLU*,29760.0,23808.0,1928.76,26784.0,36
HCPCS,L8691,SYS SONNET EAS/RONDO2PROC*NLU*,29760.0,23808.0,1928.76,26784.0,36
HCPCS,L8691,SYS SONNET/RONDO 2 PROCES*NLU*,29760.0,23808.0,1928.76,26784.0,36
HCPCS,L8692,Non-osseointegrated snd proc,,,2487.65,2487.65,2
HCPCS,L8693,"Aud osseo dev, abutment",,,1698.24,2454.36,15
HCPCS,L8694,Aoi transducer/actuator repl,,,1057.68,1528.64,15
HCPCS,L8695,External recharg sys extern,,,18.68,26.97,15
HCPCS,L8696,Ext antenna phren nerve stim,,,242.73,350.85,15
HCPCS,L8699,PROS TESTICULAR COLOPLAST LG,7514.0,6011.2,1.0,6762.6,27
HCPCS,L8699,SYS PROSTATE UR*DISC 6327857*,2940.0,2352.0,1.0,2646.0,27
HCPCS,L8699,URTHRL UROLIFT 2 CARTRDG,2940.0,2352.0,1.0,2646.0,27
HCPCS,L8701,Ewh s/d uprt micro sensor,,,32570.22,45378.88,13
HCPCS,L8702,Ewhf s/d uprt micro sensor,,,64080.03,89280.34,13
HCPCS,L9900,O&P supply/accessory/service,,,1.0,1.0,2
HCPCS,M0076,Prolotherapy,,,280.5,280.5,2
HCPCS,M0201,Pne flu hepb cov home admin,,,28.15,68.22,12
HCPCS,M0220,Covid Codes - CPT/HCPCS,,,150.5,150.5,1
HCPCS,M0220,Outpatient Services - CPT/HCPCS,,,114.97,278.64,2
HCPCS,M0221,Covid Codes - CPT/HCPCS,,,250.5,250.5,1
HCPCS,M0221,Outpatient Services - CPT/HCPCS,,,191.36,463.78,2
HCPCS,M0222,Covid Codes - CPT/HCPCS,,,350.5,350.5,1
HCPCS,M0222,Outpatient Services - CPT/HCPCS,,,267.75,648.92,2
HCPCS,M0223,Covid Codes - CPT/HCPCS,,,550.5,550.5,1
HCPCS,M0223,Outpatient Services - CPT/HCPCS,,,420.53,1019.2,2
HCPCS,M0224,PEMIVIBART INFUSION,979.0,783.2,271.87,881.1,36
HCPCS,M0235,"Intrav inf, mon anti, fir do",,,427.98,473.03,9
HCPCS,M0236,"Intrav inf, mon anti, sec do",,,427.98,473.03,9
HCPCS,M0237,"Intrav inf, toci, first dose",,,427.98,473.03,9
HCPCS,M0238,"Intrav inf, toci, second dos",,,427.98,473.03,9
HCPCS,M0239,Covid Codes - CPT/HCPCS,,,310.3,310.3,1
HCPCS,M0239,Outpatient Services - CPT/HCPCS,,,34.6,83.87,2
HCPCS,M0240,Covid Codes - CPT/HCPCS,,,449.02,449.02,1
HCPCS,M0240,Outpatient Services - CPT/HCPCS,,,344.14,834.06,2
HCPCS,M0241,Covid Codes - CPT/HCPCS,,,748.72,748.72,1
HCPCS,M0241,Outpatient Services - CPT/HCPCS,,,573.31,1389.48,2
HCPCS,M0243,Covid Codes - CPT/HCPCS,,,449.02,449.02,1
HCPCS,M0243,Outpatient Services - CPT/HCPCS,,,344.14,834.06,2
HCPCS,M0244,Covid Codes - CPT/HCPCS,,,748.72,748.72,1
HCPCS,M0244,Outpatient Services - CPT/HCPCS,,,573.31,1389.48,2
HCPCS,M0245,Covid Codes - CPT/HCPCS,,,449.02,449.02,1
HCPCS,M0245,Outpatient Services - CPT/HCPCS,,,344.14,834.06,2
HCPCS,M0246,Covid Codes - CPT/HCPCS,,,748.72,748.72,1
HCPCS,M0246,Outpatient Services - CPT/HCPCS,,,573.31,1389.48,2
HCPCS,M0247,Covid Codes - CPT/HCPCS,,,450.0,450.0,1
HCPCS,M0247,Outpatient Services - CPT/HCPCS,,,344.14,834.06,2
HCPCS,M0248,Covid Codes - CPT/HCPCS,,,750.0,750.0,1
HCPCS,M0248,Outpatient Services - CPT/HCPCS,,,573.31,1389.48,2
HCPCS,M0249,Adm Tocilizu COVID-19 1st,,,344.14,834.06,12
HCPCS,M0250,Adm Tocilizu COVID-19 2nd,,,344.14,834.06,12
HCPCS,P2028,Cephalin floculation test,,,4.7,13.6,15
HCPCS,P2029,Congo red blood test,,,4.7,13.6,15
HCPCS,P2031,Hair analysis,,,4.7,13.6,15
HCPCS,P2033,Blood thymol turbidity,,,4.7,13.6,15
HCPCS,P2038,Blood mucoprotein,,,4.7,13.6,15
HCPCS,P3000,Screen pap by tech w md supv,,,17.28,49.97,15
HCPCS,P3001,Screening pap smear by phys,,,22.86,41.88,15
HCPCS,P7001,Culture bacterial urine,,,15.5,15.5,2
HCPCS,P9010,WHOLE BLOOD FOR TRANSFUSION PER UNIT,1338.0,1070.4,203.31,1204.2,36
HCPCS,P9011,Blood split unit,,,134.71,149.23,11
HCPCS,P9012,CRYO MANUAL CHARGE,154.0,123.2,42.77,138.6,36
HCPCS,P9012,CRYO POOLED 5,788.0,630.4,59.93,709.2,36
HCPCS,P9012,CRYO POOLED 5 CHG CODE,788.0,630.4,59.93,709.2,36
HCPCS,P9012,CRYOPRECIPITATE,154.0,123.2,42.77,138.6,36
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT P9012,170.0,136.0,47.21,153.0,36
HCPCS,P9016,LEUKOREDUCED RBC,508.0,406.4,141.07,457.2,36
HCPCS,P9016,RBC LR PROC UNIT P9016,508.0,406.4,141.07,457.2,36
HCPCS,P9017,FFP MANUAL CHARGE,207.0,165.6,57.48,186.3,36
HCPCS,P9017,FRESH FROZEN PLASMA,207.0,165.6,57.48,186.3,36
HCPCS,P9017,FRESH FRZ PLASM PROC UNITP9017,207.0,165.6,57.48,186.3,36
HCPCS,P9017,PHERESIS FFP MANUAL CHG,207.0,165.6,57.48,186.3,36
HCPCS,P9019,"Platelets, each unit",,,65.11,79.76,11
HCPCS,P9020,Plaelet rich plasma unit,,,529.45,585.19,11
HCPCS,P9021,RED BLD CELLS PROC UNIT P9021,769.4,615.52,136.65,692.46,36
HCPCS,P9022,WASHED LEUKOREDUCED RC,654.0,523.2,181.62,588.6,36
HCPCS,P9022,WASHED RBC P9022,654.0,523.2,181.62,588.6,36
HCPCS,P9023,"Frozen plasma, pooled, sd",,,59.19,65.43,11
HCPCS,P9025,Plasma cryo redu path each,,,128.39,309.99,11
HCPCS,P9026,Cryo fib comp path redu each,,,79.4,329.46,11
HCPCS,P9027,Rbc o2 co2 reduced,,,462.75,511.46,9
HCPCS,P9031,Platelets leukocytes reduced,,,119.48,132.06,11
HCPCS,P9032,"Platelets, irradiated",,,128.99,142.57,11
HCPCS,P9033,Platelets leukoreduced irrad,,,195.12,230.87,11
HCPCS,P9034,"Platelets, pheresis",,,322.19,416.99,11
HCPCS,P9035,PLATELET PHERESIS LEUKOREDUCED EA UNIT P9035,1426.0,1140.8,396.0,1283.4,36
HCPCS,P9035,SINGLE DONOR PHERESIS,1426.0,1140.8,396.0,1283.4,36
HCPCS,P9036,PLATELET PHERESI IRRAD,1606.0,1284.8,445.99,1445.4,36
HCPCS,P9037,PLATE PHER LEUK RED IRADP9037,1606.0,1284.8,445.99,1445.4,36
HCPCS,P9037,SD PHERESIS PLT LR IRR,1606.0,1284.8,445.99,1445.4,36
HCPCS,P9037,SLI MANUAL CHARGE,1606.0,1284.8,445.99,1445.4,36
HCPCS,P9038,RED BLDCELS IRR PROC UNITP9038,688.0,550.4,141.76,619.2,36
HCPCS,P9039,RBC deglycerolized,,,311.44,686.43,11
HCPCS,P9040,LEUKOREDUCED RBC IRRADIATED,688.0,550.4,191.06,619.2,36
HCPCS,P9040,RBC LR IRR PROC UNIT P9040,688.0,550.4,191.06,619.2,36
HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.08,11.67,13
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,7.67,8.47,11
HCPCS,P9044,Cryoprecipitatereducedplasma,,,69.22,154.67,11
HCPCS,P9045,"Albumin, Human Inj 5%",130.5,104.4,47.49,156.6,228
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,20.17,28.21,17
HCPCS,P9047,"Albumin, Human Inj 25%",142.03,113.63,35.33,305.37,456
HCPCS,P9048,Plasma Protein Fraction Inj 5%,179.44,143.56,49.83,161.5,36
HCPCS,P9050,"GRANULOCYTES PHERESIS, EACH UNIT",3105.0,2484.0,862.26,2794.5,27
HCPCS,P9051,"Blood, l/r, cmv-neg",,,163.59,180.81,11
HCPCS,P9052,PLATELET L R PHERESIS EA UNIT,1613.0,1290.4,447.93,1451.7,36
HCPCS,P9052,SDP PHERESIS MANUAL CHG,1613.0,1290.4,447.93,1451.7,36
HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,436.27,518.73,11
HCPCS,P9054,"Blood, l/r, froz/degly/wash",,,215.44,254.56,11
HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,215.89,251.07,11
HCPCS,P9056,"Blood, l/r, irradiated",,,79.96,92.07,11
HCPCS,P9057,"RBC, frz/deg/wsh, l/r, irrad",,,461.1,509.64,11
HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,211.72,242.12,11
HCPCS,P9059,PLASMA FROZEN WIN 24 HOURS P9059,207.0,165.6,57.48,186.3,36
HCPCS,P9060,Fr frz plasma donor retested,,,46.48,58.15,11
HCPCS,P9070,Pathogen reduced plasma pool,,,31.27,58.92,11
HCPCS,P9071,Pathogen reduced plasma sing,,,231.82,307.16,11
HCPCS,P9073,PLATELETS PATHOGEN-REDUCED EA UNIT,1898.0,1518.4,527.07,1708.2,36
HCPCS,P9099,Blood component/product noc,,,31.27,51.38,11
HCPCS,P9100,Pathogen test for platelets,,,44.57,108.01,11
HCPCS,P9612,Catheterize for urine spec,,,8.64,24.97,15
HCPCS,P9615,Urine specimen collect mult,,,1.0,24.97,15
HCPCS,Q0035,Cardiokymography,,,17.64,70.83,17
HCPCS,Q0081,Infusion ther other than che,,,34.6,83.87,2
HCPCS,Q0084,Chemotherapy by infusion,,,34.6,83.87,2
HCPCS,Q0085,Chemo by both infusion and o,,,34.6,83.87,2
HCPCS,Q0091,Obtaining screen pap smear,,,17.98,52.6,15
HCPCS,Q0092,Set up port xray equipment,,,1.0,26.96,15
HCPCS,Q0111,Wet mounts/ w preparations,,,17.28,49.97,15
HCPCS,Q0112,Potassium hydroxide preps,,,5.54,16.02,15
HCPCS,Q0113,Pinworm examinations,,,4.06,11.73,15
HCPCS,Q0114,Fern test,,,9.25,26.76,15
HCPCS,Q0115,Post-coital mucous exam,,,23.75,68.68,15
HCPCS,Q0138,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),2322.77,1858.22,0.31,2090.49,36
HCPCS,Q0139,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),2322.77,1858.22,0.31,2090.49,38
HCPCS,Q0144,Azithromycin For Susp 200 MG/5ML,4.795,3.84,1.71,25.19,108
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,1.0,1.0,2
HCPCS,Q0162,Ondansetron HCl Oral Soln 4 MG/5ML,17.87,14.3,0.45,24.79,270
HCPCS,Q0162,Ondansetron HCl Tab 8 MG,1.5,1.2,0.42,1.35,108
HCPCS,Q0163,Diphenhydramine HCl Cap 25 MG,1.5,1.2,0.42,1.35,54
HCPCS,Q0164,Prochlorperazine maleate 5mg,,,1.0,1.0,2
HCPCS,Q0165,Pharmacy,,,0.03,0.03,4
HCPCS,Q0166,Granisetron HCl Tab 1 MG,3.59,2.88,0.73,6.78,189
HCPCS,Q0167,Dronabinol 2.5mg oral,,,1.0,1.0,2
HCPCS,Q0168,Pharmacy,,,7.47,7.47,4
HCPCS,Q0169,Promethazine HCI 12.5mg oral,,,1.0,1.0,2
HCPCS,Q0170,Pharmacy,,,0.09,0.09,4
HCPCS,Q0171,Pharmacy,,,0.01,0.01,4
HCPCS,Q0172,Pharmacy,,,0.03,0.03,4
HCPCS,Q0173,Trimethobenzamide HCI 250mg,,,0.91,0.91,2
HCPCS,Q0174,Outpatient Services - CPT/HCPCS,,,0.51,0.51,2
HCPCS,Q0175,Perphenazine 4mg oral,,,1.0,1.0,2
HCPCS,Q0176,Pharmacy,,,0.49,0.49,4
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,1.0,1.0,2
HCPCS,Q0178,Pharmacy,,,0.06,0.06,4
HCPCS,Q0180,Dolasetron mesylate oral,,,1.0,1.0,2
HCPCS,Q0181,Unspecified oral anti-emetic,,,1.0,1.0,2
HCPCS,Q0220,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0221,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0221,Pharmacy,,,0.01,0.01,4
HCPCS,Q0222,Covid Codes - CPT/HCPCS,,,2394.0,2394.0,1
HCPCS,Q0222,Outpatient Services - CPT/HCPCS,,,2394.0,2394.0,2
HCPCS,Q0222,Pharmacy,,,2142.0,2142.0,4
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,6477.0,7600.95,13
HCPCS,Q0237,"Inj, tocilizumab-anoh, hospi",,,4.4,4.4,4
HCPCS,Q0239,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0239,Pharmacy,,,0.01,0.01,4
HCPCS,Q0240,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0243,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0244,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0244,Pharmacy,,,0.01,0.01,4
HCPCS,Q0245,Covid Codes - CPT/HCPCS,,,0.01,0.01,1
HCPCS,Q0247,Covid Codes - CPT/HCPCS,,,2394.0,2394.0,1
HCPCS,Q0247,Outpatient Services - CPT/HCPCS,,,2394.0,2394.0,2
HCPCS,Q0247,Pharmacy,,,2142.0,2142.0,4
HCPCS,Q0249,Tocilizumab for COVID-19,,,6.57,7.95,16
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,868.94,1255.81,15
HCPCS,Q0478,"Power adapter, combo vad",,,205.81,297.44,15
HCPCS,Q0479,"Power module combo vad, rep",,,13443.87,19391.07,15
HCPCS,Q0480,"Driver pneumatic vad, rep",,,94999.95,132359.91,15
HCPCS,Q0481,"Microprcsr cu elec vad, rep",,,16274.23,23519.97,15
HCPCS,Q0482,"Microprcsr cu combo vad, rep",,,5097.39,7366.89,15
HCPCS,Q0483,"Monitor elec vad, rep",,,20998.92,30348.29,15
HCPCS,Q0484,Monitor elec or comb vad rep,,,4077.92,5893.46,15
HCPCS,Q0485,"Monitor cable elec vad, rep",,,393.74,569.06,15
HCPCS,Q0486,Mon cable elec/pneum vad rep,,,327.69,473.56,15
HCPCS,Q0487,"Leads any type vad, rep only",,,382.29,552.48,15
HCPCS,Q0489,"Pwr pck base combo vad, rep",,,18204.94,26310.34,15
HCPCS,Q0490,"Emr pwr source elec vad, rep",,,787.46,1138.03,15
HCPCS,Q0491,Emr pwr source combo vad rep,,,1237.97,1789.19,15
HCPCS,Q0492,"Emr pwr cbl elec vad, rep",,,99.75,144.13,15
HCPCS,Q0493,"Emr pwr cbl combo vad, rep",,,283.98,410.45,15
HCPCS,Q0494,"Emr hd pmp elec/combo, rep",,,240.29,347.31,15
HCPCS,Q0495,"Charger elec/combo vad, rep",,,4678.21,6761.09,15
HCPCS,Q0496,"Battery elec/combo vad, rep",,,1679.1,2426.65,15
HCPCS,Q0497,"Bat clps elec/comb vad, rep",,,524.3,757.79,15
HCPCS,Q0498,"Holster elec/combo vad, rep",,,575.27,831.41,15
HCPCS,Q0499,Belt/vest elec/combo vad rep,,,186.92,270.12,15
HCPCS,Q0500,"Filters elec/combo vad, rep",,,34.18,49.4,15
HCPCS,Q0501,"Shwr cov elec/combo vad, rep",,,571.96,826.64,15
HCPCS,Q0502,"Mobility cart pneum vad, rep",,,728.22,1052.37,15
HCPCS,Q0503,Battery pneum vad replacemnt,,,1456.36,2104.82,15
HCPCS,Q0504,"Pwr adpt pneum vad, rep veh",,,768.52,1110.66,15
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,956.57,1382.49,15
HCPCS,Q0508,Mis sup/acc imp vad,,,52.1,52.1,2
HCPCS,Q0511,"Sup fee antiem,antica,immuno",,,13.2,13.2,2
HCPCS,Q0512,Px sup fee anti-can sub pres,,,8.8,8.8,2
HCPCS,Q0513,Disp fee inhal drugs/30 days,,,33.0,33.0,2
HCPCS,Q0515,Sermorelin acetate injection,,,1.93,1.93,2
HCPCS,Q2004,Bladder calculi irrig sol,,,112.23,272.01,2
HCPCS,Q2009,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),61.06,48.85,5.19,146.73,270
HCPCS,Q2009,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),91.33,73.065,5.19,440.2,162
HCPCS,Q2017,Outpatient Services - CPT/HCPCS,,,2545.87,2545.87,2
HCPCS,Q2026,Radiesse injection,,,167.36,350.09,11
HCPCS,Q2027,Pharmacy,,,4.9,4.9,4
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.78,1.89,11
HCPCS,Q2034,Agriflu vaccine,,,29.96,29.96,2
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,19.36,23.49,6
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,8.58,8.58,2
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,17.69,17.69,2
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,12.04,19.75,6
HCPCS,Q2039,"Influenza virus vaccine, nos",,,12.04,12.04,2
HCPCS,Q2040,Outpatient Services - CPT/HCPCS,,,343253.43,831911.5,2
HCPCS,Q2040,Pharmacy,,,6.04,6.04,4
HCPCS,Q2041,AXICABTAGENE CILOLEUCEL,1932746.0,1546196.8,343253.43,1739471.4,36
HCPCS,Q2042,TISAGENLECLEUCEL CAR POS T LEUKEMIA PEDS,2131704.0,1705363.2,370205.17,1918533.6,36
HCPCS,Q2042,TISAGENLECLEUCEL CAR POS T LYMPHOMA ADULTS,1842084.0,1473667.2,370205.17,1657875.6,36
HCPCS,Q2043,Sipuleucel-T auto CD54+,,,52508.71,60486.69,17
HCPCS,Q2049,Imported Lipodox inj,,,424.1,555.3,13
HCPCS,Q2050,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,1330.95,1064.76,94.03,1450.46,152
HCPCS,Q2051,Pharmacy,,,164.51,164.51,4
HCPCS,Q2052,"Home ivig, services/supplies",,,43.01,43.01,2
HCPCS,Q2053,BREXUCABTAGENE AUTOLEUCEL,1773169.0,1418535.2,343328.41,1595852.1,36
HCPCS,Q2054,LISOCABTAGENE MARALEUCEL,1964500.0,1571600.0,361676.15,1768050.0,36
HCPCS,Q2055,IDECABTAGENE VICLEUCEL,1916063.0,1532850.4,369311.54,1724456.7,36
HCPCS,Q2056,CILTACABTAGENE AUTOLEUCEL,2013978.0,1611182.4,379678.45,1812580.2,36
HCPCS,Q2057,Afamitresgene autoleucel,,,732089.0,843320.0,13
HCPCS,Q2058,Obecbtge autol up to 400 mil,,,264337.5,535500.0,13
HCPCS,Q3001,Brachytherapy Radioelements,,,28.0,28.0,2
HCPCS,Q3014,TELEHEALTH FACILITY FEE,59.0,47.2,16.38,53.1,27
HCPCS,Q3025,Pharmacy,,,336.12,336.12,4
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,53.88,73.42,15
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,38.28,42.46,6
HCPCS,Q3031,Collagen skin test,,,1.0,1.0,2
HCPCS,Q4001,Cast sup body cast plaster,,,56.72,80.92,15
HCPCS,Q4002,Cast sup body cast fiberglas,,,214.33,305.78,15
HCPCS,Q4003,Cast sup shoulder cast plstr,,,40.73,58.11,15
HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,141.01,201.17,15
HCPCS,Q4005,Cast sup long arm adult plst,,,15.02,21.43,15
HCPCS,Q4006,Cast sup long arm adult fbrg,,,33.84,48.27,15
HCPCS,Q4007,Cast sup long arm ped plster,,,7.51,10.71,15
HCPCS,Q4008,Cast sup long arm ped fbrgls,,,16.91,24.13,15
HCPCS,Q4009,Cast sup sht arm adult plstr,,,10.03,14.31,15
HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,22.55,32.18,15
HCPCS,Q4011,Cast sup sht arm ped plaster,,,5.0,7.13,15
HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,11.31,16.13,15
HCPCS,Q4013,Cast sup gauntlet plaster,,,18.26,26.05,15
HCPCS,Q4014,Cast sup gauntlet fiberglass,,,30.78,43.92,15
HCPCS,Q4015,Cast sup gauntlet ped plster,,,9.14,13.04,15
HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,15.38,21.95,15
HCPCS,Q4017,Cast sup lng arm splint plst,,,10.55,15.05,15
HCPCS,Q4018,Cast sup lng arm splint fbrg,,,16.81,23.98,15
HCPCS,Q4019,Cast sup lng arm splnt ped p,,,5.28,7.53,15
HCPCS,Q4020,Cast sup lng arm splnt ped f,,,8.45,12.04,15
HCPCS,Q4021,Cast sup sht arm splint plst,,,7.81,11.14,15
HCPCS,Q4022,Cast sup sht arm splint fbrg,,,14.1,20.12,15
HCPCS,Q4023,Cast sup sht arm splnt ped p,,,3.92,5.6,15
HCPCS,Q4024,Cast sup sht arm splnt ped f,,,7.06,10.07,15
HCPCS,Q4025,Cast sup hip spica plaster,,,43.77,62.45,15
HCPCS,Q4026,Cast sup hip spica fiberglas,,,136.72,195.06,15
HCPCS,Q4027,Cast sup hip spica ped plstr,,,21.91,31.25,15
HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,68.4,97.59,15
HCPCS,Q4029,Cast sup long leg plaster,,,33.49,47.78,15
HCPCS,Q4030,Cast sup long leg fiberglass,,,88.15,125.77,15
HCPCS,Q4031,Cast sup lng leg ped plaster,,,16.73,23.86,15
HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,44.08,62.88,15
HCPCS,Q4033,Cast sup lng leg cylinder pl,,,31.25,44.58,15
HCPCS,Q4034,Cast sup lng leg cylinder fb,,,77.67,110.81,15
HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,15.62,22.28,15
HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,38.86,55.45,15
HCPCS,Q4037,Cast sup shrt leg plaster,,,19.03,27.15,15
HCPCS,Q4038,Cast sup shrt leg fiberglass,,,47.73,68.1,15
HCPCS,Q4039,Cast sup shrt leg ped plster,,,9.55,13.62,15
HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,23.86,34.04,15
HCPCS,Q4041,Cast sup lng leg splnt plstr,,,23.17,33.06,15
HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,39.56,56.44,15
HCPCS,Q4043,Cast sup lng leg splnt ped p,,,11.59,16.53,15
HCPCS,Q4044,Cast sup lng leg splnt ped f,,,19.81,28.26,15
HCPCS,Q4045,Cast sup sht leg splnt plstr,,,13.45,19.19,15
HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,21.63,30.87,15
HCPCS,Q4047,Cast sup sht leg splnt ped p,,,6.7,9.56,15
HCPCS,Q4048,Cast sup sht leg splnt ped f,,,10.83,15.45,15
HCPCS,Q4049,"Finger splint, static",,,2.44,3.48,15
HCPCS,Q4050,Cast supplies unlisted,,,21.53,21.53,2
HCPCS,Q4051,Splint supplies misc,,,14.86,14.86,2
HCPCS,Q4074,Iloprost non-comp unit dose,,,146.67,146.67,2
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,1.0,1.0,2
HCPCS,Q4100,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,Q4101,ALLO SKIN DISC APLIGRAF44SQCM,264.43,211.55,1.0,237.99,27
HCPCS,Q4102,DRSG PERFD OASIS XL20X30=600SQ,27.9,22.32,1.0,25.11,27
HCPCS,Q4102,DRSG WND OASIS FEN 3X7CM=21SQ,49.11,39.29,1.0,44.2,27
HCPCS,Q4102,DRSG WND OASIS FEN3X3.5CM=11SQ,291.68,233.35,1.0,262.51,27
HCPCS,Q4103,DRSG BURN OASIS 3X3.5CM=11SQCM,76.7,61.36,1.0,69.03,27
HCPCS,Q4103,DRSG BURN OASIS 5X7CM=35SQ,48.47,38.78,1.0,43.62,27
HCPCS,Q4104,DRSG MTX BILYR 2X2=26SQCM,237.23,189.79,1.0,213.51,27
HCPCS,Q4104,DRSG MTX BILYR 4X5=130SQCM,76.82,61.46,1.0,69.14,27
HCPCS,Q4104,DRSG MTX BILYR MESH 2X2=26SQCM,269.41,215.53,1.0,242.47,27
HCPCS,Q4104,DRSG MTX BILYR MESH4X5=130SQCM,93.96,75.17,1.0,84.56,27
HCPCS,Q4104,DRSG MTX BILYRMESH4X10=258SQCM,73.1,58.48,1.0,65.79,27
HCPCS,Q4104,DRSG MTX BILYRMESH8X10=516SQCM,56.21,44.97,1.0,50.59,27
HCPCS,Q4105,GRAFT DERM OMNIGRAFT 4X4=16SQ,231.87,185.5,1.0,208.68,27
HCPCS,Q4105,GRAFT DERMOMNIGRAFT2.5X2.5=7SQ,410.29,328.24,1.0,369.26,27
HCPCS,Q4106,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,Q4107,ALLO GRAFTJACKET STD 2X4=8SQ,1187.74,950.2,1.0,1068.97,27
HCPCS,Q4107,ALLO GRAFTJACKET STD 4X4=16SQ,468.68,374.95,1.0,421.81,27
HCPCS,Q4108,Integra matrix,,,1.0,1.0,2
HCPCS,Q4110,GRAFT PRIMTX 4X4CM=16SQ,162.0,129.6,1.0,145.8,27
HCPCS,Q4110,GRAFT PRIMTX 5X5CM=25SQ,123.2,98.56,1.0,110.88,27
HCPCS,Q4110,GRAFT PRIMTX 6X6CM=36SQ,116.67,93.34,1.0,105.0,27
HCPCS,Q4110,GRAFT PRIMTX 8X8CM=64SQ,96.25,77.0,1.0,86.63,27
HCPCS,Q4110,GRAFT PRIMTX AG 4X4CM=16SQ,165.6,132.48,1.0,149.04,27
HCPCS,Q4110,GRAFT PRIMTX AG 6X6CM=36SQ,134.17,107.34,1.0,120.75,27
HCPCS,Q4110,GRAFT PRIMTX AG 8X8CM=48SQ,132.83,106.27,1.0,119.55,27
HCPCS,Q4110,GRAFT PRIMTX AG 8X8CM=64SQ,102.78,82.23,1.0,92.5,27
HCPCS,Q4110,GRAFT PRIMTX AG FEN 4X4CM=16SQ,167.67,134.14,1.0,150.9,27
HCPCS,Q4110,GRAFT PRIMTX FEN 4X4CM=16SQ,145.8,116.64,1.0,131.22,27
HCPCS,Q4110,GRAFT PRIMTX FEN 6X6CM=36SQ,105.0,84.0,1.0,94.5,27
HCPCS,Q4111,ALLO GAMMAGRAFT 1.5X1.5=3SQ,180.0,144.0,1.0,162.0,27
HCPCS,Q4111,ALLO GAMMAGRAFT 2.5X3=8Q,98.44,78.76,1.0,88.6,27
HCPCS,Q4111,ALLO GAMMAGRAFT 4X4.5=18SQ,62.0,49.6,1.0,55.8,27
HCPCS,Q4111,ALLO GAMMAGRAFT 7X8+5X12=116SQ,14.48,11.59,1.0,13.03,27
HCPCS,Q4112,Cymetra injectable,,,1.0,1.0,2
HCPCS,Q4113,Graftjacket xpress,,,1.0,1.0,2
HCPCS,Q4114,Integra flowable wound matri,,,1.0,1.0,2
HCPCS,Q4115,Alloskin,,,1.0,1.0,2
HCPCS,Q4116,ALLO ALLOD 1X2CM*DISC 6324329*,337.5,270.0,1.0,303.75,27
HCPCS,Q4116,ALLO ALLOD 3*DISC 6322741*,128.06,102.45,1.0,115.25,27
HCPCS,Q4116,ALLO ALLOD 4X7CM*DISC 6324332*,88.34,70.68,1.0,79.51,27
HCPCS,Q4116,ALLO ALLOD 8X16=128SQCM*DISC*,75.62,60.5,1.0,68.06,27
HCPCS,Q4116,ALLO ALLOD MD 16X20=320SQCM,73.37,58.7,1.0,66.03,27
HCPCS,Q4116,ALLO ALLOD MD 1X2=2SQCM,346.5,277.2,1.0,311.85,27
HCPCS,Q4116,ALLO ALLOD MD 4X7=28SQCM,90.17,72.14,1.0,81.15,27
HCPCS,Q4116,ALLO ALLOD MD 5X10=50SQCM,78.68,62.95,1.0,70.81,27
HCPCS,Q4116,ALLO ALLOD MD 7.3X14.7=77SQCM,85.6,68.48,1.0,77.04,27
HCPCS,Q4116,ALLO ALLOD MD 9.6X19.3=132SQCM,79.5,63.6,1.0,71.55,27
HCPCS,Q4116,ALLO ALLOD MD11.8X23.7=200SQCM,73.38,58.71,1.0,66.04,27
HCPCS,Q4116,ALLO ALLOD MD21.5X10.7=164SQCM,73.38,58.71,1.0,66.04,27
HCPCS,Q4116,ALLO ALLOD T*DISC 6322740*,231.0,184.8,1.0,207.9,27
HCPCS,Q4116,ALLO ALLOD T*DISC 6322742*,88.34,70.68,1.0,79.51,27
HCPCS,Q4116,ALLO ALLOD THICK 16X20=320SQCM,73.37,58.7,1.0,66.03,27
HCPCS,Q4116,ALLO ALLOD THIN 2X4=8SQCM,235.2,188.16,1.0,211.68,27
HCPCS,Q4116,ALLO ALLOD THIN 3X7=21SQCM,116.27,93.02,1.0,104.64,27
HCPCS,Q4116,ALLO ALLOD THIN 6X16=96SQCM,77.19,61.76,1.0,69.47,27
HCPCS,Q4116,ALLO ALLOD THIN 8X16=128SQCM,77.17,61.74,1.0,69.45,27
HCPCS,Q4116,ALLO ALLOD THK9.6X19.3=132SQCM,79.5,63.6,1.0,71.55,27
HCPCS,Q4116,ALLO ALLOD XTHK 1X4=4SQCM,270.9,216.72,1.0,243.81,27
HCPCS,Q4116,ALLO ALLOD XTHK 4X7=28SQCM,90.17,72.14,1.0,81.15,27
HCPCS,Q4116,ALLO ALLOD XTHN 2X4=8SQCM,235.2,188.16,1.0,211.68,27
HCPCS,Q4116,ALLO ALLOD XTHN 4X7=28SQCM,90.17,72.14,1.0,81.15,27
HCPCS,Q4116,ALLO ALLOD9.6X19.3=132SQ*DISC*,77.88,62.31,1.0,70.09,27
HCPCS,Q4116,ALLO PERFD XTHICK16X20CM=320CM,73.37,58.7,1.0,66.03,27
HCPCS,Q4116,ALLO SELECT RESTORE XTHK 327SQ,84.75,67.8,1.0,76.28,27
HCPCS,Q4116,ALLOALLO21.5X107=164SQCM*DISC*,77.86,62.29,1.0,70.07,27
HCPCS,Q4116,ALLOALLO9.6X19.3=132SQCM*DISC*,75.6,60.48,1.0,68.04,27
HCPCS,Q4116,ALLOALLOD THICK 3X7=21SQCM,116.27,93.02,1.0,104.64,27
HCPCS,Q4117,MTX HYALOMTX 2.5X2.5CM=7SQCM,93.57,74.86,1.0,84.21,27
HCPCS,Q4117,MTX HYALOMTX 5X5CM=25SQ*DISC*,44.81,35.85,1.0,40.33,27
HCPCS,Q4118,MESHGENTRIXINCISION4X10CM*NLU*,53.14,42.52,1.0,47.83,27
HCPCS,Q4118,MESHGENTRIXINCISION6X15CM*NLU*,41.33,33.07,1.0,37.2,27
HCPCS,Q4118,PTCL WND MICROMATRIX 200MG,10.19,8.16,1.0,9.17,27
HCPCS,Q4118,PTCL WND MICROMATRIX 30MG,15.42,12.34,1.0,13.88,27
HCPCS,Q4118,PTCL WND MICROMATRIX 500MG,7.3,5.84,1.0,6.57,27
HCPCS,Q4118,PTCL WND MICROMATRIX 60MG,14.18,11.35,1.0,12.76,27
HCPCS,Q4118,WND PTCL MICROMATRIX 1000MG,6.68,5.35,1.0,6.01,27
HCPCS,Q4118,WND PTCL MICROMATRIX 100MG,11.89,9.52,1.0,10.7,27
HCPCS,Q4118,WND PTCL MICROMATRIX 20MG,22.23,17.79,1.0,20.01,27
HCPCS,Q4121,ALLO DERM THERASKIN 2X3=3*NLU*,91.54,73.24,1.0,82.39,27
HCPCS,Q4121,ALLO DERM THERASKIN3X6=11*NLU*,30.78,24.63,1.0,27.7,27
HCPCS,Q4122,ALLODERMACELL0.8 16X20CM=320SQ,70.8,56.64,1.0,63.72,27
HCPCS,Q4122,ALLODERMACELLMICP10X18CM=134SQ,80.6,64.48,1.0,72.54,27
HCPCS,Q4122,ALLODERMACELLMICP16X20CM=320SQ,70.8,56.64,1.0,63.72,27
HCPCS,Q4123,Alloskin,,,1.0,1.0,2
HCPCS,Q4124,DRSG TRILYR OASIS 3X3.5=10.5SQ,63.14,50.52,1.0,56.83,27
HCPCS,Q4124,DRSG TRILYR OASIS 5X7CM=35SQ,169.75,135.8,1.0,152.78,27
HCPCS,Q4124,DRSG TRILYR OASIS7X20=140SQCM,32.6,26.08,1.0,29.34,27
HCPCS,Q4125,ALLO AFLEX 0.5MM 3X4CM=12SQ,235.4,188.32,1.0,211.86,27
HCPCS,Q4125,ALLO AFLEX 1.0MM 4X7CM=28SQ,191.25,153.0,1.0,172.13,27
HCPCS,Q4125,ALLO AFLEX 1.5MM 2.0X2.5CM=5SQ,614.46,491.57,1.0,553.01,27
HCPCS,Q4125,ALLO AFLEX 1.5MM 4X7CM=28SQ,212.78,170.23,1.0,191.5,27
HCPCS,Q4125,ALLO AFLEX 2 0.0X10X14MM=3SQ,673.2,538.56,1.0,605.88,27
HCPCS,Q4125,ALLO AFLEX 2MM 2.5X3.0CM=8SQ,595.35,476.28,1.0,535.82,27
HCPCS,Q4125,ALLO AFLEX 2MM3.5X3.5CM=13SQ,519.87,415.9,1.0,467.88,27
HCPCS,Q4125,ALLO AFLEX 3.0MM 4X7CM=28SQ,379.18,303.35,1.0,341.26,27
HCPCS,Q4125,ALLO AFLEX 4.0MM 4X7CM=28SQ,416.13,332.91,1.0,374.52,27
HCPCS,Q4125,ALLO AFLEX 4MM 2.0X3.0CM=6SQ,721.28,577.03,1.0,649.15,27
HCPCS,Q4125,ALLO AFLEX1.5MM2.5X3.0CM=7.5SQ,418.95,335.16,1.0,377.06,27
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,1.0,1.0,2
HCPCS,Q4127,Talymed,,,1.0,1.0,2
HCPCS,Q4128,ALLO ALLOPATCH DERMAL2X2CM=4SQ,543.6,434.88,1.0,489.24,27
HCPCS,Q4128,ALLO ALLOPATCH HD 2X5CM=10SQ,142.51,114.01,1.0,128.26,27
HCPCS,Q4128,ALLO ALLOPATCH HD 4X4CM=16SQ,261.14,208.92,1.0,235.03,27
HCPCS,Q4128,ALLO ALLOPATCH HD 4X8CM=32SQ,146.63,117.31,1.0,131.97,27
HCPCS,Q4128,ALLO ALLOPATCH HD 5X5CM=25SQ,160.88,128.71,1.0,144.79,27
HCPCS,Q4128,ALLO ALLOPATCH HDTHK4X8CM=32SQ,148.6,118.88,1.0,133.74,27
HCPCS,Q4128,ALLO ALLOPATCH HDULT4X8CM=32SQ,176.32,141.06,1.0,158.69,27
HCPCS,Q4128,ALLO ALLOPATCH MESH 4X4CM=16SQ,312.73,250.19,1.0,281.46,27
HCPCS,Q4128,ALLO ALLOPATCH MESH 4X8CM=32SQ,203.29,162.64,1.0,182.96,27
HCPCS,Q4128,ALLO ALLOPATCH PLIABLE 2X2=4SQ,726.67,581.34,1.0,654.0,27
HCPCS,Q4128,ALLO ALLOPATCH PLIABLE4X4=16SQ,181.67,145.34,1.0,163.5,27
HCPCS,Q4128,ALLO ALLOPATCH PLIABLE4X8=32SQ,136.3,109.04,1.0,122.67,27
HCPCS,Q4128,ALLO DERM FLEXHD 16X20CM=320SQ,64.76,51.81,1.0,58.28,27
HCPCS,Q4130,MESH STRATTICECONT9X18.5CM=167,31.27,25.02,1.0,28.14,27
HCPCS,Q4130,MESH STRATTICELAP10X10CM=100SQ,68.35,54.68,1.0,61.52,27
HCPCS,Q4130,MESHSTRATTICECONT12X22CM=264SQ,21.81,17.45,1.0,19.63,27
HCPCS,Q4130,MESHSTRATTICEFIRM10X20CM=200SQ,63.48,50.79,1.0,57.13,27
HCPCS,Q4132,ALLO GRAFIX CORE 1.5X2CM=3SQ,844.8,675.84,1.0,760.32,27
HCPCS,Q4132,ALLO GRAFIX CORE 16MM=2SQ,935.55,748.44,1.0,842.0,27
HCPCS,Q4132,ALLO GRAFIX CORE 3X4CM=12SQ,283.5,226.8,1.0,255.15,27
HCPCS,Q4132,ALLO GRAFIX CORE 5X5CM=25SQ,280.8,224.64,1.0,252.72,27
HCPCS,Q4132,ALLO GRAFIX CORE*DISC NO REPL*,530.67,424.54,1.0,477.6,27
HCPCS,Q4132,ALLO GRAFIX XC 7.5X15CM=112SQ,194.59,155.68,1.0,175.13,27
HCPCS,Q4133,ALLO GRAFIX PRIME 16MM=2SQ,809.55,647.64,1.0,728.6,27
HCPCS,Q4133,ALLO GRAFIX PRIME 2X3CM=6SQ,493.52,394.82,1.0,444.17,27
HCPCS,Q4133,ALLO GRAFIX PRIME 3X4CM=12SQ,280.67,224.54,1.0,252.6,27
HCPCS,Q4133,ALLO GRAFIX PRIME 5X5CM=25SQ,272.38,217.91,1.0,245.14,27
HCPCS,Q4133,ALLO GRAFIX PRIME1.5X2CM=3SQ,894.0,715.2,1.0,804.6,27
HCPCS,Q4133,ALLO GRAFIX XCPL 5X5CM=25SQ,204.4,163.52,1.0,183.96,27
HCPCS,Q4133,ALLO GRAFIX XCPL 7X7CM=49SQ,108.57,86.86,1.0,97.71,27
HCPCS,Q4133,ALLO GRAFIX XCPL7.5X15CM=113SQ,191.15,152.92,1.0,172.04,27
HCPCS,Q4133,ALLO GRAFIXPL PRIME 16MM=2CM,809.55,647.64,1.0,728.6,27
HCPCS,Q4133,ALLO GRAFIXPL PRIME 2X3CM=6SQ,493.52,394.82,1.0,444.17,27
HCPCS,Q4133,ALLO GRAFIXPL PRIME 3X3CM=9SQ,339.5,271.6,1.0,305.55,27
HCPCS,Q4133,ALLO GRAFIXPL PRIME 3X4CM=12SQ,280.67,224.54,1.0,252.6,27
HCPCS,Q4133,ALLO GRAFIXPL PRIME 5X5CM=25SQ,272.38,217.91,1.0,245.14,27
HCPCS,Q4133,ALLO GRAFIXPL PRIME1.5X2CM=3SQ,894.0,715.2,1.0,804.6,27
HCPCS,Q4133,ALLO STRAVIX 2X2CM=4SQ,728.0,582.4,1.0,655.2,27
HCPCS,Q4133,ALLO STRAVIX 2X4CM=8SQ,579.95,463.96,1.0,521.96,27
HCPCS,Q4133,ALLO STRAVIX 3X6CM=18SQ,420.33,336.27,1.0,378.3,27
HCPCS,Q4133,ALLO STRAVIX MESHED 3X6CM=18SQ,420.33,336.27,1.0,378.3,27
HCPCS,Q4133,ALLO STRAVIX PL 2X2CM=4SQ,728.0,582.4,1.0,655.2,27
HCPCS,Q4133,ALLO STRAVIX PL 2X4CM=8SQ,579.95,463.96,1.0,521.96,27
HCPCS,Q4133,ALLO STRAVIX PL 3X6CM=18SQ,420.33,336.27,1.0,378.3,27
HCPCS,Q4134,Hmatrix,,,1.0,1.0,2
HCPCS,Q4135,Mediskin,,,1.0,1.0,2
HCPCS,Q4136,Ezderm,,,1.0,1.0,2
HCPCS,Q4137,ALLO AMNIOEXCEL 1.5X1.5=2SQCM,1083.24,866.6,1.0,974.92,27
HCPCS,Q4137,ALLO AMNIOEXCEL 2X3CM=6SQCM,499.2,399.36,1.0,449.28,27
HCPCS,Q4137,ALLO AMNIOEXCEL 3.5X3.5=12SQCM,236.6,189.28,1.0,212.94,27
HCPCS,Q4137,ALLO AMNIOEXCEL 4X4CM=16SQCM,185.64,148.52,1.0,167.08,27
HCPCS,Q4137,ALLO AMNIOEXCEL 4X8CM=32SQCM,116.03,92.83,1.0,104.43,27
HCPCS,Q4137,ALLO AMNIOEXCEL 5X5CM=25SQCM,133.95,107.16,1.0,120.56,27
HCPCS,Q4137,ALLO AMNIOEXCEL DISK12MM=2SQCM,600.6,480.48,1.0,540.54,27
HCPCS,Q4137,ALLO AMNIOEXCEL DISK15MM=2SQCM,655.2,524.16,1.0,589.68,27
HCPCS,Q4137,ALLO AMNIOEXCEL DISK18MM=3SQCM,748.8,599.04,1.0,673.92,27
HCPCS,Q4137,ALLO AMNIOEXCEL DISK24MM=5SQCM,524.16,419.33,1.0,471.74,27
HCPCS,Q4137,ALLO AMNIOEXCEL10X10CM=100SQCM,131.79,105.44,1.0,118.61,27
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,1.0,1.0,2
HCPCS,Q4139,ALLO AMNIOMATRIX 1.0ML,4200.0,3360.0,1.0,3780.0,27
HCPCS,Q4139,ALLO AMNIOMATRIX 2.0ML,2520.0,2016.0,1.0,2268.0,27
HCPCS,Q4139,ALLO AMNIOMATRIX 3.0ML,1960.0,1568.0,1.0,1764.0,27
HCPCS,Q4140,Biodfence 1cm,,,1.0,1.0,2
HCPCS,Q4141,"Alloskin ac, 1 cm",,,1.0,1.0,2
HCPCS,Q4142,GRAFT XCM BIOLOGIC 20X30=600SQ,57.27,45.82,1.0,51.54,27
HCPCS,Q4142,GRAFT XCM BIOLOGIC10X16=160SQ,64.08,51.27,1.0,57.67,27
HCPCS,Q4143,"Repriza, 1cm",,,1.0,1.0,2
HCPCS,Q4145,"Epifix, inj, 1mg",,,1.0,1.0,2
HCPCS,Q4146,"Tensix, 1cm",,,1.0,1.0,2
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,1.0,1.0,2
HCPCS,Q4148,Neox neox rt or clarix cord,,,1.0,1.0,2
HCPCS,Q4149,"Excellagen, 0.1 cc",,,1.0,1.0,2
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,1.0,1.0,2
HCPCS,Q4151,ALLO AMINOBAND MEMB 3X8CM=24SQ,283.66,226.93,1.0,255.29,27
HCPCS,Q4151,ALLO AMNIOBAND DISK 10MM=1SQ,742.95,594.36,1.0,668.66,27
HCPCS,Q4151,ALLO AMNIOBAND MEMB 2X2CM=4SQ,706.68,565.35,1.0,636.01,27
HCPCS,Q4151,ALLO AMNIOBAND MEMB 3X4CM=12SQ,339.98,271.99,1.0,305.98,27
HCPCS,Q4151,ALLO AMNIOBAND MEMB 4X4CM,415.97,332.78,1.0,374.37,27
HCPCS,Q4151,ALLO PLACENTAL SALERA PTCL80MG,44.79,35.84,1.0,40.31,27
HCPCS,Q4152,Dermapure 1 square cm,,,1.0,1.0,2
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,1.0,1.0,2
HCPCS,Q4154,Biovance 1 square cm,,,1.0,1.0,2
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,1.0,1.0,2
HCPCS,Q4156,Neox 100 or clarix 100,,,1.0,1.0,2
HCPCS,Q4157,Revitalon 1 square cm,,,1.0,1.0,2
HCPCS,Q4158,GRAFT WND MARIGEN 3X3.5=11SQCM,233.92,187.14,1.0,210.53,27
HCPCS,Q4158,GRAFT WND MARIGEN 3X3=9SQCM,448.0,358.4,1.0,403.2,27
HCPCS,Q4158,GRAFT WND MARIGEN 3X7=21SQ,171.01,136.81,1.0,153.91,27
HCPCS,Q4158,GRAFT WND MARIGEN 4X4=16SQCM,292.25,233.8,1.0,263.03,27
HCPCS,Q4158,GRAFT WND MARIGEN 5X7=35SQ,126.5,101.2,1.0,113.85,27
HCPCS,Q4158,GRAFT WND MARIGEN 7X8=56SQCM,129.68,103.75,1.0,116.71,27
HCPCS,Q4158,GRAFT WND MARIGEN FEN 3X7=21SQ,183.48,146.79,1.0,165.13,27
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 19SQCM,162.47,129.98,1.0,146.22,27
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 38SQCM,140.81,112.65,1.0,126.73,27
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 4SQCM,525.69,420.56,1.0,473.12,27
HCPCS,Q4158,GRAFT WND MARIGEN MICRO 8SQCM,310.37,248.3,1.0,279.33,27
HCPCS,Q4158,GRAFT WND MARIGENCIR16MM=2SQCM,990.0,792.0,1.0,891.0,27
HCPCS,Q4158,GRAFT WND MARIGENFEN3X3.5=11SQ,250.88,200.71,1.0,225.79,27
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 126SQ,85.52,68.42,1.0,76.97,27
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 252SQ,71.66,57.33,1.0,64.49,27
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 43SQ,106.39,85.12,1.0,95.75,27
HCPCS,Q4158,GRAFT WND SURGICLOSE 2:1 86SQ,92.38,73.91,1.0,83.14,27
HCPCS,Q4158,GRAFT WND SURGICLOSE STD 70SQ,133.85,107.08,1.0,120.47,27
HCPCS,Q4158,GRAFTWNDMARIGEN1.75X1.75=4SQCM,525.69,420.56,1.0,473.12,27
HCPCS,Q4159,ALLOAMNIOTAFFINI*DISC 6336352*,1260.0,1008.0,1.0,1134.0,27
HCPCS,Q4159,ALLOAMNIOTAFFINITY2.5X2.5=7,372.86,298.29,1.0,335.57,27
HCPCS,Q4160,Nushield 1 square cm,,,1.0,1.0,2
HCPCS,Q4161,Bio-connekt per square cm,,,1.0,1.0,2
HCPCS,Q4162,"Wndex flw, bioskn flw, 0.5cc",,,1.0,1.0,2
HCPCS,Q4163,"Woundex, bioskin, per sq cm",,,1.0,1.0,2
HCPCS,Q4164,"Helicoll, per square cm",,,1.0,1.0,2
HCPCS,Q4165,"Keramatrix, kerasorb sq cm",,,1.0,1.0,2
HCPCS,Q4166,WND CYTAL 3X7CM*DISC 6315185*,25.83,20.67,1.0,23.25,27
HCPCS,Q4166,WND MTX BURN CYTAL 5X5CM=25SQ,96.16,76.93,1.0,86.54,27
HCPCS,Q4166,WND MTX BURN CYTAL 7X10CM=70SQ,44.18,35.35,1.0,39.76,27
HCPCS,Q4166,WND MTX BURNCYTAL10X15CM=150SQ,37.11,29.69,1.0,33.4,27
HCPCS,Q4166,WND MTX CYTAL 1LYR 3X7CM=21SQ,28.07,22.46,1.0,25.26,27
HCPCS,Q4166,WND MTX CYTAL 1LYR 7X10CM=70SQ,18.06,14.45,1.0,16.25,27
HCPCS,Q4166,WND MTX CYTAL 1LYR3X3.5CM=11SQ,40.42,32.34,1.0,36.38,27
HCPCS,Q4166,WND MTX CYTAL 3LYR 16X25CM=400,39.18,31.35,1.0,35.26,27
HCPCS,Q4166,WND MTX CYTAL 3LYR 16X35CM=560,35.23,28.19,1.0,31.71,27
HCPCS,Q4166,WND MTX CYTAL 6LYR 7X10CM=70SQ,99.44,79.56,1.0,89.5,27
HCPCS,Q4166,WND MTX CYTAL TLYR 5X5CM=25SQ,114.8,91.84,1.0,103.32,27
HCPCS,Q4166,WND MTX CYTAL1LYR10X15CM=150SQ,16.27,13.02,1.0,14.64,27
HCPCS,Q4167,"Truskin, per sq centimeter",,,1.0,1.0,2
HCPCS,Q4168,ALLO PLACENTAL SALERA PTCL40MG,58.46,46.77,1.0,52.61,27
HCPCS,Q4169,"Artacent wound, per sq cm",,,1.0,1.0,2
HCPCS,Q4170,"Cygnus, per sq cm",,,1.0,1.0,2
HCPCS,Q4171,"Interfyl, 1 mg",,,1.0,1.0,2
HCPCS,Q4172,Pharmacy,,,77.92,77.92,4
HCPCS,Q4173,Palingen or palingen xplus,,,1.0,1.0,2
HCPCS,Q4174,Palingen or promatrx,,,1.0,1.0,2
HCPCS,Q4175,Miroderm,,,1.0,1.0,2
HCPCS,Q4176,"Neopatch or therion, 1 sq cm",,,1.0,1.0,2
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,1.0,1.0,2
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,1.0,1.0,2
HCPCS,Q4179,"Flowerderm, per sq cm",,,1.0,1.0,2
HCPCS,Q4180,"Revita, per sq cm",,,1.0,1.0,2
HCPCS,Q4181,"Amnio wound, per square cm",,,1.0,1.0,2
HCPCS,Q4182,"Transcyte, per sq centimeter",,,1.0,1.0,2
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,1.0,1.0,2
HCPCS,Q4184,Cellesta or duo per sq cm,,,1.0,1.0,2
HCPCS,Q4185,Cellesta flowab amnion 0.5cc,,,1.0,1.0,2
HCPCS,Q4186,ALLO EPIFIX 2X2CM=4SQCM,703.5,562.8,1.0,633.15,27
HCPCS,Q4186,ALLO EPIFIX 2X3CM=6SQCM,577.27,461.82,1.0,519.54,27
HCPCS,Q4186,ALLO EPIFIX 2X4CM=8SQCM,486.85,389.48,1.0,438.17,27
HCPCS,Q4186,ALLO EPIFIX 3X4CM=12SQCM,578.2,462.56,1.0,520.38,27
HCPCS,Q4186,ALLO EPIFIX 4X4CM=16SQCM,509.11,407.29,1.0,458.2,27
HCPCS,Q4186,ALLO EPIFIX 5X6CM=30SQCM,475.76,380.61,1.0,428.18,27
HCPCS,Q4186,ALLO EPIFIX DISK 18MM=3SQCM,838.8,671.04,1.0,754.92,27
HCPCS,Q4186,ALLO EPIFIX EPXL *DISC 6321613,227.18,181.75,1.0,204.46,27
HCPCS,Q4186,ALLO EPIFIX FEN *DISC 6321612*,183.56,146.85,1.0,165.2,27
HCPCS,Q4186,ALLO EPIFIX FEN 4*DISC 6321611,227.18,181.75,1.0,204.46,27
HCPCS,Q4186,ALLO EPIFIX FEN 9*DISC 6321381,157.27,125.82,1.0,141.54,27
HCPCS,Q4186,ALLO EPIFIX XL 9X*DISC 6321612,183.56,146.85,1.0,165.2,27
HCPCS,Q4186,ALLO EPIFIX XL 9X*DISC 6321616,157.27,125.82,1.0,141.54,27
HCPCS,Q4187,ALLO UMBLCL EPICORD 6SQCM,630.93,504.75,1.0,567.84,27
HCPCS,Q4188,Amnioarmor 1 sq cm,,,1.0,1.0,2
HCPCS,Q4189,"Artacent ac, 1 mg",,,1.0,1.0,2
HCPCS,Q4190,Artacent ac 1 sq cm,,,1.0,1.0,2
HCPCS,Q4191,Restorigin 1 sq cm,,,1.0,1.0,2
HCPCS,Q4192,"Restorigin, 1 cc",,,1.0,1.0,2
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,1.0,1.0,2
HCPCS,Q4194,Novachor 1 sq cm,,,1.0,1.0,2
HCPCS,Q4195,Puraply 1 sq cm,,,1.0,1.0,2
HCPCS,Q4196,DRSG WND PURAPLY AM 2X2CM=4SQ,603.9,483.12,1.0,543.51,27
HCPCS,Q4196,DRSG WND PURAPLY AM 2X4CM=8SQ,360.0,288.0,1.0,324.0,27
HCPCS,Q4196,DRSG WND PURAPLY AM 5X5CM=25SQ,270.4,216.32,1.0,243.36,27
HCPCS,Q4196,DRSG WND PURAPLY AM 6X9CM=54SQ,228.0,182.4,1.0,205.2,27
HCPCS,Q4196,DRSG WND PURAPLY AM DISC 1.6CM,945.0,756.0,1.0,850.5,27
HCPCS,Q4196,DRSG WNDPURAPLYAMFEN3X4CM=12SQ,308.0,246.4,1.0,277.2,27
HCPCS,Q4196,DRSG WNDPURAPLYAMFEN4X4CM=16SQ,273.0,218.4,1.0,245.7,27
HCPCS,Q4197,Puraply xt 1 sq cm,,,1.0,1.0,2
HCPCS,Q4198,Genesis amnio membrane 1sqcm,,,1.0,1.0,2
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,1.0,1.0,2
HCPCS,Q4200,Skin te 1 sq cm,,,1.0,1.0,2
HCPCS,Q4201,Matrion 1 sq cm,,,1.0,1.0,2
HCPCS,Q4202,"Keroxx (2.5g/cc), 1cc",,,1.0,1.0,2
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,1.0,1.0,2
HCPCS,Q4204,Xwrap 1 sq cm,,,1.0,1.0,2
HCPCS,Q4205,Membrane graft or wrap sq cm,,,1.0,1.0,2
HCPCS,Q4206,Fluid Flow or Fluid GF 1 cc,,,1.0,1.0,2
HCPCS,Q4208,Novafix per sq cm,,,1.0,1.0,2
HCPCS,Q4209,Surgraft per sq cm,,,1.0,1.0,2
HCPCS,Q4210,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,Q4211,Amnion bio or axobio sq cm,,,1.0,1.0,2
HCPCS,Q4212,"Allogen, per cc",,,1.0,1.0,2
HCPCS,Q4213,"Ascent, 0.5 mg",,,1.0,1.0,2
HCPCS,Q4214,Cellesta cord per sq cm,,,1.0,1.0,2
HCPCS,Q4215,"Axolotl Ambient, Cryo 0.1 mg",,,1.0,1.0,2
HCPCS,Q4216,Artacent cord per sq cm,,,1.0,1.0,2
HCPCS,Q4217,Woundfix biowound plus xplus,,,1.0,1.0,2
HCPCS,Q4218,Surgicord per sq cm,,,1.0,1.0,2
HCPCS,Q4219,Surgigraft dual per sq cm,,,1.0,1.0,2
HCPCS,Q4220,"Bellacell hd, surederm sq cm",,,1.0,1.0,2
HCPCS,Q4221,Amniowrap2 per sq cm,,,1.0,1.0,2
HCPCS,Q4222,"Progenamatrix, per sq cm",,,1.0,1.0,2
HCPCS,Q4224,Hhf10-p per sq cm,,,1.0,1.0,2
HCPCS,Q4225,"Amnio or derma tl, per sq cm",,,1.0,1.0,2
HCPCS,Q4226,MyOwn harv prep proc sq cm,,,1.0,1.0,2
HCPCS,Q4227,Amniocore per sq cm,,,1.0,1.0,2
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,1.0,1.0,2
HCPCS,Q4230,Cogenex flow amnion 0.5 cc,,,1.0,1.0,2
HCPCS,Q4231,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,Q4232,"Corplex, per sq cm",,,1.0,1.0,2
HCPCS,Q4233,Surfactor /nudyn per 0.5 cc,,,1.0,1.0,2
HCPCS,Q4234,"Xcellerate, per sq cm",,,1.0,1.0,2
HCPCS,Q4235,Amniorepair or altiply sq cm,,,1.0,1.0,2
HCPCS,Q4236,Carepatch per sq cm,,,1.0,1.0,2
HCPCS,Q4237,"Cryo-cord, per sq cm",,,1.0,1.0,2
HCPCS,Q4238,"Derm-maxx, per sq cm",,,1.0,1.0,2
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,1.0,1.0,2
HCPCS,Q4240,Corecyte topical only 0.5 cc,,,1.0,1.0,2
HCPCS,Q4241,"Polycyte, topical only 0.5cc",,,1.0,1.0,2
HCPCS,Q4242,"Amniocyte plus, per 0.5 cc",,,1.0,1.0,2
HCPCS,Q4244,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,Q4245,"Amniotext, per cc",,,1.0,1.0,2
HCPCS,Q4246,"Coretext or protext, per cc",,,1.0,1.0,2
HCPCS,Q4247,"Amniotext patch, per sq cm",,,1.0,1.0,2
HCPCS,Q4248,Dermacyte amn mem allo sq cm,,,1.0,1.0,2
HCPCS,Q4249,"Amniply, per sq cm",,,1.0,1.0,2
HCPCS,Q4250,Amnioamp-mp per sq cm,,,1.0,1.0,2
HCPCS,Q4251,"Vim, per square centimeter",,,1.0,1.0,2
HCPCS,Q4252,"Vendaje, per square centimet",,,1.0,1.0,2
HCPCS,Q4253,Zenith amniotic membrane psc,,,1.0,1.0,2
HCPCS,Q4254,Novafix dl per sq cm,,,1.0,1.0,2
HCPCS,Q4255,"Reguard, topical use per sq",,,1.0,1.0,2
HCPCS,Q4256,"Mlg complet, per sq cm",,,1.0,1.0,2
HCPCS,Q4257,"Relese, per sq cm",,,1.0,1.0,2
HCPCS,Q4258,"Enverse, per sq cm",,,1.0,1.0,2
HCPCS,Q4259,Celera per sq cm,,,1.0,1.0,2
HCPCS,Q4260,"Signature apatch, per sq cm",,,1.0,1.0,2
HCPCS,Q4261,"Tag, per square centimeter",,,1.0,1.0,2
HCPCS,Q4262,"Dual layer impax, per sq cm",,,1.0,1.0,2
HCPCS,Q4263,"Surgraft tl, per sq cm",,,1.0,1.0,2
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,1.0,1.0,2
HCPCS,Q4265,Neostim tl per sq cm,,,1.0,1.0,2
HCPCS,Q4266,Neostim per sq cm,,,1.0,1.0,2
HCPCS,Q4267,Neostim dl per sq cm,,,1.0,1.0,2
HCPCS,Q4268,Surgraft ft per sq cm,,,1.0,1.0,2
HCPCS,Q4269,Surgraft xt per sq cm,,,1.0,1.0,2
HCPCS,Q4270,Complete sl per sq cm,,,1.0,1.0,2
HCPCS,Q4271,Complete ft per sq cm,,,1.0,1.0,2
HCPCS,Q4272,"Esano a, per sq cm",,,1.0,1.0,2
HCPCS,Q4273,"Esano aaa, per sq cm",,,1.0,1.0,2
HCPCS,Q4274,"Esano ac, per sq cm",,,1.0,1.0,2
HCPCS,Q4275,"Esano aca, per sq cm",,,1.0,1.0,2
HCPCS,Q4276,"Orion, per sq cm",,,1.0,1.0,2
HCPCS,Q4277,Outpatient Services - CPT/HCPCS,,,1.0,1.0,2
HCPCS,Q4278,ALLO EPIEFFECT 1X2CM=2SQCM,1585.6,1268.48,1.0,1427.04,27
HCPCS,Q4278,ALLO EPIEFFECT 2X2CM=4SQCM,933.1,746.48,1.0,839.79,27
HCPCS,Q4279,"Vendaje ac, per sq cm",,,1.0,1.0,2
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,1.0,1.0,2
HCPCS,Q4281,Barrera slor dl per sq cm,,,1.0,1.0,2
HCPCS,Q4282,Cygnus dual per sq cm,,,1.0,1.0,2
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,1.0,1.0,2
HCPCS,Q4284,"Dermabind sl, per sq cm",,,1.0,1.0,2
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,1.0,1.0,2
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,1.0,1.0,2
HCPCS,Q4287,"Dermabind dl, per sq cm",,,1.0,1.0,2
HCPCS,Q4288,"Dermabind ch, per sq cm",,,1.0,1.0,2
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,1.0,1.0,2
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,1.0,1.0,2
HCPCS,Q4291,"Lamellas xt, per sq cm",,,1.0,1.0,2
HCPCS,Q4292,"Lamellas, per sq cm",,,1.0,1.0,2
HCPCS,Q4293,"Acesso dl, per sq cm",,,1.0,1.0,2
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,1.0,1.0,2
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,1.0,1.0,2
HCPCS,Q4296,"Rebound matrix, per sq cm",,,1.0,1.0,2
HCPCS,Q4297,"Emerge matrix, per sq cm",,,1.0,1.0,2
HCPCS,Q4298,"Amniocore pro, per sq cm",,,1.0,1.0,2
HCPCS,Q4299,"Amniocore pro+, per sq cm",,,1.0,1.0,2
HCPCS,Q4300,"Acesso tl, per sq cm",,,1.0,1.0,2
HCPCS,Q4301,"Activate matrix, per sq cm",,,1.0,1.0,2
HCPCS,Q4302,"Complete aca, per sq cm",,,1.0,1.0,2
HCPCS,Q4303,"Complete aa, per sq cm",,,1.0,1.0,2
HCPCS,Q4304,"Grafix plus, per sq cm",,,1.0,1.0,2
HCPCS,Q4345,ALLO MATRIX HD 4X5CM=20SQCM,365.17,292.14,101.41,328.65,27
HCPCS,Q4345,ALLO MATRIX HD 5X8CM=40SQCM,566.68,453.35,157.37,510.01,27
HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,26.43,26.43,4
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,12.01,13.53,13
HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,23.73,27.84,13
HCPCS,Q5101,Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML,457.91499999999996,366.33500000000004,0.17,489.51,108
HCPCS,Q5101,Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML,870.24,696.2,0.17,783.22,36
HCPCS,Q5102,Pharmacy,,,82.64,82.64,4
HCPCS,Q5103,Infliximab-dyyb For IV Inj 100 MG,1777.62,1422.1,13.88,1599.86,36
HCPCS,Q5104,Infliximab-abda For IV Inj 100 MG,774.11,619.29,25.65,726.08,108
HCPCS,Q5105,Epoetin Alfa-epbx Inj 10000 Unit/ML,398.46,318.77,0.73,358.61,72
HCPCS,Q5105,Epoetin Alfa-epbx Inj 2000 Unit/ML,79.69,63.76,0.73,71.72,72
HCPCS,Q5105,Epoetin Alfa-epbx Inj 40000 Unit/ML,666.0,532.8,0.73,599.4,72
HCPCS,Q5106,Epoetin Alfa-epbx Inj 40000 Unit/ML,666.0,532.8,7.25,599.4,72
HCPCS,Q5107,Bevacizumab-awwb IV Soln 100 MG/4ML (For Infusion),1287.71,1030.17,25.91,1158.94,36
HCPCS,Q5107,Bevacizumab-awwb IV Soln 400 MG/16ML (For Infusion),5150.84,4120.68,25.91,4635.76,36
HCPCS,Q5108,"Injection, fulphila",,,94.17,138.08,16
HCPCS,Q5110,Filgrastim-aafi Soln Prefilled Syringe 300 MCG/0.5ML,499.81500000000005,399.855,0.27,594.3,72
HCPCS,Q5110,Filgrastim-aafi Soln Prefilled Syringe 480 MCG/0.8ML,549.145,439.32,0.27,499.87,72
HCPCS,Q5111,Pegfilgrastim-cbqv Soln Auto-injector 6 MG/0.6ML,3288.86,2631.09,101.02,2959.97,36
HCPCS,Q5111,Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML,3331.58,2665.27,101.02,2998.42,36
HCPCS,Q5112,Trastuzumab-dttb For IV Soln 150 MG,2610.5299999999997,2088.43,15.47,2948.34,72
HCPCS,Q5112,Trastuzumab-dttb For IV Soln 420 MG,7324.0,5859.2,15.47,10717.47,108
HCPCS,Q5113,Inj herzuma 10 mg,,,20.18,73.9,16
HCPCS,Q5114,Inj  ogivri 10 mg,,,38.28,64.87,16
HCPCS,Q5115,Rituximab-abbs IV Soln 100 MG/10ML (10 MG/ML),1118.57,894.86,27.49,1006.71,36
HCPCS,Q5115,Rituximab-abbs IV Soln 500 MG/50ML (10 MG/ML),5592.83,4474.27,27.49,5033.55,36
HCPCS,Q5116,"Inj., Trazimera, 10 mg",,,19.62,29.39,16
HCPCS,Q5117,"Inj., Kanjinti, 10 mg",,,24.34,49.92,16
HCPCS,Q5118,"Inj., Zirabev, 10 mg",,,23.48,27.05,15
HCPCS,Q5119,Rituximab-pvvr IV Soln 100 MG/10ML (10 MG/ML),1123.61,898.89,22.3,1011.25,36
HCPCS,Q5119,Rituximab-pvvr IV Soln 500 MG/50ML (10 MG/ML),5618.05,4494.44,22.3,5056.25,36
HCPCS,Q5120,Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML,4077.33,3261.87,27.35,3669.6,36
HCPCS,Q5121,"Inj. avsola, 10 mg",,,19.38,26.47,16
HCPCS,Q5122,"Inj, nyvepria",,,88.98,146.28,16
HCPCS,Q5123,"Inj. riabni, 10 mg",,,24.16,43.48,15
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,58.71,199.55,15
HCPCS,Q5125,Filgrastim-ayow Soln Prefilled Syringe 300 MCG/0.5ML,199.67,159.74,0.35,179.7,36
HCPCS,Q5126,Bevacizumab-maly IV Soln 100 MG/4ML (For Infusion),614.05,491.24,35.93,552.65,36
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,175.66,349.14,16
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,81.85,273.26,15
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,37.97,69.77,15
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,131.07,208.8,16
HCPCS,Q5131,Pharmacy,,,229.25,229.25,4
HCPCS,Q5132,Pharmacy,,,132.35,132.35,4
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.26,5.93,14
HCPCS,Q5134,"Inj, tyruko, 1 mg",,,24.15,24.15,4
HCPCS,Q5135,Tocilizumab-aazg IV Inj 200 MG/10ML,1415.04,1132.04,4.19,1273.54,36
HCPCS,Q5135,Tocilizumab-aazg IV Inj 400 MG/20ML,3323.58,2658.87,4.19,2991.22,36
HCPCS,Q5135,Tocilizumab-aazg IV Inj 80 MG/4ML,664.73,531.79,4.19,598.26,36
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,26.16,28.91,13
HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,63.11,63.11,4
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,11.06,12.37,13
HCPCS,Q5140,"Inj adalimumab-fkjp, 1 mg",,,12.52,13.84,13
HCPCS,Q5141,"Inj adalimumab-aaty, 1 mg",,,13.07,14.44,13
HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,9.95,13.23,13
HCPCS,Q5143,"Inj adalimumab-adbm, 1 mg",,,9.91,25.15,13
HCPCS,Q5144,"Inj, idacio, 1 mg",,,7.31,11.47,13
HCPCS,Q5145,"Inj, abrilada, 1 mg",,,13.23,20.44,13
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,38.02,42.03,13
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,816.39,946.2,13
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.52,1.02,13
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,29.79,32.92,13
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg",,,38.3,42.33,13
HCPCS,Q5156,"Inj, tocilizumab-anoh, 1 mg",,,4.4,4.4,4
HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,26.72,30.29,13
HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,27.29,30.92,13
HCPCS,Q9001,Chaplain assessment,,,86.56,86.56,2
HCPCS,Q9002,Chaplain counsel individu,,,76.61,76.61,2
HCPCS,Q9003,Chaplain counsel group,,,30.33,30.33,2
HCPCS,Q9950,Sulfur Hexafluoride Lipid-Type A Micros For Susp 60.7-25 MG,435.03,348.03,1.0,391.53,27
HCPCS,Q9951,"LOCM >= 400 mg/ml iodine,1ml",,,1.0,1.0,2
HCPCS,Q9953,"Inj Fe-based MR contrast,1ml",,,1.0,1.0,2
HCPCS,Q9954,"Oral MR contrast, 100 ml",,,1.0,1.0,2
HCPCS,Q9955,"Inj perflexane lip micros,ml",,,1.0,1.0,2
HCPCS,Q9956,Perflutren Protein-Type A Microspheres IV Susp,356.66,285.33,1.0,320.99,27
HCPCS,Q9957,Perflutren Lipid Microsphere IV Susp 6.52 MG/ML,600.3,480.24,1.0,540.27,27
HCPCS,Q9958,Diatrizoate Meglumine Urethral Soln 30%,2.0,1.6,0.56,1.8,27
HCPCS,Q9958,Iothalamate Meglumine Inj 17.2%,22.5,18.0,1.0,20.25,27
HCPCS,Q9959,"HOCM 150-199mg/ml iodine,1ml",,,1.0,1.0,2
HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,1.0,1.0,2
HCPCS,Q9961,Iothalamate Meglumine Inj 60%,66.0,52.8,1.0,59.4,27
HCPCS,Q9962,"HOCM 300-349mg/ml iodine,1ml",,,1.0,1.0,2
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,1.0,1.0,2
HCPCS,Q9964,"HOCM>= 400mg/ml iodine, 1ml",,,1.0,1.0,2
HCPCS,Q9965,Iohexol IV Soln 140 MG/ML,25.0,20.0,1.0,22.5,27
HCPCS,Q9965,Iohexol Inj 180 MG/ML,176.52,141.22,1.0,203.85,54
HCPCS,Q9966,Iodixanol Inj 270 MG/ML (Iodine Equivalent),390.63,312.51,1.0,351.57,27
HCPCS,Q9966,Iohexol Inj 240 MG/ML,130.14,104.12,1.0,117.13,27
HCPCS,Q9966,Iopamidol Inj 41%,217.8,174.24,1.0,196.02,27
HCPCS,Q9967,Iodixanol Inj 320 MG/ML (Iodine Equivalent),299.7,239.76,1.0,269.73,54
HCPCS,Q9967,Iohexhol Inj 350 mg/mL,25.0,20.0,1.0,22.5,27
HCPCS,Q9967,Iohexol IV Soln 350 MG/ML,32.3,25.84,1.0,35.64,108
HCPCS,Q9967,Iohexol Inj 300 MG/ML,25.0,20.0,1.0,22.5,54
HCPCS,Q9967,Iopamidol IV Soln 61%,1086.3000000000002,869.04,1.0,1954.8,108
HCPCS,Q9967,Iopamidol IV Soln 76%,1646.4,1317.12,1.0,2154.6,81
HCPCS,Q9968,Isosulfan Blue Subcutaneous Soln 1%,3627.85,2902.2799999999997,4.79,3290.04,76
HCPCS,Q9968,Methylene Blue IV Soln 1%,728.63,582.91,4.79,655.77,38
HCPCS,Q9968,Methylene Blue IV Soln 50 MG/10ML (5 MG/ML),451.88,361.51,4.79,541.79,76
HCPCS,Q9969,Outpatient Services,,,9.5,10.5,9
HCPCS,Q9969,Outpatient Services - CPT/HCPCS,,,7.64,18.51,2
HCPCS,Q9970,Pharmacy,,,1.15,1.15,4
HCPCS,Q9975,Pharmacy,,,2.08,2.08,4
HCPCS,Q9976,Pharmacy,,,0.03,0.03,4
HCPCS,Q9978,Pharmacy,,,559.98,559.98,4
HCPCS,Q9979,Pharmacy,,,1907.64,1907.64,4
HCPCS,Q9980,Pharmacy,,,9.39,9.39,4
HCPCS,Q9981,Pharmacy,,,3.19,3.19,4
HCPCS,Q9982,flutemetamol f18 diagnostic,,,1.0,3366.0,15
HCPCS,Q9983,florbetaben f18 diagnostic,,,1.0,2856.0,15
HCPCS,Q9984,Pharmacy,,,927.15,927.15,4
HCPCS,Q9986,Pharmacy,,,31.19,31.19,4
HCPCS,Q9989,Pharmacy,,,14.09,14.09,4
HCPCS,Q9991,Buprenorph xr 100 mg or less,,,1886.98,2206.66,15
HCPCS,Q9992,Buprenorphine xr over 100 mg,,,1886.98,2206.66,15
HCPCS,Q9993,Pharmacy,,,20.66,20.66,4
HCPCS,Q9994,Pharmacy,,,57.12,57.12,4
HCPCS,Q9995,Pharmacy,,,53.46,53.46,4
HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,47.03,47.03,4
HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,8.82,9.75,13
HCPCS,Q9998,"Inj ustekinumab-aekn, 1 mg",,,38.33,45.67,13
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,31.43,37.25,13
HCPCS,R0070,Transport portable x-ray,,,58.25,58.25,2
HCPCS,R0075,Transport port x-ray multipl,,,141.3,141.3,2
HCPCS,R0076,Transport portable EKG,,,39.0,39.0,2
HCPCS,S0012,"Butorphanol tartrate, nasal",,,81.87,81.87,6
HCPCS,S0013,Outpatient Services - CPT/HCPCS,,,14.07,14.07,2
HCPCS,S0013,Pharmacy,,,15.2,15.2,4
HCPCS,S0014,"Tacrine hydrochloride, 10 mg",,,2.51,2.51,2
HCPCS,S0017,Outpatient Services - CPT/HCPCS,,,8.3,8.3,2
HCPCS,S0017,Pharmacy,,,8.73,8.73,4
HCPCS,S0020,Pharmacy,,,3.06,3.06,4
HCPCS,S0021,"Injection, cefoperazone sod",,,14.4,14.4,2
HCPCS,S0023,"Injection, cimetidine hydroc",,,3.38,3.38,2
HCPCS,S0028,Outpatient Services - CPT/HCPCS,,,0.91,0.91,2
HCPCS,S0028,Pharmacy,,,0.91,0.91,4
HCPCS,S0030,Pharmacy,,,2.15,2.15,4
HCPCS,S0032,Outpatient Services - CPT/HCPCS,,,17.38,17.38,2
HCPCS,S0032,Pharmacy,,,18.43,18.43,4
HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,2.26,2.26,2
HCPCS,S0039,Outpatient Services - CPT/HCPCS,,,12.79,12.79,2
HCPCS,S0039,Pharmacy,,,12.79,12.79,4
HCPCS,S0040,"Injection, ticarcillin disod",,,13.6,13.6,2
HCPCS,S0073,Pharmacy,,,14.79,14.79,4
HCPCS,S0074,Outpatient Services - CPT/HCPCS,,,12.35,12.35,2
HCPCS,S0074,Pharmacy,,,12.35,12.35,4
HCPCS,S0077,Pharmacy,,,0.79,0.79,4
HCPCS,S0078,"Injection, fosphenytoin sodi",,,27.03,114.75,6
HCPCS,S0080,Pentamidine Isethionate For Inj Soln 300 MG,286.92,229.54000000000002,81.0,351.37,108
HCPCS,S0081,"Injection, piperacillin sodi",,,2.95,2.95,2
HCPCS,S0088,Imatinib Mesylate Tab 100 MG (Base Equivalent),6.91,5.53,2.83,85.91,27
HCPCS,S0088,Imatinib Mesylate Tab 400 MG (Base Equivalent),22.19,17.76,2.26,85.91,81
HCPCS,S0090,"Sildenafil citrate, 25 mg",,,56.49,56.49,6
HCPCS,S0091,Granisetron 1mg,,,50.17,50.18,6
HCPCS,S0092,Hydromorphone 250 mg,,,68.56,85.9,6
HCPCS,S0093,Morphine 500 mg,,,8.74,11.1,6
HCPCS,S0104,"Zidovudine, oral, 100 mg",,,1.72,1.72,4
HCPCS,S0106,Bupropion HCL SR 60 tablets,,,98.6,98.79,6
HCPCS,S0108,Mercaptopurine 50 mg,,,6.1,6.1,6
HCPCS,S0109,Methadone oral 5mg,,,0.3,0.37,6
HCPCS,S0117,Tretinoin topical 5 g,,,3.82,4.21,6
HCPCS,S0119,Ondansetron Orally Disintegrating Tab 4 MG,2.16,1.73,0.62,21.06,189
HCPCS,S0122,Inj menotropins 75 iu,,,238.08,257.51,6
HCPCS,S0126,Inj follitropin alfa 75 iu,,,246.34,246.34,6
HCPCS,S0128,Inj follitropin beta 75 iu,,,206.0,221.85,6
HCPCS,S0132,Inj ganirelix acetat 250 mcg,,,187.68,195.53,6
HCPCS,S0136,"Clozapine, 25 mg",,,1.12,1.12,6
HCPCS,S0137,"Didanosine, 25 mg",,,0.92,0.92,2
HCPCS,S0138,"Finasteride, 5 mg",,,2.66,2.66,6
HCPCS,S0139,"Minoxidil, 10 mg",,,1.1,1.39,6
HCPCS,S0140,"Saquinavir, 200 mg",,,4.09,4.09,2
HCPCS,S0142,Colistimethate inh sol mg,,,0.33,0.33,2
HCPCS,S0144,Pharmacy,,,0.12,0.12,4
HCPCS,S0145,Peg interferon alfa-2A/180,,,1135.69,1135.69,6
HCPCS,S0148,Peg interferon alfa-2b/10,,,153.44,153.44,2
HCPCS,S0155,Epoprostenol dilutant,,,14.79,14.79,6
HCPCS,S0156,"Exemestane, 25 mg",,,17.2,17.2,6
HCPCS,S0157,"Becaplermin gel 1%, 0.5 gm",,,32.21,46.23,6
HCPCS,S0160,Dextroamphetamine,,,2.47,3.44,6
HCPCS,S0164,Outpatient Services - CPT/HCPCS,,,5.18,5.18,2
HCPCS,S0164,Pharmacy,,,5.18,5.18,4
HCPCS,S0166,Pharmacy,,,8.96,8.96,4
HCPCS,S0169,Calcitrol,,,0.86,0.86,4
HCPCS,S0170,Anastrozole Tab 1 MG,1.865,1.495,0.62,11.31,189
HCPCS,S0171,Pharmacy,,,1.02,1.02,4
HCPCS,S0172,Chlorambucil 2 mg,,,566.16,589.12,6
HCPCS,S0174,Dolasetron 50 mg,,,30.15,30.15,6
HCPCS,S0175,Flutamide 125 mg,,,30.55,45.43,6
HCPCS,S0176,Hydroxyurea 500 mg,,,0.92,0.98,6
HCPCS,S0178,Lomustine 10 mg,,,114.74,123.92,6
HCPCS,S0179,Megestrol 20 mg,,,0.59,0.74,6
HCPCS,S0182,"Procarbazine, oral",,,131.85,151.49,6
HCPCS,S0183,Prochlorperazine 5 mg,,,0.5,0.51,6
HCPCS,S0187,Tamoxifen 10 mg,,,1.61,1.61,6
HCPCS,S0189,Outpatient Services - CPT/HCPCS,,,110.35,110.35,2
HCPCS,S0189,Pharmacy,,,110.35,110.35,4
HCPCS,S0190,"Mifepristone, oral, 200 mg",,,36.55,68.34,6
HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,1.15,1.62,6
HCPCS,S0194,Vitamin suppl 100 caps,,,56.62,56.62,4
HCPCS,S0197,Prenatal vitamins 30 day,,,0.75,0.75,4
HCPCS,S0199,Med abortion inc all ex drug,,,233.74,566.49,2
HCPCS,S0209,WC van mileage per mi,,,1.55,1.55,2
HCPCS,S0215,Nonemerg transp mileage,,,1.33,1.33,2
HCPCS,S0257,End of life counseling,,,29.22,29.22,2
HCPCS,S0265,Genetic counsel 15 mins,,,44.64,44.64,2
HCPCS,S0273,MD home visit outside cap,,,64.08,64.08,2
HCPCS,S0274,Nurse practr visit outs cap,,,64.08,64.08,2
HCPCS,S0280,"Medical home, initial plan",,,10.14,10.14,2
HCPCS,S0281,"Medical home, maintenance",,,10.14,10.14,2
HCPCS,S0285,cnslt before screen colonoscop,,,79.6,79.6,2
HCPCS,S0302,Completed EPSDT,,,21.23,21.23,2
HCPCS,S0311,Comp mgmt care coord adv ill,,,67.72,67.72,2
HCPCS,S0390,Rout foot care per visit,,,54.1,54.1,2
HCPCS,S0395,Impression casting ft,,,15.0,15.0,2
HCPCS,S0500,Dispos cont lens,,,8.27,8.27,2
HCPCS,S0504,Singl prscrp lens,,,29.58,29.58,2
HCPCS,S0516,Safety frames,,,32.35,32.35,2
HCPCS,S0518,Sunglass frames,,,33.59,33.59,2
HCPCS,S0580,Polycarb lens,,,5.3,5.3,2
HCPCS,S0595,New lenses in pts old frame,,,5.9,5.9,2
HCPCS,S0601,Screening proctoscopy,,,660.46,1600.7,2
HCPCS,S0610,Annual gynecological examina,,,48.53,48.53,2
HCPCS,S0612,Annual gynecological examina,,,65.2,65.2,2
HCPCS,S0613,Ann breast exam,,,52.22,52.22,2
HCPCS,S0618,Audiometry for hearing aid,,,24.12,24.12,2
HCPCS,S0620,Routine ophthalmological exa,,,47.61,47.61,2
HCPCS,S0621,Routine ophthalmological exa,,,49.34,49.34,2
HCPCS,S0630,Removal of sutures,,,56.4,56.4,2
HCPCS,S0800,Laser in situ keratomileusis,,,212.25,514.41,2
HCPCS,S0810,Photorefractive keratectomy,,,212.25,514.41,2
HCPCS,S0812,Phototherap keratect,,,212.25,514.41,2
HCPCS,S1016,Non-pvc intravenous administ,,,11.44,11.44,2
HCPCS,S1035,Art pancreas inv disp sensor,,,8.7,8.7,2
HCPCS,S1036,Art pancreas ext transmitter,,,448.17,448.17,2
HCPCS,S1037,Art pancreas ext receiver,,,418.0,418.0,2
HCPCS,S1040,TAG REGISTRATION SMARTSOC*NLU*,2950.0,2360.0,819.22,2780.0,27
HCPCS,S1090,Pharmacy,,,841.5,841.5,4
HCPCS,S1091,Stent non-coronary propel,,,688.85,1759.5,6
HCPCS,S2066,Breast GAP flap reconst,,,4751.25,11515.15,2
HCPCS,S2067,"Breast ""stacked"" DIEP/GAP",,,4751.25,11515.15,2
HCPCS,S2068,Breast DIEP or SIEA flap,,,4751.25,11515.15,2
HCPCS,S2070,Cysto laser tx ureteral calc,,,546.72,546.72,2
HCPCS,S2079,Lap esophagomyotomy,,,1355.72,1355.72,2
HCPCS,S2083,ED S2083 ADJ GASTRIC BAND,1820.0,1456.0,139.12,1638.0,27
HCPCS,S2083,SURG S2083 ADJUST GASTRIC BAND,1820.0,1456.0,139.12,1638.0,27
HCPCS,S2095,Transcath emboliz microspher,,,1207.68,1207.68,2
HCPCS,S2112,Knee arthroscp harv,,,171.82,416.42,2
HCPCS,S2118,Total hip resurfacing,,,1171.0,2838.05,2
HCPCS,S2202,Echosclerotherapy,,,290.53,704.12,2
HCPCS,S2205,Minimally invasive direct co,,,7448.43,18052.08,2
HCPCS,S2206,Minimally invasive direct co,,,7448.43,18052.08,2
HCPCS,S2207,Minimally invasive direct co,,,7448.43,18052.08,2
HCPCS,S2208,Minimally invasive direct co,,,7448.43,18052.08,2
HCPCS,S2209,Minimally invasive direct co,,,7448.43,18052.08,2
HCPCS,S2225,Myringotomy laser-assist,,,177.97,431.34,2
HCPCS,S2230,Implant semi-imp hear,,,400.87,971.56,2
HCPCS,S2235,Implant auditory brain imp,,,400.87,971.56,2
HCPCS,S2260,Induced abortion 17-24 weeks,,,233.74,566.49,2
HCPCS,S2265,Induced abortion 25-28 wks,,,233.74,566.49,2
HCPCS,S2266,Induced abortion 29-31 wks,,,233.74,566.49,2
HCPCS,S2267,Induced abortion 32 or more,,,233.74,566.49,2
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,171.82,416.42,2
HCPCS,S2325,Hip core decompression,,,1670.51,1670.51,2
HCPCS,S2340,Chemodenervation of abductor,,,400.87,971.56,2
HCPCS,S2341,Chemodenerv adduct vocal,,,400.87,971.56,2
HCPCS,S2342,Nasal endoscop po debrid,,,297.51,721.05,2
HCPCS,S2348,Decompress disc RF lumbar,,,171.82,416.42,2
HCPCS,S2350,"Diskectomy, anterior, with d",,,171.82,416.42,2
HCPCS,S2351,"Diskectomy, anterior, with d",,,171.82,416.42,2
HCPCS,S2400,Fetal surg congen hernia,,,145.19,351.88,2
HCPCS,S2401,Fetal surg urin trac obstr,,,233.74,566.49,2
HCPCS,S2402,Fetal surg cong cyst malf,,,233.74,566.49,2
HCPCS,S2403,Fetal surg pulmon sequest,,,233.74,566.49,2
HCPCS,S2404,Fetal surg myelomeningo,,,233.74,566.49,2
HCPCS,S2405,Fetal surg sacrococ teratoma,,,145.19,351.88,2
HCPCS,S2409,Fetal surg noc,,,145.19,351.88,2
HCPCS,S2411,Fetoscop laser ther TTTS,,,145.19,351.88,2
HCPCS,S2900,Robotic surgical system,,,0.01,0.01,2
HCPCS,S3000,Bilat dil retinal exam,,,31.03,31.03,2
HCPCS,S3620,Newborn metabolic screening,,,235.0,235.0,2
HCPCS,S3655,Antisperm antibodies test,,,6.66,6.66,2
HCPCS,S3722,Dose optimization AUC - 5FU,,,3371.08,3371.08,2
HCPCS,S3854,Gene profile panel breast,,,4186.59,4186.59,2
HCPCS,S4011,IVF package,,,145.19,351.88,2
HCPCS,S4013,Compl GIFT case rate,,,145.19,351.88,2
HCPCS,S4014,Compl ZIFT case rate,,,145.19,351.88,2
HCPCS,S4015,Complete IVF nos case rate,,,145.19,351.88,2
HCPCS,S4016,Frozen IVF case rate,,,145.19,351.88,2
HCPCS,S4017,IVF canc a stim case rate,,,145.19,351.88,2
HCPCS,S4018,F EMB trns canc case rate,,,145.19,351.88,2
HCPCS,S4020,Ivf canc b4 aspir case rate,,,145.19,351.88,2
HCPCS,S4021,Ivf canc aftr aspr case rate,,,145.19,351.88,2
HCPCS,S4022,Asst oocyte fert case rate,,,145.19,351.88,2
HCPCS,S4023,Incompl donor egg case rate,,,145.19,351.88,2
HCPCS,S4024,Air polymer foam per study,,,94.86,94.86,4
HCPCS,S4025,Donor serv IVF case rate,,,145.19,351.88,2
HCPCS,S4026,Procure donor sperm,,,992.16,992.16,2
HCPCS,S4028,Microsurg epi sperm asp,,,145.19,351.88,2
HCPCS,S4030,Sperm procure init visit,,,145.19,351.88,2
HCPCS,S4031,Sperm procure subs visit,,,145.19,351.88,2
HCPCS,S4035,Stimulated IUI case rate,,,145.19,351.88,2
HCPCS,S4037,Cryo embryo transf case rate,,,145.19,351.88,2
HCPCS,S4042,Ovulation mgmt per cycle,,,144.84,144.84,2
HCPCS,S4981,Insert levonorgestrel ius,,,116.54,116.54,2
HCPCS,S4989,Contracept IUD,,,406.85,406.85,2
HCPCS,S4991,Nicotine patch nonlegend,,,1.56,1.56,4
HCPCS,S4993,Contraceptive pills for bc,,,1.19,28.27,6
HCPCS,S4995,Smoking cessation gum,,,0.34,0.34,4
HCPCS,S5000,"Prescription drug, generic",,,29.12,29.12,2
HCPCS,S5010,Dextrose 5% w/ Sodium Chloride 0.45%,50.0,40.0,3.12,45.0,27
HCPCS,S5011,Pharmacy,,,3.16,3.16,4
HCPCS,S5012,5% dextrose with potassium,,,4.71,7.43,6
HCPCS,S5013,5%dextrose/0.45%saline1000ml,,,980.39,980.39,2
HCPCS,S5190,Wellness assessment by nonph,,,30.78,30.78,2
HCPCS,S5497,HIT cath care noc,,,6.8,6.8,2
HCPCS,S5498,HIT simple cath care,,,6.8,6.8,2
HCPCS,S5501,HIT complex cath care,,,6.8,6.8,2
HCPCS,S5502,HIT interim cath care,,,6.8,6.8,2
HCPCS,S5517,HIT declotting kit,,,6.8,6.8,2
HCPCS,S5518,HIT cath repair kit,,,6.8,6.8,2
HCPCS,S5520,HIT picc insert kit,,,36.9,36.9,2
HCPCS,S5521,HIT midline cath insert kit,,,36.05,36.05,2
HCPCS,S5522,HIT picc insert no supp,,,43.86,43.86,2
HCPCS,S5523,HIP midline cath insert kit,,,43.86,43.86,2
HCPCS,S5550,Insulin rapid 5 u,,,0.43,0.43,6
HCPCS,S5551,Insulin most rapid 5 u,,,0.36,0.42,6
HCPCS,S5552,Insulin intermed 5 u,,,0.23,0.25,6
HCPCS,S5553,Insulin long acting 5 u,,,0.32,0.45,6
HCPCS,S5561,Insulin reuse pen 3 ml,,,22.95,22.95,4
HCPCS,S5566,Insulin cartridge 300 u,,,27.41,27.41,4
HCPCS,S5570,Insulin dispos pen 1.5 ml,,,58.28,58.28,4
HCPCS,S5571,Insulin dispos pen 3 ml,,,18.77,18.77,4
HCPCS,S8030,Tantalum ring application,,,233.74,566.49,2
HCPCS,S8035,Magnetic source imaging,,,66.21,160.46,2
HCPCS,S8037,mrcp,,,178.53,432.69,2
HCPCS,S8080,Scintimammography,,,300.5,728.3,2
HCPCS,S8085,Fluorine-18 fluorodeoxygluco,,,295.26,295.26,2
HCPCS,S8092,Electron beam computed tomog,,,217.93,217.93,2
HCPCS,S8096,Portable peak flow meter,,,22.0,22.0,2
HCPCS,S8100,Spacer without mask,,,18.4,18.4,2
HCPCS,S8101,Spacer with mask,,,32.23,32.23,2
HCPCS,S8110,Peak expiratory flow rate (p,,,7.26,7.26,2
HCPCS,S8120,O2 contents gas cubic ft,,,1.15,1.15,2
HCPCS,S8121,O2 contents liquid lb,,,1.2,1.2,2
HCPCS,S8130,Interferential stim 2 chan,,,299.71,299.71,2
HCPCS,S8131,Interferential stim 4 chan,,,336.55,336.55,2
HCPCS,S8185,Flutter device,,,61.76,61.76,2
HCPCS,S8186,Swivel adaptor,,,3.2,3.2,2
HCPCS,S8189,Trach supply noc,,,1.77,1.77,2
HCPCS,S8210,Mucus trap,,,1.7,1.7,2
HCPCS,S8265,Haberman feeder,,,19.32,19.32,2
HCPCS,S8421,Ready gradient sleev/glov,,,108.16,108.16,2
HCPCS,S8422,Custom grad sleeve med,,,180.94,180.94,2
HCPCS,S8423,Custom grad sleeve heavy,,,156.21,156.21,2
HCPCS,S8424,Ready gradient sleeve,,,64.35,64.35,2
HCPCS,S8426,Custom grad glove heavy,,,254.13,254.13,2
HCPCS,S8427,Ready gradient glove,,,62.44,62.44,2
HCPCS,S8428,Ready gradient gauntlet,,,59.89,59.89,2
HCPCS,S8429,Gradient pressure wrap,,,48.86,48.86,2
HCPCS,S8430,Padding for comprssn bdg,,,1.68,1.68,2
HCPCS,S8431,Compression bandage,,,2.65,2.65,2
HCPCS,S8450,Splint digit,,,2.36,2.36,2
HCPCS,S8451,Splint wrist or ankle,,,12.76,12.76,2
HCPCS,S8452,Splint elbow,,,11.2,11.2,2
HCPCS,S8490,100 insulin syringes,,,26.38,33.58,6
HCPCS,S8948,Low-level laser trmt 15 min,,,6.93,6.93,2
HCPCS,S8990,Pt or manip for maint,,,21.02,21.02,2
HCPCS,S8999,Resuscitation bag,,,36.74,36.74,2
HCPCS,S9001,Home uterine monitor with or,,,74.51,74.51,2
HCPCS,S9034,ESWL for gallstones,,,512.62,1242.38,2
HCPCS,S9055,TX RM S9055 PROCUREN OR OTHER GROWTH FAC,779.0,623.2,216.33,701.1,27
HCPCS,S9061,Medical supplies and equipme,,,95.68,95.68,2
HCPCS,S9088,Services provided in urgent,,,11.0,11.0,2
HCPCS,S9090,Vertebral axial decompressio,,,51.23,51.23,2
HCPCS,S9110,Telemonitoring/home per mnth,,,39.63,39.63,2
HCPCS,S9122,Home health aide or certifie,,,10.49,10.49,2
HCPCS,S9123,Nursing care in home RN,,,61.73,61.73,2
HCPCS,S9128,"Speech therapy, in the home,",,,113.81,275.82,2
HCPCS,S9129,"Occupational therapy, in the",,,79.0,79.0,2
HCPCS,S9131,PT in the home per diem,,,94.55,94.55,2
HCPCS,S9140,"Diabetic Management Program,",,,23.04,23.04,2
HCPCS,S9141,"Diabetic Management Program,",,,23.04,23.04,2
HCPCS,S9152,"Speech therapy, re-eval",,,113.81,275.82,2
HCPCS,S9208,Home mgmt preterm labor,,,25.06,25.06,2
HCPCS,S9209,Home mgmt PPROM,,,125.32,125.32,2
HCPCS,S9325,HIT pain mgmt per diem,,,101.91,101.91,2
HCPCS,S9326,HIT cont pain per diem,,,101.91,101.91,2
HCPCS,S9327,HIT int pain per diem,,,101.91,101.91,2
HCPCS,S9328,HIT pain imp pump diem,,,101.91,101.91,2
HCPCS,S9329,HIT chemo per diem,,,110.52,110.52,2
HCPCS,S9330,HIT cont chem diem,,,110.52,110.52,2
HCPCS,S9331,HIT intermit chemo diem,,,110.52,110.52,2
HCPCS,S9335,HT hemodialysis diem,,,322.7,782.11,2
HCPCS,S9336,HIT cont anticoag diem,,,101.91,101.91,2
HCPCS,S9338,HIT immunotherapy diem,,,101.91,101.91,2
HCPCS,S9339,HIT periton dialysis diem,,,322.7,782.11,2
HCPCS,S9340,HIT enteral per diem,,,44.09,44.09,2
HCPCS,S9341,HIT enteral grav diem,,,8.68,8.68,2
HCPCS,S9342,HIT enteral pump diem,,,16.56,16.56,2
HCPCS,S9343,HIT enteral bolus nurs,,,11.38,11.38,2
HCPCS,S9345,HIT anti-hemophil diem,,,101.91,101.91,2
HCPCS,S9346,HIT alpha-1-proteinas diem,,,101.91,101.91,2
HCPCS,S9347,HIT longterm infusion diem,,,101.91,101.91,2
HCPCS,S9348,HIT sympathomim diem,,,101.91,101.91,2
HCPCS,S9349,HIT tocolysis diem,,,101.91,101.91,2
HCPCS,S9351,HIT cont antiemetic diem,,,101.91,101.91,2
HCPCS,S9353,HIT cont insulin diem,,,101.91,101.91,2
HCPCS,S9355,HIT chelation diem,,,101.91,101.91,2
HCPCS,S9357,HIT enzyme replace diem,,,101.91,101.91,2
HCPCS,S9359,HIT anti-tnf per diem,,,101.91,101.91,2
HCPCS,S9361,HIT diuretic infus diem,,,101.91,101.91,2
HCPCS,S9363,HIT anti-spasmotic diem,,,101.91,101.91,2
HCPCS,S9364,HIT tpn total diem,,,141.53,141.53,2
HCPCS,S9365,HIT tpn 1 liter diem,,,141.53,141.53,2
HCPCS,S9366,HIT tpn 2 liter diem,,,154.03,154.03,2
HCPCS,S9367,HIT tpn 3 liter diem,,,154.03,154.03,2
HCPCS,S9368,HIT tpn over 3l diem,,,154.03,154.03,2
HCPCS,S9370,HT inj antiemetic diem,,,101.91,101.91,2
HCPCS,S9372,HT inj anticoag diem,,,101.91,101.91,2
HCPCS,S9373,HIT hydra total diem,,,99.53,99.53,2
HCPCS,S9374,HIT hydra 1 liter diem,,,101.91,101.91,2
HCPCS,S9375,HIT hydra 2 liter diem,,,101.91,101.91,2
HCPCS,S9376,HIT hydra 3 liter diem,,,101.91,101.91,2
HCPCS,S9377,HIT hydra over 3l diem,,,101.91,101.91,2
HCPCS,S9379,HIT noc per diem,,,101.91,101.91,2
HCPCS,S9401,Anticoag clinic per session,,,29.92,29.92,2
HCPCS,S9433,Medical food oral 100% nutr,,,2.47,2.47,2
HCPCS,S9435,Medical foods for inborn err,,,525.0,525.0,2
HCPCS,S9442,Birthing class,,,31.6,31.6,2
HCPCS,S9443,Lactation class,,,15.48,15.48,2
HCPCS,S9445,PT education noc individ,,,31.48,31.48,2
HCPCS,S9446,PT education noc group,,,36.85,36.85,2
HCPCS,S9447,Infant safety class,,,22.64,22.64,2
HCPCS,S9449,Weight mgmt class,,,9.08,9.08,2
HCPCS,S9452,Nutrition class,,,23.09,23.09,2
HCPCS,S9453,Smoking cessation class,,,22.64,22.64,2
HCPCS,S9454,Stress mgmt class,,,22.64,22.64,2
HCPCS,S9455,"Diabetic Management Program,",,,9.13,9.13,2
HCPCS,S9460,"Diabetic Management Program,",,,30.38,30.38,2
HCPCS,S9465,"Diabetic Management Program,",,,0.01,0.01,2
HCPCS,S9470,"Nutritional counseling, diet",,,80.63,80.63,2
HCPCS,S9472,Cardiac rehabilitation progr,,,96.27,233.33,2
HCPCS,S9476,Vestibular rehab per diem,,,113.81,275.82,2
HCPCS,S9480,Intensive outpatient psychia,,,149.65,149.65,2
HCPCS,S9482,Family stabilization 15 min,,,116.17,281.54,2
HCPCS,S9484,Crisis intervention per hour,,,167.39,167.39,2
HCPCS,S9485,Crisis intervention mental h,,,252.45,252.45,2
HCPCS,S9490,HIT corticosteroid/diem,,,101.91,101.91,2
HCPCS,S9494,HIT antibiotic total diem,,,101.91,101.91,2
HCPCS,S9497,HIT antibiotic q3h diem,,,130.58,130.58,2
HCPCS,S9500,HIT antibiotic q24h diem,,,135.21,135.21,2
HCPCS,S9501,HIT antibiotic q12h diem,,,146.68,146.68,2
HCPCS,S9502,HIT antibiotic q8h diem,,,152.42,152.42,2
HCPCS,S9503,HIT antibiotic q6h diem,,,124.85,124.85,2
HCPCS,S9504,HIT antibiotic q4h diem,,,130.58,130.58,2
HCPCS,S9537,HT hem horm inj diem,,,95.68,95.68,2
HCPCS,S9538,HIT blood products diem,,,290.3,703.57,2
HCPCS,S9542,HT inj noc per diem,,,101.91,101.91,2
HCPCS,S9558,HT inj growth horm diem,,,95.68,95.68,2
HCPCS,S9559,HIT inj interferon diem,,,95.68,95.68,2
HCPCS,S9560,HT inj hormone diem,,,95.68,95.68,2
HCPCS,S9562,Ht inj palivizumab/ab diem,,,95.68,95.68,2
HCPCS,S9590,HT irrigation diem,,,95.68,95.68,2
HCPCS,S9810,HT pharm per hour,,,62.66,62.66,2
HCPCS,S9982,Med record copy per page,,,0.61,0.61,2
HCPCS,S9986,Not medically necessary svc,,,568.02,568.02,2
HCPCS,T1002,RN services up to 15 minutes,,,8.26,8.26,2
HCPCS,T1006,Family/Couple Counseling,,,116.17,281.54,2
HCPCS,T1007,Treatment Plan Development,,,20.92,50.69,2
HCPCS,T1013,Sign Lang/Oral Interpreter,,,12.5,12.5,2
HCPCS,T1015,Clinic service,,,41.84,41.84,2
HCPCS,T1016,CASE MANAGEMENT EA 15 MIN,72.0,57.6,12.88,64.8,27
HCPCS,T1017,Targeted case management,,,30.44,30.44,2
HCPCS,T1019,Personal care ser per 15 min,,,3.98,3.98,2
HCPCS,T1025,"Ped compr care pkg, per diem",,,634.76,634.76,1
HCPCS,T1030,RN home care per diem,,,91.62,91.62,2
HCPCS,T1033,Sv doula brth wrk per diem,,,100.0,100.0,2
HCPCS,T2001,N-et; patient attend/escort,,,9.0,9.0,2
HCPCS,T2003,N-et; encounter/trip,,,11.5,11.5,2
HCPCS,T2005,N-et; stretcher van,,,60.0,60.0,2
HCPCS,T2015,Habil prevoc waiver per hr,,,69.42,69.42,2
HCPCS,T2022,"Case management, per month",,,102.0,102.0,2
HCPCS,T2023,Targeted case mgmt per month,,,245.58,245.58,2
HCPCS,T2047,Hab prevo waiver per 15,,,17.36,17.36,2
HCPCS,T2049,"N-ET; stretcher van, mileage",,,2.4,2.4,2
HCPCS,T4521,Adult size brief/diaper sm,,,0.86,0.86,2
HCPCS,T4522,Adult size brief/diaper med,,,0.91,0.91,2
HCPCS,T4523,Adult size brief/diaper lg,,,1.12,1.12,2
HCPCS,T4524,Adult size brief/diaper xl,,,1.28,1.28,2
HCPCS,T4525,Adult size pull-on sm,,,1.0,1.0,2
HCPCS,T4526,Adult size pull-on med,,,0.96,0.96,2
HCPCS,T4527,Adult size pull-on lg,,,1.0,1.0,2
HCPCS,T4528,Adult size pull-on xl,,,1.27,1.27,2
HCPCS,T4529,Ped size brief/diaper sm/med,,,0.48,0.48,2
HCPCS,T4530,Ped size brief/diaper lg,,,0.77,0.77,2
HCPCS,T4531,Ped size pull-on sm/med,,,1.17,1.17,2
HCPCS,T4532,Ped size pull-on lg,,,0.71,0.71,2
HCPCS,T4533,Youth size brief/diaper,,,1.01,1.01,2
HCPCS,T4534,Youth size pull-on,,,1.01,1.01,2
HCPCS,T4535,Disposable liner/shield/pad,,,0.61,0.61,2
HCPCS,T4538,Diaper serv reusable diaper,,,0.13,0.13,2
HCPCS,T4540,Reusable underpad chair size,,,1.14,1.14,2
HCPCS,T4541,Large disposable underpad,,,0.72,0.72,2
HCPCS,T4542,Small disposable underpad,,,0.34,0.34,2
HCPCS,T4543,Adult disp brief/diap abv xl,,,2.34,2.34,2
HCPCS,T4544,Adlt disp und/pull on abv xl,,,1.54,1.54,2
HCPCS,T4545,Incon disposable penile wrap,,,0.34,0.34,2
HCPCS,T5001,Position seat spec orth need,,,1591.04,1591.04,2
HCPCS,U0001,2019-ncov diagnostic p,,,34.12,98.68,16
HCPCS,U0002,Covid-19 lab test non-cdc,,,48.74,140.96,16
HCPCS,U0003,Covid Codes - CPT/HCPCS,,,75.0,75.0,1
HCPCS,U0004,Covid Codes - CPT/HCPCS,,,75.0,75.0,1
HCPCS,U0005,Covid Codes - CPT/HCPCS,,,25.0,25.0,1
HCPCS,V2020,Vision svcs frames purchases,,,83.77,130.0,15
HCPCS,V2025,Eyeglasses delux frames,,,31.26,31.26,2
HCPCS,V2100,Lens spher single plano 4.00,,,51.77,82.98,15
HCPCS,V2101,Single visn sphere 4.12-7.00,,,49.74,87.44,15
HCPCS,V2102,Singl visn sphere 7.12-20.00,,,86.0,122.98,15
HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,43.58,66.87,15
HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,44.93,76.25,15
HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,46.77,65.16,15
HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,51.89,72.3,15
HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,52.71,74.16,15
HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,52.85,90.24,15
HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,56.53,78.77,15
HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,55.78,77.72,15
HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,58.15,81.02,15
HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,63.49,88.46,15
HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,72.52,101.04,15
HCPCS,V2114,Spherocylinder over 12.00d,,,95.16,132.59,15
HCPCS,V2115,Lens lenticular bifocal,,,98.29,140.09,15
HCPCS,V2118,Lens aniseikonic single,,,83.62,116.5,15
HCPCS,V2121,"Lenticular lens, single",,,89.21,124.29,15
HCPCS,V2199,Lens single vision not oth c,,,40.16,40.16,2
HCPCS,V2200,Lens spher bifoc plano 4.00d,,,58.3,87.28,15
HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,62.46,102.37,15
HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,77.43,135.38,15
HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,60.04,87.12,15
HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,61.78,90.53,15
HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,68.49,105.5,15
HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,71.62,99.79,15
HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,67.95,101.68,15
HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,66.78,109.4,15
HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,78.39,110.83,15
HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,84.47,118.17,15
HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,82.23,156.44,15
HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,86.08,161.53,15
HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,90.51,163.17,15
HCPCS,V2214,Lens sphcyl bifocal over 12.,,,94.59,155.1,15
HCPCS,V2215,Lens lenticular bifocal,,,99.15,138.14,15
HCPCS,V2218,Lens aniseikonic bifocal,,,115.34,160.7,15
HCPCS,V2219,Lens bifocal seg width over,,,55.52,94.31,15
HCPCS,V2220,Lens bifocal add over 3.25d,,,42.58,59.32,15
HCPCS,V2221,"Lenticular lens, bifocal",,,98.35,144.74,15
HCPCS,V2299,Lens bifocal speciality,,,22.0,22.0,2
HCPCS,V2300,Lens sphere trifocal 4.00d,,,79.7,114.82,15
HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,87.72,122.22,15
HCPCS,V2302,Lens sphere trifocal 7.12-20,,,91.31,130.27,15
HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,76.71,109.32,15
HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,77.61,117.22,15
HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,86.7,130.97,15
HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,89.27,147.34,15
HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,85.0,124.82,15
HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,92.71,129.96,15
HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,97.02,137.67,15
HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,97.64,136.04,15
HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,101.59,141.55,15
HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,102.17,142.35,15
HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,114.11,158.99,15
HCPCS,V2314,Lens sphcyl trifocal over 12,,,119.68,170.74,15
HCPCS,V2315,Lens lenticular trifocal,,,132.86,189.55,15
HCPCS,V2318,Lens aniseikonic trifocal,,,163.33,233.03,15
HCPCS,V2319,Lens trifocal seg width > 28,,,56.63,78.9,15
HCPCS,V2320,Lens trifocal add over 3.25d,,,59.74,83.23,15
HCPCS,V2321,"Lenticular lens, trifocal",,,130.96,186.84,15
HCPCS,V2399,Lens trifocal speciality,,,22.0,22.0,2
HCPCS,V2410,Lens variab asphericity sing,,,114.49,189.92,15
HCPCS,V2430,Lens variable asphericity bi,,,121.19,195.32,15
HCPCS,V2499,Variable asphericity lens,,,1.77,1.77,2
HCPCS,V2500,Contact lens pmma spherical,,,98.03,136.58,15
HCPCS,V2501,Cntct lens pmma-toric/prism,,,145.39,240.35,15
HCPCS,V2502,Contact lens pmma bifocal,,,194.78,271.38,15
HCPCS,V2503,Cntct lens pmma color vision,,,160.17,223.16,15
HCPCS,V2510,Cntct gas permeable sphericl,,,136.61,196.78,15
HCPCS,V2511,Cntct toric prism ballast,,,181.77,253.26,15
HCPCS,V2512,Cntct lens gas permbl bifocl,,,214.8,299.27,15
HCPCS,V2513,Contact lens extended wear,,,180.33,251.25,15
HCPCS,V2520,Contact lens hydrophilic,,,118.91,165.68,15
HCPCS,V2521,Cntct lens hydrophilic toric,,,230.26,320.81,15
HCPCS,V2522,Cntct lens hydrophil bifocl,,,197.28,280.71,15
HCPCS,V2523,Cntct lens hydrophil extend,,,171.7,239.23,15
HCPCS,V2524,Cntct lens hydrophil photoch,,,137.62,191.74,15
HCPCS,V2530,Contact lens gas impermeable,,,276.76,385.6,15
HCPCS,V2531,Contact lens gas permeable,,,606.4,871.91,15
HCPCS,V2599,Contact lens/es other type,,,27.83,27.83,2
HCPCS,V2623,Plastic eye prosth custom,,,1082.97,1508.86,15
HCPCS,V2624,Polishing artifical eye,,,52.0,122.99,15
HCPCS,V2625,Enlargemnt of eye prosthesis,,,427.63,775.3,15
HCPCS,V2626,Reduction of eye prosthesis,,,227.49,316.95,15
HCPCS,V2627,Scleral cover shell,,,1430.62,2659.91,15
HCPCS,V2628,Fabrication & fitting,,,351.25,644.46,15
HCPCS,V2630,IOL PMMA 3.7D 14.0,675.0,540.0,1.0,607.5,36
HCPCS,V2630,IOL PMMA ANT 5.5*DISC NO REPL*,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 10.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 10.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 11.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 11.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 12.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 12.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 13.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 13.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 14.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 14.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 15.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 15.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 16.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 16.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 17.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 17.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 18.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 18.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 19.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 19.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 20.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 20.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 21.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 21.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 22.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 22.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 23.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 23.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 24.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 24.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 25.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 25.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 26.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 26.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 27.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 27.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 28.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 29.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 30.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 5.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 5.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 6.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 6.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 7.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 7.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 8.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 8.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 9.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X12.5MM 9.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 10.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 11.0,675.0,540.0,1.0,607.5,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 12.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 13.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 14.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 16.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 17.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 18.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 19.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 21.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 22.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 23.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 23.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 24.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 25.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 26.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 30.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 7.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 8.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13.5MM 9.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 10.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 10.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 11.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 11.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 12.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 12.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 13.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 13.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 14.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 14.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 15.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 15.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 16.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 16.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 17.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 17.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 18.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 18.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 19.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 19.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 20.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 20.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 21.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 21.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 22.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 22.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 23.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 23.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 24.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 24.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 25.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 25.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 26.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 26.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 27.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 27.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 28.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 29.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 30.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 5.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 5.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 6.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 6.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 7.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 7.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 8.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 8.5,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 9.0,408.0,326.4,1.0,367.2,36
HCPCS,V2630,IOL PMMA ANT 5.5X13MM 9.5,408.0,326.4,1.0,367.2,36
HCPCS,V2631,Iris support intraoclr lens,,,1.0,189.1,15
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 6.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 7.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 7.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 8.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 8.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 9.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL 1PC ZCB00 ACRYL 9.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL ACRYSOF ASPHERIC UV 10.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 16.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 19.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 19.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 20.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 20.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 21.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 21.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 22.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 22.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF IQ 0D NAT 23.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF MULT 10D 19.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF MULT 10D 22.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF MULT 10D 30.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL ACRYSOF SGL 0D 32.0,603.0,482.4,1.0,542.7,36
HCPCS,V2632,IOL ACRYSOF SGL 0D 34.0,603.0,482.4,1.0,542.7,36
HCPCS,V2632,IOL AKREOS AO 20.0,585.0,468.0,1.0,526.5,36
HCPCS,V2632,IOL CLAREON 3.75X*USE 6323639*,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 6.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 6.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 7.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 7.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 8.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 8.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 9.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL 9.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL10.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL10.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL11.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL11.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL12.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL12.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL13.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL13.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL14.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL14.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL15.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL15.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL16.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL16.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL17.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL17.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL18.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL18.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL19.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL19.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL20.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL20.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL21.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL21.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL22.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL22.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL23.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL23.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL24.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL24.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL25.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL25.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL26.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL26.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL27.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL27.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL28.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL28.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL29.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL29.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON AUTONOME MNFCL30.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL CLAREON BLU LT FLTR 29.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 10.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 11.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 11.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 12.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 13.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 23.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 24.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 25.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 25.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 26.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 27.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 27.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 28.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 28.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 29.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 29.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 30.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 6.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 6.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 7.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 8.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 9.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON MONOFOCAL CL 9.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON PANOPTIX 16.0,2842.0,2273.6,1.0,2557.8,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 14.5,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 16.5,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 17.5,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 19.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 20.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 22.0,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 23.0,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 23.5,670.5,536.4,1.0,603.45,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 24.5,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 25.0,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 26.0,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 30.0,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 8.5,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CLAREON PRELOAD SYS 9.0,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 10.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 10.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 11.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 11.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 12.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 12.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 13.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 13.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 14.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 14.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 15.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 15.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 16.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 16.5,787.5,630.0,1.0,708.75,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 17.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 18.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 18.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 19.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 20.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 21.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 22.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 24.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 24.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 25.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 25.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 26.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 26.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 27.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 27.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 29.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 29.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 30.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 30.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 31.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 31.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 32.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 32.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 33.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 33.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 34.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 4.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 4.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 5.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 5.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 6.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 6.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 7.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 7.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 8.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 8.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 9.0,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL CT LUCIA 3PC MONO 9.5,472.5,378.0,1.0,425.25,36
HCPCS,V2632,IOL ENVISTA EE 2.0,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60 *USE 6270610*,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60 2.0D*NLU*,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60EUS 00.0,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60EUS 23.5,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60EUS 3.0,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60T 19.0,1785.0,1428.0,1.0,1606.5,36
HCPCS,V2632,IOL ENVISTA MX60UES 3.0,535.5,428.4,1.0,481.95,36
HCPCS,V2632,IOL ENVISTA MX60UES 4.0,456.0,364.8,1.0,410.4,36
HCPCS,V2632,IOL ENVISTA MX60UES 5.0,535.5,428.4,1.0,481.95,36
HCPCS,V2632,IOL PMMA SGL PC POST 19.0,305.0,244.0,1.0,274.5,36
HCPCS,V2632,IOL PMMA SGL PC POST 20.0,305.0,244.0,1.0,274.5,36
HCPCS,V2632,IOL PMMA SGL PC POST 23.5,305.0,244.0,1.0,274.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 10.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 10.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 11.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 11.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 12.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 12.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 13.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 13.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 14.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 14.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 15.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 15.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 16.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 16.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 17.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 17.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 18.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 18.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 19.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 19.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 20.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 20.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 21.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 21.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 22.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 22.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 23.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 23.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 24.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 24.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 25.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 25.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 26.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 26.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 27.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 27.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 28.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 28.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 29.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 29.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 30.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 30.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 31.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 31.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 32.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 32.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 33.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 33.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 34.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 35.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 5.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 5.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 6.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 6.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 7.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 7.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 8.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 8.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 9.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS 9.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 10.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 10.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 11.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 11.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 12.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 12.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 13.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 13.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 14.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 14.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 15.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 15.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 16.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 16.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 17.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 17.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 18.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 18.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 19.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 19.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 20.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 20.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 21.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 21.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 22.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 22.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 23.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 23.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 24.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 24.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 25.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 25.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 26.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 26.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 27.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 27.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 28.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 28.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 29.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 29.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 30.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 30.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 31.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 31.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 32.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 32.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 33.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 33.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 34.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 5.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 5.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 6.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 6.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 7.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 7.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 8.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 8.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 9.0,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRE-LOAD TECNIS SIMP 9.5,675.0,540.0,1.0,607.5,36
HCPCS,V2632,IOL PRELOAD RAYONE EMV +17.5,877.5,702.0,1.0,789.75,36
HCPCS,V2632,IOL PRELOAD RAYONE EMV +26.5,877.5,702.0,1.0,789.75,36
HCPCS,V2632,IOL PRELOAD RAYONE EMV +28.5,877.5,702.0,1.0,789.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 10.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 12.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 13.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 14.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 15.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 16.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 17.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 17.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 18.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 19.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 19.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 20.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 20.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 21.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 22.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 23.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 24.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 24.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 6.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 7.0,405.0,324.0,1.0,364.5,36
HCPCS,V2632,IOL SENSAR 13.0MM 7.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 8.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 8.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 9.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.0MM 9.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.5MM 2.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.5MM 2.5,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.5MM 3.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR 13.5MM 4.0,517.5,414.0,1.0,465.75,36
HCPCS,V2632,IOL SENSAR MENISC -1.0,855.0,684.0,1.0,769.5,36
HCPCS,V2632,IOL SENSAR MENISC -1.50,405.0,324.0,1.0,364.5,36
HCPCS,V2632,IOL SENSAR MENISC -2.0,855.0,684.0,1.0,769.5,36
HCPCS,V2632,IOL SENSAR MENISC -3.0,405.0,324.0,1.0,364.5,36
HCPCS,V2632,IOL SENSAR MENISC -4.0,405.0,324.0,1.0,364.5,36
HCPCS,V2632,IOL SENSAR MENISC -5.0,405.0,324.0,1.0,364.5,36
HCPCS,V2632,IOL SENSAR MENISC 0.5,855.0,684.0,1.0,769.5,36
HCPCS,V2632,IOL SOFPORT AO 18.0*NLU*,585.0,468.0,1.0,526.5,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 10.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 10.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 11.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 12.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 12.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 13.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 13.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 14.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 14.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 15.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 15.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 16.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 16.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 17.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 17.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 18.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 18.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 19.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 19.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 20.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 20.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 21.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 21.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 22.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 22.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 23.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 23.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 24.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 24.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 25.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 25.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 26.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 26.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 27.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 27.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 28.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 28.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 29.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 29.5,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 1PC ASPHERIC 30.0,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC *DISC 6124194*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 10D 10.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 11.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 12.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 13.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 14.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 15.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 16.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 17.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 18.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 19.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 20.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 21.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 22.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 23.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 24.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 25.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 26.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 27.*DISC*,697.5,558.0,1.0,627.75,72
HCPCS,V2632,IOL TECNIS 3PC 10D 8.0*DISC*,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL TECNIS 3PC 10D 8.5*DISC*,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL TECNIS 3PC 10D 9.0*DISC*,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL TECNIS 3PC 10D 9.5*DISC*,697.5,558.0,1.0,627.75,36
HCPCS,V2632,IOL TECNIS 3PC 5D 10.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 10.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 11.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 11.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 12.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 12.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 13.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 13.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 14.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 14.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 15.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 15.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 16.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 16.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 17.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 18.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 18.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 19.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 19.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 20.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 20.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 21.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 21.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 22.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 22.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 23.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 23.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 24.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 24.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 25.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 25.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 26.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 26.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 27.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 27.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 28.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 28.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 29.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 29.5*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS 3PC 5D 30.0*DISC*,652.5,522.0,1.0,587.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 10.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 10.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 11.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 11.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 12.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 12.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 13.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 13.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 14.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 14.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 15.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 15.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 16.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 16.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 17.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 17.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 18.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 18.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 19.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 19.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 20.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 20.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 21.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 21.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 22.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 22.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 23.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 23.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 24.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 24.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 25.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 25.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 26.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 26.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 27.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 27.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 28.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 28.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 29.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 29.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 30.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 30.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 31.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 31.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 32.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 32.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 33.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 33.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 34.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 5.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 5.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 6.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 6.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 7.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 7.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 8.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 8.5,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 9.0,742.5,594.0,1.0,668.25,36
HCPCS,V2632,IOL TECNIS EYHANCE LOAD 9.5,742.5,594.0,1.0,668.25,36
HCPCS,V2700,Balance lens,,,49.93,82.05,15
HCPCS,V2702,Deluxe lens feature,,,15.89,15.89,2
HCPCS,V2710,Glass/plastic slab off prism,,,81.85,122.82,15
HCPCS,V2715,Prism lens/es,,,13.25,18.46,15
HCPCS,V2718,Fresnell prism press-on lens,,,32.56,45.36,15
HCPCS,V2730,Special base curve,,,24.04,33.5,15
HCPCS,V2744,Tint photochromatic lens/es,,,18.71,26.06,15
HCPCS,V2745,"Tint, any color/solid/grad",,,11.43,16.69,15
HCPCS,V2750,Anti-reflective coating,,,21.76,30.32,15
HCPCS,V2755,UV lens/es,,,18.66,27.89,15
HCPCS,V2756,Eye glass case,,,2.15,2.15,2
HCPCS,V2760,Scratch resistant coating,,,18.39,33.92,15
HCPCS,V2762,"Polarization, any lens",,,66.76,96.28,15
HCPCS,V2770,Occluder lens/es,,,21.74,31.73,15
HCPCS,V2780,Oversize lens/es,,,13.96,19.91,15
HCPCS,V2781,Progressive lens per lens,,,80.94,80.94,2
HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,72.1,103.97,15
HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,81.31,117.27,15
HCPCS,V2784,Lens polycarb or equal,,,52.87,76.29,15
HCPCS,V2786,Occupational multifocal lens,,,21.22,21.22,2
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50D 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50D 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50D 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50D 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 1.50D 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 2.25D 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 2.2D5 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 2.2D5 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 3.00D 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL ACRYSOFIQ TORIC 3.75D 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL CLAREON 3 TORIC CL 21.0,1818.0,1454.4,496.88,1636.2,27
HCPCS,V2787,IOL CLAREON 3 TORIC CL 22.0,1818.0,1454.4,496.88,1636.2,27
HCPCS,V2787,IOL CLAREON 3 TORIC CL 22.5,1818.0,1454.4,496.88,1636.2,27
HCPCS,V2787,IOL CLAREON 4 TORIC CL 20.5,1659.0,1327.2,460.7,1493.1,27
HCPCS,V2787,IOL CLAREON 4 TORIC CL 22.5,1818.0,1454.4,496.88,1636.2,27
HCPCS,V2787,IOL CLAREON 6 TORIC CL 30.0,1980.0,1584.0,496.88,1782.0,27
HCPCS,V2787,IOL CLAREON 9 TORIC CL 30.0,1818.0,1454.4,496.88,1636.2,27
HCPCS,V2787,IOL CLAREON VIVITY TORIC 15.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORIC 16.5,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORIC 17.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORIC 18.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORIC 20.5,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORICUV10.5,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORICUV11.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORICUV19.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON VIVITY TORICUV21.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON3 VIVITY TORIC 21.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON4 PANOPTIXTORIC 10.,2940.0,2352.0,496.88,2646.0,27
HCPCS,V2787,IOL CLAREON4 VIVITY TORIC 17.5,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREON5 VIVITY TORIC 18.0,2842.0,2273.6,496.88,2557.8,27
HCPCS,V2787,IOL CLAREONTORICUVACCA0T4 20.5,1722.0,1377.6,478.2,1549.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU150 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU225 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU300 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU375 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU450 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU525 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 10.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 10.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 11.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 11.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 12.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 12.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 13.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 13.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 14.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 14.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 15.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 15.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 16.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 16.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 17.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 17.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 18.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 18.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 19.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 19.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 20.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 20.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 21.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 21.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 22.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 22.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 23.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 23.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 24.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 24.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 25.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 25.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 26.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 26.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 27.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 27.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 28.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 28.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 29.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 29.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 30.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 30.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 31.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 31.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 32.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 32.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 33.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 33.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 34.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 5.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 5.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 6.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 6.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 7.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 7.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 8.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 8.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 9.0,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL EYHANCE TORIC DIU600 9.5,2142.0,1713.6,496.88,1927.8,27
HCPCS,V2787,IOL ODYSSEY TORIC*USE 6344165*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 10.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 10.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 11.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 11.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 12.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 12.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 13.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 13.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 14.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 14.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 15.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 15.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 16.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 16.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 17.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 17.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 18.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 18.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 19.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 19.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 20.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 20.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 21.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 21.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 22.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 22.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 23.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 23.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 24.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 24.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 25.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 25.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 26.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 26.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 27.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 27.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 28.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 28.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 29.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 29.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 30.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 30.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 31.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 31.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 32.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 32.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 33.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 33.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 34.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 5.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 5.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 6.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 6.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 7.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 7.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 8.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 8.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 9.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 1.50D 9.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 10.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 10.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 11.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 11.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 12.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 12.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 13.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 13.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 14.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 14.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 15.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 15.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 16.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 16.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 17.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 17.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 18.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 18.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 19.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 19.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 20.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 20.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 21.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 21.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 22.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 22.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 23.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 23.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 24.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 24.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 25.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 25.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 26.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 26.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 27.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 27.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 28.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 28.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 29.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 29.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 30.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 30.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 31.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 31.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 32.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 32.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 33.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 33.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 34.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 5.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 5.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 6.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 6.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 7.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 7.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 8.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 8.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 9.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 2.25D 9.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 10.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 10.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 11.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 11.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 12.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 12.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 13.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 13.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 14.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 14.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 15.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 15.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 16.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 16.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 17.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 17.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 18.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 18.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 19.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 19.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 20.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 20.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 21.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 21.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 22.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 22.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 23.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 23.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 24.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 24.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 25.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 25.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 26.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 26.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 27.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 27.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 28.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 28.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 29.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 29.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 30.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 30.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 31.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 31.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 32.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 32.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 33.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 33.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 34.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 5.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 5.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 6.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 6.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 7.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 7.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 8.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 8.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 9.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.00D 9.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 10.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 10.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 11.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 11.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 12.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 12.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 13.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 13.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 14.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 14.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 15.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 15.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 16.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 16.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 17.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 17.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 18.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 18.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 19.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 19.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 20.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 20.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 21.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 21.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 22.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 22.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 23.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 23.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 24.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 24.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 25.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 25.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 26.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 26.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 27.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 27.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 28.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 28.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 29.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 29.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 30.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 30.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 31.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 31.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 32.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 32.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 33.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 33.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 34.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 5.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 5.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 6.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 6.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 7.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 7.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 8.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 8.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 9.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL ODYSSEY TORICII 3.75D 9.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL RXSIGHT LAL+ 14.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 15.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 16.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 17.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 18.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 18.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 19.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 19.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 20.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 20.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 21.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 21.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 22.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 23.5,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 27.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 28.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 29.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 30.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 4.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 5.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 6.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 7.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 8.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL RXSIGHT LAL+ 9.0,3200.0,2560.0,496.88,2880.0,27
HCPCS,V2787,IOL SYMFONY TORIC II 1.50 15.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYMFONY TORIC II 2.25 20.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYMFONY TORIC II 2.25 22.5,2800.0,2240.0,496.88,2520.0,27
HCPCS,V2787,IOL SYNRG 1.50 17.0*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYNRG 1.50 19.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYNRG 1.50 21.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYNRG 2.25 12.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYNRG 2.25 21.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYNRG 2.25 22.0*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL SYNRG 3.00 19.0*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 05.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 05.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 06.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 06.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 07.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 07.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 08.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 08.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 09.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 09.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 10.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 10.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 11.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 11.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 12.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 12.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 13.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 13.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 14.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 14.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 15.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 15.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 16.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 16.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 18.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 18.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 19.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 19.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 20.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 20.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 21.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 21.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 23.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 23.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 24.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 24.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 25.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 25.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 26.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 26.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 27.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 27.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 28.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 28.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 29.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 29.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 30.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 30.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 31.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 31.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 32.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 32.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 33.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 33.5,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS ODYSSEY 34.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR15.0*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR15.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR18.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR20.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR21.0*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR21.5*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS SYNR22.0*SCMVA NLU*,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT150 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT225 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT300 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT400 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT450 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT450 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT450 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT450 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT450 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT525 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT525 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT525 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT525 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT600 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT600 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT600 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TECNIS TORIC ZCT600 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU150 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU225 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU300 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU375 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU450 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU525 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 10.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 10.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 11.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 11.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 12.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 12.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 13.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 13.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 14.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 14.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 15.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 15.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 16.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 16.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 17.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 17.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 18.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 18.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 19.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 19.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 20.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 20.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 21.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 21.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 22.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 22.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 23.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 23.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 24.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 24.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 25.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 25.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 26.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 26.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 27.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 27.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 28.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 28.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 29.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 29.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 30.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 30.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 31.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 31.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 32.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 32.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 33.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 33.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 34.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 5.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 5.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 6.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 6.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 7.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 7.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 8.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 8.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 9.0,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TORIC II ZCU600 9.5,2079.0,1663.2,496.88,1871.1,27
HCPCS,V2787,IOL TRIFCL PANOPT3 TORICUV14.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2787,IOL TRIFCL PANOPT6 TORICUV25.0,3184.0,2547.2,496.88,2865.6,27
HCPCS,V2788,IOL CLAERON PANOPTIX 18.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAERON PANOPTIX 22.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON AUTONOME 1.5 17.5,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON AUTONOME 1.5 20.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON AUTONOME 1.5 21.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON AUTONOME 2.25 20.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON AUTONOME 21.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON PANOPTIX 11.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 13.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 13.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 14.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 14.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 15.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 15.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 16.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 17.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 17.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 18.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 19.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 19.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 20.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 20.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 21.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 21.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 22.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 23.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 23.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 24.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 24.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 25.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 7.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 8.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON PANOPTIX 9.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 10.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 11.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 12.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 13.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 13.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 14.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 15.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 15.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 16.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 16.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 17.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 18.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 18.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 19.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 19.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 20.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 20.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 21.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 21.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 22.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 22.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 23.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 23.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 24.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY 25.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY EDOF 17.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY EDOF 18.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY EDOF 18.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY EDOF 20.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY EXT 13.5,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY EXT 16.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY EXT 17.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY EXT 17.5,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY EXT 18.5,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY EXT 20.0,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY EXT1.5 18.5,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 10.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 12.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 16.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 18.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 19.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 20.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 22.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 23.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORIC 24.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORICUV13.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORICUV14.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORICUV17.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON VIVITY TORICUV21.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC12.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC13.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC14.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC14.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC15.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC17.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC17.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC18.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC18.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC19.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC19.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC20.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC21.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC22.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC22.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC23.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 PANOPTIXTORIC23.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON3 VIVITY TORIC 18.5,2884.0,2307.2,800.89,2595.6,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC11.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC12.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC13.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC14.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC15.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC16.0,2940.0,2352.0,816.44,2646.0,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC21.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC21.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON4 PANOPTIXTORIC22.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON5 PANOPTIXTORIC11.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON5 PANOPTIXTORIC23.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON6 PANOPTIXTORIC 9.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON6 PANOPTIXTORIC10.5,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL CLAREON6 PANOPTIXTORIC14.0,2842.0,2273.6,789.22,2557.8,27
HCPCS,V2788,IOL ENVISTA MX60EUS 21.5,456.0,364.8,126.63,871.34,27
HCPCS,V2788,IOL ENVISTA MX60EUS 25.0,456.0,364.8,126.63,871.34,27
HCPCS,V2788,IOL MULT TORIC ZKU150 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 14.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 24.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU150 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 14.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 24.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU225 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 14.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 24.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU300 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 14.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL MULT TORIC ZKU375 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 24.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL MULT TORIC ZKU375 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZKU375 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 14.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 24.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU150 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 14.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 24.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU225 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 14.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 24.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU300 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 10.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 10.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 11.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 11.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 12.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 12.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 13.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 13.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 14.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL MULT TORIC ZLU375 14.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 15.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 15.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 16.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 16.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 17.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 17.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 18.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 18.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 19.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 19.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 20.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 20.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 21.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 21.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 22.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 22.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 23.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 23.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 24.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL MULT TORIC ZLU375 24.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 25.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 25.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 26.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 26.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 27.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 27.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 28.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 28.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 29.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 29.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 30.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 30.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 31.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 31.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 32.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 32.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 33.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 33.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 34.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 5.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 5.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 6.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 6.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 7.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 7.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 8.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 8.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 9.0,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULT TORIC ZLU375 9.5,2960.0,2368.0,821.99,2664.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 15.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 16.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 17.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 18.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 19.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 20.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 21.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 22.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 23.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.25,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 24.75,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 25.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 25.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 26.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 26.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 27.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 27.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 28.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 28.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 29.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 29.50,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL MULTFOCAL CLEARVIEW3 30.0,3040.0,2432.0,844.21,2736.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 10.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 11.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 12.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 13.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 16.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 17.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 22.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 23.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 24.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 25.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LAL+ 26.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 10.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 11.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 12.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 13.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 14.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 15.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 16.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 16.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 17.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 17.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 18.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 18.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 19.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 19.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 20.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 20.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 21.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 21.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 22.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 22.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 23.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 23.5,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 24.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 25.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 26.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 27.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 28.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 29.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 30.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 4.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 5.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 6.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 7.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 8.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL RXSIGHT LT ADJ RXLAL 9.0,3200.0,2560.0,871.34,2880.0,27
HCPCS,V2788,IOL SYMF 1.50D 12.5*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 1.50D 16.5*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 1.50D 18.0*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 1.50D 30.5*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 2.25D 22.5*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 2.25D 23.0*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 2.25D 31.5*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 3.0D 22.5*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMF 3.0D 23.0*SCMVA NLU*,3148.8,2519.04,871.34,2833.92,27
HCPCS,V2788,IOL SYMFONY 28.0*SCMVA NLU*,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY 29.0*SCMVA NLU*,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY 30.0*SCMVA NLU*,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 10.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 11.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 12.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 13.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 14.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 14.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 15.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 15.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 16.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 16.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 17.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 17.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 18.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 18.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 19.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 19.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 20.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 20.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 21.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 21.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 22.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 22.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 23.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 23.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 24.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 24.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 25.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 25.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 27.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 27.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 6.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY EXT REACH 6.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL SYMFONY OPTIBLUE 23.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS MULTFOCAL 1PC 13.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL TECNIS MULTFOCAL 1PC 20.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL TECNIS MULTFOCAL 1PC 23.0,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL TECNIS MULTFOCAL 22.5,2864.0,2291.2,795.33,2577.6,27
HCPCS,V2788,IOL TECNIS ODYSSEY 17.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS ODYSSEY 17.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS ODYSSEY 22.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS ODYSSEY 22.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS SYNR14.0*SCMVA NLU*,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS SYNR16.0*SCMVA NLU*,2800.0,2240.0,777.56,2520.0,27
HCPCS,V2788,IOL TECNIS SYNR22.5*SCMVA NLU*,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TECNIS SYNR23.0*SCMVA NLU*,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 10.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 10.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 11.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 11.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 12.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 12.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 13.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 13.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 14.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 14.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 15.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 15.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 16.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 16.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 17.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 17.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 18.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 18.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 19.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 19.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 20.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 20.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 21.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 21.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 22.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 22.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 23.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 23.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 24.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 24.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 25.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 25.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 26.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 26.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 27.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 27.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 28.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 28.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 29.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 29.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 30.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 31.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 32.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 33.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 34.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 6.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 6.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 7.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 7.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 8.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 8.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 9.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV 9.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 13.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 14.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT UV BLU 18.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORIC UV9.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUS22.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV10.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV11.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV12.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV15.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV16.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV16.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV17.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV18.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV18.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV19.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV20.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV20.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV21.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV23.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV23.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT3 TORICUV27.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV11.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV12.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV13.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV16.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV17.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV20.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV21.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV22.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV23.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT4 TORICUV27.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV6.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV6.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV7.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV7.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV8.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV8.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV9.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORIC UV9.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV10.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV10.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV11.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV11.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV12.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV12.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV13.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV13.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV14.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV14.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV15.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV15.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV16.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV16.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV17.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV17.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV18.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV18.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV19.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV19.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV20.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV20.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV21.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV21.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV22.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV22.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV23.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV23.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV24.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV24.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV25.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV25.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV26.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV26.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV27.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV27.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV28.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV28.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV29.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV29.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV30.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV31.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV32.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV33.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT5 TORICUV34.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT6 TORICUV13.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT6 TORICUV17.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL TRIFCL PANOPT6 TORICUV19.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 15.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 16.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 16.5,2800.0,2240.0,777.56,2520.0,27
HCPCS,V2788,IOL VIVITY NON TORIC 17.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 18.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 18.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 19.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 19.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 20.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 20.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 21.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 21.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 22.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 23.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 23.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY NON TORIC 25.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 10.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 13.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 14.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 19.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 21.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 22.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT315 27.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT415 10.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT415 20.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT415 20.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT415 21.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT415 27.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT415 29.0,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2788,IOL VIVITY TORIC DAT515 28.5,3184.0,2547.2,871.34,2865.6,27
HCPCS,V2790,ALLO AMNIOGUARD 1.0X0.75CM,1617.0,1293.6,1.0,1455.3,27
HCPCS,V2790,ALLO AMNION STERISHIELD 1X1CM,3774.4,3019.52,1.0,3396.96,27
HCPCS,V2790,ALLO NUCEL LG*NLU*,7540.0,6032.0,1.0,6786.0,27
HCPCS,V2790,ALLO NUCEL MD*NLU*,4662.0,3729.6,1.0,4195.8,27
HCPCS,V2790,ALLO NUCEL SM*NLU*,2704.0,2163.2,1.0,2433.6,27
HCPCS,V5008,Hearing screening,,,7.72,7.72,2
HCPCS,V5010,Assessment for hearing aid,,,30.35,30.35,2
HCPCS,V5011,Hearing aid fitting/checking,,,11.97,11.97,2
HCPCS,V5020,Conformity evaluation,,,65.11,65.11,2
HCPCS,V5030,Body-worn hearing aid air,,,931.87,931.87,2
HCPCS,V5040,Body-worn hearing aid bone,,,887.33,887.33,2
HCPCS,V5050,Hearing aid monaural in ear,,,900.0,900.0,2
HCPCS,V5060,Behind ear hearing aid,,,900.0,900.0,2
HCPCS,V5090,Hearing aid dispensing fee,,,182.15,182.15,2
HCPCS,V5100,Body-worn bilat hearing aid,,,1533.68,1533.68,2
HCPCS,V5110,Hearing aid dispensing fee,,,273.23,273.23,2
HCPCS,V5130,In ear binaural hearing aid,,,1800.0,1800.0,2
HCPCS,V5140,Behind ear binaur hearing ai,,,1800.0,1800.0,2
HCPCS,V5150,Glasses binaural hearing aid,,,1497.98,1497.98,2
HCPCS,V5160,Dispensing fee binaural,,,273.23,273.23,2
HCPCS,V5171,Hearing aid monaural ite,,,1658.0,1658.0,2
HCPCS,V5172,Hearing aid monaural itc,,,818.0,818.0,2
HCPCS,V5181,Hearing aid monaural bte,,,1800.0,1800.0,2
HCPCS,V5200,Disp fee contralateral monau,,,182.15,182.15,2
HCPCS,V5211,Hearing aid binaural ite/ite,,,2984.4,2984.4,2
HCPCS,V5212,Hearing aid binaural ite/itc,,,1636.0,1636.0,2
HCPCS,V5213,Hearing aid binaural ite/bte,,,1472.4,1472.4,2
HCPCS,V5214,Hearing aid binaural itc/itc,,,1472.4,1472.4,2
HCPCS,V5215,Hearing aid binaural itc/bte,,,1636.0,1636.0,2
HCPCS,V5221,Hearing aid binaural bte/bte,,,3600.0,3600.0,2
HCPCS,V5240,Disp fee contralateral binau,,,273.23,273.23,2
HCPCS,V5241,"Dispensing fee, monaural",,,182.15,182.15,2
HCPCS,V5244,"Hearing aid, prog, mon, cic",,,630.94,630.94,2
HCPCS,V5245,"Hearing aid, prog, mon, itc",,,1010.0,1010.0,2
HCPCS,V5246,"Hearing aid, prog, mon, ite",,,437.25,437.25,2
HCPCS,V5247,"Hearing aid, prog, mon, bte",,,466.83,466.83,2
HCPCS,V5250,"Hearing aid, prog, bin, cic",,,1261.88,1261.88,2
HCPCS,V5251,"Hearing aid, prog, bin, itc",,,2020.0,2020.0,2
HCPCS,V5252,"Hearing aid, prog, bin, ite",,,874.5,874.5,2
HCPCS,V5253,"Hearing aid, prog, bin, bte",,,2252.31,2252.31,2
HCPCS,V5254,"Hearing id, digit, mon, cic",,,1456.99,1456.99,2
HCPCS,V5255,"Hearing aid, digit, mon, itc",,,998.23,998.23,2
HCPCS,V5256,"Hearing aid, digit, mon, ite",,,900.0,900.0,2
HCPCS,V5257,"Hearing aid, digit, mon, bte",,,900.0,900.0,2
HCPCS,V5258,"Hearing aid, digit, bin, cic",,,2913.98,2913.98,2
HCPCS,V5259,"Hearing aid, digit, bin, itc",,,1996.46,1996.46,2
HCPCS,V5260,"Hearing aid, digit, bin, ite",,,1800.0,1800.0,2
HCPCS,V5261,"Hearing aid, digit, bin, bte",,,1800.0,1800.0,2
HCPCS,V5264,Ear mold/insert,,,48.0,48.0,2
HCPCS,V5266,Battery for hearing device,,,1.12,1.12,2
HCPCS,V5270,"ALD, TV amplifier, any type",,,148.58,148.58,2
HCPCS,V5275,Ear impression,,,12.38,12.38,2
HCPCS,V5362,Speech screening,,,12.39,12.39,2
HCPCS,V5363,Language screening,,,12.39,12.39,2
HCPCS,V5364,Dysphagia screening,,,12.39,12.39,2
HCPCS,j2704,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",30.24,24.2,8.4,27.22,27
HCPCS,q5106,Epoetin Alfa-epbx Inj 10000 Unit/ML,398.46,318.77,110.65,358.61,54
HCPCS,q5106,Epoetin Alfa-epbx Inj 2000 Unit/ML,79.69,63.76,22.13,71.72,54
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,218362.24,409205.0,16
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,88970.16,165467.0,16
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,165660.79,309930.0,16
MS-DRG,004,"TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,108501.31,202258.0,16
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,81053.35,150554.0,16
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,37074.1,67709.0,16
MS-DRG,007,LUNG TRANSPLANT,,,101515.51,189099.0,16
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,44574.66,81838.0,16
MS-DRG,010,PANCREAS TRANSPLANT,,,56753.33,104780.0,16
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,43408.02,79641.0,16
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,33810.64,61562.0,16
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,23468.33,42080.0,16
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,94288.58,175485.0,16
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,47094.73,86585.0,16
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,43239.04,79322.0,16
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,335869.42,630555.0,16
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,56434.74,104179.0,16
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,62126.04,114900.0,16
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,42165.43,77300.0,16
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,25759.72,46396.0,16
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,45549.04,83674.0,16
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,31453.37,57122.0,16
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,36374.11,66391.0,16
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,25231.08,45401.0,16
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,20686.26,36839.0,16
MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,47704.01,87733.0,16
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,27575.18,49816.0,16
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,18146.01,32054.0,16
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,35860.96,65424.0,16
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,17648.34,31117.0,16
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,14019.79,24282.0,16
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,31133.99,56520.0,16
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,19659.91,34906.0,16
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,16189.49,28369.0,16
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,26648.85,48071.0,16
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,13707.39,23693.0,16
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,10241.61,17165.0,16
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,31060.35,56381.0,16
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,18173.15,32105.0,16
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,14522.08,25228.0,16
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,15170.14,26449.0,16
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,8719.97,14298.0,16
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,12965.55,22296.0,16
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,9033.12,14888.0,16
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,19137.46,33922.0,16
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,11172.59,18918.0,16
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,14381.02,24962.0,16
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,10748.59,18120.0,16
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,8259.51,13431.0,16
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,22501.68,40259.0,16
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,14750.78,25659.0,16
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,12011.33,20498.0,16
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,16718.18,29365.0,16
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,8961.03,14752.0,16
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,6434.76,9994.0,16
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,12514.41,21446.0,16
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,7830.07,12622.0,16
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,7321.54,11664.0,16
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,14034.51,24309.0,16
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,9082.73,14982.0,16
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6991.34,11042.0,16
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,13565.53,23426.0,16
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,9119.93,15052.0,16
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,15993.38,27999.0,16
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,7526.19,12050.0,16
MS-DRG,077,Inpatient MS-DRG,,,18987.0,18987.0,1
MS-DRG,078,Inpatient MS-DRG,,,12253.0,12253.0,1
MS-DRG,079,Inpatient MS-DRG,,,8187.0,8187.0,1
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,15160.05,26430.0,16
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,8071.92,13078.0,16
MS-DRG,082,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH MCC,,,18846.78,33374.0,16
MS-DRG,083,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH CC,,,11949.31,20381.0,16
MS-DRG,084,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITHOUT CC/MCC,,,8538.54,13957.0,16
MS-DRG,085,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH MCC,,,18740.56,33174.0,16
MS-DRG,086,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH CC,,,11227.63,19022.0,16
MS-DRG,087,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITHOUT CC/MCC,,,8219.96,13356.0,16
MS-DRG,088,CONCUSSION WITH MCC,,,11608.24,19739.0,16
MS-DRG,089,CONCUSSION WITH CC,,,9645.5,16042.0,16
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,7510.69,12020.0,16
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,14743.01,25644.0,16
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,9059.49,14938.0,16
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,7302.17,11628.0,16
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,28410.8,51390.0,16
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,21122.68,37661.0,16
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,21122.68,37661.0,16
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,29127.07,52740.0,16
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,18918.86,33510.0,16
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,11690.4,19894.0,16
MS-DRG,100,SEIZURES WITH MCC,,,16142.97,28281.0,16
MS-DRG,101,SEIZURES WITHOUT MCC,,,8126.19,13180.0,16
MS-DRG,102,HEADACHES WITH MCC,,,9818.36,16367.0,16
MS-DRG,103,HEADACHES WITHOUT MCC,,,7612.25,12212.0,16
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,19354.5,34331.0,16
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,11617.53,19757.0,16
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,13027.57,22413.0,16
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,15145.34,26402.0,16
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,9539.31,15842.0,16
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,10147.03,16987.0,16
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,7220.78,11474.0,16
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,7320.01,11661.0,16
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,11385.77,19320.0,16
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,7081.23,11211.0,16
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,17950.67,31686.0,16
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,8999.77,14825.0,16
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,12704.33,21804.0,16
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,7999.03,12940.0,16
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,10708.26,18044.0,16
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,34192.81,62282.0,16
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,18036.72,31848.0,16
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,13504.3,23311.0,16
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,30171.99,54708.0,16
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,14562.41,25304.0,16
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,10449.35,17556.0,16
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,17542.95,30918.0,16
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,10985.77,18566.0,16
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,7308.38,11639.0,16
MS-DRG,149,DYSEQUILIBRIUM,,,6955.67,10975.0,16
MS-DRG,150,EPISTAXIS WITH MCC,,,11450.88,19443.0,16
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,6819.24,10718.0,16
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,10293.55,17262.0,16
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,6851.8,10779.0,16
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,13249.27,22830.0,16
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,8233.92,13383.0,16
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,6486.7,10091.0,16
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,14437.61,25069.0,16
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,8181.98,13285.0,16
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6621.57,10346.0,16
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,35871.06,65443.0,16
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,20694.77,36855.0,16
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,15967.8,27951.0,16
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,30103.01,54578.0,16
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,15108.91,26333.0,16
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,11721.41,19952.0,16
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,24201.65,43461.0,16
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,11777.22,20057.0,16
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,7369.61,11755.0,16
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,13243.07,22819.0,16
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,8695.14,14252.0,16
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,6982.02,11025.0,16
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,14818.99,25787.0,16
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,9431.56,15639.0,16
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,6972.72,11007.0,16
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,12988.83,22340.0,16
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,9378.08,15538.0,16
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,7226.2,11484.0,16
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,13210.51,22757.0,16
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,8796.71,14443.0,16
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,6689.02,10473.0,16
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,10705.93,18039.0,16
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,9716.04,16175.0,16
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,7664.17,12309.0,16
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,6106.08,9374.0,16
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,11318.32,19193.0,16
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,7376.59,11768.0,16
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,6001.44,9177.0,16
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,15758.51,27557.0,16
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,8486.63,13859.0,16
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6681.26,10458.0,16
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,14804.27,25759.0,16
MS-DRG,200,PNEUMOTHORAX WITH CC,,,9650.92,16052.0,16
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6672.73,10442.0,16
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,8657.94,14181.0,16
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,6323.12,9783.0,16
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,7388.22,11790.0,16
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,15322.84,26736.0,16
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,8424.62,13742.0,16
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &gt;96 HOURS,,,51009.33,93959.0,16
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &lt;=96 HOURS,,,22436.57,40137.0,16
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,88869.39,165277.0,15
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,85422.21,158784.0,16
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,45367.64,83332.0,15
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,78313.13,145392.0,16
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,76962.77,142848.0,16
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,52099.22,96013.0,16
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,52099.22,96013.0,16
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,60649.35,112119.0,16
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,42467.75,77870.0,16
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,40199.59,73597.0,16
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,39480.22,72242.0,16
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,25543.46,45989.0,16
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,66475.5,123093.0,16
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,48124.93,88526.0,16
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,60392.75,111635.0,16
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,43474.68,79766.0,16
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,46621.1,85693.0,16
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,33599.8,61165.0,16
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,39281.01,71867.0,16
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,23225.71,41623.0,16
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,11860.93,20215.0,16
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,25879.12,46621.0,16
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,17647.58,31115.0,16
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,15140.68,26393.0,16
MS-DRG,245,AICD GENERATOR PROCEDURES,,,36495.83,66620.0,16
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,18047.59,31869.0,16
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,12714.4,21823.0,16
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,28169.73,50936.0,16
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,21249.78,37901.0,16
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,14940.7,26016.0,16
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,22038.93,39387.0,16
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,14291.1,24793.0,16
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,9595.89,15948.0,16
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,25486.1,45881.0,16
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,16804.18,29527.0,16
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,26344.21,47497.0,16
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,15784.08,27605.0,16
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,13763.99,23800.0,16
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,24829.52,44644.0,16
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,27024.81,48779.0,16
MS-DRG,265,AICD LEAD PROCEDURES,,,29176.67,52833.0,16
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,48634.99,89487.0,16
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,38033.76,69517.0,16
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,54444.88,100431.0,16
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,33866.45,61667.0,16
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,42029.77,77045.0,16
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,28696.84,51929.0,16
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,20919.57,37279.0,16
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,33109.12,60241.0,16
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,26645.75,48065.0,16
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,56402.19,104118.0,16
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,47690.84,87708.0,16
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,36930.71,67439.0,16
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,44276.97,81278.0,16
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,29085.19,52661.0,16
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,13563.99,23423.0,16
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,8254.08,13421.0,16
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,6734.75,10559.0,16
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,16484.06,28924.0,16
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,6495.23,10108.0,16
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,5771.99,8745.0,16
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,18282.47,32311.0,16
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,9424.58,15626.0,16
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,22107.13,39516.0,16
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,14360.85,24924.0,16
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,8336.24,13575.0,16
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,11081.11,18746.0,16
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,7710.68,12397.0,16
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,5514.7,8265.0,16
MS-DRG,294,Inpatient MS-DRG,,,15079.0,15079.0,1
MS-DRG,295,Inpatient MS-DRG,,,9699.0,9699.0,1
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,13236.87,22807.0,16
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,6044.06,9258.0,16
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,4434.17,6645.0,16
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,13785.7,23841.0,16
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,9404.43,15588.0,16
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6708.39,10509.0,16
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,10405.18,17473.0,16
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,6347.94,9830.0,16
MS-DRG,304,HYPERTENSION WITH MCC,,,10354.01,17376.0,16
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,6982.81,11026.0,16
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,13344.62,23010.0,16
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,8208.33,13335.0,16
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,10462.52,17581.0,16
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,6832.42,10743.0,16
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,5515.67,8266.0,16
MS-DRG,311,ANGINA PECTORIS,,,6570.41,10249.0,16
MS-DRG,312,SYNCOPE AND COLLAPSE,,,7885.86,12727.0,16
MS-DRG,313,CHEST PAIN,,,6710.72,10513.0,16
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,17293.34,30448.0,16
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,8596.7,14066.0,16
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6416.93,9960.0,16
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,52961.2,97636.0,16
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,19905.65,35369.0,15
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,35724.53,65167.0,16
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,19774.65,35122.0,16
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,22220.31,39729.0,16
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,14795.74,25743.0,16
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,34674.17,63189.0,16
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,25555.1,46011.0,16
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,26015.55,46878.0,16
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,39790.31,72826.0,16
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,20076.2,35690.0,16
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,13550.04,23397.0,16
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,36760.16,67118.0,16
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,19711.86,35004.0,16
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,14174.83,24574.0,16
MS-DRG,332,RECTAL RESECTION WITH MCC,,,29196.07,52869.0,16
MS-DRG,333,RECTAL RESECTION WITH CC,,,19285.52,34201.0,16
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,13826.0,23917.0,16
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,28810.03,52142.0,16
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,17475.5,30791.0,16
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,13028.35,22414.0,16
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,21150.57,37714.0,16
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,12793.47,21972.0,16
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,10324.57,17321.0,16
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,18924.29,33520.0,16
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,11274.91,19111.0,16
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,7878.12,12713.0,16
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,20445.95,36387.0,16
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,12946.94,22261.0,16
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,10181.93,17052.0,16
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,23624.91,42375.0,16
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,14170.95,24566.0,16
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,11555.53,19640.0,16
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,35181.14,64144.0,16
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,19156.07,33957.0,16
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,11965.58,20412.0,16
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,27784.46,50210.0,15
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,19844.42,35254.0,15
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,13469.42,23245.0,16
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,8882.73,14605.0,16
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6561.88,10233.0,16
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,14874.03,25891.0,16
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,9043.98,14909.0,16
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6768.09,10621.0,16
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,17708.06,31229.0,16
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,10505.96,17663.0,16
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,8294.38,13497.0,16
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,15299.6,26692.0,16
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,8731.56,14320.0,16
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,6016.15,9205.0,16
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,16339.88,28652.0,16
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,9528.45,15821.0,16
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,7335.5,11690.0,16
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,11832.26,20161.0,16
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,7755.64,12482.0,16
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,13394.99,23105.0,16
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,8697.46,14256.0,16
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,6410.72,9948.0,16
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,12577.18,21564.0,16
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,7251.77,11533.0,16
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,5300.34,7943.0,16
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,10960.97,18520.0,16
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,7172.71,11384.0,16
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,13526.78,23353.0,16
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,8382.76,13663.0,16
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6160.33,9477.0,16
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,19694.05,34970.0,16
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,12862.46,22102.0,16
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,10002.84,16715.0,16
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,32295.2,58707.0,16
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,43535.15,79880.0,16
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,23610.96,42349.0,16
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,18335.14,32411.0,16
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,28768.95,52065.0,16
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,18007.27,31793.0,16
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,13436.85,23184.0,16
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,26735.67,48235.0,16
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,17427.45,30701.0,16
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,14001.2,24247.0,16
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,28745.7,52021.0,16
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,17149.92,30178.0,16
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,11697.38,19907.0,16
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,19628.14,34846.0,16
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,14242.26,24701.0,16
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,11716.76,19943.0,16
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,27540.3,49750.0,16
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,14598.05,25371.0,16
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,11978.0,20435.0,16
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,33322.29,60642.0,16
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,18089.43,31948.0,16
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,12759.36,21907.0,16
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,86562.48,160932.0,16
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,57085.88,105406.0,16
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,44709.51,82092.0,16
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,70969.18,131558.0,16
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,45834.3,84211.0,16
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,16386.39,28740.0,16
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,9316.85,15423.0,16
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,6652.58,10404.0,16
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,15367.04,26819.0,16
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,9897.44,16516.0,16
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,7744.02,12460.0,16
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,13766.31,23804.0,16
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,7650.22,12283.0,16
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,5946.39,9074.0,16
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,15041.45,26206.0,16
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,8612.2,14095.0,16
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6553.35,10217.0,16
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,14081.81,24398.0,16
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,9612.96,15980.0,16
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,7542.47,12080.0,16
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,52923.22,97565.0,16
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,34002.89,61924.0,16
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,42442.93,77823.0,16
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,26170.57,47170.0,16
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,66270.09,122706.0,16
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,47353.63,87073.0,16
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,33474.22,60928.0,16
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,43942.1,80647.0,16
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,21749.01,38841.0,16
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,45310.27,83224.0,16
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,25273.7,45481.0,16
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,15266.25,26630.0,16
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,41480.17,76009.0,16
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,28466.63,51495.0,16
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,22431.15,40126.0,16
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,24641.94,44291.0,16
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,16081.73,28166.0,16
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,38560.11,70509.0,16
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,23966.74,43019.0,16
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,20053.7,35648.0,16
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,34406.75,62685.0,16
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,18770.03,33230.0,16
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,10278.04,17233.0,16
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,27908.5,50444.0,16
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,20192.48,35909.0,16
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,15539.11,27144.0,16
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,23704.75,42525.0,16
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,17365.43,30584.0,16
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,13772.52,23816.0,16
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,22616.42,40475.0,16
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,26144.99,47122.0,16
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,17339.06,30534.0,16
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,13270.21,22870.0,16
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,14841.47,25829.0,16
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,9786.59,16308.0,16
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,29590.62,53613.0,16
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,20788.57,37032.0,16
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,16683.28,29299.0,16
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,29234.83,52942.0,16
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,15112.76,26341.0,16
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,10495.87,17644.0,16
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,24514.83,44051.0,16
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,14255.0,29420.0,16
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,25662.06,46212.0,16
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,14680.24,25526.0,16
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,11562.5,19653.0,16
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,22765.26,40756.0,16
MS-DRG,504,FOOT PROCEDURES WITH CC,,,15618.96,27294.0,16
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,15026.75,26178.0,16
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,11588.07,19701.0,16
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,15132.14,26377.0,16
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,12868.65,22113.0,16
MS-DRG,509,Inpatient MS-DRG,,,21570.0,21570.0,1
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,24543.49,44105.0,16
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,17248.38,30363.0,16
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,13961.65,24172.0,16
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,13332.98,22988.0,16
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,9054.06,14928.0,16
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,25833.37,46535.0,16
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,17238.29,30344.0,16
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,13041.53,22439.0,16
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,30099.92,54572.0,16
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,16634.43,29207.0,16
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,12709.74,21814.0,16
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,23378.42,41911.0,16
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,17545.26,30923.0,16
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,13281.83,22892.0,16
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,7378.14,11771.0,16
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,11067.16,18720.0,16
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,7389.76,11793.0,16
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,8526.94,13935.0,16
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,6713.03,10518.0,16
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,16398.02,28762.0,16
MS-DRG,540,OSTEOMYELITIS WITH CC,,,11178.02,18929.0,16
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,7233.19,11498.0,16
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,14822.87,25794.0,16
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,9098.25,15011.0,16
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6978.92,11019.0,16
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,20366.87,36238.0,16
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,10070.29,16842.0,16
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,7611.47,12210.0,16
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,16097.24,28195.0,16
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,10487.34,17628.0,16
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,7905.26,12764.0,16
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,14122.11,24474.0,16
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,8581.2,14037.0,16
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,11178.02,18929.0,16
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,7564.19,12121.0,16
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,11375.68,19301.0,16
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,7568.06,12128.0,16
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,12655.5,21712.0,16
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,8053.3,13043.0,16
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,15585.63,27231.0,16
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,9858.68,16443.0,16
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,7361.08,11739.0,16
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,12174.11,20805.0,16
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,8071.14,13076.0,16
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,13095.01,22540.0,16
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,8682.74,14228.0,16
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,6937.83,10941.0,16
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,23928.0,42946.0,16
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,14225.98,24670.0,16
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,10015.26,16738.0,16
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,51913.96,95664.0,16
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,28038.72,50689.0,16
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,15059.29,26240.0,16
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,39122.09,71567.0,16
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,21676.9,38706.0,16
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,13581.83,23457.0,16
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,26233.37,47289.0,16
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,14524.43,25232.0,16
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,12315.96,21072.0,16
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,16063.93,28132.0,16
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,14496.52,25180.0,16
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,17723.55,31259.0,16
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,16083.29,28169.0,16
MS-DRG,592,SKIN ULCERS WITH MCC,,,16131.37,28259.0,16
MS-DRG,593,SKIN ULCERS WITH CC,,,10325.33,17322.0,16
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,7848.66,12657.0,16
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,17568.5,30966.0,16
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,9520.71,15807.0,16
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,14052.35,24343.0,16
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,9898.99,16519.0,16
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,7093.65,11235.0,16
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,9203.66,15209.0,16
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,5819.26,8834.0,16
MS-DRG,602,CELLULITIS WITH MCC,,,12146.96,20754.0,16
MS-DRG,603,CELLULITIS WITHOUT MCC,,,7880.45,12717.0,16
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,12540.78,21496.0,16
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,8230.04,13375.0,16
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,12859.35,22096.0,16
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,8155.64,13235.0,16
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,18119.66,32005.0,16
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,11976.43,20433.0,16
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,28162.76,50923.0,16
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,15627.5,27310.0,16
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,12123.72,20710.0,16
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,23511.75,42162.0,16
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,13534.54,23368.0,16
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,12822.14,22026.0,16
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,28719.32,51971.0,16
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,15035.27,26195.0,16
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,10833.84,18280.0,16
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,24540.39,44100.0,16
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,12752.38,21894.0,16
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,11426.08,19396.0,16
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,30018.51,54419.0,16
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,18018.9,31815.0,16
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,12443.09,21312.0,16
MS-DRG,637,DIABETES WITH MCC,,,12266.35,20979.0,16
MS-DRG,638,DIABETES WITH CC,,,8076.56,13086.0,16
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,5944.85,9071.0,16
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,11482.64,19502.0,16
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,7161.86,11363.0,16
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,12153.19,20766.0,16
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,13889.56,24036.0,16
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,9074.98,14967.0,16
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,7085.11,11219.0,16
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,37573.32,68650.0,16
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,29855.73,54112.0,16
MS-DRG,652,KIDNEY TRANSPLANT,,,26163.59,47157.0,16
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,41410.4,75878.0,16
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,22828.79,40875.0,16
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,17536.72,30907.0,16
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,25809.35,46490.0,16
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,15315.09,26722.0,16
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,13158.58,22659.0,16
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,20825.78,37102.0,16
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,11374.9,19299.0,16
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,9155.6,15119.0,16
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,24861.32,44704.0,16
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,12913.63,22198.0,16
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,9244.74,15287.0,16
MS-DRG,665,PROSTATECTOMY WITH MCC,,,25324.1,45576.0,16
MS-DRG,666,PROSTATECTOMY WITH CC,,,14689.54,25543.0,16
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,9704.42,16153.0,16
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,23764.44,42638.0,16
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,13160.12,22662.0,16
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,8705.22,14271.0,16
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,15043.79,26211.0,16
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,9497.44,15763.0,16
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,33699.03,61352.0,16
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,19257.61,34148.0,16
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,13853.12,23968.0,16
MS-DRG,682,RENAL FAILURE WITH MCC,,,12609.77,21626.0,16
MS-DRG,683,RENAL FAILURE WITH CC,,,7918.44,12788.0,16
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,5782.83,8766.0,16
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,15111.23,26338.0,16
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,9251.72,15300.0,16
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,7255.67,11540.0,16
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,10123.77,16943.0,16
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,7404.49,11820.0,16
MS-DRG,693,URINARY STONES WITH MCC,,,11551.65,19632.0,16
MS-DRG,694,URINARY STONES WITHOUT MCC,,,7189.01,11414.0,16
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,9995.88,16702.0,16
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,6470.41,10061.0,16
MS-DRG,697,URETHRAL STRICTURE,,,9484.27,15738.0,16
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,13953.89,24158.0,16
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,8997.46,14821.0,16
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,6477.39,10074.0,16
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,16635.22,29208.0,16
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,13022.14,22402.0,16
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,19168.47,33980.0,16
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,11991.17,20460.0,16
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,17282.48,30428.0,16
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,9654.04,16058.0,16
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,12783.38,21953.0,16
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,9326.14,15440.0,16
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,18472.36,32669.0,16
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,12532.23,21480.0,16
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,15784.08,27605.0,16
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,11540.81,19612.0,16
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,15157.73,26425.0,16
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,9987.38,16686.0,16
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6212.29,9575.0,16
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,10200.52,17087.0,16
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,6726.21,10543.0,16
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,12624.49,21653.0,16
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,7417.69,11845.0,16
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,9336.22,15459.0,16
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6338.64,9813.0,16
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,17640.62,31102.0,16
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,11559.4,19647.0,16
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,28837.92,52195.0,16
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,17102.64,30089.0,16
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,12512.85,21443.0,16
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,28902.27,52316.0,16
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,15156.97,26424.0,16
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,12184.19,20824.0,16
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,15352.29,26792.0,16
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,10747.01,18117.0,16
MS-DRG,744,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,17013.49,29921.0,16
MS-DRG,745,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,9947.05,16610.0,16
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,14594.96,25365.0,16
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,7793.62,12553.0,16
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,11883.43,20257.0,16
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,21032.74,37492.0,16
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12569.43,21550.0,16
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,15405.79,26893.0,16
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,9561.79,15884.0,16
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,8574.99,14025.0,16
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,12229.14,20909.0,16
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8718.41,14295.0,16
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6273.52,9690.0,16
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,8939.32,14712.0,16
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,5551.83,8330.0,16
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&amp;C,,,9436.22,15648.0,16
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,14228.31,24674.0,16
MS-DRG,770,"ABORTION WITH D&amp;C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,8902.13,14641.0,16
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,6204.52,9560.0,16
MS-DRG,779,ABORTION WITHOUT D&amp;C,,,7651.0,12285.0,16
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,20160.68,35849.0,16
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,9347.06,15480.0,16
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,8554.07,13986.0,16
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,13915.91,24086.0,16
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,9786.59,16308.0,16
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,8561.82,14000.0,16
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,15099.59,26316.0,16
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,47201.69,86787.0,16
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,32593.62,59270.0,16
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,20114.94,35763.0,16
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,33450.96,60884.0,16
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,12570.22,21551.0,16
MS-DRG,795,NORMAL NEWBORN,,,1946.71,2960.21,16
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH MCC,,,10175.74,17041.0,16
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH CC,,,8884.29,14608.0,16
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITHOUT CC/MCC,,,8548.63,13976.0,16
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,36236.16,66131.0,16
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,22907.11,41023.0,16
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,15926.7,27874.0,16
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,32013.01,58176.0,16
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,15539.11,27144.0,16
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,11640.8,19800.0,16
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH MCC,,,9495.12,15758.0,16
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH CC,,,6974.26,11010.0,16
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITHOUT CC/MCC,,,6355.69,9845.0,16
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,18244.47,32240.0,16
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,10942.38,18485.0,16
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,9242.42,15282.0,16
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,12015.2,20506.0,16
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,8247.09,13408.0,16
MS-DRG,813,COAGULATION DISORDERS,,,12953.16,22272.0,16
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,17615.03,31054.0,16
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,8989.73,14806.0,16
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,6028.57,9228.0,16
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,18815.76,33316.0,16
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,10115.25,16927.0,16
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,7795.19,12556.0,16
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,46591.63,85638.0,16
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,18482.44,32688.0,16
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,10462.52,17581.0,16
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,36669.47,66947.0,16
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,18691.73,33082.0,16
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,11589.64,19704.0,16
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,37390.38,68305.0,16
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,19045.2,33748.0,16
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,14336.84,24879.0,16
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,25624.85,46142.0,16
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,12795.8,21976.0,16
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,10450.91,17559.0,16
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,6723.11,10537.0,16
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,5094.76,7635.0,16
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,43685.53,80164.0,16
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,17297.98,30457.0,16
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,10582.68,17807.0,16
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,38370.96,70152.0,16
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,17310.39,30480.0,16
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,12322.16,21084.0,16
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,26205.46,47236.0,16
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,13775.61,23822.0,16
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,8961.8,14754.0,16
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,16592.57,29128.0,16
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,10566.4,17776.0,16
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,7730.83,12435.0,16
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,21225.76,37856.0,16
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,11270.25,19102.0,16
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,7713.78,12403.0,16
MS-DRG,849,RADIOTHERAPY,,,22132.7,39564.0,16
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,68255.32,126446.0,16
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,39412.02,72113.0,16
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,16618.14,29176.0,16
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,12735.34,21862.0,16
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,36389.64,66420.0,16
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,17729.75,31270.0,16
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,11926.83,20339.0,16
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,15266.25,26630.0,16
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,8864.91,14571.0,16
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,8010.68,12962.0,16
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,12743.85,21878.0,16
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,7870.37,12698.0,16
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,17355.34,30565.0,16
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,9122.27,15056.0,16
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,6785.9,10655.0,16
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV &gt;96 HOURS,,,54707.67,100926.0,16
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITH MCC,,,16187.15,28364.0,16
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITHOUT MCC,,,9061.79,14942.0,16
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,1697.0,56435.0,16
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,1697.0,14021.0,16
MS-DRG,881,DEPRESSIVE NEUROSES,,,8423.06,13739.0,16
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,9453.25,15680.0,16
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,16371.66,28712.0,16
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,13601.2,23493.0,16
MS-DRG,885,PSYCHOSES,,,11957.06,20396.0,16
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,17216.59,30304.0,16
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,1697.0,15637.0,16
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,1697.0,9008.0,16
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,12102.79,20671.0,16
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,14656.96,25482.0,16
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,1697.0,12891.0,16
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,33660.27,61279.0,16
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,15970.12,27956.0,16
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,10195.88,17078.0,16
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,29602.26,53635.0,16
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,12628.35,21661.0,16
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,16356.15,28683.0,16
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,30890.59,56061.0,16
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,16595.68,29134.0,16
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,11305.13,19168.0,16
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,13800.42,23868.0,16
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,7993.61,12930.0,16
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,14164.75,24555.0,16
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,6294.44,9729.0,16
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,13287.25,22902.0,16
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,7773.47,12515.0,16
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,15321.29,26733.0,16
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,8899.02,14636.0,16
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6465.78,10052.0,16
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,14690.32,25545.0,16
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,9018.4,14860.0,16
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITH SKIN GRAFT,,,166632.08,311760.0,16
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,56730.1,104736.0,16
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,26096.16,47030.0,16
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITHOUT SKIN GRAFT,,,31316.14,56863.0,16
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,18265.39,32279.0,16
MS-DRG,935,NON-EXTENSIVE BURNS,,,17097.99,30080.0,16
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,29256.53,52983.0,16
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,19244.43,34123.0,16
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,16847.62,29608.0,16
MS-DRG,945,REHABILITATION WITH CC/MCC,,,13133.76,22613.0,16
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,10019.15,16746.0,16
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,10969.5,18536.0,16
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,7334.73,11689.0,16
MS-DRG,949,AFTERCARE WITH CC/MCC,,,10351.68,17372.0,16
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,5995.24,9166.0,16
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,5417.26,8119.0,16
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,53306.93,98288.0,16
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,30299.14,54947.0,16
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,60196.64,111266.0,16
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,33794.37,61531.0,16
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,23951.27,42990.0,16
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,22321.08,39919.0,16
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,13009.74,22379.0,16
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,8419.96,13733.0,16
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,48579.93,89383.0,16
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,21573.81,38511.0,16
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,23500.89,42141.0,16
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,11167.93,18910.0,16
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,8126.96,13181.0,16
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,11188.86,18949.0,16
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,37498.91,68510.0,16
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,20187.03,35899.0,16
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,14415.89,25028.0,16
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,27705.41,50061.0,16
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,13870.18,24000.0,16
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,10425.33,17511.0,16
NDC,10006070020,Niacin Cap ER 250 MG,1.5,1.2,0.42,1.35,27
NDC,10019007587,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,1444.2,1155.36,0.25,1299.78,27
NDC,10019055390,Scopolamine TD Patch 72HR 1 MG/3DAYS,43.15,34.52,11.98,38.84,27
NDC,10019064164,Desflurane Inhal Soln,362.88,290.31,100.77,326.59,27
NDC,10019064434,Desflurane Inhal Soln,369.36,295.49,102.57,332.42,27
NDC,10019065164,Sevoflurane Inhal Soln,636.25,509.0,176.69,572.63,27
NDC,10019092501,Ifosfamide For Inj 1 GM,72.36,57.89,1.0,65.12,27
NDC,10019092582,Ifosfamide For Inj 1 GM,72.02,57.62,1.0,64.82,27
NDC,10019092602,Ifosfamide For Inj 3 GM,360.53,288.43,1.0,324.48,27
NDC,10019092616,Ifosfamide For Inj 3 GM,236.21,188.97,1.0,212.59,27
NDC,10019093801,Cyclophosphamide For Inj 500 MG,715.15,572.12,0.46,643.64,36
NDC,10019093901,Cyclophosphamide For Inj 1 GM,1358.45,1086.76,0.46,1222.61,36
NDC,10019094201,Cyclophosphamide For Inj 2 GM,2231.92,1785.54,0.46,2008.73,36
NDC,10019095301,Mesna Inj 100 MG/ML,139.11,111.29,1.0,125.2,27
NDC,10019095501,Cyclophosphamide For Inj 500 MG,324.62,259.7,0.46,292.16,36
NDC,10019095550,Cyclophosphamide For Inj 500 MG,743.59,594.88,0.46,669.23,36
NDC,10019095601,Cyclophosphamide For Inj 1 GM,322.31,257.85,0.46,290.08,36
NDC,10019095616,Cyclophosphamide For Inj 1 GM,322.31,257.85,0.46,290.08,36
NDC,10019095701,Cyclophosphamide For Inj 2 GM,845.68,676.55,0.46,761.11,36
NDC,10019095711,Cyclophosphamide For Inj 2 GM,12.0,9.6,0.46,10.8,36
NDC,10019099101,Bortezomib For Inj 3.5 MG,116.48,93.19,2.29,104.83,27
NDC,10122051001,Poractant Alfa Intratracheal Susp 120 MG/1.5ML,1040.7,832.56,289.0,936.63,27
NDC,10122061001,Clevidipine IV Emulsion 25 MG/50ML,239.25,191.4,1.0,215.33,36
NDC,10135058001,Terbutaline Sulfate Tab 5 MG,16.93,13.55,4.7,15.24,27
NDC,10147015001,Itraconazole Oral Soln 10 MG/ML,52.38,41.91,14.55,47.14,27
NDC,10147091101,Haloperidol Lactate Inj 5 MG/ML,22.9,18.32,1.0,20.61,27
NDC,10147095103,Paliperidone Tab ER 24HR 1.5 MG,57.62,46.1,16.0,51.86,27
NDC,10147170003,Itraconazole Cap 100 MG,14.13,11.31,3.92,12.72,27
NDC,10370010203,Bupropion HCl Tab ER 24HR 300 MG,2.07,1.66,0.57,1.86,27
NDC,10370010250,Bupropion HCl Tab ER 24HR 300 MG,2.1,1.68,0.58,1.89,27
NDC,10370011610,Zolpidem Tartrate Tab ER 12.5 MG,8.35,6.68,2.32,7.52,27
NDC,10370011710,Zolpidem Tartrate Tab ER 6.25 MG,8.87,7.1,2.46,7.98,27
NDC,10370017511,Fluvoxamine Maleate Cap ER 24HR 100 MG,18.43,14.75,5.12,16.59,27
NDC,10370017611,Fluvoxamine Maleate Cap ER 24HR 150 MG,19.76,15.81,5.49,17.78,27
NDC,10370082909,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.92,1.54,0.53,1.73,27
NDC,10370083009,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.5,1.2,0.42,1.35,27
NDC,10370083109,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,1.5,1.2,0.42,1.35,27
NDC,10572010001,PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM,8.1,6.48,2.25,7.29,27
NDC,10631040701,Hydrocortisone Perianal Cream 2.5%,38.35,30.68,10.65,34.52,27
NDC,10702000301,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,10702000601,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,10702000610,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,10702000650,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,10702000750,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,10702001001,Hydroxyzine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,10702001101,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,10702001110,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,10702001150,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,10702001201,Hydroxyzine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,10702001801,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,10702001850,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,10702003645,Sodium Polystyrene Sulfonate Powder,190.0,152.0,52.76,171.0,27
NDC,10702007601,Methylphenidate HCl Tab ER 20 MG,1.5,1.2,0.42,1.35,27
NDC,10702010001,Methylphenidate HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,10702010101,Methylphenidate HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,10702010201,Methylphenidate HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,10702016901,Desmopressin Acetate Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,10702019001,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,1093941744,Fexofenadine HCl Tab 180 MG,1.5,1.2,0.42,1.35,27
NDC,115051101,Fenofibrate Micronized Cap 67 MG,1.64,1.32,0.46,1.48,27
NDC,115052201,Fenofibrate Micronized Cap 134 MG,2.98,2.39,0.83,2.68,27
NDC,115101101,Baclofen Tab 5 MG,1.86,1.49,0.52,1.67,27
NDC,115146853,Lidocaine-Prilocaine Cream 2.5-2.5%,12.61,10.09,1.0,11.35,27
NDC,115146860,Lidocaine-Prilocaine Cream 2.5-2.5%,12.56,10.05,1.0,11.3,27
NDC,115148601,Amphetamine-Dextroamphetamine Cap ER 24HR 5 MG,2.76,2.21,0.77,2.48,27
NDC,115149001,Amphetamine-Dextroamphetamine Cap ER 24HR 25 MG,2.93,2.35,0.81,2.64,27
NDC,115149101,Amphetamine-Dextroamphetamine Cap ER 24HR 30 MG,12.37,9.9,3.44,11.13,27
NDC,115165901,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,115165903,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,115166001,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,115166101,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,115166201,Propranolol HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,115168776,Budesonide Inhalation Susp 0.25 MG/2ML,4.18,3.35,1.16,3.76,27
NDC,115169301,Propranolol HCl Tab 60 MG,2.21,1.77,0.61,1.99,27
NDC,115169449,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),657.11,525.69,182.48,591.4,27
NDC,115169606,Hydrocortisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,115169701,Hydrocortisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,115170001,Hydrocortisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,115180201,Methylphenidate HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,115180301,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,115180401,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,115180402,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,115191101,Rimantadine Hydrochloride Tab 100 MG,4.96,3.97,1.38,4.46,27
NDC,11523726803,Polyethylene Glycol 3350 Oral Packet 17 GM,2.89,2.32,0.8,2.6,27
NDC,115261101,Terbutaline Sulfate Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,115262201,Terbutaline Sulfate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,11534016501,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,11534016503,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,11534016616,Sodium Polystyrene Sulfonate Powder,23.65,18.92,6.57,21.29,27
NDC,11534016644,Sodium Polystyrene Sulfonate Powder,111.55,89.24,30.98,100.4,27
NDC,115351101,Pyridostigmine Bromide Tab 60 MG,2.05,1.64,0.57,1.85,27
NDC,115441101,Dantrolene Sodium Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,115521116,Colestipol HCl Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,115521218,Colestipol HCl Granule Packets 5 GM,4.59,3.68,1.27,4.13,27
NDC,115703301,Fludrocortisone Acetate Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,115993176,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),3.01,2.41,0.05,2.71,27
NDC,115993178,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),3.0,2.4,0.05,2.7,27
NDC,115993276,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),8.99,7.2,0.05,8.09,27
NDC,115993278,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.01,2.41,0.05,2.71,27
NDC,116200116,Chlorhexidine Gluconate Soln 0.12%,5.11,4.09,1.42,4.6,27
NDC,116400511,Lactulose Solution 10 GM/15ML,3.08,2.47,0.86,2.77,27
NDC,116400515,Lactulose Solution 10 GM/15ML,3.28,2.63,0.91,2.95,27
NDC,116400530,Lactulose Solution 10 GM/15ML,3.08,2.47,0.86,2.77,27
NDC,116400532,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,116400540,Lactulose Solution 10 GM/15ML,3.28,2.63,0.91,2.95,27
NDC,116400541,Lactulose Solution 10 GM/15ML,3.73,2.99,1.04,3.36,27
NDC,11704037001,Hydroxocobalamin (Antidote) For IV Soln 5 GM,2843.19,2274.56,4.93,2558.87,36
NDC,11788000110,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,11980021105,Fluorometholone Ophth Susp 0.1%,335.96,268.77,93.3,302.36,27
NDC,11980077905,Ofloxacin Ophth Soln 0.3%,284.31,227.45,78.95,255.88,27
NDC,11994001104,Perflutren Lipid Microsphere IV Susp 6.52 MG/ML,600.3,480.24,1.0,540.27,27
NDC,121043130,Magnesium Hydroxide Susp 400 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121050400,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,2.58,2.07,0.72,2.32,27
NDC,121050404,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,4.46,3.57,1.24,4.01,27
NDC,121050405,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,2.23,1.79,0.62,2.01,27
NDC,121057616,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),12.77,10.22,3.55,11.49,27
NDC,121058104,Haloperidol Lactate Oral Conc 2 MG/ML,1.5,1.2,0.42,1.35,27
NDC,121059515,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,1.74,1.4,0.48,1.57,27
NDC,121059516,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121063805,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121064610,Amantadine HCl Soln 50 MG/5ML,3.92,3.14,1.09,3.53,27
NDC,121065816,Trihexyphenidyl HCl Oral Soln 0.4 MG/ML,85.57,68.46,23.76,77.01,27
NDC,121067016,Ethosuximide Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121067516,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,121067585,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,121067616,Potassium Citrate & Citric Acid Soln 1100-334 MG/5ML,2.43,1.95,0.67,2.19,27
NDC,121072104,Fluoxetine HCl Solution 20 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121074740,Sucralfate Susp 1 GM/10ML,18.74,15.0,5.2,16.87,27
NDC,121075908,Prednisolone Sod Phosphate Oral Soln 15 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,121077001,Lorazepam Conc 2 MG/ML,1.81,1.45,0.5,1.63,27
NDC,121077216,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,1.5,1.2,0.42,1.35,27
NDC,121077504,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121077516,Guaifenesin-Codeine Soln 100-10 MG/5ML,11.49,9.2,3.19,10.34,27
NDC,121085416,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,2.16,1.73,0.6,1.94,27
NDC,121086800,Nystatin Susp 100000 Unit/ML,2.08,1.67,0.58,1.87,27
NDC,121086816,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,121087316,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,121087332,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,121087416,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.5,1.2,0.42,1.35,27
NDC,121088516,Prednisolone Soln 15 MG/5ML,8.67,6.94,2.41,7.8,27
NDC,121090204,Prednisolone Sod Phosphate Oral Soln 5 MG/5ML (Base Equiv),18.75,15.0,1.0,16.88,27
NDC,121090315,Lidocaine HCl Viscous Soln 2%,3.4,2.72,0.94,3.06,27
NDC,121090340,Lidocaine HCl Viscous Soln 2%,3.4,2.72,0.94,3.06,27
NDC,121090405,Morphine Sulfate Oral Soln 10 MG/5ML,2.62,2.1,0.73,2.36,27
NDC,121090505,Diazepam Oral Soln 1 MG/ML,9.18,7.35,2.55,8.26,27
NDC,121090594,Diazepam Oral Soln 1 MG/ML,9.18,7.35,2.55,8.26,27
NDC,121091705,Ibuprofen Susp 100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121092716,Promethazine HCl Oral Soln 6.25 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121095003,Lidocaine HCl Viscous Soln 2%,3.89,3.12,1.08,3.5,27
NDC,121097410,Sucralfate Susp 1 GM/10ML,18.85,15.08,5.23,16.97,27
NDC,121097494,Sucralfate Susp 1 GM/10ML,18.85,15.08,5.23,16.97,27
NDC,121100230,Lidocaine-Prilocaine Cream 2.5-2.5%,17.01,13.61,1.0,15.31,27
NDC,121115400,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,121115430,Lactulose Solution 10 GM/15ML,2.03,1.63,0.56,1.83,27
NDC,121115440,Lactulose Solution 10 GM/15ML,2.03,1.63,0.56,1.83,27
NDC,121119030,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,5.67,4.54,1.57,5.1,27
NDC,121127610,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,4.75,3.8,1.32,4.28,27
NDC,121148800,Guaifenesin Liquid 100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121155000,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.62,1.3,0.45,1.46,27
NDC,121155010,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.62,1.3,0.45,1.46,27
NDC,121155040,Guaifenesin-Codeine Soln 100-10 MG/5ML,10.26,8.21,2.85,9.23,27
NDC,121157610,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,121177505,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,121177540,Guaifenesin-Codeine Soln 100-10 MG/5ML,8.45,6.76,2.35,7.61,27
NDC,121189630,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),33.37,26.7,9.27,30.03,27
NDC,121231615,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,2.53,2.03,0.7,2.28,27
NDC,121231640,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,12.64,10.12,3.51,11.38,27
NDC,121252030,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),28.76,23.01,7.99,25.88,27
NDC,121252040,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),39.69,31.76,11.02,35.72,27
NDC,121457715,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,121472105,Fluoxetine HCl Solution 20 MG/5ML,12.12,9.7,3.37,10.91,27
NDC,121477205,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,10.13,8.11,2.81,9.12,27
NDC,121477610,Megestrol Acetate Susp 40 MG/ML,5.64,4.52,1.57,5.08,27
NDC,121479940,Levetiracetam Oral Soln 100 MG/ML,9.18,7.35,2.55,8.26,27
NDC,121479950,Levetiracetam Oral Soln 100 MG/ML,5.28,4.23,1.47,4.75,27
NDC,121482705,Oxycodone HCl Soln 5 MG/5ML,12.7,10.16,3.53,11.43,27
NDC,121482740,Oxycodone HCl Soln 5 MG/5ML,12.7,10.16,3.53,11.43,27
NDC,121482750,Oxycodone HCl Soln 5 MG/5ML,12.7,10.16,3.53,11.43,27
NDC,121483905,Oxycodone HCl Soln 5 MG/5ML,10.8,8.64,3.0,9.72,27
NDC,121495015,Lidocaine HCl Viscous Soln 2%,14.01,11.21,3.89,12.61,27
NDC,121495040,Lidocaine HCl Viscous Soln 2%,14.01,11.21,3.89,12.61,27
NDC,12165010001,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.5,1.2,0.42,1.35,27
NDC,12165010003,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.5,1.2,0.42,1.35,27
NDC,12496075705,Buprenorphine HCl Inj 0.3 MG/ML (Base Equiv),30.89,24.72,1.0,27.8,27
NDC,12496120801,Buprenorphine HCl-Naloxone HCl SL Film 8-2 MG (Base Equiv),22.52,18.02,6.25,20.27,27
NDC,12496120803,Buprenorphine HCl-Naloxone HCl SL Film 8-2 MG (Base Equiv),17.91,14.33,4.97,16.12,27
NDC,12496121201,Buprenorphine HCl-Naloxone HCl SL Film 12-3 MG (Base Equiv),41.17,32.94,11.43,37.05,27
NDC,12547017162,Diphenhydramine-Zinc Acetate Cream 1-0.1%,10.09,8.08,2.8,9.08,27
NDC,12870000101,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.5,1.2,0.42,1.35,27
NDC,12870000102,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.5,1.2,0.42,1.35,27
NDC,13010260,Sulfasalazine Tab Delayed Release 500 MG,4.97,3.98,1.38,4.47,27
NDC,13107000305,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,13107000334,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,13107001901,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,13107002001,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,13107002005,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,13107003105,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,13107003134,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,13107006801,Amphetamine-Dextroamphetamine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,13107007201,Amphetamine-Dextroamphetamine Tab 15 MG,1.86,1.49,0.52,1.67,27
NDC,13107007301,Amphetamine-Dextroamphetamine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,13107007401,Amphetamine-Dextroamphetamine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,13107008401,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,13107008405,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,13107015430,Paroxetine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,13107015599,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,13107015630,Paroxetine HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,13107031901,Clorazepate Dipotassium Tab 3.75 MG,2.05,1.64,0.57,1.85,27
NDC,13111420,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),162.78,130.23,1.0,146.5,27
NDC,13111420,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",162.78,130.23,45.2,146.5,27
NDC,131181067,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),30.23,24.19,1.0,27.21,27
NDC,131247735,Lacosamide Tab 50 MG,14.69,11.76,4.08,13.22,27
NDC,131247760,Lacosamide Tab 50 MG,26.18,20.95,7.27,23.56,27
NDC,131247835,Lacosamide Tab 100 MG,31.81,25.45,8.83,28.63,27
NDC,131247860,Lacosamide Tab 100 MG,40.93,32.75,11.37,36.84,27
NDC,131541072,Lacosamide Oral Solution 10 MG/ML,968.76,775.01,269.02,871.88,27
NDC,132007950,Glycerin Suppos 2 GM,1.5,1.2,0.42,1.35,27
NDC,132020140,Sodium Phosphates - Enema,2.87,2.3,0.8,2.58,27
NDC,132030140,Mineral Oil Enema,5.39,4.32,1.5,4.85,27
NDC,13257691,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),202.28,161.83,1.0,182.05,27
NDC,13258691,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),337.17,269.74,1.0,303.45,27
NDC,13259691,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),674.42,539.54,1.0,606.98,27
NDC,13310015307,Quinine Sulfate Cap 324 MG,14.4,11.52,4.0,12.96,27
NDC,135046602,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,27
NDC,13517010030,Diazoxide Susp 50 MG/ML,628.56,502.85,174.55,565.7,27
NDC,13517010716,Phenobarbital Elixir 20 MG/5ML,2.38,1.91,0.66,2.14,27
NDC,13517069101,Phenobarbital Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,13530117,Rifabutin Cap 150 MG,61.13,48.91,16.98,55.02,27
NDC,13533031801,Rabies Immune Globulin (Human) Inj 300 Unit/ML,926.43,741.15,265.86,833.79,36
NDC,13533031805,Rabies Immune Globulin (Human) Inj 1500 Unt/5ML (300 Unt/ML),4498.6,3598.88,265.86,4048.74,36
NDC,13533031810,Rabies Immune Globulin (Human) Inj 300 Unit/ML,926.43,741.15,265.86,833.79,36
NDC,13533060250,Antithrombin III (Human) For Inj 500 Unit,21.0,16.8,3.71,18.9,36
NDC,13533061325,Plasma Protein Fraction Inj 5%,179.44,143.56,49.83,161.5,36
NDC,13533063402,Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML,1607.76,1286.21,563.35,1446.98,36
NDC,13533063420,Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML,1940.35,1552.28,563.35,1746.32,36
NDC,13533063512,Immune Globulin (Human) IM Inj,1138.44,910.76,46.58,1024.6,36
NDC,13533063630,Hepatitis B Immun Glob (Human) IM Soln Pref Syr 110 Ut/0.5ML,327.9,262.32,91.06,295.11,27
NDC,13533063650,Hepatitis B Immune Globulin (Human) IM Soln 220 Unit/ML,240.5,192.4,66.79,216.45,27
NDC,13533070211,Alpha1-Proteinase Inhibitor (Human) For IV Soln 1000 MG,924.6,739.68,4.81,832.14,36
NDC,13533070511,Alpha1-Proteinase Inhibitor (Human) Inj 1000 MG/20ML,924.6,739.68,4.81,832.14,36
NDC,13533080012,Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,172.02,137.62,46.52,154.82,36
NDC,13533080012,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",172.02,137.62,46.52,154.82,36
NDC,13533080020,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",727.92,582.34,46.52,655.13,36
NDC,13533080020,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,727.92,582.34,46.52,655.13,36
NDC,13533080024,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",3595.49,2876.4,46.52,3235.94,36
NDC,13533080024,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,3595.49,2876.4,46.52,3235.94,36
NDC,13533080071,"Immune Globulin (Human) IV or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human) IV or Subcutaneous Soln 2.5 GM/25ML,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,Immune Globulin (Human) ",1720.16,1376.13,46.52,1548.14,36
NDC,13533080071,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,1720.16,1376.13,46.52,1548.14,36
NDC,13548007045,Tretinoin Gel 0.05%,663.39,530.72,184.22,597.05,27
NDC,13668000701,Zolpidem Tartrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,13668000901,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,13668001005,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,13668001101,Citalopram Hydrobromide Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,13668001105,Citalopram Hydrobromide Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,13668001512,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,13668001990,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,13668004701,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,13668004905,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,13668004960,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,13668007930,Montelukast Sodium Chew Tab 4 MG (Base Equiv),5.33,4.27,1.48,4.8,27
NDC,13668008190,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,13668009190,Pramipexole Dihydrochloride Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,13668009290,Pramipexole Dihydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,13668009390,Pramipexole Dihydrochloride Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,13668009490,Pramipexole Dihydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,13668009590,Pramipexole Dihydrochloride Tab 1.5 MG,1.5,1.2,0.42,1.35,27
NDC,13668010401,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.5,1.2,0.42,1.35,27
NDC,13668010960,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),13.19,10.56,3.66,11.87,27
NDC,13668011630,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,13668011690,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,13668013201,Felodipine Tab ER 24HR 2.5 MG,1.54,1.24,0.43,1.39,27
NDC,13668013301,Felodipine Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,13668013401,Felodipine Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,13668013701,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,13668018090,Rosuvastatin Calcium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,13668018190,Rosuvastatin Calcium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,13668026801,Carbamazepine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,13668027101,Carbamazepine Chew Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,13668040910,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,13668058601,Erythromycin Tab Delayed Release 250 MG,12.65,10.12,3.51,11.39,27
NDC,13668058630,Erythromycin Tab Delayed Release 250 MG,12.48,9.99,3.47,11.23,27
NDC,13668059181,Aprepitant Capsule 40 MG,123.5,98.8,34.3,111.15,27
NDC,13668059283,Aprepitant Capsule 80 MG,262.52,210.02,1.0,236.27,27
NDC,13668059284,Aprepitant Capsule 80 MG,262.52,210.02,1.0,236.27,27
NDC,13668059286,Aprepitant Capsule 80 MG,261.15,208.92,1.0,235.04,27
NDC,13668059380,Aprepitant Capsule 125 MG,464.78,371.83,1.0,418.3,27
NDC,13668059386,Aprepitant Capsule 125 MG,464.78,371.83,1.0,418.3,27
NDC,13811070610,Methylphenidate HCl Tab ER Osmotic Release (OSM) 18 MG,15.17,12.14,4.21,13.65,27
NDC,13811070710,Methylphenidate HCl Tab ER Osmotic Release (OSM) 27 MG,5.5,4.4,1.53,4.95,27
NDC,13811070810,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,5.67,4.54,1.57,5.1,27
NDC,13811070910,Methylphenidate HCl Tab ER Osmotic Release (OSM) 54 MG,18.19,14.56,5.05,16.37,27
NDC,13845120202,Cycloserine Cap 250 MG,30.31,24.25,8.42,27.28,27
NDC,13925010701,Methenamine Mandelate Tab 1 GM,2.89,2.32,0.8,2.6,27
NDC,13925016604,Prednisolone Sod Phosphate Oral Soln 5 MG/5ML (Base Equiv),24.58,19.67,1.0,22.12,27
NDC,13925051510,Pentamidine Isethionate For Inj Soln 300 MG,375.85,300.68,99.65,338.27,27
NDC,13925052201,Pentamidine Isethionate For Nebulization Soln 300 MG,269.38,215.51,52.22,242.44,27
NDC,143117101,Captopril Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,143117201,Captopril Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,143117301,Captopril Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,143117401,Captopril Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,143124001,Digoxin Tab 125 MCG (0.125 MG),1.5,1.2,0.42,1.35,27
NDC,143124101,Digoxin Tab 250 MCG (0.25 MG),1.5,1.2,0.42,1.35,27
NDC,143124110,Digoxin Tab 250 MCG (0.25 MG),1.73,1.39,0.48,1.56,27
NDC,143144505,Phenobarbital Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,143145501,Phenobarbital Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,143145505,Phenobarbital Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,143145801,Phenobarbital Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,143145805,Phenobarbital Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,143149501,Phenobarbital Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,143149505,Phenobarbital Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,143150001,Phenobarbital Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,143150005,Phenobarbital Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,143176901,Isosorbide Dinitrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,143177101,Isosorbide Dinitrate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,143177201,Isosorbide Dinitrate Tab 20 MG,1.62,1.3,0.45,1.46,27
NDC,143312601,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,143908401,Doxorubicin HCl Inj 2 MG/ML,13.99,11.2,1.0,12.59,27
NDC,143908501,Doxorubicin HCl Inj 2 MG/ML,25.42,20.34,1.0,22.88,27
NDC,143908601,Doxorubicin HCl Inj 2 MG/ML,31.49,25.2,1.0,28.34,27
NDC,143908701,Doxorubicin HCl Inj 2 MG/ML,77.24,61.8,1.0,69.52,27
NDC,143909101,Doxorubicin HCl Inj 2 MG/ML,77.24,61.8,1.0,69.52,27
NDC,143909801,Bortezomib For Inj 3.5 MG,45.6,36.48,2.29,41.04,27
NDC,143912801,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143912825,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143913601,Mitomycin For IV Soln 40 MG,435.52,348.42,19.33,391.97,36
NDC,143916201,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,143916210,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,143916401,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),72.3,57.84,20.08,65.07,27
NDC,143918001,Calcium Gluconate Inj 10%,32.97,26.38,0.05,29.67,27
NDC,143918025,Calcium Gluconate Inj 10%,32.97,26.38,0.05,29.67,27
NDC,143918425,Calcium Gluconate Inj 10%,45.46,36.37,0.05,40.91,27
NDC,143921001,Chloroprocaine HCl Preservative Free (PF) Inj 3%,80.91,64.73,0.04,72.82,27
NDC,143921701,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),74.53,59.63,1.0,67.08,27
NDC,143921801,Idarubicin HCl IV Inj 10 MG/10ML (1 MG/ML),223.89,179.12,1.0,201.5,27
NDC,143921901,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),290.47,232.38,1.0,261.42,27
NDC,143923201,Vecuronium Bromide For Inj 20 MG,37.41,29.93,10.39,33.67,27
NDC,143923210,Vecuronium Bromide For Inj 20 MG,37.41,29.93,10.39,33.67,27
NDC,143923401,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,143923410,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,143924001,Bleomycin Sulfate For Inj 15 Unit,44.15,35.32,1.0,39.74,27
NDC,143924501,Dacarbazine For Inj 200 MG,28.59,22.88,1.0,25.73,27
NDC,143924510,Dacarbazine For Inj 200 MG,28.59,22.88,1.0,25.73,27
NDC,143924701,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),718.74,575.0,59.91,646.87,36
NDC,143924801,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),722.29,577.84,59.91,650.06,36
NDC,143924920,Amoxicillin & K Clavulanate Tab 875-125 MG,2.94,2.36,0.82,2.65,27
NDC,143925001,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,143925010,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,143926301,Ropivacaine HCl Inj 2 MG/ML,29.93,23.95,1.0,26.94,27
NDC,143927301,Dihydroergotamine Mesylate Inj 1 MG/ML,611.44,489.16,1.0,550.3,27
NDC,143927310,Dihydroergotamine Mesylate Inj 1 MG/ML,347.09,277.68,1.0,312.38,27
NDC,143927701,Doxorubicin HCl For Inj 50 MG,483.19,386.56,1.0,434.87,27
NDC,143927901,Mitomycin For IV Soln 20 MG,142.67,114.14,19.33,128.4,36
NDC,143928001,Mitomycin For IV Soln 40 MG,1683.75,1347.0,19.33,1515.38,36
NDC,143928401,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,143928410,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,143929201,Thiotepa For Inj 100 MG,2142.76,1714.21,10.01,1928.48,36
NDC,143929701,Dantrolene Sodium For IV Soln 20 MG,243.68,194.95,67.67,219.31,27
NDC,143929801,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),31.45,25.16,1.0,28.31,27
NDC,143931801,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),31.89,25.52,8.86,28.7,27
NDC,143931810,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),40.02,32.02,11.11,36.02,27
NDC,143933001,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,143933101,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,143933301,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,143933310,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,143933401,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,143933501,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,27
NDC,143933510,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,27
NDC,143935701,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,143935901,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),119.97,95.98,33.32,107.97,27
NDC,143936101,Micafungin Sodium For IV Soln 50 MG,241.77,193.42,1.0,217.59,27
NDC,143936801,Leucovorin Calcium For Inj 200 MG,38.06,30.45,1.0,34.25,27
NDC,143937501,Terbutaline Sulfate Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143937510,Terbutaline Sulfate Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143938401,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),92.66,74.13,1.0,83.39,27
NDC,143938501,Decitabine For Inj 50 MG,132.21,105.77,1.0,118.99,27
NDC,143939101,Remifentanil HCl For IV Soln 1 MG,185.6,148.48,51.54,167.04,27
NDC,143939110,Remifentanil HCl For IV Soln 1 MG,185.6,148.48,51.54,167.04,27
NDC,143939201,Remifentanil HCl For IV Soln 2 MG,361.95,289.56,100.51,325.76,27
NDC,143939210,Remifentanil HCl For IV Soln 2 MG,361.95,289.56,100.51,325.76,27
NDC,143939801,Ertapenem Sodium For Inj 1 GM (Base Equivalent),98.88,79.11,1.0,88.99,27
NDC,143939810,Ertapenem Sodium For Inj 1 GM (Base Equivalent),98.88,79.11,1.0,88.99,27
NDC,143950101,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143950125,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143950301,Acetazolamide Sodium For Inj 500 MG,162.65,130.12,1.0,146.39,27
NDC,143950401,Cisplatin Inj 50 MG/50ML (1 MG/ML),36.62,29.3,1.0,32.96,27
NDC,143950601,Etomidate IV Soln 2 MG/ML,30.18,24.15,8.38,27.16,27
NDC,143950610,Etomidate IV Soln 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,143950801,Ketamine HCl Inj 50 MG/ML,21.32,17.06,5.92,19.19,27
NDC,143950810,Ketamine HCl Inj 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,143950901,Ketamine HCl Inj 100 MG/ML,21.0,16.8,5.83,18.9,27
NDC,143950910,Ketamine HCl Inj 100 MG/ML,21.0,16.8,5.83,18.9,27
NDC,143951001,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",12.08,9.67,1.0,10.87,27
NDC,143951501,Droperidol Inj 2.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143951525,Droperidol Inj 2.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143951901,"Methotrexate Sodium Inj PF 100 MG/4ML (25 MG/ML),Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),Methotrexate Sodium Inj PF 250 MG/10ML (25 MG/ML),Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),Me",12.0,9.6,1.0,10.8,27
NDC,143951901,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),12.0,9.6,1.0,10.8,27
NDC,143951910,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143952901,Fluphenazine Decanoate Inj 25 MG/ML,98.31,78.65,1.0,88.48,27
NDC,143953201,Dexmedetomidine HCl IV Soln 200 MCG/2ML,23.93,19.15,6.65,21.54,27
NDC,143953225,Dexmedetomidine HCl IV Soln 200 MCG/2ML,23.93,19.15,6.65,21.54,27
NDC,143954701,Doxorubicin HCl Inj 2 MG/ML,31.49,25.2,1.0,28.34,27
NDC,143954901,Doxorubicin HCl Inj 2 MG/ML,14.11,11.29,1.0,12.7,27
NDC,143955301,Leucovorin Calcium For Inj 200 MG,58.9,47.12,1.0,53.01,27
NDC,143955401,Leucovorin Calcium For Inj 100 MG,35.28,28.23,1.0,31.75,27
NDC,143955901,Argatroban IV Soln 50 MG/50ML (1 MG/ML),458.8,367.04,1.21,412.92,54
NDC,143956401,Phentolamine Mesylate For Inj 5 MG,1331.78,1065.43,410.42,1198.6,36
NDC,143956410,Phentolamine Mesylate For Inj 5 MG,1331.78,1065.43,410.42,1198.6,36
NDC,143956501,Thiotepa For Inj 15 MG,384.21,307.37,10.01,345.79,36
NDC,143956701,Cefuroxime Sodium For IV Soln 1.5 GM,21.0,16.8,1.0,18.9,27
NDC,143957001,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),32.19,25.76,1.0,28.97,27
NDC,143957010,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),31.1,24.88,1.0,27.99,27
NDC,143957501,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,143957510,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,143957701,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,143957710,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,143958301,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),33.2,26.56,1.0,29.88,27
NDC,143958601,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,143959310,Nicardipine HCl IV Soln 2.5 MG/ML,65.03,52.03,0.41,58.53,27
NDC,143959401,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,143959401,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,143959501,Lidocaine HCl Local Preservative Free (PF) Inj 1%,8.19,6.555,0.76,12.29,54
NDC,143959525,Lidocaine HCl Local Preservative Free (PF) Inj 1%,8.19,6.555,0.76,12.29,54
NDC,143962201,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,143962301,Labetalol HCl IV Soln 5 MG/ML,48.72,38.98,0.18,43.85,27
NDC,143963701,Valproate Sodium Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143963801,Sumatriptan Succinate Inj 6 MG/0.5ML,97.81,78.25,1.0,88.03,27
NDC,143963805,Sumatriptan Succinate Inj 6 MG/0.5ML,97.68,78.15,1.0,87.91,27
NDC,143966001,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,143966010,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,143967325,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143968001,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,143968025,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),32.48,25.99,0.43,29.23,36
NDC,143968101,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),31.92,25.54,0.43,28.73,36
NDC,143968201,Glycopyrrolate Inj 0.2 MG/ML,21.0,16.8,0.43,18.9,36
NDC,143968401,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143968410,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,1.0,18.9,54
NDC,143968901,Nicardipine HCl IV Soln 2.5 MG/ML,65.03,52.03,0.41,58.53,27
NDC,143968910,Nicardipine HCl IV Soln 2.5 MG/ML,65.03,52.03,0.41,58.53,27
NDC,143970101,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),33.2,26.56,1.0,29.88,27
NDC,143971010,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),21.05,16.84,1.0,18.95,27
NDC,143971901,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,42.2,33.76,1.0,37.98,27
NDC,143971901,"Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",42.2,33.76,1.0,37.98,27
NDC,143971910,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,42.2,33.76,1.0,37.98,27
NDC,143971910,"Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",42.2,33.76,1.0,37.98,27
NDC,143972001,Levofloxacin in D5W IV Soln 750 MG/150ML,21.0,16.8,1.0,18.9,27
NDC,143972101,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,143972124,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,143972401,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,143972901,Benztropine Mesylate Inj 1 MG/ML,93.61,74.89,1.0,84.25,27
NDC,143972905,Benztropine Mesylate Inj 1 MG/ML,93.61,74.89,1.0,84.25,27
NDC,143974410,Granisetron HCl Inj 1 MG/ML,34.04,27.24,1.0,30.64,27
NDC,143974601,Terbutaline Sulfate Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143974610,Terbutaline Sulfate Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143975001,Testosterone Enanthate IM Inj in Oil 200 MG/ML,286.45,229.16,1.0,257.81,27
NDC,143978310,Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML),27.23,21.79,7.56,24.51,27
NDC,143978401,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143978410,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143978501,Valproate Sodium Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143978510,Valproate Sodium Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143978610,Enalaprilat IV Soln 1.25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143985101,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),43.5,34.8,0.2,39.15,36
NDC,143985201,Levocarnitine Inj 200 MG/ML,90.74,72.6,25.83,81.67,27
NDC,143985210,Levocarnitine Inj 200 MG/ML,90.74,72.6,25.83,81.67,27
NDC,143985375,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,35.44,28.36,9.84,31.9,27
NDC,143987101,Cladribine IV Soln 10 MG/10ML (1 MG/ML),302.1,241.68,10.14,271.89,36
NDC,143987201,Propranolol HCl Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,143987501,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143987510,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143987525,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143987701,Cefoxitin Sodium For IV Soln 2 GM,21.33,17.07,1.0,19.2,27
NDC,143987725,Cefoxitin Sodium For IV Soln 2 GM,50.9,40.72,1.0,45.81,27
NDC,143987801,Cefoxitin Sodium For IV Soln 1 GM,38.02,30.42,1.0,34.22,27
NDC,143987825,Cefoxitin Sodium For IV Soln 1 GM,38.0,30.4,1.0,34.2,27
NDC,143988701,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,16.2,12.96,4.5,14.58,27
NDC,143988801,Amoxicillin (Trihydrate) For Susp 125 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,143988915,Amoxicillin (Trihydrate) For Susp 250 MG/5ML,11.34,9.08,3.15,10.21,27
NDC,143989001,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,143992390,Cefazolin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,143992490,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,143992701,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,143992801,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,143992950,Ciprofloxacin HCl Tab 750 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,143993905,Amoxicillin (Trihydrate) Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,143997722,Cefuroxime Sodium For IV Soln 1.5 GM,21.0,16.8,1.0,18.9,27
NDC,143997790,Cefuroxime Sodium For IV Soln 1.5 GM,21.0,16.8,1.0,18.9,27
NDC,143998201,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,38.34,30.68,10.65,34.51,27
NDC,143998250,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,28.35,22.68,7.87,25.52,27
NDC,143998303,Cefazolin Sodium For Inj 10 GM,21.0,16.8,1.0,18.9,27
NDC,143998391,Cefazolin Sodium For Inj 10 GM,26.45,21.16,1.0,23.81,27
NDC,14537081775,Anticoagulant Citrate Dextrose Solution A,48.94,39.16,13.59,44.05,27
NDC,14537096775,Anticoagulant Citrate Dextrose Solution A,48.94,39.16,13.59,44.05,27
NDC,14539067306,Diflunisal Tab 500 MG,4.16,3.33,1.16,3.74,27
NDC,14539067505,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,14789001202,Nitroprusside Sodium IV Soln 25 MG/ML,346.35,277.08,96.18,311.72,27
NDC,14789001505,Isoproterenol HCl Inj 0.2 MG/ML,1062.08,849.67,294.94,955.87,27
NDC,14789001507,Isoproterenol HCl Inj 0.2 MG/ML,1061.98,849.59,294.91,955.78,27
NDC,14789010705,Potassium Chloride Inj 20 mEq/50ML,95.7,76.56,1.0,86.13,27
NDC,14789010708,Potassium Chloride Inj 20 mEq/50ML,95.7,76.56,1.0,86.13,27
NDC,14789060007,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),1496.31,1197.05,7.75,1346.68,36
NDC,14789060010,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),1322.4,1057.92,7.75,1190.16,36
NDC,14789090002,Procainamide HCl Inj 500 MG/ML,571.87,457.5,234.47,514.68,36
NDC,14789090007,Procainamide HCl Inj 500 MG/ML,571.87,457.5,234.47,514.68,36
NDC,14789090107,Procainamide HCl Inj 100 MG/ML,121.21,96.97,49.7,340.44,36
NDC,16252051401,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16252054001,Isradipine Cap 5 MG,3.42,2.74,0.95,3.08,27
NDC,16477020101,Hydrocortisone Acetate Suppos 25 MG,12.53,10.03,3.48,11.28,27
NDC,16477020112,Hydrocortisone Acetate Suppos 25 MG,12.54,10.04,3.48,11.29,27
NDC,16477034001,Urea Cream 40%,112.6,90.08,31.27,101.34,27
NDC,16571011001,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,16571012050,Ciprofloxacin HCl Ophth Soln 0.3%,23.49,18.8,6.52,21.14,27
NDC,16571012050,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),23.49,18.8,6.52,21.14,27
NDC,16571016010,Trihexyphenidyl HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,16571016110,Trihexyphenidyl HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16571016501,Doxazosin Mesylate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,16571016701,Doxazosin Mesylate Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,16571020106,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,16571020111,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,16571020150,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,16571020206,Diclofenac Sodium Tab Delayed Release 50 MG,1.5,1.2,0.42,1.35,27
NDC,16571041110,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16571041210,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16571066901,Phenobarbital Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,16571067201,Phenobarbital Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,16571067401,Phenobarbital Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,16571067516,Phenobarbital Elixir 20 MG/5ML,1.73,1.39,0.48,1.56,27
NDC,16571067616,Hydrocortisone Acetate Suppos 25 MG,4.18,3.35,1.16,3.76,27
NDC,16571067621,Hydrocortisone Acetate Suppos 25 MG,4.18,3.35,1.16,3.76,27
NDC,16571073521,Methylergonovine Maleate Tab 0.2 MG,32.73,26.19,9.09,29.46,27
NDC,16571073528,Methylergonovine Maleate Tab 0.2 MG,41.58,33.27,11.55,37.42,27
NDC,16571078301,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16571078601,Lamotrigine Tab Chewable Dispersible 25 MG,1.5,1.2,0.42,1.35,27
NDC,16571081001,Trientine HCl Cap 250 MG,24.54,19.64,6.81,22.09,27
NDC,16571086303,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,16714001601,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,21.0,16.8,1.0,18.9,27
NDC,16714020010,Ondansetron Orally Disintegrating Tab 4 MG,1.5,1.2,0.62,21.06,27
NDC,16714020030,Ondansetron Orally Disintegrating Tab 4 MG,1.5,1.2,0.62,21.06,27
NDC,16714025701,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16714049602,Clotrimazole w/ Betamethasone Cream 1-0.05%,96.23,76.99,26.72,86.61,27
NDC,16714076901,Nystatin Topical Powder 100000 Unit/GM,17.78,14.23,4.94,16.0,27
NDC,16729000101,Glimepiride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,16729000201,Glimepiride Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,16729000301,Glimepiride Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,16729000415,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16729000417,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16729000515,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,16729000517,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,16729000615,Simvastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,16729000617,Simvastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,16729001901,Mycophenolate Mofetil Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,16729001916,Mycophenolate Mofetil Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,16729002010,Pioglitazone HCl Tab 15 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729002015,Pioglitazone HCl Tab 15 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729002110,Pioglitazone HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729002115,Pioglitazone HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729002210,Pioglitazone HCl Tab 45 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729002310,Bicalutamide Tab 50 MG,1.89,1.52,0.52,1.7,27
NDC,16729003410,Letrozole Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,16729003510,Anastrozole Tab 1 MG,1.5,1.2,0.62,11.31,27
NDC,16729003515,Anastrozole Tab 1 MG,1.5,1.2,0.62,11.31,27
NDC,16729004101,Tacrolimus Cap 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,16729004201,Tacrolimus Cap 1 MG,1.5,1.2,0.42,1.35,27
NDC,16729004301,Tacrolimus Cap 5 MG,7.34,5.88,1.0,6.61,27
NDC,16729007212,Capecitabine Tab 150 MG,7.8,6.24,0.03,7.02,36
NDC,16729007329,Capecitabine Tab 500 MG,18.87,15.1,0.03,16.98,36
NDC,16729007901,Carbidopa & Levodopa Tab ER 50-200 MG,1.57,1.26,0.44,1.41,27
NDC,16729008101,Naltrexone HCl Tab 50 MG,2.32,1.86,0.64,2.09,27
NDC,16729008110,Naltrexone HCl Tab 50 MG,2.41,1.93,0.67,2.17,27
NDC,16729009001,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729009010,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729009015,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729009016,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729009401,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,16729009416,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,16729010811,Mitomycin For IV Soln 20 MG,328.06,262.45,19.33,295.25,36
NDC,16729011408,Etoposide Inj 500 MG/25ML (20 MG/ML),58.07,46.46,1.0,52.26,27
NDC,16729011431,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",13.4,10.72,1.0,12.06,27
NDC,16729011505,Mitomycin For IV Soln 5 MG,135.35,108.28,1.0,121.82,63
NDC,16729011638,Mitomycin For IV Soln 40 MG,1887.64,1510.12,19.33,1698.88,36
NDC,16729013401,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,16729013501,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,16729013516,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,16729013600,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,16729013616,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,16729013700,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,16729013716,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,16729014116,Clozapine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,16729014501,Quetiapine Fumarate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,16729015131,Topotecan HCl For Inj 4 MG (Base Equiv),119.87,95.9,1.0,107.88,27
NDC,16729015615,Simvastatin Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729017001,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729017101,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16729017201,Amitriptyline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,16729017301,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,16729017317,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,16729017401,Amitriptyline HCl Tab 75 MG,1.89,1.52,0.52,1.7,27
NDC,16729017501,Amitriptyline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,16729017601,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,16729018201,Hydrochlorothiazide Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,16729018217,Hydrochlorothiazide Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,16729018301,Hydrochlorothiazide Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,16729018317,Hydrochlorothiazide Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,16729018401,Hydrochlorothiazide Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,16729020001,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729020216,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16729020301,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,16729020312,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,16729021101,Doxazosin Mesylate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,16729021301,Doxazosin Mesylate Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,16729023011,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),347.47,277.98,3.22,312.72,36
NDC,16729023930,Dexmedetomidine HCl IV Soln 200 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,16729023993,Dexmedetomidine HCl IV Soln 200 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,16729024003,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),137.68,110.15,1.0,123.91,27
NDC,16729024331,Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion),362.52,290.02,1.0,326.27,27
NDC,16729024605,Mitomycin For IV Soln 5 MG,341.69,273.36,1.0,307.52,63
NDC,16729024711,Mitomycin For IV Soln 20 MG,1465.93,1172.75,19.33,1319.34,36
NDC,16729024838,Mitomycin For IV Soln 40 MG,877.63,702.11,19.33,789.87,36
NDC,16729025269,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),32.45,25.96,1.0,29.21,27
NDC,16729025938,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),202.28,161.83,1.7,182.05,27
NDC,16729026231,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",14.05,11.24,1.0,12.65,27
NDC,16729027503,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),262.83,210.27,1.0,236.55,27
NDC,16729027603,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),12.0,9.6,1.0,10.8,27
NDC,16729027730,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),12.0,9.6,1.0,10.8,27
NDC,16729027735,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),41.61,33.29,1.0,37.45,27
NDC,16729027810,Aripiprazole Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,16729028811,Cisplatin Inj 50 MG/50ML (1 MG/ML),32.78,26.23,1.0,29.5,27
NDC,16729028838,Cisplatin Inj 100 MG/100ML (1 MG/ML),38.76,31.01,1.0,34.88,27
NDC,16729029310,Eplerenone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,16729029531,Carboplatin IV Soln 50 MG/5ML,12.0,9.6,1.0,10.8,27
NDC,16729029533,Carboplatin IV Soln 150 MG/15ML,28.64,22.92,1.0,25.78,27
NDC,16729029534,Carboplatin IV Soln 450 MG/45ML,89.78,71.83,1.0,80.8,27
NDC,16729029805,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,16729030610,Azacitidine For Inj 100 MG,173.91,139.13,0.37,156.52,27
NDC,16729033101,Acetazolamide Cap ER 12HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,16729033203,Oxaliplatin IV Soln 50 MG/10ML,25.08,20.07,1.0,22.57,27
NDC,16729033205,Oxaliplatin IV Soln 100 MG/20ML,72.21,57.77,1.0,64.99,27
NDC,16729035103,Busulfan Inj 6 MG/ML,135.24,108.2,0.84,121.72,36
NDC,16729035192,Busulfan Inj 6 MG/ML,135.24,108.2,0.84,121.72,36
NDC,16729041401,Doxazosin Mesylate Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,16729043011,Argatroban in Sodium Chloride 0.9% IV Soln 50 MG/50ML,800.4,640.32,0.37,720.36,27
NDC,16729043405,Daptomycin For IV Soln 350 MG,79.17,63.34,1.0,71.25,27
NDC,16729043505,Daptomycin For IV Soln 500 MG,102.56,82.05,1.0,92.3,27
NDC,16729044010,Cinacalcet HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729044015,Cinacalcet HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729044110,Cinacalcet HCl Tab 60 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729044115,Cinacalcet HCl Tab 60 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,16729044210,Cinacalcet HCl Tab 90 MG (Base Equiv),1.86,1.49,0.52,1.67,27
NDC,16729047230,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,16729047801,Methylphenidate HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,16729047901,Methylphenidate HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,16729048001,Methylphenidate HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,16729048403,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,16729048445,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,16729050008,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,16729050030,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,16729050203,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,16729050243,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,16729053308,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,16729053363,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,168000215,Triamcinolone Acetonide Cream 0.5%,23.37,18.7,6.49,21.03,27
NDC,168000415,Triamcinolone Acetonide Cream 0.1%,11.83,9.47,3.29,10.65,27
NDC,168000416,Triamcinolone Acetonide Cream 0.1%,63.74,51.0,17.7,57.37,27
NDC,168000480,Triamcinolone Acetonide Cream 0.1%,19.87,15.9,5.52,17.88,27
NDC,168000615,Triamcinolone Acetonide Oint 0.1%,10.13,8.11,2.81,9.12,27
NDC,168000616,Triamcinolone Acetonide Oint 0.1%,49.03,39.23,13.62,44.13,27
NDC,168000680,Triamcinolone Acetonide Oint 0.1%,15.98,12.79,4.44,14.38,27
NDC,168000715,Nystatin Oint 100000 Unit/GM,10.33,8.27,2.87,9.3,27
NDC,168002031,Hydrocortisone Oint 1%,15.16,12.13,4.21,13.64,27
NDC,168002135,Bacitracin-Polymyxin B Oint,39.46,31.57,10.96,35.51,27
NDC,168004631,Dibucaine Oint 1%,10.66,8.53,2.96,9.59,27
NDC,168005515,Betamethasone Dipropionate Cream 0.05%,59.86,47.89,16.62,53.87,27
NDC,168005546,Betamethasone Dipropionate Cream 0.05%,155.4,124.32,43.15,139.86,27
NDC,168005646,Betamethasone Dipropionate Oint 0.05%,187.96,150.37,52.2,169.16,27
NDC,168005760,Betamethasone Dipropionate Lotion 0.05%,104.65,83.72,29.06,94.19,27
NDC,168005960,Fluocinolone Acetonide Soln 0.01%,376.16,300.93,104.46,338.54,27
NDC,168009915,Ketoconazole Cream 2%,18.27,14.62,5.07,16.44,27
NDC,168009960,Ketoconazole Cream 2%,75.98,60.79,21.1,68.38,27
NDC,168011109,Bacitracin Zinc Oint 500 Unit/GM,1.5,1.2,0.42,1.35,27
NDC,168015160,Desoximetasone Oint 0.25%,738.4,590.72,205.05,664.56,27
NDC,168020130,Clindamycin Phosphate Soln 1%,82.54,66.04,22.92,74.29,27
NDC,168020160,Clindamycin Phosphate Soln 1%,166.21,132.97,46.16,149.59,27
NDC,168020260,Clindamycin Phosphate Gel 1% (Twice-Daily),263.57,210.86,73.19,237.21,27
NDC,168020437,Lidocaine Oint 5%,359.4,287.52,99.81,323.46,27
NDC,168025846,Clotrimazole w/ Betamethasone Cream 1-0.05%,44.96,35.97,12.49,40.46,27
NDC,168027740,Clindamycin Phosphate Vaginal Cream 2%,149.15,119.32,41.42,134.24,27
NDC,168030915,Desonide Oint 0.05%,27.5,22.0,7.64,24.75,27
NDC,168031002,Desonide Lotion 0.05%,476.31,381.05,132.27,428.68,27
NDC,168032346,Metronidazole Cream 0.75%,261.83,209.47,72.71,235.65,27
NDC,168035705,Lidocaine-Prilocaine Cream 2.5-2.5%,17.96,14.37,1.0,16.16,27
NDC,168035730,Lidocaine-Prilocaine Cream 2.5-2.5%,18.14,14.52,1.0,16.33,27
NDC,168035755,Lidocaine-Prilocaine Cream 2.5-2.5%,14.28,11.43,1.0,12.85,27
NDC,168041630,Tacrolimus Oint 0.1%,522.45,417.96,145.08,470.21,27
NDC,168041730,Tacrolimus Oint 0.03%,52.97,42.38,14.71,47.67,27
NDC,16837085514,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,169183311,Insulin Regular (Human) Inj 100 Unit/ML,28.14,22.515,0.42,49.3,81
NDC,169183411,"Insulin Isophane (Human) Inj 100 Unit/ML,Insulin Isophane (Human) Susp Pen-injector 100 Unit",35.67,28.54,9.91,32.1,27
NDC,169183411,Insulin NPH (Human) (Isophane) Inj 100 Unit/ML,35.67,28.54,9.91,32.1,27
NDC,169183711,"Insulin Isophane & Regular (Human) Inj 100 Unit/ML *,Insulin Isophane & Regular Susp Pen-Inj 100 Unit/ML",35.64,28.52,9.9,32.08,27
NDC,169183711,Insulin NPH Isophane & Regular Human Inj 100 Unit/ML (70-30),35.64,28.52,9.9,32.08,27
NDC,169368512,"Insulin Aspart Prot & Aspart (Human) Inj 100 Unit/M*,Insulin Aspart Prot & Aspart Sus Pen-inj 100 Unit/M",191.67,153.34,53.23,172.5,27
NDC,169368712,"Insulin Detemir Inj 100 Unit/ML,Insulin Detemir Soln Pen-injector 100 Unit/ML",238.68,190.95,66.28,214.81,27
NDC,169430713,Semaglutide Tab 7 MG,68.36,54.69,18.98,61.52,27
NDC,169517603,Estradiol Vaginal Tab 10 MCG,19.44,15.56,5.4,17.5,27
NDC,169517604,Estradiol Vaginal Tab 10 MCG,19.44,15.56,5.4,17.5,27
NDC,169633910,Insulin Aspart Soln Pen-injector 100 Unit/ML,64.18,51.35,17.82,57.76,27
NDC,169720101,Coagulation Factor VIIa (Recomb) For Inj 1 MG (1000 MCG),4204.92,3363.94,2.41,3784.43,36
NDC,169720201,Coagulation Factor VIIa (Recomb) For Inj 2 MG (2000 MCG),8409.84,6727.88,2.41,7568.86,36
NDC,169720501,Coagulation Factor VIIa (Recomb) For Inj 5 MG (5000 MCG),21024.6,16819.68,2.41,18922.14,36
NDC,17238062515,Sodium Chloride Hypertonic Ophth Soln 5%,16.97,13.58,4.71,15.27,27
NDC,17238090011,Fluorescein Sodium Ophth Strips 1 MG,1.5,1.2,0.42,1.35,27
NDC,17238090030,Fluorescein Sodium Ophth Strips 1 MG,1.5,1.2,0.42,1.35,27
NDC,17238090099,Fluorescein Sodium Ophth Strips 1 MG,1.5,1.2,0.42,1.35,27
NDC,172392560,Diazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,172392660,Diazepam Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,172392670,Diazepam Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,172392760,Diazepam Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,172409660,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,172409680,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,172409760,Baclofen Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,172524160,Anagrelide HCl Cap 0.5 MG,1.64,1.32,0.46,1.48,27
NDC,172541211,Fluconazole Tab 150 MG,6.96,5.57,1.93,6.26,27
NDC,172541279,Fluconazole Tab 150 MG,6.96,5.57,1.93,6.26,27
NDC,172541360,Fluconazole Tab 200 MG,7.05,5.64,1.96,6.35,27
NDC,172572860,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,172572880,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,17270074000,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),90.33,72.27,25.08,81.3,27
NDC,172731320,Cyclosporine Modified Oral Soln 100 MG/ML,616.95,493.56,1.0,555.26,27
NDC,173013555,Bupropion HCl Tab ER 12HR 150 MG,9.5,7.6,2.64,8.55,27
NDC,173038879,Beclomethasone Dipropionate Monohyd Nasal Susp 42 MCG/SPRAY,353.5,282.8,98.17,318.15,27
NDC,173044902,Sumatriptan Succinate Inj 6 MG/0.5ML,722.61,578.09,1.0,650.35,27
NDC,173064255,Lamotrigine Tab 100 MG,33.13,26.51,9.2,29.82,27
NDC,173064460,Lamotrigine Tab 200 MG,16.69,13.36,4.63,15.02,27
NDC,173066518,Atovaquone Susp 750 MG/5ML,65.77,52.62,18.26,59.19,27
NDC,173067501,Atovaquone-Proguanil HCl Tab 250-100 MG,17.61,14.09,4.89,15.85,27
NDC,173068101,Zanamivir Aerosol Powder Breath Activated 5 MG/ACT,152.82,122.26,42.44,137.54,27
NDC,173068220,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),113.04,90.44,31.39,101.74,27
NDC,173068224,Albuterol Sulfate Inhal Aero 108 MCG/ACT,52.57,42.06,14.6,47.31,27
NDC,173068224,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),52.57,42.06,14.6,47.31,27
NDC,173071204,Dutasteride Cap 0.5 MG,9.86,7.89,2.74,8.87,27
NDC,173071215,Dutasteride Cap 0.5 MG,9.86,7.89,2.74,8.87,27
NDC,173071520,Fluticasone-Salmeterol Inhal Aerosol 45-21 MCG/ACT,575.2,460.16,159.73,517.68,27
NDC,173071820,Fluticasone Propionate HFA Inhal Aero 44 MCG/ACT,306.92,245.54,85.23,276.23,27
NDC,173071920,Fluticasone Propionate HFA Inhal Aer 110 MCG/ACT,387.7,310.16,107.66,348.93,27
NDC,173072020,Fluticasone Propionate HFA Inhal Aer 220 MCG/ACT,602.19,481.76,167.23,541.97,27
NDC,173077602,Lamotrigine Orally Disintegrating Tab 100 MG,15.98,12.79,4.44,14.38,27
NDC,173082318,Propafenone HCl Cap ER 12HR 225 MG,24.03,19.23,6.67,21.63,27
NDC,173085914,Fluticasone Furoate-Vilanterol Aero Powd BA 100-25 MCG/ACT,137.59,110.08,38.21,123.83,27
NDC,173086906,Umeclidinium-Vilanterol Aero Powd BA 62.5-25 MCG/ACT,140.62,112.5,39.05,126.56,27
NDC,173087306,Umeclidinium Br Aero Powd Breath Act 62.5 MCG/ACT (Base Eq),78.81,63.05,21.89,70.93,27
NDC,173087310,Umeclidinium Br Aero Powd Breath Act 62.5 MCG/ACT (Base Eq),613.98,491.19,170.5,552.58,27
NDC,173088101,Mepolizumab For Inj 100 MG,8904.42,7123.54,29.71,8013.98,36
NDC,173088214,Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/ACT,137.59,110.08,38.21,123.83,27
NDC,173089713,Daprodustat Tab 1 MG,10.5,8.4,2.92,9.45,27
NDC,173090186,Sotrovimab IV Soln 500 MG/8ML (62.5 MG/ML),4200.0,3360.0,1166.34,3780.0,27
NDC,173090613,Daprodustat Tab 4 MG,21.0,16.8,5.83,18.9,27
NDC,173091113,Daprodustat Tab 6 MG,63.01,50.41,17.5,56.71,27
NDC,17433987603,Docusate Sodium Enema 283 MG/5ML,3.86,3.09,1.07,3.47,27
NDC,17433987805,Docusate Sodium Enema 283 MG/5ML,5.9,4.72,1.64,5.31,27
NDC,17478004001,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,17478004532,Tetracaine HCl Inj 1%,26.52,21.22,7.36,23.87,27
NDC,17478007031,Erythromycin Ophth Oint 5 MG/GM,19.87,15.9,5.52,17.88,27
NDC,17478007035,Erythromycin Ophth Oint 5 MG/GM,25.17,20.14,6.99,22.65,27
NDC,17478008130,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,17478009615,Cyclopentolate HCl Ophth Soln 0.5%,155.56,124.45,43.2,140.0,27
NDC,17478009702,Cyclopentolate HCl Ophth Soln 2%,28.84,23.08,8.01,25.96,27
NDC,17478010002,Cyclopentolate HCl Ophth Soln 1%,3.21,2.57,0.89,2.89,27
NDC,17478010112,Tropicamide Ophth Soln 0.5%,16.81,13.45,4.67,15.13,27
NDC,17478010212,Tropicamide Ophth Soln 1%,12.56,10.05,3.49,11.3,27
NDC,17478017101,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),6.86,5.49,0.05,6.17,27
NDC,17478017130,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),24.3,19.44,0.05,21.87,27
NDC,17478020115,Phenylephrine HCl Ophth Soln 2.5%,14.3,11.44,3.97,12.87,27
NDC,17478020605,Phenylephrine HCl Ophth Soln 10%,93.42,74.74,25.94,84.08,27
NDC,17478020910,Ketorolac Tromethamine Ophth Soln 0.5%,80.87,64.7,22.46,72.78,27
NDC,17478021502,Atropine Sulfate Ophth Soln 1%,65.61,52.49,18.22,59.05,27
NDC,17478021505,Atropine Sulfate Ophth Soln 1%,117.91,94.33,32.74,106.12,27
NDC,17478022312,Pilocarpine HCl Ophth Soln 1%,193.19,154.56,53.65,173.87,27
NDC,17478023835,Bacitracin-Polymyxin B Ophth Oint,41.27,33.02,11.46,37.14,54
NDC,17478025310,Fluorescein Sodium IV Soln 10%,73.95,59.16,20.54,66.56,27
NDC,17478026312,Proparacaine HCl Ophth Soln 0.5%,88.7,70.96,24.63,79.83,27
NDC,17478028310,Gentamicin Sulfate Ophth Soln 0.3%,38.77,31.02,10.77,34.89,27
NDC,17478028435,Gentamicin Sulfate Ophth Oint 0.3%,71.54,57.24,19.87,64.39,54
NDC,17478028810,Timolol Maleate Ophth Soln 0.5%,12.29,9.84,3.41,11.06,27
NDC,17478028812,Timolol Maleate Ophth Soln 0.5%,22.8,18.24,6.33,20.52,27
NDC,17478029010,Tobramycin Ophth Soln 0.3%,8.02,6.42,2.23,7.22,27
NDC,17478038020,Methadone HCl Inj 10 MG/ML,1464.21,1171.37,1.0,1317.79,27
NDC,17478040401,Fluorescein Sodium Ophth Strips 1 MG,1.5,1.2,0.42,1.35,27
NDC,17478041940,Chlorothiazide Sodium For Inj 500 MG,406.12,324.9,1.0,365.51,27
NDC,17478042020,Labetalol HCl IV Soln 5 MG/ML,9.35,7.48,0.18,8.42,27
NDC,17478042240,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),130.63,104.51,0.74,117.57,27
NDC,17478050410,Methylene Blue IV Soln 1%,728.63,582.91,4.79,655.77,38
NDC,17478051002,Physostigmine Salicylate Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,17478052410,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),46.89,37.52,1.0,42.2,27
NDC,17478054005,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,24.36,19.49,6.76,21.92,27
NDC,17478054202,Adenosine IV Soln 6 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,17478054430,Adenosine IV Soln 3 MG/ML (Diagnostic),649.89,519.92,1.0,584.9,27
NDC,17478060510,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,481.68,385.35,133.76,433.51,27
NDC,17478062235,Sodium Chloride Hypertonic Ophth Oint 5%,16.82,13.46,4.67,15.14,27
NDC,17478062312,Sodium Chloride Hypertonic Ophth Soln 5%,12.35,9.88,3.43,11.12,27
NDC,17478062512,Latanoprost Ophth Soln 0.005%,26.62,21.3,7.39,23.96,27
NDC,17478070125,Indocyanine Green For IV Soln 25 MG,341.52,273.22,94.84,307.37,27
NDC,17478070125,"Indocyanine Green For Inj 25 MG,Indocyanine Green For Inj Soln 25 MG",341.52,273.22,94.84,307.37,27
NDC,17478070311,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,10.75,8.6,2.99,9.68,27
NDC,17478071110,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%",8.1,6.48,2.25,7.29,27
NDC,17478071310,Ofloxacin Ophth Soln 0.3%,41.58,33.27,11.55,37.42,27
NDC,17478071410,Ciprofloxacin HCl Ophth Soln 0.3%,18.77,15.02,5.21,16.89,27
NDC,17478071410,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),18.77,15.02,5.21,16.89,27
NDC,17478071510,Brimonidine Tartrate Ophth Soln 0.2%,6.4,5.12,1.78,5.76,27
NDC,17478071710,Ketotifen Fumarate Ophth Soln 0.035%,18.09,14.48,5.02,16.28,27
NDC,17478076610,Progesterone Cap 100 MG,3.21,2.57,0.89,2.89,27
NDC,17478076710,Progesterone Cap 200 MG,4.48,3.59,1.24,4.03,27
NDC,17478089210,Diclofenac Sodium Ophth Soln 0.1%,13.99,11.2,3.89,12.59,27
NDC,17478093101,Calcitriol Inj 1 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,17478093705,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,17478093710,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,17478093725,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,185001001,Labetalol HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,185002201,Orphenadrine Citrate Tab ER 12HR 100 MG,2.38,1.91,0.66,2.14,27
NDC,185004301,Midodrine HCl Tab 5 MG,3.11,2.49,0.86,2.8,27
NDC,185005301,Benazepril HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,185005501,Metolazone Tab 5 MG,1.57,1.26,0.44,1.41,27
NDC,185011701,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,185011705,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,185012201,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,6.35,5.08,1.76,5.72,27
NDC,185012360,Cilostazol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,185012801,Bumetanide Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,185012901,Bumetanide Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,185012905,Bumetanide Tab 1 MG,1.57,1.26,0.44,1.41,27
NDC,185013001,Bumetanide Tab 2 MG,2.38,1.91,0.66,2.14,27
NDC,185014405,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,185014460,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,185014501,Nabumetone Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,185015201,Lisinopril & Hydrochlorothiazide Tab 20-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,185022360,Cilostazol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,185041001,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,185041005,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,185041060,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,185041501,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,185041505,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,185041560,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,185061501,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,185061505,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,185067401,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,185067405,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,185067501,Etodolac Tab 400 MG,1.54,1.24,0.43,1.39,27
NDC,185075701,Sulfadiazine Tab 500 MG,9.29,7.44,2.58,8.36,27
NDC,185077130,Bisoprolol Fumarate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,185077430,Bisoprolol Fumarate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,185083101,Amphetamine-Dextroamphetamine Tab 5 MG,2.19,1.76,0.61,1.97,27
NDC,185085301,Amphetamine-Dextroamphetamine Tab 20 MG,2.19,1.76,0.61,1.97,27
NDC,185086401,Amphetamine-Dextroamphetamine Tab 30 MG,2.18,1.75,0.61,1.96,27
NDC,185209901,Amphetamine-Dextroamphetamine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,185440051,Tizanidine HCl Tab 4 MG (Base Equivalent),1.84,1.48,0.51,1.66,27
NDC,185505001,Metolazone Tab 2.5 MG,1.61,1.29,0.45,1.45,27
NDC,185710001,Lisinopril & Hydrochlorothiazide Tab 10-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,186077660,Ticagrelor Tab 60 MG,12.91,10.33,3.59,11.62,27
NDC,186077739,Ticagrelor Tab 90 MG,14.85,11.88,4.12,13.37,27
NDC,186077760,Ticagrelor Tab 90 MG,10.0,8.0,2.78,9.0,27
NDC,186091612,Budesonide Inhal Aero Powd 180 MCG/ACT (Breath Activated),415.8,332.64,115.47,374.22,27
NDC,186091706,Budesonide Inhal Aero Powd 90 MCG/ACT (Breath Activated),284.42,227.54,78.98,255.98,27
NDC,186198804,Budesonide Inhalation Susp 0.25 MG/2ML,22.01,17.61,6.11,19.81,27
NDC,186198904,Budesonide Inhalation Susp 0.5 MG/2ML,24.6,19.68,1.01,22.14,27
NDC,186502054,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),15.92,12.74,4.42,14.33,27
NDC,186504054,Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq),15.92,12.74,4.42,14.33,27
NDC,18657011701,Hyaluronidase Human Inj 150 Unit/ML,208.8,167.04,1.0,187.92,27
NDC,18657011704,Hyaluronidase Human Inj 150 Unit/ML,161.99,129.6,1.0,145.79,27
NDC,186604001,Esomeprazole Sodium For Intravenous Soln 40 MG (Base Equiv),64.24,51.4,1.0,57.82,27
NDC,187001050,Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10%,18090.0,14472.0,5023.59,16281.0,27
NDC,187024503,Dihydroergotamine Mesylate Nasal Spray 4 MG/ML,802.79,642.24,1.0,722.51,27
NDC,187099445,Acyclovir Cream 5%,284.77,227.82,79.08,256.29,27
NDC,187301330,Pyridostigmine Bromide Tab ER 180 MG,10.7,8.56,2.97,9.63,27
NDC,187510001,Pimecrolimus Cream 1%,346.6,277.28,96.25,311.94,27
NDC,19086250,Iothalamate Meglumine Inj 17.2%,22.5,18.0,1.0,20.25,27
NDC,19095305,Iothalamate Meglumine Inj 60%,66.0,52.8,1.0,59.4,27
NDC,20555000100,Ascorbic Acid Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,20555001900,Ferrous Gluconate Tab 324 MG (37.5 MG Elemental Iron),1.5,1.2,0.42,1.35,27
NDC,206886101,Piperacillin Sod-Tazobactam Sod in Dex IV Sol 3-0.375GM/50ML,39.59,31.68,1.0,35.63,27
NDC,206886102,Piperacillin Sod-Tazobactam Sod in Dex IV Sol 3-0.375GM/50ML,48.07,38.46,1.0,43.26,27
NDC,2120001,Florbetapir F 18 IV Soln 500-1900 MBq/ML (13.5-51 mCi/ML),12198.9,9759.12,1.0,10979.01,36
NDC,21922000201,Clindamycin Phosphate Soln 1%,60.26,48.21,16.73,54.23,27
NDC,21922000221,Clindamycin Phosphate Soln 1%,30.05,24.04,8.34,27.05,27
NDC,21922001607,Clobetasol Propionate Cream 0.05%,41.15,32.92,11.43,37.04,27
NDC,21922002107,Permethrin Cream 5%,51.03,40.83,14.17,45.93,27
NDC,21922002904,Mupirocin Calcium Cream 2%,376.25,301.0,104.48,338.63,27
NDC,21922006204,Triamcinolone Acetonide Cream 0.1%,6.12,4.9,1.7,5.51,27
NDC,223176001,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,224185200,Psyllium Powder Packet 28.3%,1.5,1.2,0.42,1.35,27
NDC,225052848,Saline Nasal Gel,14.37,11.5,3.99,12.93,54
NDC,225080547,Phenylephrine HCl Nasal Soln 0.5%,9.72,7.78,2.7,8.75,27
NDC,225081047,Phenylephrine HCl Nasal Soln 1%,10.81,8.65,3.0,9.73,27
NDC,228202910,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,228202950,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,228203110,Alprazolam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,228207610,Temazepam Cap 15 MG,1.5,1.2,0.42,1.35,27
NDC,228212710,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,228212750,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,228212810,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,228212850,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,228234810,Propylthiouracil Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,228249710,Nifedipine Cap 10 MG,1.94,1.56,0.54,1.75,27
NDC,228253010,Nifedipine Cap 20 MG,4.14,3.32,1.15,3.73,27
NDC,228253810,Carbidopa & Levodopa Tab 10-100 MG,1.5,1.2,0.42,1.35,27
NDC,228253910,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,228253950,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,228253996,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,228254010,Carbidopa & Levodopa Tab 25-250 MG,1.5,1.2,0.42,1.35,27
NDC,228255006,Diclofenac Sodium Tab Delayed Release 50 MG,1.5,1.2,0.42,1.35,27
NDC,228255011,Diclofenac Sodium Tab Delayed Release 50 MG,1.5,1.2,0.42,1.35,27
NDC,228255106,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,228259711,Indapamide Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,228262011,Isosorbide Mononitrate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,228263111,Isosorbide Mononitrate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,228277911,Propranolol HCl Cap ER 24HR 80 MG,1.5,1.2,0.42,1.35,27
NDC,228282011,Hydrochlorothiazide Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,228300411,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,228305911,Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG,12.2,9.76,3.39,10.98,27
NDC,228306011,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,10.34,8.28,2.87,9.31,27
NDC,228306411,Amphetamine-Dextroamphetamine Cap ER 24HR 25 MG,9.75,7.8,2.71,8.78,27
NDC,23031604,Fluorometholone Ophth Oint 0.1%,306.56,245.25,85.13,275.9,27
NDC,23040330,Carboxymethylcellulose Sodium (PF) Ophth Soln 0.5%,1.5,1.2,0.42,1.35,27
NDC,23050601,Polyvinyl Alcohol-Povidone (PF) Ophth Soln 1.4-0.6%,1.5,1.2,0.42,1.35,27
NDC,23079815,Carboxymethylcellulose Sodium Ophth Soln 0.5%,18.39,14.72,5.11,16.55,27
NDC,23114501,OnabotulinumtoxinA For Inj 100 Unit,1308.51,1046.81,6.17,1177.66,36
NDC,23155000101,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,23155000201,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155000210,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155000301,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,23155000310,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,23155000401,Hydralazine HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,23155000801,Hydrochlorothiazide Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155000901,Hydrochlorothiazide Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,23155002301,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,23155002401,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,23155002506,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,23155002601,Verapamil HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,23155004403,Leflunomide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,23155004801,Felodipine Tab ER 24HR 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,23155004901,Felodipine Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,23155005601,Glyburide Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,23155005701,Glyburide Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,23155005801,Glyburide Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,23155005901,Verapamil HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,23155007001,Methimazole Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,23155007101,Methimazole Tab 10 MG,2.16,1.73,0.6,1.94,27
NDC,23155009401,Doxazosin Mesylate Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,23155010201,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,23155010205,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,23155010210,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,23155010301,Metformin HCl Tab 850 MG,1.5,1.2,0.42,1.35,27
NDC,23155011801,Calcitriol Cap 0.25 MCG,1.5,1.2,0.42,1.35,27
NDC,23155012001,Acetazolamide Cap ER 12HR 500 MG,6.7,5.36,1.86,6.03,27
NDC,23155013525,Doxycycline Monohydrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,23155014701,Acarbose Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155016631,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155016631,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,23155016641,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155016641,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,23155017801,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,23155019401,Nifedipine Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,23155019501,Nifedipine Cap 20 MG,2.08,1.67,0.58,1.87,27
NDC,23155021631,Cidofovir IV Inj 75 MG/ML,1845.19,1476.16,518.98,1660.67,36
NDC,23155022901,Acyclovir Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,23155024031,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,23155024041,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,23155024601,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155024701,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155024801,Venlafaxine HCl Tab 50 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155024901,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155025001,Venlafaxine HCl Tab 100 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155025831,Adenosine IV Soln 3 MG/ML (Diagnostic),330.6,264.48,1.0,297.54,27
NDC,23155028701,Acetazolamide Tab 125 MG,4.4,3.52,1.22,3.96,27
NDC,23155028801,Acetazolamide Tab 250 MG,4.4,3.52,1.22,3.96,27
NDC,23155029031,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),12.0,9.6,1.0,10.8,27
NDC,23155029032,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155029041,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155029431,Prochlorperazine Edisylate Inj 10 MG/2ML,21.4,17.12,1.0,19.26,27
NDC,23155029442,Prochlorperazine Edisylate Inj 10 MG/2ML,21.4,17.12,1.0,19.26,27
NDC,23155031331,Acetazolamide Sodium For Inj 500 MG,127.24,101.8,1.0,114.52,27
NDC,23155032631,Ibutilide Fumarate Inj 1 MG/10ML,1202.86,962.29,163.69,1082.57,36
NDC,23155047331,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,23155047332,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,23155047333,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,23155047341,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,23155048551,Acyclovir Susp 200 MG/5ML,3.08,2.47,0.86,2.77,27
NDC,23155048601,Verapamil HCl Tab 120 MG,1.5,1.2,0.42,1.35,27
NDC,23155048901,Desmopressin Acetate Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,23155049001,Desmopressin Acetate Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,23155050001,Hydroxyzine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,23155050101,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155050110,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155050201,Hydroxyzine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,23155051211,Nimodipine Cap 30 MG,19.41,15.53,5.39,17.47,27
NDC,23155051230,Nimodipine Cap 30 MG,19.41,15.53,5.39,17.47,27
NDC,23155051901,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.5,1.2,0.42,1.35,27
NDC,23155054731,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155054741,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155054742,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155054931,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155057901,Desipramine HCl Tab 25 MG,2.67,2.14,0.74,2.4,27
NDC,23155060031,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",2.44,1.96,0.68,2.2,27
NDC,23155060041,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",3.5,2.8,0.97,3.15,27
NDC,23155060131,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,23155060132,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,23155060351,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),2.05,1.64,0.57,1.85,27
NDC,23155060503,Modafinil Tab 200 MG,4.19,3.36,1.16,3.77,27
NDC,23155060601,Glycopyrrolate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,23155064941,Carmustine For Inj 100 MG,680.89,544.72,226.53,612.8,36
NDC,23155065205,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,23155066043,Isoproterenol HCl Inj 0.2 MG/ML,187.66,150.13,52.11,168.89,27
NDC,23155066201,Calcitriol Cap 0.25 MCG,1.5,1.2,0.42,1.35,27
NDC,23155066301,Calcitriol Cap 0.5 MCG,1.5,1.2,0.42,1.35,27
NDC,23155068531,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,23155069310,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,23155070501,Enalapril Maleate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,23155073501,Terazosin HCl Cap 1 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155073601,Terazosin HCl Cap 2 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155073701,Terazosin HCl Cap 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155073801,Terazosin HCl Cap 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,23155074841,Pentamidine Isethionate For Inj Soln 300 MG,390.41,312.33,99.65,351.37,27
NDC,23155077201,Enalapril Maleate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,23155079041,Carmustine For Inj 100 MG,680.89,544.72,226.53,612.8,36
NDC,23155081001,Oxybutynin Chloride Tab 5 MG,2.41,1.93,0.67,2.17,27
NDC,23155083201,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,23155083301,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155083401,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,23155083501,Hydralazine HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,23155083711,Cyclosporine Modified Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155083730,Cyclosporine Modified Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,23155086931,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),80.66,64.53,7.75,72.59,36
NDC,23155086941,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),80.66,64.53,7.75,72.59,36
NDC,23155087301,Torsemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,2322930,Atomoxetine HCl Cap 40 MG (Base Equiv),36.18,28.95,10.05,32.56,27
NDC,2323560,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),12.92,10.34,3.59,11.63,27
NDC,2323930,Atomoxetine HCl Cap 60 MG (Base Equiv),36.18,28.95,10.05,32.56,28
NDC,2324090,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),14.49,11.6,4.02,13.04,27
NDC,2325130,Atomoxetine HCl Cap 100 MG (Base Equiv),39.02,31.22,10.84,35.12,27
NDC,2327004,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),17.31,13.85,4.81,15.58,27
NDC,2327030,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),14.49,11.6,4.02,13.04,27
NDC,23320503,Bimatoprost Ophth Soln 0.01%,414.92,331.94,115.22,373.43,27
NDC,23361525,Gatifloxacin Ophth Soln 0.5%,421.07,336.86,116.93,378.96,27
NDC,23455430,Carboxymethylcellulose Sodium (PF) Ophth Gel 1%,27.54,22.04,7.65,24.79,27
NDC,23585318,Mesalamine Cap DR 400 MG,7.34,5.88,2.04,6.61,27
NDC,23608201,Iron Dextran Inj 50 MG/ML,136.37,109.1,17.2,122.73,36
NDC,23608201,Iron Dextran Inj 50 MG/ML (Elemental Iron),136.37,109.1,17.2,122.73,36
NDC,23608210,Iron Dextran Inj 50 MG/ML,136.37,109.1,17.2,122.73,36
NDC,23608210,Iron Dextran Inj 50 MG/ML (Elemental Iron),136.37,109.1,17.2,122.73,36
NDC,23611201,Pancrelipase (Lip-Prot-Amyl) DR Cap 20000-63000-84000 Unit,16.44,13.16,4.57,14.8,27
NDC,23782410,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,155.55,124.44,43.2,140.0,27
NDC,23900002326,Oxymetazoline HCl Nasal Soln 0.05%,19.44,15.56,5.4,17.5,27
NDC,23920515,Carboxymethylcellulose Sodium Ophth Gel 1%,21.75,17.4,6.04,19.58,27
NDC,23921105,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,371.52,297.22,103.17,334.37,27
NDC,23932110,Brimonidine Tartrate Ophth Soln 0.1%,423.68,338.95,117.66,381.31,27
NDC,24159601,Primaquine Phosphate Tab 26.3 MG (15 MG Base),4.27,3.42,1.19,3.84,27
NDC,2418230,Baricitinib Tab 2 MG,214.06,171.25,59.44,192.65,27
NDC,24201020101,Sodium Tetradecyl Sulfate Inj 3%,139.37,111.5,38.7,125.43,27
NDC,24201020105,Sodium Tetradecyl Sulfate Inj 3%,141.14,112.92,39.19,127.03,27
NDC,24201023701,Fludarabine Phosphate For Inj 50 MG,151.51,121.21,62.12,500.46,36
NDC,24208029005,Tobramycin Ophth Soln 0.3%,28.89,23.12,8.02,26.0,27
NDC,24208029505,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,189.11,151.29,52.52,170.2,27
NDC,24208029525,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,94.58,75.67,26.26,85.12,27
NDC,24208029905,Loteprednol Etabonate Ophth Susp 0.5%,476.96,381.57,132.45,429.26,27
NDC,24208031510,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,10.61,8.49,2.95,9.55,27
NDC,24208034205,Desmopressin Acetate Nasal Spray Soln 0.01% (Refrigerated),497.15,397.72,138.06,447.44,27
NDC,24208038555,Sodium Chloride Hypertonic Ophth Oint 5%,48.48,38.79,13.46,43.63,27
NDC,24208041105,Brimonidine Tartrate Ophth Soln 0.2%,7.18,5.75,1.99,6.46,27
NDC,24208043405,Ofloxacin Ophth Soln 0.3%,4.05,3.24,1.12,3.65,27
NDC,24208045705,Diclofenac Sodium Ophth Soln 0.1%,35.64,28.52,9.9,32.08,27
NDC,24208046325,Latanoprost Ophth Soln 0.005%,57.27,45.82,15.9,51.54,27
NDC,24208048510,Dorzolamide HCl Ophth Soln 2%,86.51,69.21,24.02,77.86,27
NDC,24208048610,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,25.0,20.0,6.94,22.5,27
NDC,24208050505,Levobunolol HCl Ophth Soln 0.5%,10.13,8.11,2.81,9.12,27
NDC,24208053535,Ganciclovir Ophth Gel 0.15%,518.54,414.84,144.0,466.69,27
NDC,24208053920,Acetylcholine Chloride Intraocular For Soln 20 MG (1:100),221.81,177.45,61.6,199.63,27
NDC,24208055555,Bacitracin-Polymyxin B Ophth Oint,56.95,45.56,15.82,51.26,27
NDC,24208058060,Gentamicin Sulfate Ophth Soln 0.3%,20.87,16.7,5.8,18.78,27
NDC,24208058564,Tropicamide Ophth Soln 1%,75.74,60.6,21.03,68.17,27
NDC,24208059064,Tropicamide Ophth Soln 0.5%,58.85,47.08,16.34,52.97,27
NDC,24208060105,Ketotifen Fumarate Ophth Soln 0.035%,21.87,17.5,6.07,19.68,27
NDC,24208063110,Neomycin-Polymyxin-HC Otic Soln 1%,125.55,100.44,34.87,113.0,27
NDC,24208063562,Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1%,105.84,84.68,29.39,95.26,27
NDC,24208067004,Sulfacetamide Sodium Ophth Soln 10%,99.1,79.28,27.52,89.19,27
NDC,24208072002,Dexamethasone Sodium Phosphate Ophth Soln 0.1%,90.29,72.24,25.07,81.26,54
NDC,24208073006,Proparacaine HCl Ophth Soln 0.5%,88.7,70.96,24.63,79.83,27
NDC,24208073501,Cyclopentolate HCl Ophth Soln 1%,22.33,17.87,6.2,20.1,27
NDC,24208078055,Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin,27.89,22.32,7.75,25.1,27
NDC,24208078555,Bacitracin-Polymyxin-Neomycin-HC Ophth Oint 1%,86.67,69.34,24.07,78.0,27
NDC,24208079062,Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML,111.24,89.0,30.89,100.12,27
NDC,24208083060,Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%,40.45,32.36,11.23,36.41,27
NDC,24208091019,Erythromycin Ophth Oint 5 MG/GM,16.44,13.16,4.57,14.8,27
NDC,24208091055,Erythromycin Ophth Oint 5 MG/GM,23.19,18.56,6.44,20.87,27
NDC,24279210,Sod Ferric Gluc Cmplx in Sucrose IV Soln 12.5 MG/ML (Fe Eq),129.46,103.57,1.0,116.51,27
NDC,24338012203,Erythromycin Tab Delayed Release 250 MG,12.99,10.4,3.61,11.69,27
NDC,24338012213,Erythromycin Tab Delayed Release 250 MG,16.93,13.55,4.7,15.24,27
NDC,24338013013,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,54.41,43.53,15.11,48.97,27
NDC,24338015020,Triptorelin Pamoate For IM ER Susp 22.5 MG (Base Equiv),59200.0,47360.0,3225.08,53280.0,36
NDC,24357030001,Alum (Potassium) Powder,336.04,268.84,93.32,302.44,27
NDC,24385011878,Simethicone Chew Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,24414260,Dronedarone HCl Tab 400 MG (Base Equivalent),26.13,20.91,7.26,23.52,27
NDC,245001289,Sotalol HCl Tab 80 MG,3.21,2.57,0.89,2.89,27
NDC,245003660,Cholestyramine Light Powder Packets 4 GM,312.17,249.74,86.69,280.95,27
NDC,245007111,Potassium Citrate Tab ER 10 MEQ (1080 MG),2.81,2.25,0.78,2.53,27
NDC,245010810,Ferrous Sulfate Tab EC 325 MG (65 MG Fe Equivalent),1.5,1.2,0.42,1.35,27
NDC,245010811,Ferrous Sulfate Tab EC 325 MG (65 MG Fe Equivalent),1.5,1.2,0.42,1.35,27
NDC,245010889,Ferrous Sulfate Tab EC 325 MG (65 MG Fe Equivalent),1.5,1.2,0.42,1.35,27
NDC,245014760,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,245014789,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,245021111,Midodrine HCl Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,245021211,Midodrine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,245021289,Midodrine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,245021311,Midodrine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,245036030,Potassium Chloride Powder Packet 20 mEq,2.17,1.74,0.6,1.95,27
NDC,245036089,Potassium Chloride Powder Packet 20 mEq,2.17,1.74,0.6,1.95,27
NDC,245053689,Cholestyramine Powder Packets 4 GM,5.1,4.08,1.42,4.59,27
NDC,24510012010,Oxycodone Cap ER 12HR Abuse-Deterrent 18 MG,29.78,23.83,8.27,26.8,27
NDC,24515010,Rasburicase For IV Soln 1.5 MG,2149.19,1719.36,358.43,1934.27,36
NDC,24515011,Rasburicase For IV Soln 1.5 MG,2212.81,1770.25,358.43,1991.53,36
NDC,24515411,Rasburicase For IV Soln 1.5 MG,2212.81,1770.25,358.43,1991.53,36
NDC,245164530,Amiodarone HCl Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,245531511,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,245531689,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,245531901,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,245531910,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,245531989,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,24571011106,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),130.5,104.4,36.24,117.45,27
NDC,24586001,Clofarabine IV Soln 1 MG/ML,5211.13,4168.91,3.98,4690.02,36
NDC,24586201,Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML),14832.91,11866.33,24.06,13349.62,36
NDC,24643000122,"Calcium Phosphate, Tribasic Powder",1.5,1.2,0.42,1.35,27
NDC,24643000139,Suppository Base,207.9,166.32,57.73,187.11,27
NDC,24643005677,Silica (Bulk) Powder,218.7,174.96,60.73,196.83,27
NDC,24643006504,Diclofenac Sodium (Bulk) Powder,183.6,146.88,50.99,165.24,27
NDC,24658026005,Gemfibrozil Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,24658026060,Gemfibrozil Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,24689079302,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.58,1.27,0.44,1.42,27
NDC,2473230,Baricitinib Tab 1 MG,214.06,171.25,59.44,192.65,27
NDC,24979000901,Nifedipine Tab ER 24HR Osmotic Release 90 MG,4.86,3.89,1.35,4.37,27
NDC,24979002707,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.5,1.2,0.42,1.35,27
NDC,24979002807,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,2.94,2.36,0.82,2.65,27
NDC,24979003901,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,24979003902,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,24979010207,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,24979053301,Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,25010021027,Ethacrynate Sodium For Inj 50 MG,12041.06,9632.85,3343.8,10836.95,27
NDC,25010021515,Ethacrynic Acid Tab 25 MG,56.65,45.32,15.73,50.99,27
NDC,25010071115,Carbidopa Tab 25 MG,8.13,6.51,2.26,7.32,27
NDC,25021005301,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,25021010110,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,25021010910,Cefoxitin Sodium For IV Soln 1 GM,21.0,16.8,1.0,18.9,27
NDC,25021011020,Cefoxitin Sodium For IV Soln 2 GM,31.71,25.37,1.0,28.54,27
NDC,25021011482,Ciprofloxacin 200 MG/100ML in D5W,21.0,16.8,1.0,18.9,27
NDC,25021011487,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,27
NDC,25021011502,Clindamycin Phosphate Inj 300 MG/2ML,21.0,16.8,2.18,18.9,27
NDC,25021011504,Clindamycin Phosphate Inj 600 MG/4ML,21.0,16.8,2.18,18.9,27
NDC,25021011506,Clindamycin Phosphate Inj 900 MG/6ML,21.0,16.8,2.18,18.9,27
NDC,25021011920,Cefuroxime Sodium For IV Soln 1.5 GM,22.1,17.68,1.0,19.89,27
NDC,25021012120,Cefepime HCl For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,25021012720,Ceftazidime For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,25021012850,Ceftazidime For IV Soln 2 GM,24.14,19.32,1.0,21.73,27
NDC,25021013182,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,25021013282,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,25021013283,Levofloxacin in D5W IV Soln 750 MG/150ML,45.68,36.55,1.0,41.11,27
NDC,25021013610,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,25021014220,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,25021014330,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,24.4,19.52,1.0,21.96,27
NDC,25021015451,Penicillin G Potassium For Inj 20000000 Unit,90.92,72.74,1.0,81.83,27
NDC,25021015899,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),284.49,227.6,79.0,256.04,27
NDC,25021017302,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),30.32,24.26,1.0,27.29,27
NDC,25021017304,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),42.56,34.05,1.0,38.3,27
NDC,25021017915,Daptomycin For IV Soln 350 MG,73.82,59.06,1.0,66.44,27
NDC,25021018482,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,33.93,27.15,1.0,30.54,27
NDC,25021018487,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,21.0,16.8,1.0,18.9,27
NDC,25021019287,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,27
NDC,25021020110,Mesna Inj 100 MG/ML,43.94,35.16,1.0,39.55,27
NDC,25021020401,Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv),21.95,17.56,1.0,19.76,27
NDC,25021020405,Vinorelbine Tartrate Inj 50 MG/5ML (10 MG/ML) (Base Equiv),241.79,193.44,1.0,217.61,27
NDC,25021020725,Doxorubicin HCl Inj 2 MG/ML,34.34,27.48,1.0,30.91,27
NDC,25021021599,Fluorouracil IV Soln 5 GM/100ML (50 MG/ML),46.46,37.17,1.0,41.81,27
NDC,25021021920,Decitabine For Inj 50 MG,98.61,78.89,1.0,88.75,27
NDC,25021022320,Cytarabine Inj PF 100 MG/ML,33.97,27.18,1.0,30.57,27
NDC,25021023120,Decitabine For Inj 50 MG,436.25,349.0,1.0,392.63,27
NDC,25021023320,Oxaliplatin IV Soln 100 MG/20ML,127.05,101.64,1.0,114.35,27
NDC,25021024202,Fludarabine Phosphate Inj 25 MG/ML,133.1,106.48,54.57,500.46,36
NDC,25021024851,Cyclophosphamide For Inj 1 GM,298.02,238.42,0.46,268.22,36
NDC,25021024951,Cyclophosphamide For Inj 2 GM,649.8,519.84,0.46,584.82,36
NDC,25021025020,Mitomycin For IV Soln 5 MG,145.41,116.33,19.33,130.87,36
NDC,25021025150,Mitomycin For IV Soln 20 MG,154.64,123.72,19.33,139.18,36
NDC,25021025350,Cisplatin Inj 50 MG/50ML (1 MG/ML),47.6,38.08,1.0,42.84,27
NDC,25021025550,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),132.24,105.8,1.0,119.02,27
NDC,25021030520,Chlorothiazide Sodium For Inj 500 MG,211.63,169.31,1.0,190.47,27
NDC,25021030566,Chlorothiazide Sodium For Inj 500 MG,127.72,102.18,1.0,114.95,27
NDC,25021030982,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,673.82,539.06,0.25,606.44,27
NDC,25021031002,Nitroprusside Sodium IV Soln 25 MG/ML,292.32,233.86,81.18,263.09,27
NDC,25021031102,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,25021031104,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,25021031410,Esmolol HCl Inj 100 MG/10ML,21.0,16.8,0.25,18.9,27
NDC,25021031599,Phenylephrine HCl IV Soln 10 MG/ML,29.75,23.8,0.01,26.78,27
NDC,25021031720,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,25021031925,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,25021040030,Heparin Sodium (Porcine) Inj 1000 Unit/ML,1.82,1.46,0.51,1.64,27
NDC,25021040201,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,25021040301,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,25021041450,Argatroban IV Soln 50 MG/50ML (1 MG/ML),338.55,270.84,1.21,304.7,27
NDC,25021041510,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,25021041601,Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML),629.22,503.38,24.06,566.3,36
NDC,25021041882,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,33.93,27.15,1.0,30.54,27
NDC,25021045405,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,25021048101,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,25021060103,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),21.0,16.8,1.0,18.9,27
NDC,25021060820,Propofol IV Emul 200 MG/20ML (10 MG/ML),28.0,22.4,1.0,25.2,27
NDC,25021060850,Propofol IV Emul 500 MG/50ML (10 MG/ML),38.25,30.6,1.0,34.43,27
NDC,25021060851,Propofol IV Emul 1000 MG/100ML (10 MG/ML),109.62,87.7,1.0,98.66,27
NDC,25021061110,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.59,2.08,0.72,2.33,27
NDC,25021065905,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,25021066205,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),65.96,52.77,18.32,59.36,27
NDC,25021066205,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),65.96,52.77,18.32,59.36,27
NDC,25021067182,Ropivacaine HCl Inj 2 MG/ML,97.88,78.31,1.0,88.09,27
NDC,25021067210,Atracurium Besylate IV Soln 100 MG/10ML,50.59,40.48,14.05,45.53,27
NDC,25021067376,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",9.23,7.39,2.56,8.31,27
NDC,25021067377,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",11.67,9.34,3.24,10.5,27
NDC,25021067620,Pentobarbital Sodium Inj 50 MG/ML,704.6949999999999,563.76,1.0,1208.05,54
NDC,25021068310,Ketamine HCl Inj 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,25021068620,Vecuronium Bromide For Inj 20 MG,21.0,16.8,5.83,18.9,27
NDC,25021070101,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,25021077702,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,25021078005,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,25021079002,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,25021079120,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),51.5,41.2,1.0,46.35,27
NDC,25021079705,Valproate Sodium Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,25021080601,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,25021081230,Acetylcysteine Inj 200 MG/ML,168.35,134.68,1.0,151.52,27
NDC,25021081430,Leucovorin Calcium For Inj 100 MG,27.88,22.31,1.0,25.09,27
NDC,25021081530,Leucovorin Calcium For Inj 200 MG,71.6,57.28,1.0,64.44,27
NDC,25021081630,Leucovorin Calcium For Inj 350 MG,51.77,41.42,1.0,46.59,27
NDC,25021082667,Zoledronic Acid IV Soln 4 MG/100ML,180.96,144.77,1.0,162.86,54
NDC,25021082682,Zoledronic Acid IV Soln 4 MG/100ML,162.69,130.16,1.0,146.42,54
NDC,25021082850,Leucovorin Calcium For Inj 500 MG,315.16,252.13,1.0,283.64,27
NDC,25021083082,Zoledronic Acid IV Soln 5 MG/100ML,568.98,455.19,1.0,512.08,27
NDC,2512301,Prasugrel HCl Tab 10 MG (Base Equiv),9.91,7.93,2.75,8.92,27
NDC,2512330,Prasugrel HCl Tab 10 MG (Base Equiv),35.18,28.15,9.77,31.66,27
NDC,2512377,Prasugrel HCl Tab 10 MG (Base Equiv),30.97,24.78,8.6,27.87,27
NDC,25142160,Diclofenac w/ Misoprostol Tab Delayed Release 75-0.2 MG,8.12,6.5,2.25,7.31,27
NDC,25152031,Celecoxib Cap 100 MG,16.98,13.59,4.72,15.28,27
NDC,25152531,Celecoxib Cap 200 MG,27.84,22.28,7.73,25.06,27
NDC,25152551,Celecoxib Cap 200 MG,11.48,9.19,3.19,10.33,27
NDC,25172001,Eplerenone Tab 50 MG,14.81,11.85,4.11,13.33,27
NDC,25208000201,Tirofiban HCl in NaCl 0.9% IV Soln 5 MG/100ML (Base Equiv),754.29,603.44,4.41,678.86,27
NDC,25208000202,Tirofiban HCl in NaCl 0.9% IV Soln 12.5 MG/250ML (Base Eq),858.04,686.44,4.41,772.24,27
NDC,25208000203,Tirofiban HCl in NaCl 0.9% IV Soln 5 MG/100ML (Base Equiv),654.24,523.4,4.41,588.82,27
NDC,25208000305,Nitroprusside Sodium IV Soln 25 MG/ML,60.6,48.48,16.83,54.54,27
NDC,254101019,Diazoxide Susp 50 MG/ML,476.44,381.16,132.31,428.8,27
NDC,254101636,Posaconazole Susp 40 MG/ML,55.84,44.68,15.51,50.26,27
NDC,254200801,Colchicine Tab 0.6 MG,14.08,11.27,3.91,12.67,27
NDC,254204502,Posaconazole Tab Delayed Release 100 MG,137.48,109.99,38.18,123.73,27
NDC,25866059361,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),38.07,30.46,10.57,34.26,27
NDC,264193310,Amino Acid Infusion 10%,110.93,88.75,30.81,99.84,27
NDC,264194020,Potassium Chloride Inj 2 mEq/ML,77.21,61.77,1.0,69.49,27
NDC,264196510,Hetastarch (HES /0.7 or /0.75) 6% in NaCl 0.9% IV Soln,52.2,41.76,14.5,46.98,27
NDC,264210110,"Water For Irrigation, Sterile Irrigation Soln",0.02,0.02,0.01,0.02,27
NDC,264220110,Sodium Chloride Irrigation Soln 0.9%,0.02,0.02,0.01,0.02,27
NDC,264220110,"Sodium Chloride Irrigation Soln 0.9%,Sodium Chloride IV Soln 0.9%",0.02,0.02,0.01,0.02,27
NDC,264405080,Acetaminophen IV Soln 10 MG/ML,27.9,22.32,0.05,31.32,54
NDC,264410090,Acetaminophen IV Soln 10 MG/ML,49.16,39.33,0.05,44.24,27
NDC,264410095,Acetaminophen IV Soln 10 MG/ML,49.16,39.33,0.05,44.24,27
NDC,264420452,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,264420654,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,264440054,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,21.0,16.8,1.0,18.9,27
NDC,264446000,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,160.95,128.76,44.7,144.86,27
NDC,264446010,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,678.6,542.88,188.45,610.74,27
NDC,264446030,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,33.34,26.674999999999997,5.83,41.11,54
NDC,264450000,Amino Acid Infusion 15%,100.05,80.04,27.78,90.05,27
NDC,264757810,Mannitol IV Soln 20%,56.55,45.24,15.7,50.9,27
NDC,264763400,KCl 10 MEQ/L (0.075%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
NDC,264763500,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
NDC,264763600,KCl 30 MEQ/L (0.224%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
NDC,264763800,KCl 40 MEQ/L (0.3%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,1.0,18.9,27
NDC,264764500,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.2% Inj,21.0,16.8,5.83,18.9,27
NDC,264765200,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,21.0,16.8,1.0,18.9,27
NDC,264770700,Electrolyte-S (PH 7.4) Solution,21.0,16.8,5.83,18.9,27
NDC,264775020,Lactated Ringers's Solution,0.02,0.02,0.01,0.02,27
NDC,264780020,Sodium Chloride IV Soln 0.9%,0.02,0.02,0.01,1.0,27
NDC,264780510,Sodium Chloride IV Soln 3%,21.0,16.8,1.0,18.9,27
NDC,264934155,Amino Acid Infusion 10%,119.63,95.71,33.22,107.67,27
NDC,264957710,Heparin Sodium (Porcine)-Dextrose IV Sol 25000 Unit/500ML-5%,36.98,29.59,1.0,33.28,27
NDC,264958720,Heparin Sodium (Porcine) 100 Unit/ML in D5W,39.15,31.32,1.0,35.24,27
NDC,264959410,Lidocaine IV Infusion in D5W Inj 4 MG/ML,21.0,16.8,0.01,18.9,36
NDC,264987210,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,21.0,16.8,1.0,18.9,27
NDC,270014957,Diatrizoate Meglumine Urethral Soln 30%,2.0,1.6,0.56,1.8,27
NDC,270055615,Sincalide For Inj 5 MCG,411.77,329.42,1.0,370.59,27
NDC,270131525,Iopamidol IV Soln 61%,357.12,285.7,1.0,321.41,27
NDC,270131535,Iopamidol IV Soln 61%,742.2,593.76,1.0,667.98,27
NDC,270131545,Iopamidol IV Soln 61%,1430.4,1144.32,1.0,1287.36,27
NDC,270131595,Iopamidol IV Soln 61%,2172.0,1737.6,1.0,1954.8,27
NDC,270131635,Iopamidol IV Soln 76%,823.2,658.56,1.0,740.88,27
NDC,270131645,Iopamidol IV Soln 76%,1646.4,1317.12,1.0,1481.76,27
NDC,270131695,Iopamidol IV Soln 76%,2394.0,1915.2,1.0,2154.6,27
NDC,270141111,Iopamidol Inj 41%,217.8,174.24,1.0,196.02,27
NDC,270709916,Sulfur Hexafluoride Lipid-Type A Micros For Susp 60.7-25 MG,435.03,348.03,1.0,391.53,27
NDC,27241000606,Risperidone Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,27241002238,Zolmitriptan Tab 5 MG,4.16,3.33,1.16,3.74,27
NDC,27241006303,Voriconazole Tab 200 MG,10.15,8.12,2.82,9.14,27
NDC,27241009706,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,27241009809,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,27241012403,Sildenafil Citrate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,27241012502,Ranolazine Tab ER 12HR 500 MG,2.51,2.01,0.7,2.26,27
NDC,27241015504,Oxybutynin Chloride Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,27241015604,Oxybutynin Chloride Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,27241015608,Oxybutynin Chloride Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,27241015704,Oxybutynin Chloride Tab ER 24HR 15 MG,1.5,1.2,0.42,1.35,27
NDC,27241015919,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),410.48,328.39,113.99,369.43,27
NDC,27241016001,Captopril Tab 12.5 MG,1.63,1.31,0.45,1.47,27
NDC,27241016201,Captopril Tab 50 MG,2.07,1.66,0.57,1.86,27
NDC,27437005056,Methylergonovine Maleate Tab 0.2 MG,136.59,109.28,37.93,122.93,27
NDC,27437005057,Methylergonovine Maleate Tab 0.2 MG,136.67,109.34,37.95,123.0,27
NDC,27437020603,Cefixime For Susp 200 MG/5ML,709.16,567.33,196.93,638.24,27
NDC,2751001,"Insulin Lispro (Human) Inj 100 Unit/ML,,,Insulin Lispro Inj Soln 100 Unit/ML",121.1,96.88,33.63,108.99,27
NDC,2751001,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",61.3,49.04,0.42,108.99,54
NDC,2751001,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML",121.1,96.88,33.63,108.99,27
NDC,2751001,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",121.1,96.88,33.63,108.99,27
NDC,2758901,Bebtelovimab IV Soln 175 MG/2ML,4200.0,3360.0,1166.34,3780.0,27
NDC,2759701,Olanzapine For IM Inj 10 MG,203.06,162.45,0.89,182.75,27
NDC,2762301,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),6267.8,5014.24,3.22,5641.02,36
NDC,2763611,Olanzapine Pamoate For Extended Rel IM Susp 300 MG (Base Eq),3116.88,2493.51,2.77,2805.19,36
NDC,2764001,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),1253.56,1002.85,3.22,1128.2,36
NDC,2771227,Insulin Lispro Soln Pen-injector 200 Unit/ML,531.36,425.09,147.56,478.22,27
NDC,2771401,Insulin Lispro Soln Pen-injector 100 Unit/ML (0.5 Unit Dial),48.76,39.01,13.54,43.88,27
NDC,2771459,Insulin Lispro Soln Pen-injector 100 Unit/ML (0.5 Unit Dial),48.76,39.01,13.54,43.88,27
NDC,2773701,"Insulin Lispro (Human) Inj 100 Unit/ML,,,Insulin Lispro Inj Soln 100 Unit/ML",129.17,103.34,35.87,116.25,27
NDC,2773701,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML",129.17,103.34,35.87,116.25,27
NDC,2773701,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",129.17,103.34,35.87,116.25,27
NDC,27808000201,Risperidone Soln 1 MG/ML,1.67,1.34,0.46,1.5,27
NDC,27808003301,Theophylline Soln 80 MG/15ML,8.94,7.16,2.48,8.05,27
NDC,27808003601,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,27808006502,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,27808008601,Hydrocod Polst-Chlorphen Polst ER Susp 10-8 MG/5ML,3.76,3.01,1.04,3.38,27
NDC,281032608,Nitroglycerin Oint 2%,5.02,4.02,1.39,4.52,54
NDC,281032630,Nitroglycerin Oint 2%,45.12,36.1,12.53,40.61,27
NDC,2850101,Insulin Regular (Human) Inj 500 Unit/ML,3448.44,2758.76,957.63,3103.6,27
NDC,29033000301,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,29033000412,Carbamazepine Cap ER 12HR 300 MG,3.83,3.07,1.06,3.45,27
NDC,29033001301,Piroxicam Cap 20 MG,4.36,3.49,1.21,3.92,27
NDC,29033002602,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.5,1.2,0.42,1.35,27
NDC,29300011416,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,29300012601,Bisoprolol Fumarate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,29300012701,Bisoprolol Fumarate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,29300013101,Zaleplon Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,29300013201,Zaleplon Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,29300013501,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,29300013505,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,29300013510,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,29300013601,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,29300013605,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,29300014901,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,29300015116,Quetiapine Fumarate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,29300016915,Tizanidine HCl Tab 4 MG (Base Equivalent),1.86,1.49,0.52,1.67,27
NDC,29300017116,Memantine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,29300017216,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,29300018701,Bisoprolol & Hydrochlorothiazide Tab 2.5-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,29300018713,Bisoprolol & Hydrochlorothiazide Tab 2.5-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,29300018801,Bisoprolol & Hydrochlorothiazide Tab 5-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,29300018901,Bisoprolol & Hydrochlorothiazide Tab 10-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,29300018913,Bisoprolol & Hydrochlorothiazide Tab 10-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,29300022013,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,29300022019,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,29300022601,Metronidazole Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,29300022652,Metronidazole Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,29300022705,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,29300034905,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,29300041901,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,299364008,Benzoyl Peroxide Liq 5%,18.31,14.65,5.08,16.48,27
NDC,299382060,Metronidazole Gel 1%,533.79,427.04,148.23,480.41,27
NDC,299391742,Emollient - Cream,11.93,9.55,3.31,10.74,27
NDC,299391753,Emollient - Cream,11.48,9.19,3.19,10.33,27
NDC,3029305,Triamcinolone Acetonide Inj Susp 40 MG/ML,36.89,29.52,1.0,33.2,27
NDC,3029320,Triamcinolone Acetonide Inj Susp 40 MG/ML,35.37,28.3,1.0,31.83,27
NDC,3049420,Triamcinolone Acetonide Inj Susp 10 MG/ML,47.63,38.11,1.0,42.87,27
NDC,3089321,Apixaban Tab 2.5 MG,3.78,3.03,1.05,3.4,27
NDC,3089331,Apixaban Tab 2.5 MG,17.71,14.17,4.92,15.94,27
NDC,3089421,Apixaban Tab 5 MG,3.78,3.03,1.05,3.4,27
NDC,3089431,Apixaban Tab 5 MG,5.13,4.11,1.42,4.62,27
NDC,310009530,Roflumilast Tab 500 MCG,23.71,18.97,6.58,21.34,27
NDC,310027110,Quetiapine Fumarate Tab 100 MG,16.53,13.23,4.59,14.88,27
NDC,310027210,Quetiapine Fumarate Tab 200 MG,31.18,24.95,8.66,28.06,27
NDC,310027460,Quetiapine Fumarate Tab 300 MG,40.89,32.72,11.36,36.8,27
NDC,310027510,Quetiapine Fumarate Tab 25 MG,9.63,7.71,2.67,8.67,27
NDC,310027810,Quetiapine Fumarate Tab 50 MG,15.83,12.67,4.4,14.25,27
NDC,310028460,Quetiapine Fumarate Tab ER 24HR 400 MG,50.73,40.59,14.09,45.66,27
NDC,310072010,Fulvestrant Inj Soln Pref Syr 250 MG/5ML,2694.08,2155.27,6.39,2424.67,36
NDC,310075190,Rosuvastatin Calcium Tab 10 MG,21.98,17.59,6.1,19.78,27
NDC,310075290,Rosuvastatin Calcium Tab 20 MG,20.9,16.72,5.8,18.81,27
NDC,310075590,Rosuvastatin Calcium Tab 5 MG,21.98,17.59,6.1,19.78,27
NDC,310110501,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,23.71,18.97,6.58,21.34,27
NDC,310110530,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,23.71,18.97,6.58,21.34,27
NDC,310110539,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,23.71,18.97,6.58,21.34,27
NDC,310111001,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,23.71,18.97,6.58,21.34,27
NDC,310111030,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,23.71,18.97,6.58,21.34,27
NDC,310111039,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,23.71,18.97,6.58,21.34,27
NDC,310173030,Benralizumab Subcutaneous Soln Prefilled Syringe 30 MG/ML,17582.84,14066.28,156.36,15824.56,36
NDC,310351260,Acalabrutinib Maleate Tab 100 MG,651.86,521.49,181.02,586.67,27
NDC,316022530,Miconazole Nitrate Powder 2%,11.7,9.36,3.25,10.53,27
NDC,31722000631,Itraconazole Oral Soln 10 MG/ML,52.38,41.91,14.55,47.14,27
NDC,31722001647,Glycopyrrolate Oral Soln 1 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,31722003523,Aminocaproic Acid Oral Soln 0.25 GM/ML,649.5,519.6,180.37,584.55,27
NDC,31722010430,Cinacalcet HCl Tab 60 MG (Base Equiv),3.67,2.94,1.02,3.3,27
NDC,31722011633,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,31722011650,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,31722013001,Potassium Citrate Tab ER 10 MEQ (1080 MG),1.5,1.2,0.42,1.35,27
NDC,31722013747,Glycerin Liquid,1.5,1.2,0.42,1.35,27
NDC,31722013801,Baclofen Tab 5 MG,2.33,1.87,0.65,2.1,27
NDC,31722016531,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),69.38,55.51,1.0,62.44,27
NDC,31722018801,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,1.76,1.41,0.49,1.58,27
NDC,31722020410,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,31722020431,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,31722025201,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,31722025301,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,31722030801,Olanzapine For IM Inj 10 MG,52.55,42.04,0.89,47.3,27
NDC,31722050560,Nevirapine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,31722051901,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,31722052010,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,31722052201,Hydralazine HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,31722053001,Torsemide Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,31722053101,Torsemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,31722053301,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,31722053305,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,31722053401,Methocarbamol Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,31722053530,Tenofovir Disoproxil Fumarate Tab 300 MG,2.5,2.0,0.69,2.25,27
NDC,31722053605,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,31722053612,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,31722053705,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,31722053712,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,31722054301,Indomethacin Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,31722054501,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,31722056224,Abacavir Sulfate Soln 20 MG/ML (Base Equiv),317.52,254.02,88.18,285.77,27
NDC,31722056560,Indomethacin Cap ER 75 MG,2.97,2.38,0.82,2.67,27
NDC,31722057447,Levetiracetam Oral Soln 100 MG/ML,45.98,36.79,12.77,41.38,27
NDC,31722062726,Lacosamide Oral Solution 10 MG/ML,279.72,223.78,77.68,251.75,27
NDC,31722062890,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,31722062921,Atovaquone Susp 750 MG/5ML,20.29,16.24,5.63,18.26,27
NDC,31722066860,Ranolazine Tab ER 12HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,31722070290,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,31722070530,Valacyclovir HCl Tab 1 GM,3.25,2.6,0.9,2.93,27
NDC,31722072690,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,31722074920,Linezolid Tab 600 MG,2.72,2.18,0.76,2.45,27
NDC,31722077690,Sildenafil Citrate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,31722077701,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,31722077801,Acyclovir Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,31722082030,Aripiprazole Tab 5 MG,3.83,3.07,1.06,3.45,27
NDC,31722083260,Valganciclovir HCl Tab 450 MG (Base Equivalent),18.04,14.44,5.01,16.24,27
NDC,31722083330,Entecavir Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,31722087801,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,31722090301,Fluoxetine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,31722090401,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,31722090405,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,31722093502,Albendazole Tab 200 MG,44.27,35.42,12.29,39.84,27
NDC,31722095201,Methylphenidate HCl Tab ER Osmotic Release (OSM) 18 MG,1.81,1.45,0.5,1.63,27
NDC,31722099510,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,32004670,Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit,5.2,4.16,1.44,4.68,27
NDC,32004770,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,10.4,8.32,2.89,9.36,27
NDC,32120370,Pancrelipase (Lip-Prot-Amyl) DR Cap 3000-9500-15000 Unit,3.54,2.84,0.98,3.19,27
NDC,32120601,Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit,1.76,1.41,0.49,1.58,27
NDC,32121201,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,8.88,7.11,2.47,7.99,27
NDC,32121207,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,8.37,6.7,2.32,7.53,27
NDC,32122401,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,17.63,14.11,4.9,15.87,27
NDC,32122407,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,18.41,14.73,5.11,16.57,27
NDC,3218713,Abatacept For IV Soln 250 MG,2083.81,1667.05,41.9,1875.43,36
NDC,32263601,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,20.62,16.5,5.73,18.56,27
NDC,32301613,Pancrelipase (Lip-Prot-Amyl) DR Cap 36000-114000-180000 Unit,26.77,21.42,7.43,24.09,27
NDC,3232711,Ipilimumab Soln for IV Infusion 50 MG/10ML (5 MG/ML),17356.5,13885.2,168.56,15620.85,36
NDC,3256016,Aztreonam For Inj 1 GM,118.06,94.45,2.52,106.25,27
NDC,3257016,Aztreonam For Inj 2 GM,236.07,188.86,2.52,212.46,27
NDC,33342002607,Famciclovir Tab 500 MG,2.94,2.36,0.82,2.65,27
NDC,33342004807,Irbesartan Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,33342005407,Pioglitazone HCl Tab 15 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,33342007007,Olanzapine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,33342008307,Olanzapine Orally Disintegrating Tab 5 MG,3.0,2.4,0.83,2.7,27
NDC,33342008407,Olanzapine Orally Disintegrating Tab 10 MG,2.08,1.67,0.58,1.87,27
NDC,33342009302,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),2.35,1.88,0.65,2.12,27
NDC,33342009352,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),7.37,5.9,2.05,6.63,27
NDC,33342009402,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),1.94,1.56,0.54,1.75,27
NDC,33342009441,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),1.94,1.56,0.54,1.75,27
NDC,33342009452,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),2.73,2.19,0.76,2.46,27
NDC,33342009472,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),2.73,2.19,0.76,2.46,27
NDC,33342009607,Tenofovir Disoproxil Fumarate Tab 300 MG,1.74,1.4,0.48,1.57,27
NDC,33342010210,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,33342011007,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,33342011107,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,33342015611,Celecoxib Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,33342015711,Celecoxib Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,33342027407,Febuxostat Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,33342029907,Eszopiclone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,33342033315,Triamcinolone Acetonide Oint 0.1%,5.14,4.12,1.43,4.63,27
NDC,33342040535,Lidocaine Oint 5%,40.09,32.08,11.13,36.08,27
NDC,3362412,Atazanavir Sulfate Cap 150 MG (Base Equiv),61.64,49.32,17.12,55.48,27
NDC,3373413,Nivolumab IV Soln 240 MG/24ML,13226.68,10581.35,30.43,11904.01,36
NDC,3377211,Nivolumab IV Soln 40 MG/4ML,2446.25,1957.0,30.43,2201.63,36
NDC,338004803,Sodium Chloride Irrigation Soln 0.9%,0.02,0.02,0.01,0.02,27
NDC,338005403,Sodium Chloride IV Soln 3%,21.0,16.8,1.0,18.9,27
NDC,338005403,Sodium Chloride Inj 3%,21.0,16.8,1.0,18.9,54
NDC,338006301,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,362.63,290.11,94.03,326.37,38
NDC,338006910,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,338007225,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,338007225,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,338008504,Dextrose 5% w/ Sodium Chloride 0.45%,50.0,40.0,1.0,45.0,54
NDC,338008904,Dextrose 5% w/ Sodium Chloride 0.9%,21.0,16.8,1.0,18.9,27
NDC,338010820,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%,120.71,96.57,33.52,108.64,27
NDC,338012612,Insulin Regular (Human) in NaCl 0.9% IV Soln 100 Unit/100ML,68.73,54.99,19.09,61.86,27
NDC,338032201,Thrombin (Recombinant) For Soln 5000 Unit,173.74,139.0,48.25,156.37,27
NDC,338032401,Thrombin (Recombinant) For Soln 5000 Unit,163.65,130.92,45.45,147.29,27
NDC,338032601,Thrombin (Recombinant) For Soln 20000 Unit,406.27,325.02,112.82,365.64,27
NDC,338033001,Thrombin (Recombinant) For Soln 20000 Unit,437.62,350.1,121.53,393.86,27
NDC,338035703,Mannitol IV Soln 20%,95.7,76.56,26.58,86.13,27
NDC,338040903,Lidocaine IV Infusion in D5W Inj 4 MG/ML,21.75,17.4,0.01,19.58,36
NDC,338050941,Gentamicin in Saline Inj 1.6 MG/ML,21.0,16.8,1.0,18.9,27
NDC,338051141,Gentamicin in Saline Inj 2 MG/ML,21.0,16.8,1.0,18.9,54
NDC,338051913,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,82.65,66.12,22.95,74.39,27
NDC,338065604,Acetic Acid Irrigation Soln 0.25%,8.1,6.48,2.25,7.29,27
NDC,338066304,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.2% Inj,34.8,27.84,9.66,31.32,27
NDC,338067104,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
NDC,338067504,KCl 40 MEQ/L (0.3%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,1.0,18.9,27
NDC,338070341,Potassium Chloride Inj 20 mEq/50ML,21.0,16.8,1.0,18.9,27
NDC,338070348,Potassium Chloride Inj 40 mEq/100 ML,21.0,16.8,5.83,18.9,27
NDC,338070348,Potassium Chloride Inj 40 mEq/100ML,21.0,16.8,1.0,18.9,27
NDC,338070434,KCl 20 MEQ/L (0.15%) in NaCl 0.45% Inj,21.0,16.8,1.0,18.9,27
NDC,338080304,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.9% Inj,21.0,16.8,1.0,18.9,27
NDC,338100702,Dopamine in Dextrose 5% Inj 1.6 MG/ML,42.41,33.93,1.0,38.17,27
NDC,338100902,Dopamine in Dextrose 5% Inj 3.2 MG/ML,68.51,54.81,1.0,61.66,27
NDC,338105102,Nitroglycerin IV Soln 400 MCG/ML in D5W,76.13,60.91,21.14,68.52,27
NDC,338105548,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,338107502,Dobutamine in Dextrose 5% Inj 2 MG/ML,106.58,85.27,1.0,95.92,27
NDC,338107702,Dobutamine in Dextrose 5% Inj 4 MG/ML,92.44,73.96,1.0,83.2,27
NDC,338111504,Amino Acid Electrolyte w/Cal Infusion 4.25% in D10W,165.3,132.24,45.9,148.77,27
NDC,338112304,Amino Acid Electrolyte w/Cal Infusion 5% in D15W,278.4,222.72,77.31,250.56,27
NDC,338112504,Amino Acid Electrolyte w/Cal Infusion 5% in D20W,191.4,153.12,53.15,172.26,27
NDC,338113004,Amino Acid Infusion 10%,295.8,236.64,82.14,266.22,27
NDC,338130501,Mesna Inj 100 MG/ML,32.15,25.72,1.0,28.94,27
NDC,338170940,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,21.0,16.8,1.0,18.9,27
NDC,338341024,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,338341050,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,338355248,"Vancomycin HCl in Dextrose Inj 1 GM/200ML,Vancomycin HCl-Dextrose IV Soln 1 GM/200ML-5%",21.0,16.8,5.83,18.9,27
NDC,338361224,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,338361250,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,43.5,34.8,2.18,39.15,27
NDC,338381424,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,338381450,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,54.81,43.85,2.18,49.33,27
NDC,338399101,Ifosfamide For Inj 1 GM,176.99,141.6,1.0,159.29,27
NDC,338399301,Ifosfamide For Inj 3 GM,288.96,231.17,1.0,260.06,27
NDC,338601048,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,321.9,257.52,1.0,289.71,27
NDC,338601048,"Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",321.9,257.52,1.0,289.71,27
NDC,338601048,"Milrinone in Dextrose IV Soln 20 MG/100 ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",321.9,257.52,1.0,289.71,27
NDC,338604537,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,26.97,21.58,1.0,24.27,27
NDC,338604648,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,69.6,55.68,1.0,62.64,27
NDC,338956401,Fibrin Sealant Component Solution,652.46,521.97,181.19,587.21,27
NDC,338963601,Piperacillin Sod-Tazobactam Sod in Dex IV Sol 3-0.375GM/50ML,54.16,43.33,1.0,48.74,27
NDC,338963624,Piperacillin Sod-Tazobactam Sod in Dex IV Sol 3-0.375GM/50ML,54.16,43.33,1.0,48.74,27
NDC,338963801,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,53.51,42.81,1.0,48.16,27
NDC,338963812,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,53.51,42.81,1.0,48.16,27
NDC,35356013500,Lisdexamfetamine Dimesylate Cap 50 MG,14.88,11.91,4.13,13.39,27
NDC,35356027628,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.3-1.5 MG,8.34,6.68,2.32,7.51,27
NDC,35356027928,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.45-1.5 MG,9.39,7.52,2.61,8.45,27
NDC,35573043330,Ketoconazole Tab 200 MG,2.38,1.91,0.66,2.14,27
NDC,35573044425,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),3.01,2.41,0.05,2.71,27
NDC,36000000824,Ciprofloxacin 200 MG/100ML in D5W,21.0,16.8,1.0,18.9,27
NDC,36000000924,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,27
NDC,36000001225,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,36000003310,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,36000004724,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,36000009201,Bupivacaine 0.75% in Dextrose Inj 8.25%,21.0,16.8,5.83,18.9,27
NDC,36000009210,Bupivacaine 0.75% in Dextrose Inj 8.25%,21.0,16.8,5.83,18.9,27
NDC,36000014801,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,36000014810,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,36000016210,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),29.41,23.53,8.17,26.47,27
NDC,36000024401,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,27
NDC,36000028225,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,36000028325,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,36000028425,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,36000029724,Ciprofloxacin 200 MG/100ML in D5W,21.0,16.8,1.0,18.9,27
NDC,36000030660,Acetaminophen IV Soln 10 MG/ML,37.41,29.93,1.0,33.67,27
NDC,36000032201,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,37000002310,Psyllium Powder Packet 25%,1.5,1.2,0.42,1.35,27
NDC,37000074087,Psyllium Powder Packet 25%,1.5,1.2,0.42,1.35,27
NDC,37043001,Felbamate Tab 400 MG,12.76,10.21,3.54,11.48,27
NDC,37044267,Felbamate Susp 600 MG/5ML,26.15,20.92,7.26,23.54,27
NDC,37205001130,Glycerin Topical Liquid,9.56,7.65,2.65,8.6,27
NDC,378001801,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,378001805,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,378003201,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,378003210,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,378004001,Clorazepate Dipotassium Tab 7.5 MG,3.27,2.62,0.91,2.94,27
NDC,378004701,Metoprolol Tartrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,378004710,Metoprolol Tartrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,378005201,Pindolol Tab 5 MG,1.86,1.49,0.52,1.67,27
NDC,378007801,Carbidopa & Levodopa Tab 10-100 MG,1.5,1.2,0.42,1.35,27
NDC,378008001,Indapamide Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,378008801,Carbidopa & Levodopa Tab ER 25-100 MG,1.64,1.32,0.46,1.48,27
NDC,378009401,Carbidopa & Levodopa Tab ER 50-200 MG,1.5,1.2,0.42,1.35,27
NDC,378013501,Diltiazem HCl Tab 90 MG,1.5,1.2,0.42,1.35,27
NDC,378013701,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,378014491,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378015601,Probenecid Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,378018101,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,378018105,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,378018201,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,378018301,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,378018401,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,378020801,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,378020810,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,378021301,Chlorthalidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,378021401,Haloperidol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,378021610,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,378021801,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,378022101,Timolol Maleate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,378022201,Chlorthalidone Tab 25 MG,1.62,1.3,0.45,1.46,27
NDC,378023201,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,378023205,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,378025701,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,378027493,Tamoxifen Citrate Tab 20 MG (Base Equivalent),1.94,1.56,0.54,1.75,27
NDC,378032701,Haloperidol Tab 5 MG,1.73,1.39,0.48,1.56,27
NDC,378034505,Diazepam Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,378035101,Haloperidol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,378040301,Spironolactone & Hydrochlorothiazide Tab 25-25 MG,1.97,1.58,0.55,1.77,27
NDC,378041501,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.5,1.2,0.42,1.35,27
NDC,378042701,Sulindac Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,378043301,Bupropion HCl Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,378043501,Bupropion HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,378047201,Divalproex Sodium Tab ER 24 HR 250 MG,4.88,3.91,1.36,4.39,27
NDC,378050101,Bisoprolol & Hydrochlorothiazide Tab 2.5-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,378050301,Bisoprolol & Hydrochlorothiazide Tab 5-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,378050501,Bisoprolol & Hydrochlorothiazide Tab 10-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,378053101,Sulindac Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,378061401,Thioridazine HCl Tab 25 MG,1.7,1.36,0.47,1.53,27
NDC,378077101,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,378082501,Clozapine Tab 25 MG,2.11,1.69,0.59,1.9,27
NDC,378087116,Clonidine TD Patch Weekly 0.1 MG/24HR,31.73,25.39,8.81,28.56,27
NDC,378087199,Clonidine TD Patch Weekly 0.1 MG/24HR,35.05,28.04,9.73,31.55,27
NDC,378087216,Clonidine TD Patch Weekly 0.2 MG/24HR,58.64,46.92,16.28,52.78,27
NDC,378087299,Clonidine TD Patch Weekly 0.2 MG/24HR,116.72,93.38,32.41,105.05,27
NDC,378087316,Clonidine TD Patch Weekly 0.3 MG/24HR,64.72,51.78,17.97,58.25,27
NDC,378087399,Clonidine TD Patch Weekly 0.3 MG/24HR,64.72,51.78,17.97,58.25,27
NDC,378100501,Azathioprine Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,378102077,Nicardipine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,378103177,Eplerenone Tab 50 MG,2.91,2.33,0.81,2.62,27
NDC,378104901,Doxepin HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,378110101,Prazosin HCl Cap 1 MG,1.5,1.2,0.42,1.35,27
NDC,378113401,Ketorolac Tromethamine Tab 10 MG,4.59,3.68,1.27,4.13,27
NDC,378114001,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,378116001,Guanfacine HCl Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,378116580,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,378116591,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,378130001,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,378135205,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.5,1.2,0.42,1.35,27
NDC,378143077,Nicardipine HCl Cap 30 MG,1.5,1.2,0.42,1.35,27
NDC,378145001,Lithium Carbonate Tab ER 450 MG,1.5,1.2,0.42,1.35,27
NDC,378145201,Estradiol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,378145401,Estradiol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,378145801,Estradiol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,378161001,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,378161005,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,378162001,Dicyclomine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,378163132,Formoterol Fumarate Soln Nebu 20 MCG/2ML,30.29,24.24,8.41,27.26,27
NDC,378164093,Voriconazole Tab 200 MG,40.36,32.29,11.21,36.32,27
NDC,378180010,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,378180077,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,378180310,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,378180377,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,378180510,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,27
NDC,378180577,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,27
NDC,378180777,Levothyroxine Sodium Tab 88 MCG,1.5,1.2,0.42,1.35,27
NDC,378180910,Levothyroxine Sodium Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,378180977,Levothyroxine Sodium Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,378181110,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.42,1.35,27
NDC,378181177,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.42,1.35,27
NDC,378181310,Levothyroxine Sodium Tab 125 MCG,1.5,1.2,0.42,1.35,27
NDC,378181377,Levothyroxine Sodium Tab 125 MCG,1.5,1.2,0.42,1.35,27
NDC,378181577,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.42,1.35,27
NDC,378181777,Levothyroxine Sodium Tab 175 MCG,1.5,1.2,0.42,1.35,27
NDC,378181977,Levothyroxine Sodium Tab 200 MCG,1.69,1.36,0.47,1.52,27
NDC,378182177,Levothyroxine Sodium Tab 300 MCG,1.5,1.2,0.42,1.35,27
NDC,378182310,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
NDC,378182377,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
NDC,378190201,Midodrine HCl Tab 5 MG,2.07,1.66,0.57,1.86,27
NDC,378200393,Paroxetine HCl Tab ER 24HR 12.5 MG,5.89,4.72,1.64,5.3,27
NDC,378200493,Paroxetine HCl Tab ER 24HR 25 MG,6.2,4.96,1.72,5.58,27
NDC,378210001,Loperamide HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,378210005,Loperamide HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,378212001,Verapamil HCl Tab ER 120 MG,3.8,3.04,1.06,3.42,27
NDC,378222201,Nisoldipine Tab ER 24HR 20 MG,14.16,11.33,3.93,12.74,27
NDC,378224693,Imatinib Mesylate Tab 400 MG (Base Equivalent),29.28,23.43,12.0,85.91,27
NDC,378230201,Prazosin HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,378251191,Capecitabine Tab 150 MG,16.15,12.92,0.03,14.54,36
NDC,378251278,Capecitabine Tab 500 MG,51.0,40.8,0.03,45.9,36
NDC,378262501,Amitriptyline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,378265001,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,378265010,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,378268501,Amitriptyline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,378269501,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,378300001,Meclofenamate Sodium Cap 100 MG,9.1,7.28,2.53,8.19,27
NDC,378305001,Clomipramine HCl Cap 50 MG,22.71,18.17,6.31,20.44,27
NDC,378311001,Temazepam Cap 7.5 MG,9.62,7.7,2.67,8.66,27
NDC,378312501,Doxepin HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,378320501,Prazosin HCl Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,378326632,Etoposide Cap 50 MG,188.91,151.13,52.46,170.02,27
NDC,378326694,Etoposide Cap 50 MG,139.91,111.93,38.85,125.92,27
NDC,378334999,Estradiol TD Patch Weekly 0.025 MG/24HR,47.25,37.8,13.12,42.53,27
NDC,378335099,Estradiol TD Patch Weekly 0.05 MG/24HR,47.25,37.8,13.12,42.53,27
NDC,378335199,Estradiol TD Patch Weekly 0.075 MG/24HR,47.25,37.8,13.12,42.53,27
NDC,378335299,Estradiol TD Patch Weekly 0.1 MG/24HR,47.25,37.8,13.12,42.53,27
NDC,378336016,Estradiol TD Patch Weekly 0.0375 MG/24HR (37.5 MCG/24HR),22.79,18.24,6.33,20.51,27
NDC,378336099,Estradiol TD Patch Weekly 0.0375 MG/24HR (37.5 MCG/24HR),47.25,37.8,13.12,42.53,27
NDC,378340493,Tolterodine Tartrate Cap ER 24HR 4 MG,15.42,12.34,4.28,13.88,27
NDC,378351593,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,378353093,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,378354752,Mercaptopurine Tab 50 MG,8.29,6.64,2.3,7.46,27
NDC,378363105,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,378363201,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,378363205,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,378363301,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,378363305,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,378363401,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,378363405,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,378392593,Febuxostat Tab 40 MG,10.34,8.28,2.87,9.31,27
NDC,378392693,Febuxostat Tab 80 MG,10.29,8.24,2.86,9.26,27
NDC,378395005,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378395077,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378395105,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378395177,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378395205,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378395277,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378397893,Paliperidone Tab ER 24HR 1.5 MG,61.72,49.38,17.14,55.55,27
NDC,378398093,Paliperidone Tab ER 24HR 6 MG,61.8,49.44,17.16,55.62,27
NDC,378401001,Temazepam Cap 15 MG,1.5,1.2,0.42,1.35,27
NDC,378402101,Doxazosin Mesylate Tab 1 MG,1.72,1.38,0.48,1.55,27
NDC,378402201,Doxazosin Mesylate Tab 2 MG,1.72,1.38,0.48,1.55,27
NDC,378402401,Doxazosin Mesylate Tab 4 MG,1.8,1.44,0.5,1.62,27
NDC,378420178,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),9.23,7.39,1.0,8.31,27
NDC,378420278,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),12.39,9.92,1.0,11.15,27
NDC,378425001,Doxepin HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,378427577,Valacyclovir HCl Tab 500 MG,2.05,1.64,0.57,1.85,27
NDC,378427593,Valacyclovir HCl Tab 500 MG,3.78,3.03,1.05,3.4,27
NDC,378427677,Valacyclovir HCl Tab 1 GM,1.67,1.34,0.46,1.5,27
NDC,378427693,Valacyclovir HCl Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,378428885,Eletriptan Hydrobromide Tab 40 MG (Base Equivalent),12.8,10.24,3.55,11.52,27
NDC,378452593,Fingolimod HCl Cap 0.5 MG (Base Equiv),26.73,21.39,7.42,24.06,27
NDC,378454601,Amphetamine-Dextroamphetamine Tab 20 MG,1.89,1.52,0.52,1.7,27
NDC,378459577,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,378459610,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,378459677,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,378459777,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.63,1.31,0.45,1.47,27
NDC,378500193,Exemestane Tab 25 MG,8.32,6.66,2.31,7.49,27
NDC,378510501,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378511001,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,378543035,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),107.41,85.93,29.83,96.67,27
NDC,378551093,Olanzapine Orally Disintegrating Tab 5 MG,2.16,1.73,0.6,1.94,27
NDC,378561578,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,378563159,Sumatriptan Succinate Tab 50 MG,9.07,7.26,2.52,8.16,27
NDC,378617201,Metolazone Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,378617301,Metolazone Tab 5 MG,1.64,1.32,0.46,1.48,27
NDC,378623101,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,378623201,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,378623205,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,378623301,Citalopram Hydrobromide Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,378623305,Citalopram Hydrobromide Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,378632001,Verapamil HCl Cap ER 24HR 120 MG,3.67,2.94,1.02,3.3,27
NDC,378633380,Acamprosate Calcium Tab Delayed Release 333 MG,2.07,1.66,0.57,1.86,27
NDC,37864090501,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,37864090599,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,378641001,Doxepin HCl Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,378668877,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,378699152,Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv),82.82,66.26,0.04,74.54,27
NDC,378699252,Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv),2.07,1.66,0.04,1.86,27
NDC,378699331,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),12.11,9.69,0.05,10.9,27
NDC,378699789,Sodium Chloride Soln Nebu 3%,1.86,1.49,0.52,1.67,27
NDC,378700193,Paroxetine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,378700210,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,378700293,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,378700310,Paroxetine HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,378700393,Paroxetine HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,378701001,Loxapine Succinate Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,378702501,Loxapine Succinate Cap 25 MG,1.56,1.25,0.43,1.4,27
NDC,378705898,Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv),1.7,1.36,0.04,1.53,27
NDC,378710077,Fenofibrate Tab 54 MG,1.5,1.2,0.42,1.35,27
NDC,378710177,Fenofibrate Tab 160 MG,2.71,2.17,0.75,2.44,27
NDC,378715501,Budesonide Delayed Release Particles Cap 3 MG,28.98,23.19,8.05,26.08,27
NDC,378773293,Ondansetron Orally Disintegrating Tab 4 MG,5.86,4.69,2.4,21.06,27
NDC,378797031,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,27
NDC,378802093,Fluvastatin Sodium Cap 20 MG (Base Equivalent),7.11,5.69,1.97,6.4,27
NDC,378802193,Fluvastatin Sodium Cap 40 MG (Base Equivalent),8.99,7.2,2.5,8.09,27
NDC,378803077,Lansoprazole Cap Delayed Release 30 MG,1.5,1.2,0.42,1.35,27
NDC,378803093,Lansoprazole Cap Delayed Release 30 MG,1.7,1.36,0.47,1.53,27
NDC,378820001,Ketoprofen Cap ER 24HR 200 MG,14.15,11.32,3.93,12.74,27
NDC,378827031,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,378827052,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,378827062,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,378827064,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,378870006,Acyclovir Oint 5%,695.26,556.21,193.07,625.73,27
NDC,378876058,Cyclosporine (Ophth) Emulsion 0.05%,14.63,11.71,4.06,13.17,27
NDC,378876098,Cyclosporine (Ophth) Emulsion 0.05%,14.63,11.71,4.06,13.17,27
NDC,378905516,Lidocaine Patch 5%,20.61,16.49,5.72,18.55,27
NDC,378905593,Lidocaine Patch 5%,20.61,16.49,5.72,18.55,27
NDC,378907093,Rivastigmine TD Patch 24HR 4.6 MG/24HR,4.19,3.36,1.16,3.77,27
NDC,378910216,Nitroglycerin TD Patch 24HR 0.1 MG/HR,1.5,1.2,0.42,1.35,27
NDC,378910293,Nitroglycerin TD Patch 24HR 0.1 MG/HR,1.59,1.28,0.44,1.43,27
NDC,378910416,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.5,1.2,0.42,1.35,27
NDC,378910493,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.5,1.2,0.42,1.35,27
NDC,378911216,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.78,1.43,0.49,1.6,27
NDC,378911293,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.78,1.43,0.49,1.6,27
NDC,378911616,Nitroglycerin TD Patch 24HR 0.6 MG/HR,2.03,1.63,0.56,1.83,27
NDC,378911916,Fentanyl TD Patch 72HR 12 MCG/HR,21.06,16.85,5.85,18.95,27
NDC,378911998,Fentanyl TD Patch 72HR 12 MCG/HR,21.44,17.16,5.95,19.3,27
NDC,378912116,Fentanyl TD Patch 72HR 25 MCG/HR,17.86,14.29,4.96,16.07,27
NDC,378912198,Fentanyl TD Patch 72HR 25 MCG/HR,17.86,14.29,4.96,16.07,27
NDC,378912216,Fentanyl TD Patch 72HR 50 MCG/HR,32.0,25.6,8.89,28.8,27
NDC,378912316,Fentanyl TD Patch 72HR 75 MCG/HR,50.57,40.46,14.04,45.51,27
NDC,378967131,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,378967193,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,37900105,Hyoscyamine Sulfate Inj 0.5 MG/ML,229.2,183.36,63.65,206.28,27
NDC,38396054208,Glucose-Vitamin C Chew Tab 4-6 GM-MG,1.5,1.2,0.42,1.35,27
NDC,38396054263,Glucose-Vitamin C Chew Tab 4-6 GM-MG,1.5,1.2,0.42,1.35,27
NDC,38396090163,Glucose-Vitamin C Chew Tab 4-6 GM-MG,1.5,1.2,0.42,1.35,27
NDC,38396090363,Glucose-Vitamin C Chew Tab 4-6 GM-MG,1.5,1.2,0.42,1.35,27
NDC,386000103,Ethyl Chloride Aerosol Spray,87.07,69.66,24.18,78.36,27
NDC,386000113,Ethyl Chloride Aerosol Spray,82.06,65.65,22.79,73.85,27
NDC,38779035805,Valine Powder,58.32,46.66,16.2,52.49,27
NDC,38779061408,Dimethyl Sulfoxide - Solution,49.95,39.96,20.48,819.49,36
NDC,38779104604,Bismuth Subgallate Powder,31.39,25.12,8.72,28.25,27
NDC,38779175609,Fentanyl Citrate Powder,1460.0,1168.0,1.0,1314.0,27
NDC,38779196305,Thiamine HCl Powder,80.19,64.16,22.27,72.17,27
NDC,39328001716,Oral Vehicles - Syrup,14.8,11.84,0.42,25.29,54
NDC,39328005816,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.5,1.2,0.42,1.35,27
NDC,39328006325,Sodium Hypochlorite Soln 0.25%,24.26,19.41,6.74,21.83,27
NDC,39328006412,Sodium Hypochlorite Soln 0.125%,26.82,21.46,7.45,24.14,27
NDC,39328010710,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.5,1.2,0.42,1.35,27
NDC,395009016,Oral Vehicles - Syrup,10.965,8.775,0.42,18.39,54
NDC,395009416,Oral Vehicles - Syrup,26.82,21.46,7.45,24.14,27
NDC,395063516,Cod Liver Oil,89.4,71.52,24.83,80.46,27
NDC,395100392,Gentian Violet Soln 1%,11.15,8.92,3.1,10.04,27
NDC,395103116,Glycerin Liquid,1.5,1.2,0.42,1.35,27
NDC,395103196,Glycerin Liquid,9.08,7.27,2.52,8.17,27
NDC,395140194,Karaya Gum,57.35,45.88,15.93,51.62,27
NDC,395206311,Olive Oil,13.2,10.56,3.67,11.88,27
NDC,395266216,Cherry Syrup,1.5,1.2,0.42,1.35,27
NDC,39822019001,Acetazolamide Sodium For Inj 500 MG,67.16,53.73,1.0,60.44,27
NDC,39822031005,Neomycin Sulfate Tab 500 MG,1.92,1.54,0.53,1.73,27
NDC,39822031007,Neomycin Sulfate Tab 500 MG,1.92,1.54,0.53,1.73,27
NDC,39822041201,Tobramycin Sulfate For Inj 1.2 GM,226.03,180.83,1.0,203.43,54
NDC,39822070602,Streptomycin Sulfate For Inj 1 GM,44.26,35.41,1.0,39.83,27
NDC,39822100001,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),23.93,19.15,1.0,21.54,27
NDC,39822100001,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",23.93,19.15,6.65,21.54,27
NDC,39822103002,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),800.92,640.74,1.0,720.83,27
NDC,39822105505,Amphotericin B For IV Soln 50 MG,50.59,40.48,1.0,45.53,27
NDC,39822110001,Folic Acid Inj 5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,39822200001,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,39822210001,Dactinomycin For Inj 0.5 MG,1200.47,960.38,311.92,1080.42,36
NDC,39822210002,Dactinomycin For Inj 0.5 MG,652.14,521.72,267.38,838.46,36
NDC,39822301501,Nystatin Topical Powder 100000 Unit/GM,12.43,9.95,3.45,11.19,27
NDC,39822303001,Pentamidine Isethionate For Nebulization Soln 300 MG,202.91,162.33,52.22,182.62,27
NDC,39822303002,Pentamidine Isethionate For Nebulization Soln 300 MG,202.91,162.33,52.22,182.62,27
NDC,39822400001,Levetiracetam Inj 500 MG/5ML (100 MG/ML),40.59,32.48,1.0,36.53,27
NDC,39822420001,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,39822420002,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),27.63,22.11,7.67,24.87,27
NDC,39822625001,Desmopressin Acetate Inj 4 MCG/ML,21.0,16.8,3.35,18.9,36
NDC,4003822,Valganciclovir HCl Tab 450 MG (Base Equivalent),153.85,123.08,42.72,138.47,27
NDC,4003909,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),413.59,330.88,114.85,372.23,27
NDC,4026129,Mycophenolate Mofetil For Oral Susp 200 MG/ML,16.18,12.95,4.49,14.56,27
NDC,4029809,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),439.13,351.31,0.74,395.22,27
NDC,4029830,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),439.13,351.31,0.74,395.22,27
NDC,40565012249,Cadexomer Iodine Gel 0.9%,95.8,76.64,26.6,86.22,27
NDC,406012301,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012323,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012362,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012401,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012405,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012423,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012462,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012523,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,406012562,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,406048401,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,406048410,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,406048423,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,406048462,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,406051201,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406051223,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406051262,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,406052301,Oxycodone w/ Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,406052323,Oxycodone w/ Acetaminophen Tab 10-325 MG,3.11,2.49,0.86,2.8,27
NDC,406052362,Oxycodone w/ Acetaminophen Tab 10-325 MG,3.11,2.49,0.86,2.8,27
NDC,406055201,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,406055223,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,406055262,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,406114201,Methylphenidate HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,406114401,Methylphenidate HCl Tab 10 MG,2.03,1.63,0.56,1.83,27
NDC,406114601,Methylphenidate HCl Tab 20 MG,1.85,1.48,0.51,1.67,27
NDC,406117001,Naltrexone HCl Tab 50 MG,6.02,4.82,1.67,5.42,27
NDC,406117003,Naltrexone HCl Tab 50 MG,5.87,4.7,1.63,5.28,27
NDC,406144501,Methylphenidate HCl Tab ER 10 MG,2.73,2.19,0.76,2.46,27
NDC,406324301,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,406412303,Methadone HCl Conc 10 MG/ML,1.69,1.36,0.47,1.52,27
NDC,406511823,Morphine Sulfate Tab 15 MG,1.89,1.52,0.52,1.7,27
NDC,406511862,Morphine Sulfate Tab 15 MG,1.89,1.52,0.52,1.7,27
NDC,406575523,Methadone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,406575562,Methadone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,406577101,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,406577162,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,406800330,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),41.63,33.31,11.56,37.47,27
NDC,406831501,Morphine Sulfate Tab ER 15 MG,1.67,1.34,0.46,1.5,27
NDC,406831523,Morphine Sulfate Tab ER 15 MG,2.13,1.71,0.59,1.92,27
NDC,406831562,Morphine Sulfate Tab ER 15 MG,2.13,1.71,0.59,1.92,27
NDC,406833023,Morphine Sulfate Tab ER 30 MG,2.65,2.12,0.74,2.39,27
NDC,406833062,Morphine Sulfate Tab ER 30 MG,3.47,2.78,0.96,3.12,27
NDC,406838001,Morphine Sulfate Tab ER 60 MG,5.39,4.32,1.5,4.85,27
NDC,406838062,Morphine Sulfate Tab ER 60 MG,6.77,5.42,1.88,6.09,27
NDC,406839023,Morphine Sulfate Tab ER 100 MG,10.02,8.02,2.78,9.02,27
NDC,406839062,Morphine Sulfate Tab ER 100 MG,10.03,8.03,2.79,9.03,27
NDC,406888501,Amphetamine-Dextroamphetamine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,406889301,Amphetamine-Dextroamphetamine Tab 20 MG,2.91,2.33,0.81,2.62,27
NDC,406895401,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,2.76,2.21,0.77,2.48,27
NDC,406900076,Fentanyl TD Patch 72HR 100 MCG/HR,16.31,13.05,4.53,14.68,27
NDC,406902576,Fentanyl TD Patch 72HR 25 MCG/HR,17.87,14.3,4.96,16.08,27
NDC,406905076,Fentanyl TD Patch 72HR 50 MCG/HR,9.75,7.8,2.71,8.78,27
NDC,406907576,Fentanyl TD Patch 72HR 75 MCG/HR,13.53,10.83,3.76,12.18,27
NDC,406910076,Fentanyl TD Patch 72HR 100 MCG/HR,69.96,55.97,19.43,62.96,27
NDC,406911276,Fentanyl TD Patch 72HR 12 MCG/HR,41.67,33.34,11.57,37.5,27
NDC,406915076,Fentanyl TD Patch 72HR 50 MCG/HR,31.76,25.41,8.82,28.58,27
NDC,406917576,Fentanyl TD Patch 72HR 75 MCG/HR,50.82,40.66,14.11,45.74,27
NDC,406920230,Fentanyl Citrate Lozenge on a Handle 200 MCG,16.47,13.18,4.57,14.82,27
NDC,406920430,Fentanyl Citrate Lozenge on a Handle 400 MCG,19.36,15.49,5.38,17.42,27
NDC,406996001,Temazepam Cap 7.5 MG,17.12,13.7,4.75,15.41,27
NDC,407140152,Iohexol IV Soln 140 MG/ML,25.0,20.0,1.0,22.5,27
NDC,407141110,Iohexol Inj 180 MG/ML,226.5,181.2,1.0,203.85,27
NDC,407141120,Iohexol Inj 180 MG/ML,126.54,101.24,1.0,113.89,27
NDC,407141220,Iohexol Inj 240 MG/ML,130.14,104.12,1.0,117.13,27
NDC,407141361,Iohexol Inj 300 MG/ML,25.0,20.0,1.0,22.5,27
NDC,407141386,Iohexol Inj 300 MG/ML,25.0,20.0,1.0,22.5,27
NDC,407141482,Iohexhol Inj 350 mg/mL,25.0,20.0,1.0,22.5,27
NDC,407141484,Iohexol IV Soln 350 MG/ML,25.0,20.0,1.0,22.5,27
NDC,407141486,Iohexol IV Soln 350 MG/ML,25.0,20.0,1.0,22.5,27
NDC,407141489,Iohexol IV Soln 350 MG/ML,39.6,31.68,1.0,35.64,27
NDC,407141491,Iohexol IV Soln 350 MG/ML,39.6,31.68,1.0,35.64,27
NDC,407222217,Iodixanol Inj 270 MG/ML (Iodine Equivalent),390.63,312.51,1.0,351.57,27
NDC,407222317,Iodixanol Inj 320 MG/ML (Iodine Equivalent),299.7,239.76,1.0,269.73,27
NDC,407222364,Iodixanol Inj 320 MG/ML (Iodine Equivalent),299.7,239.76,1.0,269.73,27
NDC,407270718,Perflutren Protein-Type A Microspheres IV Susp,356.66,285.33,1.0,320.99,27
NDC,4080085,Oseltamivir Phosphate Cap 75 MG (Base Equiv),24.36,19.49,6.76,21.92,27
NDC,4080285,Oseltamivir Phosphate Cap 30 MG (Base Equiv),30.46,24.37,8.46,27.41,27
NDC,4082205,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),23.46,18.77,6.51,21.11,27
NDC,409000701,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409000710,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409000830,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,54
NDC,409012001,Daptomycin For IV Soln 350 MG,124.85,99.88,0.06,112.37,27
NDC,409012501,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,409012525,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,409014701,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409014710,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409015201,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,409015224,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,409018101,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),174.24,139.4,1.0,156.82,27
NDC,409018201,Gemcitabine HCl Inj 2 GM/52.6ML (38 MG/ML) (Base Equiv),93.09,74.48,1.0,83.78,27
NDC,409018301,Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv),34.85,27.88,1.0,31.37,27
NDC,409018325,Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,27
NDC,409018701,Gemcitabine HCl For Inj 2 GM,299.88,239.91,1.0,269.89,27
NDC,409020102,Docetaxel Soln for IV Infusion 20 MG/2ML,172.37,137.9,1.0,155.13,27
NDC,409020110,Docetaxel Soln for IV Infusion 80 MG/8ML,689.47,551.58,1.0,620.52,27
NDC,409030201,Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion),965.49,772.4,1.0,868.94,27
NDC,409052823,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,409080101,Pentostatin For Inj 10 MG,5580.78,4464.63,2288.12,5022.7,36
NDC,409082901,Aztreonam For Inj 1 GM,96.97,77.58,2.52,87.27,27
NDC,409082911,Aztreonam For Inj 1 GM,96.86,77.49,2.52,87.17,27
NDC,409110502,Atracurium Besylate IV Soln 100 MG/10ML,53.33,42.67,14.81,48.0,27
NDC,409110522,Atracurium Besylate IV Soln 100 MG/10ML,49.37,39.5,13.71,44.43,27
NDC,409110901,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,25.23,20.19,7.01,22.71,27
NDC,409110911,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,25.45,20.36,7.07,22.91,27
NDC,409111201,Busulfan Inj 6 MG/ML,269.44,215.56,0.84,242.5,36
NDC,409111210,Busulfan Inj 6 MG/ML,269.48,215.59,0.84,242.53,36
NDC,409111301,Indomethacin Sodium IV For Soln 1 MG,1566.65,1253.32,435.06,1409.99,27
NDC,409113405,Morphine Sulfate IV Soln 50 MG/ML,80.91,64.73,1.0,72.82,27
NDC,409114102,Sodium Chloride IV Soln 4 mEq/ML (23.4%),21.0,16.8,1.0,18.9,27
NDC,409114112,Sodium Chloride IV Soln 4 mEq/ML (23.4%),21.0,16.8,1.0,18.9,27
NDC,409114402,Verapamil HCl IV Soln 2.5 MG/ML,27.27,21.82,7.57,24.54,27
NDC,409114405,Verapamil HCl IV Soln 2.5 MG/ML,49.81,39.85,13.83,44.83,27
NDC,409115901,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409115902,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409115909,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409115918,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409115919,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409116201,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,409116202,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,409116209,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,409116219,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,409116502,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,27
NDC,409116519,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,27
NDC,409117102,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,409117630,Meperidine HCl Inj 25 MG/ML,22.75,18.2,1.0,20.48,27
NDC,409117830,Meperidine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409117930,Meperidine HCl Inj 75 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409118069,Meperidine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409120703,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409120713,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409120725,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409120901,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409120910,Lidocaine Inj 1.5% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409121901,Naloxone HCl Inj 4 MG/10ML,21.0,16.8,5.83,18.9,27
NDC,409127303,Diazepam Inj 5 MG/ML,51.81,41.45,1.0,46.63,27
NDC,409127332,Diazepam Inj 5 MG/ML,51.81,41.45,1.0,46.63,27
NDC,409128303,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409128304,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409128305,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409128317,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409128331,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409128337,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409131203,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409131230,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409131901,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),115.14,92.12,31.97,103.63,27
NDC,409132305,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,27
NDC,409132315,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,27
NDC,409133001,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,409133011,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,409136211,Meperidine HCl Inj 25 MG/ML,23.36,18.69,1.0,21.02,27
NDC,409146301,Nalbuphine HCl Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409146369,Nalbuphine HCl Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409146371,Nalbuphine HCl Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409146501,Nalbuphine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409146571,Nalbuphine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409155918,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409155919,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,409158229,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,27
NDC,409162601,Butorphanol Tartrate Inj 2 MG/ML,184.01,147.21,1.0,165.61,27
NDC,409162621,Butorphanol Tartrate Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409162642,Butorphanol Tartrate Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409163010,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409163015,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409163140,Calcium Chloride Inj 10%,32.67,26.14,9.07,29.4,27
NDC,409163201,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,409163221,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,409163249,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,409163401,Vecuronium Bromide For Inj 20 MG,33.19,26.56,9.22,29.87,27
NDC,409163485,Vecuronium Bromide For Inj 20 MG,33.19,26.56,9.22,29.87,27
NDC,409163802,Dexmedetomidine HCl IV Soln 200 MCG/2ML,294.64,235.72,81.82,265.18,27
NDC,409163832,Dexmedetomidine HCl IV Soln 200 MCG/2ML,23.0,18.4,6.39,20.7,27
NDC,409166010,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,244.47,195.58,67.89,220.02,27
NDC,409166020,Dexmedetomidine HCl in NaCl 0.9% IV Soln 80 MCG/20ML,76.56,61.25,1.0,68.9,27
NDC,409166050,"Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50*,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML",135.0,108.0,37.49,121.5,27
NDC,409166050,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,135.0,108.0,37.49,121.5,27
NDC,409174610,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409174630,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.92,17.54,6.09,19.73,27
NDC,409174671,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),27.67,22.14,7.68,24.9,27
NDC,409174910,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409174929,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409174971,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409175250,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,34.37,27.5,9.54,30.93,27
NDC,409175550,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,40.46,32.37,11.24,36.41,27
NDC,409176102,Bupivacaine 0.75% in Dextrose Inj 8.25%,21.0,16.8,5.83,18.9,27
NDC,409176110,Bupivacaine 0.75% in Dextrose Inj 8.25%,33.06,26.45,9.18,29.75,27
NDC,409177510,Dextrose Inj 25%,21.84,17.48,6.06,19.66,27
NDC,409177540,Dextrose Inj 25%,41.11,32.89,11.42,37.0,27
NDC,409177805,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,409177815,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,409178203,Naloxone HCl Soln Cartridge 0.4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409188602,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409188622,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409189001,Morphine Sulfate IV Soln PF 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189003,Morphine Sulfate IV Soln PF 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189101,Morphine Sulfate IV Soln PF 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189103,Morphine Sulfate IV Soln PF 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189113,Morphine Sulfate IV Soln PF 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189123,Morphine Sulfate IV Soln PF 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189201,Morphine Sulfate IV Soln PF 8 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189301,Morphine Sulfate IV Soln PF 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189303,Morphine Sulfate IV Soln PF 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189313,Morphine Sulfate IV Soln PF 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409189323,Morphine Sulfate IV Soln PF 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409190201,Procainamide HCl Inj 100 MG/ML,21.0,16.8,8.61,340.44,36
NDC,409190211,Procainamide HCl Inj 100 MG/ML,21.0,16.8,8.61,340.44,36
NDC,409190301,Procainamide HCl Inj 500 MG/ML,208.19,166.56,85.36,340.44,36
NDC,409193201,Adenosine IV Soln 3 MG/ML (Diagnostic),435.44,348.36,1.0,391.9,27
NDC,409193202,Adenosine IV Soln 3 MG/ML (Diagnostic),654.98,523.99,1.0,589.48,27
NDC,409196605,Bacteriostatic Sodium Chloride Inj Soln 0.9%,21.0,16.8,5.83,18.9,27
NDC,409196606,Bacteriostatic Sodium Chloride Inj Soln 0.9%,21.0,16.8,5.83,18.9,27
NDC,409196607,Bacteriostatic Sodium Chloride Inj Soln 0.9%,21.0,16.8,5.83,18.9,27
NDC,409196612,Bacteriostatic Sodium Chloride Inj Soln 0.9%,21.0,16.8,5.83,18.9,27
NDC,409198503,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409198530,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409205001,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),Magnesium Sulfate IV Soln 40 GM",21.75,17.4,1.0,19.58,27
NDC,409205020,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),21.75,17.4,1.0,19.58,27
NDC,409205105,Ketamine HCl Inj 100 MG/ML,32.89,26.32,9.13,29.6,27
NDC,409205115,Ketamine HCl Inj 100 MG/ML,32.84,26.28,9.12,29.56,27
NDC,409205310,Ketamine HCl Inj 50 MG/ML,27.97,22.38,7.77,25.17,27
NDC,409206605,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409216817,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,409216877,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,409222201,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",21.0,16.8,1.0,18.9,27
NDC,409226720,Labetalol HCl IV Soln 5 MG/ML,6.72,5.38,0.18,6.05,27
NDC,409230001,Ciprofloxacin 200 MG/100ML in D5W,21.0,16.8,1.0,18.9,27
NDC,409230504,Midazolam HCl Inj PF 5 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409230505,Midazolam HCl Inj PF 5 MG/5ML (Base Equivalent),2.02,1.62,0.56,1.82,27
NDC,409230516,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",4.55,3.64,1.0,4.1,27
NDC,409230517,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",4.55,3.64,1.0,4.1,27
NDC,409230550,Midazolam HCl Inj PF 5 MG/5ML (Base Equivalent),1.9,1.52,0.53,1.71,27
NDC,409230555,Midazolam HCl Inj PF 5 MG/5ML (Base Equivalent),2.18,1.75,0.61,1.96,27
NDC,409230802,"Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/ML (Base Equivalent)",21.0,16.8,5.83,18.9,27
NDC,409230802,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409230821,"Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/ML (Base Equivalent)",21.0,16.8,5.83,18.9,27
NDC,409230821,Midazolam HCl Inj PF 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409230850,Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409233715,Deferoxamine Mesylate For Inj 2 GM,119.41,95.53,1.0,107.47,27
NDC,409233725,Deferoxamine Mesylate For Inj 2 GM,119.41,95.53,1.0,107.47,27
NDC,409234401,Dobutamine HCl Inj 12.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409234402,Dobutamine HCl Inj 12.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409234462,Dobutamine HCl Inj 12.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409234488,Dobutamine HCl Inj 12.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409234731,Dobutamine in Dextrose 5% Inj 2 MG/ML,50.03,40.03,1.0,45.03,27
NDC,409234732,Dobutamine in Dextrose 5% Inj 2 MG/ML,40.24,32.2,1.0,36.22,27
NDC,409259605,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),23.49,18.8,1.0,21.14,27
NDC,409259613,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409259615,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409263405,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,36.63,29.31,10.17,32.97,27
NDC,409263425,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,30.45,24.36,8.46,27.41,27
NDC,409263450,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,493.73,394.99,137.11,444.36,27
NDC,409268901,Ampicillin & Sulbactam Sodium For IV Soln 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,409268921,Ampicillin & Sulbactam Sodium For IV Soln 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,409272032,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,409272101,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,409272130,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,409272301,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,409272330,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,409277623,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,43.5,34.8,1.0,39.15,27
NDC,409277623,"Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",43.5,34.8,1.0,39.15,27
NDC,409277623,"Milrinone in Dextrose IV Soln 20 MG/100 ML,Milrinone Lactate in Dextrose 5% IV Soln 20 MG/100ML",43.5,34.8,1.0,39.15,27
NDC,409298703,Ampicillin & Sulbactam Sodium For IV Soln 3 (2-1) GM,22.14,17.72,1.0,19.93,27
NDC,409298723,Ampicillin & Sulbactam Sodium For IV Soln 3 (2-1) GM,22.14,17.72,1.0,19.93,27
NDC,409317701,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,21.0,16.8,5.83,18.9,27
NDC,409317801,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409317802,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409317803,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409317816,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409317817,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409318201,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409318202,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409318203,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409318211,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409318221,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,409318301,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409318311,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409318905,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),22.61,18.09,6.28,20.35,27
NDC,409318905,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),22.61,18.09,6.28,20.35,27
NDC,409318910,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),22.61,18.09,6.28,20.35,27
NDC,409321312,Diazepam Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409329415,Potassium Acetate Inj 2 mEq/ML,37.63,30.11,10.45,33.87,27
NDC,409329425,Potassium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409329451,Potassium Acetate Inj 2 mEq/ML,38.06,30.45,10.57,34.25,27
NDC,409329461,Potassium Acetate Inj 2 mEq/ML,38.06,30.45,10.57,34.25,27
NDC,409329905,Sodium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409329906,Sodium Acetate Inj 2 mEq/ML,21.75,17.4,6.04,19.58,27
NDC,409329925,Sodium Acetate Inj 2 mEq/ML,22.62,18.1,6.28,20.36,27
NDC,409330001,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,27
NDC,409330024,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,27
NDC,409330703,Acetylcysteine Inhal Soln 10%,23.49,18.8,6.52,21.14,27
NDC,409330803,Acetylcysteine Inhal Soln 20%,24.14,19.32,6.7,21.73,27
NDC,409336511,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409337504,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),74.12,59.3,20.58,66.71,27
NDC,409337514,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),27.14,21.72,7.54,24.43,27
NDC,409338211,Sufentanil Citrate Inj 50 MCG/ML,28.84,23.08,8.01,25.96,27
NDC,409338221,Sufentanil Citrate Inj 50 MCG/ML,28.84,23.08,8.01,25.96,27
NDC,409338222,Sufentanil Citrate Inj 100 MCG/2ML (50 MCG/ML),25.89,20.72,7.19,23.3,27
NDC,409341401,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409341418,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409341421,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,409350722,Imipenem-Cilastatin Intravenous For Soln 500 MG,96.14,76.92,1.0,86.53,27
NDC,409357801,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,27
NDC,409357811,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,27
NDC,409361301,Bupivacaine 0.75% in Dextrose Inj 8.25%,21.0,16.8,5.83,18.9,27
NDC,409361311,Bupivacaine 0.75% in Dextrose Inj 8.25%,21.0,16.8,5.83,18.9,27
NDC,409379501,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,409379501,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,409379601,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,36
NDC,409379601,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",21.0,16.8,0.29,18.9,36
NDC,409381412,Morphine Sulfate Inj PF 0.5 MG/ML,23.1,18.48,1.0,20.79,27
NDC,409381511,Morphine Sulfate Inj PF 1 MG/ML,24.97,19.98,1.0,22.47,27
NDC,409381512,Morphine Sulfate Inj PF 1 MG/ML,24.06,19.25,1.0,21.65,27
NDC,409397703,"Water For Inject, Bacteriostatic Benzyl Alcohol",21.0,16.8,1.0,18.9,27
NDC,409401101,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409403101,Mannitol IV Soln 25%,21.0,16.8,1.0,18.9,27
NDC,409403116,Mannitol IV Soln 25%,21.0,16.8,1.0,18.9,27
NDC,409409201,Cupric Chloride Inj 0.4 MG/ML,77.08,61.67,21.41,69.37,27
NDC,409409201,Cupric Chloride Inj 0.4 MG/ML (Elemental),77.08,61.67,1.0,69.37,27
NDC,409409301,Chromic Chloride Inj 40 MCG/10ML (4 MCG/ML) (Elemental Cr),99.14,79.32,27.53,89.23,27
NDC,409409311,Chromic Chloride Inj 40 MCG/10ML (4 MCG/ML),73.86,59.09,20.51,66.47,27
NDC,409420801,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409420810,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409426401,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409426411,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409427601,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,409427602,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,409427616,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,409427617,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,409427701,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409427702,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409427716,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409427717,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409427801,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,21.0,16.8,5.83,18.9,27
NDC,409427816,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,21.0,16.8,5.83,18.9,27
NDC,409427902,Lidocaine HCl Local Preservative Free (PF) Inj 1%,21.0,16.8,1.0,18.9,54
NDC,409427916,Lidocaine HCl Local Preservative Free (PF) Inj 1%,21.0,16.8,5.83,18.9,27
NDC,409428201,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",12.88,10.31,3.58,11.59,27
NDC,409428201,Lidocaine HCl Local Preservative Free (PF) Inj 2%,7.085000000000001,5.675000000000001,0.36,11.59,54
NDC,409428202,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,409428202,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409428211,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,54
NDC,409428212,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,409428301,"Lidocaine HCl Local Inj 4%,Lidocaine HCl Soln 4%,Lidocaine HCl Local Preservative Free (PF) Inj 4%",21.0,16.8,5.83,18.9,27
NDC,409428301,Lidocaine HCl Local Preservative Free (PF) Inj 4%,21.0,16.8,5.83,18.9,27
NDC,409428311,Lidocaine HCl Local Preservative Free (PF) Inj 4%,21.0,16.8,5.83,18.9,27
NDC,409428325,Lidocaine HCl Local Preservative Free (PF) Inj 4%,21.0,16.8,5.83,18.9,27
NDC,409433201,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,409434616,Aminocaproic Acid Inj 250 MG/ML,26.1,20.88,7.25,23.49,27
NDC,409434673,Aminocaproic Acid Inj 250 MG/ML,26.97,21.58,7.49,24.27,27
NDC,409444401,Levofloxacin in D5W IV Soln 750 MG/150ML,21.0,16.8,1.0,18.9,27
NDC,409468812,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,28.71,22.97,1.0,25.84,27
NDC,409468816,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,28.71,22.97,1.0,25.84,27
NDC,409468822,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,30.45,24.36,1.0,27.41,27
NDC,409469924,Propofol IV Emul 1000 MG/100ML (10 MG/ML),134.5,107.6,1.0,121.05,27
NDC,409469933,Propofol IV Emul 500 MG/50ML (10 MG/ML),67.25,53.8,1.0,60.53,27
NDC,409469953,Propofol IV Emul 500 MG/50ML (10 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409469954,Propofol IV Emul 1000 MG/100ML (10 MG/ML),71.4,57.12,1.0,64.26,27
NDC,409471302,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",8.085,6.470000000000001,1.28,10.4,54
NDC,409471302,Lidocaine HCl Local Preservative Free (PF) Inj 1%,2.31,1.85,0.64,2.08,27
NDC,409471312,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",21.0,16.8,5.83,18.9,27
NDC,409471332,Lidocaine HCl Local Preservative Free (PF) Inj 1%,4.48,3.59,1.24,4.03,27
NDC,409475503,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409475518,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409475901,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409477702,Ciprofloxacin 400 MG/200ML in D5W,21.0,16.8,1.0,18.9,27
NDC,409477723,Ciprofloxacin 200 MG/100ML in D5W,21.0,16.8,1.0,18.9,27
NDC,409490024,Sodium Bicarbonate IV Soln 8.4%,50.2,40.16,1.0,45.18,27
NDC,409490234,Dextrose Inj 50%,34.8,27.84,1.0,31.32,27
NDC,409490311,"Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,409490311,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,27
NDC,409490311,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,409490334,"Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,409490334,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,27
NDC,409490334,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,409491111,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409491134,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409492811,Calcium Chloride Inj 10%,35.24,28.2,9.79,31.72,27
NDC,409492834,Calcium Chloride Inj 10%,35.24,28.2,9.79,31.72,27
NDC,409493311,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),21.0,16.8,5.83,18.9,27
NDC,409508211,Ceftazidime For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,409508216,Ceftazidime For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,409508411,Ceftazidime For IV Soln 2 GM,23.88,19.11,1.0,21.49,27
NDC,409508413,Ceftazidime For IV Soln 2 GM,23.88,19.11,1.0,21.49,27
NDC,409509216,Ceftazidime For IV Soln 1 GM,21.0,16.8,1.0,18.9,27
NDC,409509216,"Ceftazidime For IV Soln 1 GM,Ceftazidime For Inj 1 GM",21.0,16.8,5.83,18.9,27
NDC,409509311,Ceftazidime For IV Soln 2 GM,41.5,33.2,1.0,37.35,27
NDC,409553414,Sodium Bicarbonate IV Soln 4.2%,38.89,31.12,10.8,35.0,27
NDC,409553424,Sodium Bicarbonate IV Soln 4.2%,38.89,31.12,10.8,35.0,27
NDC,409555502,Sodium Bicarbonate IV Soln 4.2%,21.0,16.8,5.83,18.9,27
NDC,409555512,Sodium Bicarbonate IV Soln 4.2%,21.0,16.8,5.83,18.9,27
NDC,409582001,Dopamine HCl Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409582011,Dopamine HCl Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409592101,Aminophylline Inj 25 MG/ML,39.67,31.74,1.0,35.7,27
NDC,409592116,Aminophylline Inj 25 MG/ML,43.07,34.46,1.0,38.76,27
NDC,409592201,Aminophylline Inj 25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409610202,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610204,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610210,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610218,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610219,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610220,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610225,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610226,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610227,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409610235,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,409648201,Erythromycin Lactobionate For Inj 500 MG,293.49,234.8,81.5,264.14,27
NDC,409648211,Erythromycin Lactobionate For Inj 500 MG,308.63,246.91,83.64,277.77,27
NDC,409650901,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),299.58,239.67,83.19,269.62,27
NDC,409650949,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),88.52,70.82,24.58,79.67,27
NDC,409651001,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),720.93,576.75,200.2,648.84,27
NDC,409653102,Vancomycin HCl For IV Soln 750 MG (Base Equivalent),30.41,24.33,8.44,27.37,27
NDC,409653112,Vancomycin HCl For IV Soln 750 MG (Base Equivalent),30.41,24.33,8.44,27.37,27
NDC,409653311,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,409653321,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,409656201,Testosterone Cypionate IM Inj in Oil 200 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409662514,Sodium Bicarbonate IV Soln 8.4%,34.58,27.67,1.0,31.12,27
NDC,409662522,Sodium Bicarbonate IV Soln 8.4%,38.06,30.45,1.0,34.25,27
NDC,409663501,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,409663518,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,409663714,Sodium Bicarbonate IV Soln 8.4%,36.11,28.89,1.0,32.5,27
NDC,409663724,Sodium Bicarbonate IV Soln 8.4%,36.11,28.89,1.0,32.5,27
NDC,409664802,Dextrose Inj 50%,21.0,16.8,1.0,18.9,27
NDC,409665106,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,409665119,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,409665305,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,409665318,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,409672723,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,21.0,16.8,1.0,18.9,27
NDC,409672903,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409672903,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),Magnesium Sulfate IV Soln 40 GM",21.0,16.8,1.0,18.9,27
NDC,409672924,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",45.02,36.02,1.0,40.52,54
NDC,409677802,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409677811,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409724803,Hetastarch (HES /0.7 or /0.75) 6% in NaCl 0.9% IV Soln,43.5,34.8,12.08,39.15,27
NDC,409724813,Hetastarch (HES /0.7 or /0.75) 6% in NaCl 0.9% IV Soln,43.5,34.8,12.08,39.15,27
NDC,409729501,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",57.49,46.0,1.0,51.74,27
NDC,409729511,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",57.49,46.0,1.0,51.74,27
NDC,409729925,Sodium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409729945,Sodium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409729973,Sodium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409729983,Sodium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409733201,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,409733211,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,409733304,Ceftriaxone Sodium For IV Soln 1 GM,21.0,16.8,1.0,18.9,27
NDC,409733349,Ceftriaxone Sodium For IV Soln 1 GM,21.0,16.8,1.0,18.9,27
NDC,409733410,Ceftriaxone Sodium For Inj 10 GM,62.38,49.91,1.0,56.14,27
NDC,409733503,Ceftriaxone Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,27
NDC,409733513,Ceftriaxone Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,27
NDC,409733604,Ceftriaxone Sodium For IV Soln 2 GM,30.54,24.44,1.0,27.49,27
NDC,409733701,Ceftriaxone Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,409733801,Ceftriaxone Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,409733811,Ceftriaxone Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,409739172,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),55.53,44.43,1.0,49.98,27
NDC,409751716,Dextrose Inj 50%,30.45,24.36,1.0,27.41,27
NDC,409751766,Dextrose Inj 50%,33.06,26.45,1.0,29.75,27
NDC,409762003,Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,21.0,16.8,1.0,18.9,27
NDC,409762003,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",21.0,16.8,1.0,18.9,54
NDC,409762049,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",21.0,16.8,1.0,18.9,27
NDC,409762059,"Heparin Sod (Porcine)-NaCl IV Soln 1000 Unit/500ML-0.9%,Heparin Sod (Porcine)-NaCl IV Soln 2000 Unit/L-0.9%",21.0,16.8,1.0,18.9,27
NDC,409779352,Heparin Sodium (Porcine) 100 Unit/ML in D5W,27.19,21.76,1.0,24.47,27
NDC,409780911,Dopamine in Dextrose 5% Inj 1.6 MG/ML,26.1,20.88,1.0,23.49,27
NDC,409780922,Dopamine in Dextrose 5% Inj 1.6 MG/ML,26.1,20.88,1.0,23.49,27
NDC,409781011,Dopamine in Dextrose 5% Inj 3.2 MG/ML,40.24,32.2,1.0,36.22,27
NDC,409781022,Dopamine in Dextrose 5% Inj 3.2 MG/ML,40.24,32.2,1.0,36.22,27
NDC,409781124,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,409781137,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,409818311,Potassium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,409818325,Potassium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,40985021245,Vitamin E Cap 180 MG (400 Unit),1.5,1.2,0.42,1.35,27
NDC,40985027492,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.5,1.2,0.42,1.35,27
NDC,40985027493,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.5,1.2,0.42,1.35,27
NDC,40985027495,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.5,1.2,0.42,1.35,27
NDC,409904201,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409904211,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409904217,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409904511,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409904516,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409904517,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,409909412,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,1.96,1.57,0.54,1.76,27
NDC,409909412,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",7.84,6.28,1.0,7.06,27
NDC,409909418,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,2.66,2.13,0.74,2.39,27
NDC,409909422,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,3.92,3.14,1.0,3.53,27
NDC,409909425,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,2.95,2.36,0.82,2.66,27
NDC,409909431,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,2.39,1.92,0.66,2.15,27
NDC,409909441,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,21.0,16.8,1.0,18.9,27
NDC,409909461,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,0.98,0.79,0.27,1.0,27
NDC,409910420,Dopamine HCl Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409915701,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,409915801,Phytonadione Inj 10 MG/ML,150.03,120.03,1.0,135.03,27
NDC,409915825,Phytonadione Inj 10 MG/ML,168.3,134.64,1.0,151.47,27
NDC,409915831,Phytonadione Inj 10 MG/ML,103.47,82.78,1.0,93.12,54
NDC,409930010,Ropivacaine HCl Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409930011,Ropivacaine HCl Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409930131,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,409955805,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),30.1,24.08,8.36,27.09,27
NDC,409955805,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),30.1,24.08,8.36,27.09,27
NDC,409955811,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),30.1,24.08,8.36,27.09,27
NDC,409955831,Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,409955849,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),28.65,22.92,7.96,25.79,27
NDC,409955849,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),28.65,22.92,7.96,25.79,27
NDC,41100081123,Oxymetazoline HCl Nasal Soln 0.05%,14.78,11.83,4.1,13.3,27
NDC,41100081124,Vitamins A & D Oint,10.68,8.55,2.97,9.61,27
NDC,4110020,Capecitabine Tab 150 MG,21.31,17.05,0.03,19.18,36
NDC,4110150,Capecitabine Tab 500 MG,114.18,91.35,0.03,102.76,36
NDC,41167000210,Hydrocortisone Cream 1%,13.46,10.77,3.74,12.11,27
NDC,41167000879,Menthol-Methyl Salicylate Ointment,12.86,10.29,3.57,11.57,27
NDC,41167001056,Hydrocortisone Cream 1%,11.34,9.08,3.15,10.21,27
NDC,41167005723,Trolamine Salicylate Cream 10%,13.54,10.84,3.76,12.19,27
NDC,41167030012,Acetaminophen-Pamabrom-Pyrilamine Tab 500-25-15 MG,1.5,1.2,0.42,1.35,27
NDC,41167057303,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),36.99,29.6,10.27,33.29,27
NDC,41679036503,Medium Chain Triglycerides Oral Oil,61.3,49.04,17.02,55.17,27
NDC,41679036513,Medium Chain Triglycerides Oral Oil,61.3,49.04,17.02,55.17,27
NDC,42023010301,Epinephrine HCl Nasal Soln 0.1%,480.33,384.27,133.39,432.3,27
NDC,42023010501,Methohexital Sodium For Inj 500 MG,162.86,130.29,45.23,146.57,27
NDC,42023010701,"Colistimethate Sod For Inj 150 MG (Colistin Base Activity),Colistimethate Sod For Inj 150 MG (Colistin Base Activity)",52.2,41.76,1.0,46.98,27
NDC,42023011410,Ketamine HCl Inj 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,42023011510,Ketamine HCl Inj 100 MG/ML,53.9,43.12,14.97,48.51,27
NDC,42023011602,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,42023011625,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,42023011925,Trimethobenzamide HCl Inj 100 MG/ML,43.96,35.17,1.0,39.56,27
NDC,42023012306,Dantrolene Sodium For IV Soln 20 MG,304.03,243.23,84.43,273.63,27
NDC,42023012401,Dantrolene Sodium Cap 25 MG,1.83,1.47,0.51,1.65,27
NDC,42023014625,Dexmedetomidine HCl IV Soln 200 MCG/2ML,156.6,125.28,43.49,140.94,27
NDC,42023015701,Ethacrynate Sodium For Inj 50 MG,6404.18,5123.35,1778.44,5763.76,27
NDC,42023015901,Epinephrine Inj 1 MG/ML (1:1000),21.0,16.8,5.83,18.9,27
NDC,42023015925,Epinephrine Inj 1 MG/ML (1:1000),21.0,16.8,5.83,18.9,27
NDC,42023015925,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",56.55,45.24,15.7,50.9,27
NDC,42023016425,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),96.19,76.96,2.56,86.57,27
NDC,42023016801,Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),806.49,645.2,223.96,725.84,27
NDC,42023016801,"Epinephrine Inj 30 MG/30ML (1 MG/ML) (1:1000),Epinephrine Inj 30 MG/30ML,Epinephrine Inj 1 MG/ML (1:1000),Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML",806.49,645.2,223.96,725.84,27
NDC,42023017901,Buprenorphine HCl Inj 0.3 MG/ML (Base Equiv),26.09,20.88,1.0,23.48,27
NDC,42023017905,Buprenorphine HCl Inj 0.3 MG/ML (Base Equiv),26.09,20.88,1.0,23.48,27
NDC,42023018620,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,199.5,159.6,55.4,179.55,27
NDC,42023020101,Levothyroxine Sodium For IV Inj 100 MCG,429.87,343.9,119.37,386.88,27
NDC,42023021401,Phenylephrine HCl IV Soln 10 MG/ML,88.89,71.12,0.01,80.0,27
NDC,42023021410,Phenylephrine HCl IV Soln 10 MG/ML,88.89,71.12,0.01,80.0,27
NDC,42023021601,Ephedrine Sulfate IV Soln 50 MG/ML,51.2,40.96,14.22,46.08,27
NDC,42023021625,Ephedrine Sulfate IV Soln 50 MG/ML,51.2,40.96,14.22,46.08,27
NDC,42023022901,Micafungin Sodium For IV Soln 50 MG,98.94,79.16,0.4,89.05,27
NDC,42023050001,"Epinephrine HCl-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML)",257.74,206.2,1.0,231.97,27
NDC,42023050010,"Epinephrine HCl-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML),Epinephrine-NaCl IV Soln 8 MG/250ML-0.9% (32 MCG/ML)",257.74,206.2,1.0,231.97,27
NDC,42037010427,Aspirin Tab Delayed Release 81 MG,1.5,1.2,0.42,1.35,27
NDC,42043039021,Granisetron HCl Tab 1 MG,5.08,4.07,1.0,4.57,27
NDC,42043039040,Granisetron HCl Tab 1 MG,5.08,4.07,1.0,4.57,27
NDC,42192033001,Thyroid Tab 60 MG (1 Grain),1.5,1.2,0.42,1.35,27
NDC,42192033901,Hyoscyamine Sulfate SL Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,42192034001,Hyoscyamine Sulfate Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,42192036610,Salsalate Tab 750 MG,4.35,3.48,1.21,3.92,27
NDC,42192060840,Gabapentin Oral Soln 250 MG/5ML,7.68,6.15,2.13,6.91,27
NDC,42192080201,Phenazopyridine HCl Tab 200 MG,3.0,2.4,0.83,2.7,27
NDC,42227008301,C1 Esterase Inhibitor (Human) For IV Inj 500 Unit,6118.04,4894.44,60.73,5506.24,36
NDC,42291018490,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.5,1.2,0.42,1.35,27
NDC,42291018590,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.5,1.2,0.42,1.35,27
NDC,42291056290,Midodrine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,42291066590,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,42291066790,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,42367020307,Argatroban IV Soln 50 MG/50ML (1 MG/ML),786.25,629.0,1.21,707.63,27
NDC,42367020384,Argatroban IV Soln 50 MG/50ML (1 MG/ML),699.12,559.3,1.21,629.21,27
NDC,42367057022,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),86.21,68.97,2.56,77.59,27
NDC,42385095330,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,2.09,1.68,0.58,1.88,27
NDC,42388002326,Cabozantinib S-Malate Tab 60 MG (Base Equivalent),1574.18,1259.35,437.15,1416.76,27
NDC,42388002426,Cabozantinib S-Malate Tab 20 MG (Base Equivalent),1574.18,1259.35,437.15,1416.76,27
NDC,42388002526,Cabozantinib S-Malate Tab 40 MG (Base Equivalent),1574.18,1259.35,437.15,1416.76,27
NDC,42494030100,Hydrocortisone Acetate Suppos 25 MG,2.42,1.94,0.67,2.18,27
NDC,42494030112,Hydrocortisone Acetate Suppos 25 MG,2.42,1.94,0.67,2.18,27
NDC,42494041501,Phenobarbital Sodium Inj 65 MG/ML,71.91,57.53,1.0,64.72,27
NDC,42494041525,Phenobarbital Sodium Inj 65 MG/ML,71.91,57.53,1.0,64.72,27
NDC,42494041601,Phenobarbital Sodium Inj 130 MG/ML,207.32,165.86,1.0,186.59,27
NDC,42494041625,Phenobarbital Sodium Inj 130 MG/ML,207.32,165.86,1.0,186.59,27
NDC,42543014101,Hydrocortisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,42543040701,Potassium Citrate Tab ER 10 MEQ (1080 MG),2.73,2.19,0.76,2.46,27
NDC,42543049301,Amantadine HCl Cap 100 MG,2.03,1.63,0.56,1.83,27
NDC,42571013725,Ketorolac Tromethamine Ophth Soln 0.5%,23.52,18.82,6.53,21.17,27
NDC,42571013726,Ketorolac Tromethamine Ophth Soln 0.5%,37.37,29.9,10.38,33.63,27
NDC,42571014126,Dorzolamide HCl Ophth Soln 2%,85.24,68.2,23.67,76.72,27
NDC,42571014726,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,125.25,100.2,34.78,112.73,27
NDC,42571016201,Amoxicillin & K Clavulanate Tab 875-125 MG,1.5,1.2,0.42,1.35,27
NDC,42571024301,Acetazolamide Cap ER 12HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,42571024469,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),21.0,16.8,1.0,18.9,27
NDC,42571026575,Nitroprusside Sodium IV Soln 25 MG/ML,305.28,244.23,84.78,274.75,27
NDC,42571034330,Clomipramine HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,42571034401,Clomipramine HCl Cap 75 MG,3.43,2.75,0.95,3.09,27
NDC,42571034430,Clomipramine HCl Cap 75 MG,1.5,1.2,0.42,1.35,27
NDC,42658000801,Dactinomycin For Inj 0.5 MG,977.01,781.61,311.92,879.31,36
NDC,42658001001,Cladribine IV Soln 10 MG/10ML (1 MG/ML),527.25,421.8,10.14,474.53,36
NDC,42658002101,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),141.62,113.3,20.61,127.46,36
NDC,42658002102,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),89.05,71.24,20.61,80.15,36
NDC,42702010210,Phenylephrine HCl Ophth Soln 2.5%,150.47,120.38,41.79,135.42,27
NDC,42702010215,Phenylephrine HCl Ophth Soln 2.5%,227.65,182.12,63.22,204.89,27
NDC,42702010305,Phenylephrine HCl Ophth Soln 10%,101.2,80.96,28.1,91.08,27
NDC,42747072601,Granisetron TD Patch 3.1 MG/24HR (Contains 34.3 MG),920.94,736.76,255.75,828.85,27
NDC,42794001802,Liothyronine Sodium Tab 5 MCG,1.5,1.2,0.42,1.35,27
NDC,42794001812,Liothyronine Sodium Tab 5 MCG,1.71,1.37,0.47,1.54,27
NDC,42794001902,Liothyronine Sodium Tab 25 MCG,1.79,1.44,0.5,1.61,27
NDC,42799040501,Ethacrynic Acid Tab 25 MG,50.36,40.29,13.98,45.32,27
NDC,42799080601,Ivermectin Tab 3 MG,10.45,8.36,2.9,9.41,27
NDC,42806000501,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,42806001101,Sulindac Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,42806001105,Sulindac Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,42806001801,Sulindac Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,42806005801,Flavoxate HCl Tab 100 MG,2.35,1.88,0.65,2.12,27
NDC,42806009499,Potassium Chloride Powder Packet 20 mEq,13.53,10.83,3.76,12.18,27
NDC,42806014301,Demeclocycline HCl Tab 150 MG,7.59,6.08,2.11,6.83,27
NDC,42806014448,Demeclocycline HCl Tab 300 MG,20.01,16.01,5.56,18.01,27
NDC,42806014731,Azithromycin For Susp 100 MG/5ML,8.78,7.03,2.44,7.9,27
NDC,42806015134,Azithromycin For Susp 200 MG/5ML,4.78,3.83,1.96,25.19,27
NDC,42806026401,Isradipine Cap 5 MG,3.29,2.64,0.91,2.96,27
NDC,42806035925,Leucovorin Calcium Tab 25 MG,15.88,12.71,4.41,14.29,27
NDC,42806040021,Methylprednisolone Tab Therapy Pack 4 MG (21),7.99,6.4,2.22,7.19,27
NDC,42806050109,Nicardipine HCl Cap 20 MG,3.16,2.53,0.88,2.84,27
NDC,42806050301,Ursodiol Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,42806060309,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,42806065830,Entecavir Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,42806071401,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,42806071405,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,42806075760,Sulfadiazine Tab 500 MG,40.2,32.16,11.16,36.18,27
NDC,42858000101,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,42858000110,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,42858011830,Lidocaine Patch 5%,5.72,4.58,1.59,5.15,27
NDC,42858030101,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,42858030125,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,42858030416,Hydromorphone HCl Liqd 1 MG/ML,1.5,1.2,0.42,1.35,27
NDC,42858066045,Fenofibrate Tab 160 MG,1.5,1.2,0.42,1.35,27
NDC,42858070101,Theophylline Tab ER 24HR 400 MG,2.27,1.82,0.63,2.04,27
NDC,42858080101,Morphine Sulfate Tab ER 15 MG,1.5,1.2,0.42,1.35,27
NDC,42858080201,Morphine Sulfate Tab ER 30 MG,1.5,1.2,0.42,1.35,27
NDC,42937070210,Phenazopyridine HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,43066000710,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,43066000801,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,43066000801,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,43066000810,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,43066000810,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,43066002310,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,43066003101,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,43066008910,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1173.41,938.73,15.27,1056.07,36
NDC,43066009001,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,43066009025,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,43066015010,Amiodarone HCl in Dextrose 4.21% IV Soln 150 MG/100ML,60.47,48.38,3.92,54.42,27
NDC,43066036020,Amiodarone HCl in Dextrose 4.14% IV Soln 360 MG/200ML,69.6,55.68,3.92,62.64,27
NDC,43199001101,Hyoscyamine Sulfate SL Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,43199001301,Hyoscyamine Sulfate Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,43292055538,Riboflavin Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,43386003860,Voriconazole For Susp 40 MG/ML,54.03,43.23,15.0,48.63,27
NDC,43386009019,PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM,5.4,4.32,1.5,4.86,27
NDC,43386016006,Misoprostol Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,43386016101,Misoprostol Tab 200 MCG,1.92,1.54,0.53,1.73,27
NDC,43386016106,Misoprostol Tab 200 MCG,1.92,1.54,0.53,1.73,27
NDC,43386019430,Potassium Chloride Powder Packet 20 mEq,13.8,11.04,3.83,12.42,27
NDC,43386019490,Potassium Chloride Powder Packet 20 mEq,13.8,11.04,3.83,12.42,27
NDC,43386048024,Orphenadrine Citrate Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,43386068001,Pentazocine w/ Naloxone HCl Tab 50-0.5 MG,2.6,2.08,0.72,2.34,27
NDC,43386077001,Flucytosine Cap 500 MG,200.66,160.53,55.72,180.59,27
NDC,43528000301,Hepatitis B Vaccine Recomb Adjuvanted Pref Syr 20 MCG/0.5ML,401.29,321.04,158.87,361.16,36
NDC,43528000305,Hepatitis B Vaccine Recomb Adjuvanted Pref Syr 20 MCG/0.5ML,401.29,321.04,158.87,361.16,36
NDC,43547022215,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,43547022650,Methocarbamol Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,43547026810,Ropinirole Hydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,43547026910,Ropinirole Hydrochloride Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,43547027010,Ropinirole Hydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,43547027503,Donepezil Hydrochloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,43547027509,Donepezil Hydrochloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,43547027609,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,43547027611,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,43547028010,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,43547028110,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,43547028210,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,43547028850,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,43547028950,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,43547029603,Febuxostat Tab 80 MG,2.09,1.68,0.58,1.88,27
NDC,43547031209,Valsartan-Hydrochlorothiazide Tab 160-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,43547031309,Valsartan-Hydrochlorothiazide Tab 160-25 MG,1.5,1.2,0.42,1.35,27
NDC,43547033610,Benazepril HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,43547033710,Benazepril HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,43547034306,Risperidone Tab 3 MG,1.5,1.2,0.42,1.35,27
NDC,43547038103,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,43547040110,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,43547040210,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,43547040310,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,43547040610,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,43547040611,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,43547040710,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,43547041009,Quinapril HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,43547041209,Quinapril HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,43547042309,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,43547052603,Nebivolol HCl Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,43547054401,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,43547054425,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,43598005011,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,43598005025,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,43598005111,Calcitonin (Salmon) Inj 200 Unit/ML,415.41,332.33,170.32,1296.36,36
NDC,43598008511,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),78.54,62.84,2.56,70.69,27
NDC,43598008525,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),78.54,62.84,2.56,70.69,27
NDC,43598008611,Doxycycline Hyclate For Inj 100 MG,27.6,22.08,7.66,24.84,27
NDC,43598008658,Doxycycline Hyclate For Inj 100 MG,27.6,22.08,7.66,24.84,27
NDC,43598012725,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,43598012745,Methylprednisolone Sod Succ For Inj 40 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,43598012811,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),88.83,71.07,0.2,79.95,36
NDC,43598012901,Methylprednisolone Sod Succ For Inj 125 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,43598013074,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),94.09,75.28,0.2,84.68,36
NDC,43598016405,Olanzapine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,43598016430,Olanzapine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,43598016530,Olanzapine Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,43598016605,Olanzapine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,43598016630,Olanzapine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,43598017205,Phenylephrine HCl (PF) IV Soln 0.5 MG/5ML (100 MCG/ML),21.0,16.8,0.18,18.9,27
NDC,43598017215,Phenylephrine HCl (PF) IV Soln 0.5 MG/5ML (100 MCG/ML),21.0,16.8,0.18,18.9,27
NDC,43598021055,Silver Sulfadiazine Cream 1%,24.03,19.23,6.67,21.63,27
NDC,43598026520,Propofol IV Emul 200 MG/20ML (10 MG/ML),22.4,17.92,1.0,20.16,27
NDC,43598029579,Pregabalin Cap 150 MG,1.76,1.41,0.49,1.58,27
NDC,43598030390,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,43598030562,Azacitidine For Inj 100 MG,266.42,213.14,0.37,239.78,27
NDC,43598030823,Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML),804.49,643.6,24.06,724.04,36
NDC,43598036730,Cinacalcet HCl Tab 30 MG (Base Equiv),4.48,3.59,1.24,4.03,27
NDC,43598036930,Cinacalcet HCl Tab 90 MG (Base Equiv),11.02,8.82,3.06,9.92,27
NDC,43598038711,Pemetrexed Disodium For IV Soln 500 MG (Base Equiv),1881.97,1505.58,3.22,1693.77,36
NDC,43598039248,Melphalan HCl For Inj 50 MG (Base Equiv),246.18,196.95,91.11,221.56,36
NDC,43598039467,Tetrabenazine Tab 12.5 MG,4.81,3.85,1.34,4.33,27
NDC,43598040511,Phytonadione Inj 10 MG/ML,168.08,134.47,1.0,151.27,27
NDC,43598040516,Phytonadione Inj 10 MG/ML,168.08,134.47,1.0,151.27,27
NDC,43598041311,Daptomycin For IV Soln 500 MG,64.64,51.72,1.0,58.18,27
NDC,43598042660,Bortezomib For Inj 3.5 MG,49.51,39.61,2.29,44.56,27
NDC,43598043611,Nitroglycerin SL Tab 0.4 MG,41.18,32.95,11.44,37.06,27
NDC,43598044674,Nicotine TD Patch 24HR 7 MG/24HR,5.14,4.12,1.43,4.63,27
NDC,43598044771,Nicotine TD Patch 24HR 14 MG/24HR,5.56,4.45,1.54,5.0,27
NDC,43598044774,Nicotine TD Patch 24HR 14 MG/24HR,5.13,4.11,1.42,4.62,27
NDC,43598044874,Nicotine TD Patch 24HR 21 MG/24HR,5.16,4.13,1.43,4.64,27
NDC,43598047611,Daptomycin For IV Soln 350 MG,54.81,43.85,1.0,49.33,27
NDC,43598052911,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),4.13,3.31,1.0,3.72,27
NDC,43598054125,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,1179.9,943.92,94.03,1061.91,38
NDC,43598054850,Propofol IV Emul 500 MG/50ML (10 MG/ML),34.0,27.2,1.0,30.6,27
NDC,43598054910,Propofol IV Emul 1000 MG/100ML (10 MG/ML),30.45,24.36,1.0,27.41,27
NDC,43598054952,Propofol IV Emul 1000 MG/100ML (10 MG/ML),30.45,24.36,1.0,27.41,27
NDC,43598055430,Aripiprazole Tab 2 MG,3.76,3.01,1.04,3.38,27
NDC,43598055630,Aripiprazole Tab 10 MG,3.75,3.0,1.04,3.38,27
NDC,43598055730,Aripiprazole Tab 15 MG,3.75,3.0,1.04,3.38,27
NDC,43598055830,Aripiprazole Tab 20 MG,4.27,3.42,1.19,3.84,27
NDC,43598055930,Aripiprazole Tab 30 MG,4.24,3.4,1.18,3.82,27
NDC,43598058723,Nitroprusside Sodium IV Soln 25 MG/ML,71.56,57.25,19.87,64.4,27
NDC,43598067201,Pyrimethamine Tab 25 MG,599.43,479.55,166.46,539.49,27
NDC,43598069811,Carboprost Tromethamine IM Soln 250 MCG/ML,159.66,127.73,44.34,143.69,27
NDC,43598069858,Carboprost Tromethamine IM Soln 250 MCG/ML,159.65,127.72,44.33,143.69,27
NDC,43598071901,Chlorthalidone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,43598072001,Chlorthalidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,43598072101,Hydroxychloroquine Sulfate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,43598072105,Hydroxychloroquine Sulfate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,43598072511,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,43598072525,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,43598074711,Timolol Maleate Ophth Gel Forming Soln 0.25%,397.17,317.74,110.29,357.45,27
NDC,43598074811,Timolol Maleate Ophth Gel Forming Soln 0.5%,362.56,290.05,100.68,326.3,27
NDC,43598083290,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,43598085011,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,43598085130,Deferasirox Tab 360 MG,4.39,3.52,1.22,3.95,27
NDC,43598090111,Ertapenem Sodium For Inj 1 GM (Base Equivalent),148.17,118.54,1.0,133.35,27
NDC,43598090158,Ertapenem Sodium For Inj 1 GM (Base Equivalent),88.82,71.06,1.0,79.94,27
NDC,43598091406,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,43598093109,Desmopressin Acetate Preservative Free (PF) Inj 4 MCG/ML,21.0,16.8,3.35,18.9,36
NDC,43598093111,Desmopressin Acetate Preservative Free (PF) Inj 4 MCG/ML,21.0,16.8,3.35,18.9,36
NDC,43598097611,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,130.5,104.4,36.24,117.45,27
NDC,43598097710,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),23.49,18.8,6.52,21.14,27
NDC,436067216,Sodium Hypochlorite Soln 0.125%,29.37,23.5,8.16,26.43,27
NDC,43825000601,Thrombin (Recombinant) For Soln 5000 Unit,220.5,176.4,61.23,198.45,27
NDC,43825000641,Thrombin (Recombinant) For Soln 5000 Unit,220.07,176.06,61.11,198.06,27
NDC,43825000701,Thrombin (Recombinant) For Soln 20000 Unit,555.42,444.34,154.24,499.88,27
NDC,43975021710,Indapamide Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,43975030410,Indapamide Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,44087353501,Avelumab Soln for IV Infusion 200 MG/10ML (20 MG/ML),3067.26,2453.81,90.89,2760.53,36
NDC,44206030001,Rho D Immune Globulin Sol Pref Syr 1500 Unt/2ML (300MCG/2ML),326.77,261.42,1.0,294.09,27
NDC,44206030090,Rho D Immune Globulin Sol Pref Syr 1500 Unt/2ML (300MCG/2ML),326.77,261.42,1.0,294.09,27
NDC,44206031025,"Albumin, Human Inj 5%",130.5,104.4,47.49,117.45,38
NDC,44206043605,Immune Globulin (Human) IV Soln 5 GM/50ML,694.86,555.89,47.59,625.37,36
NDC,44206043605,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",694.86,555.89,47.59,625.37,36
NDC,44206043710,Immune Globulin (Human) IV Soln 10 GM/100ML,1307.51,1046.01,47.59,1176.76,36
NDC,44206043710,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",1307.51,1046.01,47.59,1176.76,36
NDC,44206043820,Immune Globulin (Human) IV Soln 20 GM/200ML,2615.01,2092.01,47.59,2353.51,36
NDC,44206043820,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",2615.01,2092.01,47.59,2353.51,36
NDC,44206043940,Immune Globulin (Human) IV Soln 40 GM/400ML,5230.02,4184.02,47.59,4707.02,36
NDC,44206043940,"Immune Globulin (Human) IV Soln 5 GM/50ML,Immune Globulin (Human) IV Soln 10 GM/100ML,Immune Globulin (Human) IV Soln 20 GM/200ML,Immune Globulin (Human) IV Soln 40 GM/400ML",5230.02,4184.02,47.59,4707.02,36
NDC,44206045404,Immune Globulin (Human) Subcutaneous Inj 4 GM/20ML,1505.97,1204.78,12.73,1355.37,36
NDC,44206053211,Cytomegalovirus Immune Globulin (Human) IV Soln 50 MG/ML,2281.35,1825.08,935.35,2053.22,27
NDC,44567021010,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,44567021110,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,44567022110,Nafcillin Sodium For Inj 1 GM,21.0,16.8,5.83,18.9,27
NDC,44567022210,Nafcillin Sodium For Inj 2 GM,35.41,28.33,9.83,31.87,27
NDC,44567023525,Ceftazidime For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,44567023610,Ceftazidime For IV Soln 2 GM,27.62,22.1,1.0,24.86,27
NDC,44567024010,Cefepime HCl For Inj 1 GM,23.19,18.56,1.0,20.87,27
NDC,44567024525,Cefoxitin Sodium For IV Soln 1 GM,21.0,16.8,1.0,18.9,27
NDC,44567024625,Cefoxitin Sodium For IV Soln 2 GM,23.36,18.69,1.0,21.02,27
NDC,44567041024,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,21.0,16.8,1.0,18.9,27
NDC,44567042000,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,44567042000,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,44567042024,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),29.36,23.49,1.0,26.42,27
NDC,44567042024,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",29.36,23.49,1.0,26.42,27
NDC,44567042124,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,44567043624,Levofloxacin in D5W IV Soln 500 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,44567045101,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,235.77,188.62,0.25,212.19,27
NDC,44567045110,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,235.77,188.62,0.25,212.19,27
NDC,44567050601,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),159.03,127.23,1.0,143.13,27
NDC,44567050901,Cisplatin Inj 50 MG/50ML (1 MG/ML),40.04,32.04,1.0,36.04,27
NDC,44567051101,Cisplatin Inj 200 MG/200ML (1 MG/ML),82.08,65.67,1.0,73.87,27
NDC,44567061101,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,74.82,59.86,0.29,67.34,27
NDC,44567061110,Midazolam 100 MG/100ML-Sodium Chloride 0.9% IV Soln,74.82,59.86,0.29,67.34,27
NDC,44567070125,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,44567070501,Imipenem-Cilastatin Intravenous For Soln 500 MG,110.79,88.64,1.0,99.71,27
NDC,44567070510,Imipenem-Cilastatin Intravenous For Soln 500 MG,40.32,32.26,1.0,36.29,27
NDC,44567070725,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,456040001,Ceftaroline Fosamil for IV Soln 400 MG,624.96,499.97,3.86,562.46,36
NDC,456040010,Ceftaroline Fosamil for IV Soln 400 MG,624.96,499.97,3.86,562.46,36
NDC,456045701,Thyroid Tab 15 MG (1/4 Grain),1.5,1.2,0.42,1.35,27
NDC,456045901,Thyroid Tab 60 MG (1 Grain),1.5,1.2,0.42,1.35,27
NDC,456046001,Thyroid Tab 90 MG (1 1/2 Grain),1.5,1.2,0.42,1.35,27
NDC,456060001,Ceftaroline Fosamil for IV Soln 600 MG,683.82,547.06,3.86,615.44,36
NDC,456060010,Ceftaroline Fosamil for IV Soln 600 MG,21.0,16.8,3.86,18.9,36
NDC,456114030,Vilazodone HCl Tab 40 MG,25.06,20.05,6.96,22.55,27
NDC,456140530,Nebivolol HCl Tab 5 MG (Base Equivalent),9.1,7.28,2.53,8.19,27
NDC,456140563,Nebivolol HCl Tab 5 MG (Base Equivalent),10.26,8.21,2.85,9.23,27
NDC,456140590,Nebivolol HCl Tab 5 MG (Base Equivalent),15.26,12.21,4.24,13.73,27
NDC,456141030,Nebivolol HCl Tab 10 MG (Base Equivalent),11.02,8.82,3.06,9.92,27
NDC,456141090,Nebivolol HCl Tab 10 MG (Base Equivalent),7.7,6.16,2.14,6.93,27
NDC,456142030,Nebivolol HCl Tab 20 MG (Base Equivalent),9.23,7.39,2.56,8.31,27
NDC,456151060,Milnacipran HCl Tab 100 MG,5.24,4.2,1.46,4.72,27
NDC,456152560,Milnacipran HCl Tab 25 MG,5.24,4.2,1.46,4.72,27
NDC,456155060,Milnacipran HCl Tab 50 MG,13.42,10.74,3.73,12.08,27
NDC,456201001,Escitalopram Oxalate Tab 10 MG (Base Equiv),24.19,19.36,6.72,21.77,27
NDC,456221230,Levomilnacipran HCl Cap ER 24HR 120 MG (Base Equivalent),24.79,19.84,6.88,22.31,27
NDC,456222030,Levomilnacipran HCl Cap ER 24HR 20 MG (Base Equivalent),16.82,13.46,4.67,15.14,27
NDC,456228030,Levomilnacipran HCl Cap ER 24HR 80 MG (Base Equivalent),24.79,19.84,6.88,22.31,27
NDC,456240511,Asenapine Maleate SL Tab 5 MG (Base Equiv),50.17,40.14,13.93,45.15,27
NDC,456241060,Asenapine Maleate SL Tab 10 MG (Base Equiv),50.17,40.14,13.93,45.15,27
NDC,456270001,Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM),1333.36,1066.69,95.44,1200.02,36
NDC,456270010,Ceftazidime-Avibactam Sodium For IV Soln 2.5 GM (2-0.5 GM),1333.36,1066.69,95.44,1200.02,36
NDC,456320560,Memantine HCl Tab 5 MG,8.94,7.16,2.48,8.05,27
NDC,456321060,Memantine HCl Tab 10 MG,8.94,7.16,2.48,8.05,27
NDC,456401001,Citalopram Hydrobromide Tab 10 MG (Base Equiv),9.89,7.92,2.75,8.9,27
NDC,456430001,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),228.88,183.11,63.56,205.99,27
NDC,45802002146,Betamethasone Dipropionate Lotion 0.05%,86.83,69.47,24.11,78.15,27
NDC,45802004635,Gentamicin Sulfate Oint 0.1%,92.02,73.62,25.55,82.82,27
NDC,45802004811,Nystatin Oint 100000 Unit/GM,52.16,41.73,14.48,46.94,27
NDC,45802004835,Nystatin Oint 100000 Unit/GM,34.79,27.84,9.66,31.31,27
NDC,45802004935,Triamcinolone Acetonide Oint 0.5%,11.75,9.4,3.26,10.58,27
NDC,45802005505,Triamcinolone Acetonide Oint 0.1%,40.45,32.36,11.23,36.41,27
NDC,45802005535,Triamcinolone Acetonide Oint 0.1%,5.18,4.15,1.44,4.66,27
NDC,45802005611,Gentamicin Sulfate Cream 0.1%,182.66,146.13,50.72,164.39,27
NDC,45802005635,Gentamicin Sulfate Cream 0.1%,181.85,145.48,50.5,163.67,27
NDC,45802005911,Nystatin Cream 100000 Unit/GM,19.2,15.36,5.33,17.28,27
NDC,45802005935,Nystatin Cream 100000 Unit/GM,9.72,7.78,2.7,8.75,27
NDC,45802006435,Triamcinolone Acetonide Cream 0.1%,6.48,5.19,1.8,5.83,27
NDC,45802006535,Triamcinolone Acetonide Cream 0.5%,13.81,11.05,3.84,12.43,27
NDC,45802008801,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),89.09,71.28,24.74,80.18,27
NDC,45802009851,Mesalamine Enema 4 GM,24.46,19.57,6.79,22.01,27
NDC,45802011222,Mupirocin Oint 2%,15.33,12.27,4.26,13.8,27
NDC,45802013811,Ciclopirox Olamine Cream 0.77% (Base Equiv),66.83,53.47,18.56,60.15,27
NDC,45802016000,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),37.53,30.03,10.42,33.78,27
NDC,45802021696,Benzoyl Peroxide Gel 5%,34.99,28.0,9.72,31.49,27
NDC,45802026937,Permethrin Cream 5%,248.35,198.68,68.97,223.52,27
NDC,45802039002,Tacrolimus Oint 0.03%,837.0,669.6,232.43,753.3,27
NDC,45802039504,Vitamins A & D Oint,5.19,4.16,1.44,4.67,27
NDC,45802041059,Oxymetazoline HCl Nasal Soln 0.05%,5.67,4.54,1.57,5.1,27
NDC,45802041954,Lactic Acid (Ammonium Lactate) Lotion 12%,44.35,35.48,12.32,39.92,27
NDC,45802042237,Desonide Cream 0.05%,638.12,510.5,177.21,574.31,27
NDC,45802046564,Ketoconazole Shampoo 2%,13.28,10.63,3.69,11.95,27
NDC,45802046653,Econazole Nitrate Cream 1%,105.34,84.28,29.25,94.81,27
NDC,45802049535,Desoximetasone Cream 0.25%,68.36,54.69,18.98,61.52,27
NDC,45802049537,Desoximetasone Cream 0.25%,125.23,100.19,34.78,112.71,27
NDC,45802050702,Clindamycin Phosphate-Benzoyl Peroxide Gel 1-5%,222.75,178.2,61.86,200.48,27
NDC,45802052555,Lactic Acid (Ammonium Lactate) Lotion 12%,10.42,8.34,2.89,9.38,27
NDC,45802056201,Clindamycin Phosphate Soln 1%,60.91,48.73,16.91,54.82,27
NDC,45802058062,Scopolamine TD Patch 72HR 1 MG/3DAYS,41.93,33.55,11.64,37.74,27
NDC,45802058084,Scopolamine TD Patch 72HR 1 MG/3DAYS,32.1,25.68,8.91,28.89,27
NDC,45802065087,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,45802070000,Tacrolimus Oint 0.1%,95.82,76.66,26.61,86.24,27
NDC,45802071708,Terconazole Vaginal Suppos 80 MG,185.63,148.51,51.55,167.07,27
NDC,45802075800,Promethazine HCl Suppos 12.5 MG,24.65,19.72,6.85,22.19,27
NDC,45802075900,Promethazine HCl Suppos 25 MG,24.81,19.85,6.89,22.33,27
NDC,45802086800,Polyethylene Glycol 3350 Oral Packet 17 GM,3.67,2.94,1.02,3.3,27
NDC,45802086801,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,9.96,7.97,2.77,8.96,27
NDC,45802086802,Polyethylene Glycol 3350 Oral Powder,1.5,1.2,0.42,1.35,27
NDC,45802086802,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,1.5,1.2,0.42,1.35,27
NDC,45802086866,Polyethylene Glycol 3350 Oral Packet 17 GM,3.19,2.56,0.89,2.87,27
NDC,45802095301,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),29.16,23.33,8.1,26.24,27
NDC,45963014290,Bupropion HCl Tab ER 24HR 300 MG,2.89,2.32,0.8,2.6,27
NDC,45963034202,Desipramine HCl Tab 25 MG,2.85,2.28,0.79,2.57,27
NDC,45963041806,Ranolazine Tab ER 12HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,45963043963,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,45963053830,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,45963053930,Ondansetron HCl Tab 8 MG,1.5,1.2,0.42,1.35,27
NDC,45963060955,Fludarabine Phosphate For Inj 50 MG,291.18,232.95,64.79,500.46,36
NDC,45963061451,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),22.03,17.63,1.0,19.83,27
NDC,45963061455,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),50.42,40.34,1.0,45.38,27
NDC,45963067611,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,45963067711,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,45963070996,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,45963073355,Doxorubicin HCl Inj 2 MG/ML,26.08,20.87,1.0,23.47,27
NDC,45963073360,Doxorubicin HCl Inj 2 MG/ML,173.85,139.08,1.0,156.47,27
NDC,46087221,"Estrogens, Conjugated Vaginal Cream 0.625 MG/GM",872.61,698.09,242.32,785.35,54
NDC,46110081,"Estrogens, Conjugated Tab 0.3 MG",13.15,10.52,3.65,11.84,27
NDC,46110281,"Estrogens, Conjugated Tab 0.625 MG",13.15,10.52,3.65,11.84,27
NDC,46110381,"Estrogens, Conjugated Tab 0.9 MG",13.15,10.52,3.65,11.84,27
NDC,46110481,"Estrogens, Conjugated Tab 1.25 MG",13.15,10.52,3.65,11.84,27
NDC,46110711,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.625-2.5 MG,6.62,5.3,1.84,5.96,27
NDC,46110811,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.625-5 MG,8.34,6.68,2.32,7.51,27
NDC,46122016510,Oxymetazoline HCl Nasal Soln 0.05%,2.92,2.34,0.81,2.63,27
NDC,46122075252,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),25.92,20.74,7.2,23.33,27
NDC,46287000601,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,9.88,7.91,2.74,8.89,27
NDC,46287000660,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,19.44,15.56,5.4,17.5,27
NDC,46287050001,Sorbitol Solution (Bulk),1.5,1.2,0.42,1.35,27
NDC,46287050030,Sorbitol Solution (Bulk),3.56,2.85,0.99,3.2,27
NDC,46783022152,Polidocanol (Laureth-9) Inj 1%,87.0,69.6,24.16,78.3,27
NDC,469042001,Isavuconazonium Sulfate For IV Soln 372 MG,1469.33,1175.47,0.94,1322.4,36
NDC,469042099,Isavuconazonium Sulfate For IV Soln 372 MG,969.3,775.44,0.94,872.37,36
NDC,469052001,Isavuconazonium Sulfate Cap 186 MG,253.11,202.49,70.29,227.8,27
NDC,469052002,Isavuconazonium Sulfate Cap 186 MG,253.21,202.57,70.32,227.89,27
NDC,469060773,Tacrolimus Cap 0.5 MG,5.01,4.01,1.0,4.51,27
NDC,469260130,Mirabegron Tab ER 24 HR 25 MG,20.89,16.72,5.8,18.8,27
NDC,469260230,Mirabegron Tab ER 24 HR 50 MG,24.96,19.97,6.93,22.46,27
NDC,469301601,Tacrolimus Inj 5 MG/ML,865.22,692.18,248.75,778.7,36
NDC,469305130,Amphotericin B Liposome IV For Susp 50 MG,354.68,283.75,20.41,319.21,36
NDC,469321110,Micafungin Sodium For IV Soln 100 MG,335.04,268.04,1.0,301.54,27
NDC,469325010,Micafungin Sodium For IV Soln 50 MG,167.52,134.02,1.0,150.77,27
NDC,469650189,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),919.81,735.85,1.0,827.83,27
NDC,472008216,Acyclovir Susp 200 MG/5ML,9.18,7.35,2.55,8.26,27
NDC,472016615,Nystatin Oint 100000 Unit/GM,34.79,27.84,9.66,31.31,27
NDC,472024260,Permethrin Cream 5%,182.09,145.68,50.57,163.88,27
NDC,472034356,Hydrocortisone Cream 1%,2.72,2.18,0.76,2.45,27
NDC,472037945,Clotrimazole w/ Betamethasone Cream 1-0.05%,151.75,121.4,42.14,136.58,27
NDC,472038145,Betamethasone Dipropionate Oint 0.05%,139.73,111.79,38.8,125.76,27
NDC,472073556,Miconazole Nitrate Cream 2%,6.05,4.84,1.68,5.45,27
NDC,472173803,Miconazole Nitrate Vaginal Suppos 200 MG,30.85,24.68,8.57,27.77,27
NDC,472199208,Nitrofurantoin Susp 25 MG/5ML,52.11,41.69,14.47,46.9,27
NDC,47335000788,Entacapone Tab 200 MG,5.96,4.77,1.66,5.36,27
NDC,47335004940,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,1611.62,1289.3,94.03,1450.46,38
NDC,47335006186,Dofetilide Cap 125 MCG (0.125 MG),4.01,3.21,1.11,3.61,27
NDC,47335006286,Dofetilide Cap 250 MCG (0.25 MG),3.7,2.96,1.03,3.33,27
NDC,47335017148,Tobramycin Nebu Soln 300 MG/5ML,42.54,34.04,17.44,38.29,27
NDC,47335017149,Tobramycin Nebu Soln 300 MG/5ML,29.43,23.55,12.07,26.49,27
NDC,47335018688,Carbidopa & Levodopa Orally Disintegrating Tab 10-100 MG,1.67,1.34,0.46,1.5,27
NDC,47335018788,Carbidopa & Levodopa Orally Disintegrating Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,47335018888,Carbidopa & Levodopa Orally Disintegrating Tab 25-250 MG,2.0,1.6,0.56,1.8,27
NDC,47335027723,Tetrabenazine Tab 12.5 MG,127.12,101.7,35.3,114.41,27
NDC,47335028926,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),21.0,16.8,1.0,18.9,27
NDC,47335028927,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),142.41,113.93,1.0,128.17,27
NDC,47335032186,Memantine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,47335032286,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,47335032683,Naltrexone HCl Tab 50 MG,2.62,2.1,0.73,2.36,27
NDC,47335032688,Naltrexone HCl Tab 50 MG,1.57,1.26,0.44,1.41,27
NDC,47335033040,Chlorothiazide Sodium For Inj 500 MG,507.95,406.36,1.0,457.16,27
NDC,47335036140,Decitabine For Inj 50 MG,325.33,260.27,2.12,292.8,27
NDC,47335036141,Decitabine For Inj 50 MG,1260.87,1008.7,2.12,1134.78,27
NDC,47335038281,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),2.48,1.99,0.69,2.23,27
NDC,47335048583,Bicalutamide Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,47335075648,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,47335075652,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,47335076583,Paliperidone Tab ER 24HR 3 MG,4.34,3.48,1.21,3.91,27
NDC,47335076683,Paliperidone Tab ER 24HR 6 MG,5.41,4.33,1.5,4.87,27
NDC,47335076783,Paliperidone Tab ER 24HR 9 MG,12.56,10.05,3.49,11.3,27
NDC,47335078891,Desmopressin Acetate Nasal Spray Soln 0.01%,231.93,185.55,64.41,208.74,27
NDC,47335083683,Galantamine Hydrobromide Cap ER 24HR 16 MG,5.27,4.22,1.46,4.74,27
NDC,47335089260,Temozolomide Cap 100 MG,62.67,50.14,1.0,56.4,27
NDC,47335093140,Vecuronium Bromide For Inj 10 MG,34.58,27.67,9.6,31.12,27
NDC,47335093240,Vecuronium Bromide For Inj 20 MG,69.21,55.37,19.22,62.29,27
NDC,47335095688,Alfuzosin HCl Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,47335099201,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),21.97,17.58,1.0,19.77,27
NDC,47335099301,Metronidazole IV Soln 500 MG/100ML,21.0,16.8,0.02,18.9,27
NDC,47426020101,Aprepitant IV Emulsion 130 MG/18ML,1243.89,995.12,1.56,1119.5,36
NDC,47781001101,Hyoscyamine Sulfate SL Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,47781001301,Hyoscyamine Sulfate Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,47781010830,Exemestane Tab 25 MG,19.6,15.68,5.44,17.64,27
NDC,47781017401,Amphetamine-Dextroamphetamine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,47781017601,Amphetamine-Dextroamphetamine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,47781017801,Amphetamine-Dextroamphetamine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,47781019605,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,47781023001,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.11,1.69,0.59,1.9,27
NDC,47781026305,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,47781030511,Rivastigmine TD Patch 24HR 9.5 MG/24HR,15.71,12.57,4.36,14.14,27
NDC,47781033331,Dapsone Tab 25 MG,4.97,3.98,1.38,4.47,27
NDC,47781033431,Dapsone Tab 100 MG,6.1,4.88,1.69,5.49,27
NDC,47781038426,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),13.91,11.13,3.86,12.52,27
NDC,47781040503,Rivastigmine TD Patch 24HR 13.3 MG/24HR,12.57,10.06,3.49,11.31,27
NDC,47781042411,Fentanyl TD Patch 72HR 25 MCG/HR,11.52,9.22,3.2,10.37,27
NDC,47781042447,Fentanyl TD Patch 72HR 25 MCG/HR,11.52,9.22,3.2,10.37,27
NDC,47781042611,Fentanyl TD Patch 72HR 50 MCG/HR,23.75,19.0,6.6,21.38,27
NDC,47781042647,Fentanyl TD Patch 72HR 50 MCG/HR,31.75,25.4,8.82,28.58,27
NDC,47781042747,Fentanyl TD Patch 72HR 75 MCG/HR,23.68,18.95,6.58,21.31,27
NDC,47781042811,Fentanyl TD Patch 72HR 100 MCG/HR,35.91,28.73,9.97,32.32,27
NDC,47781042847,Fentanyl TD Patch 72HR 100 MCG/HR,35.91,28.73,9.97,32.32,27
NDC,47781046671,Voriconazole For Inj 200 MG,172.96,138.37,1.0,155.66,27
NDC,47781046813,Oseltamivir Phosphate Cap 30 MG (Base Equiv),23.63,18.91,6.56,21.27,27
NDC,47781047013,Oseltamivir Phosphate Cap 75 MG (Base Equiv),25.74,20.6,7.15,23.17,27
NDC,47781049701,Ethacrynic Acid Tab 25 MG,18.33,14.67,5.09,16.5,27
NDC,47781057807,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),1017.13,813.71,59.91,915.42,36
NDC,47781058468,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,47781058468,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,47781058493,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,47781058493,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,47781058629,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,47781058922,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,47781059507,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),115.57,92.46,1.0,104.01,27
NDC,47781060122,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),22.62,18.1,1.0,20.36,27
NDC,47781060122,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",22.62,18.1,6.28,20.36,27
NDC,47781060191,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),22.62,18.1,1.0,20.36,27
NDC,47781060191,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",22.62,18.1,6.28,20.36,27
NDC,47781060730,Disulfiram Tab 250 MG,4.24,3.4,1.18,3.82,27
NDC,47781061620,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,47781064726,Ergocalciferol Soln 200 MCG/ML (8000 Unit/ML),78.89,63.12,21.91,71.0,27
NDC,480123208,Risperidone Microspheres For IM Extended Rel Susp 25 MG,1836.66,1469.33,10.43,1652.99,36
NDC,480924201,Propylthiouracil Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,48102004720,Dexamethasone Tab 4 MG,2.35,1.88,0.65,2.12,27
NDC,48433020230,Mineral Oil,2.59,2.08,0.72,2.33,27
NDC,48433023015,Iodine Solution Strong 5% (Lugol's),30.98,24.790000000000003,1.15,52.05,54
NDC,486111101,Potassium Phosphate Monobasic Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,487020101,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,487020103,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,487020160,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,487030101,Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv),2.03,1.63,0.04,1.83,27
NDC,487278401,Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent),2.11,1.69,0.59,1.9,27
NDC,487590199,Racepinephrine HCl Soln Nebu 2.25% (Base Equivalent),3.78,3.03,1.05,3.4,27
NDC,48783011208,Ferric Subsulfate Paste,43.63,34.91,12.12,39.27,27
NDC,487900330,Sodium Chloride Soln Nebu 3%,1.5,1.2,0.42,1.35,27
NDC,487900360,Sodium Chloride Soln Nebu 3%,1.5,1.2,0.42,1.35,27
NDC,487900730,Sodium Chloride Soln Nebu 7%,1.5,1.2,0.42,1.35,27
NDC,487900760,Sodium Chloride Soln Nebu 7%,1.5,1.2,0.42,1.35,27
NDC,487950101,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,487950103,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,487950125,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,487960101,Budesonide Inhalation Susp 0.25 MG/2ML,14.53,11.63,4.03,13.08,27
NDC,487970101,Budesonide Inhalation Susp 0.5 MG/2ML,15.04,12.04,1.01,13.54,27
NDC,487970130,Budesonide Inhalation Susp 0.5 MG/2ML,12.62,10.1,1.01,11.36,27
NDC,487980101,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,27
NDC,487980101,Iptratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.42,1.35,27
NDC,487980125,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,27
NDC,487980125,Iptratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.42,1.35,27
NDC,487990130,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),1.7,1.36,0.15,1.53,54
NDC,487990401,Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv),1.9,1.52,0.04,1.71,27
NDC,487990425,Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv),1.62,1.3,0.04,1.46,27
NDC,49001381,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,49001383,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,49001481,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.49,17.2,1.0,19.34,27
NDC,49001483,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.49,17.2,1.0,19.34,27
NDC,49017001,Glipizide Tab ER 24HR 2.5 MG,3.19,2.56,0.89,2.87,27
NDC,49052022,Penicillin G Potassium For Inj 5000000 Unit,21.0,16.8,1.0,18.9,27
NDC,49052023,Penicillin G Potassium For Inj 5000000 Unit,25.53,20.43,1.0,22.98,27
NDC,49052083,Penicillin G Potassium For Inj 5000000 Unit,21.0,16.8,1.0,18.9,27
NDC,49052084,Penicillin G Potassium For Inj 5000000 Unit,25.8,20.64,1.0,23.22,27
NDC,49053022,Penicillin G Potassium For Inj 20000000 Unit,213.77,171.02,1.0,192.39,27
NDC,49053028,Penicillin G Potassium For Inj 20000000 Unit,225.67,180.54,1.0,203.1,27
NDC,49100040008,Lactobacillus Rhamnosus (GG) Packet,1.69,1.36,0.47,1.52,27
NDC,49100040009,Lactobacillus-Inulin Cap,1.57,1.26,0.44,1.41,27
NDC,49100040021,Lactobacillus-Inulin Cap,1.5,1.2,0.42,1.35,27
NDC,49233079,Eletriptan Hydrobromide Tab 20 MG (Base Equivalent),70.44,56.36,19.56,63.4,27
NDC,49281021515,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,121.71,97.37,1.0,109.54,27
NDC,49281021588,Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU,80.34,64.28,1.0,72.31,27
NDC,49281028610,"Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML",107.84,86.28,1.0,97.06,27
NDC,49281028658,"Diph, Acellular Pert & Tet Tox Inj 15 LF-23 MCG-5 LF/0.5ML",81.52,65.22,1.0,73.37,27
NDC,49281040010,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,144.2,115.36,1.0,129.78,27
NDC,49281040020,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,139.2,111.36,1.0,125.28,27
NDC,49281040058,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,144.2,115.36,1.0,129.78,27
NDC,49281040089,Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML,139.2,111.36,1.0,125.28,27
NDC,49281051005,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,268.26,214.61,1.0,241.43,27
NDC,49281051105,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,279.61,223.69,1.0,251.65,27
NDC,49281054503,Haemophilus B Polysaccharide Conjugate Vaccine For Inj,39.73,31.79,1.0,35.76,27
NDC,49281054758,Haemophilus B Polysaccharide Conjugate Vaccine For Inj,38.89,31.12,1.0,35.0,27
NDC,49281054858,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,268.26,214.61,1.0,241.43,27
NDC,49281056101,Diph-Ac Per-Tet Tox Ad-PolioV-Haemoph B Poly Vac For IM Susp,279.61,223.69,1.0,251.65,27
NDC,49281056210,"Diph-Tetanus Tox Ad-Acell Pert & Polio Virus, IPV Vac Inj",179.59,143.68,1.0,161.63,27
NDC,49281057488,Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML,1533.1,1226.48,504.9,1379.79,27
NDC,49281057500,Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML,1533.1,1226.48,504.9,1379.79,27
NDC,49281058905,"Meningococcal (A, C, Y, and W-135) Diphth Conjugate Vaccine",419.75,335.8,116.56,377.78,27
NDC,49281058958,"Meningococcal (A, C, Y, and W-135) Diphth Conjugate Vaccine",419.75,335.8,116.56,377.78,27
NDC,49281059005,"Meningococcal (A, C, Y, and W-135) Tetanus Conjugate Vaccine",436.43,349.15,170.2,392.79,27
NDC,49281075221,Tuberculin PPD Inj 5 Unit/0.1ML,24.27,19.42,6.74,21.84,27
NDC,49281075278,Tuberculin PPD Inj 5 Unit/0.1ML,21.0,16.8,5.83,18.9,27
NDC,49281086010,"Poliovirus Vaccine, IPV Injection",918.29,734.64,1.0,826.46,27
NDC,49281086078,"Poliovirus Vaccine, IPV Injection",857.95,686.36,1.0,772.16,27
NDC,49318030,Voriconazole Tab 200 MG,114.42,91.54,31.77,102.98,27
NDC,49319001,Voriconazole For Inj 200 MG,215.76,172.61,1.0,194.18,27
NDC,49319028,Voriconazole For Inj 200 MG,120.19,96.16,1.0,108.17,27
NDC,49348099136,Phenol Liquid 1.4%,4.78,3.83,1.33,4.3,27
NDC,49411005208,Aminocaproic Acid Oral Soln 0.25 GM/ML,5842.29,4673.84,1622.4,5258.06,27
NDC,49452002901,Hydromorphone HCl Powder,1160.0,928.0,322.13,1044.0,27
NDC,49452131301,Bupivacaine HCl Powder,1500.01,1200.01,416.55,1350.01,27
NDC,49452608702,Promethazine HCl (Bulk) Powder,154.44,123.56,42.89,139.0,27
NDC,49483022106,Nitroglycerin Cap ER 2.5 MG,1.68,1.35,0.47,1.51,27
NDC,49483022110,Nitroglycerin Cap ER 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,49483022206,Nitroglycerin Cap ER 6.5 MG,1.98,1.59,0.55,1.78,27
NDC,49483022210,Nitroglycerin Cap ER 6.5 MG,1.5,1.2,0.42,1.35,27
NDC,49483022306,Nitroglycerin Cap ER 9 MG,2.08,1.67,0.58,1.87,27
NDC,49483060301,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,49483060450,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,49483060550,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,49483062401,Metformin HCl Tab ER 24HR 750 MG,1.5,1.2,0.42,1.35,27
NDC,49483068703,Paricalcitol Cap 1 MCG,2.54,2.04,0.71,2.29,27
NDC,49502050002,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),507.21,405.77,140.85,456.49,27
NDC,49502050102,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),1014.42,811.54,281.7,912.98,27
NDC,49502060530,Formoterol Fumarate Soln Nebu 20 MCG/2ML,24.71,19.77,6.86,22.24,27
NDC,49502060561,Formoterol Fumarate Soln Nebu 20 MCG/2ML,11.31,9.05,3.14,10.18,27
NDC,49502080632,Revefenacin Inhalation Solution 175 MCG/3ML,17.25,13.8,0.19,15.53,27
NDC,49502080693,Revefenacin Inhalation Solution 175 MCG/3ML,17.25,13.8,0.19,15.53,27
NDC,49502090101,Selegiline TD Patch 24HR 9 MG/24HR,170.59,136.48,47.37,153.53,27
NDC,49502090230,Selegiline TD Patch 24HR 12 MG/24HR,84.19,67.36,23.38,75.77,27
NDC,4950260595,Formoterol Fumarate Soln Nebu 20 MCG/2ML,17.61,14.09,4.89,15.85,27
NDC,49580032901,Magnesium Citrate Soln,4.8,3.84,1.33,4.32,27
NDC,496088206,Lidocaine Cream 4%,7.75,6.2,2.15,6.98,27
NDC,49702020548,Lamivudine Oral Soln 10 MG/ML,279.94,223.96,77.74,251.95,27
NDC,49702022813,Dolutegravir Sodium Tab 50 MG (Base Equiv),129.36,103.49,35.92,116.42,27
NDC,49702026423,Cabotegravir IM Extended Release Susp 600 MG/3ML,7513.8,6011.04,6.58,6762.42,36
NDC,49884000901,Isosorbide Dinitrate Tab 30 MG,1.66,1.33,0.46,1.49,27
NDC,49884002001,Isosorbide Dinitrate Tab 5 MG,1.67,1.34,0.46,1.5,27
NDC,49884002101,Isosorbide Dinitrate Tab 10 MG,1.57,1.26,0.44,1.41,27
NDC,49884002201,Isosorbide Dinitrate Tab 20 MG,1.94,1.56,0.54,1.75,27
NDC,49884003201,Tranylcypromine Sulfate Tab 10 MG,3.75,3.0,1.04,3.38,27
NDC,49884005401,Imipramine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,49884005501,Imipramine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,49884005601,Imipramine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,49884006501,Glycopyrrolate Tab 1 MG,2.19,1.76,0.61,1.97,27
NDC,49884011302,Propafenone HCl Cap ER 12HR 225 MG,12.77,10.22,3.55,11.49,27
NDC,49884011701,Amiloride HCl Tab 5 MG,2.36,1.89,0.66,2.12,27
NDC,49884012201,Labetalol HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,49884012301,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,49884012552,Everolimus Tab 5 MG,670.62,536.5,1.0,603.56,27
NDC,49884012591,Everolimus Tab 5 MG,670.62,536.5,1.0,603.56,27
NDC,49884015576,Varenicline Tartrate Tab 0.5 MG (Base Equiv),13.06,10.45,3.63,11.75,27
NDC,49884016111,Calcitonin (Salmon) Nasal Soln 200 Unit/ACT,16.74,13.4,4.65,15.07,27
NDC,49884017101,Colchicine Tab 0.6 MG,1.54,1.24,0.43,1.39,27
NDC,49884021002,Propafenone HCl Cap ER 12HR 325 MG,15.89,12.72,4.41,14.3,27
NDC,49884028901,Megestrol Acetate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,49884029004,Megestrol Acetate Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,49884030602,Clonazepam Orally Disintegrating Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,49884030652,Clonazepam Orally Disintegrating Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,49884030702,Clonazepam Orally Disintegrating Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,49884030752,Clonazepam Orally Disintegrating Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,49884031152,Risperidone Orally Disintegrating Tab 0.5 MG,8.69,6.96,2.41,7.82,27
NDC,49884031552,Risperidone Orally Disintegrating Tab 1 MG,10.15,8.12,2.82,9.14,27
NDC,49884032052,Olanzapine Orally Disintegrating Tab 5 MG,11.61,9.29,3.22,10.45,27
NDC,49884032055,Olanzapine Orally Disintegrating Tab 5 MG,11.61,9.29,3.22,10.45,27
NDC,49884032152,Olanzapine Orally Disintegrating Tab 10 MG,17.15,13.72,4.76,15.44,27
NDC,49884040152,Risperidone Orally Disintegrating Tab 2 MG,16.5,13.2,4.58,14.85,27
NDC,49884042801,Dexmethylphenidate HCl Cap ER 24 HR 15 MG,13.3,10.64,3.69,11.97,27
NDC,49884046663,Cholestyramine Light Powder Packets 4 GM,1.65,1.32,0.46,1.49,27
NDC,49884046665,Cholestyramine Light Powder Packets 4 GM,1.5,1.2,0.42,1.35,27
NDC,49884048411,Lamotrigine Orally Disintegrating Tab 25 MG,16.63,13.31,4.62,14.97,27
NDC,49884064101,Methimazole Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,49884072401,Hydroxyurea Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,49884084101,Amphetamine-Dextroamphetamine Cap ER 24HR 15 MG,3.48,2.79,0.97,3.13,27
NDC,49884084201,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,3.5,2.8,0.97,3.15,27
NDC,49884090738,Megestrol Acetate Susp 40 MG/ML,2.97,2.38,0.82,2.67,27
NDC,49884090761,Megestrol Acetate Susp 40 MG/ML,2.97,2.38,0.82,2.67,27
NDC,49884098401,Nateglinide Tab 60 MG,2.35,1.88,0.65,2.12,27
NDC,49884098501,Nateglinide Tab 120 MG,2.5,2.0,0.69,2.25,27
NDC,49938010130,Dapsone Tab 100 MG,7.07,5.66,1.96,6.36,27
NDC,49938010230,Dapsone Tab 25 MG,2.31,1.85,0.64,2.08,27
NDC,5010001,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,275.55,220.44,112.98,248.0,27
NDC,5010005,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,234.38,187.51,96.1,211.34,27
NDC,5010010,Meningococcal Group B Vac (Recomb) IM Susp Prefilled Syr,393.83,315.07,161.47,354.45,27
NDC,50102023021,Levonorgestrel & Ethinyl Estradiol Tab 0.15 MG-30 MCG,15.88,12.71,4.41,14.29,27
NDC,50102030001,Norethindrone Tab 0.35 MG,1.5,1.2,0.42,1.35,27
NDC,50102030013,Norethindrone Tab 0.35 MG,15.88,12.71,4.41,14.29,27
NDC,50111033301,Metronidazole Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,50111033306,Metronidazole Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,50111033402,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,50111045001,Trazodone HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,50111045601,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,50111045602,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,50111056002,Trazodone HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,50111056101,Trazodone HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,50111056102,Trazodone HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,50111064701,Fluoxetine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,50111064703,Fluoxetine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,50111064801,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,50111064803,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,50111078710,Azithromycin Tab 250 MG,5.37,4.3,1.49,4.83,27
NDC,50111078810,Azithromycin Tab 500 MG,4.1,3.28,1.14,3.69,27
NDC,50111091601,Torsemide Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50111091701,Torsemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,50190014123,Sodium Chloride Soln Nebu 7%,1.5,1.2,0.42,1.35,27
NDC,50222026006,Calcipotriene Cream 0.005%,901.37,721.1,250.31,811.23,27
NDC,50227103005,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,50228010901,Carisoprodol Tab 350 MG,1.5,1.2,0.42,1.35,27
NDC,50228017401,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,50228037990,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50228045701,Carbidopa & Levodopa Tab 10-100 MG,1.5,1.2,0.42,1.35,27
NDC,50228046101,Carbidopa & Levodopa Tab ER 50-200 MG,1.5,1.2,0.42,1.35,27
NDC,50228048101,Diltiazem HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,50228048105,Diltiazem HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,50228048201,Diltiazem HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,50228048301,Diltiazem HCl Tab 90 MG,1.5,1.2,0.42,1.35,27
NDC,50242003706,Tenecteplase For IV Soln Kit 50 MG,12933.69,10346.96,153.1,11640.32,36
NDC,50242004062,Omalizumab For Inj 150 MG,3004.76,2403.81,39.04,2704.28,36
NDC,50242004164,Alteplase For Inj 2 MG,451.05,360.84,89.16,405.95,36
NDC,50242004406,Alteplase For Inj 50 MG,5447.48,4357.99,89.16,4902.73,36
NDC,50242004413,Alteplase For Inj 50 MG,8214.65,6571.72,89.16,7393.19,36
NDC,50242005121,Rituximab IV Soln 100 MG/10ML,1888.4,1510.72,71.46,1699.56,36
NDC,50242005306,Rituximab IV Soln 500 MG/50ML,9441.98,7553.59,71.46,8497.78,36
NDC,50242006001,Bevacizumab IV Soln 100 MG/4ML (For Infusion),1162.34,929.88,69.54,1046.11,36
NDC,50242006101,Bevacizumab IV Soln 400 MG/16ML (For Infusion),4649.37,3719.5,69.54,4184.43,36
NDC,50242006401,Erlotinib HCl Tab 150 MG (Base Equivalent),438.17,350.54,121.68,394.35,27
NDC,50242007001,Obinutuzumab Soln for IV Infusion 1000 MG/40ML (25 MG/ML),17223.29,13778.64,70.29,15500.96,36
NDC,50242008003,Ranibizumab Intravitreal Soln Pref Syr 0.5 MG/0.05ML,7215.0,5772.0,82.06,6493.5,36
NDC,50242008525,Alteplase For Inj 100 MG,15587.93,12470.35,89.16,14029.14,36
NDC,50242008527,Alteplase For Inj 100 MG,16429.28,13143.43,89.16,14786.35,36
NDC,50242010039,Dornase Alfa Inhal Soln 2.5 MG/2.5ML,241.41,193.13,52.08,217.27,27
NDC,50242010040,Dornase Alfa Inhal Soln 2.5 MG/2.5ML,276.48,221.19,52.08,248.83,27
NDC,50242010501,Polatuzumab Vedotin-piiq For IV Solution 140 MG,32173.87,25739.1,121.23,28956.48,36
NDC,50242012047,Tenecteplase For IV Soln Kit 50 MG,11609.92,9287.94,153.1,10448.93,36
NDC,50242012501,Glofitamab-gxbm IV Soln 2.5 MG/2.5ML (1 MG/ML),5263.16,4210.53,2157.9,4736.84,36
NDC,50242012701,Glofitamab-gxbm IV Soln 10 MG/10ML (1 MG/ML),21671.22,17336.98,2629.49,19504.1,36
NDC,50242013001,Alectinib HCl Cap 150 MG (Base Equivalent),149.77,119.82,41.59,134.79,27
NDC,50242013201,Trastuzumab For IV Soln 150 MG,3041.23,2432.99,71.27,2737.11,36
NDC,50242013501,Tocilizumab IV Inj 80 MG/4ML,926.93,741.55,5.42,834.24,36
NDC,50242013601,Tocilizumab IV Inj 200 MG/10ML,2056.03,1644.83,5.42,1850.43,36
NDC,50242013701,Tocilizumab IV Inj 400 MG/20ML,5204.73,4163.79,5.42,4684.26,36
NDC,50242014201,Mosunetuzumab-axgb IV Soln 30 MG/30ML (1 MG/ML),36166.13,28932.91,621.9,32549.52,36
NDC,50242015001,Ocrelizumab Soln For IV Infusion 300 MG/10ML,32662.7,26130.16,56.44,29396.43,36
NDC,50242015901,Mosunetuzumab-axgb IV Soln 1 MG/ML,2187.26,1749.81,621.9,1968.53,36
NDC,50242021401,Omalizumab Subcutaneous Soln Prefilled Syringe 75 MG/0.5ML,2006.62,1605.3,39.04,1805.96,36
NDC,50242021501,Omalizumab Subcutaneous Soln Prefilled Syringe 150 MG/ML,4013.24,3210.6,39.04,3611.92,36
NDC,50268003911,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268003915,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268004911,Abacavir Sulfate Tab 300 MG (Base Equiv),12.73,10.19,3.54,11.46,27
NDC,50268004912,Abacavir Sulfate Tab 300 MG (Base Equiv),12.73,10.19,3.54,11.46,27
NDC,50268005011,Acebutolol HCl Cap 200 MG,3.28,2.63,0.91,2.95,27
NDC,50268005015,Acebutolol HCl Cap 200 MG,3.28,2.63,0.91,2.95,27
NDC,50268005411,Acetazolamide Tab 250 MG,5.1,4.08,1.42,4.59,27
NDC,50268005415,Acetazolamide Tab 250 MG,5.1,4.08,1.42,4.59,27
NDC,50268006111,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,50268006211,Acyclovir Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,50268006215,Acyclovir Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,50268009011,Aripiprazole Tab 15 MG,3.08,2.47,0.86,2.77,27
NDC,50268009012,Aripiprazole Tab 15 MG,3.08,2.47,0.86,2.77,27
NDC,50268009311,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268009315,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268009411,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268009415,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268010511,Baclofen Tab 5 MG,2.94,2.36,0.82,2.65,27
NDC,50268010515,Baclofen Tab 5 MG,2.94,2.36,0.82,2.65,27
NDC,50268010611,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268010615,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268014411,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),8.72,6.98,2.42,7.85,27
NDC,50268014415,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),8.72,6.98,2.42,7.85,27
NDC,50268015211,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268015215,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268017311,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,50268017315,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,50268018311,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,10.77,8.62,2.99,9.69,27
NDC,50268018330,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,10.77,8.62,2.99,9.69,27
NDC,50268027111,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),2.61,2.09,0.72,2.35,27
NDC,50268027113,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),2.61,2.09,0.72,2.35,27
NDC,50268029711,Ergocalciferol Cap 1.25 MG (50000 Unit),2.9,2.32,0.81,2.61,27
NDC,50268030311,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268030315,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268031411,Finasteride Tab 5 MG,2.79,2.24,0.77,2.51,27
NDC,50268031415,Finasteride Tab 5 MG,1.54,1.24,0.43,1.39,27
NDC,50268036111,Glipizide Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,50268036115,Glipizide Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,50268039811,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,50268039850,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,50268039911,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268039950,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268040111,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,50268040115,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,50268040211,Hydrocodone-Acetaminophen Tab 10-325 MG,1.54,1.24,0.43,1.39,27
NDC,50268040215,Hydrocodone-Acetaminophen Tab 10-325 MG,1.54,1.24,0.43,1.39,27
NDC,50268043011,Indomethacin Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,50268043015,Indomethacin Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,50268043111,Indomethacin Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268043115,Indomethacin Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268044711,Isosorbide Dinitrate Tab 5 MG,2.11,1.69,0.59,1.9,27
NDC,50268045011,Itraconazole Cap 100 MG,5.24,4.2,1.46,4.72,27
NDC,50268045111,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.73,1.39,0.48,1.56,27
NDC,50268047011,Levetiracetam Oral Soln 100 MG/ML,7.97,6.38,2.21,7.17,27
NDC,50268047013,Levetiracetam Oral Soln 100 MG/ML,7.97,6.38,2.21,7.17,27
NDC,50268048211,Loperamide HCl Cap 2 MG,2.01,1.61,0.56,1.81,27
NDC,50268048215,Loperamide HCl Cap 2 MG,2.01,1.61,0.56,1.81,27
NDC,50268048911,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268048915,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268050411,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,50268050415,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,50268050511,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268050515,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268052011,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268052015,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268052211,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,50268052215,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,50268052711,Methotrexate Sodium Tab 2.5 MG (Base Equiv),2.67,2.14,0.74,2.4,27
NDC,50268052911,Methylphenidate HCl Tab 20 MG,1.74,1.4,0.48,1.57,27
NDC,50268053511,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268053515,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268054011,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.65,1.32,0.46,1.49,27
NDC,50268054015,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.65,1.32,0.46,1.49,27
NDC,50268054111,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,50268054115,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,50268054211,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,50268054215,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,50268054711,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,9.4,7.52,2.61,8.46,27
NDC,50268055711,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,50268055715,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,50268056211,Midodrine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,50268056215,Midodrine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,50268056311,Midodrine HCl Tab 10 MG,2.57,2.06,0.71,2.31,27
NDC,50268056315,Midodrine HCl Tab 10 MG,2.57,2.06,0.71,2.31,27
NDC,50268057011,Modafinil Tab 100 MG,7.51,6.01,2.09,6.76,27
NDC,50268057111,Modafinil Tab 200 MG,41.12,32.9,11.42,37.01,27
NDC,50268058511,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,50268058515,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,50268059611,Naproxen Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,50268060311,Nortriptyline HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268060511,Nortriptyline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,50268061511,Olanzapine Orally Disintegrating Tab 5 MG,3.7,2.96,1.03,3.33,27
NDC,50268061513,Olanzapine Orally Disintegrating Tab 5 MG,4.7,3.76,1.31,4.23,27
NDC,50268061613,Olanzapine Orally Disintegrating Tab 10 MG,4.46,3.57,1.24,4.01,27
NDC,50268061911,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268062111,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,50268062115,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,50268063211,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,50268063215,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,50268063411,Quetiapine Fumarate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,50268063415,Quetiapine Fumarate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,50268063611,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,50268063911,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,50268063915,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,50268064611,Oxycodone w/ Acetaminophen Tab 10-325 MG,3.0,2.4,0.83,2.7,27
NDC,50268065411,Phenobarbital Tab 30 MG,2.16,1.73,0.6,1.94,27
NDC,50268065611,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268065615,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268066311,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268066315,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,50268067911,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,50268067915,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,50268069411,Raloxifene HCl Tab 60 MG,6.94,5.56,1.93,6.25,27
NDC,50268071811,Sirolimus Tab 1 MG,34.02,27.22,1.0,30.62,27
NDC,50268072011,Sevelamer Carbonate Tab 800 MG,2.87,2.3,0.8,2.58,27
NDC,50268072015,Sevelamer Carbonate Tab 800 MG,2.87,2.3,0.8,2.58,27
NDC,50268073211,Sucralfate Susp 1 GM/10ML,15.44,12.36,4.29,13.9,27
NDC,50268073212,Sucralfate Susp 1 GM/10ML,15.44,12.36,4.29,13.9,27
NDC,50268074011,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,50268074015,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,50268074111,Ropinirole Hydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,50268074115,Ropinirole Hydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,50268074311,Ropinirole Hydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,50268074315,Ropinirole Hydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,50268074511,Sucralfate Susp 1 GM/10ML,14.26,11.41,3.96,12.83,27
NDC,50268074514,Sucralfate Susp 1 GM/10ML,14.26,11.41,3.96,12.83,27
NDC,50268075511,Torsemide Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268075515,Torsemide Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,50268076511,Terazosin HCl Cap 2 MG (Base Equivalent),1.51,1.21,0.42,1.36,27
NDC,50268076515,Terazosin HCl Cap 2 MG (Base Equivalent),1.51,1.21,0.42,1.36,27
NDC,50268077911,Temazepam Cap 15 MG,1.94,1.56,0.54,1.75,27
NDC,50268077915,Temazepam Cap 15 MG,1.94,1.56,0.54,1.75,27
NDC,50268081611,Zonisamide Cap 100 MG,1.54,1.24,0.43,1.39,27
NDC,50268081711,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268081715,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268081811,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268081815,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50268085111,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,50268085115,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,50268086511,Cholecalciferol Tab 50 MCG (2000 Unit),1.5,1.2,0.42,1.35,27
NDC,50268086515,Cholecalciferol Tab 50 MCG (2000 Unit),1.5,1.2,0.42,1.35,27
NDC,50268087511,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,50383004004,Prednisolone Sod Phosphate Oral Soln 5 MG/5ML (Base Equiv),19.08,15.27,1.0,17.17,27
NDC,50383004224,Prednisolone Soln 15 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383004248,Prednisolone Soln 15 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383007916,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383008705,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383008710,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.59,1.28,0.44,1.43,27
NDC,50383008712,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383017104,Levocarnitine Oral Soln 1 GM/10ML (10%),46.75,37.4,12.98,42.08,27
NDC,50383018902,Gatifloxacin Ophth Soln 0.5%,167.56,134.05,46.53,150.8,27
NDC,50383023210,Dorzolamide HCl Ophth Soln 2%,88.34,70.68,24.53,79.51,27
NDC,50383023310,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,124.2,99.36,34.49,111.78,27
NDC,50383024105,Levetiracetam Oral Soln 100 MG/ML,9.53,7.63,2.65,8.58,27
NDC,50383024106,Levetiracetam Oral Soln 100 MG/ML,9.59,7.68,2.66,8.63,27
NDC,50383024116,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,50383028604,Levofloxacin Oral Soln 25 MG/ML,22.41,17.93,6.22,20.17,27
NDC,50383028616,Levofloxacin Oral Soln 25 MG/ML,21.65,17.32,6.01,19.49,27
NDC,50383028793,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),16.96,13.57,4.71,15.26,27
NDC,50383036315,Lidocaine HCl Viscous Soln 2%,1.9,1.52,0.53,1.71,27
NDC,50383036317,Lidocaine HCl Viscous Soln 2%,1.9,1.52,0.53,1.71,27
NDC,50383056510,Neomycin Sulfate Tab 500 MG,1.69,1.36,0.47,1.52,27
NDC,50383066730,Lidocaine-Prilocaine Cream 2.5-2.5%,40.26,32.21,1.0,36.23,27
NDC,50383070016,Fluticasone Propionate Nasal Susp 50 MCG/ACT,13.65,10.92,3.79,12.29,27
NDC,50383077116,Docusate Sodium Liquid 150 MG/15ML,1.5,1.2,0.42,1.35,27
NDC,50383077515,Lidocaine HCl Viscous Soln 2%,2.11,1.69,0.59,1.9,27
NDC,50383077517,Lidocaine HCl Viscous Soln 2%,2.11,1.69,0.59,1.9,27
NDC,50383077816,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.5,1.2,0.42,1.35,27
NDC,50383077915,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,50383077930,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,50383077932,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,50383079216,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,50383080416,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383081016,Acyclovir Susp 200 MG/5ML,5.95,4.76,1.65,5.36,27
NDC,50383082316,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383082416,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,50383088915,Acetic Acid Otic Soln 2%,51.64,41.32,14.34,46.48,27
NDC,50419032005,Gadoxetate Disodium IV Soln 0.25 MMOL/ML (181.43 MG/ML),573.33,458.67,1.0,516.0,27
NDC,50419032015,Gadoxetate Disodium IV Soln 0.25 MMOL/ML (181.43 MG/ML),573.33,458.67,1.0,516.0,27
NDC,50419032502,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),129.6,103.68,1.0,116.64,27
NDC,50419032511,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),361.94,289.56,1.0,325.75,27
NDC,50419032512,Gadobutrol Inj 1 MMOL/ML (604.72 MG/ML),129.6,103.68,1.0,116.64,27
NDC,50419032522,Gadobutrol IV Soln Pref Syr 7.5 MMOL/7.5ML,160.34,128.28,1.0,144.31,27
NDC,50419032523,Gadobutrol IV Soln Pref Syr 10 MMOL/10ML,206.04,164.84,1.0,185.44,27
NDC,50419032527,Gadobutrol IV Soln Pref Syr 7.5 MMOL/7.5ML,160.34,128.28,1.0,144.31,27
NDC,50419032528,Gadobutrol IV Soln Pref Syr 10 MMOL/10ML,206.04,164.84,1.0,185.44,27
NDC,50419042201,Levonorgestrel Releasing IUD 14 MCG/DAY (13.5 MG Total),1212.27,969.82,497.03,1091.04,27
NDC,50419042301,Levonorgestrel IUD 20 MCG/DAY (Initial) (52 MG Total),865.32,692.26,354.78,1238.93,27
NDC,50419042401,Levonorgestrel Releasing IUD 17.5 MCG/DAY (19.5 MG Total),3175.82,2540.66,1179.93,2858.24,27
NDC,50419045404,Estradiol TD Patch Weekly 0.025 MG/24HR,53.6,42.88,14.88,48.24,27
NDC,50419077701,Ciprofloxacin For Oral Susp 250 MG/5ML (5%) (5 GM/100ML),16.34,13.08,4.54,14.71,27
NDC,50458009801,Pentosan Polysulfate Sodium Caps 100 MG,20.95,16.76,5.82,18.86,27
NDC,50458029515,Itraconazole Oral Soln 10 MG/ML,108.54,86.84,30.14,97.69,27
NDC,50458030611,Risperidone Microspheres For IM Extended Rel Susp 25 MG,1528.72,1222.98,10.43,1375.85,36
NDC,50458030711,Risperidone Microspheres For IM Extended Rel Susp 37.5 MG,2355.24,1884.2,10.43,2119.72,36
NDC,50458030801,Risperidone Microspheres For IM Extended Rel Susp 50 MG,3765.64,3012.52,10.43,3389.08,36
NDC,50458030811,Risperidone Microspheres For IM Extended Rel Susp 50 MG,2883.41,2306.73,10.43,2595.07,36
NDC,50458055001,Paliperidone Tab ER 24HR 3 MG,85.7,68.56,23.8,77.13,27
NDC,50458055101,Paliperidone Tab ER 24HR 6 MG,85.7,68.56,23.8,77.13,27
NDC,50458056101,Paliperidone Palmitate ER Susp Pref Syr 78 MG/0.5ML,1710.78,1368.63,14.34,1539.7,36
NDC,50458056201,Paliperidone Palmitate ER Susp Pref Syr 117 MG/0.75ML,1535.66,1228.53,14.34,1382.09,36
NDC,50458056301,Paliperidone Palmitate ER Susp Pref Syr 156 MG/ML,2061.03,1648.83,14.34,1854.93,36
NDC,50458056401,Paliperidone Palmitate ER Susp Pref Syr 234 MG/1.5ML,6517.28,5213.83,14.34,5865.55,36
NDC,50458057501,Rivaroxaban For Susp 1 MG/ML,1098.56,878.85,305.07,988.7,27
NDC,50458057801,Rivaroxaban Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,50458057810,Rivaroxaban Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,50458057830,Rivaroxaban Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,50458057890,Rivaroxaban Tab 15 MG,19.43,15.55,5.4,17.49,27
NDC,50458057930,Rivaroxaban Tab 20 MG,32.7,26.16,9.08,29.43,27
NDC,50458057990,Rivaroxaban Tab 20 MG,4.27,3.42,1.19,3.84,27
NDC,50458058010,Rivaroxaban Tab 10 MG,30.24,24.2,8.4,27.22,27
NDC,50458058030,Rivaroxaban Tab 10 MG,30.27,24.22,8.41,27.24,27
NDC,50458058701,Methylphenidate HCl Tab ER Osmotic Release (OSM) 54 MG,37.17,29.74,10.32,33.45,27
NDC,50458058801,Methylphenidate HCl Tab ER Osmotic Release (OSM) 27 MG,33.09,26.48,9.19,29.78,27
NDC,50458059601,Risperidone Soln 1 MG/ML,1.5,1.2,0.42,1.35,27
NDC,50458060901,Paliperidone Palmitate ER Susp Pref Syr 819 MG/2.63ML,12366.18,9892.95,12.2,11129.56,36
NDC,50458064165,Topiramate Tab 100 MG,32.99,26.4,9.16,29.69,27
NDC,50474000148,Levetiracetam Oral Soln 100 MG/ML,13.16,10.53,3.65,11.84,27
NDC,50474000263,Levetiracetam Inj 500 MG/5ML (100 MG/ML),190.01,152.01,1.0,171.01,27
NDC,50474047009,Brivaracetam Tab 25 MG,50.63,40.51,14.06,45.57,27
NDC,50474047066,Brivaracetam Tab 25 MG,50.76,40.61,14.1,45.68,27
NDC,50474059540,Levetiracetam Tab 500 MG,13.65,10.92,3.79,12.29,27
NDC,50474070062,Certolizumab Pegol For Inj Kit 2 X 200 MG,4821.51,3857.21,3.72,4339.36,36
NDC,50474071079,Certolizumab Pegol Prefilled Syringe Kit 200 MG/ML,13791.79,11033.44,3.72,12412.61,36
NDC,50484001030,Collagenase Oint 250 Unit/GM,532.25,425.8,147.81,479.03,27
NDC,50632001001,"Rabies Vaccine, PCEC For Inj",1113.44,890.76,250.98,1002.1,36
NDC,50632001301,"Rabies Vaccine, PCEC For Inj",1113.44,890.76,250.98,1002.1,36
NDC,50633012011,Digoxin Immune Fab For Inj 40 MG,8255.37,6604.3,3384.7,7429.83,36
NDC,50633021011,Glucarpidase For IV Inj 1000 UNIT,57715.14,46172.12,440.98,51943.63,27
NDC,50633031011,Hydroxocobalamin (Antidote) For IV Soln 5 GM,3423.06,2738.45,4.93,3080.75,36
NDC,50742015501,Metformin HCl Tab 850 MG,1.5,1.2,0.42,1.35,27
NDC,50742017801,Nadolol Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,50742017901,Nadolol Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,50742023301,Acetazolamide Cap ER 12HR 500 MG,2.89,2.32,0.8,2.6,27
NDC,50742023901,Mexiletine HCl Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,50742024001,Mexiletine HCl Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,50742024990,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.5,1.2,0.42,1.35,27
NDC,50742025090,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,1.5,1.2,0.42,1.35,27
NDC,50742025801,Carbamazepine Tab ER 12HR 200 MG,1.5,1.2,0.42,1.35,27
NDC,50742025901,Carbamazepine Tab ER 12HR 400 MG,2.47,1.98,0.69,2.22,27
NDC,50742026001,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.5,1.2,0.42,1.35,27
NDC,50742026101,Nifedipine Tab ER 24HR Osmotic Release 60 MG,1.5,1.2,0.42,1.35,27
NDC,50742040620,Oxaliplatin IV Soln 100 MG/20ML,83.78,67.03,1.0,75.4,27
NDC,50742050501,Scopolamine TD Patch 72HR 1 MG/3DAYS,29.62,23.7,8.23,26.66,27
NDC,50742050504,Scopolamine TD Patch 72HR 1 MG/3DAYS,29.62,23.7,8.23,26.66,27
NDC,50742051501,Nitroglycerin TD Patch 24HR 0.3 MG/HR,39.8,31.84,11.05,35.82,27
NDC,50742051530,Nitroglycerin TD Patch 24HR 0.3 MG/HR,39.8,31.84,11.05,35.82,27
NDC,50742055001,Fentanyl TD Patch 72HR 25 MCG/HR,13.13,10.51,3.65,11.82,27
NDC,50742055201,Fentanyl TD Patch 72HR 50 MCG/HR,24.47,19.58,6.8,22.02,27
NDC,50742055205,Fentanyl TD Patch 72HR 50 MCG/HR,24.47,19.58,6.8,22.02,27
NDC,50742055401,Fentanyl TD Patch 72HR 75 MCG/HR,26.02,20.82,7.23,23.42,27
NDC,50742055405,Fentanyl TD Patch 72HR 75 MCG/HR,26.02,20.82,7.23,23.42,27
NDC,50742055601,Fentanyl TD Patch 72HR 100 MCG/HR,38.3,30.64,10.64,34.47,27
NDC,50742055605,Fentanyl TD Patch 72HR 100 MCG/HR,38.3,30.64,10.64,34.47,27
NDC,50742061701,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,51079002801,Tacrolimus Cap 5 MG,33.86,27.09,1.0,30.47,27
NDC,51079005801,Chlorthalidone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079007201,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,51079007220,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,51079007301,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,51079007320,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,51079007401,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51079007420,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51079007820,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079008601,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,51079008620,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,51079008701,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,51079008720,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,51079010301,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079010320,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079016503,Voriconazole Tab 200 MG,65.22,52.18,18.11,58.7,27
NDC,51079017001,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,51079017020,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,51079018001,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,51079020501,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,51079020601,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,51079025501,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079025520,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079027303,Entacapone Tab 200 MG,8.05,6.44,2.24,7.25,27
NDC,51079028401,Diazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,51079028501,Diazepam Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079028520,Diazepam Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079028601,Diazepam Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51079030601,Polyethylene Glycol 3350 Oral Packet 17 GM,3.4,2.72,0.94,3.06,27
NDC,51079030630,Polyethylene Glycol 3350 Oral Packet 17 GM,2.74,2.2,0.76,2.47,27
NDC,51079037401,Chlordiazepoxide HCl Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079037501,Chlordiazepoxide HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,51079043701,Doxepin HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079043720,Doxepin HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079043820,Doxepin HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079044001,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,51079044020,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,51079044401,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,51079044420,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,51079045301,Midodrine HCl Tab 5 MG,3.32,2.66,0.92,2.99,27
NDC,51079050801,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),10.23,8.19,1.0,9.21,27
NDC,51079050820,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),10.23,8.19,1.0,9.21,27
NDC,51079050901,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),20.47,16.38,1.0,18.42,27
NDC,51079052701,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,51079052720,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,51079056601,Thioridazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079056620,Thioridazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079058201,Leucovorin Calcium Tab 25 MG,19.47,15.58,5.41,17.52,27
NDC,51079058205,Leucovorin Calcium Tab 25 MG,19.47,15.58,5.41,17.52,27
NDC,51079062001,Azathioprine Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079063001,Prazosin HCl Cap 1 MG,3.65,2.92,1.01,3.29,27
NDC,51079063201,Prazosin HCl Cap 5 MG,8.61,6.89,2.39,7.75,27
NDC,51079065120,Doxepin HCl Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,51079067001,Methotrexate Sodium Tab 2.5 MG (Base Equiv),5.94,4.76,1.0,5.35,27
NDC,51079068401,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079068501,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,51079068520,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,51079069020,Loperamide HCl Cap 2 MG,1.76,1.41,0.49,1.58,27
NDC,51079072101,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,51079072120,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,51079073301,Haloperidol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,51079073401,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,51079073420,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,51079073501,Haloperidol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,51079073520,Haloperidol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,51079073601,Haloperidol Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079073620,Haloperidol Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079075301,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,51079075320,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,51079075901,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079076601,Divalproex Sodium Tab ER 24 HR 250 MG,4.62,3.7,1.28,4.16,27
NDC,51079076608,Divalproex Sodium Tab ER 24 HR 250 MG,4.62,3.7,1.28,4.16,27
NDC,51079076701,Divalproex Sodium Tab ER 24 HR 500 MG,7.72,6.18,2.14,6.95,27
NDC,51079080101,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079080120,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079081301,Nadolol Tab 40 MG,8.78,7.03,2.44,7.9,27
NDC,51079081320,Nadolol Tab 40 MG,8.78,7.03,2.44,7.9,27
NDC,51079081701,Tacrolimus Cap 0.5 MG,3.46,2.77,0.96,3.11,27
NDC,51079081801,Tacrolimus Cap 1 MG,6.18,4.95,1.0,5.56,27
NDC,51079081820,Tacrolimus Cap 1 MG,4.21,3.37,1.0,3.79,27
NDC,51079086301,Captopril Tab 12.5 MG,3.43,2.75,0.95,3.09,27
NDC,51079086401,Captopril Tab 25 MG,2.65,2.12,0.74,2.39,27
NDC,51079086420,Captopril Tab 25 MG,2.64,2.12,0.73,2.38,27
NDC,51079092101,Clozapine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079092120,Clozapine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079092201,Clozapine Tab 100 MG,1.92,1.54,0.53,1.73,27
NDC,51079092220,Clozapine Tab 100 MG,2.32,1.86,0.64,2.09,27
NDC,51079092301,Carbidopa & Levodopa Tab ER 50-200 MG,1.5,1.2,0.42,1.35,27
NDC,51079092320,Carbidopa & Levodopa Tab ER 50-200 MG,1.5,1.2,0.42,1.35,27
NDC,51079093101,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,51079093120,Carvedilol Tab 12.5 MG,2.34,1.88,0.65,2.11,27
NDC,51079093201,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079093220,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51079096001,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,51079097801,Carbidopa & Levodopa Tab ER 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,51079098501,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079098520,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51079098601,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51079098620,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51079099101,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51079099120,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51144005001,Brentuximab Vedotin For IV Soln 50 MG,25338.22,20270.58,222.11,22804.4,36
NDC,51224000760,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,51224001050,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,51224001301,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,51224001310,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,51224002230,Azithromycin Tab 250 MG,5.29,4.24,1.47,4.76,27
NDC,51224020630,Naltrexone HCl Tab 50 MG,1.55,1.24,0.43,1.4,27
NDC,51224020650,Naltrexone HCl Tab 50 MG,2.54,2.04,0.71,2.29,27
NDC,51293061101,Phenazopyridine HCl Tab 100 MG,1.81,1.45,0.5,1.63,27
NDC,51293061201,Phenazopyridine HCl Tab 200 MG,3.19,2.56,0.89,2.87,27
NDC,51293069101,Phenobarbital Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,51293080101,Phenazopyridine HCl Tab 100 MG,4.29,3.44,1.19,3.86,27
NDC,51293080201,Phenazopyridine HCl Tab 200 MG,6.37,5.1,1.77,5.73,27
NDC,51293080401,Salsalate Tab 750 MG,4.51,3.61,1.25,4.06,27
NDC,51293081001,Phenazopyridine HCl Tab 100 MG,4.43,3.55,1.23,3.99,27
NDC,51293081101,Phenazopyridine HCl Tab 200 MG,6.56,5.25,1.82,5.9,27
NDC,51383000312,Wound Cleansers - Solution,18.48,14.79,5.13,16.63,27
NDC,51525029403,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),162.97,130.38,45.26,146.67,27
NDC,51525043101,Felbamate Tab 600 MG,10.74,8.6,2.98,9.67,27
NDC,51525044208,Felbamate Susp 600 MG/5ML,15.79,12.64,4.38,14.21,27
NDC,51552005106,Acetic Acid Soln 3%,43.2,34.56,12.0,38.88,27
NDC,51552022105,Sodium Benzoate Powder,33.75,27.0,9.37,30.38,27
NDC,51552048001,Clonidine HCl Powder,39300.01,31440.01,10913.61,35370.01,27
NDC,51552059406,"Calcium Phosphate, Tribasic Powder",83.7,66.96,23.24,75.33,27
NDC,51552065401,Biotin (Bulk) Powder,74.49,59.6,20.69,67.04,27
NDC,51660020090,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51660052601,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51660099628,Colesevelam HCl Tab 625 MG,2.3,1.84,0.64,2.07,27
NDC,51672125301,Fluocinonide Cream 0.05%,27.05,21.64,7.51,24.35,27
NDC,51672126401,Fluocinonide Oint 0.05%,19.6,15.68,5.44,17.64,27
NDC,51672126402,Fluocinonide Oint 0.05%,58.89,47.12,16.35,53.0,27
NDC,51672126705,Triamcinolone Acetonide Dental Paste 0.1%,123.82,99.06,34.38,111.44,27
NDC,51672127101,Desoximetasone Cream 0.05%,93.96,75.17,26.09,84.56,27
NDC,51672127302,Fluocinonide Soln 0.05%,22.41,17.93,6.22,20.17,27
NDC,51672127406,Betamethasone Dipropionate Cream 0.05%,174.96,139.97,48.59,157.46,27
NDC,51672127502,Clotrimazole Cream 1%,5.67,4.54,1.57,5.1,27
NDC,51672128003,Desonide Cream 0.05%,555.17,444.14,154.17,499.65,27
NDC,51672128101,Desonide Oint 0.05%,103.88,83.11,28.85,93.49,27
NDC,51672128201,Triamcinolone Acetonide Cream 0.1%,10.33,8.27,2.87,9.3,27
NDC,51672128901,Nystatin Cream 100000 Unit/GM,21.99,17.6,6.11,19.79,27
NDC,51672129303,Clobetasol Propionate Soln 0.05%,59.67,47.74,16.57,53.7,27
NDC,51672129601,Diflorasone Diacetate Cream 0.05%,172.08,137.67,47.79,154.87,27
NDC,51672129803,Ketoconazole Cream 2%,76.14,60.92,21.14,68.53,27
NDC,51672130301,Econazole Nitrate Cream 1%,22.84,18.28,6.34,20.56,27
NDC,51672130308,Econazole Nitrate Cream 1%,43.83,35.07,12.17,39.45,27
NDC,51672130406,Terconazole Vaginal Cream 0.4%,78.12,62.5,21.69,70.31,27
NDC,51672131200,Mupirocin Oint 2%,11.29,9.04,3.14,10.16,27
NDC,51672131201,Mupirocin Oint 2%,33.62,26.9,9.34,30.26,27
NDC,51672131802,Ciclopirox Olamine Cream 0.77% (Base Equiv),66.34,53.08,18.42,59.71,27
NDC,51672135004,Clobetasol Propionate Lotion 0.05%,528.88,423.11,146.87,475.99,27
NDC,51672135608,Fluocinolone Acetonide Oil 0.01% (Body Oil),367.26,293.81,101.99,330.53,27
NDC,51672137001,Mupirocin Calcium Cream 2%,491.87,393.5,136.59,442.68,27
NDC,51672200102,Miconazole Nitrate Cream 2%,11.26,9.01,3.13,10.13,27
NDC,51672200306,Clotrimazole Vaginal Cream 1%,5.47,4.38,1.52,4.92,27
NDC,51672203506,Miconazole Nitrate Vaginal Cream 2%,19.8,15.84,5.5,17.82,27
NDC,51672206302,Hydrocortisone Cream 1%,11.43,9.15,3.17,10.29,27
NDC,51672206902,Hydrocortisone Cream 1%,8.89,7.12,2.47,8.0,27
NDC,51672208002,Terbinafine HCl Cream 1%,20.33,16.27,5.65,18.3,27
NDC,51672211608,Acetaminophen Suppos 325 MG,1.76,1.41,0.49,1.58,27
NDC,51672302002,Lidocaine Oint 5%,113.48,90.79,31.51,102.13,27
NDC,51672400101,Nortriptyline HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,51672400102,Nortriptyline HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,51672400105,Nortriptyline HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,51672400201,Nortriptyline HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,51672400202,Nortriptyline HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,51672400205,Nortriptyline HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,51672400301,Nortriptyline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,51672400305,Nortriptyline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,51672400401,Nortriptyline HCl Cap 75 MG,1.5,1.2,0.42,1.35,27
NDC,51672400405,Nortriptyline HCl Cap 75 MG,1.5,1.2,0.42,1.35,27
NDC,51672400501,Carbamazepine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,51672400503,Carbamazepine Tab 200 MG,2.24,1.8,0.62,2.02,27
NDC,51672401205,Clomipramine HCl Cap 50 MG,22.65,18.12,6.29,20.39,27
NDC,51672401206,Clomipramine HCl Cap 50 MG,22.65,18.12,6.29,20.39,27
NDC,51672401305,Clomipramine HCl Cap 75 MG,22.65,18.12,6.29,20.39,27
NDC,51672401306,Clomipramine HCl Cap 75 MG,9.94,7.96,2.76,8.95,27
NDC,51672401701,Etodolac Cap 300 MG,3.18,2.55,0.88,2.86,27
NDC,51672401801,Etodolac Tab 400 MG,2.61,2.09,0.72,2.35,27
NDC,51672402201,Acetazolamide Tab 125 MG,1.5,1.2,0.42,1.35,27
NDC,51672402301,Acetazolamide Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,51672402504,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,51672402606,Ketoconazole Tab 200 MG,3.75,3.0,1.04,3.38,27
NDC,51672402701,Warfarin Sodium Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,51672402801,Warfarin Sodium Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,51672403001,Warfarin Sodium Tab 3 MG,1.5,1.2,0.42,1.35,27
NDC,51672403101,Warfarin Sodium Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,51672403201,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,51672403501,Warfarin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,51672403601,Etodolac Tab 500 MG,2.78,2.23,0.77,2.5,27
NDC,51672404101,Carbamazepine Chew Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,51672404201,Clorazepate Dipotassium Tab 3.75 MG,1.5,1.2,0.42,1.35,27
NDC,51672404709,Carbamazepine Susp 100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,51672404806,Clotrimazole w/ Betamethasone Cream 1-0.05%,143.25,114.6,39.78,128.93,27
NDC,51672406901,Phenytoin Susp 125 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,51672409103,Ondansetron HCl Oral Soln 4 MG/5ML,20.84,16.68,1.0,18.76,27
NDC,51672411101,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,51672411103,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,51672411704,Nystatin Susp 100000 Unit/ML,21.06,16.85,5.85,18.95,27
NDC,51672411709,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,51672411806,Fluorouracil Cream 5%,257.9,206.32,71.62,232.11,27
NDC,51672412301,Carbamazepine Tab ER 12HR 100 MG,2.19,1.76,0.61,1.97,27
NDC,51672412401,Carbamazepine Tab ER 12HR 200 MG,1.68,1.35,0.47,1.51,27
NDC,51672412501,Carbamazepine Tab ER 12HR 400 MG,5.63,4.51,1.56,5.07,27
NDC,51672413001,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,51672413101,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,51672413304,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,51672414601,Phenytoin Chew Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,51672416403,Metronidazole Gel 1%,506.57,405.26,140.67,455.91,27
NDC,51672421108,Ivermectin Lotion 0.5%,494.38,395.51,137.29,444.94,27
NDC,51672421503,Metronidazole Gel 1%,276.05,220.84,76.66,248.45,27
NDC,51672421509,Metronidazole Gel 1%,555.39,444.32,154.23,499.85,27
NDC,51672422501,Bumetanide Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,51672529404,Malathion Lotion 0.5%,503.39,402.72,139.79,453.05,27
NDC,51672529601,Promethazine HCl Suppos 12.5 MG,24.22,19.38,6.73,21.8,27
NDC,51672531609,Glycopyrrolate Oral Soln 1 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,51672533002,Hydrocortisone Cream 1%,6.67,5.34,1.85,6.0,27
NDC,517003125,Cyanocobalamin Inj 1000 MCG/ML,25.23,20.19,1.0,22.71,27
NDC,517003225,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,517037401,Methylene Blue IV Soln 50 MG/10ML (5 MG/ML),601.99,481.6,4.79,541.79,38
NDC,517037405,Methylene Blue IV Soln 50 MG/10ML (5 MG/ML),301.77,241.42,4.79,271.59,38
NDC,517037505,Indigotindisulfonate Sodium Inj 8 MG/ML,582.25,465.8,161.69,524.03,27
NDC,517065001,Ferric Carboxymaltose IV Soln 750 MG/15ML (Fe Equivalent),2846.54,2277.24,1.05,2561.89,36
NDC,517071001,Fomepizole Inj 1 GM/ML (For IV Infusion),2092.35,1673.88,5.96,1883.12,36
NDC,517072001,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,32.875,26.305,1.0,39.45,54
NDC,517073501,Nicardipine HCl IV Soln 2.5 MG/ML,124.19,99.36,0.41,111.77,27
NDC,517074001,Methylergonovine Maleate Inj 0.2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,517095501,Olanzapine For IM Inj 10 MG,152.21,121.77,0.89,136.99,27
NDC,517096010,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),23.93,19.15,1.0,21.54,27
NDC,517096010,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",23.93,19.15,6.65,21.54,27
NDC,517100101,Atropine Sulfate IV Soln 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,517100125,Atropine Sulfate IV Soln 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,517100401,Atropine Sulfate IV Soln 0.4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,517100425,Atropine Sulfate IV Soln 0.4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,517102001,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),43.03,34.43,0.56,38.73,27
NDC,517102025,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),43.03,34.43,0.56,38.73,27
NDC,517104501,Levocarnitine Inj 200 MG/ML,110.97,88.78,25.83,99.87,27
NDC,517107501,Levocarnitine Inj 200 MG/ML,439.09,351.28,25.83,395.18,27
NDC,517176701,Hydroxyprogesterone Caproate IM 250 MG/ML,565.03,452.03,13.82,508.53,27
NDC,517182001,Chlorothiazide Sodium For Inj 500 MG,205.84,164.68,1.0,185.26,27
NDC,517198001,Dicyclomine HCl Inj 10 MG/ML,120.32,96.26,1.0,108.29,27
NDC,517198005,Dicyclomine HCl Inj 10 MG/ML,120.32,96.26,1.0,108.29,27
NDC,517205101,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",44.54,35.64,1.0,40.09,27
NDC,517205125,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",44.54,35.64,1.0,40.09,27
NDC,517231001,Iron Sucrose Inj 20 MG/ML (Fe Equiv),34.26,27.41,1.0,30.83,27
NDC,517231005,Iron Sucrose Inj 20 MG/ML (Fe Equiv),35.94,28.76,1.0,32.35,27
NDC,517232501,Iron Sucrose Inj 20 MG/ML (Fe Equiv),62.7,50.16,1.0,56.43,27
NDC,517232510,Iron Sucrose Inj 20 MG/ML (Fe Equiv),62.7,50.16,1.0,56.43,27
NDC,517234001,Iron Sucrose Inj 20 MG/ML (Fe Equiv),34.77,27.82,1.0,31.29,27
NDC,517234010,Iron Sucrose Inj 20 MG/ML (Fe Equiv),34.77,27.82,1.0,31.29,27
NDC,517400201,Papaverine HCl Inj 30 MG/ML,135.77,108.62,1.0,122.19,27
NDC,517400225,Papaverine HCl Inj 30 MG/ML,121.45,97.16,1.0,109.31,27
NDC,517460225,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),29.5,23.6,0.43,26.55,36
NDC,517481025,Nitroglycerin IV Soln 5 MG/ML,21.0,16.8,1.29,18.9,27
NDC,517502325,Sodium Acetate Inj 4 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,51754010801,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,35.67,28.54,1.0,32.1,27
NDC,51754010803,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,35.67,28.54,1.0,32.1,27
NDC,51754020301,Verapamil HCl IV Soln 2.5 MG/ML,122.24,97.8,33.95,110.02,27
NDC,51754020302,Verapamil HCl IV Soln 2.5 MG/ML,122.28,97.83,33.96,110.05,27
NDC,51754050001,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),24.49,19.6,1.0,22.04,27
NDC,51754050103,Caffeine Citrate Oral Soln 60 MG/3ML (10 MG/ML Base Equiv),35.37,28.3,9.82,31.83,27
NDC,51754050201,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),56.94,45.56,1.0,51.25,27
NDC,51754100001,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,51754100004,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,51754100701,Cysteine HCl Inj 50 MG/ML,292.93,234.35,81.35,263.64,27
NDC,51754100703,Cysteine HCl Inj 50 MG/ML,292.93,234.35,81.35,263.64,27
NDC,51754122001,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,51754122003,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,51754200104,Potassium Acetate Inj 2 mEq/ML,21.0,16.8,5.83,18.9,27
NDC,51754200401,Potassium Acetate Inj 2 mEq/ML,88.74,71.0,24.64,79.87,27
NDC,51754420001,Ephedrine Sulfate IV Soln 50 MG/ML,36.37,29.1,10.1,32.73,27
NDC,51754420004,Ephedrine Sulfate IV Soln 50 MG/ML,36.37,29.1,10.1,32.73,27
NDC,51754501101,Sodium Bicarbonate IV Soln 8.4%,32.28,25.83,1.0,29.05,27
NDC,51754501104,Sodium Bicarbonate IV Soln 8.4%,32.28,25.83,1.0,29.05,27
NDC,51754506001,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,48.480000000000004,38.79,1.0,58.18,54
NDC,517560101,Hydroxyzine HCl IM Soln 50 MG/ML,45.1,36.08,1.0,40.59,27
NDC,517560125,Hydroxyzine HCl IM Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,517610325,Zinc Sulfate Inj 3 MG/ML,212.72,170.18,59.07,191.45,27
NDC,517620225,Trace Min (Cr-Cu-Mn-Zn) Inj 0.85-100-25-1500 MCG/ML,38.8,31.04,10.77,34.92,27
NDC,517650201,Selenious Acid Inj 6 MCG/ML (Selenium Equiv),62.51,50.01,17.36,56.26,27
NDC,517671001,Calcium Chloride Inj 10%,32.63,26.11,9.06,29.37,27
NDC,517671010,Calcium Chloride Inj 10%,30.32,24.26,8.42,27.29,27
NDC,517750401,Acetylcysteine Inhal Soln 10%,11.34,9.08,3.15,10.21,27
NDC,517750425,Acetylcysteine Inhal Soln 10%,11.34,9.08,3.15,10.21,27
NDC,517760401,Acetylcysteine Inhal Soln 20%,12.2,9.76,5.0,10.98,27
NDC,517760425,Acetylcysteine Inhal Soln 20%,20.95,16.76,5.82,18.86,54
NDC,517912001,Aminocaproic Acid Inj 250 MG/ML,21.0,16.8,5.83,18.9,27
NDC,517912025,Aminocaproic Acid Inj 250 MG/ML,21.0,16.8,5.83,18.9,27
NDC,517930225,Trace Min (Cu-Mn-Se-Zn) Inj 60-3-6-1000 MCG/ML,62.47,49.98,17.35,56.22,27
NDC,517930501,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,68.69,54.96,1.0,61.82,54
NDC,517930525,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,74.86,59.89,1.0,67.37,27
NDC,517970201,Droperidol Inj 2.5 MG/ML,31.93,25.55,1.0,28.74,27
NDC,517970225,Droperidol Inj 2.5 MG/ML,31.93,25.55,1.0,28.74,27
NDC,51842530,Testosterone TD Gel 25 MG/2.5GM (1%),40.19,32.16,11.16,36.17,27
NDC,51862002560,Dofetilide Cap 250 MCG (0.25 MG),12.56,10.05,3.49,11.3,27
NDC,51862012560,Dofetilide Cap 125 MCG (0.125 MG),12.56,10.05,3.49,11.3,27
NDC,51862024230,Amiodarone HCl Tab 400 MG,6.58,5.27,1.83,5.92,27
NDC,51862032001,Liothyronine Sodium Tab 5 MCG,1.5,1.2,0.42,1.35,27
NDC,51862032101,Liothyronine Sodium Tab 25 MCG,1.78,1.43,0.49,1.6,27
NDC,51862045404,Clonidine TD Patch Weekly 0.2 MG/24HR,115.51,92.41,32.08,103.96,27
NDC,51862045801,Cyclosporine Modified Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,51862045847,Cyclosporine Modified Cap 25 MG,1.62,1.3,0.45,1.46,27
NDC,51862048601,Trimethoprim Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,51927100000,Morphine Sulfate Powder,3981.99,3185.6,1105.8,3583.79,27
NDC,51927218200,"Droperidol Inj 2.5 MG/ML,Droperidol Powder",1264.01,1011.21,351.02,1137.61,27
NDC,5197101,Pneumococcal 13-Valent Conjugate Vaccine Inj,688.63,550.91,230.83,619.77,36
NDC,5197102,Pneumococcal 13-Valent Conjugate Vaccine Inj,728.27,582.62,230.83,655.44,36
NDC,5197105,Pneumococcal 13-Valent Conjugate Vaccine Inj,724.05,579.24,230.83,651.65,36
NDC,51991000633,Desvenlafaxine Succinate Tab ER 24HR 25 MG (Base Equiv),1.68,1.35,0.47,1.51,27
NDC,51991007401,Butalbital-Aspirin-Caff w/ Codeine Cap 50-325-40-30 MG,1.95,1.56,0.54,1.76,27
NDC,51991008490,Folic Acid-Vitamin B6-Vitamin B12 Tab 2.5-25-1 MG,1.5,1.2,0.42,1.35,27
NDC,51991018142,Ferrous Fumarate Tab 324 MG (106 MG Elemental Fe),1.5,1.2,0.42,1.35,27
NDC,51991020311,Polysaccharide Iron Complex Cap 150 MG (Iron Equivalent),1.5,1.2,0.42,1.35,27
NDC,51991029201,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,51991029301,Oxcarbazepine Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,51991029305,Oxcarbazepine Tab 300 MG,1.93,1.55,0.54,1.74,27
NDC,51991029401,Oxcarbazepine Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,51991031133,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.91,1.53,0.53,1.72,27
NDC,51991031190,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.61,1.29,0.45,1.45,27
NDC,51991031290,Desvenlafaxine Succinate Tab ER 24HR 100 MG (Base Equiv),1.57,1.26,0.44,1.41,27
NDC,51991036399,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),13.8,11.04,3.83,12.42,27
NDC,51991052633,Terbinafine HCl Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,51991054690,Fe Asparto Gly-Succinic Acd-Vit C-Threonic Acd-B12-FA Tab,2.12,1.7,0.59,1.91,27
NDC,51991062033,Anastrozole Tab 1 MG,1.5,1.2,0.62,11.31,27
NDC,51991064310,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,51991065116,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,51991070401,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,51991070501,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,51991073520,Granisetron HCl Tab 1 MG,3.59,2.88,1.0,3.23,27
NDC,51991073599,Granisetron HCl Tab 1 MG,3.59,2.88,1.0,3.23,27
NDC,51991074790,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,51991075933,Letrozole Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,51991079306,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),3.24,2.6,0.9,2.92,27
NDC,51991079406,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),5.45,4.36,1.51,4.91,27
NDC,51991079798,Azacitidine For Inj 100 MG,126.77,101.42,0.37,114.09,27
NDC,51991081403,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),29.16,23.33,8.1,26.24,27
NDC,51991081701,Propranolol HCl Cap ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,51991081801,Propranolol HCl Cap ER 24HR 80 MG,1.51,1.21,0.42,1.36,27
NDC,51991081901,Propranolol HCl Cap ER 24HR 120 MG,4.62,3.7,1.28,4.16,27
NDC,51991082128,Everolimus Tab 2.5 MG,286.61,229.29,79.59,257.95,27
NDC,51991083801,Cyproheptadine HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,51991089533,Entecavir Tab 0.5 MG,3.5,2.8,0.97,3.15,27
NDC,51991094298,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),2053.32,1642.66,59.91,1847.99,36
NDC,51991096158,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,1.5,1.2,0.42,1.35,27
NDC,51991098317,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,52015008001,Fidaxomicin Tab 200 MG,208.68,166.95,57.95,187.81,27
NDC,52060201,BCG Live Intravesical For Susp 50 MG,536.87,429.5,144.5,483.18,27
NDC,52060202,BCG Live Intravesical For Susp 50 MG,536.87,429.5,144.5,483.18,27
NDC,52244010010,Theophylline Cap ER 24HR 100 MG,4.59,3.68,1.27,4.13,27
NDC,52244020010,Theophylline Cap ER 24HR 200 MG,6.83,5.47,1.9,6.15,27
NDC,52268010001,PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM,5.4,4.32,1.5,4.86,27
NDC,52276031205,Carglumic Acid Soluble Tab 200 MG,494.64,395.72,137.36,445.18,27
NDC,52533001912,Ephedrine Sulf-NaCl Soln Pref Syr 50 MG/10ML-0.9% (5 MG/ML),26.1,20.88,7.25,23.49,27
NDC,52533004615,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),7.0,5.6,1.0,6.3,27
NDC,52533007416,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,26.6,21.28,1.0,23.94,27
NDC,52536016201,Perphenazine Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,52536016401,Perphenazine Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,52536016801,Perphenazine Tab 8 MG,1.5,1.2,0.42,1.35,27
NDC,52536018003,Erythromycin Tab Delayed Release 250 MG,10.48,8.39,2.91,9.43,27
NDC,52536060011,Baclofen Susp 25 MG/5ML,1610.28,1288.23,447.17,1449.25,27
NDC,52565000730,Lidocaine-Prilocaine Cream 2.5-2.5%,14.9,11.92,1.0,13.41,27
NDC,52565000814,Lidocaine Oint 5%,23.92,19.14,6.64,21.53,27
NDC,52565000950,Lidocaine HCl Soln 4%,4.37,3.5,1.21,3.93,27
NDC,52565001415,Triamcinolone Acetonide Oint 0.1%,10.85,8.68,3.01,9.77,27
NDC,52565002285,Econazole Nitrate Cream 1%,21.8,17.44,6.05,19.62,27
NDC,52565005630,Triamcinolone Acetonide Cream 0.1%,15.07,12.06,4.18,13.56,27
NDC,52565009015,Gentamicin Sulfate Oint 0.1%,74.93,59.95,20.81,67.44,27
NDC,52609000105,Melphalan Tab 2 MG,20.24,16.2,8.3,18.22,27
NDC,52609450501,Deferoxamine Mesylate For Inj 500 MG,40.93,32.75,1.0,36.84,27
NDC,52652500101,Amlodipine Benzoate Oral Susp 1 MG/ML (Base Equivalent),29.38,23.51,8.16,26.44,27
NDC,52652600101,Baclofen Susp 25 MG/5ML,1654.99,1324.0,459.59,1489.49,27
NDC,527105001,Acetazolamide Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,527128201,Dicyclomine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,527130101,Primidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,527131101,Terbutaline Sulfate Tab 5 MG,4.19,3.36,1.16,3.77,27
NDC,527131801,Terbutaline Sulfate Tab 2.5 MG,10.45,8.36,2.9,9.41,27
NDC,527132601,Ursodiol Cap 300 MG,1.92,1.54,0.53,1.73,27
NDC,527133825,Doxycycline Monohydrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,527133850,Doxycycline Monohydrate Tab 100 MG,1.89,1.52,0.52,1.7,27
NDC,527135301,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,527136906,Danazol Cap 200 MG,18.17,14.54,5.05,16.35,27
NDC,527139301,Rifampin Cap 150 MG,1.93,1.55,0.54,1.74,27
NDC,527139330,Rifampin Cap 150 MG,1.93,1.55,0.54,1.74,27
NDC,527139401,Loxapine Succinate Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,527150637,Amphetamine-Dextroamphetamine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,527155201,Butalbital-Aspirin-Caffeine Cap 50-325-40 MG,2.74,2.2,0.76,2.47,27
NDC,527169501,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.5,1.2,0.42,1.35,27
NDC,527179001,Fluphenazine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,527192736,Methadone HCl Conc 10 MG/ML,1.69,1.36,0.47,1.52,27
NDC,527194748,Lopinavir-Ritonavir Soln 400-100 MG/5ML (80-20 MG/ML),28.8,23.04,8.0,25.92,27
NDC,527194866,Levofloxacin Oral Soln 25 MG/ML,24.54,19.64,6.81,22.09,27
NDC,527194947,Cyproheptadine HCl Syrup 2 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,527197174,Cocaine HCl Nasal Soln 40 MG/ML (4%),552.96,442.37,1.41,497.66,27
NDC,527239532,Azithromycin Tab 500 MG,5.6,4.48,1.56,5.04,27
NDC,527260037,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,527260137,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,527260237,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,527301248,Mesalamine Tab Delayed Release 1.2 GM,4.07,3.26,1.13,3.66,27
NDC,527329046,Levothyroxine Sodium Tab 200 MCG,1.5,1.2,0.42,1.35,27
NDC,527411737,Propranolol HCl Cap ER 24HR 80 MG,1.5,1.2,0.42,1.35,27
NDC,527513762,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),1.62,1.3,0.45,1.46,27
NDC,527530164,Clobazam Suspension 2.5 MG/ML,1.5,1.2,0.42,1.35,27
NDC,527551537,Amphetamine-Dextroamphetamine Cap ER 24HR 30 MG,1.5,1.2,0.42,1.35,27
NDC,527600480,Lidocaine HCl Soln 4%,4.17,3.34,1.16,3.75,27
NDC,52817021010,Cyproheptadine HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,52817023530,Ramelteon Tab 8 MG,3.56,2.85,0.99,3.2,27
NDC,52817027010,Bisoprolol Fumarate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,52817027110,Bisoprolol Fumarate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,52817027130,Bisoprolol Fumarate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,52817031910,Baclofen Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,52817038510,Glipizide Tab 2.5 MG,3.46,2.77,0.96,3.11,27
NDC,52817083004,Levocarnitine Oral Soln 1 GM/10ML (10%),2.19,1.76,0.61,1.97,27
NDC,53329017210,Miconazole Nitrate Ointment 2%,10.35,8.28,2.87,9.32,27
NDC,53436008401,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),92.66,74.13,25.73,83.39,27
NDC,53436008404,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),321.3,257.04,89.23,289.17,27
NDC,53436008430,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),78.77,63.02,21.87,70.89,27
NDC,53489014310,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,53489014401,Spironolactone & Hydrochlorothiazide Tab 25-25 MG,2.52,2.02,0.7,2.27,27
NDC,53489015601,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,53489015610,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,53489015701,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,53489017601,Albuterol Sulfate Tab 2 MG,9.77,7.82,2.71,8.79,27
NDC,53489032901,Spironolactone Tab 100 MG,1.85,1.48,0.51,1.67,27
NDC,53489036801,Felodipine Tab ER 24HR 2.5 MG,2.84,2.28,0.79,2.56,27
NDC,53489038601,Minoxidil Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,53489038701,Minoxidil Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,53489047801,Sulindac Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,53489047901,Sulindac Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,53489051701,Trazodone HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,53489055101,Propafenone HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,53489055201,Propafenone HCl Tab 225 MG,1.5,1.2,0.42,1.35,27
NDC,53489070007,Quinine Sulfate Cap 324 MG,14.72,11.78,4.09,13.25,27
NDC,536104610,Sodium Bicarbonate Tab 325 MG,1.5,1.2,0.42,1.35,27
NDC,536105224,Polyethylene Glycol 3350 Oral Powder,1.5,1.2,0.42,1.35,27
NDC,536110788,Nicotine TD Patch 24HR 14 MG/24HR,4.35,3.48,1.21,3.92,27
NDC,536110888,Nicotine TD Patch 24HR 21 MG/24HR,5.35,4.28,1.49,4.82,27
NDC,536113428,Miconazole Nitrate Cream 2%,10.13,8.11,2.81,9.12,27
NDC,536114263,Levonorgestrel Tab 1.5 MG,18.93,15.15,5.26,17.04,27
NDC,536121195,Dibucaine Oint 1%,7.56,6.05,2.1,6.8,27
NDC,536121794,Tetrahydrozoline HCl Ophth Soln 0.05%,4.78,3.83,1.33,4.3,27
NDC,536122497,Ophthalmic Irrigation Solution,7.01,5.61,1.95,6.31,27
NDC,536122858,Phenol Liquid 1.4%,5.73,4.59,1.59,5.16,27
NDC,536125391,Sodium Chloride Hypertonic Ophth Oint 5%,22.78,18.23,6.33,20.5,27
NDC,536126659,Sennosides Syrup 8.8 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,536127780,Hydrocortisone Cream 1%,3.48,2.79,0.97,3.13,27
NDC,536129497,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),22.68,18.15,6.3,20.41,27
NDC,536130375,Simethicone Susp 40 MG/0.6ML,1.5,1.2,0.42,1.35,27
NDC,536131628,Zinc Oxide Oint 20%,4.78,3.83,1.33,4.3,27
NDC,536133434,Dextromethorphan HBr Cap 15 MG,1.5,1.2,0.42,1.35,27
NDC,536133632,Calcium Acetate (Phosphate Binder) Tab 667 MG,1.5,1.2,0.42,1.35,27
NDC,536136223,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,27
NDC,536137575,Miconazole Nitrate Cream 2%,7.05,5.64,1.96,6.35,27
NDC,536137904,Docosanol Cream 10%,44.17,35.34,12.27,39.75,27
NDC,536140795,Hydrocortisone Cream 1%,3.55,2.84,0.99,3.2,27
NDC,536141638,Cyanocobalamin Tab 250 MCG,1.5,1.2,0.42,1.35,27
NDC,536199553,Selenium Sulfide Lotion 1%,6.15,4.92,1.71,5.54,27
NDC,536247085,Magnesium Hydroxide Susp 400 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,536250676,Saline Nasal Spray 0.65%,3.28,2.63,0.91,2.95,27
NDC,536302934,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,27
NDC,536311201,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,27
NDC,536340401,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,27
NDC,536430608,Calcium Polycarbophil Tab 625 MG,1.5,1.2,0.42,1.35,27
NDC,536430611,Calcium Polycarbophil Tab 625 MG,1.5,1.2,0.42,1.35,27
NDC,536589488,Nicotine TD Patch 24HR 7 MG/24HR,3.62,2.9,1.01,3.26,27
NDC,536589588,Nicotine TD Patch 24HR 14 MG/24HR,5.43,4.35,1.51,4.89,27
NDC,536589688,Nicotine TD Patch 24HR 21 MG/24HR,3.78,3.03,1.05,3.4,27
NDC,536741551,Sodium Phosphates - Enema,1.8,1.44,0.5,1.62,27
NDC,53746010901,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,53746010905,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,53746011001,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,53746011005,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,53746019401,Naproxen Sodium Tab 550 MG,1.5,1.2,0.42,1.35,27
NDC,53746020401,Oxycodone w/ Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,53746027101,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,27
NDC,53746027105,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,27
NDC,53746027205,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,27
NDC,53746044201,Meclizine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,53746051105,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,53746051110,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,53746051501,Spironolactone Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,53746051505,Spironolactone Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,53746052101,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,53746054401,Primidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,53746054405,Primidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,53746054501,Primidone Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,53746055401,Demeclocycline HCl Tab 150 MG,16.23,12.99,4.51,14.61,27
NDC,53746064101,Flecainide Acetate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,53746064201,Flecainide Acetate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,53746066901,Acebutolol HCl Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,53746071101,Guanfacine HCl Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,53746073590,Felbamate Tab 600 MG,4.79,3.84,1.33,4.31,27
NDC,53746074501,Promethazine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,54000725,Calcitriol Cap 0.25 MCG,1.5,1.2,0.42,1.35,27
NDC,54001021,Flecainide Acetate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,54001121,Flecainide Acetate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,54001720,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,54001729,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,54001820,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,54001825,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,54001829,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,54001920,Prednisone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,54001925,Prednisone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,54002025,Lithium Carbonate Tab ER 450 MG,1.5,1.2,0.42,1.35,27
NDC,54002125,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,54002129,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,54005746,Digoxin Oral Soln 0.05 MG/ML,14.66,11.73,4.07,13.19,27
NDC,54006258,Citalopram Hydrobromide Oral Soln 10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,54007725,Torsemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,54008013,Exemestane Tab 25 MG,10.99,8.8,3.05,9.89,27
NDC,54008425,Zaleplon Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,54008525,Zaleplon Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,54014025,Acarbose Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,54016325,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,54017613,Buprenorphine HCl SL Tab 2 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,54017713,Buprenorphine HCl SL Tab 8 MG (Base Equiv),2.92,2.34,0.81,2.63,27
NDC,54018813,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),7.75,6.2,2.15,6.98,27
NDC,54018913,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),4.4,3.52,1.22,3.96,27
NDC,54019959,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),7.92,6.34,2.2,7.13,27
NDC,54023524,Morphine Sulfate Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,54023525,Morphine Sulfate Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,54023763,Morphine Sulfate Oral Soln 10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,54027223,Capecitabine Tab 500 MG,39.74,31.8,0.03,35.77,36
NDC,54027903,Naratriptan HCl Tab 2.5 MG (Base Equiv),6.08,4.87,1.69,5.47,27
NDC,54034925,Phenoxybenzamine HCl Cap 10 MG,270.81,216.65,75.2,243.73,27
NDC,54038225,Cyclophosphamide Cap 25 MG,12.2,9.76,1.0,10.98,27
NDC,54038325,Cyclophosphamide Cap 50 MG,22.49,18.0,1.0,20.24,27
NDC,54040713,Ritonavir Tab 100 MG,15.16,12.13,4.21,13.64,27
NDC,54047121,Everolimus Tab 0.5 MG,33.94,27.16,9.43,30.55,27
NDC,54048114,Everolimus Tab 5 MG,1211.63,969.31,1.0,1090.47,27
NDC,54048213,Everolimus Tab 10 MG,262.9,210.32,1.0,236.61,27
NDC,54051744,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),1.5,1.2,0.42,1.35,27
NDC,54070920,Methadone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,54071025,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,54087949,Mercaptopurine Susp 2000 MG/100ML (20 MG/ML),47.22,37.78,13.11,42.5,27
NDC,54092010001,Mesalamine Tab Delayed Release 1.2 GM,21.11,16.89,5.86,19.0,27
NDC,54092017112,Carbamazepine Cap ER 12HR 100 MG,4.64,3.72,1.29,4.18,27
NDC,54092017212,Carbamazepine Cap ER 12HR 200 MG,4.64,3.72,1.29,4.18,27
NDC,54092017312,Carbamazepine Cap ER 12HR 300 MG,4.64,3.72,1.29,4.18,27
NDC,54092018981,Mesalamine Cap ER 250 MG,6.78,5.43,1.88,6.1,27
NDC,54092019112,Mesalamine Cap ER 500 MG,13.55,10.84,3.76,12.2,27
NDC,54092025245,Lanthanum Carbonate Chew Tab 500 MG (Elemental),21.87,17.5,6.07,19.68,27
NDC,54092025290,Lanthanum Carbonate Chew Tab 500 MG (Elemental),27.51,22.01,7.64,24.76,27
NDC,54092025410,Lanthanum Carbonate Chew Tab 1000 MG (Elemental),30.32,24.26,8.42,27.29,27
NDC,54092025490,Lanthanum Carbonate Chew Tab 1000 MG (Elemental),25.49,20.4,7.08,22.94,27
NDC,54092038101,Amphetamine-Dextroamphetamine Cap ER 24HR 5 MG,18.63,14.91,5.17,16.77,27
NDC,54092038301,Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG,17.1,13.68,4.75,15.39,27
NDC,54092038701,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,17.1,13.68,4.75,15.39,27
NDC,54092039101,Amphetamine-Dextroamphetamine Cap ER 24HR 30 MG,17.1,13.68,4.75,15.39,27
NDC,54092047602,Mesalamine Tab Delayed Release 1.2 GM,23.47,18.78,6.52,21.12,27
NDC,54092047612,Mesalamine Tab Delayed Release 1.2 GM,21.71,17.37,6.03,19.54,27
NDC,54252625,Lithium Carbonate Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,54252725,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,54288010301,Epinephrine PF Inj 1 MG/ML,30.06,24.05,5.83,35.21,54
NDC,54288010310,Epinephrine PF Inj 1 MG/ML,28.31,22.65,5.83,32.06,54
NDC,54288010310,"Epinephrine PF Inj 1 MG/ML,Epinephrine Inj 1 MG/ML (1:1000)",35.62,28.5,9.89,32.06,27
NDC,54288010502,Dehydrated Alcohol Intra-arterial Soln,1530.84,1224.68,425.11,1377.76,27
NDC,54288010515,Dehydrated Alcohol Intra-arterial Soln,1530.84,1224.68,425.11,1377.76,27
NDC,54288011101,Hyoscyamine Sulfate Inj 0.5 MG/ML,193.92,155.14,53.85,174.53,27
NDC,54288011105,Hyoscyamine Sulfate Inj 0.5 MG/ML,193.92,155.14,53.85,174.53,27
NDC,54288012301,Epinephrine HCl Nasal Soln 0.1%,148.5,118.8,41.24,133.65,27
NDC,54288012501,Potassium Chloride Powder Packet 20 mEq,12.53,10.03,3.48,11.28,27
NDC,54288012530,Potassium Chloride Powder Packet 20 mEq,12.53,10.03,3.48,11.28,27
NDC,54288013601,Phenobarbital Sodium Inj 65 MG/ML,70.57,56.46,1.0,63.51,27
NDC,54288013610,Phenobarbital Sodium Inj 65 MG/ML,69.43,55.55,1.0,62.49,27
NDC,54288013701,Phenobarbital Sodium Inj 130 MG/ML,222.21,177.77,1.0,199.99,27
NDC,54288013710,Phenobarbital Sodium Inj 130 MG/ML,222.21,177.77,1.0,199.99,27
NDC,54288014201,Papaverine HCl Inj 30 MG/ML,76.78,61.43,1.0,69.1,27
NDC,54288014210,Papaverine HCl Inj 30 MG/ML,76.78,61.43,1.0,69.1,27
NDC,54288015401,Epinephrine HCl Nasal Soln 0.1%,550.96,440.77,153.0,495.86,27
NDC,54288016601,Carboplatin IV Soln 450 MG/45ML,215.33,172.27,1.0,193.8,27
NDC,54312041,Calcitriol Oral Soln 1 MCG/ML,14.18,11.35,3.94,12.76,27
NDC,54317644,Dexamethasone Conc 1 MG/ML,37.99,30.4,1.0,34.19,27
NDC,54317757,Dexamethasone Soln 0.5 MG/5ML,115.34,92.28,1.0,103.81,27
NDC,54317763,Dexamethasone Soln 0.5 MG/5ML,40.5,32.4,1.0,36.45,27
NDC,54318863,Diazepam Oral Soln 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,54319446,Diphenoxylate w/ Atropine Liq 2.5-0.025 MG/5ML,12.42,9.94,3.45,11.18,27
NDC,54327099,Fluticasone Propionate Nasal Susp 50 MCG/ACT,9.5,7.6,2.64,8.55,27
NDC,54329446,Furosemide Oral Soln 10 MG/ML,15.39,12.32,4.27,13.85,27
NDC,54329450,Furosemide Oral Soln 10 MG/ML,1.5,1.2,0.42,1.35,27
NDC,54350049,Lidocaine HCl Viscous Soln 2%,4.05,3.24,1.12,3.65,27
NDC,54350547,Lidocaine HCl Soln 4%,1.5,1.2,0.42,1.35,27
NDC,54353244,Lorazepam Conc 2 MG/ML,1.5,1.2,0.42,1.35,27
NDC,54355344,Methadone HCl Conc 10 MG/ML,1.51,1.21,0.42,1.36,27
NDC,54355563,Methadone HCl Soln 5 MG/5ML,72.9,58.32,20.24,65.61,27
NDC,54356699,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),243.73,194.99,67.68,219.36,27
NDC,54363063,Naproxen Susp 125 MG/5ML,1.73,1.39,0.48,1.56,27
NDC,54372763,Propranolol HCl Oral Soln 20 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,54414622,Clotrimazole Troche 10 MG,1.5,1.2,0.42,1.35,27
NDC,54414623,Clotrimazole Troche 10 MG,1.5,1.2,0.42,1.35,27
NDC,54417925,Dexamethasone Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,54418025,Dexamethasone Tab 0.75 MG,1.5,1.2,0.42,1.35,27
NDC,54418125,Dexamethasone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,54418325,Dexamethasone Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,54418425,Dexamethasone Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,54429725,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,54429731,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,54429931,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,54430125,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,54449613,Leucovorin Calcium Tab 5 MG,2.52,2.02,0.7,2.27,27
NDC,54449625,Leucovorin Calcium Tab 5 MG,1.89,1.52,0.52,1.7,27
NDC,54449911,Leucovorin Calcium Tab 25 MG,14.47,11.58,4.02,13.02,27
NDC,54452725,Lithium Carbonate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,54458111,Mercaptopurine Tab 50 MG,2.06,1.65,0.57,1.85,27
NDC,54458127,Mercaptopurine Tab 50 MG,1.93,1.55,0.54,1.74,27
NDC,5446089401,Neostigmine Methylsulfate Soln Pref Syr 5 MG/5ML (1 MG/ML),16.8,13.44,1.0,15.12,27
NDC,5446111101,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML)",21.75,17.4,6.04,19.58,27
NDC,54472831,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,54474125,Prednisone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,54474225,Prednisone Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,54482014508,Levocarnitine Oral Soln 1 GM/10ML (10%),2.67,2.14,0.74,2.4,27
NDC,54482014701,Levocarnitine Inj 200 MG/ML,60.9,48.72,24.97,54.81,27
NDC,54485825,Triazolam Tab 0.125 MG,3.39,2.72,0.94,3.05,27
NDC,54485925,Triazolam Tab 0.25 MG,3.25,2.6,0.9,2.93,27
NDC,54629012800,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,54629060101,Docusate Sodium Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,54629077232,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.5,1.2,0.42,1.35,27
NDC,54629077460,Ferrous Sulfate Dried Tab ER 160 MG (50 MG Fe Equivalent),1.5,1.2,0.42,1.35,27
NDC,54629080098,Multiple Vitamins w/ Minerals Liquid,1.5,1.2,0.42,1.35,27
NDC,54643564601,"Multiple Vitamin IV Soln,Pediatric Multiple Vitamins IV Soln,Pediatric Multiple Vitamins For IV Soln",26.06,20.85,7.24,23.45,27
NDC,54643564601,Pediatric Multiple Vitamins IV Soln,26.06,20.85,7.24,23.45,27
NDC,54643564901,Multiple Vitamin IV Soln,33.58,26.87,1.0,30.22,27
NDC,54643565002,Multiple Vitamin IV Soln,156.71,125.375,1.0,256.44,54
NDC,54643786201,Multiple Vitamin IV Soln,24.75,19.8,1.0,22.28,27
NDC,54643900701,Multiple Vitamin IV Soln,30.54,24.44,1.0,27.49,27
NDC,54814622,Clotrimazole Troche 10 MG,1.86,1.49,0.52,1.67,27
NDC,54817425,Dexamethasone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,54817525,Dexamethasone Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,54817625,Dexamethasone Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,54817925,Dexamethasone Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,54829925,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,54838000180,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.5,1.2,0.42,1.35,27
NDC,54838000530,Vitamin E Soln 6.75 MG/0.3ML (15 Unit/0.3ML),2.86,2.29,0.79,2.57,27
NDC,54838001150,Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe),8.51,6.81,2.36,7.66,27
NDC,54838011680,Docusate Sodium Liquid 150 MG/15ML,1.5,1.2,0.42,1.35,27
NDC,54838050140,Haloperidol Lactate Oral Conc 2 MG/ML,1.5,1.2,0.42,1.35,27
NDC,54838050280,Hydroxyzine HCl Syrup 10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,54838051240,Doxepin HCl Conc 10 MG/ML,1.5,1.2,0.42,1.35,27
NDC,54838052340,Fluoxetine HCl Solution 20 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,54838055550,Ondansetron HCl Oral Soln 4 MG/5ML,14.9,11.92,1.0,13.41,27
NDC,54852625,Lithium Carbonate Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,54852725,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,54852825,Lithium Carbonate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,548540000,Medroxyprogesterone Acetate IM Susp 150 MG/ML,80.61,64.49,1.0,72.55,27
NDC,548540025,Medroxyprogesterone Acetate IM Susp 150 MG/ML,80.61,64.49,1.0,72.55,27
NDC,54855025,Methotrexate Sodium Tab 2.5 MG (Base Equiv),3.94,3.16,1.0,3.55,27
NDC,548560100,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,548560200,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.45,19.56,1.0,22.01,27
NDC,548560300,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,36.58,29.27,1.0,32.92,27
NDC,548560400,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,48.85,39.08,1.0,43.97,27
NDC,548560600,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,270.65,216.52,1.0,243.59,27
NDC,548560700,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,91.59,73.28,1.0,82.43,27
NDC,548560800,Enoxaparin Sodium Inj 300 MG/3ML,139.15,111.32,1.0,125.24,27
NDC,548563400,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,48.51,38.81,1.0,43.66,27
NDC,548570100,Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML,206.28,165.03,1.0,185.65,27
NDC,548590000,Cosyntropin For Inj 0.25 MG,449.27,359.42,1.0,404.34,27
NDC,54872425,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,54873925,Prednisone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,54874025,Prednisone Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,54879000201,Ethambutol HCl Tab 400 MG,2.11,1.69,0.59,1.9,27
NDC,54879001413,Thiotepa For Inj 15 MG,300.39,240.32,10.01,270.35,36
NDC,54879002710,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),860.13,688.11,7.75,774.12,36
NDC,548909010,Hyaluronidase Bovine Inj 150 Unit/ML,136.72,109.38,1.0,123.05,27
NDC,548970100,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,54982825,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,55111012390,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,55111012601,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,55111012701,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,55111012705,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,55111012850,Ciprofloxacin HCl Tab 750 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,55111015330,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,55111015701,Omeprazole Cap Delayed Release 10 MG,1.5,1.2,0.42,1.35,27
NDC,55111015810,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,55111016305,Olanzapine Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,55111016330,Olanzapine Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,55111017005,Oxaprozin Tab 600 MG,7.48,5.99,2.08,6.73,27
NDC,55111017915,Tizanidine HCl Tab 2 MG (Base Equivalent),1.65,1.32,0.46,1.49,27
NDC,55111018015,Tizanidine HCl Tab 4 MG (Base Equivalent),1.89,1.52,0.52,1.7,27
NDC,55111019805,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,55111022360,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,55111025401,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,55111025660,Ziprasidone HCl Cap 20 MG,1.84,1.48,0.51,1.66,27
NDC,55111025760,Ziprasidone HCl Cap 40 MG,2.94,2.36,0.82,2.65,27
NDC,55111025860,Ziprasidone HCl Cap 60 MG,1.76,1.41,0.49,1.58,27
NDC,55111025960,Ziprasidone HCl Cap 80 MG,1.5,1.2,0.42,1.35,27
NDC,55111026279,Olanzapine Orally Disintegrating Tab 5 MG,4.34,3.48,1.21,3.91,27
NDC,55111026379,Olanzapine Orally Disintegrating Tab 10 MG,18.36,14.69,5.1,16.52,27
NDC,55111026381,Olanzapine Orally Disintegrating Tab 10 MG,18.36,14.69,5.1,16.52,27
NDC,55111027950,Levofloxacin Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,55111028050,Levofloxacin Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,55111028130,Levofloxacin Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,55111028448,Fluoxetine HCl Cap Delayed Release 90 MG,59.35,47.48,16.48,53.42,27
NDC,55111029209,Sumatriptan Succinate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,55111029309,Sumatriptan Succinate Tab 100 MG,8.42,6.74,2.34,7.58,27
NDC,55111032001,Glimepiride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,55111032201,Glimepiride Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,55111033290,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,55111035260,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),3.21,2.57,0.89,2.89,27
NDC,55111035360,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),4.67,3.74,1.3,4.2,27
NDC,55111039890,Lansoprazole Cap Delayed Release 15 MG,1.5,1.2,0.42,1.35,27
NDC,55111039905,Lansoprazole Cap Delayed Release 30 MG,1.5,1.2,0.42,1.35,27
NDC,55111046601,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,55111046701,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,55111046705,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,55111046801,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),2.86,2.29,0.79,2.57,27
NDC,55111052701,Tacrolimus Cap 5 MG,8.75,7.0,1.0,7.88,27
NDC,55111053201,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.5,1.2,0.42,1.35,27
NDC,55111053301,Divalproex Sodium Tab ER 24 HR 250 MG,3.62,2.9,1.01,3.26,27
NDC,55111053401,Divalproex Sodium Tab ER 24 HR 500 MG,2.4,1.92,0.67,2.16,27
NDC,55111053405,Divalproex Sodium Tab ER 24 HR 500 MG,1.54,1.24,0.43,1.39,27
NDC,55111055610,Decitabine For Inj 50 MG,1216.04,972.84,1.0,1094.44,27
NDC,55111062660,Zafirlukast Tab 20 MG,2.5,2.0,0.69,2.25,27
NDC,55111064101,Meprobamate Tab 400 MG,16.8,13.44,4.67,15.12,27
NDC,55111064801,Glycopyrrolate Tab 1 MG,2.32,1.86,0.64,2.09,27
NDC,55111065001,Metaxalone Tab 800 MG,1.67,1.34,0.46,1.5,27
NDC,55111065207,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),437.11,349.69,1.0,393.4,27
NDC,55111067802,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,189.2,151.36,1.0,170.28,27
NDC,55111067902,Fondaparinux Sodium Inj 5 MG/0.4ML,128.2,102.56,1.0,115.38,27
NDC,55111067910,Fondaparinux Sodium Inj 5 MG/0.4ML,128.33,102.67,1.0,115.5,27
NDC,55111068010,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,76.73,61.39,1.0,69.06,27
NDC,55111068011,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,132.15,105.72,1.0,118.94,27
NDC,55111068111,Fondaparinux Sodium Inj 10 MG/0.8ML,132.24,105.8,1.0,119.02,27
NDC,55111068301,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,55111068507,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,609.5,487.6,1.0,548.55,27
NDC,55111069407,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),71.17,56.94,1.0,64.05,27
NDC,55111072901,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,55150011110,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,55150011310,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,55150011620,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,55150011720,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,55150012215,Nafcillin Sodium For Inj 1 GM,21.0,16.8,5.83,18.9,27
NDC,55150012315,Nafcillin Sodium For Inj 2 GM,23.49,18.8,6.52,21.14,27
NDC,55150012316,Nafcillin Sodium For Inj 2 GM,32.76,26.21,9.1,29.48,27
NDC,55150012499,Nafcillin Sodium For IV Soln 10 GM,194.36,155.49,53.97,174.92,27
NDC,55150012502,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,55150012620,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,55150015410,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150015411,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150015520,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150016102,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",21.56,17.25,5.99,19.4,27
NDC,55150016102,Lidocaine HCl Local Preservative Free (PF) Inj 1%,10.78,8.63,2.99,9.7,27
NDC,55150016205,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",13.82,11.06,2.19,17.77,54
NDC,55150016205,Lidocaine HCl Local Preservative Free (PF) Inj 1%,11.844999999999999,9.48,1.1,17.77,54
NDC,55150016330,Lidocaine HCl Local Preservative Free (PF) Inj 1%,0.77,0.62,0.21,0.69,27
NDC,55150016402,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,55150016402,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,54
NDC,55150016505,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,55150016505,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,54
NDC,55150016710,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,55150016830,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,55150016910,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,55150017030,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,55150017230,Bupivacaine HCl Preservative Free (PF) Inj 0.75%,21.0,16.8,0.02,18.9,27
NDC,55150017301,Sumatriptan Succinate Inj 6 MG/0.5ML,30.1,24.08,1.0,27.09,27
NDC,55150017410,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,55150017705,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,55150018003,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,55150018301,Nicardipine HCl IV Soln 2.5 MG/ML,85.78,68.63,0.41,77.2,27
NDC,55150018302,Nicardipine HCl IV Soln 2.5 MG/ML,47.02,37.62,0.41,42.32,27
NDC,55150018310,Nicardipine HCl IV Soln 2.5 MG/ML,54.85,43.88,0.41,49.37,27
NDC,55150018311,Nicardipine HCl IV Soln 2.5 MG/ML,47.02,37.62,0.41,42.32,27
NDC,55150018703,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),21.92,17.54,1.0,19.73,27
NDC,55150018810,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),23.53,18.83,1.0,21.18,27
NDC,55150018810,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",23.53,18.83,6.53,21.18,27
NDC,55150019201,Adenosine IV Soln 3 MG/ML (Diagnostic),375.84,300.68,1.0,338.26,27
NDC,55150019301,Adenosine IV Soln 3 MG/ML (Diagnostic),74.39,59.52,1.0,66.95,27
NDC,55150019410,Esmolol HCl Inj 100 MG/10ML,21.0,16.8,0.25,18.9,27
NDC,55150019699,Ropivacaine HCl Inj 2 MG/ML,108.75,87.0,1.0,97.88,27
NDC,55150019830,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150020200,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,55150020210,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,55150020720,Meropenem IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,55150020902,Dexmedetomidine HCl IV Soln 200 MCG/2ML,79.07,63.26,21.96,71.16,27
NDC,55150021605,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,26.75,21.4,7.43,24.08,27
NDC,55150021710,Atracurium Besylate IV Soln 100 MG/10ML,36.54,29.24,10.15,32.89,27
NDC,55150021910,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),94.4,75.52,1.7,84.96,27
NDC,55150022110,Etomidate IV Soln 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150022505,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),24.45,19.56,6.79,22.01,27
NDC,55150022810,Tigecycline For IV Soln 50 MG,191.79,153.44,1.0,172.61,27
NDC,55150023000,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,40.52,32.42,1.0,36.47,27
NDC,55150023200,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,120.9,96.72,1.0,108.81,27
NDC,55150023300,Fondaparinux Sodium Inj 10 MG/0.8ML,42.37,33.9,1.0,38.13,27
NDC,55150023310,Fondaparinux Sodium Inj 10 MG/0.8ML,42.37,33.9,1.0,38.13,27
NDC,55150023501,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,55150023502,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,55150023510,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,55150023601,Vecuronium Bromide For Inj 20 MG,24.27,19.42,6.74,21.84,27
NDC,55150023620,Vecuronium Bromide For Inj 20 MG,36.41,29.13,10.11,32.77,27
NDC,55150024101,Argatroban in Sodium Chloride 0.9% IV Soln 50 MG/50ML,639.45,511.56,4.13,575.51,27
NDC,55150024251,Linezolid IV Soln 600 MG/300ML (2 MG/ML),36.54,29.24,1.0,32.89,27
NDC,55150025410,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,55150025520,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,55150025930,Acetylcysteine Inj 200 MG/ML,380.93,304.75,1.0,342.84,27
NDC,55150026705,Fluphenazine Decanoate Inj 25 MG/ML,31.35,25.08,1.0,28.22,27
NDC,55150028220,Ertapenem Sodium For Inj 1 GM (Base Equivalent),364.7,291.76,1.0,328.23,27
NDC,55150030001,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,55150030101,Phenylephrine HCl IV Soln 10 MG/ML,31.1,24.88,0.01,27.99,27
NDC,55150030401,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150030425,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150030501,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,21.0,16.8,1.0,18.9,27
NDC,55150030801,Olanzapine For IM Inj 10 MG,78.39,62.72,0.89,70.55,27
NDC,55150031901,Chlorpromazine HCl Inj 50 MG/2ML,102.23,81.79,1.0,92.01,27
NDC,55150031925,Chlorpromazine HCl Inj 50 MG/2ML,102.23,81.79,1.0,92.01,27
NDC,55150032201,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032225,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032301,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032325,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032401,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032425,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032701,Naloxone HCl Inj 0.4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150032801,Naloxone HCl Inj 4 MG/10ML,21.0,16.8,5.83,18.9,27
NDC,55150033001,Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML,54.94,43.96,1.0,49.45,27
NDC,55150033501,Carboplatin IV Soln 450 MG/45ML,49.76,39.81,1.0,44.78,27
NDC,55150033701,Bortezomib For Inj 3.5 MG,96.46,77.17,2.29,86.81,27
NDC,55150034401,Daptomycin For IV Soln 500 MG,49.02,39.22,1.0,44.12,27
NDC,55150035901,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,55150035950,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,55150036401,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,55150036501,Amphotericin B Liposome IV For Susp 50 MG,777.78,622.23,20.41,700.0,36
NDC,55150037001,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,55150037025,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,55150037301,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150037325,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55150037601,Decitabine For Inj 50 MG,140.11,112.09,1.0,126.1,27
NDC,55150038101,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),51.3,41.04,3.22,46.17,36
NDC,55150038601,Carboplatin IV Soln 600 MG/60ML,74.56,59.65,1.0,67.1,27
NDC,55150039301,Azacitidine For Inj 100 MG,130.28,104.23,0.37,117.25,27
NDC,55150040001,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150040025,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,55150042501,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,55150042510,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,55150042701,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,55150043101,Dactinomycin For Inj 0.5 MG,1299.03,1039.23,311.92,1169.13,36
NDC,55150043201,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),209.62,167.7,59.91,188.66,36
NDC,55150043401,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),205.4,164.32,59.91,184.86,36
NDC,55150044001,Ketamine HCl Inj 100 MG/ML,47.02,37.62,13.06,42.32,27
NDC,55150044010,Ketamine HCl Inj 100 MG/ML,47.02,37.62,13.06,42.32,27
NDC,55253080130,Modafinil Tab 100 MG,8.07,6.46,2.24,7.26,27
NDC,55253080230,Modafinil Tab 200 MG,17.55,14.04,4.87,15.8,27
NDC,55292012252,Ibuprofen Lysine IV Soln 10 MG/ML (Base Equivalent),1877.75,1502.2,1.0,1689.98,27
NDC,55292081155,Dactinomycin For Inj 0.5 MG,2469.69,1975.76,311.92,2222.72,36
NDC,555003302,Chlordiazepoxide HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,555003305,Chlordiazepoxide HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,555007101,Isoniazid Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,555007102,Isoniazid Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,555009496,Clonazepam Orally Disintegrating Tab 0.125 MG,2.46,1.97,0.68,2.21,27
NDC,555009596,Clonazepam Orally Disintegrating Tab 0.25 MG,2.46,1.97,0.68,2.21,27
NDC,555015802,Chlordiazepoxide HCl Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,555017178,Mefloquine HCl Tab 250 MG,18.66,14.93,5.18,16.79,27
NDC,555030202,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,555030204,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,555032302,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,555032304,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,555048401,Leucovorin Calcium Tab 5 MG,2.97,2.38,0.82,2.67,27
NDC,555048402,Leucovorin Calcium Tab 5 MG,3.05,2.44,0.85,2.75,27
NDC,555057202,Methotrexate Sodium Tab 2.5 MG (Base Equiv),5.99,4.8,1.0,5.39,27
NDC,555060602,Megestrol Acetate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,555060702,Megestrol Acetate Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,555077702,Amphetamine-Dextroamphetamine Tab 15 MG,2.29,1.84,0.64,2.06,27
NDC,555077902,Medroxyprogesterone Acetate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,555077904,Medroxyprogesterone Acetate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,555080802,Tretinoin Cap 10 MG,52.36,41.89,14.54,47.12,27
NDC,555087202,Medroxyprogesterone Acetate Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,555088202,Hydroxyurea Cap 500 MG,2.25,1.8,0.62,2.03,27
NDC,555088602,Estradiol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,555088702,Estradiol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,555089902,Estradiol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,555097102,Amphetamine-Dextroamphetamine Tab 5 MG,2.24,1.8,0.62,2.02,27
NDC,555097202,Amphetamine-Dextroamphetamine Tab 10 MG,2.03,1.63,0.56,1.83,27
NDC,555097302,Amphetamine-Dextroamphetamine Tab 20 MG,2.17,1.74,0.6,1.95,27
NDC,555097402,Amphetamine-Dextroamphetamine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,5551006255,Phenytoin Susp 125 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5551011117,Prednisolone Soln 15 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5551014468,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5551022560,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5551027999,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,9.88,7.91,2.74,8.89,27
NDC,5551029169,Gabapentin Oral Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5551036590,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5551165404,Omeprazole-Sodium Bicarbonate for Oral Susp 2-84 MG/ML,58.32,46.66,16.2,52.49,27
NDC,55513002101,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,534.84,427.88,2.78,481.36,72
NDC,55513002104,Darbepoetin Alfa Soln Prefilled Syringe 40 MCG/0.4ML,568.1,454.48,2.78,511.29,72
NDC,55513002301,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,747.59,598.08,2.78,672.83,72
NDC,55513002304,Darbepoetin Alfa Soln Prefilled Syringe 60 MCG/0.3ML,747.59,598.08,2.78,672.83,72
NDC,55513002501,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1162.73,930.19,2.78,1046.46,72
NDC,55513002504,Darbepoetin Alfa Soln Prefilled Syringe 100 MCG/0.5ML,1162.73,930.19,2.78,1046.46,36
NDC,55513002701,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,1769.15,1415.32,2.78,1592.24,72
NDC,55513002704,Darbepoetin Alfa Soln Prefilled Syringe 150 MCG/0.3ML,1769.15,1415.32,2.78,1592.24,36
NDC,55513002801,Darbepoetin Alfa Soln Prefilled Syringe 200 MCG/0.4ML,2357.12,1885.7,2.78,2121.41,72
NDC,55513005701,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,294.89,235.92,2.78,265.4,72
NDC,55513005704,Darbepoetin Alfa Soln Prefilled Syringe 25 MCG/0.42ML,294.89,235.92,2.78,265.4,72
NDC,55513005901,Tarlatamab-dlle For IV Infusion 1 MG,4254.05,3403.24,1486.4,3828.65,36
NDC,55513007330,Cinacalcet HCl Tab 30 MG (Base Equiv),54.05,43.24,15.01,48.65,27
NDC,55513011101,Darbepoetin Alfa Soln Prefilled Syringe 300 MCG/0.6ML,3690.48,2952.39,2.78,3321.43,72
NDC,55513016001,Blinatumomab For IV Infusion 35 MCG,11111.08,8888.87,145.31,9999.97,36
NDC,55513019001,Pegfilgrastim Soln Prefilled Syringe 6 MG/0.6ML,8818.88,7055.11,31.73,7936.99,36
NDC,55513020601,Bevacizumab-awwb IV Soln 100 MG/4ML (For Infusion),1287.71,1030.17,25.91,1158.94,36
NDC,55513020701,Bevacizumab-awwb IV Soln 400 MG/16ML (For Infusion),5150.84,4120.68,25.91,4635.76,36
NDC,55513022101,Romiplostim For Inj 250 MCG,5504.79,4403.84,10.46,4954.31,36
NDC,55513022201,Romiplostim For Inj 500 MCG,11009.55,8807.64,10.46,9908.6,36
NDC,55513048101,Adalimumab-atto Soln Auto-injector 80 MG/0.8ML,2679.87,2143.9,744.2,2411.88,27
NDC,55513053001,Filgrastim Inj 300 MCG/ML,950.16,760.13,0.95,855.14,36
NDC,55513053010,Filgrastim Inj 300 MCG/ML,1036.74,829.4,0.95,933.07,36
NDC,55513054601,Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML),1527.36,1221.89,0.95,1374.62,36
NDC,55513054610,Filgrastim Inj 480 MCG/1.6ML (300 MCG/ML),1527.36,1221.89,0.95,1374.62,36
NDC,55513071001,Denosumab Inj Soln Prefilled Syringe 60 MG/ML,4394.71,3515.77,24.22,3955.24,36
NDC,55513073001,Denosumab Inj 120 MG/1.7ML,9874.56,7899.65,24.22,8887.1,36
NDC,55513074010,Etelcalcetide HCl IV Solution 2.5 MG/0.5ML (Base Equiv),355.61,284.49,2.61,320.05,27
NDC,55513074101,Etelcalcetide HCl IV Solution 5 MG/ML (Base Equiv),711.23,568.99,2.61,640.11,27
NDC,55513074201,Etelcalcetide HCl IV Solution 10 MG/2ML (Base Equiv),995.72,796.58,2.61,896.15,27
NDC,55513074210,Etelcalcetide HCl IV Solution 10 MG/2ML (Base Equiv),995.72,796.58,2.61,896.15,27
NDC,55513080060,Ivabradine HCl Tab 5 MG (Base Equiv),20.33,16.27,5.65,18.3,27
NDC,55513088001,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,5771.55,4617.24,10.35,5194.4,36
NDC,55513088002,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,576.75,461.4,10.35,519.08,36
NDC,55513095401,Panitumumab IV Soln 100 MG/5ML,2298.07,1838.46,149.72,2068.26,36
NDC,55513095601,Panitumumab IV Soln 400 MG/20ML,7960.81,6368.65,149.72,7164.73,36
NDC,55513099801,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,9677.35,7741.88,10.35,8709.62,36
NDC,55513099802,Romosozumab-aqqg Inj Soln Prefilled Syringe 105 MG/1.17ML,9677.35,7741.88,10.35,8709.62,36
NDC,5551400538,Omeprazole Susp 2 MG/ML (Compound Kit),7.83,6.27,2.17,7.05,27
NDC,5551600396,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),45.15,36.12,12.54,40.64,27
NDC,5552003292,Furosemide Oral Soln 10 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5552014468,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5552038488,Fluoxetine HCl Solution 20 MG/5ML,1.89,1.52,0.52,1.7,27
NDC,5552600220,"Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%",25.14,20.12,6.98,22.63,27
NDC,5552600396,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),67.73,54.19,18.81,60.96,27
NDC,5552600977,FENTANYL IV 25 MCG/ML INFUSION IN NS,21.0,16.8,5.83,18.9,27
NDC,5552600979,FENTANYL IV 10 MCG/ML INFUSION IN NS,21.0,16.8,5.83,18.9,27
NDC,5553006255,Phenytoin Susp 125 MG/5ML,2.03,1.63,0.56,1.83,27
NDC,5553010521,Megestrol Acetate Susp 40 MG/ML,3.51,2.81,0.97,3.16,27
NDC,5553014468,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5553022560,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5553038245,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,5553600396,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),112.88,90.31,31.35,101.59,27
NDC,5553600979,FENTANYL IV 10 MCG/ML INFUSION IN NS,21.0,16.8,5.83,18.9,27
NDC,5554003292,Furosemide Oral Soln 10 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5554005751,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,5554014468,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5554038245,Lactulose Solution 10 GM/15ML,1.62,1.3,0.45,1.46,27
NDC,5554043822,Digoxin Oral Soln 0.05 MG/ML,3.67,2.94,1.02,3.3,27
NDC,5554400905,Prednisolone Acetate Ophth Susp 1%,17.31,13.85,4.81,15.58,27
NDC,5554403785,"Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),",21.0,16.8,1.0,18.9,27
NDC,5554600602,Cefazolin Sodium IV Soln Pref Syringe 2 GM/20ML,21.0,16.8,1.0,18.9,27
NDC,5554600976,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,",21.0,16.8,5.83,18.9,27
NDC,5554600976,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,21.0,16.8,5.83,18.9,27
NDC,5555002402,Diazepam Oral Soln 1 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555004450,Lidocaine HCl Soln 4%,21.0,16.8,5.83,18.9,27
NDC,5555004462,Lidocaine HCl Viscous Soln 2%,1.62,1.3,0.45,1.46,27
NDC,5555005751,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,5555006097,Pentobarbital Sodium Inj 50 MG/ML,282.84,226.28,1.0,254.56,27
NDC,5555006432,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),13.97,11.18,3.88,12.57,27
NDC,5555008527,Verapamil HCl IV Soln 2.5 MG/ML,52.2,41.76,14.5,46.98,27
NDC,5555009582,Hydrocod Polst-Chlorphen Polst ER Susp 10-8 MG/5ML,6.05,4.84,1.68,5.45,27
NDC,5555009987,Ethiodized Inj Oil 480 MG/ML (Iodine Equivalent),1443.0,1154.4,400.72,1298.7,27
NDC,5555010225,Hydromorphone HCl Liqd 1 MG/ML,1.61,1.29,0.45,1.45,27
NDC,5555010226,Hydromorphone HCl Liqd 1 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555010227,Hydromorphone HCl Liqd 1 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555010813,Oxycodone HCl Soln 5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555011217,Psyllium Powder Packet 25%,1.5,1.2,0.42,1.35,27
NDC,5555011441,Sucralfate Susp 1 GM/10ML,7.78,6.23,2.16,7.0,27
NDC,5555015091,Acetic Acid Soln 3%,5.02,4.02,1.39,4.52,27
NDC,5555015706,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555015852,Morphine Sulfate Inj PF 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,5555018877,Ondansetron HCl Oral Soln 4 MG/5ML,6.8,5.44,1.0,6.12,27
NDC,5555027345,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555027999,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,9.88,7.91,2.74,8.89,27
NDC,5555028815,Glycerin Liquid,1.5,1.2,0.42,1.35,27
NDC,5555028924,Sodium Hyaluronate Intraocular Soln Pref Syr 9.6 MG/0.8ML,130.5,104.4,36.24,117.45,27
NDC,5555036590,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555038245,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,5555038488,Fluoxetine HCl Solution 20 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555040005,Phytonadione Inj 10 MG/ML,15.21,12.17,4.22,13.69,27
NDC,5555040050,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,21.0,16.8,1.0,18.9,27
NDC,5555040053,Omeprazole Susp 2 MG/ML (Compound Kit),15.66,12.53,4.35,14.09,27
NDC,5555040054,Phytonadione Inj 10 MG/ML,7.61,6.09,2.11,6.85,27
NDC,5555040216,Pentobarbital Sodium Inj 50 MG/ML,3919.5,3135.6,1.0,3527.55,27
NDC,5555040218,Pentobarbital Sodium Inj 50 MG/ML,2637.12,2109.7,1.0,2373.41,27
NDC,5555041429,Phenol Liquid (Bulk),83.7,66.96,23.24,75.33,27
NDC,5555060078,Morphine Sulfate IV Soln 2 mg/mL,21.0,16.8,1.0,18.9,27
NDC,5555060798,Morphine Sulfate IV Soln 2 mg/mL,21.0,16.8,1.0,18.9,27
NDC,5555060962,Cefepime HCl For Inj 2 GM,21.0,16.8,5.83,18.9,27
NDC,5555077504,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,55551004952,Methadone HCl Soln 5 MG/5ML,25.03,20.03,6.95,22.53,27
NDC,5555102569,Hydroxyzine HCl Syrup 10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555104670,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,5555108130,Oxycodone HCl Soln 5 MG/5ML,2.28,1.83,0.63,2.05,27
NDC,5555113130,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),1.5,1.2,0.42,1.35,27
NDC,5555115996,Methadone HCl Conc 10 MG/ML,1.71,1.37,0.47,1.54,27
NDC,5555118762,Epinephrine Inj 1 MG/ML (1:1000),21.0,16.8,5.83,18.9,27
NDC,5555131326,Fentanyl Cit 0.2 MG/100ML-Ropiv 0.2%-NaCl 0.9% Epidural Inj,21.0,16.8,5.83,18.9,27
NDC,5555132209,Lisinopril Oral Soln 1 MG/ML,10.8,8.64,3.0,9.72,27
NDC,5555134463,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555148450,Dopamine in Dextrose 5% Inj 1.6 MG/ML,21.75,17.4,1.0,19.58,27
NDC,5555165404,Omeprazole-Sodium Bicarbonate for Oral Susp 2-84 MG/ML,29.16,23.33,8.1,26.24,27
NDC,5555166464,Biotin Liquid 10 MG/ML,3.6,2.88,1.0,3.24,27
NDC,5555180720,Dimethyl Sulfoxide - Solution,1.5,1.2,0.62,819.49,36
NDC,5555233101,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,24.36,19.49,1.0,21.92,27
NDC,55552400796,"Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 2-0.25GM/50ML",32.63,26.11,9.06,29.37,27
NDC,5555240201,Diazepam Oral Soln 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55552402352,Cefepime HCl and Dextrose 5% For IV Soln 2 GM/50ML,318.42,254.74,1.0,286.58,27
NDC,5555290005,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,1.62,1.3,0.45,1.46,27
NDC,5555291692,Gabapentin Oral Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555349701,Glycopyrrolate Inj 0.2 MG/ML,21.0,16.8,0.43,18.9,36
NDC,5555365901,Levetiracetam Oral Soln 100 MG/ML,3.0,2.4,0.83,2.7,27
NDC,5555365902,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555378480,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,2.84,2.28,0.79,2.56,27
NDC,5555396108,Iodine Solution Strong 5% (Lugol's),3.33,2.67,0.92,3.0,27
NDC,5555400499,Diazepam Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555400540,Phytonadione Inj 10 MG/ML,30.43,24.35,8.45,27.39,27
NDC,5555400572,"Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML",182.7,146.16,15.11,164.43,36
NDC,5555400577,Morphine Sulfate Half-Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555400685,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,895.88,716.71,1.0,806.29,27
NDC,5555400805,Sodium Chloride Inj 0.45%,21.0,16.8,5.83,18.9,27
NDC,5555400971,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,5555401000,Furosemide Half-Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,5555401001,Atenolol Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401003,Captopril Half-Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555401004,Clonazepam Half-Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555401005,Clonazepam Quarter-Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,5555401012,Hydromorphone HCl Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,5555401015,Lorazepam Half-Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555401018,Methylphenidate HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401019,Metoprolol Tartrate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401020,Metoprolol Succinate Half-Tab SR 24HR 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401023,Misoprostol Quarter-Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,5555401025,Trazodone HCl Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,5555401028,Zolpidem Tartrate Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401049,Diazepam Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,5555401181,Allopurinol Half-Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,5555401182,Amiodarone HCl Half-Tab 100 MG,2.62,2.1,0.73,2.36,27
NDC,5555401183,Spironolactone Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401273,"Dexamethasone Sodium Phosphate Inj 10 MG/ML,Dexamethasone Sodium Phosphate Inj 100 MG/10ML,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML",2.2,1.76,0.61,1.98,27
NDC,5555401334,Isosorbide Mononitrate Half-Tab SR 24HR 15 MG,1.5,1.2,0.42,1.35,27
NDC,5555401596,Clobazam Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555401710,Dexmedetomidine HCl Inj 100 MCG/ML (For IV Infusion),10.55,8.44,2.93,9.5,27
NDC,5555401719,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,5555402537,Polyethylene Glycol-Propylene Glycol Ophth Gel 0.4-0.3%,31.32,25.06,8.7,28.19,27
NDC,5555402744,Budesonide Inhalation Susp 0.5 MG/2ML,8.75,7.0,1.01,7.88,27
NDC,5555402843,Penicillin G Potassium Inj 60000 Unit/ML in Dextrose,21.0,16.8,1.0,18.9,27
NDC,5555402893,Famotidine For Susp 40 MG/5ML,5.05,4.04,1.4,4.55,27
NDC,5555403418,Baclofen Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555403756,Heparin Sodium (Porcine) 100 Unit/ML in D5W,21.0,16.8,1.0,18.9,27
NDC,5555403757,Heparin Sodium (Porcine) 100 Unit/ML in D5W,21.0,16.8,1.0,18.9,27
NDC,5555403761,Heparin Sodium (Porcine) 100 Unit/ML in D5W,21.0,16.8,1.0,18.9,27
NDC,5555403989,Heparin Sodium (Porcine) 100 Unit/ML in D5W,21.0,16.8,1.0,18.9,27
NDC,5555404014,Acetaminophen IV Soln 10 MG/ML,43.5,34.8,1.0,39.15,27
NDC,5555404029,Glipizide Half-Tab 1.25 MG,1.73,1.39,0.48,1.56,27
NDC,5555404112,Heparin Sodium (Porcine) 100 Unit/ML in D5W,21.0,16.8,1.0,18.9,27
NDC,5555410527,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl PF Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML),Phenylephrine-NaCl PF Pref Syr 1 MG/10ML-0.9% (100 *,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),Phen",25.13,20.11,0.01,22.62,27
NDC,5555410527,Phenylephrine-NaCl Pref Syr 1 MG/10ML-0.9% (100 MCG/ML),89.75,71.8,0.01,80.78,27
NDC,5555418680,Levocarnitine Oral Soln 1 GM/10ML (10%),2.16,1.73,0.6,1.94,27
NDC,5555423760,Loperamide HCl Soln 1 MG/7.5ML,1.5,1.2,0.42,1.35,27
NDC,55554400834,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,21.0,16.8,5.83,18.9,27
NDC,55554402352,Cefepime HCl and Dextrose 5% For IV Soln 2 GM/50ML,26.54,21.24,1.0,23.89,27
NDC,5555457101,Lorazepam Conc 2 MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555495200,Methadone HCl Soln 5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555495201,Methadone HCl Soln 5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,55555007322,"Sodium Chloride Inj 4 mEq/ML (23.4%),Sodium Chloride Oral Soln 4 mEq/ML (23.4%)",5.75,4.6,1.6,5.18,27
NDC,55555010521,Megestrol Acetate Susp 40 MG/ML,1.76,1.41,0.49,1.58,27
NDC,55555010755,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),1.5,1.2,0.42,1.35,27
NDC,5555517605,Morphine Sulfate Oral Soln 10 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,55555349700,Glycopyrrolate Inj 0.2 MG/ML,21.0,16.8,0.43,18.9,36
NDC,55555400043,Gentamicin in Saline Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,55555400390,Ceftazidime For Inj 1 GM,25.0,20.0,6.94,22.5,27
NDC,55555400524,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),1.5,1.2,0.42,1.35,27
NDC,55555400730,Ceftriaxone Sodium for IV Soln 2 GM and Dextrose 2.22% 50 ML,21.0,16.8,1.0,18.9,27
NDC,55555400756,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,21.75,17.4,6.04,19.58,27
NDC,55555400773,Linezolid IV Soln 600 MG/300ML (2 MG/ML),157.91,126.33,1.0,142.12,27
NDC,55555400780,Metronidazole IV Soln 500 MG/100ML,60.9,48.72,0.02,54.81,27
NDC,55555400834,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,41.76,33.41,11.6,37.58,27
NDC,55555400877,Ampicillin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,55555400967,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),87.0,69.6,24.16,78.3,27
NDC,55555401256,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,55555401442,Polyethylene Glycol 3350 Oral Powder,1.5,1.2,0.42,1.35,27
NDC,55555402029,Penicillin G Potassium Inj 60000 Unit/ML in Dextrose,21.0,16.8,1.0,18.9,27
NDC,55555402352,Cefepime HCl and Dextrose 5% For IV Soln 2 GM/50ML,43.5,34.8,1.0,39.15,27
NDC,55555402353,Cefazolin Sodium for IV Soln 2 GM and Dextrose 3% (50 ML),21.0,16.8,1.0,18.9,27
NDC,55555500051,Bicarb 32 mEq/L-Dext Soln with K-Ca 4-2.5 mEq/L (CRRT),87.0,69.6,24.16,78.3,27
NDC,55555500060,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),87.0,69.6,24.16,78.3,27
NDC,55555501014,Diazepam Inj 5 MG/ML,47.42,37.94,13.17,42.68,27
NDC,55555501096,Alteplase For Inj 50 MG,1642.93,1314.35,89.16,1478.64,36
NDC,55555600200,Prisma 600201-600200,87.0,69.6,24.16,78.3,27
NDC,55555600201,Prisma 600201-600200,87.0,69.6,24.16,78.3,27
NDC,5555575102,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,5555575105,Nystatin Susp 100000 Unit/ML,2.5,2.0,0.69,2.25,27
NDC,5555600004,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",26.1,20.88,1.0,23.49,54
NDC,5555600011,Aminophylline Inj 25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,5555600015,Tramadol Hcl Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600016,Carbidopa & Levodopa Half-Tab 12.5-50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600017,Metoclopramide HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600018,Lamotrigine Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600019,Buspirone HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600020,Quetiapine Fumarate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600021,Trazodone HCl Half-Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,5555600022,Metformin HCl Half-Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,5555600023,Sotalol HCl Half-Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,5555600024,Warfarin Sodium Half-Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600025,Carvedilol Half-Tab 1.5625 MG,1.5,1.2,0.42,1.35,27
NDC,5555600026,Oxybutynin Chloride Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600027,Aripiprazole Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600028,Atorvastatin Calcium Half-Tab 5 MG (Base Equivalent),5.74,4.6,1.59,5.17,27
NDC,5555600029,Pyridostigmine Bromide Half-Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,5555600032,Triamterene & Hydrochlorothiazide Half-Tab 18.75-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600033,Clonidine HCl Half-Tab 0.05 MG,1.5,1.2,0.42,1.35,27
NDC,5555600034,Fludrocortisone Acetate Half-Tab 0.05 MG,1.5,1.2,0.42,1.35,27
NDC,5555600036,Digoxin Half-Tab 0.0625 MG,1.5,1.2,0.42,1.35,27
NDC,5555600037,Azathioprine Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600038,Spironolactone Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600040,Glycopyrrolate Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600041,Labetalol HCl Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600043,Metoprolol Tartrate Quarter-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600044,Carbidopa & Levodopa Half-Tab 12.5-125 MG,1.5,1.2,0.42,1.35,27
NDC,5555600045,Ezetimibe Half-Tab 5 MG,10.62,8.5,2.95,9.56,27
NDC,5555600046,Gemfibrozil Half-Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,5555600047,Haloperidol Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600049,Haloperidol Half-Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600050,Levothyroxine Sodium Half-Tab 27.5 MCG,1.5,1.2,0.42,1.35,27
NDC,5555600051,Voriconazole Half-Tab 100 MG,11.23,8.99,3.12,10.11,27
NDC,5555600052,Cyproheptadine HCl Half-Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,5555600054,Hydralazine HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600055,Sertraline HCl Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600056,Levothyroxine Sodium Half-Tab 12.5 MCG,1.5,1.2,0.42,1.35,27
NDC,5555600057,Sulfamethoxazole-Trimethoprim Half-Tab 200-40 MG,1.5,1.2,0.42,1.35,27
NDC,5555600059,Citalopram Hydrobromide Half-Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,5555600062,Risperidone Half-Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,5555600063,Trihexyphenidyl HCl Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,5555600065,Captopril Quarter-Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,5555600069,Allopurinol Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600070,Mercaptopurine Half-Tab 25 MG,2.27,1.82,0.63,2.04,27
NDC,5555600071,Nabumetone Half-Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,5555600072,Metronidazole Half-Tab 125 MG,1.5,1.2,0.42,1.35,27
NDC,5555600073,Propranolol HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600074,Warfarin Sodium Half-Tab 1.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600075,Lisinopril Half-Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600076,Pindolol Half-Tab 2.5 MG,1.86,1.49,0.52,1.67,27
NDC,5555600077,Chlorthalidone Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600078,Topiramate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600079,Propafenone HCl Half-Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,5555600081,Losartan Potassium Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600082,Olanzapine Half-Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600083,Loratadine Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600085,Thyroid Half-Tab 15 MG (1/4 Grain),1.5,1.2,0.42,1.35,27
NDC,5555600086,Warfarin Sodium Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600087,Atenolol & Chlorthalidone Half-Tab 25-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600088,Paroxetine HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,5555600089,Amitriptyline HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600090,Diltiazem HCl Half-Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,5555600091,Bupropion HCl Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600092,Levothyroxine Sodium Half-Tab 62.5 MCG,1.5,1.2,0.42,1.35,27
NDC,5555600096,Hydralazine HCl Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600097,Clozapine Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600098,Metaxalone Half-Tab 400 MG,10.15,8.12,2.82,9.14,27
NDC,5555600099,Aripiprazole Half-Tab 1 MG,47.71,38.17,13.25,42.94,27
NDC,5555600100,Hydroxychloroquine Sulfate Half-Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,5555600101,Quetiapine Fumarate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600102,Amiodarone HCl Quarter-Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600103,Lisinopril & Hydrochlorothiazide Half-Tab 10-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600108,Trazodone HCl Quarter-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600109,Bethanechol Chloride Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600110,Ethambutol HCl Half-Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,5555600111,Pravastatin Sodium Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600113,Lithium Carbonate Half-Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,5555600114,Pioglitazone HCl Half-Tab 7.5 MG (Base Equiv),15.31,12.25,4.25,13.78,27
NDC,5555600116,Levothyroxine Sodium Half-Tab 44 MCG,1.5,1.2,0.42,1.35,27
NDC,5555600117,Ondansetron HCl Half-Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,5555600118,Prednisone Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600119,Trandolapril Half-Tab 1 MG,3.8,3.04,1.06,3.42,27
NDC,5555600121,Naltrexone HCl Half-Tab 25 MG,2.32,1.86,0.64,2.09,27
NDC,5555600122,Fluconazole Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,5555600124,Potassium Chloride Tab CR 10 mEq,1.5,1.2,0.42,1.35,27
NDC,5555600125,Theophylline Half-Tab SR 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,5555600127,Glimepiride Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600128,Lamotrigine Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600131,Clopidogrel Bisulfate Half-Tab 37.5 MG (Base Equiv),16.86,13.49,4.68,15.17,27
NDC,5555600134,Thioguanine Half-Tab 20 MG,22.62,18.1,6.28,20.36,27
NDC,5555600139,Tizanidine HCl Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,5555600142,Nefazodone HCl Half-Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,5555600143,Phenytoin Chew Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600144,Ropinirole Hydrochloride Half-Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,5555600146,Niacin Half-Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,5555600148,"Estrogens, Conjugated Half-Tab 0.45 MG",5.23,4.19,1.45,4.71,27
NDC,5555600157,Morphine Sulfate Inj PF 0.5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,5555600159,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,5555600160,Fluoxetine HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600166,Indomethacin Sodium IV For Soln 1 MG,1665.01,1332.01,462.37,1498.51,27
NDC,5555600186,"Insulin Aspart Prot & Aspart (Human) Inj 100 Unit/M*,Insulin Aspart Prot & Aspart Sus Pen-inj 100 Unit/M",112.59,90.08,31.27,101.33,27
NDC,5555600187,"Insulin Detemir Inj 100 Unit/ML,Insulin Detemir Soln Pen-injector 100 Unit/ML",160.84,128.68,44.67,144.76,27
NDC,5555600188,"Insulin Glargine Inj 100 Unit/ML,Insulin Glargine Soln Cartridge 100 Unit/ML,Insulin Glargine Soln Pen-Injector 100 Unit/ML",296.54,237.24,1.0,266.89,27
NDC,5555600189,"Insulin Isophane & Regular (Human) Inj 100 Unit/ML *,Insulin Isophane & Regular Susp Pen-Inj 100 Unit/ML",31.48,25.19,8.74,28.33,27
NDC,5555600190,"Insulin Isophane (Human) Inj 100 Unit/ML,Insulin Isophane (Human) Susp Pen-injector 100 Unit",31.48,25.19,8.74,28.33,27
NDC,5555600191,"Insulin Lispro (Human) Inj 100 Unit/ML,,,Insulin Lispro Inj Soln 100 Unit/ML",115.29,92.24,32.02,103.76,27
NDC,5555600191,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML",115.29,92.24,32.02,103.76,27
NDC,5555600191,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",115.29,92.24,32.02,103.76,27
NDC,5555600312,Bevacizumab IV Soln 100 MG/4ML (For Infusion),148.5,118.8,1.74,133.65,36
NDC,5555600322,Fentanyl Cit 0.2 MG/100ML-Ropiv 0.2%-NaCl 0.9% Epidural Inj,21.0,16.8,5.83,18.9,27
NDC,5555600324,"Oxytocin 30 units/500 mL,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML",174.0,139.2,48.32,156.6,27
NDC,5555600337,"Ketamine HCl Inj 10 MG/ML,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML)",3.33,2.67,0.92,3.0,27
NDC,5555600338,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",14.98,11.99,1.0,13.48,27
NDC,5555600343,Insulin Aspart Inj Soln 100 Unit/ML,115.29,92.24,32.02,103.76,27
NDC,5555600390,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML)",21.0,16.8,5.83,18.9,27
NDC,5555600397,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML),21.0,16.8,5.83,18.9,27
NDC,5555600418,Gatifloxacin Ophth Soln 0.5%,3.39,2.72,0.94,3.05,27
NDC,5555600419,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,3.35,2.68,0.93,3.02,27
NDC,5555600423,Emollient - Ointment,1.62,1.3,0.45,1.46,27
NDC,5555600492,Papaverine 6 mg/mL,21.0,16.8,5.83,18.9,27
NDC,5555600495,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,5555600497,Acetylcysteine Inhal Soln 10%,23.98,19.19,6.66,21.58,27
NDC,5555600511,Diclofenac Sodium Ophth Soln 0.1%,1.5,1.2,0.42,1.35,27
NDC,5555600512,Cyclopentolate HCl Ophth Soln 2%,1.5,1.2,0.42,1.35,27
NDC,5555600518,Bacitracin-Polymyxin B Ophth Oint,8.6,6.88,2.39,7.74,27
NDC,5555600526,Oxycodone HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,5555600537,Proparacaine HCl Ophth Soln 0.5%,1.5,1.2,0.42,1.35,27
NDC,5555600538,Phenylephrine HCl Ophth Soln 10%,1.87,1.5,0.52,1.68,27
NDC,5555600554,Hydrochlorothiazide Half-Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,5555600561,Atropine Sulfate Ophth Soln 1%,2.36,1.89,0.66,2.12,27
NDC,5555600570,Phenylephrine HCl Ophth Soln 2.5%,14.31,11.45,3.97,12.88,27
NDC,5555600573,Tetracaine HCl Ophth Soln 0.5%,1.5,1.2,0.42,1.35,27
NDC,5555600579,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,21.0,16.8,1.18,18.9,36
NDC,5555600582,Valproate Sodium Inj 100 MG/ML,27.14,21.72,7.54,24.43,27
NDC,5555600586,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,5555600594,Pentamidine Isethionate For Nebulization Soln 300 MG,237.61,190.09,52.22,213.85,27
NDC,5555600594,Pentamidine Isethionate for Nebulization Soln 300 MG,237.61,190.09,52.22,213.85,27
NDC,5555600595,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,5555600597,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),9.72,7.78,0.05,8.75,27
NDC,5555600598,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),7.08,5.67,0.05,6.37,27
NDC,5555600601,Cefazolin Sodium IV Soln Pref Syringe 1 GM/10ML,21.0,16.8,1.0,18.9,54
NDC,5555600602,Cefazolin Sodium IV Soln Pref Syringe 2 GM/20ML,21.0,16.8,1.0,18.9,27
NDC,5555600624,Ropivacaine HCl Inj 2 MG/ML,22.71,18.17,1.0,20.44,27
NDC,5555600625,Ropivacaine HCl Inj 5 MG/ML,46.59,37.28,1.0,41.93,27
NDC,5555600658,PENICILLIN G POTASSIUM 20000000 UNITS INJ,30.89,24.72,8.58,27.8,27
NDC,5555600659,Nafcillin Sodium For Inj 1 GM,21.0,16.8,5.83,18.9,27
NDC,5555600660,Cefazolin Sodium For Inj 1 GM,21.0,16.8,5.83,18.9,27
NDC,5555600661,CEFTRIAXONE,21.0,16.8,5.83,18.9,27
NDC,5555600661,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,5555600662,Cefepime HCl For Inj 1 GM,21.0,16.8,5.83,18.9,27
NDC,5555600663,Aztreonam For Inj 1 GM,21.0,16.8,2.52,18.9,27
NDC,5555600664,Meropenem IV For Soln 1 GM,21.0,16.8,5.83,18.9,27
NDC,5555600665,Piperacillin Sodium-Tazobactam Sodium For Inj 4-0.5*,21.0,16.8,5.83,18.9,27
NDC,5555600666,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,5555600667,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555600670,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,5555600699,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,5.83,18.9,27
NDC,5555600704,Phenobarbital Tab 60 MG,5.51,4.41,1.53,4.96,27
NDC,5555600717,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,5.83,18.9,27
NDC,5555600723,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,5555600729,Ketamine HCl Inj 50 MG/ML,33.46,26.77,9.29,30.11,27
NDC,5555600757,Gentamicin Sulfate Ophth Soln 0.3%,1.5,1.2,0.42,1.35,27
NDC,5555600758,Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML,1.5,1.2,0.42,1.35,27
NDC,5555600771,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,5555600780,Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%,58.75,47.0,16.31,52.88,27
NDC,5555600790,",Dexmedetomidine HCl in NaCl 0.9% IV Soln 80 MCG/20ML",21.0,16.8,5.83,18.9,27
NDC,5555600790,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,",21.0,16.8,5.83,18.9,27
NDC,5555600790,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,",21.0,16.8,5.83,18.9,27
NDC,5555600800,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,21.0,16.8,1.0,18.9,27
NDC,5555600848,Lidocaine-Epinephrine-Tetracaine External Soln 4-0.05-0.5%,25.23,20.19,7.01,22.71,27
NDC,5555600851,Insulin R diluted 25 units/mL,13.5,10.8,3.75,12.15,27
NDC,5555600892,"Potassium Chloride Inj 20 mEq/50ML,Potassium Chloride Inj 40 mEq/100ML",21.0,16.8,5.83,18.9,27
NDC,5555600940,Lurasidone HCL Half-Tab 40 MG,43.79,35.04,12.16,39.41,27
NDC,5555600962,Cefepime HCl For Inj 2 GM,28.28,22.63,7.85,25.45,27
NDC,5555600977,FENTANYL IV 25 MCG/ML INFUSION IN NS,21.0,16.8,5.83,18.9,27
NDC,5555604952,Methadone HCl Soln 5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555643240,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),34.02,27.22,9.45,30.62,27
NDC,5555662005,Promethazine HCl Oral Soln 6.25 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,5555722803,Simethicone Susp 40 MG/0.6ML,1.5,1.2,0.42,1.35,27
NDC,5555722806,Simethicone Susp 40 MG/0.6ML,1.5,1.2,0.42,1.35,27
NDC,5555741330,Sorbitol Oral Solution 70%,1.5,1.2,0.42,1.35,27
NDC,5555842805,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,5555842810,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),2.16,1.73,0.6,1.94,27
NDC,5555842815,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),35.64,28.52,9.9,32.08,27
NDC,5555880200,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,5555914671,Opium Tincture 1% (10 MG/ML) (Morphine Equiv),6.71,5.37,1.86,6.04,27
NDC,5556600976,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,",7.0,5.6,1.94,6.3,27
NDC,5556600976,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,",7.0,5.6,1.94,6.3,27
NDC,55566230000,Desmopressin Acetate Inj 4 MCG/ML,72.07,57.66,3.35,64.86,36
NDC,55566280001,Dinoprostone Vaginal Inserts 10 MG,902.1,721.68,250.51,811.89,27
NDC,55566840301,Degarelix Acetate For Inj 120 MG/VIAL (240 MG Dose),1916.45,1533.16,4.13,1724.81,36
NDC,5557036590,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,555901658,Norgestimate & Ethinyl Estradiol Tab 0.25 MG-35 MCG,22.68,18.15,6.3,20.41,27
NDC,555901858,Norgestimate-Eth Estrad Tab 0.18-35/0.215-35/0.25-35 MG-MCG,134.49,107.6,37.35,121.04,27
NDC,555904379,Desogestrel & Ethinyl Estradiol Tab 0.15 MG-30 MCG,21.17,16.94,5.88,19.05,27
NDC,555904558,Levonorgestrel & Ethinyl Estradiol Tab 0.1 MG-20 MCG,2.09,1.68,0.58,1.88,27
NDC,555904958,Norgestrel & Ethinyl Estradiol Tab 0.3 MG-30 MCG,2.07,1.66,0.57,1.86,27
NDC,555913167,Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG,112.27,89.82,31.18,101.04,27
NDC,555913179,Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG,4.01,3.21,1.11,3.61,27
NDC,56184012041,Simethicone Susp 40 MG/0.6ML,1.5,1.2,0.42,1.35,27
NDC,56184012105,Phenylephrine HCl Nasal Soln 0.125%,7.9,6.32,2.19,7.11,27
NDC,562780500,Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG),175.0,140.0,1.0,157.5,27
NDC,562780501,Rho D Immune Globulin IM Soln Pref Syr 1500 Unit (300MCG),175.0,140.0,1.0,157.5,27
NDC,57074000177,Aluminum Sulfate & Calcium Acetate Powd Pack,1.58,1.27,0.44,1.42,27
NDC,57237000511,Fluconazole Tab 150 MG,3.51,2.81,0.97,3.16,27
NDC,57237001405,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,57237001760,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,57237001830,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,57237001890,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,57237001899,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,57237001930,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,57237001999,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,57237003375,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,12.15,9.72,3.37,10.94,27
NDC,57237003550,Cefprozil For Susp 250 MG/5ML,5.94,4.76,1.65,5.35,27
NDC,57237004101,Penicillin V Potassium Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,57237004230,Valacyclovir HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,57237004330,Valacyclovir HCl Tab 1 GM,1.57,1.26,0.44,1.41,27
NDC,57237004560,Clarithromycin Tab 500 MG,1.52,1.22,0.42,1.37,27
NDC,57237004705,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,27
NDC,57237004801,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,57237008563,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),3.56,2.85,0.99,3.2,27
NDC,57237008663,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),4.0,3.2,1.11,3.6,27
NDC,57237009960,Cefdinir Cap 300 MG,2.11,1.69,0.59,1.9,27
NDC,57237010299,Metoprolol Tartrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,57237010601,Divalproex Sodium Tab Delayed Release 125 MG,1.5,1.2,0.42,1.35,27
NDC,57237011490,Alfuzosin HCl Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,57237014935,Fluconazole For Susp 10 MG/ML,8.78,7.03,2.44,7.9,27
NDC,57237015035,Fluconazole For Susp 40 MG/ML,4.07,3.26,1.13,3.66,27
NDC,57237016990,Rosuvastatin Calcium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,57237017201,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57237017301,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57237017401,Venlafaxine HCl Tab 50 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57237017501,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57237017601,Venlafaxine HCl Tab 100 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57237018190,Pramipexole Dihydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,57237021230,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,57237021930,Pioglitazone HCl Tab 15 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,57237021990,Pioglitazone HCl Tab 15 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,57237022090,Pioglitazone HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,57237022130,Pioglitazone HCl Tab 45 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,57237023201,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,27
NDC,57237024001,Zaleplon Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,57237027424,Lamivudine Oral Soln 10 MG/ML,200.88,160.71,55.78,180.79,27
NDC,57237031903,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,11.02,8.82,3.06,9.92,27
NDC,57237031931,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,11.02,8.82,3.06,9.92,27
NDC,57237032201,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,27
NDC,573245014,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),1.94,1.56,0.54,1.75,27
NDC,574006915,Glucose Gel 40%,9.82,7.86,2.73,8.84,27
NDC,574010601,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),6.08,4.87,1.69,5.47,27
NDC,574010603,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),3.99,3.2,1.11,3.59,27
NDC,574010770,Clotrimazole Troche 10 MG,1.5,1.2,0.42,1.35,27
NDC,574011501,Flavoxate HCl Tab 100 MG,1.7,1.36,0.47,1.53,27
NDC,574012008,Charcoal Activated-Sorbitol Susp,53.78,43.03,14.93,48.4,27
NDC,574012901,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),6.17,4.94,1.71,5.55,27
NDC,574014560,Trospium Chloride Tab 20 MG,4.58,3.67,1.27,4.12,27
NDC,574015004,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),161.53,129.23,44.86,145.38,27
NDC,574027401,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,574027500,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,574027511,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,574029201,Amiloride HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,574030316,Oral Vehicles,42.14,33.72,11.7,37.93,27
NDC,574030416,Oral Vehicles - Syrup,19.905,15.924999999999999,0.42,34.48,54
NDC,574031216,Oral Vehicles - Susp,1.78,1.43,0.49,1.6,27
NDC,574052076,Charcoal Activated-Sorbitol Susp,57.67,46.14,16.01,51.9,27
NDC,574052176,Charcoal Activated Liq,47.3,37.84,13.14,42.57,27
NDC,574079201,Pilocarpine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,574080530,Acetylcysteine Inj 200 MG/ML,687.74,550.2,1.0,618.97,27
NDC,574082001,Testosterone Cypionate IM Inj in Oil 200 MG/ML,37.45,29.96,1.0,33.71,27
NDC,574085005,Dihydroergotamine Mesylate Inj 1 MG/ML,225.46,180.37,1.0,202.91,27
NDC,574085010,Dihydroergotamine Mesylate Inj 1 MG/ML,315.94,252.76,1.0,284.35,27
NDC,574086601,Cyclosporine IV Soln 50 MG/ML,157.99,126.4,1.0,142.19,27
NDC,574086610,Cyclosporine IV Soln 50 MG/ML,157.99,126.4,1.0,142.19,27
NDC,574113304,Spironolactone Susp 25 MG/5ML,852.57,682.06,236.76,767.31,27
NDC,574200815,Nystatin Topical Powder 100000 Unit/GM,48.64,38.92,13.51,43.78,27
NDC,574204230,Lidocaine-Prilocaine Cream 2.5-2.5%,37.83,30.27,1.0,34.05,27
NDC,574402135,Bacitracin-Polymyxin B Ophth Oint,22.27,17.82,6.18,20.04,27
NDC,574402411,Erythromycin Ophth Oint 5 MG/GM,15.36,12.29,4.27,13.82,27
NDC,574402450,Erythromycin Ophth Oint 5 MG/GM,3.62,2.9,1.01,3.26,27
NDC,574403125,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,95.11,76.09,26.41,85.6,27
NDC,574416035,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,31.19,24.96,8.66,28.07,27
NDC,574425035,Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin,110.59,88.48,30.71,99.53,27
NDC,574704012,Belladonna Alkaloids & Opium Suppos 16.2-60 MG,58.94,47.16,16.37,53.05,27
NDC,574705050,Bisacodyl Suppos 10 MG,1.5,1.2,0.42,1.35,27
NDC,574709012,Hydrocortisone Acetate Suppos 25 MG,8.55,6.84,2.37,7.7,27
NDC,575620030,Diazoxide Susp 50 MG/ML,656.42,525.14,182.29,590.78,27
NDC,57664004788,Lisdexamfetamine Dimesylate Cap 20 MG,7.7,6.16,2.14,6.93,27
NDC,57664005188,Lisdexamfetamine Dimesylate Cap 60 MG,8.18,6.55,2.27,7.36,27
NDC,57664005288,Lisdexamfetamine Dimesylate Cap 70 MG,8.95,7.16,2.49,8.06,27
NDC,57664005718,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664012688,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,57664016758,Metoprolol Tartrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,57664022388,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,57664022888,Methylphenidate HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,57664033688,Amphetamine-Dextroamphetamine Cap ER 24HR 5 MG,2.57,2.06,0.71,2.31,27
NDC,57664033788,Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG,2.75,2.2,0.76,2.48,27
NDC,57664033888,Amphetamine-Dextroamphetamine Cap ER 24HR 15 MG,2.57,2.06,0.71,2.31,27
NDC,57664034088,Amphetamine-Dextroamphetamine Cap ER 24HR 25 MG,2.57,2.06,0.71,2.31,27
NDC,57664034188,Amphetamine-Dextroamphetamine Cap ER 24HR 30 MG,2.76,2.21,0.77,2.48,27
NDC,57664037708,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,57664037713,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,57664037718,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,57664037988,Dexmethylphenidate HCl Tab 10 MG,2.08,1.67,0.58,1.87,27
NDC,57664039288,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664039388,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664039488,Venlafaxine HCl Tab 50 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664039588,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664039688,Venlafaxine HCl Tab 100 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664039753,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,57664050289,Tizanidine HCl Tab 2 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664050318,Tizanidine HCl Tab 4 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664050389,Tizanidine HCl Tab 4 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,57664050658,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,57664050813,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,57664050818,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,57664064888,Chlorthalidone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,57664064988,Chlorthalidone Tab 50 MG,2.16,1.73,0.6,1.94,27
NDC,57664065588,Pindolol Tab 5 MG,2.21,1.77,0.61,1.99,27
NDC,57664068331,Linezolid IV Soln 600 MG/300ML (2 MG/ML),155.3,124.24,1.0,139.77,27
NDC,57771000192,Biotin Liquid 10 MG/ML,3.59,2.88,1.0,3.23,27
NDC,57844011001,Amphetamine-Dextroamphetamine Tab 10 MG,10.13,8.11,2.81,9.12,27
NDC,57844013001,Amphetamine-Dextroamphetamine Tab 30 MG,20.55,16.44,5.71,18.5,27
NDC,57894003001,Infliximab For IV Inj 100 MG,1875.53,1500.43,29.54,1687.98,36
NDC,57894005427,Ustekinumab IV Soln 130 MG/26ML (5 MG/ML) (For IV Infusion),3373.59,2698.88,12.34,3036.23,36
NDC,57894016001,Infliximab For IV Inj 100 MG,930.41,744.33,29.54,837.37,36
NDC,57894035001,Golimumab IV Soln 50 MG/4ML,3915.96,3132.77,10.49,3524.36,36
NDC,57894044901,Teclistamab-cqyv Subcutaneous Soln 30 MG/3ML (10 MG/ML),2694.81,2155.85,30.9,2425.33,36
NDC,57894045001,Teclistamab-cqyv Subcutaneous Soln 153 MG/1.7ML (90 MG/ML),14544.92,11635.94,30.9,13090.43,36
NDC,57894046901,Talquetamab-tgvs Subcutaneous Soln 3 MG/1.5ML (2 MG/ML),2529.96,2023.97,68.99,2276.96,36
NDC,57894047001,Talquetamab-tgvs Subcutaneous Soln 40 MG/ML,16009.01,12807.21,68.99,14408.11,36
NDC,57894050205,Daratumumab IV Soln 100 MG/5ML,1019.67,815.74,62.13,917.7,36
NDC,57894050220,Daratumumab IV Soln 400 MG/20ML,4078.69,3262.96,62.13,3670.82,36
NDC,57894050301,Daratumumab-Hyaluronidase-fihj Inj 1800-30000 MG-Unit/15ML,19283.94,15427.16,49.31,17355.55,36
NDC,57896014001,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),22.41,17.93,6.22,20.17,27
NDC,57896043516,Sorbitol Rectal Solution 70%,7.66,6.13,2.13,6.89,27
NDC,57896064912,Magnesium Hydroxide Susp 400 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,57896064916,Magnesium Hydroxide Susp 400 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,57896090101,Aspirin Tab 325 MG,1.5,1.2,0.42,1.35,27
NDC,57902024901,Asparaginase Erwinia Chrysanthemi For Inj 10000 Unit,6383.33,5106.67,427.27,5745.0,27
NDC,57963010101,Meclizine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,57970010001,Dalbavancin HCl For IV Soln 500 MG (Base Equivalent),1880.96,1504.77,14.83,1692.86,36
NDC,58151023732,Pregabalin Cap 50 MG,27.86,22.29,7.74,25.07,27
NDC,58151023788,Pregabalin Cap 50 MG,27.86,22.29,7.74,25.07,27
NDC,58160082111,Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML,226.13,180.91,66.86,203.52,36
NDC,58160082152,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML,232.99,186.4,66.86,209.69,36
NDC,58160097602,Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe,553.1,442.48,226.77,497.79,27
NDC,58394063403,Coagulation Factor IX (Recombinant) For Inj Kit 500 Unit,21.0,16.8,1.74,18.9,36
NDC,58394063503,Coagulation Factor IX (Recombinant) For Inj Kit 1000 Unit,21.0,16.8,1.74,18.9,36
NDC,58468004001,Agalsidase beta For IV Soln 35 MG,11382.63,9106.11,217.6,10244.37,36
NDC,58468004101,Agalsidase beta For IV Soln 5 MG,1626.09,1300.88,217.6,1463.48,36
NDC,58468008001,Anti-Thymocyte Globulin For IV Soln 25 MG (Lymphocyte IG),2250.13,1800.11,921.17,2025.12,36
NDC,58468009001,"Hylan Intra-articular Inj 8 MG/ML,Hylan Intra-articular Solution Prefilled Syringe,Hylan Intra-articular Solution Prefilled Syringe",630.84,504.68,7.55,567.76,36
NDC,58468009003,"Hylan Intra-articular Inj 8 MG/ML,Hylan Intra-articular Solution Prefilled Syringe,Hylan Intra-articular Solution Prefilled Syringe",68.99,55.2,7.55,62.09,36
NDC,58468012301,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),50.85,40.68,1.0,45.77,27
NDC,58468013001,Sevelamer Carbonate Tab 800 MG,14.18,11.35,3.94,12.76,27
NDC,58468022501,Caplacizumab-yhdp for Inj Kit 11 MG,16485.22,13188.18,745.65,14836.7,27
NDC,58657031016,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,58657050016,Guaifenesin-Codeine Soln 100-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,58657050816,Guaifenesin Liquid 100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,58657052816,Diphenhydramine HCl Liquid 12.5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,58657064801,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,58657070101,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,58914008052,Dicyclomine HCl Inj 10 MG/ML,297.71,238.17,1.0,267.94,27
NDC,58914050156,Mesalamine Suppos 1000 MG,45.43,36.35,12.62,40.89,27
NDC,58914078510,Ursodiol Tab 250 MG,4.06,3.25,1.13,3.65,27
NDC,59011041010,Oxycodone HCl Tab ER 12HR Deter 10 MG,6.97,5.58,1.94,6.27,27
NDC,59011041020,Oxycodone HCl Tab ER 12HR Deter 10 MG,8.92,7.14,2.48,8.03,27
NDC,59011041510,Oxycodone HCl Tab ER 12HR Deter 15 MG,10.23,8.19,2.84,9.21,27
NDC,59011041520,Oxycodone HCl Tab ER 12HR Deter 15 MG,13.77,11.02,3.82,12.39,27
NDC,59011042020,Oxycodone HCl Tab ER 12HR Deter 20 MG,16.62,13.3,4.62,14.96,27
NDC,59011044020,Oxycodone HCl Tab ER 12HR Deter 40 MG,22.79,18.24,6.33,20.51,27
NDC,59011075104,Buprenorphine TD Patch Weekly 10 MCG/HR,133.22,106.58,37.0,119.9,27
NDC,59011075804,Buprenorphine TD Patch Weekly 15 MCG/HR,192.17,153.74,53.37,172.95,27
NDC,591024110,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,591034301,Verapamil HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,591034801,Triamterene & Hydrochlorothiazide Tab 75-50 MG,1.5,1.2,0.42,1.35,27
NDC,591037001,Loxapine Succinate Cap 10 MG,1.88,1.51,0.52,1.69,27
NDC,591037101,Loxapine Succinate Cap 25 MG,2.86,2.29,0.79,2.57,27
NDC,591039501,Pentazocine w/ Naloxone HCl Tab 50-0.5 MG,5.05,4.04,1.4,4.55,27
NDC,591040401,Verapamil HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,591040501,Lisinopril Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,591042405,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.5,1.2,0.42,1.35,27
NDC,591044401,Guanfacine HCl Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,591046101,Glipizide Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591058201,Propafenone HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,591060501,Labetalol HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,591060601,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,591074501,Estazolam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,591079401,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,591079501,Dicyclomine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,591079601,Sulfasalazine Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,591084401,Glipizide Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,591084501,Glipizide Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,591090030,Glipizide Tab ER 24HR 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,591207026,Lidocaine-Prilocaine Cream 2.5-2.5%,28.84,23.08,1.0,25.96,27
NDC,591207030,Lidocaine-Prilocaine Cream 2.5-2.5%,28.84,23.08,1.0,25.96,27
NDC,591207072,Lidocaine-Prilocaine Cream 2.5-2.5%,19.13,15.31,1.0,17.22,27
NDC,591213655,Propofol IV Emul 500 MG/50ML (10 MG/ML),65.0,52.0,1.0,58.5,27
NDC,591219130,Ramelteon Tab 8 MG,8.07,6.46,2.24,7.26,27
NDC,591246401,Desmopressin Acetate Tab 0.1 MG,2.31,1.85,0.64,2.08,27
NDC,591246501,Desmopressin Acetate Tab 0.2 MG,2.85,2.28,0.79,2.57,27
NDC,591247260,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,591247319,Tamoxifen Citrate Tab 20 MG (Base Equivalent),1.86,1.49,0.52,1.67,27
NDC,591256201,Colchicine Tab 0.6 MG,2.05,1.64,0.57,1.85,27
NDC,591257920,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),383.94,307.16,106.62,345.55,27
NDC,591267911,Lidocaine Patch 5%,5.35,4.28,1.49,4.82,27
NDC,591267930,Lidocaine Patch 5%,5.35,4.28,1.49,4.82,27
NDC,591288830,Hydroxocobalamin Acetate Inj 1000 MCG/ML (Base Equivalent),98.66,78.93,0.01,88.79,36
NDC,591292102,Testosterone TD Gel 12.5 MG/ACT (1%),98.01,78.41,27.22,88.21,27
NDC,591294430,Pimecrolimus Cream 1%,450.04,360.04,124.98,405.04,27
NDC,591321901,Butalbital-Aspirin-Caffeine Cap 50-325-40 MG,2.54,2.04,0.71,2.29,27
NDC,591350954,Clonidine TD Patch Weekly 0.2 MG/24HR,110.84,88.68,30.78,99.76,27
NDC,591352511,Lidocaine Patch 5%,5.05,4.04,1.4,4.55,27
NDC,591352530,Lidocaine Patch 5%,5.05,4.04,1.4,4.55,27
NDC,591354060,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,591363630,Trospium Chloride Cap ER 24HR 60 MG,13.62,10.9,3.78,12.26,27
NDC,591367001,Nabumetone Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,59137057001,Triamcinolone Hexacetonide Intra-articular Inj Susp 20 MG/ML,38.06,30.45,1.0,34.25,27
NDC,591387060,Memantine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,591387544,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591387545,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591387560,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591401201,Valproic Acid Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,591406030,Desvenlafaxine Succinate Tab ER 24HR 25 MG (Base Equiv),2.43,1.95,0.67,2.19,27
NDC,59148000613,Aripiprazole Tab 2 MG,47.71,38.17,13.25,42.94,27
NDC,59148000713,Aripiprazole Tab 5 MG,47.71,38.17,13.25,42.94,27
NDC,59148000813,Aripiprazole Tab 10 MG,47.71,38.17,13.25,42.94,27
NDC,59148000913,Aripiprazole Tab 15 MG,47.71,38.17,13.25,42.94,27
NDC,59148001013,Aripiprazole Tab 20 MG,67.47,53.98,18.74,60.72,27
NDC,59148001113,Aripiprazole Tab 30 MG,67.47,53.98,18.74,60.72,27
NDC,59148001871,Aripiprazole IM For Extended Release Susp 300 MG,4657.56,3726.05,6.82,4191.8,36
NDC,59148001971,Aripiprazole IM For Extended Release Susp 400 MG,8424.16,6739.33,6.82,7581.74,36
NDC,59148003713,Brexpiprazole Tab 1 MG,111.38,89.11,30.93,100.24,27
NDC,59148003813,Brexpiprazole Tab 2 MG,122.85,98.28,34.12,110.57,27
NDC,59148004580,Aripiprazole IM For ER Susp Prefilled Syringe 300 MG,3057.61,2446.09,6.82,2751.85,36
NDC,59148004670,Decitabine For Inj 50 MG,4876.35,3901.08,1.0,4388.72,27
NDC,59148007280,Aripiprazole IM For ER Susp Prefilled Syringe 400 MG,5917.04,4733.64,6.82,5325.34,36
NDC,59148011480,Aripiprazole IM ER Susp Prefilled Syringe 960 MG/3.2ML,9734.83,7787.87,5.73,8761.35,36
NDC,591533501,Trihexyphenidyl HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,591534701,Probenecid Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,591544301,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,591551301,Carisoprodol Tab 350 MG,1.5,1.2,0.42,1.35,27
NDC,591554301,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,591554401,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,591554405,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,591555401,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591555501,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,591555701,Propranolol HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,591564201,Minoxidil Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,591564301,Minoxidil Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591565810,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,591569401,Minocycline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,591569460,Minocycline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,591570801,Clindamycin HCl Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,591571501,Amoxapine Tab 100 MG,2.7,2.16,0.75,2.43,27
NDC,591578201,Atenolol & Chlorthalidone Tab 50-25 MG,1.5,1.2,0.42,1.35,27
NDC,591578301,Atenolol & Chlorthalidone Tab 100-25 MG,1.5,1.2,0.42,1.35,27
NDC,59212000201,Triamterene Cap 50 MG,24.2,19.36,6.72,21.78,27
NDC,59267431501,COVID-19 mRNA Vac Tris-S 6mo-4y-Pfizer IM Susp 3 MCG/0.3ML,190.54,152.44,58.65,171.49,36
NDC,59267431502,COVID-19 mRNA Vac Tris-S 6mo-4y-Pfizer IM Susp 3 MCG/0.3ML,190.54,152.44,58.65,171.49,36
NDC,59267442601,COVID-19 mRNA Vac Tris-S 6mo-4y-Pfizer IM Susp 3 MCG/0.3ML,671.89,537.52,58.65,604.7,36
NDC,59267442602,COVID-19 mRNA Vac Tris-S 6mo-4y-Pfizer IM Susp 3 MCG/0.3ML,671.89,537.52,58.65,604.7,36
NDC,59310057922,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),56.71,45.37,15.75,51.04,27
NDC,59338077501,Ferumoxytol Inj 510 MG/17ML (30 MG/ML) (Elemental Fe),2322.77,1858.22,0.31,2090.49,74
NDC,59353006501,Difelikefalin Acetate 65 MCG/1.3ML (50 MCG/ML),555.0,444.0,0.06,499.5,36
NDC,59353040009,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML,277.5,222.0,1.39,249.75,63
NDC,59353040109,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML,462.5,370.0,1.39,416.25,63
NDC,59353040209,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML,691.9,553.52,1.39,622.71,63
NDC,59353040309,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML,925.0,740.0,1.39,832.5,63
NDC,59353040409,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML,1387.5,1110.0,1.39,1248.75,63
NDC,59353040509,Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML,1839.83,1471.87,1.39,1655.85,63
NDC,59365512901,Copper IUD,2152.03,1721.63,882.33,1936.83,27
NDC,59385002101,Buprenorphine HCl Buccal Film 75 MCG (Base Equivalent),15.01,12.01,4.17,13.51,27
NDC,59385002201,Buprenorphine HCl Buccal Film 150 MCG (Base Equivalent),14.28,11.43,3.97,12.85,27
NDC,59385002260,Buprenorphine HCl Buccal Film 150 MCG (Base Equivalent),14.28,11.43,3.97,12.85,27
NDC,59390008017,Hydrocortisone Oint 1%,3.56,2.85,0.99,3.2,27
NDC,59390018450,Sodium Chloride Hypertonic Ophth Oint 5%,10.18,8.15,2.83,9.16,27
NDC,59417010110,Lisdexamfetamine Dimesylate Cap 10 MG,3.08,2.47,0.86,2.77,27
NDC,59417010310,Lisdexamfetamine Dimesylate Cap 30 MG,22.79,18.24,6.33,20.51,27
NDC,59417010410,Lisdexamfetamine Dimesylate Cap 40 MG,22.79,18.24,6.33,20.51,27
NDC,59417010610,Lisdexamfetamine Dimesylate Cap 60 MG,22.79,18.24,6.33,20.51,27
NDC,59417010710,Lisdexamfetamine Dimesylate Cap 70 MG,22.79,18.24,6.33,20.51,27
NDC,59528031701,B-Complex w/ C-Zn & Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,59572010201,Azacitidine For Inj 100 MG,1504.46,1203.57,0.37,1354.01,27
NDC,59572098401,Romidepsin For IV Inj 10 MG,6429.29,5143.44,29.24,5786.36,36
NDC,59584013801,Candida Albicans Skin Test Antigen,606.13,484.91,1.0,545.52,27
NDC,59651002601,Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML,97.2,77.76,26.99,87.48,27
NDC,59651002655,Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML,165.24,132.2,45.89,148.72,27
NDC,59651002675,Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML,74.93,59.95,20.81,67.44,27
NDC,59651003247,Ibuprofen Susp 100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,59651005290,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,59651008560,Darunavir Tab 600 MG,3.13,2.51,0.87,2.82,27
NDC,59651008630,Darunavir Tab 800 MG,6.26,5.01,1.74,5.63,27
NDC,59651010506,Eletriptan Hydrobromide Tab 40 MG (Base Equivalent),15.58,12.47,4.33,14.02,27
NDC,59651011960,Dofetilide Cap 250 MCG (0.25 MG),4.01,3.21,1.11,3.61,27
NDC,59651014030,Nebivolol HCl Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59651015301,Progesterone Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,59651017301,Doxepin HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,59651017401,Doxepin HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,59651017501,Doxepin HCl Cap 50 MG,2.13,1.71,0.59,1.92,27
NDC,59651021430,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),27.38,21.91,7.6,24.64,27
NDC,59651025601,Propafenone HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,59651026830,Glipizide Tab ER 24HR 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,59651027001,Glipizide Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,59651033101,Flucytosine Cap 250 MG,18.9,15.12,5.25,17.01,27
NDC,59651037801,Zonisamide Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,59651040112,Clobazam Suspension 2.5 MG/ML,1.5,1.2,0.42,1.35,27
NDC,59651042011,Sildenafil Citrate For Suspension 10 MG/ML,87.7,70.16,24.35,78.93,27
NDC,59651048801,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,59651072201,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,59651072301,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,59651078030,Glipizide Tab ER 24HR 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,59651078101,Glipizide Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,59651078201,Glipizide Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,59651084001,Guanfacine HCl Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,59676027801,Rilpivirine HCl Tab 25 MG (Base Equivalent),89.99,72.0,24.99,80.99,27
NDC,59676056201,Darunavir Tab 600 MG,47.56,38.05,13.21,42.8,27
NDC,59676056630,Darunavir Tab 800 MG,123.39,98.72,34.27,111.05,27
NDC,59676057101,Etravirine Tab 200 MG,37.84,30.28,10.51,34.06,27
NDC,59676057530,Darunavir-Cobicistat Tab 800-150 MG,177.09,141.68,49.18,159.38,27
NDC,59676082001,Hyaluronan Intra-articular Soln Prefilled Syringe 88 MG/4ML,4791.5,3833.2,604.76,4312.35,36
NDC,597002402,Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT,622.54,498.04,172.88,560.29,27
NDC,597004137,Telmisartan Tab 80 MG,9.54,7.64,2.65,8.59,27
NDC,597007541,Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv),30.7,24.56,8.53,27.63,27
NDC,597007575,Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv),176.69,141.36,49.07,159.02,27
NDC,597008717,Ipratropium Bromide HFA Inhal Aerosol 17 MCG/ACT,560.35,448.28,155.61,504.32,27
NDC,597010061,Tiotropium Bromide Monohydrate Inhal Aerosol 2.5 MCG/ACT,1027.49,822.0,285.33,924.74,27
NDC,597015230,Empagliflozin Tab 10 MG,36.25,29.0,10.07,32.63,27
NDC,597015330,Empagliflozin Tab 25 MG,41.75,33.4,11.59,37.58,27
NDC,597019705,Idarucizumab IV Soln 2.5 GM/50ML,4962.56,3970.05,1.0,4466.3,27
NDC,597035556,Dabigatran Etexilate Mesylate Cap 75 MG (Etexilate Base Eq),16.34,13.08,4.54,14.71,27
NDC,597036082,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),15.17,12.14,4.21,13.65,27
NDC,59730420301,Hepatitis B Immune Globulin (Human) IM Soln 312 Unit/ML,222.35,177.88,61.75,200.12,27
NDC,59741030106,Hydrocortisone Acetate Suppos 25 MG,8.86,7.09,2.46,7.97,27
NDC,59746000103,Methylprednisolone Tab Therapy Pack 4 MG (21),45.19,36.16,12.55,40.67,27
NDC,59746000106,Methylprednisolone Tab 4 MG,2.36,1.89,0.66,2.12,27
NDC,59746000314,Methylprednisolone Tab 16 MG,4.64,3.72,1.0,4.18,27
NDC,59746001032,Risperidone Orally Disintegrating Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,59746002022,Risperidone Orally Disintegrating Tab 1 MG,2.75,2.2,0.76,2.48,27
NDC,59746003022,Risperidone Orally Disintegrating Tab 2 MG,3.38,2.71,0.94,3.04,27
NDC,59746011306,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59746011506,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59746012106,Meclizine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,59746012206,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,59746017106,Prednisone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,59746017306,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,59746017506,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,59746017509,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,59746021110,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,59746024501,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,59746024601,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,59746024860,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,59746028001,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,59746030612,Olanzapine Orally Disintegrating Tab 5 MG,2.15,1.72,0.6,1.94,27
NDC,59746030632,Olanzapine Orally Disintegrating Tab 5 MG,2.13,1.71,0.59,1.92,27
NDC,59746030712,Olanzapine Orally Disintegrating Tab 10 MG,8.23,6.59,2.29,7.41,27
NDC,59746030732,Olanzapine Orally Disintegrating Tab 10 MG,3.16,2.53,0.88,2.84,27
NDC,59746032430,Valacyclovir HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,59746032530,Valacyclovir HCl Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,59746038306,Terazosin HCl Cap 1 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59746038406,Terazosin HCl Cap 2 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59746038506,Terazosin HCl Cap 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59746038606,Terazosin HCl Cap 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59746079701,Methenamine Hippurate Tab 1 GM,1.81,1.45,0.5,1.63,27
NDC,59762001601,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),1.89,1.52,0.52,1.7,27
NDC,59762003301,Sildenafil Citrate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,59762005001,Methylprednisolone Tab 16 MG,4.27,3.42,1.0,3.84,27
NDC,59762005901,Alprazolam Tab ER 24HR 1 MG,1.5,1.2,0.42,1.35,27
NDC,59762006601,Alprazolam Tab ER 24HR 2 MG,1.81,1.45,0.5,1.63,27
NDC,59762007301,Hydrocortisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,59762007401,Hydrocortisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,59762007501,Hydrocortisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,59762010405,Sulfasalazine Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,59762010406,Sulfasalazine Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,59762011701,Mesalamine Cap DR 400 MG,3.94,3.16,1.09,3.55,27
NDC,59762014501,Piroxicam Cap 20 MG,2.7,2.16,0.75,2.43,27
NDC,59762015702,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,59762026001,Colestipol HCl Granule Packets 5 GM,5.02,4.02,1.39,4.52,27
NDC,59762033302,Latanoprost Ophth Soln 0.005%,43.77,35.02,12.15,39.39,27
NDC,59762040101,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,59762045001,Colestipol HCl Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,59762054001,Glipizide Tab ER 24HR 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,59762054101,Glipizide Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,59762054201,Glipizide Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,59762054202,Glipizide Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,59762100101,Sirolimus Tab 0.5 MG,12.53,10.03,1.0,11.28,27
NDC,59762100201,Sirolimus Tab 1 MG,31.02,24.82,1.0,27.92,27
NDC,59762106101,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.5,1.2,0.42,1.35,27
NDC,59762120506,Sirolimus Oral Soln 1 MG/ML,38.83,31.07,1.0,34.95,27
NDC,59762120701,Liothyronine Sodium Tab 25 MCG,2.26,1.81,0.63,2.03,27
NDC,59762130801,Linezolid For Susp 100 MG/5ML,185.49,148.4,51.51,166.94,27
NDC,59762130804,Linezolid For Susp 100 MG/5ML,246.65,197.32,68.49,221.99,27
NDC,59762151601,Celecoxib Cap 100 MG,3.11,2.49,0.86,2.8,27
NDC,59762151701,Celecoxib Cap 200 MG,5.05,4.04,1.4,4.55,27
NDC,59762151703,Celecoxib Cap 200 MG,3.86,3.09,1.07,3.47,27
NDC,59762171002,Eplerenone Tab 25 MG,4.9,3.92,1.36,4.41,27
NDC,59762172001,Eplerenone Tab 50 MG,5.1,4.08,1.42,4.59,27
NDC,59762200101,Ziprasidone HCl Cap 20 MG,7.73,6.19,2.15,6.96,27
NDC,59762200201,Ziprasidone HCl Cap 40 MG,7.18,5.75,1.99,6.46,27
NDC,59762200301,Ziprasidone HCl Cap 60 MG,8.83,7.07,2.45,7.95,27
NDC,59762200401,Ziprasidone HCl Cap 80 MG,7.68,6.15,2.13,6.91,27
NDC,59762219807,Azithromycin Tab 250 MG,4.27,3.42,1.19,3.84,27
NDC,59762234006,Doxazosin Mesylate Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,59762311001,Azithromycin For Susp 100 MG/5ML,61.64,49.32,17.12,55.48,27
NDC,59762312001,Azithromycin For Susp 200 MG/5ML,21.67,17.34,8.88,25.19,27
NDC,59762330403,Nitroglycerin SL Tab 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,59762332801,Clindamycin HCl Cap 150 MG,1.52,1.22,0.42,1.37,27
NDC,59762371804,Triazolam Tab 0.25 MG,1.74,1.4,0.48,1.57,27
NDC,59762371901,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,59762372001,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,59762372101,Alprazolam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,59762444002,Methylprednisolone Tab Therapy Pack 4 MG (21),59.65,47.72,16.56,53.69,27
NDC,59762453701,Medroxyprogesterone Acetate IM Susp 150 MG/ML,152.82,122.26,1.0,137.54,27
NDC,59762453802,Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML,353.66,282.93,1.0,318.29,27
NDC,59762500005,Sulfasalazine Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,59762500006,Sulfasalazine Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,59762500701,Misoprostol Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,59762500801,Misoprostol Tab 200 MCG,2.07,1.66,0.57,1.86,27
NDC,59762500802,Misoprostol Tab 200 MCG,2.01,1.61,0.56,1.81,27
NDC,59762501701,Fluconazole Tab 150 MG,6.96,5.57,1.93,6.26,27
NDC,59762502901,Fluconazole For Susp 10 MG/ML,22.96,18.37,6.38,20.66,27
NDC,59762503001,Fluconazole For Susp 40 MG/ML,12.67,10.14,3.52,11.4,27
NDC,59762505007,Gabapentin Oral Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,59762531001,Prazosin HCl Cap 1 MG,1.5,1.2,0.42,1.35,27
NDC,59762532001,Prazosin HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,59762535001,Prazosin HCl Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,59923060402,Fludarabine Phosphate Inj 25 MG/ML,4623.0,3698.4,64.79,4160.7,36
NDC,6003220,Ivermectin Tab 3 MG,12.18,9.75,3.38,10.96,27
NDC,6011231,Sitagliptin Phosphate Tab 50 MG (Base Equiv),32.56,26.05,9.04,29.3,27
NDC,6011254,Sitagliptin Phosphate Tab 50 MG (Base Equiv),32.1,25.68,8.91,28.89,27
NDC,60219107601,Azathioprine Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60219126401,Oseltamivir Phosphate Cap 30 MG (Base Equiv),19.91,15.93,5.53,17.92,27
NDC,60219150402,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,27.45,21.96,7.62,24.71,27
NDC,60219158503,Fluorometholone Ophth Susp 0.1%,193.91,155.13,53.85,174.52,27
NDC,60219161701,Potassium Chloride Powder Packet 20 mEq,3.81,3.05,1.06,3.43,27
NDC,60219161703,Potassium Chloride Powder Packet 20 mEq,3.8,3.04,1.06,3.42,27
NDC,60219174802,Atropine Sulfate Ophth Soln 1%,60.35,48.28,16.76,54.32,27
NDC,60219265101,Sildenafil Citrate For Suspension 10 MG/ML,254.92,203.94,70.79,229.43,27
NDC,60219592201,Pilocarpine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,6022131,Sitagliptin Phosphate Tab 25 MG (Base Equiv),27.51,22.01,7.64,24.76,27
NDC,6022761,Raltegravir Potassium Tab 400 MG (Base Equiv),58.54,46.84,16.26,52.69,27
NDC,60258000116,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60258000316,Potassium Citrate & Citric Acid Soln 1100-334 MG/5ML,2.43,1.95,0.67,2.19,27
NDC,60258000601,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.5,1.2,0.42,1.35,27
NDC,60258000615,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.5,1.2,0.42,1.35,27
NDC,60258019309,Prenatal Vit w/ Iron Carbonyl-FA Tab 29-1 MG,1.5,1.2,0.42,1.35,27
NDC,60267070550,Sodium Thiosulfate IV Soln 250 MG/ML (25%),177.58,142.07,49.31,159.82,27
NDC,6027701,Sitagliptin Phosphate Tab 100 MG (Base Equiv),3.65,2.92,1.01,3.29,27
NDC,6027731,Sitagliptin Phosphate Tab 100 MG (Base Equiv),17.17,13.74,4.77,15.45,27
NDC,6027754,Sitagliptin Phosphate Tab 100 MG (Base Equiv),27.54,22.04,7.65,24.79,27
NDC,603154258,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),140.985,112.78999999999999,2.41,245.97,54
NDC,603155404,Potassium Chloride Powder Packet 20 mEq,17.28,13.83,4.8,15.55,27
NDC,603155410,Potassium Chloride Powder Packet 20 mEq,9.64,7.72,2.68,8.68,27
NDC,603155416,Potassium Chloride Powder Packet 20 mEq,9.64,7.72,2.68,8.68,27
NDC,603188010,Lidocaine Patch 5%,15.8,12.64,4.39,14.22,27
NDC,603188016,Lidocaine Patch 5%,4.82,3.86,1.34,4.34,27
NDC,603211521,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,603211621,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,603211628,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,603221221,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,603221232,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,603221321,Amitriptyline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,603221421,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,603221521,Amitriptyline HCl Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,603221621,Amitriptyline HCl Tab 100 MG,2.43,1.95,0.67,2.19,27
NDC,603221721,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,603233821,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,603240621,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,603240632,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,603240721,Baclofen Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,603254421,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.7,1.36,0.47,1.53,27
NDC,603388721,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,603389021,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,603389128,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,603459315,Methylprednisolone Tab Therapy Pack 4 MG (21),60.67,48.54,16.85,54.6,27
NDC,603459321,Methylprednisolone Tab 4 MG,2.89,2.32,0.8,2.6,27
NDC,603497521,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,603506121,Perphenazine Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,603506221,Perphenazine Tab 8 MG,1.5,1.2,0.42,1.35,27
NDC,603533521,Prednisone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,603533621,Prednisone Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,603533821,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,603544821,Propafenone HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,603548221,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,603548321,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,603548421,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,603548521,Propranolol HCl Tab 60 MG,1.76,1.41,0.49,1.58,27
NDC,603633020,Valganciclovir HCl Tab 450 MG (Base Equivalent),130.06,104.05,36.12,117.05,27
NDC,60432009216,Oxybutynin Chloride Solution 5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60432012608,Megestrol Acetate Susp 40 MG/ML,1.5,1.2,0.42,1.35,27
NDC,60432012616,Megestrol Acetate Susp 40 MG/ML,93.31,74.65,25.91,83.98,27
NDC,60432012916,Carbamazepine Susp 100 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60432013108,Phenytoin Susp 125 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60432013350,Clobetasol Propionate Soln 0.05%,31.46,25.17,8.74,28.31,27
NDC,60432015016,Hydroxyzine HCl Syrup 10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60432053716,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,60432053760,Nystatin Susp 100000 Unit/ML,29.97,23.98,8.32,26.97,27
NDC,60432060616,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60432060816,Promethazine HCl Oral Soln 6.25 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60432062116,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,6047361,Raltegravir Potassium Chew Tab 25 MG (Base Equiv),4.76,3.81,1.32,4.28,27
NDC,6047761,Raltegravir Potassium Chew Tab 100 MG (Base Equiv),18.13,14.51,5.03,16.32,27
NDC,60505003306,Pentoxifylline Tab ER 400 MG,1.5,1.2,0.42,1.35,27
NDC,60505004101,Etodolac Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,60505006501,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,60505008000,Sotalol HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,60505008100,Sotalol HCl Tab 160 MG,1.5,1.2,0.42,1.35,27
NDC,60505008301,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60505008302,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60505008401,Paroxetine HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,60505009300,Doxazosin Mesylate Tab 1 MG,1.65,1.32,0.46,1.49,27
NDC,60505009500,Doxazosin Mesylate Tab 4 MG,1.8,1.44,0.5,1.62,27
NDC,60505009701,Paroxetine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60505013300,Cyclosporine Cap 25 MG,3.65,2.92,1.0,3.29,27
NDC,60505014100,Glipizide Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60505014200,Glipizide Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60505014500,Omeprazole Cap Delayed Release 10 MG,1.5,1.2,0.42,1.35,27
NDC,60505015701,Bupropion HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60505015801,Bupropion HCl Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,60505016501,Fluvoxamine Maleate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60505016909,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60505018300,Carbamazepine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,60505025103,Tizanidine HCl Tab 2 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60505056000,Ofloxacin Ophth Soln 0.3%,41.96,33.57,11.65,37.76,27
NDC,60505058204,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),85.86,68.69,23.84,77.27,27
NDC,60505079104,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,60505079200,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.24,19.4,1.0,21.82,27
NDC,60505079204,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.24,19.4,1.0,21.82,27
NDC,60505079300,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,23.12,18.5,1.0,20.81,27
NDC,60505079304,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,23.12,18.5,1.0,20.81,27
NDC,60505079501,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,37.06,29.65,1.0,33.35,27
NDC,60505079600,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.13,35.31,1.0,39.72,27
NDC,60505079604,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.09,35.28,1.0,39.68,27
NDC,60505079800,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,55.94,44.76,1.0,50.35,27
NDC,60505079804,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,55.98,44.79,1.0,50.38,27
NDC,60505081500,Desmopressin Acetate Nasal Spray Soln 0.01%,193.78,155.03,53.81,174.4,27
NDC,60505082306,Calcitonin (Salmon) Nasal Soln 200 Unit/ACT,156.64,125.32,43.5,140.98,27
NDC,60505082901,Fluticasone Propionate Nasal Susp 50 MCG/ACT,9.55,7.64,2.65,8.6,27
NDC,60505083305,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),87.48,69.99,24.29,78.73,27
NDC,60505132101,Midodrine HCl Tab 5 MG,3.11,2.49,0.86,2.8,27
NDC,60505252101,Cilostazol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60505252201,Cilostazol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60505253106,Ziprasidone HCl Cap 80 MG,1.5,1.2,0.42,1.35,27
NDC,60505257507,Balsalazide Disodium Cap 750 MG,1.5,1.2,0.42,1.35,27
NDC,60505257808,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60505257809,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60505257908,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60505257909,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60505258008,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60505265601,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.5,1.2,0.42,1.35,27
NDC,60505265605,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.5,1.2,0.42,1.35,27
NDC,60505265701,Triamterene & Hydrochlorothiazide Tab 75-50 MG,1.5,1.2,0.42,1.35,27
NDC,60505267303,Aripiprazole Tab 5 MG,10.77,8.62,2.99,9.69,27
NDC,60505267403,Aripiprazole Tab 10 MG,14.04,11.24,3.9,12.64,27
NDC,60505267503,Aripiprazole Tab 15 MG,27.62,22.1,7.67,24.86,27
NDC,60505267603,Aripiprazole Tab 20 MG,20.3,16.24,5.64,18.27,27
NDC,60505267703,Aripiprazole Tab 30 MG,32.7,26.16,9.08,29.43,27
NDC,60505280507,Carbamazepine Cap ER 12HR 100 MG,3.11,2.49,0.86,2.8,27
NDC,60505280607,Carbamazepine Cap ER 12HR 200 MG,3.89,3.12,1.08,3.5,27
NDC,60505283203,Atomoxetine HCl Cap 25 MG (Base Equiv),9.29,7.44,2.58,8.36,27
NDC,60505296507,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),9.23,7.39,1.0,8.31,27
NDC,60505296607,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),17.55,14.04,1.0,15.8,27
NDC,60505307503,Aripiprazole Tab 2 MG,12.72,10.18,3.53,11.45,27
NDC,60505311000,Olanzapine Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,60505311100,Olanzapine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60505311200,Olanzapine Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,60505311308,Olanzapine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60505313001,Quetiapine Fumarate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60505313201,Quetiapine Fumarate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60505313301,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60505313706,Quetiapine Fumarate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,60505317007,Omega-3-acid Ethyl Esters Cap 1 GM,1.5,1.2,0.42,1.35,27
NDC,60505324703,Famciclovir Tab 500 MG,2.05,1.64,0.57,1.85,27
NDC,60505325106,Lamivudine Tab 150 MG,10.68,8.55,2.97,9.61,27
NDC,60505327500,Olanzapine Orally Disintegrating Tab 5 MG,2.13,1.71,0.59,1.92,27
NDC,60505327503,Olanzapine Orally Disintegrating Tab 5 MG,4.9,3.92,1.36,4.41,27
NDC,60505327600,Olanzapine Orally Disintegrating Tab 10 MG,2.04,1.64,0.57,1.84,27
NDC,60505327603,Olanzapine Orally Disintegrating Tab 10 MG,6.66,5.33,1.85,5.99,27
NDC,60505328006,Levetiracetam Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,60505343803,Selegiline HCl Tab 5 MG,3.56,2.85,0.99,3.2,27
NDC,60505392901,Guanfacine HCl Tab ER 24HR 3 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60505437203,Vilazodone HCl Tab 10 MG,3.06,2.45,0.85,2.75,27
NDC,60505437303,Vilazodone HCl Tab 20 MG,2.63,2.11,0.73,2.37,27
NDC,60505437403,Vilazodone HCl Tab 40 MG,2.99,2.4,0.83,2.69,27
NDC,60505464303,Prasugrel HCl Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60505475401,Clorazepate Dipotassium Tab 3.75 MG,2.32,1.86,0.64,2.09,27
NDC,60505609800,Tigecycline For IV Soln 50 MG,75.09,60.08,1.0,67.58,27
NDC,60505609801,Tigecycline For IV Soln 50 MG,75.09,60.08,1.0,67.58,27
NDC,60505611600,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),60.55,48.44,1.0,54.5,27
NDC,60505611900,Micafungin Sodium For IV Soln 50 MG,123.21,98.57,1.0,110.89,27
NDC,60505612801,Irinotecan HCl Inj 100 MG/5ML (20 MG/ML),23.75,19.0,1.0,21.38,27
NDC,60505613000,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,60505613005,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,60505613207,Oxaliplatin IV Soln 100 MG/20ML,79.23,63.39,1.0,71.31,27
NDC,60505614200,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,60505614205,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,60505614600,Cefepime HCl For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,60505614604,Cefepime HCl For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,60505614700,Cefepime HCl For IV Soln 2 GM,21.0,16.8,1.0,18.9,27
NDC,60505614704,Cefepime HCl For IV Soln 2 GM,21.0,16.8,1.0,18.9,27
NDC,60505614800,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,60505614804,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,60505615700,Piperacillin Sod-Tazobactam Na For Inj 3.375 GM (3-0.375 GM),21.0,16.8,1.0,18.9,27
NDC,60505615900,Piperacillin Sod-Tazobactam Sod For Inj 4.5 GM (4-0.5 GM),21.0,16.8,1.0,18.9,27
NDC,60505619301,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),59.55,47.64,1.0,53.6,27
NDC,60505619600,Ertapenem Sodium For Inj 1 GM (Base Equivalent),256.35,205.08,1.0,230.72,27
NDC,60505619702,Sirolimus Oral Soln 1 MG/ML,32.02,25.62,1.0,28.82,27
NDC,60505622600,Atropine Sulfate Ophth Soln 1%,72.74,58.2,20.2,65.47,27
NDC,60505623700,Deferoxamine Mesylate For Inj 2 GM,109.06,87.25,1.0,98.15,27
NDC,60505623706,Deferoxamine Mesylate For Inj 2 GM,166.47,133.18,1.0,149.82,27
NDC,60505628206,Carboplatin IV Soln 450 MG/45ML,92.21,73.77,1.0,82.99,27
NDC,60505700600,Fentanyl TD Patch 72HR 25 MCG/HR,6.42,5.14,1.78,5.78,27
NDC,60505700602,Fentanyl TD Patch 72HR 25 MCG/HR,8.02,6.42,2.23,7.22,27
NDC,60505700700,Fentanyl TD Patch 72HR 50 MCG/HR,7.75,6.2,2.15,6.98,27
NDC,60505700702,Fentanyl TD Patch 72HR 50 MCG/HR,7.72,6.18,2.14,6.95,27
NDC,60505700800,Fentanyl TD Patch 72HR 75 MCG/HR,12.74,10.2,3.54,11.47,27
NDC,60505700802,Fentanyl TD Patch 72HR 75 MCG/HR,12.83,10.27,3.56,11.55,27
NDC,60505700900,Fentanyl TD Patch 72HR 100 MCG/HR,13.37,10.7,3.71,12.03,27
NDC,60505700902,Fentanyl TD Patch 72HR 100 MCG/HR,13.37,10.7,3.71,12.03,27
NDC,60505706100,Nicotine TD Patch 24HR 7 MG/24HR,5.0,4.0,1.39,4.5,27
NDC,60505708100,Fentanyl TD Patch 72HR 25 MCG/HR,6.43,5.15,1.79,5.79,27
NDC,60505708200,Fentanyl TD Patch 72HR 50 MCG/HR,10.83,8.67,3.01,9.75,27
NDC,60505708300,Fentanyl TD Patch 72HR 75 MCG/HR,16.66,13.33,4.63,14.99,27
NDC,60505708400,Fentanyl TD Patch 72HR 100 MCG/HR,23.27,18.62,6.46,20.94,27
NDC,60505708402,Fentanyl TD Patch 72HR 100 MCG/HR,23.27,18.62,6.46,20.94,27
NDC,60574411301,Palivizumab IM Soln 100 MG/ML,5971.07,4776.86,339.68,5373.96,36
NDC,60574411401,Palivizumab IM Soln 50 MG/0.5ML,3501.94,2801.56,339.68,3151.75,36
NDC,60687010011,Ursodiol Cap 300 MG,11.57,9.26,3.21,10.41,27
NDC,60687011211,Anastrozole Tab 1 MG,2.23,1.79,0.91,11.31,27
NDC,60687011221,Anastrozole Tab 1 MG,2.23,1.79,0.91,11.31,27
NDC,60687011301,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,60687011311,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,60687012125,Acamprosate Calcium Tab Delayed Release 333 MG,5.64,4.52,1.57,5.08,27
NDC,60687012195,Acamprosate Calcium Tab Delayed Release 333 MG,5.64,4.52,1.57,5.08,27
NDC,60687012201,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60687012211,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60687012401,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,60687012411,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,60687013401,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687013411,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687014501,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687014511,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687016301,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687016311,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687016811,Aripiprazole Tab 5 MG,20.76,16.61,5.77,18.68,27
NDC,60687018533,Propafenone HCl Cap ER 12HR 225 MG,17.85,14.28,4.96,16.07,27
NDC,60687018811,Entacapone Tab 200 MG,10.45,8.36,2.9,9.41,27
NDC,60687019501,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.5,1.2,0.42,1.35,27
NDC,60687019511,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.5,1.2,0.42,1.35,27
NDC,60687019911,Meloxicam Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,60687021011,Simvastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,60687021411,Methadone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60687021701,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,1.5,1.2,0.42,1.35,27
NDC,60687021711,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,1.5,1.2,0.42,1.35,27
NDC,60687022901,Loperamide HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,60687022911,Loperamide HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,60687023101,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687023111,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687024211,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687025240,Ondansetron HCl Oral Soln 4 MG/5ML,27.54,22.04,1.0,24.79,27
NDC,60687025286,Ondansetron HCl Oral Soln 4 MG/5ML,27.54,22.04,1.0,24.79,27
NDC,60687025301,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687025311,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687026611,Raloxifene HCl Tab 60 MG,13.69,10.96,3.8,12.32,27
NDC,60687030301,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687030311,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687031201,Bupropion HCl Tab ER 24HR 150 MG,3.76,3.01,1.04,3.38,27
NDC,60687031211,Bupropion HCl Tab ER 24HR 150 MG,3.76,3.01,1.04,3.38,27
NDC,60687032811,Sevelamer Carbonate Tab 800 MG,13.67,10.94,3.8,12.3,27
NDC,60687032831,Sevelamer Carbonate Tab 800 MG,13.67,10.94,3.8,12.3,27
NDC,60687032833,Sevelamer Carbonate Tab 800 MG,7.68,6.15,2.13,6.91,27
NDC,60687032865,Sevelamer Carbonate Tab 800 MG,7.68,6.15,2.13,6.91,27
NDC,60687033301,Lisinopril Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687033311,Lisinopril Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687034611,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687035511,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,60687036711,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,60687036911,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687037511,Dronabinol Cap 2.5 MG,10.34,8.28,2.87,9.31,27
NDC,60687037701,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,60687037711,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,60687038611,Dronabinol Cap 5 MG,24.59,19.68,6.83,22.13,27
NDC,60687038621,Dronabinol Cap 5 MG,24.59,19.68,6.83,22.13,27
NDC,60687038694,Dronabinol Cap 5 MG,35.86,28.69,9.96,32.27,27
NDC,60687038801,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687038811,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687039479,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,27
NDC,60687039483,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,27
NDC,60687039579,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,60687039583,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,60687039601,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,60687039611,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,60687039801,Midodrine HCl Tab 5 MG,1.63,1.31,0.45,1.47,27
NDC,60687039811,Midodrine HCl Tab 5 MG,1.63,1.31,0.45,1.47,27
NDC,60687040211,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,60687040579,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,60687040583,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,60687040640,Oxycodone HCl Soln 5 MG/5ML,6.01,4.81,1.67,5.41,27
NDC,60687040677,Oxycodone HCl Soln 5 MG/5ML,6.01,4.81,1.67,5.41,27
NDC,60687040701,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,60687040711,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,60687040925,Midodrine HCl Tab 10 MG,2.08,1.67,0.58,1.87,27
NDC,60687040995,Midodrine HCl Tab 10 MG,2.08,1.67,0.58,1.87,27
NDC,60687041311,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),2.15,1.72,0.6,1.94,27
NDC,60687041511,Clozapine Tab 100 MG,2.01,1.61,0.56,1.81,27
NDC,60687041744,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,8.67,6.94,2.41,7.8,27
NDC,60687041801,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,60687041811,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,60687042311,Clobazam Tab 10 MG,4.94,3.96,1.37,4.45,27
NDC,60687042321,Clobazam Tab 10 MG,6.45,5.16,1.79,5.81,27
NDC,60687042811,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60687042865,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,60687042945,Magnesium Hydroxide Susp 400 MG/5ML,3.24,2.6,0.9,2.92,27
NDC,60687043192,Polyethylene Glycol 3350 Oral Packet 17 GM,275.4,220.32,76.48,247.86,27
NDC,60687043701,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,60687043711,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,60687044301,Trazodone HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687044311,Trazodone HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687044401,Amitriptyline HCl Tab 50 MG,1.57,1.26,0.44,1.41,27
NDC,60687044411,Amitriptyline HCl Tab 50 MG,1.57,1.26,0.44,1.41,27
NDC,60687044601,Ibuprofen Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,60687044611,Ibuprofen Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,60687045001,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,60687045011,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,60687045301,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,60687045311,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,60687045401,Trazodone HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687045411,Trazodone HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687045701,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,60687045711,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,60687046401,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,60687046411,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,60687046611,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,60687047311,Pregabalin Cap 25 MG,3.38,2.71,0.94,3.04,27
NDC,60687048401,Pregabalin Cap 50 MG,3.21,2.57,0.89,2.89,27
NDC,60687048411,Pregabalin Cap 50 MG,3.22,2.58,0.89,2.9,27
NDC,60687048801,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60687048811,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,60687049211,Buprenorphine HCl SL Tab 8 MG (Base Equiv),8.78,7.03,2.44,7.9,27
NDC,60687049221,Buprenorphine HCl SL Tab 8 MG (Base Equiv),8.78,7.03,2.44,7.9,27
NDC,60687049401,Mycophenolate Mofetil Cap 250 MG,1.57,1.26,0.44,1.41,27
NDC,60687049411,Mycophenolate Mofetil Cap 250 MG,1.57,1.26,0.44,1.41,27
NDC,60687049501,Pregabalin Cap 75 MG,3.14,2.52,0.87,2.83,27
NDC,60687049511,Pregabalin Cap 75 MG,3.14,2.52,0.87,2.83,27
NDC,60687050601,Pregabalin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687050611,Pregabalin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687052479,Budesonide Inhalation Susp 0.5 MG/2ML,9.02,7.22,1.01,8.12,27
NDC,60687052483,Budesonide Inhalation Susp 0.5 MG/2ML,9.94,7.96,1.01,8.95,27
NDC,60687053101,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,27
NDC,60687053111,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,27
NDC,60687054311,Methylphenidate HCl Tab ER Osmotic Release (OSM) 27 MG,15.04,12.04,4.18,13.54,27
NDC,60687054321,Methylphenidate HCl Tab ER Osmotic Release (OSM) 27 MG,15.04,12.04,4.18,13.54,27
NDC,60687054401,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687054411,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687055001,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687055011,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687055411,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,15.77,12.62,4.38,14.19,27
NDC,60687055421,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,15.77,12.62,4.38,14.19,27
NDC,60687055901,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687055911,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687056901,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.95,1.56,0.54,1.76,27
NDC,60687056911,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.95,1.56,0.54,1.76,27
NDC,60687057232,Prazosin HCl Cap 5 MG,7.09,5.68,1.97,6.38,27
NDC,60687057233,Prazosin HCl Cap 5 MG,7.09,5.68,1.97,6.38,27
NDC,60687057511,Rifampin Cap 150 MG,4.0,3.2,1.11,3.6,27
NDC,60687057521,Rifampin Cap 150 MG,3.99,3.2,1.11,3.59,27
NDC,60687057603,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),11.54,9.24,3.2,10.39,27
NDC,60687057640,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),12.91,10.33,3.59,11.62,27
NDC,60687057901,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,60687057911,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,60687058001,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687058011,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687058311,Carbamazepine Tab ER 12HR 200 MG,8.42,6.74,2.34,7.58,27
NDC,60687058321,Carbamazepine Tab ER 12HR 200 MG,8.42,6.74,2.34,7.58,27
NDC,60687058501,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60687058511,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60687058601,Rifampin Cap 300 MG,2.73,2.19,0.76,2.46,27
NDC,60687058611,Rifampin Cap 300 MG,2.73,2.19,0.76,2.46,27
NDC,60687058701,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687058711,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687059001,Hydromorphone HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,60687059011,Hydromorphone HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,60687059301,Hydrochlorothiazide Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687059311,Hydrochlorothiazide Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687059501,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687059511,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687059811,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,60687060201,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,60687060211,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,60687060901,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,60687060911,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,60687061701,Morphine Sulfate Tab 15 MG,1.97,1.58,0.55,1.77,27
NDC,60687061711,Morphine Sulfate Tab 15 MG,1.97,1.58,0.55,1.77,27
NDC,60687062611,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),6.35,5.08,1.76,5.72,27
NDC,60687062665,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),6.35,5.08,1.76,5.72,27
NDC,60687062711,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687062814,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),33.13,26.51,9.2,29.82,27
NDC,60687062845,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),33.13,26.51,9.2,29.82,27
NDC,60687063811,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,60687064001,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687064011,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687064911,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,60687065701,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687065711,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687066101,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,60687066111,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,60687067501,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687067511,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687067611,Lacosamide Tab 50 MG,4.92,3.94,1.37,4.43,27
NDC,60687067657,Lacosamide Tab 50 MG,4.92,3.94,1.37,4.43,27
NDC,60687067701,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687067711,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,60687068711,Lacosamide Tab 100 MG,7.7,6.16,2.14,6.93,27
NDC,60687068757,Lacosamide Tab 100 MG,7.7,6.16,2.14,6.93,27
NDC,60687068801,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,60687068811,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,60687069501,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,60687069511,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,60687069601,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687069611,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687069711,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,60687070701,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687070765,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687071101,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,60687071111,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,60687073611,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60687073665,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60687073842,Sucralfate Susp 1 GM/10ML,16.82,13.46,4.67,15.14,27
NDC,60687075540,Diazepam Oral Soln 1 MG/ML,9.86,7.89,2.74,8.87,27
NDC,60687075586,Diazepam Oral Soln 1 MG/ML,9.86,7.89,2.74,8.87,27
NDC,60687075609,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,60687076811,Glipizide Tab ER 24HR 2.5 MG,3.03,2.43,0.84,2.73,27
NDC,60687077501,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687077565,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687079501,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687079511,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687080017,Nystatin Susp 100000 Unit/ML,4.59,3.68,1.27,4.13,27
NDC,60687080040,Nystatin Susp 100000 Unit/ML,4.59,3.68,1.27,4.13,27
NDC,60687080601,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,60687080611,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,60687081009,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,60687081011,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,60687081201,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687081211,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,60687082201,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687082211,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,60687083301,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687083311,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,60687083742,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),9.91,7.93,2.75,8.92,27
NDC,60687083756,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),9.91,7.93,2.75,8.92,27
NDC,60687084540,Fluoxetine HCl Solution 20 MG/5ML,11.88,9.51,3.3,10.69,27
NDC,60687085527,Potassium Chloride Powder Packet 20 mEq,3.07,2.46,0.85,2.76,27
NDC,60687085599,Potassium Chloride Powder Packet 20 mEq,3.07,2.46,0.85,2.76,27
NDC,60687085601,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,60687085611,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,60687086001,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60687086011,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,60687086101,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687086111,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,60687087201,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,60687087211,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,60687087745,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,60687087776,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,2.35,1.88,0.65,2.12,27
NDC,60687087911,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687087961,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,60687088501,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,60687088511,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,60758011905,Prednisolone Acetate Ophth Susp 1%,17.31,13.85,4.81,15.58,54
NDC,60758018805,Gentamicin Sulfate Ophth Soln 0.3%,10.23,8.19,2.84,9.21,27
NDC,60758061525,Gatifloxacin Ophth Soln 0.5%,277.7,222.16,77.12,249.93,54
NDC,60758080105,Timolol Maleate Ophth Soln 0.5%,12.61,10.09,3.5,11.35,27
NDC,60758080205,Timolol Maleate Ophth Soln 0.25%,6.89,5.52,1.91,6.2,27
NDC,60758088005,Fluorometholone Ophth Susp 0.1%,179.55,143.64,49.86,161.6,27
NDC,60758090810,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,14.04,11.24,3.9,12.64,27
NDC,60793013010,Penicillin G Procaine Intramuscular Susp 600000 Unit/ML,59.49,47.6,24.39,53.54,36
NDC,60793013601,Metaxalone Tab 800 MG,21.47,17.18,5.96,19.32,27
NDC,60793060002,Penicillin G Benzathine & Procaine Inj Susp 1200000 Unit/2ML,209.97,167.98,15.74,188.97,36
NDC,60793060210,Penicillin G Benzathine & Procaine Inj 900000-300000 Unt/2ML,388.98,311.19,15.74,350.08,36
NDC,60793070001,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",369.36,295.49,20.16,332.42,36
NDC,60793070010,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",369.36,295.49,20.16,332.42,36
NDC,60793070102,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",639.89,511.92,20.16,575.9,36
NDC,60793070110,"Penicillin G Benzathine IM Susp Pref Syr 600000 Unit/ML,Penicillin G Benzathine IM Susp Pref Syr 1200000 Unit/2ML",534.66,427.73,20.16,481.19,36
NDC,60793085801,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.42,1.35,27
NDC,60793085901,Levothyroxine Sodium Tab 175 MCG,1.76,1.41,0.49,1.58,27
NDC,60951060270,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,6096031,Losartan Potassium Tab 100 MG,12.69,10.16,3.52,11.42,27
NDC,60977014101,Pralidoxime Chloride For IV Soln 1 GM,365.45,292.36,1.0,328.91,27
NDC,60977014127,Pralidoxime Chloride For IV Soln 1 GM,352.87,282.3,1.0,317.58,27
NDC,61269010534,Bacitracin Zinc Oint 500 Unit/GM,3.63,2.91,1.01,3.27,27
NDC,61269016550,Sodium Fluoride Soln 0.5 MG/ML F (from 1.1 MG/ML NaF),1.5,1.2,0.42,1.35,27
NDC,61269060510,Clonazepam Tab 0.5 MG,6.39,5.12,1.77,5.75,27
NDC,61269073041,Miconazole Nitrate Vaginal Cream 2%,13.12,10.5,3.64,11.81,27
NDC,61314001405,Diclofenac Sodium Ophth Soln 0.1%,35.37,28.3,9.82,31.83,27
NDC,61314001601,Proparacaine HCl Ophth Soln 0.5%,58.64,46.92,16.28,52.78,27
NDC,61314001910,Dorzolamide HCl Ophth Soln 2%,51.57,41.26,14.32,46.41,27
NDC,61314003002,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,125.39,100.32,34.82,112.85,27
NDC,61314004475,Trifluridine Ophth Soln 1%,360.45,288.36,100.1,324.41,27
NDC,61314014305,Brimonidine Tartrate Ophth Soln 0.2%,14.85,11.88,4.12,13.37,27
NDC,61314014310,Brimonidine Tartrate Ophth Soln 0.2%,39.42,31.54,10.95,35.48,27
NDC,61314020315,Pilocarpine HCl Ophth Soln 1%,184.8,147.84,51.32,166.32,27
NDC,61314020415,Pilocarpine HCl Ophth Soln 2%,200.84,160.68,55.77,180.76,27
NDC,61314020615,Pilocarpine HCl Ophth Soln 4%,198.09,158.48,55.01,178.28,54
NDC,61314022405,Timolol Maleate Ophth Gel Forming Soln 0.25%,80.6,64.48,22.38,72.54,27
NDC,61314022505,Timolol Maleate Ophth Gel Forming Soln 0.5%,95.23,76.19,26.45,85.71,27
NDC,61314022605,Timolol Maleate Ophth Soln 0.25%,6.53,5.23,1.81,5.88,27
NDC,61314022610,Timolol Maleate Ophth Soln 0.25%,13.85,11.08,3.85,12.47,27
NDC,61314022705,Timolol Maleate Ophth Soln 0.5%,24.3,19.44,6.75,21.87,27
NDC,61314023805,Carteolol HCl Ophth Soln 1%,22.82,18.26,6.34,20.54,27
NDC,61314031801,Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML,543.9,435.12,0.17,489.51,36
NDC,61314031805,Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML,371.93,297.55,0.17,334.74,36
NDC,61314031810,Filgrastim-sndz Soln Prefilled Syringe 300 MCG/0.5ML,543.9,435.12,0.17,489.51,36
NDC,61314032601,Filgrastim-sndz Soln Prefilled Syringe 480 MCG/0.8ML,870.24,696.2,0.17,783.22,36
NDC,61314039601,Cyclopentolate HCl Ophth Soln 1%,30.65,24.52,8.51,27.59,27
NDC,61314054701,Latanoprost Ophth Soln 0.005%,16.61,13.29,4.61,14.95,27
NDC,61314054703,Latanoprost Ophth Soln 0.005%,35.05,28.04,9.73,31.55,27
NDC,61314062810,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,26.14,20.92,7.26,23.53,27
NDC,61314063006,Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%,45.5,36.4,12.64,40.95,27
NDC,61314063305,Gentamicin Sulfate Ophth Soln 0.3%,38.31,30.65,10.64,34.48,27
NDC,61314063705,Prednisolone Acetate Ophth Susp 1%,92.88,74.31,25.79,83.59,54
NDC,61314064175,Neomycin-Polymyxin-HC Ophth Susp,257.78,206.23,71.59,232.0,27
NDC,61314064305,Tobramycin Ophth Soln 0.3%,39.15,31.32,10.87,35.24,27
NDC,61314064511,Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1%,116.37,93.1,32.32,104.73,27
NDC,61314064610,Neomycin-Polymyxin-HC Otic Soln 1%,116.37,93.1,32.32,104.73,27
NDC,61314064725,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,95.11,76.09,26.41,85.6,27
NDC,61314065605,Ciprofloxacin HCl Ophth Soln 0.3%,11.61,9.29,3.22,10.45,27
NDC,61314065605,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),11.61,9.29,3.22,10.45,27
NDC,61314065625,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),7.67,6.14,2.13,6.9,27
NDC,61314067225,Gatifloxacin Ophth Soln 0.5%,99.82,79.86,27.72,89.84,27
NDC,61314070101,Sulfacetamide Sodium Ophth Soln 10%,116.48,93.19,32.35,104.83,27
NDC,61314086601,Pegfilgrastim-bmez Soln Prefilled Syringe 6 MG/0.6ML,4077.33,3261.87,27.35,3669.6,36
NDC,61442010260,Diclofenac Sodium Tab Delayed Release 50 MG,1.5,1.2,0.42,1.35,27
NDC,61442010301,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,61442010305,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,61442010310,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,61442010360,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,27
NDC,61442011201,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,61442011301,Acyclovir Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,61442011701,Glimepiride Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,61442012101,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,61442012110,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,61442045101,Carisoprodol Tab 350 MG,1.5,1.2,0.42,1.35,27
NDC,61553048180,"sod citrate 4% prefill syringe,Sodium Citrate IV Soln (PF) Prefilled Syringe 4%,Sodium Citrate Lock Flush IV Soln Pref Syr 120 MG/3ML (4%)",21.0,16.8,5.83,18.9,27
NDC,61553064867,Morphine Sulfate IV Soln 2 mg/mL,44.59,35.68,1.0,40.13,27
NDC,61553067174,Fentanyl Citrate IV Soln Prefilled Syringe 2750 MCG/55ML,94.87,75.9,1.0,85.38,27
NDC,61570013150,Silver Sulfadiazine Cream 1%,34.97,27.98,9.71,31.47,27
NDC,61703026205,Carboplatin IV Soln 450 MG/45ML,49.63,39.71,1.0,44.67,27
NDC,61703030436,Cytarabine Inj 20 MG/ML,46.0,36.8,1.0,41.4,27
NDC,61703030538,Cytarabine Inj PF 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,61703030906,Vincristine Sulfate IV Soln 1 MG/ML,21.88,17.51,1.0,19.69,27
NDC,61703030916,Vincristine Sulfate IV Soln 1 MG/ML,13.34,10.68,1.0,12.01,27
NDC,61703030926,Vincristine Sulfate IV Soln 1 MG/ML,14.34,11.48,1.0,12.91,27
NDC,61703031922,Cytarabine Inj PF 100 MG/ML,60.99,48.8,1.0,54.89,27
NDC,61703032418,Pamidronate Disodium IV Soln 3 MG/ML,47.98,38.39,1.0,43.18,27
NDC,61703032618,Pamidronate Disodium IV Soln 9 MG/ML,160.08,128.07,1.0,144.07,27
NDC,61703033218,Bleomycin Sulfate For Inj 15 Unit,78.23,62.59,1.0,70.41,27
NDC,61703033918,Carboplatin IV Soln 50 MG/5ML,34.2,27.36,1.0,30.78,27
NDC,61703033922,Carboplatin IV Soln 150 MG/15ML,59.25,47.4,1.0,53.33,27
NDC,61703033950,Carboplatin IV Soln 450 MG/45ML,150.34,120.28,1.0,135.31,27
NDC,61703033956,Carboplatin IV Soln 600 MG/60ML,69.43,55.55,1.0,62.49,27
NDC,61703034250,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),172.0,137.6,1.0,154.8,27
NDC,61703034318,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),394.73,315.79,22.68,355.26,36
NDC,61703034365,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),454.75,363.8,22.68,409.28,36
NDC,61703034916,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),12.0,9.6,1.0,10.8,27
NDC,61703035037,Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),12.79,10.24,1.0,11.51,27
NDC,61703035038,Methotrexate Sodium Inj 50 MG/2ML (25 MG/ML),12.8,10.24,1.0,11.52,27
NDC,61703036318,Oxaliplatin IV Soln 50 MG/10ML,185.11,148.09,1.0,166.6,27
NDC,61703036322,Oxaliplatin IV Soln 100 MG/20ML,377.8,302.24,1.0,340.02,27
NDC,61703040841,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),96.44,77.16,1.0,86.8,27
NDC,61703041818,Vitamin A Inj 15 MG/ML (50000 Unit/ML),24.24,19.4,6.73,21.82,27
NDC,61748001201,Pyrazinamide Tab 500 MG,4.94,3.96,1.37,4.45,27
NDC,61748001209,Pyrazinamide Tab 500 MG,5.07,4.06,1.41,4.56,27
NDC,61748001530,Rifampin Cap 150 MG,2.51,2.01,0.7,2.26,27
NDC,61748001801,Rifampin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,61748001830,Rifampin Cap 300 MG,1.9,1.52,0.53,1.71,27
NDC,61748001860,Rifampin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,61748002416,Ethosuximide Soln 250 MG/5ML,2.89,2.32,0.8,2.6,27
NDC,61748002501,Ethosuximide Cap 250 MG,1.62,1.3,0.45,1.46,27
NDC,61755000502,Aflibercept Intravitreal Inj 2 MG/0.05ML (40 MG/ML),3718.5,2974.8,732.98,3346.65,36
NDC,61874011511,Cariprazine HCl Cap 1.5 MG (Base Equivalent),109.62,87.7,30.44,98.66,27
NDC,61874011520,Cariprazine HCl Cap 1.5 MG (Base Equivalent),109.62,87.7,30.44,98.66,27
NDC,61874013011,Cariprazine HCl Cap 3 MG (Base Equivalent),109.62,87.7,30.44,98.66,27
NDC,61874013020,Cariprazine HCl Cap 3 MG (Base Equivalent),109.62,87.7,30.44,98.66,27
NDC,61924017404,Skin Protectants Misc - Cream,8.87,7.1,2.46,7.98,27
NDC,61953001401,Fibrinogen-Thrombin Prefilled Syringe Kit 10 ML,1722.09,1377.68,478.22,1549.88,27
NDC,61953001402,Fibrinogen-Thrombin Prefilled Syringe Kit 10 ML,1722.09,1377.68,478.22,1549.88,27
NDC,61958040301,Tenofovir Disoproxil Fumarate Oral Powder 40 MG/GM,1799.82,1439.86,499.81,1619.84,27
NDC,61958060201,Emtricitabine Soln 10 MG/ML,11.78,9.43,3.27,10.6,27
NDC,61958070101,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,132.06,105.65,36.67,118.85,27
NDC,61958100301,Ranolazine Tab ER 12HR 500 MG,14.04,11.24,3.9,12.64,27
NDC,61958120101,Elvitegrav-Cobic-Emtricitab-TenofovDF Tab 150-150-200-300 MG,243.51,194.81,67.62,219.16,27
NDC,61958190101,Elvitegrav-Cobic-Emtricitab-Tenofov AF Tab 150-150-200-10 MG,216.08,172.87,60.01,194.47,27
NDC,61958250103,Bictegravir-Emtricitabine-Tenofovir AF Tab 50-200-25 MG,297.8,238.24,82.7,268.02,27
NDC,61958290101,Remdesivir for IV Soln 100 MG,1100.0,880.0,5.63,990.0,36
NDC,61958290102,Remdesivir for IV Soln 100 MG,1100.0,880.0,5.63,990.0,36
NDC,61958290201,Remdesivir IV Soln 100 MG/20ML (5 MG/ML),1100.0,880.0,5.63,990.0,36
NDC,61971012005,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,27
NDC,61990041100,Dihydroergotamine Mesylate Inj 1 MG/ML,181.83,145.47,1.0,163.65,27
NDC,61990041101,Dihydroergotamine Mesylate Inj 1 MG/ML,202.01,161.61,1.0,181.81,27
NDC,61990041102,Dihydroergotamine Mesylate Inj 1 MG/ML,181.83,145.47,1.0,163.65,27
NDC,61990061100,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.05,16.84,1.0,18.95,27
NDC,61990061100,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.05,16.84,5.85,18.95,27
NDC,62037059890,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.5,1.2,0.42,1.35,27
NDC,62037071001,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.5,1.2,0.42,1.35,27
NDC,62037072005,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,62037072601,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,21.11,16.89,5.86,19.0,27
NDC,62037072701,Methylphenidate HCl Tab ER Osmotic Release (OSM) 54 MG,22.55,18.04,6.26,20.3,27
NDC,62037099905,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,62135019122,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.76,1.41,0.49,1.58,27
NDC,62135043190,Disulfiram Tab 250 MG,24.21,19.37,6.72,21.79,27
NDC,62135075047,Hydroxyzine HCl Syrup 10 MG/5ML,13.24,10.6,3.68,11.92,27
NDC,62135082984,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),10.44,8.36,0.15,9.4,27
NDC,62135096001,Sulfasalazine Tab 500 MG,2.51,2.01,0.7,2.26,27
NDC,62175010601,Isosorbide Mononitrate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,62175010701,Isosorbide Mononitrate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,62175011937,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,62175011941,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,62175012837,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.5,1.2,0.42,1.35,27
NDC,62175026037,Nifedipine Tab ER 24HR Osmotic Release 30 MG,1.5,1.2,0.42,1.35,27
NDC,62175026137,Nifedipine Tab ER 24HR Osmotic Release 60 MG,4.55,3.64,1.26,4.1,27
NDC,62175026237,Nifedipine Tab ER 24HR Osmotic Release 90 MG,1.88,1.51,0.52,1.69,27
NDC,62175027237,Oxybutynin Chloride Tab ER 24HR 15 MG,6.24,5.0,1.73,5.62,27
NDC,62175089046,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,62175089146,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,62175089246,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,62225060004,Phenylephrine-Ketorolac Intraocular Soln 1-0.3%,2022.75,1618.2,1.0,1820.48,36
NDC,62327044404,Talc Intrapleural Powder 4 GM,378.0,302.4,104.97,340.2,27
NDC,62332000131,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,62332001131,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,62332002531,Theophylline Tab ER 12HR 300 MG,6.26,5.01,1.74,5.63,27
NDC,62332003231,Ropinirole Hydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,62332011231,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,62332011831,Bupropion HCl Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,62332012731,Bupropion HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,62332014231,Celecoxib Cap 200 MG,1.51,1.21,0.42,1.36,27
NDC,62332017260,Lacosamide Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,62332023230,Vilazodone HCl Tab 10 MG,2.51,2.01,0.7,2.26,27
NDC,62332023330,Vilazodone HCl Tab 20 MG,2.51,2.01,0.7,2.26,27
NDC,62332024631,Amantadine HCl Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,62332025230,Azithromycin Tab 500 MG,2.12,1.7,0.59,1.91,27
NDC,62332038530,Modafinil Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,62332038630,Modafinil Tab 200 MG,1.54,1.24,0.43,1.39,27
NDC,62332039031,Nitrofurantoin Macrocrystalline Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,62332041310,Oseltamivir Phosphate Cap 30 MG (Base Equiv),18.55,14.84,5.15,16.7,27
NDC,62332042631,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,62332042671,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,62332050503,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),66.26,53.01,18.4,59.63,27
NDC,62332051805,Tobramycin Ophth Soln 0.3%,21.74,17.4,6.04,19.57,27
NDC,62332054505,Timolol Maleate Ophth Gel Forming Soln 0.25%,482.36,385.89,133.95,434.12,27
NDC,62332054605,Timolol Maleate Ophth Gel Forming Soln 0.5%,533.79,427.04,148.23,480.41,27
NDC,62332058204,Lidocaine-Prilocaine Cream 2.5-2.5%,20.71,16.57,1.0,18.64,27
NDC,62332058231,Lidocaine-Prilocaine Cream 2.5-2.5%,199.83,159.87,1.0,179.85,27
NDC,62332063060,Metronidazole Gel 1%,388.8,311.04,107.97,349.92,27
NDC,62332063731,Doxepin HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,62332063831,Doxepin HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,62332063931,Doxepin HCl Cap 75 MG,2.22,1.78,0.62,2.0,27
NDC,62332064531,Doxepin HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,62332065501,Formoterol Fumarate Soln Nebu 20 MCG/2ML,30.3,24.24,8.41,27.27,27
NDC,62332065530,Formoterol Fumarate Soln Nebu 20 MCG/2ML,30.3,24.24,8.41,27.27,27
NDC,62332065560,Formoterol Fumarate Soln Nebu 20 MCG/2ML,30.29,24.24,8.41,27.26,27
NDC,62559013807,Hydrocortisone Enema 100 MG/60ML,15.88,12.71,4.41,14.29,27
NDC,62559015116,Oxycodone HCl Soln 5 MG/5ML,2.3,1.84,0.64,2.07,27
NDC,62559015304,Opium Tincture 1% (10 MG/ML) (Morphine Equiv),6.71,5.37,1.86,6.04,27
NDC,62559015901,Fluvoxamine Maleate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,62559016001,Fluvoxamine Maleate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,62559019016,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),38.31,30.65,10.64,34.48,27
NDC,62559021031,Nimodipine Cap 30 MG,4.48,3.59,1.24,4.03,27
NDC,62559021052,Nimodipine Cap 30 MG,4.21,3.37,1.17,3.79,27
NDC,62559021081,Nimodipine Cap 30 MG,9.96,7.97,2.77,8.96,27
NDC,62559026616,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,62559027690,Nebivolol HCl Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,62559027830,Nebivolol HCl Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,62559034001,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,62559042007,Mesalamine Enema 4 GM,26.73,21.39,7.42,24.06,27
NDC,62559042011,Mesalamine Enema 4 GM,33.53,26.83,9.31,30.18,27
NDC,62559042401,Hyoscyamine Sulfate SL Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,62559043130,Hydrocortisone Perianal Cream 2.5%,173.83,139.07,48.27,156.45,27
NDC,62559047001,Pyridostigmine Bromide Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,62559051001,Indapamide Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,62559051101,Indapamide Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,62559056001,Pindolol Tab 5 MG,1.78,1.43,0.49,1.6,27
NDC,62559056101,Pindolol Tab 10 MG,2.53,2.03,0.7,2.28,27
NDC,62559058001,Prazosin HCl Cap 1 MG,1.5,1.2,0.42,1.35,27
NDC,62559063101,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,56.84,45.48,15.78,51.16,27
NDC,62559073101,Felbamate Tab 600 MG,2.7,2.16,0.75,2.43,27
NDC,62559074101,Thyroid Tab 30 MG (1/2 Grain),1.54,1.24,0.43,1.39,27
NDC,62559074201,Thyroid Tab 60 MG (1 Grain),1.67,1.34,0.46,1.5,27
NDC,62559082001,Mexiletine HCl Cap 150 MG,1.89,1.52,0.52,1.7,27
NDC,62559099330,Fluconazole Tab 200 MG,1.65,1.32,0.46,1.49,27
NDC,62584026511,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,62584026601,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,62584026611,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,62584073301,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,62584073311,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,62584089701,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,62584089711,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,62584098411,Warfarin Sodium Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,62584099401,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,62584099411,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,62756005940,Epoprostenol Sodium For Inj 0.5 MG,89.91,71.93,1.0,80.92,27
NDC,62756006040,Epoprostenol Sodium For Inj 1.5 MG,179.79,143.84,1.0,161.81,27
NDC,62756013001,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,62756013705,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,62756013805,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,62756014201,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,62756014202,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,62756014586,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),5.45,4.36,1.51,4.91,27
NDC,62756016088,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,62756020083,Tiagabine HCl Tab 2 MG,14.01,11.21,3.89,12.61,27
NDC,62756022483,Tiagabine HCl Tab 4 MG,14.02,11.22,3.89,12.62,27
NDC,62756023301,Amphotericin B Liposome IV For Susp 50 MG,696.71,557.37,20.41,627.04,36
NDC,62756024064,Ondansetron Orally Disintegrating Tab 4 MG,2.72,2.18,1.12,21.06,27
NDC,62756025802,Zonisamide Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,62756030101,Phenobarbital Sodium For IV Soln 100 MG,495.94,396.76,1.0,446.35,36
NDC,62756043088,Lithium Carbonate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,62756045788,Carbidopa & Levodopa Tab ER 50-200 MG,1.5,1.2,0.42,1.35,27
NDC,62756046188,Carbidopa & Levodopa Tab ER 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,62756051240,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,62756051244,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,62756051788,Carbidopa & Levodopa Tab 10-100 MG,1.5,1.2,0.42,1.35,27
NDC,62756051818,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,62756052169,Sumatriptan Succinate Tab 50 MG,4.35,3.48,1.21,3.92,27
NDC,62756052188,Sumatriptan Succinate Tab 50 MG,4.28,3.43,1.19,3.85,27
NDC,62756052269,Sumatriptan Succinate Tab 100 MG,4.35,3.48,1.21,3.92,27
NDC,62756052288,Sumatriptan Succinate Tab 100 MG,4.4,3.52,1.22,3.96,27
NDC,62756052940,Desmopressin Acetate Inj 4 MCG/ML,21.0,16.8,3.35,18.9,36
NDC,62756058988,Liothyronine Sodium Tab 5 MCG,1.5,1.2,0.42,1.35,27
NDC,62756059088,Liothyronine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,62756079688,Divalproex Sodium Tab Delayed Release 125 MG,1.5,1.2,0.42,1.35,27
NDC,62756079713,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,27
NDC,62756079788,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,27
NDC,62756079888,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,62856027230,Perampanel Tab 2 MG,42.63,34.11,11.84,38.37,27
NDC,62856027430,Perampanel Tab 4 MG,52.66,42.13,14.62,47.39,27
NDC,62856028030,Perampanel Tab 10 MG,96.66,77.33,26.84,86.99,27
NDC,62856028230,Perampanel Tab 12 MG,84.27,67.42,23.4,75.84,27
NDC,62856038901,Eribulin Mesylate Inj 1 MG/2ML (0.5 MG/ML),2819.65,2255.72,84.88,2537.69,36
NDC,62856058252,Rufinamide Tab 200 MG,27.62,22.1,7.67,24.86,27
NDC,62935045345,Leuprolide Acetate (6 Month) For Subcutaneous Inj Kit 45 MG,1411.02,1128.82,166.69,1269.92,36
NDC,63020004901,Bortezomib For Inj 3.5 MG,4568.55,3654.84,2.29,4111.7,27
NDC,63020053330,Ponatinib HCl Tab 30 MG (Base Equiv),1260.21,1008.17,349.96,1134.19,27
NDC,63020053430,Ponatinib HCl Tab 45 MG (Base Equiv),1260.21,1008.17,349.96,1134.19,27
NDC,63020053530,Ponatinib HCl Tab 15 MG (Base Equiv),1724.17,1379.34,478.8,1551.75,27
NDC,6302602,Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML),9485.99,7588.8,56.41,8537.39,36
NDC,6302604,Pembrolizumab IV Soln 100 MG/4ML (25 MG/ML),10901.23,8720.99,56.41,9811.11,36
NDC,6306100,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),1350.68,1080.55,1.0,1215.61,27
NDC,6307503,Letermovir Tab 240 MG,639.95,511.96,177.71,575.96,27
NDC,6307504,Letermovir Tab 240 MG,639.95,511.96,177.71,575.96,27
NDC,6307603,Letermovir Tab 480 MG,609.47,487.58,169.25,548.52,27
NDC,6307604,Letermovir Tab 480 MG,639.95,511.96,177.71,575.96,27
NDC,63256010030,Talc Intrapleural Aerosol Powder 4 GM (0.4 GM/SECOND),371.22,296.98,103.09,334.1,27
NDC,63304009919,Sumatriptan Succinate Tab 100 MG,1.67,1.34,0.46,1.5,27
NDC,63304017513,Mesalamine Tab Delayed Release 1.2 GM,11.15,8.92,3.1,10.04,27
NDC,63304024001,Calcitriol Cap 0.5 MCG,3.81,3.05,1.06,3.43,27
NDC,63304043601,Felodipine Tab ER 24HR 5 MG,2.84,2.28,0.79,2.56,27
NDC,63304045830,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,63304045930,Ondansetron HCl Tab 8 MG,1.5,1.2,0.42,1.35,27
NDC,63304047901,Cevimeline HCl Cap 30 MG,3.54,2.84,0.98,3.19,27
NDC,63304054001,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,63304057910,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,63304062101,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,63304062110,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,63304062201,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,63304062210,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,63304062301,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,63304062510,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,63304069201,Clindamycin HCl Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,63304069401,Minocycline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,63304075801,Morphine Sulfate Tab ER 60 MG,2.8,2.24,0.78,2.52,27
NDC,63304082790,Atorvastatin Calcium Tab 10 MG (Base Equivalent),5.74,4.6,1.59,5.17,27
NDC,63304082890,Atorvastatin Calcium Tab 20 MG (Base Equivalent),8.18,6.55,2.27,7.36,27
NDC,63304082990,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.6,1.28,0.44,1.44,27
NDC,63323001001,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323001002,Gentamicin Sulfate Inj 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323001003,Gentamicin Sulfate Inj 40 MG/ML,87.26,69.81,1.0,78.53,27
NDC,63323001020,Gentamicin Sulfate Inj 40 MG/ML,73.25,58.6,1.0,65.93,27
NDC,63323001096,Gentamicin Sulfate Inj 40 MG/ML,73.25,58.6,1.0,65.93,27
NDC,63323001202,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001203,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001206,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001210,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001211,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001212,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001217,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001230,Oxytocin Inj 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323001301,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,54
NDC,63323001302,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323001309,Thiamine HCl Inj 100 MG/ML,24.49,19.6,1.0,22.04,27
NDC,63323001321,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323002425,Mannitol IV Soln 25%,21.0,16.8,1.0,18.9,27
NDC,63323004400,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,63323004401,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,63323004710,Heparin Sodium (Porcine) Inj 5000 Unit/ML,31.15,24.92,1.0,28.04,27
NDC,63323006401,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323006403,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323006404,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323006421,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323008305,Sodium Bicarbonate IV Soln 4.2%,76.56,61.25,21.26,68.9,27
NDC,63323008615,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",82.22,65.78,1.0,74.0,27
NDC,63323008650,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",152.47,121.98,1.0,137.22,27
NDC,63323008861,Sodium Chloride IV Soln 4 mEq/ML (23.4%),43.94,35.16,1.0,39.55,27
NDC,63323008863,Sodium Chloride IV Soln 4 mEq/ML (23.4%),52.2,41.76,1.0,46.98,27
NDC,63323009301,Sodium Chloride IV Soln 4 mEq/ML (23.4%),23.62,18.9,1.0,21.26,27
NDC,63323009330,Sodium Chloride IV Soln 4 mEq/ML (23.4%),23.49,18.8,1.0,21.14,27
NDC,63323009502,Sodium Chloride IV Soln 4 mEq/ML (23.4%),54.38,43.51,1.0,48.94,27
NDC,63323009561,Sodium Chloride IV Soln 4 mEq/ML (23.4%),54.38,43.51,1.0,48.94,27
NDC,63323010351,Cisplatin Inj 50 MG/50ML (1 MG/ML),126.54,101.24,1.0,113.89,27
NDC,63323010364,Cisplatin Inj 200 MG/200ML (1 MG/ML),91.77,73.42,1.0,82.59,27
NDC,63323010365,Cisplatin Inj 100 MG/100ML (1 MG/ML),47.6,38.08,1.0,42.84,27
NDC,63323010405,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",38.76,31.01,1.0,34.88,27
NDC,63323010450,Etoposide Inj 1 GM/50ML (20 MG/ML),329.18,263.35,1.0,296.26,27
NDC,63323010600,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),23.49,18.8,1.0,21.14,54
NDC,63323010601,Magnesium Sulfate IV Soln 4 GM/100ML (40 MG/ML),23.49,18.8,1.0,21.14,54
NDC,63323010602,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),48.72,38.98,1.0,43.85,27
NDC,63323010605,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),48.72,38.98,1.0,43.85,27
NDC,63323010605,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",48.72,38.98,1.0,43.85,27
NDC,63323010615,Magnesium Sulfate IV Soln 20 GM/500ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323010800,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,21.0,16.8,1.0,18.9,27
NDC,63323010801,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,23.93,19.15,1.0,21.54,27
NDC,63323011301,Pentamidine Isethionate For Inj Soln 300 MG,197.55,158.04,81.0,177.8,27
NDC,63323011310,Pentamidine Isethionate For Inj Soln 300 MG,197.99,158.4,81.18,178.19,27
NDC,63323011701,Fluorouracil IV Soln 1 GM/20ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323011710,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323011719,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),12.0,9.6,1.0,10.8,27
NDC,63323011751,Fluorouracil IV Soln 2.5 GM/50ML (50 MG/ML),42.63,34.11,1.0,38.37,27
NDC,63323011769,Fluorouracil IV Soln 5 GM/100ML (50 MG/ML),41.33,33.07,1.0,37.2,27
NDC,63323012020,Cytarabine Inj PF 100 MG/ML,55.86,44.69,1.0,50.27,27
NDC,63323012310,Methotrexate Sodium Inj 250 MG/10ML (25 MG/ML),43.92,35.14,1.0,39.53,27
NDC,63323012820,Dacarbazine For Inj 200 MG,49.21,39.37,1.0,44.29,27
NDC,63323013002,Doxycycline Hyclate For Inj 100 MG,66.51,53.21,18.47,59.86,27
NDC,63323013003,Doxycycline Hyclate For Inj 100 MG,66.62,53.3,18.5,59.96,27
NDC,63323013011,Doxycycline Hyclate For Inj 100 MG,82.0,65.6,22.77,73.8,27
NDC,63323013013,Doxycycline Hyclate For Inj 100 MG,75.26,60.21,20.9,67.73,27
NDC,63323013210,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),416.21,332.97,22.68,374.59,36
NDC,63323013212,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),2046.47,1637.18,22.68,1841.82,36
NDC,63323014010,Cladribine IV Soln 10 MG/10ML (1 MG/ML),966.58,773.27,10.14,869.92,36
NDC,63323014210,Ifosfamide For Inj 1 GM,69.28,55.43,1.0,62.35,27
NDC,63323014212,Ifosfamide For Inj 1 GM,81.08,64.87,1.0,72.97,27
NDC,63323016100,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,63323016121,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,63323016200,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,63323016200,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,63323016201,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,63323016201,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,63323016202,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,36
NDC,63323016202,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",21.0,16.8,0.29,18.9,36
NDC,63323016203,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,36
NDC,63323016203,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",21.0,16.8,0.29,18.9,36
NDC,63323016212,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,63323016212,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,63323016214,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,36
NDC,63323016214,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",21.0,16.8,0.29,18.9,36
NDC,63323016501,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323016502,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323016530,Dexamethasone Sodium Phosphate Inj 120 MG/30ML,60.81,48.65,1.0,54.73,27
NDC,63323017005,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),33.5,26.8,9.3,30.15,27
NDC,63323017301,Gentamicin Sulfate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323017302,Gentamicin Sulfate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323017395,Gentamicin Sulfate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323018000,Pyridoxine HCl Inj 100 MG/ML,23.66,18.93,1.0,21.29,27
NDC,63323018001,Pyridoxine HCl Inj 100 MG/ML,24.1,19.28,1.0,21.69,27
NDC,63323018410,Folic Acid Inj 5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323018730,Sodium Chloride IV Soln 4 mEq/ML (23.4%),21.0,16.8,1.0,18.9,27
NDC,63323018730,Sodium Chloride Inj 4 mEq/ML (23.4%),21.0,16.8,5.83,18.9,27
NDC,63323019202,Fludarabine Phosphate Inj 25 MG/ML,166.82,133.46,64.79,500.46,36
NDC,63323020102,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,63323020110,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,63323020201,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323020202,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323020521,Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,205.1,164.08,56.96,184.59,27
NDC,63323020531,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML,293.19,234.56,81.42,263.87,27
NDC,63323020805,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,27
NDC,63323020805,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,63323022901,Protamine Sulfate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323022905,Protamine Sulfate Inj 10 MG/ML,32.03,25.63,1.0,28.83,27
NDC,63323022915,Protamine Sulfate Inj 10 MG/ML,35.83,28.67,1.0,32.25,27
NDC,63323022930,Protamine Sulfate Inj 10 MG/ML,90.92,72.74,1.0,81.83,27
NDC,63323022935,Protamine Sulfate Inj 10 MG/ML,35.11,28.09,1.0,31.6,27
NDC,63323023710,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,63323026201,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323026203,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323026206,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323026530,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),55.77,44.62,0.2,50.19,36
NDC,63323026922,Propofol IV Emul 200 MG/20ML (10 MG/ML),29.12,23.3,1.0,26.21,27
NDC,63323026929,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",30.24,24.2,8.4,27.22,27
NDC,63323026929,Propofol IV Emul 200 MG/20ML (10 MG/ML),30.24,24.2,1.0,27.22,27
NDC,63323026937,Propofol IV Emul 200 MG/20ML (10 MG/ML),30.24,24.2,1.0,27.22,27
NDC,63323026950,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",1.54,1.24,0.43,1.39,27
NDC,63323026950,Propofol IV Emul 500 MG/50ML (10 MG/ML),46.75,37.4,1.0,42.08,27
NDC,63323026957,"Propofol IV Emul 10 MG/ML,Propofol IV Emul 200 MG/20ML (10 MG/ML),Propofol IV Emul 500 MG/50ML (10 MG/ML),Propofol IV Emul 1000 MG/100ML (10 MG/ML)",1.51,1.21,0.42,1.36,27
NDC,63323026957,Propofol IV Emul 500 MG/50ML (10 MG/ML),45.9,36.72,1.0,41.31,27
NDC,63323026965,Propofol IV Emul 1000 MG/100ML (10 MG/ML),46.98,37.59,1.0,42.28,27
NDC,63323026967,Propofol IV Emul 1000 MG/100ML (10 MG/ML),54.0,43.2,1.0,48.6,27
NDC,63323027205,Fluphenazine Decanoate Inj 25 MG/ML,276.23,220.99,1.0,248.61,27
NDC,63323027301,Sumatriptan Succinate Inj 6 MG/0.5ML,199.27,159.42,1.0,179.34,27
NDC,63323027810,Vinblastine Sulfate Inj 1 MG/ML,97.79,78.24,1.0,88.01,27
NDC,63323028001,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323028002,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323028003,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323028004,Furosemide Inj 10 MG/ML,23.75,19.0,6.6,21.38,27
NDC,63323028401,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,63323028420,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),52.9,42.32,14.69,47.61,27
NDC,63323028507,Ropivacaine HCl Inj 2 MG/ML,26.36,21.09,1.0,23.72,27
NDC,63323028520,Ropivacaine HCl Inj 2 MG/ML,22.71,18.17,1.0,20.44,27
NDC,63323028523,Ropivacaine HCl Inj 2 MG/ML,26.36,21.09,1.0,23.72,27
NDC,63323028561,Ropivacaine HCl Inj 2 MG/ML,126.15,100.92,1.0,113.54,27
NDC,63323028565,Ropivacaine HCl Inj 2 MG/ML,411.0,328.8,1.0,369.9,27
NDC,63323028567,Ropivacaine HCl Inj 2 MG/ML,120.5,96.4,1.0,108.45,27
NDC,63323028605,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323028611,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323028631,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323028635,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323028695,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323028720,Ropivacaine HCl Inj 7.5 MG/ML,75.26,60.21,1.0,67.73,27
NDC,63323028721,Ropivacaine HCl Inj 7.5 MG/ML,59.51,47.61,1.0,53.56,27
NDC,63323028827,Ropivacaine HCl Inj 10 MG/ML,41.54,33.24,1.0,37.39,27
NDC,63323029427,Mepivacaine HCl Preservative Free (PF) Inj 2%,26.97,21.58,1.0,24.27,27
NDC,63323030351,Tobramycin Sulfate For Inj 1.2 GM,238.12,190.5,1.0,214.31,54
NDC,63323030602,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,27
NDC,63323030751,Tobramycin Sulfate Inj 2 GM/50ML (40 MG/ML) (Base Equiv),82.65,66.12,1.0,74.39,27
NDC,63323031461,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),705.31,564.25,195.86,634.78,27
NDC,63323031468,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),864.35,691.48,240.03,777.92,27
NDC,63323031510,Ganciclovir Sodium For Inj 500 MG,273.98,219.19,1.0,246.58,27
NDC,63323031801,Granisetron HCl Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323031904,Granisetron HCl Inj 4 MG/4ML (1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323032201,Imipenem-Cilastatin Intravenous For Soln 500 MG,46.46,37.17,1.0,41.81,27
NDC,63323032221,Imipenem-Cilastatin Intravenous For Soln 500 MG,43.06,34.45,1.0,38.75,27
NDC,63323032225,Imipenem-Cilastatin Intravenous For Soln 500 MG,46.46,37.17,1.0,41.81,27
NDC,63323032293,Imipenem-Cilastatin Intravenous For Soln 500 MG,46.46,37.17,1.0,41.81,27
NDC,63323032503,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323032509,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323032510,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323032520,Acyclovir Sodium IV Soln 50 MG/ML,70.69,56.56,1.0,63.62,27
NDC,63323032820,Nafcillin Sodium For Inj 2 GM,116.46,93.17,32.34,104.81,27
NDC,63323032821,Nafcillin Sodium For Inj 2 GM,116.68,93.35,32.4,105.01,27
NDC,63323032931,Bacitracin Intramuscular For Soln 50000 Unit,36.32,29.06,10.09,32.69,27
NDC,63323034125,Cefoxitin Sodium For IV Soln 1 GM,26.1,20.88,1.0,23.49,27
NDC,63323034129,Cefoxitin Sodium For IV Soln 1 GM,25.93,20.75,1.0,23.34,27
NDC,63323034225,Cefoxitin Sodium For IV Soln 2 GM,51.46,41.17,1.0,46.31,27
NDC,63323034925,Imipenem-Cilastatin Intravenous For Soln 250 MG,25.8,20.64,1.0,23.22,27
NDC,63323035120,Rifampin For Inj 600 MG,622.18,497.75,172.78,559.96,27
NDC,63323036001,Calcium Gluconate Inj 10%,38.28,30.63,0.05,34.45,27
NDC,63323036003,Calcium Gluconate Inj 10%,68.08,54.47,0.05,61.27,27
NDC,63323036019,Calcium Gluconate Inj 10%,38.28,30.63,0.05,34.45,27
NDC,63323036059,Calcium Gluconate Inj 10%,81.78,65.43,0.05,73.6,27
NDC,63323037300,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323037302,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323037805,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323039306,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),44.28,35.43,1.0,39.85,54
NDC,63323039801,Azithromycin IV For Soln 500 MG,29.94,23.96,1.0,26.95,27
NDC,63323039810,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,63323039812,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,63323040001,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323040005,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323040101,Aztreonam For Inj 1 GM,110.01,88.01,2.52,99.01,27
NDC,63323040120,Aztreonam For Inj 1 GM,110.01,88.01,2.52,99.01,27
NDC,63323040126,Aztreonam For Inj 1 GM,110.06,88.05,2.52,99.05,27
NDC,63323040220,Aztreonam For Inj 2 GM,220.11,176.09,2.52,198.1,27
NDC,63323040301,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),22.06,17.65,5.19,19.85,27
NDC,63323040302,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),22.06,17.65,5.19,19.85,27
NDC,63323040310,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),52.46,41.97,5.19,47.21,27
NDC,63323040703,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),113.1,90.48,1.0,101.79,27
NDC,63323041112,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",21.0,16.8,1.0,18.9,27
NDC,63323041210,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),113.1,90.48,1.0,101.79,27
NDC,63323041501,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.93,2.35,0.81,2.64,27
NDC,63323041510,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),74.56,59.65,1.0,67.1,27
NDC,63323041701,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),21.0,16.8,5.83,18.9,27
NDC,63323041710,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),66.69,53.36,18.52,60.02,27
NDC,63323042405,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),28.54,22.84,1.0,25.69,27
NDC,63323042605,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),26.45,21.16,7.35,23.81,27
NDC,63323043400,Acetaminophen IV Soln 10 MG/ML,23.93,19.15,0.05,21.54,27
NDC,63323043441,Acetaminophen IV Soln 10 MG/ML,23.93,19.15,0.05,21.54,27
NDC,63323045100,Morphine Sulfate Inj PF 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323045400,Morphine Sulfate Inj PF 4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323046037,Bupivacaine Inj 0.75% w/ Epinephrine 1:200000 (PF),38.24,30.6,10.62,34.42,27
NDC,63323046101,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,37.63,30.11,10.45,33.87,27
NDC,63323046157,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,63.08,50.47,17.52,56.77,27
NDC,63323046201,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),45.68,36.55,12.69,41.11,27
NDC,63323046202,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),24.8,19.84,6.89,22.32,27
NDC,63323046204,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),27.71,22.17,7.7,24.94,27
NDC,63323046217,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323046231,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),33.8,27.04,9.39,30.42,27
NDC,63323046237,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),33.93,27.15,9.42,30.54,27
NDC,63323046301,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,58.29,46.64,16.19,52.46,27
NDC,63323046402,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,24.66,19.73,0.02,22.19,27
NDC,63323046417,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.45,17.16,0.02,19.31,27
NDC,63323046431,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,21.0,16.8,0.02,18.9,27
NDC,63323046437,Bupivacaine HCl Preservative Free (PF) Inj 0.25%,24.66,19.73,0.02,22.19,27
NDC,63323046601,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,63323046603,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,21.0,16.8,0.02,18.9,27
NDC,63323046631,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,31.32,25.06,0.02,28.19,27
NDC,63323046637,Bupivacaine HCl Preservative Free (PF) Inj 0.5%,25.84,20.68,0.02,23.26,27
NDC,63323046701,Bupivacaine HCl Inj 0.5%,32.63,26.11,0.02,29.37,27
NDC,63323046757,Bupivacaine HCl Inj 0.5%,32.63,26.11,0.02,29.37,27
NDC,63323046801,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323046817,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323046837,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),31.32,25.06,8.7,28.19,27
NDC,63323047101,Haloperidol Decanoate IM Soln 100 MG/ML,166.91,133.53,1.0,150.22,27
NDC,63323047400,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323047401,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323047537,Chloroprocaine HCl Inj 1%,68.51,54.81,0.04,61.66,27
NDC,63323047637,Chloroprocaine HCl Inj 2%,70.08,56.07,19.46,63.07,27
NDC,63323047727,Chloroprocaine HCl Preservative Free (PF) Inj 2%,80.82,64.66,0.04,72.74,27
NDC,63323047801,Chloroprocaine HCl Preservative Free (PF) Inj 3%,86.13,68.91,0.04,77.52,27
NDC,63323047827,Chloroprocaine HCl Preservative Free (PF) Inj 3%,86.13,68.91,0.04,77.52,27
NDC,63323048101,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,21.0,16.8,5.83,18.9,27
NDC,63323048157,Lidocaine Inj 0.5% w/ Epinephrine-1:200000,21.0,16.8,5.83,18.9,27
NDC,63323048201,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048203,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048205,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048217,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048227,Lidocaine Inj 1% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048257,Lidocaine Inj 1% w/ Epinephrine-1:100000,24.36,19.49,6.76,21.92,27
NDC,63323048303,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048327,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048357,Lidocaine Inj 2% w/ Epinephrine-1:100000,21.0,16.8,5.83,18.9,27
NDC,63323048557,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,63323048601,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323048602,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323048605,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323048627,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323048657,Lidocaine HCl Local Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323048701,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048707,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048731,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048737,Lidocaine Inj 1% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048902,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048917,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048921,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323048927,Lidocaine Inj 2% w/ Epinephrine-1:200000 (PF),21.0,16.8,5.83,18.9,27
NDC,63323049101,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,21.0,16.8,5.83,18.9,27
NDC,63323049157,Lidocaine HCl Local Preservative Free (PF) Inj 0.5%,21.0,16.8,5.83,18.9,27
NDC,63323049204,Lidocaine HCl Local Preservative Free (PF) Inj 1%,18.330000000000002,14.669999999999998,3.39,22.0,54
NDC,63323049207,Lidocaine HCl Local Preservative Free (PF) Inj 1%,3.04,2.44,0.84,2.74,27
NDC,63323049209,Lidocaine HCl Local Preservative Free (PF) Inj 1%,6.54,5.24,1.82,5.89,27
NDC,63323049227,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",24.61,19.69,6.83,22.15,27
NDC,63323049227,Lidocaine HCl Local Preservative Free (PF) Inj 1%,18.46,14.77,3.42,22.15,54
NDC,63323049257,Lidocaine HCl Local Preservative Free (PF) Inj 1%,4.54,3.64,1.26,4.09,27
NDC,63323049401,Valproate Sodium Inj 100 MG/ML,26.97,21.58,1.0,24.27,27
NDC,63323049405,Valproate Sodium Inj 100 MG/ML,26.97,21.58,1.0,24.27,27
NDC,63323049504,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323049507,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323049509,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,63323049527,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.84,17.48,6.06,19.66,27
NDC,63323049527,Lidocaine HCl Local Preservative Free (PF) Inj 2%,12.01,9.615,0.61,19.66,54
NDC,63323050600,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323050601,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323050719,Meropenem IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,63323050720,Meropenem IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,63323050801,Meropenem IV For Soln 1 GM,23.39,18.72,1.0,21.05,54
NDC,63323050830,Meropenem IV For Soln 1 GM,29.36,23.49,1.0,26.42,54
NDC,63323050831,Meropenem IV For Soln 1 GM,46.91,37.53,1.0,42.22,54
NDC,63323052277,Heparin Sodium (Porcine)-Dextrose IV Sol 25000 Unit/500ML-5%,36.98,29.59,1.0,33.28,27
NDC,63323052301,Heparin Sodium (Porcine) 100 Unit/ML in D5W,33.71,26.97,1.0,30.34,27
NDC,63323053021,Sodium Chloride IV Soln 3%,21.0,16.8,1.0,18.9,27
NDC,63323053101,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,29.74,23.8,1.0,26.77,27
NDC,63323053108,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,28.81,23.05,1.0,25.93,27
NDC,63323053190,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,29.74,23.8,1.0,26.77,27
NDC,63323053301,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,63323053383,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,63323053501,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,21.0,16.8,1.0,18.9,27
NDC,63323053587,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,21.0,16.8,1.0,18.9,27
NDC,63323053701,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,55.94,44.76,1.0,50.35,27
NDC,63323053784,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,55.94,44.76,1.0,50.35,27
NDC,63323054001,Heparin Sodium (Porcine) Inj 1000 Unit/ML,11.9,9.52,1.0,10.71,27
NDC,63323054005,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054007,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054015,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054031,Heparin Sodium (Porcine) Inj 1000 Unit/ML,2.24,1.8,0.62,2.02,27
NDC,63323054033,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054036,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054067,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054201,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,63323054201,Heparin Sodium (Porcine) Inj 10000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054209,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,63323054501,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323054505,Heparin Sodium (Porcine) Lock Flush IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63323055921,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,63323055965,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,63323055993,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,63323056421,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,32.02,25.62,1.0,28.82,27
NDC,63323056497,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,21.0,16.8,1.0,18.9,27
NDC,63323056621,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.25,17.0,1.0,19.13,27
NDC,63323056698,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.25,17.0,1.0,19.13,27
NDC,63323056883,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,63323057901,Sincalide For Inj 5 MCG,279.08,223.27,1.0,251.17,27
NDC,63323057905,Sincalide For Inj 5 MCG,279.08,223.27,1.0,251.17,27
NDC,63323058421,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,28.81,23.05,1.0,25.93,27
NDC,63323058499,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,28.81,23.05,1.0,25.93,27
NDC,63323058621,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,37.21,29.77,1.0,33.49,27
NDC,63323058696,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,37.21,29.77,1.0,33.49,27
NDC,63323058921,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,55.96,44.77,1.0,50.36,27
NDC,63323058994,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,55.96,44.77,1.0,50.36,27
NDC,63323059303,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),395.01,316.01,109.69,355.51,63
NDC,63323059403,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),395.01,316.01,109.69,355.51,63
NDC,63323059608,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),395.01,316.01,109.69,355.51,63
NDC,63323059613,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),214.89,171.92,59.67,193.4,63
NDC,63323059616,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),395.01,316.01,109.69,355.51,63
NDC,63323059710,Deferoxamine Mesylate For Inj 500 MG,52.68,42.15,1.0,47.41,27
NDC,63323059930,Deferoxamine Mesylate For Inj 2 GM,99.27,79.42,1.0,89.34,27
NDC,63323060400,Propranolol HCl Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323060401,Propranolol HCl Inj 1 MG/ML,31.58,25.27,1.0,28.42,27
NDC,63323060501,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,37.19,29.76,1.0,33.47,27
NDC,63323060584,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,37.21,29.77,1.0,33.49,27
NDC,63323060701,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.25,17.0,1.0,19.13,27
NDC,63323060708,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.25,17.0,1.0,19.13,27
NDC,63323060788,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.25,17.0,1.0,19.13,27
NDC,63323060798,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.25,17.0,1.0,19.13,27
NDC,63323060901,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.68,35.75,1.0,40.21,27
NDC,63323060990,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.68,35.75,1.0,40.21,27
NDC,63323061400,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323061401,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323061601,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323061603,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323061609,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,63323061710,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,63323061720,Milrinone Lactate IV Soln 20 MG/20ML (Base Equivalent),27.84,22.28,1.0,25.06,27
NDC,63323063703,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),318.35,254.68,7.75,286.52,36
NDC,63323063710,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),318.35,254.68,7.75,286.52,36
NDC,63323064202,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323064220,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323064250,Magnesium Sulfate Inj 50%,21.0,16.8,1.0,18.9,27
NDC,63323064907,Levothyroxine Sodium For IV Inj 100 MCG,339.65,271.72,94.32,305.69,27
NDC,63323064916,Levothyroxine Sodium For IV Inj 100 MCG,425.65,340.52,118.2,383.09,27
NDC,63323065102,Adenosine IV Soln 6 MG/2ML,44.91,35.93,1.0,40.42,27
NDC,63323065130,Adenosine IV Soln 3 MG/ML (Diagnostic),185.05,148.04,1.0,166.55,27
NDC,63323065521,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.37,35.5,1.0,39.93,27
NDC,63323065599,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,44.37,35.5,1.0,39.93,27
NDC,63323065820,Chlorothiazide Sodium For Inj 500 MG,171.69,137.36,1.0,154.52,27
NDC,63323065827,Chlorothiazide Sodium For Inj 500 MG,214.46,171.57,1.0,193.01,27
NDC,63323065903,Indomethacin Sodium IV For Soln 1 MG,1665.01,1332.01,462.37,1498.51,27
NDC,63323065909,Indomethacin Sodium IV For Soln 1 MG,1609.85,1287.88,447.06,1448.87,27
NDC,63323066005,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,63323066400,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323066401,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323066500,Terbutaline Sulfate Inj 1 MG/ML,21.0,16.8,1.0,18.9,27
NDC,63323069030,Acetylcysteine Inhal Soln 20%,42.44,33.96,11.79,38.2,27
NDC,63323069404,Acetylcysteine Inhal Soln 20%,32.29,25.84,6.83,29.06,27
NDC,63323069504,Acetylcysteine Inhal Soln 10%,41.59,33.28,11.55,37.43,27
NDC,63323069602,Epinephrine Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323069625,Epinephrine Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323071050,Leucovorin Calcium For Inj 200 MG,68.25,54.6,1.0,61.43,27
NDC,63323071059,Leucovorin Calcium For Inj 200 MG,65.9,52.72,1.0,59.31,27
NDC,63323071100,Leucovorin Calcium For Inj 500 MG,242.51,194.01,1.0,218.26,27
NDC,63323072301,Remifentanil HCl For IV Soln 1 MG,236.34,189.08,65.63,212.71,27
NDC,63323072303,Remifentanil HCl For IV Soln 1 MG,200.62,160.5,55.71,180.56,27
NDC,63323072801,Micafungin Sodium For IV Soln 50 MG,109.01,87.21,1.0,98.11,27
NDC,63323072810,Micafungin Sodium For IV Soln 50 MG,109.05,87.24,1.0,98.15,27
NDC,63323072901,Micafungin Sodium For IV Soln 100 MG,189.85,151.88,1.0,170.87,27
NDC,63323072910,Micafungin Sodium For IV Soln 100 MG,137.15,109.72,1.0,123.44,27
NDC,63323073820,Famotidine Inj 200 MG/20ML,21.0,16.8,5.83,18.9,27
NDC,63323073911,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,63323073912,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,63323075100,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,63323075101,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,63323075105,Phenylephrine HCl IV Soln 10 MG/ML,41.41,33.13,0.01,37.27,27
NDC,63323076210,Topotecan HCl For Inj 4 MG (Base Equiv),100.95,80.76,1.0,90.86,27
NDC,63323076350,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),113.15,90.52,1.0,101.84,27
NDC,63323078110,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,63323078121,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,63323078220,Vecuronium Bromide For Inj 20 MG,44.74,35.8,12.42,40.27,27
NDC,63323080612,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,8.96,7.17,1.0,8.06,27
NDC,63323080614,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,21.0,16.8,1.0,18.9,27
NDC,63323080650,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,21.0,16.8,1.0,18.9,27
NDC,63323082000,Fat Emulsion Fish Oil Based IV Emul 20%,73.08,58.47,20.29,65.77,27
NDC,63323082000,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,73.08,58.47,20.29,65.77,27
NDC,63323082001,Fat Emulsion Fish Oil Based IV Emul 20%,73.08,58.47,20.29,65.77,27
NDC,63323082001,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,73.08,58.47,20.29,65.77,27
NDC,63323082003,Fat Emulsion Fish Oil Based IV Emul 20%,21.75,17.4,6.04,19.58,27
NDC,63323082003,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,108.75,87.0,30.2,97.88,27
NDC,63323082004,Fat Emulsion Fish Oil Based IV Emul 20%,34.8,27.84,9.66,31.32,27
NDC,63323082004,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,87.0,69.6,24.16,78.3,27
NDC,63323082005,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,195.75,156.6,54.36,176.18,27
NDC,63323082074,Fat Emulsion Fish Oil Based IV Emul 20%,34.8,27.84,9.66,31.32,27
NDC,63323082074,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,87.0,69.6,24.16,78.3,27
NDC,63323084221,Dicyclomine HCl Inj 10 MG/ML,80.3,64.24,1.0,72.27,27
NDC,63323085107,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323085150,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,192.27,153.82,53.39,173.04,27
NDC,63323085203,Hydromorphone HCl Preservative Free (PF) Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323085225,Hydromorphone HCl Preservative Free (PF) Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,63323087715,Pentamidine Isethionate For Nebulization Soln 300 MG,270.19,216.16,52.22,243.17,27
NDC,63323088101,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),146.03,116.83,1.0,131.43,27
NDC,63323088116,Sodium Phosphates Inj 45 mM/15ML (Phos) 60 mEq/15ML (Na),146.03,116.83,1.0,131.43,27
NDC,63323088305,Doxorubicin HCl Inj 2 MG/ML,23.97,19.18,1.0,21.57,27
NDC,63323088330,Doxorubicin HCl Inj 2 MG/ML,24.94,19.96,1.0,22.45,27
NDC,63323088401,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),68.69,54.96,19.08,61.82,27
NDC,63323088406,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),68.69,54.96,19.08,61.82,27
NDC,63323088510,Levothyroxine Sodium IV Soln 100 MCG/5ML (20 MCG/ML),144.14,115.32,6.49,129.73,36
NDC,63323088514,Levothyroxine Sodium IV Soln 100 MCG/5ML (20 MCG/ML),147.03,117.63,6.49,132.33,36
NDC,63323092401,Bacteriostatic Sodium Chloride Inj Soln 0.9%,27.84,22.28,7.73,25.06,27
NDC,63323092410,Bacteriostatic Sodium Chloride Inj Soln 0.9%,21.0,16.8,5.83,18.9,27
NDC,63323093000,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,63323093001,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,63323096010,Tigecycline For IV Soln 50 MG,196.03,156.83,1.0,176.43,27
NDC,63323096321,Acetylcysteine Inj 200 MG/ML,443.57,354.86,1.0,399.21,27
NDC,63323096330,Acetylcysteine Inj 200 MG/ML,779.87,623.9,1.0,701.88,27
NDC,63323096502,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323096503,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323096505,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323096510,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323096520,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323096701,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323096730,Potassium Chloride Inj 2 mEq/ML,21.0,16.8,1.0,18.9,27
NDC,63323097002,Benztropine Mesylate Inj 1 MG/ML,92.78,74.23,1.0,83.5,27
NDC,63361024315,Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr,566.31,453.05,149.28,509.68,27
NDC,63361024388,Diph-Tet Tox-Ac Pert Ad-Polio IPV-Hib-Hep B Rec Susp Pre Syr,566.31,453.05,149.28,509.68,27
NDC,63395020113,Cevimeline HCl Cap 30 MG,17.82,14.26,4.95,16.04,27
NDC,63402019110,Eszopiclone Tab 2 MG,17.11,13.69,4.75,15.4,27
NDC,63402019310,Eszopiclone Tab 3 MG,17.11,13.69,4.75,15.4,27
NDC,63402030230,Lurasidone HCl Tab 20 MG,102.92,82.34,28.58,92.63,27
NDC,63402030630,Lurasidone HCl Tab 60 MG,102.92,82.34,28.58,92.63,27
NDC,63402030810,Lurasidone HCl Tab 80 MG,87.62,70.1,24.33,78.86,27
NDC,63402030830,Lurasidone HCl Tab 80 MG,102.92,82.34,28.58,92.63,27
NDC,63402051001,Levalbuterol Tartrate Inhal Aerosol 45 MCG/ACT (Base Equiv),108.5,86.8,30.13,97.65,27
NDC,63402051300,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),19.85,15.88,0.05,17.87,27
NDC,63402051500,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),6.89,5.52,0.05,6.2,27
NDC,63459010130,Modafinil Tab 100 MG,78.38,62.71,21.77,70.54,27
NDC,63459010310,Rituximab-abbs IV Soln 100 MG/10ML (10 MG/ML),1118.57,894.86,27.49,1006.71,36
NDC,63459010450,Rituximab-abbs IV Soln 500 MG/50ML (10 MG/ML),5592.83,4474.27,27.49,5033.55,36
NDC,63459020130,Modafinil Tab 200 MG,118.45,94.76,32.89,106.61,27
NDC,63459034804,Bendamustine HCl IV Soln 100 MG/4ML (25 MG/ML),3199.68,2559.75,12.81,2879.71,36
NDC,63459040430,Tiagabine HCl Tab 4 MG,16.22,12.98,4.5,14.6,27
NDC,63459050230,Fentanyl Citrate Lozenge on a Handle 200 MCG,118.78,95.03,32.99,106.9,27
NDC,63459050430,Fentanyl Citrate Lozenge on a Handle 400 MCG,150.44,120.36,41.78,135.4,27
NDC,63459050630,Fentanyl Citrate Lozenge on a Handle 600 MCG,51.31,41.05,14.25,46.18,27
NDC,63459050830,Fentanyl Citrate Lozenge on a Handle 800 MCG,218.11,174.49,60.57,196.3,27
NDC,63459091011,Tbo-Filgrastim Soln Prefilled Syringe 300 MCG/0.5ML,924.68,739.75,0.27,832.21,36
NDC,63481068701,Lidocaine Patch 5%,18.42,14.74,5.12,16.58,27
NDC,63481068706,Lidocaine Patch 5%,18.42,14.74,5.12,16.58,27
NDC,6351659,Imipenem-Cilastatin Intravenous For Soln 500 MG,55.05,44.04,1.0,49.55,27
NDC,6351936,Dorzolamide HCl Ophth Soln 2%,213.03,170.43,59.16,191.73,27
NDC,63646001004,Ketoconazole Shampoo 2%,49.25,39.4,13.68,44.33,27
NDC,63736012002,Permethrin Creme Rinse 1%,26.13,20.91,7.26,23.52,27
NDC,63736012003,Permethrin Creme Rinse 1%,25.49,20.4,7.08,22.94,27
NDC,63736012301,Iron-Vitamin C Tab 65-125 MG,1.5,1.2,0.42,1.35,27
NDC,63739001970,Levetiracetam Oral Soln 100 MG/ML,6.89,5.52,1.91,6.2,27
NDC,63739002910,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,63739005110,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,63739008610,Valproic Acid Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,63739008702,Acetaminophen Tab 325 MG,1.5,1.2,0.42,1.35,27
NDC,63739009810,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,63739010810,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,63739014310,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,63739017013,Lidocaine HCl Local Preservative Free (PF) Inj 1%,21.0,16.8,5.83,18.9,27
NDC,63739017024,Lidocaine HCl Local Preservative Free (PF) Inj 1%,21.0,16.8,5.83,18.9,27
NDC,63739019372,Sucralfate Susp 1 GM/10ML,20.55,16.44,5.71,18.5,27
NDC,63739019601,Magnesium Hydroxide Susp 400 MG/5ML,3.0,2.4,0.83,2.7,27
NDC,63739019610,Magnesium Hydroxide Susp 400 MG/5ML,3.0,2.4,0.83,2.7,27
NDC,63739023610,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,63739026910,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,63739028110,Lovastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,63739032710,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,63739032810,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,63739041110,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,63739044710,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,63739047910,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,63739048310,Hydroxyzine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,63739048610,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,63739050601,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,4.16,3.33,1.16,3.74,27
NDC,63739054410,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,63739055910,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,63739056710,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,63739057010,Simvastatin Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,63739057110,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,63739057210,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,63739057310,Simvastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,63739059110,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,63739064510,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,63739069810,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,63739070010,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,63739079510,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,63739079733,Nimodipine Cap 30 MG,7.2,5.76,2.0,6.48,27
NDC,63739090210,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,63739090310,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,63739090410,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,63739094310,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,63739095311,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63739095325,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,63739097310,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,63739098410,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,63739099110,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,6380118,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),74.42,59.54,20.67,66.98,27
NDC,63824000815,Guaifenesin Tab ER 12HR 600 MG,1.5,1.2,0.42,1.35,27
NDC,63833038602,Prothrombin Complex Conc Human For Inj Kit 500 Unit,1849.2,1479.36,2.03,1664.28,36
NDC,63833038602,"Prothrombin Complex Conc Human For Inj Kit 500 Unit,Prothrombin Complex Conc Human For Inj Kit 1000 Unit",1849.2,1479.36,2.03,1664.28,36
NDC,63833038702,Prothrombin Complex Conc Human For Inj Kit 1000 Unit,3698.4,2958.72,2.03,3328.56,36
NDC,63833038702,"Prothrombin Complex Conc Human For Inj Kit 500 Unit,Prothrombin Complex Conc Human For Inj Kit 1000 Unit",3698.4,2958.72,2.03,3328.56,36
NDC,63833061702,Antihemophilic Factor/VWF (Human) For Inj 1000-2400 Unit,21.0,16.8,1.35,18.9,36
NDC,63833082502,C1 Esterase Inhibitor (Human) For IV Inj Kit 500 Unit,3686.34,2949.08,64.41,3317.71,36
NDC,6384130,Montelukast Sodium Oral Granules Packet 4 MG (Base Equiv),13.71,10.97,3.81,12.34,27
NDC,6384371,Ertapenem Sodium For Inj 1 GM (Base Equivalent),523.74,419.0,1.0,471.37,27
NDC,63981019402,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,6409301,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 5 MCG/0.5ML,54.29,43.44,22.26,48.86,36
NDC,6409302,Hepatitis B Vaccine (Recombinant) Susp Pref Syr 5 MCG/0.5ML,54.29,43.44,22.26,48.86,36
NDC,641036721,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641036725,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641037621,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641037625,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641040037,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,641041012,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,641047621,Phenobarbital Sodium Inj 65 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641047625,Phenobarbital Sodium Inj 65 MG/ML,73.65,58.92,1.0,66.29,27
NDC,641047721,Phenobarbital Sodium Inj 130 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641047725,Phenobarbital Sodium Inj 130 MG/ML,21.45,17.16,1.0,19.31,27
NDC,641049321,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641049325,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641139831,Chlorpromazine HCl Inj 50 MG/2ML,107.97,86.38,1.0,97.17,27
NDC,641139835,Chlorpromazine HCl Inj 50 MG/2ML,103.7,82.96,1.0,93.33,27
NDC,641141031,Digoxin Inj 0.25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641141035,Digoxin Inj 0.25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641255541,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641255545,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641256941,Dipyridamole IV Soln 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641256944,Dipyridamole IV Soln 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641600101,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641600701,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,641600710,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,641600801,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,641600810,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,641601301,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,641601310,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,641601401,Diltiazem HCl IV Soln 50 MG/10ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,641601501,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,641601901,Morphine Sulfate Inj PF 1 MG/ML,46.24,37.0,1.0,41.62,27
NDC,641601910,Morphine Sulfate Inj PF 1 MG/ML,31.06,24.85,1.0,27.95,27
NDC,641602001,Morphine Sulfate Inj PF 0.5 MG/ML,67.03,53.63,1.0,60.33,27
NDC,641602010,Morphine Sulfate Inj PF 0.5 MG/ML,44.63,35.71,1.0,40.17,27
NDC,641602101,Famotidine Inj 200 MG/20ML,21.0,16.8,5.83,18.9,27
NDC,641602201,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,641602225,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,641602601,Fentanyl Citrate Preservative Free (PF) Inj 1000 MCG/20ML,21.0,16.8,1.0,18.9,27
NDC,641602701,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,12.6,10.08,1.0,11.34,27
NDC,641602725,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,12.6,10.08,1.0,11.34,27
NDC,641603001,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,21.0,16.8,1.0,18.9,27
NDC,641604001,Morphine Sulf For Microinfusion PF Inj 500 MG/20ML (25MG/ML),1428.54,1142.84,1.0,1285.69,27
NDC,641604201,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,641604225,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,641604401,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641604425,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641604801,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641604825,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641605001,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641605201,Meperidine HCl Inj 25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641605225,Meperidine HCl Inj 25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641605701,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",21.0,16.8,1.0,18.9,27
NDC,641605725,"Midazolam HCl Inj 2 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 2 MG/2ML (Base Equivalent)",21.0,16.8,1.0,18.9,27
NDC,641606001,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),29.1,23.28,1.0,26.19,27
NDC,641607801,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641607825,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641607901,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641608001,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641608025,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641610301,Methocarbamol Inj 1000 MG/10ML,130.8,104.64,1.0,117.72,27
NDC,641611601,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,641611701,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,641611710,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,641612501,Morphine Sulfate IV Soln 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641612525,Morphine Sulfate IV Soln 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641612701,Morphine Sulfate IV Soln 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641613501,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,641613525,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,641613601,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),63.08,50.47,5.19,56.77,27
NDC,641613625,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),63.08,50.47,5.19,56.77,27
NDC,641613701,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),50.76,40.61,5.19,45.68,27
NDC,641613801,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641613825,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641613925,Phenytoin Sodium Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641614201,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,641614225,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,641614501,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641614525,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641614901,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.86,2.29,0.79,2.57,27
NDC,641614910,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.86,2.29,0.79,2.57,27
NDC,641616701,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641616710,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641617301,Dicyclomine HCl Inj 10 MG/ML,372.71,298.17,1.0,335.44,27
NDC,641617310,Dicyclomine HCl Inj 10 MG/ML,185.57,148.46,1.0,167.01,27
NDC,641617701,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,641618401,Digoxin Inj 0.25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641618801,Phenylephrine HCl IV Soln 10 MG/ML,53.16,42.53,0.01,47.84,27
NDC,641619001,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,641619010,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,641619601,Propofol IV Emul 1000 MG/100ML (10 MG/ML),120.06,96.05,1.0,108.05,27
NDC,641620501,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,641622801,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,641623101,Hydralazine HCl Inj 20 MG/ML,33.45,26.76,1.0,30.11,27
NDC,641623125,Hydralazine HCl Inj 20 MG/ML,33.45,26.76,1.0,30.11,27
NDC,641623801,Ephedrine Sulfate IV Soln 50 MG/ML,40.37,32.3,11.21,36.33,27
NDC,641624401,Diazepam Inj 5 MG/ML,37.38,29.91,1.0,33.64,27
NDC,641625901,Hydromorphone HCl Inj 0.2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,641625910,Hydromorphone HCl Inj 0.2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,641921701,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,641921901,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,64193042402,Antiinhibitor Coagulant Complex For IV Soln 1000 Unit,21.0,16.8,2.29,18.9,36
NDC,64193042502,Antiinhibitor Coagulant Complex For IV Soln 2500 Unit,21.0,16.8,2.29,18.9,36
NDC,64253022233,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,64253022235,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,64253033333,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,64253033335,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,64253040030,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,64253090030,Calcium Chloride Inj 10%,32.32,25.86,8.98,29.09,27
NDC,64253090036,Calcium Chloride Inj 10%,32.32,25.86,8.98,29.09,27
NDC,64253090091,Calcium Chloride Inj 10%,35.32,28.26,9.81,31.79,27
NDC,64281010000,Methacholine Chloride Inhal For Soln 100 MG,195.14,156.12,1.0,175.63,27
NDC,64281011005,Methacholine Chloride Inhalation Soln Kit,338.16,270.53,1.0,304.34,27
NDC,6430501,Infliximab-abda For IV Inj 100 MG,657.6,526.08,25.65,591.84,36
NDC,6432902,Pneumococcal 15-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,829.76,663.81,245.31,746.78,36
NDC,6432903,Pneumococcal 15-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML,829.76,663.81,245.31,746.78,36
NDC,6434702,Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML,829.65,663.72,308.01,746.69,36
NDC,6434799,Pneumococcal 21-Valent Conjugate Vaccine Soln Pref Syr 0.5ML,829.65,663.72,308.01,746.69,36
NDC,64370053201,Vinorelbine Tartrate Inj 10 MG/ML (Base Equiv),147.55,118.04,1.0,132.8,27
NDC,64380016002,Megestrol Acetate Susp 40 MG/ML,2.75,2.2,0.76,2.48,27
NDC,64380016901,Imipramine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,64380016902,Imipramine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,64380017001,Imipramine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,64380017101,Imipramine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,64380017301,Olanzapine Orally Disintegrating Tab 10 MG,3.0,2.4,0.83,2.7,27
NDC,64380017302,Olanzapine Orally Disintegrating Tab 10 MG,3.0,2.4,0.83,2.7,27
NDC,64380072006,Tacrolimus Cap 0.5 MG,1.86,1.49,0.52,1.67,27
NDC,64380073506,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,64380073706,Ergocalciferol Cap 1.25 MG (50000 Unit),1.5,1.2,0.42,1.35,27
NDC,64380074106,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,64380074108,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,64380079701,Oseltamivir Phosphate Cap 30 MG (Base Equiv),3.01,2.41,0.84,2.71,27
NDC,64380083506,Prednisone Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,64380084306,Piroxicam Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,64380084406,Ursodiol Cap 300 MG,1.98,1.59,0.55,1.78,27
NDC,64380088304,Cinacalcet HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,64380088404,Cinacalcet HCl Tab 60 MG (Base Equiv),1.92,1.54,0.53,1.73,27
NDC,64380088504,Cinacalcet HCl Tab 90 MG (Base Equiv),2.72,2.18,0.76,2.45,27
NDC,64380094906,Prednisone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,64406005801,Nusinersen Intrathecal Soln 12 MG/5ML (2.4 MG/ML),52083.34,41666.68,1169.8,46875.01,36
NDC,64406010901,Tofersen Intrathecal Soln 100 MG/15ML (6.7 MG/ML),28602.31,22881.85,146.57,25742.08,36
NDC,64679009601,Azacitidine For Inj 100 MG,296.66,237.33,0.37,266.99,27
NDC,64679063102,Nicardipine HCl IV Soln 2.5 MG/ML,43.28,34.63,0.41,38.95,27
NDC,64679063103,Nicardipine HCl IV Soln 2.5 MG/ML,43.28,34.63,0.41,38.95,27
NDC,64679070201,Ceftriaxone Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,64679070202,Ceftriaxone Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,64679072801,Sumatriptan Succinate Inj 6 MG/0.5ML,81.6,65.28,1.0,73.44,27
NDC,64679078102,Entacapone Tab 200 MG,8.28,6.63,2.3,7.45,27
NDC,64679092402,Enalapril Maleate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,64679092502,Enalapril Maleate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,64679092503,Enalapril Maleate Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,64679096401,Azithromycin Tab 500 MG,9.23,7.39,2.56,8.31,27
NDC,64679096405,Azithromycin Tab 500 MG,3.72,2.98,1.03,3.35,27
NDC,64679098301,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,6468100,Measles-Mumps-Rubella Virus Vaccines For Inj Soln,275.36,220.29,1.0,247.82,27
NDC,6468101,Measles-Mumps-Rubella Virus Vaccines For Inj Soln,219.73,175.79,1.0,197.76,27
NDC,64764015104,Pioglitazone HCl Tab 15 MG (Base Equiv),15.31,12.25,4.25,13.78,27
NDC,64764017130,Dexlansoprazole Cap Delayed Release 30 MG,11.17,8.94,3.1,10.05,27
NDC,64764024060,Lubiprostone Cap 24 MCG,15.35,12.28,4.26,13.82,27
NDC,64764030020,Vedolizumab For IV Solution 300 MG,18717.46,14973.97,20.25,16845.71,36
NDC,64764030114,Pioglitazone HCl Tab 30 MG (Base Equiv),23.39,18.72,6.5,21.05,27
NDC,64764045124,Pioglitazone HCl Tab 45 MG (Base Equiv),25.37,20.3,7.05,22.83,27
NDC,64764067730,Febuxostat Tab 80 MG,23.76,19.01,6.6,21.38,27
NDC,64764073030,Vortioxetine HBr Tab 10 MG (Base Equiv),34.99,28.0,9.72,31.49,27
NDC,64764075030,Vortioxetine HBr Tab 20 MG (Base Equiv),34.99,28.0,9.72,31.49,27
NDC,64764080530,Ramelteon Tab 8 MG,31.4,25.12,8.72,28.26,27
NDC,64764091830,Febuxostat Tab 40 MG,23.76,19.01,6.6,21.38,27
NDC,6482701,Varicella Virus Vac Live For Inj 1350 PFU/0.5ML,476.06,380.85,177.68,428.45,27
NDC,6483101,Hepatitis A Vaccine Inj Susp 25 Unit/0.5ML,95.79,76.64,26.6,86.21,27
NDC,6483701,Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML,279.84,223.88,114.73,251.86,36
NDC,6483703,Pneumococcal Vaccine Polyvalent Soln Pref Syr 25 MCG/0.5ML,365.53,292.43,119.43,328.98,36
NDC,64850050001,Amphetamine-Dextroamphetamine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,64850050401,Amphetamine-Dextroamphetamine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,64850050501,Amphetamine-Dextroamphetamine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,64896066101,Carbidopa & Levodopa Cap ER 23.75-95 MG,5.81,4.65,1.61,5.23,27
NDC,64896066201,Carbidopa & Levodopa Cap ER 36.25-145 MG,5.81,4.65,1.61,5.23,27
NDC,64896066301,Carbidopa & Levodopa Cap ER 48.75-195 MG,6.1,4.88,1.69,5.49,27
NDC,64896066401,Carbidopa & Levodopa Cap ER 61.25-245 MG,5.81,4.65,1.61,5.23,27
NDC,64896067151,Zolmitriptan Tab 2.5 MG,122.8,98.24,34.1,110.52,27
NDC,64896067250,Zolmitriptan Tab 5 MG,143.96,115.17,39.98,129.56,27
NDC,64896069151,Zolmitriptan Orally Disintegrating Tab 2.5 MG,122.8,98.24,34.1,110.52,27
NDC,64950021710,Isoniazid Tab 300 MG,7.31,5.85,2.03,6.58,27
NDC,64950034316,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,3.09,2.48,0.86,2.78,27
NDC,64950035405,Oxycodone HCl Soln 5 MG/5ML,9.49,7.6,2.64,8.54,27
NDC,64950036204,Cocaine HCl Nasal Soln 40 MG/ML (4%),434.7,347.76,1.56,391.23,27
NDC,64950037416,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,6.86,5.49,1.91,6.17,27
NDC,64980010401,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.5,1.2,0.42,1.35,27
NDC,64980013401,Dipyridamole Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,64980017005,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,64980018106,Diflunisal Tab 500 MG,2.64,2.12,0.73,2.38,27
NDC,64980020316,Zolmitriptan Tab 2.5 MG,4.19,3.36,1.16,3.77,27
NDC,64980020413,Zolmitriptan Tab 5 MG,18.38,14.71,5.1,16.54,27
NDC,64980020901,Oxybutynin Chloride Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,27
NDC,64980021001,Oxybutynin Chloride Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,64980021101,Oxybutynin Chloride Tab ER 24HR 15 MG,2.43,1.95,0.67,2.19,27
NDC,64980025801,Glycopyrrolate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,64980029410,Sodium Bicarbonate Tab 650 MG,1.5,1.2,0.42,1.35,27
NDC,64980030130,Hydrocortisone Perianal Cream 2.5%,119.64,95.72,33.22,107.68,27
NDC,64980032005,Triamcinolone Acetonide Dental Paste 0.1%,109.57,87.66,30.43,98.61,27
NDC,64980032430,Hydrocortisone Perianal Cream 2.5%,38.07,30.46,10.57,34.26,27
NDC,64980037403,Atomoxetine HCl Cap 18 MG (Base Equiv),1.93,1.55,0.54,1.74,27
NDC,64980037603,Atomoxetine HCl Cap 40 MG (Base Equiv),4.43,3.55,1.23,3.99,27
NDC,64980044715,Calcitriol Oral Soln 1 MCG/ML,12.53,10.03,3.48,11.28,27
NDC,64980050312,Levocarnitine Oral Soln 1 GM/10ML (10%),43.97,35.18,12.21,39.57,27
NDC,64980050448,Cyproheptadine HCl Syrup 2 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,64980051405,Timolol Maleate Ophth Soln 0.5%,24.3,19.44,6.75,21.87,27
NDC,64980051501,Ofloxacin Ophth Soln 0.3%,66.72,53.38,18.53,60.05,27
NDC,64980051505,Ofloxacin Ophth Soln 0.3%,22.92,18.34,6.36,20.63,27
NDC,64980051625,Latanoprost Ophth Soln 0.005%,16.47,13.18,4.57,14.82,27
NDC,64980052810,Sodium Bicarbonate Tab 650 MG,1.5,1.2,0.42,1.35,27
NDC,64980057301,Phenytoin Chew Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,64980059295,Lactulose (Encephalopathy) Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,64980059901,Chlorthalidone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,6499200,Hepatitis B Vaccine (Recombinant) Susp 40 MCG/ML,424.69,339.76,133.71,382.22,36
NDC,6499201,Hepatitis B Vaccine (Recombinant) Susp 40 MCG/ML,424.69,339.76,133.71,382.22,36
NDC,65002315,Carbachol Intraocular Inj 0.01%,80.68,64.55,22.4,72.61,27
NDC,65008515,Naphazoline w/ Pheniramine Ophth Soln 0.025-0.3%,24.75,19.8,6.87,22.28,27
NDC,65009265,Fluorescein Sodium IV Soln 10%,188.36,150.69,52.31,169.52,27
NDC,65024610,Betaxolol HCl Ophth Susp 0.25%,719.82,575.86,199.89,647.84,27
NDC,65027510,Brinzolamide Ophth Susp 1%,691.2,552.96,191.95,622.08,27
NDC,65030355,Atropine Sulfate Ophth Soln 1%,117.42,93.94,32.61,105.68,27
NDC,6503302,Trastuzumab-dttb For IV Soln 150 MG,3275.93,2620.75,15.47,2948.34,36
NDC,6503402,Trastuzumab-dttb For IV Soln 420 MG,11908.3,9526.64,15.47,10717.47,36
NDC,65039515,Cyclopentolate HCl Ophth Soln 0.5%,171.68,137.35,47.68,154.51,27
NDC,65039602,Cyclopentolate HCl Ophth Soln 1%,49.76,39.81,13.82,44.78,27
NDC,65039605,Cyclopentolate HCl Ophth Soln 1%,1120.5,896.4,311.16,1008.45,27
NDC,65039702,Cyclopentolate HCl Ophth Soln 2%,51.02,40.82,14.17,45.92,27
NDC,65039705,Cyclopentolate HCl Ophth Soln 2%,36.5,29.2,10.14,32.85,27
NDC,65041130,Povidine-Iodine Ophth Soln 5%,24.22,19.38,6.73,21.8,27
NDC,65041130,Povidone-Iodine Ophth Soln 5%,24.22,19.38,6.73,21.8,27
NDC,65042915,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,27.14,21.72,7.54,24.43,27
NDC,65045407,Polyethylene Glycol-Propylene Glycol Ophth Gel 0.4-0.3%,31.43,25.15,8.73,28.29,27
NDC,65047401,Hypromellose Ophth Gel 0.3%,27.3,21.84,7.58,24.57,54
NDC,65054301,Triamcinolone Acetonide Ophth Inj 40 MG/ML,600.78,480.63,1.0,540.7,36
NDC,65064305,Tobramycin Ophth Soln 0.3%,230.39,184.32,63.98,207.35,27
NDC,65064435,Tobramycin Ophth Oint 0.3%,247.81,198.25,68.82,223.03,27
NDC,65064435,Tobramycin Sulfate Ophth Oint 0.3%,247.81,198.25,68.82,223.03,27
NDC,65064835,Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%,573.14,458.52,159.16,515.83,54
NDC,65065605,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),3.24,2.6,0.9,2.92,27
NDC,65074114,Tetracaine HCl Ophth Soln 0.5%,25.65,20.52,7.12,23.09,27
NDC,65079515,Ophthalmic Irrigation Solution - Intraocular,6.52,5.22,1.81,5.87,27
NDC,65079550,Ophthalmic Irrigation Solution - Intraocular,13.5,10.8,3.75,12.15,27
NDC,65080050,Ophthalmic Irrigation Solution - Intraocular,257.5,206.0,71.51,231.75,27
NDC,65081702,Atropine Sulfate Ophth Soln 1%,87.24,69.8,24.23,78.52,27
NDC,65145011901,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,65145012401,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,65145012501,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,65145012901,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,65145012925,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,65162002409,Lisdexamfetamine Dimesylate Cap 30 MG,6.54,5.24,1.82,5.89,27
NDC,65162003310,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,65162004710,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65162005703,Raloxifene HCl Tab 60 MG,4.67,3.74,1.3,4.2,27
NDC,65162005827,Sevelamer Carbonate Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,65162006205,Sucralfate Susp 1 GM/10ML,4.31,3.45,1.2,3.88,27
NDC,65162010150,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,65162011510,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,65162014804,Estradiol TD Patch Twice Weekly 0.0375 MG/24HR,22.47,17.98,6.24,20.22,27
NDC,65162018910,Naproxen Tab 375 MG,1.5,1.2,0.42,1.35,27
NDC,65162019010,Naproxen Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,65162027110,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,27
NDC,65162027150,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,27
NDC,65162027250,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,27
NDC,65162028303,Paliperidone Tab ER 24HR 9 MG,7.92,6.34,2.2,7.13,27
NDC,65162035109,Sildenafil Citrate Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,65162036110,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,65162036111,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,65162037210,Oxybutynin Chloride Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,65162041503,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),19.63,15.71,5.45,17.67,27
NDC,65162041603,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),10.99,8.8,3.05,9.89,27
NDC,65162044110,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,65162044210,Meclizine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65162046819,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),191.4,153.12,53.15,172.26,27
NDC,65162050606,Indomethacin Cap ER 75 MG,3.59,2.88,1.0,3.23,27
NDC,65162051111,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65162051150,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65162051310,Salsalate Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,65162051510,Spironolactone Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65162051550,Spironolactone Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65162052110,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65162054410,Primidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65162055310,Metaxalone Tab 800 MG,2.0,1.6,0.56,1.8,27
NDC,65162055410,Demeclocycline HCl Tab 150 MG,11.32,9.06,3.14,10.19,27
NDC,65162055548,Demeclocycline HCl Tab 300 MG,23.59,18.88,6.55,21.23,27
NDC,65162062710,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65162062711,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65162064110,Flecainide Acetate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65162064210,Flecainide Acetate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65162064978,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),5.13,4.11,1.42,4.62,27
NDC,65162067384,Risperidone Soln 1 MG/ML,43.58,34.87,12.1,39.22,27
NDC,65162069179,Ondansetron HCl Oral Soln 4 MG/5ML,1.62,1.3,0.45,1.46,27
NDC,65162069388,Atovaquone Susp 750 MG/5ML,66.31,53.05,18.41,59.68,27
NDC,65162069890,Gabapentin Oral Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,65162071110,Guanfacine HCl Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,65162073409,Felbamate Tab 400 MG,10.23,8.19,2.84,9.21,27
NDC,65162073509,Felbamate Tab 600 MG,10.61,8.49,2.95,9.55,27
NDC,65162074510,Promethazine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,65162074934,Rivastigmine TD Patch 24HR 13.3 MG/24HR,3.96,3.17,1.1,3.56,27
NDC,65162075510,Divalproex Sodium Tab ER 24 HR 250 MG,1.5,1.2,0.42,1.35,27
NDC,65162075550,Divalproex Sodium Tab ER 24 HR 250 MG,1.5,1.2,0.42,1.35,27
NDC,65162075710,Divalproex Sodium Tab ER 24 HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,65162076110,Warfarin Sodium Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,65162076710,Warfarin Sodium Tab 6 MG,1.5,1.2,0.42,1.35,27
NDC,65162077810,Budesonide Delayed Release Particles Cap 3 MG,11.72,9.38,3.25,10.55,27
NDC,65162079104,Lidocaine Patch 5%,6.3,5.04,1.75,5.67,27
NDC,65162079108,Lidocaine Patch 5%,6.3,5.04,1.75,5.67,27
NDC,65162080114,Temozolomide Cap 5 MG,6.48,5.19,1.0,5.83,27
NDC,65162080151,Temozolomide Cap 5 MG,5.95,4.76,1.0,5.36,27
NDC,65162080314,Temozolomide Cap 100 MG,15.48,12.39,1.0,13.93,27
NDC,65162080351,Temozolomide Cap 100 MG,15.61,12.49,1.0,14.05,27
NDC,65162080451,Temozolomide Cap 140 MG,24.29,19.44,1.0,21.86,27
NDC,65162080551,Temozolomide Cap 180 MG,27.55,22.04,1.0,24.8,27
NDC,65162080810,Progesterone Cap 200 MG,2.67,2.14,0.74,2.4,27
NDC,65162082534,Rivastigmine TD Patch 24HR 4.6 MG/24HR,3.8,3.04,1.06,3.42,27
NDC,65162082634,Rivastigmine TD Patch 24HR 9.5 MG/24HR,5.77,4.62,1.6,5.19,27
NDC,65162083594,Acyclovir Oint 5%,87.6,70.08,24.33,78.84,27
NDC,65162089603,Aripiprazole Tab 2 MG,5.29,4.24,1.47,4.76,27
NDC,65162089703,Aripiprazole Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65162089709,Aripiprazole Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65162089803,Aripiprazole Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65162089903,Aripiprazole Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,65162090103,Aripiprazole Tab 20 MG,17.66,14.13,4.9,15.89,27
NDC,65162090109,Aripiprazole Tab 20 MG,3.28,2.63,0.91,2.95,27
NDC,65162090203,Aripiprazole Tab 30 MG,1.81,1.45,0.5,1.63,27
NDC,65162091446,Tobramycin Nebu Soln 300 MG/5ML,104.44,83.56,17.75,94.0,27
NDC,65162091838,Lidocaine Oint 5%,28.23,22.59,7.84,25.41,27
NDC,65162099304,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,19.55,15.64,5.43,17.6,27
NDC,65162099308,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,21.34,17.08,5.93,19.21,27
NDC,65162099704,Estradiol TD Patch Twice Weekly 0.1 MG/24HR,16.95,13.56,4.71,15.26,27
NDC,65162099708,Estradiol TD Patch Twice Weekly 0.1 MG/24HR,16.95,13.56,4.71,15.26,27
NDC,65179504,Ophthalmic Irrigation Solution - Intraocular,21.0,16.8,5.83,18.9,27
NDC,65219003900,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,65219003901,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,65219005409,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",161.56,129.25,1.0,145.4,27
NDC,65219005429,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",161.56,129.25,1.0,145.4,27
NDC,65219005609,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",399.98,319.99,1.0,359.98,27
NDC,65219013520,Cyclophosphamide For Inj 500 MG,145.41,116.33,0.46,130.87,36
NDC,65219025700,Ephedrine Sulfate IV Soln 50 MG/ML,28.23,22.59,7.84,25.41,27
NDC,65219025701,Ephedrine Sulfate IV Soln 50 MG/ML,28.23,22.59,7.84,25.41,27
NDC,65219029510,Desmopressin Acetate Inj 4 MCG/ML,59.48,47.59,3.35,53.53,36
NDC,65219042950,Argatroban IV Soln 50 MG/50ML (1 MG/ML),444.35,355.48,1.21,399.92,27
NDC,65219043301,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,65219044501,Etomidate IV Soln 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,65219044510,Etomidate IV Soln 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,65219053101,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,45.24,36.2,12.56,40.72,27
NDC,65219053110,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,45.24,36.2,12.56,40.72,27
NDC,65219053301,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,57.64,46.12,16.01,51.88,27
NDC,65219053325,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,57.64,46.12,16.01,51.88,27
NDC,65219053401,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,34.37,27.5,1.0,30.93,27
NDC,65219053410,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,34.37,27.5,1.0,30.93,27
NDC,65219053501,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,115.28,92.23,32.01,103.75,27
NDC,65219056420,Mitomycin For IV Soln 5 MG,259.12,207.3,19.33,233.21,36
NDC,65219056620,Mitomycin For IV Soln 20 MG,1672.86,1338.29,19.33,1505.57,36
NDC,65219056800,Mitomycin For IV Soln 40 MG,291.93,233.55,19.33,262.74,36
NDC,65219059004,Tocilizumab-aazg IV Inj 80 MG/4ML,664.73,531.79,4.19,598.26,36
NDC,65219059210,Tocilizumab-aazg IV Inj 200 MG/10ML,1415.04,1132.04,4.19,1273.54,36
NDC,65219059420,Tocilizumab-aazg IV Inj 400 MG/20ML,3323.58,2658.87,4.19,2991.22,36
NDC,65219062202,Acyclovir Sodium IV Soln 50 MG/ML,61.9,49.52,1.0,55.71,27
NDC,65293000601,Thrombin (Recombinant) For Soln 5000 Unit,136.86,109.49,38.01,123.17,27
NDC,65293000641,Thrombin (Recombinant) For Soln 5000 Unit,220.28,176.23,61.17,198.25,27
NDC,65293000701,Thrombin (Recombinant) For Soln 20000 Unit,894.75,715.8,248.47,805.28,27
NDC,65302052815,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),33.74,27.0,9.37,30.37,27
NDC,65401105,Ketotifen Fumarate Ophth Soln 0.035%,32.1,25.68,8.91,28.89,27
NDC,65401303,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),389.69,311.76,108.22,350.72,27
NDC,65414727,Brinzolamide-Brimonidine Tartrate Ophth Susp 1-0.2%,475.85,380.68,132.14,428.27,27
NDC,6542302,Sugammadex Sodium IV 200 MG/2ML (Base Equivalent),444.18,355.35,1.0,399.76,27
NDC,6542312,Sugammadex Sodium IV 200 MG/2ML (Base Equivalent),444.14,355.32,1.0,399.73,27
NDC,6542505,Sugammadex Sodium IV 500 MG/5ML (Base Equivalent),711.01,568.81,1.0,639.91,27
NDC,6542515,Sugammadex Sodium IV 500 MG/5ML (Base Equivalent),708.2,566.56,1.0,637.38,27
NDC,65597040601,Fam-Trastuzumab Deruxtecan-nxki For IV Soln 100 MG,5299.79,4239.84,26.38,4769.81,36
NDC,65597050404,Quizartinib Dihydrochloride Tab 17.7 MG,1091.86,873.49,303.21,982.67,27
NDC,65597050428,Quizartinib Dihydrochloride Tab 17.7 MG,1091.86,873.49,303.21,982.67,27
NDC,65597070118,Colesevelam HCl Tab 625 MG,8.34,6.68,2.32,7.51,27
NDC,65628007010,Omeprazole Susp 2 MG/ML (Compound Kit),3.65,2.92,1.01,3.29,27
NDC,65628010102,Baclofen Oral Susp 5 MG/ML (Cmpd Kit),150.66,120.53,41.84,135.59,27
NDC,65628027210,Omeprazole-Sodium Bicarbonate for Oral Susp 2-84 MG/ML,13.86,11.09,3.85,12.47,27
NDC,65649015090,Methylnaltrexone Bromide Tab 150 MG,64.66,51.73,17.96,58.19,27
NDC,65649020175,PEG 3350-KCl-NaCl-Na Sulfate-Na Ascorbate-C For Soln 100 GM,140.48,112.39,39.01,126.43,27
NDC,65649030103,Rifaximin Tab 200 MG,25.66,20.53,7.13,23.09,27
NDC,65649030302,Rifaximin Tab 550 MG,106.81,85.45,29.66,96.13,27
NDC,65649030303,Rifaximin Tab 550 MG,81.73,65.39,22.7,73.56,27
NDC,65649031112,Chlorothiazide Susp 250 MG/5ML,158.06,126.45,43.89,142.25,27
NDC,65649041112,Hydrocortisone Acetate Suppos 25 MG,14.77,11.82,4.1,13.29,27
NDC,65649055102,Methylnaltrexone Bromide Inj 12 MG/0.6ML (20 MG/ML),147.74,118.2,1.15,132.97,27
NDC,65649055103,Methylnaltrexone Bromide Inj 12 MG/0.6ML (20 MG/ML),81.4,65.12,1.15,73.26,27
NDC,65757040403,Aripiprazole Lauroxil IM ER Susp Prefilled Syr 1064 MG/3.9ML,11377.35,9101.88,3.11,10239.62,36
NDC,65806401,Hypromellose Ophth Gel 0.3%,20.79,16.64,5.77,18.71,54
NDC,65853110,Ciprofloxacin-Hydrocortisone Otic Susp 0.2-1%,681.75,545.4,189.32,613.58,27
NDC,65862001205,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65862001305,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862001501,Amoxicillin (Trihydrate) Tab 875 MG,1.5,1.2,0.42,1.35,27
NDC,65862001605,Amoxicillin (Trihydrate) Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,65862001705,Amoxicillin (Trihydrate) Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,65862002106,Mirtazapine Orally Disintegrating Tab 15 MG,2.44,1.96,0.68,2.2,27
NDC,65862002206,Mirtazapine Orally Disintegrating Tab 30 MG,2.52,2.02,0.7,2.27,27
NDC,65862002306,Mirtazapine Orally Disintegrating Tab 45 MG,2.38,1.91,0.66,2.14,27
NDC,65862003130,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,65862004824,Zidovudine Syrup 10 MG/ML,77.11,61.69,21.41,69.4,27
NDC,65862005090,Simvastatin Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862005190,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862005299,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,65862005724,Nevirapine Susp 50 MG/5ML,1.58,1.27,0.44,1.42,27
NDC,65862006201,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65862006401,Metoprolol Tartrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862007101,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,16.2,12.96,4.5,14.58,27
NDC,65862007360,Abacavir Sulfate Tab 300 MG (Base Equiv),1.54,1.24,0.43,1.39,27
NDC,65862007601,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862007930,Terbinafine HCl Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,65862008630,Bisoprolol Fumarate Tab 5 MG,2.07,1.66,0.57,1.86,27
NDC,65862008730,Bisoprolol Fumarate Tab 10 MG,2.07,1.66,0.57,1.86,27
NDC,65862009620,Cefpodoxime Proxetil Tab 200 MG,6.62,5.3,1.84,5.96,27
NDC,65862011601,Benazepril HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862011701,Benazepril HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,65862012701,Torsemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,65862014301,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,65862014636,Sumatriptan Succinate Tab 25 MG,1.73,1.39,0.48,1.56,27
NDC,65862014736,Sumatriptan Succinate Tab 50 MG,4.48,3.59,1.24,4.03,27
NDC,65862014836,Sumatriptan Succinate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862014901,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862014930,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862014990,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862015905,Zolpidem Tartrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862016801,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65862017001,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862017501,Penicillin V Potassium Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,65862017601,Penicillin V Potassium Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,65862017760,Cefdinir Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,65862018501,Clindamycin HCl Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,65862018730,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,65862018830,Ondansetron HCl Tab 8 MG,1.5,1.2,0.42,1.35,27
NDC,65862019001,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862019101,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862019199,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862019201,Fluoxetine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862019299,Fluoxetine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862019301,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,65862019399,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,65862020190,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65862020230,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65862020290,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65862020299,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,65862020330,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862020390,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862020768,Ribavirin Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,65862021501,Zaleplon Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862021960,Cefdinir For Susp 250 MG/5ML,4.17,3.34,1.16,3.75,27
NDC,65862022801,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,65862023060,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,65862024608,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,65862025047,Levetiracetam Oral Soln 100 MG/ML,21.0,16.8,5.83,18.9,27
NDC,65862029390,Rosuvastatin Calcium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862029490,Rosuvastatin Calcium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862029590,Rosuvastatin Calcium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,65862029630,Rosuvastatin Calcium Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,65862032630,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,65862036101,Lamotrigine Tab Chewable Dispersible 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862036201,Lamotrigine Tab Chewable Dispersible 25 MG,1.5,1.2,0.42,1.35,27
NDC,65862037301,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862037401,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862037501,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862039010,Ondansetron Orally Disintegrating Tab 4 MG,1.6,1.28,0.66,21.06,27
NDC,65862041901,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,27
NDC,65862044930,Valacyclovir HCl Tab 1 GM,12.88,10.31,3.58,11.59,27
NDC,65862046890,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,65862047401,Ramipril Cap 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,65862047501,Ramipril Cap 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,65862047601,Ramipril Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,65862049647,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,3.24,2.6,0.9,2.92,27
NDC,65862050220,Amoxicillin & K Clavulanate Tab 500-125 MG,1.5,1.2,0.42,1.35,27
NDC,65862050301,Amoxicillin & K Clavulanate Tab 875-125 MG,1.5,1.2,0.42,1.35,27
NDC,65862051601,Naproxen Sodium Tab 550 MG,4.43,3.55,1.23,3.99,27
NDC,65862052790,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,65862052890,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,65862052899,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,65862053301,Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML,12.15,9.72,3.37,10.94,27
NDC,65862053375,Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML,16.2,12.96,4.5,14.58,27
NDC,65862053401,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,22.68,18.15,6.3,20.41,27
NDC,65862053450,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,9.05,7.24,2.51,8.15,27
NDC,65862053475,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,13.97,11.18,3.88,12.57,27
NDC,65862053513,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,27.68,22.15,7.69,24.91,27
NDC,65862053575,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,24.3,19.44,6.75,21.87,27
NDC,65862053820,Levofloxacin Tab 750 MG,1.99,1.6,0.55,1.79,27
NDC,65862055990,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862056090,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862056099,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862056790,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862059401,Divalproex Sodium Tab ER 24 HR 250 MG,1.5,1.2,0.42,1.35,27
NDC,65862059601,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),70.2,56.16,19.49,63.18,27
NDC,65862059801,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,65862059805,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,65862060330,Moxifloxacin HCl Tab 400 MG (Base Equiv),22.32,17.86,6.2,20.09,27
NDC,65862064230,Azithromycin Tab 500 MG,9.18,7.35,2.55,8.26,27
NDC,65862064860,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),2.08,1.67,0.58,1.87,27
NDC,65862064960,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,65862065401,Entacapone Tab 200 MG,3.69,2.96,1.02,3.32,27
NDC,65862066230,Aripiprazole Tab 5 MG,2.08,1.67,0.58,1.87,27
NDC,65862067601,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,65862067605,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,65862067701,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,65862067799,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,65862067801,Alprazolam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,65862068730,Ritonavir Tab 100 MG,4.25,3.4,1.18,3.83,27
NDC,65862069705,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,65862069730,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,65862069790,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.69,1.36,0.47,1.52,27
NDC,65862069920,Cefuroxime Axetil Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,65862069960,Cefuroxime Axetil Tab 250 MG,2.72,2.18,0.76,2.45,27
NDC,65862070020,Cefuroxime Axetil Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,65862070060,Cefuroxime Axetil Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,65862073205,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,65862075250,Cefixime For Susp 200 MG/5ML,64.8,51.84,17.99,58.32,27
NDC,65862078201,Methenamine Hippurate Tab 1 GM,2.85,2.28,0.79,2.57,27
NDC,65862080630,Armodafinil Tab 150 MG,2.74,2.2,0.76,2.47,27
NDC,65862083030,Prasugrel HCl Tab 10 MG (Base Equiv),2.08,1.67,0.58,1.87,27
NDC,65862083130,Cinacalcet HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,65862083230,Cinacalcet HCl Tab 60 MG (Base Equiv),2.25,1.8,0.62,2.03,27
NDC,65862084003,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),24.54,19.64,6.81,22.09,27
NDC,65862084401,Clozapine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,65862092127,Sevelamer Carbonate Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,65862092201,Tramadol-Acetaminophen Tab 37.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,65862094601,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,50.22,40.18,13.95,45.2,27
NDC,65862096701,Eszopiclone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,66215030300,Iloprost Inhalation Solution 20 MCG/ML,381.06,304.85,105.82,342.95,27
NDC,66220020730,Acetylcysteine Inj 200 MG/ML,789.79,631.84,1.0,710.81,27
NDC,66259042401,Indocyanine Green For IV Soln 25 MG,282.82,226.26,78.54,254.54,27
NDC,66259042401,"Indocyanine Green For Inj 25 MG,Indocyanine Green For Inj Soln 25 MG",282.82,226.26,78.54,254.54,27
NDC,66288130001,Cefazolin Sodium (Bulk) For Inj 300 GM,21.0,16.8,1.0,18.9,27
NDC,66288610001,Ceftriaxone Sodium (Bulk) For Inj 100 GM,21.0,16.8,1.0,18.9,27
NDC,66288810001,Cefepime HCl (Bulk) For IV Soln 100 GM,1522.5,1218.0,1.0,1370.25,27
NDC,66302001401,Dinutuximab IV Soln 17.5 MG/5ML (3.5 MG/ML),31698.1,25358.48,8802.56,28528.29,27
NDC,66302010101,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),5452.91,4362.33,51.97,4907.62,36
NDC,66302020604,Treprostinil Inhalation Solution 0.6 MG/ML,2700.58,2160.47,730.32,2430.52,27
NDC,66302030202,Treprostinil Diolamine Tab ER 0.25 MG (Base Equiv),42.89,34.32,11.91,38.6,27
NDC,66490004101,Dihydroergotamine Mesylate Inj 1 MG/ML,625.3,500.24,1.0,562.77,27
NDC,66553000101,Aspirin Tab 325 MG,1.5,1.2,0.42,1.35,27
NDC,66582041431,Ezetimibe Tab 10 MG,26.43,21.15,7.34,23.79,27
NDC,66658023001,Palivizumab IM Soln 50 MG/0.5ML,3501.94,2801.56,339.68,3151.75,36
NDC,66658023401,Anakinra Subcutaneous Soln Prefilled Syringe 100 MG/0.67ML,630.44,504.36,1.0,567.4,27
NDC,66658023407,Anakinra Subcutaneous Soln Prefilled Syringe 100 MG/0.67ML,741.19,592.96,1.0,667.07,27
NDC,66685100100,Amoxicillin & K Clavulanate Tab 875-125 MG,1.55,1.24,0.43,1.4,27
NDC,66685100101,Amoxicillin & K Clavulanate Tab 875-125 MG,1.5,1.2,0.42,1.35,27
NDC,66685100202,Amoxicillin & K Clavulanate Tab 500-125 MG,3.38,2.71,0.94,3.04,27
NDC,66685101101,Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML,18.43,14.75,5.12,16.59,27
NDC,66685101201,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,14.58,11.67,4.05,13.12,27
NDC,66685101202,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,27.27,21.82,7.57,24.54,27
NDC,66689002301,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,8.71,6.97,2.42,7.84,27
NDC,66689002316,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,1.5,1.2,0.42,1.35,27
NDC,66689003101,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,66689003801,Lactulose Solution 10 GM/15ML,1.7,1.36,0.47,1.53,27
NDC,66689003901,Lactulose Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
NDC,66689004701,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),26.33,21.07,7.31,23.7,27
NDC,66689004801,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),79.38,63.51,22.04,71.44,27
NDC,66689004880,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),34.63,27.71,6.41,41.55,54
NDC,66689005399,Magnesium Hydroxide Susp 400 MG/5ML,4.86,3.89,1.35,4.37,27
NDC,66689005804,Clobazam Suspension 2.5 MG/ML,1.5,1.2,0.42,1.35,27
NDC,66689020108,Charcoal Activated Liq,54.43,43.55,15.12,48.99,27
NDC,66689020208,Charcoal Activated Liq,52.49,42.0,14.58,47.24,27
NDC,66689020308,Charcoal Activated-Sorbitol Susp,54.43,43.55,15.12,48.99,27
NDC,66689033008,Aminocaproic Acid Oral Soln 0.25 GM/ML,5267.66,4214.13,1462.83,4740.89,27
NDC,66689069430,Methadone HCl Conc 10 MG/ML,5.6,4.48,1.56,5.04,27
NDC,66689079050,Sucralfate Susp 1 GM/10ML,7.78,6.23,2.16,7.0,27
NDC,66733094823,Cetuximab IV Soln 100 MG/50ML (2 MG/ML),963.19,770.56,72.28,866.87,36
NDC,66758005001,Docetaxel Soln for IV Infusion 20 MG/2ML,43.06,34.45,1.0,38.75,27
NDC,66758005003,Docetaxel Soln for IV Infusion 160 MG/16ML,1598.74,1279.0,1.0,1438.87,27
NDC,66758011001,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,66758011013,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,66758019005,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,66794001525,Sevoflurane Inhal Soln,603.75,483.0,167.66,543.38,27
NDC,66794015101,Baclofen Intrathecal Soln Prefilled Syringe 50 MCG/ML,319.46,255.57,1.0,287.51,27
NDC,66794015501,Baclofen Intrathecal Soln Prefilled Syringe 10000 MCG/20ML,660.45,528.36,172.16,594.41,36
NDC,66794015601,Baclofen Intrathecal Soln Prefilled Syringe 20000 MCG/20ML,1302.4,1041.92,172.16,1172.16,36
NDC,66794015701,Baclofen Intrathecal Soln Prefilled Syringe 40000 MCG/20ML,2373.92,1899.14,172.16,2136.53,36
NDC,66794016202,Morphine Sulf For Microinfusion PF Inj 500 MG/20ML (25MG/ML),1300.65,1040.52,1.0,1170.59,27
NDC,66794020602,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.36,17.09,1.0,19.22,27
NDC,66794020641,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,66794020702,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,34.57,27.66,1.0,31.11,27
NDC,66794020741,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,34.57,27.66,1.0,31.11,27
NDC,66794023002,Dexmedetomidine HCl IV Soln 200 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,66794023042,Dexmedetomidine HCl IV Soln 200 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,66794024002,Zinc Sulfate Inj 3 MG/ML,177.92,142.34,49.41,160.13,27
NDC,66887000301,Collagenase Clostridium Histolyticum For Inj 0.9 MG,13695.14,10956.12,67.75,12325.63,36
NDC,66993000210,Estradiol Vaginal Cream 0.1 MG/GM,63.34,50.68,17.59,57.01,27
NDC,66993001968,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),78.73,62.99,21.86,70.86,27
NDC,66993002227,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),14.09,11.28,0.05,12.68,27
NDC,66993004330,Atomoxetine HCl Cap 40 MG (Base Equiv),16.25,13.0,4.51,14.63,27
NDC,66993004430,Atomoxetine HCl Cap 60 MG (Base Equiv),16.32,13.06,4.53,14.69,27
NDC,66993005702,Hydroxychloroquine Sulfate Tab 200 MG,2.21,1.77,0.61,1.99,27
NDC,66993006027,Atovaquone-Proguanil HCl Tab 250-100 MG,5.7,4.56,1.58,5.13,27
NDC,66993007896,Fluticasone Propionate HFA Inhal Aero 44 MCG/ACT,307.61,246.09,85.42,276.85,27
NDC,66993013697,Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/ACT,563.11,450.49,156.38,506.8,27
NDC,66993018802,Spironolactone & Hydrochlorothiazide Tab 25-25 MG,2.49,2.0,0.69,2.24,27
NDC,66993034485,Eplerenone Tab 50 MG,2.97,2.38,0.82,2.67,27
NDC,66993040732,Carbamazepine Cap ER 12HR 100 MG,3.68,2.95,1.02,3.31,27
NDC,66993040832,Carbamazepine Cap ER 12HR 200 MG,3.31,2.65,0.92,2.98,27
NDC,66993040932,Carbamazepine Cap ER 12HR 300 MG,2.45,1.96,0.68,2.21,27
NDC,66993042247,Lanthanum Carbonate Chew Tab 500 MG (Elemental),25.92,20.74,7.2,23.33,27
NDC,66993042285,Lanthanum Carbonate Chew Tab 500 MG (Elemental),27.07,21.66,7.52,24.36,27
NDC,66993042475,Lanthanum Carbonate Chew Tab 1000 MG (Elemental),26.01,20.81,7.22,23.41,27
NDC,66993042485,Lanthanum Carbonate Chew Tab 1000 MG (Elemental),26.01,20.81,7.22,23.41,27
NDC,66993047860,Lamivudine Tab 100 MG (HBV),5.32,4.26,1.48,4.79,27
NDC,66993048983,Dactinomycin For Inj 0.5 MG,2314.28,1851.43,311.92,2082.85,36
NDC,66993059502,Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG,6.88,5.51,1.91,6.19,27
NDC,66993059602,Amphetamine-Dextroamphetamine Cap ER 24HR 15 MG,6.89,5.52,1.91,6.2,27
NDC,66993059702,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,7.78,6.23,2.16,7.0,27
NDC,66993066130,Raloxifene HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,66993087761,Calcipotriene Cream 0.005%,220.32,176.26,61.18,198.29,27
NDC,66993093658,Metronidazole Gel 1%,185.63,148.51,51.55,167.07,27
NDC,67066000501,Secretin Acetate (Human) For Inj 16 MCG,1805.28,1444.23,38.49,1624.75,36
NDC,67157010150,Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML),659.9,527.92,183.25,593.91,27
NDC,67157010151,Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML),659.9,527.92,183.25,593.91,27
NDC,67253065110,Propylthiouracil Tab 50 MG,1.88,1.51,0.52,1.69,27
NDC,67386013051,Eptinezumab-jjmr IV Soln 100 MG/ML,3004.95,2403.96,17.43,2704.46,36
NDC,67386031321,Clobazam Suspension 2.5 MG/ML,18.44,14.76,5.12,16.6,27
NDC,67386031401,Clobazam Tab 10 MG,26.81,21.45,7.45,24.13,27
NDC,67405060301,Fluconazole Tab 150 MG,5.01,4.01,1.39,4.51,27
NDC,67434509,Scopolamine TD Patch 72HR 1 MG/3DAYS,45.04,36.04,12.51,40.54,27
NDC,67457000100,Ketamine HCl Inj 50 MG/ML,44.2,35.36,12.27,39.78,27
NDC,67457000110,Ketamine HCl Inj 50 MG/ML,44.2,35.36,12.27,39.78,27
NDC,67457011850,Ascorbic Acid Inj 500 MG/ML,27.19,21.76,7.55,24.47,27
NDC,67457015300,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457015303,Amiodarone HCl Inj 150 MG/3ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457015309,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),28.89,23.12,1.0,26.0,27
NDC,67457015318,Amiodarone HCl Inj 900 MG/18ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457015399,Amiodarone HCl Inj 450 MG/9ML (50 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457016200,Sodium Tetradecyl Sulfate Inj 1%,124.76,99.81,34.65,112.28,27
NDC,67457016202,Sodium Tetradecyl Sulfate Inj 1%,124.76,99.81,34.65,112.28,27
NDC,67457016302,Sodium Tetradecyl Sulfate Inj 3%,317.72,254.18,88.23,285.95,27
NDC,67457017750,Dimethyl Sulfoxide Soln 50%,1220.0,976.0,500.2,1098.0,36
NDC,67457018200,Esmolol HCl Inj 100 MG/10ML,25.23,20.19,0.25,22.71,27
NDC,67457018210,Esmolol HCl Inj 100 MG/10ML,25.23,20.19,0.25,22.71,27
NDC,67457019350,Melphalan HCl For Inj 50 MG (Base Equiv),541.41,433.13,91.11,487.27,36
NDC,67457019501,Melphalan HCl For Inj 50 MG (Base Equiv),702.89,562.32,91.11,632.6,36
NDC,67457019600,Thiamine HCl Inj 100 MG/ML,35.97,28.78,1.0,32.37,27
NDC,67457019602,Thiamine HCl Inj 100 MG/ML,27.01,21.61,1.0,24.31,27
NDC,67457019700,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),157.47,125.98,1.0,141.72,27
NDC,67457019710,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),118.84,95.08,1.0,106.96,27
NDC,67457019803,Remifentanil HCl For IV Soln 1 MG,199.36,159.49,55.36,179.42,27
NDC,67457020725,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),693.31,554.65,59.91,623.98,36
NDC,67457020850,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),1401.63,1121.31,59.91,1261.47,36
NDC,67457020950,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),855.03,684.03,59.91,769.53,36
NDC,67457021005,Cidofovir IV Inj 75 MG/ML,2017.06,1613.65,518.98,1815.35,36
NDC,67457021102,Fomepizole Inj 1 GM/ML (For IV Infusion),3135.75,2508.6,5.96,2822.18,36
NDC,67457021501,Melphalan HCl For Inj 50 MG (Base Equiv),702.89,562.32,91.11,632.6,36
NDC,67457021720,Methadone HCl Inj 10 MG/ML,603.95,483.16,1.0,543.56,27
NDC,67457021810,Clonidine HCl Inj (For Epidural Infusion) 100 MCG/ML,81.78,65.43,1.0,73.6,27
NDC,67457022000,Isosulfan Blue Subcutaneous Soln 1%,3600.1,2880.08,4.79,3240.09,38
NDC,67457022005,Isosulfan Blue Subcutaneous Soln 1%,3655.6,2924.48,4.79,3290.04,38
NDC,67457022700,Cosyntropin For Inj 0.25 MG,258.3,206.64,1.0,232.47,27
NDC,67457022800,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,67457022805,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,67457025100,Dexmedetomidine HCl IV Soln 200 MCG/2ML,30.71,24.57,8.53,27.64,27
NDC,67457025102,Dexmedetomidine HCl IV Soln 200 MCG/2ML,30.71,24.57,8.53,27.64,27
NDC,67457025600,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),404.03,323.23,1.0,363.63,27
NDC,67457029100,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,67457029101,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,67457029200,Naloxone HCl Inj 0.4 MG/ML,38.89,31.12,10.8,35.0,27
NDC,67457029202,Naloxone HCl Inj 0.4 MG/ML,38.89,31.12,10.8,35.0,27
NDC,67457029750,Ethacrynate Sodium For Inj 50 MG,2974.54,2379.64,826.03,2677.09,27
NDC,67457029900,Naloxone HCl Inj 4 MG/10ML,21.0,16.8,5.83,18.9,27
NDC,67457029910,Naloxone HCl Inj 4 MG/10ML,21.0,16.8,5.83,18.9,27
NDC,67457031625,Decitabine For Inj 50 MG,489.17,391.34,1.0,440.25,27
NDC,67457033900,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,67457033950,Vancomycin HCl For IV Soln 500 MG (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,67457034105,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),123.37,98.7,34.26,111.03,27
NDC,67457034210,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),722.93,578.35,200.76,650.64,27
NDC,67457034910,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,67457035101,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,67457035110,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,67457035310,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,67457035959,Fluphenazine Decanoate Inj 25 MG/ML,64.12,51.3,1.0,57.71,27
NDC,67457037412,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,67457037499,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,67457038012,Paricalcitol IV Soln 5 MCG/ML,24.01,19.21,1.0,21.61,27
NDC,67457038431,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,67457038510,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,67457038599,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,67457042100,Dexamethasone Sodium Phosphate Inj 120 MG/30ML,21.0,16.8,1.0,18.9,27
NDC,67457042300,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,54
NDC,67457042312,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,54
NDC,67457042600,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,67457042612,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,67457043010,Pamidronate Disodium IV Soln 3 MG/ML,37.85,30.28,1.0,34.07,27
NDC,67457043300,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,67457043700,Doxycycline Hyclate For Inj 100 MG,61.73,49.39,17.14,55.56,27
NDC,67457043710,Doxycycline Hyclate For Inj 100 MG,67.28,53.83,18.68,60.55,27
NDC,67457043800,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,67457043810,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,67457044000,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457044022,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457044120,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457044560,Rifampin For Inj 600 MG,626.7,501.36,174.03,564.03,27
NDC,67457044610,Pamidronate Disodium IV Soln 9 MG/ML,140.94,112.76,1.0,126.85,27
NDC,67457045220,Cytarabine Inj PF 100 MG/ML,53.3,42.64,1.0,47.97,27
NDC,67457045700,Famotidine Inj 200 MG/20ML,21.0,16.8,5.83,18.9,27
NDC,67457047300,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML) (Base Equiv),21.0,16.8,1.0,18.9,27
NDC,67457047500,Vecuronium Bromide For Inj 20 MG,40.72,32.58,11.31,36.65,27
NDC,67457051305,Dactinomycin For Inj 0.5 MG,1629.21,1303.37,311.92,1466.29,36
NDC,67457051600,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),61.06,48.85,5.19,54.95,27
NDC,67457051625,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),61.06,48.85,5.19,54.95,27
NDC,67457051701,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),195.75,156.6,5.19,176.18,27
NDC,67457051805,Mitomycin For IV Soln 5 MG,129.96,103.97,19.33,116.96,36
NDC,67457052040,Mitomycin For IV Soln 40 MG,1866.18,1492.95,19.33,1679.56,36
NDC,67457052433,Ibandronate Sodium IV Soln 3 MG/3ML (Base Equivalent),196.92,157.54,1.0,177.23,27
NDC,67457052920,Leucovorin Calcium For Inj 200 MG,44.54,35.64,1.0,40.09,27
NDC,67457053035,Leucovorin Calcium For Inj 350 MG,53.29,42.64,1.0,47.96,27
NDC,67457053102,Docetaxel Soln for IV Infusion 20 MG/2ML,55.95,44.76,1.0,50.36,27
NDC,67457055300,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,67457056700,Magnesium Sulfate in Dextrose 5% IV Soln 1 GM/100ML,25.67,20.54,1.0,23.1,27
NDC,67457058200,Fondaparinux Sodium Subcutaneous Inj 2.5 MG/0.5ML,40.46,32.37,1.0,36.41,27
NDC,67457058300,Fondaparinux Sodium Inj 5 MG/0.4ML,144.64,115.72,1.0,130.18,27
NDC,67457058400,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,144.59,115.68,1.0,130.13,27
NDC,67457058406,Fondaparinux Sodium Subcutaneous Inj 7.5 MG/0.6ML,130.33,104.27,1.0,117.3,27
NDC,67457058500,Fondaparinux Sodium Inj 10 MG/0.8ML,144.59,115.68,1.0,130.13,27
NDC,67457061310,Vancomycin HCl For IV Soln 5 GM (Base Equivalent),122.45,97.96,34.0,110.21,27
NDC,67457061410,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),112.53,90.03,31.25,101.28,27
NDC,67457062910,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),112.67,90.14,1.7,101.4,27
NDC,67457063110,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),254.48,203.59,1.7,229.03,27
NDC,67457064000,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,67457064002,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,67457065810,Esmolol HCl-Sodium Chloride IV Soln 2000 MG/100ML,896.1,716.88,0.25,806.49,27
NDC,67457066205,Topotecan HCl Inj 4 MG/4ML (Base Equiv) (For Infusion),96.25,77.0,1.0,86.63,27
NDC,67457067502,Calcitonin (Salmon) Inj 200 Unit/ML,229.43,183.55,94.07,1296.36,36
NDC,67457077800,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,67457077930,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,65.12,52.1,18.08,58.61,27
NDC,67457079000,Levetiracetam Inj 500 MG/5ML (100 MG/ML),42.2,33.76,1.0,37.98,27
NDC,67457079005,Levetiracetam Inj 500 MG/5ML (100 MG/ML),42.2,33.76,1.0,37.98,27
NDC,67457081400,Clindamycin Phosphate Inj 300 MG/2ML,21.0,16.8,2.18,18.9,27
NDC,67457085200,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),46.28,37.03,12.85,41.65,27
NDC,67457085350,Acetazolamide Sodium For Inj 500 MG,161.56,129.25,1.0,145.4,27
NDC,67457085500,Adenosine IV Soln 6 MG/2ML,24.27,19.42,1.0,21.84,27
NDC,67457085502,Adenosine IV Soln 6 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,67457085620,Adenosine IV Soln 3 MG/ML (Diagnostic),147.9,118.32,1.0,133.11,27
NDC,67457085730,Adenosine IV Soln 3 MG/ML (Diagnostic),198.36,158.69,1.0,178.52,27
NDC,67457086301,Granisetron HCl Inj 1 MG/ML,40.41,32.33,1.0,36.37,27
NDC,67457088605,Hydroxyprogesterone Caproate IM 250 MG/ML,1179.26,943.41,8.85,1061.33,27
NDC,67457090200,Etomidate IV Soln 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,67457090210,Etomidate IV Soln 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,67457094010,Acetaminophen IV Soln 10 MG/ML,28.28,22.63,1.0,25.45,27
NDC,67512509,Nicotine TD Patch 24HR 14 MG/24HR,5.86,4.69,1.63,5.27,27
NDC,67512609,Nicotine TD Patch 24HR 21 MG/24HR,5.86,4.69,1.63,5.27,27
NDC,67546011112,Nitazoxanide Tab 500 MG,202.01,161.61,56.1,181.81,27
NDC,67618011128,Docusate Sodium Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,67618015005,Povidone-Iodine Soln 10%,2.88,2.31,0.8,2.59,27
NDC,67684190102,Ethiodized Inj Oil 480 MG/ML (Iodine Equivalent),2508.48,2006.79,696.6,2257.63,27
NDC,67815202,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),25.65,20.52,7.12,23.09,27
NDC,67815203,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),43.2,34.56,12.0,38.88,27
NDC,67850003200,Nafcillin Sodium For Inj 2 GM,28.23,22.59,7.84,25.41,27
NDC,67850015000,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,67850015010,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,67871479006,Ethanolamine Oleate Inj 5%,1572.06,1257.65,469.26,1414.85,36
NDC,67877011601,Methadone HCl Tab 10 MG,13.55,10.84,3.76,12.2,27
NDC,67877012405,Silver Sulfadiazine Cream 1%,17.55,14.04,4.87,15.8,27
NDC,67877012425,Silver Sulfadiazine Cream 1%,11.27,9.02,3.13,10.14,27
NDC,67877012440,Silver Sulfadiazine Cream 1%,99.36,79.49,27.59,89.42,27
NDC,67877012450,Silver Sulfadiazine Cream 1%,23.36,18.69,6.49,21.02,27
NDC,67877014601,Temazepam Cap 15 MG,1.5,1.2,0.42,1.35,27
NDC,67877014801,Temazepam Cap 7.5 MG,11.77,9.42,3.27,10.59,27
NDC,67877015905,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,67877017030,Ondansetron HCl Tab 8 MG,1.5,1.2,0.42,1.35,27
NDC,67877019790,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,67877019805,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,67877019890,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,67877019905,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,67877021901,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,67877022001,Cephalexin Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,67877022205,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,67877022301,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,67877022305,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,67877022310,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,67877022401,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,67877022405,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,67877023022,Mycophenolate Mofetil For Oral Susp 200 MG/ML,11.21,8.97,3.11,10.09,27
NDC,67877024201,Quetiapine Fumarate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,67877024601,Quetiapine Fumarate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,67877024610,Quetiapine Fumarate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,67877024760,Quetiapine Fumarate Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,67877024901,Quetiapine Fumarate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,67877025001,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,67877025010,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,67877025115,Triamcinolone Acetonide Cream 0.1%,4.05,3.24,1.12,3.65,27
NDC,67877025130,Triamcinolone Acetonide Cream 0.1%,15.15,12.12,4.21,13.64,27
NDC,67877025145,Triamcinolone Acetonide Cream 0.1%,40.45,32.36,11.23,36.41,27
NDC,67877025180,Triamcinolone Acetonide Cream 0.1%,19.87,15.9,5.52,17.88,27
NDC,67877026030,Rasagiline Mesylate Tab 1 MG (Base Equiv),8.72,6.98,2.42,7.85,27
NDC,67877026601,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,67877029501,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,67877029505,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,67877029601,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,67877029605,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,67877031815,Triamcinolone Acetonide Cream 0.5%,21.79,17.44,6.05,19.61,27
NDC,67877032101,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,67877032105,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,67877041305,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,67877041390,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,67877041401,Metformin HCl Tab ER 24HR 750 MG,1.5,1.2,0.42,1.35,27
NDC,67877041920,Linezolid Tab 600 MG,16.61,13.29,4.61,14.95,27
NDC,67877042612,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),1.5,1.2,0.42,1.35,27
NDC,67877042712,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),1.5,1.2,0.42,1.35,27
NDC,67877045430,Itraconazole Cap 100 MG,15.53,12.43,4.31,13.98,27
NDC,67877049030,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,67877049090,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,67877050530,Cinacalcet HCl Tab 90 MG (Base Equiv),3.25,2.6,0.9,2.93,27
NDC,67877053707,Temozolomide Cap 5 MG,7.34,5.88,1.0,6.61,27
NDC,67877053807,Temozolomide Cap 20 MG,15.09,12.08,1.0,13.58,27
NDC,67877053914,Temozolomide Cap 100 MG,78.46,62.77,1.0,70.61,27
NDC,67877054014,Temozolomide Cap 140 MG,100.58,80.47,1.0,90.52,27
NDC,67877054207,Temozolomide Cap 250 MG,186.25,149.0,1.0,167.63,27
NDC,67877054898,Cefdinir For Susp 250 MG/5ML,2.09,1.68,0.58,1.88,27
NDC,67877056860,Dronabinol Cap 2.5 MG,4.97,3.98,1.38,4.47,27
NDC,67877057301,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,67877057305,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,67877060530,Prasugrel HCl Tab 10 MG (Base Equiv),1.65,1.32,0.46,1.49,27
NDC,67877063830,Lurasidone HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,67877064030,Lurasidone HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,67877064130,Lurasidone HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,67877071931,Everolimus Tab 0.5 MG,12.55,10.04,3.49,11.3,27
NDC,67877071933,Everolimus Tab 0.5 MG,12.55,10.04,3.49,11.3,27
NDC,67877073295,Lacosamide Oral Solution 10 MG/ML,77.76,62.21,21.59,69.98,27
NDC,67877074601,Sirolimus Tab 0.5 MG,10.47,8.38,1.0,9.42,27
NDC,67877074957,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),161.51,129.21,44.85,145.36,27
NDC,67877075360,Dronabinol Cap 2.5 MG,3.75,3.0,1.04,3.38,27
NDC,67877075460,Dronabinol Cap 5 MG,7.25,5.8,2.01,6.53,27
NDC,67877087920,Cefpodoxime Proxetil Tab 200 MG,2.37,1.9,0.66,2.13,27
NDC,67919002010,Alvimopan Cap 12 MG,356.32,285.06,98.95,320.69,27
NDC,67919003001,Ceftolozane-Tazobactam For Inj 1.5 GM (1-0.5 GM),378.45,302.76,7.48,340.61,36
NDC,67979000201,Histrelin Acetate (CPP) Implant Kit 50 MG,90810.17,72648.14,37232.17,81729.15,36
NDC,68047025301,Hyoscyamine Sulfate SL Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,68059701,Rifampin For Inj 600 MG,587.47,469.98,163.14,528.72,27
NDC,68084002111,Abacavir Sulfate Tab 300 MG (Base Equiv),22.13,17.71,6.15,19.92,27
NDC,68084002121,Abacavir Sulfate Tab 300 MG (Base Equiv),22.13,17.71,6.15,19.92,27
NDC,68084004501,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68084004511,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68084007001,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68084007011,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68084007511,Tretinoin Cap 10 MG,51.51,41.21,14.3,46.36,27
NDC,68084009311,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,68084009801,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084009811,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084010611,Ziprasidone HCl Cap 80 MG,1.94,1.56,0.54,1.75,27
NDC,68084010801,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,68084010811,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,68084010901,Acyclovir Tab 800 MG,2.09,1.68,0.58,1.88,27
NDC,68084010911,Acyclovir Tab 800 MG,2.09,1.68,0.58,1.88,27
NDC,68084011201,Glipizide Tab ER 24HR 10 MG,1.61,1.29,0.45,1.45,27
NDC,68084011211,Glipizide Tab ER 24HR 10 MG,1.61,1.29,0.45,1.45,27
NDC,68084011911,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,68084012001,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,68084012811,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,68084013521,Metaxalone Tab 800 MG,12.66,10.13,3.52,11.39,27
NDC,68084014911,Methylprednisolone Tab 4 MG,4.1,3.28,1.0,3.69,27
NDC,68084018911,Zolpidem Tartrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084019611,Lisinopril Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084020211,Primidone Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68084020411,Minoxidil Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,68084021401,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084021411,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084022901,Azathioprine Tab 50 MG,1.57,1.26,0.44,1.41,27
NDC,68084022911,Azathioprine Tab 50 MG,1.57,1.26,0.44,1.41,27
NDC,68084024801,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084024811,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084027311,Risperidone Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,68084028111,Carbidopa & Levodopa Tab ER 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,68084028401,Hydroxyurea Cap 500 MG,1.73,1.39,0.48,1.56,27
NDC,68084028411,Hydroxyurea Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,68084028811,Fludrocortisone Acetate Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,68084029111,Naltrexone HCl Tab 50 MG,5.7,4.56,1.58,5.13,27
NDC,68084029121,Naltrexone HCl Tab 50 MG,5.7,4.56,1.58,5.13,27
NDC,68084029901,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,68084029911,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,68084031001,Divalproex Sodium Tab ER 24 HR 250 MG,3.02,2.42,0.84,2.72,27
NDC,68084031011,Divalproex Sodium Tab ER 24 HR 250 MG,3.02,2.42,0.84,2.72,27
NDC,68084031301,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.5,1.2,0.42,1.35,27
NDC,68084031811,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68084031901,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084031911,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084034601,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68084034611,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68084034801,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084034811,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084035401,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084035411,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084035511,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,68084036009,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.62,1.3,0.45,1.46,27
NDC,68084036011,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,68084037601,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084037611,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,68084038101,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,68084038111,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,68084041111,Indomethacin Cap ER 75 MG,5.89,4.72,1.64,5.3,27
NDC,68084044701,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084044711,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084044911,Tacrolimus Cap 0.5 MG,3.48,2.79,0.97,3.13,27
NDC,68084045001,Tacrolimus Cap 1 MG,6.59,5.28,1.0,5.93,27
NDC,68084045011,Tacrolimus Cap 1 MG,6.59,5.28,1.0,5.93,27
NDC,68084045111,Tacrolimus Cap 5 MG,29.16,23.33,1.0,26.24,27
NDC,68084047901,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.62,1.3,0.45,1.46,27
NDC,68084047911,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.62,1.3,0.45,1.46,27
NDC,68084049401,Pyridostigmine Bromide Tab 60 MG,2.67,2.14,0.74,2.4,27
NDC,68084049411,Pyridostigmine Bromide Tab 60 MG,2.67,2.14,0.74,2.4,27
NDC,68084051101,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084051111,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084051201,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68084051211,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68084053611,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68084057201,Guaifenesin Tab ER 12HR 600 MG,2.13,1.71,0.59,1.92,27
NDC,68084057211,Guaifenesin Tab ER 12HR 600 MG,2.13,1.71,0.59,1.92,27
NDC,68084060311,Nifedipine Tab ER 24HR Osmotic Release 90 MG,4.75,3.8,1.32,4.28,27
NDC,68084060321,Nifedipine Tab ER 24HR Osmotic Release 90 MG,4.75,3.8,1.32,4.28,27
NDC,68084061711,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68084061801,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68084061811,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68084062111,Modafinil Tab 100 MG,13.63,10.91,3.79,12.27,27
NDC,68084062121,Modafinil Tab 100 MG,13.63,10.91,3.79,12.27,27
NDC,68084064001,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,68084064011,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,68084067611,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084069701,Bupropion HCl Tab ER 12HR 100 MG,1.76,1.41,0.49,1.58,27
NDC,68084069711,Bupropion HCl Tab ER 12HR 100 MG,1.76,1.41,0.49,1.58,27
NDC,68084070895,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,68084070901,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084070911,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084071001,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.89,2.32,0.8,2.6,27
NDC,68084071011,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.89,2.32,0.8,2.6,27
NDC,68084071301,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084071311,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68084073801,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084073811,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68084075311,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084075325,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084075365,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68084078261,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,68084080511,Methylphenidate HCl Tab 5 MG,5.06,4.05,1.41,4.55,27
NDC,68084080811,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68084082311,Methylphenidate HCl Tab 10 MG,2.73,2.19,0.76,2.46,27
NDC,68084082501,Tramadol-Acetaminophen Tab 37.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,68084082511,Tramadol-Acetaminophen Tab 37.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,68084083695,Doxazosin Mesylate Tab 1 MG,2.13,1.71,0.59,1.92,27
NDC,68084084501,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,68084084511,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,68084084711,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,68084085601,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.51,1.21,0.42,1.36,27
NDC,68084085611,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.51,1.21,0.42,1.36,27
NDC,68084089511,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,68084090711,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),8.69,6.96,1.0,7.82,27
NDC,68084091525,Sirolimus Tab 1 MG,21.98,17.59,1.0,19.78,27
NDC,68084091595,Sirolimus Tab 1 MG,35.07,28.06,1.0,31.56,27
NDC,68084094732,Quinine Sulfate Cap 324 MG,11.15,8.92,3.1,10.04,27
NDC,68084094733,Quinine Sulfate Cap 324 MG,11.15,8.92,3.1,10.04,27
NDC,6808459411,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,68094000159,Morphine Sulfate Oral Soln 10 MG/5ML,2.67,2.14,0.74,2.4,27
NDC,68094003159,Methadone HCl Soln 5 MG/5ML,4.86,3.89,1.35,4.37,27
NDC,68094003162,Methadone HCl Soln 5 MG/5ML,4.86,3.89,1.35,4.37,27
NDC,68094003459,Sevelamer Carbonate Tab 800 MG,4.77,3.82,1.32,4.29,27
NDC,68094003464,Sevelamer Carbonate Tab 800 MG,4.77,3.82,1.32,4.29,27
NDC,68094004359,Sucralfate Susp 1 GM/10ML,18.87,15.1,5.24,16.98,27
NDC,68094004501,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),5.97,4.78,1.66,5.37,27
NDC,68094004558,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),5.94,4.76,1.65,5.35,27
NDC,68094004859,Guaifenesin Tab ER 12HR 600 MG,2.31,1.85,0.64,2.08,27
NDC,68094004861,Guaifenesin Tab ER 12HR 600 MG,2.31,1.85,0.64,2.08,27
NDC,68094005459,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68094005465,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68094005601,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),8.08,6.47,2.24,7.27,27
NDC,68094005658,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),8.08,6.47,2.24,7.27,27
NDC,68094011659,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68094011661,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68094012959,Loperamide HCl Soln 1 MG/7.5ML,6.6,5.28,1.83,5.94,27
NDC,68094012962,Loperamide HCl Soln 1 MG/7.5ML,6.6,5.28,1.83,5.94,27
NDC,68094014720,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,77.5,62.0,21.52,69.75,27
NDC,68094017459,Megestrol Acetate Susp 40 MG/ML,23.11,18.49,6.42,20.8,27
NDC,68094017462,Megestrol Acetate Susp 40 MG/ML,23.11,18.49,6.42,20.8,27
NDC,68094075059,Diazepam Oral Soln 1 MG/ML,7.56,6.05,2.1,6.8,27
NDC,68094075659,Furosemide Oral Soln 10 MG/ML,5.08,4.07,1.41,4.57,27
NDC,68094075662,Furosemide Oral Soln 10 MG/ML,5.02,4.02,1.39,4.52,27
NDC,68094076259,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),11.31,9.05,3.14,10.18,27
NDC,68094076359,Ondansetron HCl Oral Soln 4 MG/5ML,27.54,22.04,1.0,24.79,27
NDC,68094076362,Ondansetron HCl Oral Soln 4 MG/5ML,27.54,22.04,1.0,24.79,27
NDC,68094076459,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),21.45,17.16,5.96,19.31,27
NDC,68094085362,Naltrexone HCl Tab 50 MG,6.15,4.92,1.71,5.54,27
NDC,68176000010,Pediatric Multiple Vitamin w/ Minerals Liquid,1.5,1.2,0.42,1.35,27
NDC,68180009901,Levetiracetam Oral Soln 100 MG/ML,1.5,1.2,0.42,1.35,27
NDC,68180010209,Valsartan-Hydrochlorothiazide Tab 320-25 MG,1.5,1.2,0.42,1.35,27
NDC,68180011216,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,68180011309,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,68180011316,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,68180011707,Levetiracetam Tab ER 24HR 500 MG,1.87,1.5,0.52,1.68,27
NDC,68180011807,Levetiracetam Tab ER 24HR 750 MG,1.71,1.37,0.47,1.54,27
NDC,68180012202,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,68180013415,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),2.07,1.66,0.57,1.86,27
NDC,68180013501,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68180013601,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68180013701,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,68180015001,Famotidine For Susp 40 MG/5ML,5.75,4.6,1.6,5.18,27
NDC,68180015901,Ethacrynic Acid Tab 25 MG,8.61,6.89,2.39,7.75,27
NDC,68180016006,Azithromycin Tab 250 MG,5.37,4.3,1.49,4.83,27
NDC,68180016106,Azithromycin Tab 500 MG,12.1,9.68,3.36,10.89,27
NDC,68180018001,Cefadroxil Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,68180018008,Cefadroxil Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,68180022907,Memantine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68180023007,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180028101,Ethambutol HCl Tab 400 MG,2.27,1.82,0.63,2.04,27
NDC,68180028201,Atovaquone Susp 750 MG/5ML,30.24,24.2,8.4,27.22,27
NDC,68180029407,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),2.38,1.91,0.66,2.14,27
NDC,68180029509,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,68180029606,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,68180029609,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),1.5,1.2,0.42,1.35,27
NDC,68180030260,Cefuroxime Axetil Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,68180030320,Cefuroxime Axetil Tab 500 MG,8.96,7.17,2.49,8.06,27
NDC,68180030360,Cefuroxime Axetil Tab 500 MG,5.24,4.2,1.46,4.72,27
NDC,68180031906,Bupropion HCl Tab ER 24HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,68180031909,Bupropion HCl Tab ER 24HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,68180032002,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,68180032006,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,68180032009,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,68180033107,Ziprasidone HCl Cap 20 MG,8.91,7.13,2.47,8.02,27
NDC,68180033207,Ziprasidone HCl Cap 40 MG,2.51,2.01,0.7,2.26,27
NDC,68180033407,Ziprasidone HCl Cap 80 MG,3.79,3.04,1.05,3.41,27
NDC,68180035106,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68180035109,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68180035202,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68180035206,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68180035209,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68180035302,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68180035306,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68180035309,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68180037703,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68180037709,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68180040201,Cefprozil For Susp 250 MG/5ML,74.52,59.62,20.69,67.07,27
NDC,68180040203,Cefprozil For Susp 250 MG/5ML,148.77,119.02,41.31,133.89,27
NDC,68180040703,Cefixime For Susp 200 MG/5ML,24.3,19.44,6.75,21.87,27
NDC,68180042201,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),27.52,22.02,7.64,24.77,27
NDC,68180043501,Gatifloxacin Ophth Soln 0.5%,230.99,184.8,64.15,207.89,27
NDC,68180044102,Cephalexin For Susp 250 MG/5ML,5.13,4.11,1.42,4.62,27
NDC,68180046701,Lovastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180046707,Lovastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180046801,Lovastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180046807,Lovastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180046901,Lovastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,68180046907,Lovastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,68180047802,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180047902,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180047903,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180048509,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180048609,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180050101,Meloxicam Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,68180050201,Meloxicam Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,68180051201,Lisinopril Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,68180051301,Lisinopril Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68180051303,Lisinopril Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68180051801,Lisinopril & Hydrochlorothiazide Tab 10-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68180051802,Lisinopril & Hydrochlorothiazide Tab 10-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68180051901,Lisinopril & Hydrochlorothiazide Tab 20-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68180052001,Lisinopril & Hydrochlorothiazide Tab 20-25 MG,1.5,1.2,0.42,1.35,27
NDC,68180052002,Lisinopril & Hydrochlorothiazide Tab 20-25 MG,1.5,1.2,0.42,1.35,27
NDC,68180053602,Clobetasol Propionate Lotion 0.05%,182.24,145.8,50.61,164.02,27
NDC,68180055609,Quinapril HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68180055809,Quinapril HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180056006,Quinine Sulfate Cap 324 MG,5.86,4.69,1.63,5.27,27
NDC,68180056701,Trandolapril Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,68180064401,Ceftriaxone Sodium For Inj 2 GM,26.1,20.88,1.0,23.49,27
NDC,68180065701,Doxycycline Monohydrate For Susp 25 MG/5ML,10.1,8.08,2.8,9.09,27
NDC,68180065806,Rifampin Cap 150 MG,1.86,1.49,0.52,1.67,27
NDC,68180065907,Rifampin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,68180067511,Oseltamivir Phosphate Cap 30 MG (Base Equiv),23.65,18.92,6.57,21.29,27
NDC,68180067711,Oseltamivir Phosphate Cap 75 MG (Base Equiv),11.45,9.16,3.18,10.31,27
NDC,68180067801,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),5.4,4.32,1.5,4.86,27
NDC,68180072220,Cefdinir For Susp 125 MG/5ML,1.85,1.48,0.51,1.67,27
NDC,68180072304,Cefdinir For Susp 250 MG/5ML,2.15,1.72,0.6,1.94,27
NDC,68180085211,Levonorgestrel Tab 1.5 MG,52.25,41.8,14.51,47.03,27
NDC,68180087671,Norethindrone Tab 0.35 MG,8.09,6.48,2.25,7.28,27
NDC,68180095602,Clobetasol Propionate Cream 0.05%,28.92,23.14,8.03,26.03,27
NDC,68180096301,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),65.57,52.46,18.21,59.01,27
NDC,68180096501,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,68180096603,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,68180096701,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,27
NDC,68180096703,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,27
NDC,68180096801,Levothyroxine Sodium Tab 88 MCG,1.5,1.2,0.42,1.35,27
NDC,68180096901,Levothyroxine Sodium Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097001,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097009,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097101,Levothyroxine Sodium Tab 125 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097103,Levothyroxine Sodium Tab 125 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097201,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097209,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097301,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097309,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097401,Levothyroxine Sodium Tab 175 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097501,Levothyroxine Sodium Tab 200 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097509,Levothyroxine Sodium Tab 200 MCG,1.5,1.2,0.42,1.35,27
NDC,68180097601,Levothyroxine Sodium Tab 300 MCG,1.5,1.2,0.42,1.35,27
NDC,68180098001,Lisinopril Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180098003,Lisinopril Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68180098101,Lisinopril Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68180098103,Lisinopril Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68382000301,Azathioprine Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68382000414,Topiramate Sprinkle Cap 15 MG,1.5,1.2,0.42,1.35,27
NDC,68382000601,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382000801,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68382001014,Lamotrigine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,68382001801,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382001901,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382002001,Venlafaxine HCl Tab 50 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382002101,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382002201,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382003410,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382003416,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382003510,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382003610,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382003616,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382004101,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382004801,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,68382004901,Acyclovir Sodium IV Soln 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,68382007016,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68382007105,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68382007116,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68382007901,Haloperidol Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68382009201,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,68382009301,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,68382009305,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,68382009401,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68382009405,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68382009501,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382009505,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382009601,Hydroxychloroquine Sulfate Tab 200 MG,2.73,2.19,0.76,2.46,27
NDC,68382009605,Hydroxychloroquine Sulfate Tab 200 MG,2.73,2.19,0.76,2.46,27
NDC,68382009810,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68382010101,Venlafaxine HCl Tab 100 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382010601,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.5,1.2,0.42,1.35,27
NDC,68382011214,Risperidone Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,68382011314,Risperidone Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,68382011405,Risperidone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,68382011414,Risperidone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,68382011514,Risperidone Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,68382011614,Risperidone Tab 3 MG,1.5,1.2,0.42,1.35,27
NDC,68382011714,Risperidone Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,68382012305,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,68382013201,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,68382013210,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,68382013510,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382013716,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68382013805,Topiramate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382013814,Topiramate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382013905,Topiramate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68382013914,Topiramate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,68382014005,Topiramate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68382014014,Topiramate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68382014114,Topiramate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,68382020906,Anastrozole Tab 1 MG,1.5,1.2,0.62,11.31,27
NDC,68382029806,Amiodarone HCl Tab 400 MG,2.51,2.01,0.7,2.26,27
NDC,68382030901,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.5,1.2,0.42,1.35,27
NDC,68382031001,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.5,1.2,0.42,1.35,27
NDC,68382031101,Nitroglycerin TD Patch 24HR 0.6 MG/HR,1.92,1.54,0.53,1.73,27
NDC,68382031601,Minocycline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,68382038306,Exemestane Tab 25 MG,7.21,5.77,2.0,6.49,27
NDC,68382041205,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,68382047001,Indomethacin Sodium IV For Soln 1 MG,934.73,747.79,259.57,841.26,27
NDC,68382052960,Cholestyramine Light Powder Packets 4 GM,1.54,1.24,0.43,1.39,27
NDC,68382059516,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.5,1.2,0.42,1.35,27
NDC,68382059616,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.5,1.2,0.42,1.35,27
NDC,68382059716,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,1.5,1.2,0.42,1.35,27
NDC,68382065001,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.5,1.2,0.42,1.35,27
NDC,68382065101,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,68382065105,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,68382066001,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382066010,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68382066201,Spironolactone Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68382071119,Mesalamine Tab Delayed Release 1.2 GM,7.51,6.01,2.09,6.76,27
NDC,68382072001,Budesonide Delayed Release Particles Cap 3 MG,5.57,4.46,1.55,5.01,27
NDC,68382077501,Methotrexate Sodium Tab 2.5 MG (Base Equiv),4.16,3.33,1.0,3.74,27
NDC,68382079201,Acyclovir Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,68382079801,Labetalol HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,68382079901,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,68382089906,Tadalafil Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68382091001,Doxycycline Hyclate For Inj 100 MG,57.33,45.87,15.92,51.6,27
NDC,68382091601,Methylprednisolone Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,68382091818,Methylprednisolone Tab 16 MG,5.75,4.6,1.0,5.18,27
NDC,68382092006,Entecavir Tab 0.5 MG,6.55,5.24,1.82,5.9,27
NDC,68382099701,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),181.57,145.26,7.75,163.41,36
NDC,68382099710,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),181.57,145.26,7.75,163.41,36
NDC,68462010230,Fluconazole Tab 100 MG,3.44,2.76,0.96,3.1,27
NDC,68462010430,Fluconazole Tab 200 MG,3.46,2.77,0.96,3.11,27
NDC,68462010860,Topiramate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68462011060,Topiramate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,68462012801,Zonisamide Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,68462015713,Ondansetron Orally Disintegrating Tab 4 MG,1.5,1.2,0.62,21.06,27
NDC,68462015740,Ondansetron Orally Disintegrating Tab 4 MG,1.5,1.2,0.62,21.06,27
NDC,68462016201,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,68462016205,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,68462016301,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,68462016305,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,68462016401,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68462016405,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,68462016501,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68462016505,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,68462018022,Mupirocin Oint 2%,22.69,18.16,6.3,20.42,27
NDC,68462018901,Naproxen Tab 375 MG,1.5,1.2,0.42,1.35,27
NDC,68462019590,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68462019690,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68462022001,Lithium Carbonate Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,68462022101,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,68462022301,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,27
NDC,68462022690,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68462022801,Lamotrigine Tab Chewable Dispersible 5 MG,1.5,1.2,0.42,1.35,27
NDC,68462022901,Lamotrigine Tab Chewable Dispersible 25 MG,1.5,1.2,0.42,1.35,27
NDC,68462023301,Felodipine Tab ER 24HR 2.5 MG,1.58,1.27,0.44,1.42,27
NDC,68462023401,Felodipine Tab ER 24HR 5 MG,1.58,1.27,0.44,1.42,27
NDC,68462023501,Felodipine Tab ER 24HR 10 MG,2.13,1.71,0.59,1.92,27
NDC,68462025401,Ropinirole Hydrochloride Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,68462026001,Verapamil HCl Tab ER 240 MG,1.5,1.2,0.42,1.35,27
NDC,68462026190,Rosuvastatin Calcium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,68462026290,Rosuvastatin Calcium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,68462026390,Rosuvastatin Calcium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,68462026430,Rosuvastatin Calcium Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,68462026630,Atomoxetine HCl Cap 18 MG (Base Equiv),3.97,3.18,1.1,3.57,27
NDC,68462026830,Atomoxetine HCl Cap 40 MG (Base Equiv),4.64,3.72,1.29,4.18,27
NDC,68462026930,Atomoxetine HCl Cap 60 MG (Base Equiv),5.75,4.6,1.6,5.18,27
NDC,68462027030,Atomoxetine HCl Cap 80 MG (Base Equiv),7.72,6.18,2.14,6.95,27
NDC,68462027501,Desmopressin Acetate Tab 0.1 MG,2.65,2.12,0.74,2.39,27
NDC,68462027601,Desmopressin Acetate Tab 0.2 MG,2.65,2.12,0.74,2.39,27
NDC,68462029201,Verapamil HCl Tab ER 120 MG,1.5,1.2,0.42,1.35,27
NDC,68462029301,Verapamil HCl Tab ER 180 MG,1.5,1.2,0.42,1.35,27
NDC,68462029735,Ciclopirox Olamine Cream 0.77% (Base Equiv),81.65,65.32,22.67,73.49,27
NDC,68462029855,Clotrimazole w/ Betamethasone Cream 1-0.05%,41.92,33.54,11.64,37.73,27
NDC,68462030201,Indomethacin Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,68462030984,Norgestimate & Ethinyl Estradiol Tab 0.25 MG-35 MCG,39.54,31.64,10.98,35.59,27
NDC,68462033090,Pramipexole Dihydrochloride Tab 0.125 MG,1.5,1.2,0.42,1.35,27
NDC,68462033190,Pramipexole Dihydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,68462033290,Pramipexole Dihydrochloride Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,68462033390,Pramipexole Dihydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,68462033490,Pramipexole Dihydrochloride Tab 1.5 MG,1.5,1.2,0.42,1.35,27
NDC,68462035801,Nabumetone Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,68462038001,Theophylline Tab ER 24HR 400 MG,2.38,1.91,0.66,2.14,27
NDC,68462040355,Adapalene Gel 0.1%,284.92,227.94,79.12,256.43,27
NDC,68462040560,Aspirin-Dipyridamole Cap ER 12HR 25-200 MG,2.01,1.61,0.56,1.81,27
NDC,68462040601,Indomethacin Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,68462041820,Lidocaine Oint 5%,21.15,16.92,5.87,19.04,27
NDC,68462042121,Atovaquone Susp 750 MG/5ML,23.9,19.12,6.64,21.51,27
NDC,68462043318,Colesevelam HCl Tab 625 MG,1.97,1.58,0.55,1.77,27
NDC,68462043518,Acamprosate Calcium Tab Delayed Release 333 MG,3.59,2.88,1.0,3.23,27
NDC,68462046640,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),4.62,3.7,1.28,4.16,27
NDC,68462046706,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),3.56,2.85,0.99,3.2,27
NDC,68462046806,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),14.01,11.21,3.89,12.61,27
NDC,68462047040,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,68462047054,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,68462047401,Ursodiol Tab 500 MG,7.09,5.68,1.97,6.38,27
NDC,68462049776,Zolmitriptan Tab 2.5 MG,17.69,14.16,4.91,15.92,27
NDC,68462049833,Zolmitriptan Tab 5 MG,20.98,16.79,5.83,18.88,27
NDC,68462053435,Tacrolimus Oint 0.1%,251.1,200.88,69.73,225.99,27
NDC,68462056417,Mupirocin Calcium Cream 2%,273.38,218.71,75.92,246.04,27
NDC,68462056435,Mupirocin Calcium Cream 2%,708.75,567.0,196.82,637.88,27
NDC,68462057330,Voriconazole Tab 200 MG,40.37,32.3,11.21,36.33,27
NDC,68462058540,Aprepitant Capsule 125 MG,643.63,514.91,1.0,579.27,27
NDC,68462058576,Aprepitant Capsule 125 MG,643.63,514.91,1.0,579.27,27
NDC,68462062102,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),21.0,16.8,5.19,18.9,27
NDC,68462062154,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),21.0,16.8,5.19,18.9,27
NDC,68462062210,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),42.5,34.0,5.19,38.25,27
NDC,68462068201,Sirolimus Tab 0.5 MG,12.42,9.94,1.0,11.18,27
NDC,68462075801,Phytonadione Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,68462075825,Phytonadione Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,68516320701,Factor IX Complex For Inj 500 Unit,21.0,16.8,1.61,18.9,36
NDC,68516360502,Coagulation Factor IX For Inj 1000 Unit,21.0,16.8,1.32,18.9,36
NDC,68516360702,Coagulation Factor IX For Inj 500 Unit,21.0,16.8,1.32,18.9,36
NDC,68516360802,Coagulation Factor IX For Inj 1000 Unit,21.0,16.8,1.32,18.9,36
NDC,68516460601,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,21.0,16.8,1.18,18.9,36
NDC,68516460702,Antihemophilic Factor/VWF (Human) For Inj 1000 Unit,21.0,16.8,1.18,18.9,36
NDC,68516460802,Antihemophilic Factor/VWF (Human) For Inj 1500 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461002,Antihemophilic Factor/VWF (Human) For Inj 2000 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461101,Antihemophilic Factor/VWF (Human) For Inj 250 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461201,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461302,Antihemophilic Factor/VWF (Human) For Inj 1000 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461502,Antihemophilic Factor/VWF (Human) For Inj 2000 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461701,Antihemophilic Factor/VWF (Human) For Inj 500 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461802,Antihemophilic Factor/VWF (Human) For Inj 1000 Unit,21.0,16.8,1.18,18.9,36
NDC,68516461902,Antihemophilic Factor/VWF (Human) For Inj 1500 Unit,21.0,16.8,1.18,18.9,36
NDC,68516521403,"Albumin, Human Inj 5%",165.3,132.24,47.49,148.77,38
NDC,68516521608,"Albumin, Human Inj 25%",254.47500000000002,203.57999999999998,47.11,305.37,76
NDC,68516521800,"Albumin, Human Inj 5%",174.0,139.2,47.49,156.6,38
NDC,68516521804,"Albumin, Human Inj 5%",174.0,139.2,47.49,156.6,38
NDC,68546022956,Rasagiline Mesylate Tab 1 MG (Base Equiv),58.51,46.81,16.25,52.66,27
NDC,68546031730,Glatiramer Acetate Soln Prefilled Syringe 20 MG/ML,803.01,642.41,153.01,722.71,36
NDC,68585000801,Zinc Sulfate Cap 220 MG (50 MG Elemental Zn),1.5,1.2,0.42,1.35,27
NDC,68682001110,Ethacrynic Acid Tab 25 MG,47.84,38.28,13.29,43.06,27
NDC,68682010810,Nifedipine Tab ER 24HR Osmotic Release 30 MG,2.68,2.15,0.74,2.41,27
NDC,68682010910,Nifedipine Tab ER 24HR Osmotic Release 60 MG,1.5,1.2,0.42,1.35,27
NDC,68682020025,Carbidopa Tab 25 MG,1.88,1.51,0.52,1.69,27
NDC,68682030210,Pyridostigmine Bromide Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,68682035710,Dihydroergotamine Mesylate Nasal Spray 4 MG/ML,1156.88,925.51,1.0,1041.19,27
NDC,68682046410,Brinzolamide Ophth Susp 1%,611.82,489.46,169.9,550.64,27
NDC,68682081305,Timolol Maleate Ophth Soln 0.5%,27.62,22.1,7.67,24.86,27
NDC,68682092064,Tetracaine HCl Ophth Soln 0.5%,1.5,1.2,0.42,1.35,27
NDC,68682099498,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,2.32,1.86,0.64,2.09,27
NDC,68682099798,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,3.29,2.64,0.91,2.96,27
NDC,68727074501,Daunorubicin-Cytarabine Liposome For IV Inj 44-100 MG,21509.45,17207.56,227.94,19358.51,36
NDC,68727074502,Daunorubicin-Cytarabine Liposome For IV Inj 44-100 MG,21402.48,17121.99,227.94,19262.23,36
NDC,68727080001,Defibrotide Sodium IV Soln 200 MG/2.5ML (80 MG/ML),1949.7,1559.76,1.0,1754.73,27
NDC,68727080002,Defibrotide Sodium IV Soln 200 MG/2.5ML (80 MG/ML),1949.7,1559.76,1.0,1754.73,27
NDC,68727090001,Asparaginase Erwinia Chrys (Recomb)-rywn IM Soln 10 MG/0.5ML,10331.4,8265.12,49.71,9298.26,36
NDC,68727090003,Asparaginase Erwinia Chrys (Recomb)-rywn IM Soln 10 MG/0.5ML,9426.9,7541.52,49.71,8484.21,36
NDC,68803061210,Trypan Blue Intraocular Soln Pref Syr 0.06%,174.0,139.2,48.32,156.6,27
NDC,68817013450,Paclitaxel Protein-Bound Particles For IV Susp 100 MG,4201.53,3361.23,10.02,3781.38,36
NDC,68850001201,Ethambutol HCl Tab 400 MG,1.95,1.56,0.54,1.76,27
NDC,68850001202,Ethambutol HCl Tab 400 MG,1.97,1.58,0.55,1.77,27
NDC,68982062302,"Albumin, Human Inj 5%",117.45,93.96,47.49,105.71,38
NDC,68982064302,"Albumin, Human Inj 25%",165.52,132.42,45.96,148.97,38
NDC,69005903,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,5.18,18.9,27
NDC,69005904,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,5.18,18.9,27
NDC,69020701,RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML,1059.41,847.53,312.94,953.47,27
NDC,69020910,Propofol IV Emul 200 MG/20ML (10 MG/ML),21.0,16.8,1.0,18.9,27
NDC,69023401,Propofol IV Emul 500 MG/50ML (10 MG/ML),41.65,33.32,1.0,37.49,27
NDC,69023420,Propofol IV Emul 500 MG/50ML (10 MG/ML),41.65,33.32,1.0,37.49,27
NDC,69023801,Rituximab-pvvr IV Soln 100 MG/10ML (10 MG/ML),1123.61,898.89,22.3,1011.25,36
NDC,69024230,Fesoterodine Fumarate Tab ER 24HR 4 MG,12.27,9.82,3.41,11.04,27
NDC,69024430,Fesoterodine Fumarate Tab ER 24HR 8 MG,22.3,17.84,6.19,20.07,27
NDC,69024801,Propofol IV Emul 1000 MG/100ML (10 MG/ML),71.4,57.12,1.0,64.26,27
NDC,69024901,Rituximab-pvvr IV Soln 500 MG/50ML (10 MG/ML),5618.05,4494.44,22.3,5056.25,36
NDC,69029101,Filgrastim-aafi Soln Prefilled Syringe 300 MCG/0.5ML,339.3,271.44,0.27,305.37,36
NDC,69029110,Filgrastim-aafi Soln Prefilled Syringe 300 MCG/0.5ML,660.33,528.27,0.27,594.3,36
NDC,69029201,Filgrastim-aafi Soln Prefilled Syringe 480 MCG/0.8ML,542.88,434.31,0.27,488.59,36
NDC,69029210,Filgrastim-aafi Soln Prefilled Syringe 480 MCG/0.8ML,555.41,444.33,0.27,499.87,36
NDC,69033801,Sildenafil Citrate IV Soln 10 MG/12.5ML (Base Equivalent),851.51,681.21,236.46,766.36,27
NDC,69034302,Doxorubicin HCl Inj 2 MG/ML,62.7,50.16,1.0,56.43,27
NDC,69035820,Doxorubicin HCl Inj 2 MG/ML,20.69,16.56,1.0,18.62,27
NDC,69046956,Varenicline Tartrate Tab 1 MG (Base Equiv),18.12,14.5,5.03,16.31,27
NDC,69076047501,Glycopyrrolate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69080901,Infliximab-dyyb For IV Inj 100 MG,1777.62,1422.1,13.88,1599.86,36
NDC,69097000467,Hydrocortisone Sodium Succinate PF For Inj 100 MG,63.51,50.81,1.0,57.16,27
NDC,69097007867,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",49.22,39.38,1.0,44.3,27
NDC,69097007897,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",147.66,118.13,1.0,132.89,27
NDC,69097012203,Topiramate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,69097012503,Topiramate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,69097012605,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097014260,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),38.86,31.09,10.79,34.97,27
NDC,69097014807,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,69097015807,Meloxicam Tab 7.5 MG,2.48,1.99,0.69,2.23,27
NDC,69097015907,Meloxicam Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,69097017348,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,69097017353,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,69097030102,Efavirenz Tab 600 MG,13.34,10.68,3.7,12.01,27
NDC,69097031832,Budesonide Inhalation Susp 0.25 MG/2ML,7.99,6.4,2.22,7.19,27
NDC,69097031932,Budesonide Inhalation Susp 0.5 MG/2ML,8.45,6.76,1.01,7.61,27
NDC,69097036108,Griseofulvin Microsize Susp 125 MG/5ML,64.8,51.84,17.99,58.32,27
NDC,69097041002,Cinacalcet HCl Tab 30 MG (Base Equiv),2.09,1.68,0.58,1.88,27
NDC,69097041102,Cinacalcet HCl Tab 60 MG (Base Equiv),3.75,3.0,1.04,3.38,27
NDC,69097042107,Celecoxib Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,69097042112,Celecoxib Cap 200 MG,1.59,1.28,0.44,1.43,27
NDC,69097042207,Celecoxib Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,69097043935,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),528.61,422.89,1.0,475.75,27
NDC,69097052444,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),34.56,27.65,9.6,31.1,27
NDC,69097053302,Tenofovir Disoproxil Fumarate Tab 300 MG,2.41,1.93,0.67,2.17,27
NDC,69097072044,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),24.03,19.23,6.67,21.63,27
NDC,69097080232,Testosterone Cypionate IM Inj in Oil 200 MG/ML,25.62,20.5,1.0,23.06,27
NDC,69097080540,Azacitidine For Inj 100 MG,721.69,577.36,0.37,649.52,27
NDC,69097082103,Gemfibrozil Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,69097082112,Gemfibrozil Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,69097082212,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,69097082412,Citalopram Hydrobromide Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,69097082502,Raloxifene HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,69097082607,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,69097083305,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,69097083512,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,69097083605,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097083805,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097084034,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,69097084053,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,69097084407,Alfuzosin HCl Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,69097084607,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,69097084615,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,69097084705,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,69097084805,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,69097085907,Terbinafine HCl Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,69097086107,Zonisamide Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,69097087602,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,69097087612,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,69097089812,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097089905,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097093498,Lanthanum Carbonate Chew Tab 500 MG (Elemental),8.64,6.92,2.4,7.78,27
NDC,69097093698,Lanthanum Carbonate Chew Tab 1000 MG (Elemental),18.09,14.48,5.02,16.28,27
NDC,69097094405,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097094505,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097094605,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69097096507,Nabumetone Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,69130501,Epoetin Alfa-epbx Inj 2000 Unit/ML,79.69,63.76,0.73,71.72,90
NDC,69130510,Epoetin Alfa-epbx Inj 2000 Unit/ML,79.69,63.76,0.73,71.72,90
NDC,69130801,Epoetin Alfa-epbx Inj 10000 Unit/ML,398.46,318.77,0.73,358.61,63
NDC,69130810,Epoetin Alfa-epbx Inj 10000 Unit/ML,398.46,318.77,0.73,358.61,63
NDC,69130901,Epoetin Alfa-epbx Inj 40000 Unit/ML,666.0,532.8,0.73,599.4,72
NDC,69130904,Epoetin Alfa-epbx Inj 40000 Unit/ML,666.0,532.8,0.73,599.4,72
NDC,69154220,Doxorubicin HCl Inj 2 MG/ML,173.85,139.08,1.0,156.47,27
NDC,69236201,COVID-19 mRNA Vac Tris-Sucrose-Pfizer IM Susp 30 MCG/0.3ML,381.17,304.94,131.1,343.05,36
NDC,69236210,COVID-19 mRNA Vac Tris-Sucrose-Pfizer IM Susp 30 MCG/0.3ML,381.17,304.94,131.1,343.05,36
NDC,69238111003,Clomipramine HCl Cap 75 MG,3.05,2.44,0.85,2.75,27
NDC,69238112309,Nadolol Tab 20 MG,3.67,2.94,1.02,3.3,27
NDC,69238112409,Nadolol Tab 40 MG,4.35,3.48,1.21,3.92,27
NDC,69238112601,Ethacrynic Acid Tab 25 MG,5.64,4.52,1.57,5.08,27
NDC,69238115409,Ezetimibe Tab 10 MG,1.7,1.36,0.47,1.53,27
NDC,69238120202,Buprenorphine TD Patch Weekly 5 MCG/HR,132.97,106.38,36.93,119.67,27
NDC,69238120402,Buprenorphine TD Patch Weekly 15 MCG/HR,287.71,230.17,79.9,258.94,27
NDC,69238131009,Pregabalin Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,69238131109,Pregabalin Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,69238131209,Pregabalin Cap 75 MG,1.5,1.2,0.42,1.35,27
NDC,69238131309,Pregabalin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,69238131409,Pregabalin Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,69238147103,Erythromycin Tab Delayed Release 250 MG,11.72,9.38,3.25,10.55,27
NDC,69238148901,Bumetanide Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,69238149001,Bumetanide Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69238149005,Bumetanide Tab 1 MG,1.54,1.24,0.43,1.39,27
NDC,69238149101,Bumetanide Tab 2 MG,1.67,1.34,0.46,1.5,27
NDC,69238150402,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,27.41,21.93,7.61,24.67,27
NDC,69238153203,Clobetasol Propionate Cream 0.05%,22.52,18.02,6.25,20.27,27
NDC,69238153204,Clobetasol Propionate Cream 0.05%,33.78,27.03,9.38,30.4,27
NDC,69238153502,Clobazam Suspension 2.5 MG/ML,1.5,1.2,0.42,1.35,27
NDC,69238154001,Ursodiol Cap 300 MG,2.0,1.6,0.56,1.8,27
NDC,69238160502,Methylergonovine Maleate Tab 0.2 MG,1.5,1.2,0.42,1.35,27
NDC,69238160508,Methylergonovine Maleate Tab 0.2 MG,104.52,83.62,29.03,94.07,27
NDC,69238161701,Potassium Chloride Powder Packet 20 mEq,7.86,6.29,2.18,7.07,27
NDC,69238161703,Potassium Chloride Powder Packet 20 mEq,7.86,6.29,2.18,7.07,27
NDC,69238173002,Naproxen Susp 125 MG/5ML,18.55,14.84,5.15,16.7,27
NDC,69238174508,Pilocarpine HCl Ophth Soln 1%,157.95,126.36,43.86,142.16,27
NDC,69238183001,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,69238202708,Spironolactone Susp 25 MG/5ML,984.47,787.58,273.39,886.02,27
NDC,69238207801,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,69238207901,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,69238208001,Propranolol HCl Tab 60 MG,1.67,1.34,0.46,1.5,27
NDC,69238208101,Propranolol HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,69243201,COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML,461.63,369.31,131.1,415.47,36
NDC,69243210,COVID-19 mRNA Vac TriS-Pfizer IM Susp Pref Syr 30 MCG/0.3ML,461.63,369.31,131.1,415.47,36
NDC,69292053001,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,69292058201,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69303020,Doxorubicin HCl Inj 2 MG/ML,17.56,14.05,1.0,15.8,27
NDC,69303120,Doxorubicin HCl Inj 2 MG/ML,38.67,30.94,1.0,34.8,27
NDC,69303220,Doxorubicin HCl Inj 2 MG/ML,40.19,32.16,1.0,36.17,27
NDC,69303420,Doxorubicin HCl Inj 2 MG/ML,160.74,128.6,1.0,144.67,27
NDC,69315011610,Furosemide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,69315011701,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,69315011710,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,69315012701,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69315013601,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,69315013701,Benztropine Mesylate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69315013801,Benztropine Mesylate Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,69315015510,Hydrochlorothiazide Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,69315030615,Nystatin Topical Powder 100000 Unit/GM,48.6,38.88,13.5,43.74,27
NDC,69315030802,Ciprofloxacin HCl Ophth Soln 0.3%,18.12,14.5,5.03,16.31,27
NDC,69315030802,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),18.12,14.5,5.03,16.31,27
NDC,69315030805,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),26.87,21.5,7.46,24.18,27
NDC,69315031228,Hydrocortisone Perianal Cream 2.5%,29.94,23.96,8.31,26.95,27
NDC,69315032308,Phenylephrine HCl Ophth Soln 2.5%,22.67,18.14,6.3,20.4,27
NDC,69315050447,Nystatin Susp 100000 Unit/ML,1.5,1.2,0.42,1.35,27
NDC,69315070150,Ethacrynate Sodium For Inj 50 MG,2779.63,2223.71,771.9,2501.67,27
NDC,69315084,Azithromycin IV For Soln 500 MG,24.4,19.52,1.0,21.96,27
NDC,69315090401,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,69315090405,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,69315090410,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,69315090501,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69315090505,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69315090510,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,69315090601,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,69315090605,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,69315091001,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.5,1.2,0.42,1.35,27
NDC,69339013602,Diazepam Inj 5 MG/ML,35.5,28.4,1.0,31.95,27
NDC,69339013603,Diazepam Inj 5 MG/ML,34.78,27.83,1.0,31.3,27
NDC,69339013632,Diazepam Inj 5 MG/ML,35.5,28.4,1.0,31.95,27
NDC,69339013701,Diazepam Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,69339013705,Diazepam Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,69339014801,Sucralfate Susp 1 GM/10ML,13.8,11.04,3.83,12.42,27
NDC,69339015001,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,3.86,3.09,1.07,3.47,27
NDC,69339015019,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,4.48,3.59,1.24,4.03,27
NDC,69339017402,Nitroglycerin SL Tab 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,69339017441,Nitroglycerin SL Tab 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,69367016104,Salsalate Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,69367019050,Zoledronic Acid Inj Conc For IV Infusion 4 MG/5ML,184.22,147.38,1.0,165.8,27
NDC,69367020005,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,69367022001,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,69367034001,Carbidopa & Levodopa Tab 25-250 MG,1.5,1.2,0.42,1.35,27
NDC,69367061601,Salsalate Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,69374033005,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),27.0,21.6,0.15,24.3,54
NDC,69374054206,Methacholine Chloride Inhalation Soln Kit,97.88,78.31,1.0,88.09,27
NDC,69374092510,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),21.75,17.4,1.0,19.58,27
NDC,69419068,Sildenafil Citrate Tab 20 MG,44.96,35.97,12.49,40.46,27
NDC,69452013117,Dofetilide Cap 125 MCG (0.125 MG),4.01,3.21,1.11,3.61,27
NDC,69452013217,Dofetilide Cap 250 MCG (0.25 MG),9.02,7.22,2.5,8.12,27
NDC,69452014330,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,69452015020,Valproic Acid Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,69452020820,Calcitriol Cap 0.5 MCG,1.5,1.2,0.42,1.35,27
NDC,69452020907,Nimodipine Cap 30 MG,7.18,5.75,1.99,6.46,27
NDC,69452020913,Nimodipine Cap 30 MG,7.18,5.75,1.99,6.46,27
NDC,69452023420,Progesterone Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,69452027120,Loperamide HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,69452029020,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,69452031220,Carbamazepine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,69452033020,Terazosin HCl Cap 1 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,69452034660,Sumatriptan Succinate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,69452034672,Sumatriptan Succinate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,69452035001,Granisetron HCl Tab 1 MG,7.53,6.03,1.0,6.78,27
NDC,69452035011,Granisetron HCl Tab 1 MG,2.62,2.1,0.73,2.36,27
NDC,69452035092,Granisetron HCl Tab 1 MG,2.63,2.11,0.73,2.37,27
NDC,69452036420,Zaleplon Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,69468015104,Uridine Triacetate Oral Granules Packet 10 GM,30150.0,24120.0,8372.66,27135.0,27
NDC,69543013610,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,69543038130,Olanzapine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,69543045101,Potassium Chloride Powder Packet 20 mEq,7.43,5.95,2.06,6.69,27
NDC,69547401,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),130.2,104.16,5.19,117.18,27
NDC,69580043,Dofetilide Cap 125 MCG (0.125 MG),10.67,8.54,2.96,9.6,27
NDC,69581043,Dofetilide Cap 250 MCG (0.25 MG),10.67,8.54,2.96,9.6,27
NDC,69581060,Dofetilide Cap 250 MCG (0.25 MG),13.58,10.87,3.77,12.22,27
NDC,69584011110,Carisoprodol Tab 350 MG,1.5,1.2,0.42,1.35,27
NDC,69584036210,Hydrochlorothiazide Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,69584042710,Imipramine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,69600102,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),163.03,130.43,5.19,146.73,27
NDC,69600110,Fosphenytoin Sodium Inj 500 MG/10ML (Phenytoin Equiv),489.11,391.29,5.19,440.2,27
NDC,69600125,Fosphenytoin Sodium Inj 100 MG/2ML (Phenytoin Equiv),163.03,130.43,5.19,146.73,27
NDC,69618003301,Simethicone Chew Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,69623011034,Indigotindisulfonate Sodium Inj 8 MG/ML,86.13,68.91,23.92,77.52,27
NDC,69623023137,Aminocaproic Acid Inj 250 MG/ML,65.25,52.2,18.12,58.73,27
NDC,6962323239,Sodium Bicarbonate IV Soln 8.4%,78.08,62.47,1.0,70.27,27
NDC,69680011201,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,69680011210,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,69724011210,Sotalol HCl Inj 150 MG/10ML (15 MG/ML),143373.83,114699.07,20.67,129036.45,36
NDC,69784000306,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,21.0,16.8,1.0,18.9,27
NDC,69784023010,Sodium Acetate Inj 2 mEq/ML,51.77,41.42,14.38,46.59,27
NDC,69784023020,Sodium Acetate Inj 2 mEq/ML,60.9,48.72,16.91,54.81,27
NDC,69784023110,Sodium Acetate Inj 2 mEq/ML,100.49,80.4,27.91,90.44,27
NDC,69784024001,Carboprost Tromethamine IM Soln 250 MCG/ML,1248.89,999.12,346.82,1124.0,27
NDC,69784063025,Thioguanine Tab 40 MG,811.48,649.19,225.35,730.33,27
NDC,69784081001,Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10%,17149.5,13719.6,4762.42,15434.55,27
NDC,69794010201,Burosumab-twza Inj 10 MG/ML,12580.0,10064.0,433.52,11322.0,36
NDC,69794020301,Burosumab-twza Inj 20 MG/ML,25160.0,20128.0,433.52,22644.0,36
NDC,69794030401,Burosumab-twza Inj 30 MG/ML,37740.0,30192.0,433.52,33966.0,36
NDC,69911086502,Coagulation Factor IX (Recomb) (rIX-FP) For Inj 500 Unit,21.0,16.8,4.93,18.9,36
NDC,69911086902,Coagulation Factor IX (Recomb) (rIX-FP) For Inj 3500 Unit,21.0,16.8,5.83,18.9,27
NDC,69918010101,Desmopressin Acetate Tab 0.1 MG,2.65,2.12,0.74,2.39,27
NDC,69918020101,Desmopressin Acetate Tab 0.2 MG,2.65,2.12,0.74,2.39,27
NDC,69918030130,Tranexamic Acid Tab 650 MG,5.83,4.67,1.62,5.25,27
NDC,69918050105,Desmopressin Acetate Nasal Spray Soln 0.01%,130.41,104.33,36.21,117.37,27
NDC,69918072001,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),499.58,399.67,7.75,449.62,36
NDC,69918072010,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),499.58,399.67,7.75,449.62,36
NDC,69918073101,Isoproterenol HCl Inj 0.2 MG/ML,185.74,148.6,51.58,167.17,27
NDC,69918073110,Isoproterenol HCl Inj 0.2 MG/ML,185.74,148.6,51.58,167.17,27
NDC,69918073501,Isoproterenol HCl Inj 0.2 MG/ML,235.12,188.1,65.29,211.61,27
NDC,69918089901,Desmopressin Acetate Preservative Free (PF) Inj 4 MCG/ML,21.7,17.36,3.35,19.53,36
NDC,69918089910,Desmopressin Acetate Preservative Free (PF) Inj 4 MCG/ML,21.7,17.36,3.35,19.53,36
NDC,69918090110,Desmopressin Acetate Inj 4 MCG/ML,107.42,85.94,3.35,96.68,36
NDC,70000010801,Sodium Phosphates - Enema,2.15,1.72,0.6,1.94,27
NDC,70000016901,Trolamine Salicylate Cream 10%,6.89,5.52,1.91,6.2,27
NDC,70000017803,Aspirin Tab Delayed Release 81 MG,1.5,1.2,0.42,1.35,27
NDC,70000021802,Aspirin Tab Delayed Release 81 MG,1.5,1.2,0.42,1.35,27
NDC,70000027501,Camphor-Eucalyptus-Menthol - Oint,5.0,4.0,1.39,4.5,27
NDC,70000032301,Miconazole Nitrate Powder 2%,7.67,6.14,2.13,6.9,27
NDC,70000038801,Diphenhydramine-Zinc Acetate Cream 2-0.1%,3.25,2.6,0.9,2.93,27
NDC,70000041801,Loperamide HCl Soln 1 MG/7.5ML,1.5,1.2,0.42,1.35,27
NDC,70000043401,Simethicone Chew Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,70000044801,Mineral Oil,1.5,1.2,0.42,1.35,27
NDC,70000045701,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,14.3,11.44,3.97,12.87,27
NDC,70000045801,Phenol Liquid 1.4%,4.78,3.83,1.33,4.3,27
NDC,70000048001,Camphor-Eucalyptus-Menthol - Oint,2.7,2.16,0.75,2.43,27
NDC,70000054601,Camphor & Menthol Lotion 0.5-0.5%,10.79,8.64,3.0,9.71,27
NDC,70000055502,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),20.79,16.64,5.77,18.71,27
NDC,70000057501,Magnesium Citrate Soln,3.2,2.56,0.89,2.88,27
NDC,70000066301,Mineral Oil,1.5,1.2,0.42,1.35,27
NDC,70010000201,Colchicine Tab 0.6 MG,2.7,2.16,0.75,2.43,27
NDC,70010003001,Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG,1.5,1.2,0.42,1.35,27
NDC,70010003101,Amphetamine-Dextroamphetamine Cap ER 24HR 15 MG,1.5,1.2,0.42,1.35,27
NDC,70010003301,Amphetamine-Dextroamphetamine Cap ER 24HR 25 MG,1.5,1.2,0.42,1.35,27
NDC,70010006301,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,70010006401,Metformin HCl Tab 850 MG,1.5,1.2,0.42,1.35,27
NDC,70010013801,Naproxen Tab 375 MG,1.5,1.2,0.42,1.35,27
NDC,70010014901,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.5,1.2,0.42,1.35,27
NDC,70010075401,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,70010075405,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,70010077001,Methocarbamol Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,70010077005,Methocarbamol Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,70010078001,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,70069000501,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,70069001201,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,70069001301,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,70069001801,Acetylcysteine Inhal Soln 10%,50.81,40.65,14.11,45.73,27
NDC,70069001825,Acetylcysteine Inhal Soln 10%,50.81,40.65,14.11,45.73,27
NDC,70069002101,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,1.0,18.9,54
NDC,70069002125,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,1.0,18.9,54
NDC,70069003101,Haloperidol Decanoate IM Soln 100 MG/ML,103.43,82.75,1.0,93.09,27
NDC,70069005101,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,121.5,97.2,33.74,109.35,27
NDC,70069006101,Ropivacaine HCl Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,70069006110,Ropivacaine HCl Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,70069006401,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,70069006425,Ropivacaine HCl Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,70069007101,Naloxone HCl Inj 0.4 MG/ML,28.59,22.88,7.94,25.73,27
NDC,70069010105,Methocarbamol Inj 1000 MG/10ML,21.0,16.8,1.0,18.9,27
NDC,70069012101,Tropicamide Ophth Soln 1%,21.34,17.08,5.93,19.21,27
NDC,70069013101,Tobramycin Ophth Soln 0.3%,29.3,23.44,8.14,26.37,27
NDC,70069018101,Pilocarpine HCl Ophth Soln 1%,185.9,148.72,51.62,167.31,27
NDC,70069019101,Pilocarpine HCl Ophth Soln 2%,105.18,84.15,29.21,94.66,27
NDC,70069023101,Brimonidine Tartrate Ophth Soln 0.2%,7.75,6.2,2.15,6.98,27
NDC,70069026101,Nitroprusside Sodium IV Soln 25 MG/ML,61.6,49.28,17.11,55.44,27
NDC,70069027101,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70069027125,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70069036201,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,24.62,19.7,6.84,22.16,27
NDC,70069036210,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,24.62,19.7,6.84,22.16,27
NDC,70069036301,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,44.5,35.6,12.36,40.05,27
NDC,70069038301,Haloperidol Decanoate IM Soln 100 MG/ML,80.82,64.66,1.0,72.74,27
NDC,70069038310,Haloperidol Decanoate IM Soln 100 MG/ML,64.24,51.4,1.0,57.82,27
NDC,70069042101,Latanoprost Ophth Soln 0.005%,11.5,9.2,3.19,10.35,27
NDC,70069050101,Dorzolamide HCl Ophth Soln 2%,27.27,21.82,7.57,24.54,27
NDC,70069059701,Tetracaine HCl Ophth Soln 0.5%,199.14,159.32,55.3,179.23,27
NDC,70069061901,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,70069061925,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,70069067101,Nalbuphine HCl Inj 10 MG/ML,22.45,17.96,1.0,20.21,27
NDC,70069067110,Nalbuphine HCl Inj 10 MG/ML,22.45,17.96,1.0,20.21,27
NDC,70069074701,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",57.49,46.0,1.0,51.74,27
NDC,70069074725,"Potassium Phosphate Dibasic Inj 3 MMole/ML,Potassium Phosphates Inj 15 mM/5ML (Phos) 22 mEq/5ML (K),Potassium Phosphates Inj 45 mM/15ML (Phos) 66 mEq/15ML (K),Potassium Phosphates Inj 150 mM/50ML (Pho",57.49,46.0,1.0,51.74,27
NDC,70069077301,Calcium Chloride Inj 10%,21.0,16.8,5.83,18.9,27
NDC,70069077310,Calcium Chloride Inj 10%,21.0,16.8,5.83,18.9,27
NDC,70069080401,Sumatriptan Succinate Inj 6 MG/0.5ML,21.0,16.8,1.0,18.9,27
NDC,70069080405,Sumatriptan Succinate Inj 6 MG/0.5ML,21.0,16.8,1.0,18.9,27
NDC,70069080601,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.38,1.91,0.66,2.14,27
NDC,70069080610,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.38,1.91,0.66,2.14,27
NDC,70092101550,Sodium Bicarbonate IV Soln 8.4%,67.43,53.95,1.0,60.69,27
NDC,70092103036,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,89.18,71.35,1.0,80.26,54
NDC,70092106807,"Oxytocin 30 units/500 mL,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML",50.03,40.03,13.89,45.03,27
NDC,70092108746,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),126.32,101.06,1.0,113.69,27
NDC,70092109436,Fentanyl Citrate-NaCl 0.9% IV Soln 2 MG/100ML (20 MCG/ML),79.61,63.69,1.0,71.65,27
NDC,70092131046,Methohexital Sodium Soln Pref Syr 100 MG/10ML (10 MG/ML),138.33,110.67,38.41,124.5,27
NDC,70092138036,Morphine Sulfate-Sodium Chloride 0.9% IV Soln 100 MG/100ML,38.28,30.63,1.0,34.45,27
NDC,70092149317,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%,166.39,133.12,46.21,149.75,27
NDC,70092153243,Hydromorphone HCl-NaCl Soln Pref Syr 1 MG/ML-0.9%,21.0,16.8,1.0,18.9,27
NDC,70092153743,Morphine Sulfate-NaCl Soln Pref Syr 4 MG/ML-0.9%,21.4,17.12,5.94,19.26,27
NDC,70092155207,"Oxytocin 30 units/500 mL,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML",50.03,40.03,13.89,45.03,27
NDC,70092161144,"Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%",34.53,27.63,9.59,31.08,27
NDC,70092904505,Phenylephrine-NaCl IV Solution 50 MG/250ML-0.9%,174.0,139.2,48.32,156.6,27
NDC,70095002401,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,70100042402,Indocyanine Green For IV Soln 25 MG,275.41,220.33,76.48,247.87,27
NDC,70100042402,"Indocyanine Green For Inj 25 MG,Indocyanine Green For Inj Soln 25 MG",275.41,220.33,76.48,247.87,27
NDC,70100072501,Indocyanine Green For Inj Soln 25 MG,832.03,665.63,231.05,748.83,27
NDC,70100082502,Indocyanine Green For Inj Soln 25 MG,832.03,665.63,231.05,748.83,27
NDC,70114010101,Pegfilgrastim-cbqv Soln Prefilled Syringe 6 MG/0.6ML,3331.58,2665.27,101.02,2998.42,36
NDC,70114012001,Pegfilgrastim-cbqv Soln Auto-injector 6 MG/0.6ML,3288.86,2631.09,101.02,2959.97,36
NDC,70121104901,Triamcinolone Acetonide Inj Susp 40 MG/ML,30.45,24.36,1.0,27.41,27
NDC,70121104902,Triamcinolone Acetonide Inj Susp 40 MG/ML,30.23,24.19,1.0,27.21,27
NDC,70121104905,Triamcinolone Acetonide Inj Susp 40 MG/ML,30.44,24.36,1.0,27.4,27
NDC,70121116801,Triamcinolone Acetonide Inj Susp 40 MG/ML,30.45,24.36,1.0,27.41,27
NDC,70121123801,Cyclophosphamide For Inj 500 MG,422.8,338.24,0.46,380.52,36
NDC,70121123901,Cyclophosphamide For Inj 1 GM,256.73,205.39,0.46,231.06,36
NDC,70121124001,Cyclophosphamide For Inj 2 GM,1122.9,898.32,0.46,1010.61,36
NDC,70121145301,Meropenem IV For Soln 1 GM,41.33,33.07,1.0,37.2,27
NDC,70121145307,Meropenem IV For Soln 1 GM,21.0,16.8,1.0,18.9,27
NDC,70121147901,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),2.93,2.35,0.81,2.64,27
NDC,70121148202,Carmustine For Inj 100 MG,536.89,429.52,220.12,483.2,36
NDC,70121148301,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),104.37,83.5,7.75,93.93,36
NDC,70121148307,Arsenic Trioxide IV Soln 10 MG/10ML (1 MG/ML),104.37,83.5,7.75,93.93,36
NDC,70121156801,Filgrastim-ayow Soln Prefilled Syringe 300 MCG/0.5ML,199.67,159.74,0.35,179.7,36
NDC,70121157301,Methylprednisolone Acetate Inj Susp 40 MG/ML,30.62,24.5,0.11,27.56,36
NDC,70121157401,Methylprednisolone Acetate Inj Susp 80 MG/ML,25.27,20.22,0.11,22.74,36
NDC,70121157405,Methylprednisolone Acetate Inj Susp 80 MG/ML,25.27,20.22,0.11,22.74,36
NDC,70121157801,Phenylephrine HCl IV Soln 10 MG/ML,70.69,56.56,0.01,63.62,27
NDC,70121158501,Verapamil HCl IV Soln 2.5 MG/ML,21.45,17.16,5.96,19.31,27
NDC,70121158505,Verapamil HCl IV Soln 2.5 MG/ML,21.45,17.16,5.96,19.31,27
NDC,70121163001,Thiotepa For Inj 15 MG,250.67,200.54,10.01,225.6,36
NDC,70121163101,Thiotepa For Inj 100 MG,3492.27,2793.82,10.01,3143.04,36
NDC,70121163705,Ephedrine Sulfate IV Soln 50 MG/ML,49.2,39.36,13.66,44.28,27
NDC,70121164201,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,70121164207,Vasopressin IV Soln 20 Unit/ML (For IV Infusion),21.0,16.8,2.56,18.9,27
NDC,70121164401,Decitabine For Inj 50 MG,343.17,274.54,1.0,308.85,27
NDC,70121164701,Tigecycline For IV Soln 50 MG,175.65,140.52,1.0,158.09,27
NDC,70121164707,Tigecycline For IV Soln 50 MG,175.65,140.52,1.0,158.09,27
NDC,70121165101,Triamcinolone Acetonide Inj Susp 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,70121171909,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,70121175401,Bevacizumab-maly IV Soln 100 MG/4ML (For Infusion),614.05,491.24,35.93,552.65,36
NDC,70127010001,Cannabidiol Soln 100 MG/ML,4158.0,3326.4,1154.68,3742.2,27
NDC,70127010010,Cannabidiol Soln 100 MG/ML,4158.0,3326.4,1154.68,3742.2,27
NDC,70166025003,Hydromorphone HCl Liqd 1 MG/ML,1.5,1.2,0.42,1.35,27
NDC,70199002611,Vitamin A Inj 15 MG/ML (50000 Unit/ML),2323.16,1858.53,645.14,2090.84,27
NDC,70257005105,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,822.15,657.72,62.16,739.94,36
NDC,70257005151,Hepatitis B Immune Globulin (Human) Inj Soln 312 Unit/ML,699.3,559.44,62.16,629.37,36
NDC,70288070211,Atracurium Besylate IV Soln 100 MG/10ML,21.0,16.8,5.83,18.9,27
NDC,703005101,Methylprednisolone Acetate Inj Susp 80 MG/ML,21.0,16.8,0.11,18.9,36
NDC,703011303,Hydromorphone HCl Preservative Free (PF) Inj 10 MG/ML,26.14,20.92,7.26,23.53,27
NDC,703024101,Triamcinolone Acetonide Inj Susp 40 MG/ML,28.36,22.69,1.0,25.52,27
NDC,703024301,Triamcinolone Acetonide Inj Susp 40 MG/ML,21.0,16.8,1.0,18.9,27
NDC,703066601,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),1794.81,1435.85,51.97,1615.33,36
NDC,703067601,Treprostinil Inj Soln 50 MG/20ML (2.5 MG/ML),9872.34,7897.88,51.97,8885.11,36
NDC,703115301,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),68.21,54.57,18.94,61.39,27
NDC,703115303,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),68.21,54.57,18.94,61.39,27
NDC,703205601,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),90.05,72.04,25.01,81.05,27
NDC,703205603,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),90.05,72.04,25.01,81.05,27
NDC,703291401,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,703291403,Vecuronium Bromide For Inj 10 MG,21.0,16.8,5.83,18.9,27
NDC,703315401,Bleomycin Sulfate For Inj 15 Unit,183.27,146.62,1.0,164.94,27
NDC,703321801,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),111.15,88.92,1.0,100.04,27
NDC,703333301,Octreotide Acetate Inj 200 MCG/ML (0.2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,703367101,Methotrexate Sodium Inj PF 50 MG/2ML (25 MG/ML),12.0,9.6,1.0,10.8,27
NDC,703367801,Methotrexate Sodium Inj PF 1000 MG/40ML (25 MG/ML),88.92,71.14,1.0,80.03,27
NDC,703398601,Oxaliplatin IV Soln 100 MG/20ML,179.49,143.6,1.0,161.54,27
NDC,703415411,Idarubicin HCl IV Inj 5 MG/5ML (1 MG/ML),118.19,94.56,1.0,106.37,27
NDC,703415611,Idarubicin HCl IV Inj 20 MG/20ML (1 MG/ML),877.97,702.38,1.0,790.17,27
NDC,703423901,Carboplatin IV Soln 600 MG/60ML,150.82,120.66,1.0,135.74,27
NDC,703424401,Carboplatin IV Soln 50 MG/5ML,12.57,10.06,1.0,11.31,27
NDC,703424601,Carboplatin IV Soln 150 MG/15ML,24.37,19.5,1.0,21.93,27
NDC,703424801,Carboplatin IV Soln 450 MG/45ML,84.9,67.92,1.0,76.41,27
NDC,703424891,Carboplatin IV Soln 450 MG/45ML,84.9,67.92,1.0,76.41,27
NDC,703440211,Vincristine Sulfate IV Soln 1 MG/ML,54.42,43.54,1.0,48.98,27
NDC,703441211,Vincristine Sulfate IV Soln 1 MG/ML,32.71,26.17,1.0,29.44,27
NDC,703450201,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,703450204,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,703468001,Mitoxantrone HCl Inj Conc 25 MG/12.5ML (2 MG/ML),344.0,275.2,22.68,309.6,36
NDC,703468501,Mitoxantrone HCl Inj Conc 20 MG/10ML (2 MG/ML),394.27,315.42,22.68,354.84,36
NDC,703505401,Desmopressin Acetate Inj 4 MCG/ML,21.0,16.8,3.35,18.9,36
NDC,703507501,Dacarbazine For Inj 200 MG,36.24,29.0,1.0,32.62,27
NDC,703514501,Leucovorin Calcium For Inj 350 MG,71.56,57.25,1.0,64.4,27
NDC,703514591,Leucovorin Calcium For Inj 350 MG,73.08,58.47,1.0,65.77,27
NDC,703523313,Daunorubicin HCl IV Soln 20 MG/4ML (Base Equiv),251.37,201.1,20.61,226.23,36
NDC,703565301,"Etoposide Inj 20 MG/ML,Etoposide Inj 100MG/5ML (20 MG/ML)",36.11,28.89,1.0,32.5,27
NDC,703574711,Cisplatin Inj 50 MG/50ML (1 MG/ML),48.45,38.76,1.0,43.61,27
NDC,70377000114,Simvastatin Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,70377000414,Simvastatin Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,70377000812,Rosuvastatin Calcium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,70377000911,Rosuvastatin Calcium Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,70377001611,Tacrolimus Cap 5 MG,6.24,5.0,1.0,5.62,27
NDC,70377004612,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,70377006012,Labetalol HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,70377006112,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,70377006711,Prazosin HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,70377008111,Dorzolamide HCl Ophth Soln 2%,75.14,60.12,20.87,67.63,27
NDC,703853023,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,24.39,19.52,1.0,21.95,27
NDC,703877601,Adenosine IV Soln 3 MG/ML (Diagnostic),299.28,239.43,1.0,269.35,27
NDC,703877701,Adenosine IV Soln 3 MG/ML (Diagnostic),697.64,558.12,1.0,627.88,27
NDC,703903201,Amikacin Sulfate Inj 500 MG/2ML (250 MG/ML),25.14,20.12,1.0,22.63,27
NDC,703904003,Amikacin Sulfate Inj 1 GM/4ML (250 MG/ML),50.34,40.28,1.0,45.31,27
NDC,703950301,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,25.01,20.01,6.95,22.51,27
NDC,703950303,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,25.01,20.01,6.95,22.51,27
NDC,703951403,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,27.41,21.93,7.61,24.67,27
NDC,703952601,Sulfamethoxazole-Trimethoprim IV Soln 400-80 MG/5ML,149.94,119.96,41.64,134.95,27
NDC,70408023932,Nitrofurantoin Susp 25 MG/5ML,249.97,199.98,69.42,224.97,27
NDC,70436000704,Cinacalcet HCl Tab 30 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,70436000804,Cinacalcet HCl Tab 60 MG (Base Equiv),1.6,1.28,0.44,1.44,27
NDC,70436000904,Cinacalcet HCl Tab 90 MG (Base Equiv),2.62,2.1,0.73,2.36,27
NDC,70436001204,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.57,1.26,0.44,1.41,27
NDC,70436001304,Desvenlafaxine Succinate Tab ER 24HR 100 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,70436001982,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,70436002182,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,70436002382,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),104.84,83.88,29.11,94.36,27
NDC,70436002680,Eptifibatide IV Soln 20 MG/10ML (2 MG/ML),80.04,64.04,1.7,72.04,27
NDC,70436002780,Eptifibatide IV Soln 75 MG/100ML (0.75 MG/ML),237.08,189.67,1.7,213.37,27
NDC,70436003082,Acyclovir Sodium IV Soln 50 MG/ML,303.11,242.49,1.0,272.8,27
NDC,70436005006,Cilostazol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,70436005106,Cilostazol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,70436005801,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,70436005802,Bupropion HCl Tab ER 12HR 100 MG,1.5,1.2,0.42,1.35,27
NDC,70436005901,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,70436005902,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,70436008955,Ganciclovir Sodium For Inj 500 MG,126.19,100.96,1.0,113.57,27
NDC,70436009205,Aspirin-Dipyridamole Cap ER 12HR 25-200 MG,6.43,5.15,1.79,5.79,27
NDC,70436017323,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),1.5,1.2,0.42,1.35,27
NDC,70436018301,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,70436020201,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,70461002503,Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML,205.76,164.61,53.27,185.18,36
NDC,70461002504,Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML,276.49,221.2,53.27,248.84,36
NDC,70461065503,Influenza Virus Vac Tiss-Cult Subunit Susp Pref Syr 0.5 ML,83.19,66.56,22.29,74.87,36
NDC,70461065504,Influenza Virus Vac Tiss-Cult Subunit Susp Pref Syr 0.5 ML,83.19,66.56,22.29,74.87,36
NDC,70512084001,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,70512084025,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,70512084201,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,70512086605,Phenylephrine HCl Ophth Soln 10%,51.44,41.16,14.28,46.3,27
NDC,70515026010,Digoxin Inj 0.25 MG/ML,464.54,371.64,1.0,418.09,27
NDC,70515026210,Digoxin Inj 0.1 MG/ML,374.8,299.84,1.0,337.32,27
NDC,70594002301,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),112.93,90.35,1.0,101.64,54
NDC,70594002601,Bacitracin Intramuscular For Soln 50000 Unit,21.0,16.8,5.83,18.9,27
NDC,70594002602,Bacitracin Intramuscular For Soln 50000 Unit,21.0,16.8,5.83,18.9,27
NDC,70594003501,Tigecycline For IV Soln 50 MG,71.94,57.56,1.0,64.75,27
NDC,70594004801,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),854.78,683.83,237.37,769.3,27
NDC,70594005301,Daptomycin For IV Soln 350 MG,53.29,42.64,0.03,47.96,36
NDC,70594008201,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,23.82,19.06,1.0,21.44,27
NDC,70594008401,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,70594008402,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,70594011101,Acetylcysteine Inj 200 MG/ML,92.79,74.24,1.0,83.51,27
NDC,70594011102,Acetylcysteine Inj 200 MG/ML,92.79,74.24,1.0,83.51,27
NDC,70655000206,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,21.0,16.8,1.0,18.9,27
NDC,70655008806,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,26.1,20.88,1.0,23.49,27
NDC,70655008810,Fluconazole in NaCl 0.9% Inj 400 MG/200ML,21.0,16.8,1.0,18.9,27
NDC,70700010917,Clobetasol Propionate Cream 0.05%,110.48,88.39,30.68,99.43,27
NDC,70700015001,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,70700016722,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,70700016725,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,70700017222,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),3.95,3.16,1.0,3.56,27
NDC,70700018622,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),129.11,103.29,1.0,116.2,27
NDC,70700018623,Fluorouracil IV Soln 500 MG/10ML (50 MG/ML),12.91,10.33,1.0,11.62,27
NDC,70700018922,Fluorouracil IV Soln 5 GM/100ML (50 MG/ML),117.99,94.4,1.0,106.19,27
NDC,70700024925,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70700026330,Lansoprazole Cap Delayed Release 30 MG,1.5,1.2,0.42,1.35,27
NDC,70700026894,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),161.54,129.24,44.86,145.39,27
NDC,70700026899,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),138.56,110.85,38.48,124.7,27
NDC,70700027897,Melphalan HCl For Inj 50 MG (Base Equiv),469.72,375.78,91.11,422.75,36
NDC,70700028922,Testosterone Cypionate IM Inj in Oil 200 MG/ML,21.0,16.8,1.0,18.9,27
NDC,70700090222,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),32.27,25.82,0.43,29.04,36
NDC,70700090225,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),32.27,25.82,0.43,29.04,36
NDC,70710100802,Oseltamivir Phosphate Cap 30 MG (Base Equiv),23.22,18.58,6.45,20.9,27
NDC,70710101002,Oseltamivir Phosphate Cap 75 MG (Base Equiv),25.3,20.24,7.03,22.77,27
NDC,70710115903,Mirabegron Tab ER 24 HR 25 MG,29.19,23.36,8.11,26.27,27
NDC,70710116701,Atenolol & Chlorthalidone Tab 50-25 MG,1.5,1.2,0.42,1.35,27
NDC,70710116801,Atenolol & Chlorthalidone Tab 100-25 MG,1.57,1.26,0.44,1.41,27
NDC,70710119801,Rivastigmine TD Patch 24HR 13.3 MG/24HR,10.67,8.54,2.96,9.6,27
NDC,70710120801,Plerixafor Subcutaneous Inj 24 MG/1.2ML (20 MG/ML),2351.7,1881.36,24.06,2116.53,36
NDC,70710120901,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,70710121001,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,70710121005,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,70710122801,Amitriptyline HCl Tab 75 MG,1.59,1.28,0.44,1.43,27
NDC,70710122901,Amitriptyline HCl Tab 100 MG,2.15,1.72,0.6,1.94,27
NDC,70710128901,Triazolam Tab 0.25 MG,2.3,1.84,0.64,2.07,27
NDC,70710135901,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),22.62,18.1,1.0,20.36,27
NDC,70710135906,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),22.62,18.1,1.0,20.36,27
NDC,70710145701,Azithromycin For Susp 100 MG/5ML,3.24,2.6,0.9,2.92,27
NDC,70710146002,Azithromycin For Susp 200 MG/5ML,4.81,3.85,1.97,25.19,27
NDC,70710147801,Fomepizole Inj 1 GM/ML (For IV Infusion),1892.55,1514.04,5.96,1703.3,36
NDC,70710152101,Triazolam Tab 0.125 MG,3.4,2.72,0.94,3.06,27
NDC,70710152509,Carmustine For Inj 100 MG,840.1,672.08,226.53,756.09,36
NDC,70710153101,Doxorubicin HCl Liposomal Susp (For IV Infusion) 2 MG/ML,1482.0,1185.6,94.03,1333.8,38
NDC,70710161306,Varenicline Tartrate Tab 0.5 MG (Base Equiv),11.44,9.16,3.18,10.3,27
NDC,70710161406,Varenicline Tartrate Tab 1 MG (Base Equiv),2.45,1.96,0.68,2.21,27
NDC,70710164301,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70710164307,Verapamil HCl IV Soln 2.5 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70710166801,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,70710171001,Ketorolac Tromethamine Tab 10 MG,2.2,1.76,0.61,1.98,27
NDC,70710172601,Nelarabine IV Soln 5 MG/ML,695.12,556.1,75.87,625.61,36
NDC,70710172608,Nelarabine IV Soln 5 MG/ML,695.12,556.1,75.87,625.61,36
NDC,70710187707,Zinc Sulfate Inj 3 MG/ML,90.18,72.15,25.04,81.16,27
NDC,70731012401,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,7073194001,Morphine Sulfate IV Soln PF 10 MG/ML,36.06,28.85,1.0,32.45,27
NDC,70748013006,Leflunomide Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,70748025807,Posaconazole Tab Delayed Release 100 MG,32.88,26.31,9.13,29.59,27
NDC,70752011303,Lidocaine Oint 5%,25.64,20.52,7.12,23.08,27
NDC,70752015304,Clobetasol Propionate Soln 0.05%,140.54,112.44,39.03,126.49,27
NDC,70756000211,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,70756001402,Nitroglycerin SL Tab 0.4 MG,7.16,5.73,1.99,6.44,27
NDC,70756001405,Nitroglycerin SL Tab 0.4 MG,6.48,5.19,1.8,5.83,27
NDC,70756020111,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,70756020311,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,70756020411,Amitriptyline HCl Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,70756020611,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,70756021490,Fenofibrate Tab 54 MG,1.5,1.2,0.42,1.35,27
NDC,70756021551,Fenofibrate Tab 160 MG,1.5,1.2,0.42,1.35,27
NDC,70756021590,Fenofibrate Tab 160 MG,1.5,1.2,0.42,1.35,27
NDC,70756040411,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,70756042322,Omega-3-acid Ethyl Esters Cap 1 GM,1.5,1.2,0.42,1.35,27
NDC,70756043011,Prazosin HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,70756044011,Prazosin HCl Cap 5 MG,1.5,1.2,0.42,1.35,27
NDC,70756060730,Ofloxacin Ophth Soln 0.3%,37.58,30.07,10.44,33.82,27
NDC,70756061125,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70756061182,Ephedrine Sulfate IV Soln 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70756061430,Phenylephrine HCl Ophth Soln 10%,100.28,80.23,27.85,90.25,27
NDC,70756062125,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,70756062182,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,70756062210,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,70756062925,Phenylephrine HCl Ophth Soln 2.5%,54.81,43.85,15.22,49.33,27
NDC,70756064185,Lidocaine HCl Local Preservative Free (PF) Inj 1%,21.0,16.8,5.83,18.9,27
NDC,70756064525,Lidocaine HCl Local Inj 1%,21.0,16.8,5.83,18.9,27
NDC,70756064935,Phenylephrine HCl Ophth Soln 2.5%,225.42,180.34,62.6,202.88,27
NDC,70756065825,Naloxone HCl Inj 0.4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70756065882,Naloxone HCl Inj 0.4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,70756070360,Ranolazine Tab ER 12HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,70756080630,Lansoprazole Cap Delayed Release 15 MG,1.5,1.2,0.42,1.35,27
NDC,70756081560,Capecitabine Tab 150 MG,1.5,1.2,0.03,1.35,36
NDC,70756081622,Capecitabine Tab 500 MG,1.5,1.2,0.03,1.35,36
NDC,70839036204,Cocaine HCl Nasal Soln 40 MG/ML (4%),1122.39,897.92,1.56,1010.15,27
NDC,70842012006,Meropenem-Vaborbactam For IV Soln 2 GM (1-1 GM),718.4,574.72,2.07,646.56,36
NDC,70842016001,Minocycline HCl IV For Soln 100 MG,962.76,770.21,2.47,866.48,36
NDC,70860010010,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,70860010041,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,70860011626,Nafcillin Sodium For Inj 1 GM,21.88,17.51,6.08,19.69,27
NDC,70860011726,Nafcillin Sodium For Inj 2 GM,34.8,27.84,9.66,31.32,27
NDC,70860011741,Nafcillin Sodium For Inj 2 GM,34.8,27.84,9.66,31.32,27
NDC,70860011999,Nafcillin Sodium For IV Soln 10 GM,269.09,215.28,74.73,242.18,27
NDC,70860012541,Azithromycin IV For Soln 500 MG,21.0,16.8,1.0,18.9,27
NDC,70860012641,Penicillin G Potassium For Inj 5000000 Unit,21.0,16.8,1.0,18.9,27
NDC,70860012751,Penicillin G Potassium For Inj 20000000 Unit,139.37,111.5,1.0,125.43,27
NDC,70860020050,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),99.47,79.58,1.0,89.52,27
NDC,70860020825,Doxorubicin HCl Inj 2 MG/ML,22.09,17.68,1.0,19.88,27
NDC,70860021461,Melphalan HCl For Inj 50 MG (Base Equiv),342.43,273.95,91.11,308.19,36
NDC,70860021920,Decitabine For Inj 50 MG,165.16,132.13,1.0,148.64,27
NDC,70860022510,Bortezomib For Inj 3.5 MG,181.49,145.2,2.29,163.34,27
NDC,70860030005,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,70860030041,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,70860030141,Diltiazem HCl IV Soln 25 MG/5ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,70860030143,Diltiazem HCl IV Soln 125 MG/25ML (5 MG/ML),21.0,16.8,5.83,18.9,27
NDC,70860040010,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,70860040010,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,70860040041,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,70860040041,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,70860040241,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),414.64,331.72,1.0,373.18,27
NDC,70860045110,Levothyroxine Sodium For IV Inj 100 MCG,382.84,306.28,106.31,344.56,27
NDC,70860045401,Desmopressin Acetate Inj 4 MCG/ML,22.37,17.9,3.35,20.13,36
NDC,70860045441,Desmopressin Acetate Inj 4 MCG/ML,22.37,17.9,3.35,20.13,36
NDC,70860060110,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,70860060141,Midazolam HCl Inj 25 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,70860060142,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,70860060502,Dexmedetomidine HCl IV Soln 200 MCG/2ML,22.27,17.82,6.18,20.04,27
NDC,70860060503,Dexmedetomidine HCl IV Soln 200 MCG/2ML,22.36,17.89,6.21,20.12,27
NDC,70860060541,Dexmedetomidine HCl IV Soln 200 MCG/2ML,22.36,17.89,6.21,20.12,27
NDC,70860070101,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,70860070101,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,70860070102,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,36
NDC,70860077602,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,70860077720,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,70860077802,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,70860077841,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,70954001910,Prazosin HCl Cap 1 MG,1.5,1.2,0.42,1.35,27
NDC,70954005110,Felbamate Susp 600 MG/5ML,4.43,3.55,1.23,3.99,27
NDC,70954005810,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,70954013510,Dapsone Tab 25 MG,2.48,1.99,0.69,2.23,27
NDC,70954013610,Dapsone Tab 100 MG,3.16,2.53,0.88,2.84,27
NDC,70954013910,Levocarnitine Oral Soln 1 GM/10ML (10%),2.28,1.83,0.63,2.05,27
NDC,70954014010,Levocarnitine Oral Soln 1 GM/10ML (10%),3.27,2.62,0.91,2.94,27
NDC,70954018810,Acyclovir Susp 200 MG/5ML,4.29,3.44,1.19,3.86,27
NDC,70954020110,Digoxin Tab 125 MCG (0.125 MG),1.5,1.2,0.42,1.35,27
NDC,70954020210,Digoxin Tab 250 MCG (0.25 MG),1.5,1.2,0.42,1.35,27
NDC,70954021210,Trihexyphenidyl HCl Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,70954025220,Fludrocortisone Acetate Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,70954025810,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,1.84,1.48,0.51,1.66,27
NDC,70954027510,Fluphenazine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,70954031610,Famotidine For Susp 40 MG/5ML,5.35,4.28,1.49,4.82,27
NDC,70954031910,Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv),14.72,11.78,4.09,13.25,27
NDC,70954044310,Misoprostol Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,70954044410,Misoprostol Tab 200 MCG,2.42,1.94,0.67,2.18,27
NDC,70954045520,Bisoprolol Fumarate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,70954048430,Pyrazinamide Tab 500 MG,9.75,7.8,2.71,8.78,27
NDC,70954048810,Lacosamide Oral Solution 10 MG/ML,77.76,62.21,21.59,69.98,27
NDC,70954049610,Nitrofurantoin Susp 25 MG/5ML,155.47,124.38,43.17,139.92,27
NDC,70954056510,Estradiol Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,70954060010,Fluoxetine HCl Solution 20 MG/5ML,1.62,1.3,0.45,1.46,27
NDC,70954066210,Ketoconazole Shampoo 2%,26.57,21.26,7.38,23.91,27
NDC,71000724,Phenytoin Chew Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,71015523,Atorvastatin Calcium Tab 10 MG (Base Equivalent),21.06,16.85,5.85,18.95,27
NDC,71015623,Atorvastatin Calcium Tab 20 MG (Base Equivalent),30.05,24.04,8.34,27.05,27
NDC,71015723,Atorvastatin Calcium Tab 40 MG (Base Equivalent),30.05,24.04,8.34,27.05,27
NDC,71036932,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,71041724,Nitroglycerin SL Tab 0.3 MG,50.76,40.61,14.1,45.68,27
NDC,71041813,Nitroglycerin SL Tab 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,71041924,Nitroglycerin SL Tab 0.6 MG,1.5,1.2,0.42,1.35,27
NDC,71101268,Pregabalin Cap 25 MG,17.42,13.94,4.84,15.68,27
NDC,71101341,Pregabalin Cap 50 MG,20.66,16.53,5.74,18.59,27
NDC,71101368,Pregabalin Cap 50 MG,17.42,13.94,4.84,15.68,27
NDC,71101441,Pregabalin Cap 75 MG,22.57,18.06,6.27,20.31,27
NDC,71101468,Pregabalin Cap 75 MG,15.9,12.72,4.42,14.31,27
NDC,71101541,Pregabalin Cap 100 MG,20.66,16.53,5.74,18.59,27
NDC,71101568,Pregabalin Cap 100 MG,14.53,11.63,4.03,13.08,27
NDC,71101641,Pregabalin Cap 150 MG,8.8,7.04,2.44,7.92,27
NDC,71101668,Pregabalin Cap 150 MG,17.42,13.94,4.84,15.68,27
NDC,71225010501,Hydroxyprogesterone Caproate IM 250 MG/ML,517.22,413.78,8.85,465.5,27
NDC,71225012605,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,115.06,92.05,31.95,103.55,27
NDC,71225013201,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,47.63,38.11,13.23,42.87,27
NDC,71225013202,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,47.63,38.11,13.23,42.87,27
NDC,71247015001,Haloperidol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,71247015201,Haloperidol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,71266200102,Succinylcholine Chloride Sol Pref Syr 200 MG/10ML (20 MG/ML),45.54,36.44,1.0,40.99,27
NDC,71266510001,"Oxytocin 30 units/500 mL,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML",65.25,52.2,18.12,58.73,27
NDC,71266525001,Phenylephrine-NaCl IV Solution 50 MG/250ML-0.9%,150.08,120.07,41.68,135.07,27
NDC,71266821105,Tropicamide-Cyclopentolate-Phenylephrine Ophth Soln 1-1-2.5%,176.18,140.95,48.93,158.56,27
NDC,71266907002,Ketamine HCl Soln Inj Pref Syringe 50 MG/ML,21.66,17.33,6.01,19.49,27
NDC,71285000901,Cardioplegic Soln,759.08,607.27,210.8,683.17,27
NDC,71285010101,Cardioplegic Soln,628.58,502.87,174.56,565.72,27
NDC,71285010401,Cardioplegic Soln,978.75,783.0,271.8,880.88,27
NDC,71288000520,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,71288000630,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,25.62,20.5,1.0,23.06,27
NDC,71288000631,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,32.02,25.62,1.0,28.82,27
NDC,71288001615,Daptomycin For IV Soln 500 MG,69.34,55.48,1.0,62.41,27
NDC,71288001715,Daptomycin For IV Soln 350 MG,100.49,80.4,1.0,90.44,27
NDC,71288002910,Micafungin Sodium For IV Soln 100 MG,179.34,143.48,1.0,161.41,27
NDC,71288002911,Micafungin Sodium For IV Soln 100 MG,179.34,143.48,1.0,161.41,27
NDC,71288003120,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,71288003121,Ampicillin & Sulbactam Sodium For Inj 1.5 (1-0.5) GM,21.0,16.8,1.0,18.9,27
NDC,71288003220,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,71288003221,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,71288010120,Oxaliplatin IV Soln 100 MG/20ML,51.76,41.41,1.0,46.58,27
NDC,71288011530,Azacitidine For Inj 100 MG,96.3,77.04,0.37,86.67,27
NDC,71288011610,Busulfan Inj 6 MG/ML,181.61,145.29,0.84,163.45,36
NDC,71288011611,Busulfan Inj 6 MG/ML,181.61,145.29,0.84,163.45,36
NDC,71288011706,Gemcitabine HCl Inj 200 MG/5.26ML (38 MG/ML) (Base Equiv),14.71,11.77,1.0,13.24,27
NDC,71288011728,Gemcitabine HCl Inj 1 GM/26.3ML (38 MG/ML) (Base Equiv),29.53,23.63,1.0,26.58,27
NDC,71288011810,Bortezomib For Inj 3.5 MG,55.75,44.6,2.29,50.18,27
NDC,71288011920,Decitabine For Inj 50 MG,137.8,110.24,1.0,124.02,27
NDC,71288012690,Carmustine For Inj 100 MG,874.85,699.88,226.53,787.37,36
NDC,71288012820,Clofarabine IV Soln 1 MG/ML,364.46,291.57,3.98,328.01,36
NDC,71288013015,Melphalan HCl For Inj 50 MG (Base Equiv),635.07,508.06,91.11,571.56,36
NDC,71288013290,Melphalan HCl For Inj 50 MG (Base Equiv),280.01,224.01,91.11,252.01,36
NDC,71288013720,Mitomycin For IV Soln 5 MG,579.99,464.0,19.33,521.99,36
NDC,71288013850,Mitomycin For IV Soln 20 MG,1103.81,883.05,19.33,993.43,36
NDC,71288014416,Docetaxel Soln for IV Infusion 160 MG/16ML,178.34,142.68,1.0,160.51,27
NDC,71288015605,Thiotepa For Inj 15 MG,334.3,267.44,10.01,300.87,36
NDC,71288016230,Leucovorin Calcium For Inj 200 MG,104.36,83.49,1.0,93.92,27
NDC,71288016610,Pemetrexed Disodium For IV Soln 100 MG (Base Equiv),45.98,36.79,3.22,41.38,36
NDC,71288020185,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),50.9,40.72,1.0,45.81,27
NDC,71288020302,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,71288020303,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,71288020304,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,71288020305,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,71288020310,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,71288020311,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,71288030301,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,71288030302,Cyanocobalamin Inj 1000 MCG/ML,21.0,16.8,1.0,18.9,27
NDC,71288040210,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,71288040230,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,71288040231,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,71288040401,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,71288040402,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,27
NDC,71288040905,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,71288041505,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),16.66,13.33,0.43,14.99,36
NDC,71288041506,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),16.66,13.33,0.43,14.99,36
NDC,71288042603,Enoxaparin Sodium Inj 300 MG/3ML,80.69,64.56,1.0,72.62,27
NDC,71288043280,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,71288043281,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,71288043382,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.27,19.42,1.0,21.84,27
NDC,71288043383,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.27,19.42,1.0,21.84,27
NDC,71288050301,Haloperidol Decanoate IM Soln 100 MG/ML,29.36,23.49,1.0,26.42,27
NDC,71288050302,Haloperidol Decanoate IM Soln 100 MG/ML,29.36,23.49,1.0,26.42,27
NDC,71288050502,Dexmedetomidine HCl IV Soln 200 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,71288050503,Dexmedetomidine HCl IV Soln 200 MCG/2ML,21.0,16.8,5.83,18.9,27
NDC,71288060010,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,71288060011,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,71288070005,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,71288070006,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,71288070105,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,71288070106,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,71288070210,Atracurium Besylate IV Soln 100 MG/10ML,21.0,16.8,5.83,18.9,27
NDC,71288073320,Ropivacaine HCl Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,71288073321,Ropivacaine HCl Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,71288080202,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,71288080204,Doxercalciferol Inj 4 MCG/2ML (2 MCG/ML),21.0,16.8,1.0,18.9,27
NDC,71288080320,Mycophenolate Mofetil HCl For IV Soln 500 MG (Base Equiv),137.03,109.63,0.74,123.33,27
NDC,713010106,Glycerin Suppos 2 GM,1.5,1.2,0.42,1.35,27
NDC,713013506,Prochlorperazine Suppos 25 MG,15.26,12.21,4.24,13.73,27
NDC,713013512,Prochlorperazine Suppos 25 MG,21.35,17.08,5.93,19.22,27
NDC,713022415,Fluocinolone Acetonide Oint 0.025%,60.06,48.05,16.68,54.05,27
NDC,713022460,Fluocinolone Acetonide Oint 0.025%,106.92,85.54,29.69,96.23,27
NDC,713022531,Triamcinolone Acetonide Cream 0.1%,10.04,8.04,2.79,9.04,27
NDC,713022815,Triamcinolone Acetonide Oint 0.1%,9.92,7.94,2.75,8.93,27
NDC,713026831,Neomycin-Bacitracin-Polymyxin Oint,6.82,5.46,1.89,6.14,27
NDC,713035102,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,713035125,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,713050301,Hydrocortisone Acetate Suppos 25 MG,22.28,17.83,6.19,20.05,27
NDC,713050306,Hydrocortisone Acetate Suppos 25 MG,10.67,8.54,2.96,9.6,27
NDC,713050312,Hydrocortisone Acetate Suppos 25 MG,25.54,20.44,7.09,22.99,27
NDC,713052606,Promethazine HCl Suppos 25 MG,8.94,7.16,2.48,8.05,27
NDC,713052612,Promethazine HCl Suppos 25 MG,14.74,11.8,4.09,13.27,27
NDC,713053606,Promethazine HCl Suppos 12.5 MG,19.01,15.21,5.28,17.11,27
NDC,713053612,Promethazine HCl Suppos 12.5 MG,21.35,17.08,5.93,19.22,27
NDC,713055273,Terconazole Vaginal Suppos 80 MG,184.36,147.49,51.2,165.92,27
NDC,713065540,Triamcinolone Acetonide Dental Paste 0.1%,79.54,63.64,22.09,71.59,27
NDC,713067815,Nystatin Cream 100000 Unit/GM,11.79,9.44,3.27,10.61,27
NDC,713068215,Gentamicin Sulfate Oint 0.1%,74.52,59.62,20.69,67.07,27
NDC,713068315,Gentamicin Sulfate Cream 0.1%,69.26,55.41,19.23,62.33,27
NDC,713068331,Gentamicin Sulfate Cream 0.1%,90.96,72.77,25.26,81.86,27
NDC,713068615,Nystatin Oint 100000 Unit/GM,9.19,7.36,2.55,8.27,27
NDC,713068631,Nystatin Oint 100000 Unit/GM,14.9,11.92,4.14,13.41,27
NDC,71351002305,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,71351002310,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,27
NDC,71374066,Phenytoin Sodium Extended Cap 30 MG,1.5,1.2,0.42,1.35,27
NDC,71399005101,Magnesium Citrate Soln,8.79,7.04,2.44,7.91,27
NDC,71399102701,Diphenhydramine HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,71449000115,Phenylephrine HCl IV Soln Pref Syr 1 MG/10ML (100 MCG/ML),35.7,28.56,1.0,32.13,27
NDC,71449009144,Bevacizumab Intravitreal Soln Pref Syr 3.25 MG/0.13ML,287.1,229.68,1.0,258.39,27
NDC,71449009190,Bevacizumab Intravitreal Soln Pref Syr 2.75 MG/0.11ML,287.1,229.68,1.0,258.39,27
NDC,71449009199,Bevacizumab Intravitreal Soln Pref Syr 2.25 MG/0.09ML,263.17,210.54,73.08,236.85,27
NDC,71449009246,Tropicamide-Cyclopentolate-Phenylephrine Ophth Soln 1-1-2.5%,1.94,1.56,0.54,1.75,27
NDC,71656002115,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),6.97,5.58,1.94,6.27,27
NDC,71656002150,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),6.97,5.58,1.94,6.27,27
NDC,71656004215,Triamcinolone Acetonide Cream 0.1%,7.37,5.9,2.05,6.63,27
NDC,71837584301,Sargramostim Lyophilized For Inj 250 MCG,1168.37,934.7,47.85,1051.53,36
NDC,71837584305,Sargramostim Lyophilized For Inj 250 MCG,1168.37,934.7,47.85,1051.53,36
NDC,71839010401,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),88.87,71.1,1.0,79.98,27
NDC,71839011010,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,21.0,16.8,1.0,18.9,27
NDC,71839011110,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.0,16.8,1.0,18.9,27
NDC,71839012201,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,71839012225,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,71839012501,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),20.8,16.64,0.43,18.72,36
NDC,71839012525,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),20.8,16.64,0.43,18.72,36
NDC,71863020206,Phenylephrine HCl (PF) IV Soln 0.5 MG/5ML (100 MCG/ML),41.02,32.82,0.18,36.92,27
NDC,71894013507,Onasemnogene Abeparvovec-xioi 7x8.3 ML Susp Kit,2704250.0,2163400.0,1108742.5,2577866.14,36
NDC,71930002012,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,71930005512,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,72078003400,Remifentanil HCl For IV Soln 1 MG,199.15,159.32,55.3,179.24,27
NDC,72078003401,Remifentanil HCl For IV Soln 1 MG,199.15,159.32,55.3,179.24,27
NDC,72078003500,Remifentanil HCl For IV Soln 2 MG,388.49,310.8,107.88,349.64,27
NDC,72078003502,Remifentanil HCl For IV Soln 2 MG,388.49,310.8,107.88,349.64,27
NDC,72140000022,Skin Protectants Misc - Cream,16.48,13.19,4.58,14.83,27
NDC,72140000375,Emollient - Ointment,14.85,11.88,4.12,13.37,27
NDC,72196703901,Phenylephrine-NaCl IV Solution 50 MG/250ML-0.9%,119.63,95.71,33.22,107.67,27
NDC,72205000490,Rosuvastatin Calcium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,72205000590,Rosuvastatin Calcium Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,72205000891,Trientine HCl Cap 250 MG,11.23,8.99,3.12,10.11,27
NDC,72205001590,Pregabalin Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,72205001901,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),363.04,290.44,100.82,326.74,27
NDC,72205002830,Febuxostat Tab 40 MG,2.24,1.8,0.62,2.02,27
NDC,72205002930,Febuxostat Tab 80 MG,3.21,2.57,0.89,2.89,27
NDC,72205003101,Decitabine For Inj 50 MG,248.95,199.16,1.0,224.06,27
NDC,72205003960,Dofetilide Cap 125 MCG (0.125 MG),1.5,1.2,0.42,1.35,27
NDC,72205004060,Dofetilide Cap 250 MCG (0.25 MG),1.5,1.2,0.42,1.35,27
NDC,72205004501,Thiotepa For Inj 15 MG,308.03,246.43,10.01,277.23,36
NDC,72205004601,Thiotepa For Inj 100 MG,5751.55,4601.24,10.01,5176.4,36
NDC,72205005401,Fosaprepitant Dimeglumine For IV Infusion 150 MG (Base Eq),112.88,90.31,1.0,101.59,27
NDC,72205006078,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),2.09,1.68,0.58,1.88,27
NDC,72205006301,Paclitaxel IV Conc 300 MG/50ML (6 MG/ML),126.97,101.58,1.0,114.27,27
NDC,72205010101,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,72205010107,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,72205010201,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,72205010207,Bumetanide Inj 0.25 MG/ML,21.0,16.8,0.35,18.9,36
NDC,72205020030,Roflumilast Tab 500 MCG,1.5,1.2,0.42,1.35,27
NDC,72205022001,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72205022007,Lacosamide IV Inj 200 MG/20ML (10 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72205028060,Sacubitril-Valsartan Tab 24-26 MG,3.34,2.68,0.93,3.01,27
NDC,72205028160,Sacubitril-Valsartan Tab 49-51 MG,3.34,2.68,0.93,3.01,27
NDC,72205028260,Sacubitril-Valsartan Tab 97-103 MG,3.34,2.68,0.93,3.01,27
NDC,72241001203,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,72266010101,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),788.25,630.6,59.91,709.43,36
NDC,72266010201,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,72266010801,Clofarabine IV Soln 1 MG/ML,2278.46,1822.77,3.98,2050.61,36
NDC,72266011801,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,72266011801,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72266012301,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72266012401,Ondansetron HCl Inj 40 MG/20ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72266012705,Dicyclomine HCl Inj 10 MG/ML,31.67,25.34,1.0,28.5,27
NDC,72266012801,Melphalan HCl For Inj 50 MG (Base Equiv),278.62,222.9,91.11,250.76,36
NDC,72266014601,Etomidate IV Soln 2 MG/ML,39.63,31.71,11.01,35.67,27
NDC,72266015801,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),26.46,21.17,7.35,23.81,27
NDC,72266015910,Ertapenem Sodium For Inj 1 GM (Base Equivalent),103.18,82.55,1.0,92.86,27
NDC,72266016201,Oxaliplatin IV Soln 100 MG/20ML,132.24,105.8,1.0,119.02,27
NDC,72266019701,Dorzolamide HCl Ophth Soln 2%,37.56,30.05,10.43,33.8,27
NDC,72266020401,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,72266020410,Prochlorperazine Edisylate Inj 10 MG/2ML,21.0,16.8,1.0,18.9,27
NDC,72266023401,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72266023425,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72266023501,Dexrazoxane HCl For Inj 250 MG (Base Equivalent),194.26,155.41,59.91,174.83,36
NDC,72266024801,Sincalide For Inj 5 MCG,324.87,259.9,1.0,292.38,27
NDC,72266024805,Sincalide For Inj 5 MCG,324.87,259.9,1.0,292.38,27
NDC,72319002102,Ranolazine Tab ER 12HR 500 MG,1.5,1.2,0.42,1.35,27
NDC,72485010125,Diphenhydramine HCl Inj 50 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72485010401,Caffeine Citrate Inj 60 MG/3ML (10 MG/ML Base Equiv),21.57,17.26,1.0,19.41,27
NDC,72485010501,Nitroprusside Sodium IV Soln 25 MG/ML,128.85,103.08,35.78,115.97,27
NDC,72485010701,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72485010701,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,72485011010,Caffeine Citrate Oral Soln 60 MG/3ML (10 MG/ML Base Equiv),20.33,16.27,5.65,18.3,27
NDC,72485011301,Isoproterenol HCl Inj 0.2 MG/ML,254.15,203.32,70.58,228.74,27
NDC,72485011310,Isoproterenol HCl Inj 0.2 MG/ML,254.15,203.32,70.58,228.74,27
NDC,72485020101,Azacitidine For Inj 100 MG,224.21,179.37,0.37,201.79,27
NDC,72485041701,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.36,17.09,1.0,19.22,27
NDC,72485041710,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.36,17.09,1.0,19.22,27
NDC,72485042101,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,72485042110,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,72485050101,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,72485050110,Milrinone Lactate IV Soln 10 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,72485050501,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,72485050510,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,72485050701,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72485050725,Thiamine HCl Inj 100 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72485051001,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72485051001,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,72485051010,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72485051010,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,72485061710,Ketotifen Fumarate Ophth Soln 0.035%,14.63,11.71,4.06,13.17,27
NDC,72493010303,Mitomycin For Pyelocalyceal Soln 40 MG,21482.88,17186.31,294.37,19334.59,36
NDC,72508001201,Amoxicillin & K Clavulanate For Susp 125-31.25 MG/5ML,1316.25,1053.0,365.52,1184.63,27
NDC,72516002401,Papaverine HCl Inj 30 MG/ML,86.68,69.35,1.0,78.01,27
NDC,72572001701,Ampicillin Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,27
NDC,72572002201,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,72572002210,Ampicillin & Sulbactam Sodium For Inj 3 (2-1) GM,21.0,16.8,1.0,18.9,27
NDC,72572005201,Calcium Chloride Inj 10%,32.41,25.93,9.0,29.17,27
NDC,72572005210,Calcium Chloride Inj 10%,32.41,25.93,9.0,29.17,27
NDC,72572005501,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,72572005525,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,72572006101,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,72572006125,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,72572007601,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,23.49,18.8,2.18,21.14,27
NDC,72572007624,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,23.49,18.8,2.18,21.14,27
NDC,72572010001,Daptomycin For IV Soln 350 MG,75.11,60.09,1.0,67.6,27
NDC,72572012001,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572012025,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572012201,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572012225,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572014001,Diazepam Inj 5 MG/ML,40.54,32.44,1.0,36.49,27
NDC,72572014002,Diazepam Inj 5 MG/ML,40.54,32.44,1.0,36.49,27
NDC,72572015001,Ephedrine Sulfate IV Soln 50 MG/ML,47.15,37.72,13.09,42.44,27
NDC,72572015010,Ephedrine Sulfate IV Soln 50 MG/ML,47.15,37.72,13.09,42.44,27
NDC,72572017001,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,12.18,9.75,1.0,10.96,27
NDC,72572017001,"Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML",24.36,19.49,1.0,21.92,27
NDC,72572017025,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,12.18,9.75,1.0,10.96,27
NDC,72572017101,Fentanyl Citrate Preservative Free (PF) Inj 250 MCG/5ML,7.76,6.21,1.0,6.98,27
NDC,72572017201,Fentanyl Citrate Preservative Free (PF) Inj 2500 MCG/50ML,21.0,16.8,1.0,18.9,27
NDC,72572019001,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,72572019025,Furosemide Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
NDC,72572025501,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,72572025525,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,72572026501,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572026525,Hydralazine HCl Inj 20 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572032001,Ketamine HCl Inj 50 MG/ML,21.0,16.8,5.83,18.9,27
NDC,72572032101,Ketamine HCl Inj 100 MG/ML,21.0,16.8,5.83,18.9,27
NDC,72572032110,Ketamine HCl Inj 100 MG/ML,21.58,17.27,5.99,19.42,27
NDC,72572035001,Labetalol HCl IV Soln 5 MG/ML,21.0,16.8,0.18,18.9,27
NDC,72572035401,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72572035410,Ketorolac Tromethamine Inj 15 MG/ML,2.89,2.32,0.29,2.6,36
NDC,72572035501,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,72572035525,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,72572035525,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72572036001,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72572036025,Levetiracetam Inj 500 MG/5ML (100 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72572037001,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",12.15,9.725,1.93,15.62,54
NDC,72572037001,Lidocaine HCl Local Preservative Free (PF) Inj 1%,10.415,8.335,0.96,15.62,54
NDC,72572037025,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",12.15,9.725,1.93,15.62,54
NDC,72572037025,Lidocaine HCl Local Preservative Free (PF) Inj 1%,10.415,8.335,0.96,15.62,54
NDC,72572037201,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,72572037201,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,54
NDC,72572037225,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,72572037225,Lidocaine HCl Local Preservative Free (PF) Inj 2%,21.0,16.8,5.83,18.9,54
NDC,72572038001,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572038025,Lorazepam Inj 2 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572041601,Meropenem IV For Soln 1 GM,30.93,24.75,1.0,27.84,27
NDC,72572041610,Meropenem IV For Soln 1 GM,30.93,24.75,1.0,27.84,27
NDC,72572043201,Midazolam HCl Inj 5 MG/5ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,72572043210,Midazolam HCl Inj 5 MG/5ML (Base Equivalent),3.92,3.14,1.0,3.53,27
NDC,72572044001,Morphine Sulfate IV Soln 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572044025,Morphine Sulfate IV Soln 4 MG/ML,21.0,16.8,1.0,18.9,27
NDC,72572045001,Naloxone HCl Inj 0.4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,72572045025,Naloxone HCl Inj 0.4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,72572046101,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),4.22,3.38,1.0,3.8,27
NDC,72572046201,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),4.22,3.38,1.0,3.8,27
NDC,72572046210,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),4.22,3.38,1.0,3.8,27
NDC,72572047001,Nicardipine HCl IV Soln 2.5 MG/ML,83.26,66.61,0.41,74.93,27
NDC,72572047010,Nicardipine HCl IV Soln 2.5 MG/ML,83.26,66.61,0.41,74.93,27
NDC,72572052001,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72572052025,Ondansetron HCl Inj 4 MG/2ML (2 MG/ML),21.0,16.8,1.0,18.9,27
NDC,72572055001,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,72572055010,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,72572055301,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,72572055310,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,72572058001,Prochlorperazine Edisylate Inj 10 MG/2ML,26.23,20.99,1.0,23.61,27
NDC,72572058025,Prochlorperazine Edisylate Inj 10 MG/2ML,26.23,20.99,1.0,23.61,27
NDC,72572061201,Propofol IV Emul 1000 MG/100ML (10 MG/ML),82.65,66.12,1.0,74.39,27
NDC,72572061210,Propofol IV Emul 1000 MG/100ML (10 MG/ML),82.65,66.12,1.0,74.39,27
NDC,72572065001,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),37.38,29.91,10.38,33.64,27
NDC,72572065010,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),37.38,29.91,10.38,33.64,27
NDC,72572074001,Sodium Bicarbonate IV Soln 8.4%,41.33,33.07,1.0,37.2,27
NDC,72572074020,Sodium Bicarbonate IV Soln 8.4%,41.33,33.07,1.0,37.2,27
NDC,72572080101,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,72572080102,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,72572080501,Vancomycin HCl For IV Soln 10 GM (Base Equivalent),142.03,113.63,39.44,127.83,27
NDC,72578000201,Acyclovir Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,72578000205,Acyclovir Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,72578000701,Metronidazole Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,72578000805,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,72578004201,Zonisamide Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,72578015001,Acetazolamide Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,72611071601,Dexrazoxane HCl For Inj 500 MG (Base Equivalent),491.25,393.0,59.91,442.13,36
NDC,72611071925,Ketorolac Tromethamine Inj 15 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72611072201,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,72611072201,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72611072225,"Ketorolac Tromethamine IM Inj 30 MG/ML,Ketorolac Tromethamine Inj 30 MG/ML",21.0,16.8,0.29,18.9,36
NDC,72611072225,Ketorolac Tromethamine Inj 30 MG/ML,21.0,16.8,0.29,18.9,36
NDC,72611072501,Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),21.0,16.8,0.29,18.9,36
NDC,72611072501,"Ketorolac Tromethamine IM Inj 60 MG/2ML (30 MG/ML),Ketorolac Tromethamine Inj 60 MG/2ML (30 MG/ML)",21.0,16.8,0.29,18.9,36
NDC,72611074001,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,72611074010,Metoprolol Tartrate IV Soln 5 MG/5ML,21.0,16.8,5.83,18.9,27
NDC,72611074901,Midazolam HCl Inj 50 MG/10ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,72611075601,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),21.0,16.8,5.83,18.9,27
NDC,72611076501,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,72611076510,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),21.0,16.8,5.83,18.9,27
NDC,72618300002,Rimegepant Sulfate Tab Disint 75 MG,297.92,238.34,82.73,268.13,27
NDC,72694051501,Calaspargase Pegol-mknl IV Soln 3750 Unit/5ML (750 Unit/ML),58362.62,46690.1,72.88,52526.36,36
NDC,72694095401,Pegaspargase Inj 750 Unit/ML,51331.86,41065.49,21046.06,46198.67,36
NDC,72819015205,Mitomycin For IV Soln 5 MG,129.82,103.86,19.33,116.84,36
NDC,72819018603,Imatinib Mesylate Tab 400 MG (Base Equivalent),5.5,4.4,2.26,85.91,27
NDC,72819023406,Cupric Chloride Inj 0.4 MG/ML (Elemental),66.12,52.9,1.0,59.51,27
NDC,72819023416,Cupric Chloride Inj 0.4 MG/ML (Elemental),66.12,52.9,1.0,59.51,27
NDC,72888000401,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,72888000901,Baclofen Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,72888001200,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,72888001400,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,72888004113,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),2.35,1.88,0.65,2.12,27
NDC,72888005301,Metolazone Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,72888006130,Amiodarone HCl Tab 400 MG,1.92,1.54,0.53,1.73,27
NDC,72888006560,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,72888006701,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,72888007501,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,72888008001,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,72888010425,Gabapentin Oral Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,72888011401,Midodrine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,72888011901,Dicyclomine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,72888012101,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,72888012526,Lidocaine HCl Viscous Soln 2%,4.13,3.31,1.15,3.72,27
NDC,72888013933,Nitroglycerin SL Tab 0.4 MG,23.63,18.91,6.56,21.27,27
NDC,72888014430,Desvenlafaxine Succinate Tab ER 24HR 100 MG (Base Equiv),1.53,1.23,0.42,1.38,27
NDC,72888019201,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,73042020101,Naxitamab-gqgk IV Soln 40 MG/10ML (4 MG/ML),44097.13,35277.71,579.54,39687.42,36
NDC,73070010011,Insulin Aspart Inj Soln 100 Unit/ML,100.17,80.14,1.0,90.15,54
NDC,73070010011,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",50.835,40.67,0.42,90.15,81
NDC,73070010310,Insulin Aspart Soln Pen-injector 100 Unit/ML,36.56,29.25,10.15,32.9,27
NDC,73070010315,Insulin Aspart Soln Pen-injector 100 Unit/ML,36.56,29.25,10.15,32.9,27
NDC,73090042001,Siltuximab For IV Infusion 100 MG,3003.06,2402.45,148.96,2702.75,36
NDC,73090042101,Siltuximab For IV Infusion 400 MG,12334.12,9867.3,148.96,11100.71,36
NDC,73293000101,Lidocaine HCl Local Preservative Free (PF) Inj 1%,3.91,3.13,1.09,3.52,27
NDC,73293000102,Lidocaine HCl Local Preservative Free (PF) Inj 1%,3.91,3.13,1.09,3.52,27
NDC,73556016802,Avacopan Cap 10 MG,246.94,197.56,68.58,222.25,27
NDC,73607001111,Artesunate For IV Soln 110 MG,10918.88,8735.11,47.31,9826.99,36
NDC,74012402,Adalimumab Auto-injector Kit 80 MG/0.8ML,11696.18,9356.95,87.14,10526.56,36
NDC,74056111,Venetoclax Tab 10 MG,25.08,20.07,6.96,22.57,27
NDC,74056114,Venetoclax Tab 10 MG,27.68,22.15,7.69,24.91,27
NDC,74056607,Venetoclax Tab 50 MG,125.44,100.36,34.83,112.9,27
NDC,74056611,Venetoclax Tab 50 MG,155.55,124.44,43.2,140.0,27
NDC,74057611,Venetoclax Tab 100 MG,276.59,221.28,76.81,248.93,27
NDC,74057630,Venetoclax Tab 100 MG,341.81,273.45,94.92,307.63,27
NDC,74165801,Paricalcitol IV Soln 5 MCG/ML,63.23,50.59,1.0,56.91,27
NDC,74194063,Ritonavir Oral Soln 80 MG/ML,3641.76,2913.41,1011.32,3277.58,27
NDC,74300000070,Zinc Oxide Paste 40%,9.7,7.76,2.69,8.73,27
NDC,74305841,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,74310832,Cyclosporine Modified Cap 25 MG,2.23,1.79,0.62,2.01,27
NDC,74334603,Leuprolide Acetate (3 Month) For Inj Kit 22.5 MG,943.26,754.61,166.69,848.93,36
NDC,74347303,Leuprolide Acetate (6 Month) For Inj Kit 45 MG,1534.03,1227.23,166.69,1380.63,36
NDC,74364103,Leuprolide Acetate For Inj Kit 3.75 MG,3198.21,2558.57,1311.27,2878.39,36
NDC,74364203,Leuprolide Acetate For Inj Kit 7.5 MG,314.42,251.54,128.91,282.98,36
NDC,74366303,Leuprolide Acetate (3 Month) For Inj Kit 11.25 MG,9594.71,7675.77,1524.34,8635.24,36
NDC,74368303,Leuprolide Acetate (4 Month) For Inj Kit 30 MG,1257.68,1006.15,166.69,1131.91,36
NDC,74372790,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
NDC,74382613,Divalproex Sodium Tab ER 24 HR 250 MG,5.11,4.09,1.42,4.6,27
NDC,74395646,Lopinavir-Ritonavir Soln 400-100 MG/5ML (80-20 MG/ML),36.36,29.09,10.1,32.72,27
NDC,74433902,Adalimumab Auto-injector Kit 40 MG/0.8ML,3925.83,3140.67,87.14,3533.25,36
NDC,74433907,Adalimumab Auto-injector Kit 40 MG/0.8ML,11561.76,9249.41,87.14,10405.58,36
NDC,74434190,Levothyroxine Sodium Tab 25 MCG,2.84,2.28,0.79,2.56,27
NDC,74438010,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),30.45,24.36,8.46,27.41,27
NDC,74445604,Sevoflurane Inhal Soln,373.75,299.0,103.79,336.38,27
NDC,74445651,Sevoflurane Inhal Soln,373.75,299.0,103.79,336.38,27
NDC,74455219,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,74455290,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,74518219,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,27
NDC,74518290,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,27
NDC,74611413,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.5,1.2,0.42,1.35,27
NDC,74659490,Levothyroxine Sodium Tab 88 MCG,1.5,1.2,0.42,1.35,27
NDC,74662490,Levothyroxine Sodium Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,74676590201,Triptorelin Pamoate For IM Susp 3.75 MG,2235.8,1788.64,401.75,2012.22,36
NDC,74679922,Lopinavir-Ritonavir Tab 200-50 MG,15.83,12.67,4.4,14.25,27
NDC,74706890,Levothyroxine Sodium Tab 125 MCG,3.0,2.4,0.83,2.7,27
NDC,74706990,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.42,1.35,27
NDC,74707090,Levothyroxine Sodium Tab 175 MCG,1.5,1.2,0.42,1.35,27
NDC,74714890,Levothyroxine Sodium Tab 200 MCG,1.5,1.2,0.42,1.35,27
NDC,74714990,Levothyroxine Sodium Tab 300 MCG,1.5,1.2,0.42,1.35,27
NDC,74726950,Cyclosporine Modified Oral Soln 100 MG/ML,527.85,422.28,1.0,475.07,27
NDC,74929690,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.42,1.35,27
NDC,74969403,Leuprolide Acetate (3 Month) For Inj Pediatric Kit 30 MG,23079.93,18463.95,1524.34,20771.94,36
NDC,75062040,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,47.91,38.33,1.0,43.12,27
NDC,75062160,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,36.57,29.26,1.0,32.91,27
NDC,75062280,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,267.59,214.08,1.0,240.83,27
NDC,75062300,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,60.94,48.76,1.0,54.85,27
NDC,75062430,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,100.96,80.77,1.0,90.86,27
NDC,75062603,Enoxaparin Sodium Inj 300 MG/3ML,196.18,156.95,1.0,176.56,27
NDC,75291201,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,71.78,57.43,1.0,64.6,27
NDC,75291501,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,91.65,73.32,1.0,82.49,27
NDC,75826011410,Phenazopyridine HCl Tab 100 MG,1.92,1.54,0.53,1.73,27
NDC,75826011510,Phenazopyridine HCl Tab 200 MG,3.75,3.0,1.04,3.38,27
NDC,75834001060,Ergocalciferol Soln 200 MCG/ML (8000 Unit/ML),73.71,58.97,20.47,66.34,27
NDC,75834012401,Acyclovir Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,75834017101,Calcium Gluconate Inj 10%,40.5,32.4,0.05,36.45,27
NDC,75834022101,Carbamazepine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,75834025701,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,75840010401,Baclofen Powder,53513.0,42810.4,1.0,48161.7,27
NDC,75907002311,Clonidine TD Patch Weekly 0.1 MG/24HR,27.68,22.15,7.69,24.91,27
NDC,75907002411,Clonidine TD Patch Weekly 0.2 MG/24HR,41.57,33.26,11.54,37.41,27
NDC,75907002448,Clonidine TD Patch Weekly 0.2 MG/24HR,41.57,33.26,11.54,37.41,27
NDC,75907004301,Trimethoprim Tab 100 MG,3.34,2.68,0.93,3.01,27
NDC,76014000310,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),9.16,7.33,1.0,8.24,27
NDC,76014000333,Neostigmine Methylsulfate IV Soln 10 MG/10 ML (1 MG/ML),4.58,3.67,1.0,4.12,27
NDC,76014000410,Phenylephrine HCl IV Soln 10 MG/ML,50.46,40.37,0.01,45.41,27
NDC,76014000425,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,76014000430,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,76014000433,Phenylephrine HCl IV Soln 10 MG/ML,191.4,153.12,0.01,172.26,27
NDC,76014000525,Ephedrine Sulfate IV Soln 50 MG/ML,52.9,42.32,14.69,47.61,27
NDC,76014000530,Ephedrine Sulfate IV Soln 50 MG/ML,91.92,73.54,25.53,82.73,27
NDC,76045000411,Morphine Sulfate Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045000501,Morphine Sulfate Inj 4 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045000901,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045000905,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045000906,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045000911,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045000996,Hydromorphone HCl Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045001001,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045001010,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045001011,Hydromorphone HCl Inj 2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045010120,Metoclopramide HCl Inj 5 MG/ML (Base Equivalent),21.0,16.8,1.0,18.9,27
NDC,76045011201,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,76045011220,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,21.0,16.8,5.83,18.9,27
NDC,76045012101,Hydromorphone HCl Inj 0.2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045012111,Hydromorphone HCl Inj 0.2 MG/ML,21.0,16.8,5.83,18.9,27
NDC,76045073701,Haloperidol Lactate Inj 5 MG/ML,21.0,16.8,1.0,18.9,27
NDC,76075010101,Carfilzomib For Inj 60 MG,7069.95,5655.96,46.9,6362.96,36
NDC,76075010201,Carfilzomib For Inj 30 MG,2333.01,1866.41,46.9,2099.71,36
NDC,76075010301,Carfilzomib For Inj 10 MG,864.0,691.2,46.9,777.6,36
NDC,761055520,Thiamine HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,76125067650,Antihemophilic Factor (Human) For Inj 1000 Unit,21.0,16.8,1.03,18.9,36
NDC,76125079210,"Albumin, Human Inj 25%",141.38,113.11,39.26,127.24,38
NDC,76125079211,"Albumin, Human Inj 25%",142.03,113.63,39.44,127.83,38
NDC,76125079225,"Albumin, Human Inj 25%",135.94,108.76,37.75,122.35,38
NDC,76154049415,Phenylephrine-NaCl IV Solution 50 MG/250ML-0.9%,100.05,80.04,27.78,90.05,27
NDC,76154085515,Phenylephrine-NaCl IV Solution 50 MG/250ML-0.9%,100.05,80.04,27.78,90.05,27
NDC,76204001001,Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv),2.3,1.84,0.04,2.07,27
NDC,76204001011,Albuterol Sulfate Soln Nebu 0.63 MG/3ML (Base Equiv),2.3,1.84,0.04,2.07,27
NDC,76204001101,Albuterol Sulfate Soln Nebu 1.25 MG/3ML (Base Equiv),2.35,1.88,0.04,2.12,27
NDC,76204002160,Sodium Chloride Soln Nebu 7%,1.5,1.2,0.42,1.35,27
NDC,76204002260,Sodium Chloride Soln Nebu 3%,1.5,1.2,0.42,1.35,27
NDC,76204010001,Ipratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.32,1.35,27
NDC,76204020001,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,76204020030,Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML),1.5,1.2,0.04,1.35,27
NDC,76204060001,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.62,1.3,0.17,1.46,27
NDC,76204060030,Ipratropium-Albuterol Nebu Soln 0.5-2.5(3) MG/3ML,1.5,1.2,0.17,1.35,27
NDC,76204080011,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),3.43,2.75,0.05,3.09,27
NDC,76204090001,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.97,3.18,0.05,3.57,27
NDC,76204090011,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.97,3.18,0.05,3.57,27
NDC,76204090015,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.01,2.41,0.05,2.71,27
NDC,76310001701,Amifostine For Inj 500 MG,3681.94,2945.56,1092.83,3313.75,27
NDC,76310002401,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1357.2,1085.76,15.27,1221.48,36
NDC,76310002415,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1776.0,1420.8,15.27,1598.4,36
NDC,76310002425,Foscarnet Sodium Inj 6000 MG/250ML (24 MG/ML),1554.0,1243.2,15.27,1398.6,36
NDC,76329124001,Phytonadione Inj 1 MG/0.5ML (2 MG/ML),84.69,67.76,1.0,76.22,27
NDC,76329191201,Morphine Sulfate IV Soln PF 1 MG/ML,40.32,32.26,11.2,36.29,27
NDC,76329330101,Dextrose Inj 50%,46.55,37.24,1.0,41.9,27
NDC,76329330201,Dextrose Inj 50%,46.55,37.24,1.0,41.9,27
NDC,76329330401,Calcium Chloride Inj 10%,34.8,27.84,9.66,31.32,27
NDC,76329331601,Epinephrine Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),23.49,18.8,1.0,21.14,27
NDC,76329331801,Epinephrine IV Soln Prefilled Syringe 1 MG/10ML (0.1 MG/ML),38.19,30.56,10.61,34.37,27
NDC,76329332100,Regadenoson IV Inj 0.4 MG/5ML (0.08 MG/ML),125.93,100.75,1.0,113.34,27
NDC,76329333901,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,76329334001,Atropine Sulfate Soln Prefill Syr 1 MG/10ML (0.1 MG/ML),21.0,16.8,1.0,18.9,27
NDC,76329335201,Sodium Bicarbonate IV Soln 8.4%,21.0,16.8,1.0,18.9,27
NDC,76329336901,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,46.225,36.98,5.83,64.31,54
NDC,76329339001,"Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,76329339001,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl(Cardiac) IV PF Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,1.0,18.9,27
NDC,76329339001,"Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%),Lidocaine HCl (Cardiac) IV PF Soln 100 MG/5ML (2%)",21.0,16.8,5.83,18.9,27
NDC,76329630005,Lidocaine HCl Laryngotracheal Soln 4%,58.08,46.47,16.13,52.27,27
NDC,76385010301,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,76385010410,Benztropine Mesylate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,76385010501,Benztropine Mesylate Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,76385013101,Pindolol Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,76385013301,Nadolol Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,76385013401,Nadolol Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,76388088025,Thioguanine Tab 40 MG,36.13,28.91,10.03,32.52,27
NDC,76478000205,Timolol Ophth Soln 0.5%,353.78,283.03,98.24,318.4,27
NDC,76478050120,Pentobarbital Sodium Inj 50 MG/ML,686.125,548.9,1.0,1176.21,54
NDC,76478061102,Benztropine Mesylate Inj 1 MG/ML,273.19,218.56,1.0,245.87,27
NDC,77333004925,Aspirin Chew Tab 81 MG,1.5,1.2,0.42,1.35,27
NDC,77333011310,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.5,1.2,0.42,1.35,27
NDC,77333011325,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.5,1.2,0.42,1.35,27
NDC,77333011810,Calcium Polycarbophil Tab 625 MG,1.5,1.2,0.42,1.35,27
NDC,77333012025,Calcium Polycarbophil Tab 625 MG,1.5,1.2,0.42,1.35,27
NDC,77333083510,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,77333083525,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,77333084410,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,77333084425,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,77333093410,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,77333093425,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,77333094010,Pyridoxine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,77333098325,Zinc Sulfate Cap 220 MG (50 MG Elemental Zn),1.5,1.2,0.42,1.35,27
NDC,777310402,Fluoxetine HCl Cap 10 MG,22.01,17.61,6.11,19.81,27
NDC,777310502,Fluoxetine HCl Cap 20 MG,22.57,18.06,6.27,20.31,27
NDC,78011022,Cyclosporine Oral Soln 100 MG/ML,1003.19,802.56,1.0,902.87,27
NDC,78024015,Cyclosporine Cap 25 MG,5.18,4.15,1.0,4.66,27
NDC,78024061,Cyclosporine Cap 25 MG,5.27,4.22,1.0,4.74,27
NDC,78024115,Cyclosporine Cap 100 MG,20.66,16.53,1.0,18.59,27
NDC,78024161,Cyclosporine Cap 100 MG,21.09,16.88,1.0,18.98,27
NDC,78024661,Cyclosporine Modified Cap 25 MG,2.87,2.3,0.8,2.58,27
NDC,78024915,Letrozole Tab 2.5 MG,43.93,35.15,12.2,39.54,27
NDC,78027422,Cyclosporine Modified Oral Soln 100 MG/ML,1173.15,938.52,1.0,1055.84,27
NDC,78033184,Basiliximab For IV Soln 20 MG,8664.85,6931.88,3552.59,7798.37,36
NDC,78034462,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,22.79,18.24,6.33,20.51,27
NDC,78035415,Fluvastatin Sodium Tab ER 24 HR 80 MG (Base Equivalent),11.73,9.39,3.26,10.56,27
NDC,78035752,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),10.03,8.03,2.79,9.03,27
NDC,78038566,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),9.6,7.68,1.0,8.64,27
NDC,78038666,Mycophenolate Sodium Tab DR 360 MG (Mycophenolic Acid Equiv),19.2,15.36,1.0,17.28,27
NDC,78040134,Imatinib Mesylate Tab 100 MG (Base Equivalent),140.83,112.67,39.11,126.75,27
NDC,78042947,Hypromellose Ophth Gel 0.3%,20.25,16.2,5.62,18.23,27
NDC,78043561,Zoledronic Acid IV Soln 5 MG/100ML,4568.37,3654.7,1.0,4111.53,27
NDC,78044005,Methylphenidate HCl Tab 10 MG,2.45,1.96,0.68,2.21,27
NDC,78046761,Deferoxamine Mesylate For Inj 500 MG,137.55,110.04,1.0,123.8,27
NDC,78049305,Dexmethylphenidate HCl Cap ER 24 HR 15 MG,16.47,13.18,4.57,14.82,27
NDC,78050115,Rivastigmine TD Patch 24HR 4.6 MG/24HR,22.17,17.74,6.16,19.95,27
NDC,78050161,Rivastigmine TD Patch 24HR 4.6 MG/24HR,23.3,18.64,6.47,20.97,27
NDC,78050215,Rivastigmine TD Patch 24HR 9.5 MG/24HR,22.17,17.74,6.16,19.95,27
NDC,78050361,Rivastigmine TD Patch 24HR 13.3 MG/24HR,28.54,22.84,7.93,25.69,27
NDC,78050883,Carbamazepine Susp 100 MG/5ML,2.59,2.08,0.72,2.33,27
NDC,78051005,Carbamazepine Tab ER 12HR 100 MG,2.84,2.28,0.79,2.56,27
NDC,78051105,Carbamazepine Tab ER 12HR 200 MG,2.89,2.32,0.8,2.6,27
NDC,78051205,Carbamazepine Tab ER 12HR 400 MG,11.83,9.47,3.29,10.65,27
NDC,78056845,Artemether-Lumefantrine Tab 20-120 MG,14.04,11.24,3.9,12.64,27
NDC,78059461,Everolimus Tab 2.5 MG,820.23,656.19,227.78,738.21,27
NDC,78064181,Pasireotide Pamoate For IM ER Susp 20 MG (Base Equiv),48316.08,38652.87,455.82,43484.47,36
NDC,78064281,Pasireotide Pamoate For IM ER Susp 40 MG (Base Equiv),22512.0,18009.6,455.82,20260.8,36
NDC,78064381,Pasireotide Pamoate For IM ER Susp 60 MG (Base Equiv),26247.38,20997.91,455.82,23622.64,36
NDC,78067066,Pazopanib HCl Tab 200 MG (Base Equiv),272.46,217.97,75.66,245.21,27
NDC,78068361,Nelarabine IV Soln 5 MG/ML,2043.45,1634.76,75.87,1839.11,36
NDC,78069620,Sacubitril-Valsartan Tab 97-103 MG,28.43,22.75,7.9,25.59,27
NDC,78077720,Sacubitril-Valsartan Tab 49-51 MG,28.43,22.75,7.9,25.59,27
NDC,78077767,Sacubitril-Valsartan Tab 49-51 MG,28.43,22.75,7.9,25.59,27
NDC,78081301,Tobramycin Ophth Oint 0.3%,564.44,451.56,156.74,508.0,27
NDC,78081301,Tobramycin Sulfate Ophth Oint 0.3%,564.44,451.56,156.74,508.0,27
NDC,78087601,Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%,569.43,455.55,158.13,512.49,54
NDC,78090438,Brinzolamide-Brimonidine Tartrate Ophth Susp 1-0.2%,454.2,363.36,126.13,408.78,27
NDC,78091112,Lifitegrast Ophth Soln 5%,115.68,92.55,32.12,104.11,27
NDC,78093926,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),434.4,347.52,120.63,390.96,27
NDC,78095340,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,208.44,166.76,57.88,187.6,27
NDC,781104601,Perphenazine Tab 2 MG,1.53,1.23,0.42,1.38,27
NDC,781104613,Perphenazine Tab 2 MG,2.57,2.06,0.71,2.31,27
NDC,781104701,Perphenazine Tab 4 MG,1.93,1.55,0.54,1.74,27
NDC,781106101,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,781107701,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,781120501,Penicillin V Potassium Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,78112073623,Carbamide Peroxide 6.5% Otic Soln,12.56,10.05,3.49,11.3,27
NDC,781148601,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,781148701,Amitriptyline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,781148801,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,781148810,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,781148901,Amitriptyline HCl Tab 75 MG,1.5,1.2,0.42,1.35,27
NDC,781149001,Amitriptyline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,781149101,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,781150601,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,781151601,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,781152601,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,781152610,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,781155601,Isosorbide Dinitrate Tab 10 MG,1.58,1.27,0.44,1.42,27
NDC,781163501,Isosorbide Dinitrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,781165501,Penicillin V Potassium Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,781165510,Penicillin V Potassium Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,781169501,Isosorbide Dinitrate Tab 20 MG,1.73,1.39,0.48,1.56,27
NDC,781176610,Imipramine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,781187431,Amoxicillin & K Clavulanate Tab 250-125 MG,9.8,7.84,2.72,8.82,27
NDC,781194339,Amoxicillin & K Clavulanate Tab ER 12HR 1000-62.5 MG,14.12,11.3,3.92,12.71,27
NDC,781196260,Clarithromycin Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,781202001,Amoxicillin (Trihydrate) Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,781207601,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,781208102,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.5,1.2,0.42,1.35,27
NDC,781210201,Tacrolimus Cap 0.5 MG,3.7,2.96,1.0,3.33,27
NDC,781210301,Tacrolimus Cap 1 MG,3.65,2.92,1.0,3.29,27
NDC,781214731,Lansoprazole Cap Delayed Release 15 MG,3.55,2.84,0.99,3.2,27
NDC,781214801,Lansoprazole Cap Delayed Release 30 MG,3.26,2.61,0.91,2.93,27
NDC,781216460,Ziprasidone HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,781216760,Ziprasidone HCl Cap 60 MG,1.5,1.2,0.42,1.35,27
NDC,781217660,Cefdinir Cap 300 MG,5.35,4.28,1.49,4.82,27
NDC,781224801,Dicloxacillin Sodium Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,781225801,Dicloxacillin Sodium Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,781232106,Aprepitant Capsule 40 MG,167.59,134.08,46.54,150.83,27
NDC,781232268,Aprepitant Capsule 80 MG,314.79,251.84,1.0,283.31,27
NDC,781232368,Aprepitant Capsule 125 MG,490.66,392.53,1.0,441.59,27
NDC,781261301,Amoxicillin (Trihydrate) Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,781261305,Amoxicillin (Trihydrate) Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,781285931,Omeprazole Cap Delayed Release 10 MG,1.5,1.2,0.42,1.35,27
NDC,781286810,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,781304072,Pyridostigmine Bromide IV Soln 10 MG/2ML (5 MG/ML),106.03,84.83,29.44,95.43,27
NDC,781304095,Pyridostigmine Bromide IV Soln 10 MG/2ML (5 MG/ML),106.03,84.83,29.44,95.43,27
NDC,781305995,Digoxin Inj 0.25 MG/ML,21.0,16.8,1.0,18.9,27
NDC,781312485,Nafcillin Sodium For Inj 1 GM,25.4,20.32,7.05,22.86,27
NDC,781312595,Nafcillin Sodium For Inj 2 GM,93.6,74.88,25.99,84.24,27
NDC,781313301,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,781315270,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),93.53,74.83,25.97,84.18,27
NDC,781315295,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),39.85,31.88,11.07,35.87,27
NDC,781315894,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),876.09,700.88,1.0,788.48,27
NDC,781315895,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),915.89,732.72,1.0,824.3,27
NDC,781315972,Olanzapine For IM Inj 10 MG,79.39,63.52,0.89,71.45,27
NDC,781317207,Sumatriptan Succinate Solution Auto-injector 6 MG/0.5ML,158.8,127.04,44.1,142.92,27
NDC,781317471,Sumatriptan Succinate Inj 6 MG/0.5ML,273.22,218.58,1.0,245.9,27
NDC,781318273,Fomepizole Inj 1 GM/ML (For IV Infusion),3962.7,3170.16,5.96,3566.43,36
NDC,781320470,Nicardipine HCl IV Soln 2.5 MG/ML,50.81,40.65,0.41,45.73,27
NDC,781320685,Ceftriaxone Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,781320885,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,781320895,Ceftriaxone Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,781320990,Ceftriaxone Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,27
NDC,781321046,Ceftriaxone Sodium For Inj 10 GM,50.81,40.65,1.0,45.73,27
NDC,781322075,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),40.39,32.32,11.22,36.35,27
NDC,781322075,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),40.39,32.32,11.22,36.35,27
NDC,781322095,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),60.31,48.25,16.75,54.28,27
NDC,781322402,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,32.33,25.87,1.0,29.1,27
NDC,781322464,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,59.66,47.73,1.0,53.69,27
NDC,781323294,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,781323295,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,781323801,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,21.0,16.8,1.0,18.9,27
NDC,781324494,Cyclophosphamide For Inj 1 GM,1747.34,1397.88,0.46,1572.61,36
NDC,781324602,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.42,19.54,1.0,21.98,27
NDC,781324664,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,24.42,19.54,1.0,21.98,27
NDC,781325394,Azacitidine For Inj 100 MG,264.85,211.88,0.37,238.37,27
NDC,781325594,Cyclophosphamide For Inj 2 GM,1105.8,884.64,0.46,995.22,36
NDC,781325603,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,21.0,16.8,1.0,18.9,27
NDC,781326204,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,25.87,20.7,1.0,23.28,27
NDC,781328809,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,781328891,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,781328909,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,50.03,40.03,2.18,45.03,27
NDC,781328991,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,23.27,18.62,2.18,20.94,27
NDC,781329009,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,62.64,50.12,2.18,56.38,27
NDC,781329091,Clindamycin Phosphate in D5W IV Soln 900 MG/50ML,27.41,21.93,2.18,24.67,27
NDC,781329804,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,39.5,31.6,1.0,35.55,27
NDC,781329868,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,39.53,31.63,1.0,35.58,27
NDC,781329905,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,54.29,43.44,1.0,48.86,27
NDC,781329969,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,54.29,43.44,1.0,48.86,27
NDC,781331275,Palonosetron HCl IV Soln 0.25 MG/5ML (Base Equivalent),348.91,279.13,1.0,314.02,27
NDC,781331495,Argatroban IV Soln 50 MG/50ML (1 MG/ML),578.68,462.95,1.21,520.81,27
NDC,781335603,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,89.61,71.69,1.0,80.65,27
NDC,781340278,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,781340295,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,781340485,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,781340778,Ampicillin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,781340880,Ampicillin Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,27
NDC,781340895,Ampicillin Sodium For Inj 2 GM,21.0,16.8,1.0,18.9,27
NDC,781341315,Ampicillin Sodium For IV Soln 2 GM,80.34,64.28,1.0,72.31,27
NDC,781341392,Ampicillin Sodium For IV Soln 2 GM,80.24,64.2,1.0,72.22,27
NDC,781341694,Voriconazole For Inj 200 MG,173.87,139.1,1.0,156.48,27
NDC,781342080,Treprostinil Inj Soln 20 MG/20ML (1 MG/ML),5483.61,4386.89,51.97,4935.25,36
NDC,781342271,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,781342275,Phenylephrine HCl IV Soln 10 MG/ML,45.02,36.02,0.01,40.52,27
NDC,781342804,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,137.08,109.67,1.0,123.37,27
NDC,781342868,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,137.08,109.67,1.0,123.37,27
NDC,781344071,Cosyntropin For Inj 0.25 MG,100.27,80.22,1.0,90.24,27
NDC,781344095,Cosyntropin For Inj 0.25 MG,71.73,57.39,1.0,64.56,27
NDC,781345170,Cefazolin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,781345875,Phenylephrine HCl IV Soln 10 MG/ML,44.98,35.99,0.01,40.48,27
NDC,781345895,Phenylephrine HCl IV Soln 10 MG/ML,44.98,35.99,0.01,40.48,27
NDC,781348170,Tigecycline For IV Soln 50 MG,103.08,82.47,1.0,92.77,27
NDC,781348192,Tigecycline For IV Soln 50 MG,103.08,82.47,1.0,92.77,27
NDC,781349495,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,48.5,38.8,13.47,43.65,27
NDC,781350005,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,43.72,34.98,1.0,39.35,27
NDC,781350069,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,43.72,34.98,1.0,39.35,27
NDC,781354510,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,781354525,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,781361204,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,214.96,171.97,1.0,193.46,27
NDC,781365505,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,64.72,51.78,1.0,58.25,27
NDC,781365569,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,64.73,51.79,1.0,58.26,27
NDC,781375575,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),44.72,35.78,12.42,40.25,27
NDC,781375595,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),73.97,59.18,20.54,66.57,27
NDC,781382975,Glycopyrrolate Inj 1 MG/5ML (0.2 MG/ML),21.0,16.8,0.43,18.9,36
NDC,781502207,Methylprednisolone Tab Therapy Pack 4 MG (21),62.82,50.26,17.45,56.54,27
NDC,781506120,Amoxicillin (Trihydrate) Tab 875 MG,1.5,1.2,0.42,1.35,27
NDC,781519192,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
NDC,781520631,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,781520692,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,781540092,Rosuvastatin Calcium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,781540192,Rosuvastatin Calcium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,781540292,Rosuvastatin Calcium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,781540331,Rosuvastatin Calcium Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,781543920,Cefpodoxime Proxetil Tab 200 MG,12.47,9.98,3.46,11.22,27
NDC,781552931,Bupropion HCl Tab ER 24HR 300 MG,1.5,1.2,0.42,1.35,27
NDC,781555431,Montelukast Sodium Chew Tab 4 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,781555531,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,781556701,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,781569031,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,781569092,Ezetimibe Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,781570110,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,781570192,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,781570292,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,781571001,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.5,1.2,0.42,1.35,27
NDC,781572005,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,781572010,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,781574801,Methylphenidate HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,781574901,Methylphenidate HCl Tab 10 MG,2.04,1.64,0.57,1.84,27
NDC,781579150,Levofloxacin Tab 500 MG,1.77,1.42,0.49,1.59,27
NDC,781591601,Chlorpromazine HCl Tab 100 MG,4.05,3.24,1.12,3.65,27
NDC,781598801,Carbamazepine Tab ER 12HR 400 MG,4.02,3.22,1.12,3.62,27
NDC,781599401,Hydroxychloroquine Sulfate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,781601470,Brinzolamide Ophth Susp 1%,734.24,587.4,203.9,660.82,27
NDC,781602346,Clarithromycin For Susp 250 MG/5ML,168.75,135.0,46.86,151.88,27
NDC,781603946,Amoxicillin (Trihydrate) For Susp 125 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,781603955,Amoxicillin (Trihydrate) For Susp 125 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,781604146,Amoxicillin (Trihydrate) For Susp 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,781604155,Amoxicillin (Trihydrate) For Susp 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,781610446,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,37.8,30.24,10.5,34.02,27
NDC,781613594,Penicillin G Potassium For Inj 5000000 Unit,90.11,72.09,1.0,81.1,27
NDC,781613694,Penicillin G Potassium For Inj 20000000 Unit,493.04,394.44,1.0,443.74,27
NDC,781613957,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,20.66,16.53,5.74,18.59,27
NDC,781615757,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,4.86,3.89,1.35,4.37,27
NDC,781616086,Sevoflurane Inhal Soln,362.5,290.0,100.67,326.25,27
NDC,781617222,Desflurane Inhal Soln,349.92,279.94,97.17,314.93,27
NDC,781708035,Metronidazole Gel 1%,541.73,433.39,150.44,487.56,27
NDC,781708055,Metronidazole Gel 1%,184.14,147.32,51.14,165.73,27
NDC,781710458,Estradiol TD Patch Weekly 0.1 MG/24HR,32.89,26.32,9.13,29.6,27
NDC,781711735,Calcipotriene Cream 0.005%,426.06,340.85,118.32,383.45,27
NDC,781711954,Estradiol TD Patch Weekly 0.025 MG/24HR,35.13,28.11,9.76,31.62,27
NDC,781711958,Estradiol TD Patch Weekly 0.025 MG/24HR,35.13,28.11,9.76,31.62,27
NDC,781713354,Estradiol TD Patch Weekly 0.05 MG/24HR,31.67,25.34,8.79,28.5,27
NDC,781713358,Estradiol TD Patch Weekly 0.05 MG/24HR,31.65,25.32,8.79,28.49,27
NDC,781713593,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),51.35,41.08,14.26,46.22,27
NDC,781713654,Estradiol TD Patch Weekly 0.075 MG/24HR,37.48,29.99,10.41,33.73,27
NDC,781713658,Estradiol TD Patch Weekly 0.075 MG/24HR,37.48,29.99,10.41,33.73,27
NDC,781714483,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,22.41,17.93,6.22,20.17,27
NDC,781716758,Estradiol TD Patch Twice Weekly 0.1 MG/24HR,19.25,15.4,5.35,17.33,27
NDC,781730458,Rivastigmine TD Patch 24HR 4.6 MG/24HR,28.35,22.68,7.87,25.52,27
NDC,781730931,Rivastigmine TD Patch 24HR 9.5 MG/24HR,33.9,27.12,9.41,30.51,27
NDC,781730958,Rivastigmine TD Patch 24HR 9.5 MG/24HR,33.9,27.12,9.41,30.51,27
NDC,781801601,Carbamazepine Tab ER 12HR 100 MG,2.32,1.86,0.64,2.09,27
NDC,781808931,Azithromycin Tab 250 MG,1.59,1.28,0.44,1.43,27
NDC,781903895,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),39.89,31.92,11.08,35.9,27
NDC,781912495,Nafcillin Sodium For Inj 1 GM,40.97,32.78,11.38,36.87,27
NDC,781915894,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),539.88,431.91,1.0,485.89,27
NDC,781915895,Bivalirudin Trifluoroacetate For IV Soln 250 MG (Base Equiv),539.88,431.91,1.0,485.89,27
NDC,781922009,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,781922091,Clindamycin Phosphate in D5W IV Soln 300 MG/50ML,21.0,16.8,2.18,18.9,27
NDC,781922109,Clindamycin Phosphate in D5W IV Soln 600 MG/50ML,22.84,18.28,2.18,20.56,27
NDC,781940278,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,781940295,Ampicillin Sodium For Inj 250 MG,21.0,16.8,1.0,18.9,27
NDC,781940485,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,781940495,Ampicillin Sodium For Inj 1 GM,21.0,16.8,1.0,18.9,27
NDC,781940778,Ampicillin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,781940795,Ampicillin Sodium For Inj 500 MG,21.0,16.8,1.0,18.9,27
NDC,78206012301,Losartan Potassium Tab 100 MG,13.31,10.65,3.7,11.98,27
NDC,78206014501,Etonogestrel Subdermal Implant 68 MG,3813.37,3050.7,1179.41,3432.03,27
NDC,78206014701,Trastuzumab-dttb For IV Soln 150 MG,1945.13,1556.11,15.47,1750.62,36
NDC,78206014801,Trastuzumab-dttb For IV Soln 420 MG,7324.0,5859.2,15.47,6591.6,36
NDC,78206014899,Trastuzumab-dttb For IV Soln 420 MG,7070.7,5656.56,15.47,6363.63,36
NDC,78206016201,Infliximab-abda For IV Inj 100 MG,774.11,619.29,25.65,696.7,36
NDC,78206016299,Infliximab-abda For IV Inj 100 MG,806.75,645.4,25.65,726.08,36
NDC,78670000367,Dantrolene Sodium For IV Soln 20 MG,268.26,214.61,74.5,241.43,27
NDC,8010001,Inotuzumab Ozogamicin For IV Soln 0.9 MG,50879.82,40703.86,2529.55,45791.84,36
NDC,802391316,Sorbitol Solution (Bulk),1.5,1.2,0.42,1.35,27
NDC,8065183905,Na Chondroit Sulf-Na Hyaluron Pref Syr 20-15 MG/0.5ML,275.96,220.77,76.63,248.36,27
NDC,80681005800,Oyster Shell Calcium Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,80681007100,Cyanocobalamin Tab 100 MCG,1.5,1.2,0.42,1.35,27
NDC,80681009900,Folic Acid Tab 400 MCG,1.5,1.2,0.42,1.35,27
NDC,80681016500,Cyanocobalamin Tab 250 MCG,1.5,1.2,0.42,1.35,27
NDC,80681016900,Cholecalciferol Tab 25 MCG (1000 Unit),1.5,1.2,0.42,1.35,27
NDC,80681017200,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.5,1.2,0.42,1.35,27
NDC,80725063025,Thioguanine Tab 40 MG,1875.32,1500.26,520.78,1687.79,27
NDC,80830232901,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,82.65,66.12,1.0,74.39,27
NDC,80830232902,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,82.65,66.12,1.0,74.39,27
NDC,80830232903,Tranexamic Acid-Sodium Chloride IV Soln 1000 MG/100ML-0.7%,26.1,20.88,1.0,23.49,27
NDC,8083322,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),13.93,11.15,3.87,12.54,27
NDC,8092351,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,8092355,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,8092360,Pantoprazole Sodium For IV Soln 40 MG (Base Equiv),21.0,16.8,5.83,18.9,27
NDC,8103004,Sirolimus Oral Soln 1 MG/ML,58.8,47.04,1.0,52.92,27
NDC,8103006,Sirolimus Oral Soln 1 MG/ML,62.9,50.32,1.0,56.61,27
NDC,81033003201,Mupirocin Oint 2%,6.26,5.01,1.74,5.63,27
NDC,81033006620,Metronidazole Susp 500 MG/5ML,7.2,5.76,2.0,6.48,27
NDC,8104005,Sirolimus Tab 0.5 MG,33.4,26.72,1.0,30.06,27
NDC,8104105,Sirolimus Tab 1 MG,66.77,53.42,1.0,60.09,27
NDC,81052013810,Pafolacianine Sodium IV Soln 3.2 MG/1.6ML,8542.5,6834.0,1.0,7688.25,27
NDC,81079888,Bacitracin-Polymyxin B Oint,12.61,10.09,3.5,11.35,27
NDC,8117901,Temsirolimus Soln For IV Infusion 25 MG/ML,3751.88,3001.51,25.38,3376.69,36
NDC,8121030,Desvenlafaxine Succinate Tab ER 24HR 25 MG (Base Equiv),23.33,18.67,6.48,21.0,27
NDC,8121114,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),24.49,19.6,6.8,22.04,27
NDC,8121130,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),16.42,13.14,4.56,14.78,27
NDC,8122214,Desvenlafaxine Succinate Tab ER 24HR 100 MG (Base Equiv),14.09,11.28,3.91,12.68,27
NDC,81284021200,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,81284021210,Phenylephrine HCl IV Soln 10 MG/ML,21.0,16.8,0.01,18.9,27
NDC,81284031500,Indigotindisulfonate Sodium IV Soln 8 MG/ML,1374.62,1099.7,9.46,1237.16,36
NDC,81284031505,Indigotindisulfonate Sodium IV Soln 8 MG/ML,1616.11,1292.89,9.46,1454.5,36
NDC,81284041100,Dihydroergotamine Mesylate Inj 1 MG/ML,195.97,156.78,1.0,176.37,27
NDC,81284041105,Dihydroergotamine Mesylate Inj 1 MG/ML,195.97,156.78,1.0,176.37,27
NDC,81284052101,Penicillin G Benzathine For Intramuscular Susp 1200000 Unit,766.17,612.94,212.77,689.55,27
NDC,81284052201,Penicillin G Benzathine For Intramuscular Susp 2400000 Unit,1532.33,1225.87,425.53,1379.1,27
NDC,81284061100,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,54
NDC,81284061100,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,81284061110,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,1.0,18.9,54
NDC,81284061110,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",21.0,16.8,5.83,18.9,27
NDC,81298811001,Cyclophosphamide For Inj 500 MG,137.48,109.99,0.46,123.73,36
NDC,81298866001,Fluorescein Sodium IV Soln 10%,201.62,161.3,55.99,181.46,27
NDC,81298866003,Fluorescein Sodium IV Soln 10%,201.62,161.3,55.99,181.46,27
NDC,81665030102,Cocaine HCl Nasal Soln 40 MG/ML (4%),899.1,719.28,1.56,809.19,27
NDC,81952011101,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,81952011106,Heparin Sodium (Porcine) Inj 5000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,81952011205,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,81952011210,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,82036427401,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),150.31,120.25,41.74,135.28,27
NDC,82182010614,Sucralfate Susp 1 GM/10ML,2.75,2.2,0.76,2.48,27
NDC,82705000201,Epcoritamab-bysp Subcutaneous Soln 4 MG/0.8ML,3693.0,2954.4,52.27,3323.7,36
NDC,82705001001,Epcoritamab-bysp Subcutaneous Soln 48 MG/0.8ML,30461.92,24369.54,52.27,27415.73,36
NDC,8290306413,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,8290306414,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,8290306423,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,8290306424,Heparin Sodium (Porcine) Lock Flush PF IV Soln 100 Unit/ML,21.0,16.8,1.0,18.9,27
NDC,82959011101,Imetelstat Sodium For IV Soln 188 MG,36384.05,29107.24,54.18,32745.65,36
NDC,82959011201,Imetelstat Sodium For IV Soln 47 MG,9096.01,7276.81,54.18,8186.41,36
NDC,83078011313,Skin Protectants Misc - Ointment,2.38,1.91,0.66,2.14,27
NDC,83090000801,Bortezomib For Inj 3.5 MG,35.82,28.66,2.29,32.24,27
NDC,832003800,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,832003810,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,832003850,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,832030100,Chlorpromazine HCl Tab 25 MG,1.86,1.49,0.52,1.67,27
NDC,832030200,Chlorpromazine HCl Tab 50 MG,12.5,10.0,3.47,11.25,27
NDC,832030300,Chlorpromazine HCl Tab 100 MG,3.27,2.62,0.91,2.94,27
NDC,832035711,Doxazosin Mesylate Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,832046515,Nystatin Topical Powder 100000 Unit/GM,8.51,6.81,2.36,7.66,27
NDC,832051200,Bethanechol Chloride Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,832051201,Bethanechol Chloride Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,832051289,Bethanechol Chloride Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,832058011,Clobazam Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,832058111,Clobazam Tab 20 MG,2.46,1.97,0.68,2.21,27
NDC,832074060,Propafenone HCl Cap ER 12HR 225 MG,3.72,2.98,1.03,3.35,27
NDC,832074160,Propafenone HCl Cap ER 12HR 325 MG,3.54,2.84,0.98,3.19,27
NDC,832101500,Amantadine HCl Cap 100 MG,2.03,1.63,0.56,1.83,27
NDC,832121201,Warfarin Sodium Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,832121289,Warfarin Sodium Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,832121301,Warfarin Sodium Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,832121389,Warfarin Sodium Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,832121501,Warfarin Sodium Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,832121589,Warfarin Sodium Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,832121601,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,832121689,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,832121701,Warfarin Sodium Tab 6 MG,1.5,1.2,0.42,1.35,27
NDC,832121789,Warfarin Sodium Tab 6 MG,1.5,1.2,0.42,1.35,27
NDC,832121800,Warfarin Sodium Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,832121889,Warfarin Sodium Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,832121900,Warfarin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,832121901,Warfarin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,832121989,Warfarin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,832135811,Doxazosin Mesylate Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,832532211,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,27
NDC,832532310,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,832532311,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,832532410,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.5,1.2,0.42,1.35,27
NDC,832532510,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,832532511,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,832532515,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,832601800,Chlorpromazine HCl Tab 25 MG,4.28,3.43,1.19,3.85,27
NDC,832601900,Chlorpromazine HCl Tab 50 MG,3.45,2.76,0.96,3.11,27
NDC,832602000,Chlorpromazine HCl Tab 100 MG,3.29,2.64,0.91,2.96,27
NDC,832712301,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,27
NDC,832712389,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,27
NDC,832712401,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,832712489,Divalproex Sodium Tab Delayed Release 500 MG,1.61,1.29,0.45,1.45,27
NDC,83490020760,Sodium Chloride Soln Nebu 7%,2.38,1.91,0.66,2.14,27
NDC,83490030760,Sodium Chloride Soln Nebu 7%,1.5,1.2,0.42,1.35,27
NDC,83634020261,Melphalan HCl For Inj 50 MG (Base Equiv),310.22,248.18,91.11,279.2,36
NDC,83634040110,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,5.83,18.9,27
NDC,83634040141,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,5.83,18.9,27
NDC,83634050041,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML),21.0,16.8,1.0,18.9,27
NDC,84386003290,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,8451001,Gemtuzumab Ozogamicin For IV Soln 4.5 MG,19494.25,15595.4,221.84,17544.83,36
NDC,8499019,Tigecycline For IV Soln 50 MG,515.45,412.36,1.0,463.91,27
NDC,8499020,Tigecycline For IV Soln 50 MG,280.01,224.01,1.0,252.01,27
NDC,85128801,Mometasone Furoate Nasal Susp 50 MCG/ACT,545.06,436.05,151.36,490.55,27
NDC,85132801,Posaconazole Susp 40 MG/ML,61.5,49.2,17.08,55.35,27
NDC,85134102,Mometasone Furoate Inhal Powd 220 MCG/ACT (Breath Activated),374.68,299.75,104.05,337.21,27
NDC,85134106,Mometasone Furoate Inhal Powd 220 MCG/ACT (Breath Activated),188.11,150.49,52.24,169.3,27
NDC,85138101,Temozolomide For IV Soln 100 MG,1441.27,1153.02,9.87,1297.14,36
NDC,85432001,Betamethasone Sod Phosphate & Acetate Inj Susp 6 (3-3) MG/ML,30.54,24.44,1.0,27.49,27
NDC,85432402,Posaconazole Tab Delayed Release 100 MG,171.86,137.49,47.73,154.67,27
NDC,85435201,Interferon Alfa-2B For Inj 50000000 Unit,3389.45,2711.56,32.57,3050.51,27
NDC,85720607,Mometasone Furoate-Formoterol Fumarate Aerosol 100-5 MCG/ACT,396.67,317.34,110.16,357.0,27
NDC,87074002,Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe),27.54,22.04,7.65,24.79,27
NDC,88222033,"Insulin Glargine Inj 100 Unit/ML,Insulin Glargine Soln Cartridge 100 Unit/ML,Insulin Glargine Soln Pen-Injector 100 Unit/ML",296.54,237.24,1.0,266.89,27
NDC,88250033,Insulin Glulisine Inj 100 Unit/ML,49.445,39.56,0.42,87.65,54
NDC,884629730,Phenol Swabs 89%,13.8,11.04,3.83,12.42,27
NDC,9000302,Methylprednisolone Sod Succ For Inj PF 500 MG (Base Equiv),157.86,126.29,0.2,142.07,36
NDC,9001103,Hydrocortisone Sodium Succinate PF For Inj 100 MG,21.0,16.8,1.0,18.9,27
NDC,9001104,Hydrocortisone Sodium Succinate PF For Inj 100 MG,24.06,19.25,1.0,21.65,27
NDC,9001201,Hydrocortisone Tab 5 MG,2.48,1.99,0.69,2.23,27
NDC,9001305,Hydrocortisone Sodium Succinate PF For Inj 250 MG,50.24,40.2,1.0,45.22,27
NDC,9001612,Hydrocortisone Sodium Succinate PF For Inj 500 MG,94.26,75.41,1.0,84.83,27
NDC,9001820,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv),181.83,145.47,0.2,163.65,36
NDC,9003101,Hydrocortisone Tab 10 MG,1.51,1.21,0.42,1.36,27
NDC,9003928,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9003930,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9003932,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9003933,Methylprednisolone Sod Succ For Inj PF 40 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9004722,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),31.19,24.96,0.2,28.07,36
NDC,9004725,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9004726,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),28.93,23.15,0.2,26.04,36
NDC,9004727,Methylprednisolone Sod Succ For Inj PF 125 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9026001,Colestipol HCl Granule Packets 5 GM,8.72,6.98,2.42,7.85,27
NDC,904001259,Chlorpheniramine Maleate Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,904073431,Neomycin-Bacitracin-Polymyxin Oint,6.96,5.57,1.93,6.26,27
NDC,904078816,Magnesium Hydroxide Susp 400 MG/5ML,5.11,4.09,1.42,4.6,27
NDC,9041701,Testosterone Cypionate IM Inj in Oil 200 MG/ML,22.66,18.13,1.0,20.39,27
NDC,904205661,Diphenhydramine HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,904227260,Niacin Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904253321,Calamine-Zinc Oxide Lotion,4.78,3.83,1.33,4.3,27
NDC,904272561,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,27
NDC,904282161,Oxybutynin Chloride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904292461,Verapamil HCl Tab 120 MG,1.5,1.2,0.42,1.35,27
NDC,9043601,Arginine HCl Inj 10%,121.37,97.1,33.7,109.23,27
NDC,904385461,Carbamazepine Chew Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904386575,Saline Nasal Spray 0.65%,1.66,1.33,0.46,1.49,27
NDC,904528261,Rifampin Cap 300 MG,2.0,1.6,0.56,1.8,27
NDC,904530661,Diphenhydramine HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,904530760,Diphenhydramine HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,904531360,Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG,1.5,1.2,0.42,1.35,27
NDC,904535431,Diphenhydramine-Zinc Acetate Cream 2-0.1%,4.54,3.64,1.26,4.09,27
NDC,904544861,Pentoxifylline Tab ER 400 MG,1.5,1.2,0.42,1.35,27
NDC,904546092,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.5,1.2,0.42,1.35,27
NDC,904552361,Doxazosin Mesylate Tab 2 MG,1.7,1.36,0.47,1.53,27
NDC,904552952,Famotidine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904552987,Famotidine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904567761,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904578561,Fluoxetine HCl Cap 20 MG,2.11,1.69,0.59,1.9,27
NDC,904578961,Acyclovir Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,904579061,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,904585340,Ibuprofen Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,904585361,Ibuprofen Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,904585461,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,27
NDC,904585561,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,904589161,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904589261,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904592161,Digoxin Tab 125 MCG (0.125 MG),2.46,1.97,0.68,2.21,27
NDC,904598426,Lactic Acid (Ammonium Lactate) Lotion 12%,7.93,6.35,2.2,7.14,27
NDC,904600760,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904600761,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904600861,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904600960,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,904600961,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,904601946,Bicalutamide Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904605161,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,904605261,Levetiracetam Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904608261,Zolpidem Tartrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904608461,Citalopram Hydrobromide Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904608561,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904617261,Carbamazepine Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,904618761,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,904619546,Anastrozole Tab 1 MG,1.5,1.2,0.62,11.31,27
NDC,904623761,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,904627108,Ziprasidone HCl Cap 60 MG,14.66,11.73,4.07,13.19,27
NDC,904628361,Olanzapine Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,904629006,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904629061,Atorvastatin Calcium Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904629106,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904629161,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904629206,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904629261,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904629461,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904630061,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,904630161,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,904630261,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,904630361,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904632206,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,904632261,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.51,1.21,0.42,1.36,27
NDC,904632361,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,27
NDC,904632461,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.59,1.28,0.44,1.43,27
NDC,904635261,Levofloxacin Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904635361,Levofloxacin Tab 750 MG,1.5,1.2,0.42,1.35,27
NDC,904635861,Risperidone Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904635961,Risperidone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904636061,Risperidone Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,904636361,Divalproex Sodium Tab ER 24 HR 250 MG,2.27,1.82,0.63,2.04,27
NDC,904636961,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904637061,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904637161,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904637361,Ropinirole Hydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,27
NDC,904637461,Ropinirole Hydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904637661,Olanzapine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904637761,Olanzapine Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904637861,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904640161,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,904641861,Tizanidine HCl Tab 4 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904642661,Escitalopram Oxalate Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904642761,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904643604,Temazepam Cap 7.5 MG,8.4,6.72,2.33,7.56,27
NDC,904644061,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904644161,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904644261,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904644361,Hydralazine HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904644961,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.5,1.2,0.42,1.35,27
NDC,904645061,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
NDC,904645461,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),2.3,1.84,0.64,2.07,27
NDC,904646161,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904647461,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904647561,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904647661,Baclofen Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904647861,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904650061,Fluconazole Tab 100 MG,3.32,2.66,0.92,2.99,27
NDC,904650161,Fluconazole Tab 200 MG,4.34,3.48,1.21,3.91,27
NDC,904650661,Memantine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904651761,Meclizine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904651961,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,904653061,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904655061,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904655304,Linezolid Tab 600 MG,6.89,5.52,1.91,6.2,27
NDC,904655761,Morphine Sulfate Tab ER 15 MG,1.5,1.2,0.42,1.35,27
NDC,904655861,Morphine Sulfate Tab ER 30 MG,2.59,2.08,0.72,2.33,27
NDC,904655961,Morphine Sulfate Tab ER 60 MG,5.12,4.1,1.42,4.61,27
NDC,904656061,Morphine Sulfate Tab ER 100 MG,6.16,4.93,1.71,5.54,27
NDC,904656460,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,904656461,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,904657061,Oxybutynin Chloride Tab ER 24HR 5 MG,2.67,2.14,0.74,2.4,27
NDC,904657261,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,27
NDC,904658561,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,904661761,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904662261,Pyridostigmine Bromide Tab 60 MG,2.22,1.78,0.62,2.0,27
NDC,904662361,Tacrolimus Cap 0.5 MG,1.84,1.48,0.51,1.66,27
NDC,904662461,Tacrolimus Cap 5 MG,17.44,13.96,1.0,15.7,27
NDC,904662735,Carbamide Peroxide 6.5% Otic Soln,4.17,3.34,1.16,3.75,27
NDC,904663561,Bupropion HCl Tab 75 MG,2.32,1.86,0.64,2.09,27
NDC,904663761,Glipizide Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904663861,Quetiapine Fumarate Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904664061,Quetiapine Fumarate Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904664161,Quetiapine Fumarate Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,904666561,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,904666661,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,27
NDC,904666761,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,27
NDC,904668961,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904670506,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904670561,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904670706,Sevelamer Carbonate Tab 800 MG,5.44,4.36,1.51,4.9,27
NDC,904670782,Sevelamer Carbonate Tab 800 MG,8.64,6.92,2.4,7.78,27
NDC,904670961,Glycopyrrolate Tab 1 MG,2.08,1.67,0.58,1.87,27
NDC,904673151,Diphenhydramine-Acetaminophen Tab 25-500 MG (sleep),1.5,1.2,0.42,1.35,27
NDC,904674561,Dronabinol Cap 2.5 MG,9.59,7.68,2.66,8.63,27
NDC,904674604,Dronabinol Cap 5 MG,20.03,16.03,5.56,18.03,27
NDC,904676720,Loratadine Oral Soln 5 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,904678261,Haloperidol Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904678504,Mycophenolate Sodium Tab DR 180 MG (Mycophenolic Acid Equiv),8.55,6.84,1.0,7.7,27
NDC,904678744,Magnesium Citrate Soln,4.8,3.84,1.33,4.32,27
NDC,904678861,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904679061,Benztropine Mesylate Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904679104,Modafinil Tab 100 MG,12.95,10.36,3.6,11.66,27
NDC,904679204,Modafinil Tab 200 MG,30.0,24.0,8.33,27.0,27
NDC,904679761,Lisinopril Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904679861,Lisinopril Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904679961,Lisinopril Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904680806,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904681806,Midodrine HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904681861,Midodrine HCl Tab 5 MG,1.63,1.31,0.45,1.47,27
NDC,904681907,Midodrine HCl Tab 10 MG,2.0,1.6,0.56,1.8,27
NDC,904682461,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,904682561,Hydrocodone-Acetaminophen Tab 10-325 MG,1.5,1.2,0.42,1.35,27
NDC,904682661,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,27
NDC,904682805,Oxycodone HCl Soln 5 MG/5ML,10.13,8.11,2.81,9.12,27
NDC,904683006,Finasteride Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904685289,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904686061,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,27
NDC,904686161,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,904686190,Divalproex Sodium Tab Delayed Release 500 MG,1.5,1.2,0.42,1.35,27
NDC,904686704,Tretinoin Cap 10 MG,65.85,52.68,18.29,59.27,27
NDC,904686961,Trazodone HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904687045,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904687404,Abacavir Sulfate Tab 300 MG (Base Equiv),13.96,11.17,3.88,12.56,27
NDC,904689004,Ursodiol Tab 250 MG,5.5,4.4,1.53,4.95,27
NDC,904689961,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,904690204,Raloxifene HCl Tab 60 MG,11.39,9.12,3.16,10.25,27
NDC,904690706,Pseudoephedrine HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,904690804,Atomoxetine HCl Cap 40 MG (Base Equiv),8.56,6.85,2.38,7.7,27
NDC,904691761,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,27
NDC,904692093,Docusate Sodium Enema 283 MG/5ML,5.62,4.5,1.56,5.06,27
NDC,904692361,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904692461,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904692561,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904692661,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904692761,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904693961,Hydroxyurea Cap 500 MG,1.6,1.28,0.44,1.44,27
NDC,904694804,Abiraterone Acetate Tab 250 MG,11.2,8.96,3.11,10.08,27
NDC,904694961,Levothyroxine Sodium Tab 25 MCG,1.5,1.2,0.42,1.35,27
NDC,904695061,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,27
NDC,904695761,Levothyroxine Sodium Tab 175 MCG,1.51,1.21,0.42,1.36,27
NDC,904696661,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904697712,Phenylephrine in Hard Fat Rectal Suppos 0.25%,1.5,1.2,0.42,1.35,27
NDC,904698761,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,904699104,Pregabalin Cap 25 MG,1.88,1.51,0.52,1.69,27
NDC,904699161,Pregabalin Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,904699261,Pregabalin Cap 50 MG,1.73,1.39,0.48,1.56,27
NDC,904699361,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,904699960,Docusate Sodium Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,904700061,Pregabalin Cap 75 MG,1.5,1.2,0.42,1.35,27
NDC,904700161,Pregabalin Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,904700261,Pregabalin Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,904700761,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904700861,Lamotrigine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904700906,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),5.45,4.36,1.51,4.91,27
NDC,904701006,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),5.64,4.52,1.57,5.08,27
NDC,904703604,Naltrexone HCl Tab 50 MG,4.19,3.36,1.16,3.77,27
NDC,904704206,Amantadine HCl Cap 100 MG,2.08,1.67,0.58,1.87,27
NDC,904704561,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),2.1,1.68,0.58,1.89,27
NDC,904704606,Hydroxychloroquine Sulfate Tab 200 MG,2.65,2.12,0.74,2.39,27
NDC,904704761,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904704861,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904704961,Losartan Potassium Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,904705361,Doxepin HCl Cap 25 MG,1.73,1.39,0.48,1.56,27
NDC,904705699,Aspirin-Dipyridamole Cap ER 12HR 25-200 MG,20.71,16.57,5.75,18.64,27
NDC,904705761,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904706041,Levetiracetam Oral Soln 100 MG/ML,8.05,6.44,2.24,7.25,27
NDC,904706262,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),24.79,19.84,6.88,22.31,27
NDC,904706561,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,904707341,Ondansetron HCl Oral Soln 4 MG/5ML,26.06,20.85,1.0,23.45,27
NDC,904707393,Ondansetron HCl Oral Soln 4 MG/5ML,26.06,20.85,1.0,23.45,27
NDC,904707461,Mycophenolate Mofetil Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,904707661,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904707761,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,904708204,Nifedipine Tab ER 24HR Osmotic Release 90 MG,6.53,5.23,1.81,5.88,27
NDC,904708361,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904708661,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,904708761,Clozapine Tab 100 MG,1.66,1.33,0.46,1.49,27
NDC,904709361,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,27
NDC,904709561,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.88,2.31,0.8,2.59,27
NDC,904709761,Tacrolimus Cap 1 MG,2.61,2.09,0.72,2.35,27
NDC,904710561,Captopril Tab 12.5 MG,2.75,2.2,0.76,2.48,27
NDC,904711061,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,904711341,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),12.91,10.33,3.59,11.62,27
NDC,904711861,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904711961,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),2.59,2.08,0.72,2.33,27
NDC,904712161,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904712261,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,904712361,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,904712461,Levetiracetam Tab 500 MG,4.99,4.0,1.39,4.49,27
NDC,904712661,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904712761,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904713261,Chlorpromazine HCl Tab 100 MG,12.47,9.98,3.46,11.22,27
NDC,904713470,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,3.59,2.88,1.0,3.23,27
NDC,904713572,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,3.78,3.03,1.05,3.4,27
NDC,904714110,Methotrexate Sodium Tab 2.5 MG (Base Equiv),5.83,4.67,1.0,5.25,27
NDC,904714212,Bisacodyl Suppos 10 MG,1.5,1.2,0.42,1.35,27
NDC,904714461,Dronabinol Cap 2.5 MG,8.76,7.01,2.43,7.88,27
NDC,904714504,Dronabinol Cap 5 MG,19.11,15.29,5.31,17.2,27
NDC,904715361,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,904715504,Buprenorphine HCl SL Tab 8 MG (Base Equiv),8.4,6.72,2.33,7.56,27
NDC,904716261,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,904716361,Metformin HCl Tab 850 MG,1.5,1.2,0.42,1.35,27
NDC,904717761,Furosemide Tab 20 MG,1.65,1.32,0.46,1.49,27
NDC,904717861,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,904717961,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904718561,Amitriptyline HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904718761,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904719306,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904719361,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,904721104,Dantrolene Sodium Cap 25 MG,3.51,2.81,0.97,3.16,27
NDC,904721304,Acamprosate Calcium Tab Delayed Release 333 MG,4.73,3.79,1.31,4.26,27
NDC,904721461,Bupropion HCl Tab ER 12HR 150 MG,1.5,1.2,0.42,1.35,27
NDC,904721661,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,27
NDC,904721761,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.5,1.2,0.42,1.35,27
NDC,904721961,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,1.5,1.2,0.42,1.35,27
NDC,904722461,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904722761,Clonazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904723661,Megestrol Acetate Tab 40 MG,1.5,1.2,0.42,1.35,27
NDC,904723961,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,904724261,Haloperidol Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,904724361,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,27
NDC,904724468,Lacosamide Tab 50 MG,3.09,2.48,0.86,2.78,27
NDC,904724568,Lacosamide Tab 100 MG,5.14,4.12,1.43,4.63,27
NDC,904726261,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,27
NDC,904726541,Levetiracetam Oral Soln 100 MG/ML,6.21,4.97,1.72,5.59,27
NDC,904726593,Levetiracetam Oral Soln 100 MG/ML,6.21,4.97,1.72,5.59,27
NDC,904726918,Sucralfate Susp 1 GM/10ML,14.26,11.41,3.96,12.83,27
NDC,904726966,Sucralfate Susp 1 GM/10ML,14.26,11.41,3.96,12.83,27
NDC,904727061,Bupropion HCl Tab ER 12HR 100 MG,1.71,1.37,0.47,1.54,27
NDC,904727641,Nystatin Susp 100000 Unit/ML,1.71,1.37,0.47,1.54,27
NDC,904727670,Nystatin Susp 100000 Unit/ML,1.71,1.37,0.47,1.54,27
NDC,904727966,Docusate Sodium Liquid 150 MG/15ML,1.51,1.21,0.42,1.36,27
NDC,904727972,Docusate Sodium Liquid 150 MG/15ML,1.51,1.21,0.42,1.36,27
NDC,904728861,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904729361,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.5,1.2,0.42,1.35,27
NDC,904730461,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904730561,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,27
NDC,904730661,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,27
NDC,904730761,Carvedilol Tab 12.5 MG,1.5,1.2,0.42,1.35,27
NDC,904730861,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904731662,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,11.02,8.82,3.06,9.92,27
NDC,904731673,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,11.02,8.82,3.06,9.92,27
NDC,904732573,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,7.53,6.03,2.09,6.78,27
NDC,904733706,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,904733735,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,904734661,Fluoxetine HCl Cap 20 MG,1.5,1.2,0.42,1.35,27
NDC,904736161,Risperidone Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904736261,Risperidone Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904736361,Risperidone Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,904738361,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,27
NDC,904738961,Haloperidol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
NDC,904741761,Methadone HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904741844,Magnesium Citrate Soln,6.39,5.12,1.77,5.75,27
NDC,904742730,Oxymetazoline HCl Nasal Soln 0.05%,6.8,5.44,1.89,6.12,27
NDC,904743535,Oxymetazoline HCl Nasal Soln 0.05%,4.78,3.83,1.33,4.3,27
NDC,904744061,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.5,1.2,0.42,1.35,27
NDC,904744261,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,27
NDC,904744861,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,904744961,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904745261,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,27
NDC,904746188,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),9.64,7.72,2.68,8.68,27
NDC,904747261,Loperamide HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,904747835,Carbamide Peroxide 6.5% Otic Soln,4.29,3.44,1.19,3.86,27
NDC,904749661,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,904750161,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,904750761,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,27
NDC,904750930,Aspirin Chew Tab 81 MG,1.5,1.2,0.42,1.35,27
NDC,904751161,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,904762331,Hydrocortisone Cream 1%,2.8,2.24,0.78,2.52,27
NDC,904772861,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,904775127,Skin Protectants Misc - Cream,13.48,10.79,3.74,12.13,27
NDC,9069801,Methylprednisolone Sod Succ For Inj 1000 MG (Base Equiv),170.3,136.24,0.2,153.27,36
NDC,9069801,Methylprednisolone Sodium Succinate For Inj 1000 MG,170.3,136.24,0.2,153.27,36
NDC,9069801,"Methylprednisolone Sodium Succinate For Inj 1000 MG,Methylprednisolone Sod Succ For Inj PF 1000 MG (Base Equiv)",170.3,136.24,0.2,153.27,36
NDC,9074630,Medroxyprogesterone Acetate IM Susp 150 MG/ML,191.01,152.81,53.04,171.91,27
NDC,9075801,Methylprednisolone Sod Succ For Inj 500 MG (Base Equiv),21.0,16.8,0.2,18.9,36
NDC,9077526,Clindamycin Phosphate Inj 600 MG/4ML,21.0,16.8,2.18,18.9,27
NDC,9082501,Hydrocortisone Sodium Succinate PF For Inj 100 MG,42.89,34.32,1.0,38.6,27
NDC,9085605,Carboprost Tromethamine IM Soln 250 MCG/ML,710.77,568.62,197.38,639.69,27
NDC,9085608,Carboprost Tromethamine IM Soln 250 MCG/ML,1442.85,1154.28,400.68,1298.57,27
NDC,9087021,Clindamycin Phosphate Inj 300 MG/2ML,21.0,16.8,2.18,18.9,27
NDC,9087026,Clindamycin Phosphate Inj 300 MG/2ML,21.0,16.8,2.18,18.9,27
NDC,9090211,Clindamycin Phosphate Inj 900 MG/6ML,21.0,16.8,2.18,18.9,27
NDC,9090218,Clindamycin Phosphate Inj 900 MG/6ML,21.0,16.8,2.18,18.9,27
NDC,93005301,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,93005801,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,93007301,Zolpidem Tartrate Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,93015001,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,93015010,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,27
NDC,93031401,Ketorolac Tromethamine Tab 10 MG,2.3,1.84,0.64,2.07,27
NDC,93031801,Diltiazem HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,93031805,Diltiazem HCl Tab 30 MG,1.5,1.2,0.42,1.35,27
NDC,93031901,Diltiazem HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,93031905,Diltiazem HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
NDC,93032001,Diltiazem HCl Tab 90 MG,1.5,1.2,0.42,1.35,27
NDC,9307301,Methylprednisolone Acetate Inj Susp 40 MG/ML,21.0,16.8,0.11,18.9,36
NDC,9307303,Methylprednisolone Acetate Inj Susp 40 MG/ML,24.49,19.6,0.11,22.04,36
NDC,9307322,Methylprednisolone Acetate Inj Susp 40 MG/ML,21.0,16.8,0.11,18.9,36
NDC,9307323,Methylprednisolone Acetate Inj Susp 40 MG/ML,24.53,19.63,0.11,22.08,36
NDC,93075201,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,93075210,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,93075301,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,93075305,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,93075501,Diflunisal Tab 500 MG,2.57,2.06,0.71,2.31,27
NDC,93075506,Diflunisal Tab 500 MG,2.65,2.12,0.74,2.39,27
NDC,93075701,Piroxicam Cap 20 MG,5.32,4.26,1.48,4.79,27
NDC,93077198,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,93077801,Carbamazepine Chew Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,93078701,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,93078710,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,93081001,Nortriptyline HCl Cap 10 MG,1.5,1.2,0.42,1.35,27
NDC,93081101,Nortriptyline HCl Cap 25 MG,1.5,1.2,0.42,1.35,27
NDC,93081201,Nortriptyline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,93081205,Nortriptyline HCl Cap 50 MG,1.5,1.2,0.42,1.35,27
NDC,93081301,Nortriptyline HCl Cap 75 MG,1.5,1.2,0.42,1.35,27
NDC,93100301,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,93100305,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,27
NDC,93101042,Mupirocin Oint 2%,81.97,65.58,22.76,73.77,27
NDC,93102406,Nefazodone HCl Tab 100 MG,2.92,2.34,0.81,2.63,27
NDC,93106101,Sotalol HCl Tab 80 MG,1.5,1.2,0.42,1.35,27
NDC,93106201,Sotalol HCl Tab 160 MG,1.5,1.2,0.42,1.35,27
NDC,93117201,Penicillin V Potassium Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,93117401,Penicillin V Potassium Tab 500 MG,1.5,1.2,0.42,1.35,27
NDC,93117701,Neomycin Sulfate Tab 500 MG,2.59,2.08,0.72,2.33,27
NDC,9316901,Alprostadil Inj 500 MCG/ML,163.04,130.44,6.69,146.74,27
NDC,9316906,Alprostadil Inj 500 MCG/ML,402.94,322.36,6.69,362.65,27
NDC,93171201,Warfarin Sodium Tab 1 MG,1.5,1.2,0.42,1.35,27
NDC,93171301,Warfarin Sodium Tab 2 MG,1.5,1.2,0.42,1.35,27
NDC,93171501,Warfarin Sodium Tab 3 MG,1.5,1.2,0.42,1.35,27
NDC,93171601,Warfarin Sodium Tab 4 MG,1.5,1.2,0.42,1.35,27
NDC,93171801,Warfarin Sodium Tab 6 MG,1.5,1.2,0.42,1.35,27
NDC,93172001,Warfarin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,93172101,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,27
NDC,93172301,Warfarin Sodium Tab 7.5 MG,1.5,1.2,0.42,1.35,27
NDC,93202631,Azithromycin For Susp 200 MG/5ML,4.16,3.33,1.71,25.19,27
NDC,93202723,Azithromycin For Susp 100 MG/5ML,38.39,30.72,10.66,34.55,27
NDC,93220301,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93220305,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93220401,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93220405,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93221001,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,93221005,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,27
NDC,93226801,Amoxicillin (Trihydrate) Chew Tab 250 MG,1.5,1.2,0.42,1.35,27
NDC,93227434,Amoxicillin & K Clavulanate Tab 500-125 MG,1.5,1.2,0.42,1.35,27
NDC,93227534,Amoxicillin & K Clavulanate Tab 875-125 MG,1.5,1.2,0.42,1.35,27
NDC,93300256,Quinine Sulfate Cap 324 MG,14.29,11.44,3.97,12.86,27
NDC,93306156,Rasagiline Mesylate Tab 1 MG (Base Equiv),17.26,13.81,4.79,15.53,27
NDC,93312301,Dicloxacillin Sodium Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,93312501,Dicloxacillin Sodium Cap 500 MG,1.53,1.23,0.42,1.38,27
NDC,93312701,Disopyramide Phosphate Cap 100 MG,1.5,1.2,0.42,1.35,27
NDC,93314501,Cephalexin Cap 250 MG,1.5,1.2,0.42,1.35,27
NDC,93314701,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,93314705,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,27
NDC,93317431,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),82.73,66.19,22.97,74.46,27
NDC,93321992,Ketoconazole Cream 2%,158.6,126.88,44.04,142.74,27
NDC,93324101,Bisoprolol & Hydrochlorothiazide Tab 2.5-6.25 MG,1.5,1.2,0.42,1.35,27
NDC,93330101,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,93354456,Atomoxetine HCl Cap 25 MG (Base Equiv),9.33,7.47,2.59,8.4,27
NDC,93354556,Atomoxetine HCl Cap 40 MG (Base Equiv),10.15,8.12,2.82,9.14,27
NDC,9335901,Dinoprostone Cervical Gel 0.5 MG/3GM,6109.02,4887.22,1696.47,5498.12,27
NDC,93365528,Methylergonovine Maleate Tab 0.2 MG,46.47,37.18,12.9,41.82,27
NDC,93365621,Buprenorphine TD Patch Weekly 5 MCG/HR,132.8,106.24,36.88,119.52,27
NDC,93406701,Prazosin HCl Cap 1 MG,1.5,1.2,0.42,1.35,27
NDC,93406801,Prazosin HCl Cap 2 MG,1.5,1.2,0.42,1.35,27
NDC,93406901,Prazosin HCl Cap 5 MG,1.98,1.59,0.55,1.78,27
NDC,93408563,Tobramycin Nebu Soln 300 MG/5ML,210.22,168.18,17.75,189.2,27
NDC,93412773,Penicillin V Potassium For Soln 250 MG/5ML,9.99,8.0,2.77,8.99,27
NDC,93412774,Penicillin V Potassium For Soln 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,93414645,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.65,2.12,0.05,2.39,27
NDC,93414656,Levalbuterol HCl Soln Nebu 0.63 MG/3ML (Base Equiv),2.65,2.12,0.05,2.39,27
NDC,93414719,Levalbuterol HCl Soln Nebu Conc 1.25 MG/0.5ML (Base Equiv),13.55,10.84,0.05,12.2,27
NDC,93414845,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),2.7,2.16,0.05,2.43,27
NDC,93414856,Levalbuterol HCl Soln Nebu 1.25 MG/3ML (Base Equiv),3.11,2.49,0.05,2.8,27
NDC,93415573,Amoxicillin (Trihydrate) For Susp 250 MG/5ML,1.5,1.2,0.42,1.35,27
NDC,93415580,Amoxicillin (Trihydrate) For Susp 250 MG/5ML,6.08,4.87,1.69,5.47,27
NDC,93416173,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,5.13,4.11,1.42,4.62,27
NDC,93416176,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,2.7,2.16,0.75,2.43,27
NDC,93416178,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,4.05,3.24,1.12,3.65,27
NDC,93435901,Clozapine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,93435993,Clozapine Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,9347501,Methylprednisolone Acetate Inj Susp 80 MG/ML,25.67,20.54,0.11,23.1,36
NDC,9347503,Methylprednisolone Acetate Inj Susp 80 MG/ML,21.82,17.46,0.11,19.64,36
NDC,9347522,Methylprednisolone Acetate Inj Susp 80 MG/ML,23.66,18.93,0.11,21.29,36
NDC,9347523,Methylprednisolone Acetate Inj Susp 80 MG/ML,50.16,40.13,0.11,45.14,36
NDC,93505898,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93505998,Atorvastatin Calcium Tab 20 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93506001,Hydroxyzine HCl Tab 10 MG,1.5,1.2,0.42,1.35,27
NDC,93506101,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
NDC,93506201,Hydroxyzine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
NDC,93524519,Olanzapine Orally Disintegrating Tab 5 MG,4.54,3.64,1.26,4.09,27
NDC,93524565,Olanzapine Orally Disintegrating Tab 5 MG,4.29,3.44,1.19,3.86,27
NDC,93524619,Olanzapine Orally Disintegrating Tab 10 MG,5.59,4.48,1.55,5.03,27
NDC,93524665,Olanzapine Orally Disintegrating Tab 10 MG,6.06,4.85,1.68,5.45,27
NDC,93573301,Oxycodone HCl Tab ER 12HR Deter 40 MG,17.12,13.7,4.75,15.41,27
NDC,93574265,Cyclosporine Modified Cap 100 MG,4.13,3.31,1.0,3.72,27
NDC,93590786,Mesalamine Cap DR 400 MG,3.93,3.15,1.09,3.54,27
NDC,93645056,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),2.08,1.67,0.58,1.87,27
NDC,93681519,Budesonide Inhalation Susp 0.25 MG/2ML,8.83,7.07,2.45,7.95,27
NDC,93681545,Budesonide Inhalation Susp 0.25 MG/2ML,9.64,7.72,2.68,8.68,27
NDC,93681555,Budesonide Inhalation Susp 0.25 MG/2ML,8.83,7.07,2.45,7.95,27
NDC,93681573,Budesonide Inhalation Susp 0.25 MG/2ML,9.64,7.72,2.68,8.68,27
NDC,93681619,Budesonide Inhalation Susp 0.5 MG/2ML,4.32,3.46,1.01,3.89,27
NDC,93681645,Budesonide Inhalation Susp 0.5 MG/2ML,7.45,5.96,1.01,6.71,27
NDC,93681655,Budesonide Inhalation Susp 0.5 MG/2ML,8.86,7.09,1.01,7.97,27
NDC,93681673,Budesonide Inhalation Susp 0.5 MG/2ML,7.4,5.92,1.01,6.66,27
NDC,93711306,Nefazodone HCl Tab 150 MG,3.08,2.47,0.86,2.77,27
NDC,93720198,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,27
NDC,93733506,Topiramate Sprinkle Cap 15 MG,1.5,1.2,0.42,1.35,27
NDC,93735201,Calcitriol Cap 0.25 MCG,2.36,1.89,0.66,2.12,27
NDC,93735301,Calcitriol Cap 0.5 MCG,1.5,1.2,0.42,1.35,27
NDC,93736798,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,27
NDC,93738498,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93747219,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),1.89,1.52,0.52,1.7,27
NDC,93747243,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),3.92,3.14,1.09,3.53,27
NDC,93747306,Capecitabine Tab 150 MG,23.33,18.67,0.03,21.0,36
NDC,93747489,Capecitabine Tab 500 MG,76.6,61.28,0.03,68.94,36
NDC,93762056,Letrozole Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,93762998,Imatinib Mesylate Tab 100 MG (Base Equivalent),6.91,5.53,2.83,85.91,27
NDC,93763056,Imatinib Mesylate Tab 400 MG (Base Equivalent),22.19,17.76,9.1,85.91,27
NDC,93776719,Everolimus Tab 5 MG,31.9,25.52,1.0,28.71,27
NDC,93776724,Everolimus Tab 5 MG,31.9,25.52,1.0,28.71,27
NDC,93777201,Clozapine Tab 100 MG,2.46,1.97,0.68,2.21,27
NDC,93777205,Clozapine Tab 100 MG,1.5,1.2,0.42,1.35,27
NDC,93777219,Clozapine Tab 100 MG,2.13,1.71,0.59,1.92,27
NDC,93777293,Clozapine Tab 100 MG,2.55,2.04,0.71,2.3,27
NDC,9379401,Ibutilide Fumarate Inj 1 MG/10ML,813.45,650.76,163.69,732.11,36
NDC,9379422,Ibutilide Fumarate Inj 1 MG/10ML,1006.2,804.96,163.69,905.58,36
NDC,93803401,Glyburide Micronized Tab 1.5 MG,1.5,1.2,0.42,1.35,27
NDC,93803501,Glyburide Micronized Tab 3 MG,1.5,1.2,0.42,1.35,27
NDC,93803601,Glyburide Micronized Tab 6 MG,1.5,1.2,0.42,1.35,27
NDC,93834201,Glyburide Tab 1.25 MG,1.5,1.2,0.42,1.35,27
NDC,93867578,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,71.48,57.19,19.85,64.33,27
NDC,93873901,Mexiletine HCl Cap 150 MG,1.5,1.2,0.42,1.35,27
NDC,93874001,Mexiletine HCl Cap 200 MG,1.5,1.2,0.42,1.35,27
NDC,93902019,Cyclosporine Modified Cap 100 MG,4.12,3.3,1.0,3.71,27
NDC,93902065,Cyclosporine Modified Cap 100 MG,4.12,3.3,1.0,3.71,27
NDC,93914701,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.5,1.2,0.42,1.35,27
NDC,93943301,Glyburide Tab 2.5 MG,1.5,1.2,0.42,1.35,27
NDC,93970201,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,27
NDC,93970301,Carbidopa & Levodopa Tab 25-250 MG,1.5,1.2,0.42,1.35,27
NDC,942064104,Anticoagulant Citrate Dextrose Solution A,26.1,20.88,7.25,23.49,27
NDC,942950410,Anticoagulant Sodium Citrate Soln 4%,43.5,34.8,12.08,39.15,27
NDC,944049301,"Albumin, Human Inj 25%",190.85999999999999,152.695,35.33,229.03,76
NDC,944049302,"Albumin, Human Inj 25%",190.85999999999999,152.695,35.33,229.03,76
NDC,944049303,"Albumin, Human Inj 25%",131.59,105.28,36.54,118.43,38
NDC,944049304,"Albumin, Human Inj 25%",131.59,105.28,36.54,118.43,38
NDC,944049505,"Albumin, Human Inj 5%",127.24,101.8,47.49,114.52,38
NDC,944270004,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,690.84,552.68,43.05,621.76,36
NDC,944270005,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,1381.67,1105.34,43.05,1243.5,36
NDC,944270006,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,2763.35,2210.68,43.05,2487.02,36
NDC,944270007,Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML,4178.79,3343.04,43.05,3760.91,36
NDC,944270010,Immune Globulin (Human) IV or Subcutaneous Soln 5 GM/50ML,690.84,552.68,43.05,621.76,36
NDC,944270011,Immune Globulin (Human) IV or Subcutaneous Soln 10 GM/100ML,1381.67,1105.34,43.05,1243.5,36
NDC,944270012,Immune Globulin (Human) IV or Subcutaneous Soln 20 GM/200ML,2763.35,2210.68,43.05,2487.02,36
NDC,944270013,Immune Globulin (Human) IV or Subcutaneous Soln 30 GM/300ML,4178.79,3343.04,43.05,3760.91,36
NDC,944305102,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 250 Unit,1202.5,962.0,1.5,1082.25,36
NDC,944305202,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 500 Unit,1244.19,995.36,1.5,1119.77,36
NDC,944305302,Antihemophilic Factor Recomb (rAHF-PFM) For Inj 1000 Unit,2773.8,2219.04,1.5,2496.42,36
NDC,944500101,Antihemophilic Factor (Recomb Porc) rpFVIII For Inj 500 Unit,2964.75,2371.8,3.07,2668.28,36
NDC,944755302,Von Willebrand Factor (Recombinant) For Inj 1300 Unit,21.0,16.8,1.76,18.9,36
NDC,9454102,Tolterodine Tartrate Tab 1 MG,8.02,6.42,2.23,7.22,27
NDC,9454402,Tolterodine Tartrate Tab 2 MG,8.23,6.59,2.29,7.41,27
NDC,9499202,Linezolid IV Soln 600 MG/300ML (2 MG/ML),163.13,130.51,1.0,146.82,27
NDC,9509101,Epirubicin HCl IV Soln 50 MG/25ML (2 MG/ML),143.07,114.46,1.0,128.76,27
NDC,9513601,Linezolid For Susp 100 MG/5ML,352.84,282.28,97.98,317.56,27
NDC,9513802,Linezolid Tab 600 MG,366.17,292.94,101.69,329.55,27
NDC,9514001,Linezolid IV Soln 600 MG/300ML (2 MG/ML),91.35,73.08,1.0,82.22,27
NDC,9514004,Linezolid IV Soln 600 MG/300ML (2 MG/ML),91.35,73.08,1.0,82.22,27
NDC,9519002,Tolterodine Tartrate Cap ER 24HR 2 MG,13.62,10.9,3.78,12.26,27
NDC,9519102,Tolterodine Tartrate Cap ER 24HR 4 MG,28.11,22.49,7.81,25.3,27
NDC,955100310,Enoxaparin Sodium Inj Soln Pref Syr 30 MG/0.3ML,22.13,17.71,1.0,19.92,27
NDC,955100401,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,34.54,27.64,1.0,31.09,27
NDC,955100410,Enoxaparin Sodium Inj Soln Pref Syr 40 MG/0.4ML,26.13,20.91,1.0,23.52,27
NDC,955100610,Enoxaparin Sodium Inj Soln Pref Syr 60 MG/0.6ML,35.89,28.72,1.0,32.3,27
NDC,955100810,Enoxaparin Sodium Inj Soln Pref Syr 80 MG/0.8ML,32.43,25.95,1.0,29.19,27
NDC,955101010,Enoxaparin Sodium Inj Soln Pref Syr 100 MG/ML,297.84,238.28,1.0,268.06,27
NDC,955101210,Enoxaparin Sodium Inj Soln Pref Syr 120 MG/0.8ML,77.98,62.39,1.0,70.18,27
NDC,955101510,Enoxaparin Sodium Inj Soln Pref Syr 150 MG/ML,98.22,78.58,1.0,88.4,27
NDC,955101601,Enoxaparin Sodium Inj 300 MG/3ML,233.37,186.7,1.0,210.03,27
NDC,955105027,Sevelamer Carbonate Tab 800 MG,1.5,1.2,0.42,1.35,27
NDC,955173730,Leflunomide Tab 20 MG,9.29,7.44,2.58,8.36,27
NDC,955174601,Clofarabine IV Soln 1 MG/ML,1561.8,1249.44,3.98,1405.62,36
NDC,96070735,Aluminum Chloride Soln 20%,17.86,14.29,4.96,16.07,27
NDC,9722401,Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq),5344.59,4275.68,2191.28,5619.53,36
NDC,9722402,Lymphocyte Immune Globulin Anti-Thymocyte G Inj 50 MG/ML(Eq),4072.06,3257.65,1669.54,5619.53,36
NDC,9737611,Medroxyprogesterone Acetate IM Susp Prefilled Syr 150 MG/ML,393.72,314.98,1.0,354.35,27
NDC,9752904,Irinotecan HCl Inj 40 MG/2ML (20 MG/ML),26.65,21.32,1.0,23.99,27
NDC,9766304,Exemestane Tab 25 MG,37.72,30.18,10.47,33.95,27
NDC,990613803,Sodium Chloride Irrigation Soln 0.9%,0.02,0.02,0.01,0.02,27
NDC,990613803,"Sodium Chloride Irrigation Soln 0.9%,Sodium Chloride IV Soln 0.9%",0.02,0.02,0.01,0.02,27
NDC,990707726,Potassium Chloride Inj 40 mEq/100ML,21.0,16.8,1.0,18.9,27
NDC,990771503,Mannitol IV Soln 20%,54.38,43.51,15.1,48.94,27
NDC,990771513,Mannitol IV Soln 20%,54.38,43.51,15.1,48.94,27
NDC,998001615,Proparacaine HCl Ophth Soln 0.5%,98.74,79.0,27.42,88.87,27
NDC,998020315,Pilocarpine HCl Ophth Soln 1%,184.8,147.84,51.32,166.32,27
NDC,998020415,Pilocarpine HCl Ophth Soln 2%,192.74,154.2,53.52,173.47,27
NDC,998020615,Pilocarpine HCl Ophth Soln 4%,201.97,161.58,56.09,181.77,54
NDC,998063006,Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%,282.02,225.62,78.32,253.82,27
NDC,9999991324,Oxytocin Inj 10 Unit/ML,43.5,34.8,1.0,39.15,27
NDC,9999993446,Famotidine Preservative Free Inj 20 MG/2ML,21.0,16.8,5.83,18.9,27
RC,0110,PRIVATE ROOM,2224.0,1779.2,1223.2,2001.6,9
RC,0110,PRIVATE ROOM MONITORED,3454.0,2763.2,1899.7,3108.6,9
RC,0112,PRIVATE ROOM OBSTETRICS,2224.0,1779.2,1223.2,2001.6,9
RC,0113,INTERMEDIATE PRIVATE ROOM PEDIATRIC,4298.0,3438.4,2363.9,3868.2,9
RC,0113,PRIVATE ROOM MONITORED PEDS,3454.0,2763.2,1899.7,3108.6,9
RC,0113,PRIVATE ROOM PEDS,2224.0,1779.2,1223.2,2001.6,9
RC,0114,PRIVATE ROOM BEHAVIOR HEALTH,3964.0,3171.2,2180.2,3567.6,9
RC,0118,PRIVATE ROOM MONITORED REHAB,3454.0,2763.2,1360.62,3108.6,17
RC,0118,PRIVATE ROOM REHAB,2224.0,1779.2,1223.2,2601.0,17
RC,0120,SEMI PRIVATE ROOM,2224.0,1779.2,1223.2,2001.6,9
RC,0122,SEMI PRIVATE ROOM OBSTETRICS,2224.0,1779.2,1223.2,2001.6,9
RC,0123,SEMI PRIVATE ROOM PEDIATRIC,2224.0,1779.2,1223.2,2001.6,9
RC,0124,SEMI PRIVATE ROOM BEHAVIOR HEALTH,3964.0,3171.2,2180.2,3567.6,9
RC,0128,SEMI PRIVATE ROOM REHAB,2224.0,1779.2,1223.2,2601.0,17
RC,0138,Inpatient Rehabilitation,,,1360.62,2601.0,8
RC,0148,Inpatient Rehabilitation,,,1360.62,2601.0,8
RC,0158,Inpatient Rehabilitation,,,1360.62,2601.0,8
RC,0161,HOSPITAL AT HOME ROOM,1557.0,1245.6,856.35,1401.3,9
RC,0170,NURSERY ROOM & BOARD,1672.0,1337.6,919.6,2486.0,11
RC,0171,"NICU, Level 1/General/Other",,,2323.0,2486.0,2
RC,0172,NEWBORN LEVEL II,2224.0,1779.2,1223.2,2001.6,11
RC,0173,NEWBORN LEVEL III,3401.0,2720.8,1870.55,3060.9,11
RC,0174,NEWBORN LEVEL IV,6665.0,5332.0,2815.0,5998.5,11
RC,0179,"NICU, Level 1/General/Other",,,2323.0,2486.0,2
RC,0200,INTENSIVE CARE GENERAL,5652.0,4521.6,3108.6,5086.8,9
RC,0203,INTENSIVE CARE ROOM PEDIATRIC,5652.0,4521.6,3108.6,5086.8,9
RC,0206,INTERMEDIATE ROOM & BOARD,4298.0,3438.4,2363.9,3868.2,9
RC,0250,",Dexmedetomidine HCl in NaCl 0.9% IV Soln 80 MCG/20ML",21.0,16.8,5.83,18.9,27
RC,0250,Abacavir Sulfate Soln 20 MG/ML (Base Equiv),317.52,254.02,88.18,285.77,27
RC,0250,Abacavir Sulfate Tab 300 MG (Base Equiv),13.345,10.68,0.43,19.92,162
RC,0250,Acalabrutinib Maleate Tab 100 MG,651.86,521.49,181.02,586.67,27
RC,0250,Acamprosate Calcium Tab Delayed Release 333 MG,4.16,3.335,0.57,5.08,135
RC,0250,Acarbose Tab 25 MG,1.5,1.2,0.42,1.35,54
RC,0250,Acebutolol HCl Cap 200 MG,2.3899999999999997,1.915,0.42,2.95,81
RC,0250,Acetaminophen Suppos 325 MG,1.76,1.41,0.49,1.58,27
RC,0250,Acetaminophen w/ Codeine Soln 120-12 MG/5ML,2.58,2.07,0.42,6.17,243
RC,0250,Acetaminophen w/ Codeine Tab 300-30 MG,1.5,1.2,0.42,1.35,243
RC,0250,Acetaminophen-Pamabrom-Pyrilamine Tab 500-25-15 MG,1.5,1.2,0.42,1.35,27
RC,0250,Acetazolamide Cap ER 12HR 500 MG,2.89,2.32,0.42,6.03,108
RC,0250,Acetazolamide Tab 125 MG,2.95,2.36,0.42,3.96,54
RC,0250,Acetazolamide Tab 250 MG,4.4,3.52,0.42,4.59,162
RC,0250,Acetic Acid Irrigation Soln 0.25%,8.1,6.48,2.25,7.29,27
RC,0250,Acetic Acid Otic Soln 2%,51.64,41.32,14.34,46.48,27
RC,0250,Acetic Acid Soln 3%,24.11,19.29,1.39,38.88,54
RC,0250,Acetylcholine Chloride Intraocular For Soln 20 MG (1:100),221.81,177.45,61.6,199.63,27
RC,0250,Acetylcysteine Inhal Soln 10%,23.98,19.19,3.15,45.73,189
RC,0250,Acetylcysteine Inhal Soln 20%,24.14,19.32,5.82,38.2,81
RC,0250,Acyclovir Cap 200 MG,1.5,1.2,0.42,1.35,135
RC,0250,Acyclovir Cream 5%,284.77,227.82,79.08,256.29,27
RC,0250,Acyclovir Oint 5%,391.43,313.14500000000004,24.33,625.73,54
RC,0250,Acyclovir Susp 200 MG/5ML,5.12,4.1,0.86,8.26,108
RC,0250,Acyclovir Tab 400 MG,1.5,1.2,0.42,1.35,270
RC,0250,Acyclovir Tab 800 MG,1.795,1.44,0.42,1.88,189
RC,0250,Adalimumab-atto Soln Auto-injector 80 MG/0.8ML,2679.87,2143.9,744.2,2411.88,27
RC,0250,Adapalene Gel 0.1%,284.92,227.94,79.12,256.43,27
RC,0250,Albendazole Tab 200 MG,44.27,35.42,12.29,39.84,27
RC,0250,Albuterol Sulfate Inhal Aero 108 MCG/ACT,52.57,42.06,14.6,47.31,27
RC,0250,Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv),78.73,62.99,10.79,101.74,243
RC,0250,Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML),27.0,21.6,0.47,30.37,81
RC,0250,Albuterol Sulfate Tab 2 MG,9.77,7.82,2.71,8.79,27
RC,0250,Alfuzosin HCl Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Allopurinol Half-Tab 150 MG,1.5,1.2,0.42,1.35,27
RC,0250,Allopurinol Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Allopurinol Tab 100 MG,1.5,1.2,0.42,1.35,378
RC,0250,Allopurinol Tab 300 MG,1.5,1.2,0.42,1.35,459
RC,0250,Alprazolam Tab 0.25 MG,1.5,1.2,0.42,1.35,189
RC,0250,Alprazolam Tab 0.5 MG,1.5,1.2,0.42,1.35,243
RC,0250,Alprazolam Tab 1 MG,1.5,1.2,0.42,1.35,81
RC,0250,Alprazolam Tab ER 24HR 1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Alprazolam Tab ER 24HR 2 MG,1.81,1.45,0.5,1.63,27
RC,0250,Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML,2.35,1.88,0.42,6.78,81
RC,0250,Alum (Potassium) Powder,336.04,268.84,93.32,302.44,27
RC,0250,Aluminum Chloride Soln 20%,17.86,14.29,4.96,16.07,27
RC,0250,Aluminum Sulfate & Calcium Acetate Powd Pack,1.58,1.27,0.44,1.42,27
RC,0250,Alvimopan Cap 12 MG,356.32,285.06,98.95,320.69,27
RC,0250,Amantadine HCl Cap 100 MG,2.03,1.63,0.42,1.87,108
RC,0250,Amantadine HCl Soln 50 MG/5ML,3.92,3.14,1.09,3.53,27
RC,0250,Amiloride HCl Tab 5 MG,1.93,1.545,0.42,2.12,54
RC,0250,Amino Acid Electrolyte w/Cal Infusion 4.25% in D10W,165.3,132.24,45.9,148.77,27
RC,0250,Amino Acid Electrolyte w/Cal Infusion 5% in D15W,278.4,222.72,77.31,250.56,27
RC,0250,Amino Acid Electrolyte w/Cal Infusion 5% in D20W,191.4,153.12,53.15,172.26,27
RC,0250,Amino Acid Infusion 10%,119.63,95.71,30.81,266.22,81
RC,0250,Amino Acid Infusion 15%,100.05,80.04,27.78,90.05,27
RC,0250,Aminocaproic Acid Oral Soln 0.25 GM/ML,5267.66,4214.13,180.37,5258.06,81
RC,0250,Amiodarone HCl Half-Tab 100 MG,2.62,2.1,0.73,2.36,27
RC,0250,Amiodarone HCl Quarter-Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Amiodarone HCl Tab 200 MG,1.5,1.2,0.42,1.35,270
RC,0250,Amiodarone HCl Tab 400 MG,2.215,1.775,0.42,5.92,108
RC,0250,Amitriptyline HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Amitriptyline HCl Tab 10 MG,1.5,1.2,0.42,1.35,216
RC,0250,Amitriptyline HCl Tab 100 MG,2.15,1.72,0.42,2.19,135
RC,0250,Amitriptyline HCl Tab 150 MG,1.5,1.2,0.42,1.35,162
RC,0250,Amitriptyline HCl Tab 25 MG,1.5,1.2,0.42,1.35,108
RC,0250,Amitriptyline HCl Tab 50 MG,1.5350000000000001,1.23,0.42,1.41,351
RC,0250,Amitriptyline HCl Tab 75 MG,1.59,1.28,0.42,1.7,135
RC,0250,Amlodipine Benzoate Oral Susp 1 MG/ML (Base Equivalent),29.38,23.51,8.16,26.44,27
RC,0250,Amlodipine Besylate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,135
RC,0250,Amlodipine Besylate Tab 2.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,108
RC,0250,Amlodipine Besylate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,135
RC,0250,Amoxapine Tab 100 MG,2.7,2.16,0.75,2.43,27
RC,0250,Amoxicillin & K Clavulanate For Susp 125-31.25 MG/5ML,1316.25,1053.0,365.52,1184.63,27
RC,0250,Amoxicillin & K Clavulanate For Susp 200-28.5 MG/5ML,16.2,12.96,3.37,16.59,81
RC,0250,Amoxicillin & K Clavulanate For Susp 250-62.5 MG/5ML,97.2,77.76,20.81,148.72,81
RC,0250,Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML,24.975,19.985,2.51,34.51,216
RC,0250,Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML,27.68,22.15,5.74,64.33,135
RC,0250,Amoxicillin & K Clavulanate Tab 250-125 MG,9.8,7.84,2.72,8.82,27
RC,0250,Amoxicillin & K Clavulanate Tab 500-125 MG,2.44,1.955,0.42,3.04,81
RC,0250,Amoxicillin & K Clavulanate Tab 875-125 MG,1.55,1.24,0.42,2.65,162
RC,0250,Amoxicillin & K Clavulanate Tab ER 12HR 1000-62.5 MG,14.12,11.3,3.92,12.71,27
RC,0250,Amoxicillin (Trihydrate) Cap 250 MG,1.5,1.2,0.42,1.35,54
RC,0250,Amoxicillin (Trihydrate) Cap 500 MG,1.5,1.2,0.42,1.35,108
RC,0250,Amoxicillin (Trihydrate) Chew Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Amoxicillin (Trihydrate) For Susp 125 MG/5ML,1.5,1.2,0.42,1.35,81
RC,0250,Amoxicillin (Trihydrate) For Susp 250 MG/5ML,6.08,4.87,0.42,10.21,135
RC,0250,Amoxicillin (Trihydrate) For Susp 400 MG/5ML,4.995,4.0,0.75,14.58,189
RC,0250,Amoxicillin (Trihydrate) Tab 875 MG,1.5,1.2,0.42,1.35,54
RC,0250,Amphetamine-Dextroamphetamine Cap ER 24HR 10 MG,6.88,5.51,0.42,15.39,135
RC,0250,Amphetamine-Dextroamphetamine Cap ER 24HR 15 MG,3.025,2.425,0.42,6.2,108
RC,0250,Amphetamine-Dextroamphetamine Cap ER 24HR 20 MG,5.640000000000001,4.515000000000001,0.49,15.39,162
RC,0250,Amphetamine-Dextroamphetamine Cap ER 24HR 25 MG,2.75,2.205,0.42,8.78,108
RC,0250,Amphetamine-Dextroamphetamine Cap ER 24HR 30 MG,7.5649999999999995,6.055,0.42,15.39,108
RC,0250,Amphetamine-Dextroamphetamine Cap ER 24HR 5 MG,2.76,2.21,0.71,16.77,81
RC,0250,Amphetamine-Dextroamphetamine Tab 10 MG,2.03,1.63,0.42,9.12,81
RC,0250,Amphetamine-Dextroamphetamine Tab 15 MG,1.86,1.49,0.42,2.06,135
RC,0250,Amphetamine-Dextroamphetamine Tab 20 MG,2.17,1.74,0.42,2.62,162
RC,0250,Amphetamine-Dextroamphetamine Tab 30 MG,2.18,1.75,0.42,18.5,162
RC,0250,Amphetamine-Dextroamphetamine Tab 5 MG,2.19,1.76,0.42,2.02,135
RC,0250,Anagrelide HCl Cap 0.5 MG,1.64,1.32,0.46,1.48,27
RC,0250,Anticoagulant Citrate Dextrose Solution A,37.519999999999996,30.019999999999996,7.25,44.05,81
RC,0250,Anticoagulant Sodium Citrate Soln 4%,43.5,34.8,12.08,39.15,27
RC,0250,Apixaban Tab 2.5 MG,10.745000000000001,8.6,1.05,15.94,54
RC,0250,Apixaban Tab 5 MG,4.455,3.5700000000000003,1.05,4.62,54
RC,0250,Aprepitant Capsule 40 MG,145.54500000000002,116.44,34.3,150.83,54
RC,0250,Argatroban IV Soln 50 MG/50ML (1 MG/ML),458.8,367.04,127.41,412.92,27
RC,0250,Arginine HCl Inj 10%,121.37,97.1,33.7,109.23,27
RC,0250,Aripiprazole Half-Tab 1 MG,47.71,38.17,13.25,42.94,27
RC,0250,Aripiprazole Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Aripiprazole Tab 10 MG,8.895,7.12,0.42,42.94,108
RC,0250,Aripiprazole Tab 15 MG,3.75,3.0,0.42,42.94,162
RC,0250,Aripiprazole Tab 2 MG,5.29,4.24,0.42,42.94,135
RC,0250,Aripiprazole Tab 20 MG,17.66,14.13,0.91,60.72,135
RC,0250,Aripiprazole Tab 30 MG,18.470000000000002,14.78,0.5,60.72,108
RC,0250,Aripiprazole Tab 5 MG,7.3,5.845,0.42,42.94,189
RC,0250,Armodafinil Tab 150 MG,2.74,2.2,0.76,2.47,27
RC,0250,Artemether-Lumefantrine Tab 20-120 MG,14.04,11.24,3.9,12.64,27
RC,0250,Ascorbic Acid IV Soln 25000 MG/50ML (500 MG/ML),659.9,527.92,183.25,593.91,54
RC,0250,Ascorbic Acid Inj 500 MG/ML,27.19,21.76,7.55,24.47,27
RC,0250,Ascorbic Acid Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Asenapine Maleate SL Tab 10 MG (Base Equiv),50.17,40.14,13.93,45.15,27
RC,0250,Asenapine Maleate SL Tab 5 MG (Base Equiv),50.17,40.14,13.93,45.15,27
RC,0250,Aspirin Chew Tab 81 MG,1.5,1.2,0.42,1.35,54
RC,0250,Aspirin Tab 325 MG,1.5,1.2,0.42,1.35,54
RC,0250,Aspirin Tab Delayed Release 81 MG,1.5,1.2,0.42,1.35,81
RC,0250,Aspirin-Dipyridamole Cap ER 12HR 25-200 MG,6.43,5.15,0.56,18.64,81
RC,0250,Atazanavir Sulfate Cap 150 MG (Base Equiv),61.64,49.32,17.12,55.48,27
RC,0250,Atenolol & Chlorthalidone Half-Tab 25-12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Atenolol & Chlorthalidone Tab 100-25 MG,1.5350000000000001,1.23,0.42,1.41,54
RC,0250,Atenolol Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Atenolol Tab 100 MG,1.5,1.2,0.42,1.35,162
RC,0250,Atenolol Tab 25 MG,1.5,1.2,0.42,1.35,243
RC,0250,Atenolol Tab 50 MG,1.5,1.2,0.42,1.35,162
RC,0250,Atomoxetine HCl Cap 100 MG (Base Equiv),39.02,31.22,10.84,35.12,27
RC,0250,Atomoxetine HCl Cap 18 MG (Base Equiv),2.95,2.365,0.54,3.57,54
RC,0250,Atomoxetine HCl Cap 25 MG (Base Equiv),9.309999999999999,7.455,2.58,8.4,54
RC,0250,Atomoxetine HCl Cap 40 MG (Base Equiv),9.355,7.484999999999999,1.23,32.56,162
RC,0250,Atomoxetine HCl Cap 60 MG (Base Equiv),11.035,8.83,1.6,14.69,54
RC,0250,Atomoxetine HCl Cap 80 MG (Base Equiv),7.72,6.18,2.14,6.95,27
RC,0250,Atorvastatin Calcium Half-Tab 5 MG (Base Equivalent),5.74,4.6,1.59,5.17,27
RC,0250,Atorvastatin Calcium Tab 10 MG (Base Equivalent),5.74,4.6,0.42,18.95,324
RC,0250,Atorvastatin Calcium Tab 20 MG (Base Equivalent),8.18,6.55,0.42,27.05,432
RC,0250,Atorvastatin Calcium Tab 40 MG (Base Equivalent),1.6,1.28,0.42,27.05,405
RC,0250,Atovaquone Susp 750 MG/5ML,30.24,24.2,5.63,59.68,135
RC,0250,Atovaquone-Proguanil HCl Tab 250-100 MG,11.655,9.325,1.58,15.85,54
RC,0250,Atracurium Besylate IV Soln 100 MG/10ML,49.37,39.5,5.83,48.0,162
RC,0250,Atracurium Besylate Preservative Free (PF) IV Soln 50 MG/5ML,25.34,20.275,5.83,24.08,162
RC,0250,Atropine Sulfate Ophth Soln 1%,72.74,58.2,0.66,106.12,189
RC,0250,Avacopan Cap 10 MG,246.94,197.56,68.58,222.25,27
RC,0250,Azathioprine Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Azelastine HCl Nasal Spray 0.1% (137 MCG/SPRAY),58.32,46.66,7.6,146.67,108
RC,0250,Azithromycin For Susp 100 MG/5ML,23.585,18.875,0.9,55.48,108
RC,0250,Azithromycin Tab 250 MG,4.779999999999999,3.83,0.44,4.83,135
RC,0250,Azithromycin Tab 500 MG,5.6,4.48,0.59,10.89,189
RC,0250,B-Complex w/ C-Zn & Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Bacitracin Intramuscular For Soln 50000 Unit,28.66,22.93,5.83,32.69,81
RC,0250,Bacitracin Zinc Oint 500 Unit/GM,2.565,2.055,0.42,3.27,54
RC,0250,Bacitracin-Polymyxin B Oint,26.035,20.83,3.5,35.51,54
RC,0250,Bacitracin-Polymyxin B Ophth Oint,24.935000000000002,19.950000000000003,2.39,37.14,81
RC,0250,Bacitracin-Polymyxin-Neomycin-HC Ophth Oint 1%,86.67,69.34,24.07,78.0,27
RC,0250,Baclofen Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Baclofen Oral Susp 5 MG/ML (Cmpd Kit),150.66,120.53,41.84,135.59,27
RC,0250,Baclofen Susp 25 MG/5ML,1632.635,1306.115,447.17,1489.49,54
RC,0250,Baclofen Tab 10 MG,1.5,1.2,0.42,1.35,216
RC,0250,Baclofen Tab 20 MG,1.5,1.2,0.42,1.35,81
RC,0250,Baclofen Tab 5 MG,2.095,1.6800000000000002,0.42,2.65,162
RC,0250,Bacteriostatic Sodium Chloride Inj Soln 0.9%,24.42,19.54,5.83,25.06,162
RC,0250,Balsalazide Disodium Cap 750 MG,1.5,1.2,0.42,1.35,27
RC,0250,Baricitinib Tab 1 MG,214.06,171.25,59.44,192.65,27
RC,0250,Baricitinib Tab 2 MG,214.06,171.25,59.44,192.65,27
RC,0250,Bebtelovimab IV Soln 175 MG/2ML,4200.0,3360.0,1166.34,3780.0,27
RC,0250,Beclomethasone Dipropionate Monohyd Nasal Susp 42 MCG/SPRAY,353.5,282.8,98.17,318.15,27
RC,0250,Belladonna Alkaloids & Opium Suppos 16.2-60 MG,58.94,47.16,16.37,53.05,27
RC,0250,Benazepril HCl Tab 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Benazepril HCl Tab 20 MG,1.5,1.2,0.42,1.35,54
RC,0250,Benzonatate Cap 100 MG,1.5,1.2,0.42,1.35,405
RC,0250,Benzoyl Peroxide Gel 5%,34.99,28.0,9.72,31.49,27
RC,0250,Benzoyl Peroxide Liq 5%,18.31,14.65,5.08,16.48,27
RC,0250,Benztropine Mesylate Tab 0.5 MG,1.5,1.2,0.42,1.35,189
RC,0250,Benztropine Mesylate Tab 1 MG,1.5,1.2,0.42,1.35,81
RC,0250,Benztropine Mesylate Tab 2 MG,1.5,1.2,0.42,1.35,54
RC,0250,Betamethasone Dipropionate Cream 0.05%,155.4,124.32,16.62,157.46,81
RC,0250,Betamethasone Dipropionate Lotion 0.05%,95.74000000000001,76.595,24.11,94.19,54
RC,0250,Betamethasone Dipropionate Oint 0.05%,163.845,131.08,38.8,169.16,54
RC,0250,Betaxolol HCl Ophth Susp 0.25%,719.82,575.86,199.89,647.84,27
RC,0250,Bethanechol Chloride Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Bethanechol Chloride Tab 25 MG,1.5,1.2,0.42,1.35,81
RC,0250,Bevacizumab Intravitreal Soln Pref Syr 2.25 MG/0.09ML,263.17,210.54,73.08,236.85,27
RC,0250,Bicarb 22 mEq/L-Dext Soln with K 4 mEq/L (CRRT),108.75,87.0,24.16,117.45,54
RC,0250,Bicarb 32 mEq/L-Dext Soln with K 2 mEq/L (CRRT),87.0,69.6,24.16,78.3,27
RC,0250,Bicarb 32 mEq/L-Dext Soln with K-Ca 4-2.5 mEq/L (CRRT),87.0,69.6,24.16,78.3,27
RC,0250,Bictegravir-Emtricitabine-Tenofovir AF Tab 50-200-25 MG,297.8,238.24,82.7,268.02,27
RC,0250,Bimatoprost Ophth Soln 0.01%,414.92,331.94,115.22,373.43,27
RC,0250,Biotin (Bulk) Powder,74.49,59.6,20.69,67.04,27
RC,0250,Biotin Liquid 10 MG/ML,3.5949999999999998,2.88,1.0,3.24,54
RC,0250,Bisacodyl Suppos 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Bismuth Subgallate Powder,31.39,25.12,8.72,28.25,27
RC,0250,Bisoprolol & Hydrochlorothiazide Tab 10-6.25 MG,1.5,1.2,0.42,1.35,81
RC,0250,Bisoprolol & Hydrochlorothiazide Tab 2.5-6.25 MG,1.5,1.2,0.42,1.35,108
RC,0250,Bisoprolol & Hydrochlorothiazide Tab 5-6.25 MG,1.5,1.2,0.42,1.35,54
RC,0250,Bisoprolol Fumarate Tab 10 MG,1.785,1.43,0.42,1.86,135
RC,0250,Bisoprolol Fumarate Tab 5 MG,1.785,1.43,0.42,1.86,135
RC,0250,Brexpiprazole Tab 1 MG,111.38,89.11,30.93,100.24,27
RC,0250,Brexpiprazole Tab 2 MG,122.85,98.28,34.12,110.57,27
RC,0250,Brimonidine Tartrate Ophth Soln 0.1%,423.68,338.95,117.66,381.31,27
RC,0250,Brimonidine Tartrate Ophth Soln 0.2%,7.75,6.2,1.78,35.48,135
RC,0250,Brimonidine Tartrate-Timolol Maleate Ophth Soln 0.2-0.5%,371.52,297.22,103.17,334.37,27
RC,0250,Brinzolamide Ophth Susp 1%,712.72,570.1800000000001,191.95,660.82,54
RC,0250,Brinzolamide-Brimonidine Tartrate Ophth Susp 1-0.2%,465.025,372.02,126.13,428.27,54
RC,0250,Brivaracetam Tab 25 MG,50.695,40.56,14.06,45.68,54
RC,0250,Bromocriptine Mesylate Tab 2.5 MG (Base Equivalent),5.035,4.035,1.11,5.47,54
RC,0250,Budesonide Delayed Release Particles Cap 3 MG,11.72,9.38,1.55,26.08,81
RC,0250,Budesonide Inhal Aero Powd 180 MCG/ACT (Breath Activated),415.8,332.64,115.47,374.22,27
RC,0250,Budesonide Inhal Aero Powd 90 MCG/ACT (Breath Activated),284.42,227.54,78.98,255.98,27
RC,0250,Budesonide Inhalation Susp 0.25 MG/2ML,9.235,7.395,1.16,19.81,216
RC,0250,Bumetanide Tab 0.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Bumetanide Tab 1 MG,1.54,1.24,0.42,1.41,108
RC,0250,Bumetanide Tab 2 MG,1.67,1.34,0.42,2.14,81
RC,0250,Bupivacaine 0.75% in Dextrose Inj 8.25%,27.03,21.625,5.83,29.75,162
RC,0250,Bupivacaine HCl Powder,1500.01,1200.01,416.55,1350.01,27
RC,0250,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000,37.63,30.11,9.54,56.77,81
RC,0250,Bupivacaine Inj 0.25% w/ Epinephrine 1:200000 (PF),24.795,19.84,5.83,28.19,243
RC,0250,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000,49.375,39.504999999999995,11.24,52.46,54
RC,0250,Bupivacaine Inj 0.5% w/ Epinephrine 1:200000 (PF),30.755,24.605,5.83,41.11,378
RC,0250,Bupivacaine Inj 0.75% w/ Epinephrine 1:200000 (PF),38.24,30.6,10.62,34.42,27
RC,0250,Buprenorphine HCl Buccal Film 150 MCG (Base Equivalent),14.28,11.43,3.97,12.85,54
RC,0250,Buprenorphine HCl Buccal Film 75 MCG (Base Equivalent),15.01,12.01,4.17,13.51,27
RC,0250,Buprenorphine HCl SL Tab 2 MG (Base Equiv),1.5,1.2,0.42,1.35,27
RC,0250,Buprenorphine HCl SL Tab 8 MG (Base Equiv),8.4,6.72,0.81,7.9,108
RC,0250,Buprenorphine HCl-Naloxone HCl SL Film 12-3 MG (Base Equiv),41.17,32.94,11.43,37.05,27
RC,0250,Buprenorphine HCl-Naloxone HCl SL Film 8-2 MG (Base Equiv),20.215,16.175,4.97,20.27,54
RC,0250,Buprenorphine HCl-Naloxone HCl SL Tab 2-0.5 MG (Base Equiv),7.75,6.2,1.51,9.89,189
RC,0250,Buprenorphine HCl-Naloxone HCl SL Tab 8-2 MG (Base Equiv),11.3,9.045,1.22,17.67,108
RC,0250,Buprenorphine TD Patch Weekly 10 MCG/HR,133.22,106.58,37.0,119.9,27
RC,0250,Buprenorphine TD Patch Weekly 15 MCG/HR,239.94,191.95499999999998,53.37,258.94,54
RC,0250,Buprenorphine TD Patch Weekly 5 MCG/HR,132.885,106.31,36.88,119.67,54
RC,0250,Bupropion HCl Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Bupropion HCl Tab 100 MG,1.5,1.2,0.42,1.35,81
RC,0250,Bupropion HCl Tab 75 MG,1.91,1.53,0.42,2.09,108
RC,0250,Bupropion HCl Tab ER 12HR 100 MG,1.71,1.37,0.42,1.58,297
RC,0250,Bupropion HCl Tab ER 12HR 150 MG,5.5,4.3999999999999995,0.42,8.55,270
RC,0250,Bupropion HCl Tab ER 24HR 150 MG,2.63,2.105,0.42,3.38,108
RC,0250,Bupropion HCl Tab ER 24HR 300 MG,2.085,1.67,0.42,2.6,297
RC,0250,Buspirone HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Buspirone HCl Tab 10 MG,1.5,1.2,0.42,1.35,189
RC,0250,Buspirone HCl Tab 15 MG,1.5,1.2,0.42,1.35,270
RC,0250,Buspirone HCl Tab 5 MG,1.5,1.2,0.42,1.35,243
RC,0250,Butalbital-Acetaminophen-Caffeine Tab 50-325-40 MG,1.6,1.28,0.42,1.53,81
RC,0250,Butalbital-Aspirin-Caff w/ Codeine Cap 50-325-40-30 MG,1.95,1.56,0.54,1.76,27
RC,0250,Butalbital-Aspirin-Caffeine Cap 50-325-40 MG,2.64,2.12,0.71,2.47,54
RC,0250,CEFTRIAXONE,21.0,16.8,5.83,18.9,27
RC,0250,Cabozantinib S-Malate Tab 20 MG (Base Equivalent),1574.18,1259.35,437.15,1416.76,27
RC,0250,Cabozantinib S-Malate Tab 40 MG (Base Equivalent),1574.18,1259.35,437.15,1416.76,27
RC,0250,Cabozantinib S-Malate Tab 60 MG (Base Equivalent),1574.18,1259.35,437.15,1416.76,27
RC,0250,Cadexomer Iodine Gel 0.9%,95.8,76.64,26.6,86.22,27
RC,0250,Caffeine Citrate Oral Soln 60 MG/3ML (10 MG/ML Base Equiv),27.849999999999998,22.285,5.65,31.83,54
RC,0250,Calamine-Zinc Oxide Lotion,4.78,3.83,1.33,4.3,27
RC,0250,Calcipotriene Cream 0.005%,426.06,340.85,61.18,811.23,81
RC,0250,Calcitonin (Salmon) Nasal Soln 200 Unit/ACT,86.69,69.36,4.65,140.98,54
RC,0250,Calcitriol Cap 0.25 MCG,1.93,1.545,0.42,2.12,108
RC,0250,Calcitriol Cap 0.5 MCG,2.6550000000000002,2.125,0.42,3.43,108
RC,0250,Calcitriol Oral Soln 1 MCG/ML,13.355,10.69,3.48,12.76,54
RC,0250,Calcium Acetate (Phosphate Binder) Cap 667 MG (169 MG Ca),1.69,1.355,0.42,2.33,216
RC,0250,Calcium Acetate (Phosphate Binder) Tab 667 MG,1.5,1.2,0.42,1.35,27
RC,0250,Calcium Carbonate-Cholecalciferol Tab 500 MG-5 MCG(200 Unit),1.5,1.2,0.42,1.35,27
RC,0250,Calcium Cit-Vit D Tab 315 MG-6.25 MCG(250 Unit) (Elem Ca),1.5,1.2,0.42,1.35,135
RC,0250,"Calcium Phosphate, Tribasic Powder",42.6,34.08,0.42,75.33,54
RC,0250,Calcium Polycarbophil Tab 625 MG,1.5,1.2,0.42,1.35,108
RC,0250,Camphor & Menthol Lotion 0.5-0.5%,10.79,8.64,3.0,9.71,27
RC,0250,Camphor-Eucalyptus-Menthol - Oint,3.85,3.08,0.75,4.5,54
RC,0250,Cannabidiol Soln 100 MG/ML,4158.0,3326.4,1154.68,3742.2,54
RC,0250,Captopril Half-Tab 6.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Captopril Quarter-Tab 3.125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Captopril Tab 100 MG,1.5,1.2,0.42,1.35,27
RC,0250,Captopril Tab 12.5 MG,2.19,1.7550000000000001,0.42,3.09,108
RC,0250,Captopril Tab 25 MG,2.64,1.6600000000000001,0.42,2.39,81
RC,0250,Captopril Tab 50 MG,1.785,1.43,0.42,1.86,54
RC,0250,Carbachol Intraocular Inj 0.01%,80.68,64.55,22.4,72.61,27
RC,0250,Carbamazepine Cap ER 12HR 100 MG,3.68,2.95,0.86,4.18,81
RC,0250,Carbamazepine Cap ER 12HR 200 MG,3.89,3.12,0.92,4.18,81
RC,0250,Carbamazepine Cap ER 12HR 300 MG,3.83,3.07,0.68,4.18,81
RC,0250,Carbamazepine Chew Tab 100 MG,1.5,1.2,0.42,1.35,108
RC,0250,Carbamazepine Susp 100 MG/5ML,2.045,1.6400000000000001,0.42,2.33,81
RC,0250,Carbamazepine Tab 200 MG,1.87,1.5,0.42,2.02,189
RC,0250,Carbamazepine Tab ER 12HR 100 MG,2.32,1.86,0.61,2.56,81
RC,0250,Carbamazepine Tab ER 12HR 200 MG,2.285,1.835,0.42,7.58,135
RC,0250,Carbamazepine Tab ER 12HR 400 MG,4.824999999999999,3.865,0.69,10.65,108
RC,0250,Carbamide Peroxide 6.5% Otic Soln,4.29,3.44,1.16,11.3,81
RC,0250,Carbidopa & Levodopa Cap ER 23.75-95 MG,5.81,4.65,1.61,5.23,27
RC,0250,Carbidopa & Levodopa Cap ER 48.75-195 MG,6.1,4.88,1.69,5.49,27
RC,0250,Carbidopa & Levodopa Cap ER 61.25-245 MG,5.81,4.65,1.61,5.23,27
RC,0250,Carbidopa & Levodopa Half-Tab 12.5-125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Carbidopa & Levodopa Half-Tab 12.5-50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Carbidopa & Levodopa Orally Disintegrating Tab 10-100 MG,1.67,1.34,0.46,1.5,27
RC,0250,Carbidopa & Levodopa Orally Disintegrating Tab 25-100 MG,1.5,1.2,0.42,1.35,27
RC,0250,Carbidopa & Levodopa Orally Disintegrating Tab 25-250 MG,2.0,1.6,0.56,1.8,27
RC,0250,Carbidopa & Levodopa Tab 10-100 MG,1.5,1.2,0.42,1.35,108
RC,0250,Carbidopa & Levodopa Tab 25-100 MG,1.5,1.2,0.42,1.35,297
RC,0250,Carbidopa & Levodopa Tab 25-250 MG,1.5,1.2,0.42,1.35,81
RC,0250,Carbidopa & Levodopa Tab ER 25-100 MG,1.5699999999999998,1.26,0.42,1.48,108
RC,0250,Carbidopa & Levodopa Tab ER 50-200 MG,1.5350000000000001,1.23,0.42,1.41,162
RC,0250,Carbidopa Tab 25 MG,5.005000000000001,4.01,0.52,7.32,54
RC,0250,Carboprost Tromethamine IM Soln 250 MCG/ML,710.77,568.62,44.33,1298.57,135
RC,0250,Carboxymethylcellulose Sodium (PF) Ophth Gel 1%,27.54,22.04,7.65,24.79,27
RC,0250,Carboxymethylcellulose Sodium (PF) Ophth Soln 0.5%,1.5,1.2,0.42,1.35,27
RC,0250,Carboxymethylcellulose Sodium Ophth Gel 1%,21.75,17.4,6.04,19.58,27
RC,0250,Carboxymethylcellulose Sodium Ophth Soln 0.5%,18.39,14.72,5.11,16.55,27
RC,0250,Cardioplegic Soln,759.08,607.27,174.56,880.88,81
RC,0250,Carglumic Acid Soluble Tab 200 MG,494.64,395.72,137.36,445.18,27
RC,0250,Cariprazine HCl Cap 1.5 MG (Base Equivalent),109.62,87.7,30.44,98.66,54
RC,0250,Cariprazine HCl Cap 3 MG (Base Equivalent),109.62,87.7,30.44,98.66,54
RC,0250,Carisoprodol Tab 350 MG,1.5,1.2,0.42,1.35,108
RC,0250,Carteolol HCl Ophth Soln 1%,22.82,18.26,6.34,20.54,27
RC,0250,Carvedilol Half-Tab 1.5625 MG,1.5,1.2,0.42,1.35,27
RC,0250,Carvedilol Tab 12.5 MG,1.92,1.54,0.42,2.11,297
RC,0250,Carvedilol Tab 25 MG,1.5,1.2,0.42,1.35,270
RC,0250,Carvedilol Tab 3.125 MG,1.5,1.2,0.42,1.35,162
RC,0250,Carvedilol Tab 6.25 MG,1.5,1.2,0.42,1.35,243
RC,0250,Cefadroxil Cap 500 MG,1.5,1.2,0.42,1.35,54
RC,0250,Cefazolin Sodium For Inj 1 GM,21.0,16.8,5.83,18.9,27
RC,0250,Cefdinir Cap 300 MG,2.11,1.69,0.42,4.82,81
RC,0250,Cefdinir For Susp 125 MG/5ML,1.85,1.48,0.51,1.67,27
RC,0250,Cefdinir For Susp 250 MG/5ML,2.15,1.72,0.58,3.75,81
RC,0250,Cefepime HCl For Inj 1 GM,21.0,16.8,5.83,18.9,27
RC,0250,Cefepime HCl For Inj 2 GM,24.64,19.715,5.83,25.45,54
RC,0250,Cefixime For Susp 200 MG/5ML,64.8,51.84,6.75,638.24,81
RC,0250,Cefpodoxime Proxetil Tab 200 MG,4.495,3.5999999999999996,0.66,5.96,54
RC,0250,Cefprozil For Susp 250 MG/5ML,74.52,59.62,1.65,133.89,81
RC,0250,Ceftazidime For Inj 1 GM,25.0,20.0,6.94,22.5,27
RC,0250,Cefuroxime Axetil Tab 250 MG,2.1100000000000003,1.69,0.42,2.45,81
RC,0250,Cefuroxime Axetil Tab 500 MG,5.24,4.2,0.42,8.06,108
RC,0250,Celecoxib Cap 100 MG,3.11,2.49,0.42,15.28,108
RC,0250,Celecoxib Cap 200 MG,3.86,3.09,0.42,25.06,216
RC,0250,Cephalexin Cap 250 MG,1.5,1.2,0.42,1.35,54
RC,0250,Cephalexin Cap 500 MG,1.5,1.2,0.42,1.35,270
RC,0250,Cephalexin For Susp 250 MG/5ML,5.13,4.11,1.42,4.62,27
RC,0250,Cetirizine HCl Oral Soln 1 MG/ML (5 MG/5ML),1.5,1.2,0.42,1.35,27
RC,0250,Cevimeline HCl Cap 30 MG,10.68,8.55,0.98,16.04,54
RC,0250,Charcoal Activated Liq,52.49,42.0,13.14,48.99,81
RC,0250,Charcoal Activated-Sorbitol Susp,54.43,43.55,14.93,51.9,81
RC,0250,Cherry Syrup,1.5,1.2,0.42,1.35,27
RC,0250,Chlordiazepoxide HCl Cap 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Chlordiazepoxide HCl Cap 5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Chlorhexidine Gluconate Soln 0.12%,5.11,4.09,1.42,4.6,27
RC,0250,Chloroprocaine HCl Inj 2%,70.08,56.07,19.46,63.07,27
RC,0250,Chlorothiazide Susp 250 MG/5ML,158.06,126.45,43.89,142.25,27
RC,0250,Chlorpheniramine Maleate Tab 4 MG,1.5,1.2,0.42,1.35,27
RC,0250,Chlorpromazine HCl Tab 100 MG,3.67,2.9400000000000004,0.91,11.22,108
RC,0250,Chlorpromazine HCl Tab 25 MG,3.0700000000000003,2.46,0.52,3.85,54
RC,0250,Chlorpromazine HCl Tab 50 MG,7.975,6.38,0.96,11.25,54
RC,0250,Chlorthalidone Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Chlorthalidone Tab 25 MG,1.56,1.25,0.42,1.46,135
RC,0250,Chlorthalidone Tab 50 MG,1.83,1.4649999999999999,0.42,1.94,81
RC,0250,Cholecalciferol Oral Liquid 10 MCG/ML (400 Unit/ML),1.5,1.2,0.42,1.35,27
RC,0250,Cholecalciferol Tab 25 MCG (1000 Unit),1.5,1.2,0.42,1.35,27
RC,0250,Cholecalciferol Tab 50 MCG (2000 Unit),1.5,1.2,0.42,1.35,54
RC,0250,Cholestyramine Light Powder Packets 4 GM,1.595,1.28,0.42,280.95,108
RC,0250,Cholestyramine Powder Packets 4 GM,5.1,4.08,1.42,4.59,27
RC,0250,Chromic Chloride Inj 40 MCG/10ML (4 MCG/ML),73.86,59.09,20.51,66.47,27
RC,0250,Chromic Chloride Inj 40 MCG/10ML (4 MCG/ML) (Elemental Cr),99.14,79.32,27.53,89.23,27
RC,0250,Ciclopirox Olamine Cream 0.77% (Base Equiv),66.83,53.47,18.42,73.49,81
RC,0250,Cilostazol Tab 100 MG,1.5,1.2,0.42,1.35,81
RC,0250,Cilostazol Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Cinacalcet HCl Tab 30 MG (Base Equiv),2.09,1.68,0.42,4.03,135
RC,0250,Cinacalcet HCl Tab 60 MG (Base Equiv),1.925,1.54,0.42,3.38,135
RC,0250,Cinacalcet HCl Tab 90 MG (Base Equiv),2.24,1.795,0.52,2.36,54
RC,0250,Ciprofloxacin For Oral Susp 250 MG/5ML (5%) (5 GM/100ML),16.34,13.08,4.54,14.71,27
RC,0250,Ciprofloxacin HCl Ophth Soln 0.3%,18.445,14.76,3.22,21.14,108
RC,0250,Ciprofloxacin HCl Ophth Soln 0.3% (Base Equivalent),18.12,14.5,0.9,24.18,189
RC,0250,Ciprofloxacin HCl Tab 250 MG (Base Equiv),1.5,1.2,0.42,1.35,162
RC,0250,Ciprofloxacin HCl Tab 500 MG (Base Equiv),1.5,1.2,0.42,1.35,324
RC,0250,Ciprofloxacin HCl Tab 750 MG (Base Equiv),1.5,1.2,0.42,1.35,54
RC,0250,Ciprofloxacin-Hydrocortisone Otic Susp 0.2-1%,681.75,545.4,189.32,613.58,27
RC,0250,Cisatracurium Besylate IV Soln 20 MG/10ML (2 MG/ML),39.89,31.92,5.83,84.18,216
RC,0250,Citalopram Hydrobromide Half-Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,27
RC,0250,Citalopram Hydrobromide Oral Soln 10 MG/5ML,1.5,1.2,0.42,1.35,27
RC,0250,Citalopram Hydrobromide Tab 10 MG (Base Equiv),5.695,4.56,0.42,8.9,135
RC,0250,Citalopram Hydrobromide Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,162
RC,0250,Citalopram Hydrobromide Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,135
RC,0250,Clarithromycin For Susp 250 MG/5ML,168.75,135.0,46.86,151.88,27
RC,0250,Clarithromycin Tab 500 MG,1.51,1.21,0.42,1.37,54
RC,0250,Clindamycin HCl Cap 150 MG,1.51,1.21,0.42,1.37,108
RC,0250,Clindamycin Palmitate HCl For Soln 75 MG/5ML (Base Equiv),6.17,4.94,0.52,172.26,135
RC,0250,Clindamycin Phosphate Gel 1% (Twice-Daily),263.57,210.86,73.19,237.21,27
RC,0250,Clindamycin Phosphate Soln 1%,60.91,48.73,8.34,149.59,135
RC,0250,Clindamycin Phosphate Vaginal Cream 2%,149.15,119.32,41.42,134.24,27
RC,0250,Clindamycin Phosphate-Benzoyl Peroxide Gel 1-5%,222.75,178.2,61.86,200.48,27
RC,0250,Clobazam Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Clobazam Suspension 2.5 MG/ML,9.97,7.9799999999999995,0.42,16.6,135
RC,0250,Clobazam Tab 10 MG,5.695,4.5600000000000005,0.42,24.13,108
RC,0250,Clobazam Tab 20 MG,2.46,1.97,0.68,2.21,27
RC,0250,Clobetasol Propionate Cream 0.05%,33.78,27.03,6.25,99.43,135
RC,0250,Clobetasol Propionate Lotion 0.05%,355.56,284.45500000000004,50.61,475.99,54
RC,0250,Clobetasol Propionate Soln 0.05%,59.67,47.74,8.74,126.49,81
RC,0250,Clomipramine HCl Cap 50 MG,22.65,18.12,0.42,20.44,108
RC,0250,Clomipramine HCl Cap 75 MG,3.43,2.75,0.42,20.39,135
RC,0250,Clonazepam Half-Tab 0.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Clonazepam Orally Disintegrating Tab 0.125 MG,1.98,1.585,0.42,2.21,81
RC,0250,Clonazepam Orally Disintegrating Tab 0.25 MG,1.98,1.585,0.42,2.21,81
RC,0250,Clonazepam Quarter-Tab 0.125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Clonazepam Tab 0.5 MG,3.945,3.16,0.42,5.75,351
RC,0250,Clonazepam Tab 1 MG,1.5,1.2,0.42,1.35,243
RC,0250,Clonidine HCl Half-Tab 0.05 MG,1.5,1.2,0.42,1.35,27
RC,0250,Clonidine HCl Powder,39300.01,31440.01,10913.61,35370.01,27
RC,0250,Clonidine HCl Tab 0.1 MG,1.5,1.2,0.42,1.35,216
RC,0250,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,162
RC,0250,Clonidine TD Patch Weekly 0.1 MG/24HR,31.73,25.39,7.69,31.55,81
RC,0250,Clonidine TD Patch Weekly 0.2 MG/24HR,110.84,88.68,11.54,105.05,162
RC,0250,Clonidine TD Patch Weekly 0.3 MG/24HR,64.72,51.78,17.97,58.25,54
RC,0250,Clopidogrel Bisulfate Half-Tab 37.5 MG (Base Equiv),16.86,13.49,4.68,15.17,27
RC,0250,Clopidogrel Bisulfate Tab 75 MG (Base Equiv),1.5,1.2,0.42,1.35,81
RC,0250,Clorazepate Dipotassium Tab 3.75 MG,2.05,1.64,0.42,2.09,81
RC,0250,Clorazepate Dipotassium Tab 7.5 MG,3.27,2.62,0.91,2.94,27
RC,0250,Clotrimazole Cream 1%,5.67,4.54,1.57,5.1,27
RC,0250,Clotrimazole Troche 10 MG,1.6800000000000002,1.345,0.42,1.67,108
RC,0250,Clotrimazole Vaginal Cream 1%,5.47,4.38,1.52,4.92,27
RC,0250,Clotrimazole w/ Betamethasone Cream 1-0.05%,96.23,76.99,11.64,136.58,135
RC,0250,Clozapine Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Clozapine Tab 100 MG,2.07,1.6600000000000001,0.42,2.3,216
RC,0250,Clozapine Tab 25 MG,1.805,1.4449999999999998,0.42,1.9,189
RC,0250,Cod Liver Oil,89.4,71.52,24.83,80.46,27
RC,0250,Colchicine Tab 0.6 MG,2.375,1.9,0.43,12.67,108
RC,0250,Colesevelam HCl Tab 625 MG,2.3,1.84,0.55,7.51,81
RC,0250,Colestipol HCl Granule Packets 5 GM,5.02,4.02,1.27,7.85,81
RC,0250,Colestipol HCl Tab 1 GM,1.5,1.2,0.42,1.35,54
RC,0250,Colistimethate Sod For Inj 150 MG (Colistin Base Activity),78.605,62.89,12.3,101.64,54
RC,0250,Collagenase Oint 250 Unit/GM,532.25,425.8,147.81,479.03,27
RC,0250,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.3-1.5 MG,8.34,6.68,2.32,7.51,27
RC,0250,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.45-1.5 MG,9.39,7.52,2.61,8.45,27
RC,0250,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.625-2.5 MG,6.62,5.3,1.84,5.96,27
RC,0250,Conjugated Estrogen-Medroxyprogest Acetate Tab 0.625-5 MG,8.34,6.68,2.32,7.51,27
RC,0250,Cupric Chloride Inj 0.4 MG/ML,77.08,61.67,21.41,69.37,27
RC,0250,Cyanocobalamin Tab 100 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Cyanocobalamin Tab 250 MCG,1.5,1.2,0.42,1.35,54
RC,0250,Cyclobenzaprine HCl Tab 10 MG,1.5,1.2,0.42,1.35,216
RC,0250,Cyclobenzaprine HCl Tab 5 MG,1.5,1.2,0.42,1.35,270
RC,0250,Cyclopentolate HCl Ophth Soln 0.5%,163.62,130.9,43.2,154.51,54
RC,0250,Cyclopentolate HCl Ophth Soln 1%,30.65,24.52,0.89,1008.45,135
RC,0250,Cyclopentolate HCl Ophth Soln 2%,32.67,26.14,0.42,45.92,108
RC,0250,Cycloserine Cap 250 MG,30.31,24.25,8.42,27.28,27
RC,0250,Cyclosporine (Ophth) Emulsion 0.05%,14.63,11.71,4.06,13.17,54
RC,0250,Cyproheptadine HCl Half-Tab 2 MG,1.5,1.2,0.42,1.35,27
RC,0250,Cyproheptadine HCl Syrup 2 MG/5ML,1.5,1.2,0.42,1.35,54
RC,0250,Cyproheptadine HCl Tab 4 MG,1.5,1.2,0.42,1.35,54
RC,0250,Cysteine HCl Inj 50 MG/ML,292.93,234.35,81.35,263.64,54
RC,0250,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,",14.0,11.2,1.94,18.9,54
RC,0250,"DEXMEDETOMIDINE (4 MCG/ML) IN NS,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,",14.0,11.2,1.94,18.9,81
RC,0250,Dabigatran Etexilate Mesylate Cap 150 MG (Etexilate Base Eq),15.17,12.14,4.21,13.65,27
RC,0250,Dabigatran Etexilate Mesylate Cap 75 MG (Etexilate Base Eq),16.34,13.08,4.54,14.71,27
RC,0250,Danazol Cap 200 MG,18.17,14.54,5.05,16.35,27
RC,0250,Dantrolene Sodium Cap 25 MG,1.83,1.47,0.42,3.16,81
RC,0250,Dantrolene Sodium For IV Soln 20 MG,268.26,214.61,67.67,273.63,81
RC,0250,Daprodustat Tab 1 MG,10.5,8.4,2.92,9.45,27
RC,0250,Daprodustat Tab 4 MG,21.0,16.8,5.83,18.9,27
RC,0250,Daprodustat Tab 6 MG,63.01,50.41,17.5,56.71,27
RC,0250,Dapsone Tab 100 MG,6.1,4.88,0.88,6.36,81
RC,0250,Dapsone Tab 25 MG,2.48,1.99,0.64,4.47,81
RC,0250,Darunavir Tab 600 MG,25.345000000000002,20.279999999999998,0.87,42.8,54
RC,0250,Darunavir Tab 800 MG,64.825,51.865,1.74,111.05,54
RC,0250,Darunavir-Cobicistat Tab 800-150 MG,177.09,141.68,49.18,159.38,27
RC,0250,Deferasirox Tab 360 MG,4.39,3.52,1.22,3.95,27
RC,0250,Dehydrated Alcohol Intra-arterial Soln,1530.84,1224.68,425.11,1377.76,54
RC,0250,Demeclocycline HCl Tab 150 MG,11.32,9.06,2.11,14.61,81
RC,0250,Demeclocycline HCl Tab 300 MG,21.8,17.445,5.56,21.23,54
RC,0250,Desflurane Inhal Soln,362.88,290.31,97.17,332.42,81
RC,0250,Desipramine HCl Tab 25 MG,2.76,2.21,0.74,2.57,54
RC,0250,Desmopressin Acetate Nasal Spray Soln 0.01%,193.78,155.03,36.21,208.74,81
RC,0250,Desmopressin Acetate Nasal Spray Soln 0.01% (Refrigerated),497.15,397.72,138.06,447.44,27
RC,0250,Desmopressin Acetate Tab 0.1 MG,2.31,1.85,0.42,2.39,135
RC,0250,Desmopressin Acetate Tab 0.2 MG,2.65,2.12,0.42,2.57,108
RC,0250,Desogestrel & Ethinyl Estradiol Tab 0.15 MG-30 MCG,21.17,16.94,5.88,19.05,27
RC,0250,Desonide Cream 0.05%,596.645,477.32,154.17,574.31,54
RC,0250,Desonide Lotion 0.05%,476.31,381.05,132.27,428.68,27
RC,0250,Desonide Oint 0.05%,65.69,52.555,7.64,93.49,54
RC,0250,Desoximetasone Cream 0.05%,93.96,75.17,26.09,84.56,27
RC,0250,Desoximetasone Cream 0.25%,96.795,77.44,18.98,112.71,54
RC,0250,Desoximetasone Oint 0.25%,738.4,590.72,205.05,664.56,27
RC,0250,Desvenlafaxine Succinate Tab ER 24HR 100 MG (Base Equiv),1.55,1.245,0.42,12.68,108
RC,0250,Desvenlafaxine Succinate Tab ER 24HR 25 MG (Base Equiv),2.43,1.95,0.47,21.0,81
RC,0250,Desvenlafaxine Succinate Tab ER 24HR 50 MG (Base Equiv),1.91,1.53,0.44,22.04,135
RC,0250,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
RC,0250,Dexamethasone Sodium Phosphate Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
RC,0250,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,5.83,18.9,27
RC,0250,Dexamethasone Sodium Phosphate Ophth Soln 0.1%,90.29,72.24,25.07,81.26,54
RC,0250,Dexlansoprazole Cap Delayed Release 30 MG,11.17,8.94,3.1,10.05,27
RC,0250,Dexmedetomidine HCl IV Soln 200 MCG/2ML,23.93,19.15,5.83,265.18,459
RC,0250,Dexmedetomidine HCl Inj 100 MCG/ML (For IV Infusion),10.55,8.44,2.93,9.5,27
RC,0250,"Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50*,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML",135.0,108.0,37.49,121.5,27
RC,0250,Dexmedetomidine HCl in NaCl 0.9% IV Soln 200 MCG/50ML,115.06,92.05,13.23,179.55,216
RC,0250,Dexmedetomidine HCl in NaCl 0.9% IV Soln 400 MCG/100ML,132.735,106.19000000000001,5.83,220.02,54
RC,0250,Dexmethylphenidate HCl Cap ER 24 HR 15 MG,14.885,11.91,3.69,14.82,54
RC,0250,Dexmethylphenidate HCl Tab 10 MG,2.08,1.67,0.58,1.87,27
RC,0250,Dextromethorphan HBr Cap 15 MG,1.5,1.2,0.42,1.35,27
RC,0250,Dextromethorphan-Guaifenesin Syrup 10-100 MG/5ML,3.86,3.09,0.42,4.28,216
RC,0250,Dextrose Inj 25%,31.475,25.185000000000002,6.06,37.0,54
RC,0250,Diazepam Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Diazepam Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Diazepam Inj 5 MG/ML,47.42,37.94,13.17,42.68,27
RC,0250,Diazepam Oral Soln 1 MG/ML,9.18,7.35,0.42,18.9,216
RC,0250,Diazepam Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Diazepam Tab 2 MG,1.5,1.2,0.42,1.35,54
RC,0250,Diazepam Tab 5 MG,1.5,1.2,0.42,1.35,135
RC,0250,Diazoxide Susp 50 MG/ML,628.56,502.85,132.31,590.78,81
RC,0250,Dibucaine Oint 1%,9.11,7.289999999999999,2.1,9.59,54
RC,0250,Diclofenac Sodium (Bulk) Powder,183.6,146.88,50.99,165.24,27
RC,0250,Diclofenac Sodium Gel 1% (1.16% Diethylamine Equiv),25.92,20.74,5.77,38.88,351
RC,0250,Diclofenac Sodium Ophth Soln 0.1%,24.68,19.75,0.42,32.08,108
RC,0250,Diclofenac Sodium Tab Delayed Release 50 MG,1.5,1.2,0.42,1.35,108
RC,0250,Diclofenac Sodium Tab Delayed Release 75 MG,1.5,1.2,0.42,1.35,216
RC,0250,Diclofenac w/ Misoprostol Tab Delayed Release 75-0.2 MG,8.12,6.5,2.25,7.31,27
RC,0250,Dicloxacillin Sodium Cap 250 MG,1.5,1.2,0.42,1.35,54
RC,0250,Dicloxacillin Sodium Cap 500 MG,1.5150000000000001,1.2149999999999999,0.42,1.38,54
RC,0250,Dicyclomine HCl Cap 10 MG,1.5,1.2,0.42,1.35,162
RC,0250,Dicyclomine HCl Tab 20 MG,1.5,1.2,0.42,1.35,81
RC,0250,Diflorasone Diacetate Cream 0.05%,172.08,137.67,47.79,154.87,27
RC,0250,Diflunisal Tab 500 MG,2.645,2.12,0.71,3.74,108
RC,0250,Digoxin Half-Tab 0.0625 MG,1.5,1.2,0.42,1.35,27
RC,0250,Digoxin Oral Soln 0.05 MG/ML,9.165,7.335,1.02,13.19,54
RC,0250,Digoxin Tab 125 MCG (0.125 MG),1.98,1.585,0.42,2.21,81
RC,0250,Digoxin Tab 250 MCG (0.25 MG),1.615,1.295,0.42,1.56,81
RC,0250,Diltiazem HCl Coated Beads Cap ER 24HR 120 MG,1.71,1.37,0.42,1.73,162
RC,0250,Diltiazem HCl Coated Beads Cap ER 24HR 180 MG,1.91,1.53,0.42,2.09,189
RC,0250,Diltiazem HCl Coated Beads Cap ER 24HR 240 MG,2.94,2.36,0.42,2.96,216
RC,0250,Diltiazem HCl Half-Tab 15 MG,1.5,1.2,0.42,1.35,27
RC,0250,Diltiazem HCl Tab 30 MG,1.5,1.2,0.42,1.35,108
RC,0250,Diltiazem HCl Tab 60 MG,1.5,1.2,0.42,1.35,81
RC,0250,Diltiazem HCl Tab 90 MG,1.5,1.2,0.42,1.35,81
RC,0250,Dinoprostone Cervical Gel 0.5 MG/3GM,6109.02,4887.22,1696.47,5498.12,27
RC,0250,Dinoprostone Vaginal Inserts 10 MG,902.1,721.68,250.51,811.89,27
RC,0250,Diphenhydramine-Acetaminophen Tab 25-500 MG (sleep),1.5,1.2,0.42,1.35,27
RC,0250,Diphenhydramine-Zinc Acetate Cream 1-0.1%,10.09,8.08,2.8,9.08,27
RC,0250,Diphenhydramine-Zinc Acetate Cream 2-0.1%,3.895,3.12,0.9,4.09,54
RC,0250,Diphenoxylate w/ Atropine Liq 2.5-0.025 MG/5ML,12.42,9.94,3.45,11.18,27
RC,0250,Diphenoxylate w/ Atropine Tab 2.5-0.025 MG,1.725,1.38,0.42,1.76,135
RC,0250,Dipyridamole Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Disopyramide Phosphate Cap 100 MG,1.5,1.2,0.42,1.35,27
RC,0250,Disulfiram Tab 250 MG,14.225000000000001,11.385,1.18,21.79,54
RC,0250,Divalproex Sodium Cap Delayed Release Sprinkle 125 MG,1.5,1.2,0.42,1.35,108
RC,0250,Divalproex Sodium Tab Delayed Release 125 MG,1.5,1.2,0.42,1.35,54
RC,0250,Divalproex Sodium Tab Delayed Release 250 MG,1.5,1.2,0.42,1.35,162
RC,0250,Divalproex Sodium Tab Delayed Release 500 MG,1.5550000000000002,1.245,0.42,1.45,243
RC,0250,Divalproex Sodium Tab ER 24 HR 250 MG,3.62,2.9,0.42,4.6,297
RC,0250,Divalproex Sodium Tab ER 24 HR 500 MG,1.97,1.58,0.42,6.95,108
RC,0250,Docosanol Cream 10%,44.17,35.34,12.27,39.75,27
RC,0250,Docusate Sodium Cap 250 MG,1.5,1.2,0.42,1.35,54
RC,0250,Docusate Sodium Cap 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Docusate Sodium Enema 283 MG/5ML,5.62,4.5,1.07,5.31,81
RC,0250,Docusate Sodium Liquid 150 MG/15ML,1.505,1.205,0.42,1.36,108
RC,0250,Dofetilide Cap 125 MCG (0.125 MG),7.34,5.875,0.42,11.3,135
RC,0250,Dofetilide Cap 250 MCG (0.25 MG),9.02,7.22,0.42,12.22,189
RC,0250,Dolutegravir Sodium Tab 50 MG (Base Equiv),129.36,103.49,35.92,116.42,27
RC,0250,Donepezil Hydrochloride Tab 10 MG,1.5,1.2,0.42,1.35,162
RC,0250,Donepezil Hydrochloride Tab 5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Dorzolamide HCl Ophth Soln 2%,75.14,60.12,7.57,191.73,189
RC,0250,Dorzolamide HCl-Timolol Maleate Ophth Soln 2-0.5%,124.2,99.36,6.94,433.51,189
RC,0250,Doxazosin Mesylate Tab 1 MG,1.685,1.35,0.42,1.92,135
RC,0250,Doxazosin Mesylate Tab 2 MG,1.7,1.36,0.42,1.55,108
RC,0250,Doxazosin Mesylate Tab 4 MG,1.65,1.3199999999999998,0.42,1.62,189
RC,0250,Doxepin HCl Cap 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Doxepin HCl Cap 100 MG,1.5,1.2,0.42,1.35,54
RC,0250,Doxepin HCl Cap 25 MG,1.615,1.295,0.42,1.56,162
RC,0250,Doxepin HCl Cap 50 MG,1.815,1.455,0.42,1.92,108
RC,0250,Doxepin HCl Cap 75 MG,2.22,1.78,0.62,2.0,27
RC,0250,Doxepin HCl Conc 10 MG/ML,1.5,1.2,0.42,1.35,27
RC,0250,Doxycycline Monohydrate For Susp 25 MG/5ML,10.1,8.08,2.8,9.09,27
RC,0250,Doxycycline Monohydrate Tab 100 MG,1.6949999999999998,1.3599999999999999,0.42,1.7,81
RC,0250,Dronabinol Cap 2.5 MG,8.76,7.01,1.04,9.31,135
RC,0250,Dronabinol Cap 5 MG,20.03,16.03,2.01,32.27,162
RC,0250,Dronedarone HCl Tab 400 MG (Base Equivalent),26.13,20.91,7.26,23.52,27
RC,0250,"Droperidol Inj 2.5 MG/ML,Droperidol Powder",1264.01,1011.21,351.02,1137.61,27
RC,0250,Drospirenone-Ethinyl Estradiol Tab 3-0.03 MG,58.14,46.51499999999999,1.11,101.04,54
RC,0250,Duloxetine HCl Enteric Coated Pellets Cap 20 MG (Base Eq),7.65,6.125,0.42,11.87,135
RC,0250,Duloxetine HCl Enteric Coated Pellets Cap 30 MG (Base Eq),2.48,1.99,0.42,13.04,216
RC,0250,Duloxetine HCl Enteric Coated Pellets Cap 60 MG (Base Eq),2.455,1.9649999999999999,0.42,15.58,297
RC,0250,Dutasteride Cap 0.5 MG,9.86,7.89,2.74,8.87,54
RC,0250,Econazole Nitrate Cream 1%,33.335,26.675,6.05,94.81,108
RC,0250,Efavirenz Tab 600 MG,13.34,10.68,3.7,12.01,27
RC,0250,Electrolyte-S (PH 7.4) Solution,21.0,16.8,5.83,18.9,27
RC,0250,Eletriptan Hydrobromide Tab 20 MG (Base Equivalent),70.44,56.36,19.56,63.4,27
RC,0250,Eletriptan Hydrobromide Tab 40 MG (Base Equivalent),14.190000000000001,11.355,3.55,14.02,54
RC,0250,Elvitegrav-Cobic-Emtricitab-Tenofov AF Tab 150-150-200-10 MG,216.08,172.87,60.01,194.47,27
RC,0250,Elvitegrav-Cobic-Emtricitab-TenofovDF Tab 150-150-200-300 MG,243.51,194.81,67.62,219.16,27
RC,0250,Emollient - Cream,11.705,9.370000000000001,3.19,10.74,54
RC,0250,Emollient - Ointment,8.235,6.590000000000001,0.45,13.37,54
RC,0250,Empagliflozin Tab 10 MG,36.25,29.0,10.07,32.63,27
RC,0250,Empagliflozin Tab 25 MG,41.75,33.4,11.59,37.58,27
RC,0250,Emtricitabine Soln 10 MG/ML,11.78,9.43,3.27,10.6,27
RC,0250,Emtricitabine-Tenofovir Disoproxil Fumarate Tab 200-300 MG,67.075,53.665000000000006,0.58,118.85,54
RC,0250,Enalapril Maleate Tab 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Enalapril Maleate Tab 5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Entacapone Tab 200 MG,8.05,6.44,1.02,9.41,135
RC,0250,Entecavir Tab 0.5 MG,3.5,2.8,0.42,5.9,108
RC,0250,Ephedrine Sulf-NaCl Soln Pref Syr 50 MG/10ML-0.9% (5 MG/ML),26.1,20.88,7.25,23.49,27
RC,0250,Ephedrine Sulfate IV Soln 50 MG/ML,47.15,37.72,5.83,82.73,513
RC,0250,Epinephrine HCl Nasal Soln 0.1%,480.33,384.27,41.24,495.86,81
RC,0250,Epinephrine Solution Auto-injector 0.15 MG/0.3ML (1:2000),1014.42,811.54,281.7,912.98,27
RC,0250,Epinephrine Solution Auto-injector 0.3 MG/0.3ML (1:1000),582.16,465.73,140.85,591.4,54
RC,0250,Eplerenone Tab 25 MG,3.2,2.56,0.42,4.41,54
RC,0250,Eplerenone Tab 50 MG,4.035,3.23,0.81,13.33,108
RC,0250,Epoetin Alfa-epbx Inj 2000 Unit/ML,79.69,63.76,22.13,71.72,27
RC,0250,Ergocalciferol Cap 1.25 MG (50000 Unit),2.2,1.7599999999999998,0.42,2.61,54
RC,0250,Ergocalciferol Soln 200 MCG/ML (8000 Unit/ML),76.3,61.045,20.47,71.0,54
RC,0250,Erythromycin Ethylsuccinate For Susp 400 MG/5ML,27.45,21.96,0.45,51.16,135
RC,0250,Erythromycin Ophth Oint 5 MG/GM,18.155,14.530000000000001,1.01,22.65,162
RC,0250,Erythromycin Tab Delayed Release 250 MG,12.565000000000001,10.055,2.91,15.24,162
RC,0250,Escitalopram Oxalate Tab 10 MG (Base Equiv),12.845,10.28,0.42,21.77,216
RC,0250,Escitalopram Oxalate Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,216
RC,0250,Escitalopram Oxalate Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,108
RC,0250,Esomeprazole Magnesium Cap Delayed Release 20 MG (Base Eq),2.08,1.67,0.54,14.33,81
RC,0250,Esomeprazole Magnesium Cap Delayed Release 40 MG (Base Eq),15.92,12.74,4.42,14.33,27
RC,0250,Estazolam Tab 2 MG,1.5,1.2,0.42,1.35,27
RC,0250,Estradiol TD Patch Twice Weekly 0.0375 MG/24HR,22.47,17.98,6.24,20.22,27
RC,0250,Estradiol TD Patch Twice Weekly 0.05 MG/24HR,21.875,17.505,5.43,20.51,108
RC,0250,Estradiol TD Patch Twice Weekly 0.1 MG/24HR,18.1,14.48,4.71,17.33,81
RC,0250,Estradiol TD Patch Weekly 0.025 MG/24HR,47.25,37.8,9.76,48.24,108
RC,0250,Estradiol TD Patch Weekly 0.0375 MG/24HR (37.5 MCG/24HR),35.019999999999996,28.019999999999996,6.33,42.53,54
RC,0250,Estradiol TD Patch Weekly 0.05 MG/24HR,31.67,25.34,8.79,42.53,81
RC,0250,Estradiol TD Patch Weekly 0.075 MG/24HR,42.364999999999995,33.894999999999996,10.41,42.53,81
RC,0250,Estradiol TD Patch Weekly 0.1 MG/24HR,40.07,32.06,9.13,42.53,54
RC,0250,Estradiol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Estradiol Tab 1 MG,1.5,1.2,0.42,1.35,81
RC,0250,Estradiol Tab 2 MG,1.5,1.2,0.42,1.35,54
RC,0250,Estradiol Vaginal Cream 0.1 MG/GM,63.34,50.68,17.59,57.01,27
RC,0250,Estradiol Vaginal Tab 10 MCG,19.44,15.56,5.4,17.5,54
RC,0250,"Estrogens, Conjugated Half-Tab 0.45 MG",5.23,4.19,1.45,4.71,27
RC,0250,"Estrogens, Conjugated Tab 0.3 MG",13.15,10.52,3.65,11.84,27
RC,0250,"Estrogens, Conjugated Tab 0.625 MG",13.15,10.52,3.65,11.84,27
RC,0250,"Estrogens, Conjugated Tab 0.9 MG",13.15,10.52,3.65,11.84,27
RC,0250,"Estrogens, Conjugated Tab 1.25 MG",13.15,10.52,3.65,11.84,27
RC,0250,"Estrogens, Conjugated Vaginal Cream 0.625 MG/GM",872.61,698.09,242.32,785.35,54
RC,0250,Eszopiclone Tab 1 MG,1.5,1.2,0.42,1.35,54
RC,0250,Eszopiclone Tab 2 MG,17.11,13.69,4.75,15.4,27
RC,0250,Eszopiclone Tab 3 MG,17.11,13.69,4.75,15.4,27
RC,0250,Ethacrynate Sodium For Inj 50 MG,4689.360000000001,3751.495,771.9,10836.95,108
RC,0250,Ethacrynic Acid Tab 25 MG,33.085,26.475,1.57,50.99,162
RC,0250,Ethambutol HCl Half-Tab 200 MG,1.5,1.2,0.42,1.35,27
RC,0250,Ethambutol HCl Tab 400 MG,2.04,1.635,0.54,2.04,108
RC,0250,Ethiodized Inj Oil 480 MG/ML (Iodine Equivalent),1975.74,1580.595,400.72,2257.63,54
RC,0250,Ethosuximide Soln 250 MG/5ML,2.1950000000000003,1.7599999999999998,0.42,2.6,54
RC,0250,Ethyl Chloride Aerosol Spray,84.565,67.655,22.79,78.36,54
RC,0250,Etodolac Cap 300 MG,3.18,2.55,0.88,2.86,27
RC,0250,Etodolac Tab 400 MG,1.54,1.24,0.42,2.35,81
RC,0250,Etodolac Tab 500 MG,2.78,2.23,0.77,2.5,27
RC,0250,Etomidate IV Soln 2 MG/ML,30.18,24.15,5.83,35.67,216
RC,0250,Etravirine Tab 200 MG,37.84,30.28,10.51,34.06,27
RC,0250,Everolimus Tab 0.5 MG,23.244999999999997,18.6,3.49,30.55,81
RC,0250,Everolimus Tab 2.5 MG,553.4200000000001,442.74,79.59,738.21,54
RC,0250,Ezetimibe Half-Tab 5 MG,10.62,8.5,2.95,9.56,27
RC,0250,Ezetimibe Tab 10 MG,1.7,1.36,0.42,23.79,297
RC,0250,FENTANYL IV 10 MCG/ML INFUSION IN NS,21.0,16.8,5.83,18.9,54
RC,0250,FENTANYL IV 25 MCG/ML INFUSION IN NS,21.0,16.8,5.83,18.9,54
RC,0250,Famciclovir Tab 500 MG,2.495,2.0,0.57,2.65,54
RC,0250,Famotidine For Susp 40 MG/5ML,5.35,4.28,1.4,5.18,81
RC,0250,Famotidine Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Famotidine Tab 20 MG,1.5,1.2,0.42,1.35,432
RC,0250,Fat Emulsion Fish Oil Based IV Emul 20%,34.8,27.84,6.04,65.77,135
RC,0250,Fat Emulsion Fish Oil Triglyceride Based IV Emul 10 GM/100ML,293.19,234.56,81.42,263.87,27
RC,0250,Fat Emulsion Fish Oil Triglyceride Based IV Emul 5 GM/50ML,205.1,164.08,56.96,184.59,27
RC,0250,Fat Emulsion Fish Oil and Plant Based IV Emul 20%,97.875,78.3,20.29,176.18,162
RC,0250,Fat Emulsion Plant Based (Soy) IV Emulsion 20%,70.14500000000001,56.120000000000005,5.83,610.74,270
RC,0250,Fe Asparto Gly-Succinic Acd-Vit C-Threonic Acd-B12-FA Tab,2.12,1.7,0.59,1.91,27
RC,0250,Febuxostat Tab 40 MG,6.29,5.04,0.42,21.38,108
RC,0250,Febuxostat Tab 80 MG,6.75,5.405,0.58,21.38,108
RC,0250,Felbamate Susp 600 MG/5ML,15.79,12.64,1.23,23.54,81
RC,0250,Felbamate Tab 400 MG,11.495000000000001,9.2,2.84,11.48,54
RC,0250,Felbamate Tab 600 MG,7.699999999999999,6.165,0.75,9.67,108
RC,0250,Felodipine Tab ER 24HR 10 MG,1.815,1.455,0.42,1.92,54
RC,0250,Felodipine Tab ER 24HR 2.5 MG,1.56,1.255,0.42,2.56,108
RC,0250,Felodipine Tab ER 24HR 5 MG,1.58,1.27,0.42,2.56,108
RC,0250,Fenofibrate Micronized Cap 134 MG,2.98,2.39,0.83,2.68,27
RC,0250,Fenofibrate Micronized Cap 67 MG,1.64,1.32,0.46,1.48,27
RC,0250,Fenofibrate Tab 160 MG,2.105,1.685,0.42,2.44,108
RC,0250,Fenofibrate Tab 54 MG,1.5,1.2,0.42,1.35,54
RC,0250,Fentanyl Cit 0.2 MG/100ML-Ropiv 0.2%-NaCl 0.9% Epidural Inj,21.0,16.8,5.83,18.9,54
RC,0250,Fentanyl Citrate Lozenge on a Handle 200 MCG,67.625,54.105000000000004,4.57,106.9,54
RC,0250,Fentanyl Citrate Lozenge on a Handle 400 MCG,84.9,67.925,5.38,135.4,54
RC,0250,Fentanyl Citrate Lozenge on a Handle 600 MCG,51.31,41.05,14.25,46.18,27
RC,0250,Fentanyl Citrate Lozenge on a Handle 800 MCG,218.11,174.49,60.57,196.3,27
RC,0250,Fentanyl Citrate Preservative Free (PF) Inj 100 MCG/2ML,21.0,16.8,5.83,18.9,27
RC,0250,Fentanyl TD Patch 72HR 100 MCG/HR,29.589999999999996,23.675,3.71,62.96,270
RC,0250,Fentanyl TD Patch 72HR 12 MCG/HR,21.44,17.16,5.85,37.5,81
RC,0250,Fentanyl TD Patch 72HR 25 MCG/HR,11.52,9.22,1.78,16.08,243
RC,0250,Fentanyl TD Patch 72HR 50 MCG/HR,23.75,19.0,2.14,28.8,270
RC,0250,Fentanyl TD Patch 72HR 75 MCG/HR,20.17,16.14,3.54,45.74,243
RC,0250,Ferric Subsulfate Paste,43.63,34.91,12.12,39.27,27
RC,0250,Ferrous Fumarate Tab 324 MG (106 MG Elemental Fe),1.5,1.2,0.42,1.35,27
RC,0250,Ferrous Gluconate Tab 324 MG (37.5 MG Elemental Iron),1.5,1.2,0.42,1.35,27
RC,0250,Ferrous Sulfate Dried Tab ER 160 MG (50 MG Fe Equivalent),1.5,1.2,0.42,1.35,27
RC,0250,Ferrous Sulfate Soln 220 MG/5ML (44 MG/5ML Elemental Fe),1.5,1.2,0.42,1.35,81
RC,0250,Ferrous Sulfate Soln 75 MG/ML (15 MG/ML Elemental Fe),18.025,14.424999999999999,2.36,24.79,54
RC,0250,Ferrous Sulfate Tab EC 325 MG (65 MG Fe Equivalent),1.5,1.2,0.42,1.35,81
RC,0250,Fesoterodine Fumarate Tab ER 24HR 4 MG,12.27,9.82,3.41,11.04,27
RC,0250,Fesoterodine Fumarate Tab ER 24HR 8 MG,22.3,17.84,6.19,20.07,27
RC,0250,Fexofenadine HCl Tab 180 MG,1.5,1.2,0.42,1.35,27
RC,0250,Fibrin Sealant Component Solution,652.46,521.97,181.19,587.21,27
RC,0250,Fibrinogen-Thrombin Prefilled Syringe Kit 10 ML,1722.09,1377.68,478.22,1549.88,54
RC,0250,Fidaxomicin Tab 200 MG,208.68,166.95,57.95,187.81,27
RC,0250,Finasteride Tab 5 MG,1.54,1.24,0.42,2.51,351
RC,0250,Fingolimod HCl Cap 0.5 MG (Base Equiv),26.73,21.39,7.42,24.06,27
RC,0250,Flavoxate HCl Tab 100 MG,2.025,1.62,0.47,2.12,54
RC,0250,Flecainide Acetate Tab 100 MG,1.5,1.2,0.42,1.35,81
RC,0250,Flecainide Acetate Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Fluconazole For Susp 10 MG/ML,15.870000000000001,12.700000000000001,2.44,20.66,54
RC,0250,Fluconazole For Susp 40 MG/ML,8.370000000000001,6.7,1.13,11.4,54
RC,0250,Fluconazole Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Fluconazole Tab 100 MG,3.38,2.71,0.92,3.1,54
RC,0250,Fluconazole Tab 150 MG,5.01,4.01,0.97,6.26,135
RC,0250,Fluconazole Tab 200 MG,3.9,3.125,0.46,6.35,108
RC,0250,Fluconazole in NaCl 0.9% Inj 200 MG/100ML,21.75,17.4,6.04,19.58,27
RC,0250,Flucytosine Cap 250 MG,18.9,15.12,5.25,17.01,27
RC,0250,Flucytosine Cap 500 MG,200.66,160.53,55.72,180.59,27
RC,0250,Fludrocortisone Acetate Half-Tab 0.05 MG,1.5,1.2,0.42,1.35,27
RC,0250,Fludrocortisone Acetate Tab 0.1 MG,1.5,1.2,0.42,1.35,81
RC,0250,Flumazenil IV Soln 0.5 MG/5ML (0.1 MG/ML),21.0,16.8,5.83,18.9,27
RC,0250,Flumazenil IV Soln 1 MG/10ML (0.1 MG/ML),27.23,21.79,7.56,24.51,27
RC,0250,Fluocinolone Acetonide Oil 0.01% (Body Oil),367.26,293.81,101.99,330.53,27
RC,0250,Fluocinolone Acetonide Oint 0.025%,83.49000000000001,66.795,16.68,96.23,54
RC,0250,Fluocinolone Acetonide Soln 0.01%,376.16,300.93,104.46,338.54,27
RC,0250,Fluocinonide Cream 0.05%,27.05,21.64,7.51,24.35,27
RC,0250,Fluocinonide Oint 0.05%,39.245000000000005,31.4,5.44,53.0,54
RC,0250,Fluocinonide Soln 0.05%,22.41,17.93,6.22,20.17,27
RC,0250,Fluorescein Sodium IV Soln 10%,188.36,150.69,20.54,181.46,108
RC,0250,Fluorescein Sodium Ophth Strips 1 MG,1.5,1.2,0.42,1.35,108
RC,0250,Fluorometholone Ophth Oint 0.1%,306.56,245.25,85.13,275.9,27
RC,0250,Fluorometholone Ophth Susp 0.1%,193.91,155.13,49.86,302.36,81
RC,0250,Fluorouracil Cream 5%,257.9,206.32,71.62,232.11,27
RC,0250,Fluoxetine HCl Cap 10 MG,11.755,9.405,0.42,19.81,162
RC,0250,Fluoxetine HCl Cap 20 MG,2.11,1.69,0.42,20.31,243
RC,0250,Fluoxetine HCl Cap Delayed Release 90 MG,59.35,47.48,16.48,53.42,27
RC,0250,Fluoxetine HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Fluoxetine HCl Solution 20 MG/5ML,1.89,1.52,0.42,10.91,189
RC,0250,Fluphenazine HCl Tab 5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Fluticasone Furoate-Vilanterol Aero Powd BA 100-25 MCG/ACT,137.59,110.08,38.21,123.83,27
RC,0250,Fluticasone Furoate-Vilanterol Aero Powd BA 200-25 MCG/ACT,350.35,280.285,38.21,506.8,54
RC,0250,Fluticasone Propionate HFA Inhal Aer 110 MCG/ACT,387.7,310.16,107.66,348.93,27
RC,0250,Fluticasone Propionate HFA Inhal Aer 220 MCG/ACT,602.19,481.76,167.23,541.97,27
RC,0250,Fluticasone Propionate HFA Inhal Aero 44 MCG/ACT,307.265,245.815,85.23,276.85,54
RC,0250,Fluticasone Propionate Nasal Susp 50 MCG/ACT,9.55,7.64,2.64,12.29,81
RC,0250,Fluticasone-Salmeterol Inhal Aerosol 45-21 MCG/ACT,575.2,460.16,159.73,517.68,27
RC,0250,Fluvastatin Sodium Cap 20 MG (Base Equivalent),7.11,5.69,1.97,6.4,27
RC,0250,Fluvastatin Sodium Cap 40 MG (Base Equivalent),8.99,7.2,2.5,8.09,27
RC,0250,Fluvastatin Sodium Tab ER 24 HR 80 MG (Base Equivalent),11.73,9.39,3.26,10.56,27
RC,0250,Fluvoxamine Maleate Cap ER 24HR 100 MG,18.43,14.75,5.12,16.59,27
RC,0250,Fluvoxamine Maleate Cap ER 24HR 150 MG,19.76,15.81,5.49,17.78,27
RC,0250,Fluvoxamine Maleate Tab 100 MG,1.5,1.2,0.42,1.35,27
RC,0250,Fluvoxamine Maleate Tab 50 MG,1.5,1.2,0.42,1.35,54
RC,0250,Folic Acid Tab 1 MG,1.5,1.2,0.42,1.35,270
RC,0250,Folic Acid Tab 400 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Folic Acid-Vitamin B6-Vitamin B12 Tab 2.5-25-1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Formoterol Fumarate Soln Nebu 20 MCG/2ML,24.71,16.93,3.14,27.27,189
RC,0250,Fosfomycin Tromethamine Powd Pack 3 GM (Base Equivalent),161.51,129.21,38.48,205.99,135
RC,0250,Furosemide Half-Tab 10 MG,1.5,1.2,0.42,1.35,27
RC,0250,Furosemide Oral Soln 10 MG/ML,5.05,4.045,0.42,13.85,162
RC,0250,Furosemide Tab 20 MG,1.575,1.26,0.42,1.49,243
RC,0250,Furosemide Tab 40 MG,1.5,1.2,0.42,1.35,270
RC,0250,Furosemide Tab 80 MG,1.5,1.2,0.42,1.35,162
RC,0250,Gabapentin Cap 100 MG,1.5,1.2,0.42,1.35,270
RC,0250,Gabapentin Cap 300 MG,1.5,1.2,0.42,1.35,189
RC,0250,Gabapentin Cap 400 MG,1.5,1.2,0.42,1.35,189
RC,0250,Gabapentin Oral Soln 250 MG/5ML,4.59,3.6750000000000003,0.42,6.91,162
RC,0250,Galantamine Hydrobromide Cap ER 24HR 16 MG,5.27,4.22,1.46,4.74,27
RC,0250,Ganciclovir Ophth Gel 0.15%,518.54,414.84,144.0,466.69,27
RC,0250,Gatifloxacin Ophth Soln 0.5%,199.275,159.425,0.94,378.96,189
RC,0250,Gemfibrozil Half-Tab 300 MG,1.5,1.2,0.42,1.35,27
RC,0250,Gemfibrozil Tab 600 MG,1.5,1.2,0.42,1.35,108
RC,0250,Gentamicin Sulfate Cream 0.1%,136.405,109.125,19.23,164.39,108
RC,0250,Gentamicin Sulfate Oint 0.1%,74.93,59.95,20.69,82.82,81
RC,0250,Gentamicin Sulfate Ophth Oint 0.3%,71.54,57.24,19.87,64.39,54
RC,0250,Gentamicin Sulfate Ophth Soln 0.3%,20.87,16.7,0.42,34.89,135
RC,0250,Gentamicin in Saline Inj 2 MG/ML,21.0,16.8,5.83,18.9,54
RC,0250,Gentian Violet Soln 1%,11.15,8.92,3.1,10.04,27
RC,0250,Glimepiride Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glimepiride Tab 1 MG,1.5,1.2,0.42,1.35,54
RC,0250,Glimepiride Tab 2 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glimepiride Tab 4 MG,1.5,1.2,0.42,1.35,81
RC,0250,Glipizide Half-Tab 1.25 MG,1.73,1.39,0.48,1.56,27
RC,0250,Glipizide Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Glipizide Tab 2.5 MG,3.46,2.77,0.96,3.11,27
RC,0250,Glipizide Tab 5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Glipizide Tab ER 24HR 10 MG,1.5550000000000002,1.245,0.42,1.45,189
RC,0250,Glipizide Tab ER 24HR 2.5 MG,3.03,2.43,0.42,2.87,162
RC,0250,Glipizide Tab ER 24HR 5 MG,1.5,1.2,0.42,1.35,81
RC,0250,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),304.95,243.96499999999997,59.67,355.51,108
RC,0250,Glucose Gel 40%,9.82,7.86,2.73,8.84,27
RC,0250,Glucose-Vitamin C Chew Tab 4-6 GM-MG,1.5,1.2,0.42,1.35,108
RC,0250,Glyburide Micronized Tab 1.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glyburide Micronized Tab 3 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glyburide Micronized Tab 6 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glyburide Tab 1.25 MG,1.5,1.2,0.42,1.35,54
RC,0250,Glyburide Tab 2.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Glyburide Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glycerin Liquid,5.29,4.234999999999999,0.42,8.17,108
RC,0250,Glycerin Suppos 2 GM,1.5,1.2,0.42,1.35,54
RC,0250,Glycerin Topical Liquid,9.56,7.65,2.65,8.6,27
RC,0250,Glycopyrrolate Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Glycopyrrolate Inj 0.4 MG/2ML (0.2 MG/ML),1.5,1.2,0.42,1.35,27
RC,0250,Glycopyrrolate Oral Soln 1 MG/5ML,1.5,1.2,0.42,1.35,54
RC,0250,Glycopyrrolate Tab 1 MG,2.135,1.7149999999999999,0.42,2.09,162
RC,0250,Granisetron TD Patch 3.1 MG/24HR (Contains 34.3 MG),920.94,736.76,255.75,828.85,27
RC,0250,Griseofulvin Microsize Susp 125 MG/5ML,64.8,51.84,17.99,58.32,27
RC,0250,Guaifenesin Liquid 100 MG/5ML,1.5,1.2,0.42,1.35,54
RC,0250,Guaifenesin Tab ER 12HR 600 MG,2.13,1.71,0.42,2.08,135
RC,0250,Guaifenesin-Codeine Soln 100-10 MG/5ML,5.035,4.03,0.42,10.34,351
RC,0250,Guanfacine HCl Tab 1 MG,1.5,1.2,0.42,1.35,135
RC,0250,Guanfacine HCl Tab ER 24HR 1 MG (Base Equiv),1.5,1.2,0.42,1.35,27
RC,0250,Guanfacine HCl Tab ER 24HR 3 MG (Base Equiv),1.5,1.2,0.42,1.35,27
RC,0250,Haloperidol Half-Tab 0.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Haloperidol Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Haloperidol Lactate Oral Conc 2 MG/ML,1.5,1.2,0.42,1.35,54
RC,0250,Haloperidol Tab 0.5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Haloperidol Tab 1 MG,1.5,1.2,0.42,1.35,162
RC,0250,Haloperidol Tab 2 MG,1.5,1.2,0.42,1.35,135
RC,0250,Haloperidol Tab 5 MG,1.615,1.295,0.42,1.56,135
RC,0250,"Heparin Sodium (Porcine) Inj 10,000 Unit/mL",21.0,16.8,5.83,18.9,216
RC,0250,Heparin Sodium (Porcine) Inj 1000 Unit/ML,21.0,16.8,5.83,18.9,27
RC,0250,Heparin Sodium (Porcine) Lock Flush PF IV Soln 10 Unit/ML,21.0,16.8,5.83,18.9,27
RC,0250,Hepatitis B Immun Glob (Human) IM Soln Pref Syr 110 Ut/0.5ML,327.9,262.32,91.06,295.11,27
RC,0250,Hepatitis B Immune Globulin (Human) IM Soln 220 Unit/ML,240.5,192.4,66.79,216.45,27
RC,0250,Hepatitis B Immune Globulin (Human) IM Soln 312 Unit/ML,222.35,177.88,61.75,200.12,27
RC,0250,Hetastarch (HES /0.7 or /0.75) 6% in NaCl 0.9% IV Soln,47.85,38.28,12.08,46.98,81
RC,0250,Hydralazine HCl Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Hydralazine HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Hydralazine HCl Tab 10 MG,1.5,1.2,0.42,1.35,216
RC,0250,Hydralazine HCl Tab 100 MG,1.5,1.2,0.42,1.35,108
RC,0250,Hydralazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,297
RC,0250,Hydralazine HCl Tab 50 MG,1.5,1.2,0.42,1.35,243
RC,0250,Hydrochlorothiazide Half-Tab 6.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Hydrochlorothiazide Tab 12.5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Hydrochlorothiazide Tab 25 MG,1.5,1.2,0.42,1.35,135
RC,0250,Hydrochlorothiazide Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Hydrocod Polst-Chlorphen Polst ER Susp 10-8 MG/5ML,4.904999999999999,3.925,1.04,5.45,54
RC,0250,Hydrocodone-Acetaminophen Soln 7.5-325 MG/15ML,5.88,4.71,0.42,11.38,243
RC,0250,Hydrocodone-Acetaminophen Tab 10-325 MG,1.52,1.22,0.42,1.39,270
RC,0250,Hydrocodone-Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,378
RC,0250,Hydrocodone-Acetaminophen Tab 7.5-325 MG,1.5,1.2,0.42,1.35,378
RC,0250,Hydrocortisone Acetate Suppos 25 MG,11.6,9.285,0.67,22.99,324
RC,0250,Hydrocortisone Cream 1%,6.67,5.34,0.76,12.11,243
RC,0250,Hydrocortisone Enema 100 MG/60ML,15.88,12.71,4.41,14.29,27
RC,0250,Hydrocortisone Oint 1%,9.36,7.49,0.99,13.64,54
RC,0250,Hydrocortisone Perianal Cream 2.5%,38.35,30.68,8.31,156.45,135
RC,0250,Hydrocortisone Tab 10 MG,1.505,1.205,0.42,1.36,108
RC,0250,Hydrocortisone Tab 20 MG,1.5,1.2,0.42,1.35,54
RC,0250,Hydrocortisone Tab 5 MG,1.99,1.595,0.42,2.23,81
RC,0250,Hydromorphone HCl Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Hydromorphone HCl Liqd 1 MG/ML,1.5550000000000002,1.245,0.42,1.45,135
RC,0250,Hydromorphone HCl Powder,1160.0,928.0,322.13,1044.0,27
RC,0250,Hydromorphone HCl Tab 2 MG,1.5,1.2,0.42,1.35,162
RC,0250,Hydromorphone HCl Tab 4 MG,1.5,1.2,0.42,1.35,54
RC,0250,Hydroxychloroquine Sulfate Half-Tab 100 MG,1.5,1.2,0.42,1.35,27
RC,0250,Hydroxychloroquine Sulfate Tab 200 MG,2.4299999999999997,1.945,0.42,2.46,189
RC,0250,Hydroxyurea Cap 500 MG,1.665,1.335,0.42,2.03,135
RC,0250,Hydroxyzine HCl Syrup 10 MG/5ML,7.37,5.8999999999999995,0.42,11.92,108
RC,0250,Hydroxyzine HCl Tab 10 MG,1.5,1.2,0.42,1.35,108
RC,0250,Hydroxyzine HCl Tab 25 MG,1.5,1.2,0.42,1.35,270
RC,0250,Hydroxyzine HCl Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Hydroxyzine Pamoate Cap 25 MG,1.5,1.2,0.42,1.35,297
RC,0250,Hydroxyzine Pamoate Cap 50 MG,1.5,1.2,0.42,1.35,351
RC,0250,Hyoscyamine Sulfate Inj 0.5 MG/ML,211.56,169.25,53.85,206.28,81
RC,0250,Hyoscyamine Sulfate SL Tab 0.125 MG,1.5,1.2,0.42,1.35,135
RC,0250,Hyoscyamine Sulfate Tab 0.125 MG,1.5,1.2,0.42,1.35,81
RC,0250,Hypromellose Ophth Gel 0.3%,20.79,16.64,5.62,24.57,135
RC,0250,Ibuprofen Susp 100 MG/5ML,1.5,1.2,0.42,1.35,54
RC,0250,Ibuprofen Tab 400 MG,1.5,1.2,0.42,1.35,108
RC,0250,Ibuprofen Tab 600 MG,1.5,1.2,0.42,1.35,189
RC,0250,Ibuprofen Tab 800 MG,1.5,1.2,0.42,1.35,162
RC,0250,Iloprost Inhalation Solution 20 MCG/ML,381.06,304.85,105.82,342.95,27
RC,0250,Imipramine HCl Tab 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Imipramine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Imipramine HCl Tab 50 MG,1.5,1.2,0.42,1.35,108
RC,0250,Indapamide Tab 1.25 MG,1.5,1.2,0.42,1.35,81
RC,0250,Indapamide Tab 2.5 MG,1.5,1.2,0.42,1.35,81
RC,0250,Indigotindisulfonate Sodium Inj 8 MG/ML,334.19,267.355,23.92,524.03,54
RC,0250,Indocyanine Green For IV Soln 25 MG,282.82,226.26,76.48,307.37,81
RC,0250,"Indocyanine Green For Inj 25 MG,Indocyanine Green For Inj Soln 25 MG",282.82,226.26,76.48,307.37,81
RC,0250,Indocyanine Green For Inj Soln 25 MG,832.03,665.63,231.05,748.83,54
RC,0250,Indomethacin Cap 25 MG,1.5,1.2,0.42,1.35,81
RC,0250,Indomethacin Cap 50 MG,1.5,1.2,0.42,1.35,108
RC,0250,Indomethacin Cap ER 75 MG,3.59,2.88,0.82,5.3,81
RC,0250,Indomethacin Sodium IV For Soln 1 MG,1588.25,1270.6,259.57,1498.51,135
RC,0250,Insulin Aspart Inj Soln 100 Unit/ML,107.73,86.19,27.82,103.76,54
RC,0250,"Insulin Aspart Prot & Aspart (Human) Inj 100 Unit/M*,Insulin Aspart Prot & Aspart Sus Pen-inj 100 Unit/M",152.13,121.71000000000001,31.27,172.5,54
RC,0250,Insulin Aspart Soln Pen-injector 100 Unit/ML,50.370000000000005,40.3,10.15,57.76,81
RC,0250,"Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML,Insulin Aspart Inj Soln 100 Unit/ML",50.835,40.67,0.42,90.15,54
RC,0250,"Insulin Detemir Inj 100 Unit/ML,Insulin Detemir Soln Pen-injector 100 Unit/ML",199.76,159.815,44.67,214.81,54
RC,0250,Insulin Glulisine Inj 100 Unit/ML,49.445,39.56,0.42,87.65,54
RC,0250,"Insulin Isophane & Regular (Human) Inj 100 Unit/ML *,Insulin Isophane & Regular Susp Pen-Inj 100 Unit/ML",33.56,26.855,8.74,32.08,54
RC,0250,"Insulin Isophane (Human) Inj 100 Unit/ML,Insulin Isophane (Human) Susp Pen-injector 100 Unit",33.575,26.865000000000002,8.74,32.1,54
RC,0250,"Insulin Lispro (Human) Inj 100 Unit/ML,,,Insulin Lispro Inj Soln 100 Unit/ML",121.1,96.88,32.02,116.25,81
RC,0250,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro (Human) Soln Cartridge 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",61.3,49.04,0.42,108.99,54
RC,0250,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML",121.1,96.88,32.02,116.25,81
RC,0250,"Insulin Lispro (Human) Inj 100 Unit/ML,Insulin Lispro Inj Soln 100 Unit/ML,Insulin Lispro Soln Pen-injector 100 Unit/ML (1 Unit Dial),Insulin Lispro Inj Soln 100 Unit/ML",121.1,96.88,32.02,116.25,81
RC,0250,Insulin Lispro Soln Pen-injector 100 Unit/ML (0.5 Unit Dial),48.76,39.01,13.54,43.88,54
RC,0250,Insulin Lispro Soln Pen-injector 200 Unit/ML,531.36,425.09,147.56,478.22,27
RC,0250,Insulin NPH (Human) (Isophane) Inj 100 Unit/ML,35.67,28.54,9.91,32.1,27
RC,0250,Insulin NPH Isophane & Regular Human Inj 100 Unit/ML (70-30),35.64,28.52,9.9,32.08,27
RC,0250,Insulin R diluted 25 units/mL,13.5,10.8,3.75,12.15,27
RC,0250,Insulin Regular (Human) Inj 100 Unit/ML,54.78,43.83,15.21,49.3,27
RC,0250,Insulin Regular (Human) Inj 500 Unit/ML,3448.44,2758.76,957.63,3103.6,27
RC,0250,Insulin Regular (Human) in NaCl 0.9% IV Soln 100 Unit/100ML,68.73,54.99,19.09,61.86,27
RC,0250,Iodine Solution Strong 5% (Lugol's),4.13,3.31,0.92,52.05,81
RC,0250,Ipratropium Bromide HFA Inhal Aerosol 17 MCG/ACT,560.35,448.28,155.61,504.32,27
RC,0250,Ipratropium-Albuterol Inhal Aerosol Soln 20-100 MCG/ACT,622.54,498.04,172.88,560.29,27
RC,0250,Iptratropium Bromide Inhal Soln 0.02%,1.5,1.2,0.42,1.35,54
RC,0250,Irbesartan Tab 150 MG,1.5,1.2,0.42,1.35,27
RC,0250,Iron-Vitamin C Tab 65-125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Isavuconazonium Sulfate Cap 186 MG,253.16000000000003,202.53,70.29,227.89,54
RC,0250,Isoniazid Tab 300 MG,4.404999999999999,3.525,0.42,6.58,81
RC,0250,Isoproterenol HCl Inj 0.2 MG/ML,244.635,195.70999999999998,51.58,955.87,216
RC,0250,Isosorbide Dinitrate Tab 10 MG,1.57,1.26,0.42,1.42,81
RC,0250,Isosorbide Dinitrate Tab 20 MG,1.73,1.39,0.45,1.75,81
RC,0250,Isosorbide Dinitrate Tab 30 MG,1.66,1.33,0.46,1.49,27
RC,0250,Isosorbide Dinitrate Tab 5 MG,1.67,1.34,0.42,1.9,108
RC,0250,Isosorbide Mononitrate Half-Tab SR 24HR 15 MG,1.5,1.2,0.42,1.35,27
RC,0250,Isosorbide Mononitrate Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Isosorbide Mononitrate Tab 20 MG,1.5,1.2,0.42,1.35,54
RC,0250,Isosorbide Mononitrate Tab ER 24HR 30 MG,1.615,1.295,0.42,1.56,162
RC,0250,Isosorbide Mononitrate Tab ER 24HR 60 MG,1.5,1.2,0.42,1.35,162
RC,0250,Isradipine Cap 5 MG,3.355,2.6900000000000004,0.91,3.08,54
RC,0250,Itraconazole Cap 100 MG,14.13,11.31,1.46,13.98,81
RC,0250,Itraconazole Oral Soln 10 MG/ML,80.46000000000001,64.375,14.55,97.69,81
RC,0250,Ivabradine HCl Tab 5 MG (Base Equiv),20.33,16.27,5.65,18.3,27
RC,0250,Ivermectin Lotion 0.5%,494.38,395.51,137.29,444.94,27
RC,0250,Ivermectin Tab 3 MG,12.18,9.75,3.38,10.96,27
RC,0250,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.2% Inj,27.9,22.32,5.83,31.32,54
RC,0250,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
RC,0250,KCl 30 MEQ/L (0.224%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
RC,0250,Karaya Gum,57.35,45.88,15.93,51.62,27
RC,0250,"Ketamine HCl Inj 10 MG/ML,Ketamine HCl-NaCl Soln Pref Sy 50 MG/5ML-0.9% (10MG/ML)",3.33,2.67,0.92,3.0,27
RC,0250,Ketamine HCl Inj 100 MG/ML,32.865,26.3,5.83,48.51,243
RC,0250,Ketamine HCl Inj 50 MG/ML,27.97,22.38,5.83,39.78,243
RC,0250,Ketamine HCl Soln Inj Pref Syringe 50 MG/ML,21.66,17.33,6.01,19.49,27
RC,0250,Ketoconazole Cream 2%,76.06,60.855000000000004,5.07,142.74,108
RC,0250,Ketoconazole Shampoo 2%,26.57,21.26,3.69,44.33,81
RC,0250,Ketoconazole Tab 200 MG,3.065,2.455,0.66,3.38,54
RC,0250,Ketoprofen Cap ER 24HR 200 MG,14.15,11.32,3.93,12.74,27
RC,0250,Ketorolac Tromethamine Ophth Soln 0.5%,37.37,29.9,6.53,72.78,81
RC,0250,Ketorolac Tromethamine Tab 10 MG,2.3,1.84,0.61,4.13,81
RC,0250,Ketotifen Fumarate Ophth Soln 0.035%,19.98,15.99,4.06,28.89,108
RC,0250,Labetalol HCl Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Labetalol HCl Tab 100 MG,1.5,1.2,0.42,1.35,135
RC,0250,Labetalol HCl Tab 200 MG,1.5,1.2,0.42,1.35,297
RC,0250,Lacosamide Oral Solution 10 MG/ML,279.72,223.78,21.59,871.88,108
RC,0250,Lacosamide Tab 100 MG,7.7,6.16,0.42,36.84,162
RC,0250,Lacosamide Tab 50 MG,9.805,7.85,0.86,23.56,135
RC,0250,Lactic Acid (Ammonium Lactate) Lotion 12%,10.42,8.34,2.2,39.92,81
RC,0250,Lactobacillus Rhamnosus (GG) Packet,1.69,1.36,0.47,1.52,27
RC,0250,Lactobacillus-Inulin Cap,1.5350000000000001,1.23,0.42,1.41,54
RC,0250,Lactulose (Encephalopathy) Solution 10 GM/15ML,1.5,1.2,0.42,1.35,27
RC,0250,Lactulose Solution 10 GM/15ML,2.03,1.63,0.42,3.36,567
RC,0250,Lamivudine Oral Soln 10 MG/ML,240.41,192.335,55.78,251.95,54
RC,0250,Lamivudine Tab 100 MG (HBV),5.32,4.26,1.48,4.79,27
RC,0250,Lamivudine Tab 150 MG,10.68,8.55,2.97,9.61,27
RC,0250,Lamotrigine Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lamotrigine Half-Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lamotrigine Orally Disintegrating Tab 100 MG,15.98,12.79,4.44,14.38,27
RC,0250,Lamotrigine Orally Disintegrating Tab 25 MG,16.63,13.31,4.62,14.97,27
RC,0250,Lamotrigine Tab 100 MG,17.315,13.855,0.42,29.82,243
RC,0250,Lamotrigine Tab 200 MG,9.095,7.279999999999999,0.42,15.02,243
RC,0250,Lamotrigine Tab 25 MG,1.5,1.2,0.42,1.35,162
RC,0250,Lamotrigine Tab Chewable Dispersible 25 MG,1.5,1.2,0.42,1.35,81
RC,0250,Lamotrigine Tab Chewable Dispersible 5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Lansoprazole Cap Delayed Release 15 MG,2.525,2.02,0.42,3.2,81
RC,0250,Lansoprazole Cap Delayed Release 30 MG,1.7,1.36,0.42,2.93,135
RC,0250,Lanthanum Carbonate Chew Tab 1000 MG (Elemental),25.75,20.604999999999997,5.02,27.29,135
RC,0250,Lanthanum Carbonate Chew Tab 500 MG (Elemental),25.92,20.74,2.4,24.76,135
RC,0250,Latanoprost Ophth Soln 0.005%,30.835,24.67,3.19,51.54,162
RC,0250,Leflunomide Tab 20 MG,5.395,4.32,0.42,8.36,81
RC,0250,Letermovir Tab 240 MG,639.95,511.96,177.71,575.96,54
RC,0250,Letermovir Tab 480 MG,624.71,499.77,169.25,575.96,54
RC,0250,Leucovorin Calcium Tab 25 MG,15.88,12.71,4.02,17.52,108
RC,0250,Leucovorin Calcium Tab 5 MG,2.745,2.2,0.52,2.75,108
RC,0250,Levalbuterol Tartrate Inhal Aerosol 45 MCG/ACT (Base Equiv),108.5,86.8,30.13,97.65,27
RC,0250,Levetiracetam Oral Soln 100 MG/ML,8.05,6.44,0.42,41.38,567
RC,0250,Levetiracetam Tab 250 MG,1.5,1.2,0.42,1.35,162
RC,0250,Levetiracetam Tab 500 MG,4.99,4.0,0.42,12.29,378
RC,0250,Levetiracetam Tab ER 24HR 500 MG,1.685,1.35,0.42,1.68,54
RC,0250,Levetiracetam Tab ER 24HR 750 MG,1.71,1.37,0.47,1.54,27
RC,0250,Levetiracetam in Sodium Chloride IV Soln 1000 MG/100ML,31.38,25.104999999999997,5.83,37.58,54
RC,0250,Levobunolol HCl Ophth Soln 0.5%,10.13,8.11,2.81,9.12,27
RC,0250,Levocarnitine Oral Soln 1 GM/10ML (10%),2.67,2.14,0.6,42.08,189
RC,0250,Levofloxacin Oral Soln 25 MG/ML,22.41,17.93,6.01,22.09,81
RC,0250,Levofloxacin Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Levofloxacin Tab 500 MG,1.635,1.31,0.42,1.59,81
RC,0250,Levofloxacin Tab 750 MG,1.745,1.4,0.42,1.79,81
RC,0250,Levomilnacipran HCl Cap ER 24HR 120 MG (Base Equivalent),24.79,19.84,6.88,22.31,27
RC,0250,Levomilnacipran HCl Cap ER 24HR 20 MG (Base Equivalent),16.82,13.46,4.67,15.14,27
RC,0250,Levomilnacipran HCl Cap ER 24HR 80 MG (Base Equivalent),24.79,19.84,6.88,22.31,27
RC,0250,Levonorgestrel & Ethinyl Estradiol Tab 0.1 MG-20 MCG,2.09,1.68,0.58,1.88,27
RC,0250,Levonorgestrel & Ethinyl Estradiol Tab 0.15 MG-30 MCG,15.88,12.71,4.41,14.29,27
RC,0250,Levonorgestrel Tab 1.5 MG,35.59,28.474999999999998,5.26,47.03,54
RC,0250,Levothyroxine Sodium Half-Tab 12.5 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Levothyroxine Sodium Half-Tab 27.5 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Levothyroxine Sodium Half-Tab 44 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Levothyroxine Sodium Half-Tab 62.5 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Levothyroxine Sodium Tab 100 MCG,1.5,1.2,0.42,1.35,108
RC,0250,Levothyroxine Sodium Tab 112 MCG,1.5,1.2,0.42,1.35,135
RC,0250,Levothyroxine Sodium Tab 125 MCG,2.25,1.7999999999999998,0.42,2.7,135
RC,0250,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,135
RC,0250,Levothyroxine Sodium Tab 150 MCG,1.5,1.2,0.42,1.35,135
RC,0250,Levothyroxine Sodium Tab 175 MCG,1.51,1.21,0.42,1.58,135
RC,0250,Levothyroxine Sodium Tab 200 MCG,1.595,1.28,0.42,1.52,135
RC,0250,Levothyroxine Sodium Tab 25 MCG,2.17,1.7399999999999998,0.42,2.56,270
RC,0250,Levothyroxine Sodium Tab 300 MCG,1.5,1.2,0.42,1.35,81
RC,0250,Levothyroxine Sodium Tab 50 MCG,1.5,1.2,0.42,1.35,270
RC,0250,Levothyroxine Sodium Tab 75 MCG,1.5,1.2,0.42,1.35,162
RC,0250,Levothyroxine Sodium Tab 88 MCG,1.5,1.2,0.42,1.35,81
RC,0250,Lidocaine Cream 4%,7.75,6.2,2.15,6.98,27
RC,0250,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%",8.1,6.48,2.25,7.29,27
RC,0250,"Lidocaine HCl Gel 2%,Lidocaine HCl Urethral/Mucosal Gel 2%,Lidocaine HCl Urethral/Mucosal Gel Prefilled Syringe 2%",10.45,8.365,2.56,10.5,54
RC,0250,Lidocaine HCl Laryngotracheal Soln 4%,58.08,46.47,16.13,52.27,27
RC,0250,"Lidocaine HCl Local Inj 1%,Lidocaine HCl Local Preservative Free (PF) Inj 1%",17.36,13.89,1.28,22.15,297
RC,0250,"Lidocaine HCl Local Inj 2%,Lidocaine HCl (PF) Local Inj 2%,Lidocaine HCl IV Inj 20 MG/ML,Lidocaine HCl (Cardiac) IV Soln Pref Syr 100 MG/5ML (2%)",21.0,16.8,3.58,19.66,216
RC,0250,"Lidocaine HCl Local Inj 4%,Lidocaine HCl Soln 4%,Lidocaine HCl Local Preservative Free (PF) Inj 4%",21.0,16.8,5.83,18.9,27
RC,0250,Lidocaine HCl Local Preservative Free (PF) Inj 2%,2.18,1.75,0.36,18.9,189
RC,0250,Lidocaine HCl Soln 4%,4.27,3.42,0.42,18.9,108
RC,0250,Lidocaine HCl Viscous Soln 2%,3.645,2.92,0.45,12.61,324
RC,0250,Lidocaine Oint 5%,28.23,22.59,5.87,323.46,189
RC,0250,Lidocaine Patch 5%,6.01,4.8100000000000005,1.34,18.55,351
RC,0250,Lidocaine-Epinephrine-Tetracaine External Soln 4-0.05-0.5%,25.23,20.19,7.01,22.71,27
RC,0250,"Lidocaine-Epinephrine-Tetracaine Gel 4-0.05-0.5%,Lidocaine HCl-Racepinephrine-Tetracaine HCl Gel 4-0.05-0.5%",29.835,23.875,6.98,31.08,54
RC,0250,Lifitegrast Ophth Soln 5%,115.68,92.55,32.12,104.11,27
RC,0250,Linezolid For Susp 100 MG/5ML,246.65,197.32,51.51,317.56,81
RC,0250,Linezolid Tab 600 MG,11.75,9.405,0.76,329.55,108
RC,0250,Liothyronine Sodium Tab 25 MCG,1.7850000000000001,1.435,0.42,2.03,108
RC,0250,Liothyronine Sodium Tab 5 MCG,1.605,1.2850000000000001,0.42,1.54,108
RC,0250,Lisdexamfetamine Dimesylate Cap 10 MG,3.08,2.47,0.86,2.77,27
RC,0250,Lisdexamfetamine Dimesylate Cap 20 MG,7.7,6.16,2.14,6.93,27
RC,0250,Lisdexamfetamine Dimesylate Cap 30 MG,14.665,11.739999999999998,1.82,20.51,54
RC,0250,Lisdexamfetamine Dimesylate Cap 40 MG,22.79,18.24,6.33,20.51,27
RC,0250,Lisdexamfetamine Dimesylate Cap 50 MG,14.88,11.91,4.13,13.39,27
RC,0250,Lisdexamfetamine Dimesylate Cap 60 MG,15.485,12.395,2.27,20.51,54
RC,0250,Lisdexamfetamine Dimesylate Cap 70 MG,15.87,12.7,2.49,20.51,54
RC,0250,Lisinopril & Hydrochlorothiazide Half-Tab 10-6.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lisinopril & Hydrochlorothiazide Tab 10-12.5 MG,1.5,1.2,0.42,1.35,81
RC,0250,Lisinopril & Hydrochlorothiazide Tab 20-12.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Lisinopril & Hydrochlorothiazide Tab 20-25 MG,1.5,1.2,0.42,1.35,54
RC,0250,Lisinopril Half-Tab 1.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lisinopril Oral Soln 1 MG/ML,10.8,8.64,3.0,9.72,27
RC,0250,Lisinopril Tab 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Lisinopril Tab 2.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Lisinopril Tab 20 MG,1.5,1.2,0.42,1.35,135
RC,0250,Lisinopril Tab 5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Lithium Carbonate Cap 150 MG,1.5,1.2,0.42,1.35,81
RC,0250,Lithium Carbonate Cap 300 MG,1.5,1.2,0.42,1.35,162
RC,0250,Lithium Carbonate Half-Tab 150 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lithium Carbonate Tab 300 MG,1.5,1.2,0.42,1.35,81
RC,0250,Lithium Carbonate Tab ER 300 MG,1.5,1.2,0.42,1.35,216
RC,0250,Lithium Carbonate Tab ER 450 MG,1.5,1.2,0.42,1.35,54
RC,0250,Loperamide HCl Cap 2 MG,1.76,1.41,0.42,1.81,243
RC,0250,Loperamide HCl Soln 1 MG/7.5ML,4.05,3.24,0.42,5.94,108
RC,0250,Lopinavir-Ritonavir Soln 400-100 MG/5ML (80-20 MG/ML),32.58,26.064999999999998,8.0,32.72,54
RC,0250,Lopinavir-Ritonavir Tab 200-50 MG,15.83,12.67,4.4,14.25,27
RC,0250,Loratadine Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Loratadine Oral Soln 5 MG/5ML,1.5,1.2,0.42,1.35,27
RC,0250,Loratadine Tab 10 MG,1.5,1.2,0.42,1.35,216
RC,0250,Lorazepam Conc 2 MG/ML,1.655,1.325,0.42,1.63,81
RC,0250,Lorazepam Half-Tab 0.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lorazepam Tab 0.5 MG,1.5,1.2,0.42,1.35,162
RC,0250,Lorazepam Tab 1 MG,1.5,1.2,0.42,1.35,243
RC,0250,Lorazepam Tab 2 MG,1.5,1.2,0.42,1.35,162
RC,0250,Losartan Potassium & Hydrochlorothiazide Tab 50-12.5 MG,1.5,1.2,0.42,1.35,189
RC,0250,Losartan Potassium Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Losartan Potassium Tab 100 MG,12.69,10.16,0.42,11.98,297
RC,0250,Losartan Potassium Tab 25 MG,1.5,1.2,0.42,1.35,189
RC,0250,Losartan Potassium Tab 50 MG,1.5,1.2,0.42,1.35,297
RC,0250,Loteprednol Etabonate Ophth Susp 0.5%,476.96,381.57,132.45,429.26,27
RC,0250,Lovastatin Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Lovastatin Tab 20 MG,1.5,1.2,0.42,1.35,81
RC,0250,Lovastatin Tab 40 MG,1.5,1.2,0.42,1.35,54
RC,0250,Loxapine Succinate Cap 10 MG,1.69,1.355,0.42,1.69,54
RC,0250,Loxapine Succinate Cap 25 MG,2.21,1.77,0.43,2.57,54
RC,0250,Loxapine Succinate Cap 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Lubiprostone Cap 24 MCG,15.35,12.28,4.26,13.82,27
RC,0250,Lurasidone HCL Half-Tab 40 MG,43.79,35.04,12.16,39.41,27
RC,0250,Lurasidone HCl Tab 20 MG,52.21,41.77,0.42,92.63,54
RC,0250,Lurasidone HCl Tab 60 MG,52.21,41.77,0.42,92.63,54
RC,0250,Lurasidone HCl Tab 80 MG,87.62,70.1,0.42,92.63,81
RC,0250,Magnesium Citrate Soln,5.595,4.48,0.89,7.91,135
RC,0250,Magnesium Hydroxide Susp 400 MG/5ML,3.24,2.6,0.42,4.6,243
RC,0250,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",23.55,18.84,5.83,23.49,54
RC,0250,Malathion Lotion 0.5%,503.39,402.72,139.79,453.05,27
RC,0250,Mannitol IV Soln 20%,56.55,45.24,15.1,86.13,108
RC,0250,Meclizine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,162
RC,0250,Meclizine HCl Tab 25 MG,1.5,1.2,0.42,1.35,135
RC,0250,Meclofenamate Sodium Cap 100 MG,9.1,7.28,2.53,8.19,27
RC,0250,Medium Chain Triglycerides Oral Oil,61.3,49.04,17.02,55.17,54
RC,0250,Medroxyprogesterone Acetate IM Susp 150 MG/ML,191.01,152.81,53.04,171.91,27
RC,0250,Medroxyprogesterone Acetate Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Medroxyprogesterone Acetate Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Mefloquine HCl Tab 250 MG,18.66,14.93,5.18,16.79,27
RC,0250,Megestrol Acetate Susp 40 MG/ML,3.24,2.5949999999999998,0.42,83.98,270
RC,0250,Megestrol Acetate Tab 20 MG,1.5,1.2,0.42,1.35,54
RC,0250,Megestrol Acetate Tab 40 MG,1.5,1.2,0.42,1.35,81
RC,0250,Meloxicam Tab 15 MG,1.5,1.2,0.42,1.35,81
RC,0250,Meloxicam Tab 7.5 MG,1.99,1.595,0.42,2.23,54
RC,0250,Memantine HCl Tab 10 MG,5.22,4.18,0.42,8.05,216
RC,0250,Memantine HCl Tab 5 MG,5.22,4.18,0.42,8.05,135
RC,0250,"Meningococcal (A, C, Y, and W-135) Diphth Conjugate Vaccine",419.75,335.8,116.56,377.78,54
RC,0250,Menthol-Methyl Salicylate Ointment,12.86,10.29,3.57,11.57,27
RC,0250,Meprobamate Tab 400 MG,16.8,13.44,4.67,15.12,27
RC,0250,Mercaptopurine Half-Tab 25 MG,2.27,1.82,0.63,2.04,27
RC,0250,Mercaptopurine Susp 2000 MG/100ML (20 MG/ML),47.22,37.78,13.11,42.5,27
RC,0250,Mercaptopurine Tab 50 MG,2.06,1.65,0.54,7.46,81
RC,0250,Meropenem IV For Soln 1 GM,21.0,16.8,5.83,18.9,27
RC,0250,Mesalamine Cap DR 400 MG,3.94,3.16,1.09,6.61,81
RC,0250,Mesalamine Cap ER 250 MG,6.78,5.43,1.88,6.1,27
RC,0250,Mesalamine Cap ER 500 MG,13.55,10.84,3.76,12.2,27
RC,0250,Mesalamine Enema 4 GM,26.73,21.39,6.79,30.18,81
RC,0250,Mesalamine Suppos 1000 MG,45.43,36.35,12.62,40.89,27
RC,0250,Mesalamine Tab Delayed Release 1.2 GM,16.13,12.905000000000001,1.13,21.12,162
RC,0250,Metaxalone Half-Tab 400 MG,10.15,8.12,2.82,9.14,27
RC,0250,Metaxalone Tab 800 MG,7.33,5.865,0.46,19.32,108
RC,0250,Metformin HCl Half-Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Metformin HCl Tab 500 MG,1.5,1.2,0.42,1.35,189
RC,0250,Metformin HCl Tab 850 MG,1.5,1.2,0.42,1.35,108
RC,0250,Metformin HCl Tab ER 24HR 500 MG,1.5,1.2,0.42,1.35,216
RC,0250,Metformin HCl Tab ER 24HR 750 MG,1.5,1.2,0.42,1.35,54
RC,0250,Methadone HCl Conc 10 MG/ML,1.7,1.3650000000000002,0.42,5.04,135
RC,0250,Methadone HCl Soln 5 MG/5ML,14.945,11.96,0.42,65.61,189
RC,0250,Methadone HCl Tab 10 MG,7.525,6.02,0.42,12.2,216
RC,0250,Methadone HCl Tab 5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Methenamine Hippurate Tab 1 GM,2.33,1.8649999999999998,0.5,2.57,54
RC,0250,Methenamine Mandelate Tab 1 GM,2.89,2.32,0.8,2.6,27
RC,0250,Methimazole Tab 10 MG,1.83,1.4649999999999999,0.42,1.94,54
RC,0250,Methimazole Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Methocarbamol Tab 500 MG,1.5,1.2,0.42,1.35,270
RC,0250,Methocarbamol Tab 750 MG,1.5,1.2,0.42,1.35,108
RC,0250,Methohexital Sodium For Inj 500 MG,162.86,130.29,45.23,146.57,27
RC,0250,Methohexital Sodium Soln Pref Syr 100 MG/10ML (10 MG/ML),138.33,110.67,38.41,124.5,27
RC,0250,Methylergonovine Maleate Tab 0.2 MG,46.47,37.18,0.42,123.0,189
RC,0250,Methylnaltrexone Bromide Tab 150 MG,64.66,51.73,17.96,58.19,27
RC,0250,Methylphenidate HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Methylphenidate HCl Tab 10 MG,2.04,1.64,0.42,2.46,162
RC,0250,Methylphenidate HCl Tab 20 MG,1.74,1.4,0.42,1.67,135
RC,0250,Methylphenidate HCl Tab 5 MG,3.28,2.625,0.42,4.55,162
RC,0250,Methylphenidate HCl Tab ER 10 MG,2.73,2.19,0.76,2.46,27
RC,0250,Methylphenidate HCl Tab ER 20 MG,1.5,1.2,0.42,1.35,27
RC,0250,Methylphenidate HCl Tab ER Osmotic Release (OSM) 18 MG,8.49,6.795,0.5,13.65,54
RC,0250,Methylphenidate HCl Tab ER Osmotic Release (OSM) 27 MG,15.04,12.04,1.53,29.78,108
RC,0250,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,12.585,10.07,1.57,19.0,108
RC,0250,Methylphenidate HCl Tab ER Osmotic Release (OSM) 54 MG,22.55,18.04,5.05,33.45,81
RC,0250,Methylprednisolone Tab Therapy Pack 4 MG (21),59.65,47.72,2.22,56.54,135
RC,0250,Metoclopramide HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Metoclopramide HCl Soln 5 MG/5ML (10 MG/10ML) (Base Equiv),11.34,9.075,0.42,34.48,162
RC,0250,Metoclopramide HCl Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,81
RC,0250,Metoclopramide HCl Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,54
RC,0250,Metolazone Tab 2.5 MG,1.5550000000000002,1.245,0.42,1.45,54
RC,0250,Metolazone Tab 5 MG,1.57,1.26,0.42,1.48,81
RC,0250,Metoprolol Succinate Half-Tab SR 24HR 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Metoprolol Succinate Tab ER 24HR 100 MG (Tartrate Equiv),1.63,1.31,0.42,2.57,297
RC,0250,Metoprolol Succinate Tab ER 24HR 25 MG (Tartrate Equiv),1.51,1.21,0.42,1.49,270
RC,0250,Metoprolol Succinate Tab ER 24HR 50 MG (Tartrate Equiv),1.5,1.2,0.42,1.35,351
RC,0250,Metoprolol Tartrate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Metoprolol Tartrate Quarter-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Metoprolol Tartrate Tab 100 MG,1.5,1.2,0.42,1.35,135
RC,0250,Metoprolol Tartrate Tab 25 MG,1.5,1.2,0.42,1.35,270
RC,0250,Metoprolol Tartrate Tab 50 MG,1.5,1.2,0.42,1.35,189
RC,0250,Metronidazole Cream 0.75%,261.83,209.47,72.71,235.65,27
RC,0250,Metronidazole Gel 1%,447.685,358.15,51.14,499.85,216
RC,0250,Metronidazole Half-Tab 125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Metronidazole Susp 500 MG/5ML,7.2,5.76,2.0,6.48,27
RC,0250,Metronidazole Tab 250 MG,1.5,1.2,0.42,1.35,135
RC,0250,Metronidazole Tab 500 MG,1.5,1.2,0.42,1.35,243
RC,0250,Mexiletine HCl Cap 150 MG,1.6949999999999998,1.3599999999999999,0.42,1.7,81
RC,0250,Mexiletine HCl Cap 200 MG,1.5,1.2,0.42,1.35,54
RC,0250,Miconazole Nitrate Cream 2%,8.59,6.875,1.68,10.13,108
RC,0250,Miconazole Nitrate Ointment 2%,10.35,8.28,2.87,9.32,27
RC,0250,Miconazole Nitrate Powder 2%,9.684999999999999,7.75,2.13,10.53,54
RC,0250,Miconazole Nitrate Vaginal Cream 2%,16.46,13.17,3.64,17.82,54
RC,0250,Miconazole Nitrate Vaginal Suppos 200 MG,30.85,24.68,8.57,27.77,27
RC,0250,Midazolam HCl 100 MG/100ML in NaCl 0.9% IV Soln,89.18,71.35,24.77,80.26,27
RC,0250,"Midazolam HCl Inj 10 MG/2ML (Base Equivalent),Midazolam HCl Inj 5 MG/ML (Base Equivalent),Midazolam HCl Inj PF 10 MG/2ML (Base Equivalent),Midazolam HCl Inj PF 5 MG/ML (Base Equivalent)",21.0,16.8,5.83,18.9,54
RC,0250,Midazolam HCl Syrup 2 MG/ML (Base Equivalent),17.18,13.745000000000001,3.14,219.36,189
RC,0250,Midodrine HCl Tab 10 MG,2.04,1.635,0.42,2.31,135
RC,0250,Midodrine HCl Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Midodrine HCl Tab 5 MG,2.07,1.66,0.42,2.99,324
RC,0250,Milnacipran HCl Tab 100 MG,5.24,4.2,1.46,4.72,27
RC,0250,Milnacipran HCl Tab 25 MG,5.24,4.2,1.46,4.72,27
RC,0250,Milnacipran HCl Tab 50 MG,13.42,10.74,3.73,12.08,27
RC,0250,Mineral Oil,2.045,1.6400000000000001,0.42,2.33,81
RC,0250,Mineral Oil Enema,5.39,4.32,1.5,4.85,27
RC,0250,Minocycline HCl Cap 50 MG,1.5,1.2,0.42,1.35,108
RC,0250,Minoxidil Tab 10 MG,1.5,1.2,0.42,1.35,54
RC,0250,Minoxidil Tab 2.5 MG,1.5,1.2,0.42,1.35,81
RC,0250,Mirabegron Tab ER 24 HR 25 MG,25.04,20.04,5.8,26.27,54
RC,0250,Mirabegron Tab ER 24 HR 50 MG,24.96,19.97,6.93,22.46,27
RC,0250,Mirtazapine Orally Disintegrating Tab 15 MG,2.44,1.96,0.68,2.2,27
RC,0250,Mirtazapine Orally Disintegrating Tab 30 MG,2.52,2.02,0.7,2.27,27
RC,0250,Mirtazapine Orally Disintegrating Tab 45 MG,2.38,1.91,0.66,2.14,27
RC,0250,Mirtazapine Tab 15 MG,1.5,1.2,0.42,1.35,270
RC,0250,Mirtazapine Tab 30 MG,1.5,1.2,0.42,1.35,162
RC,0250,Misoprostol Quarter-Tab 25 MCG,1.5,1.2,0.42,1.35,27
RC,0250,Misoprostol Tab 100 MCG,1.5,1.2,0.42,1.35,81
RC,0250,Misoprostol Tab 200 MCG,2.04,1.635,0.53,2.18,135
RC,0250,Modafinil Tab 100 MG,10.51,8.41,0.42,70.54,189
RC,0250,Modafinil Tab 200 MG,23.775,19.02,0.43,106.61,162
RC,0250,Mometasone Furoate Inhal Powd 220 MCG/ACT (Breath Activated),281.395,225.12,52.24,337.21,54
RC,0250,Mometasone Furoate Nasal Susp 50 MCG/ACT,545.06,436.05,151.36,490.55,27
RC,0250,Mometasone Furoate-Formoterol Fumarate Aerosol 100-5 MCG/ACT,396.67,317.34,110.16,357.0,27
RC,0250,Montelukast Sodium Chew Tab 4 MG (Base Equiv),3.415,2.735,0.42,4.8,135
RC,0250,Montelukast Sodium Chew Tab 5 MG (Base Equiv),1.5,1.2,0.42,1.35,54
RC,0250,Montelukast Sodium Oral Granules Packet 4 MG (Base Equiv),13.71,10.97,3.81,12.34,27
RC,0250,Montelukast Sodium Tab 10 MG (Base Equiv),1.5,1.2,0.42,1.35,162
RC,0250,Morphine Sulfate Half-Tab 7.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Morphine Sulfate IV Soln PF 1 MG/ML,40.32,32.26,11.2,36.29,27
RC,0250,Morphine Sulfate Oral Soln 10 MG/5ML,2.645,2.12,0.42,18.9,108
RC,0250,Morphine Sulfate Oral Soln 100 MG/5ML (20 MG/ML),5.97,4.78,0.42,37.47,216
RC,0250,Morphine Sulfate Powder,3981.99,3185.6,1105.8,3583.79,27
RC,0250,Morphine Sulfate Tab 15 MG,1.89,1.52,0.42,1.77,162
RC,0250,Morphine Sulfate Tab ER 100 MG,10.02,8.02,1.71,9.03,81
RC,0250,Morphine Sulfate Tab ER 15 MG,1.67,1.34,0.42,1.92,135
RC,0250,Morphine Sulfate Tab ER 30 MG,2.62,2.1,0.42,3.12,108
RC,0250,Morphine Sulfate Tab ER 60 MG,5.255,4.21,0.78,6.09,108
RC,0250,Morphine Sulfate-NaCl Soln Pref Syr 4 MG/ML-0.9%,21.4,17.12,5.94,19.26,27
RC,0250,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),58.80500000000001,47.045,6.81,350.72,216
RC,0250,Moxifloxacin HCl Tab 400 MG (Base Equiv),22.32,17.86,6.2,20.09,27
RC,0250,Multiple Vitamin IV Soln,28.49,22.8,7.91,25.64,27
RC,0250,"Multiple Vitamin IV Soln,Pediatric Multiple Vitamins IV Soln,Pediatric Multiple Vitamins For IV Soln",26.06,20.85,7.24,23.45,27
RC,0250,Multiple Vitamins w/ Minerals Liquid,1.5,1.2,0.42,1.35,27
RC,0250,Mupirocin Calcium Cream 2%,434.06,347.25,75.92,637.88,108
RC,0250,Mupirocin Oint 2%,19.01,15.215,1.74,73.77,162
RC,0250,Mycophenolate Mofetil For Oral Susp 200 MG/ML,13.695,10.96,3.11,14.56,54
RC,0250,Na Chondroit Sulf-Na Hyaluron Pref Syr 20-15 MG/0.5ML,275.96,220.77,76.63,248.36,27
RC,0250,Nabumetone Half-Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Nabumetone Tab 500 MG,1.5,1.2,0.42,1.35,108
RC,0250,Nadolol Tab 20 MG,2.585,2.07,0.42,3.3,81
RC,0250,Nadolol Tab 40 MG,4.35,3.48,0.42,7.9,135
RC,0250,Naloxone HCl Soln Prefilled Syringe 2 MG/2ML,71.45,57.16,19.84,64.31,27
RC,0250,Naltrexone HCl Half-Tab 25 MG,2.32,1.86,0.64,2.09,27
RC,0250,Naltrexone HCl Tab 50 MG,2.62,2.1,0.43,5.54,324
RC,0250,Naphazoline w/ Pheniramine Ophth Soln 0.025-0.3%,24.75,19.8,6.87,22.28,27
RC,0250,Naproxen Sodium Tab 550 MG,2.965,2.375,0.42,3.99,54
RC,0250,Naproxen Susp 125 MG/5ML,10.14,8.115,0.48,16.7,54
RC,0250,Naproxen Tab 375 MG,1.5,1.2,0.42,1.35,81
RC,0250,Naproxen Tab 500 MG,1.5,1.2,0.42,1.35,54
RC,0250,Naratriptan HCl Tab 2.5 MG (Base Equiv),6.08,4.87,1.69,5.47,27
RC,0250,Nateglinide Tab 120 MG,2.5,2.0,0.69,2.25,27
RC,0250,Nateglinide Tab 60 MG,2.35,1.88,0.65,2.12,27
RC,0250,Nebivolol HCl Tab 10 MG (Base Equivalent),7.7,6.16,0.42,9.92,81
RC,0250,Nebivolol HCl Tab 20 MG (Base Equivalent),5.365,4.295,0.42,8.31,81
RC,0250,Nebivolol HCl Tab 5 MG (Base Equivalent),9.68,7.745000000000001,0.42,13.73,108
RC,0250,Nefazodone HCl Half-Tab 75 MG,1.5,1.2,0.42,1.35,27
RC,0250,Nefazodone HCl Tab 100 MG,2.92,2.34,0.81,2.63,27
RC,0250,Nefazodone HCl Tab 150 MG,3.08,2.47,0.86,2.77,27
RC,0250,Neomycin Sulfate Tab 500 MG,1.92,1.54,0.47,2.33,108
RC,0250,Neomycin-Bacitrac Zn-Polymyx 5(3.5)MG-400Unt-10000Unt Op Oin,69.24000000000001,55.400000000000006,7.75,99.53,54
RC,0250,Neomycin-Bacitracin-Polymyxin Oint,6.890000000000001,5.515000000000001,1.89,6.26,54
RC,0250,Neomycin-Polymy-Gramicid Op Sol 1.75-10000-0.025MG-UNT-MG/ML,56.37,45.1,0.42,100.12,54
RC,0250,Neomycin-Polymyxin-Dexamethasone Ophth Oint 0.1%,31.19,24.96,8.66,28.07,27
RC,0250,Neomycin-Polymyxin-Dexamethasone Ophth Susp 0.1%,45.5,36.4,11.23,253.82,81
RC,0250,Neomycin-Polymyxin-HC Ophth Susp,257.78,206.23,71.59,232.0,27
RC,0250,Neomycin-Polymyxin-HC Otic Soln 1%,120.96000000000001,96.77,32.32,113.0,54
RC,0250,Neomycin-Polymyxin-HC Otic Susp 3.5 MG/ML-10000 Unit/ML-1%,111.105,88.89,29.39,104.73,54
RC,0250,Nevirapine Susp 50 MG/5ML,1.58,1.27,0.44,1.42,27
RC,0250,Nevirapine Tab 200 MG,1.5,1.2,0.42,1.35,27
RC,0250,Niacin Cap ER 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Niacin Half-Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Niacin Tab 500 MG,1.5,1.2,0.42,1.35,27
RC,0250,Nicardipine HCl Cap 20 MG,2.33,1.8649999999999998,0.42,2.84,54
RC,0250,Nicardipine HCl Cap 30 MG,1.5,1.2,0.42,1.35,27
RC,0250,Nicotine Polacrilex Gum 2 MG,1.5,1.2,0.42,1.35,162
RC,0250,Nicotine TD Patch 24HR 14 MG/24HR,5.43,4.35,1.21,5.27,135
RC,0250,Nicotine TD Patch 24HR 21 MG/24HR,5.255,4.205,1.05,5.27,108
RC,0250,Nicotine TD Patch 24HR 7 MG/24HR,5.0,4.0,1.01,4.63,81
RC,0250,Nifedipine Cap 10 MG,1.72,1.38,0.42,1.75,54
RC,0250,Nifedipine Cap 20 MG,3.11,2.495,0.58,3.73,54
RC,0250,Nifedipine Tab ER 24HR Osmotic Release 30 MG,2.09,1.6749999999999998,0.42,2.41,81
RC,0250,Nifedipine Tab ER 24HR Osmotic Release 60 MG,3.025,2.42,0.42,4.1,81
RC,0250,Nifedipine Tab ER 24HR Osmotic Release 90 MG,4.805,3.8449999999999998,0.52,5.88,135
RC,0250,Nimodipine Cap 30 MG,7.1899999999999995,5.755,1.17,17.47,216
RC,0250,Nisoldipine Tab ER 24HR 20 MG,14.16,11.33,3.93,12.74,27
RC,0250,Nitazoxanide Tab 500 MG,202.01,161.61,56.1,181.81,27
RC,0250,Nitrofurantoin Macrocrystalline Cap 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Nitrofurantoin Monohydrate Macrocrystalline Cap 100 MG,3.925,3.14,0.42,5.72,54
RC,0250,Nitrofurantoin Susp 25 MG/5ML,155.47,124.38,14.47,224.97,81
RC,0250,Nitroglycerin Cap ER 2.5 MG,1.5899999999999999,1.275,0.42,1.51,54
RC,0250,Nitroglycerin Cap ER 6.5 MG,1.74,1.395,0.42,1.78,54
RC,0250,Nitroglycerin Cap ER 9 MG,2.08,1.67,0.58,1.87,27
RC,0250,Nitroglycerin IV Soln 400 MCG/ML in D5W,76.13,60.91,21.14,68.52,27
RC,0250,Nitroglycerin Oint 2%,25.07,20.060000000000002,1.39,40.61,81
RC,0250,Nitroglycerin SL Tab 0.3 MG,50.76,40.61,14.1,45.68,27
RC,0250,Nitroglycerin SL Tab 0.6 MG,1.5,1.2,0.42,1.35,27
RC,0250,Nitroglycerin TD Patch 24HR 0.1 MG/HR,1.545,1.24,0.42,1.43,54
RC,0250,Nitroglycerin TD Patch 24HR 0.2 MG/HR,1.5,1.2,0.42,1.35,81
RC,0250,Nitroglycerin TD Patch 24HR 0.3 MG/HR,39.8,31.84,11.05,35.82,54
RC,0250,Nitroglycerin TD Patch 24HR 0.4 MG/HR,1.6400000000000001,1.315,0.42,1.6,81
RC,0250,Nitroglycerin TD Patch 24HR 0.6 MG/HR,1.9749999999999999,1.585,0.53,1.83,54
RC,0250,Nitroprusside Sodium IV Soln 25 MG/ML,128.85,103.08,16.83,311.72,189
RC,0250,Norepinephrine Bitartrate IV Soln 1 MG/ML (Base Equivalent),42.370000000000005,33.900000000000006,5.83,66.71,297
RC,0250,Norepinephrine-Dextrose IV Solution 8 MG/250ML-5%,143.54999999999998,114.845,33.52,149.75,54
RC,0250,Norethindrone Tab 0.35 MG,8.09,6.48,0.42,14.29,81
RC,0250,Norgestimate & Ethinyl Estradiol Tab 0.25 MG-35 MCG,31.11,24.895,6.3,35.59,54
RC,0250,Norgestimate-Eth Estrad Tab 0.18-35/0.215-35/0.25-35 MG-MCG,134.49,107.6,37.35,121.04,27
RC,0250,Norgestrel & Ethinyl Estradiol Tab 0.3 MG-30 MCG,2.07,1.66,0.57,1.86,27
RC,0250,Nortriptyline HCl Cap 10 MG,1.5,1.2,0.42,1.35,135
RC,0250,Nortriptyline HCl Cap 25 MG,1.5,1.2,0.42,1.35,108
RC,0250,Nortriptyline HCl Cap 50 MG,1.5,1.2,0.42,1.35,135
RC,0250,Nortriptyline HCl Cap 75 MG,1.5,1.2,0.42,1.35,81
RC,0250,Nystatin Cream 100000 Unit/GM,15.495,12.399999999999999,2.7,19.79,108
RC,0250,Nystatin Oint 100000 Unit/GM,14.9,11.92,2.55,46.94,162
RC,0250,Nystatin Susp 100000 Unit/ML,2.5,2.0,0.42,26.97,405
RC,0250,Nystatin Topical Powder 100000 Unit/GM,17.78,14.23,2.36,43.78,135
RC,0250,Ofloxacin Ophth Soln 0.3%,41.58,33.27,1.12,255.88,189
RC,0250,Olanzapine Half-Tab 1.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Olanzapine Orally Disintegrating Tab 10 MG,5.59,4.48,0.57,16.52,351
RC,0250,Olanzapine Orally Disintegrating Tab 5 MG,4.29,3.44,0.59,10.45,351
RC,0250,Olanzapine Tab 10 MG,1.5,1.2,0.42,1.35,135
RC,0250,Olanzapine Tab 2.5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Olanzapine Tab 5 MG,1.5,1.2,0.42,1.35,135
RC,0250,Olanzapine Tab 7.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Olive Oil,13.2,10.56,3.67,11.88,27
RC,0250,Omega-3-acid Ethyl Esters Cap 1 GM,1.5,1.2,0.42,1.35,54
RC,0250,Omeprazole Cap Delayed Release 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Omeprazole Cap Delayed Release 20 MG,1.5,1.2,0.42,1.35,297
RC,0250,Omeprazole Susp 2 MG/ML (Compound Kit),7.83,6.27,1.01,14.09,81
RC,0250,Omeprazole-Sodium Bicarbonate for Oral Susp 2-84 MG/ML,29.16,23.33,3.85,52.49,81
RC,0250,Ondansetron HCl Half-Tab 2 MG,1.5,1.2,0.42,1.35,27
RC,0250,Ondansetron HCl Tab 4 MG,1.5,1.2,0.42,1.35,189
RC,0250,Ophthalmic Irrigation Solution,7.01,5.61,1.95,6.31,27
RC,0250,Ophthalmic Irrigation Solution - Intraocular,17.25,13.8,1.81,231.75,108
RC,0250,Opium Tincture 1% (10 MG/ML) (Morphine Equiv),6.71,5.37,1.86,6.04,54
RC,0250,Oral Vehicles,42.14,33.72,11.7,37.93,27
RC,0250,Oral Vehicles - Susp,1.78,1.43,0.49,1.6,27
RC,0250,Oral Vehicles - Syrup,26.82,21.46,0.42,34.48,189
RC,0250,Orphenadrine Citrate Tab ER 12HR 100 MG,1.94,1.555,0.42,2.14,54
RC,0250,Oseltamivir Phosphate Cap 30 MG (Base Equiv),23.22,18.58,0.84,27.41,189
RC,0250,Oseltamivir Phosphate Cap 75 MG (Base Equiv),24.83,19.865,3.18,23.17,108
RC,0250,Oseltamivir Phosphate For Susp 6 MG/ML (Base Equiv),5.4,4.32,0.45,21.11,135
RC,0250,Oxaprozin Tab 600 MG,7.48,5.99,2.08,6.73,27
RC,0250,Oxcarbazepine Susp 300 MG/5ML (60 MG/ML),7.92,6.34,1.42,9.03,81
RC,0250,Oxcarbazepine Tab 150 MG,1.5,1.2,0.42,1.35,216
RC,0250,Oxcarbazepine Tab 300 MG,1.7149999999999999,1.375,0.42,1.74,54
RC,0250,Oxcarbazepine Tab 600 MG,1.5,1.2,0.42,1.35,27
RC,0250,Oxybutynin Chloride Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Oxybutynin Chloride Solution 5 MG/5ML,1.5,1.2,0.42,1.35,27
RC,0250,Oxybutynin Chloride Tab 5 MG,1.955,1.565,0.42,2.17,216
RC,0250,Oxybutynin Chloride Tab ER 24HR 10 MG,1.5,1.2,0.42,1.35,108
RC,0250,Oxybutynin Chloride Tab ER 24HR 15 MG,2.43,1.95,0.42,5.62,81
RC,0250,Oxybutynin Chloride Tab ER 24HR 5 MG,2.085,1.67,0.42,2.4,81
RC,0250,Oxycodone Cap ER 12HR Abuse-Deterrent 18 MG,29.78,23.83,8.27,26.8,27
RC,0250,Oxycodone HCl Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Oxycodone HCl Soln 5 MG/5ML,7.75,6.205,0.42,11.43,297
RC,0250,Oxycodone HCl Tab 5 MG,1.5,1.2,0.42,1.35,378
RC,0250,Oxycodone HCl Tab ER 12HR Deter 10 MG,7.945,6.359999999999999,1.94,8.03,54
RC,0250,Oxycodone HCl Tab ER 12HR Deter 15 MG,12.0,9.605,2.84,12.39,54
RC,0250,Oxycodone HCl Tab ER 12HR Deter 20 MG,16.62,13.3,4.62,14.96,27
RC,0250,Oxycodone HCl Tab ER 12HR Deter 40 MG,19.955,15.969999999999999,4.75,20.51,54
RC,0250,Oxycodone w/ Acetaminophen Tab 10-325 MG,2.885,2.315,0.42,2.8,243
RC,0250,Oxycodone w/ Acetaminophen Tab 5-325 MG,1.5,1.2,0.42,1.35,189
RC,0250,Oxymetazoline HCl Nasal Soln 0.05%,6.234999999999999,4.99,0.81,17.5,162
RC,0250,"Oxytocin 30 units/500 mL,Oxytocin-Sodium Chloride 0.9% IV Soln 30 Unit/500ML",65.25,52.2,13.89,156.6,108
RC,0250,PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For Soln 236 GM,6.75,5.4,1.5,7.29,81
RC,0250,PEG 3350-KCl-NaCl-Na Sulfate-Na Ascorbate-C For Soln 100 GM,140.48,112.39,39.01,126.43,27
RC,0250,PENICILLIN G POTASSIUM 20000000 UNITS INJ,30.89,24.72,8.58,27.8,27
RC,0250,Paliperidone Tab ER 24HR 1.5 MG,57.62,46.1,16.0,51.86,27
RC,0250,Paliperidone Tab ER 24HR 3 MG,45.02,36.02,1.21,77.13,54
RC,0250,Paliperidone Tab ER 24HR 6 MG,61.8,49.44,1.5,77.13,81
RC,0250,Paliperidone Tab ER 24HR 9 MG,10.24,8.195,2.2,11.3,54
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 12000-38000-60000 Unit,8.88,7.11,2.32,9.36,81
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 20000-63000-84000 Unit,16.44,13.16,4.57,14.8,27
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 24000-76000-120000 Unit,18.41,14.73,4.9,18.56,81
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 3000-9500-15000 Unit,3.54,2.84,0.98,3.19,27
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 36000-114000-180000 Unit,26.77,21.42,7.43,24.09,27
RC,0250,Pancrelipase (Lip-Prot-Amyl) DR Cap 6000-19000-30000 Unit,3.48,2.785,0.49,4.68,54
RC,0250,Pantoprazole Sodium EC Tab 20 MG (Base Equiv),1.5,1.2,0.42,1.35,216
RC,0250,Pantoprazole Sodium EC Tab 40 MG (Base Equiv),1.5,1.2,0.42,1.35,216
RC,0250,Papaverine 6 mg/mL,21.0,16.8,5.83,18.9,27
RC,0250,Paricalcitol Cap 1 MCG,2.54,2.04,0.71,2.29,27
RC,0250,Paroxetine HCl Oral Susp 10 MG/5ML (Base Equiv),14.72,11.78,4.09,13.25,27
RC,0250,Paroxetine HCl Tab 10 MG,1.5,1.2,0.42,1.35,81
RC,0250,Paroxetine HCl Tab 20 MG,1.5,1.2,0.42,1.35,243
RC,0250,Paroxetine HCl Tab 30 MG,1.5,1.2,0.42,1.35,135
RC,0250,Paroxetine HCl Tab ER 24HR 12.5 MG,5.89,4.72,1.64,5.3,27
RC,0250,Paroxetine HCl Tab ER 24HR 25 MG,6.2,4.96,1.72,5.58,27
RC,0250,Patiromer Sorbitex Calcium For Susp Packet 8.4 GM (Base Eq),92.66,74.13,21.87,289.17,81
RC,0250,Pediatric Multiple Vitamin w/ Minerals Liquid,1.5,1.2,0.42,1.35,27
RC,0250,Pediatric Multiple Vitamins IV Soln,26.06,20.85,7.24,23.45,27
RC,0250,Penicillin G Benzathine For Intramuscular Susp 1200000 Unit,766.17,612.94,212.77,689.55,27
RC,0250,Penicillin G Benzathine For Intramuscular Susp 2400000 Unit,1532.33,1225.87,425.53,1379.1,27
RC,0250,Penicillin V Potassium For Soln 250 MG/5ML,5.745,4.6,0.42,8.99,54
RC,0250,Penicillin V Potassium Tab 250 MG,1.5,1.2,0.42,1.35,81
RC,0250,Penicillin V Potassium Tab 500 MG,1.5,1.2,0.42,1.35,135
RC,0250,Pentazocine w/ Naloxone HCl Tab 50-0.5 MG,3.825,3.06,0.72,4.55,54
RC,0250,Pentosan Polysulfate Sodium Caps 100 MG,20.95,16.76,5.82,18.86,27
RC,0250,Pentoxifylline Tab ER 400 MG,1.5,1.2,0.42,1.35,54
RC,0250,Perampanel Tab 10 MG,96.66,77.33,26.84,86.99,27
RC,0250,Perampanel Tab 12 MG,84.27,67.42,23.4,75.84,27
RC,0250,Perampanel Tab 2 MG,42.63,34.11,11.84,38.37,27
RC,0250,Perampanel Tab 4 MG,52.66,42.13,14.62,47.39,27
RC,0250,Permethrin Cream 5%,182.09,145.68,14.17,223.52,81
RC,0250,Permethrin Creme Rinse 1%,25.81,20.655,7.08,23.52,54
RC,0250,Perphenazine Tab 2 MG,1.53,1.23,0.42,2.31,81
RC,0250,Perphenazine Tab 4 MG,1.7149999999999999,1.375,0.42,1.74,81
RC,0250,Perphenazine Tab 8 MG,1.5,1.2,0.42,1.35,54
RC,0250,Phenazopyridine HCl Tab 100 MG,3.105,2.49,0.5,3.99,108
RC,0250,Phenazopyridine HCl Tab 200 MG,3.4699999999999998,2.7800000000000002,0.42,5.9,162
RC,0250,Phenobarbital Elixir 20 MG/5ML,2.0549999999999997,1.65,0.48,2.14,54
RC,0250,Phenobarbital Tab 100 MG,1.5,1.2,0.42,1.35,81
RC,0250,Phenobarbital Tab 15 MG,1.5,1.2,0.42,1.35,135
RC,0250,Phenobarbital Tab 30 MG,1.83,1.4649999999999999,0.42,1.94,108
RC,0250,Phenobarbital Tab 60 MG,3.505,2.805,0.42,4.96,108
RC,0250,Phenol Liquid (Bulk),83.7,66.96,23.24,75.33,27
RC,0250,Phenol Liquid 1.4%,5.255000000000001,4.21,1.33,5.16,81
RC,0250,Phenoxybenzamine HCl Cap 10 MG,270.81,216.65,75.2,243.73,27
RC,0250,"Phenylephrine 100 mcg/mL,Phenylephrine-NaCl Pref Syr 0.5 MG/5ML-0.9% (100 MCG/ML)",21.375,17.1,5.83,19.58,54
RC,0250,Phenylephrine HCl Nasal Soln 0.125%,7.9,6.32,2.19,7.11,27
RC,0250,Phenylephrine HCl Nasal Soln 0.5%,9.72,7.78,2.7,8.75,27
RC,0250,Phenylephrine HCl Nasal Soln 1%,10.81,8.65,3.0,9.73,27
RC,0250,Phenylephrine HCl Ophth Soln 10%,93.42,74.74,0.52,91.08,135
RC,0250,Phenylephrine HCl Ophth Soln 2.5%,54.81,43.85,3.97,204.89,189
RC,0250,Phenylephrine in Hard Fat Rectal Suppos 0.25%,1.5,1.2,0.42,1.35,27
RC,0250,Phenylephrine-NaCl IV Solution 25 MG/250ML-0.9%,58.75,47.0,16.31,52.88,27
RC,0250,Phenylephrine-NaCl IV Solution 50 MG/250ML-0.9%,134.85500000000002,107.88999999999999,27.78,156.6,135
RC,0250,Phenytoin Chew Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Phenytoin Chew Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Phenytoin Sodium Extended Cap 100 MG,1.5,1.2,0.42,1.35,162
RC,0250,Phenytoin Sodium Extended Cap 30 MG,1.5,1.2,0.42,1.35,27
RC,0250,Phenytoin Susp 125 MG/5ML,1.765,1.415,0.42,1.83,108
RC,0250,Physostigmine Salicylate Inj 1 MG/ML,21.0,16.8,5.83,18.9,27
RC,0250,Phytonadione Inj 10 MG/ML,21.0,16.8,2.11,93.12,162
RC,0250,Pilocarpine HCl Ophth Soln 1%,185.35000000000002,148.28,43.86,173.87,135
RC,0250,Pilocarpine HCl Ophth Soln 2%,192.74,154.2,29.21,180.76,81
RC,0250,Pilocarpine HCl Ophth Soln 4%,200.03,160.03,55.01,181.77,108
RC,0250,Pimecrolimus Cream 1%,398.32000000000005,318.65999999999997,96.25,405.04,54
RC,0250,Pindolol Half-Tab 2.5 MG,1.86,1.49,0.52,1.67,27
RC,0250,Pindolol Tab 10 MG,2.53,2.03,0.7,2.28,27
RC,0250,Pindolol Tab 5 MG,1.82,1.46,0.42,1.99,108
RC,0250,Pioglitazone HCl Half-Tab 7.5 MG (Base Equiv),15.31,12.25,4.25,13.78,27
RC,0250,Pioglitazone HCl Tab 15 MG (Base Equiv),11.25,9.0,0.42,18.9,135
RC,0250,Pioglitazone HCl Tab 30 MG (Base Equiv),12.445,9.959999999999999,0.42,21.05,108
RC,0250,Pioglitazone HCl Tab 45 MG (Base Equiv),13.435,10.75,0.42,22.83,81
RC,0250,"Piperacillin Sod-Tazobactam Sod in Dex IV Soln 4-0.5GM/100ML,Piperacillin Sod-Tazobactam Sod in Dex IV Soln 2-0.25GM/50ML",32.63,26.11,9.06,29.37,27
RC,0250,Piperacillin Sodium-Tazobactam Sodium For Inj 4-0.5*,21.0,16.8,5.83,18.9,27
RC,0250,Piroxicam Cap 20 MG,3.5300000000000002,2.825,0.42,4.79,108
RC,0250,Polidocanol (Laureth-9) Inj 1%,87.0,69.6,24.16,78.3,27
RC,0250,Polyethylene Glycol 3350 Oral Packet 17 GM,3.295,2.64,0.76,247.86,162
RC,0250,Polyethylene Glycol 3350 Oral Powder,1.5,1.2,0.42,1.35,81
RC,0250,Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP,5.73,4.585,0.42,8.96,81
RC,0250,Polyethylene Glycol-Propylene Glycol Ophth Gel 0.4-0.3%,31.375,25.104999999999997,8.7,28.29,54
RC,0250,Polyethylene Glycol-Propylene Glycol Ophth Soln 0.4-0.3%,20.72,16.58,3.97,24.43,54
RC,0250,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML,1.5,1.2,0.42,1.35,27
RC,0250,Polymyxin B-Trimethoprim Ophth Soln 10000 Unit/ML-0.1%,14.04,11.24,2.95,140.0,135
RC,0250,Polysaccharide Iron Complex Cap 150 MG (Iron Equivalent),1.5,1.2,0.42,1.35,27
RC,0250,Polyvinyl Alcohol-Povidone (PF) Ophth Soln 1.4-0.6%,1.5,1.2,0.42,1.35,27
RC,0250,Ponatinib HCl Tab 15 MG (Base Equiv),1724.17,1379.34,478.8,1551.75,27
RC,0250,Ponatinib HCl Tab 30 MG (Base Equiv),1260.21,1008.17,349.96,1134.19,27
RC,0250,Ponatinib HCl Tab 45 MG (Base Equiv),1260.21,1008.17,349.96,1134.19,27
RC,0250,Poractant Alfa Intratracheal Susp 120 MG/1.5ML,1040.7,832.56,289.0,936.63,27
RC,0250,Posaconazole Susp 40 MG/ML,58.67,46.94,15.51,55.35,54
RC,0250,Posaconazole Tab Delayed Release 100 MG,137.48,109.99,9.13,154.67,81
RC,0250,Pot Phos Monobasic w/Sod Phos Di & Monobas Tab 155-852-130MG,1.5,1.2,0.42,1.35,54
RC,0250,Potassium & Sodium Phosphates Powder Pack 280-160-250 MG,1.5,1.2,0.42,1.35,81
RC,0250,Potassium Acetate Inj 2 mEq/ML,37.845,30.28,5.83,79.87,216
RC,0250,"Potassium Chloride Inj 20 mEq/50ML,Potassium Chloride Inj 40 mEq/100ML",21.0,16.8,5.83,18.9,27
RC,0250,Potassium Chloride Inj 40 mEq/100 ML,21.0,16.8,5.83,18.9,27
RC,0250,Potassium Chloride Microencapsulated Crys ER Tab 10 mEq,1.5,1.2,0.42,1.35,81
RC,0250,Potassium Chloride Microencapsulated Crys ER Tab 20 mEq,1.56,1.25,0.42,1.46,486
RC,0250,Potassium Chloride Oral Soln 10% (20 MEQ/15ML),27.545,22.04,0.65,245.97,486
RC,0250,Potassium Chloride Powder Packet 20 mEq,7.86,6.29,0.6,15.55,459
RC,0250,Potassium Chloride Tab CR 10 mEq,1.5,1.2,0.42,1.35,27
RC,0250,Potassium Chloride Tab ER 10 mEq,1.5,1.2,0.42,1.35,351
RC,0250,Potassium Chloride Tab ER 8 mEq (600 MG),1.5,1.2,0.42,1.35,189
RC,0250,Potassium Citrate & Citric Acid Soln 1100-334 MG/5ML,2.43,1.95,0.67,2.19,54
RC,0250,Potassium Citrate Tab ER 10 MEQ (1080 MG),2.73,2.19,0.42,2.53,81
RC,0250,Potassium Phosphate Monobasic Tab 500 MG,1.5,1.2,0.42,1.35,27
RC,0250,Povidine-Iodine Ophth Soln 5%,24.22,19.38,6.73,21.8,27
RC,0250,Povidone-Iodine Ophth Soln 5%,24.22,19.38,6.73,21.8,27
RC,0250,Povidone-Iodine Soln 10%,2.88,2.31,0.8,2.59,27
RC,0250,Pramipexole Dihydrochloride Tab 0.125 MG,1.5,1.2,0.42,1.35,54
RC,0250,Pramipexole Dihydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,81
RC,0250,Pramipexole Dihydrochloride Tab 0.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Pramipexole Dihydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,54
RC,0250,Pramipexole Dihydrochloride Tab 1.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Prasugrel HCl Tab 10 MG (Base Equiv),5.995,4.8,0.42,31.66,162
RC,0250,Pravastatin Sodium Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Pravastatin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,162
RC,0250,Pravastatin Sodium Tab 20 MG,1.5,1.2,0.42,1.35,270
RC,0250,Prazosin HCl Cap 1 MG,2.575,2.06,0.42,3.29,162
RC,0250,Prazosin HCl Cap 2 MG,1.5,1.2,0.42,1.35,135
RC,0250,Prazosin HCl Cap 5 MG,4.535,3.635,0.42,7.75,189
RC,0250,Prednisolone Acetate Ophth Susp 1%,55.095,44.08,4.81,83.59,135
RC,0250,Prednisolone Soln 15 MG/5ML,5.085,4.07,0.42,7.8,108
RC,0250,Prednisone Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Prednisone Tab 1 MG,1.5,1.2,0.42,1.35,108
RC,0250,Prednisone Tab 10 MG,1.5,1.2,0.42,1.35,189
RC,0250,Prednisone Tab 2.5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Prednisone Tab 20 MG,1.5,1.2,0.42,1.35,270
RC,0250,Prednisone Tab 5 MG,1.5,1.2,0.42,1.35,162
RC,0250,Prednisone Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Pregabalin Cap 100 MG,14.53,11.63,0.42,18.59,162
RC,0250,Pregabalin Cap 150 MG,5.28,4.225,0.42,15.68,162
RC,0250,Pregabalin Cap 25 MG,2.63,2.11,0.42,15.68,135
RC,0250,Pregabalin Cap 50 MG,3.22,2.58,0.42,25.07,216
RC,0250,Pregabalin Cap 75 MG,9.52,7.62,0.42,20.31,162
RC,0250,Prenatal Vit w/ Fe Fumarate-FA Tab 27-0.8 MG,1.5,1.2,0.42,1.35,27
RC,0250,Prenatal Vit w/ Iron Carbonyl-FA Tab 29-1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Primaquine Phosphate Tab 26.3 MG (15 MG Base),4.27,3.42,1.19,3.84,27
RC,0250,Primidone Tab 250 MG,1.5,1.2,0.42,1.35,27
RC,0250,Primidone Tab 50 MG,1.5,1.2,0.42,1.35,135
RC,0250,Prisma 600201-600200,87.0,69.6,24.16,78.3,54
RC,0250,Probenecid Tab 500 MG,1.5,1.2,0.42,1.35,54
RC,0250,Prochlorperazine Maleate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,81
RC,0250,Prochlorperazine Maleate Tab 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,54
RC,0250,Prochlorperazine Suppos 25 MG,18.305,14.645,4.24,19.22,54
RC,0250,Progesterone Cap 100 MG,3.21,2.57,0.89,2.89,27
RC,0250,Progesterone Cap 200 MG,2.67,2.14,0.42,4.03,108
RC,0250,Promethazine HCl (Bulk) Powder,154.44,123.56,42.89,139.0,27
RC,0250,Promethazine HCl Oral Soln 6.25 MG/5ML,1.5,1.2,0.42,1.35,81
RC,0250,Promethazine HCl Suppos 12.5 MG,22.785,18.229999999999997,5.28,22.19,108
RC,0250,Promethazine HCl Suppos 25 MG,14.74,11.8,2.48,22.33,81
RC,0250,Promethazine HCl Tab 12.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Promethazine HCl Tab 25 MG,1.5,1.2,0.42,1.35,162
RC,0250,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,1.5,1.2,0.42,1.35,54
RC,0250,Propafenone HCl Cap ER 12HR 225 MG,17.85,14.28,3.55,21.63,81
RC,0250,Propafenone HCl Cap ER 12HR 325 MG,9.715,7.78,0.98,14.3,54
RC,0250,Propafenone HCl Half-Tab 75 MG,1.5,1.2,0.42,1.35,27
RC,0250,Propafenone HCl Tab 150 MG,1.5,1.2,0.42,1.35,108
RC,0250,Propafenone HCl Tab 225 MG,1.5,1.2,0.42,1.35,27
RC,0250,Proparacaine HCl Ophth Soln 0.5%,73.67,58.94,0.42,88.87,135
RC,0250,Propranolol HCl Cap ER 24HR 120 MG,4.62,3.7,1.28,4.16,27
RC,0250,Propranolol HCl Cap ER 24HR 60 MG,1.5,1.2,0.42,1.35,27
RC,0250,Propranolol HCl Cap ER 24HR 80 MG,1.505,1.205,0.42,1.36,81
RC,0250,Propranolol HCl Half-Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Propranolol HCl Oral Soln 20 MG/5ML,1.5,1.2,0.42,1.35,27
RC,0250,Propranolol HCl Tab 10 MG,1.5,1.2,0.42,1.35,243
RC,0250,Propranolol HCl Tab 20 MG,1.5,1.2,0.42,1.35,270
RC,0250,Propranolol HCl Tab 40 MG,1.5,1.2,0.42,1.35,162
RC,0250,Propranolol HCl Tab 60 MG,1.76,1.41,0.46,1.99,81
RC,0250,Propranolol HCl Tab 80 MG,1.5,1.2,0.42,1.35,81
RC,0250,Propylthiouracil Tab 50 MG,1.69,1.355,0.42,1.69,81
RC,0250,Pseudoephedrine HCl Tab 60 MG,1.5,1.2,0.42,1.35,27
RC,0250,Psyllium Powder Packet 25%,1.5,1.2,0.42,1.35,81
RC,0250,Psyllium Powder Packet 28.3%,1.5,1.2,0.42,1.35,27
RC,0250,Pyrazinamide Tab 500 MG,5.07,4.06,1.37,8.78,81
RC,0250,Pyridostigmine Bromide Half-Tab 30 MG,1.5,1.2,0.42,1.35,27
RC,0250,Pyridostigmine Bromide IV Soln 10 MG/2ML (5 MG/ML),106.03,84.83,29.44,95.43,54
RC,0250,Pyridostigmine Bromide Tab 60 MG,2.135,1.71,0.42,2.4,162
RC,0250,Pyridostigmine Bromide Tab ER 180 MG,10.7,8.56,2.97,9.63,27
RC,0250,Pyridoxine HCl Tab 50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Pyrimethamine Tab 25 MG,599.43,479.55,166.46,539.49,27
RC,0250,Quetiapine Fumarate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Quetiapine Fumarate Tab 100 MG,9.015,7.215,0.42,14.88,216
RC,0250,Quetiapine Fumarate Tab 200 MG,16.34,13.075,0.42,28.06,108
RC,0250,Quetiapine Fumarate Tab 25 MG,5.565,4.455,0.42,8.67,135
RC,0250,Quetiapine Fumarate Tab 300 MG,21.195,16.96,0.42,36.8,162
RC,0250,Quetiapine Fumarate Tab 50 MG,8.665,6.935,0.42,14.25,81
RC,0250,Quetiapine Fumarate Tab ER 24HR 400 MG,50.73,40.59,14.09,45.66,27
RC,0250,Quinapril HCl Tab 20 MG,1.5,1.2,0.42,1.35,54
RC,0250,Quinapril HCl Tab 5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Quinine Sulfate Cap 324 MG,14.29,11.44,1.63,13.25,162
RC,0250,Quizartinib Dihydrochloride Tab 17.7 MG,1091.86,873.49,303.21,982.67,54
RC,0250,Raltegravir Potassium Chew Tab 100 MG (Base Equiv),18.13,14.51,5.03,16.32,27
RC,0250,Raltegravir Potassium Chew Tab 25 MG (Base Equiv),4.76,3.81,1.32,4.28,27
RC,0250,Raltegravir Potassium Tab 400 MG (Base Equiv),58.54,46.84,16.26,52.69,27
RC,0250,Ramelteon Tab 8 MG,8.07,6.46,0.99,28.26,81
RC,0250,Ramipril Cap 1.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Ramipril Cap 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Ramipril Cap 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Ranolazine Tab ER 12HR 500 MG,2.51,2.01,0.42,12.64,162
RC,0250,Rasagiline Mesylate Tab 1 MG (Base Equiv),17.26,13.81,2.42,52.66,81
RC,0250,Remifentanil HCl For IV Soln 1 MG,199.36,159.49,51.54,212.71,189
RC,0250,Remifentanil HCl For IV Soln 2 MG,375.22,300.18,100.51,349.64,108
RC,0250,Ribavirin Tab 200 MG,1.5,1.2,0.42,1.35,27
RC,0250,Riboflavin Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Rifabutin Cap 150 MG,61.13,48.91,16.98,55.02,27
RC,0250,Rifampin Cap 150 MG,2.51,1.7799999999999998,0.52,3.6,162
RC,0250,Rifampin Cap 300 MG,1.95,1.56,0.42,2.46,189
RC,0250,Rifaximin Tab 200 MG,25.66,20.53,7.13,23.09,27
RC,0250,Rifaximin Tab 550 MG,94.27000000000001,75.42,22.7,96.13,54
RC,0250,Rilpivirine HCl Tab 25 MG (Base Equivalent),89.99,72.0,24.99,80.99,27
RC,0250,Rimantadine Hydrochloride Tab 100 MG,4.96,3.97,1.38,4.46,27
RC,0250,Rimegepant Sulfate Tab Disint 75 MG,297.92,238.34,82.73,268.13,27
RC,0250,Risperidone Half-Tab 0.125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Risperidone Orally Disintegrating Tab 0.5 MG,5.095,4.08,0.42,7.82,54
RC,0250,Risperidone Orally Disintegrating Tab 1 MG,6.45,5.16,0.76,9.14,54
RC,0250,Risperidone Orally Disintegrating Tab 2 MG,9.94,7.955,0.94,14.85,54
RC,0250,Risperidone Soln 1 MG/ML,1.67,1.34,0.42,39.22,81
RC,0250,Risperidone Tab 0.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Risperidone Tab 0.5 MG,1.5,1.2,0.42,1.35,81
RC,0250,Risperidone Tab 1 MG,1.5,1.2,0.42,1.35,108
RC,0250,Risperidone Tab 2 MG,1.5,1.2,0.42,1.35,108
RC,0250,Risperidone Tab 3 MG,1.5,1.2,0.42,1.35,54
RC,0250,Risperidone Tab 4 MG,1.5,1.2,0.42,1.35,54
RC,0250,Ritonavir Oral Soln 80 MG/ML,3641.76,2913.41,1011.32,3277.58,27
RC,0250,Ritonavir Tab 100 MG,9.705,7.765000000000001,1.18,13.64,54
RC,0250,Rivaroxaban For Susp 1 MG/ML,1098.56,878.85,305.07,988.7,27
RC,0250,Rivaroxaban Tab 10 MG,30.255,24.21,8.4,27.24,54
RC,0250,Rivaroxaban Tab 15 MG,10.465,8.375,0.42,17.49,108
RC,0250,Rivaroxaban Tab 20 MG,18.485,14.79,1.19,29.43,54
RC,0250,Rivastigmine TD Patch 24HR 13.3 MG/24HR,11.620000000000001,9.3,1.1,25.69,108
RC,0250,Rivastigmine TD Patch 24HR 4.6 MG/24HR,22.17,17.74,1.06,25.52,135
RC,0250,Rivastigmine TD Patch 24HR 9.5 MG/24HR,18.94,15.155,1.6,30.51,135
RC,0250,Rivastigmine Tartrate Cap 1.5 MG (Base Equivalent),3.225,2.585,0.58,4.91,108
RC,0250,Rivastigmine Tartrate Cap 3 MG (Base Equivalent),4.67,3.74,0.42,4.91,108
RC,0250,Rizatriptan Benzoate Oral Disintegrating Tab 10 MG (Base Eq),8.9,7.119999999999999,0.54,66.98,216
RC,0250,Rizatriptan Benzoate Oral Disintegrating Tab 5 MG (Base Eq),3.56,2.85,0.65,6.63,108
RC,0250,Rizatriptan Benzoate Tab 10 MG (Base Equivalent),3.92,3.14,0.52,4.16,81
RC,0250,Rocuronium Bromide IV Soln 100 MG/10ML (10 MG/ML),21.0,16.8,5.83,18.9,27
RC,0250,Rocuronium Bromide IV Soln 50 MG/5ML (10 MG/ML),28.14,22.515,5.83,59.36,594
RC,0250,Rocuronium Bromide IV Soln 50 mg/5 ml (10 mg/mL),35.245000000000005,28.2,6.28,59.36,162
RC,0250,Roflumilast Tab 500 MCG,12.605,10.084999999999999,0.42,21.34,54
RC,0250,Ropinirole Hydrochloride Half-Tab 0.125 MG,1.5,1.2,0.42,1.35,27
RC,0250,Ropinirole Hydrochloride Tab 0.25 MG,1.5,1.2,0.42,1.35,108
RC,0250,Ropinirole Hydrochloride Tab 0.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Ropinirole Hydrochloride Tab 1 MG,1.5,1.2,0.42,1.35,135
RC,0250,Rosuvastatin Calcium Tab 10 MG,11.74,9.395,0.42,19.78,162
RC,0250,Rosuvastatin Calcium Tab 20 MG,11.2,8.959999999999999,0.42,18.81,189
RC,0250,Rosuvastatin Calcium Tab 40 MG,1.5,1.2,0.42,1.35,135
RC,0250,Rosuvastatin Calcium Tab 5 MG,11.74,9.395,0.42,19.78,108
RC,0250,Rufinamide Tab 200 MG,27.62,22.1,7.67,24.86,27
RC,0250,Sacubitril-Valsartan Tab 24-26 MG,3.34,2.68,0.93,3.01,27
RC,0250,Sacubitril-Valsartan Tab 49-51 MG,15.885,12.715,0.93,25.59,81
RC,0250,Sacubitril-Valsartan Tab 97-103 MG,15.885,12.715,0.93,25.59,54
RC,0250,Saline Nasal Gel,14.37,11.5,3.99,12.93,54
RC,0250,Saline Nasal Spray 0.65%,2.4699999999999998,1.98,0.46,2.95,54
RC,0250,Salsalate Tab 750 MG,4.35,3.48,0.42,4.06,135
RC,0250,Scopolamine TD Patch 72HR 1 MG/3DAYS,41.93,33.55,8.23,40.54,162
RC,0250,Selegiline HCl Tab 5 MG,3.56,2.85,0.99,3.2,27
RC,0250,Selegiline TD Patch 24HR 12 MG/24HR,84.19,67.36,23.38,75.77,27
RC,0250,Selegiline TD Patch 24HR 9 MG/24HR,170.59,136.48,47.37,153.53,27
RC,0250,Selenious Acid Inj 6 MCG/ML (Selenium Equiv),62.51,50.01,17.36,56.26,27
RC,0250,Selenium Sulfide Lotion 1%,6.15,4.92,1.71,5.54,27
RC,0250,Semaglutide Tab 7 MG,68.36,54.69,18.98,61.52,27
RC,0250,Sennosides Syrup 8.8 MG/5ML,1.5,1.2,0.42,1.35,27
RC,0250,Sennosides-Docusate Sodium Tab 8.6-50 MG,1.5,1.2,0.42,1.35,27
RC,0250,Sertraline HCl Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Sertraline HCl Tab 100 MG,1.5,1.2,0.42,1.35,216
RC,0250,Sertraline HCl Tab 25 MG,1.5,1.2,0.42,1.35,162
RC,0250,Sertraline HCl Tab 50 MG,1.5,1.2,0.42,1.35,162
RC,0250,Sevelamer Carbonate Tab 800 MG,6.5600000000000005,5.255000000000001,0.42,12.76,378
RC,0250,Sevoflurane Inhal Soln,488.75,391.0,100.67,572.63,135
RC,0250,Sildenafil Citrate For Suspension 10 MG/ML,171.31,137.05,24.35,229.43,54
RC,0250,Sildenafil Citrate IV Soln 10 MG/12.5ML (Base Equivalent),851.51,681.21,236.46,766.36,27
RC,0250,Sildenafil Citrate Tab 20 MG,23.23,18.585,0.42,40.46,135
RC,0250,Silica (Bulk) Powder,218.7,174.96,60.73,196.83,27
RC,0250,Silver Nitrate-Potassium Nitrate Applicator 75-25%,1.5,1.2,0.42,1.35,108
RC,0250,Silver Sulfadiazine Cream 1%,23.695,18.96,3.13,89.42,162
RC,0250,Simethicone Chew Tab 80 MG,1.5,1.2,0.42,1.35,81
RC,0250,Simethicone Susp 40 MG/0.6ML,1.5,1.2,0.42,1.35,108
RC,0250,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,189
RC,0250,Simvastatin Tab 20 MG,1.5,1.2,0.42,1.35,216
RC,0250,Simvastatin Tab 40 MG,1.5,1.2,0.42,1.35,135
RC,0250,Simvastatin Tab 5 MG,1.5,1.2,0.42,1.35,108
RC,0250,Sitagliptin Phosphate Tab 100 MG (Base Equiv),17.17,13.74,1.01,24.79,81
RC,0250,Sitagliptin Phosphate Tab 25 MG (Base Equiv),27.51,22.01,7.64,24.76,27
RC,0250,Sitagliptin Phosphate Tab 50 MG (Base Equiv),32.33,25.865000000000002,8.91,29.3,54
RC,0250,Skin Protectants Misc - Cream,13.48,10.79,2.46,14.83,81
RC,0250,Skin Protectants Misc - Ointment,2.38,1.91,0.66,2.14,27
RC,0250,Sodium Acetate Inj 2 mEq/ML,37.195,29.76,5.83,90.44,270
RC,0250,Sodium Acetate Inj 4 mEq/ML,21.0,16.8,5.83,18.9,27
RC,0250,Sodium Benzoate & Sodium Phenylacetate IV Soln 10-10%,17619.75,14095.8,4762.42,16281.0,54
RC,0250,Sodium Benzoate Powder,33.75,27.0,9.37,30.38,27
RC,0250,Sodium Bicarbonate IV Soln 4.2%,38.89,31.12,5.83,68.9,135
RC,0250,Sodium Bicarbonate Tab 325 MG,1.5,1.2,0.42,1.35,27
RC,0250,Sodium Bicarbonate Tab 650 MG,1.5,1.2,0.42,1.35,54
RC,0250,Sodium Chloride Hypertonic Ophth Oint 5%,19.8,15.845,2.83,43.63,108
RC,0250,Sodium Chloride Hypertonic Ophth Soln 5%,14.66,11.73,3.43,15.27,54
RC,0250,Sodium Chloride Inj 0.45%,21.0,16.8,5.83,18.9,27
RC,0250,Sodium Chloride Inj 3%,21.0,16.8,5.83,18.9,27
RC,0250,Sodium Chloride Inj 4 mEq/ML (23.4%),21.0,16.8,5.83,18.9,27
RC,0250,"Sodium Chloride Inj 4 mEq/ML (23.4%),Sodium Chloride Oral Soln 4 mEq/ML (23.4%)",5.75,4.6,1.6,5.18,27
RC,0250,Sodium Chloride Irrigation Soln 0.9%,0.02,0.02,0.01,0.02,81
RC,0250,"Sodium Chloride Irrigation Soln 0.9%,Sodium Chloride IV Soln 0.9%",0.02,0.02,0.01,0.02,54
RC,0250,Sodium Chloride Tab 1 GM,1.5,1.2,0.42,1.35,189
RC,0250,Sodium Citrate & Citric Acid Soln 500-334 MG/5ML,5.67,4.54,0.42,9.92,324
RC,0250,Sodium Fluoride Soln 0.5 MG/ML F (from 1.1 MG/ML NaF),1.5,1.2,0.42,1.35,27
RC,0250,Sodium Hyaluronate Intraocular Soln Pref Syr 9.6 MG/0.8ML,130.5,104.4,36.24,117.45,27
RC,0250,Sodium Hypochlorite Soln 0.125%,28.095,22.48,7.45,26.43,54
RC,0250,Sodium Hypochlorite Soln 0.25%,24.26,19.41,6.74,21.83,27
RC,0250,Sodium Phosphates - Enema,2.15,1.72,0.5,2.58,81
RC,0250,Sodium Phosphates Inj 15 mM/5ML (Phos) 20 mEq/5ML (Na),51.095,40.88,9.3,61.82,81
RC,0250,Sodium Polystyrene Sulfonate Powder,111.55,89.24,6.57,171.0,81
RC,0250,Sodium Polystyrene Sulfonate Susp 15 GM/60ML,14.66,11.735,2.74,17.5,108
RC,0250,Sodium Tetradecyl Sulfate Inj 1%,124.76,99.81,34.65,112.28,54
RC,0250,Sodium Tetradecyl Sulfate Inj 3%,141.14,112.92,38.7,285.95,81
RC,0250,Sodium Zirconium Cyclosilicate For Susp Packet 10 GM,23.71,18.97,6.58,21.34,81
RC,0250,Sodium Zirconium Cyclosilicate For Susp Packet 5 GM,23.71,18.97,6.58,21.34,81
RC,0250,Sorbitol Oral Solution 70%,1.5,1.2,0.42,1.35,27
RC,0250,Sorbitol Rectal Solution 70%,7.66,6.13,2.13,6.89,27
RC,0250,Sorbitol Solution (Bulk),2.5300000000000002,2.025,0.42,3.2,81
RC,0250,Sotalol HCl Half-Tab 40 MG,1.5,1.2,0.42,1.35,27
RC,0250,Sotalol HCl Tab 160 MG,1.5,1.2,0.42,1.35,54
RC,0250,Sotalol HCl Tab 80 MG,2.355,1.8849999999999998,0.42,2.89,81
RC,0250,Sotrovimab IV Soln 500 MG/8ML (62.5 MG/ML),4200.0,3360.0,1166.34,3780.0,27
RC,0250,Spironolactone & Hydrochlorothiazide Tab 25-25 MG,2.49,2.0,0.55,2.27,81
RC,0250,Spironolactone Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Spironolactone Susp 25 MG/5ML,918.52,734.8199999999999,236.76,886.02,54
RC,0250,Spironolactone Tab 100 MG,1.675,1.3399999999999999,0.42,1.67,162
RC,0250,Spironolactone Tab 25 MG,1.5,1.2,0.42,1.35,297
RC,0250,Sucralfate Susp 1 GM/10ML,15.44,12.36,0.76,18.5,459
RC,0250,Sucralfate Tab 1 GM,1.5,1.2,0.42,1.35,243
RC,0250,Sufentanil Citrate Inj 100 MCG/2ML (50 MCG/ML),25.89,20.72,7.19,23.3,27
RC,0250,Sufentanil Citrate Inj 50 MCG/ML,28.84,23.08,8.01,25.96,54
RC,0250,Sulfacetamide Sodium Ophth Soln 10%,107.78999999999999,86.235,27.52,104.83,54
RC,0250,Sulfadiazine Tab 500 MG,24.745,19.799999999999997,2.58,36.18,54
RC,0250,Sulfamethoxazole-Trimethoprim Half-Tab 200-40 MG,1.5,1.2,0.42,1.35,27
RC,0250,Sulfamethoxazole-Trimethoprim Susp 200-40 MG/5ML,2.0,1.605,0.42,2.92,189
RC,0250,Sulfamethoxazole-Trimethoprim Tab 400-80 MG,1.5,1.2,0.42,1.35,162
RC,0250,Sulfamethoxazole-Trimethoprim Tab 800-160 MG,1.5,1.2,0.42,1.35,162
RC,0250,Sulfasalazine Tab 500 MG,2.005,1.605,0.42,2.26,108
RC,0250,Sulfasalazine Tab Delayed Release 500 MG,3.235,2.59,0.42,4.47,81
RC,0250,Sulindac Tab 150 MG,1.5,1.2,0.42,1.35,81
RC,0250,Sulindac Tab 200 MG,1.5,1.2,0.42,1.35,108
RC,0250,Sumatriptan Succinate Solution Auto-injector 6 MG/0.5ML,158.8,127.04,44.1,142.92,27
RC,0250,Sumatriptan Succinate Tab 100 MG,4.35,3.48,0.42,7.58,189
RC,0250,Sumatriptan Succinate Tab 25 MG,1.73,1.39,0.48,1.56,27
RC,0250,Sumatriptan Succinate Tab 50 MG,4.35,3.48,0.42,8.16,135
RC,0250,Suppository Base,207.9,166.32,57.73,187.11,27
RC,0250,Tacrolimus Oint 0.03%,444.985,355.99,14.71,753.3,54
RC,0250,Tacrolimus Oint 0.1%,251.1,200.88,26.61,470.21,81
RC,0250,Tadalafil Tab 20 MG,1.5,1.2,0.42,1.35,27
RC,0250,Talc Intrapleural Aerosol Powder 4 GM (0.4 GM/SECOND),371.22,296.98,103.09,334.1,27
RC,0250,Talc Intrapleural Powder 4 GM,378.0,302.4,104.97,340.2,27
RC,0250,Tamoxifen Citrate Tab 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,108
RC,0250,Tamsulosin HCl Cap 0.4 MG,1.5,1.2,0.42,1.35,378
RC,0250,Telmisartan Tab 80 MG,9.54,7.64,2.65,8.59,27
RC,0250,Temazepam Cap 15 MG,1.72,1.38,0.42,1.75,135
RC,0250,Temazepam Cap 7.5 MG,10.695,8.56,2.33,15.41,108
RC,0250,Tenofovir Disoproxil Fumarate Oral Powder 40 MG/GM,1799.82,1439.86,499.81,1619.84,27
RC,0250,Tenofovir Disoproxil Fumarate Tab 300 MG,2.41,1.93,0.48,2.25,81
RC,0250,Terazosin HCl Cap 1 MG (Base Equivalent),1.5,1.2,0.42,1.35,81
RC,0250,Terazosin HCl Cap 10 MG (Base Equivalent),1.5,1.2,0.42,1.35,54
RC,0250,Terazosin HCl Cap 2 MG (Base Equivalent),1.505,1.205,0.42,1.36,108
RC,0250,Terazosin HCl Cap 5 MG (Base Equivalent),1.5,1.2,0.42,1.35,54
RC,0250,Terbinafine HCl Cream 1%,20.33,16.27,5.65,18.3,27
RC,0250,Terbinafine HCl Tab 250 MG,1.5,1.2,0.42,1.35,81
RC,0250,Terbutaline Sulfate Tab 2.5 MG,5.975,4.779999999999999,0.42,9.41,54
RC,0250,Terbutaline Sulfate Tab 5 MG,4.19,3.36,0.42,15.24,81
RC,0250,Terconazole Vaginal Cream 0.4%,78.12,62.5,21.69,70.31,27
RC,0250,Terconazole Vaginal Suppos 80 MG,184.995,148.0,51.2,167.07,54
RC,0250,Testosterone TD Gel 12.5 MG/ACT (1%),98.01,78.41,27.22,88.21,27
RC,0250,Testosterone TD Gel 25 MG/2.5GM (1%),40.19,32.16,11.16,36.17,27
RC,0250,Tetrabenazine Tab 12.5 MG,65.965,52.775,1.34,114.41,54
RC,0250,Tetracaine HCl Inj 1%,26.52,21.22,7.36,23.87,27
RC,0250,Tetracaine HCl Ophth Soln 0.5%,25.65,20.52,0.42,179.23,108
RC,0250,Tetrahydrozoline HCl Ophth Soln 0.05%,4.78,3.83,1.33,4.3,27
RC,0250,Theophylline Cap ER 24HR 100 MG,4.59,3.68,1.27,4.13,27
RC,0250,Theophylline Cap ER 24HR 200 MG,6.83,5.47,1.9,6.15,27
RC,0250,Theophylline Half-Tab SR 12HR 150 MG,1.5,1.2,0.42,1.35,27
RC,0250,Theophylline Soln 80 MG/15ML,8.94,7.16,2.48,8.05,27
RC,0250,Theophylline Tab ER 12HR 300 MG,6.26,5.01,1.74,5.63,27
RC,0250,Theophylline Tab ER 24HR 400 MG,2.325,1.865,0.63,2.14,54
RC,0250,Thiamine HCl Inj 100 MG/ML,21.0,16.8,5.83,18.9,27
RC,0250,Thiamine HCl Powder,80.19,64.16,22.27,72.17,27
RC,0250,Thiamine HCl Tab 100 MG,1.5,1.2,0.42,1.35,27
RC,0250,Thiamine Mononitrate Tab 100 MG,1.5,1.2,0.42,1.35,216
RC,0250,Thioguanine Half-Tab 20 MG,22.62,18.1,6.28,20.36,27
RC,0250,Thioguanine Tab 40 MG,811.48,649.19,10.03,1687.79,81
RC,0250,Thioridazine HCl Tab 25 MG,1.6,1.28,0.42,1.53,81
RC,0250,Thrombin (Recombinant) For Soln 20000 Unit,496.52,397.22,112.82,805.28,108
RC,0250,Thrombin (Recombinant) For Soln 5000 Unit,196.905,157.53,38.01,198.45,162
RC,0250,Thyroid Half-Tab 15 MG (1/4 Grain),1.5,1.2,0.42,1.35,27
RC,0250,Thyroid Tab 15 MG (1/4 Grain),1.5,1.2,0.42,1.35,27
RC,0250,Thyroid Tab 30 MG (1/2 Grain),1.54,1.24,0.43,1.39,27
RC,0250,Thyroid Tab 60 MG (1 Grain),1.585,1.27,0.42,1.5,81
RC,0250,Thyroid Tab 90 MG (1 1/2 Grain),1.5,1.2,0.42,1.35,27
RC,0250,Tiagabine HCl Tab 2 MG,14.01,11.21,3.89,12.61,27
RC,0250,Tiagabine HCl Tab 4 MG,15.12,12.100000000000001,3.89,14.6,54
RC,0250,Ticagrelor Tab 60 MG,12.91,10.33,3.59,11.62,27
RC,0250,Ticagrelor Tab 90 MG,12.425,9.940000000000001,2.78,13.37,54
RC,0250,Timolol Maleate Ophth Gel Forming Soln 0.25%,397.17,317.74,22.38,434.12,81
RC,0250,Timolol Maleate Ophth Gel Forming Soln 0.5%,314.51,251.615,26.45,480.41,54
RC,0250,Timolol Maleate Ophth Soln 0.25%,6.89,5.52,1.81,12.47,81
RC,0250,Timolol Maleate Ophth Soln 0.5%,17.705,14.165,3.41,21.87,135
RC,0250,Timolol Maleate Tab 10 MG,1.5,1.2,0.42,1.35,27
RC,0250,Timolol Ophth Soln 0.5%,353.78,283.03,98.24,318.4,27
RC,0250,Tiotropium Bromide Monohydrate Inhal Aerosol 2.5 MCG/ACT,1027.49,822.0,285.33,924.74,27
RC,0250,Tiotropium Bromide Monohydrate Inhal Cap 18 MCG (Base Equiv),103.695,82.96000000000001,8.53,159.02,54
RC,0250,Tizanidine HCl Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Tizanidine HCl Tab 2 MG (Base Equivalent),1.575,1.26,0.42,1.49,81
RC,0250,Tizanidine HCl Tab 4 MG (Base Equivalent),1.85,1.4849999999999999,0.42,1.7,162
RC,0250,Tobramycin Ophth Oint 0.3%,406.125,324.905,68.82,508.0,54
RC,0250,Tobramycin Ophth Soln 0.3%,29.3,23.44,6.04,207.35,135
RC,0250,Tobramycin Sulfate For Inj 1.2 GM,232.075,185.66500000000002,62.77,214.31,54
RC,0250,Tobramycin Sulfate Inj 80 MG/2ML (40 MG/ML),21.0,16.8,5.83,18.9,27
RC,0250,Tobramycin Sulfate Ophth Oint 0.3%,406.125,324.905,68.82,508.0,54
RC,0250,Tobramycin-Dexamethasone Ophth Oint 0.3-0.1%,571.285,457.03499999999997,158.13,515.83,108
RC,0250,Tobramycin-Dexamethasone Ophth Susp 0.3-0.1%,95.11,76.09,0.93,187.6,162
RC,0250,Tolterodine Tartrate Cap ER 24HR 2 MG,13.62,10.9,3.78,12.26,27
RC,0250,Tolterodine Tartrate Cap ER 24HR 4 MG,21.765,17.415,4.28,25.3,54
RC,0250,Tolterodine Tartrate Tab 1 MG,8.02,6.42,2.23,7.22,27
RC,0250,Tolterodine Tartrate Tab 2 MG,8.23,6.59,2.29,7.41,27
RC,0250,Topiramate Half-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Topiramate Sprinkle Cap 15 MG,1.5,1.2,0.42,1.35,54
RC,0250,Topiramate Tab 100 MG,17.245,13.799999999999999,0.42,29.69,81
RC,0250,Topiramate Tab 200 MG,1.5,1.2,0.42,1.35,81
RC,0250,Topiramate Tab 25 MG,1.5,1.2,0.42,1.35,108
RC,0250,Topiramate Tab 50 MG,1.5,1.2,0.42,1.35,54
RC,0250,Torsemide Tab 10 MG,1.5,1.2,0.42,1.35,108
RC,0250,Torsemide Tab 20 MG,1.5,1.2,0.42,1.35,135
RC,0250,Trace Min (Cr-Cu-Mn-Zn) Inj 0.85-100-25-1500 MCG/ML,38.8,31.04,10.77,34.92,27
RC,0250,Trace Min (Cu-Mn-Se-Zn) Inj 300-55-60-3000 MCG/ML,68.69,54.96,19.08,61.82,27
RC,0250,Trace Min (Cu-Mn-Se-Zn) Inj 60-3-6-1000 MCG/ML,62.47,49.98,17.35,56.22,27
RC,0250,Tramadol HCl Tab 50 MG,1.5,1.2,0.42,1.35,432
RC,0250,Tramadol Hcl Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Tramadol-Acetaminophen Tab 37.5-325 MG,1.5,1.2,0.42,1.35,81
RC,0250,Trandolapril Half-Tab 1 MG,3.8,3.04,1.06,3.42,27
RC,0250,Trandolapril Tab 2 MG,1.5,1.2,0.42,1.35,27
RC,0250,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,5.83,18.9,81
RC,0250,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",22.62,18.1,5.83,21.54,459
RC,0250,Tranexamic Acid Tab 650 MG,5.83,4.67,1.62,5.25,27
RC,0250,Tranylcypromine Sulfate Tab 10 MG,3.75,3.0,1.04,3.38,27
RC,0250,Trazodone HCl Half-Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Trazodone HCl Half-Tab 75 MG,1.5,1.2,0.42,1.35,27
RC,0250,Trazodone HCl Quarter-Tab 12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Trazodone HCl Tab 100 MG,1.5,1.2,0.42,1.35,135
RC,0250,Trazodone HCl Tab 150 MG,1.5,1.2,0.42,1.35,54
RC,0250,Trazodone HCl Tab 50 MG,1.5,1.2,0.42,1.35,81
RC,0250,Treprostinil Diolamine Tab ER 0.25 MG (Base Equiv),42.89,34.32,11.91,38.6,27
RC,0250,Tretinoin Cap 10 MG,52.36,41.89,14.3,59.27,81
RC,0250,Tretinoin Gel 0.05%,663.39,530.72,184.22,597.05,27
RC,0250,Triamcinolone Acetonide Cream 0.1%,11.08,8.870000000000001,1.12,57.37,351
RC,0250,Triamcinolone Acetonide Cream 0.5%,21.79,17.44,3.84,21.03,81
RC,0250,Triamcinolone Acetonide Dental Paste 0.1%,109.57,87.66,22.09,111.44,81
RC,0250,Triamcinolone Acetonide Oint 0.1%,10.49,8.395,1.43,44.13,216
RC,0250,Triamcinolone Acetonide Oint 0.5%,11.75,9.4,3.26,10.58,27
RC,0250,Triamterene & Hydrochlorothiazide Half-Tab 18.75-12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Triamterene & Hydrochlorothiazide Tab 37.5-25 MG,1.5,1.2,0.42,1.35,108
RC,0250,Triamterene & Hydrochlorothiazide Tab 75-50 MG,1.5,1.2,0.42,1.35,54
RC,0250,Triamterene Cap 50 MG,24.2,19.36,6.72,21.78,27
RC,0250,Triazolam Tab 0.125 MG,3.39,2.72,0.94,3.05,27
RC,0250,Triazolam Tab 0.25 MG,2.3,1.84,0.48,2.93,81
RC,0250,Trientine HCl Cap 250 MG,17.884999999999998,14.315000000000001,3.12,22.09,54
RC,0250,Trifluridine Ophth Soln 1%,360.45,288.36,100.1,324.41,27
RC,0250,Trihexyphenidyl HCl Half-Tab 1 MG,1.5,1.2,0.42,1.35,27
RC,0250,Trihexyphenidyl HCl Oral Soln 0.4 MG/ML,85.57,68.46,23.76,77.01,27
RC,0250,Trihexyphenidyl HCl Tab 2 MG,1.5,1.2,0.42,1.35,81
RC,0250,Trihexyphenidyl HCl Tab 5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Trimethoprim Tab 100 MG,2.42,1.94,0.42,3.01,54
RC,0250,Trolamine Salicylate Cream 10%,10.215,8.18,1.91,12.19,54
RC,0250,Tropicamide Ophth Soln 0.5%,37.83,30.265,4.67,52.97,54
RC,0250,Tropicamide Ophth Soln 1%,21.34,17.08,3.49,68.17,81
RC,0250,Tropicamide-Cyclopentolate-Phenylephrine Ophth Soln 1-1-2.5%,89.06,71.255,0.54,158.56,54
RC,0250,Trospium Chloride Cap ER 24HR 60 MG,13.62,10.9,3.78,12.26,27
RC,0250,Trospium Chloride Tab 20 MG,4.58,3.67,1.27,4.12,27
RC,0250,Trypan Blue Intraocular Soln Pref Syr 0.06%,174.0,139.2,48.32,156.6,27
RC,0250,Tuberculin PPD Inj 5 Unit/0.1ML,22.634999999999998,18.11,5.83,21.84,54
RC,0250,Umeclidinium Br Aero Powd Breath Act 62.5 MCG/ACT (Base Eq),346.395,277.12,21.89,552.58,54
RC,0250,Umeclidinium-Vilanterol Aero Powd BA 62.5-25 MCG/ACT,140.62,112.5,39.05,126.56,27
RC,0250,Urea Cream 40%,112.6,90.08,31.27,101.34,27
RC,0250,Uridine Triacetate Oral Granules Packet 10 GM,30150.0,24120.0,8372.66,27135.0,27
RC,0250,Ursodiol Cap 300 MG,1.98,1.59,0.42,10.41,135
RC,0250,Ursodiol Tab 250 MG,4.779999999999999,3.825,1.13,4.95,54
RC,0250,Ursodiol Tab 500 MG,7.09,5.68,1.97,6.38,27
RC,0250,Valacyclovir HCl Tab 1 GM,1.67,1.34,0.42,11.59,162
RC,0250,Valacyclovir HCl Tab 500 MG,2.05,1.64,0.42,3.4,108
RC,0250,Valganciclovir HCl For Soln 50 MG/ML (Base Equiv),397.21000000000004,317.775,100.82,372.23,108
RC,0250,Valganciclovir HCl Tab 450 MG (Base Equivalent),130.06,104.05,5.01,138.47,81
RC,0250,Valine Powder,58.32,46.66,16.2,52.49,27
RC,0250,Valproate Sodium Inj 100 MG/ML,27.14,21.72,7.54,24.43,27
RC,0250,Valproate Sodium Oral Soln 250 MG/5ML (Base Equiv),2.16,1.73,0.42,32.08,243
RC,0250,Valproic Acid Cap 250 MG,1.5,1.2,0.42,1.35,81
RC,0250,Valsartan-Hydrochlorothiazide Tab 160-12.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Valsartan-Hydrochlorothiazide Tab 160-25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Valsartan-Hydrochlorothiazide Tab 320-25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Vancomycin HCl For IV Soln 1 GM (Base Equivalent),56.44,45.155,5.83,101.59,108
RC,0250,Varenicline Tartrate Tab 0.5 MG (Base Equiv),12.25,9.805,3.18,11.75,54
RC,0250,Varenicline Tartrate Tab 1 MG (Base Equiv),10.285,8.23,0.68,16.31,54
RC,0250,Vecuronium Bromide For Inj 10 MG,27.79,22.235,5.83,31.12,459
RC,0250,Vecuronium Bromide For Inj 20 MG,36.91,29.53,5.83,62.29,270
RC,0250,Venetoclax Tab 10 MG,26.38,21.11,6.96,24.91,54
RC,0250,Venetoclax Tab 100 MG,309.2,247.365,76.81,307.63,54
RC,0250,Venetoclax Tab 50 MG,140.495,112.4,34.83,140.0,54
RC,0250,Venlafaxine HCl Cap ER 24HR 150 MG (Base Equivalent),1.595,1.28,0.42,1.52,270
RC,0250,Venlafaxine HCl Cap ER 24HR 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,162
RC,0250,Venlafaxine HCl Cap ER 24HR 75 MG (Base Equivalent),7.715,6.175,0.42,12.54,270
RC,0250,Venlafaxine HCl Tab 100 MG (Base Equivalent),1.5,1.2,0.42,1.35,108
RC,0250,Venlafaxine HCl Tab 25 MG (Base Equivalent),1.5,1.2,0.42,1.35,135
RC,0250,Venlafaxine HCl Tab 37.5 MG (Base Equivalent),1.5,1.2,0.42,1.35,108
RC,0250,Venlafaxine HCl Tab 50 MG (Base Equivalent),1.5,1.2,0.42,1.35,108
RC,0250,Venlafaxine HCl Tab 75 MG (Base Equivalent),1.505,1.205,0.42,1.36,189
RC,0250,Verapamil HCl Cap ER 24HR 120 MG,3.67,2.94,1.02,3.3,27
RC,0250,Verapamil HCl IV Soln 2.5 MG/ML,49.81,39.85,5.83,110.05,378
RC,0250,Verapamil HCl Tab 120 MG,1.5,1.2,0.42,1.35,54
RC,0250,Verapamil HCl Tab 40 MG,1.5,1.2,0.42,1.35,54
RC,0250,Verapamil HCl Tab 80 MG,1.5,1.2,0.42,1.35,54
RC,0250,Verapamil HCl Tab ER 120 MG,2.65,2.12,0.42,3.42,54
RC,0250,Verapamil HCl Tab ER 180 MG,1.5,1.2,0.42,1.35,27
RC,0250,Verapamil HCl Tab ER 240 MG,1.5,1.2,0.42,1.35,27
RC,0250,Vilazodone HCl Tab 10 MG,2.785,2.23,0.7,2.75,54
RC,0250,Vilazodone HCl Tab 20 MG,2.57,2.0599999999999996,0.7,2.37,54
RC,0250,Vilazodone HCl Tab 40 MG,14.024999999999999,11.225,0.83,22.55,54
RC,0250,Vitamin A Inj 15 MG/ML (50000 Unit/ML),1173.6999999999998,938.965,6.73,2090.84,54
RC,0250,Vitamin E Cap 180 MG (400 Unit),1.5,1.2,0.42,1.35,27
RC,0250,Vitamin E Soln 6.75 MG/0.3ML (15 Unit/0.3ML),2.86,2.29,0.79,2.57,27
RC,0250,Vitamins A & D Oint,7.9350000000000005,6.355,1.44,9.61,54
RC,0250,Voriconazole For Susp 40 MG/ML,54.03,43.23,15.0,48.63,27
RC,0250,Voriconazole Half-Tab 100 MG,11.23,8.99,3.12,10.11,27
RC,0250,Voriconazole Tab 200 MG,40.37,32.3,2.82,102.98,135
RC,0250,Vortioxetine HBr Tab 10 MG (Base Equiv),34.99,28.0,9.72,31.49,27
RC,0250,Vortioxetine HBr Tab 20 MG (Base Equiv),34.99,28.0,9.72,31.49,27
RC,0250,Warfarin Sodium Half-Tab 0.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Warfarin Sodium Half-Tab 1.25 MG,1.5,1.2,0.42,1.35,27
RC,0250,Warfarin Sodium Half-Tab 1.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Warfarin Sodium Tab 1 MG,1.5,1.2,0.42,1.35,81
RC,0250,Warfarin Sodium Tab 10 MG,1.5,1.2,0.42,1.35,135
RC,0250,Warfarin Sodium Tab 2 MG,1.5,1.2,0.42,1.35,135
RC,0250,Warfarin Sodium Tab 2.5 MG,1.5,1.2,0.42,1.35,54
RC,0250,Warfarin Sodium Tab 3 MG,1.5,1.2,0.42,1.35,54
RC,0250,Warfarin Sodium Tab 4 MG,1.5,1.2,0.42,1.35,108
RC,0250,Warfarin Sodium Tab 5 MG,1.5,1.2,0.42,1.35,162
RC,0250,Warfarin Sodium Tab 6 MG,1.5,1.2,0.42,1.35,108
RC,0250,Warfarin Sodium Tab 7.5 MG,1.5,1.2,0.42,1.35,81
RC,0250,"Water For Irrigation, Sterile Irrigation Soln",0.02,0.02,0.01,0.02,27
RC,0250,Wound Cleansers - Solution,18.48,14.79,5.13,16.63,27
RC,0250,Zafirlukast Tab 20 MG,2.5,2.0,0.69,2.25,27
RC,0250,Zaleplon Cap 10 MG,1.5,1.2,0.42,1.35,108
RC,0250,Zaleplon Cap 5 MG,1.5,1.2,0.42,1.35,81
RC,0250,Zanamivir Aerosol Powder Breath Activated 5 MG/ACT,152.82,122.26,42.44,137.54,27
RC,0250,Zidovudine Syrup 10 MG/ML,77.11,61.69,21.41,69.4,27
RC,0250,Zinc Oxide Oint 20%,4.78,3.83,1.33,4.3,27
RC,0250,Zinc Oxide Paste 40%,9.7,7.76,2.69,8.73,27
RC,0250,Zinc Sulfate Cap 220 MG (50 MG Elemental Zn),1.5,1.2,0.42,1.35,54
RC,0250,Zinc Sulfate Inj 3 MG/ML,177.92,142.34,25.04,191.45,81
RC,0250,Ziprasidone HCl Cap 20 MG,4.785,3.835,0.42,8.02,108
RC,0250,Ziprasidone HCl Cap 40 MG,2.94,2.36,0.7,6.46,81
RC,0250,Ziprasidone HCl Cap 60 MG,5.295,4.24,0.42,13.19,108
RC,0250,Ziprasidone HCl Cap 80 MG,2.865,2.3,0.42,6.91,135
RC,0250,Zolmitriptan Orally Disintegrating Tab 2.5 MG,122.8,98.24,34.1,110.52,27
RC,0250,Zolmitriptan Tab 2.5 MG,17.69,14.16,1.16,110.52,81
RC,0250,Zolmitriptan Tab 5 MG,19.68,15.75,1.16,129.56,108
RC,0250,Zolpidem Tartrate Half-Tab 2.5 MG,1.5,1.2,0.42,1.35,27
RC,0250,Zolpidem Tartrate Tab 5 MG,1.5,1.2,0.42,1.35,135
RC,0250,Zolpidem Tartrate Tab ER 12.5 MG,8.35,6.68,2.32,7.52,27
RC,0250,Zolpidem Tartrate Tab ER 6.25 MG,8.87,7.1,2.46,7.98,27
RC,0250,Zonisamide Cap 100 MG,1.52,1.22,0.42,1.39,81
RC,0250,Zonisamide Cap 25 MG,1.5,1.2,0.42,1.35,81
RC,0250,"sod citrate 4% prefill syringe,Sodium Citrate IV Soln (PF) Prefilled Syringe 4%,Sodium Citrate Lock Flush IV Soln Pref Syr 120 MG/3ML (4%)",21.0,16.8,5.83,18.9,27
RC,0258,KCl 10 MEQ/L (0.075%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
RC,0258,KCl 20 MEQ/L (0.15%) in Dextrose 5% & NaCl 0.45% Inj,21.0,16.8,5.83,18.9,27
RC,0258,Lactated Ringers's Solution,0.02,0.02,0.01,0.02,27
RC,0258,SOL COLD STORAGE BELZER UW 1L,1102.5,882.0,306.16,992.25,27
RC,0270,DRSG SCAR BIOCORNEUM 20G,243.7,194.96,67.68,219.33,27
RC,0270,MASK CPAP FULL MIRAGEQUATTROLG,405.0,324.0,112.47,364.5,27
RC,0271,ABD BINDER ST TLSO/LSO,50.0,40.0,13.89,45.0,27
RC,0271,ADPTR PYRAMID ICELK 4HL MALE,354.08,283.27,98.33,318.67,27
RC,0271,AFO SANFORD LABOR CHARGE,324.0,259.2,89.97,291.6,27
RC,0271,AID STKNG APPL BIG BUTLER,219.54,175.64,60.97,197.59,27
RC,0271,AID STKNG COMP W HEEL GD 17IN,399.76,319.81,111.01,359.78,27
RC,0271,AIR ASSIST HOVERMATT W COV,440.64,352.52,122.37,396.58,27
RC,0271,AIR ASSIST KT HOVERMATT COVWDG,642.74,514.2,178.49,578.47,27
RC,0271,AIR SLING HOVERMATT W COV,481.95,385.56,133.84,433.76,27
RC,0271,AIR SLING KT HOVERMATT COV WDG,734.27,587.42,203.91,660.84,27
RC,0271,BAND BREAST KT IMPLT STBL,256.2,204.96,71.15,230.58,27
RC,0271,BAND CALF PAD WLKON LFT,192.27,153.82,53.39,173.04,27
RC,0271,BAND WRIST BULLSEYE LG/XL,48.93,39.15,13.59,44.04,27
RC,0271,BAND WRIST BULLSEYE SM/MD,54.6,43.68,15.16,49.14,27
RC,0271,BAND X-TENSION STATICADLT2-4MM,184.95,147.96,51.36,166.46,27
RC,0271,BAR QR SPRING ASSIT DOBBS,675.0,540.0,187.45,607.5,27
RC,0271,BAT PK MAXDRIV 2.0 DISP,1090.49,872.4,302.83,981.44,27
RC,0271,BAT PK MAXDRIVER DISP,1024.25,819.4,284.43,921.83,27
RC,0271,BELT LOCK GASTRO 3000 SZ1,1012.5,810.0,281.17,911.25,27
RC,0271,BELT LOCK GASTRO 3000 SZ2,1012.5,810.0,281.17,911.25,27
RC,0271,BELT LOCK GASTRO 3000 SZ3,1012.5,810.0,281.17,911.25,27
RC,0271,BELT LOCK GASTRO 3000 SZ4,1012.5,810.0,281.17,911.25,27
RC,0271,BELT MATERNITY SI-LOC LG/XL,58.8,47.04,16.33,52.92,27
RC,0271,BELT SACROILIAC XL 46-52IN,42.57,34.06,11.82,38.31,27
RC,0271,BELT SI ASCEND 621 LG,184.22,147.38,51.16,165.8,27
RC,0271,BG BREATHING RSVR ACCT 3L,313.15,250.52,86.96,281.84,27
RC,0271,BINDER BREAST LINED BLU LG,284.93,227.95,79.13,256.44,27
RC,0271,BINDER BREAST LINED BLU MD,284.93,227.95,79.13,256.44,27
RC,0271,BINDER BREAST LINED PNK XL,255.53,204.43,70.96,229.98,27
RC,0271,BITE BLOCK PREC TONGUE DPRSRSM,402.24,321.8,111.7,362.02,27
RC,0271,BITE BLOCK PREC TONGUEDPRSRSTD,395.28,316.23,109.77,355.75,27
RC,0271,BITE BLOCK PRECISE STD,336.96,269.57,93.57,303.26,27
RC,0271,BLN ANORECTAL EXPULSION AIRH2O,274.5,219.6,76.23,247.05,27
RC,0271,BOOT AIR WLK GRY XSM,201.3,161.04,55.9,181.17,27
RC,0271,BOOT HEEL PREVALO*VAT 6343326*,427.2,341.76,118.63,384.48,27
RC,0271,BOOT HEEL PREVALON W WEDGE,347.44,277.96,96.48,312.7,27
RC,0271,BOOT ROOKE HEEL LIFT OSFM,463.2,370.56,128.63,416.88,27
RC,0271,BOOT WLK WDG KT REBOUND UNIV,200.69,160.56,55.73,180.62,27
RC,0271,BRA ANNETTE WIRE OFF WHT 38C,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRE OFF WHT 40B,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRE OFF WHT 40C,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRE OFF WHT 42B,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRE OFF WHT 46DD,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRED BLK/NUDE 40C,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRED BLK/NUDE 42C,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRED BLK/NUDE 44C,185.32,148.26,51.46,166.79,27
RC,0271,BRA ANNETTE WIRED BLK/NUDE44DD,185.32,148.26,51.46,166.79,27
RC,0271,BRA CAMI MAST VALLETTA BLKSZ14,204.35,163.48,56.75,183.92,27
RC,0271,BRA DIANNA WIREFREE BLK 38A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 38AA,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 38B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 40A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 40B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 40C,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 42A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 42B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 42C,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 44A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE BLK 44B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 36AA,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 36B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 38A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 38B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 40A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 40AA,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 40B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 40C,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 42A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 42B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 42C,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 44A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE ROSE 44B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 34B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 38B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 40A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 40B,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 40C,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 44A,185.32,148.26,51.46,166.79,27
RC,0271,BRA DIANNA WIREFREE WHT 44B,185.32,148.26,51.46,166.79,27
RC,0271,BRA LISA ANTHRACITE 44B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA BLK 42A*NLU*,210.45,168.36,58.44,189.41,27
RC,0271,BRA LISA BLU 38A*DISC*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 38AA*DISC*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 38B*DISC*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 38C*DISC*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 40A*DISC*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 40B*DISC 6336026*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 40C*DISC 6336027*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 42A*DISC 6335305*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 42B*DISC 6310012*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA BLU 44B*DISC*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA CHAMPAGNE 44B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA LT BLU 40B*NLU*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA LT BLU 40C*NLU*,195.2,156.16,54.21,175.68,27
RC,0271,BRA LISA PRALINE 38A*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA PRALINE 38B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA PRALINE 40A*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA PRALINE 40B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA PRALINE 42B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA PRALINE 44B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA PRALINE 46B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA SOFT ROSE 36A*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA SOFT ROSE 36AA*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA SOFT ROSE 40AA*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA SOFT ROSE 42B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA SOFT ROSE 44B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA LISA WHT 44B*NLU*,228.75,183.0,63.52,205.88,27
RC,0271,BRA MAGDALENA WIREFREENUDE38B,197.27,157.82,54.78,177.54,27
RC,0271,BRA MAGDALENA WIREFREENUDE38DD,197.27,157.82,54.78,177.54,27
RC,0271,BRA MAGDALENA WIREFREENUDE40B,197.27,157.82,54.78,177.54,27
RC,0271,BRA MAGDALENA WIREFREENUDE44B,197.27,157.82,54.78,177.54,27
RC,0271,BRA MAST L 40AA*DISC NO REPL*,186.05,148.84,51.67,167.45,27
RC,0271,BRA MAST LARA SATIN BGE 36AA,186.05,148.84,51.67,167.45,27
RC,0271,BRA MAST LARA SATIN BGE 38AA,186.05,148.84,51.67,167.45,27
RC,0271,BRA MAST LARA SATIN BGE 40A,186.05,148.84,51.67,167.45,27
RC,0271,BRA MAST LARA SATIN BLK 38AA,186.05,148.84,51.67,167.45,27
RC,0271,BRA MAST LARA SATIN BLK 40AA,186.05,148.84,51.67,167.45,27
RC,0271,BRA MAST LARA SATIN BLK 42AA,186.05,148.84,51.67,167.45,27
RC,0271,BRA SALVIA CHAMPAGNE 40B*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHAMPAGNE 42B*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHAMPAGNE 44B*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHAMPAGNE 50B*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHMP 34A*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHMP 36A*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHMP 38A*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHMP 38C*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SALVIA CHMP 40A*NLU*,289.75,231.8,80.46,260.78,27
RC,0271,BRA SURG DRN VELC ELIZABETH SM,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG DRN VELC ELIZABETH2XL,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG DRN VELC ELIZABETH3XL,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG DRN VELC ELIZABETH4XL,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG DRN VELC ELIZABETH5XL,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG ELIZABETH PNK XS,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG HOOK FRONT BLK 2XL,272.16,217.73,75.58,244.94,27
RC,0271,BRA SURG HOOK FRONT BLK LG,272.16,217.73,75.58,244.94,27
RC,0271,BRA SURG HOOK FRONT BLK MD,272.16,217.73,75.58,244.94,27
RC,0271,BRA SURG HOOK FRONT BLK XL,272.16,217.73,75.58,244.94,27
RC,0271,BRA SURG VELC EL*DISC 6337610*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337611*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337612*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337613*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337614*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337615*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337616*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC EL*DISC 6337617*,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC ELIZABETH LG,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC ELIZABETH MD,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC ELIZABETH XL,195.2,156.16,54.21,175.68,27
RC,0271,BRA SURG VELC QN,295.54,236.44,82.07,265.99,27
RC,0271,BRA SURG ZIP BGE 42D/E,241.56,193.25,67.08,217.4,27
RC,0271,BRC AFO 3D PRINTED CUST,720.0,576.0,199.94,648.0,27
RC,0271,BRC AFO FX ORTHO TIB LFT MD,1342.91,1074.33,372.93,1208.62,27
RC,0271,BRC AFO PSTRLATNOODLEPEDSLFTLG,1012.5,810.0,281.17,911.25,27
RC,0271,BRC ANK MALLEOLC LFT SZ1,311.85,249.48,86.6,280.67,27
RC,0271,BRC ANK MALLEOLC RT SZ1,311.85,249.48,86.6,280.67,27
RC,0271,BRC ANK MALLEOLC RT SZ2,311.85,249.48,86.6,280.67,27
RC,0271,BRC ANK MALLEOLK LT II,311.85,249.48,86.6,280.67,27
RC,0271,BRC ANK TIB ORTHS LG,563.63,450.91,156.52,507.27,27
RC,0271,BRC ANK TIB ORTHS MD,563.63,450.91,156.52,507.27,27
RC,0271,BRC ANK TIB ORTHS SM,563.63,450.91,156.52,507.27,27
RC,0271,BRC ANK TIB ORTHS XL,563.63,450.91,156.52,507.27,27
RC,0271,BRC CTLSO BIVALV FLEX ST CUST,2630.94,2104.76,730.61,2367.85,27
RC,0271,BRC ELBOW GONIOMETER BLU ADLT,625.5,500.4,173.7,562.95,27
RC,0271,BRC ELBOW GONIOMETERGRNPEDSLG,621.32,497.06,172.54,559.19,27
RC,0271,BRC ELBOW PUSH EPI7.75-13.75IN,49.49,39.6,13.74,44.54,27
RC,0271,BRC ELBOW TSCOPE LFT REG,392.04,313.64,108.87,352.84,27
RC,0271,BRC EXTNDR ARM ELBOW LFT,452.16,361.73,125.56,406.94,27
RC,0271,BRC EXTNDR ARM ELBOW RT,452.16,361.73,125.56,406.94,27
RC,0271,BRC FT ANK PODUS CHILD 5-7IN,373.34,298.68,103.68,336.01,27
RC,0271,BRC FT BABY ORTHS 1.75X2.25,257.48,205.99,71.5,231.73,27
RC,0271,BRC HAND REST SOFTPRO LFT MD,310.23,248.19,86.15,279.21,27
RC,0271,BRC HIP GRY LFT 17-19IN SM,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY LFT 20-22IN MD,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY LFT 23-25IN LG,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY LFT 26-28IN XL,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY LFT 29-31IN 2XL,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY RT 17-19IN SM,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY RT 20-22IN MD,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY RT 23-25IN LG,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY RT 26-28IN XL,277.37,221.9,77.03,249.63,27
RC,0271,BRC HIP GRY RT 29-31IN 2XL,277.37,221.9,77.03,249.63,27
RC,0271,BRC HUMR FRAC PREFORMED LNG MD,152.64,122.12,42.39,137.38,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ0,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ1,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ2,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ3,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ4,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ5,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ6,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE GENUTRAIN BLK SZ7,282.15,225.72,78.35,253.94,27
RC,0271,BRC KNEE INCREDIBRC GRY 3XL,201.24,161.0,55.88,181.12,27
RC,0271,BRC KNEE LAT J LFT XL,203.13,162.51,56.41,182.82,27
RC,0271,BRC KNEE WEB REACTION MD/LG,289.6,231.68,80.42,260.64,27
RC,0271,BRC KNEE WEB REACTION XL/2XL,289.6,231.68,80.42,260.64,27
RC,0271,BRC KNEE WEB REACTION XS/SM,289.6,231.68,80.42,260.64,27
RC,0271,BRC KNEE WEEROM POSTOPUNIVPEDS,451.01,360.81,125.25,405.91,27
RC,0271,BRC LSO BIVALV FLEXFOAM,2249.68,1799.75,624.74,2024.71,27
RC,0271,BRC LUMB VISTA 627,493.83,395.07,137.14,444.45,27
RC,0271,BRC METACARPAL GALVESTON LG,317.57,254.06,88.19,285.81,27
RC,0271,BRC METACARPAL GALVESTON MD,317.57,254.06,88.19,285.81,27
RC,0271,BRC METACARPAL GALVESTON SM,317.57,254.06,88.19,285.81,27
RC,0271,BRC METACARPAL GALVESTON XL,317.57,254.06,88.19,285.81,27
RC,0271,BRC PELVIC TRAUMA,571.28,457.03,158.64,514.15,27
RC,0271,BRC SHLDR GRY 11-13IN MD,277.49,222.0,77.06,249.74,27
RC,0271,BRC SHLDR GRY 13-15IN LG,277.49,222.0,77.06,249.74,27
RC,0271,BRC SHLDR GRY 15-18IN XL,277.49,222.0,77.06,249.74,27
RC,0271,BRC SHLDR GRY 9-11IN SM,277.49,222.0,77.06,249.74,27
RC,0271,BRC SHLDR NEOP BLK LG,265.05,212.04,73.6,238.55,27
RC,0271,BRC SHLDR NEOP BLK XL,265.05,212.04,73.6,238.55,27
RC,0271,BRC SHLDR SULLY STBL MD,458.33,366.67,127.28,412.5,27
RC,0271,BRC SHLDR SULLY STBL SM,458.33,366.67,127.28,412.5,27
RC,0271,BRC SHLDR SULLY STBL XL,458.33,366.67,127.28,412.5,27
RC,0271,BRC TLSO SURESTEP CUST,1596.0,1276.8,443.21,1436.4,27
RC,0271,BRC ULNA WRISTWIDGET BLK UNIV,54.29,43.44,15.08,48.86,27
RC,0271,BTL VACUUM PLEURX 1000ML,189.1,151.28,52.51,170.19,27
RC,0271,CANN NASAL OPTIFLOW JR 2 MD,261.69,209.36,72.67,235.52,27
RC,0271,CANN NASAL OPTIFLOW JR 2 SM,261.69,209.36,72.67,235.52,27
RC,0271,CANN NASAL ST PRONG OPTIFLOWJR,251.32,201.06,69.79,226.19,27
RC,0271,CANN VEN RT ANG RMI TF 30FR,318.6,254.88,88.48,286.74,27
RC,0271,CAP DIAPHRAGM SET HFOV 3100A,214.72,171.78,59.63,193.25,27
RC,0271,CAP SCAN SMARTSOC MD/LG*NLU*,1307.84,1046.28,363.19,1177.06,27
RC,0271,CAP SCAN SMARTSOC SM/MD*NLU*,136.67,109.34,37.95,123.0,27
RC,0271,CAP SCAN SMARTSOC XS*NLU*,615.02,492.02,170.79,553.52,27
RC,0271,CAP TOE RDCTN KT CIRCAID BGELG,313.2,250.56,86.98,281.88,27
RC,0271,CAP TOE RDCTN KT CIRCAID BGEXL,313.2,250.56,86.98,281.88,27
RC,0271,CAPSULE AGILE PAT*DISC 6313543,183.0,146.4,50.82,164.7,27
RC,0271,CAPSULE PILLCAM AGILE PATENCY,195.2,156.16,54.21,175.68,27
RC,0271,CAPSULE PILLCAM SB-3 12HR,2067.24,1653.8,574.07,1860.52,27
RC,0271,CAPSULE PILLCAMS B-3 8HR,2067.24,1653.8,574.07,1860.52,27
RC,0271,CART100MMHG60*DISC NO REPL*,611.19,488.96,169.73,550.07,27
RC,0271,CAST SYS TCC-EZ NO BOOT 3IN,474.24,379.4,131.7,426.82,27
RC,0271,CAST SYS TCC-EZ NO BOOT 4IN,478.8,383.04,132.96,430.92,27
RC,0271,CAST SYS TCC-EZ W 1 BOOT 4IN,2928.66,2342.93,813.29,2635.79,27
RC,0271,CAST SYS TCC-EZ W 2 BOOT 3IN,2928.66,2342.93,813.29,2635.79,27
RC,0271,CBL INTERSTIM W/GP,281.82,225.46,78.26,253.64,27
RC,0271,CHARGER KT BAT INCEPTIV,3206.0,2564.8,890.31,2885.4,27
RC,0271,CHARGER SYS DBS LIBERTA RC,7000.0,5600.0,1943.9,6300.0,27
RC,0271,CIRCUIT BREATHING ADLT 240CM,290.91,232.73,80.79,261.82,27
RC,0271,CIRCUIT BREATHING NEOVALV300CM,406.94,325.56,113.01,366.25,27
RC,0271,CIRCUIT BREATHING SET 180CM,269.38,215.51,74.81,242.44,27
RC,0271,CIRCUIT DUAL HEAT W FLTR ADLT,384.0,307.2,106.64,345.6,27
RC,0271,CIRCUIT DUAL HEAT W PRSS NEO,456.0,364.8,126.63,410.4,27
RC,0271,CIRCUIT EVAQUA DUAL WOFLTRADLT,188.19,150.56,52.26,169.37,27
RC,0271,CIRCUIT HUMIDIFIER FLEX MR850,1222.83,978.27,339.58,1100.55,27
RC,0271,CIRCUIT MIE SYNCLARA 5PK,183.0,146.4,50.82,164.7,27
RC,0271,CIRCUIT OPTIFLOW JR,295.24,236.2,81.99,265.72,27
RC,0271,CIRCUIT PT HEAT VIVO 45LS,384.0,307.2,106.64,345.6,27
RC,0271,CIRCUIT SPU METANEB W NEB,369.6,295.68,102.64,332.64,27
RC,0271,CIRCUIT VENTILATOR SGL ADLT 72,202.83,162.27,56.33,182.55,27
RC,0271,CLIP CPAP MASK MAGNETAIRFITN20,183.37,146.7,50.92,165.03,27
RC,0271,CNTRLR PT INFINI*DISC 6333197*,2880.0,2304.0,799.78,2592.0,27
RC,0271,CNTRLR THERAPY KT MYSCS GO,3564.4,2851.52,989.83,3207.96,27
RC,0271,COLAR BACK PNL VISTA LG,235.46,188.37,65.39,211.91,27
RC,0271,COLAR CERV CUST 0,333.33,266.67,92.57,300.0,27
RC,0271,COLAR CERV CUST 00,333.33,266.67,92.57,300.0,27
RC,0271,COLAR CERV CUST PEDS*NLU*,46.0,36.8,12.77,41.4,27
RC,0271,COLAR CERV SET A*DISC 6180898*,281.27,225.02,78.11,253.14,27
RC,0271,COMMUNICATOR COMCONNECTIVITY,1134.0,907.2,314.91,1020.6,27
RC,0271,COOLER UNIT CUBE,307.8,246.24,85.48,277.02,27
RC,0271,COOLER UNIT CUBE COMBO KNEE XL,417.41,333.93,115.91,375.67,27
RC,0271,COOLER UNIT GLACIER,443.42,354.74,123.14,399.08,27
RC,0271,COOLER UNIT POLAR CARE WAVE,769.5,615.6,213.69,692.55,27
RC,0271,COV FT SOLE RIGID IMPAD LG,761.63,609.31,211.5,685.47,27
RC,0271,COV FT SOLE RIGID IMPAD MD,746.64,597.32,207.34,671.98,27
RC,0271,CRADLE CPAP NASAL AIRFITN30 MD,283.65,226.92,78.77,255.29,27
RC,0271,CRADLE CPAP NASAL AIRFITN30 SM,283.65,226.92,78.77,255.29,27
RC,0271,CRADLECPAPNASALAIRFITN30WIDESM,283.65,226.92,78.77,255.29,27
RC,0271,CUFF BP FINGER CLEARSIGHTMP LG,1752.16,1401.73,486.57,1576.94,27
RC,0271,CUFF BP FINGER CLEARSIGHTMP MD,1752.16,1401.73,486.57,1576.94,27
RC,0271,CUFF BP FINGER CLEARSIGHTMP SM,1752.16,1401.73,486.57,1576.94,27
RC,0271,CUP SUCT LUCAS 2 DISP PK12,244.12,195.3,67.79,219.71,27
RC,0271,CUSH CPAP NASAL DREAMWEARFITPK,281.82,225.46,78.26,253.64,27
RC,0271,CUSH CPAP WISP PEDS MD,212.1,169.68,58.9,190.89,27
RC,0271,CUSH HD CHAMFERED HALF 20X35CM,318.6,254.88,88.48,286.74,27
RC,0271,CUSH HD SUPP ACCUFORM 20X25CM,271.3,217.04,75.34,244.17,27
RC,0271,CUSH HD SUPP ACCUFORM 20X45CM,388.8,311.04,107.97,349.92,27
RC,0271,CUSH HD SUPP ACCUFORM 40X60CM,661.5,529.2,183.7,595.35,27
RC,0271,CUSH HD SUPP CHAMFERED 20X35CM,345.6,276.48,95.97,311.04,27
RC,0271,CUSH HD SUPP CUST TYPE-S,1659.0,1327.2,460.7,1493.1,27
RC,0271,CUSH HD SUPP TYPE-S 55X65CM,787.5,630.0,218.69,708.75,27
RC,0271,CUSH HEEL VISCOSPOT SZ1,217.89,174.32,60.51,196.1,27
RC,0271,CUSH HEEL VISCOSPOT SZ2,50.01,40.01,13.89,45.01,27
RC,0271,CUSH OTN FOR AF541 SM,271.88,217.51,75.5,244.69,27
RC,0271,CUTTER DC REMOV SET 12,1868.4,1494.72,518.85,1681.56,27
RC,0271,DEV MON WLK WALKSMART*NLU*,675.0,540.0,187.45,607.5,27
RC,0271,DEV OSKA PULSE PAIN RELIE*NLU*,1675.8,1340.64,465.37,1508.22,27
RC,0271,DEV VASC CLSR FEMOSTOP 4-10FR,441.6,353.28,122.63,397.44,27
RC,0271,DIVERTER CMNT NEXTEL,297.0,237.6,82.48,267.3,27
RC,0271,DONNING TB SHRINKER 6IN,410.06,328.05,113.87,369.05,27
RC,0271,DONNING TB SHRINKER 8IN,479.42,383.54,133.13,431.48,27
RC,0271,ED NITROUS OXIDE,90.0,72.0,24.99,81.0,27
RC,0271,ELEVA LEG EDEMA REG,462.38,369.91,128.4,416.14,27
RC,0271,ELTD DEFIB FRX SMART PADS II,218.62,174.9,60.71,196.76,27
RC,0271,ELTD DEFIB MDTR REDI-PAK,204.72,163.78,56.85,184.25,27
RC,0271,ELTD DEFIB RTP MDTR,219.23,175.39,60.88,197.31,27
RC,0271,ELTD DEFIB STAT-P*DUP 6214900*,295.0,236.0,81.92,265.5,27
RC,0271,ELTD EMG KT EASYAIM1 ETTB2.5-5,675.0,540.0,187.45,607.5,27
RC,0271,ELTD RF VENOM NIT 100MM*NLU*,5540.11,4432.09,1538.49,4986.1,27
RC,0271,EXER HAND POWER GRIP SCRH,243.7,194.96,67.68,219.33,27
RC,0271,EXER HAND RESISTIVE SLAS DELX,367.74,294.2,102.12,330.97,27
RC,0271,EXER HAND RESISTIVE SLAS PRO,378.53,302.83,105.12,340.68,27
RC,0271,FITPAK CPAP DREAMWEAR HDGEARMD,257.18,205.75,71.42,231.46,27
RC,0271,FITPAK CPAP NASAL NOVA MICROSM,298.9,239.12,83.0,269.01,27
RC,0271,FITPAK CPAP NASAL SOLO SM,313.2,250.56,86.98,281.88,27
RC,0271,FITPAK CPAP PILLOW SOLO SM,361.8,289.44,100.47,325.62,27
RC,0271,FLTR VENT MICROGUARD II *NLU*,305.0,244.0,84.7,274.5,27
RC,0271,FLTR WATER TRAP AVEA DISP,219.91,175.93,61.07,197.92,27
RC,0271,FOOTPC INSRT LFT MD,315.58,252.47,87.64,284.02,27
RC,0271,FORM BREAST ABC DIMND LFT SZ10,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND LFT SZ4,645.75,516.6,179.32,581.18,27
RC,0271,FORM BREAST ABC DIMND LFT SZ5,645.75,516.6,179.32,581.18,27
RC,0271,FORM BREAST ABC DIMND LFT SZ6,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND LFT SZ8,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST ABC DIMND LFT SZ9,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND RT SZ10,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND RT SZ4,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND RT SZ5,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND RT SZ6,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND RT SZ8,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND SZ4,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC DIMND SZ5,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST ABC DIMND SZ6,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST ABC DIMND SZ7,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST ABC MYFORM SZ8,760.5,608.4,211.19,684.45,27
RC,0271,FORM BREAST ABC SYM SZ6,589.5,471.6,163.7,530.55,27
RC,0271,FORM BREAST ABC SYM SZ7,589.5,471.6,163.7,530.55,27
RC,0271,FORM BREAST ABC SYM SZ8,544.5,435.6,151.21,490.05,27
RC,0271,FORM BREAST ABC SYM SZ9,437.76,350.21,121.57,393.98,27
RC,0271,FORM BREAST ACTIVE SZ3,185.2,148.16,51.43,166.68,27
RC,0271,FORM BREAST ACTIVE SZ4,185.2,148.16,51.43,166.68,27
RC,0271,FORM BREAST ACTIVE SZ5,185.2,148.16,51.43,166.68,27
RC,0271,FORM BREAST ACTIVE SZ9,185.2,148.16,51.43,166.68,27
RC,0271,FORM BREAST ASYM AIR LFT SZ10,454.5,363.6,126.21,409.05,27
RC,0271,FORM BREAST ASYM AIR LFT SZ7,454.5,363.6,126.21,409.05,27
RC,0271,FORM BREAST ASYM AIR LFT SZ9,454.5,363.6,126.21,409.05,27
RC,0271,FORM BREAST ASYM AIR RT SZ7,454.5,363.6,126.21,409.05,27
RC,0271,FORM BREAST ASYM AIR RT SZ9,544.5,435.6,151.21,490.05,27
RC,0271,FORM BREAST CLASC TRIANG SZ10,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST CLASC TRIANG SZ2,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST CLASC TRIANG SZ4,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST CLASC TRIANG SZ5,716.76,573.41,199.04,645.08,27
RC,0271,FORM BREAST CLASC TRIANG SZ6,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST CLASC TRIANG SZ7,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST CLASC TRIANG SZ8,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST CLASC TRIANG SZ9,700.92,560.74,194.65,630.83,27
RC,0271,FORM BREAST DELTA IVORY SZ0.50,460.56,368.45,127.9,414.5,27
RC,0271,FORM BREAST DELTA IVORY SZ0.75,460.56,368.45,127.9,414.5,27
RC,0271,FORM BREAST DELTA IVORY SZ5/6,460.56,368.45,127.9,414.5,27
RC,0271,FORM BREAST DELTA IVORY SZ7/8,460.56,368.45,127.9,414.5,27
RC,0271,FORM BREAST DELTA IVORY SZ9/10,460.56,368.45,127.9,414.5,27
RC,0271,FORM BREAST DIMND SZ9,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST DUAL TRIANG SZ1,475.2,380.16,131.96,427.68,27
RC,0271,FORM BREAST DUAL TRIANG SZ7,475.2,380.16,131.96,427.68,27
RC,0271,FORM BREAST DUAL TRIANG SZ8,589.5,471.6,163.7,530.55,27
RC,0271,FORM BREAST FLOWABLE BACK SZ10,454.5,363.6,126.21,409.05,27
RC,0271,FORM BREAST FLOWABLE LFT SZ10,566.28,453.03,157.26,509.65,27
RC,0271,FORM BREAST FLOWABLE LFT SZ6,578.16,462.53,160.56,520.34,27
RC,0271,FORM BREAST FLOWABLE LFT SZ7,578.16,462.53,160.56,520.34,27
RC,0271,FORM BREAST FLOWABLE LFT SZ8,578.16,462.53,160.56,520.34,27
RC,0271,FORM BREAST FLOWABLE LFT SZ9,578.16,462.53,160.56,520.34,27
RC,0271,FORM BREAST LT 3S IVORY,814.5,651.6,226.19,733.05,27
RC,0271,FORM BREAST MASSA*USE 6281778*,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST MASSAGE SHAPER SZ3,597.96,478.37,166.05,538.16,27
RC,0271,FORM BREAST MASSAGE SHAPER SZ5,609.84,487.88,169.35,548.86,27
RC,0271,FORM BREAST MASSAGE SHAPER SZ7,609.84,487.88,169.35,548.86,27
RC,0271,FORM BREAST MASSAGE SZ6,747.0,597.6,207.44,672.3,27
RC,0271,FORM BREAST MASSAGE SZ8,778.5,622.8,216.19,700.65,27
RC,0271,FORM BREAST SOFT TRIANG SZ9,605.48,484.39,168.14,544.93,27
RC,0271,FORM BREAST TRIANG AIR SZ1,454.5,363.6,126.21,409.05,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ2,551.48,441.19,153.15,496.33,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ3,654.53,523.63,181.76,589.08,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ4,681.12,544.9,189.15,613.01,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ5,681.12,544.9,189.15,613.01,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ6,681.12,544.9,189.15,613.01,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ7,674.19,539.36,187.22,606.77,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ8,681.12,544.9,189.15,613.01,27
RC,0271,FORM BREAST XTRALT 2SNIVORYSZ9,681.12,544.9,189.15,613.01,27
RC,0271,FORM BREAST XTRALT2SNIVORYSZ10,681.12,544.9,189.15,613.01,27
RC,0271,FORM BREAST XTRALT2SNIVORYSZ11,681.12,544.9,189.15,613.01,27
RC,0271,GAS DEL SYS UNIPU*DUP 6348568*,675.0,540.0,187.45,607.5,27
RC,0271,GAS DEL SYS UNIPURE C3F8,1034.96,827.97,287.41,931.46,27
RC,0271,GAS DEL SYS UNIPURE SF6,675.0,540.0,187.45,607.5,27
RC,0271,GAS IO ISPAN SF6 ACCURUS 20GM,1886.4,1509.12,523.85,1697.76,27
RC,0271,GAUNTLET BELLALITE BGE 20-30MD,240.77,192.62,66.86,216.69,27
RC,0271,GD GLENO RVRS BLUEPRINT,2520.0,2016.0,699.8,2268.0,27
RC,0271,GD PSI 3D HIP MAP-CHECK-PIVOT,3279.0,2623.2,910.58,2951.1,27
RC,0271,GD REV PLANNING BLUPRINT 3D,1944.0,1555.2,539.85,1749.6,27
RC,0271,GD REV PLANNING VIP,3200.0,2560.0,888.64,2880.0,27
RC,0271,GD SHLDRGLENOPERFORM+BLUEPRINT,2520.0,2016.0,699.8,2268.0,27
RC,0271,GENRTR NCPAP-PS VENT NICU,191.66,153.33,53.22,172.49,27
RC,0271,GIRDLE AK WOM BGE LG,354.94,283.96,98.57,319.45,27
RC,0271,GIRDLE AK WOM BGE MD,385.92,308.74,107.17,347.33,27
RC,0271,GIRDLE AK WOM BGE XL,354.94,283.96,98.57,319.45,27
RC,0271,GIRDLE AK WOM BLK 2XL,634.5,507.6,176.2,571.05,27
RC,0271,GIRDLE AK WOM BLK 3XL,634.5,507.6,176.2,571.05,27
RC,0271,GIRDLE AK WOM BLK LG,592.2,473.76,164.45,532.98,27
RC,0271,GIRDLE AK WOM BLK MD,592.2,473.76,164.45,532.98,27
RC,0271,GIRDLE AK WOM BLK XL,592.2,473.76,164.45,532.98,27
RC,0271,GIRDLE BRIEF MALE BLK 3XL,424.8,339.84,117.97,382.32,27
RC,0271,GIRDLE HIGH BIKINI ZIP BLK SM,403.2,322.56,111.97,362.88,27
RC,0271,GIRDLE MIDCALF WOM BGE 2XL,533.25,426.6,148.08,479.93,27
RC,0271,GIRDLE MIDCALF WOM BGE LG,533.25,426.6,148.08,479.93,27
RC,0271,GIRDLE MIDCALF WOM BGE MD,533.25,426.6,148.08,479.93,27
RC,0271,GIRDLE MIDCALF WOM BGE SM,533.25,426.6,148.08,479.93,27
RC,0271,GIRDLE MIDCALF WOM BGE XL,533.25,426.6,148.08,479.93,27
RC,0271,GLIDE SHEETPREVALONAIRTAP*CIP*,630.0,504.0,174.95,567.0,27
RC,0271,GLIDESHTPREVALONA*VAT 6348452*,810.0,648.0,224.94,729.0,27
RC,0271,GLOVE COMP BGE 20-30 LG,301.05,240.84,83.6,270.95,27
RC,0271,GLOVE COMP BGE 20-30 MD,301.05,240.84,83.6,270.95,27
RC,0271,GLOVE COMP BGE 20-30 SM,301.05,240.84,83.6,270.95,27
RC,0271,GLOVE COMP BGE 20-30 XL,301.05,240.84,83.6,270.95,27
RC,0271,GLOVE COMP OPEN BGE 20-30 SZ2,328.27,262.62,91.16,295.44,27
RC,0271,GLOVE COMP OPEN BGE 20-30 SZ3,328.27,262.62,91.16,295.44,27
RC,0271,GLOVE COMP SOFT BGE 20-30 RTMD,341.55,273.24,94.85,307.4,27
RC,0271,GLOVE COMP WRIST BLK RT MD,360.24,288.2,100.04,324.22,27
RC,0271,GLV HARMONY SAND 20-30 SZ2,328.27,262.62,91.16,295.44,27
RC,0271,GLV HARMONY SAND 20-30 SZ5,328.27,262.62,91.16,295.44,27
RC,0271,GLV HARMONY SAND 20-30 SZ6,328.27,262.62,91.16,295.44,27
RC,0271,GLV OF SECURE BGE 15-20 LG,274.5,219.6,76.23,247.05,27
RC,0271,GLV OF SIGSECURE 20-30 BGE LG,274.5,219.6,76.23,247.05,27
RC,0271,GRID PLATE SENTI*DISC 6342427*,237.47,189.98,65.95,213.72,27
RC,0271,HALO CERV BREMER CROWN SM19-23,3095.57,2476.46,859.64,2786.01,27
RC,0271,HANDPC ABC HAND CTRL DISP,692.91,554.33,192.42,623.62,27
RC,0271,HANDPC HYDRODEBRIDER FRNTL,1390.2,1112.16,386.06,1251.18,27
RC,0271,HANDPC HYDRODEBRIDER STD,1390.2,1112.16,386.06,1251.18,27
RC,0271,HARNESS PAVLIK 12-14.5IN XS,323.73,258.99,89.9,291.36,27
RC,0271,HARNESS PAVLIK 14-16.5IN SM,323.73,258.99,89.9,291.36,27
RC,0271,HARNESS PAVLIK 16-18.5IN MD,323.73,258.99,89.9,291.36,27
RC,0271,HARNESS PAVLIK 18-21IN LG,323.73,258.99,89.9,291.36,27
RC,0271,HARNESS PAVLIK >21IN XL*NLU*,382.05,305.64,106.1,343.85,27
RC,0271,HARNESS PT LIFT EZWAY STAND MD,1078.14,862.52,299.4,970.33,27
RC,0271,HDBAND EEG CERI ELAS DISP ADLT,2300.4,1840.32,638.82,2070.36,27
RC,0271,HDBAND EEG CERI ELAS DISP SM,2300.4,1840.32,638.82,2070.36,27
RC,0271,HDGEAR 4PNT AF541A EELK1 UTN,377.51,302.01,104.83,339.76,27
RC,0271,HDGEAR 4PNT AF541B EELK1 UTN,376.43,301.15,104.53,338.79,27
RC,0271,HDGEAR 4PNT AF541C EELK1 UTN,375.46,300.37,104.27,337.91,27
RC,0271,HDGEAR CPAP DREA*DISC NO REPL*,277.61,222.09,77.09,249.85,27
RC,0271,HEEL PROTECT FOOTCHECK PET,207.83,166.27,57.71,187.05,27
RC,0271,HEEL PROTECT ME*SCMVA 6347446*,207.83,166.27,57.71,187.05,27
RC,0271,HEEL PROTECT WD*SCMVA 6347448*,329.4,263.52,91.47,296.46,27
RC,0271,HEEL PROTECT WDG FOOTCHECK STD,231.8,185.44,64.37,208.62,27
RC,0271,HEEL PROTECT WDG FOOTCHECK XL,329.4,263.52,91.47,296.46,27
RC,0271,HEEL PROTECT WDG MEDIX STD,231.8,185.44,64.37,208.62,27
RC,0271,HELMET CRANI FLEXPLUSWHTPEDSMD,749.88,599.91,208.24,674.89,27
RC,0271,HELMET CRANI ORTHO NONMOLDED,940.5,752.4,261.18,846.45,27
RC,0271,HELMET CRANI SOFT SHELL BLK LG,99.0,79.2,27.49,89.1,27
RC,0271,HELMET CRANI SOFT SHELL BLK XL,99.0,79.2,27.49,89.1,27
RC,0271,HELMET CRANI SOFT SHELL BLK XS,475.2,380.16,131.96,427.68,27
RC,0271,HELMET CRANI SOFT SHELL BLK2XL,209.0,167.2,58.04,188.1,27
RC,0271,HELMET CRANI SOFT SHELL TAN LG,491.27,393.02,136.43,442.14,27
RC,0271,HELMET CRANI SOFT SHELL TAN MD,553.1,442.48,153.6,497.79,27
RC,0271,HELMET CRANI SOFT SHELL TAN SM,579.15,463.32,160.83,521.24,27
RC,0271,HELMET CRANI SOFT SHELL TAN XL,491.27,393.02,136.43,442.14,27
RC,0271,HELMET CRANI SOFT SHELLBLKCUST,828.0,662.4,229.94,745.2,27
RC,0271,HELMET CRANI SOFT*DUP 6224256*,579.15,463.32,160.83,521.24,27
RC,0271,HELMET CRANI WHT ADLT MD*NLU*,547.88,438.31,152.15,493.09,27
RC,0271,HELMET CRANI WHT ADLT XS*NLU*,1125.6,900.48,312.58,1013.04,27
RC,0271,HELMET HARD SHELL LG*NLU*,742.95,594.36,206.32,668.66,27
RC,0271,HLDR CATH SAFE STRIP ANYCLR2PK,213.5,170.8,59.29,192.15,27
RC,0271,HNDL W PISTOL GRIP HAND CTRL,880.2,704.16,244.43,792.18,27
RC,0271,HOSIERY CLSD BLK20-30SHRTSZ2,359.37,287.5,99.8,323.43,27
RC,0271,HOSIERY CMFT BGE 20-30 SZ2,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY CMFT BGE 30-40 SZ5,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY CMFT BGE 30-40PETSZ2,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY CMFT BLK 20-30 SZ3,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY CMFT BLK 20-30 SZ4,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY CMFT BLK 20-30 SZ5,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY CMFT MAT NAT 15-20 SZ3,222.47,177.98,61.78,200.22,27
RC,0271,HOSIERY DUOMED BGE 30-40 STDXL,190.81,152.65,52.99,171.73,27
RC,0271,HOSIERY DYNMC BGE 34-46 CUST,778.5,622.8,216.19,700.65,27
RC,0271,HOSIERY EVERSHR HNY 20-30LNGMD,283.5,226.8,78.73,255.15,27
RC,0271,HOSIERY MATERNITY BLK20-30SM,370.01,296.01,102.75,333.01,27
RC,0271,HOSIERY MATERNITY NAT SM,256.38,205.11,71.2,230.74,27
RC,0271,HOSIERY MATERNITYBGE20-30SZ1,320.06,256.05,88.88,288.05,27
RC,0271,HOSIERY MATERNITYBGE20-30SZ6,320.06,256.05,88.88,288.05,27
RC,0271,HOSIERY MDVN SS NAT20-30STDSZ2,291.33,233.07,80.9,262.2,27
RC,0271,HOSIERY OPQ NAT 20-30 MD,348.46,278.77,96.77,313.61,27
RC,0271,HOSIERY OPQ NAT 30-40 LG,348.46,278.77,96.77,313.61,27
RC,0271,HOSIERY SELECT GLDEN20-30LNGMD,281.39,225.12,78.14,253.25,27
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ1,388.8,311.04,107.97,349.92,27
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ2,388.8,311.04,107.97,349.92,27
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ3,388.8,311.04,107.97,349.92,27
RC,0271,HOSIERY SOFT BGE 20-30 SHRTSZ4,388.8,311.04,107.97,349.92,27
RC,0271,HOSIERY SOFT BGE 30-40 REG SZ3,366.0,292.8,101.64,329.4,27
RC,0271,HOSIERY SOFT BLK CT20-30REGSZ3,366.0,292.8,101.64,329.4,27
RC,0271,HOSIERY SOFT BLKCT20-30SHRTSZ2,366.0,292.8,101.64,329.4,27
RC,0271,HOSIERY ULT BGE 15-20 SM,219.36,175.49,60.92,197.42,27
RC,0271,HOSIERY ULT HNY 20-30 MD,388.8,311.04,107.97,349.92,27
RC,0271,HOSIERY ULT NAT 20-30 MD,348.46,278.77,96.77,313.61,27
RC,0271,HOSIERY ULT NAVY 15-20 MD,262.3,209.84,72.84,236.07,27
RC,0271,HOSIERY ULT TAN 15-20 MD,219.36,175.49,60.92,197.42,27
RC,0271,HOSIERY WOM BLK 20-30 MD SHRT,283.5,226.8,78.73,255.15,27
RC,0271,HOSIERYMATERNITYPETBGE20-30SZ4,320.06,256.05,88.88,288.05,27
RC,0271,HOSIERYMATERNITYPETBGE20-30SZ5,320.06,256.05,88.88,288.05,27
RC,0271,HOSP ONCALL CHARGE CONT HR,75.0,60.0,20.83,67.5,27
RC,0271,HOSP ONCALL CHARGE INITIAL 2HR,150.0,120.0,41.66,135.0,27
RC,0271,HUMIDIFIER CPAP HEATED HC550,2859.74,2287.8,794.15,2573.77,27
RC,0271,HUMIDIFIER KT RESP UNFILLED480,1012.5,810.0,281.17,911.25,27
RC,0271,IMMOB AIR WLK FM*DISC 6333055*,249.73,199.79,69.35,224.76,27
RC,0271,INSOLE COMPETE POSTED MEN SZ14,183.0,146.4,50.82,164.7,27
RC,0271,INSOLE COMPETE POSTED WOM SZ10,183.0,146.4,50.82,164.7,27
RC,0271,INSOLE COMPETE POSTED WOM SZ8,183.0,146.4,50.82,164.7,27
RC,0271,INSOLE COMPETE POSTED WOM SZ9,183.0,146.4,50.82,164.7,27
RC,0271,INSOLE COMPETE W META MEN SZ12,183.0,146.4,50.82,164.7,27
RC,0271,INSOLE GLOBOTEC CHILD SZ10-11,260.41,208.33,72.32,234.37,27
RC,0271,INSOLE GLOBOTEC CHILD SZ12-13,260.41,208.33,72.32,234.37,27
RC,0271,INSOLE GLOBOTEC CHILD SZ13.5-1,260.41,208.33,72.32,234.37,27
RC,0271,INSOLE GLOBOTEC CHILD SZ7-7.5,292.5,234.0,81.23,263.25,27
RC,0271,INSOLE GLOBOTEC CHILD SZ8-9,260.41,208.33,72.32,234.37,27
RC,0271,INSOLE GLOBOTEC JR ADLT SZ4-5,260.41,208.33,72.32,234.37,27
RC,0271,INSOLE GLOBOTEC YTH SZ2-3,260.41,208.33,72.32,234.37,27
RC,0271,INSOLE STEEL TURF MEN SZ11,250.41,200.33,69.54,225.37,27
RC,0271,INSOLE STEEL TURF MEN SZ12,250.41,200.33,69.54,225.37,27
RC,0271,INSOLE STEEL TURF MEN SZ9,250.41,200.33,69.54,225.37,27
RC,0271,INSOLE STEEL TURF WOM SZ8,250.41,200.33,69.54,225.37,27
RC,0271,INSOLE STEEL TURF WOM SZ9,250.41,200.33,69.54,225.37,27
RC,0271,IOBSHLDRSLGSWATHEUNIV*DISC*,305.0,244.0,84.7,274.5,27
RC,0271,JAW REHAB SYS THERABITE ADLT,1879.2,1503.36,521.85,1691.28,27
RC,0271,JAW REHAB SYS THERABITE PEDS,1879.2,1503.36,521.85,1691.28,27
RC,0271,KT ACC ADAPTABLE HAND LFT MD,321.46,257.17,89.27,289.31,27
RC,0271,KT ACC ADAPTABLE HAND RT MD,321.46,257.17,89.27,289.31,27
RC,0271,KT AFO ASSESS TOEOFF 2.0*NLU*,2468.64,1974.92,685.54,2221.78,27
RC,0271,KT ANALYZER SENS140FLTR100TEST,2736.0,2188.8,759.79,2462.4,27
RC,0271,KT ANALYZER SENS360FLTR300TEST,6669.0,5335.2,1851.98,6002.1,27
RC,0271,KT BACKPACK PUMP IN STYLE,763.74,611.0,212.09,687.37,27
RC,0271,KT CHARGER SENZA STIM,2560.0,2048.0,710.91,2304.0,27
RC,0271,KT CHARGING PREC PLUS,6644.4,5315.52,1845.15,5979.96,27
RC,0271,KT CPAP MASK HEADGEAR OPUS 360,351.0,280.8,97.47,315.9,27
RC,0271,KT CPAP NASAL PILLOW MASK OSFM,292.8,234.24,81.31,263.52,27
RC,0271,KT CRANIOLOC PAK,303.16,242.53,84.19,272.84,27
RC,0271,KT CTLSO ASPEN ATTACH STRAP,2160.0,1728.0,599.83,1944.0,27
RC,0271,KT CTLSO ASPEN COLAR ATTACH,1554.0,1243.2,431.55,1398.6,27
RC,0271,KT CTLSO SHLDR STRAP,256.2,204.96,71.15,230.58,27
RC,0271,KT GJ MIC SURG 16*VAT 6323021*,1386.63,1109.31,385.07,1247.97,27
RC,0271,KT GJ MIC SURG 18*VAT 6323022*,1386.63,1109.31,385.07,1247.97,27
RC,0271,KT GJ MIC SURG 22*VAT 6309875*,1386.63,1109.31,385.07,1247.97,27
RC,0271,KT HEADER GENRTR EXTL PULSE,1596.0,1276.8,443.21,1436.4,27
RC,0271,KT JOINT HIGH STRENGTH LT*NLU*,158.29,126.64,43.96,142.46,27
RC,0271,KT OPEN-CIRCUIT PHASITRON DISP,2412.0,1929.6,669.81,2170.8,27
RC,0271,KT PRSS MON COMPARTMENT,454.94,363.96,126.34,409.45,27
RC,0271,KT PUMP BREAST S*DISC 6228604*,187.76,150.21,52.14,168.98,27
RC,0271,KT TOTE PUMP IN STYLE,763.74,611.0,212.09,687.37,27
RC,0271,KT VENTILATOR IVP PHASITRON,456.0,364.8,126.63,410.4,27
RC,0271,L7520 LABOR ADJ PROSTH 15,40.6,32.48,11.27,36.54,27
RC,0271,LABOR NITROUS OXIDE,93.0,74.4,25.83,83.7,27
RC,0271,LABOR ORTHO 0.25 HR WORK,80.0,64.0,22.22,72.0,27
RC,0271,LABOR ORTHO 1 HOUR L7520,40.0,32.0,11.11,36.0,27
RC,0271,LEGGING COMP BLK 15-20 SZ1,247.05,197.64,68.61,222.35,27
RC,0271,LEGGING COMP BLK 15-20 SZ2,247.05,197.64,68.61,222.35,27
RC,0271,LEGGING COMP BLK 15-20 SZ3,247.05,197.64,68.61,222.35,27
RC,0271,LEGGING COMP BLK 15-20 SZ4,247.05,197.64,68.61,222.35,27
RC,0271,LEGGING COMP BLK 15-20 SZ5,247.05,197.64,68.61,222.35,27
RC,0271,LEGGINGS SFT BLK 15-20 B,237.66,190.13,66.0,213.89,27
RC,0271,LEGGINGS SFT BLK 15-20 C,237.66,190.13,66.0,213.89,27
RC,0271,LEGGINGS SFT BLK 15-20 D,237.66,190.13,66.0,213.89,27
RC,0271,LENS GOINIO IPRISM S DISP LFT,324.0,259.2,89.97,291.6,27
RC,0271,LENS SILSOFT +32.00 BC/75 11.3,789.75,631.8,219.31,710.78,27
RC,0271,LMA FASTRACH 7.0MM SZ3*DISC*,428.4,342.72,118.97,385.56,27
RC,0271,LMA FASTRACH 7.5*DISC NO REPL*,428.4,342.72,118.97,385.56,27
RC,0271,LMA FASTRACH 7.5MM SZ4*DISC*,428.4,342.72,118.97,385.56,27
RC,0271,LNR PANTALOON DELTA DRY SZ1,580.64,464.52,161.24,522.58,27
RC,0271,LNR PANTALOON DELTA DRY SZ2,597.74,478.2,165.99,537.97,27
RC,0271,LNR PANTALOON DELTA DRY SZ3,597.74,478.2,165.99,537.97,27
RC,0271,LNR REPL AFO STD TEAL ADLT,245.22,196.18,68.1,220.7,27
RC,0271,LNR STKNG KNEE ULCEROTZIPBGERT,213.26,170.61,59.22,191.93,27
RC,0271,LSO SPNL CUST*NLU*,1979.26,1583.41,549.64,1781.33,27
RC,0271,MASK ANES SILHOUETTE SM,958.5,766.8,266.18,862.65,27
RC,0271,MASK CPAP ACTIVA LT LG,286.7,229.36,79.62,258.03,27
RC,0271,MASK CPAP ACTIVA LT LG WIDE,286.7,229.36,79.62,258.03,27
RC,0271,MASK CPAP AF531 NEB 1ELBOW LG,361.73,289.39,100.45,325.56,27
RC,0271,MASK CPAP AIRFIT F10 FOR HERSM,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP AIRFIT F10 W HEADGEA,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP AIRFIT F20 FOR HERMD,372.6,298.08,103.47,335.34,27
RC,0271,MASK CPAP AIRFIT F20 FOR HERSM,372.6,298.08,103.47,335.34,27
RC,0271,MASK CPAP AIRFIT F20 FULL LG,372.6,298.08,103.47,335.34,27
RC,0271,MASK CPAP AIRFIT F20 FULL MD,372.6,298.08,103.47,335.34,27
RC,0271,MASK CPAP AIRTOUCH N20 FOR HER,244.0,195.2,67.76,219.6,27
RC,0271,MASK CPAP AIRTOUCH N20 LG,244.0,195.2,67.76,219.6,27
RC,0271,MASK CPAP AIRTOUCH N20 MD,244.0,195.2,67.76,219.6,27
RC,0271,MASK CPAP AIRTOUCH N20 SM,244.0,195.2,67.76,219.6,27
RC,0271,MASK CPAP AMAR*DISC NO REPL*,390.53,312.43,108.45,351.48,27
RC,0271,MASK CPAP AMARA *DISC 6352973*,390.53,312.43,108.45,351.48,27
RC,0271,MASK CPAP AMARA *DISC NO REPL*,390.53,312.43,108.45,351.48,27
RC,0271,MASK CPAP AMARA FULL HDGEAR LG,390.53,312.43,108.45,351.48,27
RC,0271,MASK CPAP AMARA FULL HDGEAR MD,390.53,312.43,108.45,351.48,27
RC,0271,MASK CPAP AMARA FULLRSHDGEARSM,351.0,280.8,97.47,315.9,27
RC,0271,MASK CPAP AMARA HDGEAR VIEW LG,500.72,400.58,139.05,450.65,27
RC,0271,MASK CPAP AMARA HDGEAR VIEW MD,388.96,311.17,108.01,350.06,27
RC,0271,MASK CPAP AMARA HDGEAR VIEW SM,388.96,311.17,108.01,350.06,27
RC,0271,MASK CPAP AMARA*DISC NO REPL*,390.53,312.43,108.45,351.48,27
RC,0271,MASK CPAP CMFTGEL BLU LG,244.0,195.2,67.76,219.6,27
RC,0271,MASK CPAP CMFTGEL BLU MD,263.95,211.16,73.3,237.56,27
RC,0271,MASK CPAP CMFTGEL BLU SM,263.95,211.16,73.3,237.56,27
RC,0271,MASK CPAP CMFTGEL HDGEAR MD,271.15,216.92,75.3,244.04,27
RC,0271,MASK CPAP DREAMW*DISC NO REPL*,244.31,195.45,67.84,219.88,135
RC,0271,MASK CPAP DREAMWEAR FULL LG,330.16,264.13,91.69,297.14,27
RC,0271,MASK CPAP DREAMWEAR FULL MD,330.16,264.13,91.69,297.14,27
RC,0271,MASK CPAP DREAMWEAR FULL SM,330.16,264.13,91.69,297.14,27
RC,0271,MASK CPAP DREAMWEAR FULLWIDEMD,330.16,264.13,91.69,297.14,27
RC,0271,MASK CPAP DREAMWEAR HDGEARUNIV,237.9,190.32,66.06,214.11,27
RC,0271,MASK CPAP DREAMWEAR LG CUSH LG,270.38,216.31,75.08,243.34,27
RC,0271,MASK CPAP DREAMWEAR MD CUSH LG,270.38,216.31,75.08,243.34,27
RC,0271,MASK CPAP DREAMWEAR WO HDGEAR,270.38,216.31,75.08,243.34,27
RC,0271,MASK CPAP ESON2 LG,268.4,214.72,74.53,241.56,27
RC,0271,MASK CPAP ESON2 MD,268.4,214.72,74.53,241.56,27
RC,0271,MASK CPAP ESON2 SM,268.4,214.72,74.53,241.56,27
RC,0271,MASK CPAP FITLFE W HDGEAR XL,452.43,361.95,125.64,407.19,27
RC,0271,MASK CPAP FITLIFE LG,454.59,363.68,126.24,409.13,27
RC,0271,MASK CPAP FITLIFE SM,452.43,361.95,125.64,407.19,27
RC,0271,MASK CPAP FLEXIFIT 431 ADLT,408.0,326.4,113.3,367.2,27
RC,0271,MASK CPAP FULL A MODELVITERALG,367.2,293.76,101.97,330.48,27
RC,0271,MASK CPAP FULL A MODELVITERAMD,367.2,293.76,101.97,330.48,27
RC,0271,MASK CPAP FULL A MODELVITERASM,367.2,293.76,101.97,330.48,27
RC,0271,MASK CPAP FULL AIRFIT F10 LG,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP FULL AIRFIT F10 SM,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP FULL AIRFIT F20 SM,372.6,298.08,103.47,335.34,27
RC,0271,MASK CPAP FULL AIRFITF30ILG/MD,404.73,323.79,112.39,364.26,27
RC,0271,MASK CPAP FULL AIRFITF30IMD/MD,404.73,323.79,112.39,364.26,27
RC,0271,MASK CPAP FULL AIRFITF30IMD/SM,404.73,323.79,112.39,364.26,27
RC,0271,MASK CPAP FULL AIRFITF30ISM/SM,404.73,323.79,112.39,364.26,27
RC,0271,MASK CPAP FULL FLEXIFIT 432 XL,408.0,326.4,113.3,367.2,27
RC,0271,MASK CPAP FULL HDGEAR VITERA,399.6,319.68,110.97,359.64,27
RC,0271,MASK CPAP FULL M*DISC 6328062*,422.4,337.92,117.3,380.16,27
RC,0271,MASK CPAP FULL MIRAGEQUATTROMD,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP FULL MIRAGEQUATTROSM,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP FULLAIRFITF30IWIDEMD,404.73,323.79,112.39,364.26,27
RC,0271,MASK CPAP HDGEAR FULL FORMA SM,408.0,326.4,113.3,367.2,27
RC,0271,MASK CPAP MIRAGE FX SM,256.2,204.96,71.15,230.58,27
RC,0271,MASK CPAP MIRAGE*DISC 6310906*,286.7,229.36,79.62,258.03,27
RC,0271,MASK CPAP MIRAGE*DISC 6310907*,286.7,229.36,79.62,258.03,27
RC,0271,MASK CPAP MIRAGE*DISC 6327972*,422.4,337.92,117.3,380.16,27
RC,0271,MASK CPAP NASAL HDGEAR WISP,279.99,224.0,77.75,251.99,27
RC,0271,MASK CPAP NASAL LEAK3 LGEAPEDS,276.32,221.06,76.73,248.69,27
RC,0271,MASK CPAP NASAL LEAK3 MDEAPEDS,276.32,221.06,76.73,248.69,27
RC,0271,MASK CPAP NASAL LEAK3 SMEAPEDS,276.32,221.06,76.73,248.69,27
RC,0271,MASK CPAP NASAL LEAK3LGCA5PEDS,298.67,238.94,82.94,268.8,27
RC,0271,MASK CPAP NASAL LEAK3MDCA5PEDS,298.67,238.94,82.94,268.8,27
RC,0271,MASK CPAP NASAL LEAK3SMCA5PEDS,280.31,224.25,77.84,252.28,27
RC,0271,MASK CPAP NASAL STDELBOWPEDSLG,298.67,238.94,82.94,268.8,27
RC,0271,MASK CPAP NASAL ZEST STD,297.0,237.6,82.48,267.3,27
RC,0271,MASK CPAP NUANCE PRO W HDGEAR,274.54,219.64,76.24,247.09,27
RC,0271,MASK CPAP O2MAX FIX 3SET LG,318.92,255.14,88.56,287.03,27
RC,0271,MASK CPAP O2MAX FIX 3SET MD,350.95,280.76,97.46,315.86,27
RC,0271,MASK CPAP OPTILFE NASAL KT,244.0,195.2,67.76,219.6,27
RC,0271,MASK CPAP PERFOR*DISC NO REPL*,296.68,237.35,82.39,267.01,27
RC,0271,MASK CPAP PERFORMAX 2ELBOW 2XS,280.26,224.21,77.83,252.23,27
RC,0271,MASK CPAP PERFORMAX 2ELBOW LG,208.38,166.71,57.87,187.54,27
RC,0271,MASK CPAP PERFORMAX 2ELBOW SM,208.38,166.71,57.87,187.54,27
RC,0271,MASK CPAP PERFORMAX 2ELBOW XS,280.26,224.21,77.83,252.23,27
RC,0271,MASK CPAP PERFORMAX2ELBOWXLPK5,299.63,239.71,83.21,269.67,27
RC,0271,MASK CPAP PICO W HDGEAR,296.95,237.56,82.46,267.26,27
RC,0271,MASK CPAP PILLOW AIRFIT X30ISM,498.74,399.0,138.5,448.87,27
RC,0271,MASK CPAP PILLOW AIRFITX30ISTD,498.74,399.0,138.5,448.87,27
RC,0271,MASK CPAP QUATTRO AIR FULL MD,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP QUATTRO AIR NV SM,652.5,522.0,181.2,587.25,27
RC,0271,MASK CPAP QUATTRO AIR SYS LG,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP QUATTRO AIR SYS SM,405.0,324.0,112.47,364.5,27
RC,0271,MASK CPAP RTL AIRFIT N20 HERSM,231.8,185.44,64.37,208.62,27
RC,0271,MASK CPAP RTL AIRFIT N20 LG,231.8,185.44,64.37,208.62,27
RC,0271,MASK CPAP RTL AIRFIT N20 MD,231.8,185.44,64.37,208.62,27
RC,0271,MASK CPAP RTL AIRFIT N20 SM,231.8,185.44,64.37,208.62,27
RC,0271,MASK CPAP RTL AIRTOUCH F20 LG,388.8,311.04,107.97,349.92,27
RC,0271,MASK CPAP RTL AIRTOUCH F20 MD,388.8,311.04,107.97,349.92,27
RC,0271,MASK CPAP RTL AIRTOUCH F20 SM,388.8,311.04,107.97,349.92,27
RC,0271,MASK CPAP RTL AIRTOUCHF20HERMD,388.8,311.04,107.97,349.92,27
RC,0271,MASK CPAP RTL AIRTOUCHF20HERSM,388.8,311.04,107.97,349.92,27
RC,0271,MASK CPAP SIMPLUS FULL FACE LG,345.6,276.48,95.97,311.04,27
RC,0271,MASK CPAP SIMPLUS FULL MD,345.6,276.48,95.97,311.04,27
RC,0271,MASK CPAP SIMPLUS FULL SM,345.6,276.48,95.97,311.04,27
RC,0271,MASK CPAP SLEEPWEAVER BGR ADLT,231.8,185.44,64.37,208.62,27
RC,0271,MASK CPAP SWIFT FX FOR HER,334.8,267.84,92.97,301.32,27
RC,0271,MASK CPAP TOTAL FACE W HDGEAR,442.94,354.36,123.0,398.65,27
RC,0271,MASK CPAP W HDGEAR TRUBLU LG,274.5,219.6,76.23,247.05,27
RC,0271,MASK CPAP W HDGEAR TRUBLU MD,274.5,219.6,76.23,247.05,27
RC,0271,MASK CPAP W HDGEAR TRUBLU PET,274.5,219.6,76.23,247.05,27
RC,0271,MASK CPAP W HDGEAR TRUBLU SM,274.5,219.6,76.23,247.05,27
RC,0271,MASK CPAP W HDGEAR TRUBLUWIDE,274.5,219.6,76.23,247.05,27
RC,0271,MASK CPAP WISP HDGEAR CL FRAME,279.99,224.0,77.75,251.99,27
RC,0271,MASK CPAP ZEST PLUS PET,292.8,234.24,81.31,263.52,27
RC,0271,MASK NASAL PAP VEAR SYS MD,238.27,190.62,66.17,214.44,27
RC,0271,MASK THERMOPLST SOLSTICE NARW,352.08,281.67,97.77,316.87,27
RC,0271,MAT PT TRANSLOWFR*VAT 6343327*,378.0,302.4,104.97,340.2,27
RC,0271,MAT PTTRANSMOBILE*VAT 6348457*,364.5,291.6,101.22,328.05,27
RC,0271,MATTRESS HOVERMATT DISP*CIP*,401.22,320.98,111.42,361.1,27
RC,0271,MATTRESS PORTA-W*DISC 6323037*,291.76,233.41,81.02,262.58,27
RC,0271,MATTRESS TRANS HALF HOVERMATT,331.02,264.82,91.92,297.92,27
RC,0271,MATTRESS TRANS HO*VAT 6352146*,354.78,283.83,98.52,319.3,27
RC,0271,MATTRESS TRANS HOVERMATTLINK39,375.3,300.24,104.22,337.77,27
RC,0271,MATTRESS TRANS MOBILE REPROC,361.8,289.44,100.47,325.62,27
RC,0271,MATTRESS32X71X3*DISC NO REPL*,253.33,202.67,70.35,228.0,27
RC,0271,MITT ROOKE VASC UNIV,547.83,438.27,152.13,493.05,27
RC,0271,MODEL ANATOM MAND SKULL CHILD,4884.65,3907.72,1356.47,4396.19,27
RC,0271,MODEL MAND CL VIEW CT-BASED,11887.2,9509.76,3301.08,10698.48,27
RC,0271,MODEL MAND IPS CLASC LP,5603.86,4483.09,1556.19,5043.47,27
RC,0271,MODEL MANDIBLE M*DISC 6333368*,4295.0,3436.0,1192.72,3865.5,27
RC,0271,MODEL SCAPULA IPS CLASC LP,5603.86,4483.09,1556.19,5043.47,27
RC,0271,MON SLEEP APNEA WATCHPAT ONE,125.0,100.0,34.71,112.5,27
RC,0271,MOUTHPC VENT KT FLTR VIVO,384.0,307.2,106.64,345.6,27
RC,0271,NEB AERONEB SOLO,280.21,224.17,77.81,252.19,27
RC,0271,NEB AEROSOL GENRTR NIVO SZ7,829.67,663.74,230.4,746.7,27
RC,0271,NEB COMPRESSOR PORTBL W BAT,582.53,466.03,161.77,524.28,27
RC,0271,NEB KT COMPRESSOR OMBRA,283.45,226.76,78.71,255.11,27
RC,0271,NITRIC OXIDE INIT HR,563.0,450.4,156.35,506.7,27
RC,0271,NODE WIFI/WALL OUTLETWALK*NLU*,305.0,244.0,84.7,274.5,27
RC,0271,O2 USE INITIAL DAY,287.0,229.6,79.7,258.3,27
RC,0271,O2 USE SUBSEQ DAY,287.0,229.6,79.7,258.3,27
RC,0271,ORTHOTIC LYNCO L400 MEN SZ11,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L400 MEN SZ12,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L400 MEN SZ7,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L400 MEN SZ9,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L400 WOM SZ6,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L405 MEN SZ7,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L405 WOM SZ7,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L405 WOM SZ8,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTIC LYNCO L405 WOM SZ9,183.0,146.4,50.82,164.7,27
RC,0271,ORTHOTICS JOINT FLEXURE LG 85,352.08,281.67,97.77,316.87,27
RC,0271,ORTHS CERV LERMAN REG 13-16,1384.36,1107.49,384.44,1245.92,27
RC,0271,ORTHS CERV LERMAN SM17-19.5,1384.36,1107.49,384.44,1245.92,27
RC,0271,PAD BOLUS SKIN0.*DISC 6325669*,436.8,349.44,121.3,393.12,27
RC,0271,PAD BOLUS SKINLE*DISC 6325670*,465.6,372.48,129.3,419.04,27
RC,0271,PAD BOLUS SKINLESS 30X30X0.5CM,436.8,349.44,121.3,393.12,27
RC,0271,PAD BOLUS SKINLESS 30X30X1CM,465.6,372.48,129.3,419.04,27
RC,0271,PAD BRC HAND REST SEP LFT XL,281.34,225.08,78.13,253.21,27
RC,0271,PAD COLAR CERV CUST PEDS SZ00,46.0,36.8,12.77,41.4,27
RC,0271,PAD COOLING ARCTICGEL LG CA2,3955.0,3164.0,1098.3,3559.5,27
RC,0271,PAD COOLING ARCTICGEL MD CA2,3955.0,3164.0,1098.3,3559.5,27
RC,0271,PAD COOLING ARCTICGEL NEO CA2,3909.92,3127.94,1085.78,3518.93,27
RC,0271,PAD COOLING ARCTICGEL NEO EA1,3954.22,3163.38,1098.09,3558.8,27
RC,0271,PAD COOLING ARCTICGEL SM CA2,3820.6,3056.48,1060.98,3438.54,27
RC,0271,PAD COOLING ARCTICGEL UNIV CA4,1711.5,1369.2,475.28,1540.35,27
RC,0271,PAD COOLING ARCTICGEL XS CA2,3820.6,3056.48,1060.98,3438.54,27
RC,0271,PAD FM PRONE DISP SUPP,313.2,250.56,86.98,281.88,27
RC,0271,PAD HIP COLD COMP VPULSE 16X12,265.05,212.04,73.6,238.55,27
RC,0271,PAD KNEE COLD COMP VPULSE LG,265.05,212.04,73.6,238.55,27
RC,0271,PAD KNEE COLD COMP VPULSE16X12,265.05,212.04,73.6,238.55,27
RC,0271,PAD NECK MAND SIGV BLK LG,433.2,346.56,120.3,389.88,27
RC,0271,PAD NECK MAND SIGV BLK XL,433.2,346.56,120.3,389.88,27
RC,0271,PAD ORTHS CERV LERMAN REG,463.23,370.59,128.64,416.91,27
RC,0271,PAD ORTHS CERV LERMAN SM,463.23,370.59,128.64,416.91,27
RC,0271,PAD PERINEAL POST SUPINE SN,432.0,345.6,119.97,388.8,27
RC,0271,PAD REPL CERV COLAR ASPEN*NLU*,303.8,243.04,84.37,273.42,27
RC,0271,PAD REPL CERV MINERVA SM/*NLU*,458.4,366.72,127.3,412.56,27
RC,0271,PAD SET REPL ECLIPSE EXT,317.9,254.32,88.28,286.11,27
RC,0271,PAD SHLDR COLD COMP VPULSE,265.05,212.04,73.6,238.55,27
RC,0271,PAD STUMP TRANS FEM PROTE*NLU*,1814.4,1451.52,503.86,1632.96,27
RC,0271,PANTYHOSE ULT BGE 20-30 X*NLU*,348.46,278.77,96.77,313.61,27
RC,0271,PEDIATRIC NITROUS OXIDE,93.0,74.4,25.83,83.7,27
RC,0271,PESSARY APPL REIA SZ1,244.0,195.2,67.76,219.6,27
RC,0271,PESSARY APPL REIA SZ2,244.0,195.2,67.76,219.6,27
RC,0271,PESSARY APPL REIA SZ3,244.0,195.2,67.76,219.6,27
RC,0271,PESSARY DONUT BIAM 2.25,459.81,367.85,127.69,413.83,27
RC,0271,PESSARY DONUT MARI 3.00,280.6,224.48,77.92,252.54,27
RC,0271,PESSARY DONUT MILEX 2.00,276.75,221.4,76.85,249.08,27
RC,0271,PESSARY DONUT MILEX 2.25,276.75,221.4,76.85,249.08,27
RC,0271,PESSARY GELHORN MARI 2.50,280.6,224.48,77.92,252.54,27
RC,0271,PESSARY GELLHORNMILEXSHRT3.00,276.75,221.4,76.85,249.08,27
RC,0271,PESSARY PT REIA SZ1,900.0,720.0,249.93,810.0,27
RC,0271,PESSARY PT REIA SZ2,900.0,720.0,249.93,810.0,27
RC,0271,PESSARY PT REIA SZ3,900.0,720.0,249.93,810.0,27
RC,0271,PESSARY RING KNOB SUPP 2.75,280.6,224.48,77.92,252.54,27
RC,0271,PESSARY RING SUPP MARI 2.75,280.6,224.48,77.92,252.54,27
RC,0271,PILLOW FETAL HEAD,2576.99,2061.6,715.63,2319.29,27
RC,0271,PILLOW NASAL CPAP PILAIRO Q,351.0,280.8,97.47,315.9,27
RC,0271,PK INST MIS PROSTEP STER DISP,1286.46,1029.17,357.25,1157.81,27
RC,0271,PLUG BONE CMNT W INSRT SM,305.0,244.0,84.7,274.5,27
RC,0271,POD INS DEL SYS OMNIPOD,368.12,294.5,102.23,331.31,27
RC,0271,PROBE SLEEP APNEA WATCHPAT,297.0,237.6,82.48,267.3,27
RC,0271,PROBE TB AUDIOSCAN MARKER RED,388.8,311.04,107.97,349.92,27
RC,0271,PROBE TEMP CPAP MR700 HC500,810.0,648.0,224.94,729.0,27
RC,0271,PROGM STIM SPNL KT MDTR,5320.0,4256.0,1477.36,4788.0,27
RC,0271,PROTECTOR LIMBCUFF WHT SM/MD,219.91,175.93,61.07,197.92,27
RC,0271,PSTNR AID SNUGGL*DISC 6299082*,189.95,151.96,52.75,170.96,27
RC,0271,PSTNR HD IMRT STYLE18 3.2MM,209.84,167.88,58.27,188.86,27
RC,0271,PSTNR HD IMRT STYLE20 3.2MM,250.1,200.08,69.45,225.09,27
RC,0271,PSTNR HD OPENSPLITS-FRAME3.2MM,372.6,298.08,103.47,335.34,27
RC,0271,PSTNR HD S-FRAME W SHIM 3.2MM,441.6,353.28,122.63,397.44,27
RC,0271,PSTNR HD SHLDR W SHIM 3.2MM,756.0,604.8,209.94,680.4,27
RC,0271,PSTNR HD SILVERMAN MRI SZA,231.8,185.44,64.37,208.62,27
RC,0271,PSTNR HD SILVERMAN MRI SZC,231.8,185.44,64.37,208.62,27
RC,0271,PSTNR HD SILVERMAN MRI SZD,231.8,185.44,64.37,208.62,27
RC,0271,PSTNR HD SILVERMAN MRI SZE,231.8,185.44,64.37,208.62,27
RC,0271,PSTNR HD SILVERMAN MRI SZF,250.1,200.08,69.45,225.09,27
RC,0271,PSTNR HD SILVERMAN SET SZA-F,184.04,147.24,51.11,165.64,27
RC,0271,PSTNR HD TYPE-S OPEN 2.3MM,244.0,195.2,67.76,219.6,27
RC,0271,PSTNR HD UNIFRAME STD 10IN,196.42,157.14,54.55,176.78,27
RC,0271,PSTNR KNEE ZERO D FM,274.5,219.6,76.23,247.05,27
RC,0271,PSTNR ORAL STNT GRYDUCK SM,535.5,428.4,148.71,481.95,27
RC,0271,PSTNR ORTHO HANA PROFX BOOTLNR,292.07,233.66,81.11,262.86,27
RC,0271,PSTNR ORTHO PKIT HANA PROFX,208.62,166.9,57.93,187.76,27
RC,0271,PSTNR PAD KNEE HERMINATOR DISP,192.7,154.16,53.51,173.43,27
RC,0271,PSTNR SAFE-T-SECURE DISP,877.5,702.0,243.68,789.75,27
RC,0271,PSTNR SURG KT PNK PAD ARM72X20,935.55,748.44,259.8,842.0,27
RC,0271,PSTNRHDSHLDRCLVISION2TYPE-S3.2,517.5,414.0,143.71,465.75,27
RC,0271,PSTNRHDSHLDRTYPE-S STYLE27 2.4,468.0,374.4,129.96,421.2,27
RC,0271,PUMP BREAST DBL ELECTRIC Z2,297.0,237.6,82.48,267.3,27
RC,0271,PUMP BREAST IN STYLE MAXFLO BG,715.5,572.4,198.69,643.95,27
RC,0271,PUMP BREAST SPECTRA S1 PLUS,741.87,593.5,206.02,667.68,27
RC,0271,PUMP BREAST SPECTRA S1 PLUS KT,904.82,723.86,251.27,814.34,27
RC,0271,PUMP BREAST STARTER SET DBL,472.5,378.0,131.21,425.25,27
RC,0271,PUSHER CAP ACC PTP,900.0,720.0,249.93,810.0,27
RC,0271,REACHER PIKSTI48*DISC 6223327*,237.96,190.37,66.08,214.16,27
RC,0271,RECHARGER KT INTERSTIM MICRO,2340.0,1872.0,649.82,2106.0,27
RC,0271,RECHARGER PT INTELLIS,3206.0,2564.8,890.31,2885.4,27
RC,0271,RESUSC BROSELOW MODULE BLU,310.5,248.4,86.23,279.45,27
RC,0271,RESUSC BROSELOW MODULE GRN,310.5,248.4,86.23,279.45,27
RC,0271,RESUSC BROSELOW MODULE ORG,310.5,248.4,86.23,279.45,27
RC,0271,RESUSC BROSELOW MODULE PUR,271.45,217.16,75.38,244.31,27
RC,0271,RESUSC BROSELOW MODULE RED,310.5,248.4,86.23,279.45,27
RC,0271,RESUSC BROSELOW MODULE WHT,310.5,248.4,86.23,279.45,27
RC,0271,RESUSC BROSELOW MODULE YEL,310.5,248.4,86.23,279.45,27
RC,0271,RETR ENDO LIVER PERC REVEEL,658.08,526.47,182.75,592.27,27
RC,0271,RING GRIP RADIOTHERAPY ID4.25,213.5,170.8,59.29,192.15,27
RC,0271,RING GRIP RADIOTHERAPY SET3,432.0,345.6,119.97,388.8,27
RC,0271,RING HALO OPBK ADLT XL 26-28IN,5365.36,4292.29,1489.96,4828.82,27
RC,0271,SENS FLOW NICO CO2 NEO,187.03,149.63,51.94,168.33,27
RC,0271,SENS G4 PLAT DEXC*NLU*,336.15,268.92,93.35,302.54,27
RC,0271,SENS GLUC MINIMED ENLITE *NLU*,297.0,237.6,82.48,267.3,27
RC,0271,SENS OXYALERT INFANT NEO DISP,517.5,414.0,143.71,465.75,27
RC,0271,SETUP KT AIRMINI N20 NO MASK,268.4,214.72,74.53,241.56,27
RC,0271,SHELL POWER CTRL SIGNIA DISP,467.1,373.68,129.71,420.39,27
RC,0271,SHIM HD NECK SHLDR TYPE-S SYS,268.4,214.72,74.53,241.56,27
RC,0271,SHOE EXTL FIX SPRINGWALK DYNEX,4788.0,3830.4,1329.63,4309.2,27
RC,0271,SHOE ORTHOWEDGE BLK LG,192.15,153.72,53.36,172.94,27
RC,0271,SHOE POSTOP DH OFFLOADING MD,213.5,170.8,59.29,192.15,27
RC,0271,SHOE POSTOP DH OFFLOADING SM,213.5,170.8,59.29,192.15,27
RC,0271,SHT REPOS CMFT GLIDE 35X55,198.25,158.6,55.05,178.43,27
RC,0271,SHT REPOS CMFT GLIDE 42X78,298.9,239.12,83.0,269.01,27
RC,0271,SIZER PROS VOICEBLOMSINGER16FR,205.8,164.64,57.15,185.22,27
RC,0271,SLING CLIP W HD STAY DISP LG,198.25,158.6,55.05,178.43,27
RC,0271,SLING CLIP W HD STAY DISP MD,210.45,168.36,58.44,189.41,27
RC,0271,SLING CLIP W HD STAY DISP XL,227.1,181.68,63.07,204.39,27
RC,0271,SLING PT LIFT BRTRC DISP 2XL,357.75,286.2,99.35,321.98,27
RC,0271,SLING PT LIFT HD SUPP DISP 2XL,270.81,216.65,75.2,243.73,27
RC,0271,SLING PT LIFT HD SUPP DISP LG,248.88,199.11,69.11,223.99,27
RC,0271,SLING PT LIFT HD SUPP DISP MD,233.33,186.67,64.8,210.0,27
RC,0271,SLING PT LIFT HD SUPP DISP XL,254.07,203.26,70.56,228.66,27
RC,0271,SLING PT LIFT HIGH DISP 2XL,271.21,216.97,75.32,244.09,27
RC,0271,SLING PT LIFT MULTLOOP DISPLG,219.78,175.83,61.03,197.8,27
RC,0271,SLING PT LIFT MULTLOOP DISPXL,253.52,202.82,70.4,228.17,27
RC,0271,SLING PT LIFT SOLO HIGH BACKLG,231.56,185.25,64.3,208.4,27
RC,0271,SLING PT LIFT SOLO HIGH BACKMD,230.15,184.12,63.91,207.14,27
RC,0271,SLING PT LIFT UNIV DISP LG,210.45,168.36,58.44,189.41,27
RC,0271,SLING PT LIFT UNIV DISP XL,210.45,168.36,58.44,189.41,27
RC,0271,SLV ARM 20-30 CUST,388.8,311.04,107.97,349.92,27
RC,0271,SLV ARM BAND BEAD BLK 20-30SZ3,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM BAND BEAD CRML20-30SZ2,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM BAND BEAD CRML20-30SZ3,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM BAND BEAD SAND20-30SZ2,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM BEAD SAND 20-30 XW SZ3,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM BEAD SAND 20-30 XW SZ5,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM BELLA BGE 15-20 LNG LG,195.02,156.02,54.16,175.52,27
RC,0271,SLV ARM BELLA BGE 15-20 LNG SM,214.78,171.83,59.64,193.3,27
RC,0271,SLV ARM BELLA BGE 20-30 LNG MD,195.02,156.02,54.16,175.52,27
RC,0271,SLV ARM BELLA BGE 20-30 LNG SM,214.78,171.83,59.64,193.3,27
RC,0271,SLV ARM BELLA DOTBGE15-20LNGLG,214.78,171.83,59.64,193.3,27
RC,0271,SLV ARM BELLA DOTBGE20-30LNGMD,214.78,171.83,59.64,193.3,27
RC,0271,SLV ARM BELLASILBGE20-30REGSZ1,186.66,149.33,51.84,167.99,27
RC,0271,SLV ARM BELLASILBGE20-30REGSZ6,186.66,149.33,51.84,167.99,27
RC,0271,SLV ARM BGE 20-30 LNG SZ1,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 LNG SZ2,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 LNG SZ3,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 LNG SZ4,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 LNG SZ5,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 LNG SZ6,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 REG SZ1,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 REG SZ2,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM BGE 20-30 REG SZ4,250.1,200.08,69.45,225.09,27
RC,0271,SLV ARM BGE 20-30 REG SZ5,56.0,44.8,15.55,50.4,27
RC,0271,SLV ARM CMFRT SAND 20-30LNGSZ3,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM CMFRT SAND 20-30LNGSZ4,231.74,185.4,64.35,208.57,27
RC,0271,SLV ARM CMFT SAND15-20XWIDESZ4,280.75,224.6,77.96,252.68,27
RC,0271,SLV ARM COMP SOFT 20-30 CUST,96.6,77.28,26.83,86.94,27
RC,0271,SLV ARM DYNAMIC BGE20-30REGSZ3,227.59,182.08,63.2,204.83,27
RC,0271,SLV ARM DYNAMIC BGE30-40REGSZ3,227.59,182.08,63.2,204.83,27
RC,0271,SLV ARM DYNMC 18-21 CUST,369.6,295.68,102.64,332.64,27
RC,0271,SLV ARM GAUNTLET SAND 20-*NLU*,254.92,203.94,70.79,229.43,27
RC,0271,SLV ARM HALF CUST,348.73,278.99,96.84,313.86,27
RC,0271,SLV ARM LITE BGE 15-20 LNG MD,195.02,156.02,54.16,175.52,27
RC,0271,SLV ARM LITE BGE 20-30 REG SM,207.4,165.92,57.59,186.66,27
RC,0271,SLV ARM LITE SIL BGE15-20REGLG,247.17,197.74,68.64,222.45,27
RC,0271,SLV ARM LITE SIL BGE20-30REGLG,214.78,171.83,59.64,193.3,27
RC,0271,SLV ARM MAX BGE 20-30 LNG SZ2,244.0,195.2,67.76,219.6,27
RC,0271,SLV ARM MAX BGE 20-30 LNG SZ4,244.0,195.2,67.76,219.6,27
RC,0271,SLV ARM MAX BGE 20-30 REG SZ3,244.0,195.2,67.76,219.6,27
RC,0271,SLV ARM MAX PRINT 20-30 REGSZ4,302.4,241.92,83.98,272.16,27
RC,0271,SLV ARM SECURE BLK 15-20 LG,260.78,208.63,72.42,234.7,27
RC,0271,SLV ARM SECURE BLK 15-20 MD,260.78,208.63,72.42,234.7,27
RC,0271,SLV ARM SHLDR DISP,544.5,435.6,151.21,490.05,27
RC,0271,SLV ARM SIL MAX 30-40 REG SZ4,207.89,166.32,57.73,187.1,27
RC,0271,SLV ARM SOFT BGE 15-20 REG SZ4,240.95,192.76,66.91,216.86,27
RC,0271,SLV ARM SOFT BLK 30-40 LNG SZ3,215.21,172.17,59.76,193.69,27
RC,0271,SLV ARM SOFT PRINT20-30 REGSZ2,302.4,241.92,83.98,272.16,27
RC,0271,SLV ARMSOFTMAXPRINT20-30LNGSZ3,302.4,241.92,83.98,272.16,27
RC,0271,SLV CARPAL GEL SILIPOS RTSM/MD,61.04,48.84,16.95,54.94,27
RC,0271,SLV CRAINALSMARTSOCLG44.5*NLU*,2414.41,1931.53,670.48,2172.97,27
RC,0271,SLV HEEL ELBOW BRIG BGE 2XL,424.22,339.38,117.81,381.8,27
RC,0271,SLV KNEE GRY 12-14IN MD,201.24,161.0,55.88,181.12,27
RC,0271,SLV KNEE GRY 14-16IN LG,201.24,161.0,55.88,181.12,27
RC,0271,SLV KNEE GRY 16-20IN XL,198.19,158.56,55.04,178.37,27
RC,0271,SLV KNEE GRY 20-24IN 2XL,201.24,161.0,55.88,181.12,27
RC,0271,SLV MEASURING DRILL 2.7MM,720.0,576.0,199.94,648.0,27
RC,0271,SLV MEASURING DRILL SHRT 2.0MM,792.0,633.6,219.94,712.8,27
RC,0271,SLV SCD FT COVRI*DISC 6336036*,292.68,234.15,81.28,263.41,27
RC,0271,SLV SCD FTCOVRIG*DISC 6336035*,292.68,234.15,81.28,263.41,27
RC,0271,SOCK SPORT BLK GRY 20-30 MD,252.54,202.04,70.13,227.29,27
RC,0271,SOCK SPORT BLK GRY 20-30 XL,252.54,202.04,70.13,227.29,27
RC,0271,SOCK SPORT WHT GRY 20-30 LG,252.54,202.04,70.13,227.29,27
RC,0271,SOCK SPORT WHT GRY 20-30 MD,252.54,202.04,70.13,227.29,27
RC,0271,SPLT DENTAL SGL *DISC 6333377*,3015.6,2412.48,837.43,2714.04,27
RC,0271,SPLT ELBW ORTHS ADLT SM,497.25,397.8,138.09,447.53,27
RC,0271,SPLT HAND SOFTPRO REST RT*NLU*,1157.94,926.36,321.56,1042.15,27
RC,0271,SPLT ORFIT MICRO PERFD BLK1/12,353.21,282.57,98.09,317.89,27
RC,0271,SPLT ORFIT MICRO PERFD RED1/12,353.21,282.57,98.09,317.89,27
RC,0271,SPLT ORFIT MICRO PERFD VIO1/12,353.21,282.57,98.09,317.89,27
RC,0271,SPLT ORFIT MICRO PERFDSLVR1/12,296.89,237.52,82.45,267.2,27
RC,0271,SPLT ORFIT MICROPERFDOCEAN1/12,353.21,282.57,98.09,317.89,27
RC,0271,SPLT ORFIT MINI PERFDATOMIC1/8,316.17,252.94,87.8,284.55,27
RC,0271,SPLT ORFITMICROPERFDATOMIC1/12,292.73,234.19,81.29,263.46,27
RC,0271,SPLT PERFD AQPLST-T 1/8X24X36,191.41,153.13,53.15,172.27,27
RC,0271,SPLT ROLYAN PERFD CHARCOAL1/16,262.85,210.28,72.99,236.57,27
RC,0271,SPLT ROLYAN PERFD ROYAL 1/16,282.43,225.95,78.43,254.19,27
RC,0271,SPLT SEPTAL BI-VALV DOYLE,314.77,251.82,87.41,283.29,27
RC,0271,SPLT SOCK STRASSBURG LG,248.03,198.43,68.88,223.23,27
RC,0271,SPLT SOCK STRASSBURG REG,206.42,165.14,57.32,185.78,27
RC,0271,SPLT SOFT ORFIT NS PERFD 1/16,343.01,274.41,95.25,308.71,27
RC,0271,SPLT WRIST DESIGNER LFT 8IN XS,206.18,164.95,57.26,185.56,27
RC,0271,SPLT WRIST DESIGNER LFT 8IN2XS,206.18,164.95,57.26,185.56,27
RC,0271,SPLT WRIST DESIGNER LFT 8IN3XS,206.18,164.95,57.26,185.56,27
RC,0271,SPLT WRIST DESIGNER RT 8IN 2XS,206.18,164.95,57.26,185.56,27
RC,0271,SPLT WRIST DESIGNER RT 8IN 3XS,206.18,164.95,57.26,185.56,27
RC,0271,SPLT WRIST DESIGNER RT 8IN XS,206.18,164.95,57.26,185.56,27
RC,0271,SPLT WRIST THB CMC RESTRC RTMD,197.4,157.92,54.82,177.66,27
RC,0271,SPLTPSTRTIBFIBALUM8.75*DISC*,193.07,154.46,53.62,173.76,27
RC,0271,SPLTSOLIDPOLYFLEXWHT3/32X18X24,310.66,248.53,86.27,279.59,27
RC,0271,SPRING SHOE EXTL FIXSPRINGWALK,12464.4,9971.52,3461.36,11217.96,27
RC,0271,STIM ACC KT CLINIAN ALTAVIVA,7204.6,5763.68,2000.72,6484.14,27
RC,0271,STIM ACC KT PT ALTAVIVA,9880.0,7904.0,2743.68,8892.0,27
RC,0271,STIM BONE DUAL COIL OL1000,7800.0,6240.0,2166.06,7020.0,27
RC,0271,STIM BONE SGL COIL OL1000 SZ1,7800.0,6240.0,2166.06,7020.0,27
RC,0271,STIM EXTL WRLSS INTELLIS DISP,900.0,720.0,249.93,810.0,27
RC,0271,STIM OSTEOGENESIS CERV-STIM,6790.0,5432.0,1885.58,6111.0,27
RC,0271,STIM OSTEOGENESIS PHYSIO,7000.0,5600.0,1943.9,6300.0,27
RC,0271,STIM OSTEOGENESIS SPNL-STIM,6790.0,5432.0,1885.58,6111.0,27
RC,0271,STKG KNEE ACTIVE BLK 30-40 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKG KNEE ACTIVE BLK 30-40 MD,226.19,180.96,62.81,203.57,27
RC,0271,STKG KNEE ACTIVE BLK 30-40 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG CALF + OT BGE20-30PETSZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF + OT BGE20-30STDSZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF + OT BGE20-30STDSZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF + OT BGE20-30STDSZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF + OT BLK20-30STDSZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF CLASCBLK20-30STDSZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNG CALF CLASCBLK20-30STDSZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG CALF CMFT BLK 20-30XWSZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF CMFT BLK20-30PETSZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG CALF CMFT BLK20-30PETSZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNG CALF CMFT BLK20-30PETSZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG CALF CMFT NAT20-30STDSZ1,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF CMFT NAT20-30STDSZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF CMFT NAT20-30STDSZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF CMFT NAT20-30STDSZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF CMFTNAT20-30WIDESZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF GRIP BLK 20-30LNGXL,215.03,172.03,59.71,193.53,27
RC,0271,STKNG CALF MDVN+BLK30-40PETSZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF MOTIONBLK20-30LNGLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONBLK20-30LNGMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONBLK20-30LNGSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONGRY20-30LNGLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONGRY20-30LNGMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONGRY20-30LNGSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONSEA20-30LNGLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONSEA20-30LNGMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF MOTIONSEA20-30LNGSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALF NAT 20-30 XW PETSZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALF OPQMENBLK20-30LNGLG,201.3,161.04,55.9,181.17,27
RC,0271,STKNG CALF OPQOTBLK30-40SHRTLG,189.89,151.92,52.73,170.9,27
RC,0271,STKNG CALF RUBBEROT40-50SHRTLG,297.38,237.91,82.58,267.64,27
RC,0271,STKNG CALF SSF BLK 20-30 LNGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF SSF BLK 20-30 REGLG,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF SSF BLK 20-30 REGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF SSF BLK 30-40 REGLG,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF SSF BLK 30-40 REGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF SSF KAK 20-30 REGLG,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF SSF KAK 20-30 REGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG CALF+ OTBGE20-30XWPETSZ7,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30PETSZ2,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30PETSZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30PETSZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ2,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT20-30STDSZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFCMFTOTNAT30-40STDSZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG CALFMOTIONBLK20-30SHRTMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONBLK20-30SHRTSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONBLK20-30SHRTXL,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONGRY20-30SHRTLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONGRY20-30SHRTSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONGRY20-30SHRTXL,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONORCD20-30LNGLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONORCD20-30LNGMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONORCD20-30LNGSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONORCD20-30LNGXL,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONSEA20-30SHRTLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONSEA20-30SHRTMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONSEA20-30SHRTSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFMOTIONSEA20-30SHRTXL,219.6,175.68,60.98,197.64,27
RC,0271,STKNG CALFOPQMEN+BLK20-30LNGXL,201.3,161.04,55.9,181.17,27
RC,0271,STKNG DYNAMIC OT TREND20-30SZ5,287.8,230.24,79.92,259.02,27
RC,0271,STKNG FT CAP ELVAREX+ CLASS2,567.0,453.6,157.46,510.3,27
RC,0271,STKNG KNEE ACTIVE BLK 20-30 LG,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ACTIVE BLK 20-30 MD,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ACTIVE FCWHT20-30XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ACTIVE WHT 20-30 MD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ACTIVE WHT 20-30 SM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ACTIVE WHT 20-30SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ1,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ2,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ3,199.78,159.83,55.48,179.8,27
RC,0271,STKNG KNEE BASIC BGE 20-30 SZ4,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE BGE 20-30 PET SZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BGE 20-30 PET SZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BGE 20-30 PET SZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BGE 20-30 PET SZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BGE 20-30 PET SZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BGE 30-40 SHRT SZ3,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE BGE 30-40 SZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BGE 30-40 SZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE BLK 2*DISC 6331829*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30 XWIDE SZ7,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ1,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ2,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BLK 20-30WIDEPETSZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE BROCADE BLK 20-30MD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE BROCADE SAND20-30LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE BROCADE SAND20-30XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE CASUALBLU20-30PETLG,230.7,184.56,64.07,207.63,27
RC,0271,STKNG KNEE CASUALGRY20-30PETLG,230.09,184.08,63.9,207.08,27
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ1,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ3,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ4,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE 15-20 SZ5,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ1,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ3,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ4,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BGE15-20PETSZ5,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ1,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ2,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ3,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ4,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSD BLK 20-30 SZ5,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ2,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ3,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ4,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSDBGE15-20SHRTSZ5,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ1,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ2,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ3,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ4,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSDBLK20-30SHRTSZ5,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLSDBLK30-40SHRTSZ2,253.15,202.52,70.3,227.84,27
RC,0271,STKNG KNEE CLT BGE 15-20 SZ2,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLT BGE 15-20PETSZ2,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CLT BGE15-20 PETSZ1,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE CMFT BGE 30-40 SZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT BLK20-30PETSZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT BLK20-30STDSZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT BLK20-30STDSZ7,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT OT BLK20-30SZ1,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT OT NAT20-30SZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT OT NAT20-30SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CMFT OT NAT20-30SZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE CTTN BGE 20-30LNGSM,271.45,217.16,75.38,244.31,27
RC,0271,STKNG KNEE DUAL NAT 30-40 LG,203.92,163.14,56.63,183.53,27
RC,0271,STKNG KNEE DYNAMIC 5CM30-40SZ4,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE DYNAMIC 5CM30-40SZ5,254.07,203.26,70.56,228.66,27
RC,0271,STKNG KNEE DYNAMIC5CM20-30SZ3,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE DYNMC OT30-40PETSZ5,246.32,197.06,68.4,221.69,27
RC,0271,STKNG KNEE DYNMC TREND30-40SZ3,329.4,263.52,91.47,296.46,27
RC,0271,STKNG KNEE DYNMCBGE30-40PETSZ3,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE DYNMCBLK20-30PETSZ1,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE DYNMCBLK20-30PETSZ2,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE DYNMCOT30-40SHRTSZ3,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE FLATKNIT 450 23-32,570.78,456.63,158.51,513.7,27
RC,0271,STKNG KNEE FLATKNIT 450 34-46,479.95,383.96,133.28,431.96,27
RC,0271,STKNG KNEE FLATKNIT 550 23-32,526.01,420.81,146.07,473.41,27
RC,0271,STKNG KNEE FLATKNIT BLK,195.2,156.16,54.21,175.68,27
RC,0271,STKNG KNEE FLATKNIT OTBLK23-32,195.2,156.16,54.21,175.68,27
RC,0271,STKNG KNEE KAK 2*DISC 6306576*,390.72,312.58,108.5,351.65,27
RC,0271,STKNG KNEE KAK 3*DISC 6331847*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MAX BGE 20-30REGSZ3,286.2,228.96,79.48,257.58,27
RC,0271,STKNG KNEE MAX BLK 30-40REGSZ4,286.2,228.96,79.48,257.58,27
RC,0271,STKNG KNEE MEN B*DISC 6331827*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331828*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331830*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331831*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331832*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331838*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331839*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331840*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331841*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331842*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331843*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331844*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331845*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN B*DISC 6331846*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN BLK 20-30 LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BLK 20-30 LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BLK 20-30 LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BLK 20-30 LNGXL,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BLK 20-30 SM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN BLK 20-30 SZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 20-30 SZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 20-30 SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 20-30 SZ7,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN BLK 20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BLK 20-30SHRTSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BLK 30-40 LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN BLK 30-40STDSZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 30-40STDSZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 30-40STDSZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 30-40STDSZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 30-40STDSZ7,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN BLK 30-40TALLLG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN BLU 20-30 LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN BRN 20-30 LNGXL,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEE MEN BRN 20-30SHRTXL,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEE MEN FC BLK 20-30 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN FC BLK 30-40 LG,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE MEN FC BLK 30-40 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN GRY 20-30 LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN GRY 20-30 LNGSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN GRY 20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN GRY 20-30SHRTSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN K*DISC 6331833*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN K*DISC 6331834*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN K*DISC 6331836*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN K*DISC 6331837*,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN KAK 30-40 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN NAVY 20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN NAVY 20-30LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN ONYX 20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN ONYX20-30 LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN ONYX20-30SHRTLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN ONYX20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MEN RB BLK 20-30 XL,238.51,190.81,66.23,214.66,27
RC,0271,STKNG KNEE MEN RIB BLK 20-30MD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN RIB KAK 20-30LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN RIB KAK 20-30XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE MEN TAN 20-30 LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN TAN 20-30 LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN TAN 20-30 LNGSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN TAN 20-30 LNGXL,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN TAN 20-30 SZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 20-30 SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 20-30 SZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 20-30 SZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 20-30 SZ7,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN TAN 20-30SHRTSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MEN TAN 30-40 SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 30-40 SZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MEN TAN 30-40 SZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE MENBLUARG20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MENBLUARG20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MENGRAPH20-30SHRTLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MENONYX 20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MENPURARG20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE MICFBRBLK20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MICFBRBLK20-30LNGXL,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE MICFBRBLK30-40LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE NAT 20-30WIDEPETSZ1,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE NAT 20-30WIDEPETSZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE NAVY *DISC 6307402*,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE NAVY *DISC 6307418*,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE OPQ BLK 20-30 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ BLK 20-30 MD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ BLK 20-30 PETLG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ BLK 20-30 PETXL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ BLK 20-30 SM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ BLK 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ FC BLK 20-30 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ FC BLK 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ FC NAT 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ FC NAT 30-40 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ NAT 20-30 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ NAT 20-30 MD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ NAT 20-30 PETMD,238.51,190.81,66.23,214.66,27
RC,0271,STKNG KNEE OPQ NAT 20-30 SM,233.33,186.67,64.8,210.0,27
RC,0271,STKNG KNEE OPQ NAT 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OPQ NAT 30-40 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE OT BG E30-40 PETSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 20-30 PETSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ1,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ2,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ3,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30 REGSZ4,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ1,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ2,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ3,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 20-30SHRTSZ4,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40 PETSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BGE 30-40SHRTSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT BLK CUST,360.05,288.04,99.99,324.05,27
RC,0271,STKNG KNEE OT SILBGE20-30SHRT1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT SILBGE20-30SHRT2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT SILBGE20-30SHRT3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT SILBGE20-30SHRT4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OT SILBGE20-30SHRT5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE OTSILBGE30-40PETSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE POWER WHT20-30STDLG,259.25,207.4,71.99,233.33,27
RC,0271,STKNG KNEE RELIEF FCBGE20-30XL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE RIB SAND 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE SHEER CTNAT20-30SZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE SHEER CTNAT20-30SZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE SHEER CTNAT20-30SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE SHEER OTNAT20-30SZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE SHEER OTNAT20-30SZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE SIL BGE 20-30 SZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30 SZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30 SZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30 SZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30 SZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE 20-30PETSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE20-30SHRTSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL BGE30-40SHRTSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ1,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ2,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ3,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ4,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OT BGE 15-20SZ5,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL OT BGE 20-30SZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT1,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT2,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT3,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT4,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SIL OTBGE15-20SHRT5,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ1,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ3,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ4,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SILOTBGE15-20PETSZ5,187.58,150.07,52.09,168.82,27
RC,0271,STKNG KNEE SOFT 20-30 CUST,275.4,220.32,76.48,247.86,27
RC,0271,STKNG KNEE SOFT BGE20-30REGSZ2,271.45,217.16,75.38,244.31,27
RC,0271,STKNG KNEE SOFT BLK 20-30LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BLK 20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BLK 20-30LNGSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BLK20-30PETSZ2,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFT BLK20-30REGSZ1,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFT BLK20-30REGSZ4,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFT BLK20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BLK20-30SHRTSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BLU20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BRN 20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BRN20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT BRN20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT NUDE20-30LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFT NUDE20-30LNGSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ1,298.9,239.12,83.0,269.01,27
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ2,275.4,220.32,76.48,247.86,27
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SOFTBGE20-30SHRTSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEE SOFTBLK20-30SHRTSZ2,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFTBLK20-30SHRTSZ3,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFTBLK20-30SHRTSZ4,304.27,243.42,84.5,273.84,27
RC,0271,STKNG KNEE SOFTBLK20-30SHRTSZ5,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFTBLK30-40SHRTSZ2,246.32,197.06,68.4,221.69,27
RC,0271,STKNG KNEE SOFTBLK30-40SHRTSZ3,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEE SOFTNUDE 20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFTNUDE20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFTNUDE20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFTNUDE20-30SHRTSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE SOFTSESN20-30PETSZ2,329.4,263.52,91.47,296.46,27
RC,0271,STKNG KNEE SPORT BLK 15-20 MD,230.7,184.56,64.07,207.63,27
RC,0271,STKNG KNEE SPORT BLK 20-30 LG,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE SPORT BLKGRY20-30SM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE SPORT GRY 20-30 LG,280.6,224.48,77.92,252.54,27
RC,0271,STKNG KNEE SSF BLK 20-30 LNGMD,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 20-30 LNGSM,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 20-30 LNGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 20-30 REGLG,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 20-30 REGMD,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 20-30 REGSM,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 20-30 REGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 30-40 REGLG,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 30-40 REGSM,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF BLK 30-40 REGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF KAK 20-30 REGLG,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF KAK 20-30 REGMD,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF KAK 20-30 REGXL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE SSF KAK 30-40 REGMD,258.03,206.43,71.65,232.23,27
RC,0271,STKNG KNEE ULT BGE 20-30 SM,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ULT BGE 20-30 XL,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ULT BGE 30-40 MD,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ULT BGE 30-40 XL,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ULT BLK 20-30 LG,282.85,226.28,78.55,254.57,27
RC,0271,STKNG KNEE ULT BLK 20-30 MD,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ULT BLK 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT BLK 30-40 LG,252.54,202.04,70.13,227.29,27
RC,0271,STKNG KNEE ULT HNY 20-30 SM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 LG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 PETLG,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 PETMD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 PETSM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 PETXL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 SM,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30 XL,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT NAT 20-30MD,226.19,180.96,62.81,203.57,27
RC,0271,STKNG KNEE ULT OT NAT 20-30 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG KNEE ULT OT NAT 30-40 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG KNEE VITAL EBONY20-30SZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEE WIDE BGE 30-40 SZ7,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE WOM BLK 20-30 LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLK 20-30 LNGXL,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLK 20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLK 20-30SHRTSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLK 20-30SHRTXL,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLU 20-30 LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLU 20-30 LNGXL,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLU 20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BLU 20-30SHRTXL,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM BRN 20-30 LNGXL,220.33,176.27,61.19,198.3,27
RC,0271,STKNG KNEE WOM BRN 20-30SHRTMD,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEE WOM BRN 20-30SHRTXL,220.33,176.27,61.19,198.3,27
RC,0271,STKNG KNEE WOM NAVY 20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM NAVY 20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM NAVY 20-30LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM ONYX 20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM ONYX 20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM ONYX 20-30LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM ONYX20-30SHRTLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM ONYX20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM ONYX20-30SHRTSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM PNK 20-30 LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM PNK 20-30 LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM PNK 20-30 LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM PNK 20-30SHRTLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM PNK 20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOM PNK 20-30SHRTSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMBLUARG20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMEN HONEY 20*NLU*,226.19,180.96,62.81,203.57,54
RC,0271,STKNG KNEE WOMGRAPH20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMPNKARG20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMPNKARG20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMPNKARG20-30LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMPURARG20-30LNGLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMPURARG20-30LNGMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMPURARG20-30LNGSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOMSHRBLK20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE WOMSHRGLD20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE WOMSHRHNY20-30LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE WOMSHRHNY20-30LNGMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEE WOOL GRN 20-30 MDLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOOL GRY 20-30 MDLG,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE WOOL GRY20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEE X-WIDE BGE 30-40 VI,220.33,176.27,61.19,198.3,27
RC,0271,STKNG KNEE+ BGE 20-30 XW SZ7,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE+ BLK 20-30 PET SZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE+ SIL BGE 20-30 SZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE+ SIL BGE 20-30 SZ7,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE+ SIL BLK 20-30 SZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE+ SIL BLK 20-30 SZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEE+ SIL BLK 20-30 SZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ1,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ2,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ3,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEEBASICBGE20-30SHRTSZ4,183.0,146.4,50.82,164.7,27
RC,0271,STKNG KNEEBSCOTBLK20-30SHRTSZ2,199.78,159.83,55.48,179.8,27
RC,0271,STKNG KNEEDYNMCBLK30-40SHRTSZ4,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEEGRA20-30SMSHRT*DISC*,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEEGRAPHM*DISC 6307404*,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEEMENWOOLBLK20-30LNGMD,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEEMENWOOLBLK20-30LNGSM,220.33,176.27,61.19,198.3,27
RC,0271,STKNG KNEEMENWOOLBLK20-30LNGXL,220.33,176.27,61.19,198.3,27
RC,0271,STKNG KNEEMICFBRBLK20-30LNGLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEMICFBRBLK20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEMICFBRBLK20-30SHRTSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ1,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ4,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEEOTSILBGE20-30SHRTSZ5,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEEOTSILBGE30-40SHRTSZ2,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEEOTSILBGE30-40SHRTSZ3,289.75,231.8,80.46,260.78,27
RC,0271,STKNG KNEESLCTBLK20-30XWSTDSZ4,190.02,152.02,52.77,171.02,27
RC,0271,STKNG KNEESOFTOTBGE30-40REGSZ3,283.5,226.8,78.73,255.15,27
RC,0271,STKNG KNEESOFTSESN20-30SHRTSZ3,329.4,263.52,91.47,296.46,27
RC,0271,STKNG KNEEWOM+OPQBGE20-30LNGLG,201.3,161.04,55.9,181.17,27
RC,0271,STKNG KNEEWOMBLUARG20-30SHRTSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEEWOMOPQBLK20-30SHRTLG,189.89,151.92,52.73,170.9,27
RC,0271,STKNG KNEEWOMOPQBLK20-30SHRTMD,189.89,151.92,52.73,170.9,27
RC,0271,STKNG KNEEWOMOPQGLD20-30SHRTMD,189.89,151.92,52.73,170.9,27
RC,0271,STKNG KNEEWOMOPQHNY20-30SHRTLG,189.89,151.92,52.73,170.9,27
RC,0271,STKNG KNEEWOMOPQHNY20-30SHRTMD,189.89,151.92,52.73,170.9,27
RC,0271,STKNG KNEEWOMPNKARG20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEEWOMPNKARG20-30SHRTSM,203.62,162.9,56.55,183.26,27
RC,0271,STKNG KNEEWOMSHRBLK20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEWOMSHRBLK20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEWOMSHRGLD20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEWOMSHRGLD20-30SHRTSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEWOMSHRHNY20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEWOMSHRHNY20-30SHRTMD,196.73,157.39,54.63,177.06,27
RC,0271,STKNG KNEEWOMWOOLBLK20-30LNGLG,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEEWOMWOOLBLK20-30LNGMD,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEEWOMWOOLBLK20-30LNGSM,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEEWOMWOOLBLU20-30LNGSM,215.15,172.12,59.75,193.64,27
RC,0271,STKNG KNEEWOMWOOLBRN20-30LNGSM,215.15,172.12,59.75,193.64,27
RC,0271,STKNG SOFT BLK 15-20 SHRT SZ3,202.83,162.27,56.33,182.55,27
RC,0271,STKNG SOFT BLK 15-20 SHRT SZ4,193.68,154.95,53.78,174.31,27
RC,0271,STKNG THIGH BASIC BLK 15-20SZ1,263.15,210.52,73.08,236.84,27
RC,0271,STKNG THIGH BGE 20-30 PET SZ1,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 PET SZ2,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 PET SZ3,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 PET SZ4,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 PET SZ5,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ1,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ2,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ3,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ4,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH BGE 20-30 SHRT SZ5,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH CLT BGE 15-20 SZ1,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE 15-20 SZ2,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE 15-20 SZ3,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE 15-20 SZ4,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE 15-20 SZ5,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE15-20PETSZ1,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE15-20PETSZ2,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE15-20PETSZ3,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE15-20PETSZ4,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLT BGE15-20PETSZ5,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ1,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ2,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ3,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ4,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CLTBGE15-20SHRTSZ5,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH CMFT BLK 20-30 SZ3,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFT NAT 20-30 SZ1,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFT NAVY 20-30SZ4,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFT OTNAT20-30SZ6,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFTBLK20-30STDSZ4,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFTBLK20-30STDSZ5,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFTBLK20-30STDSZ7,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH CMFTNAT20-30STDSZ3,254.92,203.94,70.79,229.43,27
RC,0271,STKNG THIGH DUO*DISC 6342980*,195.2,156.16,54.21,175.68,27
RC,0271,STKNG THIGH DUO*DISC 6342981*,195.2,156.16,54.21,175.68,27
RC,0271,STKNG THIGH DUO*DISC 6342982*,195.2,156.16,54.21,175.68,27
RC,0271,STKNG THIGH DUOM*DISC 6342802*,195.2,156.16,54.21,175.68,27
RC,0271,STKNG THIGH DUOM*DISC 6342803*,195.2,156.16,54.21,175.68,27
RC,0271,STKNG THIGH DYNAMIC 40-50 SZ3,263.64,210.92,73.21,237.28,27
RC,0271,STKNG THIGH DYNMC 20-30 CUST,378.0,302.4,104.97,340.2,27
RC,0271,STKNG THIGH DYNMCOT30-40PETSZ4,353.7,282.96,98.22,318.33,27
RC,0271,STKNG THIGH DYNMCOTBGE40-50SZ1,399.6,319.68,110.97,359.64,27
RC,0271,STKNG THIGH EVER BLK20-30LNGLG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH EVER HNY20-30LNGMD,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH EVERBLK20-30TALLMD,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH EVERHNY20-30TALLSM,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH EVERHNY30-40SHRTMD,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH LACE BGE 20-30 SZ3,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH LACE BGE 30-40 SZ7,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH LACE NAT20-30PETMD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH LACE NAT20-30PETXL,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH LACE30-40BGEP*NLU*,298.96,239.17,83.02,269.06,27
RC,0271,STKNG THIGH LACE30-40BGEPETSZ4,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH LACEBGE20-30PETSZ2,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH LACEBGE20-30PETSZ5,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH LACEBGE20-30PETSZ6,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH MAX BGE20-30REGSZ3,359.1,287.28,99.72,323.19,27
RC,0271,STKNG THIGH MAX BLK 30-40 SZ4,371.25,297.0,103.1,334.13,27
RC,0271,STKNG THIGH MEN BLK 20-30 LG,302.94,242.36,84.13,272.65,27
RC,0271,STKNG THIGH MEN BLK 20-30 MD,302.94,242.36,84.13,272.65,27
RC,0271,STKNG THIGH MEN BLK 20-30 SM,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH MEN BLK 20-30 XL,320.76,256.61,89.08,288.68,27
RC,0271,STKNG THIGH MEN BLK 20-30LGLNG,251.63,201.31,69.88,226.47,27
RC,0271,STKNG THIGH MEN BLK 30-40 LG,302.94,242.36,84.13,272.65,27
RC,0271,STKNG THIGH MEN BLK 30-40 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH MEN BLK20-30LG LNG,283.65,226.92,78.77,255.29,27
RC,0271,STKNG THIGH MEN BLK20-30MD LNG,283.65,226.92,78.77,255.29,27
RC,0271,STKNG THIGH MEN BLK20-30SM LNG,283.65,226.92,78.77,255.29,27
RC,0271,STKNG THIGH MEN KAK 20-30 LG,302.94,242.36,84.13,272.65,27
RC,0271,STKNG THIGH MEN KAK 20-30 XL,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH MEN KAK 30-40 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH MEN TAN 20-30MDLNG,251.63,201.31,69.88,226.47,27
RC,0271,STKNG THIGH MENBLK20-30MD SHRT,283.65,226.92,78.77,255.29,27
RC,0271,STKNG THIGH OPENB*DUP 6310225*,217.1,173.68,60.29,195.39,27
RC,0271,STKNG THIGH OPENBGEREG20-30SZ4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH OPQ BLK 20-30 LG,302.94,242.36,84.13,272.65,27
RC,0271,STKNG THIGH OPQ BLK20-30 SMLNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH OPQ BLK20-30LGSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH OPQ BLK20-30SMSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH OPQ HNY 30-40 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH OPQ NAT 20-30 MD,356.4,285.12,98.97,320.76,27
RC,0271,STKNG THIGH OPQ NAT 20-30 XL,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH OPQ NAT 30-40 XL,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH OPQ OTBGE20-30SZ3,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OPQNUDE20-30LG LNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH OPQNUDE20-30LGSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH OPQOTBLK20-30LNGLG,277.45,221.96,77.05,249.71,27
RC,0271,STKNG THIGH OPQOTBLK20-30LNGMD,277.45,221.96,77.05,249.71,27
RC,0271,STKNG THIGH OT BGE 20-30 SZ1,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30 SZ2,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30 SZ4,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30 SZ5,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30PETSZ1,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30PETSZ2,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30PETSZ3,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30PETSZ4,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE 20-30PETSZ5,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ1,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ2,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ3,346.95,277.56,96.35,312.26,27
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ4,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGE20-30SHRTSZ5,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH OT BGERT30-40LNGSM,189.89,151.92,52.73,170.9,27
RC,0271,STKNG THIGH OT ELVAREX CLASS2,666.0,532.8,184.95,599.4,27
RC,0271,STKNG THIGH OT SIL BGE20-30SZ1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH OT SILBGE20-30SZ2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH OTSILBGE20-30SHRT1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH OTSILBGE20-30SHRT2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH OTSILBGE20-30SHRT3,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH OTSILBGE20-30SHRT4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH PLUS BGE 20-30 SZ7,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH RELIEFOTBGE20-30XL,258.03,206.43,71.65,232.23,27
RC,0271,STKNG THIGH SHROTNAT30-40SZ2,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGH SIL BGE 20-30 REG1,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH SIL BGE 20-30 REG2,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH SIL BGE 20-30 REG3,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH SIL BGE 20-30 REG4,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH SIL BGE 20-30 REG5,317.25,253.8,88.1,285.53,27
RC,0271,STKNG THIGH SIL BGE 30-40SHRT1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE 30-40SHRT2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE 30-40SHRT3,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE 30-40SHRT4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE20-30REGSZ1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE20-30REGSZ2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE20-30REGSZ4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE30-40REGSZ1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE30-40REGSZ2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE30-40REGSZ3,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL BGE30-40REGSZ4,285.18,228.15,79.19,256.66,27
RC,0271,STKNG THIGH SIL BLK 20-30 REG3,346.95,277.56,96.35,312.26,27
RC,0271,STKNG THIGH SIL OT BGE15-20SZ1,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SIL OT BGE15-20SZ2,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SIL OT BGE15-20SZ3,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SIL OT BGE15-20SZ4,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SIL OT BGE15-20SZ5,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SIL OT BGE30-40SZ1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL OT BGE30-40SZ2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL OT BGE30-40SZ3,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SIL OT BGE30-40SZ4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SILOTBGE15-20SHRT1,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SILOTBGE15-20SHRT2,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SILOTBGE15-20SHRT3,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SILOTBGE15-20SHRT4,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SILOTBGE15-20SHRT5,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGH SILOTBGE30-40SHRT1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SILOTBGE30-40SHRT2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SILOTBGE30-40SHRT3,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SILOTBGE30-40SHRT4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGH SOFT BLK20-30MDLNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH SOFTBLK20-30MDSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH SOFTNUDE20-30MDLNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH SOFTNUDE20-30SMLNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH TL 20-30 SHRT*NLU*,432.48,345.99,120.1,389.23,27
RC,0271,STKNG THIGH ULT BGE 15-20 LG,183.79,147.04,51.04,165.41,27
RC,0271,STKNG THIGH ULT BGE 20-30 LG,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT BGE 20-30 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT BGE 20-30*NLU*,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT BGE 30-40 LG,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT BLK 20-30 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT HNY 20-30MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT NAT 20-30 MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT OT HNY 20-30MD,282.85,226.28,78.55,254.57,27
RC,0271,STKNG THIGH ULT OT TAN 20-30XL,320.6,256.48,89.03,288.54,27
RC,0271,STKNG THIGH WOM HNY 20-30SMLNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH WOM HNY20-30LGSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH WOM HNY20-30MDSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGH+ BGE 30-40 SZ6,268.83,215.07,74.65,241.95,27
RC,0271,STKNG THIGHCTTNOTBGE20-30LNGMD,298.35,238.68,82.85,268.52,27
RC,0271,STKNG THIGHOPQOTBLK20-30SHRTXL,244.79,195.84,67.98,220.31,27
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT1,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT2,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT3,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGHSILCLTBGE20-30SHRT4,279.08,223.27,77.5,251.17,27
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ1,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ2,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ3,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ4,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGHSILOTBGE15-20PETSZ5,198.25,158.6,55.05,178.43,27
RC,0271,STKNG THIGHSOFTNUDE20-30MDSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGHSOFTNUDE20-30SMSHRT,269.93,215.95,74.96,242.94,27
RC,0271,STKNG THIGHXTRFIRMOTTAN30-40MD,288.52,230.82,80.12,259.67,27
RC,0271,STKNG WAIST CLSD HNY 20-3*NLU*,348.46,278.77,96.77,313.61,54
RC,0271,STKNG20-30LNGSZ1*DISC 6354136*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30LNGSZ2*DISC 6354137*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30LNGSZ4*DISC 6354138*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30LNGSZ6*DISC 6354139*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ1*DISC 6354130*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ2*DISC 6354131*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ2*DISC 6354140*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ3*DISC 6354132*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ3*DISC 6354141*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ4*DISC 6354133*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ4*DISC 6354142*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ5*DISC 6354134*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ5*DISC 6354143*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ6*DISC 6354135*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG20-30REGSZ6*DISC 6354144*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG30-40REGSZ1*DISC 6354145*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG30-40REGSZ3*DISC 6354146*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG30-40REGSZ3*DISC 6354150*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG30-40REGSZ4*DISC 6354147*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG30-40REGSZ5*DISC 6354148*,274.5,219.6,76.23,247.05,27
RC,0271,STKNG30-40REGSZ6*DISC 6354149*,274.5,219.6,76.23,247.05,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ1,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ2,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ3,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ4,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ5,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ6,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFCMFTEBONY20-30WIDESZ7,222.47,177.98,61.78,200.22,27
RC,0271,STKNGCALFMOTIONORCD20-30SHRTLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNGCALFMOTIONORCD20-30SHRTMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNGCALFMOTIONORCD20-30SHRTSM,219.6,175.68,60.98,197.64,27
RC,0271,STKNGCALFMOTIONSAGE20-30SHRTMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNGCALFMOTIONSLATE20-30LNGLG,219.6,175.68,60.98,197.64,27
RC,0271,STKNGCALFMOTIONSLATE20-30LNGMD,219.6,175.68,60.98,197.64,27
RC,0271,STKNGKNEE SIL OTBGE15-20PETSZ2,187.58,150.07,52.09,168.82,27
RC,0271,STKNGKNEEMENCUSHBLK20-30SHRTXL,196.73,157.39,54.63,177.06,27
RC,0271,STKNGKNEEMENCUSHWHT20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNGKNEEMENGRAPHARG20-30LGLNG,203.62,162.9,56.55,183.26,27
RC,0271,STKNGKNEEMENGRAPHARG20-30MDLNG,203.62,162.9,56.55,183.26,27
RC,0271,STKNGKNEEMENWOOLBLK20-30MDSHRT,215.15,172.12,59.75,193.64,27
RC,0271,STKNGKNEEMENWOOLBLK20-30SHRTLG,215.15,172.12,59.75,193.64,27
RC,0271,STKNGKNEEMENWOOLBLK20-30SHRTSM,215.15,172.12,59.75,193.64,27
RC,0271,STKNGKNEEOPQGRIPBGE20-30SHRTSM,201.3,161.04,55.9,181.17,27
RC,0271,STKNGKNEESELECTBLK20-30TALLSZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEESELECTBLK20-30TALLSZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEESELECTBLK20-30TALLSZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEESOFTOPQBLK20-30SHRTLG,196.73,157.39,54.63,177.06,27
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ2,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ3,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEEVITALEBONY20-30PETSZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNGKNEEWOMGRAPHARG20-30LGLNG,203.62,162.9,56.55,183.26,27
RC,0271,STKNGKNEEWOMGRAPHARG20-30MDLNG,203.62,162.9,56.55,183.26,27
RC,0271,STKNGKNEEWOMONYXARG20-30SHRTMD,203.62,162.9,56.55,183.26,27
RC,0271,STKNGKNEEWOMSHEERBLK20-30LGLNG,196.73,157.39,54.63,177.06,27
RC,0271,STKNGKNEEWOMSHROTGLD20-30LNGSM,196.73,157.39,54.63,177.06,27
RC,0271,STKNGKNEEWOMWOOLBLK20-30MDSHRT,215.15,172.12,59.75,193.64,27
RC,0271,STKNGKNEEWOMWOOLBLU20-30SHRTLG,215.15,172.12,59.75,193.64,27
RC,0271,STKNGKNEEWOMWOOLBRN20-30SHRTLG,215.15,172.12,59.75,193.64,27
RC,0271,STKNGKNEEWOMWOOLBRN20-30SHRTMD,220.33,176.27,61.19,198.3,27
RC,0271,STKNGN20-30MDLNG*DISC 6327513*,215.15,172.12,59.75,193.64,27
RC,0271,STKNGSLECETBLK 30-40HIGHXWSZ5,190.02,152.02,52.77,171.02,27
RC,0271,STKNGSLECETBLK 30-40HIGHXWSZ6,190.02,152.02,52.77,171.02,27
RC,0271,STKNGTHIGH SHEER BLK20-30MDLNG,269.93,215.95,74.96,242.94,27
RC,0271,STKNGTHIGHBASICBLK20-60SHRTSZ2,256.69,205.36,71.28,231.02,27
RC,0271,STKNGTHIGHCMFTOTNAT20-30PETSZ2,268.83,215.07,74.65,241.95,27
RC,0271,STKNGTHIGHCMFTOTNAT20-30PETSZ4,268.83,215.07,74.65,241.95,27
RC,0271,STKNGTHIGHMENCRISPA20-30MDSHRT,283.65,226.92,78.77,255.29,27
RC,0271,STKNGTHIGHWOMCRISPA20-30MDSHRT,283.65,226.92,78.77,255.29,27
RC,0271,STKR DOTSMARTSOCLANDMARK*NLU*,279.74,223.8,77.68,251.77,27
RC,0271,STOP PSTR PRECISION ELITE ADLT,269.62,215.7,74.87,242.66,27
RC,0271,STRAP DRING SLFADH ROLYAN 1X18,50.33,40.27,13.98,45.3,27
RC,0271,STRAP DRING SLFADH ROLYAN 2X18,54.21,43.37,15.05,48.79,27
RC,0271,STRAP FOREARM TRAC TOWER 20IN,519.75,415.8,144.33,467.78,27
RC,0271,STRAP HOOK SLF ADH BLK 2X10YD,43.54,34.84,12.09,39.19,27
RC,0271,STRAP VARUS T*NLU*,66.1,52.88,18.36,59.49,27
RC,0271,STRIP KT PSTN DYNACLEFT BIL,231.8,185.44,64.37,208.62,27
RC,0271,STRIP KT PSTN W ELEVA,286.2,228.96,79.48,257.58,27
RC,0271,STRIP PSTN DYNACLEFT BIL,1149.12,919.3,319.11,1034.21,27
RC,0271,STRIP PSTN DYNACLEFT UNIL,972.0,777.6,269.92,874.8,27
RC,0271,STRIP PSTN W ELEVA BIL,2015.28,1612.23,559.64,1813.75,27
RC,0271,STRIP PSTN W ELEVA UNIL,1807.92,1446.34,502.06,1627.13,27
RC,0271,SUCT TB KAMVAC MINI,607.5,486.0,168.7,546.75,27
RC,0271,SUPP FACE MASK FULL NECK XL,268.4,214.72,74.53,241.56,27
RC,0271,SUPP FACE MASK MID NECK MD,187.88,150.31,52.17,169.09,27
RC,0271,SUPP KNEE CLSD *DISC 6115173*,183.0,146.4,50.82,164.7,27
RC,0271,SUPP KNEE OPEN PTLA WO STAY XL,183.0,146.4,50.82,164.7,27
RC,0271,SUPP LUMB ASPEN 36-42IN LG,193.07,154.46,53.62,173.76,27
RC,0271,SUPP LUMB ASPEN 41-48IN XL,193.07,154.46,53.62,173.76,27
RC,0271,SUT SOFSILK 5-0 CV22 BLK 5X18,202.09,161.68,56.12,181.88,27
RC,0271,SYS CPAP AIRTOUCH N30I STD LG,280.8,224.64,77.98,252.72,27
RC,0271,SYS CPAP AIRTOUCH N30I STD MD,280.8,224.64,77.98,252.72,27
RC,0271,SYS CPAP AIRTOUCH N30IADLTSMMD,280.8,224.64,77.98,252.72,27
RC,0271,SYS CPAP AIRTOUCHN30ISTDWIDESM,280.8,224.64,77.98,252.72,27
RC,0271,SYS CPAP FLOWSAFEII NEB ADLTLG,394.52,315.62,109.56,355.07,27
RC,0271,SYS CPAPAIRTOUCHN30IADLTWIDESM,280.8,224.64,77.98,252.72,27
RC,0271,SYS FRM CPAP AIRFIT F20 MD,364.8,291.84,101.3,328.32,27
RC,0271,SYS HDGEAR CPAP AIRFIT P30ISM,298.9,239.12,83.0,269.01,27
RC,0271,SYS HDGEAR CPAP AIRFIT P30ISTD,298.9,239.12,83.0,269.01,27
RC,0271,SYS MASK CPAP AIRFIT N30I SM,298.9,239.12,83.0,269.01,27
RC,0271,SYS MASK CPAP AIRFIT N30I STD,298.9,239.12,83.0,269.01,27
RC,0271,SYS MASK CPAP SM*DISC 6345623*,367.2,293.76,101.97,330.48,27
RC,0271,SYS MASK CPAPMD*DISC 6345623*,367.2,293.76,101.97,330.48,27
RC,0271,SYS OPEP AEROBIKA OSCL,258.46,206.77,71.77,232.61,27
RC,0271,SYS REHAB THERABITE JAW ADLT,2011.38,1609.11,558.56,1810.24,27
RC,0271,SYS REPOS PREVALO*VAT 6348453*,742.5,594.0,206.19,668.25,27
RC,0271,SYS SEATED POSITION PREVALON,459.0,367.2,127.46,413.1,27
RC,0271,SYS SINUS WASH HYDROCLEANSE,990.0,792.0,274.92,891.0,27
RC,0271,SYS TURN POSITPREVAL*VAT MULT*,1113.0,890.4,309.08,1001.7,27
RC,0271,SYS TURNASSISTPOSITI*VAT MULT*,470.4,376.32,130.63,423.36,27
RC,0271,SYSREPOSPREVALONAIRTAP2XL*CIP*,1197.0,957.6,332.41,1077.3,27
RC,0271,TAPE RADPQ STNT GD 270MM BX20,334.8,267.84,92.97,301.32,27
RC,0271,TB CPAP CLIMATELINE HEATED,204.35,163.48,56.75,183.92,27
RC,0271,TB CPAP HEATED DREAMSTATION,183.0,146.4,50.82,164.7,27
RC,0271,TB SET PNEUMATIC KAIRISON 3000,615.6,492.48,170.95,554.04,27
RC,0271,TECH SPNL UNID PT SPECIFIC,4200.0,3360.0,1166.34,3780.0,27
RC,0271,TRNQT BREAST RDCTN DEV,347.76,278.21,96.57,312.98,27
RC,0271,TRNQT BREAST RDCTN DEV XL,316.44,253.16,87.88,284.8,27
RC,0271,TRNQT CUFF DUAL DUAL SLVZIMM18,184.83,147.87,51.33,166.35,27
RC,0271,TRNQT CUFF DUAL SGL ZIMM 34,208.01,166.41,57.76,187.21,27
RC,0271,TRNQT CUFF SGL DUAL SL18*DISC*,194.65,155.72,54.05,175.19,27
RC,0271,TRNQT CUFF SGL SGL SLV ZIMM 42,362.0,289.6,100.53,325.8,27
RC,0271,TRNQT STERICUFF SGL DUAL 8IN,990.0,792.0,274.92,891.0,27
RC,0271,VACUUM OB KIWI O*DISC 6201249*,327.29,261.84,90.89,294.56,27
RC,0271,VARUS CORRECT PP*NLU*,166.94,133.56,46.36,150.25,27
RC,0271,VEST AIRW CLRNC SMARTVEST MD,291.6,233.28,80.98,262.44,27
RC,0271,VEST AIRW CLRNC SMARTVEST XL,291.6,233.28,80.98,262.44,27
RC,0271,VEST CHEST HYPER/HYPO LG,299.05,239.24,83.05,269.15,27
RC,0271,VEST CHEST HYPER/HYPO SM/MD,292.03,233.63,81.1,262.83,27
RC,0271,VEST COMP MALE BLK LG,291.6,233.28,80.98,262.44,27
RC,0271,VEST COMP MALE BLK SM,291.6,233.28,80.98,262.44,27
RC,0271,VEST COMP SHRT BGE 2XL,340.2,272.16,94.47,306.18,27
RC,0271,VEST COMP SHRT BGE LG,393.12,314.5,109.17,353.81,27
RC,0271,VEST COMP SHRT BGE MD,340.2,272.16,94.47,306.18,27
RC,0271,VEST COMP SHRT BGE SM,495.0,396.0,137.46,445.5,27
RC,0271,VEST COMP SHRT BGE XL,340.2,272.16,94.47,306.18,27
RC,0271,VEST COMP SHRT BLK 3XL,393.12,314.5,109.17,353.81,27
RC,0271,VEST COMP SHRT BLK 4XL,393.12,314.5,109.17,353.81,27
RC,0271,VEST COMP SLVLESS BLK LG,513.0,410.4,142.46,461.7,27
RC,0271,VEST HALO LAMBSWOOL ADLT CUST,5915.0,4732.0,1642.6,5323.5,27
RC,0271,WATER CHAMB CPAP VIVO45LS,384.0,307.2,106.64,345.6,27
RC,0271,WATER TRAP BELLOWS HFOV 3100A,401.9,321.52,111.61,361.71,27
RC,0271,WRAP AIRW CLRNC 2XL,334.8,267.84,92.97,301.32,27
RC,0271,WRAP AIRW CLRNC LG,334.8,267.84,92.97,301.32,27
RC,0271,WRAP AIRW CLRNC LG BX5,298.62,238.9,82.93,268.76,27
RC,0271,WRAP AIRW CLRNC MD BX5,298.62,238.9,82.93,268.76,27
RC,0271,WRAP AIRW CLRNC MD*USE 6185584,393.66,314.93,109.32,354.29,27
RC,0271,WRAP AIRW CLRNC SM,334.8,267.84,92.97,301.32,27
RC,0271,WRAP AIRW CLRNC SM BX5,298.62,238.9,82.93,268.76,27
RC,0271,WRAP AIRW CLRNC XL BX5,298.62,238.9,82.93,268.76,27
RC,0271,WRAP AIRW CLRNC XL EA1,334.8,267.84,92.97,301.32,27
RC,0271,WRAP AIRW CLRNC XS BX5,298.62,238.9,82.93,268.76,27
RC,0271,WRAP AIRW CLRNC XS EA1,393.66,314.93,109.32,354.29,27
RC,0271,WRAP ARM RDCTN KT REG STD 45CM,443.52,354.82,123.17,399.17,27
RC,0271,WRAP CALF 20-40 RTTALLMD/LGMAX,441.6,353.28,122.63,397.44,27
RC,0271,WRAP CALF CLFLX 20-40RTREGSM,441.6,353.28,122.63,397.44,27
RC,0271,WRAP CALF CLFLX20-40LFTREGSM,441.6,353.28,122.63,397.44,27
RC,0271,WRAP CALF CLFLX20-40RTREGSMMAX,441.6,353.28,122.63,397.44,27
RC,0271,WRAP CALF ESSENTIAL BGE LNG LG,399.17,319.34,110.85,359.25,27
RC,0271,WRAP CALF ESSENTIAL BGE LNG XL,399.17,319.34,110.85,359.25,27
RC,0271,WRAP CALF FF LNR LNG 2XL,326.7,261.36,90.72,294.03,27
RC,0271,WRAP CALF JUXTA BGE LNG XL,619.92,495.94,172.15,557.93,27
RC,0271,WRAP CALF JUXTA BGE SHRT LG,619.92,495.94,172.15,557.93,27
RC,0271,WRAP CALF JUXTA BGE SHRT XL,399.17,319.34,110.85,359.25,27
RC,0271,WRAP CALF JUXTA HD BLK LNG LG,285.77,228.62,79.36,257.19,27
RC,0271,WRAP CALF SLIP ON CLSD REG XL,349.65,279.72,97.1,314.69,27
RC,0271,WRAP CALF SLIPON CLSD LNG 2XL,324.0,259.2,89.97,291.6,27
RC,0271,WRAP CALF SLIPON CLSD REG 2XL,275.4,220.32,76.48,247.86,27
RC,0271,WRAP CALF SLIPON LNG 2XL,360.45,288.36,100.1,324.41,27
RC,0271,WRAP CALF SLIPON MAX CLSDREGLG,199.65,159.72,55.44,179.69,27
RC,0271,WRAP CALF SLIPON MAXCLSDREG2XL,275.4,220.32,76.48,247.86,27
RC,0271,WRAP CALF SLIPON REG LG,360.45,288.36,100.1,324.41,27
RC,0271,WRAP CALFCLFLX20-40LFTREGMD/LG,419.52,335.62,116.5,377.57,27
RC,0271,WRAP CALFCLFLX20-40RFTREGMD/LG,419.52,335.62,116.5,377.57,27
RC,0271,WRAP CALFCLFLX20-40RTTALLMD/LG,419.52,335.62,116.5,377.57,27
RC,0271,WRAP COMP ANK FT + BLK REG 2XL,433.2,346.56,120.3,389.88,27
RC,0271,WRAP COMP ANK FT STD BGEREG2XL,197.03,157.63,54.72,177.33,27
RC,0271,WRAP COMP CALF 30-60 REG 2XL,297.0,237.6,82.48,267.3,27
RC,0271,WRAP COMP CALF 30-60 REG 3XL,297.0,237.6,82.48,267.3,27
RC,0271,WRAP COMP CALF 30-60 REG LG,297.0,237.6,82.48,267.3,27
RC,0271,WRAP COMP CALF 30-60 REG MD,297.0,237.6,82.48,267.3,27
RC,0271,WRAP COMP CALF 30-60 REG SM,297.0,237.6,82.48,267.3,27
RC,0271,WRAP COMP CALF 30-60 REG XL,297.0,237.6,82.48,267.3,27
RC,0271,WRAP COMP LEG JUXTA LFT SHRTLG,443.52,354.82,123.17,399.17,27
RC,0271,WRAP COMP LEG JUXTALITEFCLNGMD,281.82,225.46,78.26,253.64,27
RC,0271,WRAP COMPRFLX BGE 20-50 STD MD,333.45,266.76,92.6,300.11,27
RC,0271,WRAP COMPRFLX BGE 20-50 TALLLG,333.45,266.76,92.6,300.11,27
RC,0271,WRAP COMPRFLX BLK 20-50 REG LG,333.45,266.76,92.6,300.11,27
RC,0271,WRAP COMPRFLX BLK 20-50TALL2XL,441.6,353.28,122.63,397.44,27
RC,0271,WRAP COMPRFLX LITE BLK TALL LG,301.34,241.08,83.68,271.21,27
RC,0271,WRAP COMPRFLX LITE BLK TALL MD,301.34,241.08,83.68,271.21,27
RC,0271,WRAP COMPRFLX LITE BLK TALL XL,301.34,241.08,83.68,271.21,27
RC,0271,WRAP COMPRFLXBGE20-50TALLSTDLG,442.32,353.86,122.83,398.09,27
RC,0271,WRAP COMPRFLXBGE20-50TALLSTDMD,442.32,353.86,122.83,398.09,27
RC,0271,WRAP COMPRFLXBGE20-50TALLSTDXL,442.32,353.86,122.83,398.09,27
RC,0271,WRAP FT CLFLX 20-40 RTLNGMD/LG,302.4,241.92,83.98,272.16,27
RC,0271,WRAP FT CLFLX 20-40 RTREGMD/LG,302.67,242.14,84.05,272.4,27
RC,0271,WRAP FT CLFLX 20-40LFTLNGMD/LG,302.4,241.92,83.98,272.16,27
RC,0271,WRAP FT CLFLX 20-40LFTREGMD/LG,302.67,242.14,84.05,272.4,27
RC,0271,WRAP FT FARROW 20-30 REG SM,225.7,180.56,62.68,203.13,27
RC,0271,WRAP FT FARROW 30-40 LNG SM,244.0,195.2,67.76,219.6,27
RC,0271,WRAP FT FARROW 30-40 REG SM,234.85,187.88,65.22,211.37,27
RC,0271,WRAP FT FARROW 30-40 REG XS,244.0,195.2,67.76,219.6,27
RC,0271,WRAP FTCOMPREBOOTBLK30-40LNGLG,197.03,157.63,54.72,177.33,27
RC,0271,WRAP FTCOMPREBOOTBLK30-40LNGSM,197.03,157.63,54.72,177.33,27
RC,0271,WRAP FTCOMPREBOOTBLK30-40LNGXL,197.03,157.63,54.72,177.33,27
RC,0271,WRAP FTCOMPREBOOTBLK30-40REGLG,197.03,157.63,54.72,177.33,27
RC,0271,WRAP FTCOMPREBOOTBLK30-40REGSM,197.03,157.63,54.72,177.33,27
RC,0271,WRAP HIPRAP MD,352.08,281.67,97.77,316.87,27
RC,0271,WRAP JUXTALNG MD*DUP 6327828*,289.6,231.68,80.42,260.64,27
RC,0271,WRAP JUXTALNG XL*DUP 6327829*,289.6,231.68,80.42,260.64,27
RC,0271,WRAP JUXTASHRTXL*DUP 6327833*,289.6,231.68,80.42,260.64,27
RC,0271,WRAP JUXTFCLNGXL*DUP 6327834*,289.6,231.68,80.42,260.64,27
RC,0271,WRAP JUXTFCSHRTMD*DUP 6327835*,289.6,231.68,80.42,260.64,27
RC,0271,WRAP KNEE FARROW 20-30 XS,261.32,209.06,72.57,235.19,27
RC,0271,WRAP KNEE LNR CLSD BLK LG,275.4,220.32,76.48,247.86,27
RC,0271,WRAP LEG ESSENTIAL BGE LNG LG,399.17,319.34,110.85,359.25,27
RC,0271,WRAP LEG ESSENTIAL BGE LNG MD,399.17,319.34,110.85,359.25,27
RC,0271,WRAP LEG ESSENTIAL BGE SHRT MD,399.17,319.34,110.85,359.25,27
RC,0271,WRAP LEG FARROW 20-30 REG LG,318.6,254.88,88.48,286.74,27
RC,0271,WRAP LEG FARROW 20-30 TALL SM,302.4,241.92,83.98,272.16,27
RC,0271,WRAP LEG FARROW 20-30 TALL XS,361.82,289.46,100.48,325.64,27
RC,0271,WRAP LEG FARROW 30-40 REG LG,345.6,276.48,95.97,311.04,27
RC,0271,WRAP LEG FARROW 30-40 REG SM,349.97,279.98,97.19,314.97,27
RC,0271,WRAP LEG FARROW 30-40 TALL MD,304.34,243.48,84.52,273.91,27
RC,0271,WRAP LEG FARROW 30-40 TALL SM,349.97,279.98,97.19,314.97,27
RC,0271,WRAP LEG FARROW 30-40 TALL XL,345.6,276.48,95.97,311.04,27
RC,0271,WRAP LEG FARROW 30-40 TALL XS,349.97,279.98,97.19,314.97,27
RC,0271,WRAP LEG HYPER/HYPO UNIV ADLT,247.42,197.94,68.71,222.68,27
RC,0271,WRAP LEG JUXTA BLK LNG LG,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTA HD BGE LNG 2XL,297.19,237.76,82.53,267.47,27
RC,0271,WRAP LEG JUXTA HD BGE LNG LG,297.19,237.76,82.53,267.47,27
RC,0271,WRAP LEG JUXTA HD BGE LNG MD,297.19,237.76,82.53,267.47,27
RC,0271,WRAP LEG JUXTA HD BGE SHRT 2XL,297.19,237.76,82.53,267.47,27
RC,0271,WRAP LEG JUXTA HD BLK SHRT MD,285.77,228.62,79.36,257.19,27
RC,0271,WRAP LEG JUXTALITE FC LNG LG,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE FULL LNG XL,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE FULL SHRTMD,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE HD FCSHRTMD,297.19,237.76,82.53,267.47,27
RC,0271,WRAP LEG JUXTALITE HD SHRT XL,297.19,237.76,82.53,267.47,27
RC,0271,WRAP LEG JUXTALITE LNG 2XL,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE LNG LG,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE LNG MD,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE LNG SM,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE LNG XL,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE SHRT 2XL,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE SHRT LG,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE SHRT MD,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE SHRT SM,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG JUXTALITE SHRT XL,281.82,225.46,78.26,253.64,27
RC,0271,WRAP LEG PREM BGE LNG MD,619.92,495.94,172.15,557.93,27
RC,0271,WRAP LEG PREM BGE LNG XL,619.92,495.94,172.15,557.93,27
RC,0271,WRAP LEG PREM SHRT BGELG,399.17,319.34,110.85,359.25,27
RC,0271,WRAP LEG PREM SHRT BGEMD,619.92,495.94,172.15,557.93,27
RC,0271,WRAP LEG RDCTN KT REG LNG 40CM,443.52,354.82,123.17,399.17,27
RC,0271,WRAP LEG RDCTN KT REG STD 35CM,443.52,354.82,123.17,399.17,27
RC,0271,WRAP LEG RDCTN KT WIDE STD35CM,443.52,354.82,123.17,399.17,27
RC,0271,WRAP LEG RDCTN REG WIDE SHRT,1239.0,991.2,344.07,1115.1,27
RC,0271,WRAP LEG RDCTN REG WIDE STD,1239.0,991.2,344.07,1115.1,27
RC,0271,WRAP THIGH FARROW 30-40 TALLXL,475.2,380.16,131.96,427.68,27
RC,0271,WRAPCALFCLFLX20-40LFTREGSMMAX,441.6,353.28,122.63,397.44,27
RC,0271,WRAPCALFCLFLX20-40LFTTALLMD/LG,419.52,335.62,116.5,377.57,27
RC,0271,WRAPCOMPLEGJUXTALITE20-50LNGMD,500.81,400.65,139.07,450.73,27
RC,0272,ABRADER TISS PLEURABRADE *NLU*,540.0,432.0,149.96,486.0,27
RC,0272,ACC KT MXFRM AUTO HEXAPOD CTRL,823.5,658.8,228.69,741.15,27
RC,0272,ACC PLAT TRANSANAL GELPNT 5.5,2800.0,2240.0,777.56,2520.0,27
RC,0272,ACC PLAT TRANSANAL GELPNT4X9CM,2800.0,2240.0,777.56,2520.0,27
RC,0272,ACC PLTFM V-PATH GELPNT 11CM,2700.0,2160.0,749.79,2430.0,27
RC,0272,ACC PLTFM V-PATH GELPNT 7CM,2700.0,2160.0,749.79,2430.0,27
RC,0272,ACC PLTFM V-PATH GELPNT 9.5CM,2700.0,2160.0,749.79,2430.0,27
RC,0272,ACTIVATOR MEP SAFEOP3 STER,2160.0,1728.0,599.83,1944.0,27
RC,0272,ADH REPAIR SIL L*DISC NO REPL*,183.0,146.4,50.82,164.7,27
RC,0272,ADH SKIN DERMABOND PRINEO 22CM,375.65,300.52,104.32,338.09,27
RC,0272,ADH SKIN DERMABOND PRINEO 42CM,457.83,366.27,127.14,412.05,27
RC,0272,ADH SKIN DERMABOND PRINEO 60CM,595.17,476.14,165.28,535.65,27
RC,0272,ADH SURG BIOGLUE 10ML,3091.2,2472.96,858.43,2782.08,27
RC,0272,ADH SURG BIOGLUE 2ML,2145.6,1716.48,595.83,1931.04,27
RC,0272,ADH SURG BIOGLUE 5ML,2784.0,2227.2,773.12,2505.6,27
RC,0272,ADPT PIN EXT FIX QC AO 4MM,1789.2,1431.36,496.86,1610.28,27
RC,0272,ADPT PIN EXT FIX QC AO BLK 6MM,1789.2,1431.36,496.86,1610.28,27
RC,0272,ADPT PIN EXT FIX QC AO YEL 5MM,1789.2,1431.36,496.86,1610.28,27
RC,0272,ADPTR 3W MULTPRP,274.5,219.6,76.23,247.05,27
RC,0272,ADPTR BONE CMNT MULT-TAP SZ2,213.5,170.8,59.29,192.15,27
RC,0272,ADPTR BONE CMNT MULT-TAP SZ3,213.5,170.8,59.29,192.15,27
RC,0272,ADPTR CARDIOPLEGIA CANN 15IN,207.4,165.92,57.59,186.66,27
RC,0272,ADPTR CHAIT ACCESS W CONN TB,189.1,151.28,52.51,170.19,27
RC,0272,ADPTR DRN LUER ASPIRA,237.9,190.32,66.06,214.11,27
RC,0272,ADPTR ENDO GIA RAD STD RPSB,149.82,119.86,41.61,134.84,27
RC,0272,ADPTR ENDO NICO MYRIAD,405.0,324.0,112.47,364.5,27
RC,0272,ADPTR EXTL FIX PIN APEX LNG,1915.24,1532.2,531.86,1723.72,27
RC,0272,ADPTR EXTL FIX PIN APEX SHRT,1875.17,1500.14,520.73,1687.65,27
RC,0272,ADPTR EXTR NAIL BULLET TI*NLU*,2450.62,1960.5,680.54,2205.56,27
RC,0272,ADPTR KT NAMIC 0.113 200PSI,183.55,146.84,50.97,165.2,27
RC,0272,ADPTR KT TRI NAMIC 0.100 0.093,197.82,158.26,54.93,178.04,27
RC,0272,ADPTR LEAD CONN IS4/DF4,286.7,229.36,79.62,258.03,27
RC,0272,ADPTR NOSECONE EXPAND 23KHZ5PK,2462.4,1969.92,683.81,2216.16,27
RC,0272,ADPTR NOSECONE EXPANDED 23KHZ,2646.0,2116.8,734.79,2381.4,27
RC,0272,ADPTR PACE USB WIRELESS MERLIN,927.0,741.6,257.43,834.3,27
RC,0272,ADPTR PERITON DIALYS TI,653.22,522.58,181.4,587.9,27
RC,0272,ADPTR RETR PHOTONGD,1417.5,1134.0,393.64,1275.75,27
RC,0272,ADPTR SET CARDIOPLEGIA DLP3LEG,197.7,158.16,54.9,177.93,27
RC,0272,ADPTR STRTM TORQ LIM ST*NLU*,1108.8,887.04,307.91,997.92,27
RC,0272,ADPTR SUCT ION VISION PROBE,305.0,244.0,84.7,274.5,27
RC,0272,ADPTR TB DRN UNIV ASPIRA,250.1,200.08,69.45,225.09,27
RC,0272,AGENT LIFT SUBMUCOSAL EVERLIF,379.2,303.36,105.3,341.28,27
RC,0272,AIRW CATH EXC 14F*USE 6334189*,332.64,266.12,92.37,299.38,27
RC,0272,AIRW CATH EXC RA*DISC 6336155*,388.64,310.92,107.93,349.78,27
RC,0272,AIRW CATH EXCRAP*DISC 6335028*,332.64,266.12,92.37,299.38,27
RC,0272,AIRW CATHEXCRAPI*DISC 6335342*,332.64,266.12,92.37,299.38,27
RC,0272,AIRW KT SUPRAGLOTTIC LTS-D SZ3,207.4,165.92,57.59,186.66,27
RC,0272,AIRW KT SUPRAGLOTTIC LTS-D SZ4,207.4,165.92,57.59,186.66,27
RC,0272,AIRW KT SUPRAGLOTTIC LTS-D SZ5,207.4,165.92,57.59,186.66,27
RC,0272,AIRWCATHEXCRAPIF*DISC 6333162*,332.64,266.12,92.37,299.38,27
RC,0272,AIRWKTSUPRAGLOTLTSDS*DNR MULT*,222.65,178.12,61.83,200.39,27
RC,0272,AIRWKTSUPRAGLOTTICLT*DNR MULT*,222.65,178.12,61.83,200.39,27
RC,0272,ALLO AMNIOFILL 100MG,1155.0,924.0,320.74,1039.5,27
RC,0272,ALLO AMNIOFIX MEMB 6X16CM,11143.6,8914.88,3094.58,10029.24,27
RC,0272,ALLO BONE CNCLS CHIP1.7-10 5CC,500.85,400.68,139.09,450.77,27
RC,0272,ALLO DBM DENTAL FILL 0.5CC,334.8,267.84,92.97,301.32,27
RC,0272,ALLO DBM DENTAL FILL 1.0CC,562.5,450.0,156.21,506.25,27
RC,0272,ALLO DBM INTERGR*DISC NO REPL*,3410.4,2728.32,517.85,4833.36,81
RC,0272,ALLO DERMAGRAFT 5X7.5CM=38SQCM,99.47,79.58,27.62,89.52,27
RC,0272,ANCHOR LEAD CLIK 2CM,1417.5,1134.0,393.64,1275.75,27
RC,0272,ANCHOR MENISC CINCHIIDEPTHSTOP,1824.9,1459.92,506.77,1642.41,27
RC,0272,ANCHOR MENISC OMNISPAN NDLE12D,1071.0,856.8,297.42,963.9,27
RC,0272,ANCHOR MENISC ROOT REPAIR,3064.6,2451.68,851.04,2758.14,27
RC,0272,ANCHOR MENISC SPEEDCINCH CURV,1824.9,1459.92,506.77,1642.41,27
RC,0272,ANCHOR SUT FAST-FIX FLEX CURV,3338.44,2670.76,927.08,3004.6,27
RC,0272,ANCHOR SUT FLEXBAND TWIST 3.85,2268.0,1814.4,629.82,2041.2,27
RC,0272,ANCHOR SUT KT DX FBRTAKDISPSZ1,1270.5,1016.4,352.82,1143.45,27
RC,0272,ANCHOR SUT ROOT REPAIR ULTTP,2700.0,2160.0,749.79,2430.0,27
RC,0272,ANCHOR W DRILL SHRT RIGID SZ2,1327.2,1061.76,368.56,1194.48,27
RC,0272,ANTENNA EMPRINT PERC 30CM,9627.8,7702.24,2673.64,8665.02,27
RC,0272,ANTENNA LNG NAV EMPRINT 30CM,11502.4,9201.92,3194.22,10352.16,27
RC,0272,ANTIMIC LIQ POLYMERPREVENTOGEN,567.0,453.6,157.46,510.3,27
RC,0272,APPL CLIP ATRICLIP PROV40MM,13200.0,10560.0,3665.64,11880.0,27
RC,0272,APPL CLIP ATRICLIP PROV50MM,13200.0,10560.0,3665.64,11880.0,27
RC,0272,APPL CLIP LIGACLIP DISP SM,1081.79,865.44,300.41,973.61,27
RC,0272,APPL CLIP LIGACLIP DISPMD*CIP*,1081.79,865.44,300.41,973.61,27
RC,0272,APPL CLIP ROB HORIZON SM 8MM,76.44,61.16,21.23,68.8,27
RC,0272,APPL HEMO DUPLOCATH FLEX 35CM,360.02,288.02,99.98,324.02,27
RC,0272,APPL HEMO DUPLOCATH RIGID 40CM,362.26,289.81,100.6,326.03,27
RC,0272,APPL HEMO FLOSEAL 2PART 41CM,370.22,296.18,102.81,333.2,27
RC,0272,APPL HEMO SURGIFLO ENDO 34CM,294.51,235.61,81.79,265.06,27
RC,0272,APPL HEMO VISTASEAL DUAL TIP,285.05,228.04,79.16,256.55,27
RC,0272,APPL SPRAY TIP DUAL ARTX,201.3,161.04,55.9,181.17,27
RC,0272,APRTS MINI LENGTHENING*NLU*,5667.37,4533.9,1573.83,5100.63,27
RC,0272,ARCH EXTL FIX FT LRF 155MM,5502.67,4402.14,1528.09,4952.4,27
RC,0272,ARCH EXTL FIX FT LRF 180MM,5502.67,4402.14,1528.09,4952.4,27
RC,0272,ARCH EXTL FIX FT LRF 210MM,5502.67,4402.14,1528.09,4952.4,27
RC,0272,ARCH EXTL FIX FT LRF LNG 155MM,6328.08,5062.47,1757.31,5695.27,27
RC,0272,ARCH EXTL FIX FT LRF LNG 180MM,6328.08,5062.47,1757.31,5695.27,27
RC,0272,ARCH EXTL FIX FT LRF LNG 210MM,6328.08,5062.47,1757.31,5695.27,27
RC,0272,ARCH EXTL FIX FT SIXFIX 150MM,5266.8,4213.44,1462.59,4740.12,27
RC,0272,ARCH EXTL FIX FT SIXFIX 180MM,5266.8,4213.44,1462.59,4740.12,27
RC,0272,ARM EXT FLEX REMOV CMF 20MM,2847.6,2278.08,790.78,2562.84,27
RC,0272,ARTHROWAND AMBIENT MEGAVAC 90,1061.42,849.14,294.76,955.28,27
RC,0272,ARTHROWAND AMBIENT SUPTURBOVAC,720.0,576.0,199.94,648.0,27
RC,0272,ARTHROWAND SABRE ICW 30D,1061.42,849.14,294.76,955.28,27
RC,0272,ARTHROWAND SUP MULTVAC 50,1061.42,849.14,294.76,955.28,27
RC,0272,ARTHROWAND TOPAZ EZ,1743.0,1394.4,484.03,1568.7,27
RC,0272,ARTHROWAND TURBOVAC 90,697.5,558.0,193.7,627.75,27
RC,0272,ASPIR TB QK CONN CUSA CLARITY,1834.24,1467.4,509.37,1650.82,27
RC,0272,ASPIR UTERINE KT DBL VALV,237.9,190.32,66.06,214.11,27
RC,0272,ATTACH LOAD ARTICU SIGNIA 45MM,810.0,648.0,224.94,729.0,27
RC,0272,ATTACH LOAD ARTICU SIGNIA 60MM,810.0,648.0,224.94,729.0,27
RC,0272,AWL ANGD 10D DISP GM,2656.8,2125.44,737.79,2391.12,27
RC,0272,AWL BONE CORT QC GM 0.25IN,1848.0,1478.4,513.19,1663.2,27
RC,0272,AWL BONE GM ADJ,1785.0,1428.0,495.69,1606.5,27
RC,0272,AWL BONE ST SHAFT,1785.0,1428.0,495.69,1606.5,27
RC,0272,AWL FENESTRATION MIS PROSTEP,1629.6,1303.68,452.54,1466.64,27
RC,0272,AWL INTERCONT ANGD WITH SLV,1785.0,1428.0,495.69,1606.5,27
RC,0272,AWL PEDIGUARD XS CURV*NLU*,6084.4,4867.52,1689.64,5475.96,27
RC,0272,AWL SLF CTR BENT GM,1575.0,1260.0,437.38,1417.5,27
RC,0272,AWL SLF CTR ST GM,1575.0,1260.0,437.38,1417.5,27
RC,0272,AWL TPR DISP 3.8MM,274.5,219.6,76.23,247.05,27
RC,0272,BACKPACK ENTRL 18X12X4 1200ML,369.9,295.92,102.72,332.91,27
RC,0272,BAND LIGATOR *DNR USE 6210697*,1102.5,882.0,306.16,992.25,27
RC,0272,BAND LIGATOR SUPERVIEW 7,562.5,450.0,156.21,506.25,27
RC,0272,BAR EXTL FIX BENT 11X175MM,2483.71,1986.97,689.73,2235.34,27
RC,0272,BAR EXTL FIX CONN ANG MINI 3MM,279.26,223.41,77.55,251.33,27
RC,0272,BAR EXTL FIX GLS FBR 11X100MM,972.0,777.6,269.92,874.8,27
RC,0272,BAR EXTL FIX GLS FBR 11X150MM,1044.0,835.2,289.92,939.6,27
RC,0272,BAR EXTL FIX GLS FBR 11X200MM,1116.0,892.8,309.91,1004.4,27
RC,0272,BAR EXTL FIX GLS FBR 11X250MM,1142.4,913.92,317.24,1028.16,27
RC,0272,BAR EXTL FIX GLS FBR 11X300MM,1176.0,940.8,326.58,1058.4,27
RC,0272,BAR EXTL FIX GLS FBR 11X350MM,1243.2,994.56,345.24,1118.88,27
RC,0272,BAR EXTL FIX GLS FBR 11X400MM,1310.4,1048.32,363.9,1179.36,27
RC,0272,BAR EXTL FIX GLS FBR 11X500MM,1411.2,1128.96,391.89,1270.08,27
RC,0272,BAR EXTL FIX GLS FBR 11X600MM,1579.2,1263.36,438.54,1421.28,27
RC,0272,BAR EXTL FIX GLSFBR CURV11X210,2448.0,1958.4,679.81,2203.2,27
RC,0272,BAR EXTL FIX GLSFBR CURV11X380,2432.0,1945.6,675.37,2188.8,27
RC,0272,BAR EXTL FIX GLSFBR CURV11X500,2585.6,2068.48,718.02,2327.04,27
RC,0272,BASKET 8-WIRE 55CM,1917.01,1533.61,532.35,1725.31,27
RC,0272,BAT DRIV MATRIXPRO II STERDISP,1683.91,1347.13,467.62,1515.52,27
RC,0272,BAT DRIV MATRIXPRO SYNT DISP,1078.06,862.45,299.38,970.25,27
RC,0272,BAT PK DRIVER LITH STER DISP,1157.86,926.29,321.54,1042.07,27
RC,0272,BAT PK KLS STER DISP,463.1,370.48,128.6,416.79,27
RC,0272,BB TAK LOPRO SYS ARTX,297.0,237.6,82.48,267.3,27
RC,0272,BB TAK LOPRO SYS ARTX THRD,448.8,359.04,124.63,403.92,27
RC,0272,BB TAK SYS ARTX LG,668.25,534.6,185.57,601.43,27
RC,0272,BB TAK SYS THRD LG,742.5,594.0,206.19,668.25,27
RC,0272,BENDER PLATE ARTX,305.0,244.0,84.7,274.5,27
RC,0272,BENDER PLATE UNIV DYNABUNION,701.06,560.85,194.68,630.95,27
RC,0272,BG COLLT EXTL DRN SYS EDS3,247.05,197.64,68.61,222.35,27
RC,0272,BG DRN CFS EDMS BECKER,207.83,166.27,57.71,187.05,27
RC,0272,BG DRN EXACBX10*DISC 6182577*,206.24,165.0,57.27,185.62,27
RC,0272,BG DRN EXACTAEA1*DISC 6350310*,264.44,211.56,73.43,238.0,27
RC,0272,BG DRN EXTL VENT*DISC 6350310*,259.13,207.31,71.96,233.22,27
RC,0272,BG DRN GULLY STER,313.2,250.56,86.98,281.88,27
RC,0272,BG DRN REPL CSF DUET INTERLINK,205.75,164.6,57.14,185.18,27
RC,0272,BG DRN W PORT TRU-CLOSE 500ML,226.01,180.81,62.76,203.41,27
RC,0272,BG EXTL DRAIN INTEGRA 700ML,218.38,174.71,60.64,196.54,27
RC,0272,BG SILO SIL WO RING 4CM,1057.5,846.0,293.67,951.75,27
RC,0272,BG SILO VENTRAL WALL 5CM,1751.4,1401.12,486.36,1576.26,27
RC,0272,BG SILO VENTRAL WALL 7.5CM,2066.4,1653.12,573.84,1859.76,27
RC,0272,BG SPECMN RELIAC*DISC 6121900*,303.86,243.09,84.38,273.47,27
RC,0272,BG SPECMN RETRV 1400ML,351.0,280.8,97.47,315.9,27
RC,0272,BG SPECMN RETRV 2000ML,405.0,324.0,112.47,364.5,27
RC,0272,BG URN DRN NAVARRE 600ML,567.0,453.6,157.46,510.3,27
RC,0272,BG WASTE FLUENT FLUID MGMT,333.72,266.98,92.67,300.35,27
RC,0272,BILE CD EXPLORATION *VAT MULT*,2828.0,2262.4,785.34,2545.2,27
RC,0272,BINDER ABD 2PNL MAGR 12X>42,280.8,224.64,77.98,252.72,27
RC,0272,BINDER ABD 4PNL DALE 15X72-94,216.55,173.24,60.14,194.9,27
RC,0272,BINDER ABD 4PNL MAGR 12X42-64,358.02,286.42,99.42,322.22,27
RC,0272,BIT DIRLL GDPIN *DISC 6341969*,214.72,171.78,59.63,193.25,27
RC,0272,BIT DRILL 1.9MM *DISC 6344850*,430.75,344.6,119.62,387.68,27
RC,0272,BIT DRILL 10MM STEP 5.0/7*NLU*,1787.02,1429.62,496.26,1608.32,27
RC,0272,BIT DRILL 16MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL 2.0MM SCREW 3DI1.3MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL 2.0X125MM,478.75,383.0,132.95,430.88,27
RC,0272,BIT DRILL 2.4MM,952.56,762.05,264.53,857.3,27
RC,0272,BIT DRILL 2.4MM SCREW 3DI1.6MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL 2.5MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL 2.5X100MM,576.0,460.8,159.96,518.4,27
RC,0272,BIT DRILL 2.7X100MM,612.0,489.6,169.95,550.8,27
RC,0272,BIT DRILL 2.7X130MM,460.35,368.28,127.84,414.32,27
RC,0272,BIT DRILL 2.8MM*NLU*,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL 20MM STEP 5.0/7*NLU*,1999.54,1599.64,555.27,1799.59,27
RC,0272,BIT DRILL 2FLUTE J 1X44-5/6MM,469.08,375.27,130.26,422.17,27
RC,0272,BIT DRILL 2MM*NLU*,1071.0,856.8,297.42,963.9,27
RC,0272,BIT DRILL 3 FLUTE SYNT 4X150MM,1041.39,833.12,289.19,937.25,27
RC,0272,BIT DRILL 3.2MM*DISC*,422.4,337.92,117.3,380.16,27
RC,0272,BIT DRILL 3.2X200MM*DISC*,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL 3.2X215MM,848.61,678.89,235.66,763.75,27
RC,0272,BIT DRILL 3.3X15MM*NLU*,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL 3.3X60MM*NLU*,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL 3.5MM,1512.0,1209.6,419.88,1360.8,27
RC,0272,BIT DRILL 3.5MM*NLU*,882.0,705.6,244.93,793.8,27
RC,0272,BIT DRILL 3.5X125MM,433.58,346.87,120.41,390.22,27
RC,0272,BIT DRILL 32X145MM,420.29,336.24,116.71,378.26,27
RC,0272,BIT DRILL 3FLUTE 2.9/3.2 150MM,746.55,597.24,207.32,671.9,27
RC,0272,BIT DRILL 3FLUTE 2.9/3.2 331MM,918.54,734.84,255.08,826.69,27
RC,0272,BIT DRILL 3FLUTE 3.8X270MM,848.61,678.89,235.66,763.75,27
RC,0272,BIT DRILL 3FLUTE 3.9/4.2 150MM,746.55,597.24,207.32,671.9,27
RC,0272,BIT DRILL 3FLUTE 3.9/4.2 331MM,918.54,734.84,255.08,826.69,27
RC,0272,BIT DRILL 3FLUTE 4.9/5 150MM,746.55,597.24,207.32,671.9,27
RC,0272,BIT DRILL 3FLUTE QC 2.7X110MM,466.83,373.47,129.64,420.15,27
RC,0272,BIT DRILL 3FLUTE QC 2X125MM,445.54,356.44,123.73,400.99,27
RC,0272,BIT DRILL 3FLUTE QC 3.2MM,636.93,509.55,176.88,573.24,27
RC,0272,BIT DRILL 3FLUTE QC 3.2X195MM,557.55,446.04,154.83,501.8,27
RC,0272,BIT DRILL 3FLUTE QC 3.2X210MM,670.95,536.76,186.32,603.86,27
RC,0272,BIT DRILL 3FLUTE QC 4.2MM,636.93,509.55,176.88,573.24,27
RC,0272,BIT DRILL 3FLUTE QC 4.5X195MM,557.55,446.04,154.83,501.8,27
RC,0272,BIT DRILL 3FLUTE QC 4X195MM,595.35,476.28,165.33,535.82,27
RC,0272,BIT DRILL 3FLUTE QC 5.0MM,684.18,547.35,190.0,615.76,27
RC,0272,BIT DRILL 3FLUTE QC STER 3.2MM,884.52,707.62,245.63,796.07,27
RC,0272,BIT DRILL 3FLUTE QC STER 4.2MM,822.15,657.72,228.31,739.94,27
RC,0272,BIT DRILL 3FLUTE QCRADL3.2X150,1041.39,833.12,289.19,937.25,27
RC,0272,BIT DRILL 3FLUTE QCRADL3.5X122,1041.39,833.12,289.19,937.25,27
RC,0272,BIT DRILL 3FLUTE QCRADL4.5X150,1041.39,833.12,289.19,937.25,27
RC,0272,BIT DRILL 3FLUTE RADL 3.2MM,956.34,765.08,265.58,860.71,27
RC,0272,BIT DRILL 3FLUTE RADL 4.2MM,956.34,765.08,265.58,860.71,27
RC,0272,BIT DRILL 3FLUTE RADL STER 4.2,1076.04,860.84,298.82,968.44,27
RC,0272,BIT DRILL 3FLUTEQCCALIB3.2X215,841.05,672.84,233.56,756.95,27
RC,0272,BIT DRILL 3MM,569.25,455.4,158.08,512.33,27
RC,0272,BIT DRILL 4.0X15MM*NLU*,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL 5.0 AS3 2.0X150,648.72,518.98,180.15,583.85,27
RC,0272,BIT DRILL 5.5MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL 5MM,1428.0,1142.4,396.56,1285.2,27
RC,0272,BIT DRILL ACL ARTX 3MM,1270.5,1016.4,352.82,1143.45,27
RC,0272,BIT DRILL ACL TIGHTROPE 4MM,618.75,495.0,171.83,556.88,27
RC,0272,BIT DRILL ACORN TPS RX 6M*NLU*,513.0,410.4,142.46,461.7,27
RC,0272,BIT DRILL ACUTRAK MINI PROFILE,1549.8,1239.84,430.38,1394.82,27
RC,0272,BIT DRILL ACUTRAK2 LNG,1722.0,1377.6,478.2,1549.8,27
RC,0272,BIT DRILL ACUTRAK2 MICRO,1549.8,1239.84,430.38,1394.82,27
RC,0272,BIT DRILL ACUTRAK2 MICRO LNG,1726.2,1380.96,479.37,1553.58,27
RC,0272,BIT DRILL ACUTRAK2 MINI LNG,1722.0,1377.6,478.2,1549.8,27
RC,0272,BIT DRILL ACUTRAK2 STD,1549.8,1239.84,430.38,1394.82,27
RC,0272,BIT DRILL ANCHOR AO CONN,470.59,376.48,130.68,423.53,27
RC,0272,BIT DRILL ANCHOR SONICSTRYD2.8,1354.21,1083.37,376.06,1218.79,27
RC,0272,BIT DRILL ANK INBONE 6MM,1520.4,1216.32,422.22,1368.36,27
RC,0272,BIT DRILL ANK INBONE SZ2,1832.08,1465.67,508.77,1648.87,27
RC,0272,BIT DRILL ANK INBONE SZ3,859.5,687.6,238.68,773.55,27
RC,0272,BIT DRILL ANK INBONE SZ4,859.5,687.6,238.68,773.55,27
RC,0272,BIT DRILL ANK INBONE SZ5,859.5,687.6,238.68,773.55,27
RC,0272,BIT DRILL ANT PEG INVISION 3.8,1881.6,1505.28,522.52,1693.44,27
RC,0272,BIT DRILL AO 2.7X125MM,478.75,383.0,132.95,430.88,27
RC,0272,BIT DRILL AO CPL AS3 2.7,1057.35,845.88,293.63,951.62,27
RC,0272,BIT DRILL AO PANGEA 2.0X135MM,1268.4,1014.72,352.23,1141.56,27
RC,0272,BIT DRILL AO PANGEA 2.0X175MM,1554.0,1243.2,431.55,1398.6,27
RC,0272,BIT DRILL AO PANGEA 2.5X135MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL AO PANGEA 2.5X215MM,1470.0,1176.0,408.22,1323.0,27
RC,0272,BIT DRILL AO PANGEA 2.7X125MM,1327.2,1061.76,368.56,1194.48,27
RC,0272,BIT DRILL AO PANGEA 3.2X145MM,931.5,745.2,258.68,838.35,27
RC,0272,BIT DRILL AO PANGEA 3.2X215MM,1386.0,1108.8,384.89,1247.4,27
RC,0272,BIT DRILL AO PANGEA 3.5X135MM,1297.8,1038.24,360.4,1168.02,27
RC,0272,BIT DRILL AO PANGEA 4.3X215MM,1470.0,1176.0,408.22,1323.0,27
RC,0272,BIT DRILL AO PANGEA 4.5X135MM,1239.0,991.2,344.07,1115.1,27
RC,0272,BIT DRILL AO QC 2.0X40MM,949.05,759.24,263.55,854.15,27
RC,0272,BIT DRILL AO QC ARTX 2.0MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL AO QC ARTX 2.4MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL AO QC ARTX 3.5MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL AO QC ARTX 4.0MM,618.75,495.0,171.83,556.88,27
RC,0272,BIT DRILL AO QC VOLT 1.5 100MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL AO QC VOLT 1.5 120MM,797.94,638.36,221.59,718.15,27
RC,0272,BIT DRILL AO QC VOLT 1.8 115MM,990.0,792.0,274.92,891.0,27
RC,0272,BIT DRILL AO QC VOLT 1.8 145MM,990.0,792.0,274.92,891.0,27
RC,0272,BIT DRILL AO QC VOLT 2.0 115MM,728.64,582.92,202.34,655.78,27
RC,0272,BIT DRILL AO QC VOLT 2.0 125MM,861.3,689.04,239.18,775.17,27
RC,0272,BIT DRILL AO QC VOLT 2.0 145MM,728.64,582.92,202.34,655.78,27
RC,0272,BIT DRILL AO QC VOLT 2.0 175MM,1023.66,818.93,284.27,921.29,27
RC,0272,BIT DRILL AO QC VOLT 2.5 140MM,823.68,658.95,228.74,741.31,27
RC,0272,BIT DRILL AO QC VOLT 2.5 155MM,1011.06,808.85,280.77,909.95,27
RC,0272,BIT DRILL AO QC VOLT 2.8 140MM,811.8,649.44,225.44,730.62,27
RC,0272,BIT DRILL AO QC VOLT 2.8 155MM,962.28,769.83,267.23,866.05,27
RC,0272,BIT DRILL AO QC VOLT 2.8 205MM,1031.58,825.27,286.47,928.42,27
RC,0272,BIT DRILL AO SCALE 1.6MM,503.87,403.1,139.92,453.48,27
RC,0272,BIT DRILL AO SCALE 2.0MM,478.75,383.0,132.95,430.88,27
RC,0272,BIT DRILL AO SCALED 2.0X135MM,499.64,399.72,138.75,449.68,27
RC,0272,BIT DRILL AO SCALED 2.6X220MM,665.55,532.44,184.82,599.0,27
RC,0272,BIT DRILL AO STRY 2.5MM,965.39,772.32,268.09,868.85,27
RC,0272,BIT DRILL AO STRY 2.6X135MM,499.64,399.72,138.75,449.68,27
RC,0272,BIT DRILL AO STRY 2X122MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL AO STRY 2X135MM,499.64,399.72,138.75,449.68,27
RC,0272,BIT DRILL AO STRY 2X41MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL AO STRY 3.2X450MM,965.39,772.32,268.09,868.85,27
RC,0272,BIT DRILL AO STRY 3.5X390MM,965.39,772.32,268.09,868.85,27
RC,0272,BIT DRILL AO STRY 4.5X390MM,965.39,772.32,268.09,868.85,27
RC,0272,BIT DRILL AO STRY 5X230MM,571.59,457.28,158.73,514.43,27
RC,0272,BIT DRILL APTIS 2.5MM,438.0,350.4,121.63,394.2,27
RC,0272,BIT DRILL ARSENAL 2.7/3.5MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL ARSENAL SCREW 2.2MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL ARSENAL SCREW 2.7MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL ARTX 1.1MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL ARTX 1.5MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL ARTX 1.6MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL ARTX 2.2MM,448.8,359.04,124.63,403.92,27
RC,0272,BIT DRILL ARTX 2.5MM,448.8,359.04,124.63,403.92,27
RC,0272,BIT DRILL ARTX 2.7MM,448.8,359.04,124.63,403.92,27
RC,0272,BIT DRILL ARTX 3.0X180MM,1316.7,1053.36,365.65,1185.03,27
RC,0272,BIT DRILL ARTX 3.2MM,380.16,304.13,105.57,342.14,27
RC,0272,BIT DRILL ARTX 4MM,569.25,455.4,158.08,512.33,27
RC,0272,BIT DRILL ARTX SHRT 2.5MM,792.99,634.4,220.21,713.69,27
RC,0272,BIT DRILL ASNIC 1.7MM,334.85,267.88,92.99,301.37,27
RC,0272,BIT DRILL ASNIC SOLID 2.1,340.58,272.47,94.58,306.52,27
RC,0272,BIT DRILL ASSURE GM SHRT 12MM,405.0,324.0,112.47,364.5,27
RC,0272,BIT DRILL ASSURE GM SHRT 14MM,405.0,324.0,112.47,364.5,27
RC,0272,BIT DRILL ASSURE GM SHRT 16MM,405.0,324.0,112.47,364.5,27
RC,0272,BIT DRILL ASSURE GM SHRT 18MM,405.0,324.0,112.47,364.5,27
RC,0272,BIT DRILL AVIATOR 16MM,508.5,406.8,141.21,457.65,27
RC,0272,BIT DRILL AVIATOR WO STOP 14MM,508.5,406.8,141.21,457.65,27
RC,0272,BIT DRILL AWL TIP GM ANG,1125.0,900.0,312.41,1012.5,27
RC,0272,BIT DRILL AWL TIP GM ST,1125.0,900.0,312.41,1012.5,27
RC,0272,BIT DRILL BALL DIMND 10CMX2MM,645.62,516.5,179.29,581.06,27
RC,0272,BIT DRILL BALL DIMND 10CMX4MM,685.98,548.79,190.5,617.38,27
RC,0272,BIT DRILL BALL DIMND 10CMX5MM,667.62,534.1,185.4,600.86,27
RC,0272,BIT DRILL BALL DIMND 12CMX3MM,1205.4,964.32,334.74,1084.86,27
RC,0272,BIT DRILL BALL DIMND 12CMX5MM,1152.14,921.72,319.95,1036.93,27
RC,0272,BIT DRILL BALL DIMND 14CM*NLU*,770.36,616.29,213.93,693.32,27
RC,0272,BIT DRILL BALL DIMND 9CMX4MM,777.69,622.16,215.96,699.92,27
RC,0272,BIT DRILL BALL DIMND 9CMX5MM,777.69,622.16,215.96,699.92,27
RC,0272,BIT DRILL BALL DIMND14CMX*NLU*,766.67,613.34,212.9,690.0,27
RC,0272,BIT DRILL BALL DURAPRO 5X22X90,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BALL DURAPRO5X22X140,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BLU 2.*DISC NO REPL*,1310.4,1048.32,363.9,1179.36,27
RC,0272,BIT DRILL BLU BAR XTRAFIX 2.4,704.52,563.62,195.65,634.07,27
RC,0272,BIT DRILL BLU BAR XTRAFIX 3.2,704.52,563.62,195.65,634.07,27
RC,0272,BIT DRILL BLU BAR XTRAFIX 4.0,741.6,593.28,205.94,667.44,27
RC,0272,BIT DRILL BONE GRAFT 10MM,1879.2,1503.36,521.85,1691.28,27
RC,0272,BIT DRILL BONE GRAFT 8MM,1879.2,1503.36,521.85,1691.28,27
RC,0272,BIT DRILL BRL DURAPRO 3X22X140,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BRL DURAPRO 3X22X90,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BRL DURAPRO 4X22X140,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BRL DURAPRO2.4X28X90,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BRLDURAPRO2.4X28X140,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BRLDURAPRO2.9X30X140,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL BRLSHEATH4. 5X30X250,2520.0,2016.0,699.8,2268.0,27
RC,0272,BIT DRILL BRUSHDURAPRO5X15X180,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL BRUSHDURAPRO5X25X180,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL BRUSHDURAPRO6X25X250,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL CALIB 3.0MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CALIB 4.3X315MM*NLU*,490.05,392.04,136.09,441.05,27
RC,0272,BIT DRILL CALIB AO 2.0X295MM,298.47,238.78,82.89,268.62,27
RC,0272,BIT DRILL CALIB AO 3.2X315MM,647.82,518.26,179.9,583.04,27
RC,0272,BIT DRILL CALIB AO 4.3X310MM,673.2,538.56,186.95,605.88,27
RC,0272,BIT DRILL CALIB AO IM 3.8MM,1860.48,1488.39,516.66,1674.43,27
RC,0272,BIT DRILL CALIB AO STRL 4X280,1363.82,1091.06,378.73,1227.44,27
RC,0272,BIT DRILL CALIB ARTX 2.5MM,403.92,323.14,112.17,363.53,27
RC,0272,BIT DRILL CALIB ARTX 2MM,470.25,376.2,130.59,423.23,27
RC,0272,BIT DRILL CALIB ARTX 2PK 2.5MM,448.8,359.04,124.63,403.92,27
RC,0272,BIT DRILL CALIB ARTX 4.2MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,BIT DRILL CALIB CANNFUZEFIX2.6,2556.0,2044.8,709.8,2300.4,27
RC,0272,BIT DRILL CALIB FLUTE 2.5MM,1125.0,900.0,312.41,1012.5,27
RC,0272,BIT DRILL CALIB FLUTE 2.8MM,1125.0,900.0,312.41,1012.5,27
RC,0272,BIT DRILL CALIB LNG 3.0MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CALIB ORPE 2.0M*NLU*,1062.0,849.6,294.92,955.8,27
RC,0272,BIT DRILL CALIB ORPE 2.5MM,1169.28,935.43,324.71,1052.35,27
RC,0272,BIT DRILL CALIB ORPE 3.2MM,1095.36,876.29,304.18,985.82,27
RC,0272,BIT DRILL CALIB ORPE 3.5M*NLU*,1155.84,924.68,320.98,1040.26,27
RC,0272,BIT DRILL CALIB ORPE 4.5M*NLU*,1895.4,1516.32,526.35,1705.86,27
RC,0272,BIT DRILL CALIB PERC SYNT2.5MM,756.0,604.8,209.94,680.4,27
RC,0272,BIT DRILL CALIB PILOT 2.5MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL CALIB PILOT 3.0MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL CALIB POLYLOCK 2.7MM,2556.0,2044.8,709.8,2300.4,27
RC,0272,BIT DRILL CALIB SHRT 2.8MM,554.76,443.81,154.06,499.28,27
RC,0272,BIT DRILL CALIB STER LNG 3.2MM,1101.87,881.5,305.99,991.68,27
RC,0272,BIT DRILL CALIB STER XLNG 4.2,1120.56,896.45,311.18,1008.5,27
RC,0272,BIT DRILL CALIB SYNT 1.8X*NLU*,527.27,421.82,146.42,474.54,27
RC,0272,BIT DRILL CALIB SYNT 1.8X125MM,1026.0,820.8,284.92,923.4,27
RC,0272,BIT DRILL CALIB SYNT 2.8MM,491.4,393.12,136.46,442.26,27
RC,0272,BIT DRILL CALIB SYNT 2.8X200MM,652.05,521.64,181.07,586.85,27
RC,0272,BIT DRILL CALIB SYNT 2.8X300MM,756.0,604.8,209.94,680.4,27
RC,0272,BIT DRILL CALIB SYNT 250X2.5MM,491.4,393.12,136.46,442.26,27
RC,0272,BIT DRILL CALIB SYNT 4.2MM,893.97,715.18,248.26,804.57,27
RC,0272,BIT DRILL CALIB SYNT 5MM,960.12,768.1,266.63,864.11,27
RC,0272,BIT DRILL CALIB SYNT STER4.2MM,1079.19,863.36,299.69,971.27,27
RC,0272,BIT DRILL CALIB XLNG 4.2MM,1035.0,828.0,287.42,931.5,27
RC,0272,BIT DRILL CALIB ZIMM 2.7X165MM,612.0,489.6,169.95,550.8,27
RC,0272,BIT DRILL CANN 10.2MM,1949.11,1559.29,541.27,1754.2,27
RC,0272,BIT DRILL CANN 11X260MM,2505.6,2004.48,695.81,2255.04,27
RC,0272,BIT DRILL CANN 12.0MM,1845.14,1476.12,512.4,1660.63,27
RC,0272,BIT DRILL CANN 14MM,1789.03,1431.23,496.81,1610.13,27
RC,0272,BIT DRILL CANN 2.0MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN 2.5 SCREW 1.7MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN 2.9MM,1629.6,1303.68,452.54,1466.64,27
RC,0272,BIT DRILL CANN 3.0MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN 3.2MM,1123.63,898.91,312.03,1011.27,27
RC,0272,BIT DRILL CANN 3.5X160MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL CANN 4.0MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN 4.0MM *DISC*,530.37,424.3,147.28,477.33,27
RC,0272,BIT DRILL CANN 4.3MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN 4.9X240MM,1559.75,1247.8,433.14,1403.78,27
RC,0272,BIT DRILL CANN 4MMX15CM,1134.0,907.2,314.91,1020.6,27
RC,0272,BIT DRILL CANN 7MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN 8X260MM,2505.6,2004.48,695.81,2255.04,27
RC,0272,BIT DRILL CANN 9MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN ACL ARTX 2.4MM,1270.5,1016.4,352.82,1143.45,27
RC,0272,BIT DRILL CANN AO 2X120MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL CANN AO ASNIS 1.7,1138.62,910.9,316.19,1024.76,27
RC,0272,BIT DRILL CANN AO FIT 2.7MM,1288.77,1031.02,357.89,1159.89,27
RC,0272,BIT DRILL CANN AO FIT 3.5MM,1288.77,1031.02,357.89,1159.89,27
RC,0272,BIT DRILL CANN AO ORPE 2.7MM,1948.8,1559.04,541.18,1753.92,27
RC,0272,BIT DRILL CANN APTIS 4.5MM,686.25,549.0,190.57,617.63,27
RC,0272,BIT DRILL CANN APTIS 4MM,686.25,549.0,190.57,617.63,27
RC,0272,BIT DRILL CANN APTIS 5.0MM,686.25,549.0,190.57,617.63,27
RC,0272,BIT DRILL CANN APTIS 6.0MM,686.25,549.0,190.57,617.63,27
RC,0272,BIT DRILL CANN ARTX 2.2MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN ARTX 2.5MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX 2.6MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX 2.75MM,1617.0,1293.6,449.04,1455.3,27
RC,0272,BIT DRILL CANN ARTX 2.7MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN ARTX 2.9MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN ARTX 2MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX 3.2MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN ARTX 3.5MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX 3.6MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN ARTX 3MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX 4.0MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX 4.0MM*NLU*,828.0,662.4,229.94,745.2,27
RC,0272,BIT DRILL CANN ARTX 4MM,1824.9,1459.92,506.77,1642.41,27
RC,0272,BIT DRILL CANN ARTX LIME 3.2MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX LNG 4MM,1247.4,997.92,346.4,1122.66,27
RC,0272,BIT DRILL CANN ARTX PUR 5.0MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN ARTX SHRT 2.9MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN AS3 1.4X150,720.27,576.22,200.02,648.24,27
RC,0272,BIT DRILL CANN ASNIS 3MM,1242.36,993.89,345.0,1118.12,27
RC,0272,BIT DRILL CANN ASNIS AO 5.6MM,1343.62,1074.9,373.12,1209.26,27
RC,0272,BIT DRILL CANN ASNIS AO 6.5MM,1501.67,1201.34,417.01,1351.5,27
RC,0272,BIT DRILL CANN ASNIS AO 8.0MM,1474.03,1179.23,409.34,1326.63,27
RC,0272,BIT DRILL CANN ASNIS STER 1.7,882.45,705.96,245.06,794.21,27
RC,0272,BIT DRILL CANN ASNIS STER 3MM,963.54,770.84,267.58,867.19,27
RC,0272,BIT DRILL CANN ASNIS STER1.7MM,381.12,304.9,105.84,343.01,27
RC,0272,BIT DRILL CANN BIODR 1.6*DISC*,972.0,777.6,269.92,874.8,27
RC,0272,BIT DRILL CANN DF/ORTHO 2.2MM,801.45,641.16,222.56,721.31,27
RC,0272,BIT DRILL CANN DF/ORTHO 2.5MM,801.45,641.16,222.56,721.31,27
RC,0272,BIT DRILL CANN DF/ORTHO 3MM,801.45,641.16,222.56,721.31,27
RC,0272,BIT DRILL CANN DYNANAIL 5.0MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN DYNANAIL 7.5MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN DYNANAIL HLX5MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN DYNANAIL HLX6.5,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN FEM 4.9MM,2462.11,1969.69,683.73,2215.9,27
RC,0272,BIT DRILL CANN FIXOS 4.9MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL CANN FLEX LG 16MM,2432.81,1946.25,675.59,2189.53,27
RC,0272,BIT DRILL CANN FLEX LNG 12MM,3049.98,2439.99,846.98,2744.98,27
RC,0272,BIT DRILL CANN FLEX STER 12MM,2935.35,2348.28,815.15,2641.82,27
RC,0272,BIT DRILL CANN FLEX STER 14MM,2436.16,1948.93,676.52,2192.54,27
RC,0272,BIT DRILL CANN FLEXDHS/DCS14MM,2490.62,1992.5,691.65,2241.56,27
RC,0272,BIT DRILL CANN FLOR 7.0MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,BIT DRILL CANN GLENO PSI 6X15,897.75,718.2,249.31,807.98,27
RC,0272,BIT DRILL CANN GLENO PSI 6X30,897.75,718.2,249.31,807.98,27
RC,0272,BIT DRILL CANN GM 3.5MM,1575.0,1260.0,437.38,1417.5,27
RC,0272,BIT DRILL CANN HOLLOW 16MM,2470.27,1976.22,685.99,2223.24,27
RC,0272,BIT DRILL CANN HOLLOW TFN 16MM,2630.88,2104.71,730.6,2367.79,27
RC,0272,BIT DRILL CANN HUDSON4.3X275MM,2041.2,1632.96,566.84,1837.08,27
RC,0272,BIT DRILL CANN JFX 3.0X170MM,864.09,691.28,239.96,777.68,27
RC,0272,BIT DRILL CANN LNG 12MM,2514.18,2011.35,698.19,2262.76,27
RC,0272,BIT DRILL CANN LNG 3.0MM,990.0,792.0,274.92,891.0,27
RC,0272,BIT DRILL CANN LNG 3.2MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN MICA STER3X60MM,1073.25,858.6,298.04,965.93,27
RC,0272,BIT DRILL CANN MINI HUDSON 3MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL CANN MINI HUDSON 4.5,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN MINI HUDSON 4MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL CANN MINI HUDSON 5MM,2237.4,1789.92,621.33,2013.66,27
RC,0272,BIT DRILL CANN ORPE 2.2X130MM,1814.4,1451.52,503.86,1632.96,27
RC,0272,BIT DRILL CANN ORPE 2.7X160MM,1948.8,1559.04,541.18,1753.92,27
RC,0272,BIT DRILL CANN ORPE 3.2X190MM,1596.0,1276.8,443.21,1436.4,27
RC,0272,BIT DRILL CANN ORPE 4.0X230MM,1948.8,1559.04,541.18,1753.92,27
RC,0272,BIT DRILL CANN PEDILOC 3.5MM,1629.6,1303.68,452.54,1466.64,27
RC,0272,BIT DRILL CANN PK MENISC,1249.25,999.4,346.92,1124.33,27
RC,0272,BIT DRILL CANN PRGN 1.7MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL CANN PRGN 2.3X120MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL CANN PRGN 2.6X130MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL CANN PRGN 4.6X300MM,1488.69,1190.96,413.41,1339.82,27
RC,0272,BIT DRILL CANN QC 1.6X95MM,1503.1,1202.48,417.41,1352.79,27
RC,0272,BIT DRILL CANN QC 17.0X280MM,1873.37,1498.7,520.23,1686.03,27
RC,0272,BIT DRILL CANN QC 2.0X145MM,1506.96,1205.57,418.48,1356.26,27
RC,0272,BIT DRILL CANN QC 2.7X145MM,1593.9,1275.12,442.63,1434.51,27
RC,0272,BIT DRILL CANN QC 3.0X215MM,1562.99,1250.4,434.04,1406.69,27
RC,0272,BIT DRILL CANN QC 3.2MM,2284.13,1827.31,634.3,2055.72,27
RC,0272,BIT DRILL CANN QC 5.0X215MM,1572.65,1258.12,436.72,1415.39,27
RC,0272,BIT DRILL CANN QC 5MM,2373.12,1898.5,659.02,2135.81,27
RC,0272,BIT DRILL CANN QC 6X190MM,2049.77,1639.82,569.22,1844.79,27
RC,0272,BIT DRILL CANN QC LG 8X190MM,2049.77,1639.82,569.22,1844.79,27
RC,0272,BIT DRILL CANN QC SYNT 4.8MM,1015.56,812.45,282.02,914.0,27
RC,0272,BIT DRILL CANN QK LG 11.2MM,2207.45,1765.96,613.01,1986.71,27
RC,0272,BIT DRILL CANN QK LG 12.8MM,2207.45,1765.96,613.01,1986.71,27
RC,0272,BIT DRILL CANN RVRS 25CM 6MM,897.75,718.2,249.31,807.98,27
RC,0272,BIT DRILL CANN SCP 3.5MM,1444.8,1155.84,401.22,1300.32,27
RC,0272,BIT DRILL CANN SHRT 12MM,2421.07,1936.86,672.33,2178.96,27
RC,0272,BIT DRILL CANN STD 2.7MM*NLU*,675.0,540.0,187.45,607.5,27
RC,0272,BIT DRILL CANN STER ENOV 4.0MM,1323.0,1058.4,367.4,1190.7,27
RC,0272,BIT DRILL CANN STRY 1.9MM,1182.13,945.71,328.28,1063.92,27
RC,0272,BIT DRILL CANN STRY 2.1MM,1182.13,945.71,328.28,1063.92,27
RC,0272,BIT DRILL CANN STRY 2.4MM,1381.8,1105.44,383.73,1243.62,27
RC,0272,BIT DRILL CANN STRY 2.6MM,1289.82,1031.86,358.18,1160.84,27
RC,0272,BIT DRILL CANN SYNT 10X190MM,2049.77,1639.82,569.22,1844.79,27
RC,0272,BIT DRILL CANN SYNT 11X280MM,1726.96,1381.57,479.58,1554.26,27
RC,0272,BIT DRILL CANN SYNT 13MM,2007.43,1605.95,557.46,1806.69,27
RC,0272,BIT DRILL CANN SYNT 17X300MM,2333.02,1866.42,647.88,2099.72,27
RC,0272,BIT DRILL CANN SYNT 4MM,1160.08,928.07,322.15,1044.07,27
RC,0272,BIT DRILL CANN SYNT 6X10MM,1802.3,1441.84,500.5,1622.07,27
RC,0272,BIT DRILL CANN TIGER 3.0/4.0MM,877.5,702.0,243.68,789.75,27
RC,0272,BIT DRILL CANN TOGGLELOC 4.5MM,1084.5,867.6,301.17,976.05,27
RC,0272,BIT DRILL CANN TRIL 2.0/2.4MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL CANN TRIL 3.0/4.0MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL CANN TRIL 5.5MM,1512.0,1209.6,419.88,1360.8,27
RC,0272,BIT DRILL CANN TRIL 7MM*NLU*,1512.0,1209.6,419.88,1360.8,27
RC,0272,BIT DRILL CANN TRMI 1.6MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL CANN VILX 4.80MM,1764.0,1411.2,489.86,1587.6,27
RC,0272,BIT DRILL CANN WIRE LOOP 2.4MM,1362.9,1090.32,378.48,1226.61,27
RC,0272,BIT DRILL CANN ZIMM 2.0MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL CANN ZIMM 2.4MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL CANN ZIMM 3.5MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL CANN ZIMM 4.8X200MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL CANN ZIMM 4.8X300MM,1209.6,967.68,335.91,1088.64,27
RC,0272,BIT DRILL CANN ZIMM 7X200MM,1280.5,1024.4,355.59,1152.45,27
RC,0272,BIT DRILL CANN ZIMM5.0MM*DISC*,1243.2,994.56,345.24,1118.88,27
RC,0272,BIT DRILL CANOPY 1.4MM,1659.0,1327.2,460.7,1493.1,27
RC,0272,BIT DRILL CARB SYNT 4MM,1109.43,887.55,308.09,998.49,27
RC,0272,BIT DRILL CARB SYNT 6MM,1180.12,944.1,327.72,1062.11,27
RC,0272,BIT DRILL CASTLELOC-S 2.6-20MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL CAYMAN ANT 3.5X20MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL CENT ZIMM 3.2MM,477.0,381.6,132.46,429.3,27
RC,0272,BIT DRILL CERV MDTR 2.4MM*NLU*,952.56,762.05,264.53,857.3,27
RC,0272,BIT DRILL CINCHLOCKFLEXHARDBON,1138.2,910.56,316.08,1024.38,27
RC,0272,BIT DRILL CMNT E*DISC NO REPL*,912.6,730.08,253.43,821.34,27
RC,0272,BIT DRILL CMPRHNSV W STOP2.7MM,612.0,489.6,169.95,550.8,27
RC,0272,BIT DRILL CNTRBORE 5.5X255MM,1033.11,826.49,286.89,929.8,27
RC,0272,BIT DRILL COMP FT LIME LG5.0MM,990.0,792.0,274.92,891.0,27
RC,0272,BIT DRILL COMP FT STD ARTX,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL COMP MICRO 2.0MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL COMPL 4.8X180*DISC*,936.0,748.8,259.93,842.4,27
RC,0272,BIT DRILL CONICAL W STOP 6.5MM,1188.94,951.16,330.17,1070.05,27
RC,0272,BIT DRILL CT GI1 SCREW 3.5MM,2905.6,2324.48,806.89,2615.04,27
RC,0272,BIT DRILL DEPU 3.2X127MM,1239.0,991.2,344.07,1115.1,27
RC,0272,BIT DRILL DISK ULTDRV3 13MM,2505.6,2004.48,695.81,2255.04,27
RC,0272,BIT DRILL DIST LK ARTX 2.*NLU*,472.5,378.0,131.21,425.25,27
RC,0272,BIT DRILL DIST RAD SYS 2MM,540.0,432.0,149.96,486.0,27
RC,0272,BIT DRILL DVRA ZIMM 2.5MM,593.28,474.63,164.75,533.95,27
RC,0272,BIT DRILL DVRA ZIMM 3.3MM,630.36,504.29,175.05,567.32,27
RC,0272,BIT DRILL ENCR 3.2MM,351.0,280.8,97.47,315.9,27
RC,0272,BIT DRILL ESCALATE 4MM,508.5,406.8,141.21,457.65,27
RC,0272,BIT DRILL EVANS WDG 1.7MM,594.0,475.2,164.95,534.6,27
RC,0272,BIT DRILL EVOLVE EPS 2.5MM,1063.8,851.04,295.42,957.42,27
RC,0272,BIT DRILL EVOLVE TRIAD 2.0MM,1090.74,872.6,302.9,981.67,27
RC,0272,BIT DRILL EXTL FIX GRN 4.5MM,704.52,563.62,195.65,634.07,27
RC,0272,BIT DRILL EXTL FIX MD 4MM,741.6,593.28,205.94,667.44,27
RC,0272,BIT DRILL FASSIER-DUVAL5.9X350,2660.4,2128.32,738.79,2394.36,27
RC,0272,BIT DRILL FAST 2MM,576.0,460.8,159.96,518.4,27
RC,0272,BIT DRILL FAST LNG 4.0MM*DISC*,576.0,460.8,159.96,518.4,27
RC,0272,BIT DRILL FAST STEP 4.0*DISC*,576.0,460.8,159.96,518.4,27
RC,0272,BIT DRILL FEM NECK 4.3X413MM,1499.23,1199.39,416.34,1349.31,27
RC,0272,BIT DRILL FEM PTLA NEX6.4*NLU*,369.6,295.68,102.64,332.64,27
RC,0272,BIT DRILL FEN 2.5MMX6IN,1134.0,907.2,314.91,1020.6,27
RC,0272,BIT DRILL FENESTRATION 2.5MM,1428.0,1142.4,396.56,1285.2,27
RC,0272,BIT DRILL FIBULOCK 2.5MM,470.25,376.2,130.59,423.23,27
RC,0272,BIT DRILL FIBULOCK 3.7MM,643.5,514.8,178.7,579.15,27
RC,0272,BIT DRILL FLEX 3.2MM*NLU*,2574.0,2059.2,714.8,2316.6,27
RC,0272,BIT DRILL FLEX GM 2.9MM,2160.0,1728.0,599.83,1944.0,27
RC,0272,BIT DRILL FLEX LG 13MM,2106.22,1684.98,584.9,1895.6,27
RC,0272,BIT DRILL FLUTE FBRTAK KNEE,1131.9,905.52,314.33,1018.71,27
RC,0272,BIT DRILL FLUTE FBRTAK KNEE2.8,472.23,377.79,131.14,425.01,27
RC,0272,BIT DRILL FLUTE FBRTAK KNEE2.9,472.23,377.79,131.14,425.01,27
RC,0272,BIT DRILL FLUTE OPENING 5.5MM,1639.89,1311.92,455.4,1475.9,27
RC,0272,BIT DRILL FLUTE PILON 2.5MM,965.25,772.2,268.05,868.73,27
RC,0272,BIT DRILL FLUTE SKYLN 18MM,3097.67,2478.14,860.22,2787.9,27
RC,0272,BIT DRILL FOOTPRINT MINI 3.5MM,900.0,720.0,249.93,810.0,27
RC,0272,BIT DRILL FRAG-LOC 2.5MM,1255.8,1004.64,348.74,1130.22,27
RC,0272,BIT DRILL FREE STER 4.2X130MM,664.74,531.8,184.6,598.27,27
RC,0272,BIT DRILL FREEHAND 3.5X185MM,664.74,531.8,184.6,598.27,27
RC,0272,BIT DRILL FREEHAND 4.2MM,1963.5,1570.8,545.26,1767.15,27
RC,0272,BIT DRILL FREEHAND STER3.5X130,664.74,531.8,184.6,598.27,27
RC,0272,BIT DRILL GD NDLE AGILE 2.0MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BIT DRILL GD PIN 3.5MM,465.3,372.24,129.21,418.77,27
RC,0272,BIT DRILL GD PIN STERARTX2.4MM,620.73,496.59,172.38,558.66,27
RC,0272,BIT DRILL GD PIN*DISC 6339667*,443.52,354.82,123.17,399.17,27
RC,0272,BIT DRILL GLENO,652.5,522.0,181.2,587.25,27
RC,0272,BIT DRILL GLENO *DISC NO REPL*,720.0,576.0,199.94,648.0,27
RC,0272,BIT DRILL GLENO CANN ZIMM 6MM,1415.4,1132.32,393.06,1273.86,27
RC,0272,BIT DRILL GLENO W STOP ZIMM,657.0,525.6,182.45,591.3,27
RC,0272,BIT DRILL GLIDE HL 1.3X60/29MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL GM 10MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM 12MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL GM 14MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM 16MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM 18MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM 20MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM SHRT 10MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM SHRT 12MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM SHRT 14MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GM SHRT 16MM,480.0,384.0,133.3,432.0,27
RC,0272,BIT DRILL GPS 3.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL GPS 4.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL GPS 6.5/5.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL GRIDLOCK 2.4MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL GRIDLOCK 2.4MM*NLU*,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL GRIDLOCK 3.5MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL GRIDLOCK 3MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL GRIDLOCK 4MM*NLU*,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL GRIDLOCK OVER 4*NLU*,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL GRIDLOCK SCREW *NLU*,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL GRN 3.*DISC NO REPL*,1310.4,1048.32,363.9,1179.36,27
RC,0272,BIT DRILL GRY PT 2.2X100MM,391.23,312.99,108.64,352.11,27
RC,0272,BIT DRILL GRY PT 3.2X200MM,391.23,312.99,108.64,352.11,27
RC,0272,BIT DRILL GRY PT 4.0X200MM,401.38,321.11,111.46,361.24,27
RC,0272,BIT DRILL HAND FREE 4.2X185MM,593.87,475.1,164.92,534.48,27
RC,0272,BIT DRILL HARDBONE DRILL 1.5MM,540.0,432.0,149.96,486.0,27
RC,0272,BIT DRILL HARDBONE DRILL 1.7MM,594.0,475.2,164.95,534.6,27
RC,0272,BIT DRILL HD PNCLE 50MM,1017.0,813.6,282.42,915.3,27
RC,0272,BIT DRILL HDLSS S*USE 6338559*,2448.0,1958.4,679.81,2203.2,27
RC,0272,BIT DRILL HIGH SPEED GPS 2.5MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,BIT DRILL HIGH SPEED GPS 3.5MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,BIT DRILL HIGH SPEED GPS 4.5MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,BIT DRILL HL MAKER 9CMX12.6MM,843.71,674.97,234.3,759.34,27
RC,0272,BIT DRILL HOLLOW MULTLOC 10MM,1293.01,1034.41,359.07,1163.71,27
RC,0272,BIT DRILL HUMR NAIL LK 9.5MM,1427.08,1141.67,396.3,1284.37,27
RC,0272,BIT DRILL INCORE LAPIDUS *NLU*,648.0,518.4,179.95,583.2,27
RC,0272,BIT DRILL INHANCE 3.2X250MM,475.88,380.71,132.15,428.29,27
RC,0272,BIT DRILL ISO MINI MAXLK 1.6MM,744.3,595.44,206.69,669.87,27
RC,0272,BIT DRILL J 14MM 2.2X135MM,639.27,511.42,177.53,575.34,27
RC,0272,BIT DRILL J LATCH 1.8X125MM,473.99,379.2,131.63,426.59,27
RC,0272,BIT DRILL J LATCH SYNT 6X50MM,828.9,663.12,230.19,746.01,27
RC,0272,BIT DRILL J-LATCH 1.0MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL J-LATCH 1.5X110*NLU*,473.99,379.2,131.63,426.59,27
RC,0272,BIT DRILL J-LATCH 1.5X57MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL J-LATCH 1.8X24MM,750.83,600.67,208.51,675.75,27
RC,0272,BIT DRILL J-LATCH 2.4X75MM,796.5,637.2,221.19,716.85,27
RC,0272,BIT DRILL J-LATCH 75MM,358.34,286.68,99.51,322.51,27
RC,0272,BIT DRILL J-LATCH STRY 1.1X65,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL J-LATCH12MMSTOP1.0MM,399.17,319.34,110.85,359.25,27
RC,0272,BIT DRILL JACOBS CHUCK 2.7X110,376.49,301.2,104.55,338.84,27
RC,0272,BIT DRILL JACOBS CHUCK 3.2X130,358.78,287.03,99.63,322.9,27
RC,0272,BIT DRILL JACOBS CHUCK 3.2X180,393.12,314.5,109.17,353.81,27
RC,0272,BIT DRILL JACOBS CHUCK 3.5X180,362.69,290.16,100.72,326.42,27
RC,0272,BIT DRILL JACOBS CHUCK 4.5X130,342.47,273.98,95.1,308.22,27
RC,0272,BIT DRILL JACOBS CHUCK 4.5X180,393.12,314.5,109.17,353.81,27
RC,0272,BIT DRILL JACOBS CHUCK 4.5X233,1184.82,947.86,329.02,1066.34,27
RC,0272,BIT DRILL JACOBS CHUCK1.1X45MM,335.66,268.53,93.21,302.09,27
RC,0272,BIT DRILL JACOBS CHUCK2.5X95MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL JACOBS CHUCK3.5X95MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL JLATCH 4MMSTOP1.0MM,804.6,643.68,223.44,724.14,27
RC,0272,BIT DRILL JLATCH 5MMSTOP0.76MM,477.77,382.22,132.68,429.99,27
RC,0272,BIT DRILL JLATCH 8MMSTOP0.76MM,466.74,373.4,129.61,420.07,27
RC,0272,BIT DRILL JLATCH GLIDING HL2.0,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL JLATCH14MMSTOP0.76MM,470.16,376.13,130.56,423.14,27
RC,0272,BIT DRILL JUGGERKNOT SHRT2.9MM,373.78,299.03,103.8,336.4,27
RC,0272,BIT DRILL JUGGERKNOT STER1.4MM,422.4,337.92,117.3,380.16,27
RC,0272,BIT DRILL KLS 1.*DISC 6348076*,492.53,394.03,136.78,443.28,27
RC,0272,BIT DRILL KLS 1.9*USE 6287204*,430.75,344.6,119.62,387.68,27
RC,0272,BIT DRILL KLS 2.*DISC 6352222*,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL KLS 2.2X105MM,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL KNOTILUS+ 2.4X11.3MM,2608.0,2086.4,724.24,2347.2,27
RC,0272,BIT DRILL KWIRE ATTACH 2X71MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL KWIRE ATTACH1.1X70MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL KWIRE ATTACH1.5X62MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL KWIRE ATTACH1.5X88MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL LAG TRILEAP 2.0MM,796.46,637.17,221.18,716.81,27
RC,0272,BIT DRILL LAG TRILEAP 3.5MM,796.46,637.17,221.18,716.81,27
RC,0272,BIT DRILL LATITUDE EV 3X220MM,386.64,309.32,107.37,347.98,27
RC,0272,BIT DRILL LG CANN QC 9X190MM,2049.77,1639.82,569.22,1844.79,27
RC,0272,BIT DRILL LINDEMANN 2.2X66.7MM,302.18,241.75,83.92,271.96,27
RC,0272,BIT DRILL LINVAT*DISC NO REPL*,578.97,463.18,160.78,521.07,27
RC,0272,BIT DRILL LK MD 4.3X296MM,1123.11,898.49,311.89,1010.8,27
RC,0272,BIT DRILL LK SHORT 4.3X216MM,1033.92,827.14,287.12,930.53,27
RC,0272,BIT DRILL LK SHRT 3.1X216MM,989.28,791.43,274.72,890.35,27
RC,0272,BIT DRILL LK STER 4.2X360MM,593.87,475.1,164.92,534.48,27
RC,0272,BIT DRILL LK STERSTRY3.5X360MM,664.74,531.8,184.6,598.27,27
RC,0272,BIT DRILL LNG 5X355MM,1150.8,920.64,319.58,1035.72,27
RC,0272,BIT DRILL LNG MAZOR X 3X30MM,967.5,774.0,268.67,870.75,27
RC,0272,BIT DRILL LNG MAZOR X 3X80MM,967.5,774.0,268.67,870.75,27
RC,0272,BIT DRILL LO PRO ARTX 1.7MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL MARKED ZIMM 2.0MM,302.4,241.92,83.98,272.16,27
RC,0272,BIT DRILL MATCH HD 10CMX3MM,583.25,466.6,161.97,524.93,27
RC,0272,BIT DRILL MATCH HD 12CMX3MM,612.59,490.08,170.12,551.33,27
RC,0272,BIT DRILL MATCH HD 14CMX3MM,667.62,534.1,185.4,600.86,27
RC,0272,BIT DRILL MATCHHD 12CMX2.0MM,652.95,522.36,181.32,587.66,27
RC,0272,BIT DRILL MATCHHD 12CMX2.5MM,652.95,522.36,181.32,587.66,27
RC,0272,BIT DRILL MATTA 2.5X180MM,626.63,501.31,174.02,563.97,27
RC,0272,BIT DRILL MATTA 2.5X230MM,626.63,501.31,174.02,563.97,27
RC,0272,BIT DRILL MATTA 3.2X180MM,626.63,501.31,174.02,563.97,27
RC,0272,BIT DRILL MATTA 3.2X230MM,626.63,501.31,174.02,563.97,27
RC,0272,BIT DRILL MATTA 3.5X180MM,626.63,501.31,174.02,563.97,27
RC,0272,BIT DRILL MAXTORQ 0.25SQ 3.7MM,825.3,660.24,229.19,742.77,27
RC,0272,BIT DRILL MAXTORQ 0.25SQ 4.7MM,915.75,732.6,254.3,824.18,27
RC,0272,BIT DRILL MAXTORQ 2.7MM,758.25,606.6,210.57,682.43,27
RC,0272,BIT DRILL MCF SYS ARTX 1.7MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL MDSH 4MM,1134.0,907.2,314.91,1020.6,27
RC,0272,BIT DRILL MDTR 11MM,1126.15,900.92,312.73,1013.54,27
RC,0272,BIT DRILL MDTR 4.0MM,2114.68,1691.75,587.25,1903.21,27
RC,0272,BIT DRILL MEASURE 2.8X140MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL METAGLENE 2.5X120MM,571.05,456.84,158.58,513.95,27
RC,0272,BIT DRILL METAL CUT 3X18.3MM,961.11,768.89,266.9,865.0,27
RC,0272,BIT DRILL MIDAS ACORN 9CMX6MM,652.95,522.36,181.32,587.66,27
RC,0272,BIT DRILL MIDAS BALL 14CMX5MM,741.02,592.82,205.78,666.92,27
RC,0272,BIT DRILL MIDAS BALL 9CMX6MM,682.29,545.84,189.47,614.06,27
RC,0272,BIT DRILL MIDAS MATCH 12-2.8,605.25,484.2,168.08,544.73,27
RC,0272,BIT DRILL MIDAS MATCH 15-2.2,660.29,528.24,183.36,594.26,27
RC,0272,BIT DRILL MIDAS RD CRS DIA 4.5,2029.82,1623.86,563.68,1826.84,27
RC,0272,BIT DRILL MIDAS TWIST 1.3X6MM,491.54,393.24,136.5,442.39,27
RC,0272,BIT DRILL MIDAS TWIST 1.5X8MM,491.54,393.24,136.5,442.39,27
RC,0272,BIT DRILL MIDASACORN 9CMX7.5MM,652.95,522.36,181.32,587.66,27
RC,0272,BIT DRILL MINI FRAG AO 2.7MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL MINI FRAG LNG 2.0MM,900.0,720.0,249.93,810.0,27
RC,0272,BIT DRILL MINI MAXLK 1.6MM,744.3,595.44,206.69,669.87,27
RC,0272,BIT DRILL MINI QC 1.1MM,302.4,241.92,83.98,272.16,27
RC,0272,BIT DRILL MINI QC 1.3MM,302.4,241.92,83.98,272.16,27
RC,0272,BIT DRILL MINI QC 2.0MM,302.4,241.92,83.98,272.16,27
RC,0272,BIT DRILL MINI QC SYNT1.5X96MM,559.44,447.56,155.36,503.5,27
RC,0272,BIT DRILL MINI QK 2MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL MINI QK CPLE 46/29MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL MINI QK RED 1.5X48MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL MINI QK THRD 1X61MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL MINI QK THRD1.1X56MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL MINI QK THRD1.5X74MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL MINIQK CPLE 1.8X80MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL MINIQK CPLE 2.4X80MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL MOD RELIEF FRS*DISC*,612.0,489.6,169.95,550.8,27
RC,0272,BIT DRILL MORRIS*DISC 6150687*,721.13,576.91,200.26,649.02,27
RC,0272,BIT DRILL MTX J-LATCH 1.4X6MM,829.98,663.99,230.49,746.98,27
RC,0272,BIT DRILL MTX J-LATCH 1.4X8MM,834.3,667.44,231.69,750.87,27
RC,0272,BIT DRILL MTX J-LATCH1.4X110MM,882.45,705.96,245.06,794.21,27
RC,0272,BIT DRILL MTX J-LATCH1.4X125MM,1026.0,820.8,284.92,923.4,27
RC,0272,BIT DRILL MTXMAND 1.5X50MM,493.02,394.42,136.91,443.72,27
RC,0272,BIT DRILL MTXMAND 1.8X145MM,527.27,421.82,146.42,474.54,27
RC,0272,BIT DRILL MTXMAND 1.8X90MM,885.6,708.48,245.93,797.04,27
RC,0272,BIT DRILL MTXMAND MINI1.5*NLU*,496.8,397.44,137.96,447.12,27
RC,0272,BIT DRILL MTXMAND MINIQC1.5X50,829.98,663.99,230.49,746.98,27
RC,0272,BIT DRILL MTXMAND MINIQC1.5X90,882.45,705.96,245.06,794.21,27
RC,0272,BIT DRILL MTXMAND MINIQC1.8X90,882.45,705.96,245.06,794.21,27
RC,0272,BIT DRILL MTXMID 1.25X80MM,931.5,745.2,258.68,838.35,27
RC,0272,BIT DRILL MTXMID STOP1.25X44.5,931.5,745.2,258.68,838.35,27
RC,0272,BIT DRILL NAIL VILX 6.9MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,BIT DRILL NANOTACK 1.4MM*NLU*,841.5,673.2,233.68,757.35,27
RC,0272,BIT DRILL NANOTACK FLEX 1.4MM,985.5,788.4,273.67,886.95,27
RC,0272,BIT DRILL NAV 2.4MM,3640.0,2912.0,1010.83,3276.0,27
RC,0272,BIT DRILL NAVIGATED LNG 4.0MM,1972.4,1577.92,547.74,1775.16,27
RC,0272,BIT DRILL NAVIGATED LNG 4.5MM,1972.4,1577.92,547.74,1775.16,27
RC,0272,BIT DRILL NAVIGATED LNG 5.0MM,1972.4,1577.92,547.74,1775.16,27
RC,0272,BIT DRILL NAVIGATED LNG 5.5MM,1972.4,1577.92,547.74,1775.16,27
RC,0272,BIT DRILL NAVIGATED SHR T3.0MM,1972.4,1577.92,547.74,1775.16,27
RC,0272,BIT DRILL NAVIGATED SHRT 2.5MM,2638.44,2110.76,732.69,2374.6,27
RC,0272,BIT DRILL NAVIGATED SHRT 3.5MM,2638.44,2110.76,732.69,2374.6,27
RC,0272,BIT DRILL NL SHRT 2.5X216MM,1543.96,1235.17,428.76,1389.56,27
RC,0272,BIT DRILL NL SHRT 3.2X216MM,1033.92,827.14,287.12,930.53,27
RC,0272,BIT DRILL OCC FLEX MDTR 3*NLU*,2574.0,2059.2,714.8,2316.6,27
RC,0272,BIT DRILL OCCIPITAL 3.2MM*NLU*,1894.2,1515.36,526.02,1704.78,27
RC,0272,BIT DRILL OCCIPITAL TAPER*NLU*,1894.2,1515.36,526.02,1704.78,27
RC,0272,BIT DRILL OCCIPITO CERV 3.2MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL ORTHOLOC 2.5MM,2016.0,1612.8,559.84,1814.4,27
RC,0272,BIT DRILL ORTHOLOC 2.5X60MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC 2.8X60MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC 3.5MM,1625.4,1300.32,451.37,1462.86,27
RC,0272,BIT DRILL ORTHOLOC 3.5X60MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC 3X60MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC 4X60MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC WRIT 3.8MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC WRIT 3MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL ORTHOLOC WRIT 5*NLU*,1146.6,917.28,318.41,1031.94,27
RC,0272,BIT DRILL OVER GORILLA 2.7X110,691.88,553.51,192.14,622.69,27
RC,0272,BIT DRILL OZARK 2.3X12MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL OZARK 2.3X14MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL OZARK 2.3X16MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL OZARK 2.3X18MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL PAC T-FIX RCGSTER2MM,1574.37,1259.5,437.2,1416.93,27
RC,0272,BIT DRILL PEDIFRAG 3.2MM,860.4,688.32,238.93,774.36,27
RC,0272,BIT DRILL PEDIPLATES 3.2MM,1905.12,1524.1,529.05,1714.61,27
RC,0272,BIT DRILL PEDS SM FRAG 2.5MM,849.6,679.68,235.93,764.64,27
RC,0272,BIT DRILL PERC CANN 16MM,2677.75,2142.2,743.61,2409.98,27
RC,0272,BIT DRILL PERC FLEX 16MM,2677.75,2142.2,743.61,2409.98,27
RC,0272,BIT DRILL PERC FLEX 6-9MM,1905.12,1524.1,529.05,1714.61,27
RC,0272,BIT DRILL PERC HOLLOW 16MM,2688.0,2150.4,746.46,2419.2,27
RC,0272,BIT DRILL PERIPH ALTIVATE3.5MM,1854.0,1483.2,514.86,1668.6,27
RC,0272,BIT DRILL PERIPH REUNION,372.0,297.6,103.3,334.8,27
RC,0272,BIT DRILL PERIPH SCREW 3.2MM,467.78,374.23,129.9,421.0,27
RC,0272,BIT DRILL PERIPH ZIMM 2.7MM,589.5,471.6,163.7,530.55,27
RC,0272,BIT DRILL PHANTOMPRGN7.0X20CM,1488.69,1190.96,413.41,1339.82,27
RC,0272,BIT DRILL PHOE,913.5,730.8,253.68,822.15,27
RC,0272,BIT DRILL PILOT AO LNG 4MM,1096.43,877.15,304.48,986.79,27
RC,0272,BIT DRILL PILOT AO SHRT4MM,796.95,637.56,221.31,717.26,27
RC,0272,BIT DRILL PILOT DLATCH 1.0X8MM,1302.0,1041.6,361.57,1171.8,27
RC,0272,BIT DRILL PILOT HL 11X20MM,2676.0,2140.8,743.13,2408.4,27
RC,0272,BIT DRILL PILOT HL 8X20MM,1680.0,1344.0,466.54,1512.0,27
RC,0272,BIT DRILL PILOT J LATCH 1.5X50,1381.8,1105.44,383.73,1243.62,27
RC,0272,BIT DRILL PILOT J LATCH EXT1.5,1381.8,1105.44,383.73,1243.62,27
RC,0272,BIT DRILL PILOT JLATCH 1.0X6MM,1302.0,1041.6,361.57,1171.8,27
RC,0272,BIT DRILL PILOT JLATCH1.3X16MM,1356.6,1085.28,376.73,1220.94,27
RC,0272,BIT DRILL PILOT LNG 4MM,1097.25,877.8,304.71,987.53,27
RC,0272,BIT DRILL PILOT OSTE 1.6MM,1381.8,1105.44,383.73,1243.62,27
RC,0272,BIT DRILL PILOT OSTE LNG 1.6MM,1356.6,1085.28,376.73,1220.94,27
RC,0272,BIT DRILL PILOT STOP J 1.*NLU*,1071.0,856.8,297.42,963.9,27
RC,0272,BIT DRILL PILOT TRIL 2.0MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL PIN TIP 3.5MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL PIVM 2.4MM,894.96,715.97,248.53,805.46,27
RC,0272,BIT DRILL PLK ANCHOR SHRT 2.9,470.25,376.2,130.59,423.23,27
RC,0272,BIT DRILL PLK HARD BONESHRT2.9,519.75,415.8,144.33,467.78,27
RC,0272,BIT DRILL PLK SHRT 2.9MM,519.75,415.8,144.33,467.78,27
RC,0272,BIT DRILL PRFL CMPR FT 7.0MM,990.0,792.0,274.92,891.0,27
RC,0272,BIT DRILL PROFILE 6.3MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,BIT DRILL PROFILE ARTX MINI,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL PROFILE BEV FT 3.5MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL PROFILE MICRO 2.0MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL PROX ENSR 2.0MM,6171.28,4937.03,1713.76,5554.15,27
RC,0272,BIT DRILL QC 1.5X110MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL QC 10MM STOP 0.76MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL QC 12MM STOP 0.76MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL QC 14MM STOP 0.76MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL QC 2 FLUTE 2.8X165MM,391.1,312.88,108.61,351.99,27
RC,0272,BIT DRILL QC 2X85MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL QC 3.1 X165MM,688.5,550.8,191.2,619.65,27
RC,0272,BIT DRILL QC 3.3X248MM*NLU*,798.21,638.57,221.66,718.39,27
RC,0272,BIT DRILL QC 3.5X380MM,1865.43,1492.35,518.03,1678.89,27
RC,0272,BIT DRILL QC 6MM STOP 0.76MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL QC 6X195MM,670.95,536.76,186.32,603.86,27
RC,0272,BIT DRILL QC 8MM STOP 0.76MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL QC ACUM 2.8MMX5IN,756.0,604.8,209.94,680.4,27
RC,0272,BIT DRILL QC CANN 1.7MM,1179.61,943.69,327.58,1061.65,27
RC,0272,BIT DRILL QC CANN 2.7X160MM,1088.47,870.78,302.27,979.62,27
RC,0272,BIT DRILL QC CANN 3.2X170MM,1108.0,886.4,307.69,997.2,27
RC,0272,BIT DRILL QC CANN 3.5X160MM,1170.5,936.4,325.05,1053.45,27
RC,0272,BIT DRILL QC CANN 4.3X200MM,1321.24,1057.0,366.91,1189.12,27
RC,0272,BIT DRILL QC CANN 4.5X170MM,1190.03,952.03,330.47,1071.03,27
RC,0272,BIT DRILL QC CANN 5X200MM,1321.24,1057.0,366.91,1189.12,27
RC,0272,BIT DRILL QC CANN 5X300MM,1091.08,872.87,302.99,981.97,27
RC,0272,BIT DRILL QC CANN SYNT 2X110MM,1088.1,870.48,302.17,979.29,27
RC,0272,BIT DRILL QC LG 7X190MM,2049.77,1639.82,569.22,1844.79,27
RC,0272,BIT DRILL QC NEWC 4.0X195MM,1710.24,1368.2,474.93,1539.22,27
RC,0272,BIT DRILL QC SEMI FLUTE 1.7MM,1098.0,878.4,304.91,988.2,27
RC,0272,BIT DRILL QC SYNT 1.1X55MM,358.34,286.68,99.51,322.51,27
RC,0272,BIT DRILL QC SYNT 1.1X60MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL QC SYNT 1.5X65MM,358.34,286.68,99.51,322.51,27
RC,0272,BIT DRILL QC SYNT 1.5X85MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL QC SYNT 1.8X100MM,796.5,637.2,221.19,716.85,27
RC,0272,BIT DRILL QC SYNT 1.8X110MM,559.44,447.56,155.36,503.5,27
RC,0272,BIT DRILL QC SYNT 1.8X125MM,473.99,379.2,131.63,426.59,27
RC,0272,BIT DRILL QC SYNT 2.4X100MM,796.5,637.2,221.19,716.85,27
RC,0272,BIT DRILL QC SYNT 2.5X110MM,326.59,261.28,90.69,293.93,27
RC,0272,BIT DRILL QC SYNT 2.5X180MM,369.68,295.75,102.66,332.71,27
RC,0272,BIT DRILL QC SYNT 2.7X100MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL QC SYNT 2.7X125MM,394.63,315.71,109.59,355.17,27
RC,0272,BIT DRILL QC SYNT 2.8X165MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL QC SYNT 2.9X150MM,391.1,312.88,108.61,351.99,27
RC,0272,BIT DRILL QC SYNT 2X100MM,349.27,279.42,96.99,314.34,27
RC,0272,BIT DRILL QC SYNT 2X125MM,369.68,295.75,102.66,332.71,27
RC,0272,BIT DRILL QC SYNT 2X65MM,358.34,286.68,99.51,322.51,27
RC,0272,BIT DRILL QC SYNT 2X885MM,439.49,351.6,122.05,395.54,27
RC,0272,BIT DRILL QC SYNT 3.2X145MM,322.06,257.65,89.44,289.85,27
RC,0272,BIT DRILL QC SYNT 3.2X225MM,623.7,498.96,173.2,561.33,27
RC,0272,BIT DRILL QC SYNT 3.5X110MM,349.27,279.42,96.99,314.34,27
RC,0272,BIT DRILL QC SYNT 3.5X195MM,369.68,295.75,102.66,332.71,27
RC,0272,BIT DRILL QC SYNT 3.5X225MM,508.86,407.09,141.31,457.97,27
RC,0272,BIT DRILL QC SYNT 4.3X180MM,463.05,370.44,128.59,416.75,27
RC,0272,BIT DRILL QC SYNT 4.3X221MM,888.3,710.64,246.68,799.47,27
RC,0272,BIT DRILL QC SYNT 4.3X280MM,1423.55,1138.84,395.32,1281.2,27
RC,0272,BIT DRILL QC SYNT 4.5MM,347.0,277.6,96.36,312.3,27
RC,0272,BIT DRILL QC SYNT 4.5X195MM,481.95,385.56,133.84,433.76,27
RC,0272,BIT DRILL QC SYNT 4X160MM,372.96,298.37,103.57,335.66,27
RC,0272,BIT DRILL QC SYNT 7.3X300MM,1193.93,955.15,331.55,1074.54,27
RC,0272,BIT DRILL QC SYNT STER 2X125MM,529.2,423.36,146.96,476.28,27
RC,0272,BIT DRILL QC SYNTSTER3.5X110MM,512.19,409.76,142.24,460.97,27
RC,0272,BIT DRILL QC W CALIB 2.5X400MM,1865.43,1492.35,518.03,1678.89,27
RC,0272,BIT DRILL QC WO STOP 2.5X180MM,529.2,423.36,146.96,476.28,27
RC,0272,BIT DRILL QK 2X140MM,559.44,447.56,155.36,503.5,27
RC,0272,BIT DRILL QK ACUM 2.8MM,522.0,417.6,144.96,469.8,27
RC,0272,BIT DRILL QK ACUM 3.5MM,522.0,417.6,144.96,469.8,27
RC,0272,BIT DRILL QK CONN 2X80MM,229.6,183.68,63.76,206.64,27
RC,0272,BIT DRILL QK CPLE 2.5MM,630.36,504.29,175.05,567.32,27
RC,0272,BIT DRILL QK CPLE 2.8X200MM,584.01,467.21,162.18,525.61,27
RC,0272,BIT DRILL QK CPLE NCB 4.5MM,889.92,711.94,247.13,800.93,27
RC,0272,BIT DRILL QK RELEASE PERIPH,481.5,385.2,133.71,433.35,27
RC,0272,BIT DRILL QK SYNT 1X50MM,358.34,286.68,99.51,322.51,27
RC,0272,BIT DRILL QK SYNT 2.7X125MM,463.68,370.95,128.76,417.31,27
RC,0272,BIT DRILL QK SYNT 2.8X248MM,638.82,511.06,177.4,574.94,27
RC,0272,BIT DRILL QK SYNT 3.2X330MM,893.97,715.18,248.26,804.57,27
RC,0272,BIT DRILL QK SYNT 4X260MM,759.78,607.83,210.99,683.8,27
RC,0272,BIT DRILL QK SYNT 5X356MM,980.91,784.73,272.4,882.82,27
RC,0272,BIT DRILL QK SYNT STER 3.2X330,1083.1,866.48,300.78,974.79,27
RC,0272,BIT DRILL QK ZIMM 1/8IN,388.8,311.04,107.97,349.92,27
RC,0272,BIT DRILL QK ZIMM 3.2X15MM,367.2,293.76,101.97,330.48,27
RC,0272,BIT DRILL QK ZIMM 3.2X20MM,367.2,293.76,101.97,330.48,27
RC,0272,BIT DRILL QK ZIMM 3.2X30MM,367.2,293.76,101.97,330.48,27
RC,0272,BIT DRILL QK ZIMM 3.2X40MM,367.2,293.76,101.97,330.48,27
RC,0272,BIT DRILL QK ZIMM 4MM*DISC*,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL QKCONN 1.1X60MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL QKCONN 1.5X85MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL QKCONN 2.5X125MM,435.07,348.06,120.82,391.56,27
RC,0272,BIT DRILL QKCONN 2.5X220MM,435.07,348.06,120.82,391.56,27
RC,0272,BIT DRILL QKCONN 3.2X195MM,435.07,348.06,120.82,391.56,27
RC,0272,BIT DRILL QKCONN 3.5X110MM,435.07,348.06,120.82,391.56,27
RC,0272,BIT DRILL QKCONN 3.5X195*DISC*,422.4,337.92,117.3,380.16,27
RC,0272,BIT DRILL QKCONN 4.5X195MM,422.4,337.92,117.3,380.16,27
RC,0272,BIT DRILL QR 4.5X127MM 5*DISC*,720.0,576.0,199.94,648.0,27
RC,0272,BIT DRILL QR ACUM 2.3MM,769.5,615.6,213.69,692.55,27
RC,0272,BIT DRILL QR ACUM 2.8MM,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL QR DEPTH MARKS 2.0MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL QR DEPTH MARKS 2.8MM,922.5,738.0,256.18,830.25,27
RC,0272,BIT DRILL QR LNG ACUM 2MM,490.5,392.4,136.21,441.45,27
RC,0272,BIT DRILL QR SURGIBIT2.0MMX3.5,765.0,612.0,212.44,688.5,27
RC,0272,BIT DRILL QUICKFIX ARTX 1.3MM,866.25,693.0,240.56,779.63,27
RC,0272,BIT DRILL REAM PILOT GPS 2.5MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,BIT DRILL REAM PILOT GPS 3.5MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,BIT DRILL REAMER 2.5X110MM,580.05,464.04,161.08,522.05,27
RC,0272,BIT DRILL REAMER LNG 5.0X268MM,2013.14,1610.52,559.05,1811.83,27
RC,0272,BIT DRILL REAMER SHRT7.0X*NLU*,1265.25,1012.2,351.36,1138.73,27
RC,0272,BIT DRILL REAMER STD 2X110MM,580.05,464.04,161.08,522.05,27
RC,0272,BIT DRILL REAMER STD 4.8MM,2419.2,1935.36,671.81,2177.28,27
RC,0272,BIT DRILL RFLCT FLEX 35MM,690.75,552.6,191.82,621.68,27
RC,0272,BIT DRILL SALVATION 2.5X60MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL SALVATION 3.9MM*NLU*,810.0,648.0,224.94,729.0,27
RC,0272,BIT DRILL SCALED AO FIT 2.6MM,2062.7,1650.16,572.81,1856.43,27
RC,0272,BIT DRILL SCREW GM 3.5MM,675.0,540.0,187.45,607.5,27
RC,0272,BIT DRILL SCREW GM 4.5MM,675.0,540.0,187.45,607.5,27
RC,0272,BIT DRILL SCREW GM SHRT 3.5MM,675.0,540.0,187.45,607.5,27
RC,0272,BIT DRILL SHLDR MGS STER 3.0MM,1239.0,991.2,344.07,1115.1,27
RC,0272,BIT DRILL SHLDR PSI STER 2.5MM,990.0,792.0,274.92,891.0,27
RC,0272,BIT DRILL SHORELINE ASC 16MM,495.0,396.0,137.46,445.5,27
RC,0272,BIT DRILL SHRT 2.4MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL SHRT 3.5X152MM,1537.2,1229.76,426.88,1383.48,27
RC,0272,BIT DRILL SHRT 4X152MM,1150.8,920.64,319.58,1035.72,27
RC,0272,BIT DRILL SHRT B*DISC NO REPL*,864.0,691.2,239.93,777.6,27
RC,0272,BIT DRILL SHRT BLU 3.2 MM*NLU*,1359.54,1087.64,377.54,1223.59,27
RC,0272,BIT DRILL SHRT GPS 3.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SHRT GPS 4.0MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SHRT MAZOR X 3X30MM,765.0,612.0,212.44,688.5,27
RC,0272,BIT DRILL SHRT MAZOR X 3X80MM,589.05,471.24,163.58,530.15,27
RC,0272,BIT DRILL SHRT MINI FRAGGRN1.7,900.0,720.0,249.93,810.0,27
RC,0272,BIT DRILL SHRT OA IM 3.8MM,2063.04,1650.44,572.91,1856.74,27
RC,0272,BIT DRILL SHRT PNP 4.3MM*NLU*,1780.8,1424.64,494.53,1602.72,27
RC,0272,BIT DRILL SI-LOK GPS 10.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SI-LOK GPS 10MM,3466.4,2773.12,962.62,3119.76,27
RC,0272,BIT DRILL SI-LOK GPS 6.5/7.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SI-LOK GPS 7.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SI-LOK GPS 8.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SI-LOK GPS 9.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,BIT DRILL SIXFIX 3.0X250MM,1281.0,1024.8,355.73,1152.9,27
RC,0272,BIT DRILL SLF CTR ST GM,1012.5,810.0,281.17,911.25,27
RC,0272,BIT DRILL SM BONE ARTX 1.7MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL SM FRAG HAND 2.5MM,576.0,460.8,159.96,518.4,27
RC,0272,BIT DRILL SM FRAG HAND3.5X70MM,612.0,489.6,169.95,550.8,27
RC,0272,BIT DRILL SMARTLOCK 1.6X50MM,1048.5,838.8,291.17,943.65,27
RC,0272,BIT DRILL SMARTNAIL 1.5X200MM,453.31,362.65,125.88,407.98,27
RC,0272,BIT DRILL SNP 4.0MM*DISC*,504.0,403.2,139.96,453.6,27
RC,0272,BIT DRILL SOLID 2.8MM,1062.6,850.08,295.08,956.34,27
RC,0272,BIT DRILL SOLID 3.0MM,417.12,333.7,115.83,375.41,27
RC,0272,BIT DRILL SOLID CNTRTIP2.7X250,1764.0,1411.2,489.86,1587.6,27
RC,0272,BIT DRILL SOLID LNG 5.5MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL SOLID MEASURE 1.3MM,995.63,796.51,276.49,896.07,27
RC,0272,BIT DRILL SOLID MEASURE 1.6MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE 2.4X14,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE 2MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE LNG2MM,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE2.4X160,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE2.8X160,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE3.5X110,691.88,553.51,192.14,622.69,27
RC,0272,BIT DRILL SOLID MEASURE3.5X130,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE3.6X160,862.88,690.31,239.62,776.59,27
RC,0272,BIT DRILL SOLID MEASURE3.8X250,1488.69,1190.96,413.41,1339.82,27
RC,0272,BIT DRILL SOLID MICASTER2.2X60,1073.25,858.6,298.04,965.93,27
RC,0272,BIT DRILL SOLIDSIDECUT2.7X40MM,868.5,694.8,241.18,781.65,27
RC,0272,BIT DRILL SOLIDSIDECUT3.5X40MM,1638.0,1310.4,454.87,1474.2,27
RC,0272,BIT DRILL SONICWELD 2.1X1*NLU*,949.5,759.6,263.68,854.55,27
RC,0272,BIT DRILL SONICWELD 2.1X1.6X4,973.71,778.97,270.4,876.34,27
RC,0272,BIT DRILL SPADE PILOT 2.6MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL SPADE PILOT 3.4MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRILL SPS STER 14MM,675.0,540.0,187.45,607.5,27
RC,0272,BIT DRILL ST 2.7X127MM,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL ST 3.2X127MM,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL ST 3.5X127MM,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL ST 4.8X127MM,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL ST 4X127MM,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL ST 6.4X127MM,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL STD 2.0X175MM,1142.06,913.65,317.15,1027.85,27
RC,0272,BIT DRILL STD MDTR 3.2MM*NLU*,1799.49,1439.6,499.72,1619.54,27
RC,0272,BIT DRILL STD TRILEAP 2.0MM,796.46,637.17,221.18,716.81,27
RC,0272,BIT DRILL STD TRILEAP 2.7MM,796.46,637.17,221.18,716.81,27
RC,0272,BIT DRILL STD ZIMM 2.7MM,778.68,622.95,216.24,700.81,27
RC,0272,BIT DRILL STEP LG4.5/6.5 485MM,1896.3,1517.04,526.6,1706.67,27
RC,0272,BIT DRILL STOP 10MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL STOP 12MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL STOP 14MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL STOP 6MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL STOP 8MM,601.02,480.82,166.9,540.92,27
RC,0272,BIT DRILL STOP SYNT 4.5/6.5MM,2015.08,1612.07,559.59,1813.57,27
RC,0272,BIT DRILL STOPTWIST 1.5X105MM,1012.5,810.0,281.17,911.25,27
RC,0272,BIT DRILL STOPTWIST 1.5X50MM,1012.5,810.0,281.17,911.25,27
RC,0272,BIT DRILL STOPTWIST 2.0X115MM,1012.5,810.0,281.17,911.25,27
RC,0272,BIT DRILL STOPTWIST 2.0X70MM,1012.5,810.0,281.17,911.25,27
RC,0272,BIT DRILL STRY 1*DISC NO REPL*,278.64,222.92,77.38,250.78,27
RC,0272,BIT DRILL STRY 1.3X5MM,665.28,532.23,184.75,598.75,27
RC,0272,BIT DRILL STRY 2.6MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL STRY 3.2X300MM,478.44,382.76,132.86,430.6,27
RC,0272,BIT DRILL STRY 3.3X25MM,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL STRY 3.3X40MM,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL STRY 3.5X130MM,592.79,474.24,164.62,533.51,27
RC,0272,BIT DRILL STRY 3.5X230MM,592.79,474.24,164.62,533.51,27
RC,0272,BIT DRILL STRY 4.0X25MM,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL STRY 4.0X40MM,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL STRY 4.0X60MM,305.0,244.0,84.7,274.5,27
RC,0272,BIT DRILL STRY 4.2X130MM,571.59,457.28,158.73,514.43,27
RC,0272,BIT DRILL STRY 4.2X180MM,613.94,491.16,170.49,552.55,27
RC,0272,BIT DRILL STRY 4.2X230MM,613.94,491.16,170.49,552.55,27
RC,0272,BIT DRILL STRY 4.2X300MM,601.25,481.0,166.97,541.13,27
RC,0272,BIT DRILL STRY 4.2X340MM,571.59,457.28,158.73,514.43,27
RC,0272,BIT DRILL STRY 4X25MM,386.1,308.88,107.22,347.49,27
RC,0272,BIT DRILL STRY 4X40MM*NLU*,386.1,308.88,107.22,347.49,27
RC,0272,BIT DRILL STRY 5X340MM,613.94,491.16,170.49,552.55,27
RC,0272,BIT DRILL SUTTAK 2.4MM,422.4,337.92,117.3,380.16,27
RC,0272,BIT DRILL SYNAPS 2.4X65MM,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL SYNT 1.1X110MM,477.77,382.22,132.68,429.99,27
RC,0272,BIT DRILL SYNT 1.1X75MM,379.01,303.21,105.25,341.11,27
RC,0272,BIT DRILL SYNT 1.25MM,931.5,745.2,258.68,838.35,27
RC,0272,BIT DRILL SYNT 1.25X125MM 4MM,831.6,665.28,230.94,748.44,27
RC,0272,BIT DRILL SYNT 1.3X14MM,358.34,286.68,99.51,322.51,27
RC,0272,BIT DRILL SYNT 1.5X125MM,1026.0,820.8,284.92,923.4,27
RC,0272,BIT DRILL SYNT 1.5X90MM,877.5,702.0,243.68,789.75,27
RC,0272,BIT DRILL SYNT 1.8X90MM,351.54,281.24,97.62,316.39,27
RC,0272,BIT DRILL SYNT 10X44.5MM,927.77,742.22,257.64,834.99,27
RC,0272,BIT DRILL SYNT 2.4X125MM,611.01,488.81,169.68,549.91,27
RC,0272,BIT DRILL SYNT 2.5X230 205MM,701.19,560.96,194.72,631.07,27
RC,0272,BIT DRILL SYNT 2.5X400MM,1947.46,1557.97,540.81,1752.71,27
RC,0272,BIT DRILL SYNT 2.8X200MM,878.85,703.08,244.06,790.97,27
RC,0272,BIT DRILL SYNT 3.2X230MM,931.77,745.42,258.75,838.59,27
RC,0272,BIT DRILL SYNT 3.2X300MM,756.0,604.8,209.94,680.4,27
RC,0272,BIT DRILL SYNT 4.3X300MM,703.08,562.47,195.25,632.77,27
RC,0272,BIT DRILL SYNT 4X215MM,960.12,768.1,266.63,864.11,27
RC,0272,BIT DRILL SYNT 4X245MM,1035.54,828.44,287.57,931.99,27
RC,0272,BIT DRILL SYNT 5MM,1661.69,1329.36,461.45,1495.52,27
RC,0272,BIT DRILL SYNT 6MM STOP 1.1MM,826.2,660.96,229.44,743.58,27
RC,0272,BIT DRILL SYNT 8MM STOP 1.1MM,826.2,660.96,229.44,743.58,27
RC,0272,BIT DRILL SYNT CANN 12X270MM,1638.76,1311.01,455.08,1474.88,27
RC,0272,BIT DRILL SYNT CRANFAC 1.5MM,478.8,383.04,132.96,430.92,27
RC,0272,BIT DRILL SYNT CRANFAC1.5X12MM,796.5,637.2,221.19,716.85,27
RC,0272,BIT DRILL SYNT J LATCH 1.5,828.9,663.12,230.19,746.01,27
RC,0272,BIT DRILL T1.6X90*DUP 6240332*,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL TELESCOPING TB 12CM,2476.76,1981.41,687.8,2229.08,27
RC,0272,BIT DRILL TIB CORNER 4.8MM,1243.2,994.56,345.24,1118.88,27
RC,0272,BIT DRILL TLR ANT PEG 4MM,598.5,478.8,166.2,538.65,27
RC,0272,BIT DRILL TORN SHLDR 3X220MM,386.64,309.32,107.37,347.98,27
RC,0272,BIT DRILL TPR 10MM,1677.56,1342.05,465.86,1509.8,27
RC,0272,BIT DRILL TPR 8CMX11.1MM,550.26,440.21,152.81,495.23,27
RC,0272,BIT DRILL TPR 8CMX15.9MM,550.26,440.21,152.81,495.23,27
RC,0272,BIT DRILL TPR BRL 4. 5X30X260,2520.0,2016.0,699.8,2268.0,27
RC,0272,BIT DRILL TPR BRL4.5-6X17X250,2520.0,2016.0,699.8,2268.0,27
RC,0272,BIT DRILL TPR WRIT 4.5/3.2MM,1486.8,1189.44,412.88,1338.12,27
RC,0272,BIT DRILL TPS EGG LNG 4MM,457.1,365.68,126.94,411.39,27
RC,0272,BIT DRILL TPS EGG MD 4MM,431.18,344.95,119.74,388.06,27
RC,0272,BIT DRILL TPS ORAL OVAL 4.0MM,202.58,162.07,56.26,182.32,27
RC,0272,BIT DRILL TPS PO*DISC 6179131*,455.09,364.08,126.38,409.58,27
RC,0272,BIT DRILL TPS PORTMAN*VAT NLU*,324.0,259.2,89.97,291.6,27
RC,0272,BIT DRILL TPS PORTMANN 1.45MM,422.16,337.73,117.23,379.94,27
RC,0272,BIT DRILL TPS RD LNG 2MM,448.56,358.85,124.57,403.7,27
RC,0272,BIT DRILL TPS RD LNG 3MM*NLU*,403.2,322.56,111.97,362.88,27
RC,0272,BIT DRILL TPS RD MD 2MM*NLU*,387.4,309.92,107.58,348.66,27
RC,0272,BIT DRILL TPS RD MD 3.0MM,396.0,316.8,109.97,356.4,27
RC,0272,BIT DRILL TPS RD MD 6MM,396.0,316.8,109.97,356.4,27
RC,0272,BIT DRILL TPS SABER ACORN*NLU*,546.8,437.44,151.85,492.12,27
RC,0272,BIT DRILL TPS SABER RD 3.*NLU*,546.8,437.44,151.85,492.12,27
RC,0272,BIT DRILL TPS WIRE PASS 1.1MM,298.03,238.43,82.76,268.23,27
RC,0272,BIT DRILL TPS WIRE PASS 1.5MM,298.03,238.43,82.76,268.23,27
RC,0272,BIT DRILL TPSPOR*DISC 6287532*,364.8,291.84,101.3,328.32,27
RC,0272,BIT DRILL TRIDENT II 3.3X40MM,783.32,626.66,217.53,704.99,27
RC,0272,BIT DRILL TRMI 1*DISC 6309719*,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL TRMI 1.6X95MM,742.5,594.0,206.19,668.25,27
RC,0272,BIT DRILL TRMI 1.8X90MM,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL TRMI 2.30MM,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL TRMI 2.3X120MM,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL TRNVRS SCREW STEP4MM,1134.0,907.2,314.91,1020.6,27
RC,0272,BIT DRILL TROC SYNT 1.5X18MM,538.74,431.0,149.61,484.87,27
RC,0272,BIT DRILL TRPL REAMER SYNT 8MM,2063.88,1651.11,573.14,1857.49,27
RC,0272,BIT DRILL TWIST *DISC 6262282*,430.75,344.6,119.62,387.68,27
RC,0272,BIT DRILL TWIST 10MM 1.6X40MM,1045.71,836.57,290.39,941.14,27
RC,0272,BIT DRILL TWIST 4.3X180*DISC*,422.4,337.92,117.3,380.16,27
RC,0272,BIT DRILL TWIST 4.5/6.5MM FIT,626.63,501.31,174.02,563.97,27
RC,0272,BIT DRILL TWIST 5MM 1.6X40MM,1024.56,819.65,284.52,922.1,27
RC,0272,BIT DRILL TWIST AO END 1X76MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL TWIST AO END1.4X27MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL TWIST AO END1.9X27MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL TWIST CANN AS3 6.5M,1343.62,1074.9,373.12,1209.26,27
RC,0272,BIT DRILL TWIST DENTAL 50MM,1087.8,870.24,302.08,979.02,27
RC,0272,BIT DRILL TWIST END 1.4X27MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL TWIST F 1.2MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL TWIST J 0 .7X50X5,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.1X50,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.1X50X7,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.5X115,561.47,449.18,155.92,505.32,27
RC,0272,BIT DRILL TWIST J 1.5X115X27,1294.57,1035.66,359.5,1165.11,27
RC,0272,BIT DRILL TWIST J 1.5X50X11,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.5X50X21,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.5X50X5,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.5X50X7,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.5X50X9,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL TWIST J 1.9X85,770.27,616.22,213.9,693.24,27
RC,0272,BIT DRILL TWIST J 2.2X85,881.96,705.57,244.92,793.76,27
RC,0272,BIT DRILL TWIST STRY 1.9MM,361.3,289.04,100.33,325.17,27
RC,0272,BIT DRILL TWIST*DISC NO REPL*,278.64,222.92,77.38,250.78,27
RC,0272,BIT DRILL TWISTCROWEPNT4.5X203,1075.32,860.26,298.62,967.79,27
RC,0272,BIT DRILL TWISTJ 1.1X50X5,460.4,368.32,127.85,414.36,27
RC,0272,BIT DRILL UNICORTICAL 3.0MM,801.0,640.8,222.44,720.9,27
RC,0272,BIT DRILL VALOR FREEHAND 4.3MM,1117.62,894.1,310.36,1005.86,27
RC,0272,BIT DRILL VALOR L*USE 6320717*,1281.0,1024.8,355.73,1152.9,27
RC,0272,BIT DRILL VALOR L*USE 6320718*,1281.0,1024.8,355.73,1152.9,27
RC,0272,BIT DRILL VALOR LNG 4.3MM,1117.62,894.1,310.36,1005.86,27
RC,0272,BIT DRILL VALOR SHRT 4.3MM,1117.62,894.1,310.36,1005.86,27
RC,0272,BIT DRILL VARIAX 2X102MM*NLU*,609.12,487.3,169.15,548.21,27
RC,0272,BIT DRILL VARIAX SCREW 2.4/2.7,503.87,403.1,139.92,453.48,27
RC,0272,BIT DRILL VARIAX STRY 2.6MM,679.95,543.96,188.82,611.96,27
RC,0272,BIT DRILL VERTEX 2.4MM,3640.0,2912.0,1010.83,3276.0,27
RC,0272,BIT DRILL W STOP 2FLUTE 3*NLU*,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL W STOP GM 18MM*NLU*,823.5,658.8,228.69,741.15,27
RC,0272,BIT DRILL WIRE PASS 1.1MM,315.41,252.33,87.59,283.87,27
RC,0272,BIT DRILL WIRE PASS 1.5MM,315.41,252.33,87.59,283.87,27
RC,0272,BIT DRILL WIRE PASS 2MM,315.41,252.33,87.59,283.87,27
RC,0272,BIT DRILL WRIT 2MM 30MM,729.9,583.92,202.69,656.91,27
RC,0272,BIT DRILL WRIT 5MM,1184.4,947.52,328.91,1065.96,27
RC,0272,BIT DRILL XTRCTION 3.2MM,1125.6,900.48,312.58,1013.04,27
RC,0272,BIT DRILL XTRCTION 4.5MM,1125.6,900.48,312.58,1013.04,27
RC,0272,BIT DRILL XTRCTION 6.5MM,1125.6,900.48,312.58,1013.04,27
RC,0272,BIT DRILL Y-KNOT FLEX 1.8,443.57,354.86,123.18,399.21,27
RC,0272,BIT DRILL YEL 1MM,362.88,290.31,100.77,326.59,27
RC,0272,BIT DRILL YUKON OCT 2.3MM,562.5,450.0,156.21,506.25,27
RC,0272,BIT DRILL YUKON OCT 3.0MM,518.4,414.72,143.96,466.56,27
RC,0272,BIT DRILL YUKON OCT 3.5MM,518.4,414.72,143.96,466.56,27
RC,0272,BIT DRILL YUKON OCT 4.5MM,518.4,414.72,143.96,466.56,27
RC,0272,BIT DRILL ZEBRA 4.0MM,495.0,396.0,137.46,445.5,27
RC,0272,BIT DRILL ZIMM 1.0MM,302.4,241.92,83.98,272.16,27
RC,0272,BIT DRILL ZIMM 11/64X5,268.1,214.48,74.45,241.29,27
RC,0272,BIT DRILL ZIMM 2.0MM,720.0,576.0,199.94,648.0,27
RC,0272,BIT DRILL ZIMM 2.0X100MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL ZIMM 2.2MM,540.0,432.0,149.96,486.0,27
RC,0272,BIT DRILL ZIMM 2.5X110MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL ZIMM 2.5X180MM,519.12,415.3,144.16,467.21,27
RC,0272,BIT DRILL ZIMM 2.7X100MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL ZIMM 2.9MM,540.0,432.0,149.96,486.0,27
RC,0272,BIT DRILL ZIMM 2.9X144MM*DISC*,792.0,633.6,219.94,712.8,27
RC,0272,BIT DRILL ZIMM 2.9X70MM,576.0,460.8,159.96,518.4,27
RC,0272,BIT DRILL ZIMM 3.0MM*DISC*,2505.6,2004.48,695.81,2255.04,27
RC,0272,BIT DRILL ZIMM 3.2X145MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL ZIMM 3.3MM,704.52,563.62,195.65,634.07,27
RC,0272,BIT DRILL ZIMM 3.5X110MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL ZIMM 3/16X6MM*DISC*,460.8,368.64,127.96,414.72,27
RC,0272,BIT DRILL ZIMM 4.3MM,630.36,504.29,175.05,567.32,27
RC,0272,BIT DRILL ZIMM 4.5X145MM,482.04,385.64,133.86,433.84,27
RC,0272,BIT DRILL ZIMM 9/64X6MM*DISC*,460.8,368.64,127.96,414.72,27
RC,0272,BIT DRILL ZIMM STD 2.5MM,667.44,533.96,185.35,600.7,27
RC,0272,BIT DRILL4.5X165*DISC NO REPL*,1340.64,1072.52,372.3,1206.58,27
RC,0272,BIT DRILLCALIB ARTX 2.5MM,448.8,359.04,124.63,403.92,27
RC,0272,BIT DRILLCANN 3/16SQ 4.6X220,1096.88,877.51,304.6,987.19,27
RC,0272,BIT DRILLMATCH DIMND12CMX2.5MM,711.63,569.31,197.62,640.47,27
RC,0272,BIT DRILLOCCIPITALTAPERFL*NLU*,2574.0,2059.2,714.8,2316.6,27
RC,0272,BIT DRILLQK ACUM 2MM,522.0,417.6,144.96,469.8,27
RC,0272,BIT DRILLY-KNOTFLEXHARDBONE1.8,1191.58,953.27,330.9,1072.42,27
RC,0272,BIT DRIV ARSENAL 2.2MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT DRIV CANN TIGER 3.0/4.0MM,810.0,648.0,224.94,729.0,27
RC,0272,BIT HDDRILL DARCO 6.5MM*NLU*,949.5,759.6,263.68,854.55,27
RC,0272,BIT OVERDRILL AO 2.4X122MM,499.64,399.72,138.75,449.68,27
RC,0272,BIT OVERDRILL AO 2.7X122MM,499.64,399.72,138.75,449.68,27
RC,0272,BIT OVERDRILL AO 3.5X122MM,499.64,399.72,138.75,449.68,27
RC,0272,BIT OVERDRILL ARSENAL 2.2MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT OVERDRILL ARSENAL 3.5MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT OVERDRILL SOLID 4.5X1*NLU*,976.5,781.2,271.17,878.85,27
RC,0272,BIT OVERDRILL SOLID 5.2X1*NLU*,976.5,781.2,271.17,878.85,27
RC,0272,BIT OVERDRILL TWIST AO 2.7X122,499.64,399.72,138.75,449.68,27
RC,0272,BIT PREDRILL ORTHOLOCDARC4.4MM,758.25,606.6,210.57,682.43,27
RC,0272,BIT SCRWDRVR CANN 2.0/2.4MM,787.5,630.0,218.69,708.75,27
RC,0272,BIT STEPDRILL 3.0X20MM*NLU*,1470.0,1176.0,408.22,1323.0,27
RC,0272,BIT STEPDRILL HCS 2.5X20MM,1617.0,1293.6,449.04,1455.3,27
RC,0272,BIT STEPDRILL HDLSS COMP2.5X10,1617.0,1293.6,449.04,1455.3,27
RC,0272,BIT STEPDRILL HDLSS COMP2.5X30,1617.0,1293.6,449.04,1455.3,27
RC,0272,BIT STEPDRILL HDLSS COMP3.0X10,1617.0,1293.6,449.04,1455.3,27
RC,0272,BITDRILLCANNBIODRSTER1.6*DISC*,972.0,777.6,269.92,874.8,27
RC,0272,BITDRILLHTOMEDL4.8X180*DISC*,792.0,633.6,219.94,712.8,27
RC,0272,BITDRILLI/NTWIST3.6X180*DISC*,864.0,691.2,239.93,777.6,27
RC,0272,BITDRILLSOLIDBIODRGRY1.5*DISC*,756.0,604.8,209.94,680.4,27
RC,0272,BITDRILLTWISTAOBL2.7X125*DISC*,302.4,241.92,83.98,272.16,27
RC,0272,BITDRILLTWISTAORE3.2X145*DISC*,468.0,374.4,129.96,421.2,27
RC,0272,BLADE ACET REV SYS8 EZOUT 42MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 44MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 46MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 48MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 50MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 52MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 54MM,5320.0,4256.0,1477.36,4788.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 56MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 58MM,5320.0,4256.0,1477.36,4788.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 60MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 62MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 64MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 66MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 68MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 70MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 72MM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,BLADE ACET REV SYS8 EZOUT 74MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,BLADE AGG + CUTTER STRY 4MM,307.8,246.24,85.48,277.02,27
RC,0272,BLADE BLITZER CIRCULAR MDTR,361.04,288.84,100.26,324.94,27
RC,0272,BLADE BLITZER SICKLE MDTR,303.54,242.84,84.29,273.19,27
RC,0272,BLADE BLITZER SPEAR MDTR,298.96,239.17,83.02,269.06,27
RC,0272,BLADE BLNT W TBSET STER 10MM,1983.96,1587.17,550.95,1785.56,27
RC,0272,BLADE BONE CUTTER 3.8MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE BONE CUTTER 4.0MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE BONE CUTTER 5.0MMX13CM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE BONE CUTTER 5.5MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE BONE MILL 3.2MM FINE,1431.44,1145.16,397.51,1288.3,27
RC,0272,BLADE BONE MILL COARSE 8MM,1431.44,1145.16,397.51,1288.3,27
RC,0272,BLADE BONE MILL PLUS MD,2151.11,1720.89,597.36,1936.0,27
RC,0272,BLADE BONE SAG LG 70X25X0.94MM,526.5,421.2,146.21,473.85,27
RC,0272,BLADE BONE SAG LG 90X19X1.27MM,526.5,421.2,146.21,473.85,27
RC,0272,BLADE BONE SAG LG 90X21X1.27MM,526.5,421.2,146.21,473.85,27
RC,0272,BLADE BONE SAG LG 90X25X1.19MM,408.0,326.4,113.3,367.2,27
RC,0272,BLADE BONE SAGLG90X12.5X1.37MM,526.5,421.2,146.21,473.85,27
RC,0272,BLADE CAPSULECUT W HNDL CRVD,1064.45,851.56,295.6,958.01,27
RC,0272,BLADE CARPAL TUNNEL,1117.49,894.0,310.33,1005.74,27
RC,0272,BLADE CARPAL TUNNEL ONYX DISP,1063.99,851.2,295.47,957.59,27
RC,0272,BLADE CH DISP KING VISSZ3*CIP*,283.12,226.5,78.62,254.81,27
RC,0272,BLADE CHISEL OFFSET15 8X27X1MM,997.43,797.95,276.99,897.69,27
RC,0272,BLADE CORE CASPAR 11MM,679.5,543.6,188.7,611.55,27
RC,0272,BLADE CORE CASPAR 7MM,679.5,543.6,188.7,611.55,27
RC,0272,BLADE CORE CASPAR 9MM,679.5,543.6,188.7,611.55,27
RC,0272,BLADE DBL CUT ARTX 4.0MMX13CM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE DBL CUT CURV 4.00MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE DERMATOME SIMON CUT HD,235.52,188.42,65.4,211.97,27
RC,0272,BLADE DERMATOME SLIMLINE SB,387.84,310.28,107.7,349.06,27
RC,0272,BLADE DERMATOME ZIMM STER,286.2,228.96,79.48,257.58,27
RC,0272,BLADE DIRECTVIEW MAC SL USE S3,246.93,197.55,68.57,222.24,27
RC,0272,BLADE DIRECTVIEW MAC SL USE S4,246.93,197.55,68.57,222.24,27
RC,0272,BLADE DISECT 3.0MM,356.4,285.12,98.97,320.76,27
RC,0272,BLADE DISECT 3.5MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE DISECT 4.0MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE DISECT CURV 4.0MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE DUALCUT SHRT NARW 7X15MM,280.15,224.12,77.8,252.14,27
RC,0272,BLADE DYONICS ABRADER 4.0*NLU*,244.0,195.2,67.76,219.6,27
RC,0272,BLADE DYONICS ACRO 5.5MM,549.5,439.6,152.6,494.55,27
RC,0272,BLADE DYONICS FULL RAD 4.5MM,466.65,373.32,129.59,419.99,27
RC,0272,BLADE DYONICS INCIS 4.5MM,466.65,373.32,129.59,419.99,27
RC,0272,BLADE ECTR ENDOTRAC TRIANG,537.71,430.17,149.32,483.94,27
RC,0272,BLADE ENDOTRAC HOOK STER,861.48,689.19,239.23,775.33,27
RC,0272,BLADE ENDOTRAC TRIANG STER,861.48,689.19,239.23,775.33,27
RC,0272,BLADE EXCALIBUR ST HL 4.2MM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE EXTNDR LIF PTP NARW 26MM,2160.0,1728.0,599.83,1944.0,27
RC,0272,BLADE EXTR ZIMM FULL 48MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 50MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 52MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 54MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 56MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 58MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 60MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 62MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 64MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 66MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 68MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 70MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM FULL 72MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 48MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 50MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 52MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 54MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 56MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 58MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 60MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 62MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 64MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 68MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 70MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE EXTR ZIMM TRUNCATED 72MM,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE FALCON OSCL TIP SAW105MM,1488.27,1190.62,413.29,1339.44,27
RC,0272,BLADE FALCON OSCLTIPSAW25X90MM,1488.27,1190.62,413.29,1339.44,27
RC,0272,BLADE FINISH IBALANCE PFJ*NLU*,670.5,536.4,186.2,603.45,27
RC,0272,BLADE FLEX OSTEO 3X10MM,544.5,435.6,151.21,490.05,27
RC,0272,BLADE FLEX OSTEO 3X12MM,544.5,435.6,151.21,490.05,27
RC,0272,BLADE FLEX OSTEO LNG 5X10MM,544.5,435.6,151.21,490.05,27
RC,0272,BLADE FLEX OSTEO LNG 5X8MM,544.5,435.6,151.21,490.05,27
RC,0272,BLADE FLEX OSTEO SHRT 3X8MM,544.5,435.6,151.21,490.05,27
RC,0272,BLADE GLIDESCOPE MILLER 0,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GLIDESCOPE MILLER 1,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GLIDESCOPE QC HYPRANG S1,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GLIDESCOPE QC HYPRANG S2,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GLIDESCOPE QC HYPRANG S3,246.93,197.55,68.57,222.24,27
RC,0272,BLADE GLIDESCOPE QC HYPRANG S4,246.93,197.55,68.57,222.24,27
RC,0272,BLADE GLIDESCOPE QC MAC S3,246.93,197.55,68.57,222.24,27
RC,0272,BLADE GLIDESCOPE QC MAC S4,246.93,197.55,68.57,222.24,27
RC,0272,BLADE GLIDESCOPE QC MILLER S0,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GLIDESCOPE QC MILLER S1,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GLIDESCOPE QC MILLER S2,246.93,197.55,68.57,222.24,27
RC,0272,BLADE GLIDESCOPE QCHYPRANGS2.5,273.24,218.6,75.88,245.92,27
RC,0272,BLADE GONIOTOMY TRABEX STER,1885.8,1508.64,523.69,1697.22,27
RC,0272,BLADE GONIOTOMY TRABEX+ STER,1976.4,1581.12,548.85,1778.76,27
RC,0272,BLADE HARMONIC S*DISC 6220063*,1366.22,1092.98,379.4,1229.6,27
RC,0272,BLADE HARMONIC S*DISC NO REPL*,1366.22,1092.98,379.4,1229.6,27
RC,0272,BLADE HARMONIC SYNRGCOMBO4-9CM,1366.22,1092.98,379.4,1229.6,27
RC,0272,BLADE HEL FIX NAIL TI 11X95MM,2068.34,1654.68,574.38,1861.51,27
RC,0272,BLADE HEL FIX STER TI 11X115MM,2275.34,1820.28,631.86,2047.81,27
RC,0272,BLADE HEL FIX STER TI 11X85MM,2275.34,1820.28,631.86,2047.81,27
RC,0272,BLADE INSRT KNIFE MICRO PNT,797.9,638.32,221.58,718.11,27
RC,0272,BLADE KEEL RECIP OXFORD,1990.8,1592.64,552.85,1791.72,27
RC,0272,BLADE KEEL RECIP UNIV,909.0,727.2,252.43,818.1,27
RC,0272,BLADE KNIFE PRLL GRAFT 8MM,279.18,223.35,77.53,251.26,27
RC,0272,BLADE KNIFE PRLL GRAFT 9MM,279.18,223.35,77.53,251.26,27
RC,0272,BLADE KOBYGARD SYS OSTE,948.74,759.0,263.47,853.87,27
RC,0272,BLADE KOBYGUARD OSTE DISP,1512.0,1209.6,419.88,1360.8,27
RC,0272,BLADE LARYNSCP DISP MAC X SZ3,193.13,154.51,53.63,173.82,27
RC,0272,BLADE LOPRO SL USE S3,246.93,197.55,68.57,222.24,27
RC,0272,BLADE MORCELLATOR 4.8X335MM,1792.43,1433.95,497.76,1613.19,27
RC,0272,BLADE MORCELLATOR 4.8X385MM,1998.91,1599.13,555.1,1799.02,27
RC,0272,BLADE MVR V-LANCE 20G,268.52,214.82,74.57,241.67,27
RC,0272,BLADE MVR V-LANCE 25G,486.48,389.19,135.1,437.83,27
RC,0272,BLADE NDLE BEVI 3.0MM,275.35,220.28,76.46,247.82,27
RC,0272,BLADE OSCL CRST 13.5X0.51X25.5,524.52,419.62,145.66,472.07,27
RC,0272,BLADE OSCL CRST 15X0.51X30MM,524.52,419.62,145.66,472.07,27
RC,0272,BLADE OSCL CRST 18X0.51X30MM,524.52,419.62,145.66,472.07,27
RC,0272,BLADE OSCL CRST 9.5X0.51X26MM,524.52,419.62,145.66,472.07,27
RC,0272,BLADE OSCL FAN STRY 1.37MM,397.2,317.76,110.3,357.48,27
RC,0272,BLADE OSCL STERNUM53.5X0.38X32,278.89,223.12,77.45,251.0,27
RC,0272,BLADE OSCL ULT 11.5X0.38X12MM,524.52,419.62,145.66,472.07,27
RC,0272,BLADE OSCL ULT 11.5X0.38X7MM,524.52,419.62,145.66,472.07,27
RC,0272,BLADE OSCL UNIV 70X13X.89MM,480.0,384.0,133.3,432.0,27
RC,0272,BLADE OSCLFLAT3.5X.51/.83X.054,648.0,518.4,179.95,583.2,27
RC,0272,BLADE OSTEO ARTX LATERJET,618.75,495.0,171.83,556.88,27
RC,0272,BLADE OSTEO CURV THIN 5INX20MM,472.8,378.24,131.3,425.52,27
RC,0272,BLADE OSTEO CURVTHIN2.5INX12MM,472.8,378.24,131.3,425.52,27
RC,0272,BLADE OSTEO FLAT 6MMX3CM,877.5,702.0,243.68,789.75,27
RC,0272,BLADE OSTEO FLAT 6MMX9CM,877.5,702.0,243.68,789.75,27
RC,0272,BLADE OSTEO FLEX 25MM,495.0,396.0,137.46,445.5,27
RC,0272,BLADE OSTEO JJ LNG 10MM,488.52,390.82,135.66,439.67,27
RC,0272,BLADE OSTEO JJ SHRT 10MM,278.21,222.57,77.26,250.39,27
RC,0272,BLADE OSTEO JJ SHRT 5MM,278.21,222.57,77.26,250.39,27
RC,0272,BLADE OSTEO LNG FLAT,1107.68,886.15,307.6,996.91,27
RC,0272,BLADE OSTEO MD FLAT,1423.8,1139.04,395.39,1281.42,27
RC,0272,BLADE OSTEO PELVIC 15X304MM,1848.1,1478.48,513.22,1663.29,27
RC,0272,BLADE OSTEO PELVIC 20X304MM,1848.1,1478.48,513.22,1663.29,27
RC,0272,BLADE OSTEO RAD 5INX16MM,1188.39,950.72,330.02,1069.55,27
RC,0272,BLADE OSTEO RAD 5INX20MM,1188.39,950.72,330.02,1069.55,27
RC,0272,BLADE OSTEO SAW HUB STYLE S,540.0,432.0,149.96,486.0,27
RC,0272,BLADE OSTEO SHRT FLAT,1016.55,813.24,282.3,914.9,27
RC,0272,BLADE OXFORD CMNT 3PK,1688.4,1350.72,468.87,1519.56,27
RC,0272,BLADE OXFORD RESECTION*DISC*,603.0,482.4,167.45,542.7,27
RC,0272,BLADE OXFORD STABLECUT 3PK,1688.4,1350.72,468.87,1519.56,27
RC,0272,BLADE POWER T&A 11CMX4MM *NLU*,864.0,691.2,239.93,777.6,27
RC,0272,BLADE POWER TONSIL 11CMX4*NLU*,675.99,540.8,187.72,608.39,27
RC,0272,BLADE PREC 10.0MM9.2X0.51X18.4,221.13,176.91,61.41,199.02,27
RC,0272,BLADE QUADCUT 3.4MMX13CM,907.2,725.76,251.93,816.48,27
RC,0272,BLADE QUADCUT 3MMX13CM,907.2,725.76,251.93,816.48,27
RC,0272,BLADE QUADCUT 4.3MMX13CM,904.95,723.96,251.3,814.46,27
RC,0272,BLADE QUADCUT M4 3.4MMX13CM,1449.25,1159.4,402.46,1304.33,27
RC,0272,BLADE QUADCUT M4 4.3MMX13CM,1449.25,1159.4,402.46,1304.33,27
RC,0272,BLADE RAD 12 EM CURV 4MMX11CM,1451.52,1161.22,403.09,1306.37,27
RC,0272,BLADE RAD 12 M4 CURV 4MMX11CM,849.38,679.51,235.87,764.44,27
RC,0272,BLADE RAD 120 CURV 3.5MMX11CM,1106.91,885.53,307.39,996.22,27
RC,0272,BLADE RAD 40 CURV 4MMX11CM,831.24,665.0,230.84,748.12,27
RC,0272,BLADE RAD 40 M4 CURV 4MMX11CM,861.84,689.48,239.33,775.66,27
RC,0272,BLADE RAD 60 M4 CURV3.5MMX11CM,944.06,755.25,262.17,849.65,27
RC,0272,BLADE RAD 90 M4 CURV3.5MMX11CM,1151.89,921.52,319.88,1036.7,27
RC,0272,BLADE RAD40 M4 ROTATE 4MMX11CM,1439.42,1151.54,399.73,1295.48,27
RC,0272,BLADE RADENOID ADLT 4.5MMX13CM,707.63,566.11,196.51,636.87,27
RC,0272,BLADE RADENOIDPED CURV4MMX11CM,729.72,583.78,202.64,656.75,27
RC,0272,BLADE REAMER EXPAND X-REAM,2270.88,1816.71,630.62,2043.79,27
RC,0272,BLADE RECIP DBL SIDE 2.76X70MM,229.54,183.64,63.74,206.59,27
RC,0272,BLADE RECIP IBO RT LFT 0.38MM,992.39,793.92,275.59,893.15,27
RC,0272,BLADE RECIP PREC 19.5X41MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE RECIP PREC 22.5MM,367.87,294.3,102.16,331.08,27
RC,0272,BLADE RECIP PREC EXT 27MM,367.87,294.3,102.16,331.08,27
RC,0272,BLADE RECIP PREC EXT SHRT 27MM,367.87,294.3,102.16,331.08,27
RC,0272,BLADE RECIP UNIV 70X10X1.19MM,480.0,384.0,133.3,432.0,27
RC,0272,BLADE RECIPLNG77.6X0.77X11.2MM,249.25,199.4,69.22,224.33,27
RC,0272,BLADE REMOV HIP STEM EXODUS,5959.8,4767.84,1655.04,5363.82,27
RC,0272,BLADE RESECT PHASTIPP 4.5*CIP*,2156.4,1725.12,598.83,1940.76,27
RC,0272,BLADE RESECT PHASTIPP 5.5*NLU*,2156.4,1725.12,598.83,1940.76,27
RC,0272,BLADE RESECTION PROC PK,877.5,702.0,243.68,789.75,27
RC,0272,BLADE SABRE 2.0MM,356.4,285.12,98.97,320.76,27
RC,0272,BLADE SABRE 3.0MM,374.22,299.38,103.92,336.8,27
RC,0272,BLADE SABRE CURV 4MMX13CM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE SABRETOOTH 4.0MMX13CM,256.2,204.96,71.15,230.58,27
RC,0272,BLADE SAG 18.5X1.38X100MM,495.0,396.0,137.46,445.5,27
RC,0272,BLADE SAG ANG STRY 10.5MM*NLU*,207.4,165.92,57.59,186.66,27
RC,0272,BLADE SAG CONMED 90.0X1.27MM,1121.4,897.12,311.41,1009.26,27
RC,0272,BLADE SAG DUALCUT 18X75X.*NLU*,262.3,209.84,72.84,236.07,27
RC,0272,BLADE SAG DUALCUT18X1.27X100MM,284.08,227.27,78.89,255.67,27
RC,0272,BLADE SAG FLARED 21X90X1.19MM,315.68,252.55,87.66,284.11,27
RC,0272,BLADE SAG NO OFF 12.5X0.88X73,495.0,396.0,137.46,445.5,27
RC,0272,BLADE SAG OSCL 7X0.51X18.5MM,217.71,174.17,60.46,195.94,27
RC,0272,BLADE SAG OSCL 90D,395.52,316.42,109.84,355.97,27
RC,0272,BLADE SAG OSCL 9X0.51X25MM,217.71,174.17,60.46,195.94,27
RC,0272,BLADE SAG OSCL AGGR 13.3X42MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL AGGR 13X39MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL AGGR 5.5X18MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL AGGR 9X25MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL AGGR STRY9X31MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL DUAL 16.5X18.5,280.15,224.12,77.8,252.14,27
RC,0272,BLADE SAG OSCL LNG MD 9X31MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL MD 9X25MM,221.61,177.29,61.54,199.45,27
RC,0272,BLADE SAG OSCL PREC 5.5X11.5MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL PREC 5.5X18MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL PREC 5.5X25MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL PREC 6.5X18.5MM,213.87,171.1,59.39,192.48,27
RC,0272,BLADE SAG OSCL PREC 7X15MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL PREC 7X29.5MM,210.45,168.36,58.44,189.41,27
RC,0272,BLADE SAG OSCL PREC 9.2X31MM,379.2,303.36,105.3,341.28,27
RC,0272,BLADE SAG OSCL PREC 9.5X11MM,257.79,206.24,71.59,232.01,27
RC,0272,BLADE SAG OSCL PREC 9X25MM,207.16,165.73,57.53,186.44,27
RC,0272,BLADE SAG OSCL PREC SABO5.5X25,444.96,355.97,123.57,400.46,27
RC,0272,BLADE SAG SAFEDGE40.5X.64X47.5,186.48,149.19,51.79,167.83,27
RC,0272,BLADE SAG SAG 100MM,288.16,230.53,80.02,259.34,27
RC,0272,BLADE SAG SAG 90MM,284.08,227.27,78.89,255.67,27
RC,0272,BLADE SAG STRY 18X90X1.37MM,315.68,252.55,87.66,284.11,27
RC,0272,BLADE SAG STRY 21X90X1.37MM,315.68,252.55,87.66,284.11,27
RC,0272,BLADE SAMURAI FULL RAD,1082.76,866.21,300.68,974.48,27
RC,0272,BLADE SAW AKIN SM,2080.8,1664.64,577.84,1872.72,27
RC,0272,BLADE SAW ANK ENDOFUSE NARW,981.0,784.8,272.42,882.9,27
RC,0272,BLADE SAW ANK NARW,981.0,784.8,272.42,882.9,27
RC,0272,BLADE SAW ANK WIDE,981.0,784.8,272.42,882.9,27
RC,0272,BLADE SAW CAST PLSTR 2IN,244.06,195.25,67.78,219.65,27
RC,0272,BLADE SAW DEPTH STOP HALL*NLU*,286.7,229.36,79.62,258.03,27
RC,0272,BLADE SAW FOR STRY CONN 40MM,393.98,315.19,109.41,354.58,27
RC,0272,BLADE SAW INTRMD 14MM,2001.6,1601.28,555.84,1801.44,27
RC,0272,BLADE SAW INTRMD 15MM,2001.6,1601.28,555.84,1801.44,27
RC,0272,BLADE SAW INTRMD CAM ASSY 14MM,2606.4,2085.12,723.8,2345.76,27
RC,0272,BLADE SAW INTRMD CAM ASSY 15MM,2841.6,2273.28,789.11,2557.44,27
RC,0272,BLADE SAW LG BAT SAG,288.16,230.53,80.02,259.34,27
RC,0272,BLADE SAW LG BAT SAG SN KN,315.68,252.55,87.66,284.11,27
RC,0272,BLADE SAW LINVATEC 40X11MM,823.5,658.8,228.69,741.15,27
RC,0272,BLADE SAW OSC LG 70X11.5X0.8,688.5,550.8,191.2,619.65,27
RC,0272,BLADE SAW OSCL M TYPE 9MM,408.0,326.4,113.3,367.2,27
RC,0272,BLADE SAW OSCL S TYPE 9MM,408.0,326.4,113.3,367.2,27
RC,0272,BLADE SAW RASP SM TEAR,4340.0,3472.0,1205.22,3906.0,27
RC,0272,BLADE SAW SAG 100X13/20X1.37MM,826.2,660.96,229.44,743.58,27
RC,0272,BLADE SAW SAG ARTX 40X14X0.6MM,526.5,421.2,146.21,473.85,27
RC,0272,BLADE SAW SAG MIS JJ KNEE ST,288.16,230.53,80.02,259.34,27
RC,0272,BLADE SAW STRY 40X11MM,787.5,630.0,218.69,708.75,27
RC,0272,BLADE SAW SYNT 45D 12X25X3MM,966.11,772.89,268.29,869.5,27
RC,0272,BLADE SCRWDRVR HEX 86MM1.0/1.3,2129.76,1703.81,591.43,1916.78,27
RC,0272,BLADE SCRWDRVR ONEDRIV 5.8CM,751.68,601.35,208.74,676.51,27
RC,0272,BLADE SHAVER ACROMIO ELITE 4MM,537.75,430.2,149.33,483.98,27
RC,0272,BLADE SHAVER BONECUTTER 5.5MM,807.66,646.13,224.29,726.89,27
RC,0272,BLADE SHAVER PELLO ST 4MM,1102.5,882.0,306.16,992.25,27
RC,0272,BLADE SHAVER TORPEDO 5MMX13CM,454.5,363.6,126.21,409.05,27
RC,0272,BLADE SHAVER TORPEDO SJ 4MMX7C,454.5,363.6,126.21,409.05,27
RC,0272,BLADE SICKLE EDGE ST 5.0MM,277.98,222.39,77.2,250.18,27
RC,0272,BLADE SKIMMER ANG 3.5MMX22.5CM,1840.73,1472.59,511.17,1656.66,27
RC,0272,BLADE SKIMMER ANG 3.5MMX27.5CM,1703.14,1362.52,472.96,1532.83,27
RC,0272,BLADE SKIMMER ANG 4MMX22.5CM,1719.9,1375.92,477.62,1547.91,27
RC,0272,BLADE SKIMMER ANG2.9MMX22CMPK3,1722.55,1378.04,478.35,1550.3,27
RC,0272,BLADE SKIMMER M4 ANG2.9MMX22CM,1832.54,1466.04,508.9,1649.29,27
RC,0272,BLADE SPECTRUM LO*USE 6316790*,1356.6,1085.28,376.73,1220.94,27
RC,0272,BLADE SPECTRUM LOPRO DISP S1,273.24,218.6,75.88,245.92,27
RC,0272,BLADE SPECTRUM LOPRO DISP S2,273.24,218.6,75.88,245.92,27
RC,0272,BLADE SPECTRUM LOPRO DISP S2.5,273.24,218.6,75.88,245.92,27
RC,0272,BLADE SPECTRUM LOPRO DISP S4,246.93,197.55,68.57,222.24,27
RC,0272,BLADE SURESIGHT HYPERANGLE SZ3,1512.0,1209.6,419.88,1360.8,27
RC,0272,BLADE SURESIGHT HYPERANGLE SZ4,1722.0,1377.6,478.2,1549.8,27
RC,0272,BLADE SURESIGHT HYPRANGLE SZ1,1932.0,1545.6,536.52,1738.8,27
RC,0272,BLADE SURESIGHT HYPRANGLE SZ2,1932.0,1545.6,536.52,1738.8,27
RC,0272,BLADE SURESIGHT MAC SZ3,1722.0,1377.6,478.2,1549.8,27
RC,0272,BLADE SURESIGHT MAC SZ4,1722.0,1377.6,478.2,1549.8,27
RC,0272,BLADE SURESIGHT MILLER SZ0,1932.0,1545.6,536.52,1738.8,27
RC,0272,BLADE SURESIGHT MILLER SZ1,1932.0,1545.6,536.52,1738.8,27
RC,0272,BLADE SURG ANNULO DISP 193MM,2304.0,1843.2,639.82,2073.6,27
RC,0272,BLADE SURG MICRO HOOK 0.9MM,818.1,654.48,227.19,736.29,27
RC,0272,BLADE SYNOVATOR PLAT 4.5MM,501.66,401.33,139.31,451.49,27
RC,0272,BLADE TENDON STRIPPER 10MM,866.25,693.0,240.56,779.63,27
RC,0272,BLADE TENDON STRIPPER 11MM,866.25,693.0,240.56,779.63,27
RC,0272,BLADE TENDON STRIPPER 9MM,866.25,693.0,240.56,779.63,27
RC,0272,BLADE TOMCAT ANG FORMULA 4.0MM,380.16,304.13,105.57,342.14,27
RC,0272,BLADE TOMCAT LNG HIP 4.0MM,316.82,253.46,87.98,285.14,27
RC,0272,BLADE TORPEDO OVOID 4MMX13CM,454.5,363.6,126.21,409.05,27
RC,0272,BLADE TRIANG ENDOTRAC ANGD,537.71,430.17,149.32,483.94,27
RC,0272,BLADE TRICUT 4MMX11CM,848.25,678.6,235.56,763.43,27
RC,0272,BLADE TRICUT M4 3.5MMX11CM,862.97,690.38,239.65,776.67,27
RC,0272,BLADE TRICUT M4 4MMX13CM,1439.42,1151.54,399.73,1295.48,27
RC,0272,BLADE TRUDI CURV 4.0MM 15D,2034.48,1627.59,564.98,1831.03,27
RC,0272,BLADE TRUDI CURV 4.0MM 40D,2034.9,1627.92,565.09,1831.41,27
RC,0272,BLADE TURBINATE 2MMX11CM,971.28,777.03,269.72,874.15,27
RC,0272,BLADE TURBINATE M4 2.9MMX11CM,1047.24,837.8,290.82,942.52,27
RC,0272,BLADE TURBINATE M4 2MMX11CM,1047.24,837.8,290.82,942.52,27
RC,0272,BLADE TYMP ANG 60D 2.5,273.78,219.03,76.03,246.4,27
RC,0272,BLADE TYMP ST 2.5MM,262.42,209.94,72.87,236.18,27
RC,0272,BLADE W TBSET STER 20MM,3198.13,2558.51,888.12,2878.32,27
RC,0272,BLADE ZIMM FULL 44MM*NLU*,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE ZIMM FULL 46MM*NLU*,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE ZIMM TRUNCATED 44MM*NLU*,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLADE ZIMM TRUNCATED 46MM*NLU*,2430.0,1944.0,674.81,2187.0,27
RC,0272,BLANKET COOL TECOTHERM DISP,1068.19,854.56,296.64,961.37,27
RC,0272,BLN APPL BRACHY SPHERICAL3-4CM,4410.0,3528.0,1224.66,3969.0,27
RC,0272,BLN BAKRI POSTPARTUM 24FR500ML,1785.08,1428.07,495.72,1606.57,27
RC,0272,BLN BAV Z-5 13.5MMX50CM,1461.1,1168.88,405.75,1314.99,27
RC,0272,BLN BAV/PTV NUCLEUS-X 20X4X110,3098.66,2478.93,860.5,2788.79,27
RC,0272,BLN BAV/PTV ZMEDII 23MMX4CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BAV/PTV ZMEDII 24MMX4CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BAV/PTV ZMEDII 25MMX4CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BAV/PTV ZMEDII 26MMX2CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BAV/PTV ZMEDII 26MMX4CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BAV/PTV ZMEDII 28MMX4CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BAV/PTV ZMEDII 30MMX4CM,2503.9,2003.12,695.33,2253.51,27
RC,0272,BLN BILI RX DIL 5.8FR 6MMX4CM,1030.5,824.4,286.17,927.45,27
RC,0272,BLN BILI STONE F*DISC 6121636*,374.22,299.38,103.92,336.8,27
RC,0272,BLN BILI STONE F*DISC 6173208*,374.22,299.38,103.92,336.8,27
RC,0272,BLN CATH SIALENDO 0.75MM*DISC*,1187.76,950.21,329.84,1068.98,27
RC,0272,BLN DCP LACRICATH BIL 2MM,2097.9,1678.32,582.59,1888.11,27
RC,0272,BLN DCP LACRICATH BIL 3MM,2097.9,1678.32,582.59,1888.11,27
RC,0272,BLN DCP LACRICATH UNIL 2MM,1367.1,1093.68,379.64,1230.39,27
RC,0272,BLN DCP LACRICATH UNIL 3MM,1365.0,1092.0,379.06,1228.5,27
RC,0272,BLN DIL ENDO ORB*DISC 6350333*,5180.0,4144.0,1438.49,4662.0,27
RC,0272,BLN EBUS OLYM,187.51,150.01,52.07,168.76,27
RC,0272,BLN ENDOCAVITY BRACHYRAD2X14CM,263.28,210.63,73.11,236.95,27
RC,0272,BLN ESOPH CATH K*DISC 6345509*,291.09,232.88,80.84,261.98,27
RC,0272,BLN EXTR TXR-ME MULT SZ 2*NLU*,756.0,604.8,209.94,680.4,27
RC,0272,BLN IAB MEGA 7.5FR 30CC,2912.48,2329.99,808.8,2621.23,27
RC,0272,BLN IAB MEGA 7.5FR 40CC,2912.48,2329.99,808.8,2621.23,27
RC,0272,BLN IAB SENSATION*USE 6317238*,3004.42,2403.54,834.33,2703.98,27
RC,0272,BLN IABP FIBEROPT*USE 6317237*,2842.02,2273.62,789.23,2557.82,27
RC,0272,BLN IABP FIBEROPTIC 7FR 34CC,3073.63,2458.91,853.55,2766.27,27
RC,0272,BLN IABP LINEAR 7*USE 6317236*,2468.48,1974.79,685.5,2221.63,27
RC,0272,BLN IABP LINEAR 7.5FR 25CC,2591.9,2073.52,719.77,2332.71,27
RC,0272,BLN IABP LNARNONFBR7.5FR34CC,2591.9,2073.52,719.77,2332.71,27
RC,0272,BLN IABP SEN*DISC 6305369*,2960.0,2368.0,821.99,2664.0,27
RC,0272,BLN IABP SENSATION + 7.5FR40CC,2843.12,2274.5,789.53,2558.81,27
RC,0272,BLN IABP SENSATION + 8FR 50CC,2843.12,2274.5,789.53,2558.81,27
RC,0272,BLN IABP SHEATH LAIN 7FR 40CC,3073.63,2458.91,853.55,2766.27,27
RC,0272,BLN INFL DEV SINUS,361.01,288.81,100.25,324.91,27
RC,0272,BLN KT IVAS OMNICURV 11G 15MM,7380.57,5904.46,2049.58,6642.51,27
RC,0272,BLN KT IVAS OMNICURV 11G 20MM,7380.57,5904.46,2049.58,6642.51,27
RC,0272,BLN POSTPARTUM BA*DUP 6215043*,1443.96,1155.17,400.99,1299.56,27
RC,0272,BLN PTV TYSHAKII 10MMX2CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 12MMX3CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 12MMX4CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 14MMX3CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 15MMX3CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 16MMX3CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 8MMX2CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 9MMX2CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN PTV TYSHAKII 9MMX3CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN RETRV PRO TL 12-15MMX200CM,475.2,380.16,131.96,427.68,27
RC,0272,BLN RETRV RX PRO ABOVE 12-15MM,652.5,522.0,181.2,587.25,27
RC,0272,BLN RETRV RX PRO ABOVE 15-18MM,652.5,522.0,181.2,587.25,27
RC,0272,BLN RETRV RX PRO ABOVE 9-12MM,652.5,522.0,181.2,587.25,27
RC,0272,BLN RETRV RX PRO ABOVEXL9-12MM,475.2,380.16,131.96,427.68,27
RC,0272,BLN RETRV RX PRO BELOW 12-15MM,652.5,522.0,181.2,587.25,27
RC,0272,BLN RETRV RX PRO BELOW 9-12MM,652.5,522.0,181.2,587.25,27
RC,0272,BLN RETRV RX PROABOVEDL 9-12MM,379.2,303.36,105.3,341.28,27
RC,0272,BLN SIZING 18MM,1604.4,1283.52,445.54,1443.96,27
RC,0272,BLN SIZING 24MM,1604.4,1283.52,445.54,1443.96,27
RC,0272,BLN SIZING 34MM,1603.06,1282.45,445.17,1442.75,27
RC,0272,BLN TYSHAK 12MMX*DISC 6160466*,1931.04,1544.84,536.25,1737.94,27
RC,0272,BLN TYSHAK 12MMX*DISC 6212397*,1931.04,1544.84,536.25,1737.94,27
RC,0272,BLN TYSHAK 6MMX3CM*NLU*,1811.92,1449.54,503.17,1630.73,27
RC,0272,BLN TYSHAK 9MMX3*DISC 6160467*,1931.04,1544.84,536.25,1737.94,27
RC,0272,BLN TYSHAK II 10MMX3CM*NLU*,1811.92,1449.54,503.17,1630.73,27
RC,0272,BLN TYSHAK II 20MMX4CM,2023.7,1618.96,561.98,1821.33,27
RC,0272,BLN TYSHAK Z-MED 18MMX4CM,2687.87,2150.3,746.42,2419.08,27
RC,0272,BLN TYSHAK Z-MED*DISC 6218966*,2687.87,2150.3,746.42,2419.08,27
RC,0272,BLN TYSHAK Z-MED*DISC 6330984*,2687.87,2150.3,746.42,2419.08,27
RC,0272,BLN TYSHAK Z-MED*DISC 6330985*,2687.87,2150.3,746.42,2419.08,27
RC,0272,BLN VERTBRAL AV*DISC 6333949*,6825.87,5460.7,1895.54,6143.28,27
RC,0272,BLN VERTBRAL AV*DISC 6337409*,6650.0,5320.0,1846.71,5985.0,27
RC,0272,BLOCK CUT ARTHRO MACI,305.0,244.0,84.7,274.5,27
RC,0272,BLOCK HD HALO OPBK NEOCERV,3261.44,2609.16,905.7,2935.3,27
RC,0272,BLOCKER ENDOBRONCH 5FR 50CM,1099.35,879.48,305.29,989.42,27
RC,0272,BLOCKER ENDOBRONCH 5FR 65CM,1152.06,921.65,319.93,1036.85,27
RC,0272,BLOCKER ENDOBRONCH 7FRX75MM,1102.5,882.0,306.16,992.25,27
RC,0272,BLOCKER ENDOBRONCH ARNDT 7FR,1065.15,852.12,295.79,958.64,27
RC,0272,BLOCKER ENDOBRONCH ARNDT 9FR,1065.15,852.12,295.79,958.64,27
RC,0272,BLOWER CORO W MIST AXIUS16.5CM,352.3,281.84,97.83,317.07,27
RC,0272,BLOWER CORO W MIST CLVIEW 120,313.2,250.56,86.98,281.88,27
RC,0272,BNDG COMP CIED POCKET PRESS,405.0,324.0,112.47,364.5,27
RC,0272,BOLT CLAMP FOR SCHANZ SCREW,987.39,789.92,274.2,888.65,27
RC,0272,BOLT EXTL FIX CONN DYNEX 12MM,291.6,233.28,80.98,262.44,27
RC,0272,BOLT EXTL FIX CONN DYNEX 16MM,291.6,233.28,80.98,262.44,27
RC,0272,BOLT EXTL FIX CONN DYNEX 20MM,291.6,233.28,80.98,262.44,27
RC,0272,BOLT EXTL FIX EYE,486.45,389.16,135.09,437.81,27
RC,0272,BOLT EXTL FIX HALF-PIN 4/6MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,BOLT EXTL FIX HNG MD 6X8MM,283.34,226.68,78.68,255.01,27
RC,0272,BOLT EXTL FIX LINEAR STRUT,517.5,414.0,143.71,465.75,27
RC,0272,BOLT EXTL FIX PIN APEX 3-6MM,1073.25,858.6,298.04,965.93,27
RC,0272,BOLT EXTL FIX SHLDR RING 8MM,366.53,293.23,101.79,329.88,27
RC,0272,BOLT EXTL FIX SIXFIX HALF PIN,1667.4,1333.92,463.04,1500.66,27
RC,0272,BOLT EXTL FIX STD 10X20MM,291.6,233.28,80.98,262.44,27
RC,0272,BOLT EXTL FIX STD 10X30MM,291.6,233.28,80.98,262.44,27
RC,0272,BOLT EXTL FIX WIRE,1512.0,1209.6,419.88,1360.8,27
RC,0272,BOLT EXTL FIX WIRE ADPTR LNG,1430.44,1144.36,397.23,1287.4,27
RC,0272,BOLT EXTL FIX WIRE HOFFMAN LNG,502.29,401.84,139.49,452.06,27
RC,0272,BOLT EXTL FIX WIRE HOFFMAN MD,502.29,401.84,139.49,452.06,27
RC,0272,BOLT EXTL FIX WIRE LNG DYNEX,1701.0,1360.8,472.37,1530.9,27
RC,0272,BOLT EXTL FIX WIRE OFFSET,274.99,220.0,76.36,247.49,27
RC,0272,BOLT EXTL FIX WIRE SIXFIX XL,985.5,788.4,273.67,886.95,27
RC,0272,BOLT EXTL FIX WIRE SLOT,368.74,295.0,102.4,331.87,27
RC,0272,BOLT EXTL FIX WIRE STD DYNEX,1512.0,1209.6,419.88,1360.8,27
RC,0272,BOLT EXTL FIX WIRESALVATION2MM,1090.74,872.6,302.9,981.67,27
RC,0272,BOLT EXTL PIN MOUNT MAXFRM H3,738.99,591.2,205.22,665.09,27
RC,0272,BOLT EXTR FOR SCREW 2.0MM,469.89,375.92,130.49,422.9,27
RC,0272,BOLT EXTR FOR SCREW 2.7MM,469.89,375.92,130.49,422.9,27
RC,0272,BOLT EXTR FOR SCREW 6.5/7.0MM,469.89,375.92,130.49,422.9,27
RC,0272,BOLT NAIL ATTACH IM CHILD DISP,2419.2,1935.36,671.81,2177.28,27
RC,0272,BOLT ROD REMOV Z*DISC NO REPL*,2016.0,1612.8,559.84,1814.4,27
RC,0272,BOLT WING EXTL FIX REVO 14MM,810.0,648.0,224.94,729.0,27
RC,0272,BOLT WING EXTL FIX REVO 16MM,810.0,648.0,224.94,729.0,27
RC,0272,BONE ACC KT OSTEOCOOL 10G,2523.36,2018.69,700.74,2271.02,27
RC,0272,BONE CTRDG PREP PLUS,2577.73,2062.19,715.84,2319.96,27
RC,0272,BOOT VASC ROOKE *DISC 6183020*,453.6,362.88,125.96,408.24,27
RC,0272,BOOT WLK PNEUMAT*DISC 6333058*,361.75,289.4,100.46,325.58,27
RC,0272,BOWL BONE CMNT MIXER HI VAC,366.29,293.04,101.72,329.66,27
RC,0272,BOWL BONE CMNT MIXER MD PRSSZR,425.86,340.69,118.26,383.27,27
RC,0272,BOWL BONE CMNT VACUUMOPTITWIST,773.1,618.48,214.69,695.79,27
RC,0272,BOWL MIX BONE CMNT QUICK-VAC,454.5,363.6,126.21,409.05,27
RC,0272,BRACHY GRID DISP 18G,322.92,258.34,89.67,290.63,27
RC,0272,BRAVO PH CAPSULE*DISC NO REPL*,1138.2,910.56,316.08,1024.38,27
RC,0272,BRC AFO FX ORTHO TIB MD RT,1136.31,909.05,315.55,1022.68,27
RC,0272,BRIDGE EXTL FIX FORE-FT 120MM,3024.0,2419.2,839.76,2721.6,27
RC,0272,BRIDGE EXTL FIX FORE-FT 160MM,3528.0,2822.4,979.73,3175.2,27
RC,0272,BRIDGE EXTL FIX FORE-FT 200MM,3528.0,2822.4,979.73,3175.2,27
RC,0272,BRIDGE TISS FORCE MODULATING,251.63,201.31,69.88,226.47,27
RC,0272,BRKT OXYGENATOR INSPIRE OXY,1688.4,1350.72,468.87,1519.56,27
RC,0272,BRONCHSCP ASCOLG*DISC 6332694*,1318.8,1055.04,366.23,1186.92,27
RC,0272,BRONCHSCP ASCOPE4 LG 5.8/2.8,1012.5,810.0,281.17,911.25,27
RC,0272,BRONCHSCP ASCOPE4 REG 5.0/2.2,1092.0,873.6,303.25,982.8,27
RC,0272,BRONCHSCP ASCOPE4 SLIM 3.8/1.2,1092.0,873.6,303.25,982.8,27
RC,0272,BRONCHSCP ASCORE*DISC 6332693*,1146.6,917.28,318.41,1031.94,27
RC,0272,BRONCHSCP ASCOSL*DISC 6332692*,1146.6,917.28,318.41,1031.94,27
RC,0272,BRONCHSCP ASCP 4 REG 5.0/2.2,1125.6,900.48,312.58,1013.04,27
RC,0272,BRONCHSCP BFLEX *DISC 6335581*,1139.88,911.91,316.54,1025.89,27
RC,0272,BRONCHSCP BFLEX *DISC 6335582*,1139.88,911.91,316.54,1025.89,27
RC,0272,BRONCHSCP BFLEX *DISC 6335583*,1313.76,1051.01,364.83,1182.38,27
RC,0272,BRONCHSCP BFLEX2 LG 5.8MM,1278.48,1022.79,355.03,1150.63,27
RC,0272,BRONCHSCP BFLEX2 REG 5.0MM,1139.88,911.91,316.54,1025.89,27
RC,0272,BRONCHSCP BFLEX2 SLIM 3.8MM,1128.12,902.5,313.28,1015.31,27
RC,0272,BRUSH BX DEFLECT OCCL 3.2FR,404.64,323.72,112.37,364.18,27
RC,0272,BRUSH BX DEFLECT REMOV 5.0FR,381.6,305.28,105.97,343.44,27
RC,0272,BRUSH BX URETRL OCCL3.2FR115CM,396.9,317.52,110.22,357.21,27
RC,0272,BRUSH CYTO RX DL WIRE GD,463.5,370.8,128.71,417.15,27
RC,0272,BRUSH ENDO MICROBIOLOGY,213.5,170.8,59.29,192.15,27
RC,0272,BSKT 3 WIRE STORZ 0.6X600MM,1352.53,1082.03,375.6,1217.28,27
RC,0272,BSKT 4 WIRE STORZ 0.4X480MM,1352.53,1082.03,375.6,1217.28,27
RC,0272,BSKT 4 WIRE STORZ 0.4X600MM,1417.96,1134.37,393.77,1276.16,27
RC,0272,BSKT EXTRACT FUSN 2CM,891.0,712.8,247.43,801.9,27
RC,0272,BSKT GEMINI 3FR 120CM 14MM,1722.92,1378.34,478.45,1550.63,27
RC,0272,BSKT LITHOVUE EMPOWER RETRV,675.0,540.0,187.45,607.5,27
RC,0272,BSKT NIT X-CATCH NT 2.2FR*NLU*,764.78,611.83,212.38,688.3,27
RC,0272,BSKT NIT X-CATCH NT 3.0FR*NLU*,764.78,611.83,212.38,688.3,27
RC,0272,BSKT PULM RETRV OTIP 16MM,1057.5,846.0,293.67,951.75,27
RC,0272,BSKT RETRV DISCOVER 2.4FR120CM,1123.2,898.56,311.91,1010.88,27
RC,0272,BSKT RETRV FOREIGN BODY 270CM,231.8,185.44,64.37,208.62,27
RC,0272,BSKT RETRV SPYGLASS 1MMX286CM,1827.18,1461.75,507.41,1644.46,27
RC,0272,BSKT RETRV TRAPZD RX 2CM,1087.8,870.24,302.08,979.02,27
RC,0272,BSKT RETRV TRAPZD RX 3CM,1087.8,870.24,302.08,979.02,27
RC,0272,BSKT STONE 4WIRE NIT FLEXCATCH,867.87,694.3,241.01,781.08,27
RC,0272,BSKT STONE SEGURA 4.5FR 9*NLU*,1434.64,1147.72,398.4,1291.18,27
RC,0272,BSKT STONE SEGURA 4.5FR 90CM,1722.92,1378.34,478.45,1550.63,27
RC,0272,BSKT STONE SKYLITE 1.9FR 120CM,859.5,687.6,238.68,773.55,27
RC,0272,BSKT STONE STEER FLEXSTONE 2.1,1470.0,1176.0,408.22,1323.0,27
RC,0272,BSKT STONE TIPLESS 1.5FR 120CM,1113.42,890.74,309.2,1002.08,27
RC,0272,BTN B24FR 3.4CM*DISC NO REPL*,540.0,432.0,149.96,486.0,27
RC,0272,BTN BLN ENEMA ENFIT 14FR 3.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA ENFIT 14FR 4.4,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA ENFIT 14FR 7.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 0.8,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 1.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 1.2,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 1.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 1.7,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 2.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 2.3,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 2.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 2.7,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 3.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 3.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 4.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 4.4,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 5.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 5.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 6.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 6.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 7.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 8.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR 9.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 10FR10.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 0.8,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 1.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 1.2,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 1.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 1.7,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 2.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 2.3,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 2.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 2.7,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 3.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 3.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 4.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 4.4,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 5.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 5.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 6.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 6.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 7.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 8.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR 9.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 12FR10.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 0.8,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 1.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 1.2,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 1.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 1.7,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 10,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 2.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 2.3,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 2.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 2.7,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 3.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 3.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 4.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 4.4,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 5.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 5.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 6.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 6.5,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 7.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 8.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENEMA MINIACE 14FR 9.0,1125.6,900.48,312.58,1013.04,27
RC,0272,BTN BLN ENFIT LO*DISC NO REPL*,540.0,432.0,149.96,486.0,27
RC,0272,BTN BLN ENFIT MINIONE12FR0.8CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR1.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR1.2CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR1.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR1.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR2.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR2.3CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR2.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR2.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR3.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR3.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE12FR4.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR0.8CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR1.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR1.2CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR1.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR1.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR2.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR2.3CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR2.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR2.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR3.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR3.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR4.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR4.4CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR5.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR5.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR6.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE14FR6.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR1.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR2.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR2.3CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR2.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR2.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR3.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR3.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR4.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR4.4CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE16FR5.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR2.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR2.3CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR2.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR2.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR3.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR3.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE18FR5.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE20FR2.0CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE20FR2.5CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFIT MINIONE20FR2.7CM,470.4,376.32,130.63,423.36,27
RC,0272,BTN BLN ENFITLOP*DISC NO REPL*,540.0,432.0,149.96,486.0,54
RC,0272,BTN BLN MINIONE 1*VAT 6322502*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322503*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322504*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322505*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322506*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322507*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322508*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322509*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322510*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322511*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322512*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322513*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322514*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322515*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322516*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322517*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322518*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322519*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322520*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322521*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322522*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322523*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322524*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322525*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322527*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322529*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322530*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322531*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322532*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322533*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322534*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322535*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322536*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322537*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322538*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322539*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322542*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322543*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322545*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 1*VAT 6322546*,432.0,345.6,119.97,388.8,27
RC,0272,BTN BLN MINIONE 2*VAT 6322547*,432.0,345.6,119.97,388.8,27
RC,0272,BTN CERCLAGE SYNT 3.5MM,682.29,545.84,189.47,614.06,27
RC,0272,BTN ENFIT CAPSULE 14FR 1.0CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 14FR 1.2CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 14FR 1.5CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 14FR 1.7CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 14FR 2.0CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 14FR 2.5CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 14FR 3.0CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 1.5CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 1.7CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 2.0CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 2.4CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 3.0CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 3.4CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT CAPSULE 18FR 4.4CM,1005.75,804.6,279.3,905.18,27
RC,0272,BTN ENFIT MINIONE 14FR 1.5CM,891.0,712.8,247.43,801.9,27
RC,0272,BTN ENFIT MINIONE 18FR 2.4CM,891.0,712.8,247.43,801.9,27
RC,0272,BTN ENFIT MINIONE 18FR 3.4CM,891.0,712.8,247.43,801.9,27
RC,0272,BTN LOPRO ENDOVIV*VAT 6322690*,540.0,432.0,149.96,486.0,27
RC,0272,BTN LOPRO ENDOVIV*VAT 6322691*,540.0,432.0,149.96,486.0,27
RC,0272,BTN LOPRO ENDOVIV*VAT 6322693*,540.0,432.0,149.96,486.0,27
RC,0272,BTN LOPRO ENDOVIV*VAT 6322694*,540.0,432.0,149.96,486.0,27
RC,0272,BTN MINIONE 18FR 2CM,891.0,712.8,247.43,801.9,27
RC,0272,BTN NON-BLNMINION*VAT 6322484*,733.5,586.8,203.69,660.15,27
RC,0272,BTN NON-BLNMINION*VAT 6322487*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322488*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322489*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322490*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322491*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322492*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322493*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322494*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322495*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322496*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322497*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322498*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322499*,828.0,662.4,229.94,745.2,27
RC,0272,BTN NON-BLNMINION*VAT 6322500*,828.0,662.4,229.94,745.2,27
RC,0272,BTN PROVOX LARY 12/18,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 12/8,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 14/18,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 14/8,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 16/18,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 16/8,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 18/18,243.01,194.41,67.48,218.71,27
RC,0272,BTN PROVOX LARY 18/8,243.01,194.41,67.48,218.71,27
RC,0272,BULB BLADDER ASS*DISC 6337208*,220.21,176.17,61.15,198.19,27
RC,0272,BULB BLADDER BP ASSY STER,214.96,171.97,59.69,193.46,27
RC,0272,BULB INSUF RECTAL,300.35,240.28,83.41,270.32,27
RC,0272,BUR ACORN 14CMX9MM*NLU*,663.98,531.19,184.39,597.58,27
RC,0272,BUR ACORN CUT TPS 9MM,426.14,340.92,118.34,383.53,27
RC,0272,BUR ACORN GM 5MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR ACORN GM 6MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR ACORN GM 7.5MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR ACORN GM 9MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR ACORN LNG 6.0MM,426.14,340.92,118.34,383.53,27
RC,0272,BUR ACORN STRY 5MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR ARTX ST 12X2*DISC 6354274*,1470.0,1176.0,408.22,1323.0,27
RC,0272,BUR ARTX ST 13X2*DISC 6353972*,1617.0,1293.6,449.04,1455.3,27
RC,0272,BUR ARTX ST 13X2*DISC 6354273*,1617.0,1293.6,449.04,1455.3,27
RC,0272,BUR ARTX ST 19.5*DISC 6353973*,1617.0,1293.6,449.04,1455.3,27
RC,0272,BUR ARTX ST 20X3*DISC 6353496*,1617.0,1293.6,449.04,1455.3,27
RC,0272,BUR ARTX ST 8X2M*DISC 6353339*,1470.0,1176.0,408.22,1323.0,27
RC,0272,BUR BALL CUTTER 4MM,819.0,655.2,227.44,737.1,27
RC,0272,BUR BALL DIMND 10CMX2MM,683.55,546.84,189.82,615.2,27
RC,0272,BUR BALL DIMND 10CMX3MM,652.05,521.64,181.07,586.85,27
RC,0272,BUR BALL DIMND 10CMX5MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR BALL DIMND 10CMX6MM,708.75,567.0,196.82,637.88,27
RC,0272,BUR BALL DIMND 14CMX6MM,812.7,650.16,225.69,731.43,27
RC,0272,BUR BALL DIMND 9CMX7.5MM,822.15,657.72,228.31,739.94,27
RC,0272,BUR BALL DIMND COARSE 10CMX4MM,740.25,592.2,205.57,666.23,27
RC,0272,BUR BALL DIMND COARSE 14CMX6MM,812.7,650.16,225.69,731.43,27
RC,0272,BUR BALL DIMND COARSE 9CMX4MM,822.15,657.72,228.31,739.94,27
RC,0272,BUR BALL DIMND COARSE 9CMX5MM,822.15,657.72,228.31,739.94,27
RC,0272,BUR BALL DIMND COARSE10CMX5MM,708.75,567.0,196.82,637.88,27
RC,0272,BUR BALL FLUTE CARB MD 6MM,1381.8,1105.44,383.73,1243.62,27
RC,0272,BUR BALL FLUTE CARB SHRT 2MM,1705.2,1364.16,473.53,1534.68,27
RC,0272,BUR BALL FLUTE CARB SHRT 3MM,1810.2,1448.16,502.69,1629.18,27
RC,0272,BUR BALL FLUTE CARB SHRT 4MM,1810.2,1448.16,502.69,1629.18,27
RC,0272,BUR BALL FLUTE CARB SHRT 6MM,1705.2,1364.16,473.53,1534.68,27
RC,0272,BUR BALL FLUTE LG 10CMX4MM,682.29,545.84,189.47,614.06,27
RC,0272,BUR BALL FLUTE LG 9CMX5MM,682.29,545.84,189.47,614.06,27
RC,0272,BUR BALL FLUTE MR8 LG 14CMX5MM,793.8,635.04,220.44,714.42,27
RC,0272,BUR BALL FLUTE MR8 LG 9CMX5MM,740.25,592.2,205.57,666.23,27
RC,0272,BUR BALL FLUTE MR8 LG 9CMX6MM,740.25,592.2,205.57,666.23,27
RC,0272,BUR BALL FLUTE MR8 SM 10CMX4MM,740.25,592.2,205.57,666.23,27
RC,0272,BUR BALL FLUTE SHRT 6MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR BARREL 6.0MM*NLU*,645.75,516.6,179.32,581.18,27
RC,0272,BUR BLURR 6 FLUTE 5MM,454.5,363.6,126.21,409.05,27
RC,0272,BUR BROPHY ARTX 5.0X15.2MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR BULLET 40D 3.0MMX13CM,1687.64,1350.12,468.66,1518.88,27
RC,0272,BUR BULLET DIMND 70D 3MMX13CM,1693.86,1355.09,470.38,1524.47,27
RC,0272,BUR CARB RD S2 MINI RED 2.3MM,975.42,780.34,270.87,877.88,27
RC,0272,BUR CARB RD STRY 2.0MM,1069.61,855.69,297.03,962.65,27
RC,0272,BUR CARB RD STRY 3.0MM,1069.61,855.69,297.03,962.65,27
RC,0272,BUR CLVIEW 13CMX3MM,1854.22,1483.38,514.92,1668.8,27
RC,0272,BUR CLVIEW 13CMX4MM,1854.22,1483.38,514.92,1668.8,27
RC,0272,BUR COARSE DIMNDLEGEND3MMX14CM,766.67,613.34,212.9,690.0,27
RC,0272,BUR CONIC ARTX 1*DISC 6354275*,1617.0,1293.6,449.04,1455.3,27
RC,0272,BUR CONIC SYNT 9.5MM,1323.42,1058.74,367.51,1191.08,27
RC,0272,BUR CORT SPHERE 4MM,1849.68,1479.75,513.66,1664.71,27
RC,0272,BUR CORT WDG 3.1X13MM,1852.2,1481.76,514.36,1666.98,27
RC,0272,BUR COURSE DIMND VA RND 3MM,855.0,684.0,237.43,769.5,27
RC,0272,BUR CROSSCUT FISSURE STRY2.1MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR CRSE DIMND RD BEND DIST3.0,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR CRSE DIMND RD BEND DIST4.0,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR CYL 4X6.2MMX10CM*NLU*,726.35,581.08,201.71,653.72,27
RC,0272,BUR CYL 5X7.9MMX10CM*NLU*,726.35,581.08,201.71,653.72,27
RC,0272,BUR CYL DIMND XC 6.5MM,766.67,613.34,212.9,690.0,27
RC,0272,BUR CYL MIS PROSTEP 3X12MM,1849.68,1479.75,513.66,1664.71,27
RC,0272,BUR DCR CURV 4.0MM,1324.39,1059.52,367.78,1191.95,27
RC,0272,BUR DERMABRADER ST MD 4.0MM,385.29,308.24,107.0,346.76,27
RC,0272,BUR DERMABRADER ST MD 7.0MM,385.29,308.24,107.0,346.76,27
RC,0272,BUR DIMND 40D 3.2MM,1469.66,1175.73,408.12,1322.69,27
RC,0272,BUR DIMND BALL 4MM,801.0,640.8,222.44,720.9,27
RC,0272,BUR DIMND BALL EXT LENGTH 2MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR DIMND BALL EXT LENGTH 3MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR DIMND BALL EXT LENGTH1MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR DIMND BALL SHRT 6MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR DIMND BALL SM 4MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR DIMND COARSE STRY 2MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR DIMND COARSE STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR DIMND COARSE STRY 4MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR DIMND COARSECLVIEW13CMX3MM,1854.22,1483.38,514.92,1668.8,27
RC,0272,BUR DIMND COARSECLVIEW13CMX4.5,1854.22,1483.38,514.92,1668.8,27
RC,0272,BUR DIMND COARSECLVIEW13CMX4MM,1854.22,1483.38,514.92,1668.8,27
RC,0272,BUR DIMND EXT STRY 2MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR DIMND FINE ST 1.0MM,751.5,601.2,208.69,676.35,27
RC,0272,BUR DIMND HIGH SPEED 4.0MM,1351.73,1081.39,375.38,1216.56,27
RC,0272,BUR DIMND RD BEND DIST15D2.0MM,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR DIMND RD BEND DIST15D3.0MM,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR DIMND RD BEND DIST15D4.0MM,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR DIMND RD GPS 2MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 2MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 3MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 3MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 3MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 4MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 4MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 4MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 5MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 5MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD GPS 5MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR DIMND RD MIS 2MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR DIMND RD MIS 3MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR DIMND RD MIS 4MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR DIMND RD MIS 5MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR DIMND RD S2 MINI BLU 0.6MM,975.42,780.34,270.87,877.88,27
RC,0272,BUR DIMND RD S2 MINI BRN 1.0MM,975.42,780.34,270.87,877.88,27
RC,0272,BUR DIMND RD S2 MINI ORG 1.0MM,975.42,780.34,270.87,877.88,27
RC,0272,BUR DIMND RD S2 MINI YEL 0.8MM,975.42,780.34,270.87,877.88,27
RC,0272,BUR DIMND STRY 2MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR DIMND STRY 3MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR DIMND STRY 4MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR DIMND STRY 5MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR DIMND STRY 6MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR DIMND TELESCO 12CMX2.0MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR DIMND TELESCO 12CMX2.5MM,756.0,604.8,209.94,680.4,27
RC,0272,BUR DIMND TMJ MD,1621.2,1296.96,450.21,1459.08,27
RC,0272,BUR DIMND TPR 15D 4MMX13CM,1749.8,1399.84,485.92,1574.82,27
RC,0272,BUR DIMND TPR 70D 4MMX13CM,1749.8,1399.84,485.92,1574.82,27
RC,0272,BUR DIMND TPR HIGH 15D 4.0MM,1288.22,1030.58,357.74,1159.4,27
RC,0272,BUR DIMND XCOARSE STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR DIMND XCOARSE STRY 4MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR DIMND XTRCOARSESMBORE6.5MM,812.7,650.16,225.69,731.43,27
RC,0272,BUR DYONICS ABRADER 5.5X180MM,479.7,383.76,133.21,431.73,27
RC,0272,BUR EGG 4MM,302.18,241.75,83.92,271.96,27
RC,0272,BUR EGG 6.0MM,302.18,241.75,83.92,271.96,27
RC,0272,BUR FINE DIMND BRAS 3MM,377.14,301.72,104.73,339.43,27
RC,0272,BUR FINE DIMND EXT STRY 1MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND EXT STRY 2MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND EXT STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND STRY 1MM,621.77,497.42,172.67,559.59,27
RC,0272,BUR FINE DIMND STRY 2MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND STRY 3.5MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND STRY 4MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND STRY 5MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FINE DIMND STRY 6MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR FLAME MIS PROSTEP 4X8MM,1849.68,1479.75,513.66,1664.71,27
RC,0272,BUR FLUSHCUT OVAL 12 FLUTE 5MM,256.2,204.96,71.15,230.58,27
RC,0272,BUR FLUSHCUT OVAL 12FLUTE5.5MM,256.2,204.96,71.15,230.58,27
RC,0272,BUR FLUSHCUT OVAL 6 FLUTE 5MM,256.2,204.96,71.15,230.58,27
RC,0272,BUR FLUTE OVAL 2.8X11CM,454.5,363.6,126.21,409.05,27
RC,0272,BUR HD MATCH FLUTE MR8SM12CMX3,652.05,521.64,181.07,586.85,27
RC,0272,BUR HL MAKER 9CMX12.6MM,894.6,715.68,248.43,805.14,27
RC,0272,BUR M4 SM RD 10CMX2.9MM*NLU*,823.41,658.73,228.66,741.07,27
RC,0272,BUR MATCH 10CMX3MM,626.85,501.48,174.08,564.17,27
RC,0272,BUR MATCH DIMND 10CMX3MM,708.75,567.0,196.82,637.88,27
RC,0272,BUR MATCH HD 22MM EXPO3MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD 30MM EXPO3MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD ELITE STRY 2.2MM,1315.99,1052.8,365.45,1184.39,27
RC,0272,BUR MATCH HD GPS 1.8MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 1.8MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 1.8MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 2.2MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 2.2MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 2.2MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 3MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 3MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD GPS 3MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR MATCH HD MIS 2.5MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR MATCH HD MIS 3MMX11CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR MATCH HD MIS 3MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR MATCHSTICK CUT MD 3MM,1021.5,817.2,283.67,919.35,27
RC,0272,BUR MATCHSTICK CUT SHRT 3MM,1084.5,867.6,301.17,976.05,27
RC,0272,BUR METAL CUTTER 3X18.3MM,1017.45,813.96,282.55,915.71,27
RC,0272,BUR METAL CUTWHEEL8X54MM*NLU*,792.36,633.89,220.04,713.12,27
RC,0272,BUR MICA LNG 3.0X20MM,1593.9,1275.12,442.63,1434.51,27
RC,0272,BUR MICA STER 2X12MM,1593.9,1275.12,442.63,1434.51,27
RC,0272,BUR MIDAS ACORN 9CMX6MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR MIDAS ACORN 9CMX7.5MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR MIDAS CUTTER 3MM,2029.82,1623.86,563.68,1826.84,27
RC,0272,BUR MIDAS REX M8 12CMX2.2MM,652.05,521.64,181.07,586.85,27
RC,0272,BUR MIDAS REX M8 14CMX3.0MM,708.75,567.0,196.82,637.88,27
RC,0272,BUR MIDAS REX M8 15CMX1.7MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR MIDAS REX M8 15CMX2.2MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR MIDAS REX M8 15CMX3MM,847.35,677.88,235.31,762.62,27
RC,0272,BUR MIDAS REX MR8 12CMX2.5MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR MIDAS REX MR8 F2 7CMX2.3M,582.75,466.2,161.83,524.48,27
RC,0272,BUR MILLING KNEE PFJ ZIMM,526.5,421.2,146.21,473.85,27
RC,0272,BUR MIS CRSE DIMND RD BRN 3.0M,946.13,756.91,262.74,851.52,27
RC,0272,BUR MIS MATCH HD BRN 3.0MM,946.13,756.91,262.74,851.52,27
RC,0272,BUR MIS MATCH HD DIMNDBRN3.0MM,946.13,756.91,262.74,851.52,27
RC,0272,BUR MIS MICA 2X20MM,1593.9,1275.12,442.63,1434.51,27
RC,0272,BUR MIS MICA 2X8MM,1593.9,1275.12,442.63,1434.51,27
RC,0272,BUR MIS MICA WDGSTER3.1X13MM,1593.9,1275.12,442.63,1434.51,27
RC,0272,BUR MIS PREC MATCH HD BRN 3MM,1138.54,910.84,316.17,1024.69,27
RC,0272,BUR MIS PREC MATCH HD BRN2.5MM,1138.54,910.84,316.17,1024.69,27
RC,0272,BUR MULTFLUTE RD OTOLOGY 6.0,715.91,572.73,198.81,644.32,27
RC,0272,BUR NEURO LEGEND TPR 3MM,660.29,528.24,183.36,594.26,27
RC,0272,BUR NEURO LEGEND TPR 9CMX3MM,699.3,559.44,194.2,629.37,27
RC,0272,BUR NEURO LESS AGGR STRY 3MM,779.81,623.85,216.55,701.83,27
RC,0272,BUR NEURO PREC CARB STRY 3MM,1069.61,855.69,297.03,962.65,27
RC,0272,BUR NEURO PREC STRY 3MM,621.77,497.42,172.67,559.59,27
RC,0272,BUR NEURO SOFT TOUCH BRAS 2MM,377.14,301.72,104.73,339.43,27
RC,0272,BUR NEURO SOFT TOUCH STRY 2MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR NEURO SOFT TOUCH STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR NEURO STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR OVAL 12 FLUTE 5.5MM,256.2,204.96,71.15,230.58,27
RC,0272,BUR OVAL 6.0MM*NLU*,645.75,516.6,179.32,581.18,27
RC,0272,BUR OVAL 8 FLUTE 4MMX13CM,256.2,204.96,71.15,230.58,27
RC,0272,BUR OVAL SJ 10 FLUTE 3MM,356.4,285.12,98.97,320.76,27
RC,0272,BUR PED ANG 2.5MM,1080.58,864.47,300.08,972.52,27
RC,0272,BUR PREC ACORN 5.0MM*NLU*,387.4,309.92,107.58,348.66,27
RC,0272,BUR PREC MATCH HD 2.5MM,1145.21,916.17,318.02,1030.69,27
RC,0272,BUR PREC MATCH HD 3.0MM,1145.21,916.17,318.02,1030.69,27
RC,0272,BUR PREC MATCH HD BEND DIST3.0,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR PREC RD BEND DIST 15D3.0MM,1752.2,1401.76,486.59,1576.98,27
RC,0272,BUR PREC RD BEND DIST 15D4.0MM,1752.2,1401.76,486.59,1576.98,27
RC,0272,BUR PROX DIMND MATCH HD 15D3MM,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR PROX PREC MATCH HD 15D 3MM,1705.45,1364.36,473.6,1534.91,27
RC,0272,BUR RASP METAL CUT 1.6MM,1260.0,1008.0,349.9,1134.0,27
RC,0272,BUR RASP METAL CUT 3MM,1260.0,1008.0,349.9,1134.0,27
RC,0272,BUR RD 3.2X54MM,298.84,239.08,82.99,268.96,27
RC,0272,BUR RD 4.8X51.2MM,298.84,239.08,82.99,268.96,27
RC,0272,BUR RD 6.3X47.2MM,298.84,239.08,82.99,268.96,27
RC,0272,BUR RD 8 FLUTE 3.0MM,356.4,285.12,98.97,320.76,27
RC,0272,BUR RD 8 FLUTE 4.0MM,256.2,204.96,71.15,230.58,27
RC,0272,BUR RD 8 FLUTE 5.5MM,256.2,204.96,71.15,230.58,27
RC,0272,BUR RD CARB STRY 4.0MM,1069.61,855.69,297.03,962.65,27
RC,0272,BUR RD CARB STRY 6.0MM,1069.61,855.69,297.03,962.65,27
RC,0272,BUR RD DIM3.0MM*DISC 6256626*,431.57,345.26,119.85,388.41,27
RC,0272,BUR RD DIMND 2.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND 2.5X54MM,406.9,325.52,113.0,366.21,27
RC,0272,BUR RD DIMND 3.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND 4.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND 6.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND BLU 0.7MM*NLU*,876.78,701.43,243.48,789.1,27
RC,0272,BUR RD DIMND BLU 0.8MM*NLU*,876.78,701.43,243.48,789.1,27
RC,0272,BUR RD DIMND COARSE 4MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND COARSE 4MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND COARSE 4MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND COARSE 5MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND COARSE 5MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND COARSE 5MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND COARSE CURV 2.0MM,1146.6,917.28,318.41,1031.94,27
RC,0272,BUR RD DIMND COARSE ENT 2.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND COARSE ENT 3.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND COARSE ENT 4.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND CROSS XL 5.5MM,801.0,640.8,222.44,720.9,27
RC,0272,BUR RD DIMND FINE 1.0MM*NLU*,643.5,514.8,178.7,579.15,27
RC,0272,BUR RD DIMND FINE 2MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND FINE 3MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND FINE EXT 1.0MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD DIMND LNG 1.5MM,909.0,727.2,252.43,818.1,27
RC,0272,BUR RD DIMND LNG 1MM,855.0,684.0,237.43,769.5,27
RC,0272,BUR RD DIMND LNG 2MM,1021.5,817.2,283.67,919.35,27
RC,0272,BUR RD DIMND MD 3X54MM,406.9,325.52,113.0,366.21,27
RC,0272,BUR RD DIMND MD 4X54MM,406.9,325.52,113.0,366.21,27
RC,0272,BUR RD DIMND XTRCOARSE4MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMND XTRCOARSE5MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMNDXTRCOARSE4MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMNDXTRCOARSE4MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMNDXTRCOARSE5MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DIMNDXTRCOARSE5MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DUAL GPS 3MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DUAL GPS 4MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD DUAL GPS 5MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FAST CUTTING 4MM,298.84,239.08,82.99,268.96,27
RC,0272,BUR RD FLUTE AM SER STRY 4MM,448.56,358.85,124.57,403.7,27
RC,0272,BUR RD FLUTE AM SER STRY 5MM,448.56,358.85,124.57,403.7,27
RC,0272,BUR RD FLUTE GPS 2.5MMX22.5CM,1365.0,1092.0,379.06,1228.5,27
RC,0272,BUR RD FLUTE GPS 3.5MMX22.5CM,1365.0,1092.0,379.06,1228.5,27
RC,0272,BUR RD FLUTE GPS 3MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 3MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 3MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 4.5MMX22.5CM,1365.0,1092.0,379.06,1228.5,27
RC,0272,BUR RD FLUTE GPS 4MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 4MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 4MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 5MMX11CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 5MMX2.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE GPS 5MMX6.5CM,675.0,540.0,187.45,607.5,27
RC,0272,BUR RD FLUTE M SER STRY 5MM,396.0,316.8,109.97,356.4,27
RC,0272,BUR RD FLUTE MD 5.0MM*NLU*,387.4,309.92,107.58,348.66,27
RC,0272,BUR RD FLUTE MD 5.5MM,396.0,316.8,109.97,356.4,27
RC,0272,BUR RD FLUTE MIS 3MMX11CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR RD FLUTE MIS 3MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR RD FLUTE MIS 4MMX13CM,1012.5,810.0,281.17,911.25,27
RC,0272,BUR RD FLUTE TPS *USE 6318889*,973.44,778.76,270.32,876.1,27
RC,0272,BUR RD FLUTE TPS LNG 6MM,448.56,358.85,124.57,403.7,27
RC,0272,BUR RD FLUTE TPS SS 7MM,448.56,358.85,124.57,403.7,27
RC,0272,BUR RD FLUTED ST*DISC 6179131*,455.09,364.08,126.38,409.58,27
RC,0272,BUR RD HL 4.0MM,356.4,285.12,98.97,320.76,27
RC,0272,BUR RD HL DIMND CUT 4.0MMX19CM,213.5,170.8,59.29,192.15,27
RC,0272,BUR RD OTOLOGY 4MM,715.91,572.73,198.81,644.32,27
RC,0272,BUR RD POLISHING 2X54MM,298.84,239.08,82.99,268.96,27
RC,0272,BUR RD PREC STRY 3MM,2485.8,1988.64,690.31,2237.22,27
RC,0272,BUR RD PREC STRY 4MM,1895.46,1516.37,526.37,1705.91,27
RC,0272,BUR RD PREC STRY 5MM,2009.2,1607.36,557.95,1808.28,27
RC,0272,BUR RD S2 MINI CARB BRN 1*NLU*,876.78,701.43,243.48,789.1,27
RC,0272,BUR RD S2 MINI CARB GRY 1*NLU*,876.78,701.43,243.48,789.1,27
RC,0272,BUR RD S2 MINI CARB ORG 1*NLU*,876.78,701.43,243.48,789.1,27
RC,0272,BUR RD SOFT TOUCH STRY 3MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR RD SOFT TOUCH STRY 7MM,608.31,486.65,168.93,547.48,27
RC,0272,BUR RD STER SS 3.1MM,237.9,190.32,66.06,214.11,27
RC,0272,BUR RD STRY 4.0MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR RD STRY 6.0MM,647.06,517.65,179.69,582.35,27
RC,0272,BUR ROUTER TPR 2.3X22MM,443.23,354.59,123.08,398.91,27
RC,0272,BUR ROUTER TPR 3.0X25MM,376.37,301.1,104.52,338.73,27
RC,0272,BUR ROUTER TPR STRY 2.3X16MM,1315.99,1052.8,365.45,1184.39,27
RC,0272,BUR ROUTER TPX 1.5X12.0MM,404.26,323.41,112.26,363.83,27
RC,0272,BUR ROUTER TPX 1.5X20.0MM,404.26,323.41,112.26,363.83,27
RC,0272,BUR ROUTER TPX 1.5X30.0MM,404.26,323.41,112.26,363.83,27
RC,0272,BUR ROUTER TPX 1.5X8.0MM*NLU*,405.0,324.0,112.47,364.5,27
RC,0272,BUR RVRS TPR 40D 4MMX13CM,1650.6,1320.48,458.37,1485.54,27
RC,0272,BUR RVRS TPR DIMND 55D 3.6MM,1693.86,1355.09,470.38,1524.47,27
RC,0272,BUR SCULPTING CYL 3X12,1849.68,1479.75,513.66,1664.71,27
RC,0272,BUR SCULPTING CYL 4X16,1849.68,1479.75,513.66,1664.71,27
RC,0272,BUR SEPTO CURV 3.2MM 12D,1070.28,856.23,297.22,963.25,27
RC,0272,BUR SHANNON CORTA RD 2X8MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR SHANNON LARGA 2.2X12MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR SHANNON REC 2.0X11.8MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR SHANNON REC 2.0X19.5MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR SHANNON REC 3.1X20MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR SIDE CUT 2.1X54MM,315.41,252.33,87.59,283.87,27
RC,0272,BUR SIDE CUT TPR 2.3X65.8MM,302.18,241.75,83.92,271.96,27
RC,0272,BUR SKULL BASE 13CMX4MM,2029.82,1623.86,563.68,1826.84,27
RC,0272,BUR SPNL DIMND 3.7X225MM*NLU*,1911.0,1528.8,530.68,1719.9,27
RC,0272,BUR TPR SM BORE 8CMX11.1MM,582.75,466.2,161.83,524.48,27
RC,0272,BUR TPS RX ST 3.1X19.1*NLU*,486.0,388.8,134.96,437.4,27
RC,0272,BUR TPS ST LNG AM 3.1X19.1,443.23,354.59,123.08,398.91,27
RC,0272,BUR TPS ST XLNG R 3.1X19.*NLU*,466.02,372.82,129.41,419.42,27
RC,0272,BUR TRANSNASAL SKULL 13CMX3MM,2029.82,1623.86,563.68,1826.84,27
RC,0272,BUR TRANSNASAL SKULL 13CMX4MM,2029.82,1623.86,563.68,1826.84,27
RC,0272,BUR WDG ARTX 2.9X13MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR WDG ARTX 4.3X13MM,1618.85,1295.08,449.55,1456.97,27
RC,0272,BUR XCOURSE DIMND VA RND 4MM,855.0,684.0,237.43,769.5,27
RC,0272,CA GRPHC RIBFIX ADV,4435.2,3548.16,1231.66,3991.68,27
RC,0272,CANISTER ASPIR RIPTIDE W TB,1239.0,991.2,344.07,1115.1,27
RC,0272,CANISTER COLLT LIBERANT THROMB,1512.0,1209.6,419.88,1360.8,27
RC,0272,CANISTER ENGINE INDIGO SYS,1533.0,1226.4,425.71,1379.7,27
RC,0272,CANISTER INFOVAC W GEL 1000ML,285.93,228.75,79.4,257.34,27
RC,0272,CANISTER INFOVAC W GEL 500ML,195.69,156.56,54.34,176.12,27
RC,0272,CANISTER MAX INDIGO SYS,1533.0,1226.4,425.71,1379.7,27
RC,0272,CANISTER VAC ACTIVAC GEL 300ML,219.66,175.73,61.0,197.69,27
RC,0272,CANISTER VAC FREEDOM 300ML,197.58,158.07,54.87,177.82,27
RC,0272,CANISTER VAC500ML*USE 6114718*,215.27,172.22,59.78,193.74,27
RC,0272,CANN ACC IVAS 11G,373.1,298.48,103.61,335.79,27
RC,0272,CANN ANGIOVAC W DILATOR 2*NLU*,27600.0,22080.0,7664.52,24840.0,27
RC,0272,CANN ANGIOVAC W DILATOR S*NLU*,27600.0,22080.0,7664.52,24840.0,27
RC,0272,CANN ANT MENISCUS ZONE NVGTR,201.3,161.04,55.9,181.17,27
RC,0272,CANN AORTIC CURV BUMP VENT21FR,364.8,291.84,101.3,328.32,27
RC,0272,CANN AORTIC CURV FLG 21FR,207.4,165.92,57.59,186.66,27
RC,0272,CANN AORTIC ROOT MIAR LNG 12G,212.77,170.22,59.09,191.49,27
RC,0272,CANN AORTIC ROOT MIAR LNG 14G,208.5,166.8,57.9,187.65,27
RC,0272,CANN AORTIC ROOT VENT 7FR 15CM,220.76,176.61,61.31,198.68,27
RC,0272,CANN AORTIC SOFT ANG 18FR 35CM,374.22,299.38,103.92,336.8,27
RC,0272,CANN AORTIC SOFT ANG 21FR 35CM,374.22,299.38,103.92,336.8,27
RC,0272,CANN AORTIC ST FLG 21FR,364.8,291.84,101.3,328.32,27
RC,0272,CANN AORTIC ST FLG 24FR,364.8,291.84,101.3,328.32,27
RC,0272,CANN AORTIC ST RING VENT 21FR,351.0,280.8,97.47,315.9,27
RC,0272,CANN AORTIC ST RING VENT 24FR,364.8,291.84,101.3,328.32,27
RC,0272,CANN ART DLP NONVENT 22FR 3/8,187.82,150.26,52.16,169.04,27
RC,0272,CANN ART DLP PEDS 10FR 3.3MM,416.02,332.82,115.53,374.42,27
RC,0272,CANN ART DLP PEDS 12FR 4.0MM,416.02,332.82,115.53,374.42,27
RC,0272,CANN ART DLP PEDS 14FR 4.7MM,416.02,332.82,115.53,374.42,27
RC,0272,CANN ART DLP PEDS 8FR 2.7MM,416.02,332.82,115.53,374.42,27
RC,0272,CANN ART EOPA 3D VENTED 22FR,365.04,292.04,101.37,328.54,27
RC,0272,CANN ART EOPA VENT 22FR 7.3MM,283.23,226.59,78.65,254.91,27
RC,0272,CANN ART METAL RIGID22FR 7.3MM,196.18,156.95,54.48,176.56,27
RC,0272,CANN ART METAL SOFT 22FR 7.3MM,196.18,156.95,54.48,176.56,27
RC,0272,CANN ART METAL SOFTNV22FR7.3MM,196.18,156.95,54.48,176.56,27
RC,0272,CANN ART NEXTGEN PEDS8FR10.0CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN ART NEXTGENPEDS10FR10.5CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN ART NEXTGENPEDS12FR11.0CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN ART NEXTGENPEDS14FR11.5CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN ART OPTISITE 20FRX24CM,1171.8,937.44,325.41,1054.62,27
RC,0272,CANN ART OPTISITE 22FRX24CM,1171.8,937.44,325.41,1054.62,27
RC,0272,CANN ART PEDS 10*DISC 6331888*,995.72,796.58,276.51,896.15,27
RC,0272,CANN ART PEDS 12*DISC 6331889*,865.85,692.68,240.45,779.27,27
RC,0272,CANN ART PEDS 8F*DISC 6331887*,832.86,666.29,231.29,749.57,27
RC,0272,CANN ART PERFUSN RT ANG 4MM,475.2,380.16,131.96,427.68,27
RC,0272,CANN ART PERFUSN RT ANG 6MM,475.2,380.16,131.96,427.68,27
RC,0272,CANN ART PERFUSN ST FLL 5MM,475.2,380.16,131.96,427.68,27
RC,0272,CANN ART VENT DLPPEDS14FR4.7MM,416.02,332.82,115.53,374.42,27
RC,0272,CANN ART VENT SOFT FLOWEXT21FR,400.95,320.76,111.34,360.86,27
RC,0272,CANN BTN PASSPORT 10MMX3CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 10MMX4CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 10MMX5CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 12MMX3CM,356.4,285.12,98.97,320.76,27
RC,0272,CANN BTN PASSPORT 12MMX4CM,356.4,285.12,98.97,320.76,27
RC,0272,CANN BTN PASSPORT 8MMX2CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 8MMX3CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 8MMX4CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 8MMX5CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN BTN PASSPORT 8MMX6CM,214.72,171.78,59.63,193.25,27
RC,0272,CANN CERV BLN 12FR 18CM*NLU*,369.6,295.68,102.64,332.64,27
RC,0272,CANN CMNT DEL OPEN,1890.0,1512.0,524.85,1701.0,27
RC,0272,CANN CMNT VERTEPORT IVAS 11G,306.02,244.82,84.98,275.42,27
RC,0272,CANN CORO DLP 17FR,296.77,237.42,82.41,267.09,27
RC,0272,CANN DBL MERCEDES 4MMX22CM,297.0,237.6,82.48,267.3,27
RC,0272,CANN DBL MERCEDES 4MMX30CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN DBL MERCEDES 5MMX22CM,360.18,288.15,100.02,324.16,27
RC,0272,CANN DBL MERCEDES 5MMX30CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN END DEL TROC SLFDR 11G,1590.75,1272.6,441.75,1431.68,27
RC,0272,CANN ENDOSEE *DISC 6301991*,742.5,594.0,206.19,668.25,27
RC,0272,CANN ERCP CONT 5-4-3 TIP 5FR,274.5,219.6,76.23,247.05,27
RC,0272,CANN ERCP CONTOUR TPR 5FR,274.5,219.6,76.23,247.05,27
RC,0272,CANN ERCP RX STD 210CM,364.5,291.6,101.22,328.05,27
RC,0272,CANN ERCP RX TPR 5FR 210CM,364.5,291.6,101.22,328.05,27
RC,0272,CANN EXPANULA ARTX 8.25MMX7CM,261.69,209.36,72.67,235.52,27
RC,0272,CANN FEM ART B**DISC 6315750**,1051.07,840.86,291.88,945.96,27
RC,0272,CANN FEM ART BIO*DISC 6315751*,1051.07,840.86,291.88,945.96,27
RC,0272,CANN FEM ART BIO*DISC 6340463*,1051.07,840.86,291.88,945.96,27
RC,0272,CANN FEM ART EASYFLOW DUO 19FR,1308.05,1046.44,363.25,1177.25,27
RC,0272,CANN FEM ARTCARM*DISC 6331897*,1326.36,1061.09,368.33,1193.72,27
RC,0272,CANN FEM JGLR BIOMEDICUS 17FR,1482.35,1185.88,411.65,1334.12,27
RC,0272,CANN FEM JGLR BIOMEDICUS 19FR,1482.35,1185.88,411.65,1334.12,27
RC,0272,CANN FEM JGLR BIOMEDICUS 21FR,1482.35,1185.88,411.65,1334.12,27
RC,0272,CANN FEM RAP VEN 22/22FR 61.5,1764.0,1411.2,489.86,1587.6,27
RC,0272,CANN FEM RAP VEN 22/25FR 65.5,1764.0,1411.2,489.86,1587.6,27
RC,0272,CANN FEM VEN BIOMEDICUS 21FR,1657.91,1326.33,460.4,1492.12,27
RC,0272,CANN FEM VEN BIOMEDICUS 23FR,1657.91,1326.33,460.4,1492.12,27
RC,0272,CANN FEM VEN MULTSTAGE 25FR,1657.91,1326.33,460.4,1492.12,27
RC,0272,CANN FLARE MERCEDES 3MMX30CM,334.8,267.84,92.97,301.32,27
RC,0272,CANN FLARE MERCEDES 4MMX30CM,403.2,322.56,111.97,362.88,27
RC,0272,CANN FLARE MERCEDES 5MMX30CM,403.2,322.56,111.97,362.88,27
RC,0272,CANN GEMINI SR8 ARTX,214.72,171.78,59.63,193.25,27
RC,0272,CANN HLX TRI-PORT III 3MMX22CM,386.4,309.12,107.3,347.76,27
RC,0272,CANN HLX TRI-PORT III 4MMX22CM,386.4,309.12,107.3,347.76,27
RC,0272,CANN HLX TRI-PORT III 4MMX30CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN HLX TRI-PORT III 5MMX22CM,403.2,322.56,111.97,362.88,27
RC,0272,CANN HLXTRIPORTIIIREUS4MMX22CM,1035.0,828.0,287.42,931.5,27
RC,0272,CANN HYDRODISSECT RETINAL*NLU*,408.24,326.6,113.37,367.42,27
RC,0272,CANN INFUS PRIMING TRAY 25G,757.8,606.24,210.44,682.02,27
RC,0272,CANN INFUS W TMD UNITY 25G,391.5,313.2,108.72,352.35,27
RC,0272,CANN IRG LASIK F*DISC 6302380*,292.79,234.24,81.31,263.51,27
RC,0272,CANN MERCEDES 2.4MMX15CM,297.0,237.6,82.48,267.3,27
RC,0272,CANN MERCEDES 3MMX30CM,297.0,237.6,82.48,267.3,27
RC,0272,CANN MERCEDES 4MMX30CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN MERCEDES 5MMX22CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN MERCEDES 5MMX30CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN MID/PSTR ZONE NVGTR LFT,742.5,594.0,206.19,668.25,27
RC,0272,CANN NANO ARTHRO 2.7MMX3CM,396.0,316.8,109.97,356.4,27
RC,0272,CANN NANO ARTHRO 2.7MMX4CM,396.0,316.8,109.97,356.4,27
RC,0272,CANN NANO ARTHRO 2.7MMX5CM,396.0,316.8,109.97,356.4,27
RC,0272,CANN NANO OBTR 2.7X1.5CM*NLU*,405.0,324.0,112.47,364.5,27
RC,0272,CANN NANONDLE SCP ARTX 15MM,405.0,324.0,112.47,364.5,27
RC,0272,CANN NANONDLE SCP ARTX 50MM,396.0,316.8,109.97,356.4,27
RC,0272,CANN NASAL CO2 SAMP OPTIFLOWLG,197.95,158.36,54.97,178.16,27
RC,0272,CANN NASAL CO2 SAMP OPTIFLOWMD,197.95,158.36,54.97,178.16,27
RC,0272,CANN NASAL CO2 SAMP OPTIFLOWSM,197.95,158.36,54.97,178.16,27
RC,0272,CANN NASAL OPTIFLOW JR 2 LG,261.69,209.36,72.67,235.52,27
RC,0272,CANN NASAL OPTIFLOW JR 2 XL,261.69,209.36,72.67,235.52,27
RC,0272,CANN NASAL OPTIFLOW JR 2 XS,261.69,209.36,72.67,235.52,27
RC,0272,CANN NV 3STAGE MC2X 29FR,310.5,248.4,86.23,279.45,27
RC,0272,CANN OBTR FLOWPORT II FOR SN,1688.4,1350.72,468.87,1519.56,27
RC,0272,CANN OBTR FLOWPORT STRY165MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,CANN OBTR FLOWPORTII STRY165MM,1743.0,1394.4,484.03,1568.7,27
RC,0272,CANN OBTR SMTH LIME 8.0X72MM,272.65,218.12,75.71,245.39,27
RC,0272,CANN OBTR THRD LIME 8.0X72MM,272.65,218.12,75.71,245.39,27
RC,0272,CANN OPH BLNT 25GX32MM,280.8,224.64,77.98,252.72,27
RC,0272,CANN OPH DUAL BORE 25G,296.46,237.17,82.33,266.81,27
RC,0272,CANN OPH DUALBORE SIDEFLO 25G,280.8,224.64,77.98,252.72,27
RC,0272,CANN OPTICAL TROC 5X100MM,225.03,180.03,62.49,202.53,27
RC,0272,CANN PRFSN FEM 2*DISC 6335066*,1657.74,1326.2,460.35,1491.97,27
RC,0272,CANN RCSP DLP GDWIRE MANUAL6FR,741.38,593.11,205.88,667.24,27
RC,0272,CANN RCSP DLP GDWIRE SMTH 15FR,445.68,356.55,123.77,401.11,27
RC,0272,CANN RCSP W INTR 15FR,418.66,334.93,116.26,376.79,27
RC,0272,CANN RETROGRD GDWIRE SMTH 15FR,630.0,504.0,174.95,567.0,27
RC,0272,CANN RETROGRD GDWIRE TXT14FR18,589.5,471.6,163.7,530.55,27
RC,0272,CANN RETROGRD SM*DISC 6324274*,364.8,291.84,101.3,328.32,27
RC,0272,CANN RETROGRD TXT PE 14FR 32,589.5,471.6,163.7,530.55,27
RC,0272,CANN RF ST 22G 5X50MM,386.15,308.92,107.23,347.54,27
RC,0272,CANN RF ST HYBRID 18G 5X150MM,787.5,630.0,218.69,708.75,27
RC,0272,CANN RF ST HYBRID 18G 5X54MM,787.5,630.0,218.69,708.75,27
RC,0272,CANN RF VENOM CVD 18G 100MM,280.3,224.24,77.84,252.27,27
RC,0272,CANN RF VENOM CVD 18G 150MM,280.3,224.24,77.84,252.27,27
RC,0272,CANN RF VENOM CVD 20G 100MM,280.3,224.24,77.84,252.27,27
RC,0272,CANN RF VENOM CVD 20G 150MM,280.3,224.24,77.84,252.27,27
RC,0272,CANN RX RAPID EXCHANGE XL,305.0,244.0,84.7,274.5,27
RC,0272,CANN SEAL DISP ROB SI BLK8.5MM,244.0,195.2,67.76,219.6,27
RC,0272,CANN SGL-PORT 5MMX22CM,297.0,237.6,82.48,267.3,27
RC,0272,CANN SGL-PORT 6MMX22CM,360.18,288.15,100.02,324.16,27
RC,0272,CANN SGL-PORT 7.5MMX15CM,297.0,237.6,82.48,267.3,27
RC,0272,CANN SLV KII ADV FIX 11X100MM,378.0,302.4,104.97,340.2,27
RC,0272,CANN SLV KII ADV FIX 5X150MM,334.8,267.84,92.97,301.32,27
RC,0272,CANN SLV KII Z 12X100MM,378.0,302.4,104.97,340.2,27
RC,0272,CANN SLV KII Z 5X100MM,334.8,267.84,92.97,301.32,27
RC,0272,CANN SLV KII Z 5X150MM,334.8,267.84,92.97,301.32,27
RC,0272,CANN SPATULA 1HL 3MMX15CM,405.0,324.0,112.47,364.5,27
RC,0272,CANN SPATULA 2HL 3MMX15CM,379.2,303.36,105.3,341.28,27
RC,0272,CANN STYLET NEUR*DISC 6347469*,1017.9,814.32,282.67,916.11,27
RC,0272,CANN STYLET NEXFRAME 15MM,881.1,704.88,244.68,792.99,27
RC,0272,CANN SUBRETINAL DISP 25GA,660.02,528.02,183.29,594.02,27
RC,0272,CANN SUBRETINAL INJ STER 25G,432.0,345.6,119.97,388.8,27
RC,0272,CANN TIP CONT 5FR 210CM,274.5,219.6,76.23,247.05,27
RC,0272,CANN TRI-PORT II 4MMX22CM,386.4,309.12,107.3,347.76,27
RC,0272,CANN TRNSPRT 1-2-3 8MM,454.61,363.69,126.25,409.15,27
RC,0272,CANN TRNSPRT 4-5-6 8MM,454.61,363.69,126.25,409.15,27
RC,0272,CANN TRNSPRT 7-8-9 8MM,454.61,363.69,126.25,409.15,27
RC,0272,CANN VALVED ENTRY SYS 25G 6MM,379.58,303.67,105.41,341.62,27
RC,0272,CANN VEN 20SH 21FR 55CM,1923.88,1539.11,534.26,1731.49,27
RC,0272,CANN VEN 2STAGE *DISC 6187946*,367.2,293.76,101.97,330.48,27
RC,0272,CANN VEN 3STAGE MC2X 29FR,310.5,248.4,86.23,279.45,27
RC,0272,CANN VEN FEM RED*DISC 6339026*,1128.16,902.53,313.29,1015.34,27
RC,0272,CANN VEN FEM RED*DISC 6339027*,1128.16,902.53,313.29,1015.34,27
RC,0272,CANN VEN MALLEA DBL STAGE 28/3,202.09,161.68,56.12,181.88,27
RC,0272,CANN VEN MALLEA SGL STAGE 22FR,226.49,181.2,62.9,203.84,27
RC,0272,CANN VEN MALLEA SGL STAGE 24FR,226.49,181.2,62.9,203.84,27
RC,0272,CANN VEN MALLEA SGL STAGE 26FR,226.49,181.2,62.9,203.84,27
RC,0272,CANN VEN MALLEA SGL STAGE 28FR,226.49,181.2,62.9,203.84,27
RC,0272,CANN VEN MALLEA SGL STAGE 32FR,235.03,188.03,65.27,211.53,27
RC,0272,CANN VEN NEXTGEN PEDS8FR10.0CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN VEN NEXTGENPEDS10FR10.5CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN VEN NEXTGENPEDS12FR10.0CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN VEN NEXTGENPEDS14FR11.5CM,1247.4,997.92,346.4,1122.66,27
RC,0272,CANN VEN PEDS10F*DISC 6331892*,865.85,692.68,240.45,779.27,27
RC,0272,CANN VEN PEDS12F*DISC 6331893*,865.85,692.68,240.45,779.27,27
RC,0272,CANN VEN PEDS14F*DISC 6331894*,865.85,692.68,240.45,779.27,27
RC,0272,CANN VEN RETURN 2STAGE 32X40,351.0,280.8,97.47,315.9,27
RC,0272,CANN VEN RETURN 2STAGE 36X46,348.3,278.64,96.72,313.47,27
RC,0272,CANN VEN RETURN 3STAGE 29FR,460.8,368.64,127.96,414.72,27
RC,0272,CANN VEN RETURN 3STAGE NO DOP,460.8,368.64,127.96,414.72,27
RC,0272,CANN VEN RT ANG METAL TIP 28FR,245.89,196.72,68.28,221.3,27
RC,0272,CANN VEN RT ANG METAL TIP 31FR,245.89,196.72,68.28,221.3,27
RC,0272,CANN VEN RT ANG RMI TF 28FR,318.6,254.88,88.48,286.74,27
RC,0272,CANN VEN SGL STAGE 28FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN SGL STAGE 34FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN SGL STAGE 36FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN TRIM FLEX 29-37FR,367.2,293.76,101.97,330.48,27
RC,0272,CANN VEN WIRE 14FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 16FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 18FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 20FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 22FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 24FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 26FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 30FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE 32FR,189.95,151.96,52.75,170.96,27
RC,0272,CANN VEN WIRE RA 32FR,318.6,254.88,88.48,286.74,27
RC,0272,CANN VEN WIRE RA 34FR,351.0,280.8,97.47,315.9,27
RC,0272,CANNFEMVENBIOMEDICUS21FR69.9CM,1721.41,1377.13,478.04,1549.27,27
RC,0272,CANNFEMVENBIOMEDICUS23FR76.2CM,1721.41,1377.13,478.04,1549.27,27
RC,0272,CANNFEMVENBIOMEDICUS25FR76.2CM,1721.41,1377.13,478.04,1549.27,27
RC,0272,CANNFEMVENBIOMEDICUS27FR76.2CM,1721.41,1377.13,478.04,1549.27,27
RC,0272,CANNFEMVENBIOMEDICUS29FR76.2CM,1721.41,1377.13,478.04,1549.27,27
RC,0272,CANNULA WITH ENDOMETRIAL SUCTI,834.3,667.44,231.69,750.87,27
RC,0272,CAP CANN OBTR BLDLES STD 8MM,483.98,387.19,134.4,435.58,27
RC,0272,CAP PROTECT TIP BLU 5.0MM,252.48,201.99,70.11,227.23,27
RC,0272,CAP PROVOX HME,80.63,64.51,22.39,72.57,27
RC,0272,CAP SCREW RAIL AMDT,495.0,396.0,137.46,445.5,27
RC,0272,CAP TAB EXTNDR VOYAGER 5.5/5.6,2003.4,1602.72,556.34,1803.06,27
RC,0272,CAPSULE PILLCAM GENIUS SB KT,1949.04,1559.24,541.25,1754.14,27
RC,0272,CARTRDG GRSPR 5MMX38CM,378.0,302.4,104.97,340.2,27
RC,0272,CARTRDG INJECTOR II,1302.0,1041.6,361.57,1171.8,27
RC,0272,CARTRDG PUMP PLUS ERBEJET 2,670.5,536.4,186.2,603.45,27
RC,0272,CARTRDG SNAPTHERAPY125MMHG60,623.7,498.96,173.2,561.33,27
RC,0272,CARTRDG SUT PERFECT PASS,1437.83,1150.27,399.29,1294.05,27
RC,0272,CARTRDG VAC SNAP PLUS150ML,940.5,752.4,261.18,846.45,27
RC,0272,CASSETTE IRG DISP STRY CORE,280.42,224.34,77.87,252.38,27
RC,0272,CASSETTE IRG SUCT SONOPET IQ,1950.19,1560.16,541.57,1755.17,27
RC,0272,CASSETTE IRR CORE ESSX,375.57,300.46,104.3,338.01,27
RC,0272,CASSETTE PURGE GEN 2 IMPELLA,900.0,720.0,249.93,810.0,27
RC,0272,CASSETTE PURGE I*DISC 6332453*,900.0,720.0,249.93,810.0,27
RC,0272,CASSETTE VAC VERALINK,283.55,226.84,78.74,255.2,27
RC,0272,CATH ABD RECT/VAG NO LUM 7FR,399.6,319.68,110.97,359.64,27
RC,0272,CATH ABD SGL SENS 7FR,399.6,319.68,110.97,359.64,27
RC,0272,CATH ACCESS DEL DSII SPYSCOPE,6860.0,5488.0,1905.02,6174.0,27
RC,0272,CATH ANGI BERMAN 5FR 80CM,999.0,799.2,277.42,899.1,27
RC,0272,CATH ANGI BERMAN 6FR 90CM,1071.0,856.8,297.42,963.9,27
RC,0272,CATH ANGI BERMAN 7FR 110CM,1071.0,856.8,297.42,963.9,27
RC,0272,CATH ANGIO BERMA*DISC 6141798*,999.0,799.2,277.42,899.1,27
RC,0272,CATH ANGIO BERMAN 7FR 90C*NLU*,999.0,799.2,277.42,899.1,27
RC,0272,CATH ANORECTAL MANOMETER,675.0,540.0,187.45,607.5,27
RC,0272,CATH ART VEN WA*DISC NO REPL*,16800.0,13440.0,4665.36,15120.0,27
RC,0272,CATH ART VEN WAVELINQ 4FR PLUS,16800.0,13440.0,4665.36,15120.0,27
RC,0272,CATH ART VEN WAVELINQ 6FR*NLU*,16800.0,13440.0,4665.36,15120.0,27
RC,0272,CATH ASPIR AXS VECTA71 12*NLU*,6528.6,5222.88,1812.99,5875.74,27
RC,0272,CATH ASPIR REACT 68 132CM,5320.0,4256.0,1477.36,4788.0,27
RC,0272,CATH ASPIR REACT 71 132CM,5320.0,4256.0,1477.36,4788.0,27
RC,0272,CATH AXS OFFSET 150CMX0.0*NLU*,2940.0,2352.0,816.44,2646.0,27
RC,0272,CATH BEACON VANC3 0.035 5FR 65,203.74,163.0,56.58,183.37,27
RC,0272,CATH BERN 0.035 4FR 150CM*NLU*,499.5,399.6,138.71,449.55,27
RC,0272,CATH BICAVAL DL ELITE 31FR31CM,6950.48,5560.39,1930.15,6255.43,27
RC,0272,CATH BLADDER DUAL SENS LAMT7FR,495.9,396.72,137.71,446.31,27
RC,0272,CATH BLN ACARDIA STEER 10GX20,7293.0,5834.4,2025.27,6563.7,27
RC,0272,CATH BLN ACARDIA STEER 10MM,4636.8,3709.44,1287.64,4173.12,27
RC,0272,CATH BLN ACARDIA STEERLKCANN15,7293.0,5834.4,2025.27,6563.7,27
RC,0272,CATH BLN BILI FOGARTY 5FR 23,365.9,292.72,101.61,329.31,27
RC,0272,CATH BLN BILI FOGARTY 6FR 40,365.9,292.72,101.61,329.31,27
RC,0272,CATH BLN BRIDGE OCCL 80MM,2814.0,2251.2,781.45,2532.6,27
RC,0272,CATH BLN KAYE TAMPONADE 17FR25,623.61,498.89,173.18,561.25,27
RC,0272,CATH BLN MOLD OCCL 10-37MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,CATH BLN NASAL EPISTAT,540.27,432.22,150.03,486.24,27
RC,0272,CATH BLN Q50PLUS 12FR50MM*NLU*,1827.0,1461.6,507.36,1644.3,27
RC,0272,CATH BLN TRANSFORM 4X10MM*NLU*,4858.0,3886.4,1349.07,4372.2,27
RC,0272,CATH BLN TRANSFORM SUP 3X*NLU*,4858.0,3886.4,1349.07,4372.2,27
RC,0272,CATH BLN TRANSFORM SUP 4X*NLU*,4858.0,3886.4,1349.07,4372.2,27
RC,0272,CATH BLN TRANSFORM SUP 7X7MM,5552.4,4441.92,1541.9,4997.16,27
RC,0272,CATH BLN TRI LOBE GORE*NLU*,2268.0,1814.4,629.82,2041.2,27
RC,0272,CATH BLN WDG 5FR 110CM,612.0,489.6,169.95,550.8,27
RC,0272,CATH BLN WDG 5FR 60CM,612.0,489.6,169.95,550.8,27
RC,0272,CATH BLN WDG 6FR 110CM,364.8,291.84,101.3,328.32,27
RC,0272,CATH BLN WDG 7FR 110CM,394.2,315.36,109.47,354.78,27
RC,0272,CATH BLN WDG PRSS 6FR 80CM,275.4,220.32,76.48,247.86,27
RC,0272,CATH BLN WEDGE 6*DISC 6212535*,394.2,315.36,109.47,354.78,27
RC,0272,CATH BLN Z-MED II 30MM 4X*NLU*,2516.04,2012.84,698.7,2264.44,27
RC,0272,CATH CHAIT CECOSTOMY 10.2FR20C,936.0,748.8,259.93,842.4,27
RC,0272,CATH CHAIT CECOSTOMY10.2FR28CM,1051.07,840.86,291.88,945.96,27
RC,0272,CATH CHOLANGIO E*DISC NO REPL*,297.0,237.6,82.48,267.3,27
RC,0272,CATH CHOLANGIO KUMAR 19G 76CM,242.48,193.99,67.34,218.23,27
RC,0272,CATH CHOLANGIO RANFAC 4FR,329.67,263.74,91.55,296.7,27
RC,0272,CATH CHOLE SCOOP TIP REDDICK,922.86,738.29,256.28,830.57,27
RC,0272,CATH DEL SYS ENV*DISC NO REPL*,5908.0,4726.4,1640.65,5317.2,27
RC,0272,CATH DIG SPYGLASS 65CM 3.5MM,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH DIL SOEHENDRA 11.5FR200CM,422.4,337.92,117.3,380.16,27
RC,0272,CATH DRN LK SKATER 12FR 45CM,412.8,330.24,114.63,371.52,27
RC,0272,CATH DRN MALECOT 4WING 22FR,258.09,206.48,71.67,232.28,27
RC,0272,CATH DRN PIGT URES 6FR 12CM,351.0,280.8,97.47,315.9,27
RC,0272,CATH ECLS DRN MINI 11FR 10.5CM,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS DRN MINI 13FR 11.0CM,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS DRN MINI 15FR 11.5CM,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS DRN MINI 9FR 10.0CM,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS FLEX 15FR 18.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX 17FR 18.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX 19FR 18.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX 21FR 18.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX 25FR 18.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX XL 15FR 50.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX XL 17FR 50.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX XL 19FR 50.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX XL 21FR 50.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX XL 23FR 50.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS FLEX XL 25FR 50.0CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,CATH ECLS MULT XL 21FR 55CM,2016.0,1612.8,559.84,1814.4,27
RC,0272,CATH ECLS MULT XL 23FR 61CM,2016.0,1612.8,559.84,1814.4,27
RC,0272,CATH ECLS MULT XL 25FR 61CM,2016.0,1612.8,559.84,1814.4,27
RC,0272,CATH ECLS MULT XL 27FR 61CM,2016.0,1612.8,559.84,1814.4,27
RC,0272,CATH ECLS MULT XL 29FR 61CM,2016.0,1612.8,559.84,1814.4,27
RC,0272,CATH ECLS RETURN MINI 11FR10.5,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS RETURN MINI 13FR11.0,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS RETURN MINI 15FR11.5,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH ECLS RETURN MINI 9FR 10.0,1638.0,1310.4,454.87,1474.2,27
RC,0272,CATH EDM VENT 1.5MM 33CM,1128.12,902.5,313.28,1015.31,27
RC,0272,CATH EDM VENT 2.6MM 35CM,955.85,764.68,265.44,860.27,27
RC,0272,CATH EMBOL ART FOGARTY TB7FR80,270.22,216.18,75.04,243.2,27
RC,0272,CATH EMBOL AXS VECTA 71 132CM,7232.24,5785.8,2008.39,6509.02,27
RC,0272,CATH EMBOL SYNTEL OTW 5FR 80CM,940.5,752.4,261.18,846.45,27
RC,0272,CATH EMBRYO GUARDIA 17.3CM,289.75,231.8,80.46,260.78,27
RC,0272,CATH EMBRYO TRANS SOFT 18CM,311.96,249.57,86.63,280.76,27
RC,0272,CATH EMBRYO TRANS SOFT 23CM,205.81,164.65,57.15,185.23,27
RC,0272,CATH EMBRYO TRANS SURE-PRO23CM,378.0,302.4,104.97,340.2,27
RC,0272,CATH EMBRYO TRANS TRIAL 1*NLU*,297.74,238.2,82.68,267.97,27
RC,0272,CATH EMBRYO TRANS ULTRSND 23CM,356.67,285.34,99.05,321.0,27
RC,0272,CATH EMER JET VENT ADLT 13G,538.2,430.56,149.46,484.38,27
RC,0272,CATH EMER JET VENT CHILD 14G,538.2,430.56,149.46,484.38,27
RC,0272,CATH EMER JET VENT INFANT 16G,470.4,376.32,130.63,423.36,27
RC,0272,CATH ETT AIRW EXCH 11FR 100CM,382.08,305.67,106.1,343.87,27
RC,0272,CATH ETT AIRW EXCH 11FR 83CM,370.98,296.79,103.02,333.88,27
RC,0272,CATH ETT AIRW EXCH 14FR 83CM,370.98,296.79,103.02,333.88,27
RC,0272,CATH ETT AIRW EXCH 19FR 83CM,370.98,296.79,103.02,333.88,27
RC,0272,CATH ETT AIRW EXCH 8FR 45CM,370.98,296.79,103.02,333.88,27
RC,0272,CATH EXCEL MICRO SL10 150CM,3533.52,2826.82,981.26,3180.17,27
RC,0272,CATH EXCEL MICRO XT-27 ST 150,3881.16,3104.93,1077.8,3493.04,27
RC,0272,CATH EXCELMICRO XT-27FLEXST150,3881.16,3104.93,1077.8,3493.04,27
RC,0272,CATH FOLEY CNCL DOVER SIL 18FR,254.8,203.84,70.76,229.32,27
RC,0272,CATH FOLEY COUDE 3W 24FR 30CC,184.77,147.82,51.31,166.29,27
RC,0272,CATH FOLEY COUNC*DISC NO REPL*,459.31,367.45,127.55,413.38,27
RC,0272,CATH FOLEY DOVER COUDE 20FR 30,184.65,147.72,51.28,166.19,27
RC,0272,CATH FOLEY EDELMAN 16FR 5CC,240.83,192.67,66.88,216.75,27
RC,0272,CATH FOLEY SIMPLST 3W 24FR75CC,233.14,186.52,64.74,209.83,27
RC,0272,CATH FOLEY TEMP 400 SER 10FR,281.88,225.51,78.28,253.69,27
RC,0272,CATH FOLEY TEMP 400 SER 8FR,281.88,225.51,78.28,253.69,27
RC,0272,CATH FOLEY TEMP SIL 2W 8FR 5CC,198.49,158.8,55.12,178.64,27
RC,0272,CATH FREEZOR MAX5*USE 6332360*,3990.0,3192.0,1108.02,3591.0,27
RC,0272,CATH GD STEER THETER *NLU*,72000.0,57600.0,19994.4,64800.0,27
RC,0272,CATH GLIDE H1 5FR 100CM,305.1,244.08,84.73,274.59,27
RC,0272,CATH GLIDE JB1 5FR 100CM*NLU*,287.17,229.74,79.75,258.45,27
RC,0272,CATH GLIDE XP ANG 5FR 100CM,305.1,244.08,84.73,274.59,27
RC,0272,CATH GLIDE XP COBRA2 5FR 65CM,305.1,244.08,84.73,274.59,27
RC,0272,CATH GLIDE XP ST 5FR 65CM,305.1,244.08,84.73,274.59,27
RC,0272,CATH IAB REDIGUARD 7FR 30CC,2672.0,2137.6,742.01,2404.8,27
RC,0272,CATH IAB REDIGUARD 8FR 40CC,3136.0,2508.8,870.87,2822.4,27
RC,0272,CATH IAB REDIGUARD 8FR 50CC,4228.0,3382.4,1174.12,3805.2,27
RC,0272,CATH IAB ULTRA8 FLUID 8FR 30CC,2816.0,2252.8,782.0,2534.4,27
RC,0272,CATH IAB ULTRA8 FLUID 8FR 40CC,3066.0,2452.8,851.43,2759.4,27
RC,0272,CATH IAB ULTRAFLEX 8FR 50CC,5026.0,4020.8,1395.72,4523.4,27
RC,0272,CATH ICP DRN NEUROVENT 9FR,3245.2,2596.16,901.19,2920.68,27
RC,0272,CATH ICP DRNTEMPNEUROVENT9FR,3598.0,2878.4,999.16,3238.2,27
RC,0272,CATH ICP NEUROVENT-P 5FR,2940.0,2352.0,816.44,2646.0,27
RC,0272,CATH IMPEDENCE PH ADLT 18CM,472.5,378.0,131.21,425.25,27
RC,0272,CATH INFINITI CUST JL3 6FR,205.88,164.71,57.17,185.29,27
RC,0272,CATH INFINITY MPA1 6FR 10*NLU*,205.88,164.71,57.17,185.29,27
RC,0272,CATH INTH KT PUMP ASCENDA 73CM,2300.4,1840.32,638.82,2070.36,27
RC,0272,CATH INTH KT SPNL ASCENDA 86CM,2527.2,2021.76,701.8,2274.48,27
RC,0272,CATH INTHRILL 4-10MMX65CM,6160.0,4928.0,1710.63,5544.0,27
RC,0272,CATH INTR CHOLANGIO 4.5FR 18IN,419.76,335.81,116.57,377.78,27
RC,0272,CATH INTUB AINTRE19FR56CM*CIP*,332.64,266.12,92.37,299.38,27
RC,0272,CATH INTUB AINTREE 19FR 56CM,370.98,296.79,103.02,333.88,27
RC,0272,CATH ION ARTICU ROB RPSB 100CM,2340.0,1872.0,649.82,2106.0,27
RC,0272,CATH ION F100CM*DISC 6346193*,13000.0,10400.0,3610.1,11700.0,27
RC,0272,CATH IVL M5 SHWV 3.5X60MM*NLU*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH IVL M5 SHWV 4.0X60MM*NLU*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH IVL M5 SHWV 4.5X60MM*NLU*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH IVL M5 SHWV*DISC 6328434*,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5 SHWV*DISC 6328435*,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5 SHWV*DISC 6328436*,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5 SHWV*DISC 6328437*,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5 SHWV*DISC 6328438*,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5+ SHWV 5.0X60MM,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5+ SHWV 5.5X60MM,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5+ SHWV 6.0X60MM,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5+ SHWV 6.5X60MM,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5+ SHWV 7.0X60MM,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL M5+ SHWV 8.0X60MM,8970.0,7176.0,2490.97,8073.0,27
RC,0272,CATH IVL S2.5X40*DISC 6324595*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH IVL S3.0X40*DISC 6324595*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH IVL S4 SHWV*DISC 6324597*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH IVL S4.0X40*DISC 6324598*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH JET VENT 13G*USE 6171734*,431.95,345.56,119.95,388.76,27
RC,0272,CATH JET VENT 14G*USE 6172799*,431.95,345.56,119.95,388.76,27
RC,0272,CATH JET VENT 16G*USE 6296182*,431.95,345.56,119.95,388.76,27
RC,0272,CATH KCH FETAL BLADDER DR*NLU*,486.0,388.8,134.96,437.4,27
RC,0272,CATH KT ART 0.028 18G 6IN,189.1,151.28,52.51,170.19,27
RC,0272,CATH KT ART SFTY 18GA 16CM,294.3,235.44,81.73,264.87,27
RC,0272,CATH KT DL ST 12FR 20CM,384.86,307.89,106.88,346.37,27
RC,0272,CATH KT EXTL REPAIR FLEX-NECK,408.0,326.4,113.3,367.2,27
RC,0272,CATH KT RAD ART *DISC NO REPL*,639.63,511.71,177.63,575.67,27
RC,0272,CATH KT RAD ART 18GX1.75,208.01,166.41,57.76,187.21,27
RC,0272,CATH KT VENT SNAP SHNT RESVR15,949.23,759.39,263.6,854.31,27
RC,0272,CATH LITHO SHWV 6*USE 6302389*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH LK PIGT MDRAIN 10FR 25CM,367.2,293.76,101.97,330.48,27
RC,0272,CATH LUMB EXTL DRN W TUOHY,829.71,663.77,230.41,746.74,27
RC,0272,CATH MICRO MARKSMAN 150CM,2867.2,2293.76,796.22,2580.48,27
RC,0272,CATH MICRO VENT PRSS TEMP 4FR,6733.66,5386.93,1869.94,6060.29,27
RC,0272,CATH ML TD SWAN GANZ VIP 7.5FR,855.0,684.0,237.43,769.5,27
RC,0272,CATH MP PEDS 0.030 3.3FR 60CM,562.5,450.0,156.21,506.25,27
RC,0272,CATH NPHRSTMY MALECOT 24FR35CM,719.06,575.25,199.68,647.15,27
RC,0272,CATH OUTBACK ELITE 120CM,4900.0,3920.0,1360.73,4410.0,27
RC,0272,CATH OUTBACK ELITE 80CM,4900.0,3920.0,1360.73,4410.0,27
RC,0272,CATH PACING KT TEMP 5FR 110CM,2028.89,1623.12,563.42,1826.0,27
RC,0272,CATH PASR SUBCUT DISP 60CM,698.76,559.01,194.05,628.88,27
RC,0272,CATH PEDS MP 3.3FR 80CM 0*NLU*,562.5,450.0,156.21,506.25,27
RC,0272,CATH PERC SELECT SITE5.6FR40CM,1680.0,1344.0,466.54,1512.0,27
RC,0272,CATH PERITON CFS BARIUM 120CM,639.23,511.39,177.51,575.31,27
RC,0272,CATH PERITON CURL 39CM,388.58,310.87,107.91,349.72,27
RC,0272,CATH PERITON CURL 60CM,361.53,289.23,100.4,325.38,27
RC,0272,CATH PERITON CURL 62CM,348.62,278.9,96.81,313.76,27
RC,0272,CATH PH VERSAFLEX SGLSENS4.7FR,272.06,217.65,75.55,244.85,27
RC,0272,CATH PH VERSAFLEX Z SGL 6FR,486.9,389.52,135.21,438.21,27
RC,0272,CATH PHENOM 017 ST,3040.0,2432.0,844.21,2736.0,27
RC,0272,CATH PHENOM 27 150CM,3040.0,2432.0,844.21,2736.0,27
RC,0272,CATH PHENOM PLUS 120CM*NLU*,3290.0,2632.0,913.63,2961.0,27
RC,0272,CATH PICC PE*DISC 6321405*,308.02,246.42,85.54,277.22,27
RC,0272,CATH PICC PER-Q*DISC NO REPLC*,604.35,483.48,167.83,543.92,27
RC,0272,CATH PROBE INJ GLD 10FR 210CM,967.5,774.0,268.67,870.75,27
RC,0272,CATH PROBE INJ GLD 7FR 210CM,967.5,774.0,268.67,870.75,27
RC,0272,CATH PROGREAT GLIDE 2.8FR130CM,2131.2,1704.96,591.83,1918.08,27
RC,0272,CATH PROGREAT ST 2.7FR 130CM,1470.0,1176.0,408.22,1323.0,27
RC,0272,CATH PRSS WEDGE*DISC 6141928*,307.8,246.24,85.48,277.02,27
RC,0272,CATH PTO 2L TEMP NEUROVENT 5FR,6498.8,5199.04,1804.72,5848.92,27
RC,0272,CATH PXSLIM DEL 45DEG 0.025IN,2828.8,2263.04,785.56,2545.92,27
RC,0272,CATH PXSLIM DEL 90DEG 0.025IN,2828.8,2263.04,785.56,2545.92,27
RC,0272,CATH PXSLIM DEL ST 0.025IN,2828.8,2263.04,785.56,2545.92,27
RC,0272,CATH QL TD SWAN GANZ 7FR,701.1,560.88,194.7,630.99,27
RC,0272,CATH QL TD SWAN GANZ SYN 7FR,2401.92,1921.54,667.01,2161.73,27
RC,0272,CATH QL TD SWAN GANZ TRUE 5FR,1177.76,942.21,327.06,1059.98,27
RC,0272,CATH QL TD SWAN GANZ TRUE 6FR,1102.95,882.36,306.29,992.66,27
RC,0272,CATH RECTAL KT MACY 15ML,508.19,406.56,141.12,457.37,27
RC,0272,CATH RECTAL MOTILITY,384.0,307.2,106.64,345.6,27
RC,0272,CATH RENEGADE STC ST 20X1*NLU*,1827.0,1461.6,507.36,1644.3,27
RC,0272,CATH RUNWAY IMC 90CM 6FR 90CM,305.0,244.0,84.7,274.5,27
RC,0272,CATH SET INDWEL SLIT,710.64,568.52,197.34,639.58,27
RC,0272,CATH SET WAYNE PTX 14FR 29CM,1000.8,800.64,277.92,900.72,27
RC,0272,CATH SHWV7.0X60*USE 6302390*,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CATH SIZING 20CM PIGT 4FR*NLU*,520.2,416.16,144.46,468.18,27
RC,0272,CATH SIZING 20CM PIGT 5FR 70CM,611.1,488.88,169.7,549.99,27
RC,0272,CATH SIZING 20CM PIGT 5FR100CM,611.1,488.88,169.7,549.99,27
RC,0272,CATH SL SWAN GANZ FEM PACE 5FR,1163.69,930.96,323.16,1047.32,27
RC,0272,CATH SL SWAN GANZ PACE 5FR,1163.69,930.96,323.16,1047.32,27
RC,0272,CATH SLIP SHUTTLE SIM2 6.0FR,435.84,348.68,121.03,392.26,27
RC,0272,CATH SLIP-CATH KMP 5FR 100CM,312.12,249.7,86.68,280.91,27
RC,0272,CATH SLIP-CATH KMP 5FR 65CM,312.12,249.7,86.68,280.91,27
RC,0272,CATH SLIP-CATH VERT 5FR 100CM,312.12,249.7,86.68,280.91,27
RC,0272,CATH SLIP-CATH VS1 0.038 5FR80,312.12,249.7,86.68,280.91,27
RC,0272,CATH SPG BLOCK SPHENOCATH*NLU*,585.0,468.0,162.45,526.5,27
RC,0272,CATH SPHENOCATH NON FLOUR*NLU*,408.0,326.4,113.3,367.2,27
RC,0272,CATH SUP TORQ JL4 6FR 125CM,184.46,147.57,51.22,166.01,27
RC,0272,CATH SUP TORQ MULTCUST JR*NLU*,384.14,307.32,106.68,345.73,27
RC,0272,CATH SUP TORQ PIGT 5FR 110CM,385.56,308.45,107.07,347.0,27
RC,0272,CATH TD TORQUE-LN QL 7FR 110CM,301.86,241.49,83.83,271.67,27
RC,0272,CATH TD WDG DERO QL 5FR,393.36,314.69,109.24,354.02,27
RC,0272,CATH TD WDG DERO QL 6FR,365.28,292.23,101.44,328.75,27
RC,0272,CATH TEMP KT HEP QUATTRO 45CM,2833.07,2266.46,786.74,2549.76,27
RC,0272,CATH TEMP KT PREM QUATTRO 45CM,3074.23,2459.39,853.71,2766.81,27
RC,0272,CATH TEMP KT SOLEX7 26CM,3196.03,2556.83,887.54,2876.43,27
RC,0272,CATH TEMPO AQUA H1 5FR 100CM,304.7,243.76,84.62,274.23,27
RC,0272,CATH TEMPO AQUA JL3 5FR 100CM,220.33,176.27,61.19,198.3,27
RC,0272,CATH TEMPO VERT 5FR 125CM,185.01,148.01,51.38,166.51,27
RC,0272,CATH THML PENTALUMEN ML 8FR,394.69,315.76,109.61,355.22,27
RC,0272,CATH TL TD SWAN GANZ TRUE 5FR,1177.76,942.21,327.06,1059.98,27
RC,0272,CATH TRAY WAYNE PTX 14FR 29CM,1077.3,861.84,299.17,969.57,27
RC,0272,CATH TRNSTRACH ADLT 13GA,486.0,388.8,134.96,437.4,27
RC,0272,CATH TRNSTRACH CHILD 14GA,486.0,388.8,134.96,437.4,27
RC,0272,CATH TURNPIKE LP TIP 150CM,2250.0,1800.0,624.83,2025.0,27
RC,0272,CATH TURNPIKE SOFT TIP 135CM,1872.0,1497.6,519.85,1684.8,27
RC,0272,CATH TURNPIKE SOFT TIP 150CM,2458.8,1967.04,682.81,2212.92,27
RC,0272,CATH TURNPIKE SPIRAL TIP 135CM,2318.4,1854.72,643.82,2086.56,27
RC,0272,CATH TURNPIKE SPIRAL TIP 150CM,2318.4,1854.72,643.82,2086.56,27
RC,0272,CATH TWIN PASS DUAL ACCESS,1537.2,1229.76,426.88,1383.48,27
RC,0272,CATH TWIN-PASS TORQ 10D 135CM,1852.2,1481.76,514.36,1666.98,27
RC,0272,CATH UMBLCL DL PU FTPR 3.5FR,204.35,163.48,56.75,183.92,27
RC,0272,CATH UMBLCL DL PU FTPR 5FR,204.35,163.48,56.75,183.92,27
RC,0272,CATH UMBLCL DL PU UTAH 3.5FR,220.09,176.08,61.12,198.08,27
RC,0272,CATH UMBLCL TL PU CARD 5FR,253.58,202.87,70.42,228.22,27
RC,0272,CATH UMBLCL TRAY DL CARD 5FR,393.94,315.16,109.4,354.55,27
RC,0272,CATH UMBLCL TRAY DL PU CARD3.5,393.94,315.16,109.4,354.55,27
RC,0272,CATH UMBLCL TRAY SL PU CARD5FR,317.14,253.72,88.07,285.43,27
RC,0272,CATH URETRL IMAGER-II 5FR 65CM,244.92,195.94,68.01,220.43,27
RC,0272,CATH VASC PHENOM PLUS 120CM,3290.0,2632.0,913.63,2961.0,27
RC,0272,CATH VASC TRAPLINER 0.056 6FR,2444.4,1955.52,678.81,2199.96,27
RC,0272,CATH VASC TRAPLINER 0.062 7FR,2444.4,1955.52,678.81,2199.96,27
RC,0272,CATH VASC TRAPLINER 0.071 8FR,2444.4,1955.52,678.81,2199.96,27
RC,0272,CATH VEN ACCESS ML INJUNC*NLU*,608.9,487.12,169.09,548.01,27
RC,0272,CATH VENT BARIUM IMPG LG 23CM,763.43,610.75,212.0,687.09,27
RC,0272,CATH VENT BARIUM IMPG STD 23CM,670.5,536.4,186.2,603.45,27
RC,0272,CATH VENT CAMINO*DISC 6175932*,3789.83,3031.87,1052.44,3410.85,27
RC,0272,CATH VIANCE CROSSING STD 150CM,4746.0,3796.8,1317.96,4271.4,27
RC,0272,CATH ZOOM VRT 6FR 137CM,1659.0,1327.2,460.7,1493.1,27
RC,0272,CATHINFINITIPIG6SHCUST6FR125CM,220.27,176.22,61.17,198.24,27
RC,0272,CAUT 2.3 AQUAMANTYS 6.7MM,1746.07,1396.86,484.88,1571.46,27
RC,0272,CAUT 6.0 AQUAMANTYS 9.5MM,1746.07,1396.86,484.88,1571.46,27
RC,0272,CAUT AQUAMANTYS VS 8.7R,2545.27,2036.22,706.82,2290.74,27
RC,0272,CAUT BIPOLR INSR*DISC 6316960*,1577.27,1261.82,438.01,1419.54,27
RC,0272,CAUT BIPOLR INSR*DISC 6316966*,1577.27,1261.82,438.01,1419.54,27
RC,0272,CAUT BIPOLR ISOCOOL 1MM,1610.91,1288.73,447.35,1449.82,27
RC,0272,CAUT BIPOLR ISOCOOLGL 1MM,1610.91,1288.73,447.35,1449.82,27
RC,0272,CAUT BLNT TIP LIGASURE 37CM,1745.73,1396.59,484.79,1571.16,27
RC,0272,CAUT BLNT TIP LIGASURE 44CM,1913.35,1530.68,531.34,1722.02,27
RC,0272,CAUT BYNT PENCIL,465.7,372.56,129.32,419.13,27
RC,0272,CAUT COBLATOR EVAC XTRA HP,1175.33,940.27,326.39,1057.8,27
RC,0272,CAUT COBLATOR II EVAC70 XWAND,1119.97,895.98,311.02,1007.97,27
RC,0272,CAUT COBLATOR PROCIS LW,2527.85,2022.28,701.98,2275.07,27
RC,0272,CAUT COBLATOR PROCISE EZ,1136.69,909.36,315.66,1023.02,27
RC,0272,CAUT COBLATOR PROCISE MAX,1117.35,893.88,310.29,1005.62,27
RC,0272,CAUT COBLATOR PROCISE MLW,2527.85,2022.28,701.98,2275.07,27
RC,0272,CAUT COBLATOR REFLEX ULT,1110.92,888.74,308.5,999.83,27
RC,0272,CAUT CURV MONOP ROB XI RPSB,873.6,698.88,242.6,786.24,27
RC,0272,CAUT DISECT LIGASURE EXACT,2054.68,1643.75,570.58,1849.21,27
RC,0272,CAUT ELTD ANG PN*DISC 6316956*,605.34,484.28,168.1,544.81,27
RC,0272,CAUT ELTD BALL 24/26FR 3MM,618.84,495.08,171.85,556.96,27
RC,0272,CAUT ELTD COAG ANG PNT 11FR,641.66,513.33,178.19,577.49,27
RC,0272,CAUT ELTD COAG BALL 24/26FR5MM,618.84,495.08,171.85,556.96,27
RC,0272,CAUT ELTD COAG BALL LNG24/26FR,810.81,648.65,225.16,729.73,27
RC,0272,CAUT ELTD COAG BRL 24/26FR 5MM,618.84,495.08,171.85,556.96,27
RC,0272,CAUT ELTD COAG PNT 24/26FR,530.42,424.34,147.3,477.38,27
RC,0272,CAUT ELTD COAG PNT LNG 24/26FR,810.81,648.65,225.16,729.73,27
RC,0272,CAUT ELTD CUT LOOP ANG 24/26FR,810.81,648.65,225.16,729.73,27
RC,0272,CAUT ELTD CUT LOOP ANG 27/28FR,618.84,495.08,171.85,556.96,27
RC,0272,CAUT ELTD CUT LOOP MONOP 24FR,642.6,514.08,178.45,578.34,27
RC,0272,CAUT ELTD CUTLOOP THOMASANGYEL,609.98,487.99,169.39,548.98,27
RC,0272,CAUT ELTD LOOP PEDS ANG 11FR,641.66,513.33,178.19,577.49,27
RC,0272,CAUT ELTD LOOP PEDS ANG 13FR,641.66,513.33,178.19,577.49,27
RC,0272,CAUT ELTD MONOP *DISC 6319198*,708.53,566.83,196.76,637.68,27
RC,0272,CAUT ELTD MONOPS*DISC 6319198*,708.53,566.83,196.76,637.68,27
RC,0272,CAUT ELTD MONOPSEMI-RIGID1.3MM,1633.84,1307.08,453.72,1470.46,27
RC,0272,CAUT ELTD ROLLER 24/26FR 3MM,838.62,670.9,232.88,754.76,27
RC,0272,CAUT ELTD ROLLERBALL BLK,462.77,370.22,128.51,416.49,27
RC,0272,CAUT ELTD VAPORIZATION 24/26FR,1851.7,1481.36,514.22,1666.53,27
RC,0272,CAUT ELTD VERSAP*DISC 6311652*,1732.08,1385.67,481.0,1558.87,27
RC,0272,CAUT ELTD VERSAPNT LOOP MD,1882.31,1505.85,522.72,1694.08,27
RC,0272,CAUT ELTD VERSAPNT ROLLER,1882.31,1505.85,522.72,1694.08,27
RC,0272,CAUT ELTD VERSAPO*USE 6311650*,1732.08,1385.67,481.0,1558.87,27
RC,0272,CAUT ELTD VERSAPO*USE 6311651*,1732.08,1385.67,481.0,1558.87,27
RC,0272,CAUT ELTD VERSAPO*USE 6311653*,1732.08,1385.67,481.0,1558.87,27
RC,0272,CAUT ELTD VERSAPOINT ANG 0D,2012.93,1610.35,558.99,1811.64,27
RC,0272,CAUT ELTD VERSAPOINT ANG LOOP,2012.93,1610.35,558.99,1811.64,27
RC,0272,CAUT ELTD VERSAPOINT SPRINGTIP,1926.29,1541.04,534.93,1733.66,27
RC,0272,CAUT ELTD VERSAPOINT TWIZZEL,1926.29,1541.04,534.93,1733.66,27
RC,0272,CAUT ERASER BIPOLR FINE 20-23G,295.11,236.09,81.95,265.6,27
RC,0272,CAUT EVS AQUAMANTYS 4.0MM,2502.0,2001.6,694.81,2251.8,27
RC,0272,CAUT FORCEPS CUT PKS 5MM 33CM,1829.52,1463.62,508.06,1646.57,27
RC,0272,CAUT FORCEPS CUTPKSHALO5MM33CM,2095.8,1676.64,582.0,1886.22,27
RC,0272,CAUT HOOK MONOP ROB SSRPSB 5MM,468.0,374.4,129.96,421.2,27
RC,0272,CAUT HOOK PERMANENT ROBSI RPSB,399.0,319.2,110.8,359.1,27
RC,0272,CAUT HOOK ROB S RPSB,560.0,448.0,155.51,504.0,27
RC,0272,CAUT HOOK ROB XI RPSB,352.8,282.24,97.97,317.52,27
RC,0272,CAUT HOOK TIP ROB S RPSB 5MM,428.64,342.92,119.03,385.78,27
RC,0272,CAUT INSRT BIPOLR 45D 2MMX20CM,1671.89,1337.52,464.28,1504.7,27
RC,0272,CAUT INSRT BIPOLR 4MMX20CM,1671.89,1337.52,464.28,1504.7,27
RC,0272,CAUT INSRT BIPOLR ANG 45D,1671.89,1337.52,464.28,1504.7,27
RC,0272,CAUT INSRT BIPOLR SHARP TIP,1671.89,1337.52,464.28,1504.7,27
RC,0272,CAUT KNIFE COLD LUDVIK SER ST,865.89,692.72,240.46,779.3,27
RC,0272,CAUT KNIFE COLD PEDS ST 10FR,781.88,625.51,217.13,703.69,27
RC,0272,CAUT KNIFE COLD SICKLE 8FR,662.81,530.25,184.06,596.53,27
RC,0272,CAUT KNIFE COLD ST 8FR,662.81,530.25,184.06,596.53,27
RC,0272,CAUT KNIFE H*DISC 6316946*,500.4,400.32,138.96,450.36,27
RC,0272,CAUT L DIMND 5MM*DISC 6328603*,287.28,229.83,79.78,258.55,27
RC,0272,CAUT LAP HANDSET,291.21,232.97,80.87,262.09,27
RC,0272,CAUT LAP NDLE HI FREQ 0.7MM,624.38,499.51,173.39,561.94,27
RC,0272,CAUT LIGASURE IMPACT 14D 18CM,2047.61,1638.09,568.62,1842.85,27
RC,0272,CAUT LIGASURE L-HOOK 37CM,2110.93,1688.75,586.21,1899.84,27
RC,0272,CAUT MARYLAND LIGASURE 23CM,1920.28,1536.23,533.26,1728.25,27
RC,0272,CAUT MARYLAND LIGASURE 37CM,1920.28,1536.23,533.26,1728.25,27
RC,0272,CAUT MARYLAND LIGASURE 44CM,1804.03,1443.23,500.98,1623.63,27
RC,0272,CAUT MARYLAND LIGASURE LATCH37,1892.81,1514.25,525.63,1703.53,27
RC,0272,CAUT MARYLAND LIGASURE SEAL 23,1892.84,1514.28,525.64,1703.56,27
RC,0272,CAUT MARYLAND LIGASURE SEAL 44,2074.64,1659.72,576.13,1867.18,27
RC,0272,CAUT MBS AQUAMANTYS 9.5MM,2142.0,1713.6,594.83,1927.8,27
RC,0272,CAUT MICRODEBRID*DISC 6268105*,1232.91,986.33,342.38,1109.62,27
RC,0272,CAUT MICRODEBRIDE TOPAZ 0D,1093.28,874.63,303.6,983.95,27
RC,0272,CAUT MONO ROB SI RPSB 5MM,559.0,447.2,155.23,503.1,27
RC,0272,CAUT NDLE COLORADO 3CM,389.61,311.69,108.19,350.65,27
RC,0272,CAUT PEAK PLAS BLADE 4MM,1117.45,893.96,310.32,1005.71,27
RC,0272,CAUT PENCIL ROCKERSWITCH SMOKE,188.06,150.45,52.22,169.25,27
RC,0272,CAUT PENCILROCKERSWITCHSMOKE15,200.08,160.07,55.56,180.07,27
RC,0272,CAUT PHOTONBLADE W ILLUM,1300.95,1040.76,361.27,1170.86,27
RC,0272,CAUT PKS PLAS SPATULA 5MM 33CM,1398.6,1118.88,388.39,1258.74,27
RC,0272,CAUT PLASMABLADE X 3MM,1402.38,1121.91,389.44,1262.14,27
RC,0272,CAUT PLASMABLADE X LT 3MM,1477.1,1181.68,410.19,1329.39,27
RC,0272,CAUT RETRACT L-HOOK DISP 44CM,2110.93,1688.75,586.21,1899.84,27
RC,0272,CAUT SEALER JUSTRIGHT,2720.0,2176.0,755.34,2448.0,27
RC,0272,CAUT SM JAW LIGASURE 28D,1553.41,1242.73,431.38,1398.07,27
RC,0272,CAUT SPATULA ROB S RPSB,560.0,448.0,155.51,504.0,27
RC,0272,CAUT SPATULA TIP ROB S RPSB5MM,23.81,19.05,6.61,21.43,27
RC,0272,CAUT SPATULA XI ROB RPSB,352.8,282.24,97.97,317.52,27
RC,0272,CAUT THNDRBEAT T*DISC NO REPL*,1366.68,1093.35,379.53,1230.01,27
RC,0272,CAUT THNDRBEAT TYPE S FINE20CM,1837.5,1470.0,510.27,1653.75,27
RC,0272,CAUT THNDRBEATTYPESFINE35*CIP*,1837.5,1470.0,510.27,1653.75,27
RC,0272,CAUT THUNDE35CM5*DISC NO REPL*,1837.5,1470.0,510.27,1653.75,27
RC,0272,CAUT THUNDERBEAT OPEN 10CM,1837.5,1470.0,510.27,1653.75,27
RC,0272,CAUT THUNDERBEAT OPEN 20CM,1837.5,1470.0,510.27,1653.75,27
RC,0272,CAUT THUNDERBEAT X OPENFINE9CM,1776.6,1421.28,493.36,1598.94,27
RC,0272,CAUT THUNDERBEAT*DISC 6298131*,1764.0,1411.2,489.86,1587.6,27
RC,0272,CAUT THUNDERBEAT*DISC 6298132*,1764.0,1411.2,489.86,1587.6,27
RC,0272,CAUT THUNDERBEAT*DISC 6332525*,1776.6,1421.28,493.36,1598.94,27
RC,0272,CAUT TISS FUSN LIGASUREATLAS20,1378.19,1102.56,382.72,1240.37,27
RC,0272,CAUT TISS FUSN LIGASUREATLAS37,1378.19,1102.56,382.72,1240.37,27
RC,0272,CAUT UNIPOLR SUPRALOOP 120X85,1059.91,847.93,294.34,953.92,27
RC,0272,CAUT UNIPOLR SUPRALOOP 200X150,1059.91,847.93,294.34,953.92,27
RC,0272,CAUT VISICOIL MARKER GLD 1CM,719.37,575.5,199.77,647.43,27
RC,0272,CAUT XL AQUAMANTYS9.5MM,2270.52,1816.42,630.52,2043.47,27
RC,0272,CBL ACHIEVE ADV 10PIN 196CM,900.0,720.0,249.93,810.0,27
RC,0272,CBL BLAZER DX20 DIAG CATH,1230.18,984.15,341.62,1107.16,27
RC,0272,CBL CARTO 3 12PIN 3MM,2181.6,1745.28,605.83,1963.44,27
RC,0272,CBL CATH DX SURELINK 10PIN 210,704.48,563.59,195.63,634.03,27
RC,0272,CBL CERLAGE W CRIMP 1.0X750MM,1702.26,1361.81,472.72,1532.03,27
RC,0272,CBL COAX UMBLCL BX12,417.98,334.39,116.07,376.18,27
RC,0272,CBL CONN CATH FARASTAR,900.0,720.0,249.93,810.0,27
RC,0272,CBL CONN CATH TO GENRTR1641,486.0,388.8,134.96,437.4,27
RC,0272,CBL CONN DIAG 1910-S 10PIN,463.5,370.8,128.71,417.15,27
RC,0272,CBL CONN DIAG 1910-SA 10PIN,634.5,507.6,176.2,571.05,27
RC,0272,CBL CONN DIAG 1924-S 24PIN,1062.6,850.08,295.08,956.34,27
RC,0272,CBL CONN ENSITE X 20PIN 365CM,2083.2,1666.56,578.5,1874.88,27
RC,0272,CBL CONN ENSITE X EP 365CM,3040.0,2432.0,844.21,2736.0,27
RC,0272,CBL CONN ENSITE X INQUIRY10PIN,1832.4,1465.92,508.86,1649.16,27
RC,0272,CBL CONN ENSITE X LIVEWIRE4PIN,1562.4,1249.92,433.88,1406.16,27
RC,0272,CBL CONN IMPELLA WHT,1155.0,924.0,320.74,1039.5,27
RC,0272,CBL CONN INQUIRY 1904-SA 4PIN,634.5,507.6,176.2,571.05,27
RC,0272,CBL CONN PFA RX GEN2 FARAWAVE,900.0,720.0,249.93,810.0,27
RC,0272,CBL CONN SENS ENABLED 22PIN,2052.0,1641.6,569.84,1846.8,27
RC,0272,CBL DIAG SENS ENABLED 22-PIN,164.64,131.72,45.72,148.18,27
RC,0272,CBL DX ORBITER 24PIN ST 120CM,954.0,763.2,264.93,858.6,27
RC,0272,CBL ELECTRICAL UMBLCL PK12,763.11,610.49,211.92,686.8,27
RC,0272,CBL ELTD NEURONAV 3CH,1470.42,1176.34,408.34,1323.38,27
RC,0272,CBL ELTD NEURONAV 5CH,1790.88,1432.71,497.33,1611.79,27
RC,0272,CBL EP CONN DUO DPOLR BLK150CM,729.0,583.2,202.44,656.1,27
RC,0272,CBL EP CONN Q/BIPOLR BLK *NLU*,361.8,289.44,100.47,325.62,27
RC,0272,CBL EP EXT B T Q BLK 210,77.6,62.08,21.55,69.84,27
RC,0272,CBL EP INTRFC 34-10PIN 10FT,2181.6,1745.28,605.83,1963.44,27
RC,0272,CBL EP SURELINK BARD 4PIN,704.48,563.59,195.63,634.03,27
RC,0272,CBL EP THERMOCOOL 10BLKPIN,1600.2,1280.16,444.38,1440.18,27
RC,0272,CBL EP THERMOCOOL 9GRYPIN,1600.2,1280.16,444.38,1440.18,27
RC,0272,CBL EXT CONN 1500T9-CP 25*NLU*,621.0,496.8,172.45,558.9,27
RC,0272,CBL EXT DOPPLER C*USE 6178492*,540.0,432.0,149.96,486.0,27
RC,0272,CBL EXT DOPPLER COOP SWARTZ,661.5,529.2,183.7,595.35,27
RC,0272,CBL EXT EPG MODEL 5392 DISP6FT,262.3,209.84,72.84,236.07,27
RC,0272,CBL EXT SAFIRE IBI 100W 300CM,774.0,619.2,214.94,696.6,27
RC,0272,CBL INTER GD DISP LNG 12FT,228.75,183.0,63.52,205.88,27
RC,0272,CBL INTRFC VARIPLUSECATHGENRTR,2953.6,2362.88,820.21,2658.24,27
RC,0272,CBL LEADCONFIRM W A ADPTR DISP,2052.0,1641.6,569.84,1846.8,27
RC,0272,CBL LT SHIM TIP DISP 10FT,1890.0,1512.0,524.85,1701.0,27
RC,0272,CBL MARINR DX,495.0,396.0,137.46,445.5,27
RC,0272,CBL MONOP HIGH F*DISC 6353744*,191.91,153.53,53.29,172.72,27
RC,0272,CBL MULT CONN Q/BIPOLRBLK150CM,405.0,324.0,112.47,364.5,27
RC,0272,CBL MULT CONN Q/BIPOLRBLU150CM,405.0,324.0,112.47,364.5,27
RC,0272,CBL MULTCONN H/O/DPOLRBLK150CM,465.6,372.48,129.3,419.04,27
RC,0272,CBL MULTCONN H/O/DPOLRRED150CM,465.6,372.48,129.3,419.04,27
RC,0272,CBL OCTPOLR EX-XT CATH,704.48,563.59,195.63,634.03,27
RC,0272,CBL PACING PAC-LOC DISP 12FT,186.23,148.99,51.72,167.61,27
RC,0272,CBL QWIK 10EC 6FT,1600.2,1280.16,444.38,1440.18,27
RC,0272,CBL QWIK 8EC 6FT,1600.2,1280.16,444.38,1440.18,27
RC,0272,CBL QWIK CBL 4EC 6FT,1600.2,1280.16,444.38,1440.18,27
RC,0272,CBL RADIA ORBITER EASY MATE 7F,1113.53,890.83,309.23,1002.18,27
RC,0272,CBL RADIA XT 10PIN SURELINK,704.48,563.59,195.63,634.03,27
RC,0272,CBL TACTIFLEX RFTACTISYSQUARTZ,3080.0,2464.0,855.32,2772.0,27
RC,0272,CBL TEST STIMULATOR MINI-HOOK,244.0,195.2,67.76,219.6,27
RC,0272,CBL THERMISTOR BLAZER,254.52,203.62,70.68,229.07,27
RC,0272,CBL TRUDI NAV,1018.98,815.19,282.97,917.08,27
RC,0272,CBL TWIST LK MDTR 25CM,384.0,307.2,106.64,345.6,27
RC,0272,CBL VIKING 4PIN BL SURELINK,704.48,563.59,195.63,634.03,27
RC,0272,CD INTRA TAUT PERITON 4.5 FR 3,273.02,218.42,75.82,245.72,27
RC,0272,CENTESIS TRAY TU*DISC 6188575*,330.97,264.78,91.91,297.87,27
RC,0272,CHANDELIER UNITY W RFID 27G,1057.5,846.0,293.67,951.75,27
RC,0272,CHARGER BAT DBS ACTIVA,8164.0,6531.2,2267.14,7347.6,27
RC,0272,CHARGER SPNL STIM SENZA,2560.0,2048.0,710.91,2304.0,27
RC,0272,CHISEL EXODUS DI*DISC NO REPL*,1071.0,856.8,297.42,963.9,27
RC,0272,CHUCK MINI QC SYNT,5754.0,4603.2,1597.89,5178.6,27
RC,0272,CIRCUIT ANGIOVAC W BUBBLE TRAP,4200.0,3360.0,1166.34,3780.0,27
RC,0272,CIRCUIT ANGIOVAC W DIL180D,31200.0,24960.0,8664.24,28080.0,27
RC,0272,CIRCUIT BREATH CATH SWIVEL ROB,585.0,468.0,162.45,526.5,27
RC,0272,CIRCUIT BREATHING NEOVALV150CM,330.97,264.78,91.91,297.87,27
RC,0272,CIRCUIT BREATHING Y NEO 150CM,194.47,155.58,54.0,175.02,27
RC,0272,CIRCUIT EVAQUA II LOW FLOW,223.26,178.61,62.0,200.93,27
RC,0272,CIRCUIT EVAQUA II VENT,223.26,178.61,62.0,200.93,27
RC,0272,CIRCUIT HEAT FLEX LNG 3100A 51,557.69,446.16,154.87,501.92,27
RC,0272,CIRCUIT HFPV VDR4 PHASITRON,1260.0,1008.0,349.9,1134.0,27
RC,0272,CIRCUIT PT HFJV KT 2.5-3.0-3.5,1344.0,1075.2,373.23,1209.6,27
RC,0272,CIRCUIT VENTILATOR SGL HEATED,254.98,203.99,70.81,229.48,27
RC,0272,CIRCUIT W DUAL LIMB ADLT,188.19,150.56,52.26,169.37,27
RC,0272,CLAMP ABL ISOLATOR ENCOMPASS L,12960.0,10368.0,3598.99,11664.0,27
RC,0272,CLAMP ABL ISOLATOR SYNRG LNG,7150.0,5720.0,1985.56,6435.0,27
RC,0272,CLAMP ABL ISOLATOR SYNRG SHRT,7020.0,5616.0,1949.45,6318.0,27
RC,0272,CLAMP ADJ FOR SCHANZ SCREW,1837.33,1469.87,510.23,1653.6,27
RC,0272,CLAMP CIRC GOMCO CARD 1.3CM,339.01,271.21,94.14,305.11,27
RC,0272,CLAMP CIRC GOMCO TRAYPRCD1.1CM,237.9,190.32,66.06,214.11,27
RC,0272,CLAMP CIRC GOMCO W BELL 1.45CM,240.34,192.28,66.74,216.31,27
RC,0272,CLAMP CIRC GOMCO W BELL 1.6CM,201.36,161.09,55.92,181.22,27
RC,0272,CLAMP CIRC GOMCO*DISC 6189860*,209.35,167.48,58.14,188.42,27
RC,0272,CLAMP CIRC W BELL 1.1CM,204.53,163.63,56.8,184.08,27
RC,0272,CLAMP CIRC W BELL 1.6CM,225.27,180.22,62.56,202.74,27
RC,0272,CLAMP CIRC W BELL INSRT 1.1CM,206.73,165.39,57.41,186.06,27
RC,0272,CLAMP CIRC W BELL INSRT 1.3CM,274.16,219.33,76.13,246.74,27
RC,0272,CLAMP CIRC W BELL INSRT 1.45CM,242.23,193.79,67.27,218.01,27
RC,0272,CLAMP CIRC WBELLINSRTREPRO1.45,240.46,192.37,66.78,216.41,27
RC,0272,CLAMP CRANIOFIX 2 TI 11MM,455.38,364.31,126.46,409.84,27
RC,0272,CLAMP CRANIOFIX 2 TI 16MM,528.39,422.72,146.73,475.55,27
RC,0272,CLAMP CRANIOFIX 2 TI 20MM,634.46,507.57,176.19,571.01,27
RC,0272,CLAMP E4/2.5MM*DISC NO REPL*,1116.61,893.29,310.08,1004.95,27
RC,0272,CLAMP END EXTL FIX STD 90D,2521.6,2017.28,700.25,2269.44,27
RC,0272,CLAMP END EXTL FIX STD INLINE,2521.6,2017.28,700.25,2269.44,27
RC,0272,CLAMP END EXTL FIX UNIV,4051.6,3241.28,1125.13,3646.44,27
RC,0272,CLAMP EXTL 4/2.5*DISC NO REPL*,1197.76,958.21,332.62,1077.98,27
RC,0272,CLAMP EXTL FIX 4POSITION MR LG,2439.29,1951.44,677.39,2195.36,27
RC,0272,CLAMP EXTL FIX 4POSITION MR MD,1628.17,1302.54,452.14,1465.35,27
RC,0272,CLAMP EXTL FIX 6POSITION MR LG,2048.05,1638.44,568.74,1843.25,27
RC,0272,CLAMP EXTL FIX 6POSITION MR MD,1587.6,1270.08,440.88,1428.84,27
RC,0272,CLAMP EXTL FIX ADJ DISTRAD 4MM,2446.42,1957.14,679.37,2201.78,27
RC,0272,CLAMP EXTL FIX ADJ LG 4-6MM,1108.0,886.4,307.69,997.2,27
RC,0272,CLAMP EXTL FIX ADJ WIRE-PIN,2532.6,2026.08,703.3,2279.34,27
RC,0272,CLAMP EXTL FIX BAR TO BAR,2592.0,2073.6,719.8,2332.8,27
RC,0272,CLAMP EXTL FIX BAR TO PIN,2592.0,2073.6,719.8,2332.8,27
RC,0272,CLAMP EXTL FIX COMB MR LG,1791.55,1433.24,497.51,1612.4,27
RC,0272,CLAMP EXTL FIX COMBO 8/11MM,1945.94,1556.76,540.39,1751.35,27
RC,0272,CLAMP EXTL FIX COMBO MR MD,1973.92,1579.14,548.16,1776.53,27
RC,0272,CLAMP EXTL FIX COMBO SM,1268.32,1014.66,352.21,1141.49,27
RC,0272,CLAMP EXTL FIX CONN 3.0-4.0MM,2085.05,1668.04,579.02,1876.55,27
RC,0272,CLAMP EXTL FIX CONN RODMINI3MM,2085.05,1668.04,579.02,1876.55,27
RC,0272,CLAMP EXTL FIX HOLD KWIRE 1.25,2243.81,1795.05,623.11,2019.43,27
RC,0272,CLAMP EXTL FIX HOLD KWIRE1.6MM,2243.81,1795.05,623.11,2019.43,27
RC,0272,CLAMP EXTL FIX II MAND ADJ,1543.67,1234.94,428.68,1389.3,27
RC,0272,CLAMP EXTL FIX MULTPIN MD 4,2048.76,1639.01,568.94,1843.88,27
RC,0272,CLAMP EXTL FIX O*DISC NO REPL*,707.27,565.82,196.41,636.54,27
RC,0272,CLAMP EXTL FIX OPEN ADJ MR LG,1484.28,1187.43,412.18,1335.85,27
RC,0272,CLAMP EXTL FIX OPEN ADJ MR MD,1628.17,1302.54,452.14,1465.35,27
RC,0272,CLAMP EXTL FIX PIN 6POSITIONMD,2228.69,1782.96,618.91,2005.82,27
RC,0272,CLAMP EXTL FIX PIN HOFFMAN10HL,2604.6,2083.68,723.3,2344.14,27
RC,0272,CLAMP EXTL FIX PIN LG 4HL,1239.5,991.6,344.21,1115.55,27
RC,0272,CLAMP EXTL FIX PIN LG 6HL,1275.96,1020.77,354.33,1148.36,27
RC,0272,CLAMP EXTL FIX PIN TO 1BAR45MM,4278.4,3422.72,1188.11,3850.56,27
RC,0272,CLAMP EXTL FIX PIN TO 2BAR45MM,4524.8,3619.84,1256.54,4072.32,27
RC,0272,CLAMP EXTL FIX PIN/ROD H2 8MM,2002.94,1602.36,556.22,1802.65,27
RC,0272,CLAMP EXTL FIX PINTRANSFIX45MM,2448.0,1958.4,679.81,2203.2,27
RC,0272,CLAMP EXTL FIX RING-TO-ROD,2521.34,2017.08,700.18,2269.21,27
RC,0272,CLAMP EXTL FIX ROD/ROD H2 8MM,1840.64,1472.52,511.15,1656.58,27
RC,0272,CLAMP EXTL FIX TB-TO-TB MR LG,1850.14,1480.12,513.78,1665.13,27
RC,0272,CLAMP EXTL FIX TRNSVRS SYNT LG,1850.14,1480.12,513.78,1665.13,27
RC,0272,CLAMP EXTL FIX UNIV LG,2007.94,1606.36,557.6,1807.15,27
RC,0272,CLAMP EXTL FIX VA SIXFIX SHRT,2428.8,1943.04,674.48,2185.92,27
RC,0272,CLAMP EXTL FIX VA SIXFIX TALL,2428.8,1943.04,674.48,2185.92,27
RC,0272,CLAMP EXTL FIXPINTRANSFIX105MM,2713.6,2170.88,753.57,2442.24,27
RC,0272,CLAMP EXTLSM 4/4*DISC NO REPL*,1116.61,893.29,310.08,1004.95,27
RC,0272,CLAMP PIN EXTL FIX 2-BAR,4771.2,3816.96,1324.96,4294.08,27
RC,0272,CLAMP PIN EXTL FIX 2POSTANG5HL,2266.7,1813.36,629.46,2040.03,27
RC,0272,CLAMP PIN EXTL FIX H3NOPOST5HL,2050.52,1640.42,569.43,1845.47,27
RC,0272,CLAMP PIN/ROD EXTL FIX STRY,1358.99,1087.2,377.39,1223.09,27
RC,0272,CLAMP RIBFIX ADV 4.0 DRILL SLV,4340.0,3472.0,1205.22,3906.0,27
RC,0272,CLAMP TRAVELING STD 2.0-3.0MM,2881.2,2304.96,800.11,2593.08,27
RC,0272,CLAMP TRAVELING UNIV 1.0-3.0MM,4205.6,3364.48,1167.9,3785.04,27
RC,0272,CLAMP VASC GRN MD SGL 30GM,278.1,222.48,77.23,250.29,27
RC,0272,CLAMP VASC YEL SM DBL 40GM,369.9,295.92,102.72,332.91,27
RC,0272,CLAMP VASC YEL SM SGL 40GM,278.1,222.48,77.23,250.29,27
RC,0272,CLAMP VEIN SM DBL ARSU 20GM,396.0,316.8,109.97,356.4,27
RC,0272,CLAMP VEIN SM SGL ARSU 20GM,278.1,222.48,77.23,250.29,27
RC,0272,CLAMP VEIN SM SGL BXTR 20GM,225.7,180.56,62.68,203.13,27
RC,0272,CLAW KNEE EXODUS*DISC NO REPL*,10920.0,8736.0,3032.48,9828.0,27
RC,0272,CLIP APPL ENDO C*DISC 6177091*,1918.62,1534.9,532.8,1726.76,27
RC,0272,CLIP APPL ENDO CLIP II MD 10MM,376.22,300.98,104.48,338.6,27
RC,0272,CLIP APPL ENDO CLIP III 5MM,603.9,483.12,167.7,543.51,27
RC,0272,CLIP APPL ENDO CLIP LG 10MM,376.22,300.98,104.48,338.6,27
RC,0272,CLIP APPL EPIX UNIV,562.5,450.0,156.21,506.25,27
RC,0272,CLIP APPL HEMOLOK ROB SRPSB LG,39.2,31.36,10.89,35.28,27
RC,0272,CLIP APPL HEMOLOK ROBSI RPSBMD,39.2,31.36,10.89,35.28,27
RC,0272,CLIP APPL LIGAMAX LG 12MM,1702.13,1361.71,472.68,1531.92,27
RC,0272,CLIP APPL LIGAMAX MG/LG 10MM,1702.13,1361.71,472.68,1531.92,27
RC,0272,CLIP APPL LIGAMAX MG/LG 5MM,1968.26,1574.61,546.59,1771.43,27
RC,0272,CLIP APPL ROB S RPSB SM,58.8,47.04,16.33,52.92,27
RC,0272,CLIP APPL ROB SI RPSB MD-LG5MM,59.85,47.88,16.62,53.87,27
RC,0272,CLIP APPL ROB XI RPSB LG,41.16,32.93,11.43,37.04,27
RC,0272,CLIP APPL ROB XI RPSB MD-LG,29.4,23.52,8.16,26.46,27
RC,0272,CLIP APPL SCALP RANEY DIS*NLU*,354.56,283.65,98.46,319.1,27
RC,0272,CLIP APPL SURGICLIP II MD 11.5,296.84,237.48,82.43,267.16,27
RC,0272,CLIP APPL SURGICLIP II MD 9.75,296.84,237.48,82.43,267.16,27
RC,0272,CLIP APPL SURGICLIP LG 13.0,292.31,233.85,81.17,263.08,27
RC,0272,CLIP ATRICLIP FLEX-MINI 45MM,6300.0,5040.0,1749.51,5670.0,27
RC,0272,CLIP CLSR MANTIS 2.8MMX235CM,1587.6,1270.08,440.88,1428.84,27
RC,0272,CLIP EXTL FIX DYNAMIZATION LG,363.26,290.61,100.88,326.93,27
RC,0272,CLIP EXTL FIX DYNAMIZATION MD,463.05,370.44,128.59,416.75,27
RC,0272,CLIP GAMMA3 ADAPT,1354.54,1083.64,376.16,1219.09,27
RC,0272,CLIP GAMMA3 CLSD TB STRY,486.9,389.52,135.21,438.21,27
RC,0272,CLIP HEM-O-LOK LG,335.07,268.06,93.05,301.56,27
RC,0272,CLIP HEM-O-LOK MD/LG,230.95,184.76,64.13,207.86,27
RC,0272,CLIP HEM-O-LOK XL,217.83,174.27,60.49,196.05,27
RC,0272,CLIP IRG ENDO SHRT G1 QDI-G1,675.0,540.0,187.45,607.5,27
RC,0272,CLIP LIGT HEM-O-LOK PURPLE+ LG,482.13,385.71,133.89,433.92,27
RC,0272,CLIP LK SYNT FOR RIA,1062.6,850.08,295.08,956.34,27
RC,0272,CLIP PROBEDUALRESECTIONNEUWAVE,240.34,192.28,66.74,216.31,27
RC,0272,CLIP QUICKCLIP2 DISP 270*DISC*,629.6,503.68,174.84,566.64,27
RC,0272,CLIP RESOLUTION 360 11MMX235CM,805.5,644.4,223.69,724.95,27
RC,0272,CLIP STIM SAFEOP3 DELTA STER,1365.0,1092.0,379.06,1228.5,27
RC,0272,CLIP STIM SAFEOP3 STER,1365.0,1092.0,379.06,1228.5,27
RC,0272,CLIP STIM SENTIO MMG MULTSTAGE,1071.0,856.8,297.42,963.9,27
RC,0272,CLIP SURGICLIP P*DISC 6239170*,292.31,233.85,81.17,263.08,27
RC,0272,CLIP ULTRA 360 17MMX235CM,895.5,716.4,248.68,805.95,27
RC,0272,CLIPPER EXTR LEAD,480.0,384.0,133.3,432.0,27
RC,0272,CLN CAP RFA BARX MD 9.8-11.1MM,234.85,187.88,65.22,211.37,27
RC,0272,CLNR WND PRONTOSAN 1000ML,490.5,392.4,136.21,441.45,27
RC,0272,CLNR WND PRONTOSAN 350ML,222.04,177.64,61.66,199.84,27
RC,0272,CLNR WND PRONTOSAN STER 350ML,324.0,259.2,89.97,291.6,27
RC,0272,CLNR WND VASHE 34OZ,341.06,272.85,94.71,306.95,27
RC,0272,CLNR WND VASHEE ANTIMIC 4OZ,183.31,146.65,50.91,164.98,27
RC,0272,CLSR SKIN STRIP ZIP24 24CM,314.39,251.52,87.31,282.95,27
RC,0272,CLSR SYS CARTER-THOMASON 12MM,463.5,370.8,128.71,417.15,27
RC,0272,CLSR SYS CARTER-THOMASON STD,472.5,378.0,131.21,425.25,27
RC,0272,CMNT BONE KT BIOCARTLG ARTX SM,1131.9,905.52,314.33,1018.71,27
RC,0272,CMNT BONE KT WO NDLE AUTOPLEX,2680.0,2144.0,744.24,2412.0,27
RC,0272,CNTRLR AZUR DETACHMENT,852.75,682.2,236.81,767.48,27
RC,0272,CNTRLR V-GRIP DETACHMENT,832.5,666.0,231.19,749.25,27
RC,0272,CNTRSINK 1.3MM/1.5MM SCREW,825.93,660.75,229.36,743.34,27
RC,0272,CNTRSINK 1.5MM/2.0MM SCREW,704.52,563.62,195.65,634.07,27
RC,0272,CNTRSINK AO VARIAX 2.0-2.7MM,478.75,383.0,132.95,430.88,27
RC,0272,CNTRSINK CANN 2.0-2.5MM,800.24,640.2,222.23,720.22,27
RC,0272,CNTRSINK CANN 8MM,2373.48,1898.79,659.12,2136.13,27
RC,0272,CNTRSINK CANN ASNIS AO3.8MM,903.92,723.14,251.02,813.53,27
RC,0272,CNTRSINK CANN FIXED 4.5/6.7,1089.0,871.2,302.42,980.1,27
RC,0272,CNTRSINK CANN FIXOS 5.0MM,1352.61,1082.09,375.62,1217.35,27
RC,0272,CNTRSINK CANN FIXOS 7.0MM,1292.26,1033.81,358.86,1163.03,27
RC,0272,CNTRSINK CANN HDLSS 4.5/5.5,1725.28,1380.23,479.11,1552.75,27
RC,0272,CNTRSINK CANN S-COUPLE ZIMM,1377.6,1102.08,382.56,1239.84,27
RC,0272,CNTRSINK CANN SCREW 3.0MM,1093.68,874.95,303.71,984.31,27
RC,0272,CNTRSINK CANN SCREW 3.5-4.0MM,1063.73,850.99,295.4,957.36,27
RC,0272,CNTRSINK CANN SCREW 4.5MM,1244.71,995.77,345.66,1120.24,27
RC,0272,CNTRSINK CANN TRIL2.0/2.4MM,787.5,630.0,218.69,708.75,27
RC,0272,CNTRSINK CANN TRIL3.0/4.0MM,787.5,630.0,218.69,708.75,27
RC,0272,CNTRSINK CORT 3.5 & CANN 4.0,1097.1,877.68,304.66,987.39,27
RC,0272,CNTRSINK CORT SCREW 1.5-2MM,1097.1,877.68,304.66,987.39,27
RC,0272,CNTRSINK CORT SCREW 2.7MM,1097.1,877.68,304.66,987.39,27
RC,0272,CNTRSINK DENTAL END 1.2MM,474.19,379.36,131.68,426.77,27
RC,0272,CNTRSINK DENTAL SHAFT 1.7MM,474.19,379.36,131.68,426.77,27
RC,0272,CNTRSINK DRILL CANN AO 4.0MM,1327.96,1062.37,368.77,1195.16,27
RC,0272,CNTRSINK DRILL CANN AO 5.0MM,1327.96,1062.37,368.77,1195.16,27
RC,0272,CNTRSINK DRILL CANN AO 6.0MM,1327.96,1062.37,368.77,1195.16,27
RC,0272,CNTRSINK FOR 20MM24MM SCREW,825.93,660.75,229.36,743.34,27
RC,0272,CNTRSINK HCS 3.0MM,866.25,693.0,240.56,779.63,27
RC,0272,CNTRSINK HCS 4.3MM,866.25,693.0,240.56,779.63,27
RC,0272,CNTRSINK HD PRGN 3.5MM,862.88,690.31,239.62,776.59,27
RC,0272,CNTRSINK HD PRGN 4.0MM,862.88,690.31,239.62,776.59,27
RC,0272,CNTRSINK HD PRGN 5.5MM,1096.88,877.51,304.6,987.19,27
RC,0272,CNTRSINK HD PRGN 7.0MM,1096.88,877.51,304.6,987.19,27
RC,0272,CNTRSINK HDLSS PRGN 2.0MM,691.88,553.51,192.14,622.69,27
RC,0272,CNTRSINK HDLSS PRGN 4.0MM,862.88,690.31,239.62,776.59,27
RC,0272,CNTRSINK HDLSS PRGN 7.0MM,1096.88,877.51,304.6,987.19,27
RC,0272,CNTRSINK ISO PCKT MAXLOCK,643.95,515.16,178.82,579.56,27
RC,0272,CNTRSINK ORTHOLOC 6.5-7.5MM,1600.2,1280.16,444.38,1440.18,27
RC,0272,CNTRSINK ORTHOLOC CANN 6.0,610.65,488.52,169.58,549.59,27
RC,0272,CNTRSINK SCREW AO 2.7/3.5MM,516.83,413.47,143.52,465.15,27
RC,0272,CNTRSINK SHAFT STRY 1.7MM,474.19,379.36,131.68,426.77,27
RC,0272,CNTRSINK SM FRAG ZIMM,720.0,576.0,199.94,648.0,27
RC,0272,CNTRSINK SOLID ORTHOLOC 6MM,601.2,480.96,166.95,541.08,27
RC,0272,CNTRSINK WRIT 4.0MM,738.0,590.4,204.94,664.2,27
RC,0272,CNTRSINK WRIT 5.5MM,850.5,680.4,236.18,765.45,27
RC,0272,CNTRSINK WRIT 7.0MM,976.5,781.2,271.17,878.85,27
RC,0272,COAG SUCT BIPOLR DISP 8FR 11IN,422.4,337.92,117.3,380.16,27
RC,0272,COAG SUCT BIPOLR DISP 8FR 7.5I,408.0,326.4,113.3,367.2,27
RC,0272,COIL HYDROFILL HEL 10MMX30CM,4550.0,3640.0,1263.54,4095.0,27
RC,0272,COIL HYDROFILL HEL 12MMX30CM,4550.0,3640.0,1263.54,4095.0,27
RC,0272,COIL HYDROFILL HEL 22MMX50CM,2864.4,2291.52,795.44,2577.96,27
RC,0272,COIL HYDROFILL HEL 4X10,4550.0,3640.0,1263.54,4095.0,27
RC,0272,COIL HYDROFILL HEL 5X10,4550.0,3640.0,1263.54,4095.0,27
RC,0272,COIL HYDROFILL HEL 6X15,4550.0,3640.0,1263.54,4095.0,27
RC,0272,COIL HYDROFILL HEL 7X20,4550.0,3640.0,1263.54,4095.0,27
RC,0272,COIL HYDROFRM 10-SR 10MMX36CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 4MMX5CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 4MMX8CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 5MMX10CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 5MMX15CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 6MMX12CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 6MMX19CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 7MMX15CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 7MMX28CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 8MMX17CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 8MMX33CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 10-SR 9MMX31CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROFRM 18-SR 11MMX39CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROFRM 18-SR 12MMX43CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROFRM 18-SR 13MMX47CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROFRM 18-SR 14MMX45CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROFRM 18-SR 16MMX44CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROFRM 18-SR 18MMX50CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROFRM 18-SR 20MMX48CM,5712.0,4569.6,1586.22,5140.8,27
RC,0272,COIL HYDROSFT 3D-SR 2.5MMX4CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROSFT 3D-SR 2MMX2CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROSFT 3D-SR 3MMX6CM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,COIL HYDROSOFT HEL 1.5X2,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 1.5X4,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2.5X4,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2.5X6,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2X2,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2X3,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2X4,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2X6,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 2X8,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 3X10,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 3X4,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 3X6,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 4X10,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 4X8,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 5X10,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 5X15,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 5X20,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 6X10,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 6X15,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 6X20,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL HYDROSOFT HEL 6X8,3528.0,2822.4,979.73,3175.2,27
RC,0272,COIL INTRLK 2D HEL 12MMX20CM,1596.0,1276.8,443.21,1436.4,27
RC,0272,COIL INTRLK35 2D HEL 12MMX20CM,2880.0,2304.0,799.78,2592.0,27
RC,0272,COIL INZONE DETA*DISC 6355331*,1222.2,977.76,339.4,1099.98,27
RC,0272,COIL MCWE-18-0.5-*USE 6298655*,239.12,191.3,66.4,215.21,27
RC,0272,COIL TRUPUSH .017 50CM 19*NLU*,2196.0,1756.8,609.83,1976.4,27
RC,0272,COLAR CERV THORACIC MI JTOUNIV,1086.88,869.51,301.83,978.19,27
RC,0272,COLAR CERV VISTA XTRA PAD ADLT,225.7,180.56,62.68,203.13,27
RC,0272,COLLT TISS AUTOLGS GRAFTNET,1778.7,1422.96,493.94,1600.83,27
RC,0272,COMP EXTL FIX OPEN LG,2093.18,1674.55,581.28,1883.86,27
RC,0272,COMP EXTL FIX OPEN ROD SM 4MM,2379.67,1903.74,660.83,2141.7,27
RC,0272,COMPOSITE SUREFIL SDR REFILL,428.06,342.45,118.87,385.25,27
RC,0272,CONFORMER EYE NO HL STER SM,345.6,276.48,95.97,311.04,27
RC,0272,CONFORMER EYE W HL STER LG,394.2,315.36,109.47,354.78,27
RC,0272,CONFORMER EYE W HL STER MD,394.2,315.36,109.47,354.78,27
RC,0272,CONN CATH CFS 3W ACCU-FLO 1.0,1092.5,874.0,303.39,983.25,27
RC,0272,CONN CATH CSF ST TI MIETHKE1.9,385.15,308.12,106.96,346.64,27
RC,0272,CONN CATH SHNT RT ANG 1.3CM,361.92,289.54,100.51,325.73,27
RC,0272,CONN CATH SHNT ST SS 1.07,450.29,360.24,125.05,405.26,27
RC,0272,CONN CBL ROTATABLE SELECTSURE,1680.0,1344.0,466.54,1512.0,27
RC,0272,CONN CROSS CREO 5.5 48-60MM,2100.0,1680.0,583.17,1890.0,27
RC,0272,CONN DOMINO AXIAL CLSD3.5/4.75,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINO AXIAL STER 3.5/3.5,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINO AXIALSTER3.5/5.5-6,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINO OFFSET CLSD3.5/3.5,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINO OFFSET OPEN3.5/3.5,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINO OFFSETCLSD3.5/4.75,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINO OFFSETOPEN3.5/4.75,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN DOMINOOFFSETCLSD3.5/5.5-6,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONN EXTL FIX BLOCK DYNEX,1537.2,1229.76,426.88,1383.48,27
RC,0272,CONN EXTL FIX BUTTFRMSIXFIX150,1520.4,1216.32,422.22,1368.36,27
RC,0272,CONN EXTL FIX BUTTFRMSIXFIX180,1520.4,1216.32,422.22,1368.36,27
RC,0272,CONN EXTL FIX EXT SIXFIX LNG,1134.0,907.2,314.91,1020.6,27
RC,0272,CONN EXTL FIX EXT SIXFIX SHRT,1134.0,907.2,314.91,1020.6,27
RC,0272,CONN MDTR LL FEMALE 1.3MM,323.03,258.43,89.71,290.73,27
RC,0272,CONN PERFECT PASR,1436.4,1149.12,398.89,1292.76,27
RC,0272,CONN TB TISS EXPAND STD,183.0,146.4,50.82,164.7,27
RC,0272,CONN TI 2 PORT,607.86,486.29,168.8,547.07,27
RC,0272,CONN TI PERITON DIALYS CATH,384.0,307.2,106.64,345.6,27
RC,0272,CONN VENT FLL RED CAP STER 1.5,313.69,250.96,87.11,282.32,27
RC,0272,CONN Y CSF TI MIETHKE 1.9MM,961.29,769.04,266.95,865.16,27
RC,0272,CONNDOMINOFFSETOPEN5.5/6.0/6.3,2134.8,1707.84,592.83,1921.32,27
RC,0272,CONTR SPECMN COLLT FLTR MYRIAD,306.72,245.38,85.18,276.05,27
RC,0272,COOLER UNIT KODIAK,347.71,278.17,96.56,312.94,27
RC,0272,COOLER UNIT KODIAK BULK,347.71,278.17,96.56,312.94,27
RC,0272,COOLER UNIT KODIAK COMBO,424.13,339.31,117.78,381.72,27
RC,0272,COOLER UNIT KODIAK COMBO KNEE,472.86,378.29,131.31,425.57,27
RC,0272,CORD AEM ENCISION DISP,207.4,165.92,57.59,186.66,27
RC,0272,CORD CAUT G400 STD ROBRPSB17FT,56.7,45.36,15.75,51.03,27
RC,0272,CORD ENDO ACTIVE BS,379.08,303.27,105.27,341.17,27
RC,0272,COUNTERSINK AO SHAFT 1.7X47MM,474.19,379.36,131.68,426.77,27
RC,0272,COUNTERSINK ARSENAL 2.7/3*NLU*,967.5,774.0,268.67,870.75,27
RC,0272,COUNTERSINK ARSENAL 2.7MM*NLU*,967.5,774.0,268.67,870.75,27
RC,0272,COUNTERSINK HCS 6.5MM*NLU*,787.5,630.0,218.69,708.75,27
RC,0272,COUNTERSINK HD PRGN 3.0MM,862.88,690.31,239.62,776.59,27
RC,0272,COUNTERSINK WIDE OTIC 4MM*NLU*,1102.5,882.0,306.16,992.25,27
RC,0272,COV CRANI BUR HL 13-14MM,1102.5,882.0,306.16,992.25,27
RC,0272,COV TRAY ARM CONSTELLATIONDISP,400.19,320.16,111.13,360.17,27
RC,0272,CPLE EXTL FIX HOFFMAN LRF HNG,1839.14,1471.32,510.73,1655.23,27
RC,0272,CPLE EXTL FIX PIN/ROD 3-4/5MM,1317.33,1053.87,365.82,1185.6,27
RC,0272,CPLE EXTL FIX PIN/ROD DELTA H3,1859.54,1487.64,516.39,1673.59,27
RC,0272,CPLE EXTL FIX PIN/ROD MULT H3,2453.28,1962.63,681.28,2207.95,27
RC,0272,CPLE EXTL FIX ROD/ROD DELTA H3,1953.97,1563.18,542.62,1758.57,27
RC,0272,CPLE EXTL FIX ROD/ROD MULT H3,2453.28,1962.63,681.28,2207.95,27
RC,0272,CRANI ACCESS KT SUBDURAL EVAC,5644.8,4515.84,1567.56,5080.32,27
RC,0272,CRANI KT REPAIR *DISC 6300740*,5160.85,4128.68,1433.17,4644.77,27
RC,0272,CRIC KT CATH SURGICRIC II 6.0,832.5,666.0,231.19,749.25,27
RC,0272,CRIC KT CATH SURGICRIC III 6.0,832.5,666.0,231.19,749.25,27
RC,0272,CRIC KT QKTRACH PEDS 2MM,832.5,666.0,231.19,749.25,27
RC,0272,CUBE EXTL FIX DBL PIN TI 2HL,1638.0,1310.4,454.87,1474.2,27
RC,0272,CUBE EXTL FIX SALVATION 1HL,1057.81,846.25,293.75,952.03,27
RC,0272,CUBE EXTL FIX SALVATION 1HL6MM,1175.16,940.13,326.34,1057.64,27
RC,0272,CUBE EXTL FIX SALVATION 2HL,1068.48,854.79,296.72,961.63,27
RC,0272,CUBE EXTL FIX SALVATION 3HL,1068.48,854.79,296.72,961.63,27
RC,0272,CUBE EXTL FIX SIXFIX 4HL,1617.0,1293.6,449.04,1455.3,27
RC,0272,CUBE EXTL FIX SIXFIX 5HL,1617.0,1293.6,449.04,1455.3,27
RC,0272,CUBE EXTL FIX SIXFIX POST 2HL,1617.0,1293.6,449.04,1455.3,27
RC,0272,CUBE EXTL FIX SIXFIX POST 3HL,1617.0,1293.6,449.04,1455.3,27
RC,0272,CUP RUMI II ARCH DISP 2.5CM,496.22,396.98,137.8,446.6,27
RC,0272,CUP RUMI II ARCH DISP 3.0CM,496.22,396.98,137.8,446.6,27
RC,0272,CUP RUMI II ARCH DISP 3.5CM,496.22,396.98,137.8,446.6,27
RC,0272,CUP RUMI II ARCH DISP 4.0CM,496.22,396.98,137.8,446.6,27
RC,0272,CUP SUCT LUCAS 2 DISP PK3,274.38,219.51,76.2,246.94,27
RC,0272,CURETTE ADENOID LUSK SZ2 7MM,463.3,370.64,128.66,416.97,27
RC,0272,CURETTE ADENOID LUSK SZ4 7MM,399.28,319.43,110.88,359.35,27
RC,0272,CURETTE ENDOCERV KEVORKIANSTER,189.77,151.82,52.7,170.79,27
RC,0272,CURETTE ENDOMTRL DECORNIER 3MM,784.53,627.63,217.86,706.08,27
RC,0272,CURETTE REV EXOD*DISC NO REPL*,1419.6,1135.68,394.22,1277.64,27
RC,0272,CURETTE T TIP KYPHON 7MM,900.0,720.0,249.93,810.0,27
RC,0272,CURETTE TRUDI 0D 5IN,1872.0,1497.6,519.85,1684.8,27
RC,0272,CUTTER DC REMOV SET 14,2336.4,1869.12,648.82,2102.76,27
RC,0272,CUTTER FIBERWIRE ARTX 2-0,618.75,495.0,171.83,556.88,27
RC,0272,CUTTER NANOBITER 15D UP 130MM,1224.3,979.44,339.99,1101.87,27
RC,0272,CUTTER NANOBITER 15D UP 70MM,1224.3,979.44,339.99,1101.87,27
RC,0272,CUTTER NANOBITER DISP ST 130MM,1224.3,979.44,339.99,1101.87,27
RC,0272,CUTTER NANOBITER DISP ST 70MM,1224.3,979.44,339.99,1101.87,27
RC,0272,CUTTER POST RIBFIX ADV,6949.8,5559.84,1929.96,6254.82,27
RC,0272,CUTTER RING UNIV STER 6IN,282.69,226.16,78.5,254.42,27
RC,0272,CUTTER SET SPNL ROD CARBOCLEAR,2560.0,2048.0,710.91,2304.0,27
RC,0272,CUTTER TRANSECT MOLLRING *OBS*,6679.4,5343.52,1854.87,6011.46,27
RC,0272,CUTTER VITRECTOMY HIGHSPEED20G,787.5,630.0,218.69,708.75,27
RC,0272,CVC KT DL POWERLINE 5FR 50CM,1218.0,974.4,338.24,1096.2,27
RC,0272,CVC KT OXMTR TRIOX SVO2 20CM,792.0,633.6,219.94,712.8,27
RC,0272,CVC KT REPAIR DL HICK 12FR,2003.4,1602.72,556.34,1803.06,27
RC,0272,CVC KT REPAIR DL HICK 7FR,1482.6,1186.08,411.72,1334.34,27
RC,0272,CVC KT REPAIR DL*DISC NO REPL*,2003.4,1602.72,556.34,1803.06,27
RC,0272,"CVC KT REPAIR DLHICK13,5*DISC*",850.5,680.4,236.18,765.45,27
RC,0272,CVC KT REPAIR SL BROVIAC 2.7FR,1810.2,1448.16,502.69,1629.18,27
RC,0272,CVC KT REPAIR SL BROVIAC 4.2FR,2199.6,1759.68,610.83,1979.64,27
RC,0272,CVC KT REPAIR SL BROVIAC 6.6FR,2544.0,2035.2,706.47,2289.6,27
RC,0272,CVC KT REPAIR SL BROVIAC 9.6FR,1810.2,1448.16,502.69,1629.18,27
RC,0272,CVC KT REPAIR TL HICK WHT 12FR,1846.8,1477.44,512.86,1662.12,27
RC,0272,CVC KTDLPRSSINJB*DISC 6330831*,465.6,372.48,129.3,419.04,27
RC,0272,CVC SET J 0.035 ST18G6.3FR15CM,405.0,324.0,112.47,364.5,27
RC,0272,CVC TL MAX SPECTRUM 5FR 15CM,945.9,756.72,262.68,851.31,27
RC,0272,CVC TRAY SL COOK 3FR 8CM,384.96,307.97,106.9,346.46,27
RC,0272,CYSTOSCP ASCOPE4 FLEX RVRS,832.5,666.0,231.19,749.25,27
RC,0272,CYSTOSCP ASCOPE4 FLEX STD,832.5,666.0,231.19,749.25,27
RC,0272,CYSTOSCP ASCP 4 *DISC 6332695*,832.5,666.0,231.19,749.25,27
RC,0272,CYSTOSCP ASCP 4 *DISC 6332696*,1057.5,846.0,293.67,951.75,27
RC,0272,DCOMP COLON SET 14FR,877.5,702.0,243.68,789.75,27
RC,0272,DEL KT BONE GRAFT SIDE 11GA120,10597.34,8477.88,2942.88,9537.61,27
RC,0272,DEL SYS ATLAS USTITCH,562.5,450.0,156.21,506.25,27
RC,0272,DEL SYS BEACON EUS FNF NDLE22G,2052.0,1641.6,569.84,1846.8,27
RC,0272,DEL SYS CARTRDG INSTAFILL 5ML,1890.0,1512.0,524.85,1701.0,27
RC,0272,DEL SYS EVOLUTPRO+ 23/26/29MM,5908.0,4726.4,1640.65,5317.2,27
RC,0272,DEL SYS EVOLUTPRO+ 34MM,5908.0,4726.4,1640.65,5317.2,27
RC,0272,DEL SYS EXC 6FR 180/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS EXC 8FR 180/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS EXC CURV 12FR 45D,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS MREYE FLIPPER COIL 110,707.27,565.82,196.41,636.54,27
RC,0272,DEL SYS NAVIFLEX RX 7FR,383.86,307.09,106.6,345.47,27
RC,0272,DEL SYS STNT NAVIFLEX RX 10FR,379.2,303.36,105.3,341.28,27
RC,0272,DEL SYS STNT NAVIFLEX RX 7FR,379.2,303.36,105.3,341.28,27
RC,0272,DEL SYS TORQVUE 10FR 45/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 12FR 45/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 6FR 180/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 6FR 45/60,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 7FR 180/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 8FR 45/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 9FR 180/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE 9FR 45/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE LP 4FR 90/81,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TORQVUE LP 5FR 90/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,DEL SYS TRICLIP G4,150000.0,120000.0,41655.0,135000.0,27
RC,0272,DEL SYS TRICLIP G5,86400.0,69120.0,23993.28,77760.0,27
RC,0272,DEPTH G STANDALONE PROSTEP,1638.0,1310.4,454.87,1474.2,27
RC,0272,DEPTH LOCATOR VASC MANTA 14FR,324.0,259.2,89.97,291.6,27
RC,0272,DETACH CNTRLR NEURO XCEL,922.5,738.0,256.18,830.25,27
RC,0272,DETACHER COIL ID INSTANT,274.5,219.6,76.23,247.05,27
RC,0272,DEV 3D REVASCULARIZATION 20MM,12456.0,9964.8,3459.03,11210.4,27
RC,0272,DEV ABL CARDIOBLATE BP2,5880.0,4704.0,1632.88,5292.0,27
RC,0272,DEV BLN INFL 40ATM/BAR,305.0,244.0,84.7,274.5,27
RC,0272,DEV BONE FILLER KYPHON SZ2,408.0,326.4,113.3,367.2,27
RC,0272,DEV BONE FILLER KYPHON SZ3,1545.6,1236.48,429.21,1391.04,27
RC,0272,DEV BONE FILLER KYPHX SZ3,432.0,345.6,119.97,388.8,27
RC,0272,DEV BONE FILLER PREMIER AFFIRM,432.0,345.6,119.97,388.8,27
RC,0272,DEV BX BONE KYPHON 3.4MM 10G,495.0,396.0,137.46,445.5,27
RC,0272,DEV BX BONE KYPHON V 13G,456.0,364.8,126.63,410.4,27
RC,0272,DEV BX BONE KYPHX SZ3,495.0,396.0,137.46,445.5,27
RC,0272,DEV BX BREAST ATEC 12GX9CM20MM,889.2,711.36,246.93,800.28,27
RC,0272,DEV BX BREAST ATEC 9GX9CM 20MM,889.2,711.36,246.93,800.28,27
RC,0272,DEV BX BREAST EVIVA9GX10CM12MM,1120.35,896.28,311.12,1008.32,27
RC,0272,DEV BX BREAST EVIVA9GX10CM20MM,950.4,760.32,263.93,855.36,27
RC,0272,DEV BX BREAST EVIVA9GX13CM20MM,950.4,760.32,263.93,855.36,27
RC,0272,DEV BX BREAST MRI 9GX14CM 12MM,1209.6,967.68,335.91,1088.64,27
RC,0272,DEV BX BREAST MRI 9GX14CM 20MM,1209.6,967.68,335.91,1088.64,27
RC,0272,DEV BX CORVOCET COAXBLNT18GX10,321.3,257.04,89.23,289.17,27
RC,0272,DEV BX CORVOCET COAXBLNT18GX15,321.3,257.04,89.23,289.17,27
RC,0272,DEV BX CORVOCET COAXBLNT18GX20,321.3,257.04,89.23,289.17,27
RC,0272,DEV BX CORVOCET COAXBLNT18GX25,321.3,257.04,89.23,289.17,27
RC,0272,DEV BX M-BIOPSY COAX 16G 16CM,351.0,280.8,97.47,315.9,27
RC,0272,DEV BX M-BIOPSY COAX 18G 16CM,237.9,190.32,66.06,214.11,27
RC,0272,DEV BX M-BIOPSY COAX 18GA 20CM,237.9,190.32,66.06,214.11,27
RC,0272,DEV BX M-BIOPSY COAX 20G 16CM,295.24,236.2,81.99,265.72,27
RC,0272,DEV BX M-BIOPSY COAX 20G 20CM,237.9,190.32,66.06,214.11,27
RC,0272,DEV BX M-BIOPSY COAX 20GA 20CM,237.9,190.32,66.06,214.11,27
RC,0272,DEV BX SEMIAUTO COAX 18GX15CM,274.5,219.6,76.23,247.05,27
RC,0272,DEV BX SEMIAUTO COAX 18GX20CM,274.5,219.6,76.23,247.05,27
RC,0272,DEV BX SEMIAUTO COAX 18GX9CM,274.5,219.6,76.23,247.05,27
RC,0272,DEV BX SEMIAUTO COAX 20GX15CM,274.5,219.6,76.23,247.05,27
RC,0272,DEV BX SEMIAUTO COAX 20GX20CM,274.5,219.6,76.23,247.05,27
RC,0272,DEV BX SEMIAUTO COAX 20GX9CM,274.5,219.6,76.23,247.05,27
RC,0272,DEV BX SUPERCORE COAX 17G 12CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX SUPERCORE COAX 17G 16CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX SUPERCORE COAX 17G 21CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX SUPERCORE COAX 17G 6CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX SUPERCORE COAX 19G5.9CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX SUPERCORE COAX19G11.9CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX SUPERCORE COAX19G15.9CM,305.0,244.0,84.7,274.5,27
RC,0272,DEV BX TEMNO ELITE 20GX10,329.02,263.22,91.37,296.12,27
RC,0272,DEV BX TEMNO ELITE 20GX15,371.67,297.34,103.21,334.5,27
RC,0272,DEV BXM-BIOPSYCO*DISC 6339155*,256.2,204.96,71.15,230.58,27
RC,0272,DEV BXM-BIOPSYCO*DISC 6339373*,237.9,190.32,66.06,214.11,27
RC,0272,DEV BXM-BIOPSYCOAX18G20CM*CIP*,486.9,389.52,135.21,438.21,27
RC,0272,DEV CAPSULE DEL 2.5MMX180CM,832.5,666.0,231.19,749.25,27
RC,0272,DEV CARDIOBLATE *DISC 6317609*,3662.4,2929.92,1017.05,3296.16,27
RC,0272,DEV CLIP INSTINCT PLUS16MMX230,1035.0,828.0,287.42,931.5,27
RC,0272,DEV COMP MAXFORCE MTP,1960.2,1568.16,544.35,1764.18,27
RC,0272,DEV CONTAINMENT PNEUMOLINER BG,2455.2,1964.16,681.81,2209.68,27
RC,0272,DEV COR-KNOT MIS COMBO KT 5X31,2864.0,2291.2,795.33,2577.6,27
RC,0272,DEV ENDO STITCH 10MM,486.77,389.42,135.18,438.09,27
RC,0272,DEV ERCP SAMP INFINITY 9FR,675.0,540.0,187.45,607.5,27
RC,0272,DEV EXC MAGNET*NLU*,584.78,467.83,162.39,526.3,27
RC,0272,DEV EXPIR MUSCLE THERAPY CALIB,304.02,243.22,84.43,273.62,27
RC,0272,DEV EXTR CONIC THRD WASH,477.65,382.12,132.64,429.89,27
RC,0272,DEV FISTULA ISOL MIXED PK,358.18,286.55,99.47,322.36,27
RC,0272,DEV FISTULA WND CROWN,356.4,285.12,98.97,320.76,27
RC,0272,DEV FIX TACKE5MM*DISC 6121854*,830.21,664.17,230.55,747.19,27
RC,0272,DEV GRASPING RAPTOR,456.0,364.8,126.63,410.4,27
RC,0272,DEV GRASPING RAPTOR MINI,456.0,364.8,126.63,410.4,27
RC,0272,DEV INFL BIG60 ALPHA 12ATM60ML,305.0,244.0,84.7,274.5,27
RC,0272,DEV INFL PRESTO 40ATM STER,274.5,219.6,76.23,247.05,27
RC,0272,DEV INFL PULM CRE STERIFLATE,231.8,185.44,64.37,208.62,27
RC,0272,DEV LENS FRAG MILOOPZEROENERGY,675.0,540.0,187.45,607.5,27
RC,0272,DEV LIGATING POLYLOOP,456.0,364.8,126.63,410.4,27
RC,0272,DEV PRCD WATCHMAN TRUSTEER,4200.0,3360.0,1166.34,3780.0,27
RC,0272,DEV RAD COMP HEMOBAND 14IN,564.84,451.88,156.86,508.36,27
RC,0272,DEV RAD COMP PRELUDESYNC EZ 32,213.5,170.8,59.29,192.15,27
RC,0272,DEV RAD COMP TR BAND LG 29CM,183.0,146.4,50.82,164.7,27
RC,0272,DEV RAD COMP TR BAND REG 24CM,183.0,146.4,50.82,164.7,27
RC,0272,DEV RESECTION HABIB 4X 75/125,13104.0,10483.2,3638.98,11793.6,27
RC,0272,DEV RESECTION HABIB 4X LAP,13104.0,10483.2,3638.98,11793.6,27
RC,0272,DEV RESOLUTION CLIP 11MMX235CM,495.0,396.0,137.46,445.5,27
RC,0272,DEV REVASC EMBOTRAP III 3.5X37,18432.0,14745.6,5118.57,16588.8,27
RC,0272,DEV RF NOVASURE *DISC 6283642*,3450.52,2760.42,958.21,3105.47,27
RC,0272,DEV SOLITAIRE PLAT 6X40MM,15660.0,12528.0,4348.78,14094.0,27
RC,0272,DEV STONETOME BELOWCUT TIP20MM,1129.8,903.84,313.75,1016.82,27
RC,0272,DEV SUT CINCH OVERSTITCH*CIP*,1393.01,1114.41,386.84,1253.71,27
RC,0272,DEV SUT COR-KNOT QK LOAD 5MM,289.75,231.8,80.46,260.78,27
RC,0272,DEV SUT ENDO TI-KNOT TK5,895.5,716.4,248.68,805.95,27
RC,0272,DEV SUT RETENTION ADH HEMIGARD,562.5,450.0,156.21,506.25,27
RC,0272,DEV SUT TISS HELIX OVERSTITCH,971.24,777.0,269.71,874.12,27
RC,0272,DEV SUT TISSHLXO*DISC 6350331*,971.24,777.0,269.71,874.12,27
RC,0272,DEV SUTCINCHOVER*DISC 6346361*,821.25,657.0,228.06,739.13,27
RC,0272,DEV THYROPLASTY MEASURING,540.0,432.0,149.96,486.0,27
RC,0272,DEV TISS REMOV MYOSURE LITE,2502.0,2001.6,694.81,2251.8,27
RC,0272,DEV TISS REMOV MYOSURE REACH,3168.0,2534.4,879.75,2851.2,27
RC,0272,DEV TISS REMOV MYOSURE XL,3102.4,2481.92,861.54,2792.16,27
RC,0272,DEV TISS REMOV MYOSUREXLFLUENT,3102.4,2481.92,861.54,2792.16,27
RC,0272,DEV VASC CLSR CATALYS7FR*DISC*,760.5,608.4,211.19,684.45,27
RC,0272,DEV VASC CLSR FL*DISC NO REPL*,900.0,720.0,249.93,810.0,27
RC,0272,DEV VASC CLSR PERCLOSEPROSTYLE,1062.6,850.08,295.08,956.34,27
RC,0272,DEV VASC CLSR VE*DISC 6317744*,4186.0,3348.8,1162.45,3767.4,27
RC,0272,DEV VEIN HARVEST VENAPAX *NLU*,2430.0,1944.0,674.81,2187.0,27
RC,0272,DIL ESOPH OTW SGLSAFEGUIDE45FR,405.0,324.0,112.47,364.5,27
RC,0272,DIL ESOPH OTW SGLSAFEGUIDE48FR,405.0,324.0,112.47,364.5,27
RC,0272,DIL ESOPH OTW SGLSAFEGUIDE51FR,405.0,324.0,112.47,364.5,27
RC,0272,DIL ESOPH OTW SGLSAFEGUIDE54FR,405.0,324.0,112.47,364.5,27
RC,0272,DIL ESOPH OTW SGLSAFEGUIDE57FR,405.0,324.0,112.47,364.5,27
RC,0272,DIL ESOPH OTW SGLSAFEGUIDE60FR,405.0,324.0,112.47,364.5,27
RC,0272,DIL HEALI FULL THRD 5.5MM,1449.0,1159.2,402.39,1304.1,27
RC,0272,DIL INSL DISP 8-13-18MM,3500.0,2800.0,971.95,3150.0,27
RC,0272,DIL INTR AMPLZ RENAL6-30FR20CM,1012.5,810.0,281.17,911.25,27
RC,0272,DIL KT XLIF NEUROVISION MSDISP,2982.4,2385.92,828.21,2684.16,27
RC,0272,DIL SET FASCIAL PE 8-24FR,880.38,704.31,244.48,792.34,27
RC,0272,DIL SET SALIVARY ACCESS,675.0,540.0,187.45,607.5,27
RC,0272,DIL SET URETRL PE 6-18FR 60,787.95,630.36,218.81,709.16,27
RC,0272,DIL SET URETRL PTFE 6-18FR60CM,1138.62,910.9,316.19,1024.76,27
RC,0272,DIL SET URTHRL MEATAL 6-16FR,183.0,146.4,50.82,164.7,27
RC,0272,DIL SET URTHRL SCURV8-20FR,781.38,625.11,216.99,703.24,27
RC,0272,DIL SOEHENDRA 10FR 200CM,422.4,337.92,117.3,380.16,27
RC,0272,DIL SOEHENDRA 6FR 200CM,422.4,337.92,117.3,380.16,27
RC,0272,DIL SOEHENDRA 7FR 200CM,422.4,337.92,117.3,380.16,27
RC,0272,DIL SOEHENDRA 8.5FR 200CM,422.4,337.92,117.3,380.16,27
RC,0272,DIL SOEHENDRA 9FR 200CM,422.4,337.92,117.3,380.16,27
RC,0272,DIL SPNL STIM LAT NVGTN,3500.0,2800.0,971.95,3150.0,27
RC,0272,DIL STIM KT SAFEOP3 STER CIR,3500.0,2800.0,971.95,3150.0,27
RC,0272,DIL STIM KT SAFEOP3 STER OVAL,3500.0,2800.0,971.95,3150.0,27
RC,0272,DIL TRNSPTL PIGT*DISC 6345486*,3066.0,2452.8,851.43,2759.4,27
RC,0272,DIL TRNSPTL PIGT*DISC 6345487*,3066.0,2452.8,851.43,2759.4,27
RC,0272,DIL TRNSPTL PIGTVERSAD0 85X230,4620.0,3696.0,1282.97,4158.0,27
RC,0272,DIL TRNSPTL PIGTVERSAD1 85X230,3066.0,2452.8,851.43,2759.4,27
RC,0272,DIL TRNSPTL PIGTVERSAD1 93X180,3066.0,2452.8,851.43,2759.4,27
RC,0272,DIL UTERINE HEGAR STER 11/12MM,244.49,195.6,67.89,220.04,27
RC,0272,DIL UTERINE HEGAR STER 1MM/2MM,295.97,236.78,82.19,266.37,27
RC,0272,DIL UTERINE HEGAR STER 3/4MM,281.52,225.22,78.18,253.37,27
RC,0272,DIL UTERINE HEGAR STER 5/6MM,274.59,219.68,76.25,247.13,27
RC,0272,DIL UTERINE HEGAR STER 7/8MM,280.84,224.68,77.99,252.76,27
RC,0272,DIL UTERINE HEGAR STER 9/10MM,290.41,232.33,80.65,261.37,27
RC,0272,DILATE LAT NIM-ECLIPSE*NLU*,2640.0,2112.0,733.13,2376.0,27
RC,0272,DILATOR VAG RECTAL MILEX *NLU*,709.43,567.55,197.01,638.49,27
RC,0272,DILATOR VAG XS SM MD LG S*NLU*,61.53,49.23,17.09,55.38,27
RC,0272,DISC DIMND METAL CUT 25.4,1491.0,1192.8,414.05,1341.9,27
RC,0272,DISECT ENDO BULLET 5X400MM,2100.0,1680.0,583.17,1890.0,27
RC,0272,DISECT ENDO ENDOPATH BLNT 5MM,347.44,277.96,96.48,312.7,27
RC,0272,DISECT ENDO ENDOPATH CURV 5MM,1128.71,902.97,313.44,1015.84,27
RC,0272,DISECT ENDO ROTIC COVI 5MM,416.06,332.85,115.54,374.45,27
RC,0272,DISECT MARTIN VA*DISC NO REPL*,5317.2,4253.76,1476.59,4785.48,27
RC,0272,DISECT MARYLAND ROB SI RPSB5MM,559.0,447.2,155.23,503.1,27
RC,0272,DISECT MARYLAND ROB SSRPSB 5MM,446.4,357.12,123.97,401.76,27
RC,0272,DISECT PCKT ALTAVIA MDTR,585.0,468.0,162.45,526.5,27
RC,0272,DISECT SONICISIO*DISC 6301857*,4824.68,3859.75,1339.81,4342.21,27
RC,0272,DISECT SONICISIO*DISC 6335018*,4358.14,3486.52,1210.26,3922.33,27
RC,0272,DISECT SONICISIO*DISC 6341145*,3741.47,2993.18,1039.01,3367.32,27
RC,0272,DISECT SONICISION CURV JAW26CM,1428.0,1142.4,396.56,1285.2,27
RC,0272,DISECT SONICISION7 CURVJAW26CM,1680.0,1344.0,466.54,1512.0,27
RC,0272,DISECT SONICISION7 CURVJAW39CM,1680.0,1344.0,466.54,1512.0,27
RC,0272,DISECT SONICISION7 CURVJAW48CM,2544.34,2035.48,706.56,2289.91,27
RC,0272,DISTRAC EXTL FIX ANG,2131.27,1705.02,591.85,1918.14,27
RC,0272,DISTRAC EXTL FIX DIST RAD SYNT,2860.65,2288.52,794.4,2574.59,27
RC,0272,DISTRAC EXTL FIX PIVOT ANG,1083.85,867.08,300.99,975.47,27
RC,0272,DISTRAC PRECICE FAST MAX,3242.4,2593.92,900.41,2918.16,27
RC,0272,DPRSR TID PHAROS ALCON,367.2,293.76,101.97,330.48,27
RC,0272,DRAIN CHEST ATRI*DISC 6329164*,239.61,191.69,66.54,215.65,27
RC,0272,DRILL BIT ATLANTIS TRIFLT*NLU*,1402.8,1122.24,389.56,1262.52,27
RC,0272,DRILL BIT CANN EXMD 3.0,922.5,738.0,256.18,830.25,27
RC,0272,DRILL BIT STRTM 3.5 ST*NLU*,697.5,558.0,193.7,627.75,27
RC,0272,DRILL BIT STRY 3.2X450MM,280.11,224.09,77.79,252.1,27
RC,0272,DRILL BONE HAND 11G,337.93,270.35,93.84,304.14,27
RC,0272,DRILL BONE VERTECOR 11GX16.7CM,1066.5,853.2,296.17,959.85,27
RC,0272,DRILL CALIB STRTM 2.0ST WSLV,994.5,795.6,276.17,895.05,27
RC,0272,DRILL CALIB STRTM 2.5ST W*NLU*,661.5,529.2,183.7,595.35,27
RC,0272,DRILL CALIB STRTM 2.7ST W*NLU*,697.5,558.0,193.7,627.75,27
RC,0272,DRILL DEPTH KT PROSTEP,2531.2,2024.96,702.91,2278.08,27
RC,0272,DRILL FLEX OBTR FBRTAK 1.9MM,569.25,455.4,158.08,512.33,27
RC,0272,DRILL KT CRANI HUBLY DRUGSDISP,7488.0,5990.4,2079.42,6739.2,27
RC,0272,DRILL KT ELITE 3MM,1408.68,1126.95,391.19,1267.81,27
RC,0272,DRILL KT HAMMERLOCK 2,1239.84,991.88,344.3,1115.86,27
RC,0272,DRILL KT SPEED 2.0MM,1363.32,1090.66,378.59,1226.99,27
RC,0272,DRILL KT SPEED 2MM,1693.44,1354.76,470.27,1524.1,27
RC,0272,DRILL KT SPEEDTITAN 2.65MM,1282.68,1026.15,356.2,1154.41,27
RC,0272,DRILL PERF SKULL ADLT 14MM,999.0,799.2,277.42,899.1,27
RC,0272,DRILL POWERPICK ARTX 30D,454.5,363.6,126.21,409.05,27
RC,0272,DRILL POWERPICK ARTX 45D,454.5,363.6,126.21,409.05,27
RC,0272,DRILL POWERPICK ARTX 45D XL,454.5,363.6,126.21,409.05,27
RC,0272,DRILL RADL STRY*DISC NO REPL*,372.96,298.37,103.57,335.66,27
RC,0272,DRILL RIBFIX ADV BRAD PT 4.0MM,1344.0,1075.2,373.23,1209.6,27
RC,0272,DRILL SET BLT LNG TAN STER 4.1,270.27,216.22,75.05,243.24,27
RC,0272,DRILL SET BLT SHRT TAN STER4.1,388.8,311.04,107.97,349.92,27
RC,0272,DRILL TWIST LAG AO END2.5X26MM,361.3,289.04,100.33,325.17,27
RC,0272,DRILL TWIST SM BORE 1.3X6MM,526.05,420.84,146.08,473.45,27
RC,0272,DRILL TWIST SM BORE 1.5X8MM,526.05,420.84,146.08,473.45,27
RC,0272,DRILL UNIV MICROFX OCD DISP,1994.4,1595.52,553.84,1794.96,27
RC,0272,DRIV BIT ZIMM 1.3MM,384.0,307.2,106.64,345.6,27
RC,0272,DRIV BIT ZIMM 2.0-2.5MM,384.0,307.2,106.64,345.6,27
RC,0272,DRIV CANN 2.5MM*NLU*,495.0,396.0,137.46,445.5,27
RC,0272,DRIV DRILL GD VA 2.3MM,1239.0,991.2,344.07,1115.1,27
RC,0272,DRIV H10 SLF RETAINING,393.98,315.19,109.41,354.58,27
RC,0272,DRIV HEX MICA 2.0MM,787.05,629.64,218.56,708.35,27
RC,0272,DRIV HEX MICA STER 2.5MM,787.05,629.64,218.56,708.35,27
RC,0272,DRIV HEX SHANK LNG 2.0MM,1331.4,1065.12,369.73,1198.26,27
RC,0272,DRIV HEX SHANK MD 2.0MM,1331.4,1065.12,369.73,1198.26,27
RC,0272,DRIV HEX TIP SM SHAFT 1.5MM,1197.0,957.6,332.41,1077.3,27
RC,0272,DRIV IMPLATE MINI QC T-7,1134.0,907.2,314.91,1020.6,27
RC,0272,DRIV MDTP ZIMM,388.8,311.04,107.97,349.92,27
RC,0272,DRIV NDLE ENDOWRISTROBSRPSB LG,616.0,492.8,171.06,554.4,27
RC,0272,DRIV NDLE ENDOWRISTROBSRPSB5MM,559.0,447.2,155.23,503.1,27
RC,0272,DRIV NDLE ROB S MEGA RPSB,616.0,492.8,171.06,554.4,27
RC,0272,DRIV NDLE ROB XI MEGA RPSB,646.8,517.44,179.62,582.12,27
RC,0272,DRIV NDLE ROB XI RPSB LG,464.19,371.36,128.91,417.77,27
RC,0272,DRIV NDLE SUTCUT ROB S RPSB LG,672.0,537.6,186.61,604.8,27
RC,0272,DRIV NDLE SUTCUT ROB XI RPSB,477.88,382.31,132.71,430.09,27
RC,0272,DRIV NDLE SUTCUT ROB XI RPSBLG,464.19,371.36,128.91,417.77,27
RC,0272,DRIV NDLE SUTCUT ROBS MEGARPSB,672.0,537.6,186.61,604.8,27
RC,0272,DRIV NDLE WRIST ROB SSRPSB 5MM,700.0,560.0,194.39,630.0,27
RC,0272,DRIV SHAFT CANN CREO FEN,1012.5,810.0,281.17,911.25,27
RC,0272,DRIV SHAFT CANN HEXALOBE 1.5MM,1155.0,924.0,320.74,1039.5,27
RC,0272,DRIV SHAFT CANN QC T15HEXALOBE,544.5,435.6,151.21,490.05,27
RC,0272,DRIV SHAFT CANN T10HEXALOBE3.5,1155.0,924.0,320.74,1039.5,27
RC,0272,DRIV SHAFT SEAL FOR RIA SYNT,374.4,299.52,103.97,336.96,27
RC,0272,DRIV SOLID GORILLA R3CON HX10,1132.95,906.36,314.62,1019.66,27
RC,0272,DRIV SOLID GORILLAR3CONLNGHX10,862.88,690.31,239.62,776.59,27
RC,0272,DRIV SOLID SILVERBACK 15X*NLU*,1278.9,1023.12,355.15,1151.01,27
RC,0272,DRIV STAR 20 INHANCE,1843.8,1475.04,512.02,1659.42,27
RC,0272,DRIV STAR 20 RETAIN ORTHOLOC,863.55,690.84,239.81,777.2,27
RC,0272,DRIV STAR ORTHOLOC ST 20M*NLU*,1192.8,954.24,331.24,1073.52,27
RC,0272,DRIV T10 HEXALOBE BEV FT,1155.0,924.0,320.74,1039.5,27
RC,0272,DRIV THORACIC POWER DISP,715.5,572.4,198.69,643.95,27
RC,0272,DRIV TORQ ELBOW NEXEL STER,1128.96,903.17,313.51,1016.06,27
RC,0272,DRIV TORX FT FUZEFIX 3.5MM,2556.0,2044.8,709.8,2300.4,27
RC,0272,DRIV TORX FUZEFIX LG 5.5MM,2912.0,2329.6,808.66,2620.8,27
RC,0272,DRIV TORX FUZEFIX LG 7.0MM,2912.0,2329.6,808.66,2620.8,27
RC,0272,DRIV TORX FUZEFIX MINI 4.0MM,2556.0,2044.8,709.8,2300.4,27
RC,0272,DRN BLAKE HBLS RD0.25TROC19FR,474.38,379.51,131.74,426.94,27
RC,0272,DRN CATH LUMB KTII NATUS,1036.98,829.59,287.97,933.28,27
RC,0272,DRN CFS ANTIREFLUX ACCUDRAIN,892.08,713.67,247.73,802.87,27
RC,0272,DRN CFS EDMS BECKER II EUROBLU,889.56,711.65,247.03,800.6,27
RC,0272,DRN CFS EDMS BECKER NDLESS,951.98,761.59,264.36,856.78,27
RC,0272,DRN CHEST ARGYLE 4CHAMB 2500,752.58,602.07,208.99,677.32,27
RC,0272,DRN CHEST ARGYLEEASYCHANGE2500,843.08,674.47,234.12,758.77,27
RC,0272,DRN CHEST DRY SE*DISC 6121106*,326.81,261.45,90.76,294.13,27
RC,0272,DRN CHEST DRY SEAL 1PT TB SGL,296.08,236.87,82.22,266.47,27
RC,0272,DRN CHEST PLEUR-EVAC A7000ADLT,286.7,229.36,79.62,258.03,27
RC,0272,DRN CHEST PLEUR-EVAC SGL ADLT,345.6,276.48,95.97,311.04,27
RC,0272,DRN CHEST SET FUHRMAN8.5FR5X15,651.6,521.28,180.95,586.44,27
RC,0272,DRN CHEST SET FUHRMAN8.5FR7X15,597.6,478.08,165.95,537.84,27
RC,0272,DRN CHEST W ATS *DISC 6329164*,329.67,263.74,91.55,296.7,27
RC,0272,DRN CSF EDMS BECKER II BLU,889.56,711.65,247.03,800.6,27
RC,0272,DRN CSF EDMS DUET INTERLINK,975.38,780.31,270.86,877.84,27
RC,0272,DRN CSF SYS VENT,1011.69,809.36,280.95,910.52,27
RC,0272,DRN EXTL CFS VENT CATH EDS3,1073.65,858.92,298.15,966.29,27
RC,0272,DRN EXTL SYS VENT WO CATH,859.73,687.79,238.75,773.76,27
RC,0272,DRN EXTL VENT CA*DISC 6316297*,594.5,475.6,165.09,535.05,27
RC,0272,DRN JP PVC 10FR 4*VAT 6194716*,220.82,176.66,61.32,198.74,27
RC,0272,DRN KT LUMB CSF CATH 80CM,1929.98,1543.99,535.96,1736.98,27
RC,0272,DRN PEZZER RETENTION 24FR,221.13,176.91,61.41,199.02,27
RC,0272,DRN SEROMA CATH SYS,343.44,274.76,95.37,309.1,27
RC,0272,DRN SUMP CLOTSTOP 9MMX14IN,209.72,167.78,58.24,188.75,27
RC,0272,DRN SUMP CLOTSTOP 9MMX20IN,228.99,183.2,63.59,206.09,27
RC,0272,DRN T TB SIL 12FR,1218.0,974.4,338.24,1096.2,27
RC,0272,DRN T TB SIL 14FR,1218.0,974.4,338.24,1096.2,27
RC,0272,DRN T TB SIL 16FR,1218.0,974.4,338.24,1096.2,27
RC,0272,DRN TB EXTNDR,562.5,450.0,156.21,506.25,27
RC,0272,DRN TLS SYS 10FR*DISC 6320381*,256.2,204.96,71.15,230.58,27
RC,0272,DRN TLS SYS 7FR,312.88,250.31,86.89,281.59,27
RC,0272,DRNBLAKEHBLS3/16T*VAT 6212863*,482.81,386.25,134.08,434.53,27
RC,0272,DRSG AQUACEL A*DISC NO REPL*,1051.72,841.38,292.06,946.55,27
RC,0272,DRSG AQUACEL AG *DISC 6320644*,199.17,159.34,55.31,179.25,27
RC,0272,DRSG AQUACEL AG *DISC 6323151*,1165.54,932.44,323.67,1048.99,27
RC,0272,DRSG AQUACEL AG BURN 6.75X6,186.6,149.28,51.82,167.94,27
RC,0272,DRSG AQUACEL AG BURN 9.5X12,257.54,206.04,71.52,231.79,27
RC,0272,DRSG AQUACEL AG FM 10X12,233.33,186.67,64.8,210.0,27
RC,0272,DRSG AQUACEL AG SURG 3.5X12,199.17,159.34,55.31,179.25,27
RC,0272,DRSG AQUACEL AG SURG 3.5X14,198.92,159.14,55.24,179.03,27
RC,0272,DRSG BARR ACTICOAT 16X16,337.5,270.0,93.72,303.75,27
RC,0272,DRSG BIOLG ENDOFORM FEN10X12.7,214.23,171.39,59.49,192.81,27
RC,0272,DRSG EAR OTOPORE SQ 4CM,575.46,460.37,159.81,517.91,27
RC,0272,DRSG FM ADH TOPIFOAM SIL 8X12,372.0,297.6,103.3,334.8,27
RC,0272,DRSG INTRANASAL SPIWAY LG,2116.8,1693.44,587.84,1905.12,27
RC,0272,DRSG INTRANASAL SPIWAY MD,2116.8,1693.44,587.84,1905.12,27
RC,0272,DRSG KT PREVENA 13CM,1108.76,887.01,307.9,997.88,27
RC,0272,DRSG KT PREVENA 20CM,1108.76,887.01,307.9,997.88,27
RC,0272,DRSG KT PREVENA+ CUSTOMIZABLE,1424.47,1139.58,395.58,1282.02,27
RC,0272,DRSG KT RESTOR ARTHROFORM33X30,2700.0,2160.0,749.79,2430.0,27
RC,0272,DRSG MEPILEX BORD AG 4X12,258.52,206.82,71.79,232.67,27
RC,0272,DRSG MEPILEX POSTOP AG 4X12,187.88,150.31,52.17,169.09,27
RC,0272,DRSG MEROCEL 2000 W STRING 6CM,196.97,157.58,54.7,177.27,27
RC,0272,DRSG NASAL MEROG*DISC NO REPL*,501.84,401.48,139.36,451.66,27
RC,0272,DRSG NASAL RAPID RHINO 4CM,204.35,163.48,56.75,183.92,27
RC,0272,DRSG NASOPORE FIRM 8CM,1009.04,807.24,280.21,908.14,27
RC,0272,DRSG NASOPORE STD 8CM,912.69,730.16,253.45,821.42,27
RC,0272,DRSG OASIS MTX MICRO 1000MG,6463.8,5171.04,1795.0,5817.42,27
RC,0272,DRSG OASIS MTX MICRO 200MG,1866.24,1493.0,518.25,1679.62,27
RC,0272,DRSG OASIS MTX MICRO 500MG,3345.3,2676.24,928.99,3010.77,27
RC,0272,DRSG OPEN ABD ABT*USE 6320953*,2191.14,1752.92,608.48,1972.03,27
RC,0272,DRSG OTOPORE EAR CYL FIRM,387.6,310.08,107.64,348.84,27
RC,0272,DRSG RAPID RHINO INF ANT 4.5CM,246.75,197.4,68.52,222.08,27
RC,0272,DRSG RAPID RHINO PSTR 9CM,388.9,311.12,108.0,350.01,27
RC,0272,DRSG RAPID RHINO SINUKNIT,296.89,237.52,82.45,267.2,27
RC,0272,DRSG RAPIDRHINO ANT/PSTR 7.5CM,254.8,203.84,70.76,229.32,27
RC,0272,DRSG RAPIDRHINO TAMPONADE5.5CM,246.75,197.4,68.52,222.08,27
RC,0272,DRSG SAFEGUARD 24CM,334.8,267.84,92.97,301.32,27
RC,0272,DRSG SEPTAL POSISEP X 0.6X2,630.0,504.0,174.95,567.0,27
RC,0272,DRSG SINUFOAM STAMMBERGER,411.12,328.9,114.17,370.01,27
RC,0272,DRSG SYS PREVENA 13CM,1867.7,1494.16,518.66,1680.93,27
RC,0272,DRSG SYS PREVENA 20CM,1867.7,1494.16,518.66,1680.93,27
RC,0272,DRSG SYS PREVENA CUSTOMIZABLE,1999.2,1599.36,555.18,1799.28,27
RC,0272,DRSG SYS PREVENA DUO 13CM,1927.8,1542.24,535.35,1735.02,27
RC,0272,DRSG SYS PREVENA+ CUSTOMIZABLE,2102.18,1681.75,583.78,1891.96,27
RC,0272,DRSG SYS PREVENA+ DUO 13CM 20C,2322.0,1857.6,644.82,2089.8,27
RC,0272,DRSG SYS RESTOR BELLA 24X22,2448.0,1958.4,679.81,2203.2,27
RC,0272,DRSG SYS RESTOR BELLA 29X27,2664.0,2131.2,739.79,2397.6,27
RC,0272,DRSG TRANSTIB LIMGUARD SM,205.47,164.38,57.06,184.92,27
RC,0272,DRSG VAC ABTHERA W SENSATRAC,2057.5,1646.0,571.37,1851.75,27
RC,0272,DRSG VAC ABTHERA*USE 6312693*,1872.78,1498.23,520.07,1685.5,27
RC,0272,DRSG VAC FM ADV SNAP 10X10CM,296.95,237.56,82.46,267.26,27
RC,0272,DRSG VAC FM ADV SNAP 15X15CM,287.92,230.34,79.96,259.13,27
RC,0272,DRSG VAC FM BRIDGE SNAP14X11CM,350.46,280.37,97.32,315.41,27
RC,0272,DRSG VAC GRANUFOA*USE 6114716*,263.09,210.48,73.06,236.78,27
RC,0272,DRSG VAC GRANUFOA*USE 6131237*,273.56,218.85,75.97,246.2,27
RC,0272,DRSG VAC GRANUFOAM BRIDGE,271.35,217.08,75.35,244.22,27
RC,0272,DRSG VAC GRANUFOAM DERMATAC LG,355.37,284.3,98.69,319.83,27
RC,0272,DRSG VAC GRANUFOAM DERMATAC MD,284.36,227.49,78.97,255.92,27
RC,0272,DRSG VAC GRANUFOAM DERMATAC SM,255.96,204.77,71.08,230.36,27
RC,0272,DRSG VAC GRANUFOAM SENSATRACLG,293.59,234.88,81.53,264.23,27
RC,0272,DRSG VAC GRANUFOAM SENSATRACMD,238.45,190.76,66.22,214.61,27
RC,0272,DRSG VAC GRANUFOAM SENSATRACSM,192.94,154.36,53.58,173.65,27
RC,0272,DRSG VAC GRANUFOAM SENSATRACXL,477.55,382.04,132.62,429.8,27
RC,0272,DRSG VAC GRANUFOAM SLVR LG,367.87,294.3,102.16,331.08,27
RC,0272,DRSG VAC GRANUFOAM SLVR MD,307.31,245.85,85.34,276.58,27
RC,0272,DRSG VAC GRANUFOAM SLVR SM,277.06,221.65,76.94,249.35,27
RC,0272,DRSG VAC INFOVAC *USE 6114717*,286.63,229.31,79.6,257.97,27
RC,0272,DRSG VAC OPEN ABD ABTHERA ADV,2243.74,1795.0,623.09,2019.37,27
RC,0272,DRSG VAC SILV GRA*USE 6131238*,336.42,269.14,93.42,302.78,27
RC,0272,DRSG VAC SIMPLACE EX MD,287.37,229.9,79.8,258.63,27
RC,0272,DRSG VAC SIMPLACE EX SM,228.14,182.52,63.35,205.33,27
RC,0272,DRSG VAC VERAFLO BLOCKSHAPE LG,933.57,746.86,259.25,840.21,27
RC,0272,DRSG VAC VERAFLO BLOCKSHAPE MD,497.03,397.63,138.03,447.33,27
RC,0272,DRSG VAC VERAFLO BLOCKSHAPE SM,451.82,361.46,125.47,406.64,27
RC,0272,DRSG VAC VERAFLO CLNSE COMPLMD,601.16,480.93,166.94,541.04,27
RC,0272,DRSG VAC VERAFLO CLNSE OVAL LG,1053.86,843.09,292.66,948.47,27
RC,0272,DRSG VAC VERAFLO CLNSE OVAL MD,601.16,480.93,166.94,541.04,27
RC,0272,DRSG VAC WHITEFOAM SENSATRACLG,280.1,224.08,77.78,252.09,27
RC,0272,DRSG VAC WHITEFOAM SENSATRACSM,273.65,218.92,75.99,246.29,27
RC,0272,DRSG VACVIA GRANUFOAM SPIRALMD,236.13,188.91,65.57,212.52,27
RC,0272,DRSG VACVIA STARTER KT,1842.12,1473.7,511.56,1657.91,27
RC,0272,DRSG WND PRISMA MTX 1X1X32CM,221.92,177.54,61.63,199.73,27
RC,0272,DRVR T20 PROSTEP STER,612.0,489.6,169.95,550.8,27
RC,0272,DSPN BONE MTX DEL SYS,1872.0,1497.6,519.85,1684.8,27
RC,0272,EAR KRAUS K-HELIX CROWN TI,1846.8,1477.44,512.86,1662.12,27
RC,0272,EASY OUT ZIMM,1310.4,1048.32,363.9,1179.36,27
RC,0272,ELECSURG ELTD ELLIQUENCE *NLU*,2034.0,1627.2,564.84,1830.6,27
RC,0272,ELECSURG ROB SYNCHROSEAL 8MM,2608.2,2086.56,724.3,2347.38,27
RC,0272,ELEV BONE KT TRUELOCK STER,30600.0,24480.0,8497.62,27540.0,27
RC,0272,ELTD 90 VAPR COOLPULSE,913.5,730.8,253.68,822.15,27
RC,0272,ELTD BIPOLR SEMI*DISC 6319198*,1541.36,1233.09,428.04,1387.22,27
RC,0272,ELTD BLADE ABC DISSECTING,669.2,535.36,185.84,602.28,27
RC,0272,ELTD BLADE CTD INSL NEPTUNE165,585.0,468.0,162.45,526.5,27
RC,0272,ELTD CAUT MENISC*DISC NO REPL*,189.34,151.48,52.58,170.41,27
RC,0272,ELTD CUT BIPOLR 7MM,1614.77,1291.82,448.42,1453.29,27
RC,0272,ELTD DEFIB RADIOT*DUP 6268024*,244.18,195.35,67.81,219.76,27
RC,0272,ELTD DEFIB RDCTN ENERGY PEDS,521.06,416.85,144.7,468.95,27
RC,0272,ELTD DELUCA EMG*DISC 6327716*,244.0,195.2,67.76,219.6,27
RC,0272,ELTD EEG QK CONN DEEP CUP 15,480.0,384.0,133.3,432.0,27
RC,0272,ELTD EEG QK CONN DEEP CUP 26,495.0,396.0,137.46,445.5,27
RC,0272,ELTD ELECSURG RT ANG LOOP 24FR,341.12,272.9,94.73,307.01,27
RC,0272,ELTD EMG PATHWAY*DISC 6284006*,58.8,47.04,16.33,52.92,27
RC,0272,ELTD EMG SUBDERM PRASS 2M2CH18,651.11,520.89,180.81,586.0,27
RC,0272,ELTD EMG SUBDERM*DISC 6331420*,626.0,500.8,173.84,563.4,27
RC,0272,ELTD ESG LOOP LNG SM 24FR 12D,1781.81,1425.45,494.81,1603.63,27
RC,0272,ELTD ESG PLASBAND 24FR 16D,1800.71,1440.57,500.06,1620.64,27
RC,0272,ELTD ESG PLASBAND MD 24FR 30D,1800.71,1440.57,500.06,1620.64,27
RC,0272,ELTD ESG PLASBTN 24FR 30D,1881.81,1505.45,522.58,1693.63,27
RC,0272,ELTD ESG PLASLOOP MD 24FR 16D,1800.71,1440.57,500.06,1620.64,27
RC,0272,ELTD ESG PLASLOOP MD 24FR 30D,1800.71,1440.57,500.06,1620.64,27
RC,0272,ELTD ESG PLASNDLE ANG 24FR 30D,1800.71,1440.57,500.06,1620.64,27
RC,0272,ELTD ESG PLASOVALBTN 24FR 30D,1877.0,1501.6,521.24,1689.3,27
RC,0272,ELTD ESG PLASROLLER 24FR 30D,1800.71,1440.57,500.06,1620.64,27
RC,0272,ELTD FULGUR BUGBEE 5FR 58CM,353.11,282.49,98.06,317.8,27
RC,0272,ELTD FULGUR BUGBEE LNG 2FR105,462.29,369.84,128.38,416.06,27
RC,0272,ELTD FULGUR BUGBEE SHRT 3FR105,403.15,322.52,111.95,362.84,27
RC,0272,ELTD HF 45D 24-28FR,416.59,333.28,115.69,374.93,27
RC,0272,ELTD HF ANG*DISC NO REPL*,630.0,504.0,174.95,567.0,27
RC,0272,ELTD HF CYL 12D 30D 24-28FR,523.22,418.58,145.3,470.9,27
RC,0272,ELTD HF LOOP 0.035WIRE 30D24FR,433.58,346.87,120.41,390.22,27
RC,0272,ELTD HF LOOP 0.2WIRE30D24*NLU*,476.06,380.85,132.2,428.45,27
RC,0272,ELTD HF LOOP0.35WIRE30D26-28FR,420.96,336.77,116.9,378.86,27
RC,0272,ELTD HF ROLLER OLYM 24-28FR,416.59,333.28,115.69,374.93,27
RC,0272,ELTD J HOOK AEM 5MMX35CM,381.73,305.39,106.01,343.56,27
RC,0272,ELTD KT PTP/LTP NDLE SAFEOP3,5040.0,4032.0,1399.61,4536.0,27
RC,0272,ELTD KT PTP/LTP SURFACESAFEOP3,5040.0,4032.0,1399.61,4536.0,27
RC,0272,ELTD L DIMND AEM 5MMX45CM,346.68,277.35,96.27,312.01,27
RC,0272,ELTD L DIMND AEM HANDCTRL45CM,365.26,292.21,101.43,328.73,27
RC,0272,ELTD L DIMND AEMSHIELD5MMX35CM,381.73,305.39,106.01,343.56,27
RC,0272,ELTD LAP FLAT L-HOOK CTD 45CM,214.96,171.97,59.69,193.46,27
RC,0272,ELTD LAP WIRE L-HOOK CTD 45CM,214.96,171.97,59.69,193.46,27
RC,0272,ELTD LOOP BLADDER ULT THIN 12D,1339.8,1071.84,372.06,1205.82,27
RC,0272,ELTD LOW IMPEDAN*DISC 6316619*,318.6,254.88,88.48,286.74,27
RC,0272,ELTD MON CLEARTRA*USE 6298822*,400.32,320.26,111.17,360.29,27
RC,0272,ELTD MONOP COAG FLEX STER 1X73,2311.27,1849.02,641.84,2080.14,27
RC,0272,ELTD MONOP SPATU*DISC 6316965*,708.53,566.83,196.76,637.68,27
RC,0272,ELTD NDLE EMG 2CH RED/BLU 13MM,384.0,307.2,106.64,345.6,27
RC,0272,ELTD NDLE EMG SURFACE KTSAFEOP,4200.0,3360.0,1166.34,3780.0,27
RC,0272,ELTD NDLE SUBDERM PR 2CH,473.04,378.44,131.36,425.74,27
RC,0272,ELTD NDLE SUBDERM PR 4CH,686.57,549.26,190.66,617.91,27
RC,0272,ELTD NERVE STIM *DISC 6338640*,802.62,642.1,222.89,722.36,27
RC,0272,ELTD NERVE STIM PRASS STD,509.18,407.35,141.4,458.26,27
RC,0272,ELTD PAD W 2 *DISC NO REPL*,8718.71,6974.969999999999,2279.67,8305.48,216
RC,0272,ELTD PAD W M2*DISC NO REPL*,6579.6849999999995,5263.754999999999,1821.47,5940.21,216
RC,0272,ELTD PROBE REC NEUROPROBE,1146.6,917.28,318.41,1031.94,27
RC,0272,ELTD ROLLER BIPOLR 7-8MM,1590.29,1272.24,441.62,1431.26,27
RC,0272,ELTD RT ANG 5MMX29CM,490.19,392.16,136.13,441.17,27
RC,0272,ELTD SPATULA AEM*DISC 6328755*,287.28,229.83,79.78,258.55,27
RC,0272,ELTD SPATULA AEMSHIELD5MMX35CM,381.73,305.39,106.01,343.56,27
RC,0272,ELTD STARBURST RITA 4-7X*DISC*,12285.0,9828.0,3411.54,11056.5,54
RC,0272,ELTD STARBURST XLI 6.4FR*DISC*,12285.0,9828.0,3411.54,11056.5,27
RC,0272,ELTD SUBDERM PRASS PR 2CH 18MM,567.63,454.11,157.63,510.87,27
RC,0272,ELTD SUBDURAL IONM CONTACT 1X4,2700.0,2160.0,749.79,2430.0,27
RC,0272,ELTD SUBDURAL STRIP IOM 6X10MM,2034.0,1627.2,564.84,1830.6,27
RC,0272,ELTD TIP CERAMIC JHOOK ENDO,331.88,265.51,92.16,298.69,27
RC,0272,ELTD TMPR PACING BIPOLR 60D7FR,456.0,364.8,126.63,410.4,27
RC,0272,ELTD TMPR PACING BLN 5FR 110CM,1076.67,861.34,298.99,969.0,27
RC,0272,ELTD TMPR PACING FLOW 5FR110CM,786.24,629.0,218.34,707.62,27
RC,0272,ELTD TMPR PACING NBIH 6FR125CM,1045.22,836.18,290.26,940.7,27
RC,0272,ELTD VAPR HOOK W HAND CTRL 90D,1424.43,1139.55,395.56,1281.99,27
RC,0272,ELTD VAPR TRIPOLAR 90 SUCT,1008.0,806.4,279.92,907.2,27
RC,0272,EMG NDLE MODULE,3735.2,2988.16,1037.27,3361.68,27
RC,0272,END CAP TI T40 STER EXT 0MM,829.71,663.77,230.41,746.74,27
RC,0272,END CAP TI T40 STER EXT 10MM,1013.04,810.44,281.32,911.74,27
RC,0272,END CAP TI T40 STER EXT 15MM,1013.04,810.44,281.32,911.74,27
RC,0272,ENDO ABSORBATACK 30TACK,1808.24,1446.6,502.15,1627.42,27
RC,0272,ENDO BABCOCK 10MM,358.02,286.42,99.42,322.22,27
RC,0272,ENDO CLIP LAPRA-TY,1882.4,1505.92,522.74,1694.16,27
RC,0272,ENDO DISECT LAP 5MM,358.02,286.42,99.42,322.22,27
RC,0272,ENDO GRASP MINIALLIGATOR,1113.0,890.4,309.08,1001.7,27
RC,0272,ENDO GRSPR ROTIC,416.06,332.85,115.54,374.45,27
RC,0272,ENDO LAP SCISSORS TIP,214.96,171.97,59.69,193.46,27
RC,0272,ENDO PADDLE RETR 12MM,457.56,366.05,127.06,411.8,27
RC,0272,ENDO PCH ENDO CATCH 10MM,303.86,243.09,84.38,273.47,27
RC,0272,ENDO PCH ENDO CATCH II 15MM,450.77,360.62,125.18,405.69,27
RC,0272,ENDO PEANUT 10MM,339.01,271.21,94.14,305.11,27
RC,0272,ENDO POUCH PLEATMAN*NLU*,296.16,236.93,82.24,266.54,27
RC,0272,ENDO PROTACK 5MM,1708.94,1367.16,474.57,1538.05,27
RC,0272,ENDO SEAMGUARD FLEX 60MM,830.61,664.49,230.66,747.55,27
RC,0272,ENDO SURGIDAC TRPL 0 48DY*CIP*,277.45,221.96,77.05,249.71,27
RC,0272,ENDO SUT DEV FIXATE DUAL PK,2560.0,2048.0,710.91,2304.0,27
RC,0272,ENDO SUT DEV FIXATE SGL PK,1680.0,1344.0,466.54,1512.0,27
RC,0272,ENDO SUT SYS OVE*DISC 6350332*,3570.0,2856.0,991.39,3213.0,27
RC,0272,ENDO SUT SYS OVERSTITCH,3570.0,2856.0,991.39,3213.0,27
RC,0272,ENDO SUT SYS OVERSTITCH NXT,8960.64,7168.52,2488.37,8064.58,27
RC,0272,ENDO SUT SYS TISS HELIX PRO,1115.81,892.65,309.86,1004.23,27
RC,0272,ENDO TACKER 15 CAPSURE 5MM,1125.0,900.0,312.41,1012.5,27
RC,0272,ENDO TACKER 20 OPTIFIX 9MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,ENDO TACKER 30 CAPSURE 5MM,1239.0,991.2,344.07,1115.1,27
RC,0272,ENDO TACKER 30 SORBAFIX 36CM,1890.0,1512.0,524.85,1701.0,27
RC,0272,ENDO TACKER OPTIFIX 39CM,1995.0,1596.0,554.01,1795.5,27
RC,0272,ENDOBLADE PLANTER FASCIA REL,3150.4,2520.32,874.87,2835.36,27
RC,0272,ENDOGUIDE HELI-FX APTUS 28MM,5226.65,4181.32,1451.44,4703.99,27
RC,0272,ENDOGUIDE HELI-FX APTUS 32MM,6820.46,5456.37,1894.04,6138.41,27
RC,0272,ENDOGUIDE W/OBTR APTUS,5226.65,4181.32,1451.44,4703.99,27
RC,0272,ENDOMTRL ABL NOVASURE DISP V5,3402.56,2722.05,944.89,3062.3,27
RC,0272,ENDOMTRL ABL NOVASURE V5 KIT,3595.37,2876.3,998.43,3235.83,27
RC,0272,ENDORETRACT 10MM,448.46,358.77,124.54,403.61,27
RC,0272,ENDOSCP INTUB VIDEO FIVE S 3.5,1171.8,937.44,325.41,1054.62,27
RC,0272,ENDOSCP INTUB VIDEO FIVE S 5.3,1171.8,937.44,325.41,1054.62,27
RC,0272,ENDOSHEARS LAP DISP 5MM,310.34,248.28,86.18,279.31,27
RC,0272,ENDOSHEARS LNG 5MM,356.13,284.91,98.9,320.52,27
RC,0272,ENDOSHEARS MINI W CAUT 5MM,356.13,284.91,98.9,320.52,27
RC,0272,ENDOSHEARS MONOP W CAUT 19MM,356.13,284.91,98.9,320.52,27
RC,0272,EVAC WND HEMOVAC *VAT 6112193*,237.9,190.32,66.06,214.11,27
RC,0272,EVH VASOVIEW 6 PRO,2671.02,2136.82,741.74,2403.92,27
RC,0272,EVH VASOVIEW HEMOPRO 2,3160.5,2528.4,877.67,2844.45,27
RC,0272,EXPAND MAM CPX4+ SMTH MD 350CC,5152.0,4121.6,1430.71,4636.8,27
RC,0272,EXT CATH HAWKONE SM VESS,8502.0,6801.6,2361.01,7651.8,27
RC,0272,EXT SET GJ ENFIT 16FR 1.0 22CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.2 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.5 15CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.5 22CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.5 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.7 22CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.7 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 1.7 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 2.0 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 2.0 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 2.5 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 2.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 3.0 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 16FR 3.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 1.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 1.7 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 2.0 22CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 2.0 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 2.0 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 2.3 30CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 2.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 2.7 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 3.0 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 3.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 18FR 6.0 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 22FR 2.3 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 22FR 2.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXT SET GJ ENFIT 22FR 3.5 45CM,1520.99,1216.8,422.38,1368.89,27
RC,0272,EXTNDR DRILL TIP ULTDRV3 120MM,2125.8,1700.64,590.33,1913.22,27
RC,0272,EXTNDR DRILL TIP ULTDRV3 60MM,2124.0,1699.2,589.83,1911.6,27
RC,0272,EXTNDR ST M/F ULTDRV3 180MM,2125.8,1700.64,590.33,1913.22,27
RC,0272,EXTR BOLT SCREW 3.5/4.0MM,469.89,375.92,130.49,422.9,27
RC,0272,EXTR ROD CONIC T2 8MM,1252.65,1002.12,347.86,1127.39,27
RC,0272,EXTR SET SCREW CONIC TIP 3.5MM,505.08,404.07,140.26,454.57,27
RC,0272,EXTR STEM FEM TH*DISC NO REPL*,1012.5,810.0,168.7,1749.6,108
RC,0272,EXTR STONE ATLAS OCCL 3.3FR115,731.03,584.83,203.01,657.93,27
RC,0272,EXTR STONE DAKOTA 1.9FR 1*NLU*,1569.83,1255.87,435.94,1412.85,27
RC,0272,EXTR STONE DAKOTA 1.9FR 8MM,1885.3,1508.24,523.55,1696.77,27
RC,0272,EXTR STONE ESCAPE NIT1.9FRX120,2003.54,1602.84,556.38,1803.19,27
RC,0272,EXTR STONE HEL OCCL 3WIRE3.2FR,731.03,584.83,203.01,657.93,27
RC,0272,EXTR STONE NCIRCLE NIT 1.5FR,894.38,715.51,248.37,804.94,27
RC,0272,EXTR STONE NCIRCLE NIT 10FR,495.9,396.72,137.71,446.31,27
RC,0272,EXTR STONE NCIRCLE NIT 2.2FR,783.0,626.4,217.44,704.7,27
RC,0272,EXTR STONE NCIRCLE NIT 2.4FR,894.38,715.51,248.37,804.94,27
RC,0272,EXTR STONE NCIRCLE NIT3.0FR115,783.0,626.4,217.44,704.7,27
RC,0272,EXTR STONE NCOMPASS 1.7FR 1CM,1057.5,846.0,293.67,951.75,27
RC,0272,EXTR STONE NCOMPASS 2.4FR 1CM,1057.5,846.0,293.67,951.75,27
RC,0272,EXTR STONE NCOMPASS NIT 2.4FR,1516.2,1212.96,421.05,1364.58,27
RC,0272,EXTR STONE NGAGE NIT 1.7FR 8MM,1074.15,859.32,298.29,966.74,27
RC,0272,EXTR STONE NGAGE NIT 1.7FR11MM,1074.15,859.32,298.29,966.74,27
RC,0272,EXTR STONE NGAGE NIT 2.2FR 8MM,1074.15,859.32,298.29,966.74,27
RC,0272,EXTR STONE NGAGE NIT 2.2FR11MM,1074.15,859.32,298.29,966.74,27
RC,0272,EXTR STONE ZEROTIPNIT1.9FRX120,1895.5,1516.4,526.38,1705.95,27
RC,0272,EXTR SURG PIN SNAP OFF 1.9MM,2475.0,1980.0,687.31,2227.5,27
RC,0272,EXTR SURG PIN SNAP OFF 2.4MM,2475.0,1980.0,687.31,2227.5,27
RC,0272,EXTR TRIGEN DISP,1093.95,875.16,303.79,984.56,27
RC,0272,EYE SPHERE PLST 18MM,345.6,276.48,95.97,311.04,27
RC,0272,EYE SPHERE PLST 22MM,345.6,276.48,95.97,311.04,27
RC,0272,FABRIC CV SAUVAGE FILAMENT 6X6,513.0,410.4,142.46,461.7,27
RC,0272,FBR BEAMPATH OTO-M,2672.0,2137.6,742.01,2404.8,27
RC,0272,FBR BEAMPATH OTO-S,2672.0,2137.6,742.01,2404.8,27
RC,0272,FBR BEAMPATH OTO-U,2520.0,2016.0,699.8,2268.0,27
RC,0272,FBR LASER AURA X*DISC 6339288*,1818.0,1454.4,504.86,1636.2,27
RC,0272,FBR LASER AURA X*DISC 6339289*,1818.0,1454.4,504.86,1636.2,27
RC,0272,FBR LASER ENDOS0*DISC 6325326*,1659.0,1327.2,460.7,1493.1,27
RC,0272,FBR LASER FIBERLASE CO2 DISP2M,3040.0,2432.0,844.21,2736.0,27
RC,0272,FBR LASER MOSES 200 60W,2851.55,2281.24,791.88,2566.4,27
RC,0272,FBR LASER MOSES 365 120W,2084.76,1667.81,578.94,1876.28,27
RC,0272,FBR LASER MOSES 550 120W,2556.0,2044.8,709.8,2300.4,27
RC,0272,FBRLASERENDOSTAT*DISC 6325325*,1743.0,1394.4,484.03,1568.7,27
RC,0272,FINGER SR MCP SBI MD,9945.0,7956.0,2761.73,8950.5,27
RC,0272,FINGER SR MCP SBI XL,9945.0,7956.0,2761.73,8950.5,27
RC,0272,FISTULA FUNNEL,384.0,307.2,106.64,345.6,27
RC,0272,FISTULA ISOLATOR STRIP,408.0,326.4,113.3,367.2,27
RC,0272,FIX EXTL FIX ADJ SYNT LG,8766.58,7013.27,2434.48,7889.92,27
RC,0272,FIX EXTL FIX DIST RAD ADJ WPIN,4634.62,3707.7,1287.03,4171.16,27
RC,0272,FLIPCUTTER II ARTX 10.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 10MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 11MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 12MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 7.5MM*NLU*,1365.0,1092.0,379.06,1228.5,27
RC,0272,FLIPCUTTER II ARTX 7MM*NLU*,1365.0,1092.0,379.06,1228.5,27
RC,0272,FLIPCUTTER II ARTX 8.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 8MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 9.0MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX 9.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 10.0MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 10.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 11.0MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 7.0MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 7.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 8.0MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 8.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 9.0MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER II ARTX SHRT 9.5MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,FLIPCUTTER III REAMER GD PIN,1917.3,1533.84,532.43,1725.57,27
RC,0272,FLTR EMBOLIC WIRION 3.5-6.0MM,3220.0,2576.0,894.19,2898.0,27
RC,0272,FLTR VAPOR-CLN CANISTER,413.42,330.74,114.81,372.08,27
RC,0272,FORCEPS ALLIGATOR DISP PEDS,188.73,150.99,52.41,169.86,27
RC,0272,FORCEPS ALLIGATOR SGL 3.3FR115,1066.8,853.44,296.25,960.12,27
RC,0272,FORCEPS BIPOLR FEN ROB SI RPSB,702.0,561.6,194.95,631.8,27
RC,0272,FORCEPS BIPOLR FEN ROB XI RPSB,546.0,436.8,151.62,491.4,27
RC,0272,FORCEPS BIPOLR FORCE ROBXIRPSB,641.55,513.24,178.16,577.4,27
RC,0272,FORCEPS BIPOLR HET,2273.4,1818.72,631.32,2046.06,27
RC,0272,FORCEPS BIPOLR IRG ST 1.5MMX9,1953.0,1562.4,542.35,1757.7,27
RC,0272,FORCEPS BIPOLR JWLR JARIT 4.0,737.73,590.19,204.87,663.96,27
RC,0272,FORCEPS BIPOLR MARY ROBXI RPSB,641.64,513.32,178.18,577.48,27
RC,0272,FORCEPS BIPOLR MARYLAND ROB SS,1078.01,862.41,299.36,970.21,27
RC,0272,FORCEPS BIPOLR MARYLANDROBRPSB,702.0,561.6,194.95,631.8,27
RC,0272,FORCEPS BIPOLR STD DISP0.5MMX7,1812.72,1450.18,503.39,1631.45,27
RC,0272,FORCEPS BIPOLR STD DISP0.5MMX8,1812.72,1450.18,503.39,1631.45,27
RC,0272,FORCEPS BIPOLR STD DISP0.5MMX9,1812.72,1450.18,503.39,1631.45,27
RC,0272,FORCEPS BX BIGOPSY 2.4FR 115CM,1443.33,1154.67,400.81,1299.0,27
RC,0272,FORCEPS BX BILI 7FR 30CM,1702.93,1362.35,472.9,1532.64,27
RC,0272,FORCEPS BX BIPAL 7FR 2.3MM50CM,1071.0,856.8,297.42,963.9,27
RC,0272,FORCEPS BX CUP COOK 3FR,1267.35,1013.88,351.94,1140.62,27
RC,0272,FORCEPS BX S*DISC USE 6316054*,2079.0,1663.2,577.34,1871.1,27
RC,0272,FORCEPS BX STD 5.5FR1.85MM50CM,850.5,680.4,236.18,765.45,27
RC,0272,FORCEPS BX TISCHLER STER 14.25,492.8,394.24,136.85,443.52,27
RC,0272,FORCEPS BX URETEROSCOPIC 115CM,2607.34,2085.88,724.06,2346.61,27
RC,0272,FORCEPS BYNT BIPOLR 190MM,2432.0,1945.6,675.37,2188.8,27
RC,0272,FORCEPS CADIERE ROB S RPSB,560.0,448.0,155.51,504.0,27
RC,0272,FORCEPS CADIERE ROB XI RPSB,409.5,327.6,113.72,368.55,27
RC,0272,FORCEPS CUT EVERESTCORD5MM33CM,1829.52,1463.62,508.06,1646.57,27
RC,0272,FORCEPS DEBAKEY ROB S RPSB,345.33,276.27,95.9,310.8,27
RC,0272,FORCEPS DEBAKEY ROB XI RPSB,588.0,470.4,163.29,529.2,27
RC,0272,FORCEPS DISSECT PK ROB S RPSB,754.0,603.2,209.39,678.6,27
RC,0272,FORCEPS ENDO GRASP DISP 5MM,358.02,286.42,99.42,322.22,27
RC,0272,FORCEPS FOREIGN BODY PNCLE 19G,1854.25,1483.4,514.93,1668.83,27
RC,0272,FORCEPS GRASP TRIPOD2.8MM230CM,376.92,301.54,104.67,339.23,27
RC,0272,FORCEPS GRASPIN2*DISC 6268533*,717.21,573.77,199.17,645.49,27
RC,0272,FORCEPS GRASPING COOK 5FR 40CM,801.14,640.92,222.48,721.03,27
RC,0272,FORCEPS GRASPING PULM 4.5X120,420.24,336.2,116.7,378.22,27
RC,0272,FORCEPS GRASPING SHEATH 25FR,6111.2,4888.96,1697.08,5500.08,27
RC,0272,FORCEPS GRASPING TALON 2.5MM,625.5,500.4,173.7,562.95,27
RC,0272,FORCEPS GRASPING VERSAGRASP,615.6,492.48,170.95,554.04,27
RC,0272,FORCEPS GRASPIT *DISC 6186762*,1735.52,1388.42,481.95,1561.97,27
RC,0272,FORCEPS GRASPIT *DISC NO REPL*,1735.52,1388.42,481.95,1561.97,27
RC,0272,FORCEPS GREISHABER MAXGRIP25G+,725.18,580.15,201.38,652.66,27
RC,0272,FORCEPS GREISHABER MAXGRIP27+,929.43,743.55,258.1,836.49,27
RC,0272,FORCEPS ILM SHARK SKIN 25+,978.66,782.93,271.77,880.79,27
RC,0272,FORCEPS IRG GLDTIP 1.5MM 8.5IN,1215.19,972.16,337.46,1093.67,27
RC,0272,FORCEPS IRG GLDTIP 1MM 7.5IN,1215.19,972.16,337.46,1093.67,27
RC,0272,FORCEPS IRGCODMANB1.5MMX*DISC*,1197.0,957.6,332.41,1077.3,27
RC,0272,FORCEPS LNG TIP ROB S RPSB 8MM,686.0,548.8,190.5,617.4,27
RC,0272,FORCEPS MAX SPYBITE,2079.0,1663.2,577.34,1871.1,27
RC,0272,FORCEPS MICRO BIPOLR ROB SI,702.0,561.6,194.95,631.8,27
RC,0272,FORCEPS MICRO MORAY 0.76MM,1980.0,1584.0,549.85,1782.0,27
RC,0272,FORCEPS MINI PULM COREDX,2079.0,1663.2,577.34,1871.1,27
RC,0272,FORCEPS MULTBITE*DISC 6344948*,189.65,151.72,52.67,170.69,27
RC,0272,FORCEPS PK CUT 5*DISC NO REPL*,2002.25,1601.8,556.02,1802.03,27
RC,0272,FORCEPS PROGRASP ROB S RPSB,616.0,492.8,171.06,554.4,27
RC,0272,FORCEPS PROGRASP ROB XI RPSB,409.5,327.6,113.72,368.55,27
RC,0272,FORCEPS RESANO ROB XI 8MM,616.0,492.8,171.06,554.4,27
RC,0272,FORCEPS RESCUE ALLIGATOR 230CM,405.0,324.0,112.47,364.5,27
RC,0272,FORCEPS RESCUE ALLIGATORLNG230,405.0,324.0,112.47,364.5,27
RC,0272,FORCEPS RESCUE RATTOOTH 230CM,405.0,324.0,112.47,364.5,27
RC,0272,FORCEPS RESCUE RATTOOTH PEDS,408.0,326.4,113.3,367.2,27
RC,0272,FORCEPS RESCUERAT/ALLIGATOR230,408.0,326.4,113.3,367.2,27
RC,0272,FORCEPS TENACULUM ROB SI RPSB,616.0,492.8,171.06,554.4,27
RC,0272,FORCEPS TENACULUM ROB XI RPSB,646.8,517.44,179.62,582.12,27
RC,0272,FORCEPS UROL ALLIGATOR DISP,372.44,297.96,103.43,335.2,27
RC,0272,FORCEPS VERSATRU BIPOLR0.5MMX8,1690.67,1352.54,469.5,1521.6,27
RC,0272,FORCEPS WIRE GD HISTO GD 230CM,607.5,486.0,168.7,546.75,27
RC,0272,FORM BREAST DIMND LW SZ5,747.0,597.6,207.44,672.3,27
RC,0272,FORM BREAST DIMND LW SZ6,506.25,405.0,140.59,455.63,27
RC,0272,FORM BREAST MASSAGE SHAPER SZ9,609.84,487.88,169.35,548.86,27
RC,0272,FRAGMENTATION PK OZIL 22GA,625.5,500.4,173.7,562.95,27
RC,0272,FRM EXTL FIX DIST RAD ROD200MM,6350.4,5080.32,1763.51,5715.36,27
RC,0272,FRM EXTL FIX DIST RAD ROD220MM,6350.4,5080.32,1763.51,5715.36,27
RC,0272,FRM EXTL FIX DIST RAD ROD240MM,6350.4,5080.32,1763.51,5715.36,27
RC,0272,FRM EXTL FIX DIST RAD TI 200MM,6783.17,5426.54,1883.69,6104.85,27
RC,0272,FRM EXTL FIX DIST RAD TI 220MM,6783.17,5426.54,1883.69,6104.85,27
RC,0272,FRM EXTL FIX DIST RAD TI 240MM,6783.17,5426.54,1883.69,6104.85,27
RC,0272,FRM EXTL FIX DJD II BODY,9002.34,7201.88,2499.95,8102.11,27
RC,0272,FRM EXTL FIX SALVATION 160MM,18657.6,14926.08,5181.22,16791.84,27
RC,0272,FRM EXTL FIX SALVATION 180MM,18657.6,14926.08,5181.22,16791.84,27
RC,0272,FRM EXTL FIX SALVATION 200MM,18657.6,14926.08,5181.22,16791.84,27
RC,0272,FRM EXTL FIX SALVATION ASSY160,21624.0,17299.2,6004.98,19461.6,27
RC,0272,FRM EXTL FIX SALVATION ASSY180,21624.0,17299.2,6004.98,19461.6,27
RC,0272,FUNNEL MAM IMPLANT *NLU*,470.4,376.32,130.63,423.36,27
RC,0272,FUNNEL MAM KLMD,615.6,492.48,170.95,554.04,27
RC,0272,G DEPTH CAGE SCREW ECLIPSEDISP,495.0,396.0,137.46,445.5,27
RC,0272,G DEPTH CONT ADV,1516.2,1212.96,421.05,1364.58,27
RC,0272,G DEPTH MICA DISP 150MM,591.3,473.04,164.2,532.17,27
RC,0272,G DEPTH SLIM J ELTD HIFOCUS,2912.0,2329.6,808.66,2620.8,27
RC,0272,G DEPTH ST CI24REST,1516.2,1212.96,421.05,1364.58,27
RC,0272,GAS IO ISPAN SF6 ACCURUS 125GM,6748.17,5398.54,1873.97,6073.35,27
RC,0272,GAS OPH UNIPURE SF6,675.0,540.0,187.45,607.5,27
RC,0272,GD ADDUCTOPLASTY INTELGD MINI,7004.4,5603.52,1945.12,6303.96,27
RC,0272,GD ANK ALIGN PROPHECYFOOTPRINT,5723.2,4578.56,1589.33,5150.88,27
RC,0272,GD ANK CPLE FLAT-CUT AXIOM,15600.0,12480.0,4332.12,14040.0,27
RC,0272,GD ANK FLAT-CUT TLR AXIOM,11050.0,8840.0,3068.59,9945.0,27
RC,0272,GD BLOCK VOLAR RIM LFT 7HL,1453.54,1162.84,403.65,1308.19,27
RC,0272,GD CANN SCREW KWIRE STER,5502.0,4401.6,1527.91,4951.8,27
RC,0272,GD CUT 3D DIST RAD LVL A*NLU*,9321.0,7456.8,2588.44,8388.9,27
RC,0272,GD CUT 3D DIST RAD LVL B*NLU*,10959.0,8767.2,3043.31,9863.1,27
RC,0272,GD CUT 3D DIST RAD LVL C*NLU*,12766.0,10212.8,3545.12,11489.4,27
RC,0272,GD CUT HTO PT SPECIFIC SZ1,7540.0,6032.0,2093.86,6786.0,27
RC,0272,GD CUT ORTHO COM*DISC 6333371*,7787.0,6229.6,2162.45,7008.3,27
RC,0272,GD CUT ORTHO COMPLEX 00163 IPS,7509.45,6007.56,2085.37,6758.51,27
RC,0272,GD CUT ORTHOGNATHIC XL,17659.2,14127.36,4903.96,15893.28,27
RC,0272,GD CUT PLAN RECON IPS,12311.26,9849.01,3418.84,11080.13,27
RC,0272,GD CUT RECON IPS XL,8628.33,6902.67,2396.09,7765.5,27
RC,0272,GD CUT RECON IPS XS,5457.82,4366.26,1515.64,4912.04,27
RC,0272,GD CUTPLANRECONCOMPLEX00160IPS,15661.97,12529.58,4349.33,14095.77,27
RC,0272,GD DRILL ANATOM GLENO ALTIVATE,2914.8,2331.84,809.44,2623.32,27
RC,0272,GD DRILL ANCHOR RG,2100.0,1680.0,583.17,1890.0,27
RC,0272,GD DRILL BAHA CONIC DISP 3+4MM,918.0,734.4,254.93,826.2,27
RC,0272,GD DRILL BAHA WIDENING DISP3MM,918.0,734.4,254.93,826.2,27
RC,0272,GD DRILL BAHA WIDENING DISP4MM,918.0,734.4,254.93,826.2,27
RC,0272,GD DRILL COMP PA T8 2.0MM,1991.47,1593.18,553.03,1792.32,27
RC,0272,GD DRILL EXTREMITIES UNIV,360.38,288.31,100.08,324.34,27
RC,0272,GD DRILL FIBULOCK DISP 2.5MM,1386.0,1108.8,384.89,1247.4,27
RC,0272,GD DRILL GLENO RVRS ALTIVATE,6518.2,5214.56,1810.1,5866.38,27
RC,0272,GD DRILL LK 4.5MM,1848.0,1478.4,513.19,1663.2,27
RC,0272,GD DRILL PA LK 1.7/2.3MM,2025.45,1620.36,562.47,1822.91,27
RC,0272,GD DRILL PIN PHANTOM 3.0X320MM,1032.75,826.2,286.79,929.48,27
RC,0272,GD DRILL SGL OTIC DISP 3-*NLU*,1102.5,882.0,306.16,992.25,27
RC,0272,GD DRILL SPEEDGUID AO 2.0X30MM,643.59,514.88,178.72,579.23,27
RC,0272,GD DRILL SPEEDGUIDE AO 2MM,643.59,514.88,178.72,579.23,27
RC,0272,GD DRILL SPEEDGUIDEAO2.6X30MM,643.59,514.88,178.72,579.23,27
RC,0272,GD EXTL FIX SALVATION LEG DISP,1125.0,900.0,312.41,1012.5,27
RC,0272,GD GHAJAR 5PC*NLU*,432.0,345.6,119.97,388.8,27
RC,0272,GD GLENO RVRS BLUPRINT 29MM,2520.0,2016.0,699.8,2268.0,27
RC,0272,GD KNEE PART CUT KT PSN PSI,3612.0,2889.6,1003.05,3250.8,27
RC,0272,GD LAPIDUS CUT KT TRMC,7004.4,5603.52,1945.12,6303.96,27
RC,0272,GD MAND MARKING IPS CUST*NLU*,2700.0,2160.0,749.79,2430.0,27
RC,0272,GD MAND MARKING LP CUST,2813.57,2250.86,781.33,2532.21,27
RC,0272,GD MAND TRUMATCH TI 3D,9102.68,7282.15,2527.81,8192.41,27
RC,0272,GD MARKING PLAN CRANI PRIM LP,12206.48,9765.19,3389.74,10985.83,27
RC,0272,GD MARKING PLAN RECON IPS,10133.32,8106.66,2814.02,9119.99,27
RC,0272,GD MIDFACE TRUMATCH TI 3D,9091.06,7272.85,2524.59,8181.95,27
RC,0272,GD NDLE KT 21G 48X6 0.5-2.0CM,273.52,218.82,75.96,246.17,27
RC,0272,GD NDLE TP PIVOT PRO STER,900.0,720.0,249.93,810.0,27
RC,0272,GD NVGTN PREOP PROPHECY RPT,5152.0,4121.6,1430.71,4636.8,27
RC,0272,GD ORB MIDFACE TRUMATCH TI 3D,9102.68,7282.15,2527.81,8192.41,27
RC,0272,GD ORTHO MAX MARKING IPS *NLU*,2700.0,2160.0,749.79,2430.0,27
RC,0272,GD PIN 3.2X343MM,712.8,570.24,197.94,641.52,27
RC,0272,GD PIN 3D STER LFT 12.5DX20D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3D STER LFT 17.5DX15D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3D STER LFT 17.5DX20D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3D STER LFT 20.0DX20D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3D STER RT 12.5DX10D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3D STER RT 12.5DX20D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3D STER RT 12.5DX25D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GD PIN 3X75MM,742.5,594.0,206.19,668.25,27
RC,0272,GD PIN ATTUNE EPAK,2095.8,1676.64,582.0,1886.22,27
RC,0272,GD PIN BRAD PNT 3.2X343MM,1075.5,860.4,298.67,967.95,27
RC,0272,GD PIN DRILL TIP 2.8X300MM,900.0,720.0,249.93,810.0,27
RC,0272,GD PIN DRILL TIP 2.8X99MM,900.0,720.0,249.93,810.0,27
RC,0272,GD PIN GLENO XTEND 1.5X300MM,367.2,293.76,101.97,330.48,27
RC,0272,GD PIN GRAFT PASR 3/32,1117.2,893.76,310.25,1005.48,27
RC,0272,GD PIN HUMR PERFORM 3X100MM,456.0,364.8,126.63,410.4,27
RC,0272,GD PIN METAGLENE DEPU 2.5MM,367.2,293.76,101.97,330.48,27
RC,0272,GD PIN OSTEOTOMY 2.4MM,248.27,198.62,68.94,223.44,27
RC,0272,GD PIN OSTEOTOMY 3MM,214.72,171.78,59.63,193.25,27
RC,0272,GD PIN SHLDR INHANCE STER3X100,643.95,515.16,178.82,579.56,27
RC,0272,GD PIN SHLDR TRUMATCH 3.5MM,2784.0,2227.2,773.12,2505.6,27
RC,0272,GD PIN SHRT DISP ARTX 2.4MM,268.4,214.72,74.53,241.56,27
RC,0272,GD PIN STRY 2.8X230MM,218.08,174.47,60.56,196.27,27
RC,0272,GD PIN THRD 3.2X330MM,693.0,554.4,192.45,623.7,27
RC,0272,GD PIN TROC 3.2X330MM,1180.2,944.16,327.74,1062.18,27
RC,0272,GD PIN TROC ORTHOLOC 1.6X150MM,286.7,229.36,79.62,258.03,27
RC,0272,GD PIN VIRTUGUIDE STER,1740.73,1392.59,483.4,1566.66,27
RC,0272,GD PIN ZEBRA ARTX 2.4MM,618.75,495.0,171.83,556.88,27
RC,0272,GD PIN ZIMM 2.5MM,990.0,792.0,274.92,891.0,27
RC,0272,GD PIN ZIMM 3.2MM*DISC*,1108.8,887.04,307.91,997.92,27
RC,0272,GD PIN ZIPTIGHT STER 3/32IN,463.5,370.8,128.71,417.15,27
RC,0272,GD PSI PLANNING BLUEPRINT 3D,700.0,560.0,194.39,630.0,27
RC,0272,GD PSI PLANNING VIP 1D,500.0,400.0,138.85,450.0,27
RC,0272,GD PSI PLANNING VIP 3D,1000.0,800.0,277.7,900.0,27
RC,0272,GD PSI PLANNING VIP 5D,500.0,400.0,138.85,450.0,27
RC,0272,GD PT SPECIFIC CMF 1-SPLINT,2779.16,2223.33,771.77,2501.24,27
RC,0272,GD PT SPECIFIC CMF 2-SPLINT,9040.1,7232.08,2510.44,8136.09,27
RC,0272,GD REAMER AUG 4PEG LFT,1054.2,843.36,292.75,948.78,27
RC,0272,GD REAMER AUG 4PEG RT,1054.2,843.36,292.75,948.78,27
RC,0272,GD REAMER BUSHING CMPRHNSVDISP,384.0,307.2,106.64,345.6,27
RC,0272,GD RECON CUT DIS*DISC 6333375*,10101.0,8080.8,2805.05,9090.9,27
RC,0272,GD RECON CUT IPS DIST CUS*NLU*,4466.0,3572.8,1240.21,4019.4,27
RC,0272,GD RECON CUT IPS*DISC 6333373*,5440.4,4352.32,1510.8,4896.36,27
RC,0272,GD RECON CUT IPS*DISC 6333374*,8600.8,6880.64,2388.44,7740.72,27
RC,0272,GD RECON CUT SM CUST*NLU*,3200.0,2560.0,888.64,2880.0,27
RC,0272,GD RECON IPS W P*DISC 6333370*,15612.0,12489.6,4335.45,14050.8,27
RC,0272,GD REXCON CUT IP*DISC 6333372*,12272.0,9817.6,3407.93,11044.8,27
RC,0272,GD ROD BALL TIP 3X1000M,1009.8,807.84,280.42,908.82,27
RC,0272,GD ROD HINDFT PHANTOM3.0X550,1032.75,826.2,286.79,929.48,27
RC,0272,GD SCREW MIS HDLSS ZIMM 48MM,388.8,311.04,107.97,349.92,27
RC,0272,GD SCREW MIS HEADED ZIMM 48MM,388.8,311.04,107.97,349.92,27
RC,0272,GD SCREW REAMERAUGCMPRHNSVDISP,372.6,298.08,103.47,335.34,27
RC,0272,GD SHEATH KT2 OLYM DISP,1092.0,873.6,303.25,982.8,27
RC,0272,GD SHLDR BONE MODEL ZIMM*NLU*,3276.0,2620.8,909.75,2948.4,27
RC,0272,GD SHLDR MODEL ALLIANCE RT,3066.0,2452.8,851.43,2759.4,27
RC,0272,GD SIZING SPEEDARC,245.22,196.18,68.1,220.7,27
RC,0272,GD SIZING SPEEDTITAN,245.22,196.18,68.1,220.7,27
RC,0272,GD SIZING STAPLE OSSIO,1926.0,1540.8,534.85,1733.4,27
RC,0272,GD SUT CURV,326.59,261.28,90.69,293.93,27
RC,0272,GD SUT GABBAY-FRATER,489.38,391.51,135.9,440.44,27
RC,0272,GD TIB ALIGN PROPHECY,4323.2,3458.56,1200.55,3890.88,27
RC,0272,GD TIB ALIGN PROPHECY INBONE,4323.2,3458.56,1200.55,3890.88,27
RC,0272,GD TIB ALIGN PROPHECY INVISION,6440.0,5152.0,1788.39,5796.0,27
RC,0272,GD TIB ALIGN PROPHECYFOOTPRINT,5723.2,4578.56,1589.33,5150.88,27
RC,0272,GD WAVE C02 FBR FLEX 300 DISP,2704.0,2163.2,750.9,2433.6,27
RC,0272,GD WAVE C02 FBR FLEX 500 DISP,2867.2,2293.76,796.22,2580.48,27
RC,0272,GDWIRE COCR ORPE*DISC 6341615*,1192.8,954.24,331.24,1073.52,27
RC,0272,GDWIRE HIP GAMMA4 STER 3X1000,1085.7,868.56,301.5,977.13,27
RC,0272,GDWIRE JAG PULM 180CM,528.75,423.0,146.83,475.88,27
RC,0272,GDWIRE LATITUDE EV 2.0X400MM,1209.6,967.68,335.91,1088.64,27
RC,0272,GDWIRE NAVIPRO ST 0.018 260CM,479.04,383.24,133.03,431.14,27
RC,0272,GDWIRE SIMPLE LK IM 2.0X457MM,364.8,291.84,101.3,328.32,27
RC,0272,GDWIRE STD ST .018 180CM,334.8,267.84,92.97,301.32,27
RC,0272,GDWIRE TROC TIP ALPT SS 310MM,480.0,384.0,133.3,432.0,27
RC,0272,GEL EMBOL EMBOCUBE 1ML 2.5MM,351.0,280.8,97.47,315.9,27
RC,0272,GEL EMBOL EMBOCUBE 3ML 5MM,198.25,158.6,55.05,178.43,27
RC,0272,GEL EMBOL FM TORPEDO 1ML2.5X20,351.0,280.8,97.47,315.9,27
RC,0272,GEL EMBOL FM TORPEDO 3ML 5X20,351.0,280.8,97.47,315.9,27
RC,0272,GEL ORISE SYR NO*DISC 6330869*,765.0,612.0,212.44,688.5,27
RC,0272,GENESYS HTA PROCERVA,6144.6,4915.68,1706.36,5530.14,27
RC,0272,GLIDE SHEET SAGE AIRTAPLC*CIP*,828.0,662.4,229.94,745.2,27
RC,0272,GLIDE SHTSTRAPPR*VAT 6343327*,274.5,219.6,76.23,247.05,27
RC,0272,GLOVE COMP EXPERT 30-40 CUST,193.2,154.56,53.65,173.88,27
RC,0272,GOAT FOOT EXODUS*DISC NO REPL*,1071.0,856.8,297.42,963.9,27
RC,0272,GOUGE ST EXODUS *DISC NO REPL*,912.6,730.08,253.43,821.34,27
RC,0272,GRASP SUT IDEAL MITEK 30D,1030.5,824.4,286.17,927.45,27
RC,0272,GRASP SUT IDEAL MITEK 60D,1030.5,824.4,286.17,927.45,27
RC,0272,GRID BX MRI*USE 6337928*,244.0,195.2,67.76,219.6,27
RC,0272,GRID PLATE BX*DUP 6315825*,244.0,195.2,67.76,219.6,27
RC,0272,GRID PLATE LOWER BX BREAST,244.0,195.2,67.76,219.6,27
RC,0272,GRSPR 3PRONG 3.5FR 65CM,697.5,558.0,193.7,627.75,27
RC,0272,GRSPR 3PRONG CAPTURA 3.2FR15MM,697.5,558.0,193.7,627.75,27
RC,0272,GRSPR 3PRONG CAPTURA2.8FR115MM,697.5,558.0,193.7,627.75,27
RC,0272,GRSPR ALIGATOR RA*PNC 6313550*,408.0,326.4,113.3,367.2,27
RC,0272,GRSPR ANVIL RATCHET,1437.91,1150.33,399.31,1294.12,27
RC,0272,GRSPR COBRA ROB S RPSB,616.0,492.8,171.06,554.4,27
RC,0272,GRSPR COBRA ROB XI RPSB,491.4,393.12,136.46,442.26,27
RC,0272,GRSPR CROCODILE ROB SS RPSB5MM,428.4,342.72,118.97,385.56,27
RC,0272,GRSPR DBL FEN ROB S RPSB,560.0,448.0,155.51,504.0,27
RC,0272,GRSPR FEN TIP-UP ROB XI RPSB,646.8,517.44,179.62,582.12,27
RC,0272,GRSPR NANO DISP ST 70MM,1224.72,979.78,340.1,1102.25,27
RC,0272,GRSPR PASSER SLINGSHOT 70D UP,1541.4,1233.12,428.05,1387.26,27
RC,0272,GRSPR SCHERTEL ROB SI RPSB 5M,559.0,447.2,155.23,503.1,27
RC,0272,GRSPR SLINGSHOT 45D,1541.4,1233.12,428.05,1387.26,27
RC,0272,GRSPR SLINGSHOT 45D LFT,1541.4,1233.12,428.05,1387.26,27
RC,0272,GRSPR SLINGSHOT 45D RT,1541.4,1233.12,428.05,1387.26,27
RC,0272,GRSPR SLINGSHOT 70D UP,1541.4,1233.12,428.05,1387.26,27
RC,0272,GRSPR TIP RENEW FEN,320.27,256.22,88.94,288.24,27
RC,0272,GRSPR TIP RENEW GRABBER,344.52,275.62,95.67,310.07,27
RC,0272,GRSPR TIP RENEW LAPCLINCH,320.27,256.22,88.94,288.24,27
RC,0272,GRSPR TIP RENEW MOD BABCOCK,337.12,269.7,93.62,303.41,27
RC,0272,GRSPR TWIN OTSC 220CM,2660.4,2128.32,738.79,2394.36,27
RC,0272,GS PIN 3D STER LFT 10.0DX5D,2633.6,2106.88,731.35,2370.24,27
RC,0272,GUN BONE CMNT SYR ARTX,456.0,364.8,126.63,410.4,27
RC,0272,HALF PIN EXTL FIX 4X34X120MM,1503.6,1202.88,417.55,1353.24,27
RC,0272,HALF PIN EXTL FIX 4X40X150MM,1503.6,1202.88,417.55,1353.24,27
RC,0272,HALF PIN EXTL FIX 5X34X120MM,1755.6,1404.48,487.53,1580.04,27
RC,0272,HALF PIN EXTL FIX 5X40X150MM,1755.6,1404.48,487.53,1580.04,27
RC,0272,HALF PIN EXTL FIX 5X50X180MM,1755.6,1404.48,487.53,1580.04,27
RC,0272,HALF PIN EXTL FIX 6X40X150MM,1848.0,1478.4,513.19,1663.2,27
RC,0272,HALF PIN EXTL FIX 6X50X180MM,1848.0,1478.4,513.19,1663.2,27
RC,0272,HALF PIN EXTL FIX 6X60X200MM,1848.0,1478.4,513.19,1663.2,27
RC,0272,HALF PIN EXTL FIX HA4X34X120MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX HA4X40X150MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX HA5X34X120MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX HA5X40X150MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX HA5X50X180MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX HA6X40X150MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX HA6X50X180MM,2199.6,1759.68,610.83,1979.64,27
RC,0272,HALF PIN EXTL FIX SLFDR 5X30MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,HANDPC ABC BEND-A-BEAM 6IN,851.49,681.2,236.46,766.34,27
RC,0272,HANDPC ABC BEND-A-BEAM 9IN,851.49,681.2,236.46,766.34,27
RC,0272,HANDPC ABL MINERVA ES DISP PK3,3751.44,3001.16,1041.77,3376.3,27
RC,0272,HANDPC BONE CLN TIP INTERPULSE,231.5,185.2,64.29,208.35,27
RC,0272,HANDPC CELON PROSLEEP PLUS,1058.15,846.52,293.85,952.34,27
RC,0272,HANDPC COAX BONETIP INTERPULSE,231.5,185.2,64.29,208.35,27
RC,0272,HANDPC COAX FAN INTERPULSE,231.5,185.2,64.29,208.35,27
RC,0272,HANDPC CUSA WRENCH 23KHZ DISP,505.85,404.68,140.47,455.27,27
RC,0272,HANDPC FAN SPRAYTIP INTERPULSE,231.5,185.2,64.29,208.35,27
RC,0272,HANDPC HIP KT PULSAVAC+,231.8,185.44,64.37,208.62,27
RC,0272,HANDPC HIP KT PULSAVAC+ AC,231.8,185.44,64.37,208.62,27
RC,0272,HANDPC INTERPULSE COAX HI FLOW,231.5,185.2,64.29,208.35,27
RC,0272,HANDPC IRG BIMANUAL SET21GX5/8,274.5,219.6,76.23,247.05,27
RC,0272,HANDPC MYRIAD 11G13CM,9347.0,7477.6,2595.66,8412.3,27
RC,0272,HANDPC MYRIAD 13G13CM,8242.0,6593.6,2288.8,7417.8,27
RC,0272,HANDPC MYRIAD HANDYPRO19G28CM,9347.0,7477.6,2595.66,8412.3,27
RC,0272,HANDPC MYRIAD LOTTA 15G 26CM,9347.0,7477.6,2595.66,8412.3,27
RC,0272,HANDPC NANONDLE 2.0 SCP 125MM,2288.09,1830.48,635.4,2059.28,27
RC,0272,HANDPC NANONDLE SCP 125MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,HANDPC NANONDLE SCP 180MM,1926.0,1540.8,534.85,1733.4,27
RC,0272,HANDPC NANOSCOPE,2425.6,1940.48,673.59,2183.04,27
RC,0272,HANDPC PROBREATH 1.1X10MM,781.61,625.29,217.05,703.45,27
RC,0272,HANDPC SET ACESSA PROVUE DISP,8424.0,6739.2,2339.34,7581.6,27
RC,0272,HANDPC SOFT TISS INTERPULSE,231.5,185.2,64.29,208.35,27
RC,0272,HANDPC VERSAJETII EXACT45D14MM,2059.2,1647.36,571.84,1853.28,27
RC,0272,HANDPC VERSAJETII EXACT45D8MM,2059.2,1647.36,571.84,1853.28,27
RC,0272,HARVESTER BONE W INSRT 6MM,3430.0,2744.0,952.51,3087.0,27
RC,0272,HARVESTER BONE W INSRT 8MM,6825.0,5460.0,1895.3,6142.5,27
RC,0272,HARVESTER INST OATS ARTX *NLU*,1872.0,1497.6,519.85,1684.8,27
RC,0272,HDCVC PALINDROME HEP ST 19CM,1696.09,1356.88,471.0,1526.48,27
RC,0272,HELMET CRANI SOFT SHELL BLK MD,99.0,79.2,27.49,89.1,27
RC,0272,HELMET CRANI SOFT SHELL TAN2XL,388.94,311.16,108.01,350.05,27
RC,0272,HEMO AGP PDR SURGIFOAM 1GM,360.45,288.36,100.1,324.41,27
RC,0272,HEMO ARISTA AH 1GM,456.0,364.8,126.63,410.4,27
RC,0272,HEMO ARISTA AH 3GM,801.0,640.8,222.44,720.9,27
RC,0272,HEMO ARISTA AH 5GM,1102.5,882.0,306.16,992.25,27
RC,0272,HEMO BIOCUE MINI PLATELET CONC,3126.2,2500.96,868.15,2813.58,27
RC,0272,HEMO BIOCUE PLATELET CONC,3126.2,2500.96,868.15,2813.58,27
RC,0272,HEMO BNDG D-STAT SLV,358.56,286.85,99.57,322.7,27
RC,0272,HEMO BONE MATEOS*DISC 6248715*,303.84,243.08,84.38,273.46,27
RC,0272,HEMO BONE MATERI*DISC 6312132*,278.04,222.44,77.21,250.24,27
RC,0272,HEMO BONE MATERIAL OSTENE2.5GM,487.13,389.71,135.28,438.42,27
RC,0272,HEMO COLLAGEN AVITENE 1GM,630.0,504.0,174.95,567.0,27
RC,0272,HEMO COLLAGEN INSAT SHT 3X4,787.5,630.0,218.69,708.75,27
RC,0272,HEMO DISC STATSEAL ADV RAD,262.3,209.84,72.84,236.07,27
RC,0272,HEMO DRSG GELFIL*DISC NO REPL*,985.55,788.44,273.69,887.0,27
RC,0272,HEMO DRSG HEMOPORE 8CM,1113.84,891.08,309.31,1002.46,27
RC,0272,HEMO DRSG QUIKCLOT CTRL+ 12X12,1154.12,923.3,320.5,1038.71,27
RC,0272,HEMO DRSG QUIKCLOT CTRL+ 8X8,760.95,608.76,211.32,684.86,27
RC,0272,HEMO DRSG QUIKCLOT CTRL+ Z 3IN,684.86,547.89,190.19,616.37,27
RC,0272,HEMO DRSG QUIKCLOT RL 3IN,243.33,194.67,67.57,219.0,27
RC,0272,HEMO DRSG QUIKCLOT TEGADERM,200.93,160.75,55.8,180.84,27
RC,0272,HEMO FIBRIN TISSEEL PRIMA 10ML,2614.57,2091.66,726.07,2353.11,27
RC,0272,HEMO FIBRIN TISSEEL PRIMA 2ML,771.39,617.12,214.22,694.25,27
RC,0272,HEMO FIBRIN TISSEEL PRIMA 4ML,1206.83,965.47,335.14,1086.15,27
RC,0272,HEMO FIBRIN VISTASEAL 10ML,1807.42,1445.94,501.92,1626.68,27
RC,0272,HEMO FIBRIN VISTASEAL 4ML,982.31,785.85,272.79,884.08,27
RC,0272,HEMO GPS APPL DUAL TIP 20GX4,198.25,158.6,55.05,178.43,27
RC,0272,HEMO GPS DUAL TIP SPRAY APPL,198.25,158.6,55.05,178.43,27
RC,0272,HEMO GPS MINI SEPARATION ZIMM,1081.5,865.2,300.33,973.35,27
RC,0272,HEMO GPS PLATELET SYS SGL,1081.5,865.2,300.33,973.35,27
RC,0272,HEMO GPS SPRAY APPL,213.5,170.8,59.29,192.15,27
RC,0272,HEMO HEMADERM ENT 2GM,585.0,468.0,162.45,526.5,27
RC,0272,HEMO HEMOBLAST BE*VAT 6182242*,1057.5,846.0,293.67,951.75,27
RC,0272,HEMO KT SURGIFLO MTX THROMBIN,780.39,624.32,216.71,702.35,27
RC,0272,HEMO OCR SURGICEL 2X14,333.34,266.68,92.57,300.01,27
RC,0272,HEMO OCR SURGICEL 2X3,232.11,185.69,64.46,208.9,27
RC,0272,HEMO OCR SURGICEL FIBRILLAR1X2,283.83,227.07,78.82,255.45,27
RC,0272,HEMO OCR SURGICEL FIBRILLAR2X4,411.07,328.86,114.15,369.96,27
RC,0272,HEMO OCR SURGICEL NUKNIT 3X4,399.38,319.51,110.91,359.44,27
RC,0272,HEMO OCR SURGICEL NUKNIT 4X8,326.75,261.4,90.74,294.08,27
RC,0272,HEMO OCR SURGICEL NUKNIT 6X9,522.36,417.89,145.06,470.12,27
RC,0272,HEMO OCR SURGICEL PDR 3GM,757.53,606.03,210.37,681.78,27
RC,0272,HEMO OCR SURGICEL SNOW 2X4,414.82,331.86,115.2,373.34,27
RC,0272,HEMO PERCLOT STD TIP 9CM,996.53,797.23,276.74,896.88,27
RC,0272,HEMO SEAL DURASEAL DURAL 3ML,2857.04,2285.64,793.4,2571.34,27
RC,0272,HEMO SEAL DURASEAL DURAL 5ML,2688.0,2150.4,746.46,2419.2,27
RC,0272,HEMO SEAL FIBRIN EVARREST 2X4,2666.05,2132.84,740.36,2399.45,27
RC,0272,HEMO SEAL FIBRIN EVICE2ML*NLU*,910.62,728.5,252.88,819.56,27
RC,0272,HEMO SEAL PDR GEL-FLOW NT*NLU*,471.12,376.9,130.83,424.01,27
RC,0272,HEMO SEAL SURGIFLO MTX 8ML,554.72,443.78,154.05,499.25,27
RC,0272,HEMO SET SPRAY TISSOMAT,329.67,263.74,91.55,296.7,27
RC,0272,HEMO SOF-GRIP LR-SGH001,384.0,307.2,106.64,345.6,27
RC,0272,HEMO SPNG COLLAGEN BICOL 3X4,549.41,439.53,152.57,494.47,27
RC,0272,HEMO SPNG FM ORCA 125X8X10MM,310.01,248.01,86.09,279.01,27
RC,0272,HEMO SPNG HELISTAT 3X4,1317.62,1054.1,365.9,1185.86,27
RC,0272,HEMO SPNG ULTRAFOAM 8X12.5CM,315.9,252.72,87.73,284.31,27
RC,0272,HEMO SPRAY TIP PROGEL 29CM,804.02,643.22,223.28,723.62,27
RC,0272,HEMO SURGIFLO MTXTHROMBIN*CIP*,780.39,624.32,216.71,702.35,27
RC,0272,HEMOCLIP16MMX230*DISC 6317326*,650.25,520.2,180.57,585.23,27
RC,0272,HEMOCONC PRFSN NO TB 1000,378.22,302.58,105.03,340.4,27
RC,0272,HEMOCONC PRFSN TB 1000,367.92,294.34,102.17,331.13,27
RC,0272,HEMOCONC PRFSN TB 400,367.92,294.34,102.17,331.13,27
RC,0272,HIP CAGE FLG SHRT 62/64 54,1224.3,979.44,339.99,1101.87,27
RC,0272,HIP CAGE FLGSHRT RT56/58/60 48,1224.3,979.44,339.99,1101.87,27
RC,0272,HIP EXTR TIP MALE 12-24 UNC-2A,1260.0,1008.0,349.9,1134.0,27
RC,0272,HIP PORTAL ENTRY KTFLOWPORT165,5597.2,4477.76,1554.34,5037.48,27
RC,0272,HIP SUCT CUP STER SGL DISP,616.5,493.2,171.2,554.85,27
RC,0272,HIP TROCH 1CBL 1.8X635MM,1512.0,1209.6,419.88,1360.8,27
RC,0272,HNDL ATHERECTOMYDIMNDB36*DISC*,6146.0,4916.8,1706.74,5531.4,27
RC,0272,HNDL CANN AO WRIT REUS,400.68,320.55,111.27,360.61,27
RC,0272,HNDL CEREPAK COIL DETACHMENT,1138.2,910.56,316.08,1024.38,27
RC,0272,HNDL DETACH CNTRLR WEB 2ND,832.5,666.0,231.19,749.25,27
RC,0272,HNDL DETACHMENT RUBY COIL,1071.0,856.8,297.42,963.9,27
RC,0272,HNDL DETACHMENT RUBY COIL LP,1071.0,856.8,297.42,963.9,27
RC,0272,HNDL DETACHMENT*DISC 6335024*,832.5,666.0,231.19,749.25,27
RC,0272,HNDL NANOGRIP NANOSCOPE OPTICS,470.25,376.2,130.59,423.23,27
RC,0272,HNDL PASR SUT SHARPSHOOTER,1696.8,1357.44,471.2,1527.12,27
RC,0272,HNDL STRTM TORQ LIMIT 2MM*NLU*,1545.6,1236.48,429.21,1391.04,27
RC,0272,HNDL ZONE NVGTR SYS ERGO,1155.0,924.0,320.74,1039.5,27
RC,0272,HNG EXTL FIX MALE REVOLUTION,1701.0,1360.8,472.37,1530.9,27
RC,0272,HNG LK EXTL FIX TIB,987.39,789.92,274.2,888.65,27
RC,0272,HNG MOTION EXTL FIX SIXFIX,2534.4,2027.52,703.8,2280.96,27
RC,0272,HOOK EAR DAY BLNT STER 6.5,250.28,200.23,69.5,225.25,27
RC,0272,HOOK EAR DAY STER SM,281.7,225.36,78.23,253.53,27
RC,0272,HOOK EXTR SYNT,1984.16,1587.33,551.0,1785.74,27
RC,0272,HOOK EXTR SYNT STER,1995.48,1596.39,554.14,1795.93,27
RC,0272,HOOK RETR LONESTAR 2FINGER 5MM,329.78,263.83,91.58,296.8,27
RC,0272,HOOK RETR LONESTAR BLNT12MMPK8,403.11,322.49,111.94,362.8,27
RC,0272,HOOK RETR LONESTAR SHARP 5MM,403.11,322.49,111.94,362.8,27
RC,0272,HOOK SHEPHERD NICO GREENBERG,434.4,347.52,120.63,390.96,27
RC,0272,HOUSING EXTL LG 17X22MM30-38MM,5292.0,4233.6,1469.59,4762.8,27
RC,0272,ICDS TUNNELING TOOL,1125.0,900.0,312.41,1012.5,27
RC,0272,ID BAND SET EXTL FIX STRUT,1603.56,1282.85,445.31,1443.2,27
RC,0272,ILLUM ASPIR PHOTONSABER F 12FR,1148.57,918.86,318.96,1033.71,27
RC,0272,ILLUM ASPIR PHOTONSABER YTPR,1312.5,1050.0,364.48,1181.25,27
RC,0272,ILLUM ENDO WIDE ANG 25G,802.17,641.74,222.76,721.95,27
RC,0272,ILLUM PHOTONGUIDE NARW FLAT,1312.5,1050.0,364.48,1181.25,27
RC,0272,ILLUM PHOTONGUIDE WIDE FLAT,1312.5,1050.0,364.48,1181.25,27
RC,0272,ILLUM SYS BIF LAT ACC NIAGARA,823.5,658.8,228.69,741.15,27
RC,0272,ILLUM SYS RELIEVA LUMA SENTRY,1801.8,1441.44,500.36,1621.62,27
RC,0272,INDIC SIRG MID DISP PRODISC-L,675.0,540.0,187.45,607.5,27
RC,0272,INFL DEV EAGLE 10CC,275.29,220.24,76.45,247.76,27
RC,0272,INFL DEV ENCORE,383.4,306.72,106.47,345.06,27
RC,0272,INFL DEV ENCORE 26 20CC,381.94,305.56,106.06,343.75,27
RC,0272,INFL DEV ENDOTEK BIG 60,274.5,219.6,76.23,247.05,27
RC,0272,INFL DEV SPHERE 15ATM 60ML,280.8,224.64,77.98,252.72,27
RC,0272,INFL DEV VOLUMINOUS 40CC,293.41,234.73,81.48,264.07,27
RC,0272,INJ HIGH VISCOSITY TB 20GX4MM,245.04,196.04,68.05,220.54,27
RC,0272,INJ SYS CLSD CO-SET+ COLD INJ,288.36,230.69,80.08,259.52,27
RC,0272,INJ SYS CLSD CO-SET+ RM TEMP,211.61,169.29,58.76,190.45,27
RC,0272,INSRT FORCEP*DISC 6316977*,1577.27,1261.82,438.01,1419.54,27
RC,0272,INSRT GDWIRE FIBULOCK,1386.0,1108.8,384.89,1247.4,27
RC,0272,INSRT INTEGRITY DEL BONESTAPLE,1848.0,1478.4,513.19,1663.2,27
RC,0272,INSRT KT ART/JUGULAR 0.038 100,422.93,338.35,117.45,380.64,27
RC,0272,INSRT KT ART/VEN PEDS,422.93,338.35,117.45,380.64,27
RC,0272,INSRT KT IABP FOR 7.5FR 40CC,676.26,541.01,187.8,608.63,27
RC,0272,INSRT KT IABP FOR 8FR 50CC,676.26,541.01,187.8,608.63,27
RC,0272,INSRT KT VENA DLT PEDS0.038180,422.93,338.35,117.45,380.64,27
RC,0272,INSRT KWIRE SYNT 1.25MM,1203.64,962.92,334.25,1083.28,27
RC,0272,INSRT REPL SET WIRE CUTTER,1008.0,806.4,279.92,907.2,27
RC,0272,INSRT SUT HOLDER OCTOBASE,296.28,237.03,82.28,266.65,27
RC,0272,INSRT WDG OSTEOTOMY M5 DISP,2544.0,2035.2,706.47,2289.6,27
RC,0272,INST ACC ASSY INTRACEPT 2VB,6104.0,4883.2,1695.08,5493.6,27
RC,0272,INST ADJ EXTL FIX DISP,2814.87,2251.9,781.69,2533.38,27
RC,0272,INST BACKFLUSH CANN SOFTTIP25G,917.73,734.19,254.85,825.96,27
RC,0272,INST BX TRUCOREII DISP18GX16CM,383.4,306.72,106.47,345.06,27
RC,0272,INST CMNT STABILIT MX FULL,6034.0,4827.2,1675.64,5430.6,27
RC,0272,INST DEL INTEGRITY TISS TACK,2160.0,1728.0,599.83,1944.0,27
RC,0272,INST FIX RETR/EXT SCREW DH,268.4,214.72,74.53,241.56,27
RC,0272,INST HARVESTER OATS DISP 10MM,1872.0,1497.6,519.85,1684.8,27
RC,0272,INST HARVESTER OATS DISP 15MM,3640.0,2912.0,1010.83,3276.0,27
RC,0272,INST HARVESTER OATS DISP 6MM,1872.0,1497.6,519.85,1684.8,27
RC,0272,INST HARVESTER OATS LG 16MM,2728.0,2182.4,757.57,2455.2,27
RC,0272,INST HARVESTER OATS SM 10MM,1960.2,1568.16,544.35,1764.18,27
RC,0272,INST KT ANCHOR QFIX 2..8MM,796.5,637.2,221.19,716.85,27
RC,0272,INST KT ANCHOR QFIX MINI 1.8MM,2377.62,1902.1,660.27,2139.86,27
RC,0272,INST KT ANCHOR SUT PEEK 2.7MM,1052.98,842.39,292.41,947.68,27
RC,0272,INST KT ANCHOR SUT PEEK 3.5MM,1052.98,842.39,292.41,947.68,27
RC,0272,INST KT ASNIS MI*DISC NO REPL*,2459.7,1967.76,683.06,2213.73,27
RC,0272,INST KT BIOTENODESIS ARTX DISP,965.25,772.2,268.05,868.73,27
RC,0272,INST KT BOLT ANTI-DRIFT,987.8,790.24,274.31,889.02,27
RC,0272,INST KT DYNABUNION STER,2035.37,1628.3,565.22,1831.83,27
RC,0272,INST KT DYNABUNIONRADLRDCTN,2035.37,1628.3,565.22,1831.83,27
RC,0272,INST KT INFRAME 2.0MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,INST KT INNATE 3.6MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,INST KT KNEE FLAP REPAIR SGL,275.11,220.09,76.4,247.6,27
RC,0272,INST KT LAPIFUSE JOINT PREP,972.9,778.32,270.17,875.61,27
RC,0272,INST KT MPFL FBRTAK ARTX,2575.58,2060.47,715.24,2318.02,27
RC,0272,INST KT NAIL 4.0MM,3346.0,2676.8,929.18,3011.4,27
RC,0272,INST KT PLK ANCHOR DISP 3.5MM,866.25,693.0,240.56,779.63,27
RC,0272,INST KT PREP DYNAFORCE 20MM,1244.0,995.2,345.46,1119.6,27
RC,0272,INST KT REVCON STER 4.0MM,4186.0,3348.8,1162.45,3767.4,27
RC,0272,INST KT SCREW COMP 3.5MM,3346.0,2676.8,929.18,3011.4,27
RC,0272,INST KT SCREW COMP 4.0MM,3346.0,2676.8,929.18,3011.4,27
RC,0272,INST KT TALUS TOTAL CUST DISP,7787.0,6229.6,2162.45,7008.3,27
RC,0272,INST KT TRANSTIB ACL DISPWOSAW,717.75,574.2,199.32,645.98,27
RC,0272,INST PK HD DARTFIRE EDGE 3.0MM,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK HD DARTFIRE EDGE 3.5MM,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK HD DARTFIRE EDGE 4.0MM,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK HDLSS DARTFIRE EDGE2.0,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK HDLSS DARTFIRE EDGE2.5,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK HDLSS DARTFIRE EDGE3.5,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK HDLSS DARTFIRE EDGE4.0,2011.8,1609.44,558.68,1810.62,27
RC,0272,INST PK TX-BONE PRCD,10101.0,8080.8,2805.05,9090.9,27
RC,0272,INST PK TX1 PRCD,2448.0,1958.4,679.81,2203.2,27
RC,0272,INST PK TX2 PRCD,2704.0,2163.2,750.9,2433.6,27
RC,0272,INTR 1ST FRAC OSTEO EXPRESSSZ2,2520.0,2016.0,699.8,2268.0,27
RC,0272,INTR ATEC 9GX14CM 20MM,694.8,555.84,192.95,625.32,27
RC,0272,INTR KT GASTRO LAP 16FR,1115.96,892.77,309.9,1004.36,27
RC,0272,INTR KT GASTRO LAP 18FR,1115.96,892.77,309.9,1004.36,27
RC,0272,INTR KT GASTRO MIC 18FR,1014.48,811.59,281.72,913.03,27
RC,0272,INTR KT GASTRO MIC 20FR,1014.48,811.59,281.72,913.03,27
RC,0272,INTR KT HV 7FR 7CM,185.26,148.21,51.45,166.73,27
RC,0272,INTR KT IMPELLA RP 23FR,2520.0,2016.0,699.8,2268.0,27
RC,0272,INTR KT PERC SHEATH 8.5FR,600.75,480.6,166.83,540.68,27
RC,0272,INTR KT SELDINGER 1.9/2.0FR30G,367.2,293.76,101.97,330.48,27
RC,0272,INTR KYPHON ADV OSTEO,1590.96,1272.77,441.81,1431.86,27
RC,0272,INTR KYPHON OSTEO 1 STEP,2560.0,2048.0,710.91,2304.0,27
RC,0272,INTR PEEL OPTISEAL LNG 9F*NLU*,222.65,178.12,61.83,200.39,27
RC,0272,INTR PICC INTROSYTE-N26G 1.9CM,300.97,240.78,83.58,270.87,27
RC,0272,INTR PICC MINI STICK MAX 4FR,284.26,227.41,78.94,255.83,27
RC,0272,INTR PICCINTROSYTE-N26G 0.07CM,283.45,226.76,78.71,255.11,27
RC,0272,INTR SAFESHEATH WORLEY 9FR40CM,731.25,585.0,203.07,658.13,27
RC,0272,INTR SAFESHEATH WORLEY BC19M,866.25,693.0,240.56,779.63,27
RC,0272,INTR SCOPE PINPOINT STD,806.76,645.41,224.04,726.08,27
RC,0272,INTR SHEATH DIL SET STER 4.5MM,257.24,205.8,71.44,231.52,27
RC,0272,INTR SHEATH DIL SET STER 5.5MM,257.24,205.8,71.44,231.52,27
RC,0272,INTR SUPRAFOLEY ORG 16-18FR,202.95,162.36,56.36,182.66,27
RC,0272,INTR SYS ACCUSTICK WO GDWIRE,351.0,280.8,97.47,315.9,27
RC,0272,INTR VASC BREAKAWAY NDLE 2FR,210.45,168.36,58.44,189.41,27
RC,0272,INTRO FLUID RF COOLIEF 4X50MM,526.5,421.2,146.21,473.85,27
RC,0272,INTRO SHEATH DIL SET STER7.0MM,245.46,196.37,68.16,220.91,27
RC,0272,INTUB LACRIMAL CRAWFORD W/OSUT,470.4,376.32,130.63,423.36,27
RC,0272,IO RESUSC SET PEDS BLU 15G,324.0,259.2,89.97,291.6,27
RC,0272,IO RESUSC SET PEDS GRN 15G,324.0,259.2,89.97,291.6,27
RC,0272,IO RESUSC SET PEDS ORG 15G,324.0,259.2,89.97,291.6,27
RC,0272,IO RESUSC SET PEDS PNK 15G,324.0,259.2,89.97,291.6,27
RC,0272,IO RESUSC SET PEDS PUR 15G,324.0,259.2,89.97,291.6,27
RC,0272,IO RESUSC SET PEDS WHT 15G,324.0,259.2,89.97,291.6,27
RC,0272,IO RESUSC SET PEDS YEL 15G,324.0,259.2,89.97,291.6,27
RC,0272,IRG BULB PATHFINDER PLUS 10IN,234.73,187.79,65.18,211.26,27
RC,0272,IRG CORO BLOW MISTER TB 8FT,417.79,334.24,116.02,376.01,27
RC,0272,IRG CORO BLOWMIST*USE 6332268*,549.0,439.2,152.46,494.1,27
RC,0272,IRG MORGAN THERAPEUTIC LENS,290.57,232.46,80.69,261.51,27
RC,0272,IRG WND PVPI SURGIPHOR 1000ML,774.0,619.2,214.94,696.6,27
RC,0272,IRG WND PVPI SURGIPHOR 450ML,378.0,302.4,104.97,340.2,27
RC,0272,IVUS GALAXY PULLBACK SLED,244.0,195.2,67.76,219.6,27
RC,0272,JOINT EXTL FIX HOFFMANNLRFUNIV,1708.6,1366.88,474.48,1537.74,27
RC,0272,JOINT EXTL FIX UNIV 2TB LG,1915.99,1532.8,532.07,1724.39,27
RC,0272,KEY DEFIB FRX AED INFANT/CHILD,362.88,290.31,100.77,326.59,27
RC,0272,KIT FMS SIGNAL FLEXI-SEAL,535.5,428.4,148.71,481.95,27
RC,0272,KNEE BONE MODEL ZIMM*NLU*,900.0,720.0,249.93,810.0,27
RC,0272,KNEE GD PIN PSN *DISC NO REPL*,2520.0,2016.0,699.8,2268.0,27
RC,0272,KNEE GD PIN PSN PSI 25,2520.0,2016.0,699.8,2268.0,27
RC,0272,KNEE GD PIN PSN PSI 36,2520.0,2016.0,699.8,2268.0,27
RC,0272,KNEE IOBP KT OPEN TIP,2277.0,1821.6,632.32,2049.3,27
RC,0272,KNEE NAVITRACKER KT A,1680.0,1344.0,466.54,1512.0,27
RC,0272,KNEE PART BEARING INSRTTIPDISP,386.1,308.88,107.22,347.49,27
RC,0272,KNIFE BANANA*NLU*,1054.2,843.36,292.75,948.78,27
RC,0272,KNIFE COLD SACHSE DISP ST,865.89,692.72,240.46,779.3,27
RC,0272,KNIFE COLD URETHROTOME DISP ST,865.89,692.72,240.46,779.3,27
RC,0272,KNIFE ELECSURG ITKNIFE2,2178.0,1742.4,604.83,1960.2,27
RC,0272,KNIFE GRAFT ACL 10MM,491.4,393.12,136.46,442.26,27
RC,0272,KNIFE GRAFT ACL 9MM,491.4,393.12,136.46,442.26,27
RC,0272,KNIFE GREISHABER IRIS ST0.05MM,214.11,171.29,59.46,192.7,27
RC,0272,KNIFE HYBRID ELECSURG I-TYPE,2042.64,1634.12,567.24,1838.38,27
RC,0272,KNIFE HYBRID ELECSURG T-TYPE,2042.64,1634.12,567.24,1838.38,27
RC,0272,KNIFE MICRO INSR*DISC 6316967*,752.76,602.21,209.04,677.48,27
RC,0272,KNIFE MICRO INSRT SICKLE RETR,833.81,667.05,231.55,750.43,27
RC,0272,KNIFE MYRINGOTOMY DISP ST7X0.5,399.6,319.68,110.97,359.64,27
RC,0272,KNIFE NDLE RX,787.5,630.0,218.69,708.75,27
RC,0272,KNIFE NDLE TL MICRO XL 7.5FR,607.5,486.0,168.7,546.75,27
RC,0272,KNIFE RETINAL VEIN OCCL,657.0,525.6,182.45,591.3,27
RC,0272,KNIFE RETROGRD STER BLU,414.1,331.28,115.0,372.69,27
RC,0272,KNIFE SLIT SGL BEV ANG 2.4MM,194.65,155.72,54.05,175.19,27
RC,0272,KNIFE URETHROTOME LANCET ST,1036.58,829.27,287.86,932.92,27
RC,0272,KT 2 MONOTB STER YEL,3725.26,2980.21,1034.5,3352.73,27
RC,0272,KT ACC CMPNT HERO,2178.0,1742.4,604.83,1960.2,27
RC,0272,KT ACC COMPONET*USE 6331793*,2016.0,1612.8,559.84,1814.4,27
RC,0272,KT ACC DEL DEV REZUM,5600.0,4480.0,1555.12,5040.0,27
RC,0272,KT ACC GDWIRE TORQ VALV,192.15,153.72,53.36,172.94,27
RC,0272,KT ACC INTH CATH MDTR,900.0,720.0,249.93,810.0,27
RC,0272,KT ACC LEAD STIM INTR MDT*NLU*,405.0,324.0,112.47,364.5,27
RC,0272,KT ACC LLD SUPP,652.5,522.0,181.2,587.25,27
RC,0272,KT ACC SUPRAPUBIC OBRIEN 16FR,404.84,323.88,112.42,364.36,27
RC,0272,KT ACC SUPRAPUBIC OBRIEN 20FR,421.92,337.54,117.17,379.73,27
RC,0272,KT ACC W NDLE CURV TIP 14GA,280.8,224.64,77.98,252.72,27
RC,0272,KT ACIST ANGIO TOUCH AT P65,274.5,219.6,76.23,247.05,27
RC,0272,KT ADR GELPOINT PLTFM,2340.0,1872.0,649.82,2106.0,27
RC,0272,KT ADV GELPOINT PLTFM,2340.0,1872.0,649.82,2106.0,27
RC,0272,KT APEX UNIV SUT REPAIR SUBCAP,1680.0,1344.0,466.54,1512.0,27
RC,0272,KT APHERESIS PLAS*NLU*,1099.69,879.76,305.38,989.72,27
RC,0272,KT BENCHMARK MP 6FR 105CM,3056.0,2444.8,848.65,2750.4,27
RC,0272,KT BENCHMARK ST 6FR 95CM,3056.0,2444.8,848.65,2750.4,27
RC,0272,KT BICEP TENODESIS DEPU D*NLU*,2411.1,1928.88,669.56,2169.99,27
RC,0272,KT BIOCOMP CRKSCREW FT4.5X14MM,866.25,693.0,240.56,779.63,27
RC,0272,KT BLD COLLT ACP SER I,866.25,693.0,240.56,779.63,27
RC,0272,KT BLD COLLT ACP SER II,1155.0,924.0,320.74,1039.5,27
RC,0272,KT BLD PROCESSING CPRP ANGEL,1362.9,1090.32,378.48,1226.61,27
RC,0272,KT BLN PASSPORT *DISC 6246010*,2216.77,1773.42,615.6,1995.09,27
RC,0272,KT BONE ACC 090 10G,1693.44,1354.76,470.27,1524.1,27
RC,0272,KT BONE CMNT ANTIBIOTICPCD10ML,2256.34,1805.08,626.59,2030.71,27
RC,0272,KT BONE CMNT PREP BONE PLUGSZ2,437.76,350.21,121.57,393.98,27
RC,0272,KT BONE DEL SYSWOCMT AUTOPLEX,2616.05,2092.84,726.48,2354.45,27
RC,0272,KT BONE GRAFT CONVENIENCE*NLU*,3184.0,2547.2,884.2,2865.6,27
RC,0272,KT BONE HARVEST RIA2 STER520MM,6965.4,5572.32,1934.29,6268.86,27
RC,0272,KT BONE MARW ASPIR ARTX,717.75,574.2,199.32,645.98,27
RC,0272,KT BONE MARW BMA ANGEL CPRP,3018.4,2414.72,838.21,2716.56,27
RC,0272,KT BONE MARW COLL 2000ML/600ML,2268.0,1814.4,629.82,2041.2,27
RC,0272,KT BONE MARW SYS ANGEL CP*NLU*,3038.0,2430.4,843.65,2734.2,27
RC,0272,KT BOS BONE MARW ASPIR,1096.2,876.96,304.41,986.58,27
RC,0272,KT BRAINPATHILLUMSHEATH13.5X50,13704.0,10963.2,3805.6,12333.6,27
RC,0272,KT BX BONE IVAS 11G,430.9,344.72,119.66,387.81,27
RC,0272,KT BX BONE VERT 11GX5,362.18,289.75,100.58,325.96,27
RC,0272,KT BX BONE VERT 13GX5,362.18,289.75,100.58,325.96,27
RC,0272,KT BX MISSION 18GX10CM,267.0,213.6,74.15,240.3,27
RC,0272,KT BX MISSION 18GX16CM,267.0,213.6,74.15,240.3,27
RC,0272,KT BX MISSION 18GX20CM,267.0,213.6,74.15,240.3,27
RC,0272,KT BX MISSION 20GX10CM,267.0,213.6,74.15,240.3,27
RC,0272,KT BX MISSION 20GX16CM,267.0,213.6,74.15,240.3,27
RC,0272,KT BX MISSION 20GX20CM,267.0,213.6,74.15,240.3,27
RC,0272,KT BX TRANJUGLULAR LIVER 18G,2608.0,2086.4,724.24,2347.2,27
RC,0272,KT BX TRANJUGLULAR LIVER 19G,2608.0,2086.4,724.24,2347.2,27
RC,0272,KT CANN CLEAR-TRAC 8X76MM,285.48,228.39,79.28,256.93,27
RC,0272,KT CANN FAST-FIX FLEX CURV,2037.0,1629.6,565.67,1833.3,27
RC,0272,KT CANN FAST-FIX FLEX RVRSCURV,2037.0,1629.6,565.67,1833.3,27
RC,0272,KT CAPTIVATOR EMR ENDO LG,1365.0,1092.0,379.06,1228.5,27
RC,0272,KT CAPTIVATOR EMR ENDO STD,1365.0,1092.0,379.06,1228.5,27
RC,0272,KT CAT FAST START*VAT 6278723*,801.0,640.8,222.44,720.9,27
RC,0272,KT CATH ACCESS P*DISC 6323100*,219.42,175.54,60.93,197.48,27
RC,0272,KT CATH BRIDGE OCCL,1386.0,1108.8,384.89,1247.4,27
RC,0272,KT CATH CYSTOST *DISC 6339620*,387.79,310.24,107.69,349.01,27
RC,0272,KT CATH PERC DRN CURV 14FR,712.8,570.24,197.94,641.52,27
RC,0272,KT CATH PERC DRN ST 14FR,712.8,570.24,197.94,641.52,27
RC,0272,KT CATH REPAIR W REPL CONN,585.5,468.4,162.59,526.95,27
RC,0272,KT CATH SELECTRA ACC,562.5,450.0,156.21,506.25,27
RC,0272,KT CBF CRANIOLOC PEEL 10.5X12,302.62,242.1,84.04,272.36,27
RC,0272,KT CBL CONN OR,558.0,446.4,154.96,502.2,27
RC,0272,KT CHEST TB PLEUR*VAT 6336156*,407.57,326.06,113.18,366.81,27
RC,0272,KT CIRCUIT AIRSPIRAL NEB ADPTR,387.99,310.4,107.74,349.19,27
RC,0272,KT CLEARIFY VISUALIZATION,245.1,196.08,68.06,220.59,27
RC,0272,KT CLIP CARPAL ENDO*NLU*,1659.0,1327.2,460.7,1493.1,27
RC,0272,KT CMNT BONE W GUN KYPHON SZ2,1365.0,1092.0,379.06,1228.5,27
RC,0272,KT CMNT DEL CANN ALLOCATE*NLU*,1125.0,900.0,312.41,1012.5,27
RC,0272,KT CONN SILHOUETTE FLOWMETER,379.2,303.36,105.3,341.28,27
RC,0272,KT COOL RF COOLI*DISC 6288557*,3724.0,2979.2,1034.15,3351.6,27
RC,0272,KT COOL RF COOLI*DISC 6322418*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COOL RF COOLI*DISC 6322419*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COOL RF COOLI*DISC 6322420*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COOL RF COOLI*DISC 6322421*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COOL RF COOLI*DISC 6322422*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COOL RF COOLI*DISC 6322423*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COOL RF COOLIE*DISC 6322416,3080.0,2464.0,855.32,2772.0,27
RC,0272,KT COOL RF COOLIEF 17G75X*NLU*,2700.0,2160.0,749.79,2430.0,27
RC,0272,KT COR-KNOT MINI COMBO,2553.6,2042.88,709.13,2298.24,27
RC,0272,KT COV GLIDESCOPE GVL3STA*NLU*,1061.34,849.08,294.73,955.21,27
RC,0272,KT COV GLIDESCOPE GVL4STA*NLU*,1061.34,849.08,294.73,955.21,27
RC,0272,KT CRANI ACC DRILL BIT 2.7MM,1749.8,1399.84,485.92,1574.82,27
RC,0272,KT CRANI ACC DRILL BIT 5.31MM,1647.87,1318.3,457.61,1483.08,27
RC,0272,KT CRANI ACC PREM WO RAZOR,1999.73,1599.79,555.33,1799.76,27
RC,0272,KT CRANI ACC WO DRUGS,1125.0,900.0,312.41,1012.5,27
RC,0272,KT CRANI ACCESS WO PREP SOL,1864.8,1491.84,517.85,1678.32,27
RC,0272,KT CRANI CERELINK ICPBOLT MTL,3374.17,2699.34,937.01,3036.75,27
RC,0272,KT CRANI PREM W RAZOR WO DRUGS,1783.78,1427.03,495.36,1605.4,27
RC,0272,KT CRIC ME4MM*DUP USE 6204878*,1614.02,1291.22,448.21,1452.62,27
RC,0272,KT CRIC QUICKTRACH 2MM,839.21,671.37,233.05,755.29,27
RC,0272,KT CRIC QUICKTRACH 4MM,839.21,671.37,233.05,755.29,27
RC,0272,KT CVC REPAIR DL*DISC NO REPL*,927.0,741.6,257.43,834.3,27
RC,0272,KT CVC TL ARROWG*DISC 6325509*,343.82,275.06,95.48,309.44,27
RC,0272,KT CVC TL BLU FL1*VAT 6325349*,285.77,228.62,79.36,257.19,27
RC,0272,KT DBL TRANSD 2 LINES VAMP,749.84,599.88,208.23,674.86,27
RC,0272,KT DBS TORQ WRENCH 4IN,297.0,237.6,82.48,267.3,27
RC,0272,KT DBS TUNNELING TOOL ACC*NLU*,598.5,478.8,166.2,538.65,27
RC,0272,KT DENTAL SUREFIL SDR TIP/GUN,715.46,572.37,198.68,643.91,27
RC,0272,KT DISP PLK 2.9MM,866.25,693.0,240.56,779.63,27
RC,0272,KT DRILL BIT 3.0MM GD 2.0*NLU*,951.48,761.19,264.23,856.33,27
RC,0272,KT DRILL BONE GRAFT STER 6MM,2237.4,1789.92,621.33,2013.66,27
RC,0272,KT DRILL BONE GRAFT STER 8MM,2237.4,1789.92,621.33,2013.66,27
RC,0272,KT DRILL SPEED 2.0MM*DISC*,1512.0,1209.6,419.88,1360.8,27
RC,0272,KT DRILL SPEED 2.65MM,1282.68,1026.15,356.2,1154.41,27
RC,0272,KT DRN LN PLEURX*DISC 6323099*,213.5,170.8,59.29,192.15,27
RC,0272,KT DRN LUMBAR*PNC 6316299*,948.69,758.96,263.45,853.82,27
RC,0272,KT DRN STARTER PL*VAT 6266738*,3920.0,3136.0,1088.58,3528.0,27
RC,0272,KT DRN VALV REPAI*VAT NO REPL*,250.1,200.08,69.45,225.09,27
RC,0272,KT DRSG SNAP LNG*DISC NO REPL*,485.1,388.08,134.71,436.59,27
RC,0272,KT DRSG VAC PICO 7 10X20CM,1155.0,924.0,320.74,1039.5,27
RC,0272,KT DRSG VAC PICO 7 10X30CM,1764.0,1411.2,489.86,1587.6,27
RC,0272,KT DRSG VAC PICO 7 15X15CM,1155.0,924.0,320.74,1039.5,27
RC,0272,KT DRSG VAC VIA 7 DAY*CIP*,2241.5,1793.2,622.46,2017.35,27
RC,0272,KT ELTD ENSITE PRECISION,3315.2,2652.16,920.63,2983.68,27
RC,0272,KT ELTD ENSITE X EP SURFACE,3606.4,2885.12,1001.5,3245.76,27
RC,0272,KT ENDOMTRL ABL NOVASURE DISP,2970.8,2376.64,824.99,2673.72,27
RC,0272,KT EVAL MON SENS,4200.0,3360.0,1166.34,3780.0,27
RC,0272,KT EXTL FIX LG ANK FRM STER,8161.61,6529.29,2266.48,7345.45,27
RC,0272,KT FAN PULSAVAC+,231.8,185.44,64.37,208.62,27
RC,0272,KT FAST START ATF40,967.5,774.0,268.67,870.75,27
RC,0272,KT FBRTAK DX KNTLS DISP,1270.5,1016.4,352.82,1143.45,27
RC,0272,KT FBRTAK KNTLS CURV DISP,965.25,772.2,268.05,868.73,27
RC,0272,KT FBRTAK PERC INSRT 1.8MM,1113.75,891.0,309.29,1002.38,27
RC,0272,KT FBRTAK SPEAR OBTR ST1.6MM,866.25,693.0,240.56,779.63,27
RC,0272,KT FEED TB MIC PE*VAT 6322633*,554.36,443.49,153.95,498.92,27
RC,0272,KT FEM PERC ART *DISC 6319172*,1066.0,852.8,296.03,959.4,27
RC,0272,KT FEM PERC ART 17FR 31.8CM,1538.46,1230.77,427.23,1384.61,27
RC,0272,KT FEMART 18G 16*DISC 6353491*,224.48,179.59,62.34,202.03,27
RC,0272,KT FIX HAND FUSEFORCE 10X10MM,3117.52,2494.02,865.74,2805.77,27
RC,0272,KT FLTR OVAL MICROGUARD IIB,463.68,370.95,128.76,417.31,27
RC,0272,KT FMS PROTECT FLEXI-SEAL,553.5,442.8,153.71,498.15,27
RC,0272,KT GASTRIC LAVAGE W 3L SOL BG,243.7,194.96,67.68,219.33,27
RC,0272,KT GASTRO ENFIT DOME 20FR,468.0,374.4,129.96,421.2,27
RC,0272,KT GASTRO MICLOPR*VAT 6322568*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322569*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322570*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322571*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322572*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322573*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322574*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322575*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322576*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322577*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322578*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322579*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322580*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322581*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322582*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322583*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322584*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322585*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322586*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322587*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322588*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322589*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322590*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322591*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322592*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322593*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322594*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322595*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322596*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322597*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322598*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322599*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322600*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322601*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322602*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322603*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322604*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322605*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322606*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322607*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322608*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322609*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322610*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322611*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322612*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322613*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322614*,481.73,385.39,133.78,433.56,27
RC,0272,KT GASTRO MICLOPR*VAT 6322615*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322618*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322619*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322620*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322621*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322623*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322626*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322627*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322744*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322745*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322856*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322857*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322964*,460.98,368.79,128.01,414.88,27
RC,0272,KT GASTRO MICLOPR*VAT 6322965*,460.98,368.79,128.01,414.88,27
RC,0272,KT GD SHEATH DIS*DISC NO REPL*,558.05,446.44,154.97,502.25,54
RC,0272,KT GI BASIC DIL APMT,580.5,464.4,161.2,522.45,27
RC,0272,KT GJ MIC ENFIT CONN 16FR,1469.83,1175.87,408.17,1322.85,27
RC,0272,KT GJ MIC ENFIT CONN 18FR,1469.83,1175.87,408.17,1322.85,27
RC,0272,KT GJ MIC ENFIT CONN 22FR,1469.83,1175.87,408.17,1322.85,27
RC,0272,KT GPS V2 EXAT DISP,2880.0,2304.0,799.78,2592.0,27
RC,0272,KT HIP INST SUT TAK 3MM,866.25,693.0,240.56,779.63,27
RC,0272,KT HIP PORTAL ENTRY DISP,1453.2,1162.56,403.55,1307.88,27
RC,0272,KT ICP MON PARENCHYMA SUBARACH,2555.71,2044.57,709.72,2300.14,27
RC,0272,KT ICP MON SUBDURAL CAMINO,3007.23,2405.79,835.11,2706.51,27
RC,0272,KT INFL DEV 40CC*DISC 6266824*,399.71,319.77,111.0,359.74,27
RC,0272,KT INFL DEV QL LOPRO 25C*DISC*,231.8,185.44,64.37,208.62,27
RC,0272,KT INSRT IABP FO*DISC 6342430*,644.04,515.24,178.85,579.64,27
RC,0272,KT INSRT IABPFOR*DISC 6342429*,644.04,515.24,178.85,579.64,27
RC,0272,KT INSRT SUTTAK ARTX 3.0MM,965.25,772.2,268.05,868.73,27
RC,0272,KT INST BONE DOWEL REV 10MM,1940.4,1552.32,538.85,1746.36,27
RC,0272,KT INST BONE DOWEL REV 14MM,1980.0,1584.0,549.85,1782.0,27
RC,0272,KT INST BONE DOWEL REV 16MM,2178.0,1742.4,604.83,1960.2,27
RC,0272,KT INST BONE DOWEL REV 18MM,2178.0,1742.4,604.83,1960.2,27
RC,0272,KT INST DART DRILL ALLOSYNC,1881.0,1504.8,522.35,1692.9,27
RC,0272,KT INST LAPIDUS*NLU*,1780.8,1424.64,494.53,1602.72,27
RC,0272,KT INST MICRO SUTTAK DISP,866.25,693.0,240.56,779.63,27
RC,0272,KT INST MINI SUT TAK,866.25,693.0,240.56,779.63,27
RC,0272,KT INST MYRINGOTOMY DISP,424.8,339.84,117.97,382.32,27
RC,0272,KT INST REMV FIBULINK,2566.8,2053.44,712.8,2310.12,27
RC,0272,KT INST REPL RAD HD STER,1383.31,1106.65,384.15,1244.98,27
RC,0272,KT INST RETROFUSION DISP,2079.0,1663.2,577.34,1871.1,27
RC,0272,KT INST SHLDR GLENO INHANCESYS,2927.4,2341.92,812.94,2634.66,27
RC,0272,KT INST STRTM 1ST MPJ,1780.8,1424.64,494.53,1602.72,27
RC,0272,KT INST STRTM STND*NLU*,1780.8,1424.64,494.53,1602.72,27
RC,0272,KT INTR 1.4MMX12.7/22.8CM*NLU*,244.0,195.2,67.76,219.6,27
RC,0272,KT INTR GASTRO LAP LOPRO *NLU*,1052.78,842.23,292.36,947.5,27
RC,0272,KT INTR SUPRAPUBIC ONESTEP16FR,375.3,300.24,104.22,337.77,27
RC,0272,KT INTR SUPRAPUBIC TB8-14FR14,456.0,364.8,126.63,410.4,27
RC,0272,KT INTR VASC GROSHONG 8FR 15CM,1625.4,1300.32,451.37,1462.86,27
RC,0272,KT IOL CUT PACKER/CHANGE MST,1267.01,1013.61,351.85,1140.31,27
RC,0272,KT IPG TEMPLATE*NLU*,558.0,446.4,154.96,502.2,27
RC,0272,KT IRIS URETRL DISP ROB,1268.44,1014.76,352.25,1141.6,27
RC,0272,KT JEJ EXT SET ENFIT 14FR1.0CM,844.56,675.65,234.53,760.1,27
RC,0272,KT JEJ EXT SET ENFIT 14FR1.7CM,844.56,675.65,234.53,760.1,27
RC,0272,KT JEJ EXT SET ENFIT 14FR2.0CM,844.56,675.65,234.53,760.1,27
RC,0272,KT JEJ EXT SET ENFIT 14FR2.5CM,844.56,675.65,234.53,760.1,27
RC,0272,KT JEJ EXT SET ENFIT 14FR4.5CM,844.56,675.65,234.53,760.1,27
RC,0272,KT KYPHO AVAFLEX NO NDLE,2054.05,1643.24,570.41,1848.65,27
RC,0272,KT KYPHO IVAS ELITE SGL11G10MM,3590.89,2872.72,997.19,3231.8,27
RC,0272,KT KYPHO IVAS ELITEFRAC11G10MM,6668.79,5335.04,1851.92,6001.91,27
RC,0272,KT LACRIMAL BIL OPHTACATH 2MM,1836.0,1468.8,509.86,1652.4,27
RC,0272,KT LACRIMAL BIL OPHTACATH 3MM,1836.0,1468.8,509.86,1652.4,27
RC,0272,KT LACRIMAL UNI OPHTACATH 3MM,1239.0,991.2,344.07,1115.1,27
RC,0272,KT LARYN PULM W *DISC 6322841*,2106.0,1684.8,584.84,1895.4,27
RC,0272,KT LARYN STD TB 10/36,1449.0,1159.2,402.39,1304.1,27
RC,0272,KT LEAD REPAIR CPI,480.0,384.0,133.3,432.0,27
RC,0272,KT LIGAMENT AUGFBRTAPEINTRLBRC,3311.0,2648.8,919.46,2979.9,27
RC,0272,KT MACXCESS DISP,8587.8,6870.24,2384.83,7729.02,27
RC,0272,KT MAGELLAN COMPL DISP,900.0,720.0,249.93,810.0,27
RC,0272,KT MAGELLAN RATIO DSPN,305.0,244.0,84.7,274.5,27
RC,0272,KT MANIFOLD CUST FA,218.69,174.96,60.73,196.82,27
RC,0272,KT MANIFOLD EP CUST BI,223.26,178.61,62.0,200.93,27
RC,0272,KT MANUAL RETRACTION,675.0,540.0,187.45,607.5,27
RC,0272,KT MICRO VENT BOLT ICP MON,2626.69,2101.36,729.43,2364.02,27
RC,0272,KT MICROCATH CANALPLSTY *NLU*,3184.0,2547.2,884.2,2865.6,27
RC,0272,KT MIS BLADE ILLUM,3200.0,2560.0,888.64,2880.0,27
RC,0272,KT NAIL REMOV FIBULOCK,4620.0,3696.0,1282.97,4158.0,27
RC,0272,KT NDLE CURV CANN AVAFLEX 11G,1956.24,1565.0,543.25,1760.62,27
RC,0272,KT NDLE INSRT CURV 4.0IN,405.0,324.0,112.47,364.5,27
RC,0272,KT NDLE INSRT CURV 6.0IN,405.0,324.0,112.47,364.5,27
RC,0272,KT NEG PRSS PREVENA+ 7 DAY,1320.61,1056.49,366.73,1188.55,27
RC,0272,KT NITRIC OXIDE BROCHOTRON,324.0,259.2,89.97,291.6,27
RC,0272,KT NIV PNTER BNDLE*NLU*,2419.2,1935.36,671.81,2177.28,27
RC,0272,KT OBTR KNTLS CRKSCRW DISP,1362.9,1090.32,378.48,1226.61,27
RC,0272,KT OMNISPAN MENISC N*NLU*,1071.0,856.8,297.42,963.9,54
RC,0272,KT ONQ DUAL 4DAY 400X4ML/HR 5,850.23,680.19,236.11,765.21,27
RC,0272,KT ONQ EXPAND CATH SLVRSO*NLU*,501.87,401.5,133.03,472.23,54
RC,0272,KT PARACENTESIS ABD LG,341.98,273.59,94.97,307.78,27
RC,0272,KT PARACENTESIS QKTAP 15G 3.25,322.27,257.82,89.49,290.04,27
RC,0272,KT PCD WO NDLE OR CMNT 90D,1670.21,1336.17,463.82,1503.19,27
RC,0272,KT PEDICLE ACC NAVIGATED*DISC*,2340.0,1872.0,649.82,2106.0,27
RC,0272,KT PEDICLE ACCES*DISC 6326640*,2178.0,1742.4,604.83,1960.2,27
RC,0272,KT PEDICLE ACCESS GM,2520.0,2016.0,699.8,2268.0,27
RC,0272,KT PEDICLE ACCESS MDTR,3066.0,2452.8,851.43,2759.4,27
RC,0272,KT PEDICLE ACCESS PAK NDLETROC,1057.5,846.0,293.67,951.75,27
RC,0272,KT PEG PULL 24FR*DISC 6322686*,324.0,259.2,89.97,291.6,27
RC,0272,KT PEG PULL CORFL*VAT 6322743*,517.5,414.0,143.71,465.75,27
RC,0272,KT PEG PULL ENFI*DISC 6322685*,324.0,259.2,89.97,291.6,27
RC,0272,KT PEG PULL ENFIT MIC 20FR,458.26,366.61,127.26,412.43,27
RC,0272,KT PEG PULL ENFIT MIC 24FR,458.26,366.61,127.26,412.43,27
RC,0272,KT PEG PULL ENFIT SFTY 24FR,430.51,344.41,119.55,387.46,27
RC,0272,KT PEG PULL ENFIT SFTY MIC20FR,587.61,470.09,163.18,528.85,27
RC,0272,KT PEG PULL ENTAK*VAT 6322631*,373.3,298.64,103.67,335.97,27
RC,0272,KT PEG PULL ENTAK*VAT 6322632*,399.98,319.99,111.07,359.98,27
RC,0272,KT PEG PULL MIC 2*VAT 6322632*,432.29,345.84,120.05,389.06,27
RC,0272,KT PEG PULL STD 2*VAT 6322687*,324.0,259.2,89.97,291.6,27
RC,0272,KT PEG PULL STD 2*VAT 6322689*,324.0,259.2,89.97,291.6,27
RC,0272,KT PEGPULLCORFLOC*VAT 6322903*,408.0,326.4,113.3,367.2,27
RC,0272,KT PERC CANN LOW PROFILE,612.27,489.82,170.03,551.04,27
RC,0272,KT PERC INSRT NANO ARTHO,396.0,316.8,109.97,356.4,27
RC,0272,KT PERC INSRT PLK 2.9MM,1089.0,871.2,302.42,980.1,27
RC,0272,KT PERC KNTLS CRKSCRW 3.9MM,1501.5,1201.2,416.97,1351.35,27
RC,0272,KT PERFLUORON 5ML,2135.52,1708.42,593.03,1921.97,27
RC,0272,KT PERITONDIALYSEMBEDDING TOOL,598.5,478.8,166.2,538.65,27
RC,0272,KT PHENOL APPL NARMD,202.89,162.32,56.34,182.6,27
RC,0272,KT PINPOINT ENDO PAQ,915.71,732.57,254.29,824.14,27
RC,0272,KT PLUG PORT IPG*NLU*,558.0,446.4,154.96,502.2,27
RC,0272,KT PORT RAPIDPORT EZ ACCESS LG,2752.0,2201.6,764.23,2476.8,27
RC,0272,KT PORT TI SL LOPRO SIL 6.6FR,859.5,687.6,238.68,773.55,27
RC,0272,KT PRCD FIBER ELVT 400MCRN,1347.36,1077.89,374.16,1212.62,27
RC,0272,KT PRCD FLUENT FLUID MGMT SYS,1176.0,940.8,326.58,1058.4,27
RC,0272,KT PRCD FLUENTPR*DISC 6354697*,1293.6,1034.88,359.23,1164.24,27
RC,0272,KT PRCD HYPERTHERMIA BELMONT,3567.2,2853.76,990.61,3210.48,27
RC,0272,KT PROCEDURAL THERAKOS CE*NLU*,7126.6,5701.28,1979.06,6413.94,27
RC,0272,KT PRP ANGEL SYS ARTX,1501.5,1201.2,416.97,1351.35,27
RC,0272,KT PRSS MON COMPARTMENT MY01,8450.0,6760.0,2346.57,7605.0,27
RC,0272,KT PRSS MON TRPL,945.18,756.15,262.48,850.66,27
RC,0272,KT PRSS MON W TRANSD NEO,349.0,279.2,96.92,314.1,27
RC,0272,KT PT CARE PRONEVIEW WILSON,230.28,184.23,63.95,207.25,27
RC,0272,KT PUMP IMPEL RP*DISC 6332452*,60000.0,48000.0,16662.0,54000.0,27
RC,0272,KT PUMP TANDEMLIFE VEN24 ART15,39600.0,31680.0,10996.92,35640.0,27
RC,0272,KT PUMP TANDEMLIFE VEN24 ART17,39600.0,31680.0,10996.92,35640.0,27
RC,0272,KT REAMER PLATE SHARPS STAPLE,1352.4,1081.92,375.56,1217.16,27
RC,0272,KT REPL VDR4 PHASITRON,517.5,414.0,143.71,465.75,27
RC,0272,KT RETR SCREW REDDICK SAYE,2246.33,1797.07,623.81,2021.7,27
RC,0272,KT RETRV SNARE DUAL SHEATH,1890.0,1512.0,524.85,1701.0,27
RC,0272,KT REV INST INTERSTIM,1659.0,1327.2,460.7,1493.1,27
RC,0272,KT SCAN PLAN MAZOR X DISP,4200.0,3360.0,1166.34,3780.0,27
RC,0272,KT SCP KNEE W ACCUPORT*NLU*,8255.0,6604.0,2292.41,7429.5,27
RC,0272,KT SCREW INSRT FASTTHREAD1.1MM,569.25,455.4,158.08,512.33,27
RC,0272,KT SGL TRANSD ICN 12IN,349.0,279.2,96.92,314.1,27
RC,0272,KT SGL TRANSD VAMP 84IN,459.41,367.53,127.58,413.47,27
RC,0272,KT SGL VIAL SPY ELITE,2325.64,1860.52,645.83,2093.08,27
RC,0272,KT SHEATH HF NANONDLE 3.4OD125,517.5,414.0,143.71,465.75,27
RC,0272,KT SHEATH INTR PERC ARROW 6FR,210.45,168.36,58.44,189.41,27
RC,0272,KT SHEATH INTR S*DISC 6191239*,207.4,165.92,57.59,186.66,27
RC,0272,KT SHEATH NANONDLE 2.4OD 125MM,569.25,455.4,158.08,512.33,27
RC,0272,KT SHLDR PASTA REPAIR,3649.8,2919.84,1013.55,3284.82,27
RC,0272,KT SHLDR ST GD DRILL OBTR1.8MM,866.25,693.0,240.56,779.63,27
RC,0272,KT SIGMOID LT BIOS DISP,408.0,326.4,113.3,367.2,27
RC,0272,KT SIGMOID LT CUST BIOS D*NLU*,432.0,345.6,119.97,388.8,27
RC,0272,KT SLV GASTRO CA*DISC 6319596*,832.05,665.64,231.06,748.85,27
RC,0272,KT SLV GASTRO CALIB BULB 40FR,935.82,748.66,259.88,842.24,27
RC,0272,KT SLV GASTRO CALIB STD 40FR,922.5,738.0,256.18,830.25,27
RC,0272,KT SM PARTS MICRO-COAX 0.9MM,267.12,213.7,74.18,240.41,27
RC,0272,KT SPEAR OBTR 2.6MM DRILL DISP,965.25,772.2,268.05,868.73,27
RC,0272,KT SPINE MAZOR X DISP,3234.0,2587.2,898.08,2910.6,27
RC,0272,KT STYLET 0.012 50CM,558.0,446.4,154.96,502.2,27
RC,0272,KT STYLET STIFFER W CAP 5*NLU*,244.0,195.2,67.76,219.6,27
RC,0272,KT STYLET UNIV NO TOOL 52CM,271.13,216.91,75.29,244.02,27
RC,0272,KT STYLET UNIV NO TOOL 58CM,271.13,216.91,75.29,244.02,27
RC,0272,KT STYLET W STEERING CAP 50CM,244.0,195.2,67.76,219.6,27
RC,0272,KT STYLET W STEERING CAP 70CM,244.0,195.2,67.76,219.6,27
RC,0272,KT SUT PASS ELBOW UCL,3631.32,2905.06,1008.42,3268.19,27
RC,0272,KT SUT SAVER,238.88,191.11,66.34,214.99,27
RC,0272,KT SUT SM JOINT DISP ARTX,717.75,574.2,199.32,645.98,27
RC,0272,KT SWVLK SL DISP 3.5X8.5MM,1270.5,1016.4,352.82,1143.45,27
RC,0272,KT SYS UTERINE HEMORRHA CTR BS,3906.0,3124.8,1084.7,3515.4,27
RC,0272,KT T3 AMZ DISP,2079.0,1663.2,577.34,1871.1,27
RC,0272,KT TB ASPIR STROKE GOMCO 405,877.5,702.0,243.68,789.75,27
RC,0272,KT TB CHAMBER AIRSPIRAL AIRVO2,362.88,290.31,100.77,326.59,27
RC,0272,KT TB ET COBRA 3PLATE EMG DIR6,1638.0,1310.4,454.87,1474.2,27
RC,0272,KT TB ET COBRA 3PLATE EMG DIR7,1638.0,1310.4,454.87,1474.2,27
RC,0272,KT TB ET COBRA 3PLATE EMG DIR8,1638.0,1310.4,454.87,1474.2,27
RC,0272,KT TB ET COBRA 3PLATE EMG TPR6,1638.0,1310.4,454.87,1474.2,27
RC,0272,KT TB ET COBRA 3PLATE EMG TPR7,1638.0,1310.4,454.87,1474.2,27
RC,0272,KT TB ET COBRA 3PLATE EMG TPR8,1638.0,1310.4,454.87,1474.2,27
RC,0272,KT TB SELECTOR*NLU*,2070.43,1656.35,574.96,1863.39,27
RC,0272,KT TEMPLATE DRILL 15-30,401.76,321.41,111.57,361.58,27
RC,0272,KT TEMPLATE SENZAII IPG,558.0,446.4,154.96,502.2,27
RC,0272,KT THYROPLASTY MEASURE FEMALE,630.0,504.0,174.95,567.0,27
RC,0272,KT TOOL ELEVA PASSING SENZA,558.0,446.4,154.96,502.2,27
RC,0272,KT TORQUE WRENCH AND BOOT,297.0,237.6,82.48,267.3,27
RC,0272,KT TRACH FOME-CUF ADLT 6.0MM,402.34,321.88,111.73,362.11,27
RC,0272,KT TRACH FOME-CUF ADLT 8.0MM,402.34,321.88,111.73,362.11,27
RC,0272,KT TRACH PER-FIT REPLCUFF9.0MM,478.89,383.12,132.99,431.0,27
RC,0272,KT TRAJECTORY GD EXTL,4149.6,3319.68,1152.34,3734.64,27
RC,0272,KT TRAJECTORY GD INTRL,4149.6,3319.68,1152.34,3734.64,27
RC,0272,KT TRANSD PRSS MON TRUWAVE,322.6,258.08,89.59,290.34,27
RC,0272,KT TRANSTIB ACL W SAW BLADE,1113.75,891.0,309.29,1002.38,27
RC,0272,KT TRI TRANSD 3 LINES VAMP,988.79,791.04,274.59,889.91,27
RC,0272,KT TRI TRANSD 3LINES VAMP 84,1071.32,857.06,297.51,964.19,27
RC,0272,KT TRIMANO BEACH CHAIR,396.0,316.8,109.97,356.4,27
RC,0272,KT TRIMAX PREP 20MM,2357.75,1886.2,654.75,2121.98,27
RC,0272,KT TRIVEX RESECT*DISC 6341258*,2156.4,1725.12,598.83,1940.76,27
RC,0272,KT TRIVEX RESECT*DISC 6341259*,2011.8,1609.44,558.68,1810.62,27
RC,0272,KT TUOHY CONTIPLEXULT360 18GX2,206.24,165.0,57.27,185.62,27
RC,0272,KT TUOHY CONTIPLEXULT360 18GX4,225.88,180.71,62.73,203.29,27
RC,0272,KT TUOHY CONTIPLEXULT360 18GX6,235.7,188.56,65.45,212.13,27
RC,0272,KT VALV HEMO WATCHDOG 8FR,389.34,311.48,108.12,350.41,27
RC,0272,KT VAMP JR PRSS MON 48,297.0,237.6,82.48,267.3,27
RC,0272,KT VASC ACC BICAVAL 210CM*NLU*,652.5,522.0,181.2,587.25,27
RC,0272,KT VASC ACC OPUS MC3,675.0,540.0,187.45,607.5,27
RC,0272,KT VENTILATOR VDRPHASITRONDISP,877.5,702.0,243.68,789.75,27
RC,0272,KT WRENCH L HEX NO2/4/6,325.4,260.32,90.36,292.86,27
RC,0272,KT WRENCH TORQ,558.0,446.4,154.96,502.2,27
RC,0272,KTCHESTTBPLEURAG*DISC 6273894*,416.59,333.28,115.69,374.93,27
RC,0272,KTJETVE13G14G16G*DISC 6330713*,2159.96,1727.97,599.82,1943.96,27
RC,0272,KURZ CONN TI 0.5MM,1003.5,802.8,278.67,903.15,27
RC,0272,KURZ SIZER PARTIAL,190.32,152.26,52.85,171.29,27
RC,0272,KURZ SIZER TOTAL,190.32,152.26,52.85,171.29,27
RC,0272,KURZ VARIAC PART 0.2X1.75-4.5,2045.4,1636.32,568.01,1840.86,27
RC,0272,KURZ VARIAC TOTAL 0.2X3. 0-7.0,2045.4,1636.32,568.01,1840.86,27
RC,0272,KWIRE CALIB PIN SNAP OFF 1.35M,268.4,214.72,74.53,241.56,27
RC,0272,KWIRE REAMER SYS HAMMERTOE 8MM,1998.0,1598.4,554.84,1798.2,27
RC,0272,KWIRE REAMING SYS HAMMERTOE,1998.0,1598.4,554.84,1798.2,27
RC,0272,KYPHOPAK TRAY ADD FRACTU*NLU*,5600.0,4480.0,1555.12,5040.0,27
RC,0272,LAP ENDO RETR 10MM*CIP*,378.22,302.58,105.03,340.4,27
RC,0272,LARYN PULM KT OPT1 PROVOX SZ10,2631.71,2105.37,730.83,2368.54,27
RC,0272,LASER ABL FRS 0.018 21G 65CM,1327.2,1061.76,368.56,1194.48,27
RC,0272,LASER ABL FRS 0.035 21G 45CM,1134.0,907.2,314.91,1020.6,27
RC,0272,LASER ABL FRS 0.035 21G 90CM,1327.2,1061.76,368.56,1194.48,27
RC,0272,LASER FBR 180W GRNLIGHT,6440.0,5152.0,1788.39,5796.0,27
RC,0272,LASER FBR 200SER BALL TIP,1961.86,1569.49,544.81,1765.67,27
RC,0272,LASER FBR AURA XP KTP 0.4MM,1980.0,1584.0,549.85,1782.0,27
RC,0272,LASER FBR AURA XP KTP 0.6MM,1980.0,1584.0,549.85,1782.0,27
RC,0272,LASER FBR BALL TIP DISP150MCRN,2399.62,1919.7,666.37,2159.66,27
RC,0272,LASER FBR BALL TIP DISP200MCRN,2072.77,1658.22,575.61,1865.49,27
RC,0272,LASER FBR CO2 ENDURE REUSX5,1232.0,985.6,342.13,1108.8,27
RC,0272,LASER FBR CO2 OTOLASE ST*NLU*,589.68,471.75,163.75,530.71,27
RC,0272,LASER FBR FLAT T*DISC 6265243*,1601.46,1281.17,444.73,1441.31,27
RC,0272,LASER FBR FLAT TIP 273,1158.07,926.46,321.6,1042.26,27
RC,0272,LASER FBR FLAT TIP 365*NLU*,1107.54,886.04,307.56,996.79,27
RC,0272,LASER FBR FLAT TIP 550*NLU*,1441.31,1153.05,400.25,1297.18,27
RC,0272,LASER FBR FLAT TIP 940*NLU*,2045.74,1636.6,568.1,1841.17,27
RC,0272,LASER FBR FLEXIV*DISC 6192042*,2968.11,2374.49,824.24,2671.3,27
RC,0272,LASER FBR FLEXIV*DISC 6324392*,2012.76,1610.21,558.94,1811.48,27
RC,0272,LASER FBR FLEXIV*DISC 6332925*,2279.99,1824.0,633.15,2051.99,27
RC,0272,LASER FBR FLEXIVA ID 550 100W,2102.62,1682.1,583.9,1892.36,27
RC,0272,LASER FBR FLEXIVA PULSE ID 242,2187.22,1749.78,607.39,1968.5,27
RC,0272,LASER FBR FLEXIVA PULSE ID 550,2276.82,1821.46,632.27,2049.14,27
RC,0272,LASER FBR FLEXIVA PULSE ID 910,2964.0,2371.2,823.1,2667.6,27
RC,0272,LASER FBR HOLMIUM 1000,2268.0,1814.4,629.82,2041.2,27
RC,0272,LASER FBR HOLMIUM 1000*NLU*,2867.07,2293.66,796.19,2580.36,27
RC,0272,LASER FBR HOLMIUM 200,1167.6,934.08,324.24,1050.84,27
RC,0272,LASER FBR HOLMIUM 270,1012.5,810.0,281.17,911.25,27
RC,0272,LASER FBR HOLMIUM 400,1053.0,842.4,292.42,947.7,27
RC,0272,LASER FBR HOLMIUM 600,2298.42,1838.74,638.27,2068.58,27
RC,0272,LASER FBR KTP AC*DISC*,2466.0,1972.8,684.81,2219.4,27
RC,0272,LASER FBR KTP*NLU*,1890.0,1512.0,524.85,1701.0,27
RC,0272,LASER FBR SOLTIVE DISP 200MCRN,1986.68,1589.35,551.7,1788.01,27
RC,0272,LASER FBR SOLTIVE DISP 365MCRN,1643.25,1314.6,456.33,1478.93,27
RC,0272,LASER FBR SOLTIVE DISP 550MCRN,2201.65,1761.32,611.4,1981.49,27
RC,0272,LASER FBR SOLTIVE DISP 940MCRN,2541.09,2032.88,705.66,2286.98,27
RC,0272,LASER FBR SURG OPTICAL 200MCRN,1890.0,1512.0,524.85,1701.0,27
RC,0272,LASER FBR SURG QUSY 200MCRN,1848.0,1478.4,513.19,1663.2,27
RC,0272,LASER FBR SURG QUSY 365MCRN,1398.6,1118.88,388.39,1258.74,27
RC,0272,LASER FBR SURG QUSY 550MCRN,1764.0,1411.2,489.86,1587.6,27
RC,0272,LASER FBRFLEXIVI*DISC 6332926*,3136.51,2509.21,871.01,2822.86,27
RC,0272,LASER OPH ENDOPROBE STD ST 20G,739.35,591.48,205.32,665.42,27
RC,0272,LEAD BLANK SPNL STIM,244.0,195.2,67.76,219.6,27
RC,0272,LEAD CUTTER LLD SUPP,495.0,396.0,137.46,445.5,27
RC,0272,LEAD KT AVISTA MRI 56CM,4480.0,3584.0,1244.1,4032.0,27
RC,0272,LEAD TENDRIL STS IS1 65CM,1557.36,1245.89,432.48,1401.62,27
RC,0272,LEAD TMPR PACING*DISC NO REPL*,630.0,504.0,174.95,567.0,54
RC,0272,LENS MACULA RESIGHT 24X23X40MM,480.0,384.0,133.3,432.0,27
RC,0272,LIGATOR 6 SHOOTER 8.6-11MM,1188.6,950.88,330.07,1069.74,27
RC,0272,LIGATOR BAND SYS O'REGAN WOANO,396.9,317.52,110.22,357.21,27
RC,0272,LIGATOR MULTBAND SHORTSHOT 5X6,286.2,228.96,79.48,257.58,27
RC,0272,LIGATOR MULTIBAND MBL-6 9.5-13,1818.6,1454.88,505.03,1636.74,27
RC,0272,LNR CAST AQUC HIPSTER PEDS SZ2,580.46,464.37,161.19,522.41,27
RC,0272,LNR CAST AQUC HIPSTER PEDS SZ4,580.46,464.37,161.19,522.41,27
RC,0272,LNR CAST AQUC HIPSTER PEDS SZ6,652.46,521.97,181.19,587.21,27
RC,0272,LNR KNEE HLDR ALVARADO DISP,372.6,298.08,103.47,335.34,27
RC,0272,LNR REPL AFO RAPO GRY INFANT,235.77,188.62,65.47,212.19,27
RC,0272,LOAD SYS ENVE14F*DISC NO REPL*,1638.0,1310.4,454.87,1474.2,27
RC,0272,LOAD SYS EVOLUTPRO+ 23/26/29MM,1638.0,1310.4,454.87,1474.2,27
RC,0272,LOAD SYS EVOLUTPRO+ 34MM,1638.0,1310.4,454.87,1474.2,27
RC,0272,LOOP CUT CMAX STER,642.6,514.08,178.45,578.34,27
RC,0272,LOOP RETRACT-O-TAPE18G0.049X12,234.42,187.54,65.1,210.98,27
RC,0272,LT PIPE STRY STER,947.25,757.8,263.05,852.53,27
RC,0272,LT SURG DUAL ST TIPSCINTILLANT,2181.6,1745.28,605.83,1963.44,27
RC,0272,LT SURG MIS SYS FBR OPTIC STER,1980.0,1584.0,549.85,1782.0,27
RC,0272,LUBE VPRSLIDE DIAMONDBACK 360,405.0,324.0,112.47,364.5,27
RC,0272,MAGNET DBS SYS PT CTRL,432.0,345.6,119.97,388.8,27
RC,0272,MAGNET FORE18G*DISC NO REPL*,395.76,316.61,109.9,356.18,27
RC,0272,MAGNET STIM PT MANUAL INFINITY,432.0,345.6,119.97,388.8,27
RC,0272,MANIP DELINEATOR CUP PLST2.5CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP PLST3.0CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP PLST3.5CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP PLST4.0CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP SOFT3.0CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP SOFT3.5CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP SOFT4.0CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP SS 3.0CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP SS 3.5CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP DELINEATOR CUP SS 4.0CM,577.49,462.0,160.37,519.74,27
RC,0272,MANIP INJ UTERINE HUMI 5MM,273.46,218.77,75.94,246.11,27
RC,0272,MANIP INJ UTERINE ZUMI 4.5MM,229.97,183.98,63.86,206.97,27
RC,0272,MANIP UTERINE RUMI II BLU 8CM,297.0,237.6,82.48,267.3,27
RC,0272,MANIP UTERINE RUMI II GRN 10CM,297.0,237.6,82.48,267.3,27
RC,0272,MANIP UTERINE RUMI II WHT 6CM,297.0,237.6,82.48,267.3,27
RC,0272,MANIP UTERINE V-CARE PLUS LG,379.03,303.23,105.26,341.13,27
RC,0272,MANIP UTERINE V-CARE PLUS MD,379.03,303.23,105.26,341.13,27
RC,0272,MANIP UTERINE V-CARE PLUS SM,379.03,303.23,105.26,341.13,27
RC,0272,MANIP UTERINE V-CARE PLUS XL,379.03,303.23,105.26,341.13,27
RC,0272,MANOMETER AG CUFFILL CUFF 10CC,217.71,174.17,60.46,195.94,27
RC,0272,MARKER GI SPOT EX ENDO TATTOO,231.8,185.44,64.37,208.62,27
RC,0272,MARKER PASSIVE EXCELSIUS,456.0,364.8,126.63,410.4,27
RC,0272,MARKER RFLCT SNAP-ON SPHERZ,420.0,336.0,116.63,378.0,27
RC,0272,MARKER ROB SURVEIL PERC PIN MD,1890.0,1512.0,524.85,1701.0,27
RC,0272,MARKER ROB SURVEIL PERC PINLNG,1890.0,1512.0,524.85,1701.0,27
RC,0272,MARKER ROB SURVEIL PERCPI*NLU*,1890.0,1512.0,524.85,1701.0,27
RC,0272,MARKER SUREMARK WIRE 0.4MM,292.8,234.24,81.31,263.52,27
RC,0272,MASK ANES NITROSEAL YTH MD,240.95,192.76,66.91,216.86,27
RC,0272,MASK ANES W CIRCUIT ADLT SM,240.95,192.76,66.91,216.86,27
RC,0272,MASK CPAP O2MAX W NEB 3SET MD,251.32,201.06,69.79,226.19,27
RC,0272,MASK CPAP PERFORMAX SE 2XS,279.14,223.32,77.52,251.23,27
RC,0272,MASK CPAP PERFORMAX SE XS,279.14,223.32,77.52,251.23,27
RC,0272,MASK CPAP PERFORMAX STD XL,299.63,239.71,83.21,269.67,27
RC,0272,MASK CPAP WISP W HDGEAR PEDS,426.48,341.19,118.43,383.83,27
RC,0272,MAT PTTRANSMOBILE*VAT 6285623*,396.0,316.8,109.97,356.4,27
RC,0272,MICROBIOTA FECAL250*VAT MULT*,4746.0,3796.8,1317.96,4271.4,27
RC,0272,MICROCATH CARAVEL2.6FR70X135CM,1785.0,1428.0,495.69,1606.5,27
RC,0272,MICROCATH CARAVEL2.6FR70X150CM,1785.0,1428.0,495.69,1606.5,27
RC,0272,MICROCATH CORSIARPRO2.8FR135CM,2720.0,2176.0,755.34,2448.0,27
RC,0272,MICROCATH CORSIARPRO2.8FR150CM,2720.0,2176.0,755.34,2448.0,27
RC,0272,MICROCATH PX SLIM 130D,2828.8,2263.04,785.56,2545.92,27
RC,0272,MICROCATH TRUSELECT ST 130CM,2720.0,2176.0,755.34,2448.0,27
RC,0272,MICROINTR COAX STIFF 5FR,284.26,227.41,78.94,255.83,27
RC,0272,MILL BONE 5NOTCH SECURE-C,832.5,666.0,231.19,749.25,27
RC,0272,MILL BONE 5NOTCH*DISC 6339801*,832.5,666.0,231.19,749.25,27
RC,0272,MILL BONE PARTIC*DISC 6336172*,1847.03,1477.63,512.92,1662.33,27
RC,0272,MILL SURG BONE DUAL BLADE DISP,1395.32,1116.26,387.48,1255.79,27
RC,0272,MIRROR LARYNGEAL STER SZ2,185.14,148.12,51.41,166.63,27
RC,0272,MIRROR LARYNGEAL STER SZ3,189.41,151.53,52.6,170.47,27
RC,0272,MIRROR LARYNGEAL STER SZ5,183.24,146.6,50.89,164.92,27
RC,0272,MIX KT BONE CMNT BIOPREP MD,597.02,477.62,165.79,537.32,27
RC,0272,MIX SYS BONE CMNT CNCLS TIBTIP,474.3,379.44,131.71,426.87,27
RC,0272,MIXER BONE CMNT AFFIRM W TRANS,832.5,666.0,231.19,749.25,27
RC,0272,MIXER BONE CMNT KYPHON,351.0,280.8,97.47,315.9,27
RC,0272,MIXER BONE CMNT MIXEVAC III,278.1,222.48,77.23,250.29,27
RC,0272,MIXER BONE CMNT MIXEVACIIICA10,271.45,217.16,75.38,244.31,27
RC,0272,MIXER BONE CMNT REVOLUTION,439.78,351.83,122.13,395.8,27
RC,0272,MODEL ANATOM MAND ACRYL CHILD,1907.46,1525.97,529.7,1716.71,27
RC,0272,MODEL ANATOM MAND CL,2149.91,1719.93,597.03,1934.92,27
RC,0272,MODEL ANATOM MAND ORB CL,3752.92,3002.34,1042.19,3377.63,27
RC,0272,MODEL ANATOM MAND ORBACRYCHILD,3370.85,2696.68,936.09,3033.77,27
RC,0272,MODEL ANATOM MAXILLA ORBIT CL,3276.0,2620.8,909.75,2948.4,27
RC,0272,MODEL ANATOM PLANNED MAND CL,2149.91,1719.93,597.03,1934.92,27
RC,0272,MODEL CRANI FULL IPS CUST,2624.74,2099.8,728.89,2362.27,27
RC,0272,MODEL CRANI HALF IPS CUST,1285.92,1028.74,357.1,1157.33,27
RC,0272,MODEL CRANI MARKING GD STD,6690.0,5352.0,1857.81,6021.0,27
RC,0272,MODEL CRANI MAXILLA IPS CLASC,4141.92,3313.54,1150.21,3727.73,27
RC,0272,MODEL CRANI MAXILLA IPS CUST,4279.76,3423.81,1188.49,3851.78,27
RC,0272,MODEL CRANI PLANNING LP CUST,2998.51,2398.81,832.69,2698.66,27
RC,0272,MODEL CRANIUM MA*DISC 6333367*,4495.0,3596.0,1248.26,4045.5,27
RC,0272,MODEL FULL SKULL*DISC 6333349*,1995.0,1596.0,554.01,1795.5,27
RC,0272,MODEL HALF MAXIL*DISC 6333348*,995.0,796.0,276.31,895.5,27
RC,0272,MODEL IPS HALF PA 00132,3848.26,3078.61,1068.66,3463.43,27
RC,0272,MODEL MAND CRYST*DISC 6333369*,2295.0,1836.0,637.32,2065.5,27
RC,0272,MODEL MAND CRYSTAL IPS CUST,2213.2,1770.56,614.61,1991.88,27
RC,0272,MODEL MAND CUST*NLU*,1995.0,1596.0,554.01,1795.5,27
RC,0272,MODEL MAND FULL IPS CUST,2754.24,2203.4,764.85,2478.82,27
RC,0272,MODEL MAND IPS F*DISC 6333366*,2261.0,1808.8,627.88,2034.9,27
RC,0272,MODEL MAND MAXILLA IPS CUST,4772.89,3818.32,1325.43,4295.6,27
RC,0272,MODEL ORB IPS CLASC LP,5985.45,4788.36,1662.16,5386.91,27
RC,0272,MODEL PLANNED MAXILLA ORBIT CL,10623.2,8498.56,2950.06,9560.88,27
RC,0272,MODULE CUT BLU ENDO 12MM,1092.0,873.6,303.25,982.8,27
RC,0272,MODULE CUT BLUE ENDO 15MM,1092.0,873.6,303.25,982.8,27
RC,0272,MODULE CUT BLUE ENDO 20MM,1092.0,873.6,303.25,982.8,27
RC,0272,MODULE KT INTUB PEDS BLU,265.35,212.28,73.69,238.82,27
RC,0272,MODULE KT INTUB PEDS GRN,280.6,224.48,77.92,252.54,27
RC,0272,MODULE KT INTUB PEDS ORG,265.35,212.28,73.69,238.82,27
RC,0272,MODULE KT INTUB PEDS PNK,275.4,220.32,76.48,247.86,27
RC,0272,MODULE KT INTUB PEDS PUR,265.35,212.28,73.69,238.82,27
RC,0272,MODULE KT INTUB PEDS WHT,265.35,212.28,73.69,238.82,27
RC,0272,MODULE KT INTUB PEDS YEL,280.6,224.48,77.92,252.54,27
RC,0272,MODULE VALV UNIV BLUE ENDO,1239.0,991.2,344.07,1115.1,27
RC,0272,MOLD BONE BEAD OSTEOSET 7MM,1326.53,1061.23,368.38,1193.88,27
RC,0272,MOLD COPOLYMER PPMAT5/32 32X48,219.97,175.98,61.09,197.97,27
RC,0272,MOLD PETG VIVAK 3/16 CL 24X48,286.85,229.48,79.66,258.17,27
RC,0272,MOLLRING CUTTER *DISC NO REPL*,6679.4,5343.52,1854.87,6011.46,27
RC,0272,MOLLRING CUTTER 7MM*OBS*,6679.4,5343.52,1854.87,6011.46,27
RC,0272,MOLLRING CUTTER 8MM*OBS*,6679.4,5343.52,1854.87,6011.46,27
RC,0272,MOLLRING CUTTER 9MM*OBS*,6679.4,5343.52,1854.87,6011.46,27
RC,0272,MON EMG NEURO NVM5,3735.2,2988.16,1037.27,3361.68,27
RC,0272,MTX DUREPAIR DURA REGEN 1X3,2104.2,1683.36,584.34,1893.78,27
RC,0272,NANOGRSPR ST TIP DISP 130MM,1113.0,890.4,309.08,1001.7,27
RC,0272,NDLE ASPIR SL OVASTIFF 17G60CM,282.92,226.34,78.57,254.63,27
RC,0272,NDLE ASPIR SL OVUM 17G 35CM,214.72,171.78,59.63,193.25,27
RC,0272,NDLE ATTA CDLE STARBURST*DISC*,12285.0,9828.0,3411.54,11056.5,27
RC,0272,NDLE BONE FILLER PREMIERAFFIRM,1872.0,1497.6,519.85,1684.8,27
RC,0272,NDLE BONE MARW MULT HL11G*NLU*,751.5,601.2,208.69,676.35,27
RC,0272,NDLE BONE MARW SGL HL 11G 15CM,455.76,364.61,126.56,410.18,27
RC,0272,NDLE BONE MARW SIDE HL 11GX4IN,231.8,185.44,64.37,208.62,27
RC,0272,NDLE BONE MARW SIDE HL 13GX4IN,231.8,185.44,64.37,208.62,27
RC,0272,NDLE BONE MARW SIDE HL11GX11CM,455.76,364.61,126.56,410.18,27
RC,0272,NDLE BX ACHIEVE 14GX11CM,230.21,184.17,63.93,207.19,27
RC,0272,NDLE BX ACHIEVE 18GX20CM,230.21,184.17,63.93,207.19,27
RC,0272,NDLE BX ACHIEVE COAX 14GX11CM,300.91,240.73,83.56,270.82,27
RC,0272,NDLE BX ACHIEVE COAX 18GX15CM,273.62,218.9,75.98,246.26,27
RC,0272,NDLE BX ACHIEVE COAX 18GX20CM,273.62,218.9,75.98,246.26,27
RC,0272,NDLE BX BONE JAMSHIDI 13G 76MM,251.63,201.31,69.88,226.47,27
RC,0272,NDLE BX BONE MARW ARGO 13GX2.5,201.3,161.04,55.9,181.17,27
RC,0272,NDLE BX BONE MARW ARGO 13GX4,201.3,161.04,55.9,181.17,27
RC,0272,NDLE BX BONE SNARECOIL 11GX6,355.1,284.08,98.61,319.59,27
RC,0272,NDLE BX CHIBA ECHOTIP 21GX65.5,280.8,224.64,77.98,252.72,27
RC,0272,NDLE BX CRANI DISP 1.8X235MM,2041.2,1632.96,566.84,1837.08,27
RC,0272,NDLE BX CURAWAY 18GX25CM,237.9,190.32,66.06,214.11,27
RC,0272,NDLE BX EVOLUTION 20GX6CM,217.77,174.22,60.47,195.99,27
RC,0272,NDLE BX EVOLUTION COAX18GX15CM,286.42,229.14,79.54,257.78,27
RC,0272,NDLE BX EVOLUTION COAX20GX11CM,286.42,229.14,79.54,257.78,27
RC,0272,NDLE BX EVOLUTION COAX20GX15CM,286.42,229.14,79.54,257.78,27
RC,0272,NDLE BX GREENE 2*DISC 6111999*,207.4,165.92,57.59,186.66,27
RC,0272,NDLE BX ILLINOIS STERNALADJ15G,195.2,156.16,54.21,175.68,27
RC,0272,NDLE BX INJETAK 4.8FR 70CM,441.6,353.28,122.63,397.44,27
RC,0272,NDLE BX INTR GREENE 22GX15CM,279.72,223.78,77.68,251.75,27
RC,0272,NDLE BX ION FLEXISION ROB 19G,1125.0,900.0,312.41,1012.5,27
RC,0272,NDLE BX ION FLEXISION ROB 21G,1125.0,900.0,312.41,1012.5,27
RC,0272,NDLE BX ION FLEXISION ROB 23G,1125.0,900.0,312.41,1012.5,27
RC,0272,NDLE BX JAMSHIDI VIPER11G*NLU*,1066.5,853.2,296.17,959.85,27
RC,0272,NDLE BX LITE-Y BEV TIP,268.4,214.72,74.53,241.56,27
RC,0272,NDLE BX LIVER ACC 18G 60CM,1583.36,1266.69,439.7,1425.02,27
RC,0272,NDLE BX MARQUEE 14G 10CM,319.3,255.44,88.67,287.37,27
RC,0272,NDLE BX MARQUEE 14G 16CM,376.38,301.11,104.52,338.74,27
RC,0272,NDLE BX MAXCORE 14GX10CM,184.77,147.82,51.31,166.29,27
RC,0272,NDLE BX MAXCORE 14GX16CM,184.77,147.82,51.31,166.29,27
RC,0272,NDLE BX MAXCORE 16GX10CM,184.77,147.82,51.31,166.29,27
RC,0272,NDLE BX MAXCORE 16GX16CM,184.77,147.82,51.31,166.29,27
RC,0272,NDLE BX MURPHY COAX 11GX10CM,517.5,414.0,143.71,465.75,27
RC,0272,NDLE BX MURPHY COAX 11GX15CM,517.5,414.0,143.71,465.75,27
RC,0272,NDLE BX MURPHY COAX 13GX10CM,517.5,414.0,143.71,465.75,27
RC,0272,NDLE BX MURPHY COAX 13GX15CM,517.5,414.0,143.71,465.75,27
RC,0272,NDLE BX NAVIGATED WIN 2.1X257M,3008.24,2406.6,835.39,2707.42,27
RC,0272,NDLE BX PASSIVE 0.22CM,2416.0,1932.8,670.92,2174.4,27
RC,0272,NDLE BX PROCORE HD OLYM 22G4.1,1188.6,950.88,330.07,1069.74,27
RC,0272,NDLE BX PROCORE HD OLYM 25G4.1,1188.6,950.88,330.07,1069.74,27
RC,0272,NDLE BX PROCORE HD PENX22G 4.1,1428.0,1142.4,396.56,1285.2,27
RC,0272,NDLE BX QK CORE 16GX15CM 20MM,228.75,183.0,63.52,205.88,27
RC,0272,NDLE BX QK CORECOAX18GX9CM20MM,278.26,222.61,77.27,250.43,27
RC,0272,NDLE BX QKCORECOAX UT20GX9CM20,271.46,217.17,75.38,244.31,27
RC,0272,NDLE BX QKCORECOAX18GX15CM20MM,271.46,217.17,75.38,244.31,27
RC,0272,NDLE BX QKCORECOAX18GX20CM20MM,271.46,217.17,75.38,244.31,27
RC,0272,NDLE BX QKCORECOAX20G15CMX10MM,271.46,217.17,75.38,244.31,27
RC,0272,NDLE BX QKCORECOAX20GX15CM20MM,271.46,217.17,75.38,244.31,27
RC,0272,NDLE BX QKCORECOAX20GX20CM20MM,271.46,217.17,75.38,244.31,27
RC,0272,NDLE BX STEREO TACTIC 12GX25CM,2170.8,1736.64,602.83,1953.72,27
RC,0272,NDLE BX SUPERDIMENSION 21G,675.0,540.0,187.45,607.5,27
RC,0272,NDLE BX TEMNO COAX 18GX15CM,304.88,243.91,84.67,274.39,27
RC,0272,NDLE BX TEMNO COAX 18GX20CM,304.88,243.91,84.67,274.39,27
RC,0272,NDLE BX TEMNO COAX 20GX11CM,304.88,243.91,84.67,274.39,27
RC,0272,NDLE BX TEMNO COAX 20GX15CM,304.88,243.91,84.67,274.39,27
RC,0272,NDLE BX TEMNO COAX ADJ20GX11CM,261.32,209.06,72.57,235.19,27
RC,0272,NDLE BX TEMNO COAX ADJ20GX15CM,261.32,209.06,72.57,235.19,27
RC,0272,NDLE BX TIGER JAMSHIDI 2.3MM,2340.0,1872.0,649.82,2106.0,27
RC,0272,NDLE BX TRAN21G*DISC NO REPL*,351.0,280.8,97.47,315.9,27
RC,0272,NDLE BX TRANSBRO*DISC NO REPL*,351.0,280.8,97.47,315.9,27
RC,0272,NDLE BX TRAY BONE SFTY16G1-7/8,189.34,151.48,52.58,170.41,27
RC,0272,NDLE BX TRAY SFTY11G4 16G1-7/8,289.6,231.68,80.42,260.64,27
RC,0272,NDLE CERCLAGE PASSING,470.25,376.2,130.59,423.23,27
RC,0272,NDLE DCOMP SPEAR 10GX3.75,288.47,230.78,80.11,259.62,27
RC,0272,NDLE DEFLUX 3.7 FR 23G 350MM,472.5,378.0,131.21,425.25,27
RC,0272,NDLE DEFLUX Q-MED*NLU*,336.53,269.23,93.45,302.88,27
RC,0272,NDLE DEL NORIAN ST 12GX10CM,470.88,376.71,130.76,423.79,27
RC,0272,NDLE DEL NORIAN ST 12GX7.5CM,470.88,376.71,130.76,423.79,27
RC,0272,NDLE DEL NORIAN ST 8GX10CM,470.88,376.71,130.76,423.79,27
RC,0272,NDLE EDD VRTX CURVD 28G 2.4MM,612.0,489.6,169.95,550.8,27
RC,0272,NDLE EDD VRTX ST 28G 2.4MM,522.0,417.6,144.96,469.8,27
RC,0272,NDLE ENDOPATH VERESS 120MM,341.44,273.16,94.82,307.3,27
RC,0272,NDLE ENDOPATH VERESS 150MM,353.38,282.71,98.13,318.04,27
RC,0272,NDLE EPDRL COUDE RX 14GX4,305.0,244.0,84.7,274.5,27
RC,0272,NDLE EPDRL COUDE RX-2 14GX4,405.0,324.0,112.47,364.5,27
RC,0272,NDLE EPIMED 15D A*USE 6304410*,244.0,195.2,67.76,219.6,27
RC,0272,NDLE EUS ACQUIRE FNB 19GX*NLU*,1980.0,1584.0,549.85,1782.0,27
RC,0272,NDLE EUS BEACON FNF PRELO*NLU*,1575.0,1260.0,437.38,1417.5,27
RC,0272,NDLE EUS ECHO-TI*DISC NO REPL*,778.5,622.8,216.19,700.65,27
RC,0272,NDLE FAST-FIX 360 RVRS CURV,1856.4,1485.12,515.52,1670.76,27
RC,0272,NDLE FIRSTPASS SUT CAPTURE,748.8,599.04,207.94,673.92,27
RC,0272,NDLE FLEXI OBTR PCH 15GX32CM,607.5,486.0,168.7,546.75,27
RC,0272,NDLE FLEXI SS OBTR 15GX32CM,481.5,385.2,133.71,433.35,27
RC,0272,NDLE FLEXIGUIDE 15.5GX25CM,302.56,242.05,84.02,272.3,27
RC,0272,NDLE FNA EBUS AREUS NITPULM22G,1129.8,903.84,313.75,1016.82,27
RC,0272,NDLE FNB DEL SYS SHARKCORE 22G,1806.0,1444.8,501.53,1625.4,27
RC,0272,NDLE FNB DEL SYS SHARKCORE 25G,1806.0,1444.8,501.53,1625.4,27
RC,0272,NDLE FNB EBUS ACQUIRE PULM 22G,1491.0,1192.8,414.05,1341.9,27
RC,0272,NDLE FNB EBUS ACQUIRE PULM 25G,1491.0,1192.8,414.05,1341.9,27
RC,0272,NDLE FNB EBUS ECHOTIP BALL 25G,1310.4,1048.32,363.9,1179.36,27
RC,0272,NDLE FNB EBUS ECHOTIP BEV 22G,1048.5,838.8,291.17,943.65,27
RC,0272,NDLE FNB EBUS ECHOTIP BEV 25G,1054.2,843.36,292.75,948.78,27
RC,0272,NDLE FNB EBUS PROCORE HD 22G,1789.2,1431.36,496.86,1610.28,27
RC,0272,NDLE FNB EBUS TRID NIT PULM22G,1213.8,971.04,337.07,1092.42,27
RC,0272,NDLE FNB EUS ACQUIRE 22GX2.4,1659.0,1327.2,460.7,1493.1,27
RC,0272,NDLE FNB EUS ACQUIRE 25GX2.4,1659.0,1327.2,460.7,1493.1,27
RC,0272,NDLE FNB EUS ACQUIRE S 22G,1708.77,1367.02,474.53,1537.89,27
RC,0272,NDLE FNB EUS ACQUIRE S 25G,1708.77,1367.02,474.53,1537.89,27
RC,0272,NDLE FNB EUS EXPECT FLEX 19G,1843.8,1475.04,512.02,1659.42,27
RC,0272,NDLE FNB EUS EXPECT SL 19G,945.0,756.0,262.43,850.5,27
RC,0272,NDLE FNB EUS EXPECT SL 22G,945.0,756.0,262.43,850.5,27
RC,0272,NDLE FNB EUS EXPECT SL 25G,945.0,756.0,262.43,850.5,27
RC,0272,NDLE FNB EUS EXPECT SL FLEX19G,1843.8,1475.04,512.02,1659.42,27
RC,0272,NDLE FNB EUS EXPECT STD 22G,945.0,756.0,262.43,850.5,27
RC,0272,NDLE FNB EUS EXPECT STD 25G,945.0,756.0,262.43,850.5,27
RC,0272,NDLE FNB EUS SYS SHARKCORE 19G,2394.0,1915.2,664.81,2154.6,27
RC,0272,NDLE FNB SHARKCORE 22G,1260.0,1008.0,349.9,1134.0,27
RC,0272,NDLE FNB SHARKCORE 25G,1260.0,1008.0,349.9,1134.0,27
RC,0272,NDLE FNB SHARKCORE NIT 19G,1957.2,1565.76,543.51,1761.48,27
RC,0272,NDLE FORAMEN AXON LNG,368.02,294.42,102.2,331.22,27
RC,0272,NDLE INJ BONEE BLADDER,275.4,220.32,76.48,247.86,27
RC,0272,NDLE INJ CYSTO BLADDER 27GX4MM,315.95,252.76,87.74,284.36,27
RC,0272,NDLE INJ MIDDLE BEV 26GX5MM,269.68,215.75,74.89,242.71,27
RC,0272,NDLE INSRT SPNL STIM 4IN,558.0,446.4,154.96,502.2,27
RC,0272,NDLE INTERST*DISC 6315877*,244.0,195.2,67.76,219.6,27
RC,0272,NDLE INTERSTIM FORAMEN 20GX5,324.0,259.2,89.97,291.6,27
RC,0272,NDLE INTR BONE CMNT BEV 10GX5,500.85,400.68,139.09,450.77,27
RC,0272,NDLE INTR MATCH GRND 13G,334.8,267.84,92.97,301.32,27
RC,0272,NDLE INTR MATCH GRND 14G,303.97,243.18,84.41,273.57,27
RC,0272,NDLE IO BIOPLASTY KT FT ANK,2376.0,1900.8,659.82,2138.4,27
RC,0272,NDLE IO EZ-IO 15G 25MM,614.7,491.76,170.7,553.23,27
RC,0272,NDLE IO STBL EZ-IO 15G 45MM,614.7,491.76,170.7,553.23,27
RC,0272,NDLE IO STBL KT EZ-IO 15G 15MM,632.7,506.16,175.7,569.43,27
RC,0272,NDLE IO STBL KT EZ-IO 15G 25MM,632.7,506.16,175.7,569.43,27
RC,0272,NDLE IO STBL KT EZ-IO 15G 45MM,632.7,506.16,175.7,569.43,27
RC,0272,NDLE IO STBL KT W EXT 45MM,1082.25,865.8,300.54,974.03,27
RC,0272,NDLE IO TROC 16G 30MM,277.51,222.01,77.06,249.76,27
RC,0272,NDLE IO TROC 18G 40MM,277.51,222.01,77.06,249.76,27
RC,0272,NDLE KT OBTR STER BLU 8G 10IN,369.6,295.68,102.64,332.64,27
RC,0272,NDLE KWIC JAMSHIDI STRYKER,1210.15,968.12,336.06,1089.14,27
RC,0272,NDLE NIM BLNT PEDICLE ACC XPAK,3220.0,2576.0,894.19,2898.0,27
RC,0272,NDLE NIM NAV TROC PEDICLE ACC,1890.0,1512.0,524.85,1701.0,27
RC,0272,NDLE NIM PEDICLE ACC,2640.0,2112.0,733.13,2376.0,27
RC,0272,NDLE OPEN LOOP GRASPER GRANEE,291.6,233.28,80.98,262.44,27
RC,0272,NDLE PK BX EVEREST SHRT,1982.4,1585.92,550.51,1784.16,27
RC,0272,NDLE RF ABL STARBURST*DISC*,12285.0,9828.0,3411.54,11056.5,27
RC,0272,NDLE RF STARB*DISC NO REPLC*,666.0,532.8,184.95,599.4,27
RC,0272,NDLE SCLERO CL 2.3MM 23G,195.2,156.16,54.21,175.68,27
RC,0272,NDLE SCLERO CL 2.3MM 25G 240CM,195.2,156.16,54.21,175.68,27
RC,0272,NDLE SCLERO CNTRST 1.8MM,195.2,156.16,54.21,175.68,27
RC,0272,NDLE SCLERO CNTRST 1.8MM 25G,195.2,156.16,54.21,175.68,27
RC,0272,NDLE SCLERO CNTRST 2.3MM 23G,195.2,156.16,54.21,175.68,27
RC,0272,NDLE SCLERO CNTRST 2.3MM 25G,195.2,156.16,54.21,175.68,27
RC,0272,NDLE SCORPION HD MEGALOADER,965.25,772.2,268.05,868.73,27
RC,0272,NDLE SCORPION KNEE,965.25,772.2,268.05,868.73,27
RC,0272,NDLE SCORPION MULTFIRE,841.5,673.2,233.68,757.35,27
RC,0272,NDLE SCORPION SUREFIRE,693.0,554.4,192.45,623.7,27
RC,0272,NDLE SPNL HEMO 18G*NLU*,305.0,244.0,84.7,274.5,27
RC,0272,NDLE SPNL INJ MARINER,495.0,396.0,137.46,445.5,27
RC,0272,NDLE SPNL INSRT ST 13CM,480.0,384.0,133.3,432.0,27
RC,0272,NDLE SPNL INSRT ST 17CM,480.0,384.0,133.3,432.0,27
RC,0272,NDLE SPNL MDTR 16GX3.6,244.0,195.2,67.76,219.6,27
RC,0272,NDLE SPNL TUOHY CERELINK14GX90,787.5,630.0,218.69,708.75,27
RC,0272,NDLE SPNL TUOHY HUBER TIP 14G,569.61,455.69,158.18,512.65,27
RC,0272,NDLE SUT SHLDR EXPRESSEWIII,589.5,471.6,163.7,530.55,27
RC,0272,NDLE TBNA EBUS VIZISHOT 2 21G,1028.7,822.96,285.67,925.83,27
RC,0272,NDLE TBNA EBUS VIZISHOT 2 22G,1028.7,822.96,285.67,925.83,27
RC,0272,NDLE TBNA EBUS VIZISHOT 2 25G,1065.12,852.1,295.78,958.61,27
RC,0272,NDLE TBNA EBUS VIZISHOT 21G,537.3,429.84,149.21,483.57,27
RC,0272,NDLE TBNA EBUS VIZISHOT 22G,445.44,356.36,123.7,400.9,27
RC,0272,NDLE TBNA EUS EXPECT PULM 22G,1012.5,810.0,281.17,911.25,27
RC,0272,NDLE TBNA EUS EXPECT PULM 25G,1012.5,810.0,281.17,911.25,27
RC,0272,NDLE TBNA SMOOTHSHOT 21/19G,380.7,304.56,105.72,342.63,27
RC,0272,NDLE TRANSORAL RADIESSE16G25CM,351.0,280.8,97.47,315.9,27
RC,0272,NDLE TRANSORALRE*DISC 6148697*,432.0,345.6,119.97,388.8,27
RC,0272,NDLE TRNSPTL BRK 18G 71CM,841.5,673.2,233.68,757.35,27
RC,0272,NDLE TRNSPTL BRK 18G 98CM,972.0,777.6,269.92,874.8,27
RC,0272,NDLE TRNSPTL BRK XS 18G 71CM,841.5,673.2,233.68,757.35,27
RC,0272,NDLE TRNSPTL BRK XS 18G 9*NLU*,855.0,684.0,237.43,769.5,27
RC,0272,NDLE TRNSPTL BRK-1 18G 71CM,841.5,673.2,233.68,757.35,27
RC,0272,NDLE TRNSPTL BRK-1 18G 98CM,972.0,777.6,269.92,874.8,27
RC,0272,NDLE TRNSPTL BRK-1 XS 18G 71CM,841.5,673.2,233.68,757.35,27
RC,0272,NDLE TRNSPTL BRK-1 XS 18G 89CM,841.5,673.2,233.68,757.35,27
RC,0272,NDLE TRNSPTL BRK-1 XS 18G 98CM,972.0,777.6,269.92,874.8,27
RC,0272,NDLE TRNSPTL LNG 18G 89CM,841.5,673.2,233.68,757.35,27
RC,0272,NDLE TRNSPTL TSX*DISC NO REPL*,855.0,684.0,237.43,769.5,27
RC,0272,NDLE ULT CELIAC PLEXUS 20G,1289.4,1031.52,358.07,1160.46,27
RC,0272,NDLE UROPLASTY RIGID 18GX0.54,201.3,161.04,55.9,181.17,27
RC,0272,NDLE VERTEBROPLASTY 11G,270.65,216.52,75.16,243.59,27
RC,0272,NDLESIDEKICKRIGID21GX14.5*CIP*,286.85,229.48,79.66,258.17,27
RC,0272,NERVE LOCATOR VARI-STEM 3,299.05,239.24,83.05,269.15,27
RC,0272,NEUROPROBE SHIELD TUNGSTEN,818.1,654.48,227.19,736.29,27
RC,0272,NEUROPROTECT SYS*DISC 6344528*,9877.4,7901.92,2742.95,8889.66,27
RC,0272,NIPPER NAIL BRL DISP 5.5IN,191.48,153.19,53.17,172.33,27
RC,0272,NIPPER NAIL CNCV DISP 5.5IN,208.68,166.95,57.95,187.81,27
RC,0272,NLDE FNF EUS SYS BEACON 19G,2496.0,1996.8,693.14,2246.4,27
RC,0272,NUT EXTL FIX HEX SIXFIX TALL 6,213.5,170.8,59.29,192.15,27
RC,0272,NUT EXTL FIX SALVATION 10MM,200.69,160.56,55.73,180.62,27
RC,0272,NUT EXTL FIX SM*DISC NO REPL*,222.89,178.32,61.9,200.6,27
RC,0272,NUT EXTL FIX SPEED,714.15,571.32,198.32,642.74,27
RC,0272,NUT EXTL FIX SPINDLE LG,531.99,425.6,147.73,478.79,27
RC,0272,NUT EXTL FIX SQ,395.23,316.19,109.76,355.71,27
RC,0272,NUT FOR ATTACH SCREW INBONE II,648.0,518.4,179.95,583.2,27
RC,0272,NVGTN UNIT HIP LANTERN,4018.0,3214.4,1115.8,3616.2,27
RC,0272,NVGTN UNIT KNEE LANTERN,4018.0,3214.4,1115.8,3616.2,27
RC,0272,NVGTN UNIT KNEE LANTERN LSA,4018.0,3214.4,1115.8,3616.2,27
RC,0272,OBTR BLDLES DISP ROBXI LNG 8MM,192.15,153.72,53.36,172.94,27
RC,0272,OBTR BLDLES DISP ROBXI STD 8MM,192.15,153.72,53.36,172.94,27
RC,0272,OBTR BLDLESOPTICALDISPROB12MM,213.5,170.8,59.29,192.15,27
RC,0272,OBTR MORCELLATOR XCISE,2696.4,2157.12,748.79,2426.76,27
RC,0272,OBTR Y-KNOT FLEX BLNT,184.46,147.57,51.22,166.01,27
RC,0272,OCCL COLPO-PNEUMO,380.02,304.02,105.53,342.02,27
RC,0272,OCCL DUCT PDA AMPLZ II 3X4MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 3X6MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 4X4MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 4X6MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 5X4MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 5X6MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 6X4MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL DUCT PDA AMPLZ II 6X6MM,12720.0,10176.0,3532.34,11448.0,27
RC,0272,OCCL INTRL VESS DISP 3.00MM,329.99,264.0,91.64,296.99,27
RC,0272,OCCL VASC DISP 1.00MM,439.49,351.6,122.05,395.54,27
RC,0272,OCCL VASC DISP 1.50MM,439.49,351.6,122.05,395.54,27
RC,0272,OCCL VASC DISP 2.00MM,439.49,351.6,122.05,395.54,27
RC,0272,OSTEO AEQ FLEX REVIVE 4X1.5MM,1268.4,1014.72,352.23,1141.56,27
RC,0272,OSTEO AEQ FLEX REVIVE 4X3.0MM,1268.4,1014.72,352.23,1141.56,27
RC,0272,OSTEO AEQ FLEX REVIVE 4X5.0MM,1268.4,1014.72,352.23,1141.56,27
RC,0272,OSTEO FLAP REPAIRMULTISHOTSTER,891.0,712.8,247.43,801.9,27
RC,0272,OSTEO HOOKED 7MM DISP,1882.8,1506.24,522.85,1694.52,27
RC,0272,OSTEO LAT CURVD JJ SZ22,14215.2,11372.16,3947.56,12793.68,27
RC,0272,OSTEO MEDL ST JJ SZ20,14215.2,11372.16,3947.56,12793.68,27
RC,0272,OSTEO MRI DIS10MM*DUP 6332034*,1035.0,828.0,287.42,931.5,27
RC,0272,OSTEO MRI DISP SS LNG 10MM,495.0,396.0,137.46,445.5,27
RC,0272,OSTEO MRI DISP SS LNG 8MM,495.0,396.0,137.46,445.5,27
RC,0272,OSTEO MRI DISP SS SHRT 10MM,495.0,396.0,137.46,445.5,27
RC,0272,OSTEO MRI DISP SS SHRT 12MM,495.0,396.0,137.46,445.5,27
RC,0272,OSTEO MRI DISP SS SHRT 8MM,495.0,396.0,137.46,445.5,27
RC,0272,OSTEO MRI DISP8MM*DUP 6330971*,1035.0,828.0,287.42,931.5,27
RC,0272,OSTEO RAD 10X127MM,2039.31,1631.45,566.32,1835.38,27
RC,0272,OSTEO RAD 12X127MM,2039.31,1631.45,566.32,1835.38,27
RC,0272,OSTEO RAD 14X127MM,2039.31,1631.45,566.32,1835.38,27
RC,0272,OSTEO RAD 16X127MM,2039.31,1631.45,566.32,1835.38,27
RC,0272,OSTEO RAD 18X127MM,1268.4,1014.72,352.23,1141.56,27
RC,0272,OSTEO RAD 20X127MM,2039.31,1631.45,566.32,1835.38,27
RC,0272,OSTEO SHRT ULTDRV3 9.5MM,2125.8,1700.64,590.33,1913.22,27
RC,0272,OSTEO SQUARE 7MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,OSTEO THIN 10MMX3IN,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN 10MMX5IN,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN 12MMX3IN,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN 20MMX3IN,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN 8MMX3IN,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN 8MMX5IN,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN CURV 12MM,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO THIN CURV 20MM,1171.8,937.44,325.41,1054.62,27
RC,0272,OSTEO TRPL EDGE REL TRITOME,2079.0,1663.2,577.34,1871.1,27
RC,0272,OVERSTITCH ENDO S*USE 6249693*,3093.34,2474.68,859.02,2784.01,27
RC,0272,OVERTUBE GARDUS 10-11.7MMX50CM,1012.5,810.0,281.17,911.25,27
RC,0272,OVERTUBE GARDUS 8.6-10MMX25CM,877.5,702.0,243.68,789.75,27
RC,0272,OXYGENATOR ART FLTR HARD SHELL,1251.6,1001.28,347.57,1126.44,27
RC,0272,OXYGENATOR INSPIRE 8LPM W FLTR,3065.55,2452.44,851.3,2759.0,27
RC,0272,P EXTL FIX PART THRD 3.2*DISC*,648.0,518.4,179.95,583.2,27
RC,0272,PAD COOLING ARCTICGEL 2XS CA2,3820.6,3056.48,1060.98,3438.54,27
RC,0272,PAD COOLING ARCTICGELUNIVSMCA4,1711.5,1369.2,475.28,1540.35,27
RC,0272,PAD GRND THERMOPAD BLU D*DISC*,1113.0,890.4,309.08,1001.7,27
RC,0272,PAD PERINEAL POST SUPINE ASPN,369.17,295.34,102.52,332.25,27
RC,0272,PAD THIGH FM STER SPIDER2,361.53,289.23,100.4,325.38,27
RC,0272,PASR CATH HOLLOW DISP 38CM,441.6,353.28,122.63,397.44,27
RC,0272,PASR CATH MALLEA LNG 55CM,568.62,454.9,157.91,511.76,27
RC,0272,PASR CATH MALLEA SHRT 36CM,480.11,384.09,133.33,432.1,27
RC,0272,PASR CATH MALLEA XLNG 65C*NLU*,533.39,426.72,148.12,480.05,27
RC,0272,PASR CATH SUBCUT DISP 38CM,654.35,523.48,181.71,588.92,27
RC,0272,PASR CERCLAGE ST DISP LG,1113.75,891.0,309.29,1002.38,27
RC,0272,PASR CERCLAGE TROCH ST DISP,1113.75,891.0,309.29,1002.38,27
RC,0272,PASR MICRO SUTLASSO ST,717.75,574.2,199.32,645.98,27
RC,0272,PASR SUT ACCU-PASS MONOFIL SZ1,228.75,183.0,63.52,205.88,27
RC,0272,PASR SUT CERCLAGE DISP ST MD,1113.75,891.0,309.29,1002.38,27
RC,0272,PASR SUT CHAMPION 25D LFT,2079.0,1663.2,577.34,1871.1,27
RC,0272,PASR SUT CHAMPION 25D RT,2079.0,1663.2,577.34,1871.1,27
RC,0272,PASR SUT CHAMPION 45D RT W NIT,2079.0,1663.2,577.34,1871.1,27
RC,0272,PASR SUT CHAMPION 90D ST W NIT,2079.0,1663.2,577.34,1871.1,27
RC,0272,PASR SUT CHAMPION 90D W NIT,2079.0,1663.2,577.34,1871.1,27
RC,0272,PASR SUT DISP SM SS,1155.0,924.0,320.74,1039.5,27
RC,0272,PASR SUT FIRSTPASS MINI CURVRT,1323.0,1058.4,367.4,1190.7,27
RC,0272,PASR SUT FIRSTPASS MINI ST,1093.93,875.15,303.78,984.54,27
RC,0272,PASR SUT FIRSTPASS MINICURVLFT,1323.0,1058.4,367.4,1190.7,27
RC,0272,PASR SUT FIRSTPASS SLF CAPTURE,868.23,694.59,241.11,781.41,27
RC,0272,PASR SUT KT UCL DISP ARTX,2446.4,1957.12,679.37,2201.76,27
RC,0272,PASR SUT MAGNET GEMINI CURV,1255.8,1004.64,348.74,1130.22,27
RC,0272,PASR SUT MGR NANOPASS 45D LFT,1436.36,1149.09,398.88,1292.72,27
RC,0272,PASR SUT MGR NANOPASS 45D RT,1436.36,1149.09,398.88,1292.72,27
RC,0272,PASR SUT MGR NANOPASS CRST,1276.8,1021.44,354.57,1149.12,27
RC,0272,PASR SUT NOVOSTITCH 2-0 MENISC,1834.56,1467.65,509.46,1651.1,27
RC,0272,PASR SUT QUICKPASS CRESCENT,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS CURV LFT 45,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS CURV LFT90D,1121.4,897.12,311.41,1009.26,27
RC,0272,PASR SUT QUICKPASS CURV RT 45D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS CURV RT 90D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS CURV ST 90D,1270.5,1016.4,352.82,1143.45,27
RC,0272,PASR SUT QUICKPASS LOPROLFT25D,780.48,624.39,216.74,702.43,27
RC,0272,PASR SUT QUICKPASS ST 30D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS ST 90D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS TIGHT 90D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS TIGHT RT25D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS TIGHTLFT25D,792.0,633.6,219.94,712.8,27
RC,0272,PASR SUT QUICKPASS WIRE LOOP,187.88,150.31,52.17,169.09,27
RC,0272,PASR SUT RETRV HEWSON,1394.4,1115.52,387.22,1254.96,27
RC,0272,PASR SUT RHAPSO CURV 7CM,895.5,716.4,248.68,805.95,27
RC,0272,PASR SUT RHAPSO ST 7CM,895.5,716.4,248.68,805.95,27
RC,0272,PASR SUT SUTLASSO SD CRESCENT,594.45,475.56,165.08,535.01,27
RC,0272,PASR SUT SWANSON,1190.7,952.56,330.66,1071.63,27
RC,0272,PASR SUTLASSO BANANA ARTX,643.5,514.8,178.7,579.15,27
RC,0272,PASR SUTLASSO MICRO ST,693.0,554.4,192.45,623.7,27
RC,0272,PASR SUTLASSO SD FBRSTK LFT25D,881.1,704.88,244.68,792.99,27
RC,0272,PASR SUTLASSO SD FBRSTK RT 25D,881.1,704.88,244.68,792.99,27
RC,0272,PASR SUTLASSO SD RT 45D,693.0,554.4,192.45,623.7,27
RC,0272,PASR SUTLASSO SD ST 90D,693.0,554.4,192.45,623.7,27
RC,0272,PASR SUTLASSO SD TIGHT RT 25D,693.0,554.4,192.45,623.7,27
RC,0272,PASR SUTLASSO SD WIRE LOOP,187.88,150.31,52.17,169.09,27
RC,0272,PCH TISS SURG LAPSAC 5X8,2022.3,1617.84,561.59,1820.07,27
RC,0272,PCTL PVA CONT 45-150MCRN BX2,810.0,648.0,224.94,729.0,27
RC,0272,PEDIGUARD CURV 2.5X55MM,5152.0,4121.6,1430.71,4636.8,27
RC,0272,PEG PULL KT ENFITCORFLOMAX16FR,548.55,438.84,152.33,493.7,27
RC,0272,PEG PULL KT ENFITSTDCORFLO20FR,432.48,345.99,120.1,389.23,27
RC,0272,PEG PULLKTENFITSFTYCORFLO20FR,488.93,391.15,135.78,440.04,27
RC,0272,PEN ABL CARDIOBLATE FT10 XL,3662.4,2929.92,1017.05,3296.16,27
RC,0272,PERFERATOR DRILL BONE FEN,862.88,690.31,239.62,776.59,27
RC,0272,PERFLURON PERFLOU*DUP 6167492*,2135.52,1708.42,593.03,1921.97,27
RC,0272,PERFORATOR BONE FEN,862.88,690.31,239.62,776.59,27
RC,0272,PERFORATOR CRANI ZYPHR 14/11MM,949.95,759.96,263.8,854.96,27
RC,0272,PERFORATOR MINI 11/7MM DGR-2,1117.2,893.76,310.25,1005.48,27
RC,0272,PERICARDCENT KT PIGT 6FR 60CM,457.88,366.31,127.15,412.09,27
RC,0272,PESSARY DONUT MILEX 3.00,276.75,221.4,76.85,249.08,27
RC,0272,PESSARY GELLHORN FLEXMILEX2.50,276.75,221.4,76.85,249.08,27
RC,0272,PESSARY KT D3.00*DISC 6330485*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT D3.25*DISC 6342922*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT RING *DISC 6287542*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT RING *DISC 6330483*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT RING *DISC 6342329*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT RING *DISC 6342330*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT RING *DISC 6342331*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY KT RING *DISC 6342332*,272.21,217.77,75.59,244.99,27
RC,0272,PESSARY RING KNOB SUPP SZ3,396.52,317.22,110.11,356.87,27
RC,0272,PESSARY RING SUPP FOLD4 2.75,276.75,221.4,76.85,249.08,27
RC,0272,PESSARY RING SUPP KNOBFOLD4.00,276.75,221.4,76.85,249.08,27
RC,0272,PESSARY RING SUPP MARI 3.25,280.6,224.48,77.92,252.54,27
RC,0272,PESSARY RING SUPP MEDL 2.50,220.21,176.17,61.15,198.19,27
RC,0272,PESSARY RING SUPP MEPR 3.25,305.0,244.0,84.7,274.5,27
RC,0272,PHACO TIP CURV 30D 20G,379.2,303.36,105.3,341.28,27
RC,0272,PHACO TIP KELMAN 30D 20GA,384.0,307.2,106.64,345.6,27
RC,0272,PHACO TIP ST 30D 20GA,495.0,396.0,137.46,445.5,27
RC,0272,PICC IV CANN STYLET 24G 20CM,878.99,703.2,244.1,791.09,27
RC,0272,PICC SL FIRST SI*VAT 6120724*,245.22,196.18,68.1,220.7,27
RC,0272,PICC SL TRAY PER-Q-CATH 3FR,278.21,222.57,77.26,250.39,27
RC,0272,PICC SL UWING PU 1.2FR 25CM,433.15,346.52,120.29,389.84,27
RC,0272,PIERCER CMNT TI OSCAR PRO180X6,2954.0,2363.2,820.33,2658.6,27
RC,0272,PIERCER CMNT TI OSCAR PRO270X8,2954.0,2363.2,820.33,2658.6,27
RC,0272,PIERCER CMNT TI OSCARPRO270X10,2954.0,2363.2,820.33,2658.6,27
RC,0272,PIK ILLUM ALCO W RFID 25G,1275.46,1020.37,354.2,1147.91,27
RC,0272,PIN ALIGNMENT SET TI STER,365.04,292.04,101.37,328.54,27
RC,0272,PIN BB-TAK MTP 3.0MM,297.0,237.6,82.48,267.3,27
RC,0272,PIN BTRS STARDR1.8X10MM,435.98,348.79,121.07,392.38,27
RC,0272,PIN BTRS STARDR1.8X12MM,435.98,348.79,121.07,392.38,27
RC,0272,PIN BTRS TI 1.8X16MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X18MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X20MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X22MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X24MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X26MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X28MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN BTRS TI 1.8X30MM,308.45,246.76,85.66,277.61,27
RC,0272,PIN CTR FOR REAMER 3.4-4.0MM,534.06,427.25,148.31,480.65,27
RC,0272,PIN CTR FOR REAMER 4.0-5.0MM,534.06,427.25,148.31,480.65,27
RC,0272,PIN DRILL ACL TR CLSD 4MM,618.75,495.0,171.83,556.88,27
RC,0272,PIN DRILL HDLSS TROC,367.2,293.76,101.97,330.48,27
RC,0272,PIN DRILL JOINT FEN UNITE2.5MM,1980.0,1584.0,549.85,1782.0,27
RC,0272,PIN DRILL TIP PASSING 2.4*NLU*,433.25,346.6,120.31,389.93,27
RC,0272,PIN EXTL FIX APEXSLFDR3X110X25,371.47,297.18,103.16,334.32,27
RC,0272,PIN EXTL FIX APEXSLFDR4X150X40,477.5,382.0,132.6,429.75,27
RC,0272,PIN EXTL FIX APEXSLFDR6X180X60,621.77,497.42,172.67,559.59,27
RC,0272,PIN EXTL FIX APEXSLFDR6X250X80,527.31,421.85,146.43,474.58,27
RC,0272,PIN EXTL FIX BLU LG 3X100X15MM,792.0,633.6,219.94,712.8,27
RC,0272,PIN EXTL FIX BLU LG 3X100X25MM,792.0,633.6,219.94,712.8,27
RC,0272,PIN EXTL FIX BLU LG 4X100X20MM,792.0,633.6,219.94,712.8,27
RC,0272,PIN EXTL FIX BLU LG 4X100X35MM,792.0,633.6,219.94,712.8,27
RC,0272,PIN EXTL FIX HALF 6X200X55MM,864.0,691.2,239.93,777.6,27
RC,0272,PIN EXTL FIX HALF BLNT5X30X215,1890.0,1512.0,524.85,1701.0,27
RC,0272,PIN EXTL FIX HALF TIN 5X35X180,729.9,583.92,202.69,656.91,27
RC,0272,PIN EXTL FIX HALFSALVATION5X25,1117.62,894.1,310.36,1005.86,27
RC,0272,PIN EXTL FIX HALFSALVATION5X30,1117.62,894.1,310.36,1005.86,27
RC,0272,PIN EXTL FIX HALFSLFDR120X35X5,592.92,474.34,164.65,533.63,27
RC,0272,PIN EXTL FIX HALFSLFDR150X40X5,511.61,409.29,142.07,460.45,27
RC,0272,PIN EXTL FIX ORG LG 5X200X45MM,864.0,691.2,239.93,777.6,27
RC,0272,PIN EXTL FIX ORG LG 5X200X65MM,864.0,691.2,239.93,777.6,27
RC,0272,PIN EXTL FIX ORG LG 5X200X85MM,864.0,691.2,239.93,777.6,27
RC,0272,PIN EXTL FIX SLFDR HA 5X150X40,695.25,556.2,193.07,625.73,27
RC,0272,PIN EXTL FIX SLFDR HA 5X180X50,695.25,556.2,193.07,625.73,27
RC,0272,PIN EXTL FIX THRD 50X5X150MM,592.92,474.34,164.65,533.63,27
RC,0272,PIN EXTL FIX THRD 50X5X180MM,511.61,409.29,142.07,460.45,27
RC,0272,PIN EXTL FIX THRD 60X5X180MM,592.92,474.34,164.65,533.63,27
RC,0272,PIN EXTL FIX THRD 60X5X200MM,511.61,409.29,142.07,460.45,27
RC,0272,PIN EXTL FIX THRD 70X5X250MM,592.92,474.34,164.65,533.63,27
RC,0272,PIN EXTL FIX TRANSFIX 3X200MM,585.05,468.04,162.47,526.55,27
RC,0272,PIN EXTL FIX TRANSFIX 5X250MM,550.94,440.76,153.0,495.85,27
RC,0272,PIN EXTL FIX YEL LG 5X160X35MM,864.0,691.2,239.93,777.6,27
RC,0272,PIN EXTL FIX YEL LG 5X160X55MM,864.0,691.2,239.93,777.6,27
RC,0272,PIN EXTL FIXAPEXHALF3/5X120X20,621.77,497.42,172.67,559.59,27
RC,0272,PIN EXTL FIXAPEXHALF4/5X150X40,621.77,497.42,172.67,559.59,27
RC,0272,PIN EXTL FIXTRANSFIX5/6X300X40,550.94,440.76,153.0,495.85,27
RC,0272,PIN FIX AMK DIA 1/8,294.81,235.85,81.87,265.33,27
RC,0272,PIN FIX ANCHORAGE,584.69,467.76,162.37,526.22,27
RC,0272,PIN FIX ANT THRD DEPU,268.4,214.72,74.53,241.56,27
RC,0272,PIN FIX SHRT HD 25MM,495.0,396.0,137.46,445.5,27
RC,0272,PIN FIX SLFDR CNCLS AO 4.5MM,684.0,547.2,189.95,615.6,27
RC,0272,PIN FIX SLFDR LATITUDE 3X55MM,460.8,368.64,127.96,414.72,27
RC,0272,PIN FIX THRD HDED 46MM,540.0,432.0,149.96,486.0,27
RC,0272,PIN FIX THRD HDLSS 65MM,540.0,432.0,149.96,486.0,27
RC,0272,PIN FIX TMPR SKY SMTH ST DEPU,268.4,214.72,74.53,241.56,27
RC,0272,PIN FIX TMPR SKY THRD DEPU,268.4,214.72,74.53,241.56,27
RC,0272,PIN HALO SET TI 3IN,21806.4,17445.12,6055.64,19625.76,27
RC,0272,PIN HNG DRILL AO CONN,504.45,403.56,140.09,454.01,27
RC,0272,PIN NTHRD BB-TAK 2.0MM,448.8,359.04,124.63,403.92,27
RC,0272,PIN PERC STER O ARM 100MM,1495.2,1196.16,415.22,1345.68,27
RC,0272,PIN PERC STER O ARM 150MM,1495.2,1196.16,415.22,1345.68,27
RC,0272,PIN PLATE HOLDING ZEVO,621.0,496.8,172.45,558.9,27
RC,0272,PIN PREC TPR 3.9X450MM,1063.86,851.09,295.43,957.47,27
RC,0272,PIN SCHANZ ARTX 5.0MM,1386.0,1108.8,384.89,1247.4,27
RC,0272,PIN SCHANZ W AO DISP 5X50MM,504.0,403.2,139.96,453.6,27
RC,0272,PIN SCRWDRVR QC-HEX XL25 12MM,1636.4,1309.12,454.43,1472.76,27
RC,0272,PIN SKULL DORO SS DISP BLKADLT,2311.2,1848.96,641.82,2080.08,27
RC,0272,PIN SKULL DORO SS DISP BLUADLT,195.69,156.56,54.34,176.12,27
RC,0272,PIN SKULL DORO SS DISP GRNPEDS,281.64,225.32,78.21,253.48,27
RC,0272,PIN SKULL DORO SS DISP YELPEDS,224.66,179.73,62.39,202.19,27
RC,0272,PIN SKULL MAYFIELD DISP ADLT,277.0,221.6,76.92,249.3,27
RC,0272,PIN SKULL MAYFIELD DISP CHILD,301.16,240.93,83.63,271.04,27
RC,0272,PIN STBL SECURE-C,432.0,345.6,119.97,388.8,27
RC,0272,PIN TEMP FIX CERV AVIATOR,682.2,545.76,189.45,613.98,27
RC,0272,PIN TRANSFIXATION 6.0 225MM,415.15,332.12,115.29,373.64,27
RC,0272,PK ABS INTREPID *DISC 6275591*,463.58,370.87,128.74,417.22,27
RC,0272,PK ACC VNS THERAPY CYB,2579.2,2063.36,716.24,2321.28,27
RC,0272,PK CARDIOPLEGIA *DISC 6325236*,562.5,450.0,156.21,506.25,27
RC,0272,PK CARDIOPLEGIA DEL NIDO CUST,562.5,450.0,156.21,506.25,27
RC,0272,PK CONSTELLATION FRAG TIP 20G,434.78,347.83,120.74,391.3,27
RC,0272,PK CONSTELLATION VCF,470.7,376.56,130.71,423.63,27
RC,0272,PK CUST BRIDGE BB9B33R3,189.1,151.28,52.51,170.19,27
RC,0272,PK CUST FUSN PEDS*NLU*,1843.2,1474.56,511.86,1658.88,27
RC,0272,PK DISP ROB FIREFLY FLRSCNT,921.74,737.4,255.97,829.57,27
RC,0272,PK EVH VASOVIEW ACC,488.93,391.15,135.78,440.04,27
RC,0272,PK FINGER MCP STRY COMMAND II,1376.97,1101.58,382.38,1239.27,27
RC,0272,PK GAS FILL AUTO PURGE OF SYR,505.17,404.14,140.29,454.65,27
RC,0272,PK INST EASYFUSE MID/HINDFOOT,1264.2,1011.36,351.07,1137.78,27
RC,0272,PK INST MENISC ROOT REPAIRDISP,2654.72,2123.78,737.22,2389.25,27
RC,0272,PK INST UNITY 25+ PSTRHYPERVIT,2992.83,2394.27,831.11,2693.55,27
RC,0272,PK KNEE ROSA ROB DISP*DISC*,2700.0,2160.0,749.79,2430.0,27
RC,0272,PK MIXER BONE CMNT 40G,585.0,468.0,162.45,526.5,27
RC,0272,PK MIXER BONE CMNT AFFIRM 3CC,432.0,345.6,119.97,388.8,27
RC,0272,PK PERC INST Y-KNOT FLEX 1.8,1333.63,1066.91,370.35,1200.27,27
RC,0272,PK PERC INST Y-KNOT FLEXY-G00X,646.43,517.15,179.51,581.79,27
RC,0272,PK PERFOMER CUST FA*NLU*,2646.4,2117.12,734.91,2381.76,27
RC,0272,PK PHACO CENTURION FMS ACTIVE,358.72,286.98,99.62,322.85,27
RC,0272,PK PIP BUR ASCENSION STRY DISP,1846.15,1476.92,512.68,1661.54,27
RC,0272,PK PRCD DYNACLIP 2LEGSTERUNIV,1575.0,1260.0,437.38,1417.5,27
RC,0272,PK PRCD DYNACLIP 4-LEGINLNDISP,1743.0,1394.4,484.03,1568.7,27
RC,0272,PK PRCD DYNACLIP STER UNIV,1999.2,1599.36,555.18,1799.28,27
RC,0272,PK PROC SCLERAL IOL FIX DISP,1125.0,900.0,312.41,1012.5,27
RC,0272,PK RFA CLSRFAST PRCD,274.5,219.6,76.23,247.05,27
RC,0272,PK STD UNITY 25+ HYPRVIT 30K,2992.83,2394.27,831.11,2693.55,27
RC,0272,PK SURG CUST FUS*DISC 6229813*,2601.6,2081.28,722.46,2341.44,27
RC,0272,PK SURG ECMO PEDS,1747.2,1397.76,485.2,1572.48,27
RC,0272,PK SURG NEURO BP+ILLUM 13.5X95,13704.0,10963.2,3805.6,12333.6,27
RC,0272,PK SURG PRFSN CU*DISC 6352203*,3004.8,2403.84,834.43,2704.32,27
RC,0272,PK SURG PRFSN CUST FA,3004.8,2403.84,834.43,2704.32,27
RC,0272,PK SURG PRFSN MDTR CUST FA,868.5,694.8,241.18,781.65,27
RC,0272,PK SURG TOTAL HIP CUST BM,1574.62,1259.7,437.27,1417.16,27
RC,0272,PK TB SOVEREIGN COMPACT DISP,305.0,244.0,84.7,274.5,27
RC,0272,PK VITRECTOMY CONSTELLATION25+,2850.3,2280.24,791.53,2565.27,27
RC,0272,PK VITRECTOMY TOTAL PLUS 20G,8049.6,6439.68,2235.37,7244.64,27
RC,0272,PK VITRECTOMY TOTAL PLUS 23G,2500.93,2000.75,694.51,2250.84,27
RC,0272,PKEXTLFIXWRISTFIXSTER*DISC*,6428.8,5143.04,1785.28,5785.92,27
RC,0272,PKNG NASAL NOVAPAK STD,1092.0,873.6,303.25,982.8,27
RC,0272,PKNG NASAL XEROGEL 4X2.4CM,716.09,572.88,198.86,644.48,27
RC,0272,PLATE EXTL FIX 5/8 RING 150MM,3558.74,2847.0,988.26,3202.87,27
RC,0272,PLATE EXTL FIX ALUM 5/8 210MM,4058.49,3246.8,1127.04,3652.64,27
RC,0272,PLATE EXTL FIX BLK 160/180,18792.0,15033.6,5218.54,16912.8,27
RC,0272,PLATE EXTL FIX CONN 2HL,395.23,316.19,109.76,355.71,27
RC,0272,PLATE EXTL FIX CONN 3HL,408.48,326.79,113.43,367.63,27
RC,0272,PLATE EXTL FIX CONN 4HL,465.89,372.72,129.38,419.3,27
RC,0272,PLATE EXTL FIX CONN 5HL,505.08,404.07,140.26,454.57,27
RC,0272,PLATE EXTL FIX CONN THRD 3HL,432.77,346.22,120.18,389.49,27
RC,0272,PLATE EXTL FIX CONN THRD 4HL,468.1,374.48,129.99,421.29,27
RC,0272,PLATE EXTL FIX DYNEX 3HL,1738.8,1391.04,482.86,1564.92,27
RC,0272,PLATE EXTL FIX DYNEX 4HL,1965.6,1572.48,545.85,1769.04,27
RC,0272,PLATE EXTL FIX FT MTLX 160MM,6552.0,5241.6,1819.49,5896.8,27
RC,0272,PLATE EXTL FIX OPEN ROCKER,6547.52,5238.02,1818.25,5892.77,27
RC,0272,PLATE EXTL FIX SLOT 10X60MM,673.97,539.18,187.16,606.57,27
RC,0272,PLATE FT EXTL FIX CURV 180MM,6552.0,5241.6,1819.49,5896.8,27
RC,0272,PLATE FT EXTL FIX ST 180MM,6552.0,5241.6,1819.49,5896.8,27
RC,0272,PLATE FT EXTL MAXFRAMELNG120MM,4363.74,3491.0,1211.81,3927.37,27
RC,0272,PLATE FT EXTL MAXFRAMELNG150MM,3878.17,3102.54,1076.97,3490.35,27
RC,0272,PLATE FT EXTL MAXFRAMELNG180MM,3878.17,3102.54,1076.97,3490.35,27
RC,0272,PLATE FT EXTL MAXFRAMELNG210MM,4363.74,3491.0,1211.81,3927.37,27
RC,0272,PLATE FT EXTLMAXFRAMESHRT150MM,3878.17,3102.54,1076.97,3490.35,27
RC,0272,PLATE FT EXTLMAXFRAMESHRT180MM,3878.17,3102.54,1076.97,3490.35,27
RC,0272,PLATE FT KT EXTL FIX MAXFRAME,3151.74,2521.4,875.24,2836.57,27
RC,0272,PLATE ORB TRUMATCH TI 0.8MM,22376.35,17901.08,6213.91,20138.72,27
RC,0272,PLEDGET POLY HAART,405.0,324.0,112.47,364.5,27
RC,0272,PLEDGET PTFE FELT 1.65MM 2X2,377.18,301.75,104.74,339.46,27
RC,0272,PLEDGET PTFE FELT 1.65MM 6X6,1353.62,1082.9,375.9,1218.26,27
RC,0272,PLEDGET PTFE FELT 1.85MMLOW6X6,577.13,461.71,160.27,519.42,27
RC,0272,PLEDGET PTFE FELT 9.5X4.8X1.65,571.95,457.56,158.83,514.76,27
RC,0272,PLEDGET PTFE FELTBARD1.65MM1X6,468.67,374.94,130.15,421.8,27
RC,0272,PLEDGET TFE SOFT WHT13X7X1.5MM,532.13,425.71,147.77,478.92,27
RC,0272,PLEURA VAC MOBILE MINI 500ML,433.3,346.64,120.33,389.97,27
RC,0272,PLUG BONE CMNT REV W INSRT,305.0,244.0,84.7,274.5,27
RC,0272,PLUG BONE CMNT UNIV,305.0,244.0,84.7,274.5,27
RC,0272,PLUG IPG SPECTRA PORT 3.25CM,244.0,195.2,67.76,219.6,27
RC,0272,PLUG OPH ENHANCED 25G,358.24,286.6,99.48,322.42,27
RC,0272,PLUG PORT DF-1 LEAD 2.5CM,213.5,170.8,59.29,192.15,27
RC,0272,PLUG PORT GENERATOR BS IS-1,244.0,195.2,67.76,219.6,27
RC,0272,PLUG PROS VOICE CLASC 16FR,98.0,78.4,27.21,88.2,27
RC,0272,PLUG PROS VOICE PROVOX 20FR,118.5,94.8,32.91,106.65,27
RC,0272,PLUG PROS VOICE PROVOX 22.5FR,118.5,94.8,32.91,106.65,27
RC,0272,PLUNGER EVEREST SHRT 10G,1982.4,1585.92,550.51,1784.16,27
RC,0272,POINTER NVGTN AXIEM SGL,2044.8,1635.84,567.84,1840.32,27
RC,0272,POINTER PROBE AXIEM SGL,2044.8,1635.84,567.84,1840.32,27
RC,0272,POINTER TOUCH N GO AXIEM SGL,2044.8,1635.84,567.84,1840.32,27
RC,0272,PORT A CATH TI 8FR,859.5,687.6,238.68,773.55,27
RC,0272,PORT OBTR BLDLES 12X100MM,427.44,341.96,118.7,384.7,27
RC,0272,PORT OBTR BLDLES 12X120MM,440.83,352.67,122.42,396.75,27
RC,0272,PORT OBTR BLDLES 12X150MM,453.79,363.04,126.02,408.41,27
RC,0272,PORT OBTR BLDLES 5X120MM,440.88,352.71,122.43,396.79,27
RC,0272,PORT OBTR BLDLES 8X100MM,421.39,337.12,117.02,379.25,27
RC,0272,PORT OBTR BLDLES*DISC 6336278*,432.62,346.1,120.14,389.36,27
RC,0272,PORT SCP ROB SS RPSB 8.5MM,64.13,51.31,17.81,57.72,27
RC,0272,POST EXTL FIX 30D ANG 11MM,756.0,604.8,209.94,680.4,27
RC,0272,POST EXTL FIX 90D ANG 11MM,756.0,604.8,209.94,680.4,27
RC,0272,POST EXTL FIX H3 ANG 30D 11MM,478.51,382.81,132.88,430.66,27
RC,0272,POST EXTL FIX MALE DYNEX 1HL,1436.4,1149.12,398.89,1292.76,27
RC,0272,POST EXTL FIX MALE DYNEX 2HL,1587.6,1270.08,440.88,1428.84,27
RC,0272,POST EXTL FIX MALE DYNEX 3HL,1738.8,1391.04,482.86,1564.92,27
RC,0272,POST EXTL FIX MALE DYNEX 4HL,1965.6,1572.48,545.85,1769.04,27
RC,0272,POST EXTL FIX OUTRIGGER 30D 11,385.39,308.32,107.02,346.85,27
RC,0272,POST EXTL FIX OUTRIGGER 30D8MM,464.94,371.96,129.11,418.45,27
RC,0272,POST EXTL FIX OUTRIGGER 90D 11,424.08,339.27,117.77,381.67,27
RC,0272,POST EXTL FIX OUTRIGGER 90D8MM,506.52,405.22,140.66,455.87,27
RC,0272,POST EXTL FIX OUTRIGGER ST 11,385.39,308.32,107.02,346.85,27
RC,0272,POST EXTL FIX OUTRIGGER ST 8MM,464.94,371.96,129.11,418.45,27
RC,0272,POST EXTL FIX REVO 1HL,1436.4,1149.12,398.89,1292.76,27
RC,0272,POST EXTL FIX REVO 3HL,1738.8,1391.04,482.86,1564.92,27
RC,0272,POST EXTL FIX REVOLUTION 4HL,1965.6,1572.48,545.85,1769.04,27
RC,0272,POST EXTL FIX SQ DYNEX 120MM,1486.8,1189.44,412.88,1338.12,27
RC,0272,POST EXTL FIX SQ DYNEX 150MM,3469.2,2775.36,963.4,3122.28,27
RC,0272,POST EXTL FIX SQ DYNEX 90MM,1486.8,1189.44,412.88,1338.12,27
RC,0272,POST EXTL FIX ST 11MM,756.0,604.8,209.94,680.4,27
RC,0272,POST EXTL FIX THRD SIXFIX 2HL,1423.8,1139.04,395.39,1281.42,27
RC,0272,POST EXTL FIX THRD SIXFIX 4HL,1423.8,1139.04,395.39,1281.42,27
RC,0272,POST EXTL FIX THRD SIXFIX 5HL,1423.8,1139.04,395.39,1281.42,27
RC,0272,POST EXTL FIX THRD SIXFIX 6HL,1423.8,1139.04,395.39,1281.42,27
RC,0272,POST EXTL FIX WIRE SALVATION,572.4,457.92,158.96,515.16,27
RC,0272,POST EXTL FIX WIRE SHRT,885.96,708.77,246.03,797.36,27
RC,0272,POST EXTL FIX WIRE SYNT 1HL,962.55,770.04,267.3,866.3,27
RC,0272,POST EXTL FIX WIRE SYNT 2HL,1006.02,804.82,279.37,905.42,27
RC,0272,POST EXTL FIX WIRE SYNT 3HL,1039.14,831.32,288.57,935.23,27
RC,0272,POST EXTL FIX WIRE SYNT 4HL,1082.61,866.09,300.64,974.35,27
RC,0272,POST EXTL FIX WIRE SYNT 5HL,1113.66,890.93,309.26,1002.29,27
RC,0272,POST EXTL FIX WIRE TALL,1006.02,804.82,279.37,905.42,27
RC,0272,POST EXTL FIXWIRESALVATIONSHRT,1424.64,1139.72,395.62,1282.18,27
RC,0272,POST EXTL PIN MOUNT MAXFRAMEH1,776.25,621.0,215.56,698.63,27
RC,0272,POST EXTL PIN MOUNT MAXFRAMEH3,813.51,650.81,225.91,732.16,27
RC,0272,POST EXTL PIN MOUNT MAXFRAMEH5,923.22,738.58,256.38,830.9,27
RC,0272,POWERRASP 3.5MM,652.5,522.0,181.2,587.25,27
RC,0272,POWERRASP 4MMX13CM,652.5,522.0,181.2,587.25,27
RC,0272,POWERRASP 5.5MMX13CM,652.5,522.0,181.2,587.25,27
RC,0272,PREP KT SPINEJACK 5.8MM,3497.76,2798.21,971.33,3147.98,27
RC,0272,PROBE 2 COOLIEF MULT 17G 100X4,3365.6,2692.48,934.63,3029.04,27
RC,0272,PROBE 2 COOLIEF MULT 17G 75X4,3365.6,2692.48,934.63,3029.04,27
RC,0272,PROBE 2 COOLIEF MULT 17G75X5.5,3028.23,2422.59,840.94,2725.41,27
RC,0272,PROBE ABCFLEX ORIG 2.3MMX270CM,1090.67,872.54,302.88,981.6,27
RC,0272,PROBE ABL APOLLO RF 50D,895.5,716.4,248.68,805.95,27
RC,0272,PROBE ABL APOLLO RF 90D,855.0,684.0,237.43,769.5,27
RC,0272,PROBE ABL APOLLO RF XL 90D,855.0,684.0,237.43,769.5,27
RC,0272,PROBE ABL APOLLORF H50ASPIR50D,1092.0,873.6,303.25,982.8,27
RC,0272,PROBE ABL APOLLORF I90ASPIR90D,1057.5,846.0,293.67,951.75,27
RC,0272,PROBE ABL APOLLORF SJ50 50D,1125.0,900.0,312.41,1012.5,27
RC,0272,PROBE ABL COOLCUT 90 ASPIR,787.5,630.0,218.69,708.75,27
RC,0272,PROBE ABL COOLCUT 90 NON-ASPIR,585.0,468.0,162.45,526.5,27
RC,0272,PROBE ABL COOLCUT 90 SM JOINT,517.5,414.0,143.71,465.75,27
RC,0272,PROBE ABL COOLCUT CALIBRATOR,787.5,630.0,218.69,708.75,27
RC,0272,PROBE AMICA 1.0 TIP 18GX7CM,8580.0,6864.0,2382.67,7722.0,27
RC,0272,PROBE AMICA 1.5 TIP 18GX7CM,8580.0,6864.0,2382.67,7722.0,27
RC,0272,PROBE ANT VITRECTOMY 23G,989.78,791.83,274.86,890.8,27
RC,0272,PROBE BALL TIP 2.3MM,647.15,517.72,179.71,582.44,27
RC,0272,PROBE BALL-TIP STIMSAFEOP3STER,2100.0,1680.0,583.17,1890.0,27
RC,0272,PROBE BILI EHL 1.9FR 375CM,1801.8,1441.44,500.36,1621.62,27
RC,0272,PROBE BIPOLR CNCT STIM,634.68,507.75,176.25,571.21,27
RC,0272,PROBE BIPOLR DIG*DISC 6347080*,650.25,520.2,180.57,585.23,27
RC,0272,PROBE BIPOLR DIGITIMER DISP,650.25,520.2,180.57,585.23,27
RC,0272,PROBE BIPOLR STIM PRASS ROHS,666.86,533.49,185.19,600.17,27
RC,0272,PROBE BIPOLR STIM SIDE-BY-SIDE,573.57,458.86,159.28,516.21,27
RC,0272,PROBE BROCHOSCP ION VISION,5320.0,4256.0,1477.36,4788.0,27
RC,0272,PROBE COOLIEF KT 17G 100X4MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,PROBE COOLIEF KT 17G 150X4MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,PROBE COOLIEF KT 17G 50X2MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,PROBE COOLIEF KT 17G 50X4MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,PROBE COOLIEF KT 17G 75X2MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,PROBE COOLIEF KT 17G 75X4MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,PROBE COOLIEF NO TIP ST17*NLU*,1596.0,1276.8,443.21,1436.4,27
RC,0272,PROBE COOLIEF ST 17G 100X*NLU*,1596.0,1276.8,443.21,1436.4,27
RC,0272,PROBE COOLIEF ST 17G 150X*NLU*,1596.0,1276.8,443.21,1436.4,27
RC,0272,PROBE COOLIEF ST 17G 50X2*NLU*,1596.0,1276.8,443.21,1436.4,27
RC,0272,PROBE CRYO FLEX DISP ERBE1.1MM,1966.44,1573.16,546.08,1769.8,27
RC,0272,PROBE CRYO FLEX DISP ERBE1.7MM,1417.08,1133.67,393.52,1275.37,27
RC,0272,PROBE CRYO FLEX DISP ERBE2.4MM,1417.08,1133.67,393.52,1275.37,27
RC,0272,PROBE CRYO RETINAL KEEL DISP,1048.5,838.8,291.17,943.65,27
RC,0272,PROBE DIATHERMY DSP 25G,334.58,267.67,92.91,301.12,27
RC,0272,PROBE DOPPLER MICRO DISP,1965.6,1572.48,545.85,1769.04,27
RC,0272,PROBE DOPPLER SLIM DISP,1627.5,1302.0,451.96,1464.75,27
RC,0272,PROBE DOPPLER STD DISP,1627.5,1302.0,451.96,1464.75,27
RC,0272,PROBE DOPPLER SWA*USE 6178491*,2088.0,1670.4,579.84,1879.2,27
RC,0272,PROBE ESOPHRECTALTECOTHERMDISP,194.77,155.82,54.09,175.29,27
RC,0272,PROBE FLOW DOPPLER LNG CUFF,1848.0,1478.4,513.19,1663.2,27
RC,0272,PROBE FLOW DOPPLER SWARTZ STD,2356.85,1885.48,654.5,2121.17,27
RC,0272,PROBE INCREMENT NIM PRASS TIP,802.62,642.1,222.89,722.36,27
RC,0272,PROBE KT ABL RF DUAL DISP 20MM,12008.26,9606.61,3334.69,10807.43,27
RC,0272,PROBE KT SGL 10MM*NLU*,8471.84,6777.48,2352.63,7624.66,27
RC,0272,PROBE LAP ABC FT 10MM 28CM,1125.64,900.52,312.59,1013.08,27
RC,0272,PROBE LAP ABC HAND 5MM 28CM,1171.38,937.11,325.29,1054.24,27
RC,0272,PROBE LAP ABC HAND 5MM 36CM,1171.38,937.11,325.29,1054.24,27
RC,0272,PROBE LASER FLEX NIT TIP 25G,1069.52,855.62,297.01,962.57,27
RC,0272,PROBE LASER ILLUM CURV 25G,1214.68,971.75,337.32,1093.21,27
RC,0272,PROBE LITHO CYBERWAND*NLU*,2578.21,2062.57,715.97,2320.39,27
RC,0272,PROBE LITHO SHOCKPULSE 3.40MM,2824.32,2259.46,784.31,2541.89,27
RC,0272,PROBE LITHO SHOCKPULSE 3.76MM,2446.85,1957.48,679.49,2202.17,27
RC,0272,PROBE MANOMETRY SGL CH,472.5,378.0,131.21,425.25,27
RC,0272,PROBE MEASURE ARTHRO 60D 220MM,990.0,792.0,274.92,891.0,27
RC,0272,PROBE MEASURE ARTHRO 70D 220MM,782.1,625.68,217.19,703.89,27
RC,0272,PROBE MW AMICA 17GX10CM,8580.0,6864.0,2382.67,7722.0,27
RC,0272,PROBE NIM BALL TIP 2.3MM*NLU*,810.0,648.0,224.94,729.0,27
RC,0272,PROBE NVGTN TRUDI 0D,1392.3,1113.84,386.64,1253.07,27
RC,0272,PROBE NVGTN TRUDI 70D,1392.3,1113.84,386.64,1253.07,27
RC,0272,PROBE PEDICLE CURV 30-60MM,9874.8,7899.84,2742.23,8887.32,27
RC,0272,PROBE PH REFLUX INFUS 6.9FR,472.5,378.0,131.21,425.25,27
RC,0272,PROBE PRSS ESOPH FLUXMED,576.0,460.8,159.96,518.4,27
RC,0272,PROBE RF CURV 16GA 145MM,464.04,371.24,128.86,417.64,27
RC,0272,PROBE SENTIO MMG LAT RL,2444.8,1955.84,678.92,2200.32,27
RC,0272,PROBE SERFAS ENERGY 50-S 3.5MM,783.0,626.4,217.44,704.7,27
RC,0272,PROBE SERFAS ENERGYXL 50-S 3.5,2106.0,1684.8,584.84,1895.4,27
RC,0272,PROBE STIM BIPOLR 2TIP DISP,333.4,266.72,92.59,300.06,27
RC,0272,PROBE STIM BIPOLR 2X100X0.75MM,378.0,302.4,104.97,340.2,27
RC,0272,PROBE STIM CNCT DISP STER 90MM,333.4,266.72,92.59,300.06,27
RC,0272,PROBE STIM MYOTOUCH FRYKMAN,3184.0,2547.2,884.2,2865.6,27
RC,0272,PROBE TAC-C*NLU*,1354.12,1083.3,376.04,1218.71,27
RC,0272,PROBE VENTILATOR TEMP MR850 72,678.06,542.45,188.3,610.25,27
RC,0272,PROBE VITRECTOMY 25G,1863.0,1490.4,517.36,1676.7,27
RC,0272,PROC KT LASER ABL NEVERTOUCH,1327.2,1061.76,368.56,1194.48,27
RC,0272,PROC KT MAXCESS STER GM,6997.2,5597.76,1943.12,6297.48,27
RC,0272,PROS PENILETITAN*DISC 6340637*,2689.2,2151.36,746.79,2420.28,27
RC,0272,PRSS MON ART SET 2.5FR 2.5CM,262.91,210.33,73.01,236.62,27
RC,0272,PRSS MON ART SET LIDO ST3FR5CM,374.4,299.52,103.97,336.96,27
RC,0272,PRSS MON ART SET ST 2.5FR2.5CM,237.9,190.32,66.06,214.11,27
RC,0272,PRSS MON ART SET*DISC 6337303*,374.4,299.52,103.97,336.96,27
RC,0272,PRSS MON INTRA ABD,904.28,723.43,251.12,813.85,27
RC,0272,PRSS MON KT INTRA-ABD,470.57,376.46,130.68,423.51,27
RC,0272,PRSSZR BONE CMNT CPT MIS MD,307.8,246.24,85.48,277.02,27
RC,0272,PSTNR ACROBAT-I *DISC 6347903*,2788.03,2230.43,774.24,2509.23,27
RC,0272,PSTNR ACROBAT-I VACUUM SYS,2788.03,2230.43,774.24,2509.23,27
RC,0272,PSTNR ENCOMPASS SRS FIBREPLAST,922.5,738.0,256.18,830.25,27
RC,0272,PSTNR GEL SANDBG 4.5X1.5X14IN,395.14,316.12,109.73,355.63,27
RC,0272,PSTNR HAND IMMOB ALUMIHAND XL,299.69,239.76,83.22,269.72,27
RC,0272,PSTNR HIP DISTRAC PT SFTY LG,4830.0,3864.0,1341.29,4347.0,27
RC,0272,PSTNR HIP DISTRAC PT SFTY MD,4830.0,3864.0,1341.29,4347.0,27
RC,0272,PSTNR HIP DISTRAT PT SFTY SM,4830.0,3864.0,1341.29,4347.0,27
RC,0272,PSTNR IMPLT DEPLOYMENT CONX,2028.89,1623.12,563.42,1826.0,27
RC,0272,PSTNR KNEE WRAP LEG DEMAYO,248.88,199.11,69.11,223.99,27
RC,0272,PSTNR OLYMPIC VAC-PAC SZ31,2515.2,2012.16,698.47,2263.68,27
RC,0272,PSTNR PANNUS RETENT 2PAD1STRAP,286.7,229.36,79.62,258.03,27
RC,0272,PSTNR PANNUS RETENT 4PAD2STRAP,380.7,304.56,105.72,342.63,27
RC,0272,PSTNR PK TRENGUARD600 <550LB,570.69,456.56,158.48,513.62,27
RC,0272,PSTNR STARFISH HEART,2534.21,2027.37,703.75,2280.79,27
RC,0272,PSTNR SURG KT PNK PAD 29X20,414.0,331.2,114.97,372.6,27
RC,0272,PSTNR SURG KT PNK PAD 40X20,503.28,402.63,139.76,452.95,27
RC,0272,PSTNR SURG KT PNK PAD ARM40X20,689.94,551.96,191.6,620.95,27
RC,0272,PSTNR TRAC ARM TRAP STER,220.21,176.17,61.15,198.19,27
RC,0272,PULLER PLUG ULTDRV3 6MM,2125.8,1700.64,590.33,1913.22,27
RC,0272,PUMP BLD CENTFGBIOSURFAFFINITY,795.24,636.2,220.84,715.72,27
RC,0272,PUMP BLD TANDEMLIFE LIFESPARC,36000.0,28800.0,9997.2,32400.0,27
RC,0272,PUMP BREAST IN S*DISC 6347581*,324.0,259.2,89.97,291.6,27
RC,0272,PUMP CENTFG CARDIOPULM BYPASS,900.0,720.0,249.93,810.0,27
RC,0272,PUMP KT IMPELLA CATH CP 3.5,64800.0,51840.0,17994.96,58320.0,27
RC,0272,PUNC PROVOX VEGA 17FR 10MM,1897.9,1518.32,527.05,1708.11,27
RC,0272,PUNC PROVOX VEGA 17FR 8MM,1842.62,1474.1,511.7,1658.36,27
RC,0272,PUNC PROVOX VEGA 20FR 10MM,1842.62,1474.1,511.7,1658.36,27
RC,0272,PUNC PROVOX VEGA 20FR 12.5MM,1897.9,1518.32,527.05,1708.11,27
RC,0272,PUNC PROVOX VEGA 20FR 8MM,1842.62,1474.1,511.7,1658.36,27
RC,0272,PUNCH AORTIC ROTATING 2.7MM,203.31,162.65,56.46,182.98,27
RC,0272,PUNCH AORTIC ROTATING 3.5MM,203.31,162.65,56.46,182.98,27
RC,0272,PUNCH AORTIC ROTATING 4.0MM,203.31,162.65,56.46,182.98,27
RC,0272,PUNCH AORTIC ROTATING 5.0MM,203.31,162.65,56.46,182.98,27
RC,0272,PUNCH ARTHROSCOPIC 2.6MMFBRTAK,940.5,752.4,261.18,846.45,27
RC,0272,PUNCH CRKSCRW SWVLK K 5.5MM,940.5,752.4,261.18,846.45,27
RC,0272,PUPIL DIL HOOK IRIS,469.87,375.9,130.48,422.88,27
RC,0272,PUSHER KNOT AIR STRY DISP 2-0,787.5,630.0,218.69,708.75,27
RC,0272,PUSHER KNOT CUTTER W SLOT CANN,631.8,505.44,175.45,568.62,27
RC,0272,PUSHER KNOT CUTTER WPORTALSKID,1089.0,871.2,302.42,980.1,27
RC,0272,PUSHER KNOT FAST-FIX,489.74,391.8,136.0,440.77,27
RC,0272,PUSHER KNOT SUT CUTTER CTRX,945.0,756.0,262.43,850.5,27
RC,0272,PUSHER KNOT/CU*DISC NO REPL*,544.64,435.72,151.25,490.18,27
RC,0272,RAIL EXTL FIX 9X100MM,2956.8,2365.44,821.1,2661.12,27
RC,0272,RAIL EXTL FIX 9X150MM,3152.0,2521.6,875.31,2836.8,27
RC,0272,RAIL EXTL FIX 9X50MM,2780.8,2224.64,772.23,2502.72,27
RC,0272,RAIL EXTL FIX 9X75MM,2956.8,2365.44,821.1,2661.12,27
RC,0272,RASP BONE FEATHERRASP SM,2079.0,1663.2,577.34,1871.1,27
RC,0272,RASP DIST PIP APEX DISP 8*NLU*,1612.8,1290.24,447.87,1451.52,54
RC,0272,RASP HEL CUT 3.2X18.3MM,536.22,428.98,148.91,482.6,27
RC,0272,RASP HELIOCODIAL 3X54MM,318.28,254.63,88.39,286.45,27
RC,0272,RASP HELOCOIDAL LNG 3.2X18.3MM,575.15,460.12,159.72,517.64,27
RC,0272,RASP LG TEAR 12.7X7MM,534.06,427.25,148.31,480.65,27
RC,0272,RASP PROX PIP APEX DISP 1*NLU*,1612.8,1290.24,447.87,1451.52,27
RC,0272,RASP PROX PIP APEX DISP 8*NLU*,1612.8,1290.24,447.87,1451.52,27
RC,0272,RASP SM TEAR 11X5MM,534.06,427.25,148.31,480.65,27
RC,0272,RASP SM TEAR CROSS 11X5MM,534.06,427.25,148.31,480.65,27
RC,0272,RDCTN TOOL RIB MAXDRIVE 2.0X12,555.08,444.07,154.15,499.57,27
RC,0272,RDCTN TOOL THRD HEX 3.5X78MM,1239.84,991.88,344.3,1115.86,27
RC,0272,RDCTN TOOL THRD SYNT 2.4MM,1026.0,820.8,284.92,923.4,27
RC,0272,REAMER 1 METACARPAL 2.7MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,REAMER 2 METACARPAL 3.4MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,REAMER 3 METACARPAL 4.0MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,REAMER 4 METACARPAL 4.5MM,1734.6,1387.68,481.7,1561.14,27
RC,0272,REAMER 5 METACARPAL 5.0MM,1134.0,907.2,314.91,1020.6,27
RC,0272,REAMER ACET RD TOOTH 36MM,1972.8,1578.24,547.85,1775.52,27
RC,0272,REAMER ALPS CUP *DISC NO REPL*,1280.5,1024.4,355.59,1152.45,27
RC,0272,REAMER ANK TIB INBONE 12MM,895.5,716.4,248.68,805.95,27
RC,0272,REAMER ANK TIB INBONE 14MM,630.0,504.0,174.95,567.0,27
RC,0272,REAMER ANK TIB INBONE 16MM,630.0,504.0,174.95,567.0,27
RC,0272,REAMER ANK TIB INBONE 18MM,1369.2,1095.36,380.23,1232.28,27
RC,0272,REAMER ANK X-POST 8.0/9.5MM,1344.0,1075.2,373.23,1209.6,27
RC,0272,REAMER APLS CONE*DISC NO REPL*,1243.2,994.56,345.24,1118.88,27
RC,0272,REAMER ASSY DRILL BIT NUT 12.5,3790.58,3032.47,1052.64,3411.52,27
RC,0272,REAMER AUG VIP MGS REVERS SM,2160.0,1728.0,599.83,1944.0,27
RC,0272,REAMER AUGED MGS LK LG,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER AUGED MGS LK MD,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER AUGED MGS LK SM,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER AUGED MGS LK XL,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER BIXCUT MOD 6X400MM,2449.44,1959.56,680.21,2204.5,27
RC,0272,REAMER BIXCUT MOD 7.5X400MM,2449.44,1959.56,680.21,2204.5,27
RC,0272,REAMER BIXCUT MOD 7X400MM,2449.44,1959.56,680.21,2204.5,27
RC,0272,REAMER BIXCUT MOD 9.5X480MM,2449.44,1959.56,680.21,2204.5,27
RC,0272,REAMER BIXCUT MOD 9X480MM,2449.44,1959.56,680.21,2204.5,27
RC,0272,REAMER BIXCUT MODLR HD 10.5MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 10MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 11.5MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 11MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 12.5MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 12MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 13.5MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 13MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 9.5MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER BIXCUT MODLR HD 9MM,1520.15,1216.12,422.15,1368.14,27
RC,0272,REAMER CANAL PEMD 3.2MM,2484.0,1987.2,689.81,2235.6,27
RC,0272,REAMER CANAL PEMD 4.0MM,2484.0,1987.2,689.81,2235.6,27
RC,0272,REAMER CANN DYNANAIL 7.0MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,REAMER CANN PIN STRY 16MM,3152.86,2522.29,875.55,2837.57,27
RC,0272,REAMER CMPNT SYNT 12.5MM,2997.18,2397.75,832.32,2697.46,27
RC,0272,REAMER CNCV SURFACE 22MM,2009.66,1607.73,558.08,1808.69,27
RC,0272,REAMER CNVX SURFACE 22MM,2009.66,1607.73,558.08,1808.69,27
RC,0272,REAMER CROSS PLATE STRY,2390.58,1912.47,663.86,2151.52,27
RC,0272,REAMER DIST CANN 1.6X14MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER DIST CANN 1.6X16MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER DIST CANN 1.6X18MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER DIST CANN 1.6X20MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER DIST CANN 1.6X22MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER DIST CANN 1.6X24MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER DIST CANN AO QC 6.8MM,1392.3,1113.84,386.64,1253.07,27
RC,0272,REAMER DRILL FEM LOPRO 7.5MM,1096.2,876.96,304.41,986.58,27
RC,0272,REAMER DRILL FEM LOPRO 9.5MM,1096.2,876.96,304.41,986.58,27
RC,0272,REAMER DYNABUNION STER 3.2MM,393.98,315.19,109.41,354.58,27
RC,0272,REAMER DYNAFORCEMPJCUPCONE20MM,956.21,764.97,265.54,860.59,27
RC,0272,REAMER DYNAFORCEMPJCUPCONE22MM,956.21,764.97,265.54,860.59,27
RC,0272,REAMER DYNAFORCEMPJCUPCONE24MM,956.21,764.97,265.54,860.59,27
RC,0272,REAMER END CUT INBONE SZ14,3113.6,2490.88,864.65,2802.24,27
RC,0272,REAMER END CUT INBONE SZ16,3113.6,2490.88,864.65,2802.24,27
RC,0272,REAMER END CUT INBONE SZ18,3113.6,2490.88,864.65,2802.24,27
RC,0272,REAMER ENTRY CANN AOSL 10.5MM,1953.0,1562.4,542.35,1757.7,27
RC,0272,REAMER ENTRY STEP 7.5/9.5MM,2462.4,1969.92,683.81,2216.16,27
RC,0272,REAMER FEM RIGID T2 GTN 12MM,900.81,720.65,250.15,810.73,27
RC,0272,REAMER FEM SIGMA LCS HP STEPIM,2431.8,1945.44,675.31,2188.62,27
RC,0272,REAMER FIBULOCK STER 4.0MM,742.5,594.0,206.19,668.25,27
RC,0272,REAMER FIBULOCK STER LNG 3.2MM,742.5,594.0,206.19,668.25,27
RC,0272,REAMER FIBULOCK STER LNG 4.0MM,1113.75,891.0,309.29,1002.38,27
RC,0272,REAMER FLEX 6.0MM*NLU*,6988.8,5591.04,1940.79,6289.92,27
RC,0272,REAMER FLEX 6.5MM*NLU*,6988.8,5591.04,1940.79,6289.92,27
RC,0272,REAMER FLEX 7.0MM*NLU*,6988.8,5591.04,1940.79,6289.92,27
RC,0272,REAMER FLEX GD PIN 10MM,1617.0,1293.6,449.04,1455.3,27
RC,0272,REAMER FLEX TIGHTROPE PIN 10MM,1778.7,1422.96,493.94,1600.83,27
RC,0272,REAMER FUSN CUP 14MM,1092.0,873.6,303.25,982.8,27
RC,0272,REAMER FUSN CUP 18MM,1092.0,873.6,303.25,982.8,27
RC,0272,REAMER HD 10.0MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD 10.5MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD ANG ARTX SM,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER HD ANG ARTX XL,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER HD AUGED DELTA XTEND,2365.2,1892.16,656.82,2128.68,27
RC,0272,REAMER HD CONCAVE 22MM*NLU*,855.0,684.0,237.43,769.5,27
RC,0272,REAMER HD CONCAVE TRIL 20*NLU*,855.0,684.0,237.43,769.5,27
RC,0272,REAMER HD DETACHABLE 13.5MM,2720.0,2176.0,755.34,2448.0,27
RC,0272,REAMER HD DHS SYNT STD,2831.81,2265.45,786.39,2548.63,27
RC,0272,REAMER HD DYNANAIL 10.5MM,2098.8,1679.04,582.84,1888.92,27
RC,0272,REAMER HD DYNANAIL 11MM,2098.8,1679.04,582.84,1888.92,27
RC,0272,REAMER HD DYNANAIL 12MM,2098.8,1679.04,582.84,1888.92,27
RC,0272,REAMER HD DYNANAIL 13MM,2098.8,1679.04,582.84,1888.92,27
RC,0272,REAMER HD FLEX 10.0MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 10.5MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 11.0MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 11.5MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 12.0MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 12.5MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 13.0MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX 13.5MM,3078.15,2462.52,854.8,2770.34,27
RC,0272,REAMER HD FLEX 14.0MM,3078.77,2463.02,854.97,2770.89,27
RC,0272,REAMER HD FLEX 14.5MM,3078.77,2463.02,854.97,2770.89,27
RC,0272,REAMER HD FLEX 9.5MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX END CUT 9MM,3198.08,2558.47,888.11,2878.27,27
RC,0272,REAMER HD FLEX SHAFT 7.0M*NLU*,2597.76,2078.21,721.4,2337.98,27
RC,0272,REAMER HD FOR RIA SYNT 12MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT 13MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT 14MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT12.5MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT13.5MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT14.5MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT15.5MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT15MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT16.5MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT16MM,3505.6,2804.48,973.51,3155.04,27
RC,0272,REAMER HD FOR RIA SYNT17.5MM,3469.2,2775.36,963.4,3122.28,27
RC,0272,REAMER HD FOR RIA SYNT18.0MM,3469.2,2775.36,963.4,3122.28,27
RC,0272,REAMER HD FOR RIA SYNT18.5MM,3469.2,2775.36,963.4,3122.28,27
RC,0272,REAMER HD FOR RIA SYNT19.0MM,3469.2,2775.36,963.4,3122.28,27
RC,0272,REAMER HD FOR RIA2 STER 13.5MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD FOR RIASYNT17.0MM,3469.2,2775.36,963.4,3122.28,27
RC,0272,REAMER HD MODLR 10MM*NLU*,2697.48,2157.99,749.09,2427.73,27
RC,0272,REAMER HD MODLR 7.5MM,2471.04,1976.84,686.21,2223.94,27
RC,0272,REAMER HD MODLR 8.5MM,2471.04,1976.84,686.21,2223.94,27
RC,0272,REAMER HD MODLR 8MM,2471.04,1976.84,686.21,2223.94,27
RC,0272,REAMER HD MODLR 9.5MM*NLU*,2697.48,2157.99,749.09,2427.73,27
RC,0272,REAMER HD MODLR 9MM,2471.04,1976.84,686.21,2223.94,27
RC,0272,REAMER HD RIA2 STER 10.5MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 10MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 11.5MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 11MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 12.5MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 12MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 13MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 14.5MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 14MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 15.5MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 15MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 16.5M*NLU*,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 16MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 17.5M*NLU*,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 17MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD RIA2 STER 18MM,2359.8,1887.84,655.32,2123.82,27
RC,0272,REAMER HD SYNT 11.0MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 11.5MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 12.0MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 12.5MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 13.0MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 13.5MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 14.0MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 15.0MM,1394.9,1115.92,387.36,1255.41,27
RC,0272,REAMER HD SYNT 16.0MM,1394.9,1115.92,387.36,1255.41,27
RC,0272,REAMER HD SYNT 8.5MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 9.5MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HD SYNT 9MM,1228.75,983.0,341.22,1105.88,27
RC,0272,REAMER HOLLOW 4.5-5.0MM,1634.47,1307.58,453.89,1471.02,27
RC,0272,REAMER HOLLOW COMPL 2.0MM,1217.16,973.73,338.01,1095.44,27
RC,0272,REAMER HOLLOW COMPL 2.7MM,1217.16,973.73,338.01,1095.44,27
RC,0272,REAMER HOLLOW COMPL3.5MM/4.0MM,1634.47,1307.58,453.89,1471.02,27
RC,0272,REAMER HOLLOW JJ 12.8MM,6470.8,5176.64,1796.94,5823.72,27
RC,0272,REAMER LAG SCREW,6773.2,5418.56,1880.92,6095.88,27
RC,0272,REAMER LK AUG VAULTLOCK LG,1239.0,991.2,344.07,1115.1,27
RC,0272,REAMER LO PRO ARTX 5MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER LOPRO ARTX 10.5MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER LOPRO ARTX 10MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER LOPRO ARTX 11MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER LOPRO ARTX 7MM,951.21,760.97,264.15,856.09,27
RC,0272,REAMER LOPRO ARTX 8MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER LOPRO ARTX 9.5MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER LOPRO ARTX 9MM,965.25,772.2,268.05,868.73,27
RC,0272,REAMER META 14MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER META 16MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER META 18MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER META 20MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER META 22MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER MONOBLOC FLEX 10.0MM,2973.44,2378.76,825.72,2676.1,27
RC,0272,REAMER MONOBLOC FLEX 11.0MM,2828.0,2262.4,785.34,2545.2,27
RC,0272,REAMER NAIL STEPPED VALOR9X250,1293.6,1034.88,359.23,1164.24,27
RC,0272,REAMER NC FUSN,1096.88,877.51,304.6,987.19,27
RC,0272,REAMER PHALANG ARTX 14MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER PHALANG ARTX 16MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER PHALANG ARTX 18MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER PHALANG ARTX 20MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER PHALANG ARTX 22MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER PROX CANN 1.6X14MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER PROX CANN 1.6X16MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER PROX CANN 1.6X18MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER PROX CANN 1.6X20MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER PROX CANN 1.6X22MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER PROX CANN 1.6X24MM,1458.83,1167.07,405.12,1312.95,27
RC,0272,REAMER PROX CANN 4.0MM,2556.0,2044.8,709.8,2300.4,27
RC,0272,REAMER PROX CANN 5.5MM,2912.0,2329.6,808.66,2620.8,27
RC,0272,REAMER PROX CANN AO QC 3.3MM,1488.69,1190.96,413.41,1339.82,27
RC,0272,REAMER PROX CANN AO QC 3.9MM,1488.69,1190.96,413.41,1339.82,27
RC,0272,REAMER PROX CANN AO QC 4.5MM,1488.69,1190.96,413.41,1339.82,27
RC,0272,REAMER ROD STER 3.8X1150MM,722.43,577.95,200.62,650.19,27
RC,0272,REAMER ROD STER 3.8X950MM,618.93,495.15,171.88,557.04,27
RC,0272,REAMER STEPPED ARTX 8.5MM,2079.0,1663.2,577.34,1871.1,27
RC,0272,REAMER STRY OPENING 13MM,1358.78,1087.03,377.33,1222.9,27
RC,0272,REAMER TALAR INBONE 10MM,1125.0,900.0,312.41,1012.5,27
RC,0272,REAMER TIP AUGED DELTA XTEND,1046.93,837.55,290.73,942.24,27
RC,0272,REAMER TLR INBONE 14MM,1125.0,900.0,312.41,1012.5,27
RC,0272,REAMER TLR WRIT SZ1-3,1692.6,1354.08,470.04,1523.34,27
RC,0272,REAMER TLR WRIT SZ4-5,1692.6,1354.08,470.04,1523.34,27
RC,0272,REAMER TOE CNCV 10MM,900.0,720.0,249.93,810.0,27
RC,0272,REAMER TOE CONV 10MM,900.0,720.0,249.93,810.0,27
RC,0272,REAMER VALOR FLEX HD 10.0MM,1222.2,977.76,339.4,1099.98,27
RC,0272,REAMER VALOR FLEX HD 10.5MM,1222.2,977.76,339.4,1099.98,27
RC,0272,REAMER VALOR FLEX HD 11.0MM,1222.2,977.76,339.4,1099.98,27
RC,0272,REAMER VALOR FLEX HD 12MM,1222.2,977.76,339.4,1099.98,27
RC,0272,REAMER VALOR FLEX HD 9.0MM,1222.2,977.76,339.4,1099.98,27
RC,0272,REAMER VALOR FLEX HD 9.5MM,1222.2,977.76,339.4,1099.98,27
RC,0272,REAMERS FLEX IM NAIL,3361.68,2689.35,933.54,3025.51,27
RC,0272,REAMING HD DCS,2419.2,1935.36,671.81,2177.28,27
RC,0272,REAMING HD SHRT DHS,2831.81,2265.45,786.39,2548.63,27
RC,0272,REAMING KT RIA2 STER 520MM,5958.4,4766.72,1654.65,5362.56,27
RC,0272,REINF STAPLE SEAMGUARD CLR 60,830.61,664.49,230.66,747.55,27
RC,0272,REINF STAPLE SEAMGUARD PUR 60,1012.5,810.0,281.17,911.25,27
RC,0272,REINF STAPLE SEAMGUARDGRNBLU60,830.61,664.49,230.66,747.55,27
RC,0272,RELOAD ECHELON ENDOPATH BLU 40,2169.58,1735.67,602.49,1952.62,27
RC,0272,RELOAD ECHELON ENDOPATH GRN 40,2169.58,1735.67,602.49,1952.62,27
RC,0272,RELOAD ECHELON ENDOPATH GRY 60,3676.43,2941.15,1020.94,3308.79,27
RC,0272,RELOAD ENDO GIA TRI MDTHK PUR,1514.77,1211.82,420.65,1363.29,27
RC,0272,RELOAD ENDO GIA TRI XTHK BLK,1741.99,1393.6,483.75,1567.79,27
RC,0272,RELOAD ENDOPATH BLK 45MM,3070.4,2456.32,852.65,2763.36,27
RC,0272,RELOAD ENDOPATH BLK 60MM,1960.9,1568.72,544.54,1764.81,27
RC,0272,RELOAD ENDOPATH BLU 35MM,2070.97,1656.78,575.11,1863.87,27
RC,0272,RELOAD ENDOPATH BLU 45MM,3070.4,2456.32,852.65,2763.36,27
RC,0272,RELOAD ENDOPATH BLU 60MM,1960.9,1568.72,544.54,1764.81,27
RC,0272,RELOAD ENDOPATH GLD 45MM,3070.4,2456.32,852.65,2763.36,27
RC,0272,RELOAD ENDOPATH GLD 60MM,1960.9,1568.72,544.54,1764.81,27
RC,0272,RELOAD ENDOPATH GRN 60MM,1960.9,1568.72,544.54,1764.81,27
RC,0272,RELOAD ENDOPATH GST GRN 45MM,2618.39,2094.72,727.13,2356.55,27
RC,0272,RELOAD ENDOPATH WHT 35MM,3135.52,2508.42,870.73,2821.97,27
RC,0272,RELOAD ENDOPATH WHT 45 *CIP*,2257.67,1806.14,626.95,2031.9,27
RC,0272,RELOAD ENDOPATH WHT 45MM,3070.4,2456.32,852.65,2763.36,27
RC,0272,RELOAD ENDOPATH WHT 60MM,1960.9,1568.72,544.54,1764.81,27
RC,0272,RELOAD ENDOWRIST ROB BLU 30MM,807.39,645.92,224.21,726.65,27
RC,0272,RELOAD ENDOWRIST ROB GRN 30MM,807.39,645.92,224.21,726.65,27
RC,0272,RELOAD ENDOWRIST ROB GRY 30MM,807.39,645.92,224.21,726.65,27
RC,0272,RELOAD ENDOWRIST ROB WHT 30MM,807.39,645.92,224.21,726.65,27
RC,0272,RELOAD GIA 100 3.8MM,474.48,379.59,131.76,427.03,27
RC,0272,RELOAD GIA 100 4.8MM,474.48,379.59,131.76,427.03,27
RC,0272,RELOAD GIA 60 2.5MM,295.42,236.34,82.04,265.88,27
RC,0272,RELOAD GIA 60 3.8MM,257.85,206.28,71.6,232.07,27
RC,0272,RELOAD GIA 60 4.8MM,254.07,203.26,70.56,228.66,27
RC,0272,RELOAD GIA 60 BLK 4.8MM,274.37,219.5,76.19,246.93,27
RC,0272,RELOAD GIA 60 PUR 3.8MM,273.89,219.12,76.06,246.5,27
RC,0272,RELOAD GIA 80 3.8MM,333.67,266.94,92.66,300.3,27
RC,0272,RELOAD GIA 80 4.8MM,333.67,266.94,92.66,300.3,27
RC,0272,RELOAD GIA 80 BLK 4.8MM,361.82,289.46,100.48,325.64,27
RC,0272,RELOAD GIA 80 TAN3.0MM,361.82,289.46,100.48,325.64,27
RC,0272,RELOAD GIA MDTHK PUR 45*CIP*,683.55,546.84,189.82,615.2,27
RC,0272,RELOAD GIA MDTHK PUR 60*CIP*,882.0,705.6,244.93,793.8,27
RC,0272,RELOAD GIA VASC GRY 45*CIP*,840.6,672.48,233.43,756.54,27
RC,0272,RELOAD GIA VASC MD TAN 60*CIP*,868.77,695.02,241.26,781.89,27
RC,0272,RELOAD GIA VASC TAN 45*CIP*,683.55,546.84,189.82,615.2,27
RC,0272,RELOAD GIA80 PUR 3.8MM,400.41,320.33,111.19,360.37,27
RC,0272,RELOAD PROXIMATE BLU 30MM,968.72,774.98,269.01,871.85,27
RC,0272,RELOAD PROXIMATE BLU 60MM,1043.37,834.7,289.74,939.03,27
RC,0272,RELOAD PROXIMATE GRN 100MM,2007.11,1605.69,557.37,1806.4,27
RC,0272,RELOAD PROXIMATE GRN 30MM,968.72,774.98,269.01,871.85,27
RC,0272,RELOAD PROXIMATE GRN 60MM,1043.37,834.7,289.74,939.03,27
RC,0272,RELOAD PROXIMATE VASC WHT30,995.9,796.72,276.56,896.31,27
RC,0272,RELOAD PROXIMATE WHT 55MM,1154.79,923.84,320.69,1039.31,27
RC,0272,RELOAD REINF MDTHK PUR 45MM,1416.62,1133.3,393.4,1274.96,27
RC,0272,RELOAD REINF TRI MDTHK PUR 60,1642.96,1314.37,456.25,1478.66,27
RC,0272,RELOAD REINF TRI XTHK BLK 45,1541.95,1233.56,428.2,1387.76,27
RC,0272,RELOAD REINF TRI XTHK BLK 60,1886.26,1509.01,523.81,1697.63,27
RC,0272,RELOAD ROB XI BL*DISC 6305458*,810.0,648.0,224.94,729.0,27
RC,0272,RELOAD ROB XI GRN 45MM,810.0,648.0,224.94,729.0,27
RC,0272,RELOAD ROB XI WH*DISC 6316058*,810.0,648.0,224.94,729.0,27
RC,0272,RELOAD SIGNIA SM CURV GRY 30MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,RELOAD SIGNIA SM CURV WHT 30MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,RELOAD SIGNIA SM CURV WHT 45MM,1890.0,1512.0,524.85,1701.0,27
RC,0272,RELOAD SUR45MM*DISC NO REPL*,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB BLK 45MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB BLK 60MM,1086.75,869.4,301.79,978.08,27
RC,0272,RELOAD SUREFORM ROB BLU 30MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB BLU 45MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB BLU 60MM,1086.75,869.4,301.79,978.08,27
RC,0272,RELOAD SUREFORM ROB GRN 45MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB GRN 60MM,1086.75,869.4,301.79,978.08,27
RC,0272,RELOAD SUREFORM ROB GRY 30MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB WHT 30MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB WHT 45MM,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD SUREFORM ROB WHT 60MM,1086.75,869.4,301.79,978.08,27
RC,0272,RELOAD SURGIDAC TRPL 2-0 48,277.45,221.96,77.05,249.71,27
RC,0272,RELOAD TA 30 3.5MM,212.46,169.97,59.0,191.21,27
RC,0272,RELOAD TA 30 4.8MM,197.58,158.07,54.87,177.82,27
RC,0272,RELOAD TA 30 V3,220.58,176.47,61.26,198.52,27
RC,0272,RELOAD TA 45 3.5MM,295.0,236.0,81.92,265.5,27
RC,0272,RELOAD TA 45 4.8MM,274.38,219.51,76.2,246.94,27
RC,0272,RELOAD TA 60 3.5MM,222.22,177.78,61.71,200.0,27
RC,0272,RELOAD TA 60 4.8MM,222.22,177.78,61.71,200.0,27
RC,0272,RELOAD TA 90 3.5MM,234.67,187.74,65.17,211.2,27
RC,0272,RELOAD TRI-STAPLE 2.0VASCGRY45,907.83,726.27,252.1,817.05,27
RC,0272,RELOAD TRI-STAPLE MD TAN 30,615.02,492.02,170.79,553.52,27
RC,0272,RELOAD TRI-STAPLE MDTHK CURV60,1174.15,939.32,326.06,1056.74,27
RC,0272,RELOAD TRI-STAPLE MDTHK PUR 30,670.82,536.66,186.29,603.74,27
RC,0272,RELOAD TRI-STAPLE MDTHK PUR 45,855.0,684.0,237.43,769.5,27
RC,0272,RELOAD TRI-STAPLE MDTHK PUR 60,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD TRI-STAPLE MTHK PUR 45,929.43,743.55,258.1,836.49,27
RC,0272,RELOAD TRI-STAPLE VASCMD 45,855.0,684.0,237.43,769.5,27
RC,0272,RELOAD TRI-STAPLE VASCMD 60,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD TRI-STAPLE VASCMD TAN30,782.78,626.23,217.38,704.5,27
RC,0272,RELOAD TRI-STAPLE VASCMD TAN45,894.56,715.65,248.42,805.1,27
RC,0272,RELOAD TRI-STAPLE VASCMD TAN60,1174.15,939.32,326.06,1056.74,27
RC,0272,RELOAD TRI-STAPLE VASCXTHN 60,945.0,756.0,262.43,850.5,27
RC,0272,RELOAD TRI-STAPLE XTHK BLK 45,884.34,707.48,245.58,795.91,27
RC,0272,RELOAD TRI-STAPLE XTHK BLK 60,1162.81,930.25,322.91,1046.53,27
RC,0272,RELOAD VLOC PBT 2-0 BLU 4,189.65,151.72,52.67,170.69,27
RC,0272,RELOAD VLOC PBT 2-0 BLU 6,213.68,170.95,59.34,192.31,27
RC,0272,RELOAD VLOC PBT 2-0 BLU 8,249.55,199.64,69.3,224.6,27
RC,0272,RELOAD VLOC PBT 3-0 BLU 8,249.55,199.64,69.3,224.6,27
RC,0272,RELOAD VLOC180 0 GRN 6,213.68,170.95,59.34,192.31,27
RC,0272,RELOAD VLOC180 2-0 GRN 6,213.68,170.95,59.34,192.31,27
RC,0272,RELOAD VLOC180 2-0 GRN 8,249.55,199.64,69.3,224.6,27
RC,0272,RELOAD VLOC180 3*DISC 6252393*,213.68,170.95,59.34,192.31,27
RC,0272,RELOAD VLOC180 3-0 GRN 10,193.49,154.8,53.73,174.14,27
RC,0272,RELOAD VLOC180 3-0 GRN 8,249.55,199.64,69.3,224.6,27
RC,0272,RELOADTRI-STAPLE2.0VASCMDPUR45,738.23,590.59,205.01,664.41,27
RC,0272,RELOADTRI-STAPLE2.0VASCMDPUR60,952.56,762.05,264.53,857.3,27
RC,0272,RELOADTRI-STAPLE2.0VASCMDTAN45,738.23,590.59,205.01,664.41,27
RC,0272,RELOADTRI-STAPLE2.0VASCMDTAN60,938.25,750.6,260.55,844.43,27
RC,0272,REMOV CLIP ANASTOCLIP DISP10CM,1549.8,1239.84,430.38,1394.82,27
RC,0272,REMOV INSRT CATH*DISC NO REPL*,289.75,231.8,80.46,260.78,27
RC,0272,REMOV NAIL KT FIBULOCK DISP,4620.0,3696.0,1282.97,4158.0,27
RC,0272,RESQPOD CIRCULATORY ENHANCER,548.24,438.6,152.25,493.42,27
RC,0272,RESUSC BAGGER AERONOX 2.0,1243.2,994.56,345.24,1118.88,27
RC,0272,RESUSC PK O2 I-GEL SZ5,219.05,175.24,60.83,197.15,27
RC,0272,RETAINER NOSTRIL STRY SZ1,1083.6,866.88,300.92,975.24,27
RC,0272,RETAINER NOSTRIL STRY SZ10,1083.6,866.88,300.92,975.24,27
RC,0272,RETAINER NOSTRIL STRY SZ11,1116.0,892.8,309.91,1004.4,27
RC,0272,RETAINER NOSTRIL STRY SZ12,1083.6,866.88,300.92,975.24,27
RC,0272,RETAINER NOSTRIL STRY SZ13,1083.6,866.88,300.92,975.24,27
RC,0272,RETAINER NOSTRIL STRY SZ2,1116.0,892.8,309.91,1004.4,27
RC,0272,RETAINER NOSTRIL STRY SZ3,963.0,770.4,267.43,866.7,27
RC,0272,RETAINER NOSTRIL STRY SZ4,1116.0,892.8,309.91,1004.4,27
RC,0272,RETAINER NOSTRIL STRY SZ5,1003.5,802.8,278.67,903.15,27
RC,0272,RETAINER NOSTRIL STRY SZ6,963.0,770.4,267.43,866.7,27
RC,0272,RETAINER NOSTRIL STRY SZ9,1116.0,892.8,309.91,1004.4,27
RC,0272,RETAINER NOSTRIL*DISC 6240001*,405.0,324.0,112.47,364.5,27
RC,0272,RETAINER NOSTRIL*DISC 6329067*,405.0,324.0,112.47,364.5,27
RC,0272,RETAINER NOSTRIL*DISC 6329068*,405.0,324.0,112.47,364.5,27
RC,0272,RETAINER NOSTRIL*DISC 6329069*,405.0,324.0,112.47,364.5,27
RC,0272,RETAINER NOSTRIL*DISC 6329070*,405.0,324.0,112.47,364.5,27
RC,0272,RETAINER NOSTRIL*DISC 6329071*,405.0,324.0,112.47,364.5,27
RC,0272,RETAINER VISCERA MD,289.75,231.8,80.46,260.78,27
RC,0272,RETAINER VISCERA SM,283.65,226.92,78.77,255.29,27
RC,0272,RETAINER VISCERA STER DISP LG,272.7,218.16,75.73,245.43,27
RC,0272,RETAINER VISCERA SURGIFISH,193.98,155.19,53.87,174.58,27
RC,0272,RETR ALEXIS O C-SECTION LG,298.9,239.12,83.0,269.01,27
RC,0272,RETR ALEXIS O C-SECTION XL,334.8,267.84,92.97,301.32,27
RC,0272,RETR ATRIAL ROB XI RT SHRT 8MM,910.0,728.0,252.71,819.0,27
RC,0272,RETR CAPSULE MST CHANGE MOD,577.49,462.0,160.37,519.74,27
RC,0272,RETR DUAL BLADE ROB XI 8MM,910.0,728.0,252.71,819.0,27
RC,0272,RETR ENDO LIVER TROC REVEEL,643.46,514.77,178.69,579.11,27
RC,0272,RETR ENDOPCH 10MM,817.56,654.05,227.04,735.8,27
RC,0272,RETR ESOPH ESOSURE,1659.0,1327.2,460.7,1493.1,27
RC,0272,RETR EXTNDR TRAXI PANNICULUS,403.7,322.96,112.11,363.33,27
RC,0272,RETR FLEX IRIS,413.52,330.82,114.83,372.17,27
RC,0272,RETR GELPORT,2340.0,1872.0,649.82,2106.0,27
RC,0272,RETR LONESTAR APS,453.55,362.84,125.95,408.2,27
RC,0272,RETR LONESTAR RING 3304,403.11,322.49,111.94,362.8,27
RC,0272,RETR LT TIGERVIEW 135X20,855.0,684.0,237.43,769.5,27
RC,0272,RETR LT TIGERVIEW 135X30,855.0,684.0,237.43,769.5,27
RC,0272,RETR LT TIGERVIEW 90X30,855.0,684.0,237.43,769.5,27
RC,0272,RETR MARS PORT ILLUM TIP 26MM,4631.2,3704.96,1286.08,4168.08,27
RC,0272,RETR MINI ENDO DISP 5MMX3*NLU*,358.02,286.42,99.42,322.22,27
RC,0272,RETR ONETRAC W LT DISP105*NLU*,351.0,280.8,97.47,315.9,27
RC,0272,RETR ONETRAC W LT DISP135*NLU*,351.0,280.8,97.47,315.9,54
RC,0272,RETR ONETRAC W LT DISP135X20MM,1104.6,883.68,306.75,994.14,27
RC,0272,RETR ONETRAC W LT DISP135X30MM,1104.6,883.68,306.75,994.14,27
RC,0272,RETR ONETRAC W LT DISP175*NLU*,351.0,280.8,97.47,315.9,27
RC,0272,RETR ONETRAC W LT DISP175X30MM,1104.6,883.68,306.75,994.14,27
RC,0272,RETR ONETRAC W LT DISP40X*NLU*,351.0,280.8,97.47,315.9,27
RC,0272,RETR ONETRAC W LT DISP55X*NLU*,351.0,280.8,97.47,315.9,27
RC,0272,RETR ONETRAC W LT DISP90X*NLU*,681.75,545.4,97.47,911.25,54
RC,0272,RETR ONETRAC W LT DISP90X20MM,1104.6,883.68,306.75,994.14,27
RC,0272,RETR ONETRAC W LT DISP90X30MM,1104.6,883.68,306.75,994.14,27
RC,0272,RETR OPH CAPSULE,592.52,474.02,164.54,533.27,27
RC,0272,RETR RIGID ALEXIS O 11-17CM XL,334.8,267.84,92.97,301.32,27
RC,0272,RETR RIGID ALEXIS O 2.5-6CM SM,195.2,156.16,54.21,175.68,27
RC,0272,RETR RIGID ALEXIS O 5-9CM MD,195.2,156.16,54.21,175.68,27
RC,0272,RETR RIGID ALEXIS O 9-14CM LG,298.9,239.12,83.0,269.01,27
RC,0272,RETR SLF RETAINING 14.1X14.1CM,403.11,322.49,111.94,362.8,27
RC,0272,RETR SYS ALIF ACC DISP,8819.2,7055.36,2449.09,7937.28,27
RC,0272,RETR SYS DEEP SCROTAL AMS,2016.0,1612.8,559.84,1814.4,27
RC,0272,RETR SYS WILSON MALE,1566.6,1253.28,435.04,1409.94,27
RC,0272,RETR TRAXI PANNICULUS,521.73,417.39,144.88,469.56,27
RC,0272,RETR VBAS 12X8MM 3CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 12X8MM 5CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 12X8MM 7CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 17X11MM 3CM,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 17X11MM 5CM,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 17X11MM 7CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 21X15MM 3CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 21X15MM 5CM,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 21X15MM 7CM,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 28X120MM 3CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 28X120MM 5CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR VBAS 28X120MM 7CM*NLU*,2502.0,2001.6,694.81,2251.8,27
RC,0272,RETR WEITLANER SHARP STER 6.5,289.76,231.81,80.47,260.78,27
RC,0272,RETR WND ABBY PAN*USE 6303774*,562.5,450.0,156.21,506.25,27
RC,0272,RETR WND ABBY PANNUS STD*NLU*,337.5,270.0,93.72,303.75,27
RC,0272,RETR WND PROTECT ALEXIS 2XS,195.2,156.16,54.21,175.68,27
RC,0272,RETR WND PROTECT ALEXIS XS,195.2,156.16,54.21,175.68,27
RC,0272,RETRV ANCHOR TISS 15MM 1550ML,673.79,539.04,187.11,606.41,27
RC,0272,RETRV ANCHOR TISS 8MM 125ML,449.28,359.43,124.77,404.35,27
RC,0272,RETRV FOREIGN BODY REMOVEFBR,740.25,592.2,205.57,666.23,27
RC,0272,RETRV INZII SPECMN 10MM,405.0,324.0,112.47,364.5,27
RC,0272,RETRV INZII SPECMN 12/15MM,787.5,630.0,218.69,708.75,27
RC,0272,RETRV INZII SPECMN 5MM,405.0,324.0,112.47,364.5,27
RC,0272,RETRV INZII SPECMNREDEPLOY11MM,480.0,384.0,133.3,432.0,27
RC,0272,RETRV INZII SPECMNRIPSTOP12/15,1512.0,1209.6,419.88,1360.8,27
RC,0272,RETRV RESCUENET 3X5.5CM 2.5MM,408.0,326.4,113.3,367.2,27
RC,0272,RETRV ROTH NET BOLUS 4.0X5.5CM,472.5,378.0,131.21,425.25,27
RC,0272,RETRV ROTH NET MAXI 4.0X8.0CM,495.0,396.0,137.46,445.5,27
RC,0272,RETRV ROTH NET MINI 2.0X4.5CM,480.0,384.0,133.3,432.0,27
RC,0272,RETRV ROTH NET STD 3.0X6.0CM,427.2,341.76,118.63,384.48,27
RC,0272,RETRV ROTH NET UNIV 4X5.5CM,480.0,384.0,133.3,432.0,27
RC,0272,RETRV STNT NSNARE 2.4FR 115CM,495.45,396.36,137.59,445.91,27
RC,0272,RETRV SUT STER MEDL,254.49,203.6,70.67,229.04,27
RC,0272,RETRV TREVO NXT PROVUE 6X37MM,20393.78,16315.03,5663.35,18354.4,27
RC,0272,RETRV TREVO XP PROVUE 3X2*NLU*,19184.04,15347.24,5327.41,17265.64,27
RC,0272,RETRV TREVO XP PROVUE 4X20MM,20527.7,16422.16,5700.54,18474.93,27
RC,0272,RETRV TREVO XP PROVUE 6X25MM,20527.7,16422.16,5700.54,18474.93,27
RC,0272,RHINOLARYNSCP AS*DISC 6332697*,765.0,612.0,212.44,688.5,27
RC,0272,RHINOLARYNSCP ASCOPE4 SLIM,765.0,612.0,212.44,688.5,27
RC,0272,RING EXTL FIX 5/8 DYNEX 155MM,6747.0,5397.6,1873.64,6072.3,27
RC,0272,RING EXTL FIX 5/8 TI 160MM,2378.02,1902.42,660.38,2140.22,27
RC,0272,RING EXTL FIX 5/8 TI 180MM,2455.3,1964.24,681.84,2209.77,27
RC,0272,RING EXTL FIX ALUM 5/8 120MM,3146.58,2517.27,873.81,2831.92,27
RC,0272,RING EXTL FIX ALUM 5/8 150MM,3146.58,2517.27,873.81,2831.92,27
RC,0272,RING EXTL FIX ALUM 5/8 180MM,3146.58,2517.27,873.81,2831.92,27
RC,0272,RING EXTL FIX ALUM 5/8 210MM,3146.58,2517.27,873.81,2831.92,27
RC,0272,RING EXTL FIX ALUM FULL 120MM,3295.99,2636.8,915.3,2966.39,27
RC,0272,RING EXTL FIX ALUM FULL 150MM,3295.99,2636.8,915.3,2966.39,27
RC,0272,RING EXTL FIX ALUM FULL 180MM,3295.99,2636.8,915.3,2966.39,27
RC,0272,RING EXTL FIX ALUM FULL 210MM,3295.99,2636.8,915.3,2966.39,27
RC,0272,RING EXTL FIX ARTX FULL 195MM,4389.0,3511.2,1218.83,3950.1,27
RC,0272,RING EXTL FIX CBN 5/8 180MM,2194.2,1755.36,609.33,1974.78,27
RC,0272,RING EXTL FIX CBN FT LNG 180MM,2450.88,1960.71,680.61,2205.79,27
RC,0272,RING EXTL FIX CBN FT SHRT160MM,2659.54,2127.64,738.55,2393.59,27
RC,0272,RING EXTL FIX CBN FULL 180MM,3253.49,2602.8,903.49,2928.14,27
RC,0272,RING EXTL FIX CBN OPEN 155MM,4858.92,3887.14,1349.32,4373.03,27
RC,0272,RING EXTL FIX CBN OPEN 180MM,4858.92,3887.14,1349.32,4373.03,27
RC,0272,RING EXTL FIX CBN OPEN 210MM,4858.92,3887.14,1349.32,4373.03,27
RC,0272,RING EXTL FIX FT SIXFIX LNG150,9609.6,7687.68,2668.59,8648.64,27
RC,0272,RING EXTL FIX FT SIXFIX LNG180,9609.6,7687.68,2668.59,8648.64,27
RC,0272,RING EXTL FIX FT SIXFIXSHRT150,9609.6,7687.68,2668.59,8648.64,27
RC,0272,RING EXTL FIX FT SIXFIXSHRT180,9609.6,7687.68,2668.59,8648.64,27
RC,0272,RING EXTL FIX FULL 7HL 180MM,3181.36,2545.09,883.46,2863.22,27
RC,0272,RING EXTL FIX FULL CBN 155MM,4952.42,3961.94,1375.29,4457.18,27
RC,0272,RING EXTL FIX FULL CBN 180MM,4952.42,3961.94,1375.29,4457.18,27
RC,0272,RING EXTL FIX FULL CBN 210MM,4952.42,3961.94,1375.29,4457.18,27
RC,0272,RING EXTL FIX FULL DYNEX 155MM,7787.0,6229.6,2162.45,7008.3,27
RC,0272,RING EXTL FIX FULL DYNEX 180MM,7787.0,6229.6,2162.45,7008.3,27
RC,0272,RING EXTL FIX HALF DYNEX 180MM,6426.0,5140.8,1784.5,5783.4,27
RC,0272,RING EXTL FIX HALF TI 120MM,1673.11,1338.49,464.62,1505.8,27
RC,0272,RING EXTL FIX HALF TI 150MM,1895.29,1516.24,526.32,1705.76,27
RC,0272,RING EXTL FIX HALF TI 160MM,2067.24,1653.8,574.07,1860.52,27
RC,0272,RING EXTL FIX HALF TI 180MM,1902.74,1522.2,528.39,1712.47,27
RC,0272,RING EXTL FIX HALF TI 200MM,2060.06,1648.05,572.08,1854.05,27
RC,0272,RING EXTL FIX HYBRID 3/4 205MM,2049.77,1639.82,569.22,1844.79,27
RC,0272,RING EXTL FIX SIXFIX 2/3 135,5266.8,4213.44,1462.59,4740.12,27
RC,0272,RING EXTL FIX SIXFIX 2/3 155,5266.8,4213.44,1462.59,4740.12,27
RC,0272,RING EXTL FIX SIXFIX 2/3 175,5266.8,4213.44,1462.59,4740.12,27
RC,0272,RING EXTL FIX SIXFIX 2/3 195,5266.8,4213.44,1462.59,4740.12,27
RC,0272,RING EXTL FIX SIXFIX FULL 125,6375.6,5100.48,1770.5,5738.04,27
RC,0272,RING EXTL FIX SIXFIX FULL 135,6375.6,5100.48,1770.5,5738.04,27
RC,0272,RING EXTL FIX SIXFIX FULL 155,6375.6,5100.48,1770.5,5738.04,27
RC,0272,RING EXTL FIX SIXFIX FULL 175,6375.6,5100.48,1770.5,5738.04,27
RC,0272,RING EXTL FIX SIXFIX FULL 195,6375.6,5100.48,1770.5,5738.04,27
RC,0272,RING EXTL FIX SIXFIX FULL 215,6375.6,5100.48,1770.5,5738.04,27
RC,0272,RING EXTL FIX SIXFIX FULL 225,5852.62,4682.1,1625.27,5267.36,27
RC,0272,RING EXTL FIX TI FT LNG 160MM,3110.34,2488.28,863.74,2799.31,27
RC,0272,RING EXTL FIX TI FT LNG 180MM,2825.87,2260.7,784.74,2543.28,27
RC,0272,RING EXTL FIX TI FT LNG 200MM,2927.62,2342.1,813.0,2634.86,27
RC,0272,RING EXTL FIX TOE DYNEX 155MM,3528.0,2822.4,979.73,3175.2,27
RC,0272,RING EXTL FIX TOE DYNEX 180MM,3780.0,3024.0,1049.71,3402.0,27
RC,0272,RING HALO OPBK ADLT MD 21-24IN,5365.36,4292.29,1489.96,4828.82,27
RC,0272,RING RETR FLEX ALEXIS SM/MD,900.0,720.0,249.93,810.0,27
RC,0272,RING RETR MALYUGIN 2.0 7MM,656.24,525.0,182.24,590.62,27
RC,0272,RING RETR MALYUGIN 6.25MM,674.24,539.4,187.24,606.82,27
RC,0272,RING RETR MALYUGIN 7MM,674.24,539.4,187.24,606.82,27
RC,0272,RING RETR RIGID ALEXIS SM/MD,900.0,720.0,249.93,810.0,27
RC,0272,RING SIL XTRAFLG PROVOX 22.5FR,69.13,55.31,19.2,62.22,27
RC,0272,ROCKER EXTL FIX FT ARTX SHRT,6730.42,5384.34,1869.04,6057.38,27
RC,0272,ROCKER EXTL FIX SHOE LNG LG,5342.4,4273.92,1483.58,4808.16,27
RC,0272,ROCKER EXTL FIX SHOE LNG MD,5342.4,4273.92,1483.58,4808.16,27
RC,0272,ROCKER EXTL FIX SIXFIX FT SHRT,7807.8,6246.24,2168.23,7027.02,27
RC,0272,ROD ATTACH EXTL FIX MR LG,1148.36,918.69,318.9,1033.52,27
RC,0272,ROD EXTL FIX ATTACH MR MD,1374.16,1099.33,381.6,1236.74,27
RC,0272,ROD EXTL FIX CBN 11X650MM,838.4,670.72,232.82,754.56,27
RC,0272,ROD EXTL FIX CBN CONN 8X200MM,1115.73,892.59,309.84,1004.16,27
RC,0272,ROD EXTL FIX CBN MD 8X120MM,606.69,485.36,168.48,546.02,27
RC,0272,ROD EXTL FIX CBN MD 8X160MM,606.69,485.36,168.48,546.02,27
RC,0272,ROD EXTL FIX CBN MD 8X200MM,599.13,479.31,166.38,539.22,27
RC,0272,ROD EXTL FIX CBN MD 8X220MM,599.13,479.31,166.38,539.22,27
RC,0272,ROD EXTL FIX CBN MD 8X240MM,599.13,479.31,166.38,539.22,27
RC,0272,ROD EXTL FIX CBN MD 8X280MM,606.69,485.36,168.48,546.02,27
RC,0272,ROD EXTL FIX CBN MD 8X320MM,606.69,485.36,168.48,546.02,27
RC,0272,ROD EXTL FIX CBN MD 8X360MM,655.83,524.67,182.12,590.25,27
RC,0272,ROD EXTL FIX CBN MD 8X400MM,655.83,524.67,182.12,590.25,27
RC,0272,ROD EXTL FIX CBN MINI 3X25MM,220.33,176.27,61.19,198.3,27
RC,0272,ROD EXTL FIX CBN MINI 3X45MM,220.33,176.27,61.19,198.3,27
RC,0272,ROD EXTL FIX CBN MINI 3X60MM,220.33,176.27,61.19,198.3,27
RC,0272,ROD EXTL FIX CBN MINI 3X75MM,220.33,176.27,61.19,198.3,27
RC,0272,ROD EXTL FIX CBN MR 11X100MM,659.84,527.88,183.24,593.86,27
RC,0272,ROD EXTL FIX CBN MR 11X125MM,659.84,527.88,183.24,593.86,27
RC,0272,ROD EXTL FIX CBN MR 11X150MM,659.84,527.88,183.24,593.86,27
RC,0272,ROD EXTL FIX CBN MR 11X200MM,659.84,527.88,183.24,593.86,27
RC,0272,ROD EXTL FIX CBN MR 11X250MM,707.27,565.82,196.41,636.54,27
RC,0272,ROD EXTL FIX CBN MR 11X300MM,707.27,565.82,196.41,636.54,27
RC,0272,ROD EXTL FIX CBN MR 11X350MM,707.27,565.82,196.41,636.54,27
RC,0272,ROD EXTL FIX CBN MR 11X400MM,775.62,620.5,215.39,698.06,27
RC,0272,ROD EXTL FIX CBN MR 11X450MM,775.62,620.5,215.39,698.06,27
RC,0272,ROD EXTL FIX CBN MR 11X500MM,775.62,620.5,215.39,698.06,27
RC,0272,ROD EXTL FIX CBN MR 11X550MM,838.4,670.72,232.82,754.56,27
RC,0272,ROD EXTL FIX CBN MR 11X600MM,838.4,670.72,232.82,754.56,27
RC,0272,ROD EXTL FIX CBN MR 135D11X499,1937.38,1549.91,538.01,1743.64,27
RC,0272,ROD EXTL FIX CBN MR CURV11X850,2091.01,1672.81,580.67,1881.91,27
RC,0272,ROD EXTL FIX CBN MR45D11X207MM,1614.48,1291.59,448.34,1453.03,27
RC,0272,ROD EXTL FIX CBN MR90D11X382MM,1774.63,1419.71,492.81,1597.17,27
RC,0272,ROD EXTL FIX CBN SM 4X100MM,204.96,163.97,56.92,184.46,27
RC,0272,ROD EXTL FIX CBN SM 4X120MM,204.96,163.97,56.92,184.46,27
RC,0272,ROD EXTL FIX CBN SM 4X140MM,281.82,225.46,78.26,253.64,27
RC,0272,ROD EXTL FIX CBN SM 4X160MM,281.82,225.46,78.26,253.64,27
RC,0272,ROD EXTL FIX CBN SM 4X180MM,281.82,225.46,78.26,253.64,27
RC,0272,ROD EXTL FIX CBN SM 4X200MM,281.82,225.46,78.26,253.64,27
RC,0272,ROD EXTL FIX CBN SM 4X60MM,204.96,163.97,56.92,184.46,27
RC,0272,ROD EXTL FIX CBN SM 4X80MM,204.96,163.97,56.92,184.46,27
RC,0272,ROD EXTL FIX ELBOW HNG JOINT,2981.95,2385.56,828.09,2683.76,27
RC,0272,ROD EXTL FIX H3 11X150MM,1207.16,965.73,335.23,1086.44,27
RC,0272,ROD EXTL FIX H3 11X200MM,1239.0,991.2,344.07,1115.1,27
RC,0272,ROD EXTL FIX H3 11X250MM,1239.0,991.2,344.07,1115.1,27
RC,0272,ROD EXTL FIX H3 11X300MM,1270.84,1016.68,352.91,1143.76,27
RC,0272,ROD EXTL FIX H3 11X350MM,1270.84,1016.68,352.91,1143.76,27
RC,0272,ROD EXTL FIX H3 11X400MM,1454.46,1163.57,403.9,1309.01,27
RC,0272,ROD EXTL FIX H3 11X450MM,1454.46,1163.57,403.9,1309.01,27
RC,0272,ROD EXTL FIX MAND RAMUS TI 4MM,2057.47,1645.98,571.36,1851.72,27
RC,0272,ROD EXTL FIX MAND ST 160MM,3164.64,2531.72,878.82,2848.18,27
RC,0272,ROD EXTL FIX THRD DYNEX 115MM,3040.0,2432.0,844.21,2736.0,27
RC,0272,ROD EXTL FIX THRD DYNEX 165MM,3040.0,2432.0,844.21,2736.0,27
RC,0272,ROD EXTL FIX THRD DYNEX 200MM,3040.0,2432.0,844.21,2736.0,27
RC,0272,ROD EXTL FIX THRD DYNEX 300MM,3040.0,2432.0,844.21,2736.0,27
RC,0272,ROD EXTL FIX THRD DYNEX 85MM,3040.0,2432.0,844.21,2736.0,27
RC,0272,ROD EXTL FIX THRD HOFFMAN 6X60,365.74,292.6,101.57,329.17,27
RC,0272,ROD EXTL FIX THRD HOFFMAN 6X80,365.74,292.6,101.57,329.17,27
RC,0272,ROD EXTL FIX THRD HOFFMAN6X100,375.5,300.4,104.28,337.95,27
RC,0272,ROD EXTL FIX THRD HOFFMAN6X120,375.5,300.4,104.28,337.95,27
RC,0272,ROD EXTL FIX THRD LNG 120MM,340.31,272.25,94.5,306.28,27
RC,0272,ROD EXTL FIX THRD LNG 150MM,340.31,272.25,94.5,306.28,27
RC,0272,ROD EXTL FIX THRD LNG 200MM,372.6,298.08,103.47,335.34,27
RC,0272,ROD EXTL FIX THRD LNG 250MM,372.6,298.08,103.47,335.34,27
RC,0272,ROD EXTL FIX THRD LNG 300MM,670.68,536.55,186.25,603.61,27
RC,0272,ROD EXTL FIX THRD LNG 350MM,670.68,536.55,186.25,603.61,27
RC,0272,ROD EXTL FIX THRD REVO 120MM,688.5,550.8,191.2,619.65,27
RC,0272,ROD EXTL FIX THRD REVO 160MM,850.5,680.4,236.18,765.45,27
RC,0272,ROD EXTL FIX THRD SIXFIX 115MM,490.5,392.4,136.21,441.45,27
RC,0272,ROD EXTL FIX THRD SIXFIX 200MM,544.5,435.6,151.21,490.05,27
RC,0272,ROD EXTL FIX THRD SIXFIX 300MM,544.5,435.6,151.21,490.05,27
RC,0272,ROD EXTL FIX THRD SIXFIX 85MM,490.5,392.4,136.21,441.45,27
RC,0272,ROD EXTL FIX THRD SLOT 100MM,340.31,272.25,94.5,306.28,27
RC,0272,ROD EXTL FIX THRD SLOT 60MM,340.31,272.25,94.5,306.28,27
RC,0272,ROD EXTL FIX THRD SLOT 80MM,340.31,272.25,94.5,306.28,27
RC,0272,ROD EXTL FIX THRDHOFFMAN 6X150,375.5,300.4,104.28,337.95,27
RC,0272,ROD PCT VERTEX 3.5X70MM,846.0,676.8,234.93,761.4,27
RC,0272,ROD REAMING BALL TIP 2.5X950MM,509.22,407.38,141.41,458.3,27
RC,0272,ROD REAMING BALL TIP2.5X1150MM,614.79,491.84,170.73,553.31,27
RC,0272,ROD REAMING BALL W EXT 2.5X650,540.27,432.22,150.03,486.24,27
RC,0272,ROD REAMING BALL W EXT 2.5X950,509.22,407.38,141.41,458.3,27
RC,0272,ROD REAMING ST STR 3.0X950MM,770.04,616.04,213.84,693.04,27
RC,0272,ROD TEMPLATE 200MM,423.36,338.69,117.57,381.02,27
RC,0272,ROD TEMPLATE 3.5X240MM,1289.4,1031.52,358.07,1160.46,27
RC,0272,ROD TEMPLATE CTD 5/5.5X500MM,2246.4,1797.12,623.83,2021.76,27
RC,0272,ROD TEMPLATE INVICTUS 240MM,787.5,630.0,218.69,708.75,27
RC,0272,RONGEUR LEMPERT CURV STER 6.5,219.6,175.68,60.98,197.64,27
RC,0272,RSVR AUTOTRATR40*DISC 6291415*,329.4,263.52,91.47,296.46,27
RC,0272,RSVR BUR HL OMAYA 12MM,1647.45,1317.96,457.5,1482.71,27
RC,0272,RSVR COLLT AUTOTRANFUSN ATR40,405.0,324.0,112.47,364.5,27
RC,0272,RSVR HEAT EXCHANGER BELMONT 3L,1416.45,1133.16,393.35,1274.81,27
RC,0272,RSVR SIDEINLET OMAYA 12MM,1572.06,1257.65,436.56,1414.85,27
RC,0272,RSVR SIDEINLET OMAYA 18MM,1647.45,1317.96,457.5,1482.71,27
RC,0272,RSVR VENT NEO MCCOMB 3CM,1226.4,981.12,340.57,1103.76,27
RC,0272,RSVR VENT NEO MCCOMB 4CM,1113.0,890.4,309.08,1001.7,27
RC,0272,RSVR VENT NEO MCCOMB 5CM,1113.0,890.4,309.08,1001.7,27
RC,0272,RSVR VENT NEO MCCOMB 6CM,1113.0,890.4,309.08,1001.7,27
RC,0272,RSVR VENT NEO MCCOMB 7CM,1113.0,890.4,309.08,1001.7,27
RC,0272,SAMP DEL KT AERONOX 2.0 CONVL,1035.0,828.0,287.42,931.5,27
RC,0272,SAMP DEL KT AERONOX 2.0 HFV,1281.84,1025.48,355.97,1153.66,27
RC,0272,SAW BLADE ANG SAG ARTX 30*NLU*,324.0,259.2,89.97,291.6,27
RC,0272,SAW BLADE SAG ARTX16X5.5X0.6MM,256.2,204.96,71.15,230.58,27
RC,0272,SAW BLADE SAG ARTX40X9.5X0.6MM,256.2,204.96,71.15,230.58,27
RC,0272,SAW BLADE SAGMICRO25X9.4X0.7MM,256.2,204.96,71.15,230.58,27
RC,0272,SAWBLADE FIX KT SMTH LAPIDUS,3542.0,2833.6,983.61,3187.8,27
RC,0272,SCAF BONE ACCUFILL ACCUMIX 2CC,6426.0,5140.8,1784.5,5783.4,27
RC,0272,SCAF BONE CERAMENT 10CC,7007.0,5605.6,1945.84,6306.3,27
RC,0272,SCAF BONE CERAMENT 5CC,3906.0,3124.8,1084.7,3515.4,27
RC,0272,SCAF BONE STRIP KINEX 25X50X8,4438.0,3550.4,1232.43,3994.2,27
RC,0272,SCAF DURAL SYN SEAL ADHERUS,864.0,691.2,239.93,777.6,27
RC,0272,SCAF DURAL SYN SEAL ADHERUS ET,864.0,691.2,239.93,777.6,27
RC,0272,SCALPEL BLADE C2DX STER #12,456.0,364.8,126.63,410.4,27
RC,0272,SCALPEL BONE BLNT 10MM,1701.0,1360.8,472.37,1530.9,27
RC,0272,SCALPEL BONE BLNT 20MM,1701.0,1360.8,472.37,1530.9,27
RC,0272,SCALPEL BONE BLNT 25MM,1806.0,1444.8,501.53,1625.4,27
RC,0272,SCALPEL HARMONIC CURV SHEAR,1415.15,1132.12,392.99,1273.64,27
RC,0272,SCALPEL HARMONIC SHRT SCISSORS,1279.45,1023.56,355.3,1151.51,27
RC,0272,SCALPEL MTP RELEASE INST STER,2079.0,1663.2,577.34,1871.1,27
RC,0272,SCALPEL PADDLEBLADE ROBSI RPSB,9.15,7.32,2.54,8.24,27
RC,0272,SCALPEL SPNL EVEREST NARW,508.5,406.8,141.21,457.65,27
RC,0272,SCISSOR NANO DISP ST 130M*NLU*,1113.0,890.4,309.08,1001.7,27
RC,0272,SCISSOR NANO DISP ST 70MM*NLU*,1113.0,890.4,309.08,1001.7,27
RC,0272,SCISSORS CAUT MONO CURV 5MM,1195.78,956.63,332.07,1076.2,27
RC,0272,SCISSORS CURV ROB S RPSB,560.0,448.0,155.51,504.0,27
RC,0272,SCISSORS CURV ROB SI RPSB,650.0,520.0,180.51,585.0,27
RC,0272,SCISSORS CURV ROB SS RPSB 5MM,446.4,357.12,123.97,401.76,27
RC,0272,SCISSORS ENDO OLYM*NLU*,6213.76,4971.01,1725.56,5592.38,27
RC,0272,SCISSORS ENSIZER 2.6MMX165CM,1533.0,1226.4,425.71,1379.7,27
RC,0272,SCISSORS GRIESHABER CURV 25G,1077.38,861.91,299.19,969.64,27
RC,0272,SCISSORS HOT ROB S RPSB,832.0,665.6,231.05,748.8,27
RC,0272,SCISSORS LAP CURV 0.75IN 35CM,477.6,382.08,132.63,429.84,27
RC,0272,SCISSORS LAP CURV 0.75IN 45CM,477.6,382.08,132.63,429.84,27
RC,0272,SCISSORS LAP HOOK 35CM,477.6,382.08,132.63,429.84,27
RC,0272,SCISSORS POTTS ROB S RPSB,546.0,436.8,151.62,491.4,27
RC,0272,SCISSORS POTTS RPSB ROB XI 8MM,573.44,458.76,159.24,516.1,27
RC,0272,SCISSORS RD TIP ROB RPSB 8MM,441.0,352.8,122.47,396.9,27
RC,0272,SCISSORS RD TIP ROB S RPSB,546.0,436.8,151.62,491.4,27
RC,0272,SCISSORS VERTICLE PNCLE360 25G,835.47,668.38,232.01,751.92,27
RC,0272,SCOPE ASCOPE*DISC 6297666*,1201.2,960.96,333.57,1081.08,27
RC,0272,SCOPE ASCOPE*DISC USE 6297667*,1381.8,1105.44,383.73,1243.62,27
RC,0272,SCORER TISS DEEP STBL LOPRO,625.5,500.4,173.7,562.95,27
RC,0272,SCP ONPOINT W1.2*DISC NO REPL*,2653.2,2122.56,736.79,2387.88,27
RC,0272,SCRAPER CMNT TI OSCAR PRO180X6,2954.0,2363.2,820.33,2658.6,27
RC,0272,SCRAPER MEMB TANO 20G,536.94,429.56,149.11,483.25,27
RC,0272,SCRAPER MEMB TANO RETR 25G,624.2,499.36,173.34,561.78,27
RC,0272,SCRAPER MEMB TANO STIF25G*NLU*,621.0,496.8,172.45,558.9,27
RC,0272,SCREW BONE EXTL FIX 60 CENT260,2199.6,1759.68,610.83,1979.64,27
RC,0272,SCREW BONE HA 20MM THRD 3.0X80,1789.2,1431.36,496.86,1610.28,27
RC,0272,SCREW CONN M6 DYNANAIL LNG,760.5,608.4,211.19,684.45,27
RC,0272,SCREW COV CONIC CONN RP,356.4,285.12,98.97,320.76,27
RC,0272,SCREW DISTRAC MAXCESS-C 12MM,268.4,214.72,74.53,241.56,27
RC,0272,SCREW DISTRAC MAXCESS-C 14MM,268.4,214.72,74.53,241.56,27
RC,0272,SCREW EXTL FIX SCHANZ 2.5X10,1219.93,975.95,338.77,1097.94,27
RC,0272,SCREW EXTL FIX SCHANZ 2.5X14,1219.93,975.95,338.77,1097.94,27
RC,0272,SCREW EXTL FIX SCHANZ 2.5X18,1219.93,975.95,338.77,1097.94,27
RC,0272,SCREW EXTL FIX SCHANZ 2.5X20,1219.93,975.95,338.77,1097.94,27
RC,0272,SCREW EXTR CONIC CANN 7.3MM,2617.2,2093.76,726.8,2355.48,27
RC,0272,SCREW EXTR CONIC FOR LG SCREW,350.24,280.2,97.26,315.22,27
RC,0272,SCREW EXTR CONIC TIP 1.5/2.0MM,500.94,400.76,139.11,450.85,27
RC,0272,SCREW EXTR CONIC TIP 2.7/3.5MM,500.94,400.76,139.11,450.85,27
RC,0272,SCREW MIS HEADED ZIMM 33MM,388.8,311.04,107.97,349.92,27
RC,0272,SCREW RDCTN ZYGOMA 1.8-3.5MM,655.11,524.09,181.92,589.6,27
RC,0272,SCREW SHLDR SIXFIX,441.6,353.28,122.63,397.44,27
RC,0272,SCREWDRIV DARTFIRE EDGE2.0X2.7,436.8,349.44,121.3,393.12,27
RC,0272,SCRWDRVR ASD MAXDRIVE KLS,713.52,570.82,198.14,642.17,27
RC,0272,SCRWDRVR BIT CANN 3.0/4.0MM,787.5,630.0,218.69,708.75,27
RC,0272,SCRWDRVR BIT T8 AO,1041.84,833.48,289.32,937.66,27
RC,0272,SCRWDRVR CANN 3MM,1111.5,889.2,308.66,1000.35,27
RC,0272,SCRWDRVR CANN ASNIS 2.0MM,4812.92,3850.34,1336.55,4331.63,27
RC,0272,SCRWDRVR HEX BIODRBLUGRY*DISC*,972.0,777.6,269.92,874.8,27
RC,0272,SCRWDRVR OSTEODRIV 2 DISP,1117.2,893.76,310.25,1005.48,27
RC,0272,SCRWDRVR PT DISTRAC 0.3MM,1840.36,1472.29,511.07,1656.32,27
RC,0272,SCRWDRVR SQ ZIMM 1.3MM,504.0,403.2,139.96,453.6,27
RC,0272,SCRWDRVR STRTM T10 ST*NLU*,661.5,529.2,183.7,595.35,27
RC,0272,SCRWDRVR T8 AO SLF RETAIN,1532.87,1226.3,425.68,1379.58,27
RC,0272,SEAL AORTIC HEARTSTRINGIII 3.8,1804.43,1443.55,501.09,1623.99,27
RC,0272,SEAL CERV OMNI LOK,540.0,432.0,149.96,486.0,27
RC,0272,SEAL VESS DISP EXT ROB XI 8MM,2362.79,1890.24,656.15,2126.51,27
RC,0272,SEAL VESS ENDOWRIST1DISPROB SI,2142.0,1713.6,594.83,1927.8,27
RC,0272,SEALER ENSEAL LAP CURV 5MM35CM,1968.26,1574.61,546.59,1771.43,27
RC,0272,SEALER ENSEAL LAP CURV 5MM45CM,2187.36,1749.89,607.43,1968.62,27
RC,0272,SEALER SONICBEAT 5.5MM 35CM,1367.1,1093.68,379.64,1230.39,27
RC,0272,SEALER THORACIC MARYLAND JAW,2303.53,1842.83,639.69,2073.18,27
RC,0272,SEALER VESS COOLSEAL 37CM,1854.0,1483.2,514.86,1668.6,27
RC,0272,SEALER VESS COOLSEAL 44CM,1854.0,1483.2,514.86,1668.6,27
RC,0272,SEALER VESS COOLSEAL MINI,2720.0,2176.0,755.34,2448.0,27
RC,0272,SECURE NG BR12FR*DISC 6345725*,475.2,380.16,131.96,427.68,27
RC,0272,SECURE NG BRIDLE PRO PUR5-6FR,475.2,380.16,131.96,427.68,27
RC,0272,SECURE NG BRIDLE PRO TEAL 10FR,475.2,380.16,131.96,427.68,27
RC,0272,SECURE NG BRIDLE PROTEAL8-10FR,475.2,380.16,131.96,427.68,27
RC,0272,SECURE NG BRIDLE PROYEL16-18FR,475.2,380.16,131.96,427.68,27
RC,0272,SECURE NG BRIDLE*DISC 6354601*,475.2,380.16,131.96,427.68,27
RC,0272,SECURE NG BRIDLEPRODBLU12-14FR,475.2,380.16,131.96,427.68,27
RC,0272,SECURESTRAP 5MM,1908.65,1526.92,530.03,1717.79,27
RC,0272,SENS ACUMEN IQ 60IN,1839.02,1471.22,510.7,1655.12,27
RC,0272,SENS ART CDI,681.75,545.4,189.32,613.58,27
RC,0272,SENS FLOTRAC 60IN*DISC 6349342,1752.16,1401.73,486.57,1576.94,27
RC,0272,SENS FLOTRACVAMP*DISC 6341871*,1784.79,1427.84,495.64,1606.31,27
RC,0272,SENS RSO2 INVOS 7100 ADLT>40KG,401.28,321.03,111.44,361.15,27
RC,0272,SENS RSO2 INVOS 7100PEDS4KG<40,480.0,384.0,133.3,432.0,27
RC,0272,SENS SOMASENS CRBL ADLT,364.8,291.84,101.3,328.32,27
RC,0272,SENS SOMASENS CRBL PEDS,480.0,384.0,133.3,432.0,27
RC,0272,SENS SPO2 FLEX NELLCOR 22X36MM,742.5,594.0,206.19,668.25,27
RC,0272,SENS SPO2 FLEX NELLCOR 23X40MM,742.5,594.0,206.19,668.25,27
RC,0272,SENS STIM RECTAL PATHWAY SEMG,292.8,234.24,81.31,263.52,27
RC,0272,SENS STIM VAGINAL PATHWAY SEMG,67.2,53.76,18.66,60.48,27
RC,0272,SENS TISS ODISSEY SM 5X5MM,2968.0,2374.4,824.21,2671.2,27
RC,0272,SENS TISS OXMTR FORESIGHT LG,746.01,596.81,207.17,671.41,27
RC,0272,SENS TISS OXMTR SIL SM,2968.0,2374.4,824.21,2671.2,27
RC,0272,SEP 3MAX 0.030 130CM,7722.0,6177.6,2144.4,6949.8,27
RC,0272,SEP INDIGO 3 0.0*DISC 6293145*,2574.0,2059.2,714.8,2316.6,27
RC,0272,SEP INDIGO 5 0.045 175CM,2574.0,2059.2,714.8,2316.6,27
RC,0272,SEP INDIGO 6 0.055 175CM,3024.0,2419.2,839.76,2721.6,27
RC,0272,SEP INDIGO 8 150*DISC 6335977*,5264.0,4211.2,1461.81,4737.6,27
RC,0272,SET ACC SIMPLE CHEST DRN VALV,395.52,316.42,109.84,355.97,27
RC,0272,SET ANCHOR GASTRO SAF-T-PEXY,545.45,436.36,151.47,490.91,27
RC,0272,SET ANCHOR SUT COPE 17G 12CM,436.8,349.44,121.3,393.12,27
RC,0272,SET AUTOTRANFUSN AT3,481.5,385.2,133.71,433.35,27
RC,0272,SET BLD 3SPIKE BELMONT RI-2,837.36,669.89,232.53,753.62,27
RC,0272,SET BLD EXCHANGE SPECTRA OPTIA,1830.07,1464.06,508.21,1647.06,27
RC,0272,SET BLD IDL SPECTRA OPTIA,1656.52,1325.22,460.02,1490.87,27
RC,0272,SET CANN CORNUAL 5FR 35CM,601.43,481.15,167.02,541.29,27
RC,0272,SET CARDIOHELP HLS ADV 7.0,31929.6,25543.68,8866.85,28736.64,27
RC,0272,SET CATH KARLAN W GD 4FR 60CM,864.9,691.92,240.18,778.41,27
RC,0272,SET CHOLANGIO KARLAN 4FR 60CM,752.4,601.92,208.94,677.16,27
RC,0272,SET CIRCULAR SZR 25-29MM,2614.82,2091.86,726.14,2353.34,27
RC,0272,SET CORD TB ROTARY FIXEDBIPOLR,278.22,222.58,77.26,250.4,27
RC,0272,SET CORD TB ROTARYFLYINGBIPOLR,246.62,197.3,68.49,221.96,27
RC,0272,SET DISP DRILL AND PIN ZIMM,388.8,311.04,107.97,349.92,27
RC,0272,SET EXT ENFIT MIC 12FR 0.8CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 1.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 1.2CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 1.5CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 12FR 1.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 2.0CM,594.09,475.28,164.98,534.68,27
RC,0272,SET EXT ENFIT MIC 12FR 2.3CM,472.99,378.4,131.35,425.69,27
RC,0272,SET EXT ENFIT MIC 12FR 2.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 2.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 3.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 3.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 12FR 4.0CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 0.8CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 14FR 1.0CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 1.2CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 1.5CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 1.7CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 2.0CM,526.14,420.92,146.11,473.53,27
RC,0272,SET EXT ENFIT MIC 14FR 2.3CM,673.29,538.64,186.97,605.96,27
RC,0272,SET EXT ENFIT MIC 14FR 2.5CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 2.7CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 14FR 3.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 14FR 3.5CM,526.14,420.92,146.11,473.53,27
RC,0272,SET EXT ENFIT MIC 14FR 4.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 14FR 4.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 14FR 5.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 1.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 1.2CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 1.5CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 16FR 1.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 2.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 2.3CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 16FR 2.5CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 16FR 2.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 3.0CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 16FR 3.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 4.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 4.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 16FR 5.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 18FR 1.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 18FR 1.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 18FR 1.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 18FR 2.0CM,673.29,538.64,186.97,605.96,27
RC,0272,SET EXT ENFIT MIC 18FR 2.3CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 18FR 2.5CM,594.09,475.28,164.98,534.68,27
RC,0272,SET EXT ENFIT MIC 18FR 2.7CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 18FR 3.0CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 18FR 3.5CM,673.29,538.64,186.97,605.96,27
RC,0272,SET EXT ENFIT MIC 18FR 4.0CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 18FR 4.5CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 18FR 5.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 1.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 1.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 1.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 2.0CM,472.99,378.4,131.35,425.69,27
RC,0272,SET EXT ENFIT MIC 20FR 2.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 2.7CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 3.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 3.5CM,594.09,475.28,164.98,534.68,27
RC,0272,SET EXT ENFIT MIC 20FR 4.0CM,563.85,451.08,156.58,507.47,27
RC,0272,SET EXT ENFIT MIC 20FR 4.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 20FR 5.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 24FR 2.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 24FR 2.5CM,526.14,420.92,146.11,473.53,27
RC,0272,SET EXT ENFIT MIC 24FR 3.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 24FR 3.5CM,488.66,390.93,135.7,439.79,27
RC,0272,SET EXT ENFIT MIC 24FR 4.0CM,594.41,475.53,165.07,534.97,27
RC,0272,SET EXT ENFIT MIC 24FR 5.0CM,488.66,390.93,135.7,439.79,27
RC,0272,SET FEED MCLEAN RING9.5FR130CM,393.6,314.88,109.3,354.24,27
RC,0272,SET GENESIS PIN AND DRILL,702.0,561.6,194.95,631.8,27
RC,0272,SET HTA PROCERA PRCD SYS*NLU*,3500.0,2800.0,971.95,3150.0,27
RC,0272,SET INST PERFUSE HIP DISP,4765.32,3812.26,1323.33,4288.79,27
RC,0272,SET INTR KOLENDA SALIVARY1.9MM,562.5,450.0,156.21,506.25,27
RC,0272,SET INTR NDLE BX GREENE 22GX15,206.12,164.9,57.24,185.51,27
RC,0272,SET IRG TB MISONIX,305.0,244.0,84.7,274.5,27
RC,0272,SET IRG WARM 3M RANGER,271.08,216.87,75.28,243.97,27
RC,0272,SET IRG WARM NORMOFLO,191.66,153.33,53.22,172.49,27
RC,0272,SET LACERATION MINI MONOK,384.0,307.2,106.64,345.6,27
RC,0272,SET LIVER ACCESS*DISC 6341105*,1788.78,1431.03,496.74,1609.9,27
RC,0272,SET LIVER BX LAB*DISC 6316757*,1582.85,1266.28,439.56,1424.57,27
RC,0272,SET MENISCAL MENDER 2 DISP,715.5,572.4,198.69,643.95,27
RC,0272,SET NRVBLCK CONTIPLEX18GX4,274.86,219.89,76.33,247.37,27
RC,0272,SET PD TRANS MINICAP EXT LIFE,226.49,181.2,62.9,203.84,27
RC,0272,SET PD TRANS TWI*DISC 6344614*,269.99,216.0,74.98,242.99,27
RC,0272,SET PD TRANSTWIS*DISC 6344614*,226.01,180.81,62.76,203.41,27
RC,0272,SET PRSS MON,656.24,525.0,182.24,590.62,27
RC,0272,SET PRSS MON ST2*DISC 6337309*,237.9,190.32,66.06,214.11,27
RC,0272,SET RENAL DILATO*DISC 6323189*,900.9,720.72,250.18,810.81,27
RC,0272,SET SCREW OC FLAT CONN,305.0,244.0,84.7,274.5,27
RC,0272,SET TB COOL PNT 260CM,369.6,295.68,102.64,332.64,27
RC,0272,SET TB SUCT LINE AUTOTRANFUSN,222.65,178.12,61.83,200.39,27
RC,0272,SET WARM BLD FLUID HIGH 150ML,225.76,180.61,62.69,203.18,27
RC,0272,SET WRENCH HEX*DISC 6201811*,307.8,246.24,85.48,277.02,27
RC,0272,SHAFT ADPTR DRIVER QK CONN,1125.0,900.0,312.41,1012.5,27
RC,0272,SHAFT MOD TRINKLE BIXCUT 510MM,1367.31,1093.85,379.7,1230.58,27
RC,0272,SHAFT MOD TRINKLE BIXCUT 885MM,1533.29,1226.64,425.79,1379.96,27
RC,0272,SHAFT SCRWDRVR 2.0/2.4MM*NLU*,1113.0,890.4,309.08,1001.7,27
RC,0272,SHAFT SCRWDRVR AO QC T15,1890.0,1512.0,524.85,1701.0,27
RC,0272,SHAFT SCRWDRVR AO QC T8,1890.0,1512.0,524.85,1701.0,27
RC,0272,SHAFT SCRWDRVR LNG HEX1.2*NLU*,1102.5,882.0,306.16,992.25,27
RC,0272,SHAFT SCRWDRVR MANUAL 1.6MM,1356.6,1085.28,376.73,1220.94,27
RC,0272,SHEAR CURV HARMONIC DISP ROB S,1806.0,1444.8,501.53,1625.4,27
RC,0272,SHEAR HARMONIC ROB SI RPSB,154.0,123.2,42.77,138.6,27
RC,0272,SHEARS ENDO ACE+*DISC 6340898*,2241.14,1792.92,622.36,2017.03,27
RC,0272,SHEARS ENDO ACE+*DISC 6340899*,2469.13,1975.31,685.68,2222.22,27
RC,0272,SHEARS HARMO*DISC 6319247*,2615.72,2092.58,726.39,2354.15,27
RC,0272,SHEARS HARMONIC 1100 20CM,2558.48,2046.79,710.49,2302.63,27
RC,0272,SHEARS HARMONIC 1100 36CM,2589.66,2071.73,719.15,2330.69,27
RC,0272,SHEARS LIGAT*DISC USE 6252431*,1302.0,1041.6,361.57,1171.8,27
RC,0272,SHEARS LIGATING STARION 35CM,1396.5,1117.2,387.81,1256.85,27
RC,0272,SHEARS OPEN ACE *DISC 6340897*,1875.13,1500.11,520.72,1687.62,27
RC,0272,SHEARS OPEN ACE+ CURV 5MMX23CM,1968.16,1574.53,546.56,1771.34,27
RC,0272,SHEARS OPEN ACE+ CURV 5MMX36CM,2241.14,1792.92,622.36,2017.03,27
RC,0272,SHEARS OPEN ACE+ CURV 5MMX45CM,2469.13,1975.31,685.68,2222.22,27
RC,0272,SHEARS OPEN FOCUS PLUS CURV9CM,1920.6,1536.48,533.35,1728.54,27
RC,0272,SHEARSOPENACE 7C*DISC 6340897*,1968.16,1574.53,546.56,1771.34,27
RC,0272,SHEATH 80/4 MP LNG 6FR 80CM,2037.0,1629.6,565.67,1833.3,27
RC,0272,SHEATH 90/4 MP LNG 6FR 90CM,2037.0,1629.6,565.67,1833.3,27
RC,0272,SHEATH BRAINPATH 13.5X50MM,3393.6,2714.88,942.4,3054.24,27
RC,0272,SHEATH BRAINPATH 13.5X60MM,3393.6,2714.88,942.4,3054.24,27
RC,0272,SHEATH BRAINPATH 13.5X75MM,3393.6,2714.88,942.4,3054.24,27
RC,0272,SHEATH CH VISION 4000-5000,213.5,170.8,59.29,192.15,27
RC,0272,SHEATH COMPANION IMPELLA 7FR,1125.0,900.0,312.41,1012.5,27
RC,0272,SHEATH DBL WATCHMAN TRUSTEER,4200.0,3360.0,1166.34,3780.0,27
RC,0272,SHEATH DIL TIGHTRAIL 11FR,6786.0,5428.8,1884.47,6107.4,27
RC,0272,SHEATH DIL TIGHTRAIL 13FR,6786.0,5428.8,1884.47,6107.4,27
RC,0272,SHEATH DIL TIGHTRAIL 9FR,6786.0,5428.8,1884.47,6107.4,27
RC,0272,SHEATH DIL TIGHTRAIL MINI 11FR,5726.0,4580.8,1590.11,5153.4,27
RC,0272,SHEATH DRYSEAL F*DISC 6343817*,2956.8,2365.44,821.1,2661.12,27
RC,0272,SHEATH ENDOSCP MINOP 19FR,1077.01,861.61,299.09,969.31,27
RC,0272,SHEATH ENDOSCRUB2 STORZ 0D,338.2,270.56,93.92,304.38,27
RC,0272,SHEATH ENDOSCRUB2 STORZ 30D,302.72,242.18,84.07,272.45,27
RC,0272,SHEATH GD CEREBASE DA 90CM,1814.4,1451.52,503.86,1632.96,27
RC,0272,SHEATH GD CEREBASE DA 95CM,1814.4,1451.52,503.86,1632.96,27
RC,0272,SHEATH GD OPTIMA 0.088 100CM,1821.6,1457.28,505.86,1639.44,27
RC,0272,SHEATH GD OPTIMA 0.088 80CM,1821.6,1457.28,505.86,1639.44,27
RC,0272,SHEATH GD OPTIMA 0.088 90CM,1821.6,1457.28,505.86,1639.44,27
RC,0272,SHEATH INTHRILL INAR 8FR 6CM,5040.0,4032.0,1399.61,4536.0,27
RC,0272,SHEATH PEELABLE MDCM 16FR 14,183.0,146.4,50.82,164.7,27
RC,0272,SHEATH PEELABLE OPTISEAL 9FR,198.25,158.6,55.05,178.43,27
RC,0272,SHEATH PEELABLE OPTISEALLNG7FR,222.65,178.12,61.83,200.39,27
RC,0272,SHEATH PEELAPART BAAS 15FR 14,428.4,342.72,118.97,385.56,27
RC,0272,SHEATH PEELAPART BBRA 14FR,210.39,168.32,58.43,189.35,27
RC,0272,SHEATH PEELAPART BBRA 16FR,210.39,168.32,58.43,189.35,27
RC,0272,SHEATH PEELAWAY CODMAN 12.5FR,961.29,769.04,266.95,865.16,27
RC,0272,SHEATH PEELAWAY FTPR 1.4FR,280.6,224.48,77.92,252.54,27
RC,0272,SHEATH R2P SLENDER ST 6FR 85CM,1344.0,1075.2,373.23,1209.6,27
RC,0272,SHEATH R2P SLENDER ST 6FR 95CM,1344.0,1075.2,373.23,1209.6,27
RC,0272,SHEATH R2P SLENDER ST 6FR119CM,1344.0,1075.2,373.23,1209.6,27
RC,0272,SHEATH R2P SLENDER ST 6FR149CM,1344.0,1075.2,373.23,1209.6,27
RC,0272,SHEATH SHNT PASR*DISC 6222551*,271.08,216.87,75.28,243.97,54
RC,0272,SHEATH SHNT PASR*DISC 6322847*,258.03,206.43,71.65,232.23,27
RC,0272,SHEATH SHNT PASR*DISC 6322848*,258.03,206.43,71.65,232.23,27
RC,0272,SHEATH URETRL CLRPTRA10/12FR46,1083.6,866.88,300.92,975.24,27
RC,0272,SHEATH URETRL CLRPTRA10/12FR55,1083.6,866.88,300.92,975.24,27
RC,0272,SHEATH URETRL CLRPTRA11/13FR40,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH URETRL CLRPTRA11/13FR50,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH URETRL CLRPTRA12/14FR36,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH URETRL CLRPTRA12/14FR40,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH URETRL CLRPTRA12/14FR46,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH URETRL CLRPTRA12/14FR50,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH URETRL CLRPTRA12/14FR55,2700.0,2160.0,749.79,2430.0,27
RC,0272,SHEATH VASC ACC ELEMENT 13CM,3072.0,2457.6,853.09,2764.8,27
RC,0272,SHEATH VASC ACC ELEMENT 65CM,3072.0,2457.6,853.09,2764.8,27
RC,0272,SHEATH VERSACROS*DISC 6345480*,2940.0,2352.0,816.44,2646.0,27
RC,0272,SHEATHDILSENSATI*DISC 6223066*,225.4,180.32,62.59,202.86,27
RC,0272,SHIELD BLADE OSTEO WO HNDLDISP,1501.5,1201.2,416.97,1351.35,27
RC,0272,SHIELD PLAS ANTIFOG STER,219.6,175.68,60.98,197.64,27
RC,0272,SHIM SPNL INTRADISCAL NARW,1155.0,924.0,320.74,1039.5,27
RC,0272,SHIM SPNL INTRADISCAL WIDE,1155.0,924.0,320.74,1039.5,27
RC,0272,SHIM SPNL PTP INTRADISCAL WIDE,1155.0,924.0,320.74,1039.5,27
RC,0272,SHLDR ADPTR HUMR TRIAL REUNION,1994.4,1595.52,553.84,1794.96,27
RC,0272,SHLDR ADPTR HUMRHDTRIALREUNION,1814.4,1451.52,503.86,1632.96,27
RC,0272,SHLDR BEARING TRIAL +3 36MM,922.5,738.0,256.18,830.25,27
RC,0272,SHLDR DIVD PASSPORT 12MM,356.4,285.12,98.97,320.76,27
RC,0272,SHLDR GLENO PIN KT 200MM,403.2,322.56,111.97,362.88,27
RC,0272,SHLDR HEX SCREW DRIV BIT REVII,488.07,390.46,135.54,439.26,27
RC,0272,SHLDR PIN SET UNIV RVRS 2.4MM,1680.0,1344.0,466.54,1512.0,27
RC,0272,SHLDR PIN SS GLENO TARGETER2.8,405.0,324.0,112.47,364.5,27
RC,0272,SHLDR PRCD KT LATARJET DISP,3178.7,2542.96,882.72,2860.83,27
RC,0272,SHLDR SPACER MOLD CEMEND 10-48,12240.0,9792.0,3399.05,11016.0,27
RC,0272,SHLDR SPACER MOLD CEMEND 8-42,12240.0,9792.0,3399.05,11016.0,27
RC,0272,SHLDR STBL KT CRITTER,273.83,219.07,76.04,246.45,27
RC,0272,SHLDR STBL KT MARCO,484.65,387.72,134.59,436.19,27
RC,0272,SHLDR TRAC STAR SLV W COBAN,369.6,295.68,102.64,332.64,27
RC,0272,SHLDR TRAY RVRS 3.5MM +12,3200.0,2560.0,888.64,2880.0,27
RC,0272,SHNT CAROTID ARGYLE 8-14FR15CM,329.56,263.65,91.52,296.6,27
RC,0272,SHNT CAROTID AVI17FR27.5*DISC*,399.6,319.68,110.97,359.64,27
RC,0272,SHNT CAROTID BRE14FR13CM*DISC*,333.45,266.76,92.6,300.11,27
RC,0272,SHNT CAROTID PRUITT-INAHARA 9,3833.2,3066.56,1064.48,3449.88,27
RC,0272,SHNT CAROTID SUNDT EXTL 3X4MM,2694.31,2155.45,748.21,2424.88,27
RC,0272,SHNT CAROTID SUNDT EXTL 3X5MM,2634.43,2107.55,731.58,2370.99,27
RC,0272,SHNT CAROTID SUNDT EXTL 4X5MM,2694.31,2155.45,748.21,2424.88,27
RC,0272,SHNT CAROTID SUNDT INTRL 3X4MM,2470.66,1976.53,686.1,2223.59,27
RC,0272,SHNT CAROTID SUNDT INTRL 4X5MM,2526.8,2021.44,701.69,2274.12,27
RC,0272,SHNT CATH PERI OPEN END 120CM,787.64,630.12,218.73,708.88,27
RC,0272,SHNT CORO BULB TIP 1.50X1*NLU*,378.0,302.4,104.97,340.2,27
RC,0272,SHNT CORO BULB TIP 1.75X1*NLU*,378.0,302.4,104.97,340.2,27
RC,0272,SHNT CORO BULB TIP 2.0X12*NLU*,378.0,302.4,104.97,340.2,27
RC,0272,SHNT CORO BULB TIP 2.5X12MM,378.0,302.4,104.97,340.2,27
RC,0272,SHNT CORO CLVIEW 1.00MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 1.25MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 1.50MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 1.75MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 2.00MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 2.25MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 2.50MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 2.75MM,384.67,307.74,106.82,346.2,27
RC,0272,SHNT CORO CLVIEW 3.00MM,392.54,314.04,109.01,353.29,27
RC,0272,SHNT FLO-THRU 1.25MM,452.69,362.16,125.71,407.42,27
RC,0272,SHNT FLO-THRU 1.50MM,452.69,362.16,125.71,407.42,27
RC,0272,SHNT FLO-THRU 1.75MM,452.69,362.16,125.71,407.42,27
RC,0272,SHNT FLO-THRU 2.00MM,329.99,264.0,91.64,296.99,27
RC,0272,SHNT FLO-THRU 2.25MM,439.49,351.6,122.05,395.54,27
RC,0272,SHNT FLO-THRU 2.50MM,418.85,335.08,116.31,376.97,27
RC,0272,SHNT FLO-THRU 3.00MM,439.49,351.6,122.05,395.54,27
RC,0272,SHNT LUMBOPERITON SYS 84CM,2559.24,2047.4,710.7,2303.32,27
RC,0272,SHNT N CONN LL*DISC NO REPL*,362.88,290.31,100.77,326.59,27
RC,0272,SHNT N CONN ST S/S,513.0,410.4,142.46,461.7,27
RC,0272,SHNT N CONN ST*DISC 6322849*,290.09,232.08,80.56,261.08,27
RC,0272,SHNT N STRATA SNAP ASSY NSC,12931.36,10345.09,3591.04,11638.22,27
RC,0272,SHT SIL NONREIN 2X3X0.02,481.5,385.2,133.71,433.35,27
RC,0272,SHUTTLE QUICKPASS TENDON2.5X16,448.8,359.04,124.63,403.92,27
RC,0272,SHUTTLE QUICKPASS TENDON3.5X22,448.8,359.04,124.63,403.92,27
RC,0272,SIZER MAM 68HP DISP 180-2*NLU*,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 200-220CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 280-300CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 320-340CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 350-380CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 400-430CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 425-455CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 465-505CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 500-540CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 550-590CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 650-700CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68HP DISP 750-800CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68LP DISP 200-220CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68LP DISP 275-295CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 210-240CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 240-270CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 270-300CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 300-330CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 330-360CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 360-390CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 390-420CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 420-450CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 450-480CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 480-510CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 510-540CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM 68MP DISP 650-700CC,213.5,170.8,59.29,192.15,27
RC,0272,SIZER MAM GEL HIPRO RPSB 800CC,105.0,84.0,29.16,94.5,27
RC,0272,SIZER MAM MODPRO+ DISP 400CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 450CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 475CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 500CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 550CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 600CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 650CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 700CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 750CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM MODPRO+ DISP 800CC,562.5,450.0,156.21,506.25,27
RC,0272,SIZER MAM RD MOD+SIEN 215CC,351.0,280.8,97.47,315.9,27
RC,0272,SIZER MAM RD MOD+SIEN 235CC,351.0,280.8,97.47,315.9,27
RC,0272,SIZER MAM SRLP RPSB 590CC,900.0,720.0,249.93,810.0,27
RC,0272,SIZER MAM SRM RPSB 405CC,900.0,720.0,249.93,810.0,27
RC,0272,SIZER MAM SRM RPSB 600CC,81.82,65.46,22.72,73.64,27
RC,0272,SIZER STAPLE FT FUSEFORCE,682.2,545.76,189.45,613.98,27
RC,0272,SIZER TENODESIS GRAFT ARTX,1362.9,1090.32,378.48,1226.61,27
RC,0272,SKID PORTAL ENDO ARTX DISP,301.95,241.56,83.85,271.76,27
RC,0272,SKIN GRAFT DERMACARRIER 1.5-1,292.8,234.24,81.31,263.52,27
RC,0272,SKIN GRAFT DERMACARRIER 3-1,292.8,234.24,81.31,263.52,27
RC,0272,SLING PT UNIV SGL LOOPHDSUPPLG,210.45,168.36,58.44,189.41,27
RC,0272,SLING PT UNIV SGL LOOPHDSUPPXL,210.45,168.36,58.44,189.41,27
RC,0272,SLITTER CATH LEAD SELECTRA,475.2,380.16,131.96,427.68,27
RC,0272,SLV CALF SIL SKEO SKINGUARD300,1562.4,1249.92,433.88,1406.16,27
RC,0272,SLV CHECKFLO STER 3-9FR 65CM,222.65,178.12,61.83,200.39,27
RC,0272,SLV COMP FRAG-LOC,1008.0,806.4,279.92,907.2,27
RC,0272,SLV EXTL FIX CTR SIXFIX 4MM,490.5,392.4,136.21,441.45,27
RC,0272,SLV EXTL FIX CTR SIXFIX 5MM,490.5,392.4,136.21,441.45,27
RC,0272,SLV IRG PROSTEP PM2,1785.0,1428.0,495.69,1606.5,27
RC,0272,SLV IRG PROSTEP TPX,1785.0,1428.0,495.69,1606.5,27
RC,0272,SLV IRR ELITE 12CM,390.47,312.38,108.43,351.42,27
RC,0272,SLV IRR ELITE 7CM,390.47,312.38,108.43,351.42,27
RC,0272,SLV IRR INFUSCOAXANTVITRECTOMY,225.7,180.56,62.68,203.13,27
RC,0272,SLV NAIL FLEX STER 8-11MM,1035.0,828.0,287.42,931.5,27
RC,0272,SLV NAIL FLEX STER 8-13MM,1035.0,828.0,287.42,931.5,27
RC,0272,SLV NAIL FLEX TIB STERLNG8-11,767.97,614.38,213.27,691.17,27
RC,0272,SLV NAIL FLEX TIB STERLNG8-13,743.13,594.51,206.37,668.82,27
RC,0272,SLV NAIL RIGID STER LNG 8-11MM,1035.0,828.0,287.42,931.5,27
RC,0272,SLV NAIL RIGID STER LNG 8-13MM,1035.0,828.0,287.42,931.5,27
RC,0272,SLV OUTER PROTECT SYNT 12.0MM,457.63,366.11,127.08,411.87,27
RC,0272,SLV OUTER PROTECT SYNT 14.5MM,457.63,366.11,127.08,411.87,27
RC,0272,SLV SCRWDRVR AWL SYNFIX STER,480.0,384.0,133.3,432.0,27
RC,0272,SLV STAR ARTX,495.0,396.0,137.46,445.5,27
RC,0272,SLV SUT LEAD TENDRIL STS IS1,274.5,219.6,76.23,247.05,27
RC,0272,SLV TUNNELING PARENCHYMA *NLU*,378.0,302.4,104.97,340.2,27
RC,0272,SLV TUNNELING VENT CH12*NLU*,378.0,302.4,104.97,340.2,27
RC,0272,SMIT SLV CTMR,404.16,323.33,112.24,363.74,27
RC,0272,SNARE ENSNARE 7FR 27-45MM,1125.0,900.0,312.41,1012.5,27
RC,0272,SNARE HISTOLOCK 2.4MMX230CM,408.0,326.4,113.3,367.2,27
RC,0272,SNARE ISNARE OVA*DISC 6210699*,594.0,475.2,164.95,534.6,27
RC,0272,SNARE MULTBAND DUETTE 5FR,1470.0,1176.0,408.22,1323.0,27
RC,0272,SNARE RETRV SPYGLASS 286CM,1827.18,1461.75,507.41,1644.46,27
RC,0272,SNARE ROTATORMINIOVAL2.4MMX230,219.6,175.68,60.98,197.64,27
RC,0272,SOCK DERMIS PREVENT RTST*NLU*,383.9,307.12,106.61,345.51,54
RC,0272,SOL LAVAGE BACTISURE 1L,1854.0,1483.2,514.86,1668.6,27
RC,0272,SOL LIFT SUBMUCOSALENDOCOT15ML,318.6,254.88,88.48,286.74,27
RC,0272,SOL VISCOELASTIC VISCOAT 0.5ML,285.5,228.4,79.28,256.95,27
RC,0272,SOL WND LAVAGE B*DISC 6319286*,2100.0,1680.0,583.17,1890.0,27
RC,0272,SOUND UTERINE SURESOUND,3133.2,2506.56,870.09,2819.88,27
RC,0272,SPACER EXTL FIX SALVATION 60MM,437.76,350.21,121.57,393.98,27
RC,0272,SPATULA DELAMINATION DSP45D25G,351.11,280.89,97.5,316.0,27
RC,0272,SPEAR ARTHROSCOPIC 2.6MMFBRTAK,1386.0,1108.8,384.89,1247.4,27
RC,0272,SPECULUM OPEN SI*DISC NO REPL*,268.34,214.68,74.52,241.51,27
RC,0272,SPECULUM VAG GRAVES STER XLNG,280.64,224.52,77.93,252.58,27
RC,0272,SPEECH AID LIBERTY ELECTR*NLU*,1080.0,864.0,299.92,972.0,27
RC,0272,SPHERE STEALTH FUSN,456.0,364.8,126.63,410.4,27
RC,0272,SPHOTOME AUTOTOME RX39 20MM,940.5,752.4,261.18,846.45,27
RC,0272,SPHOTOME AUTOTOME RX44 20MM,940.5,752.4,261.18,846.45,27
RC,0272,SPHOTOME BILLROTH II 200CM,1008.0,806.4,279.92,907.2,27
RC,0272,SPHOTOME DREAMTOME RX44 260CM,1465.8,1172.64,407.05,1319.22,27
RC,0272,SPHOTOME DREAMTOME RX44 450CM,1465.8,1172.64,407.05,1319.22,27
RC,0272,SPHOTOME DREAMTOME RX49 260CM,1465.8,1172.64,407.05,1319.22,27
RC,0272,SPHOTOME HYDRATOME RX44 20MM,1465.8,1172.64,407.05,1319.22,27
RC,0272,SPHOTOME HYDRATOME RX49 260CM,1465.8,1172.64,407.05,1319.22,27
RC,0272,SPHOTOME JAGTOME RX44 260CM,1255.8,1004.64,348.74,1130.22,27
RC,0272,SPIKE ROB QUATRROLOPROGDPOSTMD,630.0,504.0,174.95,567.0,27
RC,0272,SPIKE ROB QUATTRO EXCELSIUS MD,4158.0,3326.4,1154.68,3742.2,27
RC,0272,SPIKE ROB QUATTRO EXCELSIUSLNG,4158.0,3326.4,1154.68,3742.2,27
RC,0272,SPIKE ROB QUATTRO LOPRO LNG,4158.0,3326.4,1154.68,3742.2,27
RC,0272,SPIKE ROB QUATTRO LOPRO MD,4158.0,3326.4,1154.68,3742.2,27
RC,0272,SPIKE ROB QUATTRO LOPRO S*NLU*,4158.0,3326.4,1154.68,3742.2,27
RC,0272,SPIKE ROB QUATTRO LOPROGDPOST,630.0,504.0,174.95,567.0,27
RC,0272,SPIKE ROB QUATTROEXCELSIU*NLU*,4158.0,3326.4,1154.68,3742.2,27
RC,0272,SPINDLE EXTL FIX THRD 14X330MM,2076.9,1661.52,576.76,1869.21,27
RC,0272,SPINDLE EXTL FIX THRD 14X480MM,2079.94,1663.96,577.6,1871.95,27
RC,0272,SPLT DENTAL OCCL*DISC 6333378*,1293.6,1034.88,359.23,1164.24,27
RC,0272,SPLT DENTAL TRAUMA TI 52X0.2MM,378.49,302.8,105.11,340.64,27
RC,0272,SPLT ENT THERMASPLINT LG,226.92,181.54,63.02,204.23,27
RC,0272,SPLT MAND PT SPECIF ORTHO FINA,3209.22,2567.38,891.2,2888.3,27
RC,0272,SPLT NASAL BIVALV THK 0.50MM,240.16,192.13,66.69,216.14,27
RC,0272,SPLT NASAL DENVER 1500 LG,391.01,312.81,108.58,351.91,27
RC,0272,SPLT NASAL DENVER 1500 SM/MD,372.38,297.91,103.41,335.14,27
RC,0272,SPLT NASAL EXTL MDTR LG,286.52,229.22,79.57,257.87,27
RC,0272,SPLT NASAL FLPL REUTER 0.25MM,340.79,272.64,94.64,306.71,27
RC,0272,SPLT NASAL GOODE*DISC 6168812*,469.49,375.6,130.38,422.54,27
RC,0272,SPLT OCCL DBL JA*DISC 6333376*,4897.2,3917.76,1359.95,4407.48,27
RC,0272,SPLT OCCL DBL JAW IPS CUST,3934.08,3147.27,1092.49,3540.67,27
RC,0272,SPLT OCCL SGL JAW IPS CUST,3193.6,2554.88,886.86,2874.24,27
RC,0272,SPLT OCCL SUPPLAL IPS CUST,1226.95,981.56,340.72,1104.26,27
RC,0272,SPLT PT SPECIF ORTHO INTRMD,3115.76,2492.61,865.25,2804.18,27
RC,0272,SPLT SEPTAL DOYLE II MDTR PK5,293.06,234.45,81.38,263.75,27
RC,0272,SPLT SEPTAL DOYLE II MDTR ST1,322.0,257.6,89.42,289.8,27
RC,0272,SPLT SEPTAL OVAL*DISC NO REPL*,345.17,276.14,95.85,310.65,27
RC,0272,SPLT SGL INTRMD ORTHAG OSTE,7417.8,5934.24,2059.92,6676.02,27
RC,0272,SPNG EXTL FIX SALVATION STER,1624.98,1299.99,451.26,1462.48,27
RC,0272,SPNG SCLERAL BUCKLE OVAL 5MM,403.82,323.06,112.14,363.44,27
RC,0272,SPNL 360 TRACKER COPILOT Q,3990.0,3192.0,1108.02,3591.0,27
RC,0272,SPRAYER MICROMYST DURASEAL,1374.79,1099.84,381.78,1237.31,27
RC,0272,SPUD EYE STER 4.5IN,256.57,205.26,71.25,230.91,27
RC,0272,STANDOFF EXTL FIX HEXAGON 30MM,278.21,222.57,77.26,250.39,27
RC,0272,STANDOFF EXTL FIX HEXAGON 40MM,308.02,246.42,85.54,277.22,27
RC,0272,STANDOFF EXTL FIX MAXFRAME 100,592.02,473.62,164.4,532.82,27
RC,0272,STANDOFF EXTL FIX MAXFRAME 150,2989.45,2391.56,830.17,2690.51,27
RC,0272,STANDOFF EXTL FIX MAXFRAME 65,472.51,378.01,131.22,425.26,27
RC,0272,STANDOFF EXTL FIX MAXFRAME 80,517.5,414.0,143.71,465.75,27
RC,0272,STAPES NITIBOND 0.4X4.25MM,1619.02,1295.22,449.6,1457.12,27
RC,0272,STAPES NITIBOND 0.4X4.50MM,1885.8,1508.64,523.69,1697.22,27
RC,0272,STAPES NITIBOND 0.4X4.75MM,1885.8,1508.64,523.69,1697.22,27
RC,0272,STAPES NITIBOND 0.6X4.75MM,1885.8,1508.64,523.69,1697.22,27
RC,0272,STAPES NITIBOND 0.6X5.50MM,1885.8,1508.64,523.69,1697.22,27
RC,0272,STAPL*DISC 6172866 OR 6188450*,275.11,220.09,76.4,247.6,27
RC,0272,STAPLE LOADGIA45*DISC 6201147*,689.31,551.45,191.42,620.38,27
RC,0272,STAPLE RELOAD 45*DISC NO REPL*,675.54,540.44,187.6,607.99,27
RC,0272,STAPLE RELOAD CO*DISC 6321929*,1689.32,1351.46,469.12,1520.39,27
RC,0272,STAPLE RELOAD EN*DISC NO REPL*,1600.85,1280.685,357.8,1721.94,54
RC,0272,STAPLE RELOAD*DISC 6321931*,1824.48,1459.59,506.66,1642.03,27
RC,0272,STAPLE RELOAD*DISC MULT*,275.11,220.09,76.4,247.6,27
RC,0272,STAPLE RELOAD*VAT 6291241*,2860.31,2288.25,794.31,2574.28,27
RC,0272,STAPLE RELOAD45*DISC 6239172*,861.66,689.33,239.28,775.49,27
RC,0272,STAPLE RELOADTAP*DISC 6130296*,302.68,242.15,84.05,272.41,27
RC,0272,STAPLER *DISC 6121841 6204285*,810.77,648.62,225.15,729.69,27
RC,0272,STAPLER *DISC 6121841*,810.77,648.62,225.15,729.69,27
RC,0272,STAPLER 45 ENDOWRIST ROB BLU,810.0,648.0,224.94,729.0,27
RC,0272,STAPLER 45 ENDOWRIST ROB GRN,810.0,648.0,224.94,729.0,27
RC,0272,STAPLER CEEA 21MM*DISC 6188439,1106.49,885.2,307.27,995.84,27
RC,0272,STAPLER CEEA 34MM*DISC 6217632,1106.49,885.2,307.27,995.84,27
RC,0272,STAPLER CONT *DISC 6321930*,2426.88,1941.51,673.94,2184.19,27
RC,0272,STAPLER CONT CU *DISC 6321932*,2426.88,1941.51,673.94,2184.19,27
RC,0272,STAPLER ECHELON CURV BLU 40MM,2946.02,2356.82,818.11,2651.42,27
RC,0272,STAPLER ECHELON CURV GRN 40MM,2946.02,2356.82,818.11,2651.42,27
RC,0272,STAPLER ECHELON FLEX 60MM340MM,5921.13,4736.91,1644.3,5329.02,27
RC,0272,STAPLER ECHELON FLEX 60MM440MM,5921.13,4736.91,1644.3,5329.02,27
RC,0272,STAPLER ECHELON FLEX LNG 45MM,4856.88,3885.51,1348.76,4371.19,27
RC,0272,STAPLER ECHELON FLEX STD 45MM,4856.88,3885.51,1348.76,4371.19,27
RC,0272,STAPLER ECHELON LNAR CUTTER 80,1674.41,1339.53,464.98,1506.97,27
RC,0272,STAPLER ECHELONLNARRELOADBLU80,1925.1,1540.08,534.6,1732.59,27
RC,0272,STAPLER EEA DST *DISC 6353712*,1133.24,906.6,314.7,1019.92,27
RC,0272,STAPLER EEA DST *DISC 6353718*,1217.24,973.8,338.03,1095.52,27
RC,0272,STAPLER EEA DST *DISC 6353719*,4133.61,3306.89,1147.9,3720.25,27
RC,0272,STAPLER EEA DST *DISC NO REPL*,1119.92,895.94,181.17,1428.69,54
RC,0272,STAPLER EEA DST 4.8MM25MM*CIP*,1133.24,906.6,314.7,1019.92,27
RC,0272,STAPLER EEA DST 4.8MM28MM*CIP*,1133.24,906.6,314.7,1019.92,27
RC,0272,STAPLER EEA DST 4.8MM31MM*CIP*,1111.03,888.83,308.53,999.93,27
RC,0272,STAPLER EEA DST 4.8MM33MM*CIP*,1133.24,906.6,314.7,1019.92,27
RC,0272,STAPLER EEADSTXL*DISC 6342403*,1476.64,1181.32,410.06,1328.98,27
RC,0272,STAPLER EEADSTXL*DISC 6353725*,1299.02,1039.22,360.74,1169.12,27
RC,0272,STAPLER ENDO ECHELON CUT 35MM,5011.86,4009.49,1391.79,4510.67,27
RC,0272,STAPLER ENDO ECHELON LNG 45MM,5091.1,4072.88,1413.8,4581.99,27
RC,0272,STAPLER ENDO ECHELON LNG 60MM,5969.21,4775.37,1657.65,5372.29,27
RC,0272,STAPLER ENDO ECHELON SHRT 45MM,5091.1,4072.88,1413.8,4581.99,27
RC,0272,STAPLER ENDO ECHELON SHRT 60MM,5969.21,4775.37,1657.65,5372.29,27
RC,0272,STAPLER ENDO ECHELON STD 45MM,5091.1,4072.88,1413.8,4581.99,27
RC,0272,STAPLER ENDO ECHELON STD 60MM,5969.21,4775.37,1657.65,5372.29,27
RC,0272,STAPLER ENDO GIA ULT GEN XL,717.35,573.88,199.21,645.62,27
RC,0272,STAPLER ENDO GIA ULT UNIV SHRT,430.46,344.37,119.54,387.41,27
RC,0272,STAPLER ENDO GIA ULT UNIV STD,473.52,378.82,131.5,426.17,27
RC,0272,STAPLER ENDO JUST 5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,STAPLER ENDO-SUR*DISC NO REPL*,1115.695,892.56,258.09,1171.8,54
RC,0272,STAPLER ENDOCUTTERARTIC45*CIP*,3479.14,2783.32,966.16,3131.23,27
RC,0272,STAPLER GIA 100 3.8MM,853.7,682.96,237.07,768.33,27
RC,0272,STAPLER GIA 100 4.8MM,913.28,730.63,253.62,821.95,27
RC,0272,STAPLER GIA 60 2.5MM,432.48,345.99,120.1,389.23,27
RC,0272,STAPLER GIA 60 3.8MM,386.02,308.82,107.2,347.42,27
RC,0272,STAPLER GIA 60 PUR 3.8MM,463.2,370.56,128.63,416.88,27
RC,0272,STAPLER GIA 80 3.8MM,533.3,426.64,148.1,479.97,27
RC,0272,STAPLER GIA 80 4.8MM,533.3,426.64,148.1,479.97,27
RC,0272,STAPLER GIA 80 BLK 4.8MM,650.61,520.49,180.67,585.55,27
RC,0272,STAPLER GIA 80 PUR 3.8MM,639.95,511.96,177.71,575.96,27
RC,0272,STAPLER GIA 80 TAN 3.0MM,650.61,520.49,180.67,585.55,27
RC,0272,STAPLER HEMORRHO*DISC 6187486*,1420.78,1136.63,394.55,1278.7,27
RC,0272,STAPLER POWER ECHELON CIR 25MM,6463.86,5171.09,1795.01,5817.47,27
RC,0272,STAPLER POWER ECHELON CIR 29MM,6463.86,5171.09,1795.01,5817.47,27
RC,0272,STAPLER POWER ECHELON CIR 31MM,6787.06,5429.65,1884.77,6108.35,27
RC,0272,STAPLER PRXMT BLU 60MM,1929.4,1543.52,535.79,1736.46,27
RC,0272,STAPLER PRXMT CU*DISC 6176965*,3114.97,2491.98,865.03,2803.47,27
RC,0272,STAPLER PRXMT CU*DISC 6323828*,3149.55,2519.64,874.63,2834.6,27
RC,0272,STAPLER PRXMT CU*DISC NO REPL*,3114.97,2491.98,865.03,2803.47,27
RC,0272,STAPLER PRXMT IN*DISC 6323826*,3435.4,2748.32,954.01,3091.86,27
RC,0272,STAPLER PRXMT IN*DISC 6323827*,1103.09,882.48,306.33,992.78,27
RC,0272,STAPLER PRXMT INTRALUMINAL25MM,4961.57,3969.26,1377.83,4465.41,27
RC,0272,STAPLER PRXMT INTRALUMINAL29MM,4961.57,3969.26,1377.83,4465.41,27
RC,0272,STAPLER PRXMT INTRALUMINAL33MM,4838.51,3870.81,1343.65,4354.66,27
RC,0272,STAPLER PRXMT PLUS SKIN WIDE,274.37,219.5,76.19,246.93,27
RC,0272,STAPLER PRXMT RELOAD BLU 30MM,1919.99,1536.0,533.18,1727.99,27
RC,0272,STAPLER PRXMT RELOAD GRN 30MM,1883.41,1506.73,523.02,1695.07,27
RC,0272,STAPLER PRXMT RELOAD GRN 60MM,1947.79,1558.24,540.9,1753.01,27
RC,0272,STAPLER PRXMT RELOAD WHT,2082.4,1665.92,578.28,1874.16,27
RC,0272,STAPLER PRXMT THICK GRN 100MM,3168.59,2534.88,879.92,2851.73,27
RC,0272,STAPLER PRXMT VASC WHT 55MM,2092.23,1673.79,581.01,1883.01,27
RC,0272,STAPLER PRXMT*VAT 6188439*,2862.44,2289.96,794.9,2576.2,27
RC,0272,STAPLER PRXMTHEMORRHOID33*CIP*,2554.98,2043.99,709.52,2299.48,27
RC,0272,STAPLER RELOAD JUSTRIGHT 5MM,1575.0,1260.0,437.38,1417.5,27
RC,0272,STAPLER SEPTAL ENTACT,803.25,642.6,223.06,722.93,27
RC,0272,STAPLER SKIN DER*DISC 6313057*,474.12,379.3,131.66,426.71,27
RC,0272,STAPLER SKIN INSO*USE 6303545*,264.31,211.45,73.4,237.88,27
RC,0272,STAPLER SKIN INSORB DISP,305.0,244.0,84.7,274.5,27
RC,0272,STAPLER SKIN PROXIMATE WIDE,440.74,352.6,122.39,396.67,27
RC,0272,STAPLER SUREFORM *USE 6315638*,1908.0,1526.4,529.85,1717.2,27
RC,0272,STAPLER SUREFORM ROB 30CURV8MM,1965.6,1572.48,545.85,1769.04,27
RC,0272,STAPLER SUREFORM ROB 45 12MM,2028.6,1622.88,563.34,1825.74,27
RC,0272,STAPLER SUREFORM ROB 60 12MM,2003.4,1602.72,556.34,1803.06,27
RC,0272,STAPLER SUREFORM ROB CURV 45MM,1871.39,1497.12,519.69,1684.25,27
RC,0272,STAPLER TA 30 3.5MM,399.44,319.56,110.92,359.5,27
RC,0272,STAPLER TA 30 4.8MM,399.44,319.56,110.92,359.5,27
RC,0272,STAPLER TA 30 V3 2.5MM,394.51,315.61,109.56,355.06,27
RC,0272,STAPLER TA 45 3.5MM,488.43,390.75,135.64,439.59,27
RC,0272,STAPLER TA 45 4.8MM,488.43,390.75,135.64,439.59,27
RC,0272,STAPLER TA 60 3.5MM,367.2,293.76,101.97,330.48,27
RC,0272,STAPLER TA 60 4.8MM,367.2,293.76,101.97,330.48,27
RC,0272,STAPLER TA 90 3.5MM,387.7,310.16,107.66,348.93,27
RC,0272,STAPLER TA 90 4.8MM,395.76,316.61,109.9,356.18,27
RC,0272,STAPLER TA*DISC MULT REPL*,1066.73,853.39,296.23,960.06,27
RC,0272,STAPLER TRI EEA BLK XTHK 21MM,1337.24,1069.8,371.35,1203.52,27
RC,0272,STAPLER TRI EEA BLK XTHK 25MM,1337.24,1069.8,371.35,1203.52,27
RC,0272,STAPLER TRI EEA BLK XTHK 33MM,1337.24,1069.8,371.35,1203.52,27
RC,0272,STAPLER TRI EEA BLK XTHKXLNG21,1648.21,1318.57,457.71,1483.39,27
RC,0272,STAPLER TRI EEA BLK XTHKXLNG25,1337.24,1069.8,371.35,1203.52,27
RC,0272,STAPLER TRI EEA BLK XTHKXLNG28,1648.21,1318.57,457.71,1483.39,27
RC,0272,STAPLER TRI EEA BLK XTHKXLNG31,1648.21,1318.57,457.71,1483.39,27
RC,0272,STAPLER TRI EEA BLK XTHKXLNG33,1682.56,1346.05,467.25,1514.3,27
RC,0272,STAPLER TRI EEA PUR MDTHK 21MM,1303.22,1042.58,361.9,1172.9,27
RC,0272,STAPLER TRI EEA PUR MDTHK 28MM,1303.22,1042.58,361.9,1172.9,27
RC,0272,STAPLER TRI EEA PUR MDTHK 31MM,1277.68,1022.15,354.81,1149.91,27
RC,0272,STAPLER TRI EEA PURMDTHKXLNG28,1606.33,1285.07,446.08,1445.7,27
RC,0272,STAPLER TRI EEA WHT MDTHK 33MM,1303.22,1042.58,361.9,1172.9,27
RC,0272,STAPLER TRIEEACIRBLKXTHKXLNG21,2113.92,1691.14,587.04,1902.53,27
RC,0272,STAPLER TRIEEACIRBLKXTHKXLNG25,2019.35,1615.48,560.77,1817.42,27
RC,0272,STAPLER VERSATACK MULT 4MM,652.46,521.97,181.19,587.21,27
RC,0272,STAPLERTRIEEACIRPURMDTHKXLNG21,2074.46,1659.57,576.08,1867.01,27
RC,0272,STAPLERTRIEEACIRPURMDTHKXLNG25,1982.63,1586.11,550.58,1784.37,27
RC,0272,STAPLES ULT UNIV 45 PUR 3*NLU*,877.5,702.0,243.68,789.75,27
RC,0272,STBL ACROBAT-I VACUUM SYS,3969.5,3175.6,1102.33,3572.55,27
RC,0272,STBL ACROBAT-I VACUUM SYS*CIP*,3969.5,3175.6,1102.33,3572.55,27
RC,0272,STBL KT ANK STER SPIDER2,350.41,280.33,97.31,315.37,27
RC,0272,STBL KT ELBOW STER SPIDER2,394.37,315.5,109.52,354.93,27
RC,0272,STBL KT SHLDR SPIDER2,389.34,311.48,108.12,350.41,27
RC,0272,STBL KT WRIST STER SPIDER2 MD,378.0,302.4,104.97,340.2,27
RC,0272,STBL KT WRIST STER SPIDER2 SM,378.0,302.4,104.97,340.2,27
RC,0272,STBL TISS OCTOPUS 4,3230.56,2584.45,897.13,2907.5,27
RC,0272,STBL TISS OCTOPUS EVOLUTION,3910.93,3128.75,1086.07,3519.84,27
RC,0272,STBL TISS W TB OCTOPUS,4135.66,3308.53,1148.47,3722.09,27
RC,0272,STIM ACC KT MDTR 14GX6,280.8,224.64,77.98,252.72,27
RC,0272,STIM EXTL TRIAL AXON,990.0,792.0,274.92,891.0,27
RC,0272,STIM EXTL WRLSS SCS ENS,900.0,720.0,249.93,810.0,27
RC,0272,STIM NERVE PERIP*DISC 6332074*,1012.5,810.0,281.17,911.25,27
RC,0272,STIM NERVE PERIPH SUNSTIM PLUS,2776.29,2221.04,770.98,2498.66,27
RC,0272,STIM NEURO EXTL EVAL MDTR,1260.0,1008.0,349.9,1134.0,27
RC,0272,STIM OSTEOGENESIS PHYSIO LG,7000.0,5600.0,1943.9,6300.0,27
RC,0272,STIM OSTEOGENESIS PHYSIO SM,7000.0,5600.0,1943.9,6300.0,27
RC,0272,STIM VAG EMG PATHWAY,222.04,177.64,61.66,199.84,27
RC,0272,STKNG THIGH MEN KAK 20-30 MD,302.94,242.36,84.13,272.65,27
RC,0272,STKNG THIGH OT SILBGE20-30SZ3,256.69,205.36,71.28,231.02,27
RC,0272,STNT RAINS FRNTL SINUS LG,260.84,208.68,72.44,234.76,27
RC,0272,STRAP ANK DISTRAC,301.95,241.56,83.85,271.76,27
RC,0272,STRAP ANK DISTRAC FT,292.8,234.24,81.31,263.52,27
RC,0272,STRIPPER MICRO-STRIP 0.4MM,479.25,383.4,133.09,431.33,27
RC,0272,STRIPPER MICRO-STRIP 0.6MM,431.76,345.41,119.9,388.58,27
RC,0272,STRIPPER QUADPRO HARVESTER 8MM,1963.5,1570.8,545.26,1767.15,27
RC,0272,STRIPPER VEIN DORMO-STRIP DISP,384.64,307.72,106.81,346.18,27
RC,0272,STRUT EXTL FIX AUTO MAXFRM LNG,5824.0,4659.2,1617.32,5241.6,27
RC,0272,STRUT EXTL FIX AUTO MAXFRM MD,5824.0,4659.2,1617.32,5241.6,27
RC,0272,STRUT EXTL FIX AUTO MAXFRMSHRT,5824.0,4659.2,1617.32,5241.6,27
RC,0272,STRUT EXTL FIX BASE ADDON 100,36036.0,28828.8,10007.2,32432.4,27
RC,0272,STRUT EXTL FIX BASE ADDON 50,36036.0,28828.8,10007.2,32432.4,27
RC,0272,STRUT EXTL FIX BASE SIXFIX 100,30492.0,24393.6,8467.63,27442.8,27
RC,0272,STRUT EXTL FIX BASE SIXFIX 50,30492.0,24393.6,8467.63,27442.8,27
RC,0272,STRUT EXTL FIX CLIP SIXFIXPLST,405.0,324.0,112.47,364.5,27
RC,0272,STRUT EXTL FIX M MOTOR LFR LNG,5880.39,4704.32,1632.98,5292.35,27
RC,0272,STRUT EXTL FIX M MOTOR LFR MD,5880.39,4704.32,1632.98,5292.35,27
RC,0272,STRUT EXTL FIX MAXFRM STD SHRT,3075.74,2460.6,854.13,2768.17,27
RC,0272,STRUT EXTL FIX QKADJ MAXFRM MD,3165.9,2532.72,879.17,2849.31,27
RC,0272,STRUT EXTL FIX QKADJ MAXFRMLNG,3165.9,2532.72,879.17,2849.31,27
RC,0272,STRUT EXTL FIX QKADJMAXFRMSHRT,3165.9,2532.72,879.17,2849.31,27
RC,0272,STRUT EXTL FIX RDCTN SIXFIX MD,5586.0,4468.8,1551.23,5027.4,27
RC,0272,STRUT EXTL FIX RDCTNSIXFIXSHRT,5586.0,4468.8,1551.23,5027.4,27
RC,0272,STRUT EXTL FIX SCREW ADDON 100,2401.2,1920.96,666.81,2161.08,27
RC,0272,STRUT EXTL FIX SCREW ADDON 50,2401.2,1920.96,666.81,2161.08,27
RC,0272,STRUT EXTL FIX SPEED LG191-303,7956.0,6364.8,2209.38,7160.4,27
RC,0272,STRUT EXTL FIX SPEED MD138-198,7488.0,5990.4,2079.42,6739.2,27
RC,0272,STRUT EXTL FIX SPEED SM 70-105,5180.0,4144.0,1438.49,4662.0,27
RC,0272,STRUT EXTL FIX SPEED SM110-142,7020.0,5616.0,1949.45,6318.0,27
RC,0272,STRUT EXTL FIX SPEED XS 95-112,7020.0,5616.0,1949.45,6318.0,27
RC,0272,STRUT EXTL FIX STATIC AMDHMD40,1039.5,831.6,288.67,935.55,27
RC,0272,STRUT EXTL FIX STATIC LNG 60MM,467.09,373.68,129.71,420.38,27
RC,0272,STRUT EXTL FIX STATIC MED 40MM,421.3,337.04,117.0,379.17,27
RC,0272,STRUT EXTL FIX STATICAMDHLNG60,1039.5,831.6,288.67,935.55,27
RC,0272,STRUT EXTL FIX SUP MD,7488.0,5990.4,2079.42,6739.2,27
RC,0272,STRUT EXTL FIX SUP SHRT,7020.0,5616.0,1949.45,6318.0,27
RC,0272,STRUT EXTL FIX TELE 119-161 MM,5021.86,4017.49,1394.57,4519.67,27
RC,0272,STRUT EXTL FIX TELE 138-201 MD,5021.86,4017.49,1394.57,4519.67,27
RC,0272,STRUT EXTL FIXQKADJMAXFRMXSHRT,3165.9,2532.72,879.17,2849.31,27
RC,0272,STRUT EXTL FIXSTATICAMDHSHRT30,1039.5,831.6,288.67,935.55,27
RC,0272,STRUT EXTL FIXSTATICAMDHXLNG80,1039.5,831.6,288.67,935.55,27
RC,0272,STRUT PA EXTL FIX FINE MD,3450.55,2760.44,958.22,3105.5,27
RC,0272,STRUT PA EXTL FIX FINE SHRT,3450.55,2760.44,958.22,3105.5,27
RC,0272,STRUT PA EXTL FIX FINE XSHRT,3450.55,2760.44,958.22,3105.5,27
RC,0272,STRUT PA EXTL FIX GROSS ADJ MD,2989.45,2391.56,830.17,2690.51,27
RC,0272,STRUT PA EXTL FIX GROSSADJSHRT,2989.45,2391.56,830.17,2690.51,27
RC,0272,STRUT PA EXTLFIXGROSSADJ2XSHRT,2989.45,2391.56,830.17,2690.51,27
RC,0272,STYLET ABL CLOSURERFS 6FR 12CM,1666.98,1333.59,462.92,1500.28,27
RC,0272,STYLET AICD ST FIRM 0.016 64CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET CATH EMBRYO RIGID 18CM,211.3,169.04,58.68,190.17,27
RC,0272,STYLET CATH EMBRYO RIGID 23CM,232.72,186.18,64.63,209.45,27
RC,0272,STYLET CLN VPR PRIME,1785.0,1428.0,495.69,1606.5,27
RC,0272,STYLET GLIDESCOPE LOPRO S*NLU*,1795.5,1436.4,498.61,1615.95,54
RC,0272,STYLET LEAD J FI*DISC NO REPL*,305.0,244.0,84.7,274.5,54
RC,0272,STYLET LEAD J S*DISC NO REPL*,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD J SOFT 52CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD J WIDE FIRM 52CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD J WIDE SOFT 45CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD J WIDE SOFT 52CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD J WIDE SOFT 60CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD LNG SOFT .014 59CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD S 45-F SOFT ST45CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 45-J MD J 45CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 45-JL MD JL 46CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 45-K MD ST 45CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 45-S FIRM ST45CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 53-F SOFT ST53CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 53-J MD J 53CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 53-JL MD JL 53CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 53-K MD ST 53CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 53-S FIRM ST53CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 60-C MD ST 60CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 60-F SOFT ST60CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 60-J MD J 60CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 60-K MD ST 60CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 60-S FIRM ST60CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 65-A FIRM ST65CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 65-C MD ST 65CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 65-K SFT ST 65CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 75*DISC NO REPL*,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 75-C MD ST 75CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 75-K OTWMDST75CM,324.0,259.2,89.97,291.6,27
RC,0272,STYLET LEAD S 75-K SOFT ST75CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S 85-K OTWMDST85CM,324.0,259.2,89.97,291.6,27
RC,0272,STYLET LEAD S75-EXTRFIRMST75CM,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LEAD S75-GOTWSOFTST75CM,324.0,259.2,89.97,291.6,27
RC,0272,STYLET LEAD S85-GOTWSOFTST85CM,324.0,259.2,89.97,291.6,27
RC,0272,STYLET LEAD ST F*DISC NO REPL*,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST FIRM 52CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST FIRM 59CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST FIRM 90CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST S*DISC NO REPL*,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST SOFT 45CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST SOFT 59CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST SOFT 90CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEAD ST X-SOFT 59CM,305.0,244.0,84.7,274.5,27
RC,0272,STYLET LEADS65-E*DISC NO REPL*,268.4,214.72,74.53,241.56,27
RC,0272,STYLET LK LIBERATOR BEACON TIP,2296.8,1837.44,637.82,2067.12,27
RC,0272,STYLET PERITON INST TUNNEL,776.93,621.55,215.75,699.24,27
RC,0272,STYLET PERITON ST 61CM,554.22,443.38,153.91,498.8,27
RC,0272,STYLET PT TRACKER AXIEM,2422.4,1937.92,672.7,2180.16,27
RC,0272,STYLET SHNT AXIEM 23CM,2044.8,1635.84,567.84,1840.32,27
RC,0272,STYLET ST SOFT 64CM,305.0,244.0,84.7,274.5,27
RC,0272,SUCT BX TOOL RECTAL STER,1801.8,1441.44,500.36,1621.62,27
RC,0272,SUCT CANISTER LIPOFILTER TISS,1102.5,882.0,306.16,992.25,27
RC,0272,SUCT CANISTER REVOLVE 700ML,2102.4,1681.92,583.84,1892.16,27
RC,0272,SUCT CANISTER SONOPET DISP,210.15,168.12,58.36,189.14,27
RC,0272,SUCT CATH FLEX 4*DISC 6214889*,247.66,198.13,68.78,222.89,27
RC,0272,SUCT CATH FLEX 5*DISC 6214889*,247.66,198.13,68.78,222.89,27
RC,0272,SUCT CATH FLEX 6FR,247.66,198.13,68.78,222.89,27
RC,0272,SUCT CATH FLEX 7*DISC 6121360*,247.66,198.13,68.78,222.89,27
RC,0272,SUCT DEV BIOVAC W Y 244CM,580.5,464.4,161.2,522.45,27
RC,0272,SUCT IRG ENDOWRIST 1 ROBSI 8MM,990.0,792.0,274.92,891.0,27
RC,0272,SUCT IRG ENDOWRIST DISP ROB XI,1168.99,935.2,324.63,1052.09,27
RC,0272,SUCT IRG PISTOL GRIP DISP,281.23,224.99,78.1,253.11,27
RC,0272,SUCT IRG ROB SS RPSB 5MM,119.7,95.76,33.24,107.73,27
RC,0272,SUCT IRG STRYKEFLOW PS 10FT TB,271.51,217.21,75.4,244.36,27
RC,0272,SUCT IRG STRYKEFLOW2 10FT TB,319.95,255.96,88.85,287.96,27
RC,0272,SUCT IRG STRYKEFLOW2 W DISPTIP,376.22,300.98,104.48,338.6,27
RC,0272,SUCT IRG TB SET AHTO DISP TIP,264.13,211.31,73.35,237.72,27
RC,0272,SUCT MALLEA TIP STD LG*NLU*,1255.8,1004.64,348.74,1130.22,27
RC,0272,SUCT MALLEA TIP STD MD 16.5CM,1262.52,1010.02,350.6,1136.27,27
RC,0272,SUCT MALLEA TIP STD SM 14.5CM,1262.52,1010.02,350.6,1136.27,27
RC,0272,SUCT MICROMAT BACKGROUND 3FR,292.52,234.02,81.23,263.27,27
RC,0272,SUCT TB FRAZIER CHICAGOTIP12FR,367.2,293.76,101.97,330.48,27
RC,0272,SUCT TB KAMVAC STD,275.4,220.32,76.48,247.86,27
RC,0272,SUCT TB ULTRASOFT STER 6FT,270.96,216.77,75.25,243.86,27
RC,0272,SUCT TB YANKAUER SABER BULB,1312.5,1050.0,364.48,1181.25,27
RC,0272,SUCT TRUDI NAV ANG 0D,5740.56,4592.45,1594.15,5166.5,27
RC,0272,SUCT TRUDI NAV ANG 70D,5740.56,4592.45,1594.15,5166.5,27
RC,0272,SUCT TRUDI NAV ANG 90D,5740.56,4592.45,1594.15,5166.5,27
RC,0272,SUMP ATRASUMP 0.25INX38CM,214.17,171.34,59.48,192.75,27
RC,0272,SUPP ARM MCCONNELL STER LG,234.85,187.88,65.22,211.37,27
RC,0272,SUPP EXTL FIX OBLIQ,1988.86,1591.09,552.31,1789.97,27
RC,0272,SUPP SHLDR ABDCTN LG*DISC*,285.48,228.385,78.94,258.03,54
RC,0272,SUPP SHLDR ABDCTN MD*DISC*,286.7,229.36,79.62,258.03,27
RC,0272,SUPP SHLDR NEOP OTBO MD,315.47,252.38,87.61,283.92,27
RC,0272,SUPP WDG TRENGUARD 450 DISP,504.36,403.49,140.06,453.92,27
RC,0272,SURGICLIP PREM III S-9.0,292.31,233.85,81.17,263.08,27
RC,0272,SUT ACTIVBRAID 2 1/2C BLU,567.0,453.6,157.46,510.3,27
RC,0272,SUT BIOSYN 1 GS24 VIO 60,305.91,244.73,84.95,275.32,27
RC,0272,SUT BIOSYN 5-0 CV11 VIO 30,238.39,190.72,66.2,214.55,27
RC,0272,SUT BONDEK PLUS BRD TC/TC 48,290.85,232.68,80.77,261.77,27
RC,0272,SUT CAPIO BRD SZ*DISC 6323795*,290.85,232.68,80.77,261.77,27
RC,0272,SUT CERCLAGE FBRTAPE WHT/BLK,1881.0,1504.8,522.35,1692.9,27
RC,0272,SUT CERCLAGE FIBERTAPE,2079.0,1663.2,577.34,1871.1,27
RC,0272,SUT CERCLAGE FIBERTAPE BLU,1881.0,1504.8,522.35,1692.9,27
RC,0272,SUT CERCLAGE TIGERTAPE,2079.0,1663.2,577.34,1871.1,27
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC12MM,2100.0,1680.0,583.17,1890.0,27
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC16MM,2100.0,1680.0,583.17,1890.0,27
RC,0272,SUT CHORDX 2-0 USP 0.5CIRC24MM,2100.0,1680.0,583.17,1890.0,27
RC,0272,SUT CHROMIC GUT 7-0TG1408BLU18,196.6,157.28,54.6,176.94,27
RC,0272,SUT DURAMESH 0 HR48 BLU 36,2100.0,1680.0,583.17,1890.0,27
RC,0272,SUT DURAMESH 1 HR48 BLU 36,2100.0,1680.0,583.17,1890.0,27
RC,0272,SUT DYNACORD OS-6 BRD BLU 36,501.62,401.3,139.3,451.46,27
RC,0272,SUT DYNATAPE 2 BLK/BLU 36,639.14,511.32,177.49,575.23,27
RC,0272,SUT ETHIBOND 2 V37 GRN/WHT 30,459.32,367.46,127.55,413.39,27
RC,0272,SUT ETHIBOND 2-0 RB1 GRN/WHT30,258.58,206.87,71.81,232.72,27
RC,0272,SUT ETHIBOND 2-0 SH GRN/WHT 36,295.42,236.34,82.04,265.88,27
RC,0272,SUT ETHIBOND 2-0 SH/SH WP 30,362.74,290.2,100.73,326.47,27
RC,0272,SUT ETHIBOND 2-0 SH1 GRN/WHT30,358.51,286.81,99.56,322.66,27
RC,0272,SUT ETHIBOND 2-0 SH2 GRN/WHT30,358.51,286.81,99.56,322.66,27
RC,0272,SUT ETHIBOND 2-0 V4WPGRN/WHT30,419.09,335.28,116.38,377.18,27
RC,0272,SUT ETHIBOND 2-0 V5/V5 10-30,335.29,268.24,93.11,301.76,27
RC,0272,SUT ETHIBOND 2-0 V5WPGRN/WHT30,384.14,307.32,106.68,345.73,27
RC,0272,SUT ETHIBOND 2-0 V7WPGRN/WHT30,381.17,304.94,105.85,343.05,27
RC,0272,SUT ETHIBOND 2-0*DISC 6319697*,404.69,323.76,112.38,364.22,27
RC,0272,SUT ETHIBOND 2-0*DISC 6319699*,537.53,430.03,149.27,483.78,27
RC,0272,SUT ETHIBOND 2-0*DISC 6319705*,308.66,246.93,85.71,277.79,27
RC,0272,SUT ETHIBOND 2-0*DISC 6319709*,533.39,426.72,148.12,480.05,27
RC,0272,SUT ETHIBOND 2-0*DISC 6325879*,450.34,360.28,125.06,405.31,27
RC,0272,SUT ETHIBOND 2-0*DISC 6325880*,455.62,364.5,126.53,410.06,27
RC,0272,SUT ETHIBOND 2-0*DISC 6339419*,302.35,241.88,83.96,272.12,27
RC,0272,SUT ETHIBOND 2-0RB1P3GRN/WHT30,340.42,272.34,94.53,306.38,27
RC,0272,SUT ETHIBOND 2-0SH GRN/WHT 30,371.74,297.4,103.23,334.57,27
RC,0272,SUT ETHIBOND 2-0SH WPGRN/WHT36,200.57,160.46,55.7,180.51,27
RC,0272,SUT ETHIBOND 2OS4/OS4GRN/WHT30,510.08,408.07,141.65,459.07,27
RC,0272,SUT ETHIBOND 3-0*DISC 6339416*,338.31,270.65,93.95,304.48,27
RC,0272,SUT ETHIBOND 3-0V5/V5GRN/WHT30,338.31,270.65,93.95,304.48,27
RC,0272,SUT ETHIBOND V34 GRN 18,1019.21,815.37,283.03,917.29,27
RC,0272,SUT ETHIBOND2-0V*DISC 6319710*,535.46,428.37,148.7,481.91,27
RC,0272,SUT ETHIBOND2-0V*DISC 6319711*,543.2,434.56,150.85,488.88,27
RC,0272,SUT ETHIBOND2-0V4SOFTGRN/WHT30,419.09,335.28,116.38,377.18,27
RC,0272,SUT ETHIBOND2-0V7SOFTGRN/WHT30,425.18,340.15,118.07,382.66,27
RC,0272,SUT ETHILON 0 CT BLK 60,218.87,175.1,60.78,196.98,27
RC,0272,SUT ETHILON 10-0 BV754 BLK 5,197.7,158.16,54.9,177.93,27
RC,0272,SUT ETHILON 9-0 VAS1004 BLK 6,191.54,153.24,53.19,172.39,27
RC,0272,SUT FBR FORCE CTRX 0*NLU*,378.0,302.4,104.97,340.2,27
RC,0272,SUT FBR FORCE CTRX 2-0,378.0,302.4,104.97,340.2,27
RC,0272,SUT FBRLINK 0 CLSD LOOP BLU1.5,386.1,308.88,107.22,347.49,27
RC,0272,SUT FBRLINK/WIRE 2 CLSD BLU 26,326.7,261.36,90.72,294.03,27
RC,0272,SUT FBRLOOP 0 ST NDLE BLU 20,297.0,237.6,82.48,267.3,27
RC,0272,SUT FBRLOOP 2 ST BLU 20,297.0,237.6,82.48,267.3,27
RC,0272,SUT FBRLOOP 2-0 DIMND BLU 13,297.0,237.6,82.48,267.3,27
RC,0272,SUT FBRLOOP 4-0 TPR BLU 6,297.0,237.6,82.48,267.3,27
RC,0272,SUT FBRLOOP FBRTAG ST NDLE,618.75,495.0,171.83,556.88,27
RC,0272,SUT FBRSNARE/WIRE 2 GRN 26,519.75,415.8,144.33,467.78,27
RC,0272,SUT FBRSNARE/WIRE 2 WHT/BLU 26,519.75,415.8,144.33,467.78,27
RC,0272,SUT FBRSTICK/WIRE 2 BLU 50,297.0,237.6,82.48,267.3,27
RC,0272,SUT FBRSTICK/WIRE 2-0 BLU 50,281.82,225.46,78.26,253.64,27
RC,0272,SUT FBRTAPE NDLE ST BLU 2MM 17,965.25,772.2,268.05,868.73,27
RC,0272,SUT FBRTAPE NDLE WHT/BLU 2MM36,866.25,693.0,240.56,779.63,27
RC,0272,SUT FBRTAPE TPR BLU 2MM 17,401.28,321.03,111.44,361.15,27
RC,0272,SUT FBRTAPE TPR BLU 2MM 36,519.75,415.8,144.33,467.78,27
RC,0272,SUT FBRTAPE TPR BLU 2MM 7,297.0,237.6,82.48,267.3,27
RC,0272,SUT FIBERRING SHUTTLE LOOP25MM,717.75,574.2,199.32,645.98,27
RC,0272,SUT FIBERRING SHUTTLE LOOP35MM,717.75,574.2,199.32,645.98,27
RC,0272,SUT FRCFBR 5 K60 WHT/BLU 38,221.92,177.54,61.63,199.73,27
RC,0272,SUT GORETEX CV0 THX26 36,248.09,198.48,68.89,223.28,27
RC,0272,SUT GORETEX CV0 THX36 36,248.09,198.48,68.89,223.28,27
RC,0272,SUT GORETEX CV1 THX26/THX26 48,229.24,183.4,63.66,206.32,27
RC,0272,SUT GORETEX CV2TH26/TH26 36,252.11,201.69,70.01,226.9,27
RC,0272,SUT GORETEX CV4 TH18/TH18 36,223.69,178.96,62.12,201.32,27
RC,0272,SUT GORETEX CV5 PT13/PT13 36,222.47,177.98,61.78,200.22,27
RC,0272,SUT GORETEX CV6 PT9/PT9 30,284.14,227.32,78.91,255.73,27
RC,0272,SUT GORETEX CV6P*DISC 6341654*,242.96,194.37,67.47,218.66,27
RC,0272,SUT GORETEX CV8 PT9 24,280.37,224.3,77.86,252.33,27
RC,0272,SUT GORTEX CV3 TH26/TH26 48,225.7,180.56,62.68,203.13,27
RC,0272,SUT HI-FI 2-0 DBL ARMWHT/BLU30,395.86,316.69,109.93,356.27,27
RC,0272,SUT KT AC FBRTAPE CERCLAGE,6647.26,5317.81,1845.94,5982.53,27
RC,0272,SUT KT CLAV/FIBFBRTAPECERCLAGE,4466.62,3573.3,1240.38,4019.96,27
RC,0272,SUT LABRALTAPE WHT 1.5MM 36IN,369.6,295.68,102.64,332.64,27
RC,0272,SUT MERSIL 5MM BP1/BP1 WHT 12,242.6,194.08,67.37,218.34,27
RC,0272,SUT MERSIL5MMBP1*DISC 6354151*,242.6,194.08,67.37,218.34,27
RC,0272,SUT MERSILENE 5MM BP/BP WHT 12,240.58,192.47,66.81,216.52,27
RC,0272,SUT MERSILENE 5MM CTX/CTXWHT12,229.91,183.93,63.85,206.92,27
RC,0272,SUT MINITAPE KNTLS BLU 39.5,399.98,319.99,111.07,359.98,27
RC,0272,SUT MINITAPE KNTLS COBRAID WHT,399.98,319.99,111.07,359.98,27
RC,0272,SUT MONODERM 2-0 PS2/PS2UNDY12,282.92,226.34,78.57,254.63,27
RC,0272,SUT NEXTST 2-0 M*DISC NO REPL*,1099.69,879.76,305.38,989.72,27
RC,0272,SUT NEXTSTITCH 2-0 KT2 PK12,1531.36,1225.09,425.26,1378.22,27
RC,0272,SUT NEXTSTITCH 2-0 KT2 PK6,860.45,688.36,238.95,774.41,27
RC,0272,SUT NEXTSTITCH 2-0 MD KC2 PK12,6424.46,5139.57,1784.07,5782.01,27
RC,0272,SUT NEXTSTITCH 2-0 MD T3 PK12,1099.69,879.76,305.38,989.72,27
RC,0272,SUT NOVOSTITCH PLUS CTRX 2-0,1987.44,1589.96,551.91,1788.7,27
RC,0272,SUT NYLON 10-0 CU5 BLK 6,252.6,202.08,70.15,227.34,27
RC,0272,SUT NYLON 8-0 DRM6 BLK 5,249.86,199.89,69.39,224.87,27
RC,0272,SUT ORTHOCORD 0 CT3 VIO 36,267.55,214.04,74.3,240.8,27
RC,0272,SUT ORTHOCORD 2 MO6 VIO 36,242.41,193.93,67.32,218.17,27
RC,0272,SUT ORTHOCORD 2 MO7 VIO/BLU 36,349.7,279.76,97.11,314.73,27
RC,0272,SUT ORTHOCORD 2 TIE BLU 36,242.41,193.93,67.32,218.17,27
RC,0272,SUT ORTHOCORD 2 TIE VIO 36,242.41,193.93,67.32,218.17,27
RC,0272,SUT ORTHOCORD 2-0 BB VIO 18,267.55,214.04,74.3,240.8,27
RC,0272,SUT ORTHOCORD 2-0 SH VIO 18,267.55,214.04,74.3,240.8,27
RC,0272,SUT OVERSTITCH 2-0 BLU185*CIP*,413.18,330.55,114.74,371.86,27
RC,0272,SUT PASR TORN 2.5MM,336.47,269.18,93.44,302.82,27
RC,0272,SUT PDS II 0 ENDOLOOP 18,920.25,736.2,255.55,828.23,27
RC,0272,SUT PDS II 1 CT1 LOOP VIO 96,270.38,216.31,75.08,243.34,27
RC,0272,SUT PDS II 1 TP1 LOOP VIO 60,281.23,224.99,78.1,253.11,27
RC,0272,SUT PDS II 1 TP1 VIO 72,341.6,273.28,94.86,307.44,27
RC,0272,SUT PDS II 4-0*DISC NO REPL*,502.29,401.84,139.49,452.06,27
RC,0272,SUT PK CUST NYKAMP,1008.5,806.8,280.06,907.65,27
RC,0272,SUT PK PARS ARTX SZ2,2640.0,2112.0,733.13,2376.0,27
RC,0272,SUT PREMICRON2-0 2XHR20 8*NLU*,295.06,236.05,81.94,265.55,27
RC,0272,SUT PREMICRON2-0 2XHR26 8*NLU*,270.32,216.26,75.07,243.29,27
RC,0272,SUT PROLENE 10-0 CS1606 BLU 4,190.26,152.21,52.84,171.23,27
RC,0272,SUT PROLENE 5-0 C1/C1 VB BLU36,375.95,300.76,104.4,338.36,27
RC,0272,SUT PROLENE 5-0 C1/C1BLU36BX12,336.37,269.1,93.41,302.73,27
RC,0272,SUT PROLENE 5-0 RB4/RB4 BLU 24,835.2,668.16,231.94,751.68,27
RC,0272,SUT PROLENE 6-0 BV1/BV1BLU2X24,304.34,243.48,84.52,273.91,27
RC,0272,SUT PROLENE 6-0 C1/C1 BLU 4X18,373.25,298.6,103.65,335.93,27
RC,0272,SUT PROLENE 6-0 C1/C1 BLU 4X24,374.27,299.42,103.93,336.84,27
RC,0272,SUT PROLENE 6-0 C1/C1 BLU 4X30,356.45,285.16,98.99,320.81,27
RC,0272,SUT PROLENE 7-0 BV1/BV1BLU4X18,363.5,290.8,100.94,327.15,27
RC,0272,SUT PROLENE 7-0 BV1/BV1BLU4X24,399.38,319.51,110.91,359.44,27
RC,0272,SUT PROLENE 7-0 BV1/BV1BLU4X30,399.38,319.51,110.91,359.44,27
RC,0272,SUT PROLENE 7-0 BV1756 BLU2X24,301.48,241.19,83.72,271.33,27
RC,0272,SUT PROLENE 7-0 BV1756 BLU4C30,496.76,397.41,137.95,447.08,27
RC,0272,SUT PROLENE 7-0 BV1756 BLU4X24,473.09,378.48,131.38,425.78,27
RC,0272,SUT PROLENE 7-0 BV1758 BLU 18,296.3,237.04,82.28,266.67,27
RC,0272,SUT PROLENE 7-0 BV1758 BLU 24,496.76,397.41,137.95,447.08,27
RC,0272,SUT PROLENE 7-0 BV1758 BLU1X24,232.9,186.32,64.68,209.61,27
RC,0272,SUT PROLENE 7-0 BV1758 BLU4X24,670.59,536.48,186.22,603.53,27
RC,0272,SUT PROLENE 7-0 CC/CC BLU 4X24,410.93,328.75,114.12,369.84,27
RC,0272,SUT PROLENE 8-0 BV1305 BLU 18,185.75,148.6,51.58,167.18,27
RC,0272,SUT PROLENE 8-0 BV1305 BLU4X24,670.59,536.48,186.22,603.53,27
RC,0272,SUT PROLENE 8-0 BV1305EVPBLU24,361.78,289.43,100.47,325.6,27
RC,0272,SUT PROLENE 8-0 BV1756 BLU2X24,301.48,241.19,83.72,271.33,27
RC,0272,SUT PURSTRING 45MM SURGIDAC2-0,403.54,322.84,112.06,363.19,27
RC,0272,SUT PURSTRING 65MM MONOSOF 2-0,341.87,273.5,94.94,307.68,27
RC,0272,SUT SHARPSHOOTER 2-0 UHMWPE,405.0,324.0,112.47,364.5,27
RC,0272,SUT SHARPSHOOTER 2-0 WHT/BLU,486.0,388.8,134.96,437.4,27
RC,0272,SUT SLING PTOSIS SIL0.64X300MM,720.0,576.0,199.94,648.0,27
RC,0272,SUT SPEC PRO*DISC NO REPL*,297.49,238.0,82.61,267.74,27
RC,0272,SUT STEEL 6-0 SCC 4X18,254.43,203.55,70.66,228.99,27
RC,0272,SUT STEEL PCT 18G 18IN,191.54,153.24,53.19,172.39,27
RC,0272,SUT STEEL PCT 24G 18IN,191.54,153.24,53.19,172.39,27
RC,0272,SUT STEEL PCT 25G 18IN,198.01,158.41,54.99,178.21,27
RC,0272,SUT SURGIPRO 8-0 MV1355 BLU 24,1066.64,853.32,296.21,959.98,27
RC,0272,SUT SURGIPRO 8-0 MV1355 BLU 30,522.09,417.68,144.98,469.88,27
RC,0272,SUT SURGIPRO 8-0 MVF1355 BLU24,930.15,744.12,258.3,837.14,27
RC,0272,SUT TAPE 2-0 MINI MENISCUS,569.25,455.4,158.08,512.33,27
RC,0272,SUT TAPE ACTIVBRAID1.5 1/2CBLK,616.5,493.2,171.2,554.85,27
RC,0272,SUT TAPE CLSD LOOP WHT/BLU 1.3,448.8,359.04,124.63,403.92,27
RC,0272,SUT TAPE FBRLINK SHT BLU 0.9MM,470.25,376.2,130.59,423.23,27
RC,0272,SUT TAPE LOOPWHT/BLU1.3MMX20IN,369.6,295.68,102.64,332.64,27
RC,0272,SUT TAPE MENISC 2-0 0.9MM,268.4,214.72,74.53,241.56,27
RC,0272,SUT TAPE TIGERLINK 2 WHT/BLK26,297.0,237.6,82.48,267.3,27
RC,0272,SUT TAPE TIGERLINK WHTBLK0.9MM,470.25,376.2,130.59,423.23,27
RC,0272,SUT TAPE TPR 26.5MM TPR NDLE,234.85,187.88,65.22,211.37,27
RC,0272,SUT TAPE TPR WHT BLK1.3X36.6MM,297.0,237.6,82.48,267.3,27
RC,0272,SUT TAPE X 2STRAND 1.3MMX40IN,386.1,308.88,107.22,347.49,27
RC,0272,SUT TI-KNOT TK5 QUICK LOAD TI,274.5,219.6,76.23,247.05,27
RC,0272,SUT TICRON 2-0 CV305 BLU 10X30,1668.53,1334.83,463.35,1501.68,27
RC,0272,SUT TICRON 2-0 CV305 BLU 30,942.98,754.39,261.87,848.68,27
RC,0272,SUT TICRON 2-0 CV316 BLU 10X30,1612.38,1289.91,447.76,1451.14,27
RC,0272,SUT TICRON 2-0 CV316 BLU 5X10,1101.38,881.11,305.85,991.24,27
RC,0272,SUT TICRON 2-0 CV331 BLU/WHT30,741.92,593.54,206.03,667.73,27
RC,0272,SUT TICRON 2-0 SK BLU 48,208.62,166.9,57.93,187.76,27
RC,0272,SUT TICRON 2-0CV331BLU/WHT8X30,1277.22,1021.78,354.68,1149.5,27
RC,0272,SUT TICRON 6-0 SS24 WHT 18,193.37,154.7,53.7,174.03,27
RC,0272,SUT TIGERLINK 0 CLSDWHT/BLK1.5,386.1,308.88,107.22,347.49,27
RC,0272,SUT TIGERLOOP 2 ST WHT/GRN 20,297.0,237.6,82.48,267.3,27
RC,0272,SUT TIGERTAPE NDLEWHT/BLK2MM36,866.25,693.0,240.56,779.63,27
RC,0272,SUT TIGERTAPE WHT/BLK 2MM 7,297.0,237.6,82.48,267.3,27
RC,0272,SUT ULTLOOP 2 COBRAID 26,454.5,363.6,126.21,409.05,27
RC,0272,SUT VICRYL 0 ENDOLOOP 18,993.87,795.1,276.0,894.48,27
RC,0272,SUT VICRYL 0 TN VIO 27,609.35,487.48,169.22,548.42,27
RC,0272,SUT VICRYL 3-0 ENS VIO 48,375.62,300.5,104.31,338.06,27
RC,0272,SUT VICRYL 6-0 BV1 UNDY 27,467.06,373.65,129.7,420.35,27
RC,0272,SUT VLOC PBT 0 GS22 BLU 18,297.65,238.12,82.66,267.89,27
RC,0272,SUT VLOC PBT 0 GS22 BLU 6,345.98,276.79,96.08,311.38,27
RC,0272,SUT VLOC PBT 0 GS22 BLU 9,346.03,276.83,96.09,311.43,27
RC,0272,SUT VLOC PBT 1 GS21 BLU 18,306.56,245.25,85.13,275.9,27
RC,0272,SUT VLOC PBT 1 GS22 BLU 12,335.88,268.71,93.27,302.29,27
RC,0272,SUT VLOC PBT 1 GS22 BLU 9,298.94,239.16,83.02,269.05,27
RC,0272,SUT VLOC PBT 2-0 GS22 BLU 6,345.98,276.79,96.08,311.38,27
RC,0272,SUT VLOC PBT 2-0 GS22 BLU 9,345.98,276.79,96.08,311.38,27
RC,0272,SUT VLOC PBT 2-0 V20 BLU 6,297.65,238.12,82.66,267.89,27
RC,0272,SUT VLOC PBT 3-0 V20 BLU 6,306.56,245.25,85.13,275.9,27
RC,0272,SUT VLOC PBT 3-0 V20 BLU 9,306.56,245.25,85.13,275.9,27
RC,0272,SUT VLOC180 0 GS21 GRN 12,290.18,232.15,80.58,261.16,27
RC,0272,SUT VLOC180 0 GS21 GRN 18,291.82,233.46,81.04,262.64,27
RC,0272,SUT VLOC180 0 GS21 GRN 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 0 GS22 GRN 12,345.98,276.79,96.08,311.38,27
RC,0272,SUT VLOC180 2-0 GS21 GRN 12,298.9,239.12,83.0,269.01,27
RC,0272,SUT VLOC180 2-0 GS21 GRN 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 2-0 GS22 GRN 6,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 2-0 GS22 GRN 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 2-0 V20 GRN 12,298.96,239.17,83.02,269.06,27
RC,0272,SUT VLOC180 2-0 V20 GRN 18,291.6,233.28,80.98,262.44,27
RC,0272,SUT VLOC180 3-0 CV23 GRN 6,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 3-0 CV23 GRN 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 3-0 GS21 GRN 9,271.08,216.87,75.28,243.97,27
RC,0272,SUT VLOC180 3-0 P12 UNDY 30,257.24,205.8,71.44,231.52,27
RC,0272,SUT VLOC180 3-0 V20 GRN 6,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC180 4-0 CV23 GRN 6,276.33,221.07,76.74,248.7,27
RC,0272,SUT VLOC180 4-0 P12 UNDY 18,283.34,226.68,78.68,255.01,27
RC,0272,SUT VLOC90 0 GS21 VIO 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC90 0 GS22 VIO 9,284.69,227.76,79.06,256.22,27
RC,0272,SUT VLOC90 2-0 GS21 UNDY 18,284.87,227.9,79.11,256.38,27
RC,0272,SUT VLOC90 2-0 GS21 VIO 12,258.27,206.62,71.72,232.44,27
RC,0272,SUT VLOC90 2-0 GS21 VIO 18,283.39,226.72,78.7,255.05,27
RC,0272,SUT VLOC90 2-0 GS21 VIO 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC90 2-0 GS22 VIO 12,298.96,239.17,83.02,269.06,27
RC,0272,SUT VLOC90 3-0 GS21VIO 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC90 3-0 P12 UNDY 18,393.39,314.72,109.24,354.05,27
RC,0272,SUT VLOC90 3-0 V20 UNDY 6,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC90 3-0 V20 VIO 12,298.9,239.12,83.0,269.01,27
RC,0272,SUT VLOC90 3-0 V20 VIO 6,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC90 3-0 V20 VIO 9,284.63,227.71,79.04,256.17,27
RC,0272,SUT VLOC90 4-0 P12 UNDY 12,213.38,170.71,59.26,192.04,27
RC,0272,SUT VLOC90 4-0 P12 UNDY 18,291.82,233.46,81.04,262.64,27
RC,0272,SUT XBRAID TT COBRAID 1.2MM,905.13,724.11,251.35,814.62,27
RC,0272,SUT XBRD TT 1.2 TIE BLK/WHT 40,531.0,424.8,147.46,477.9,27
RC,0272,SUT XBRD TT 1.2 TIE BLK/WHT 46,531.0,424.8,147.46,477.9,27
RC,0272,SUT XBRD TT 1.2 TIE WHT/BLU 46,459.0,367.2,127.46,413.1,27
RC,0272,SUT XBRDTT1.2TIEWHTBLUWHTBLK40,531.0,424.8,147.46,477.9,27
RC,0272,SUTETHIBOND2-0RB1GRN/WHT30,376.11,300.89,104.45,338.5,27
RC,0272,SUTETHIBOND2-0SH*DISC 6337965*,302.35,241.88,83.96,272.12,27
RC,0272,SUTETHIBOND2-0SH*DISC 6339428*,362.74,290.2,100.73,326.47,27
RC,0272,SUTETHIBOND2-0SH/SHWPGRN/WHT36,367.47,293.98,102.05,330.72,27
RC,0272,SUTETHIBOND2-0SH2/SH2GRN/WHT30,362.39,289.92,100.64,326.15,27
RC,0272,SUTETHIBOND2-0V4WPGRN/WHT10X30,266.27,213.02,73.94,239.64,27
RC,0272,SYR BONE CMNT MIXING ARTX,384.0,307.2,106.64,345.6,27
RC,0272,SYR HEALON PRO OVD 0.85ML*NLU*,274.5,219.6,76.23,247.05,27
RC,0272,SYR INFL KYPHX XPANDER,432.0,345.6,119.97,388.8,27
RC,0272,SYR INFUS W PCH FREEDOM60,1855.98,1484.79,515.41,1670.38,27
RC,0272,SYR NDLE SFTY CARD 1ML 25GX5/8,213.5,170.8,59.29,192.15,27
RC,0272,SYS ACC OVERSTITCH OVERTUBE,1042.52,834.02,289.51,938.27,27
RC,0272,SYS BONE CMNT BEAD MOLD S*NLU*,1218.0,974.4,338.24,1096.2,27
RC,0272,SYS BX TRANSPERINEAL ACC,1066.5,853.2,296.17,959.85,27
RC,0272,SYS CANISTER TB PENUMBRA,1512.0,1209.6,419.88,1360.8,27
RC,0272,SYS CLIP SHARP 10.5-12 6MM,2300.4,1840.32,638.82,2070.36,27
RC,0272,SYS CLIP SHARP 12.5-14 6MM,2516.4,2013.12,698.8,2264.76,27
RC,0272,SYS CLIP SHARP 8.5-11 6MM,2300.4,1840.32,638.82,2070.36,27
RC,0272,SYS CLIP SHARP 8.5-11 7MM,2516.4,2013.12,698.8,2264.76,27
RC,0272,SYS CLIP SHARP 9.5-11 6MM,1832.4,1465.92,508.86,1649.16,27
RC,0272,SYS CMNT MIXING REVOLUTION,414.1,331.28,115.0,372.69,27
RC,0272,SYS CMNT SMARTMIX CTS BOWL,272.92,218.34,75.79,245.63,27
RC,0272,SYS CONC BONE MARW 60ML*NLU*,3040.0,2432.0,844.21,2736.0,27
RC,0272,SYS CORE BX GENCUT 1.9MMX114CM,1882.8,1506.24,522.85,1694.52,27
RC,0272,SYS DEL PROPEL M*DISC NO REPL*,900.0,720.0,249.93,810.0,27
RC,0272,SYS DEL PROPEL MINI ETHMOID,2628.8,2103.04,730.02,2365.92,27
RC,0272,SYS DURASEAL SPINE SEAL 5*NLU*,3180.48,2544.39,883.22,2862.43,27
RC,0272,SYS ENDOBLADE GASTROCRECESSION,3150.4,2520.32,874.87,2835.36,27
RC,0272,SYS ENTRL DIL PEELAWAY 20FR,471.06,376.85,130.81,423.95,27
RC,0272,SYS ENTRY ALCO 4MM 25GA 1CNT,379.58,303.67,105.41,341.62,27
RC,0272,SYS ENTRY UNITY 4MM 25GA 1CNT,332.1,265.68,92.22,298.89,27
RC,0272,SYS ENTRY UNITY 4MM 25GA 3CNT,700.52,560.42,194.53,630.47,27
RC,0272,SYS EXC 9FR 45/80,2889.6,2311.68,802.44,2600.64,27
RC,0272,SYS EXTL FIX MAXFRM AUTOSTRUT,17556.0,14044.8,4875.3,15800.4,27
RC,0272,SYS EXTR ALEXIS CONTAINED 17CM,1365.0,1092.0,379.06,1228.5,27
RC,0272,SYS EXTR ALEXIS GELPOINTMINI17,2700.0,2160.0,749.79,2430.0,27
RC,0272,SYS FASCIAL CLSR EFX,630.0,504.0,174.95,567.0,27
RC,0272,SYS HARVEST AUTO FASTGRAFTER,2847.6,2278.08,790.78,2562.84,27
RC,0272,SYS HEMO ENDO PDR NEXPOWDER,2472.0,1977.6,686.47,2224.8,27
RC,0272,SYS ILLUM LIF STER 4.6MM 10FT,1980.0,1584.0,549.85,1782.0,27
RC,0272,SYS INFUS PERSONAL THERAPY MGR,2268.0,1814.4,629.82,2041.2,27
RC,0272,SYS IPV PHASITRON 5 W CONN,470.25,376.2,130.59,423.23,27
RC,0272,SYS JETLAVAGE IRRISEPTCHG0.05%,378.0,302.4,104.97,340.2,27
RC,0272,SYS LAPIPLASTY MINI-INCISION,14388.0,11510.4,3995.55,12949.2,27
RC,0272,SYS MIX BONE CMNT ACCUMIX,1012.5,810.0,281.17,911.25,27
RC,0272,SYS MIX BONE CMNT FEM PRSSZR,525.29,420.24,145.87,472.76,27
RC,0272,SYS MIX BONE CMNT NFORCE LG,1344.0,1075.2,373.23,1209.6,27
RC,0272,SYS MIX BONE CMNT WO RESTRC,496.8,397.44,137.96,447.12,27
RC,0272,SYS MIX CMNT CLEARMIIX SGL/DBL,558.0,446.4,154.96,502.2,27
RC,0272,SYS MIX CMNT CLEARMIIXSGL/TRPL,735.84,588.68,204.34,662.26,27
RC,0272,SYS MON REFLUX CAPSULE BRAVO,1232.28,985.83,342.2,1109.05,27
RC,0272,SYS O'REGAN LIGATOR BAND *NLU*,405.0,324.0,112.47,364.5,27
RC,0272,SYS OPH VISCOELAS OMNI EDGE,5460.0,4368.0,1516.24,4914.0,27
RC,0272,SYS PEP ACAPELLA DH GRN,191.48,153.19,53.17,172.33,27
RC,0272,SYS PEP ACAPELLA*DISC 6335964*,365.62,292.5,101.53,329.06,27
RC,0272,SYS PEP OLE THERAPY VOLARA,432.0,345.6,119.97,388.8,27
RC,0272,SYS PRCD SPY-PHI,2325.64,1860.52,645.83,2093.08,27
RC,0272,SYS PREP SPEEDTRAP GRN/WH*NLU*,461.7,369.36,128.21,415.53,27
RC,0272,SYS PREP SPEEDTRAP GRN/WHT20MM,495.9,396.72,137.71,446.31,27
RC,0272,SYS PSTNR ANCHOR*VAT 6343328*,235.46,188.37,65.39,211.91,27
RC,0272,SYS RECELL AUTOLGS CENTRIO PRP,3096.8,2477.44,859.98,2787.12,27
RC,0272,SYS REL SOFT TISS CLEAR *NLU*,3038.0,2430.4,843.65,2734.2,27
RC,0272,SYS REPOS SAGE AIRTAP LC*CIP*,1008.0,806.4,279.92,907.2,27
RC,0272,SYS RETAIN NG TB*DISC 6287600*,475.2,380.16,131.96,427.68,27
RC,0272,SYS RETR CAP ALEXIS MD18X5-9CM,1080.0,864.0,299.92,972.0,27
RC,0272,SYS RETR PENILE WILSON,1810.2,1448.16,502.69,1629.18,27
RC,0272,SYS RETRV TISS ECOSAC 115MM550,297.0,237.6,82.48,267.3,27
RC,0272,SYS RETRV TISS ECOSAC 5MM 60ML,562.5,450.0,156.21,506.25,27
RC,0272,SYS SEATED PSTN PREVALONW5PADS,531.0,424.8,147.46,477.9,27
RC,0272,SYS TACK ENDO HE*DISC 6346358*,2646.4,2117.12,734.91,2381.76,27
RC,0272,SYS TACKENDOHELI*DISC 6346359*,2646.4,2117.12,734.91,2381.76,27
RC,0272,SYS TENDON PRCD PK STER,1974.0,1579.2,548.18,1776.6,27
RC,0272,SYS THROMBECTOMY CLNR 6FR 65CM,2430.0,1944.0,674.81,2187.0,27
RC,0272,SYS THROMBECTOMY CLNR 7FR135CM,3780.0,3024.0,1049.71,3402.0,27
RC,0272,SYS TUNNELER SHEATH FLUID*NLU*,269.62,215.7,74.87,242.66,27
RC,0272,SYS UTERINE HEMO*DISC 6328582*,3346.0,2676.8,929.18,3011.4,27
RC,0272,SYS VALVED ENTRY EDGEPLUS 3CNT,970.11,776.09,269.4,873.1,27
RC,0272,SYSACCESSOVERSTITCHOVERTB*CIP*,1042.52,834.02,289.51,938.27,27
RC,0272,T-POST EXTL FIX REVOLUTION,6552.0,5241.6,1819.49,5896.8,27
RC,0272,TACK PLATE TMPR ACUM,372.6,298.08,103.47,335.34,27
RC,0272,TALON HIP CUP EX*DISC NO REPL*,2605.8,2084.6400000000003,504.86,3054.24,108
RC,0272,TAMP BONE INFL XPANDER 15MM,2880.0,2304.0,799.78,2592.0,27
RC,0272,TAP APTS QC 3.5MM,691.88,553.51,192.14,622.69,27
RC,0272,TAP BONE CANN 3.9MM SWVLK AO,1113.75,891.0,309.29,1002.38,27
RC,0272,TAP BONE CANN ALTIVATE 6.5MM,2700.0,2160.0,749.79,2430.0,27
RC,0272,TAP BONE CANN FUOR 5.5MM,2912.0,2329.6,808.66,2620.8,27
RC,0272,TAP BONE NON-CANN ALTIVATE 6.5,2047.5,1638.0,568.59,1842.75,27
RC,0272,TAP BONE POLARIS TI 4.75X3.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE POLARIS TI 4.75X4.0MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE POLARIS TI 4.75X4.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE POLARIS TI 4.75X5.0MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE POLARIS TI 4.75X5.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE POLARIS TI 4.75X6.0MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE POLARIS TI 4.75X6.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE SCREW CT GI1 GM 3.5MM,1969.2,1575.36,546.85,1772.28,27
RC,0272,TAP BONE SCREW CT GI1 GM 4.0MM,1969.2,1575.36,546.85,1772.28,27
RC,0272,TAP BONE SCREW GM 4.0MM,1155.0,924.0,320.74,1039.5,27
RC,0272,TAP BONE SCREW GM 4.5MM,1155.0,924.0,320.74,1039.5,27
RC,0272,TAP BONE SCREW OC 4.5X245MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP BONE SOLID 3.9MM SWVLK AO,965.25,772.2,268.05,868.73,27
RC,0272,TAP BONE YUKON OCT DISP 4.0MM,518.4,414.72,143.96,466.56,27
RC,0272,TAP CANN 4.5MM*DISC NO REPL*,1957.82,1566.26,543.69,1762.04,27
RC,0272,TAP CANN 4.5MM*NLU*,2112.26,1689.81,586.57,1901.03,27
RC,0272,TAP CANN ACTIVE COMP 7.0MM,2268.0,1814.4,629.82,2041.2,27
RC,0272,TAP CANN ARTX 4.5MM,866.25,693.0,240.56,779.63,27
RC,0272,TAP CANN ARTX 5.5MM,866.25,693.0,240.56,779.63,27
RC,0272,TAP CANN JFX 3.0MM,966.15,772.92,268.3,869.54,27
RC,0272,TAP CANN JFX 4.0MM,961.88,769.51,267.11,865.69,27
RC,0272,TAP CANN JFX 5.0MM,966.15,772.92,268.3,869.54,27
RC,0272,TAP CANN LG AO AS3 6.5MM,1296.2,1036.96,359.95,1166.58,27
RC,0272,TAP CANN SCREW 6.5/7.3 200MM,1984.25,1587.4,551.03,1785.83,27
RC,0272,TAP CANN SCREW PRGN 5.5MM,1096.88,877.51,304.6,987.19,27
RC,0272,TAP CANN SCREW SYNT 4MM,1824.66,1459.73,506.71,1642.19,27
RC,0272,TAP CANN SCREW SYNT 7.3MM,2378.38,1902.71,660.48,2140.54,27
RC,0272,TAP CANN STRY,666.9,533.52,185.2,600.21,27
RC,0272,TAP CASTLELOC-S 3.0MM,922.5,738.0,256.18,830.25,27
RC,0272,TAP CNCLS SCREW SYNT 4.0MM,861.12,688.9,239.13,775.01,27
RC,0272,TAP CNCLS SCREW SYNT 6.5MM,1628.17,1302.54,452.14,1465.35,27
RC,0272,TAP CORT LK ZIMM 3.5MM,1176.0,940.8,326.58,1058.4,27
RC,0272,TAP CORT S-CP 3.5X70MM*DISC*,1243.2,994.56,345.24,1118.88,27
RC,0272,TAP CORT SCREW 3.5MM 110MM,861.12,688.9,239.13,775.01,27
RC,0272,TAP CORT SCREW 3.5MM 180MM,726.75,581.4,201.82,654.08,27
RC,0272,TAP CORT SCREW 4.0MM 150MM,861.12,688.9,239.13,775.01,27
RC,0272,TAP CORT SCREW 4.5MM 180MM,988.47,790.78,274.5,889.62,27
RC,0272,TAP CORT SCREW SLFDR 6MM,1026.72,821.38,285.12,924.05,27
RC,0272,TAP CORT SCREW SYNT 1.5MM,732.78,586.23,203.49,659.5,27
RC,0272,TAP CORT SCREW SYNT 27MM,861.12,688.9,239.13,775.01,27
RC,0272,TAP CORT SCREW SYNT 2MM,732.78,586.23,203.49,659.5,27
RC,0272,TAP CORT SCREW SYNT 3.5 175MM,1476.05,1180.84,409.9,1328.45,27
RC,0272,TAP CORT SCREW SYNT 4.5 140MM,1628.17,1302.54,452.14,1465.35,27
RC,0272,TAP CORT SCREW SYNT 4.5MM,799.47,639.58,222.01,719.52,27
RC,0272,TAP CORT ZIMM 2.7MM,792.0,633.6,219.94,712.8,27
RC,0272,TAP DHS DCS SCREW SYNT 12.5MM,1995.84,1596.68,554.24,1796.26,27
RC,0272,TAP FEN EVEREST 10.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP FEN EVEREST 7.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP FEN EVEREST 9.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP FOR 6.5MM SCREW ZIMM,964.08,771.27,267.73,867.67,27
RC,0272,TAP FOR RECON SCREW 6.5X485MM,2450.11,1960.09,680.4,2205.1,27
RC,0272,TAP FOR SCREW ZIMM 3.5MM,556.2,444.96,154.46,500.58,27
RC,0272,TAP FOR SCREW ZIMM 4.0MM,556.2,444.96,154.46,500.58,27
RC,0272,TAP GPS DIA 7.5MM,3466.4,2773.12,962.62,3119.76,27
RC,0272,TAP GPS SCREW 3.5MM,2972.8,2378.24,825.55,2675.52,27
RC,0272,TAP ILIAC DBL POLARIS5.5X7.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP ILIAC DBL TI 5.5X5.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP ILIAC DBL TI 5.5X6.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP ILIAC DBL TI 5.5X7.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP ILIAC DBL TI 5.5X8.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP ILIAC DBLPOLARIS5.5X10.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP LEAD DBL POLARIS 5.5X4.0MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP LEAD DBL POLARIS 5.5X5.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP LEAD DBL POLARIS 5.5X6.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP LEAD DBL POLARIS 5.5X7.5MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP LEAD DBL POLARIS5.5X4.75MM,1785.0,1428.0,495.69,1606.5,27
RC,0272,TAP POLARIS TI 5.5X4.0MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP POLARIS TI 5.5X4.75MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP POLARIS TI 5.5X5.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP POLARIS TI 5.5X6.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP POLARIS TI 5.5X7.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP POLARIS TI 5.5X8.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP QC POLARIS T*DISC NO REPL*,823.5,658.8,228.69,741.15,135
RC,0272,TAP THRD EVEREST 5.5MM,823.5,658.8,228.69,741.15,27
RC,0272,TAP THRD OASYS 3.5MM,1374.32,1099.46,381.65,1236.89,27
RC,0272,TAPE RADPQ GLOW N TELL 55CM,429.6,343.68,119.3,386.64,27
RC,0272,TAPE RADPQ GLOW N TELL30CMBX20,334.8,267.84,92.97,301.32,27
RC,0272,TARGET DEV RADL *DISC NO REPL*,484.65,387.72,134.59,436.19,27
RC,0272,TB ADLT GASTRO *DISC 6174308*,398.2,318.56,110.58,358.38,27
RC,0272,TB AIRW VIVASIGHT 2DLT LFT35FR,1146.6,917.28,318.41,1031.94,27
RC,0272,TB AIRW VIVASIGHT 2DLT LFT37FR,1146.6,917.28,318.41,1031.94,27
RC,0272,TB AIRW VIVASIGHT 2DLT LFT39FR,1146.6,917.28,318.41,1031.94,27
RC,0272,TB AIRWDLLTS-DGRNPED*DNR MULT*,281.27,225.02,78.11,253.14,27
RC,0272,TB ARTHRO DUALWAVE OUTFLOW,244.0,195.2,67.76,219.6,27
RC,0272,TB ASPIR INDIGO LG,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB ASPIR RIPTIDE*DISC 6317315*,1239.0,991.2,344.07,1115.1,27
RC,0272,TB ASPIR SUCT RIPTIDE,1239.0,991.2,344.07,1115.1,27
RC,0272,TB ASSY RIA SYNT,4230.8,3384.64,1174.89,3807.72,27
RC,0272,TB ASSY SM BORE INLINE FLTR4FT,186.66,149.33,51.84,167.99,27
RC,0272,TB CBL PASSING STER DISP 400MM,878.4,702.72,243.93,790.56,27
RC,0272,TB CHEST SET THAL QK 14FR 41CM,732.6,586.08,203.44,659.34,27
RC,0272,TB CHEST SET THAL QK 16FR 41CM,747.45,597.96,207.57,672.71,27
RC,0272,TB CMNT INJ SPINEJACK 4.2MM,326.54,261.24,90.68,293.89,27
RC,0272,TB CMNT INJ SPINEJACK5.0/5.8MM,397.93,318.35,110.51,358.14,27
RC,0272,TB DISP ROB SI CLEARFIELD,1092.0,873.6,303.25,982.8,27
RC,0272,TB DISP ROB SI VAC SOURCE,324.0,259.2,89.97,291.6,27
RC,0272,TB ENDOBRONCH SHAW LFT 28FR,305.0,244.0,84.7,274.5,27
RC,0272,TB ENDOBRONCH SHILEY LFT 28FR,293.33,234.67,81.46,264.0,27
RC,0272,TB ENDOBRONCH SHILEY LFT 32FR,293.33,234.67,81.46,264.0,27
RC,0272,TB ENDOBRONCH SHILEY LFT 35FR,293.33,234.67,81.46,264.0,27
RC,0272,TB ENDOBRONCH SHILEY LFT 37FR,293.33,234.67,81.46,264.0,27
RC,0272,TB ENDOBRONCH SHILEY LFT 39FR,293.33,234.67,81.46,264.0,27
RC,0272,TB ENDOBRONCH SHILEY LFT 41FR,293.33,234.67,81.46,264.0,27
RC,0272,TB ENDOBRONCH SHILEY RT 35FR,316.06,252.85,87.77,284.45,27
RC,0272,TB ENDOBRONCH SHILEY RT 37FR,316.06,252.85,87.77,284.45,27
RC,0272,TB ENDOBRONCH SHILEY RT 39FR,316.06,252.85,87.77,284.45,27
RC,0272,TB ENDOSCRUB 2 LENS CLN,303.72,242.98,84.34,273.35,27
RC,0272,TB ESOPH BLAKEMORE ADLT 20FR,648.86,519.09,180.19,583.97,27
RC,0272,TB ESOPH MINNESOTA 4L 18FR,2530.8,2024.64,702.8,2277.72,27
RC,0272,TB ET COBRA 3 PLATE EMG 6MM,1697.35,1357.88,471.35,1527.62,27
RC,0272,TB ET COBRA 3 PLATE EMG 7MM,1428.0,1142.4,396.56,1285.2,27
RC,0272,TB ET COBRA 3 PLATE EMG 8MM,1428.0,1142.4,396.56,1285.2,27
RC,0272,TB ET DRAGONFLY 2CH EMG6-7.5MM,1113.0,890.4,309.08,1001.7,27
RC,0272,TB ET EMG 6MM*DISC 6222859*,1578.86,1263.09,438.45,1420.97,27
RC,0272,TB ET EMG 8MM*DISC 6222860*,1578.86,1263.09,438.45,1420.97,27
RC,0272,TB ET LASER CUFF MURPHY 4.5MM,289.81,231.85,80.48,260.83,27
RC,0272,TB ET LASER CUFF MURPHY 5.0MM,289.81,231.85,80.48,260.83,27
RC,0272,TB ET LASER CUFF MURPHY 5.5MM,289.81,231.85,80.48,260.83,27
RC,0272,TB ET LASER CUFF MURPHY 6.0MM,289.81,231.85,80.48,260.83,27
RC,0272,TB ET LASER UNCUF MAGILL 3.5MM,289.81,231.85,80.48,260.83,27
RC,0272,TB ET LASER UNCUF MAGILL 4.0MM,282.74,226.2,78.52,254.47,27
RC,0272,TB ET LASERTUBUS*DISC 6340813*,444.0,355.2,123.3,399.6,27
RC,0272,TB ET LASERTUBUS*DISC 6340814*,444.0,355.2,123.3,399.6,27
RC,0272,TB ET LASERTUBUS*DISC 6340815*,444.0,355.2,123.3,399.6,27
RC,0272,TB ET LMA FASTRACH W ROD 6.0MM,228.75,183.0,63.52,205.88,27
RC,0272,TB ET LMA FASTRACH W ROD 7.0MM,228.75,183.0,63.52,205.88,27
RC,0272,TB ET LMA FASTRACH W ROD 8.0MM,228.75,183.0,63.52,205.88,27
RC,0272,TB ET NIM EMG6MM*DISC 6222858*,1603.73,1282.99,445.36,1443.36,27
RC,0272,TB ET NIM EMG7MM*DISC 6222860*,1603.73,1282.99,445.36,1443.36,27
RC,0272,TB ET NIM EMG8MM*DISC 6240212*,1603.73,1282.99,445.36,1443.36,27
RC,0272,TB ET NIM TRIVANTAGE EMG 6MM,1380.92,1104.74,383.48,1242.83,27
RC,0272,TB ET NIM TRIVANTAGE EMG 7MM,1380.92,1104.74,383.48,1242.83,27
RC,0272,TB ET NIM TRIVANTAGE EMG 8MM,1380.92,1104.74,383.48,1242.83,27
RC,0272,TB ET NIM TRIVANTAGE EMG 9MM,1380.92,1104.74,383.48,1242.83,27
RC,0272,TB ET ORAL SEALGUARD EVAC7.0MM,232.04,185.64,64.44,208.84,27
RC,0272,TB ET ORAL SEALGUARD EVAC7.5MM,232.04,185.64,64.44,208.84,27
RC,0272,TB ET ORAL SEALGUARD EVAC8.0MM,232.04,185.64,64.44,208.84,27
RC,0272,TB ET ORAL SEALGUARD EVAC8.5MM,232.04,185.64,64.44,208.84,27
RC,0272,TB ET ORAL SEALGUARD EVAC9.0MM,232.04,185.64,64.44,208.84,27
RC,0272,TB ET SEALGUARD *DISC 6263331*,268.4,214.72,74.53,241.56,27
RC,0272,TB ET SEALGUARD *DISC 6266714*,276.45,221.16,76.77,248.81,27
RC,0272,TB ET STYLET TENAX 6.0MM,1076.4,861.12,298.92,968.76,27
RC,0272,TB ET STYLET TENAX 7.0MM,1076.4,861.12,298.92,968.76,27
RC,0272,TB ET STYLET TENAX 7.5MM,1076.4,861.12,298.92,968.76,27
RC,0272,TB FEED PEG JEJ *DISC NO REPL*,622.71,498.17,172.93,560.44,27
RC,0272,TB FILTR SET BIF AIRSEAL,483.98,387.19,134.4,435.58,27
RC,0272,TB FILTR SET TL AIRSEAL IFS,440.83,352.67,122.42,396.75,27
RC,0272,TB FUSN FLUIDICS DUAL PUMP SGL,292.8,234.24,81.31,263.52,27
RC,0272,TB FUSN FLUIDICS*DISC 6221194*,238.75,191.0,66.3,214.88,27
RC,0272,TB FUSN VERITAS DUAL PUMP PK,231.8,185.44,64.37,208.62,27
RC,0272,TB GAST CALIB ENLU 40FR,1092.0,873.6,303.25,982.8,27
RC,0272,TB GASTRO BLN AMT*VAT 6322430*,207.4,165.92,57.59,186.66,27
RC,0272,TB GASTRO BLN AMT*VAT 6322431*,207.4,165.92,57.59,186.66,27
RC,0272,TB GASTRO BLN AMT*VAT 6322432*,207.4,165.92,57.59,186.66,27
RC,0272,TB GASTRO BLN AMT*VAT 6322433*,207.4,165.92,57.59,186.66,27
RC,0272,TB GASTRO BLN AMT*VAT 6322434*,201.3,161.04,55.9,181.17,27
RC,0272,TB GASTRO BLN ENFIT AMT 12FR,299.11,239.29,83.06,269.2,27
RC,0272,TB GASTRO BLN ENFIT AMT 14FR,256.2,204.96,71.15,230.58,27
RC,0272,TB GASTRO BLN ENFIT AMT 16FR,256.2,204.96,71.15,230.58,27
RC,0272,TB GASTRO BLN ENFIT AMT 18FR,256.2,204.96,71.15,230.58,27
RC,0272,TB GASTRO BLN ENFIT AMT 20FR,256.2,204.96,71.15,230.58,27
RC,0272,TB GASTRO BLN Y ENFIT 24FR,256.2,204.96,71.15,230.58,27
RC,0272,TB GASTRO ENFIT MIC 12FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO ENFIT MIC 14FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO ENFIT MIC 16FR,269.5,215.6,74.84,242.55,27
RC,0272,TB GASTRO ENFIT MIC 18FR,291.22,232.98,80.87,262.1,27
RC,0272,TB GASTRO ENFIT MIC 20FR,286.09,228.88,79.45,257.48,27
RC,0272,TB GASTRO ENFIT MIC 22FR,269.5,215.6,74.84,242.55,27
RC,0272,TB GASTRO ENFIT MIC 24FR,291.22,232.98,80.87,262.1,27
RC,0272,TB GASTRO ENFIT MIC 26FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO ENFIT MIC 28FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO ENFIT MIC 30FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO ENFIT MONARCH 18FR,432.0,345.6,119.97,388.8,27
RC,0272,TB GASTRO MIC BLN*VAT 6322557*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTRO MIC BLN*VAT 6322558*,235.34,188.28,65.35,211.81,27
RC,0272,TB GASTRO MIC BLN*VAT 6322559*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTRO MIC BOLUS 3-5ML16FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO MIC BOLUS 7-10ML18FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO MIC BOLUS 7-10ML20FR,238.75,191.0,66.3,214.88,27
RC,0272,TB GASTRO MICBLN3*VAT 6322642*,796.77,637.42,221.26,717.09,27
RC,0272,TB GASTRO MOSS 18FR,1155.0,924.0,320.74,1039.5,27
RC,0272,TB GASTRO REPL ENFIT ANG 16FR,193.86,155.09,53.83,174.47,27
RC,0272,TB GASTRO REPL ENFIT ANG 18FR,193.86,155.09,53.83,174.47,27
RC,0272,TB GASTRO REPL ENFIT ANG 20FR,193.86,155.09,53.83,174.47,27
RC,0272,TB GASTRO REPL ENFIT ST 24FR,367.2,293.76,101.97,330.48,27
RC,0272,TB GASTRO REPL RT*VAT 6322700*,193.86,155.09,53.83,174.47,27
RC,0272,TB GASTRO Y ENFIT 22FR 20CC,185.38,148.31,51.48,166.84,27
RC,0272,TB GASTRO Y ENFIT 24FR 20CC,185.38,148.31,51.48,166.84,27
RC,0272,TB GASTROMICBLN7-*VAT 6320985*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTROMICBLN7-*VAT 6322560*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTROMICBLN7-*VAT 6322561*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTROMICBLN7-*VAT 6322562*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTROMICBLN7-*VAT 6322563*,225.21,180.17,62.54,202.69,27
RC,0272,TB GASTROMICBLN7-*VAT 6322564*,225.21,180.17,62.54,202.69,27
RC,0272,TB GJ ENFIT G-JET 14FR 30CM,1423.8,1139.04,395.39,1281.42,27
RC,0272,TB GJ ENFIT G-JET 14FR 45CM,1423.8,1139.04,395.39,1281.42,27
RC,0272,TB GJ ENFIT G-JET 14FR1.0 15CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.0 22CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.2 15CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.2 22CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.2 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.5 15CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.5 22CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.5 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.7 15CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.7 22CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.7 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR1.7 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.0 22CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.0 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.0 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.3 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.3 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.5 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.7 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR2.7 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR3.0 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 14FR3.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR 45CM,1423.8,1139.04,395.39,1281.42,27
RC,0272,TB GJ ENFIT G-JET 16FR1.2 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR1.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR1.7 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR2.0 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR2.0 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR2.5 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR2.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 16FR3.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 18FR 2.5 30C,1785.0,1428.0,495.69,1606.5,27
RC,0272,TB GJ ENFIT G-JET 18FR 45CM,1423.8,1139.04,395.39,1281.42,27
RC,0272,TB GJ ENFIT G-JET 18FR1.7 30CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 18FR1.7 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 18FR2.7 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 18FR3.5 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 18FR4.0 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 18FR5.0 45CM,1839.6,1471.68,510.86,1655.64,27
RC,0272,TB GJ ENFIT G-JET 22FR 45CM,1423.8,1139.04,395.39,1281.42,27
RC,0272,TB GJ ENFIT MIC 16FR,844.56,675.65,234.53,760.1,27
RC,0272,TB GJ ENFIT MIC 18FR,844.56,675.65,234.53,760.1,27
RC,0272,TB GJ ENFIT MIC 22FR,844.56,675.65,234.53,760.1,27
RC,0272,TB GJ ENFIT MIC ENDO 16FR 45CM,1077.39,861.92,299.19,969.65,27
RC,0272,TB GJ ENFIT MIC ENDO 18FR 45CM,1077.39,861.92,299.19,969.65,27
RC,0272,TB GJ ENFIT MIC ENDO 22FR 45CM,1077.39,861.92,299.19,969.65,27
RC,0272,TB GJ ENFIT MICRO 14FR0.8 10CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR0.8 15CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR0.8 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.0 15CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.0 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.2 10CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.2 15CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.2 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.2 30CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.5 10CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.5 15CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.5 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.5 30CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.7 10CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.7 15CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.7 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR1.7 30CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR2.0 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR2.0 30CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR2.3 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR2.3 30CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR2.5 22CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ ENFIT MICRO 14FR2.5 30CM,3689.0,2951.2,1024.44,3320.1,27
RC,0272,TB GJ G-JET 14FR *VAT 6322444*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322445*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322446*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322447*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322448*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322449*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322450*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322451*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322452*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322453*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322454*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322455*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322456*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322457*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322458*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322459*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322460*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322461*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322462*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322463*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322464*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322465*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322466*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 14FR *VAT 6322467*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 16FR *VAT 6322470*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 16FR *VAT 6322472*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 16FR *VAT 6322473*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 16FR *VAT 6322476*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ G-JET 16FR 1.5 30CM*NLU*,1692.6,1354.08,470.04,1523.34,27
RC,0272,TB GJ MIC ENDO 16*VAT 6322649*,1062.14,849.72,294.96,955.93,27
RC,0272,TB GJ MIC ENDO 18*VAT 6322651*,1016.42,813.14,282.26,914.78,27
RC,0272,TB GJ MIC ENDO 22*VAT 6322653*,1016.42,813.14,282.26,914.78,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322654*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322656*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322657*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322658*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322659*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322660*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322661*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322662*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322663*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322664*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322666*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322667*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322668*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322669*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO16*VAT 6322746*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322670*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322671*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322672*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322675*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322676*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322677*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6322747*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO18*VAT 6323025*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO22*VAT 6322678*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJ MIC LOPRO22*VAT 6322679*,1434.89,1147.92,398.47,1291.4,27
RC,0272,TB GJMICROG-JET14*VAT 6322551*,2940.0,2352.0,816.44,2646.0,27
RC,0272,TB HEAT HUMID EVAC PNEUMOCLEAR,572.0,457.6,158.84,514.8,27
RC,0272,TB HEAT HUMID PNEUMOCLEAR*NLU*,414.72,331.78,115.17,373.25,27
RC,0272,TB HEATED PNEUMOCLEAR,311.53,249.23,86.51,280.38,27
RC,0272,TB INFLOW AQUILEX,480.0,384.0,133.3,432.0,27
RC,0272,TB INFLOW TRIVEX*DISC NO REPL*,697.5,558.0,193.7,627.75,27
RC,0272,TB INSUF HEATED STRY,306.61,245.29,85.15,275.95,27
RC,0272,TB INSUF HI FLOW HEAT,280.42,224.34,77.87,252.38,27
RC,0272,TB INSUF INSUFLOW HUMIDIF*NLU*,324.0,259.2,89.97,291.6,27
RC,0272,TB INSUF OLYMPUS DISP,187.33,149.87,52.02,168.6,27
RC,0272,TB INSUF SET SMOKE EVAC ROB,544.5,435.6,151.21,490.05,27
RC,0272,TB IRG COOLFLOW PUMP*NLU*,480.0,384.0,133.3,432.0,27
RC,0272,TB IRG EVAC PIEZOELECTRIC SYS,479.28,383.43,133.1,431.35,27
RC,0272,TB IRG PEN DRIV STER,384.0,307.2,106.64,345.6,27
RC,0272,TB IRG SET ARTX 3.8METER,218.08,174.47,60.56,196.27,27
RC,0272,TB IRG STRAIGHTSHOT XPS MDTR,194.71,155.77,54.07,175.24,27
RC,0272,TB IRG SURG DRIL*DISC NO REPL*,378.0,302.4,104.97,340.2,27
RC,0272,TB IRR SUCT 2SPIKE LEVINE,256.2,204.96,71.15,230.58,27
RC,0272,TB IRR SYS RIO,300.73,240.59,83.51,270.66,27
RC,0272,TB JEJ BAKER CAT*DISC NO REPL*,1210.73,968.59,336.22,1089.66,27
RC,0272,TB JEJ ENFIT MIC 7-10ML 12FR,643.68,514.95,178.75,579.31,27
RC,0272,TB JEJ ENFIT MIC 7-10ML 14FR,643.68,514.95,178.75,579.31,27
RC,0272,TB JEJ ENFIT MIC 7-10ML 16FR,643.68,514.95,178.75,579.31,27
RC,0272,TB JEJ ENFIT MIC 7-10ML 18FR,643.68,514.95,178.75,579.31,27
RC,0272,TB JEJ ENFIT MIC 7-10ML 22FR,643.68,514.95,178.75,579.31,27
RC,0272,TB JEJ FLOW20 9FR 60CM,742.5,594.0,206.19,668.25,27
RC,0272,TB JEJ MIC BLN 3-*VAT 6322634*,607.23,485.79,168.63,546.51,27
RC,0272,TB JEJ MIC BLN 3-*VAT 6322641*,796.77,637.42,221.26,717.09,27
RC,0272,TB JEJ MIC BLN 7-*VAT 6322635*,607.23,485.79,168.63,546.51,27
RC,0272,TB JEJ MIC BLN 7-*VAT 6322636*,607.23,485.79,168.63,546.51,27
RC,0272,TB JEJ MIC BLN 7-*VAT 6322638*,607.23,485.79,168.63,546.51,27
RC,0272,TB JEJ MIC BLN 7-*VAT 6322639*,607.23,485.79,168.63,546.51,27
RC,0272,TB JEJ MIC BLN 7-*VAT 6322643*,796.77,637.42,221.26,717.09,27
RC,0272,TB JEJ MIC BLN 7-10ML 18FR,643.68,514.95,178.75,579.31,27
RC,0272,TB JEJ MIC LOPRO *VAT 6322644*,796.77,637.42,221.26,717.09,27
RC,0272,TB JEJ MIC LOPRO *VAT 6322645*,796.77,637.42,221.26,717.09,27
RC,0272,TB JEJ MIC LOPRO *VAT 6322646*,796.77,637.42,221.26,717.09,27
RC,0272,TB JEJ MIC LOPRO *VAT 6322647*,796.77,637.42,221.26,717.09,27
RC,0272,TB JEJ MIC SURG 14/9FR,901.17,720.94,250.25,811.05,27
RC,0272,TB JEJ PEG BENT *DISC NO REPL*,622.71,498.17,172.93,560.44,27
RC,0272,TB JEJ PEG24 12FR 66CM*CIP*,742.5,594.0,206.19,668.25,27
RC,0272,TB LARYN BLOM-SINGER 10/36MM,307.8,246.24,85.48,277.02,27
RC,0272,TB LARYN BLOM-SINGERFEN10/36MM,433.2,346.56,120.3,389.88,27
RC,0272,TB LARYN KOMBI F*DISC NO REPL*,513.0,410.4,142.46,461.7,27
RC,0272,TB LARYN KOMBI FAHL 10/33MM,513.0,410.4,142.46,461.7,27
RC,0272,TB LARYN KOMBI FAHL 10/44MM,513.0,410.4,142.46,461.7,27
RC,0272,TB LARYN KOMBI FAHL 8/44MM,513.0,410.4,142.46,461.7,27
RC,0272,TB LARYN KOMBI FAHL 9/33MM,513.0,410.4,142.46,461.7,27
RC,0272,TB LARYN KOMBI FAHL 9/44MM,513.0,410.4,142.46,461.7,27
RC,0272,TB LARYN KOMBI FAHL FEN 9/33MM,532.13,425.71,147.77,478.92,27
RC,0272,TB LARYN LARYTB STD 10/36MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 10/55MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 12/36MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 8/27MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 8/36MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 8/55MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 9/36MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTB STD 9/55MM,683.78,547.03,189.89,615.4,27
RC,0272,TB LARYN LARYTUBE FEN 10/12,775.4,620.32,215.33,697.86,27
RC,0272,TB LARYN LARYTUBE FEN 10/55MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE FEN 8/36MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE FEN 8/9.5,775.4,620.32,215.33,697.86,27
RC,0272,TB LARYN LARYTUBE FEN 9/36,775.4,620.32,215.33,697.86,27
RC,0272,TB LARYN LARYTUBE FEN 9/55,775.4,620.32,215.33,697.86,27
RC,0272,TB LARYN LARYTUBE STD 10/36MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE STD 10/55MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE STD 8/36MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE STD 8/55MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE STD 9/36MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN LARYTUBE STD 9/55MM,241.23,192.99,66.99,217.11,27
RC,0272,TB LARYN SHILEY SZ10,278.47,222.78,77.33,250.62,27
RC,0272,TB LARYN SHILEY SZ6,278.47,222.78,77.33,250.62,27
RC,0272,TB LARYN SHILEY SZ8,278.47,222.78,77.33,250.62,27
RC,0272,TB LARYN SINGER SZ10 36MM,361.8,289.44,100.47,325.62,27
RC,0272,TB LARYN SINGER SZ10 55MM,369.6,295.68,102.64,332.64,27
RC,0272,TB LARYN SINGER SZ12 55MM,361.8,289.44,100.47,325.62,27
RC,0272,TB LARYN SINGER SZ8 36MM,361.8,289.44,100.47,325.62,27
RC,0272,TB LARYN SINGER SZ8 55MM,361.8,289.44,100.47,325.62,27
RC,0272,TB MEDULLARY IRG RIA DISP,377.57,302.06,104.85,339.81,27
RC,0272,TB MULTDRN 8.5FR 60CM,1083.6,866.88,300.92,975.24,27
RC,0272,TB NEURO SHNT PLUG,353.81,283.05,98.25,318.43,27
RC,0272,TB NG CORFLO ENFIT CONN10FR152,376.8,301.44,104.64,339.12,27
RC,0272,TB NG MARK IV S*VAT MULT REPL*,922.5,738.0,256.18,830.25,27
RC,0272,TB NJ COOK 10FR 240CM,742.5,594.0,206.19,668.25,27
RC,0272,TB NYLON EXC,1723.68,1378.95,478.67,1551.31,27
RC,0272,TB PEG-J OTW ENFIT CORFLO 8FR,705.96,564.77,196.05,635.36,27
RC,0272,TB REAMER FOR HOLLOW REAMER,1099.17,879.34,305.24,989.25,27
RC,0272,TB REAMER SPARE 1.0/1.5MM,850.77,680.62,236.26,765.69,27
RC,0272,TB REAMER SPARE 2.0MM,850.77,680.62,236.26,765.69,27
RC,0272,TB REAMER SPARE 2.4/3.0MM,850.77,680.62,236.26,765.69,27
RC,0272,TB REAMER SPARE 4.0/5.0MM,1099.17,879.34,305.24,989.25,27
RC,0272,TB REAMER SPARE 6.0/7.0MM,1099.17,879.34,305.24,989.25,27
RC,0272,TB SET AIRSEAL TL FLTR,420.24,336.2,116.7,378.22,27
RC,0272,TB SET ARTHRO,296.46,237.17,82.33,266.81,27
RC,0272,TB SET CARDIOHELP HLS ADV 5.0,31929.6,25543.68,8866.85,28736.64,27
RC,0272,TB SET EXT FLTR *DISC NO REPL*,1433.25,1146.6,398.01,1289.93,27
RC,0272,TB SET VAC VERATRAC DUO,393.61,314.89,109.31,354.25,27
RC,0272,TB SMOKE EVAC PNEUMOCLEAR,291.4,233.12,80.92,262.26,27
RC,0272,TB SPLINTING DISP,1206.37,965.1,335.01,1085.73,27
RC,0272,TB SUCT ANGD TEARDROP 7IN 12FR,604.13,483.31,167.77,543.72,27
RC,0272,TB SUPP 225MM BUR*NLU*,1239.0,991.2,344.07,1115.1,27
RC,0272,TB TEFLON HUMR GDWIRE EXCHSTER,808.7,646.96,224.58,727.83,27
RC,0272,TB TRACH BIVONA CUST 3.5MM 45M,1659.0,1327.2,460.7,1493.1,27
RC,0272,TB TRACH BIVONA CUST 3.5MM 48M,1323.0,1058.4,367.4,1190.7,27
RC,0272,TB TRACH BIVONA CUST 6.0OD 4.0,1323.0,1058.4,367.4,1190.7,27
RC,0272,TB TRACH BIVONA CUST 8.0OD 5.5,1323.0,1058.4,367.4,1190.7,27
RC,0272,TB TRACH BIVONA CUST 8.7OD 6.0,1323.0,1058.4,367.4,1190.7,27
RC,0272,TB TRACH BIVONA FLXTD CUST 4.0,1323.0,1058.4,367.4,1190.7,27
RC,0272,TB TRACH BIVONA FLXTD CUST 5.0,1344.0,1075.2,373.23,1209.6,27
RC,0272,TB TRACH BIVONA FLXTD CUST 8.0,1260.0,1008.0,349.9,1134.0,27
RC,0272,TB TRACH BIVONA FLXTD NEO 2.5,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD NEO 3.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD NEO 3.5,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD NEO 4.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 2.5,878.85,703.08,244.06,790.97,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 3.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 3.5,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 4.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 4.5,1117.98,894.39,310.46,1006.18,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 5.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 5.5,878.85,703.08,244.06,790.97,27
RC,0272,TB TRACH BIVONA FLXTD PEDS 6.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD VPEDS3.5,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD VPEDS4.5,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD VPEDS5.5,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA FLXTD+ PEDS4.5,878.85,703.08,244.06,790.97,27
RC,0272,TB TRACH BIVONA FLXTD+VPEDS5.0,837.0,669.6,232.43,753.3,27
RC,0272,TB TRACH BIVONA HYPERFLE2XLNG8,388.75,311.0,107.96,349.88,27
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ6,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ7,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ8,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH BIVONA HYPERFLEX ADJ9,728.91,583.13,202.42,656.02,27
RC,0272,TB TRACH BIVONA STER CUST 4.0,1428.0,1142.4,396.56,1285.2,27
RC,0272,TB TRACH BIVONA TIGHT CUST 5.0,1428.0,1142.4,396.56,1285.2,27
RC,0272,TB TRACH BIVONA TTS PEDS 4.0MM,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH BIVONAAIRE-CUFADLT7.0,344.84,275.88,95.76,310.36,27
RC,0272,TB TRACH BIVONAAIRE-CUFADLT9.5,362.07,289.66,100.55,325.86,27
RC,0272,TB TRACH BIVONAAIRE-CUFPEDS4.0,736.38,589.11,204.49,662.74,27
RC,0272,TB TRACH CUFF BIVONA FLXTD 4.0,1344.0,1075.2,373.23,1209.6,27
RC,0272,TB TRACH CUFF BIVONA STPEDS3.0,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH CUFF BIVONA STPEDS4.0,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH CUFF BIVONA STPEDS5.0,700.47,560.38,194.52,630.42,27
RC,0272,TB TRACH CUFF BIVONA TTS 6,447.22,357.78,124.19,402.5,27
RC,0272,TB TRACH CUFF BIVONA TTS 7,454.91,363.93,126.33,409.42,27
RC,0272,TB TRACH CUFF DIST SHILEY XLT6,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH CUFF DIST SHILEY XLT7,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH CUFF DIST SHILEY XLT8,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH CUFF FE*DISC NO REPL*,364.45,291.56,101.21,328.01,27
RC,0272,TB TRACH CUFF FEN SHILEY DISP4,241.32,193.06,67.01,217.19,27
RC,0272,TB TRACH CUFF FEN SHILEY DISP6,241.32,193.06,67.01,217.19,27
RC,0272,TB TRACH CUFF FEN SHILEY DISP8,241.32,193.06,67.01,217.19,27
RC,0272,TB TRACH CUFF FEN SHILEY REUS4,282.15,225.72,78.35,253.94,27
RC,0272,TB TRACH CUFF FEN SHILEY REUS6,282.15,225.72,78.35,253.94,27
RC,0272,TB TRACH CUFF FEN SHILEY REUS8,282.15,225.72,78.35,253.94,27
RC,0272,TB TRACH CUFF FEN SHILEYDISP10,241.32,193.06,67.01,217.19,27
RC,0272,TB TRACH CUFF PORTEX BLU LN 6,405.0,324.0,112.47,364.5,27
RC,0272,TB TRACH CUFF PORTEX BLU LN 7,376.33,301.07,104.51,338.7,27
RC,0272,TB TRACH CUFF PORTEX BLU LN 8,388.91,311.13,108.0,350.02,27
RC,0272,TB TRACH CUFF PROX SHILEY XLT6,373.57,298.86,103.74,336.21,27
RC,0272,TB TRACH CUFF PROX SHILEY XLT7,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH CUFF PROX SHILEY XLT8,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH CUFF SH*DISC 6349429*,330.97,264.78,91.91,297.87,27
RC,0272,TB TRACH CUFF SH*DISC 6349438*,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILE*DISC MULT*,337.45,269.96,93.71,303.71,27
RC,0272,TB TRACH CUFF SHILEY FLEXDISP4,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXDISP5,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXDISP6,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXDISP7,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXDISP8,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXDISP9,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXREUS4,377.51,302.01,104.83,339.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXREUS6,377.51,302.01,104.83,339.76,27
RC,0272,TB TRACH CUFF SHILEY FLEXREUS8,377.51,302.01,104.83,339.76,27
RC,0272,TB TRACH CUFF SHILEY PEDS 3.0,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFF SHILEY PEDS 3.5,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFF SHILEY PEDS 4.0,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFF SHILEY PEDS 4.5,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFF SHILEY PEDS 5.0,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFF SHILEY PEDS 5.5,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFF SHILEYDISP6*CIP*,318.06,254.45,88.33,286.25,27
RC,0272,TB TRACH CUFF SHILEYDISP7*CIP*,297.27,237.82,82.55,267.54,27
RC,0272,TB TRACH CUFF SHILEYDISP8*CIP*,330.97,264.78,91.91,297.87,27
RC,0272,TB TRACH CUFF SHILEYFLEXDISP10,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFF SHILEYFLEXREUS10,377.51,302.01,104.83,339.76,27
RC,0272,TB TRACH CUFF SHILEYTPRGDDISP8,335.66,268.53,93.21,302.09,27
RC,0272,TB TRACH CUFF TRACOEPEDS3.5X55,1113.0,890.4,309.08,1001.7,27
RC,0272,TB TRACH CUFFSHI*DISC 6349435*,270.84,216.68,75.21,243.76,27
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS5.0,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS5.5,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS6.0,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH CUFFSHILEYXLNGPEDS6.5,347.44,277.96,96.48,312.7,27
RC,0272,TB TRACH FLXTD CUST NEO 2.5MM,967.5,774.0,268.67,870.75,27
RC,0272,TB TRACH FLXTD CUST NEO 3.0MM,967.5,774.0,268.67,870.75,27
RC,0272,TB TRACH FLXTD CUST NEO 3.5MM,1428.0,1142.4,396.56,1285.2,27
RC,0272,TB TRACH FLXTD CUST PEDS 2.5MM,1428.0,1142.4,396.56,1285.2,27
RC,0272,TB TRACH FLXTD CUST PEDS 3.0MM,1155.0,924.0,320.74,1039.5,27
RC,0272,TB TRACH FLXTD CUST PEDS 3.5MM,967.5,774.0,268.67,870.75,27
RC,0272,TB TRACH QK II CUFF 4.0MM,1001.7,801.36,278.17,901.53,27
RC,0272,TB TRACH SHI*DISC 6269173*,399.55,319.64,110.96,359.6,27
RC,0272,TB TRACH SHI*DISC 6321990*,185.68,148.55,51.56,167.11,27
RC,0272,TB TRACH SHI*DISC USE 6269172*,216.67,173.34,60.17,195.0,27
RC,0272,TB TRACH SHI5.0*DISC 6321994*,247.54,198.04,68.74,222.79,27
RC,0272,TB TRACH SHILEY *DISC 6269173*,415.06,332.05,115.26,373.55,27
RC,0272,TB TRACH SHILEY *DISC 6269174*,204.84,163.88,56.88,184.36,27
RC,0272,TB TRACH SHILEY *DISC 6269175*,382.86,306.29,106.32,344.57,27
RC,0272,TB TRACH SHILEY *DISC 6269179*,398.14,318.515,105.86,373.55,54
RC,0272,TB TRACH SHILEY *DISC 6269180*,389.34,311.48,108.12,350.41,27
RC,0272,TB TRACH SHILEY *DISC 6313493*,413.04,330.44,114.7,371.74,27
RC,0272,TB TRACH SHILEY *DISC 6313494*,404.4,323.52,112.3,363.96,27
RC,0272,TB TRACH SHILEY *DISC 6320292*,247.54,198.04,68.74,222.79,27
RC,0272,TB TRACH SHILEY *DISC 6321984*,348.95,279.16,96.9,314.06,27
RC,0272,TB TRACH SHILEY *DISC 6321985*,346.19,276.96,96.14,311.57,27
RC,0272,TB TRACH SHILEY *DISC 6321986*,323.35,258.68,89.79,291.02,27
RC,0272,TB TRACH SHILEY *DISC 6321992*,247.54,198.04,68.74,222.79,27
RC,0272,TB TRACH SHILEY *DISC 6321993*,247.54,198.04,68.74,222.79,27
RC,0272,TB TRACH SHILEY *DISC 6321995*,247.54,198.04,68.74,222.79,27
RC,0272,TB TRACH SHILEY *DISC 6321997*,381.46,305.17,105.93,343.31,27
RC,0272,TB TRACH SHILEY *DISC 6321999*,291.76,233.41,81.02,262.58,27
RC,0272,TB TRACH SHILEY *DISC 6322000*,291.76,233.41,81.02,262.58,27
RC,0272,TB TRACH SHILEY *DISC 6322001*,291.76,233.41,81.02,262.58,27
RC,0272,TB TRACH SHILEY *DISC 6322002*,291.76,233.41,81.02,262.58,27
RC,0272,TB TRACH SHILEY *DISC 6322003*,386.83,309.47,107.42,348.15,27
RC,0272,TB TRACH SHILEY *DISC 6322004*,386.83,309.47,107.42,348.15,27
RC,0272,TB TRACH SHILEY *DISC 6322005*,386.83,309.47,107.42,348.15,27
RC,0272,TB TRACH SHILEY 6*DISC 6321996,247.54,198.04,68.74,222.79,27
RC,0272,TB TRACH SHILEYU*DISC 6321988*,185.68,148.55,51.56,167.11,27
RC,0272,TB TRACH SHILEYU*DISC 6321998*,204.84,163.88,56.88,184.36,27
RC,0272,TB TRACH TRACOE PEDS 5.5X55MM,262.3,209.84,72.84,236.07,27
RC,0272,TB TRACH UNCUF BIVONA ADLT 5.0,301.71,241.37,83.78,271.54,27
RC,0272,TB TRACH UNCUF BIVONA ADLT 6.0,338.69,270.96,94.05,304.82,27
RC,0272,TB TRACH UNCUF BIVONA PEDS 3.5,297.01,237.61,82.48,267.31,27
RC,0272,TB TRACH UNCUF BIVONA PEDS 4.0,297.01,237.61,82.48,267.31,27
RC,0272,TB TRACH UNCUF BIVONA PEDS 4.5,297.01,237.61,82.48,267.31,27
RC,0272,TB TRACH UNCUF BIVONA PEDS 5.5,384.34,307.48,106.73,345.91,27
RC,0272,TB TRACH UNCUF BIVONA STNEO2.5,611.06,488.85,169.69,549.95,27
RC,0272,TB TRACH UNCUF BIVONA STNEO3.0,611.06,488.85,169.69,549.95,27
RC,0272,TB TRACH UNCUF BIVONA STNEO3.5,911.03,728.83,252.99,819.93,27
RC,0272,TB TRACH UNCUF BIVONA STNEO4.0,611.01,488.81,169.68,549.91,27
RC,0272,TB TRACH UNCUF BIVONA STPED3.0,370.9,296.72,103.0,333.81,27
RC,0272,TB TRACH UNCUF BIVONA STPED3.5,370.9,296.72,103.0,333.81,27
RC,0272,TB TRACH UNCUF BIVONA STPED4.0,370.9,296.72,103.0,333.81,27
RC,0272,TB TRACH UNCUF BIVONA STPED5.0,611.06,488.85,169.69,549.95,27
RC,0272,TB TRACH UNCUF BIVONA V PED3.0,452.34,361.88,125.61,407.11,27
RC,0272,TB TRACH UNCUF BIVONASTPEDS4.0,297.01,237.61,82.48,267.31,27
RC,0272,TB TRACH UNCUF DIST SHILEYXLT5,339.71,271.77,94.34,305.74,27
RC,0272,TB TRACH UNCUF DIST SHILEYXLT6,398.36,318.69,110.62,358.52,27
RC,0272,TB TRACH UNCUF DIST SHILEYXLT7,339.71,271.77,94.34,305.74,27
RC,0272,TB TRACH UNCUF FEN SHILEYDISP4,227.53,182.03,63.19,204.78,27
RC,0272,TB TRACH UNCUF FEN SHILEYDISP6,240.4,192.32,66.76,216.36,27
RC,0272,TB TRACH UNCUF FEN SHILEYDISP8,227.53,182.03,63.19,204.78,27
RC,0272,TB TRACH UNCUF FEN SHILEYREUS4,259.01,207.21,71.93,233.11,27
RC,0272,TB TRACH UNCUF FEN SHILEYREUS6,249.0,199.2,69.15,224.1,27
RC,0272,TB TRACH UNCUF FEN SHILEYREUS8,259.01,207.21,71.93,233.11,27
RC,0272,TB TRACH UNCUF FENSHILEYDISP10,227.53,182.03,63.19,204.78,27
RC,0272,TB TRACH UNCUF PORTEX BLU LN 6,363.04,290.44,100.82,326.74,27
RC,0272,TB TRACH UNCUF PORTEX BLU LN 7,363.04,290.44,100.82,326.74,27
RC,0272,TB TRACH UNCUF PORTEX BLU LN 8,363.04,290.44,100.82,326.74,27
RC,0272,TB TRACH UNCUF PROX SHILEYXLT5,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH UNCUF PROX SHILEYXLT6,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH UNCUF PROX SHILEYXLT7,373.52,298.82,103.73,336.17,27
RC,0272,TB TRACH UNCUF PROX SHILEYXLT8,329.99,264.0,91.64,296.99,27
RC,0272,TB TRACH UNCUF SHILEY NEO 3.0,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY NEO 3.5,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY NEO 4.5,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY PEDS 3.0,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY PEDS 3.5,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY PEDS 4.0,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY PEDS 4.5,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY PEDS 5.0,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACH UNCUF SHILEY PEDS 5.5,278.95,223.16,77.46,251.06,27
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP4,241.74,193.4,67.13,217.57,27
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP5,241.74,193.4,67.13,217.57,27
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP6,241.74,193.4,67.13,217.57,27
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP7,241.74,193.4,67.13,217.57,27
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP8,241.74,193.4,67.13,217.57,27
RC,0272,TB TRACH UNCUF SHILEYFLEXDISP9,247.6,198.08,68.76,222.84,27
RC,0272,TB TRACH UNCUF SHILEYFLEXREUS4,319.63,255.71,88.76,287.67,27
RC,0272,TB TRACH UNCUF SHILEYFLEXREUS6,319.63,255.71,88.76,287.67,27
RC,0272,TB TRACH UNCUF SHILEYFLEXREUS8,339.71,271.77,94.34,305.74,27
RC,0272,TB TRACH UNCUFSH*DISC 6349432*,273.89,219.12,76.06,246.5,27
RC,0272,TB TRACH UNCUFSHILEYDISP4*CIP*,304.61,243.69,84.59,274.15,27
RC,0272,TB TRACH UNCUFSHILEYDISP8*CIP*,274.01,219.21,76.09,246.61,27
RC,0272,TB TRACH UNCUFSHILEYFLEXDISP10,247.6,198.08,68.76,222.84,27
RC,0272,TB TRACHTHORACICSAFE-TCL14X118,1026.0,820.8,284.92,923.4,27
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS5.0,280.36,224.29,77.86,252.32,27
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS6.0,287.17,229.74,79.75,258.45,27
RC,0272,TB TRACHUNCUFSHILEYXLNGPEDS6.5,280.36,224.29,77.86,252.32,27
RC,0272,TB W CONN REDEUCE PUMP 8FT,285.98,228.79,79.42,257.38,27
RC,0272,TBAIRWDLLTS-DORGPEDS*DNR MULT*,209.54,167.64,58.19,188.59,27
RC,0272,TBGASTROCAPSULEMO*VAT 6322442*,391.2,312.96,108.64,352.08,27
RC,0272,TEMP KT START-UP STD TB 6FT,900.45,720.36,250.05,810.41,27
RC,0272,TEMPLATE BEND ORPE 10HL 3.5MM,1344.0,1075.2,373.23,1209.6,27
RC,0272,TEMPLATE BEND SYNT 20HL 3.5MM,475.78,380.63,132.12,428.2,27
RC,0272,TEMPLATE BEND SYNT CURV16HL3.5,508.41,406.73,141.19,457.57,27
RC,0272,TEMPLATE COMP DRILL ELITE 3LEG,401.76,321.41,111.57,361.58,27
RC,0272,TEMPLATE FLEX MATTA 8HL,446.45,357.16,123.98,401.81,27
RC,0272,TEMPLATE KT PTLA ANT STER,726.57,581.26,201.77,653.91,27
RC,0272,TEMPLATE LK KLS ST 12HL,336.1,268.88,93.33,302.49,27
RC,0272,TEMPLATE LK KLS ST 20HL2.*NLU*,278.95,223.16,77.46,251.06,27
RC,0272,TEMPLATE LK RECON ANG 26HL,316.55,253.24,87.91,284.9,27
RC,0272,TEMPLATE LK RECON KL26HL*DISC*,278.95,223.16,77.46,251.06,27
RC,0272,TEMPLATE LK RECON KLS 26HL,281.07,224.86,78.05,252.96,27
RC,0272,TEMPLATE LK RECON LVL1 AN*NLU*,278.95,223.16,77.46,251.06,27
RC,0272,TEMPLATE LK RECON*USE 6274303*,273.52,218.82,75.96,246.17,27
RC,0272,TEMPLATE LK RECONANG 32HL2.7MM,278.95,223.16,77.46,251.06,27
RC,0272,TEMPLATE MPFL ARTX,1824.9,1459.92,506.77,1642.41,27
RC,0272,TEMPLATE OCCIPITAL LAT 3.*NLU*,1411.2,1128.96,391.89,1270.08,54
RC,0272,TEMPLATE OCCIPITAL MEDL 3*NLU*,1411.2,1128.96,391.89,1270.08,54
RC,0272,TEMPLATE RESORBX ST KLS 126X11,382.7,306.16,106.28,344.43,27
RC,0272,TEMPLATE RIB BEND MATRIXR*NLU*,328.37,262.7,91.19,295.53,27
RC,0272,TEMPLATE RIB BEND MATRIXRIB300,556.92,445.54,154.66,501.23,27
RC,0272,TEMPLATE RIB FOR 24-015-15-71,648.0,518.4,179.95,583.2,27
RC,0272,TEMPLATE RIB FOR 24-015-25-71,638.28,510.63,177.25,574.45,27
RC,0272,TEMPLATE ROD 400MM,396.48,317.19,110.1,356.83,27
RC,0272,TEMPLATE ROD 500MM,1071.0,856.8,297.42,963.9,27
RC,0272,TEMPLATE SYNT 2.5MM DBL ANG SM,307.21,245.77,85.31,276.49,27
RC,0272,TEMPLATE SYNT 2MM ANG RECON,460.32,368.26,127.83,414.29,27
RC,0272,TEMPLATE SYNT 2MM CRESCENT,299.33,239.47,83.12,269.4,27
RC,0272,TEMPLATE SYNT 2MM ST,394.56,315.65,109.57,355.1,27
RC,0272,TEMPLATE SZ SYNT IM 2.5-4.5MM,1554.0,1243.2,431.55,1398.6,27
RC,0272,TENSIONER CUTTER FBRWIRE SUT,866.25,693.0,240.56,779.63,27
RC,0272,TENSIONER CUTTER KNTLS SUT,866.25,693.0,240.56,779.63,27
RC,0272,TENSIONER GRAFT ACL CERCLAGE,1270.5,1016.4,352.82,1143.45,27
RC,0272,TIP ABL CURV EXT MICRO 36KHZ,2774.14,2219.32,770.38,2496.73,27
RC,0272,TIP ABL CURV EXT MICRO+ 36KHZ,3247.72,2598.18,901.89,2922.95,27
RC,0272,TIP ABL CURV EXT SH36KHZ*DISC*,3482.33,2785.87,967.04,3134.1,27
RC,0272,TIP ABL CURV EXT SHEAR 36KHZ,3226.33,2581.07,895.95,2903.7,27
RC,0272,TIP ABL KNIFE SERR AGG 4.3IN,2510.08,2008.07,697.05,2259.07,27
RC,0272,TIP ABL MICRO SO*DISC NO REPL*,2343.6,1874.88,650.82,2109.24,27
RC,0272,TIP ABL SPTZL BRCDA 4.5IN,2419.34,1935.48,671.85,2177.41,27
RC,0272,TIP ABL SPTZL BRCDA LGDIA4.6IN,2458.3,1966.64,682.67,2212.47,27
RC,0272,TIP ABL SPTZL BRCDASUPLNG7.9IN,2785.95,2228.76,773.66,2507.36,27
RC,0272,TIP APPL BIOGLUE 10CM,1980.0,1584.0,549.85,1782.0,27
RC,0272,TIP APPL GASLESS SPRAY MIS25CM,516.6,413.28,143.46,464.94,27
RC,0272,TIP APPL GASLESS SPRAY MIS40CM,515.61,412.49,143.18,464.05,27
RC,0272,TIP BACKFLUSH SOFT ARTICU 25G,832.5,666.0,231.19,749.25,27
RC,0272,TIP BONE CMNT LL CORTOSS,468.0,374.4,129.96,421.2,27
RC,0272,TIP CONIC DISP GM INSTAFILL,1806.0,1444.8,501.53,1625.4,27
RC,0272,TIP DISSECT RENEW MARYLAND,320.27,256.22,88.94,288.24,27
RC,0272,TIP DISSECT RENEW MOD MARYLAND,320.27,256.22,88.94,288.24,27
RC,0272,TIP DOME STRIKE SULCUS YEL,1398.6,1118.88,388.39,1258.74,27
RC,0272,TIP EXT DURASEAL 15CM,949.14,759.32,263.58,854.23,27
RC,0272,TIP EXT DURASEAL 8CM,1025.42,820.34,284.76,922.88,27
RC,0272,TIP FOR SCRWDRVR ZIMM 2MM,302.4,241.92,83.98,272.16,27
RC,0272,TIP GRSPR RENEW BABCOCK 5MM,337.12,269.7,93.62,303.41,27
RC,0272,TIP GRSPR RENEW HUNTER,354.67,283.74,98.49,319.2,27
RC,0272,TIP HEMO VISTASEAL FLEX 45CM,335.72,268.58,93.23,302.15,27
RC,0272,TIP HEMO VISTASEAL RIGID 35CM,335.72,268.58,93.23,302.15,27
RC,0272,TIP INTR CATH NVGTR PASSIVE,2262.24,1809.8,628.22,2036.02,27
RC,0272,TIP KELMAN ALCON45D .1MM*DISC*,297.0,237.6,82.48,267.3,27
RC,0272,TIP KNIFE APEX SONOPET IQ 11CM,3138.24,2510.6,871.49,2824.42,27
RC,0272,TIP LAP CUSA CLARITY EXT 23KHZ,6479.2,5183.36,1799.27,5831.28,27
RC,0272,TIP LAP CUSACLARITYEXT23KHZ5PK,4831.6,3865.28,1341.74,4348.44,27
RC,0272,TIP LAP CUSACLARITYSTD23KHZ5PK,5468.4,4374.72,1518.57,4921.56,27
RC,0272,TIP LNG ST SONOPET 20CM,2976.0,2380.8,826.44,2678.4,27
RC,0272,TIP MACRO CUSA CLARITY 23KHZ,2593.66,2074.93,720.26,2334.29,27
RC,0272,TIP MACRO CUSA CLARITY23KHZ5PK,2507.07,2005.66,696.21,2256.36,27
RC,0272,TIP MICRO CLAW SONOPET IQ 18CM,3745.76,2996.61,1040.2,3371.18,27
RC,0272,TIP MICRO SONOPET IQ 12CM,2862.16,2289.73,794.82,2575.94,27
RC,0272,TIP MICRO ST SONOPET 4.9IN,2486.4,1989.12,690.47,2237.76,27
RC,0272,TIP SACRO UPS DISP CNCV,464.99,372.0,129.13,418.49,27
RC,0272,TIP SACRO UPS DISP LG,464.99,372.0,129.13,418.49,27
RC,0272,TIP SACRO UPS DISP SM,464.99,372.0,129.13,418.49,27
RC,0272,TIP SACROCERVICOPEXY HOYTE LG,810.63,648.51,225.11,729.57,27
RC,0272,TIP SACROCERVICOPEXY HOYTE SM,810.63,648.51,225.11,729.57,27
RC,0272,TIP SACROCOLPOPEXY HOYTE LG,810.63,648.51,225.11,729.57,27
RC,0272,TIP SACROCOLPOPEXY HOYTE SM,810.63,648.51,225.11,729.57,27
RC,0272,TIP SELECTOR ANG SHRT 24K*NLU*,2815.68,2252.55,781.91,2534.11,27
RC,0272,TIP SONOPET PAYNER360SUPL*NLU*,2822.4,2257.92,783.78,2540.16,27
RC,0272,TIP SPREADER BIOGLUE 12MM,321.3,257.04,89.23,289.17,27
RC,0272,TIP STD SONOPET IQ 12CM,2804.64,2243.72,778.85,2524.18,27
RC,0272,TIP STD SONOPET IQ 20CM,12251.88,9801.51,3402.35,11026.69,27
RC,0272,TIP SUP LNG ST SONOPET 7.9IN,2678.83,2143.07,743.91,2410.95,27
RC,0272,TISS HARVESTING KT ADIPOSE,866.25,693.0,240.56,779.63,27
RC,0272,TOENAIL KT FORCEPSPLITTERELEVA,326.97,261.58,90.8,294.27,27
RC,0272,TOENAIL KT FORCEPSSPLITTERSTER,253.94,203.16,70.52,228.55,27
RC,0272,TOOL EZ4 CONN,2100.0,1680.0,583.17,1890.0,27
RC,0272,TOOL FIX BS,183.0,146.4,50.82,164.7,27
RC,0272,TOOL INSRT KT LINQ II,456.0,364.8,126.63,410.4,27
RC,0272,TOOL INSRT TRANSVALVULAR BS,408.67,326.94,113.49,367.8,27
RC,0272,TOOL LINX SIZING*DISC 6317271*,675.0,540.0,187.45,607.5,27
RC,0272,TOOL NEURO TUNNELING 28CM,480.0,384.0,133.3,432.0,27
RC,0272,TOOL NEURO TUNNELING LNG 35CM,480.0,384.0,133.3,432.0,27
RC,0272,TOOL RESURF EGG 2.5MM,585.27,468.22,162.53,526.74,27
RC,0272,TOOL RESURF EGG 4.0MM,585.27,468.22,162.53,526.74,27
RC,0272,TOOL RESURF EGG RD 4.0MM,585.27,468.22,162.53,526.74,27
RC,0272,TOOL SIZING LINX REFLUX SYS,1036.62,829.3,287.87,932.96,27
RC,0272,TOOL SMOOTHER CRUCIAL 7.9MM,1141.85,913.48,317.09,1027.67,27
RC,0272,TOOL SMOOTHER CRUCIAL 9.5MM,1141.85,913.48,317.09,1027.67,27
RC,0272,TOOL SZ IMPLT SPEEDSHIFTO*NLU*,245.22,196.18,68.1,220.7,27
RC,0272,TOOL THRD RDCT AO QK CPLE*NLU*,1225.48,980.39,340.32,1102.93,27
RC,0272,TOOL TUNNELING 35CM,405.0,324.0,112.47,364.5,27
RC,0272,TOOL TUNNELING 50CM,558.0,446.4,154.96,502.2,27
RC,0272,TOOL TUNNELING DBS MDTR 40CM,630.0,504.0,174.95,567.0,27
RC,0272,TOOLS ORBERA ENDO*NLU*,451.2,360.96,125.3,406.08,27
RC,0272,TRACH BIVONA UNCUF ST PEDS 4.5,297.01,237.61,82.48,267.31,27
RC,0272,TRACH COMBITB XR*DISC NO REPL*,602.1,481.68,167.2,541.89,27
RC,0272,TRACKER CRANIMASK,1952.96,1562.37,542.34,1757.66,27
RC,0272,TRACKER INST AXIEM ENT MDTR,680.58,544.47,189.0,612.52,27
RC,0272,TRACKER PT AXIEM NIV,824.22,659.38,228.89,741.8,27
RC,0272,TRACKER SPINEMASK NIV,1896.59,1517.28,526.68,1706.93,27
RC,0272,TRANSD KT DBL TRUWAVE 72IN,633.11,506.49,175.81,569.8,27
RC,0272,TRANSD KT DBL TRUWAVE 84IN,633.11,506.49,175.81,569.8,27
RC,0272,TRANSD KT SGL TRUWAVE 84IN,318.06,254.45,88.33,286.25,27
RC,0272,TRANSD KT TRPL TRUWAVE 60IN,732.51,586.01,203.42,659.26,27
RC,0272,TRANSD TRUWAVE VENT STOPCOCK,312.17,249.74,86.69,280.95,27
RC,0272,TRAP BUBBLE CAPIOX ADLT,383.4,306.72,106.47,345.06,27
RC,0272,TRAP FINGER ACUM LG,594.0,475.2,164.95,534.6,27
RC,0272,TRAP FINGER ACUM MD,594.0,475.2,164.95,534.6,27
RC,0272,TRAP FINGER ACUM SM,594.0,475.2,164.95,534.6,27
RC,0272,TRAP FINGER ACUM XL,594.0,475.2,164.95,534.6,27
RC,0272,TRAP SPECMN CUSA CLARITY,464.59,371.68,129.02,418.13,27
RC,0272,TRAY 1ST FRAC EXPRESS II 15/2,10270.0,8216.0,2851.98,9243.0,27
RC,0272,TRAY 1ST FRAC EXPRESSIICDS10/2,8033.35,6426.68,2230.86,7230.02,27
RC,0272,TRAY 1ST FRAC EXPRESSIICDS15/2,8033.35,6426.68,2230.86,7230.02,27
RC,0272,TRAY 1ST FRAC EXPRESSIICDS20/2,8033.35,6426.68,2230.86,7230.02,27
RC,0272,TRAY ADDL FRAC EXPRESS II 15/2,5600.0,4480.0,1555.12,5040.0,27
RC,0272,TRAY AMNIO ECHOG*DISC 6331088*,223.57,178.86,62.09,201.21,27
RC,0272,TRAY AMNIO SFTY LIDO 20GX3.5,271.51,217.21,75.4,244.36,27
RC,0272,TRAY ARTHROGRAMSFTYLIO22GX3.5,206.91,165.53,57.46,186.22,27
RC,0272,TRAY BX BONE CMPRHNSV 11G102MM,900.0,720.0,249.93,810.0,27
RC,0272,TRAY BX BONE CMPRHNSV 11G152MM,834.75,667.8,231.81,751.28,27
RC,0272,TRAY BX BONE JAM*DISC 6116149*,280.84,224.68,77.99,252.76,27
RC,0272,TRAY BX BONE JAMSHIDI STD11GX4,210.82,168.66,58.54,189.74,27
RC,0272,TRAY BX BONE LESION 13G 14CM,1960.69,1568.56,544.48,1764.62,27
RC,0272,TRAY BX BONE LESION 13G 19CM,1960.69,1568.56,544.48,1764.62,27
RC,0272,TRAY BX BONE SAF*DISC NO REPL*,277.86,222.29,77.16,250.07,27
RC,0272,TRAY BX SKIN,360.34,288.28,100.07,324.31,27
RC,0272,TRAY CATH FOLEY COUDE TEMP16FR,183.24,146.6,50.89,164.92,27
RC,0272,TRAY CATH FOLEY IC TEMP 16FR,485.73,388.59,134.89,437.16,27
RC,0272,TRAY CATH FOLEY PEDS 6FR 3CC,217.47,173.98,60.39,195.72,27
RC,0272,TRAY CATH FOLEY SIL TEMP 10FR,218.93,175.15,60.8,197.04,27
RC,0272,TRAY CATH FOLEY SIL TEMP 8FR,218.93,175.15,60.8,197.04,27
RC,0272,TRAY CATH FOLEY SILADVTEMP10FR,192.94,154.36,53.58,173.65,27
RC,0272,TRAY CATH FOLEY SLVR TEMP 8FR,360.24,288.2,100.04,324.22,27
RC,0272,TRAY CATH FOLEY SRSTE16FR*DNR*,247.97,198.38,68.86,223.17,27
RC,0272,TRAY CATH FOLEY SRSTEP 14FR,222.53,178.03,61.8,200.28,27
RC,0272,TRAY CATH FOLEY SRSTEP 16FR,222.53,178.03,61.8,200.28,27
RC,0272,TRAY CATH FOLEY SRSTEP IC 16FR,188.37,150.7,52.31,169.53,27
RC,0272,TRAY CATH FOLEY SRSTEPTEMP14FR,203.13,162.51,56.41,182.82,27
RC,0272,TRAY CATH FOLEY SRSTEPTEMP16FR,203.13,162.51,56.41,182.82,27
RC,0272,TRAY CATH FOLEY SRSTEPTEMP18FR,203.13,162.51,56.41,182.82,27
RC,0272,TRAY CATH FOLEY TEMP PEDS 8FR3,293.29,234.64,81.45,263.96,27
RC,0272,TRAY CATH FOLEY TEMP PEDS10FR3,304.27,243.42,84.5,273.84,27
RC,0272,TRAY CATH FOLEY TEMP SIL 10FR5,252.3,201.84,70.06,227.07,27
RC,0272,TRAY CATH FOLEY TEMP SIL 8FR 5,252.48,201.99,70.11,227.23,27
RC,0272,TRAY CATH FOLEY URNMTR PED 6FR,187.39,149.92,52.04,168.65,27
RC,0272,TRAY CATH FOLEYLUB-SILTEMP16FR,188.92,151.14,52.46,170.03,27
RC,0272,TRAY CATH FOLEYSUPRAPUBIC12FR5,472.5,378.0,131.21,425.25,27
RC,0272,TRAY CATH HEMODIALYS 11.5FR,412.8,330.24,114.63,371.52,27
RC,0272,TRAY CATH IC ELITE ST 12FR20CM,477.46,381.97,132.59,429.71,27
RC,0272,TRAY CATH IC ELITECURV12FR13CM,477.46,381.97,132.59,429.71,27
RC,0272,TRAY CATH IC ELITECURV12FR20CM,477.46,381.97,132.59,429.71,27
RC,0272,TRAY CATH TRIALYSISCURVEXT15CM,431.95,345.56,119.95,388.76,27
RC,0272,TRAY CATH UMBILICAL NEONATE,298.29,238.64,82.84,268.46,27
RC,0272,TRAY CHEST TB INSRT KT 1*CIP*,443.23,354.59,123.08,398.91,27
RC,0272,TRAY CHEST THAL QK 10FR 20CM,917.1,733.68,254.68,825.39,27
RC,0272,TRAY CHEST THAL QK 28FR 41CM,922.05,737.64,256.05,829.85,27
RC,0272,TRAY CIRC CLAMP 1.3CM,324.38,259.51,90.08,291.94,27
RC,0272,TRAY CONTIPLEX S*DISC*,387.34,309.88,107.56,348.61,27
RC,0272,TRAY CRIC CRASH CT,283.71,226.97,78.79,255.34,27
RC,0272,TRAY CRIC PROC MEDL DISP,272.05,217.64,75.55,244.85,27
RC,0272,TRAY CUTDOWN SURG MEDL,1056.47,845.18,293.38,950.82,27
RC,0272,TRAY DRN CHEST FUHRMAN 7FR15CM,1237.32,989.86,343.6,1113.59,27
RC,0272,TRAY DRN THORA-PARA SAFE-T+8FR,281.82,225.46,78.26,253.64,27
RC,0272,TRAY ELTD PACING LIDO 5FR110CM,1976.4,1581.12,548.85,1778.76,27
RC,0272,TRAY EPDRL FLEXTIP PLUS 19G,303.75,243.0,84.35,273.38,27
RC,0272,TRAY GEN SURG INST DISP,197.82,158.26,54.93,178.04,27
RC,0272,TRAY HEYMAN UROLOGIST SYS,1370.25,1096.2,380.52,1233.23,27
RC,0272,TRAY IC MAHURK D*DISC 6319273*,477.46,381.97,132.59,429.71,27
RC,0272,TRAY INST CJD CENT DISP,479.48,383.59,133.15,431.53,27
RC,0272,TRAY LABOR AND DEL INST DISP,406.7,325.36,112.94,366.03,27
RC,0272,TRAY LUMB PUNC SFTYRX22GX3.5,293.29,234.64,81.45,263.96,27
RC,0272,TRAY LUMBAR PUNC*DISC 6342340*,266.88,213.51,74.11,240.19,27
RC,0272,TRAY MYELOGRAM SFTY 22GX3.5,223.2,178.56,61.98,200.88,27
RC,0272,TRAY NRVBLCK CONTIPLEX 18GX4,220.58,176.47,61.26,198.52,27
RC,0272,TRAY NRVBLCK TUOHY18GX4,283.35,226.68,78.69,255.02,27
RC,0272,TRAY OB PRECIPITATION DISPMEDL,295.91,236.73,82.17,266.32,27
RC,0272,TRAY PARA TURKEL SFTY NO RX8FR,403.87,323.1,112.15,363.48,27
RC,0272,TRAY PARACERVBLO*DISC 6332495*,238.82,191.06,66.32,214.94,27
RC,0272,TRAY PPM CATH LAB INST DISP,632.3,505.84,175.59,569.07,27
RC,0272,TRAY PREP ONQ TBLOC,213.5,170.8,59.29,192.15,27
RC,0272,TRAY PRSS MON ST 2.5FR 2.5CM,389.28,311.43,108.1,350.35,27
RC,0272,TRAY PTX *DISC MULT*,516.11,412.89,143.32,464.5,27
RC,0272,TRAY SPNL EPDRL 18G COMBO,220.7,176.56,61.29,198.63,27
RC,0272,TRAY SUT DR VINEY INST DISP,193.19,154.56,53.65,173.87,27
RC,0272,TRAY THORA TURKEL SFTY NORX8FR,348.35,278.68,96.74,313.52,27
RC,0272,TRAY THORACENTES*DISC NO REPL*,405.0,324.0,112.47,364.5,27
RC,0272,TRAY THORACENTESIS 16GX3/12,254.49,203.6,70.67,229.04,27
RC,0272,TRAY THORACIC VENT 13FR 10CM,1233.75,987.0,342.61,1110.38,27
RC,0272,TRAY THORACOSTOMY PRCD,206.0,164.8,57.21,185.4,27
RC,0272,TRAY THORACOTOMY CENT DISP,286.96,229.57,79.69,258.26,27
RC,0272,TRAY TRACH INTR *DISC 6320648*,1772.19,1417.76,492.14,1594.97,27
RC,0272,TRAY TRANSFUSION EXCH NEO,810.0,648.0,224.94,729.0,27
RC,0272,TRAY TRANSFUSION EXCH NOGLOVES,590.63,472.51,164.02,531.57,27
RC,0272,TRAY TRANSFUSION*DISC 6344504*,708.75,567.0,196.82,637.88,27
RC,0272,TRAY TUNNEL CATH REMOV,300.43,240.35,83.43,270.39,27
RC,0272,TRAY UAC/UVC USHER,375.94,300.76,104.4,338.35,27
RC,0272,TRAY UMBLCL INSRT SFTY WO CATH,310.66,248.53,86.27,279.59,27
RC,0272,TRAY UMBLCL VESS NO CATH,577.26,461.81,160.31,519.53,27
RC,0272,TRAY VAG DEL INST DISP,403.16,322.53,111.96,362.84,27
RC,0272,TREPHINE 11.5MMX8,2916.8,2333.44,810.0,2625.12,27
RC,0272,TREPHINE 11MMX8*NLU*,2460.0,1968.0,683.14,2214.0,27
RC,0272,TREPHINE 12MMX8*NLU*,2460.0,1968.0,683.14,2214.0,27
RC,0272,TREPHINE 22MMX8*NLU*,1936.2,1548.96,537.68,1742.58,27
RC,0272,TRNQT COMBAT APPL TACT BLK,211.98,169.59,58.87,190.78,27
RC,0272,TRNQT COMBAT APPL TACT ORG,209.78,167.83,58.26,188.8,27
RC,0272,TRNQT CONT W SLV DISP SGL 44,297.68,238.15,82.67,267.91,27
RC,0272,TRNQT CONT WO SLV DUAL DISP 42,225.09,180.08,62.51,202.58,27
RC,0272,TRNQT CUFF DELFI STER 1.5X7.25,240.95,192.76,66.91,216.86,27
RC,0272,TRNQT CUFF DELFI STER 3.0X15.0,240.95,192.76,66.91,216.86,27
RC,0272,TRNQT CUFF DELFI STER 3.5X17.5,240.95,192.76,66.91,216.86,27
RC,0272,TRNQT CUFF DELFI STER2.25X10.5,240.95,192.76,66.91,216.86,27
RC,0272,TRNQT CUFF DUAL *DISC 6122345*,264.07,211.26,73.33,237.66,27
RC,0272,TRNQT CUFF DUAL DUAL SLVZIMM24,203.13,162.51,56.41,182.82,27
RC,0272,TRNQT CUFF DUAL DUAL ZIMM 24,200.69,160.56,55.73,180.62,27
RC,0272,TRNQT CUFF DUAL LL DISP MD30X4,301.77,241.42,83.8,271.59,27
RC,0272,TRNQT CUFF DUAL LL DISPLNG34X4,301.48,241.19,83.72,271.33,27
RC,0272,TRNQT CUFF DUAL SGL SLV ZIMM34,273.89,219.12,76.06,246.5,27
RC,0272,TRNQT CUFF SGL LL DISP LNG34X4,361.8,289.44,100.47,325.62,27
RC,0272,TRNQT CUFF SGL LL DISP STD18X4,295.85,236.68,82.16,266.27,27
RC,0272,TRNQT CUFF SGL SGL SLV ZIMM18,186.05,148.84,51.67,167.45,27
RC,0272,TRNQT HEMACL LWR EXTRMTY *NLU*,298.9,239.12,83.0,269.01,27
RC,0272,TRNQT HEMACL UPP EXTRMTY YEL,262.3,209.84,72.84,236.07,27
RC,0272,TRNSPRT SPECMN BX CARTLG,2217.6,1774.08,615.83,1995.84,27
RC,0272,TRNSPTL D0 0.035 8.5FR 45D63CM,2856.0,2284.8,793.11,2570.4,27
RC,0272,TROC BLADE KII ADV 11X100MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLADE KII ADV 12X100MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLADE KII ADV 12X150MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLADE KII ADV 5X100MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLADE KII ADV 5X150MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLADE KII Z 11X100MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLADE KII Z 12X100MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLADE KII Z 12X150MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLADE KII Z 5X100MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLADE KII Z 5X150MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLADE VERSAONE CANN5-12MM,190.63,152.51,52.94,171.57,27
RC,0272,TROC BLDLES FIX CANN 15X150MM,192.82,154.26,53.55,173.54,27
RC,0272,TROC BLDLES KII FIOS ADV 5X100,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLDLES KII FIOS ADV 5X150,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLDLES KII FIOS ADV 5X75,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLDLES KII FIOS ADV12X100,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLDLES KII FIOS ADV12X150,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLDLES KII FIOS Z 11X100,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLDLES KII FIOS Z 12X100,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLDLES KII FIOS Z 12X150,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLDLES KII FIOS Z 5X100,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLDLES KII FIOS Z 5X150,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLDLES MINI STEP SHRT 5MM,288.09,230.48,80.0,259.28,27
RC,0272,TROC BLN BLNT TIP LF 12MM,391.82,313.46,108.81,352.64,27
RC,0272,TROC BLN BLNT TIP LX 10MM,388.96,311.17,108.01,350.06,27
RC,0272,TROC BLN BLNT TIP LX 12MM,391.82,313.46,108.81,352.64,27
RC,0272,TROC BLN KII BLNT 12X100MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLN KII BLNT 12X130MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC BLN KII BLNT 5X100MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC BLNT THRD ANCHOR12X100MM,721.53,577.23,200.37,649.38,27
RC,0272,TROC CANN DIL MINISTEP 7/8MM,300.51,240.41,83.45,270.46,27
RC,0272,TROC CEREBRAL SPLIT DISP 5.25,1099.64,879.72,305.37,989.68,27
RC,0272,TROC EDM TUNNELING,428.64,342.92,119.03,385.78,27
RC,0272,TROC ENDO STRUCT*DISC 6278702*,879.3,703.44,244.18,791.37,27
RC,0272,TROC ENDOPATH BLDLES 2-3X65MM,776.61,621.29,215.66,698.95,27
RC,0272,TROC ENDOPATH XCEL 12X100MM,996.8,797.44,276.81,897.12,27
RC,0272,TROC ENDOPATH XCEL BLNT 12MM,1186.04,948.84,329.36,1067.44,27
RC,0272,TROC ENDOPATH XCEL BLNT 12X100,1101.83,881.47,305.98,991.65,27
RC,0272,TROC ENDOPATH XCEL UNIV 5X100,464.59,371.68,129.02,418.13,27
RC,0272,TROC EXCEL DILI*DISCC NO REPL*,719.19,575.36,199.72,647.27,27
RC,0272,TROC KII BLNT TIP 12X100MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC LNG NAIL STER 8-11MM,465.75,372.6,129.34,419.18,27
RC,0272,TROC LNG NAIL STER 8-13MM,469.89,375.92,130.49,422.9,27
RC,0272,TROC OPTICAL BLN CANN 5X100MM,324.16,259.33,90.02,291.74,27
RC,0272,TROC OPTICAL BLN FIX CANN LNG5,347.06,277.65,96.38,312.35,27
RC,0272,TROC OPTICAL BLN FIX CANNSHRT5,323.14,258.52,89.74,290.83,27
RC,0272,TROC OPTICAL FIX CANN 15X100MM,222.77,178.22,61.86,200.49,27
RC,0272,TROC OPTICAL FIXCANNFASCIALSTD,408.0,326.4,113.3,367.2,27
RC,0272,TROC OPTICAL KII ADV 11X100,630.0,504.0,174.95,567.0,27
RC,0272,TROC OPTICAL KII ADV 15X150,720.0,576.0,199.94,648.0,27
RC,0272,TROC OPTICAL KII ADV 5X100MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC OPTICAL KII ADV 5X150,562.5,450.0,156.21,506.25,27
RC,0272,TROC OPTICAL KII LOPRO 5X55MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC OPTICAL KII Z 12X150MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC OPTICAL KII Z 12X60MM,630.0,504.0,174.95,567.0,27
RC,0272,TROC OPTICAL KII Z 15X100MM,720.0,576.0,199.94,648.0,27
RC,0272,TROC OPTICAL KII Z 15X150MM,720.0,576.0,199.94,648.0,27
RC,0272,TROC OPTICAL KII Z 5X150MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC OPTICAL KII Z 5X55MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC OPTICAL KII Z 8X100MM,562.5,450.0,156.21,506.25,27
RC,0272,TROC PD FALLER MM SS,405.0,324.0,112.47,364.5,27
RC,0272,TROC SLV VERSASTEP+ LNG 5MM,247.23,197.79,68.66,222.51,27
RC,0272,TROC SLV VERSASTEP+ SHRT 12MM,273.62,218.9,75.98,246.26,27
RC,0272,TROC SLV VERSASTEP+ STD 15MM,355.64,284.52,98.76,320.08,27
RC,0272,TROC TAUT SMTH 5X70MM,466.42,373.14,129.52,419.78,27
RC,0272,TROC TIP OBTR FBRTAK,410.4,328.32,113.97,369.36,27
RC,0272,TROC TRIPORT PLUS,1403.05,1122.44,389.63,1262.75,27
RC,0272,TROC UNIV DISP ROB 5/10/12X125,489.74,391.8,136.0,440.77,27
RC,0272,TROC VERSAPORT BLDLES 15MM,192.82,154.26,53.55,173.54,27
RC,0272,TROC XCEL BLDLES 8X100MM,906.57,725.26,251.75,815.91,27
RC,0272,TROC Y-KNOT FLEX SHARP,184.46,147.57,51.22,166.01,27
RC,0272,TROCENDOPATHRIGI*DISC NO REPL*,379.15,303.32,105.29,341.24,27
RC,0272,TUNNELER BARD,340.2,272.16,94.47,306.18,27
RC,0272,TUNNELER RIGID AESC 450MM,542.93,434.35,150.77,488.64,27
RC,0272,TUNNELER RIGID AESC 600MM,577.13,461.71,160.27,519.42,27
RC,0272,TUNNELER RIGID AESC 700MM,619.88,495.91,172.14,557.89,27
RC,0272,TUNNELER STERNAL EPSILA EV,2160.0,1728.0,599.83,1944.0,27
RC,0272,TUNNELER TRNVRS EPSILA EV,2160.0,1728.0,599.83,1944.0,27
RC,0272,TUNNELER VIVISTIM,1680.0,1344.0,466.54,1512.0,27
RC,0272,TUNNELER VNS THERAPY CYB,2034.9,1627.92,565.09,1831.41,27
RC,0272,ULTRATOME XL TL SHRT 5.5FR20MM,625.5,500.4,173.7,562.95,27
RC,0272,UNIT KT PREVENA+ CANISTER150ML,1890.0,1512.0,524.85,1701.0,27
RC,0272,URETEROSCOPE REVDEFLECTDI*NLU*,3522.4,2817.92,978.17,3170.16,27
RC,0272,URETRSCP DIG FLEX DISP 3.1,3522.4,2817.92,978.17,3170.16,27
RC,0272,URETRSCP FLEX XC1 9FR 70CM,3120.0,2496.0,866.42,2808.0,27
RC,0272,V-SPLITTER EXODU*DISC NO REPL*,912.6,730.08,253.43,821.34,27
RC,0272,VACUUM OB KIWI OMNI CUP,304.33,243.47,84.51,273.9,27
RC,0272,VACUUM OB KIWI OMNI W INDIC,336.37,269.1,93.41,302.73,27
RC,0272,VACUUM OB KIWI PROCUP*CIP*,270.86,216.69,75.22,243.77,27
RC,0272,VALV DRN CHEST P*DISC 6177200*,201.0,160.8,55.82,180.9,27
RC,0272,VALV EMER REPL KT PLEURX,257.73,206.19,71.57,231.96,27
RC,0272,VALV ENDO ADJ UROSEAL 0-9FR,244.0,195.2,67.76,219.6,27
RC,0272,VALV HEMO WATCHDOG 8FR,351.0,280.8,97.47,315.9,27
RC,0272,VALV INLN TRUE-IPV,183.0,146.4,50.82,164.7,27
RC,0272,VALV STRATA II CSF MDTR SM,12277.9,9822.32,3409.57,11050.11,27
RC,0272,VALV STRATA II MDTR REG,12277.9,9822.32,3409.57,11050.11,27
RC,0272,VALV STRATA II NSC MDTR REG,11279.06,9023.25,3132.19,10151.15,27
RC,0272,VALV STRATA II NSC MDTR SM,11279.06,9023.25,3132.19,10151.15,27
RC,0272,VALVULOTOME HYDRO 1.5MM,9357.4,7485.92,2598.55,8421.66,27
RC,0272,VENT RSVR NEO 10MM,1572.06,1257.65,436.56,1414.85,27
RC,0272,VENTILATOR GO2VE*DISC NO REPL*,364.8,291.84,101.3,328.32,27
RC,0272,VEST COMP SHRT BLK 2XL,393.12,314.5,109.17,353.81,27
RC,0272,VEST COMP SHRT BLK LG,393.12,314.5,109.17,353.81,27
RC,0272,VEST COMP SHRT BLK MD,393.12,314.5,109.17,353.81,27
RC,0272,VEST COMP SHRT BLK SM,393.12,314.5,109.17,353.81,27
RC,0272,VEST COMP SHRT BLK XL,393.12,314.5,109.17,353.81,27
RC,0272,VEST HALO COOLMAX ADLT MD,3640.0,2912.0,1010.83,3276.0,27
RC,0272,VEST HALO COOLMAX ADLT XL,31200.0,24960.0,8664.24,28080.0,27
RC,0272,VFC PK HIPERF UNITY,324.0,259.2,89.97,291.6,27
RC,0272,WAND ABL MICRODEBRIDER TO*NLU*,1232.91,986.33,342.38,1109.62,27
RC,0272,WAND COBLATION ARIS TURBINATE,1448.37,1158.7,402.21,1303.53,27
RC,0272,WAND COBLATION FLOW ANG 50D,1125.0,900.0,312.41,1012.5,27
RC,0272,WAND COBLATION FLOW ANG 90D,922.5,738.0,256.18,830.25,27
RC,0272,WAND COBLATION HALO ANG 4.6MM,1300.95,1040.76,361.27,1170.86,27
RC,0272,WAND COBLATION HIPVAC ANG50D,2070.0,1656.0,574.84,1863.0,27
RC,0272,WAND TURBINATOR*VAT NLU*,1119.51,895.61,310.89,1007.56,27
RC,0272,WASHER EXTL FIX LRF RED 7MM,288.47,230.78,80.11,259.62,27
RC,0272,WASHER EXTL FIX LRF YEL 2MM,288.47,230.78,80.11,259.62,27
RC,0272,WASHER SUT FBRWIRE TI 2 CURV,618.75,495.0,171.83,556.88,27
RC,0272,WIRE BREAST TULOC PREM 20G1.97,199.47,159.58,55.39,179.52,27
RC,0272,WIRE BREAST TULOC PREM 20G3.55,199.47,159.58,55.39,179.52,27
RC,0272,WIRE CITREGEN TENDON SIZING,605.48,484.39,168.14,544.93,27
RC,0272,WIRE COMP 2.0/2.5/3.0 1.6X15MM,362.69,290.16,100.72,326.42,27
RC,0272,WIRE COMP 2.0/2.5/3.0 1.6X20MM,362.69,290.16,100.72,326.42,27
RC,0272,WIRE COMP 3.0/3.5/4.0 1.6X15MM,362.69,290.16,100.72,326.42,27
RC,0272,WIRE COMP 3.0/3.5/4.0 1.6X25MM,362.69,290.16,100.72,326.42,27
RC,0272,WIRE EXTL FIX BYNT 2.0X400MM,1512.0,1209.6,419.88,1360.8,27
RC,0272,WIRE EXTL FIX BYNT PEAR2.0X400,1470.0,1176.0,408.22,1323.0,27
RC,0272,WIRE EXTL FIX OLIVE 2X450MM,1944.0,1555.2,539.85,1749.6,27
RC,0272,WIRE EXTL FIX OLIVEARTX1.8X400,816.75,653.4,226.81,735.08,27
RC,0272,WIRE EXTL FIX SMTH SS 2.0MM,1512.0,1209.6,419.88,1360.8,27
RC,0272,WIRE EXTL FIXSMTHSIXFIX1.8X400,751.5,601.2,208.69,676.35,27
RC,0272,WIRE EXTL FIXSMTHSIXFIX2.0X400,751.5,601.2,208.69,676.35,27
RC,0272,WIRE EXTLFIXOLIVESIXFIX1.8X400,1092.0,873.6,303.25,982.8,27
RC,0272,WIRE MICROFILIMENT STRAND 24G,228.75,183.0,63.52,205.88,27
RC,0272,WIRE MICROFILIMENT STRAND 25G,231.92,185.54,64.4,208.73,27
RC,0272,WIRE OLIVE DIMND 1.8X450MM,523.76,419.01,145.45,471.38,27
RC,0272,WIRE SS 18G,483.75,387.0,134.34,435.38,27
RC,0272,WIRE SS 24G,483.75,387.0,134.34,435.38,27
RC,0272,WIRE SS 26G,967.5,774.0,268.67,870.75,27
RC,0272,WIRE SS 28G,967.5,774.0,268.67,870.75,27
RC,0272,WIRE STYLET ST LR-CLPOO1,291.6,233.28,80.98,262.44,27
RC,0272,WIRE TACK PLATE 2.0/2.5/3.0,362.69,290.16,100.72,326.42,27
RC,0272,WND CLSR ADH SYLKE 2.5X32CM,405.0,324.0,112.47,364.5,27
RC,0272,WND CLSR ADH SYLKE 3.4X24CM,384.0,307.2,106.64,345.6,27
RC,0272,WRAP COLD KNEE GAME READY*NLU*,497.0,397.6,138.02,447.3,27
RC,0272,WRENCH ASPIR TORQUE 23KHZ DISP,504.05,403.24,139.97,453.65,27
RC,0272,WRENCH HEX LNG,244.0,195.2,67.76,219.6,27
RC,0272,WRENCH HEX PRECISION 4.3CM,244.0,195.2,67.76,219.6,27
RC,0272,WRENCH ILSC NEUR DISP,504.05,403.24,139.97,453.65,27
RC,0272,WRENCH SPANNER LRF DISP 7/10MM,931.95,745.56,258.8,838.76,27
RC,0272,WRENCH SZ2 TW TORQUE BNTN,268.4,214.72,74.53,241.56,27
RC,0272,WRENCH T MINIRAIL*NLU*,364.5,291.6,101.22,328.05,27
RC,0272,WRENCH TORQ EP BIDR SEALPLU,305.0,244.0,84.7,274.5,27
RC,0272,WRENCH TORQ WHT S*USE 6304512*,305.0,244.0,84.7,274.5,27
RC,0272,WRENCH TORQUE CUSA CLARITY,506.57,405.26,140.67,455.91,27
RC,0272,YANKAUER EXT BUL*DISC NO REPL*,1218.38,974.71,338.34,1096.54,27
RC,0272,YANKAUER ONETRAC LXS CROWN LED,1354.5,1083.6,376.14,1219.05,27
RC,0272,YANKAUER ONETRAC LXS MTL LED,1354.5,1083.6,376.14,1219.05,27
RC,0272,YANKAUER ONETRAC LXS TPR LED,1354.5,1083.6,376.14,1219.05,27
RC,0272,YANKAUER ONETRACLXSFRAZIER12FR,1354.5,1083.6,376.14,1219.05,27
RC,0272,YWIRE SRWR PK4 1.45*NLU*,643.5,514.8,178.7,579.15,27
RC,0274,Atomoxetine HCl Cap 60 MG (Base Equiv),36.18,28.95,10.05,32.56,28
RC,0278,ABUTMENT BLX SLACTIVE RB4.5X10,1590.75,1272.6,441.75,1431.68,27
RC,0278,ABUTMENT BLX SLACTIVE RB4.5X12,1590.75,1272.6,441.75,1431.68,27
RC,0278,ABUTMENT BLX SLACTIVE WB 5.0X8,1590.75,1272.6,441.75,1431.68,27
RC,0278,ABUTMENT BLX SLACTIVE WB5.0X10,1590.75,1272.6,441.75,1431.68,27
RC,0278,ABUTMENT BLX SLACTIVE WB6.5X10,1590.75,1272.6,441.75,1431.68,27
RC,0278,ABUTMENT IMPLT BHX 4X9MM,9237.8,7390.24,2565.34,8314.02,27
RC,0278,ACC BI WING ANCHOR,643.5,514.8,178.7,579.15,27
RC,0278,ACC BUMPY ANCHOR,1155.0,924.0,320.74,1039.5,27
RC,0278,ALLO ADIPOSE MTX 1.5CC,3024.0,2419.2,839.76,2721.6,27
RC,0278,ALLO ADIPOSE MTX 3CC,5985.0,4788.0,1662.03,5386.5,27
RC,0278,ALLO ADIPOSE MTX 6CC,9418.5,7534.8,2615.52,8476.65,27
RC,0278,ALLO ADIPOSE MTX RENUVA 3CC,3584.0,2867.2,995.28,3225.6,27
RC,0278,ALLO ADM DERMIS 15.0X4.5X3.0MM,2142.0,1713.6,594.83,1927.8,27
RC,0278,ALLO AFLEX 3.0MM 4X5CM=20SQ,6656.0,5324.8,1848.37,5990.4,27
RC,0278,ALLO AMNIOFIX FEN 4X10CM,7313.8,5851.04,2031.04,6582.42,27
RC,0278,ALLO AMNIOFIX FEN 9X20CM,29616.0,23692.8,8224.36,26654.4,27
RC,0278,ALLO AMNIOFIX FEN 9X9CM,13675.2,10940.16,3797.6,12307.68,27
RC,0278,ALLO AMNIOFIX MEMB 4X10CM,7680.4,6144.32,2132.85,6912.36,27
RC,0278,ALLO AMNIOFIX MEMB 9X20CM,22070.4,17656.32,6128.95,19863.36,27
RC,0278,ALLO AMNIOFIX MEMB 9X9CM,14364.0,11491.2,3988.88,12927.6,27
RC,0278,ALLO AMNIOGRAFT 2.5X2.0CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,ALLO AMNION 2LYR VIASHIELD2X2,2432.0,1945.6,675.37,2188.8,27
RC,0278,ALLO AMNION 2LYR VIASHIELD4X4,3628.8,2903.04,1007.72,3265.92,27
RC,0278,ALLO AMNION 2LYR VIASHIELD4X6,4286.8,3429.44,1190.44,3858.12,27
RC,0278,ALLO AMNION 2LYR VIASHIELD4X8,4939.2,3951.36,1371.62,4445.28,27
RC,0278,ALLO BONE 1ST META FNDTN RT,6946.8,5557.44,1929.13,6252.12,27
RC,0278,ALLO BONE 1ST PHLALANG RT,8684.0,6947.2,2411.55,7815.6,27
RC,0278,ALLO BONE ANK TALUS RT,15420.24,12336.2,4282.2,13878.22,27
RC,0278,ALLO BONE ARCH WDG 5X22X16,2996.0,2396.8,831.99,2696.4,27
RC,0278,ALLO BONE ARCH WDG 8X22X16,2996.0,2396.8,831.99,2696.4,27
RC,0278,ALLO BONE ARTHROCELL 2.5CC,5852.0,4681.6,1625.1,5266.8,27
RC,0278,ALLO BONE ARTHROCELL+ 2.5CC,2090.0,1672.0,580.39,1881.0,27
RC,0278,ALLO BONE BIO4 VIABLE 5CC,9750.0,7800.0,2707.58,8775.0,27
RC,0278,ALLO BONE BLOCK CNCLS 15X8X20,2426.98,1941.59,673.97,2184.28,27
RC,0278,ALLO BONE BLOCK CNCLS 30X11X11,2697.44,2157.96,749.08,2427.7,27
RC,0278,ALLO BONE CALC WHOLE ACHILLES,21052.8,16842.24,5846.36,18947.52,27
RC,0278,ALLO BONE CARTIFORM DISC 20MM,22440.0,17952.0,6231.59,20196.0,27
RC,0278,ALLO BONE CARTIFORM DISC 25MM,29040.0,23232.0,8064.41,26136.0,27
RC,0278,ALLO BONE CELLENTRA ADV 10CC,9768.2,7814.56,2712.63,8791.38,27
RC,0278,ALLO BONE CELLULAR V92 2.5CC,5250.0,4200.0,1457.93,4725.0,27
RC,0278,ALLO BONE CERV VG1 7D6.22X4.75,3194.4,2555.52,887.08,2874.96,27
RC,0278,ALLO BONE CERV VG1 7D7.22X5.75,3194.4,2555.52,887.08,2874.96,27
RC,0278,ALLO BONE CERV VG1 7D8.22X6.75,3194.4,2555.52,887.08,2874.96,27
RC,0278,ALLO BONE CERV VG1 7D9.22X7.75,3194.4,2555.52,887.08,2874.96,27
RC,0278,ALLO BONE CERV VG2C LG7X14X4.5,3053.4,2442.72,847.93,2748.06,27
RC,0278,ALLO BONE CERVVG1 7D10.22X8.75,3194.4,2555.52,887.08,2874.96,27
RC,0278,ALLO BONE CNCLS CHIP 1-5MM15CC,1073.25,858.6,298.04,965.93,27
RC,0278,ALLO BONE CNCLS CHIP CRUSH30CC,1992.27,1593.82,553.25,1793.04,27
RC,0278,ALLO BONE CNCLS CORT FINE 45CC,4270.0,3416.0,1185.78,3843.0,27
RC,0278,ALLO BONE CNCLS CORTCOARSE45CC,3095.2,2476.16,859.54,2785.68,27
RC,0278,ALLO BONE CNCLS CUBE 15X15X18,1397.93,1118.35,388.21,1258.14,27
RC,0278,ALLO BONE CNCLSCHIP1.7-10 15CC,807.03,645.63,224.11,726.33,27
RC,0278,ALLO BONE CNCLSCHIP1.7-10 30CC,1275.88,1020.71,354.31,1148.29,27
RC,0278,ALLO BONE CNCLSCREOS0.25-1 1CC,580.5,464.4,161.2,522.45,27
RC,0278,ALLO BONE CONFORM FLEX 40MM,4381.44,3505.16,1216.73,3943.3,27
RC,0278,ALLO BONE CORT CNCLS 15CC <2MM,1057.35,845.88,293.63,951.62,27
RC,0278,ALLO BONE CORT CNCLS 15CC <5MM,1085.18,868.15,301.35,976.66,27
RC,0278,ALLO BONE CORT CNCLS 30CC <2MM,1480.29,1184.24,411.08,1332.26,27
RC,0278,ALLO BONE CORT CNCLS 5CC <5MM,477.0,381.6,132.46,429.3,27
RC,0278,ALLO BONE CORT NMP FBR LNG LG,12444.0,9955.2,3455.7,11199.6,27
RC,0278,ALLO BONE COTTON OSTEOTOMY6MM,4935.0,3948.0,1370.45,4441.5,27
RC,0278,ALLO BONE COTTON OSTEOTOMY7MM,4935.0,3948.0,1370.45,4441.5,27
RC,0278,ALLO BONE COTTON OSTEOTOMY8MM,4935.0,3948.0,1370.45,4441.5,27
RC,0278,ALLO BONE COTTON WDG 10X22X16,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE COTTON WDG 5X22X16,2790.72,2232.58,774.98,2511.65,27
RC,0278,ALLO BONE COTTON WDG 6X22X16,2790.72,2232.58,774.98,2511.65,27
RC,0278,ALLO BONE COTTON WDG 7X22X16,2790.72,2232.58,774.98,2511.65,27
RC,0278,ALLO BONE COTTON WDG 8X22X16,2790.72,2232.58,774.98,2511.65,27
RC,0278,ALLO BONE CROSS CALC13-15MM,2455.02,1964.02,681.76,2209.52,27
RC,0278,ALLO BONE CTIFORM DISC 10MM,10010.0,8008.0,2779.78,9009.0,27
RC,0278,ALLO BONE DART PIP 3.0X22MM,3696.0,2956.8,1026.38,3326.4,27
RC,0278,ALLO BONE DOWEL 13X14-40MM,2185.92,1748.74,607.03,1967.33,27
RC,0278,ALLO BONE DOWEL 18X16-40MM,2272.86,1818.29,631.17,2045.57,27
RC,0278,ALLO BONE EVANS WDG 10MM,5670.0,4536.0,1574.56,5103.0,27
RC,0278,ALLO BONE EVANS WDG 10X22X22,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE EVANS WDG 12MM,5670.0,4536.0,1574.56,5103.0,27
RC,0278,ALLO BONE EVANS WDG 12X22X22,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE EVANS WDG 6X22X22,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE EVANS WDG 8MM,5670.0,4536.0,1574.56,5103.0,27
RC,0278,ALLO BONE EVANS WDG 8X22X22,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE FEM COND LAT LFT,28800.0,23040.0,7997.76,25920.0,27
RC,0278,ALLO BONE FEM HD >44MM,3255.42,2604.34,904.03,2929.88,27
RC,0278,ALLO BONE FEM HD LFT 20-70MM,4369.68,3495.75,1213.46,3932.71,27
RC,0278,ALLO BONE FEM HD MOPS RT,21621.6,17297.28,6004.32,19459.44,27
RC,0278,ALLO BONE FEM HD*NLU*,3152.0,2521.6,875.31,2836.8,27
RC,0278,ALLO BONE FEM HEMI COND LATLFT,4526.76,3621.41,1257.08,4074.08,27
RC,0278,ALLO BONE FEM HEMI COND LATRT,4526.76,3621.41,1257.08,4074.08,27
RC,0278,ALLO BONE FEM HEMI COND MEDLRT,28008.0,22406.4,7777.82,25207.2,27
RC,0278,ALLO BONE FEM SHAFT 10X100MM,3105.92,2484.74,862.51,2795.33,27
RC,0278,ALLO BONE FEM SHAFT 10X200MM,4688.32,3750.66,1301.95,4219.49,27
RC,0278,ALLO BONE FEM STRUT HALF250X10,3194.24,2555.4,887.04,2874.82,27
RC,0278,ALLO BONE FEM STRUTTHIRD250X10,3649.88,2919.91,1013.57,3284.89,27
RC,0278,ALLO BONE FEM WHL FRESH LFT,28008.0,22406.4,7777.82,25207.2,27
RC,0278,ALLO BONE FEM WHOLE RT,30201.07,24160.86,8386.84,27180.96,27
RC,0278,ALLO BONE FIB PROX RT,3834.18,3067.35,1064.75,3450.76,27
RC,0278,ALLO BONE FIB SHAFT 5X180MM,2839.14,2271.32,788.43,2555.23,27
RC,0278,ALLO BONE FIB STRUT 5X11MM,2826.24,2261.0,784.85,2543.62,27
RC,0278,ALLO BONE FIB STRUT 6.5X110MM,3036.0,2428.8,843.1,2732.4,27
RC,0278,ALLO BONE FIB STRUT RND10X60MM,2981.72,2385.38,828.02,2683.55,27
RC,0278,ALLO BONE FIB ULNA RAD DIST RT,6664.0,5331.2,1850.59,5997.6,27
RC,0278,ALLO BONE FLEXIGRAFT STD 13MM,3128.0,2502.4,868.65,2815.2,27
RC,0278,ALLO BONE GRAN OSTEOAMP 10CC,6500.18,5200.15,1805.1,5850.16,27
RC,0278,ALLO BONE GRAN OSTEOAMP 5CC,4149.29,3319.44,1152.26,3734.36,27
RC,0278,ALLO BONE GRANOSTEOAMP<2MM 1CC,1487.64,1190.12,413.12,1338.88,27
RC,0278,ALLO BONE ILIAC MATRIGRAFT25MM,2838.08,2270.47,788.13,2554.27,27
RC,0278,ALLO BONE ILIAC WDG FRZN 24-26,3136.28,2509.03,870.94,2822.65,27
RC,0278,ALLO BONE ILIAC WDG FRZN 25-30,3136.28,2509.03,870.94,2822.65,27
RC,0278,ALLO BONE ILIAC WDG FZD13-15MM,2597.87,2078.3,721.43,2338.08,27
RC,0278,ALLO BONE ILIAC WDG FZD16-18MM,2616.48,2093.19,726.6,2354.83,27
RC,0278,ALLO BONE ILIACCREST17X17X17X8,2407.43,1925.95,668.54,2166.69,27
RC,0278,ALLO BONE ILIACCREST17X17X17X9,2585.45,2068.36,717.98,2326.91,27
RC,0278,ALLO BONE ILIUM BICORT 50MM,2506.79,2005.44,696.14,2256.11,27
RC,0278,ALLO BONE ILIUM TRICORT 10MM,1820.7,1456.56,505.61,1638.63,27
RC,0278,ALLO BONE ILIUM TRICORT 11MM,1820.7,1456.56,505.61,1638.63,27
RC,0278,ALLO BONE ILIUM TRICORT 55MM,5374.18,4299.35,1492.41,4836.76,27
RC,0278,ALLO BONE ILIUM TRICORT 60MM,5992.42,4793.94,1664.1,5393.18,27
RC,0278,ALLO BONE ILIUM TRICORT 6MM,1820.7,1456.56,505.61,1638.63,27
RC,0278,ALLO BONE ILIUM TRICORT 7MM,1820.7,1456.56,505.61,1638.63,27
RC,0278,ALLO BONE ILIUM TRICORT 8MM,1820.7,1456.56,505.61,1638.63,27
RC,0278,ALLO BONE ILIUM TRICORT 9MM,1820.7,1456.56,505.61,1638.63,27
RC,0278,ALLO BONE LORD TRIAD 5X11X14MM,2960.0,2368.0,821.99,2664.0,27
RC,0278,ALLO BONE LORD TRIAD 6X11X14MM,2960.0,2368.0,821.99,2664.0,27
RC,0278,ALLO BONE LORD TRIAD 7X11X14MM,2960.0,2368.0,821.99,2664.0,27
RC,0278,ALLO BONE LORD TRIAD 8X11X14MM,2960.0,2368.0,821.99,2664.0,27
RC,0278,ALLO BONE MAGNIFUSE MD 10X25MM,3920.0,3136.0,1088.58,3528.0,27
RC,0278,ALLO BONE MAGNIFUSE PL 1X10CM,6916.0,5532.8,1920.57,6224.4,27
RC,0278,ALLO BONE MAGNIFUSE PL 1X20CM,10010.0,8008.0,2779.78,9009.0,27
RC,0278,ALLO BONE MAGNIFUSE PL LUMB5CM,6792.5,5434.0,1886.28,6113.25,27
RC,0278,ALLO BONE MAGNIFUSE PLLUMB10CM,9880.0,7904.0,2743.68,8892.0,27
RC,0278,ALLO BONE MAGNIFUSE SD 1X5CM,4410.0,3528.0,1224.66,3969.0,27
RC,0278,ALLO BONE MPJ ARTHRODESIS 12MM,2733.12,2186.5,758.99,2459.81,27
RC,0278,ALLO BONE MPJ ARTHRODESIS 5MM,3328.92,2663.14,924.44,2996.03,27
RC,0278,ALLO BONE MPJ ARTHRODESIS 8MM,3585.96,2868.77,995.82,3227.36,27
RC,0278,ALLO BONE MTP PRESERVE 19X10MM,6630.0,5304.0,1841.15,5967.0,27
RC,0278,ALLO BONE MTP PRESERVE 19X15MM,7410.0,5928.0,2057.76,6669.0,27
RC,0278,ALLO BONE MTP PRESERVE 19X5MM,6630.0,5304.0,1841.15,5967.0,27
RC,0278,ALLO BONE MTP PRESERVE 20X19MM,7410.0,5928.0,2057.76,6669.0,27
RC,0278,ALLO BONE MTP PRESERVE 21X10MM,6630.0,5304.0,1841.15,5967.0,27
RC,0278,ALLO BONE MTP PRESERVE 21X5MM,6630.0,5304.0,1841.15,5967.0,27
RC,0278,ALLO BONE MTP PRESERVE 21X8MM,6630.0,5304.0,1841.15,5967.0,27
RC,0278,ALLO BONE MTP PRESERVE 8X19MM,6630.0,5304.0,1841.15,5967.0,27
RC,0278,ALLO BONE OSTEOAMP SELECT 10CC,7650.81,6120.65,2124.63,6885.73,27
RC,0278,ALLO BONE OSTEOAMP SELECT 15CC,10222.42,8177.94,2838.77,9200.18,27
RC,0278,ALLO BONE OSTEOAMP SELECT 1CC,2086.48,1669.19,579.42,1877.83,27
RC,0278,ALLO BONE OSTEOAMP SELECT 5CC,5096.31,4077.05,1415.25,4586.68,27
RC,0278,ALLO BONE OSTEOAMP SELECT2.5CC,3194.94,2555.96,887.23,2875.45,27
RC,0278,ALLO BONE OSTEOCEL MAX 10CC,13440.0,10752.0,3732.29,12096.0,27
RC,0278,ALLO BONE OSTEOCEL MAX 1CC,2250.0,1800.0,624.83,2025.0,27
RC,0278,ALLO BONE OSTEOCEL MAX 5CC,7800.0,6240.0,2166.06,7020.0,27
RC,0278,ALLO BONE OSTEOCEL PRO 10CC,12415.0,9932.0,3447.65,11173.5,27
RC,0278,ALLO BONE PLUG OCA 10MM,6982.5,5586.0,1939.04,6284.25,27
RC,0278,ALLO BONE PLUG OCA 16MM,11930.1,9544.08,3312.99,10737.09,27
RC,0278,ALLO BONE PUROS CNCLS 0.5CC,465.6,372.48,129.3,419.04,27
RC,0278,ALLO BONE PUROS CORT 0.25CC,465.6,372.48,129.3,419.04,27
RC,0278,ALLO BONE REDIGRAFT CHIP5CC1-8,579.15,463.32,160.83,521.24,27
RC,0278,ALLO BONE REDIGRAFTCHIP15CC1.2,1122.03,897.63,311.59,1009.83,27
RC,0278,ALLO BONE REV CORE 10MM<36MM,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE REV CORE 12MM<36MM,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE REV CORE 14MM<36MM,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE REV CORE 16MM<36MM,2955.96,2364.77,820.87,2660.36,27
RC,0278,ALLO BONE RIB 50-130X10-30MM,1992.4,1593.92,553.29,1793.16,27
RC,0278,ALLO BONE SPACER ACF CNCLS 8MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF CNCLS 9MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 10MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 11MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 12MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 5MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 6MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 7MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF LORD 8MM,3019.52,2415.62,838.52,2717.57,27
RC,0278,ALLO BONE SPACER ACF LORD 9MM,3019.52,2415.62,838.52,2717.57,27
RC,0278,ALLO BONE SPACER ACF PRLL 10M,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF PRLL 11M,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF PRLL 12M,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ACF PRLL 9MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ADVACFLORD5MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ADVACFLORD6MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ADVACFLORD7MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ADVACFLORD8MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER ADVACFLORD9MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACER PROSPEC 20X8,4931.75,3945.4,1369.55,4438.58,27
RC,0278,ALLO BONE SPACER T-PLIF 9/11X7,11537.76,9230.21,3204.04,10383.98,27
RC,0278,ALLO BONE SPACER T-PLIF 9/11X9,11537.76,9230.21,3204.04,10383.98,27
RC,0278,ALLO BONE SPACER T-PLIF9/11X11,11537.76,9230.21,3204.04,10383.98,27
RC,0278,ALLO BONE SPACER T-PLIF9/11X13,11537.76,9230.21,3204.04,10383.98,27
RC,0278,ALLO BONE SPACER T-PLIF9/11X15,11537.76,9230.21,3204.04,10383.98,27
RC,0278,ALLO BONE SPACER T-PLIF9/11X17,11537.76,9230.21,3204.04,10383.98,27
RC,0278,ALLO BONE SPACERADVACFLORD10MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACERADVACFLORD11MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACERADVACFLORD12MM,3120.0,2496.0,866.42,2808.0,27
RC,0278,ALLO BONE SPACERALIFANTLAT8X11,11765.0,9412.0,3267.14,10588.5,27
RC,0278,ALLO BONE SPACERALIFANTLAT8X19,11772.8,9418.24,3269.31,10595.52,27
RC,0278,ALLO BONE STRUT CORTCNCLS10X40,1306.54,1045.24,362.83,1175.89,27
RC,0278,ALLO BONE TIB DIST MOPS LFT,17836.8,14269.44,4953.28,16053.12,27
RC,0278,ALLO BONE TIB DIST MOPS RT,14486.4,11589.12,4022.87,13037.76,27
RC,0278,ALLO BONE TIB DIST OCA LFT,15420.24,12336.2,4282.2,13878.22,27
RC,0278,ALLO BONE TIB DIST RT,5474.0,4379.2,1520.13,4926.6,27
RC,0278,ALLO BONE TIB STRUTHALF150-200,2645.46,2116.37,734.64,2380.91,27
RC,0278,ALLO BONE UNICORTICAL 10MM,2088.0,1670.4,579.84,1879.2,27
RC,0278,ALLO BONE VIABLE EVOLUTION 1CC,1827.0,1461.6,507.36,1644.3,27
RC,0278,ALLO BONE WDG ALLOPURE 6MM,7148.62,5718.9,1985.17,6433.76,27
RC,0278,ALLO BONE WDG ALLOSYNC 16X5.5,4928.0,3942.4,1368.51,4435.2,27
RC,0278,ALLO BONE WDG ALLOSYNC 20X5.5,5159.0,4127.2,1432.65,4643.1,27
RC,0278,ALLO BONE WDG ALLOSYNC 20X7.5,5159.0,4127.2,1432.65,4643.1,27
RC,0278,ALLO BONE WDG CORT 16MMX5.5CM,2935.8,2348.64,815.27,2642.22,27
RC,0278,ALLO BONE WDG ILIAC CREST,2664.0,2131.2,739.79,2397.6,27
RC,0278,ALLO BONE WDG ILIAC CREST 10MM,2424.24,1939.4,673.21,2181.82,27
RC,0278,ALLO BONE WDG LAPIDUS 12MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,ALLO BONE WDG LAPIDUS 14MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,ALLO BONE WDG LAPIDUS 5D 5MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,ALLO BONE WDG LAPIDUS 8D 8MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,ALLO BONE WDG OSTEO 4.5X14X16,5940.48,4752.39,1649.67,5346.43,27
RC,0278,ALLO BONE WDG OSTEO 5.5X14X16,5940.48,4752.39,1649.67,5346.43,27
RC,0278,ALLO BONE WDG OSTEO 6.5X14X20,5712.0,4569.6,1586.22,5140.8,27
RC,0278,ALLO BONE WDG SMO MODIFIABLE,6258.0,5006.4,1737.85,5632.2,27
RC,0278,ALLO BONE WDG SUBTLR 10MM,6922.5,5538.0,1922.38,6230.25,27
RC,0278,ALLO BONE WDG SUBTLR 12MM,6922.5,5538.0,1922.38,6230.25,27
RC,0278,ALLO BONE WDG SUBTLR 14MM,6922.5,5538.0,1922.38,6230.25,27
RC,0278,ALLO BONE WDG SUBTLR 16MM,6922.5,5538.0,1922.38,6230.25,27
RC,0278,ALLO BONE WDG SUBTLR 18MM,6922.5,5538.0,1922.38,6230.25,27
RC,0278,ALLO BONE WDGALLOSYNC20X20X10,4928.0,3942.4,1368.51,4435.2,27
RC,0278,ALLO BONEGRANOSTEOAMP2-4MM 5CC,4149.29,3319.44,1152.26,3734.36,27
RC,0278,ALLO BONEGRANOSTEOAMP2-4MM10CC,6500.13,5200.11,1805.09,5850.12,27
RC,0278,ALLO BONESPNGOSTEOAMP50X20X7,8190.21,6552.17,2274.42,7371.19,27
RC,0278,ALLO BONETIBSTRUT200X>6X3-15MM,2455.02,1964.02,681.76,2209.52,27
RC,0278,ALLO BTB PTLA HEMIQUAD <45,6562.08,5249.67,1822.29,5905.87,27
RC,0278,ALLO BTB PTLA HEMIQUAD >45,6562.08,5249.67,1822.29,5905.87,27
RC,0278,ALLO BTB PTLA HEMIQUAD14X13X75,6562.08,5249.67,1822.29,5905.87,27
RC,0278,ALLO BTB PTLA WHOLE QUAD 8CM,12402.0,9921.6,3444.04,11161.8,27
RC,0278,ALLO BTB PTLA WHOLE QUAD >5CM,12815.4,10252.32,3558.84,11533.86,27
RC,0278,ALLO BTB WHOLE W QUAD,12815.4,10252.32,3558.84,11533.86,27
RC,0278,ALLO CARTLG CORE OCA 15MM,11700.0,9360.0,3249.09,10530.0,27
RC,0278,ALLO CARTLG FEM DIST OCA LATRT,28704.0,22963.2,7971.1,25833.6,27
RC,0278,ALLO CARTLG FEM DIST OCAMEDLRT,28704.0,22963.2,7971.1,25833.6,27
RC,0278,ALLO CARTLG FEM DISTOCAFULLLFT,50520.0,40416.0,14029.4,45468.0,27
RC,0278,ALLO CARTLG FEM DISTOCAMEDLLFT,28704.0,22963.2,7971.1,25833.6,27
RC,0278,ALLO CARTLG FEM HEMI OCA LATRT,26375.76,21100.61,7324.55,23738.18,27
RC,0278,ALLO CARTLG FEM HEMI OCAMEDLRT,28329.6,22663.68,7867.13,25496.64,27
RC,0278,ALLO CARTLG FEM HEMIOCAMEDLLFT,26980.56,21584.45,7492.5,24282.5,27
RC,0278,ALLO CARTLG HUMR HD OCA LFT,18780.0,15024.0,5215.21,16902.0,27
RC,0278,ALLO CARTLG MENISC MEDL LFT 15,12232.35,9785.88,3396.92,11009.12,27
RC,0278,ALLO CARTLG MENISC MEDL RT,12232.35,9785.88,3396.92,11009.12,27
RC,0278,ALLO CARTLG PTLA OCA LFT,27300.24,21840.2,7581.28,24570.22,27
RC,0278,ALLO CARTLG PTLA OCA RT,27300.24,21840.2,7581.28,24570.22,27
RC,0278,ALLO CARTLG TALUS OCA FRZN RT,9334.0,7467.2,2592.05,8400.6,27
RC,0278,ALLO CARTLG TALUS OCA JRF RT,15600.0,12480.0,4332.12,14040.0,27
RC,0278,ALLO CARTLG TIB DIST OCA FNDTN,14064.0,11251.2,3905.57,12657.6,27
RC,0278,ALLO CARTLG TIB DIST OCA JRFRT,16440.0,13152.0,4565.39,14796.0,27
RC,0278,ALLO CARTLG TIB DIST OCA LFT,16440.0,13152.0,4565.39,14796.0,27
RC,0278,ALLO CNCLS PART ALLOSS 1CC,665.91,532.73,184.92,599.32,27
RC,0278,ALLO CORTIVA PERFD 16X20CM,20173.42,16138.74,5602.16,18156.08,27
RC,0278,ALLO CORTIVA SILHOUETTE16X20CM,22955.28,18364.23,6374.68,20659.75,27
RC,0278,ALLO CORTIVA TAILORED 9.2X19.2,10230.64,8184.52,2841.05,9207.58,27
RC,0278,ALLO CORTIVAPERFTAILOR9.2X19.2,10742.19,8593.76,2983.11,9667.97,27
RC,0278,ALLO DBF BG LVL1 5CMX15MM,4200.0,3360.0,1166.34,3780.0,27
RC,0278,ALLO DBF BG LVL2 10CMX15MM,7800.0,6240.0,2166.06,7020.0,27
RC,0278,ALLO DBF CORT ALLOFBR 1CC,1852.99,1482.4,514.58,1667.69,27
RC,0278,ALLO DBF CORT ALLOFIBER 2.5CC,2853.79,2283.04,792.5,2568.41,27
RC,0278,ALLO DBF CORT ALLOFIBER 5CC,4536.0,3628.8,1259.65,4082.4,27
RC,0278,ALLO DBF PLIAFX FLO 5CC,2900.42,2320.34,805.45,2610.38,27
RC,0278,ALLO DBF WRAP 10X11CMX1 MM,10140.0,8112.0,2815.88,9126.0,27
RC,0278,ALLO DBF WRAP 10X5.5CMX1MM,6160.0,4928.0,1710.63,5544.0,27
RC,0278,ALLO DBF WRAP 5X5.5CMX1MM,3360.0,2688.0,933.07,3024.0,27
RC,0278,ALLO DBFANCHORTHERAFUZE7.5/8.0,1575.0,1260.0,437.38,1417.5,27
RC,0278,ALLO DBFANCHORTHERAFUZE8.5/9.0,1575.0,1260.0,437.38,1417.5,27
RC,0278,ALLO DBM ALLOSYNC EXPAND 1CC,990.0,792.0,274.92,891.0,27
RC,0278,ALLO DBM ALLOSYNC PURE 10CC,5236.0,4188.8,1454.04,4712.4,27
RC,0278,ALLO DBM ALLOSYNC PURE 1CC,1386.0,1108.8,384.89,1247.4,27
RC,0278,ALLO DBM ALLOSYNC PURE 5CC,3080.0,2464.0,855.32,2772.0,27
RC,0278,ALLO DBM CB PASTE ALLOSYNC 1CC,1039.5,831.6,288.67,935.55,27
RC,0278,ALLO DBM CB PASTE ALLOSYNC 3CC,1980.0,1584.0,549.85,1782.0,27
RC,0278,ALLO DBM CB PASTE ALLOSYNC 8CC,3064.6,2451.68,851.04,2758.14,27
RC,0278,ALLO DBM CB PUTTY ALLOSYNC 5CC,2886.4,2309.12,801.55,2597.76,27
RC,0278,ALLO DBM CHIP ALLOSYNC1-4MM1.0,940.5,752.4,261.18,846.45,27
RC,0278,ALLO DBM CHIP ALLOSYNC1-4MM5.0,2428.8,1943.04,674.48,2185.92,27
RC,0278,ALLO DBM CNCLS CHIP1.7-7MM 5CC,1032.75,826.2,286.79,929.48,27
RC,0278,ALLO DBM CONFORM CUBE 9X9X9MM,1629.31,1303.45,452.46,1466.38,27
RC,0278,ALLO DBM CONFORM FLEX10X10X4MM,1105.44,884.36,306.98,994.9,27
RC,0278,ALLO DBM CONFORM FLEX20X20X4MM,2214.72,1771.78,615.03,1993.25,27
RC,0278,ALLO DBM CONFORM SHT 45X20X7MM,5295.95,4236.76,1470.69,4766.36,27
RC,0278,ALLO DBM CONFORMCUBE11X11X11MM,1948.9,1559.12,541.21,1754.01,27
RC,0278,ALLO DBM CONFORMCUBE13X13X13MM,2100.85,1680.68,583.41,1890.77,27
RC,0278,ALLO DBM CONFORMCUBE15X15X15MM,2240.75,1792.6,622.26,2016.68,27
RC,0278,ALLO DBM CONFORMCUBE17X17X17MM,2371.0,1896.8,658.43,2133.9,27
RC,0278,ALLO DBM CONFORMFLEX10X10X10MM,1938.24,1550.6,538.25,1744.42,27
RC,0278,ALLO DBM CTRDG INSTAFILL 5CC,4158.0,3326.4,1154.68,3742.2,27
RC,0278,ALLO DBM FBRFUSE GRAFT 10CC,5460.0,4368.0,1516.24,4914.0,27
RC,0278,ALLO DBM FBRFUSE GRAFT 1CC,1102.5,882.0,306.16,992.25,27
RC,0278,ALLO DBM FBRFUSE GRAFT 2.5CC,2160.0,1728.0,599.83,1944.0,27
RC,0278,ALLO DBM FBRFUSE GRAFT 5CC,3038.0,2430.4,843.65,2734.2,27
RC,0278,ALLO DBM GEL ALLOSYNC 10CC,3696.0,2956.8,1026.38,3326.4,27
RC,0278,ALLO DBM GEL ALLOSYNC 1CC,990.0,792.0,274.92,891.0,27
RC,0278,ALLO DBM GEL ALLOSYNC 5CC,2816.0,2252.8,782.0,2534.4,27
RC,0278,ALLO DBM GEL GRAFTON 1CC,699.35,559.48,194.21,629.42,27
RC,0278,ALLO DBM KORE STRIP 2.5X10CM,9321.0,7456.8,2588.44,8388.9,27
RC,0278,ALLO DBM MIX DBX FNDTN 10ML,3003.08,2402.47,833.96,2702.77,27
RC,0278,ALLO DBM MIX DBX FNDTN 2.5ML,1589.36,1271.49,441.37,1430.42,27
RC,0278,ALLO DBM MIX DBX FNDTN 20ML,5909.06,4727.25,1640.95,5318.15,27
RC,0278,ALLO DBM MIX DBX FNDTN 5ML,2465.75,1972.6,684.74,2219.18,27
RC,0278,ALLO DBM OPTEF*DISC NO REPL*,5292.0,4233.6,1469.59,4762.8,27
RC,0278,ALLO DBM OSTEOV*DISC 6346003*,3150.0,2520.0,874.76,2835.0,27
RC,0278,ALLO DBM OSTEOVIVE PLUS 10CC,10920.0,8736.0,3032.48,9828.0,27
RC,0278,ALLO DBM OSTEOVIVE PLUS 1CC,1980.0,1584.0,549.85,1782.0,27
RC,0278,ALLO DBM OSTEOVIVE PLUS 2.5CC,3290.0,2632.0,913.63,2961.0,27
RC,0278,ALLO DBM OSTEOVIVE PLUS 5CC,6580.0,5264.0,1827.27,5922.0,27
RC,0278,ALLO DBM PASTE DBX 10ML,2779.3,2223.44,771.81,2501.37,27
RC,0278,ALLO DBM PASTE DBX FNDTN 1ML,617.36,493.89,171.44,555.62,27
RC,0278,ALLO DBM PASTE GRAFTON+ 1CC,1030.5,824.4,286.17,927.45,27
RC,0278,ALLO DBM PASTE GRAFTON+ 5CC,2934.4,2347.52,814.88,2640.96,27
RC,0278,ALLO DBM PASTE I*DISC 6350488*,3819.2,3055.36,1060.59,3437.28,27
RC,0278,ALLO DBM PASTE I*DISC 6350489*,2835.2,2268.16,787.34,2551.68,27
RC,0278,ALLO DBM PASTE I*DISC NO REPL*,1558.8000000000002,1247.04,182.45,2966.04,162
RC,0278,ALLO DBM PASTE STIMUBLAST 1CC,1039.5,831.6,288.67,935.55,27
RC,0278,ALLO DBM PRIME HD GRAFT 1.5CC,280.8,224.64,77.98,252.72,27
RC,0278,ALLO DBM PRIME HD GRAFT 10CC,2752.0,2201.6,764.23,2476.8,27
RC,0278,ALLO DBM PRIME HD GRAFT 1CC,427.2,341.76,118.63,384.48,27
RC,0278,ALLO DBM PRIME HD GRAFT 2.5CC,1012.5,810.0,281.17,911.25,27
RC,0278,ALLO DBM PRIME HD GRAFT 5CC,1953.0,1562.4,542.35,1757.7,27
RC,0278,ALLO DBM PRO-STIM 4CC,5746.08,4596.87,1595.69,5171.47,27
RC,0278,ALLO DBM PUTTY ALLOSYNC 1CC,990.0,792.0,274.92,891.0,27
RC,0278,ALLO DBM PUTTY ALLOSYNC 5CC,2816.0,2252.8,782.0,2534.4,27
RC,0278,ALLO DBM PUTTY INJ DBX 2.5ML,1360.17,1088.14,377.72,1224.15,27
RC,0278,ALLO DBM PUTTY INJ DBX 5ML,2144.45,1715.56,595.51,1930.01,27
RC,0278,ALLO DBM PUTTY OPTIMUM2.5CC,1330.56,1064.45,369.5,1197.5,27
RC,0278,ALLO DBM PUTTY OSTEOSELECT 1CC,765.0,612.0,212.44,688.5,27
RC,0278,ALLO DBM PUTTY REFICIO 10CC,2950.43,2360.35,819.33,2655.39,27
RC,0278,ALLO DBM PUTTY REFICIO 1CC,765.0,612.0,212.44,688.5,27
RC,0278,ALLO DBM PUTTY REFICIO 5CC,2095.2,1676.16,581.84,1885.68,27
RC,0278,ALLO DBM PUTTY/CHIPS PUROS 5CC,2884.0,2307.2,800.89,2595.6,27
RC,0278,ALLO DBM PUTTY/CHIPS PUROS10CC,4928.0,3942.4,1368.51,4435.2,27
RC,0278,ALLO DBM PUTTYOSTEOSELECT0.5CC,469.2,375.36,130.3,422.28,27
RC,0278,ALLO DBM STRIP ALLOSYNC15X40X3,2593.8,2075.04,720.3,2334.42,27
RC,0278,ALLO DBM STRIP DBX 2.5X10CM,3011.04,2408.84,836.17,2709.94,27
RC,0278,ALLO DBM STRIP DBX 2.5X5CM,2168.32,1734.66,602.14,1951.49,27
RC,0278,ALLO DBM TRINITY ELITE FNDTN L,8788.0,7030.4,2440.43,7909.2,27
RC,0278,ALLO DBM TRINITY ELITE FNDTN M,5390.0,4312.0,1496.8,4851.0,27
RC,0278,ALLO DBM TRINITY ELITE FNDTN S,1785.0,1428.0,495.69,1606.5,27
RC,0278,ALLO DBM TRINITY ELITE FNDTN X,11570.0,9256.0,3212.99,10413.0,27
RC,0278,ALLO ECM AXIOFILL 1000MG,6526.0,5220.8,1812.27,5873.4,27
RC,0278,ALLO ECM AXIOFILL 500MG,3516.8,2813.44,976.62,3165.12,27
RC,0278,ALLO FBR KORE MOLDABLE 10.0CC,5880.0,4704.0,1632.88,5292.0,27
RC,0278,ALLO FBR KORE MOLDABLE 5.0CC,3416.0,2732.8,948.62,3074.4,27
RC,0278,ALLO FEM CONDYLE WHOLE LFT,46969.2,37575.36,13043.35,42272.28,27
RC,0278,ALLO GRAFT AMNIOBAND 2X3CM=6SQ,2957.76,2366.21,821.37,2661.98,27
RC,0278,ALLO INJ AMNIOT PRO3F 0.25ML,3570.0,2856.0,991.39,3213.0,27
RC,0278,ALLO INJ AMNIOT PRO3F 0.50ML,4935.0,3948.0,1370.45,4441.5,27
RC,0278,ALLO INJ AMNIOT PRO3F 1ML,7605.0,6084.0,2111.91,6844.5,27
RC,0278,ALLO INJ AMNIOT PRO3FA 0.25ML,3185.0,2548.0,884.47,2866.5,27
RC,0278,ALLO INJ AMNIOT PRO3FA 0.50ML,4368.0,3494.4,1212.99,3931.2,27
RC,0278,ALLO INJ AMNIOT PRO3FA 1ML,6802.25,5441.8,1888.98,6122.03,27
RC,0278,ALLO LENEVA ADIPOSE MTX 1.5CC,2956.8,2365.44,821.1,2661.12,27
RC,0278,ALLO LENEVA ADIPOSE MTX 3CC,5852.0,4681.6,1625.1,5266.8,27
RC,0278,ALLO MEMB LYOPHILIZE9MM,2160.0,1728.0,599.83,1944.0,27
RC,0278,ALLO MENISC LAT W BONEBLOCKLFT,13000.0,10400.0,3610.1,11700.0,27
RC,0278,ALLO MENISC MEDL WBONEBLOCKLFT,12350.0,9880.0,3429.6,11115.0,27
RC,0278,ALLO ORAGRAFT250-1000MCRN0.5CC,375.14,300.12,104.18,337.63,27
RC,0278,ALLO OSTEOAMP SELECT FLOW 10CC,8798.45,7038.76,2443.33,7918.61,27
RC,0278,ALLO OSTEOAMP SELECT FLOW 5CC,5860.76,4688.61,1627.53,5274.68,27
RC,0278,ALLO OSTEOAMP SELECT FLOW2.5CC,3418.58,2734.87,949.34,3076.72,27
RC,0278,ALLO PTLA W ATTACH FRESH LFT,27969.6,22375.68,7767.16,25172.64,27
RC,0278,ALLO PTLA W ATTACH FRESH RT,27969.6,22375.68,7767.16,25172.64,27
RC,0278,ALLO PULM VALV LG D>22MM,29732.4,23785.92,8256.69,26759.16,27
RC,0278,ALLO SOMAGEN MESHED 6.0X8.0CM,6850.27,5480.22,1902.32,6165.24,27
RC,0278,ALLO SOMAGEN MESHED 8.0X12.0CM,12856.27,10285.02,3570.19,11570.64,27
RC,0278,ALLO SOMAGEN MESHED10.0X15.0CM,22427.33,17941.87,6228.07,20184.6,27
RC,0278,ALLO SOMAGEN MESHED13.0X25.0CM,39059.33,31247.47,10846.78,35153.4,27
RC,0278,ALLO TENDON ACHILLES BONEBLOCK,4914.0,3931.2,1364.62,4422.6,27
RC,0278,ALLO TENDON ANT TIB >7.5X230MM,5506.03,4404.83,1529.02,4955.43,27
RC,0278,ALLO TIB HEMI LAT MENISC LFT,17508.0,14006.4,4861.97,15757.2,27
RC,0278,ALLOQUADRICEPTENDONWPTLA*DISC*,11700.0,9360.0,3249.09,10530.0,27
RC,0278,ANCHOR FLEX CINCHLOCK KNTLS,2368.8,1895.04,657.82,2131.92,27
RC,0278,ANCHOR FOREHEAD ENDOTINE 3.0MM,2358.0,1886.4,654.82,2122.2,27
RC,0278,ANCHOR FOREHEAD ENDOTINE 3.5MM,2286.0,1828.8,634.82,2057.4,27
RC,0278,ANCHOR PEEK SUT TAK 3X12.7MM,1778.7,1422.96,493.94,1600.83,27
RC,0278,ANCHOR SUBTLR PROSTOP 8X14MM,4604.6,3683.68,1278.7,4144.14,27
RC,0278,ANCHOR SUP QA+ OC DS CP-2,2534.22,2027.38,703.75,2280.8,27
RC,0278,ANCHOR SUT FLEXBAND 0.5X16CM,11154.0,8923.2,3097.47,10038.6,27
RC,0278,ANCHOR SUT FLEXBAND 0.7X32CM,6619.6,5295.68,1838.26,5957.64,27
RC,0278,ANCHOR SUT FLEXPATCH 3X4CM,7020.0,5616.0,1949.45,6318.0,27
RC,0278,ANK INFINITY FIX PIN LNG,558.0,446.4,154.96,502.2,27
RC,0278,APPL CLIP ATRICLIP PROV45MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,ASCENDRA3 THV TR*DISC NO REPL*,78000.0,62400.0,21660.6,70200.0,54
RC,0278,BAND ANNULO DURAN 35MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,BAND ANNULO EDWA 26MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAND ANNULO EDWA 28MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAND ANNULO EDWA 30MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAND ANNULO EDWA 32MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAND ANNULO EDWA 34MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAND ANNULO EDWA 36MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAND ANNULO EDWA 38MM,5880.0,4704.0,1632.88,5292.0,27
RC,0278,BAR PECTUS BIOM SZ11,5443.2,4354.56,1511.58,4898.88,27
RC,0278,BAR PECTUS BIOM SZ12,5443.2,4354.56,1511.58,4898.88,27
RC,0278,BAR PECTUS BIOM SZ13,5443.2,4354.56,1511.58,4898.88,27
RC,0278,BAR PECTUS BIOM SZ14,5443.2,4354.56,1511.58,4898.88,27
RC,0278,BAR PECTUS BIOM SZ15,5443.2,4354.56,1511.58,4898.88,27
RC,0278,BAR PECTUS BIOM SZ16,5443.2,4354.56,1511.58,4898.88,27
RC,0278,BAR PECTUS BLU STBL TI 4.45CM,12720.0,10176.0,3532.34,11448.0,27
RC,0278,BAR PECTUS BLU STBL TI CUST,8273.2,6618.56,2297.47,7445.88,27
RC,0278,BAR PECTUS PREBENT BLU TI 11.5,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 11IN,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 12.5,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 12IN,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 13.5,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 13IN,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 14IN,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS PREBENT BLU TI 15IN,12220.0,9776.0,3393.49,10998.0,27
RC,0278,BAR PECTUS SS CU*DISC 6332205*,7800.0,6240.0,2166.06,7020.0,27
RC,0278,BAR PECTUS TI CU*DISC 6335803*,7800.0,6240.0,2166.06,7020.0,54
RC,0278,BAR PECTUS TI CUST 12.5IN IM67,12550.2,10040.16,3485.19,11295.18,27
RC,0278,BAR PECTUS TI CUST 12IN IM54,12550.2,10040.16,3485.19,11295.18,27
RC,0278,BAR PECTUS TI CUST 4584 11.5IN,11640.2,9312.16,3232.48,10476.18,27
RC,0278,BAR PECTUS TI CUST 4585 11.5IN,11640.2,9312.16,3232.48,10476.18,27
RC,0278,BAR TRNVRS TI ANG 3.5MM,3813.6,3050.88,1059.04,3432.24,27
RC,0278,BG SILO SIL CL CAST 5.5CMX8,945.0,756.0,262.43,850.5,27
RC,0278,BG SILO SIL CL CAST 6.5CMX8,1012.5,810.0,281.17,911.25,27
RC,0278,BG SILO SIL W RING 3CM,1071.0,856.8,297.42,963.9,27
RC,0278,BG SILO SIL W RING 4CM,1113.0,890.4,309.08,1001.7,27
RC,0278,BG SILO VENTRAL WALL 4CM,1667.4,1333.92,463.04,1500.66,27
RC,0278,BIT DRILL FACE FIX 1.4X8M*NLU*,665.28,532.23,184.75,598.75,27
RC,0278,BIT DRILL QK ZIMM 3.2X50MM,480.0,384.0,133.3,432.0,27
RC,0278,BLADE FEN HEL TFNA TI 100MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 105MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 110MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 115MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 120MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 125MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 130MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 70MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 75MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 80MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 85MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 90MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI 95MM,1888.49,1510.8,524.43,1699.64,27
RC,0278,BLADE FEN HEL TFNA TI STER75MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TI STER80MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TI STER85MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TI STER90MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TI STER95MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TISTER100MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TISTER105MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TISTER110MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TISTER115MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TISTER120MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE FEN HEL TFNA TISTER125MM,2077.49,1662.0,576.92,1869.74,27
RC,0278,BLADE HEL FIX STER TI 11X100MM,2275.34,1820.28,631.86,2047.81,27
RC,0278,BLADE HEL FIX STER TI 11X105MM,2275.34,1820.28,631.86,2047.81,27
RC,0278,BLADE HEL FIX STER TI 11X110MM,2275.34,1820.28,631.86,2047.81,27
RC,0278,BLADE HEL FIX STER TI 11X90MM,2275.34,1820.28,631.86,2047.81,27
RC,0278,BLADE HEL FIX STER TI 11X95MM,2275.34,1820.28,631.86,2047.81,27
RC,0278,BLN BAV/PTV NUCLEUS-X 22X4X110,3098.66,2478.93,860.5,2788.79,27
RC,0278,BLN BAV/PTV NUCLEUS-X 25X4X110,3098.66,2478.93,860.5,2788.79,27
RC,0278,BLN DIL ENDO ORBERA 700ML,1806.71,1445.37,501.72,1626.04,27
RC,0278,BOLT ILIAC VPR DEPU 9X80MM,2931.6,2345.28,814.11,2638.44,27
RC,0278,BRC KNEE PSTR ORTHOSES ADLT,372.06,297.65,103.32,334.85,27
RC,0278,BTN BICEP 2.6X12MM,1362.9,1090.32,378.48,1226.61,27
RC,0278,BTN BLN ENFIT MINIONE14FR7.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE14FR8.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE14FR9.0CM,456.0,364.8,126.63,410.4,27
RC,0278,BTN BLN ENFIT MINIONE16FR1.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE16FR1.2CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE16FR5.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE16FR6.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE18FR1.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE18FR1.2CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE18FR1.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE18FR1.7CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE18FR5.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE18FR6.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR1.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR1.2CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR1.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR1.7CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR2.3CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR3.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR3.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR4.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR4.4CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR5.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR5.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE20FR6.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR1.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR1.7CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR2.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR2.3CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR2.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR2.7CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR3.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR3.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR4.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR4.4CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR5.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR5.5CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFIT MINIONE24FR6.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN BLN ENFITMINIONE14FR10.0CM,470.4,376.32,130.63,423.36,27
RC,0278,BTN CERCLAGE CANN SYN 4.0MM,687.96,550.37,191.05,619.16,27
RC,0278,BTN DOG BONE ARTX,1617.0,1293.6,449.04,1455.3,27
RC,0278,BTN EYE CERCLAGE SS 4.5MM,533.7,426.96,148.21,480.33,27
RC,0278,BTN NASAL SEPTAL MD 5CMX4MM,544.5,435.6,151.21,490.05,27
RC,0278,BTN NASAL SEPTAL RD 3X10MM,1680.0,1344.0,466.54,1512.0,27
RC,0278,BTN NASAL SEPTAL STD,526.5,421.2,146.21,473.85,27
RC,0278,BUR HL COV KLS 0.3X12,544.05,435.24,151.08,489.65,27
RC,0278,BUR RD SOFT TOUCH STRY 5.5MM,608.31,486.65,168.93,547.48,27
RC,0278,CAGE 3D PRNT 7D 14X13X6MM,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT 7D 14X13X7MM,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT 7D 16X14X7MM,7670.0,6136.0,2129.96,6903.0,27
RC,0278,CAGE 3D PRNT 7D 16X14X8MM,7670.0,6136.0,2129.96,6903.0,27
RC,0278,CAGE 3D PRNT LORD 10D 16X14X6,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 10D 16X14X8,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 10D 18X15X6,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 10D 18X15X8,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 10D 20X15X7,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 15D 18X15X8,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 7D 15X15X6,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 7D 16X14X11,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 7D 18X15X5,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 7D 18X15X7,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE 3D PRNT LORD 7D 18X15X8,6020.0,4816.0,1671.75,5418.0,27
RC,0278,CAGE ANT LUMB 25D 16X25X33MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE BENGAL DEPU LG 7D 10MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU LG 7D 4MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU LG 7D 5MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU LG 7D 6MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU LG 7D 7MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU STD 7D 4MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU STD 7D 5MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU STD 7D 6MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU STD 7D 7MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE BENGAL DEPU STD LOR 22MM,6610.8,5288.64,1835.82,5949.72,27
RC,0278,CAGE CENTERPIECE 16X20MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE CENTERPIECE 19X19MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE CENTERPIECE 19X23MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE CENTERPIECE 19X28MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE CERV ANT 10D 6X14X17MM,3533.6,2826.88,981.28,3180.24,27
RC,0278,CAGE CERV ANT 10D 7X14X17MM,3533.6,2826.88,981.28,3180.24,27
RC,0278,CAGE CERV ANT 10D 8X14X17MM,3533.6,2826.88,981.28,3180.24,27
RC,0278,CAGE CERV ANT 5D 18X22X2MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE CERV ANT 6D 8X14X17MM,3533.6,2826.88,981.28,3180.24,27
RC,0278,CAGE CERV ANT 6D 9X14X17MM,3533.6,2826.88,981.28,3180.24,27
RC,0278,CAGE CERV ANT MATRIXX14X18X9MM,3080.0,2464.0,855.32,2772.0,27
RC,0278,CAGE CERV ANT MATRIXX16X18X8MM,3080.0,2464.0,855.32,2772.0,27
RC,0278,CAGE CERV CASCADIA 0D 18X50X4,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE CERV CASCADIA 12D 12X14X7,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 12D 12X14X8,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 15D28X36X15,12350.0,9880.0,3429.6,11115.0,27
RC,0278,CAGE CERV CASCADIA 15D30X40X17,12350.0,9880.0,3429.6,11115.0,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X10,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X11,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X12,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X5,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X6,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X7,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X8,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 7D 12X14X9,4345.6,3476.48,1206.77,3911.04,27
RC,0278,CAGE CERV CASCADIA 8D 18X45X12,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE CERV CASCADIA 8D 18X45X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE CERV CASCADIA 8D 18X50X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE CERV DIVERGENCE 15X12X6MM,6788.6,5430.88,1885.19,6109.74,27
RC,0278,CAGE CERV DIVERGENCE 6X17X14MM,6788.6,5430.88,1885.19,6109.74,27
RC,0278,CAGE CERV FUSN 20D 40X27X16MM,12780.0,10224.0,3549.01,11502.0,27
RC,0278,CAGE CORNERSTONE 10X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 12X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 13X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 5X14X11M*NLU*,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 5X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 6X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 7X1X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 8X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE 9X14X11MM,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE CORNERSTONE STRUT 6X14X11,6610.8,5288.64,1835.82,5949.72,27
RC,0278,CAGE CORPECT 0D 12X14MM 18-21,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 12X14MM 20-24,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 12X14MM 22-28,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 12X14MM 26-36,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 12X14MM 32-46,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 13X16MM 20-24,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 13X16MM 26-36,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 14X18MM 20-24,16500.0,13200.0,4582.05,14850.0,27
RC,0278,CAGE CORPECT 0D 14X18MM 22-28,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 0D 14X18MM 32-46,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE CORPECT 5D 13X16MM 48-64,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE EIT ALIF H 10D LG 12MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 10D LG 14MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 10D MD 16MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 15D LG 12MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 15D LG 14MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 15D LG 18MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 15D MD 12MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 15D MD 14MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 20D LG 14MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 20D LG 16MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 20D LG 18MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 20D MD 12MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 20D MD 14MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H 20D MD 16MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT ALIF H TI 5D 12MM,8021.0,6416.8,2227.43,7218.9,27
RC,0278,CAGE EIT LLIF 0D 40/22 10MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 0D 45/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 0D 50/22 10MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 0D 50/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 0D 55/22 10MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 0D 55/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 45/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 50/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 55/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 55/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 55/22 16MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 60/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 16D 60/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 50/22 10MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 50/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 50/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 55/22 10MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 55/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 55/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 60/22 12MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT LLIF 8D 60/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,CAGE EIT PLIF 12D 26/9 13MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE EIT PLIF 8D 26/9 10MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE EIT PLIF 8D 26/9 12MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE EIT PLIF 8D 26/9 8MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE EXPAND OBELISC END GRY 20,8518.61,6814.89,2365.62,7666.75,27
RC,0278,CAGE EXPAND OBELISC END10D26MM,8518.61,6814.89,2365.62,7666.75,27
RC,0278,CAGE EXPAND OBELISC END20D26MM,8518.61,6814.89,2365.62,7666.75,27
RC,0278,CAGE EXPAND OBELISCCTR23-31MM,25998.84,20799.08,7219.88,23398.96,27
RC,0278,CAGE EXPAND OBELISCCTR40-62MM,25998.84,20799.08,7219.88,23398.96,27
RC,0278,CAGE EXPAND OBELISCCTR517-23MM,25998.84,20799.08,7219.88,23398.96,27
RC,0278,CAGE EXPAND OBELISCCTR53-87MM,25998.84,20799.08,7219.88,23398.96,27
RC,0278,CAGE GM 29X39X15*DISC NO REPL*,21360.0,17088.0,5931.67,19224.0,27
RC,0278,CAGE INTERBODY FUSN 7D 15X12X5,6788.6,5430.88,1885.19,6109.74,27
RC,0278,CAGE INTERBODY FUSN 7D 17X14X5,6788.6,5430.88,1885.19,6109.74,27
RC,0278,CAGE INTERBODY FUSN 7D 17X14X8,6788.6,5430.88,1885.19,6109.74,27
RC,0278,CAGE LAT CASCADIA 12D 22X50X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LAT CASCADIA 12D 22X60X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LAT CASCADIA 12D 22X60X16,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LAT CASCADIA 8D 22X45X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LAT CASCADIA 8D 22X50X12,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LAT CASCADIA 8D 22X50X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LAT CASCADIA 8D 22X60X14,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CAGE LUMB PATHLOC TM 0D 11X22,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE LUMB PATHLOC TM 0D 11X25,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE LUMB PSTR 12D 13X11MM,12780.0,10224.0,3549.01,11502.0,27
RC,0278,CAGE LUMB PSTR 12D 28X11MM,12780.0,10224.0,3549.01,11502.0,27
RC,0278,CAGE LUMB PSTR 12D13X31X10MM,12780.0,10224.0,3549.01,11502.0,27
RC,0278,CAGE OBLIQ OLLIF TI 27X9.5X9MM,12144.6,9715.68,3372.56,10930.14,27
RC,0278,CAGE OBLIQ ONELIF LG 7D 10X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE OBLIQ ONELIF MD 7D 10X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE OBLIQ ONELIF SM 13D 10X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE OBLIQ ONELIF SM 7D 10X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 13D 12X5,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 13D 14X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 13D 16X9,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 13D 18X11,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 13D 20X13,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 19D 16X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 19D 18X8,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 19D 20X10,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 25D 20X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 25D 22X9,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 7D 10X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 7D 12X8,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 7D 14X10,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF LG 7D 16X12,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 13D 12X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 13D 14X8,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 13D 16X10,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 13D 18X12,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 19D 14X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 19D 16X8,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 19D 18X10,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 25D 18X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 25D 20X9,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 7D 10X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 7D 12X9,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 7D 14X11,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF MD 7D 16X13,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 13D 10X6,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 13D 12X8,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 13D 14X10,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 13D 16X12,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 19D 14X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 19D 16X9,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 19D 18X11,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 25D 18X8,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 7D 10X7,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 7D 12X9,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 7D 14X11,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE ONELIF SM 7D 16X13,17400.0,13920.0,4831.98,15660.0,27
RC,0278,CAGE PROLIFT 0D 10X28X10-16,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 0D 10X28X8-13,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 12D 10X28X10-16,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 12D 10X28X8-16,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 15D 10X28X10-16,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 15D 10X28X8-16,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 7D 10X28X10-16,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PROLIFT 7D 10X28X8-13,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE PSR PEEK CORNERSTONE 6X11,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE PSR PEEK CORNERSTONE9X11,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE PSR PEEK STRUT 6X11MM,6610.8,5288.64,1835.82,5949.72,27
RC,0278,CAGE SHORELINE RT 7D 14X13X5MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORELINE RT 7D 14X13X6MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORELINE RT 7D 14X13X7MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORELINE STER 7D 14X13X5,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 10D 16X14X6MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 10D 16X14X7MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 10D 18X15X7MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 10D 18X15X8MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 7D 16X14X5MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 7D 16X14X6MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 7D 16X14X7MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 7D 18X15X5MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 7D 18X15X6MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SHORLINE RT 7D 18X15X7MM,4620.0,3696.0,1282.97,4158.0,27
RC,0278,CAGE SPNL 20D 36X24X14MM*DISC*,16740.0,13392.0,4648.7,15066.0,27
RC,0278,CAGE SPNL ANATOM PTC 14X11X5,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE SPNL ANATOM PTC 14X11X6,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE SPNL ANATOM PTC 14X11X7,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE SPNL ANATOM PTC 14X11X8,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE SPNL ANATOM PTC 16X14X6,2636.8,2109.44,732.24,2373.12,27
RC,0278,CAGE SPNL CALIBRATE 10D10X30X9,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE SPNL CALIBRATE 5D 10X30X7,16800.0,13440.0,4665.36,15120.0,27
RC,0278,CAGE SPNL COROENT XL 12X22X50,11268.4,9014.72,3129.23,10141.56,27
RC,0278,CAGE SPNL EIT CIF 8D 10MM LG,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 6MM LG,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 6MM SM,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 7MM LG,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 7MM SM,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 8MM LG,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 8MM SM,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 9MM LG,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EIT CIF 8D 9MM SM,3374.0,2699.2,936.96,3036.6,27
RC,0278,CAGE SPNL EITTLIF 28/10 8D10MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE SPNL EITTLIF32/12 12D10MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE SPNL EITTLIF32/12 12D11MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE SPNL EITTLIF32/12 12D14MM,9620.0,7696.0,2671.47,8658.0,27
RC,0278,CAGE SPNL ELITE 6D 10X28X*NLU*,12480.0,9984.0,3465.7,11232.0,27
RC,0278,CAGE SPNL IDENTITIII10D6X18X55,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL LORD X-PAC 10X25MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL LORD X-PAC 10X28MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL LORDX-PACTALL10X25MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL LORDX-PACTALL10X28MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL LORDX-PACTALL12X28MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL MAGNUM+ 12D 30X25X12,12600.0,10080.0,3499.02,11340.0,27
RC,0278,CAGE SPNL NANOTEC 10D10X25X9,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 10D10X26X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 10D10X30X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 10D14X25X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 10D14X30X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 15D10X30X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 15D14X25X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 15D14X30X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 20D10X25X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 20D10X30X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NANOTEC 20D14X30X7,18000.0,14400.0,4998.6,16200.0,27
RC,0278,CAGE SPNL NOPRO 10D 31X24X10,16284.0,13027.2,4522.07,14655.6,27
RC,0278,CAGE SPNL NOPRO 15D 31X24X12,16284.0,13027.2,4522.07,14655.6,27
RC,0278,CAGE SPNL NOPRO 15D 35X27X12,16284.0,13027.2,4522.07,14655.6,27
RC,0278,CAGE SPNL NOPRO 15D 39X30X12,16284.0,13027.2,4522.07,14655.6,27
RC,0278,CAGE SPNL NOPRO 20D 39X30X14,16284.0,13027.2,4522.07,14655.6,27
RC,0278,CAGE SPNL OTS 7D 22X18X10,12586.6,10069.28,3495.3,11327.94,27
RC,0278,CAGE SPNL PRLL 10X25MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL PRLL X-PAC 10X28MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,CAGE SPNL SM 6D 12X14X6MM,3080.0,2464.0,855.32,2772.0,27
RC,0278,CAGE SPNL SM 6D 12X14X8MM,3080.0,2464.0,855.32,2772.0,27
RC,0278,CAGE SPNL T/PLIF DUALX 6D 7-9,19188.0,15350.4,5328.51,17269.2,27
RC,0278,CAGE SPNL T/PLIF DUALX 8D 7-9,19188.0,15350.4,5328.51,17269.2,27
RC,0278,CAGE SPNL T/PLIF DUALX 8D 8-10,19188.0,15350.4,5328.51,17269.2,27
RC,0278,CAGE SPNL VBOSS 12X12MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE SPNLLORDCOROENTXL12X22X50,11268.4,9014.72,3129.23,10141.56,27
RC,0278,CAGE T-PAL SYNT 28X10X10MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 28X10X11MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 28X10X12MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 28X10X13MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 28X10X7MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 28X10X8MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 28X10X9MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 32X12X10MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 32X12X11MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 32X12X12MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 32X12X7MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 32X12X8MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE T-PAL SYNT 32X12X9MM,6955.0,5564.0,1931.4,6259.5,27
RC,0278,CAGE VANTAGE ALTITUDE 13X26MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE VANTAGE ALTITUDE 13X32MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE VBR SM 12X16-25MM,11376.0,9100.8,3159.12,10238.4,27
RC,0278,CAGE VBR SM ANG 6D 14X16-25MM,16507.2,13205.76,4584.05,14856.48,27
RC,0278,CAGE VLIFT STRY 18X25MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE WAVEFORM A 3HL10D35X27X12,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL10D35X27X14,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL10D39X30X14,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL10D43X30X10,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D31X24X12,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D31X24X14,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D35X27X12,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D35X27X16,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D35X27X18,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D39X30X12,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL15D39X30X16,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL20D31X24X14,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL20D35X27X14,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL20D35X27X16,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL20D35X27X18,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL20D39X30X14,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL20D39X30X16,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM A 3HL25D39X30X18,17484.0,13987.2,4855.31,15735.6,27
RC,0278,CAGE WAVEFORM TA 15D 9X28X11MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D 9X32X10MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D 9X32X11MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D 9X32X14MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D 9X32X9MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D 9X36X11MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D11X36X10MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D11X36X11MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 15D11X36X12MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 8D 11X36X9MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TA 8D 9X28X9MM,15444.0,12355.2,4288.8,13899.6,27
RC,0278,CAGE WAVEFORM TO 15D11X28X10MM,12987.0,10389.6,3606.49,11688.3,27
RC,0278,CAGE WAVEFORM TO 15D11X32X11MM,12987.0,10389.6,3606.49,11688.3,27
RC,0278,CAGE WAVEFORM TO 15D11X32X12MM,12987.0,10389.6,3606.49,11688.3,27
RC,0278,CAGE WAVEFORM TO 5D 11X28X7MM,12987.0,10389.6,3606.49,11688.3,27
RC,0278,CAGE WAVEFORM TO 5D 9X28X7MM,12987.0,10389.6,3606.49,11688.3,27
RC,0278,CAGE X-MESH MD 33-46MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE X-MESH SM 28-38MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE X-MESH SM 33-46MM,12230.4,9784.32,3396.38,11007.36,27
RC,0278,CAGE ZERO-P VA LORD 9MM,6700.2,5360.16,1860.65,6030.18,27
RC,0278,CAGESPNLMODULUSALIF10D8X18X50,13000.0,10400.0,3610.1,11700.0,27
RC,0278,CANN ART 2SH 17FR 23CM,1521.28,1217.03,422.46,1369.15,27
RC,0278,CANN ART 2SH 19FR 23CM,1521.28,1217.03,422.46,1369.15,27
RC,0278,CANN RF CURV 20G 10X150MM,287.87,230.3,79.94,259.08,27
RC,0278,CANN SLV KII Z 11X100MM,378.0,302.4,104.97,340.2,27
RC,0278,CANN THRD W OBTR CL 5.5X90MM,273.52,218.82,75.96,246.17,27
RC,0278,CANN THRD W OBTR CL 8.5X90MM,273.52,218.82,75.96,246.17,27
RC,0278,CANN VEN 20SH 23FR 55CM,1923.88,1539.11,534.26,1731.49,27
RC,0278,CANN VEN 24SH 25FR 55CM,1923.88,1539.11,534.26,1731.49,27
RC,0278,CAP CLSR RC TI 3.3MM,555.75,444.6,154.33,500.18,27
RC,0278,CAP CREO THRD LK FEN,432.0,345.6,119.97,388.8,27
RC,0278,CAP LEAD BK-IS,268.4,214.72,74.53,241.56,27
RC,0278,CAP LEAD BK-IS4/DF4,286.7,229.36,79.62,258.03,27
RC,0278,CAP LEAD BK-N,268.4,214.72,74.53,241.56,27
RC,0278,CAP LK CREO FOR 5.5MM SCREW,432.0,345.6,119.97,388.8,27
RC,0278,CAP LK CREO GM,324.0,259.2,89.97,291.6,27
RC,0278,CAP LK CREO THRD,324.0,259.2,89.97,291.6,27
RC,0278,CAP LK ELLIPSE,821.25,657.0,228.06,739.13,27
RC,0278,CAP LK MIX 1STEP TI 5.5MM,399.6,319.68,110.97,359.64,27
RC,0278,CAP PACER TERMINAL,183.79,147.04,51.04,165.41,27
RC,0278,CAP REVERE LK,305.0,244.0,84.7,274.5,27
RC,0278,CATH ABD FIBEROPTIC 10FR,309.58,247.67,85.97,278.62,27
RC,0278,CATH AORTICEVOLUTFXDEL7.33X108,5880.0,4704.0,1632.88,5292.0,27
RC,0278,CATH BEACON VANC4 0.035 5FR 65,203.74,163.0,56.58,183.37,27
RC,0278,CATH BICAVAL DL ELITE 13FR11CM,6950.48,5560.39,1930.15,6255.43,27
RC,0278,CATH BICAVAL DL ELITE 16FR14CM,6950.48,5560.39,1930.15,6255.43,27
RC,0278,CATH BICAVAL DL ELITE 19FR21CM,6950.48,5560.39,1930.15,6255.43,27
RC,0278,CATH BICAVAL DL ELITE 23FR31CM,6950.48,5560.39,1930.15,6255.43,27
RC,0278,CATH BICAVAL DL ELITE 27FR31CM,6950.48,5560.39,1930.15,6255.43,27
RC,0278,CATH BLADDER FIBEROPTIC 10FR,309.58,247.67,85.97,278.62,27
RC,0278,CATH BLN INOUE 12FR 26MM,7020.0,5616.0,1949.45,6318.0,27
RC,0278,CATH CARDIAC/PERITON SM 90CM,767.43,613.95,213.12,690.69,27
RC,0278,CATH CHOLANGIOED*DISC NO REPL*,297.0,237.6,82.48,267.3,27
RC,0278,CATH DEL SYS EVOLUT FX 6X108,5880.0,4704.0,1632.88,5292.0,27
RC,0278,CATH EDM VENT 1.5MM 35CM,702.27,561.82,195.02,632.04,27
RC,0278,CATH LUMB EDM CLSD TIP 80CM,920.75,736.6,255.69,828.68,27
RC,0278,CATH VENT SHNT STD 1.3MM 23CM,670.5,536.4,186.2,603.45,27
RC,0278,CATH VENT SNAP SHNT STD 6CM,949.23,759.39,263.6,854.31,27
RC,0278,CATH VENT SNAP SHNT STD 7CM,949.23,759.39,263.6,854.31,27
RC,0278,CBL ATLAS DBL W CRIMP,1239.0,991.2,344.07,1115.1,27
RC,0278,CBL ATLAS SGL W CRIMP,1239.0,991.2,344.07,1115.1,27
RC,0278,CBL BTN HEX DRIVE 2.5MM,1008.0,806.4,279.92,907.2,27
RC,0278,CBL CERCLAGE 1.8X914MM,2073.6,1658.88,575.84,1866.24,27
RC,0278,CBL DALL MILES STRY 2MM,1344.42,1075.54,373.35,1209.98,27
RC,0278,CBL GRIP ASSY ZIMM 1.8MM,1814.4,1451.52,503.86,1632.96,27
RC,0278,CBL GRIP DALL-MILES 1.6MM SM,2794.88,2235.91,776.14,2515.39,27
RC,0278,CBL GRIP DALL-MILES 2.0MM LG,2794.88,2235.91,776.14,2515.39,27
RC,0278,CBL GRIP DALL-MILES 2.0MM MD,2794.88,2235.91,776.14,2515.39,27
RC,0278,CBL SLV BEADED DALL-MILES1.6MM,1344.42,1075.54,373.35,1209.98,27
RC,0278,CBL SLV BEADED DALL-MILES2.0MM,1344.42,1075.54,373.35,1209.98,27
RC,0278,CBL SLV DALL-MILES 2.0MM,1254.33,1003.47,348.33,1128.9,27
RC,0278,CBL SS DALL MILES STRY 1.6MM,1344.42,1075.54,373.35,1209.98,27
RC,0278,CBL SS DALL MILES STRY 2MM,1344.42,1075.54,373.35,1209.98,27
RC,0278,CBL TROCH REATTACH 5MM,4488.79,3591.04,1246.54,4039.91,27
RC,0278,CBL TROCH REATTACH LNG,6469.18,5175.35,1796.49,5822.26,27
RC,0278,CBL W CRIMP 1X750MM,1702.26,1361.81,472.72,1532.03,27
RC,0278,CBL W TI CRIMP 1.7X750MM,1704.02,1363.22,473.21,1533.62,27
RC,0278,CERV DISC ORTF LG 6X17X14MM,12571.2,10056.96,3491.02,11314.08,27
RC,0278,CERV DISC ORTF MD 6X15X12MM,12571.2,10056.96,3491.02,11314.08,27
RC,0278,CERV DISC ORTF MD 7X15X12.5MM,12571.2,10056.96,3491.02,11314.08,27
RC,0278,CERV DISK MOBI-C H4.5 13X15MM,14280.0,11424.0,3965.56,12852.0,27
RC,0278,CLEAT VITALLIUM MINI DALLMILES,1081.58,865.27,300.35,973.42,27
RC,0278,CLIP ANRSM 1/4 CURV 11X11MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM 1/4 CURV 9.5X8.6MM,2045.4,1636.32,568.01,1840.86,27
RC,0278,CLIP ANRSM 1/4 CURV 9X7.5MM,2045.4,1636.32,568.01,1840.86,27
RC,0278,CLIP ANRSM BENT 9.5X8MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM BYNT 11X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM BYNT 13X10MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM BYNT 14X12MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM CURV 15.5X18MM,2053.8,1643.04,570.34,1848.42,27
RC,0278,CLIP ANRSM CURV 35D 11X11MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM CURV 38D 9.5X9MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM CURV 47D 9.5X9MM,2045.4,1636.32,568.01,1840.86,27
RC,0278,CLIP ANRSM CURV 63D 11X11MM,1994.4,1595.52,553.84,1794.96,27
RC,0278,CLIP ANRSM CURV BYNT 12MM,1986.6,1589.28,551.68,1787.94,27
RC,0278,CLIP ANRSM FEN BENT 10X10MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN BENT 10X7.5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN BENT 8X3MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN BENT 9X7.5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN L SHP 7.5X10MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN L SHP 8.5X3MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN L SHP 9.5X3MM,2574.0,2059.2,714.8,2316.6,27
RC,0278,CLIP ANRSM FEN LSHPRT8.5X7.5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN ST 10X4MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FEN ST 11X4MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FEN ST 11X6MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FEN ST 12X6MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FEN ST 13X9MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FEN ST 14.5X12MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN ST 14X9MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FEN ST 15.5X12MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FEN ST 9X3MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM FENLSHPLFT8.5X7.5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM FUJITALSHPRT8X7.5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM L SHP 8X10MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM L SHP 8X5MM,2292.44,1833.96,636.61,2063.2,27
RC,0278,CLIP ANRSM L SHP 8X7.5MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM LNG BYNT 19X21MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM LNG ST 18X25MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM LNG ST 20.5X30MM,2969.6,2375.68,824.66,2672.64,27
RC,0278,CLIP ANRSM LNG ST 23.5X35MM,2969.6,2375.68,824.66,2672.64,27
RC,0278,CLIP ANRSM LNG ST 26X40MM,2969.6,2375.68,824.66,2672.64,27
RC,0278,CLIP ANRSM LSHP CURV RT8.5X5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM MINI BYNT 10X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI BYNT 8.5*NLU*,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI CURV 5.5X4MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI CURV 6.5X5MM,2053.8,1643.04,570.34,1848.42,27
RC,0278,CLIP ANRSM MINI CURV 6X5MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI CURV 7.5X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI CURV 7X6.5MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI SIDE BEND8.5X6,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI SLT CURV 6.5X5,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI SLT CURV 7X6.5,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM MINI ST 5.5X4MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI ST 7X6MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI ST 8X8MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI ST SLIM 7X6MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM MINI ST SLIM5.5X4MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR BENT7X5MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR SLIM7X6MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR ST 6X4MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR ST 7X6MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR ST 8X8MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR ST6.5X5MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPR ST7.5X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINI TMPRST9.5X10MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINICURVSLIM6.5X5.2,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINICURVSLIM7X6.7MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM MINICURVSLIM8X8.2MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM MINITMPRST12.5X15MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM SIDE CURV 11X*NLU*,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM SIDE CURV 7.5X7MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM SLIM CURV 6.5X5.5MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM SLT BEND10.5X8MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM SLTCURV 10X9MM,2045.4,1636.32,568.01,1840.86,27
RC,0278,CLIP ANRSM SLTCURV 13X14MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM SLTCURV10X9MM,2053.8,1643.04,570.34,1848.42,27
RC,0278,CLIP ANRSM ST 11.5X12MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM ST 13.5X15MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM ST 15.5X18MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM ST 17X21MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM ST 8.5X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM TII ST 10.5X10MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM TMPR BENT 9.5X8MM,1527.92,1222.34,424.3,1375.13,27
RC,0278,CLIP ANRSM TMPR BYNT 11.5X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM TMPR ST 10.5X10MM,1814.4,1451.52,503.86,1632.96,27
RC,0278,CLIP ANRSM TMPR ST 12X12MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM TMPR ST 13.5X15MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM TMPR ST 16.5X20MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP ANRSM TMPR ST 9X7MM,1995.84,1596.68,554.24,1796.26,27
RC,0278,CLIP APPL ATRICLIP LAA 40MM,3080.0,2464.0,855.32,2772.0,27
RC,0278,CLIP APPL ATRICLIP PRO-V 35MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,CLIP ATRI50MM*DISC 6319726*,5040.0,4032.0,1399.61,4536.0,27
RC,0278,CLIP ATRICLIP FLEX-MINI 35MM,6300.0,5040.0,1749.51,5670.0,27
RC,0278,CLIP ATRICLIP FLEX-MINI 40MM,6300.0,5040.0,1749.51,5670.0,27
RC,0278,CLIP ATRICLIP FLEX-MINI 50MM,6300.0,5040.0,1749.51,5670.0,27
RC,0278,CLIP ATRICLIP FLEXV 35MM,5180.0,4144.0,1438.49,4662.0,27
RC,0278,CLIP ATRICLIP FLEXV 40MM,5180.0,4144.0,1438.49,4662.0,27
RC,0278,CLIP ATRICLIP FLEXV 45MM,5180.0,4144.0,1438.49,4662.0,27
RC,0278,CLIP ATRICLIP FLEXV 50MM,5180.0,4144.0,1438.49,4662.0,27
RC,0278,CLIP ATRICLIP PRO HOOPLESS35MM,9880.0,7904.0,2743.68,8892.0,27
RC,0278,CLIP ATRICLIP PRO HOOPLESS50MM,9880.0,7904.0,2743.68,8892.0,27
RC,0278,CLIP ATRICLIP PRO MINI 35MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,CLIP ATRICLIP PRO MINI 40MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,CLIP ATRICLIP PRO MINI 45MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,CLIP ATRICLIP PRO MINI 50MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,CLIP BUNDLE M101*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M102*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M103*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M201*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M202*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M203*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M301*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M302*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP BUNDLE M303*DISC 6316150*,72000.0,57600.0,19994.4,64800.0,27
RC,0278,CLIP CLSR ANASTOCLIP LG 8CM,3973.2,3178.56,1103.36,3575.88,27
RC,0278,CLIP CLSR ANASTOCLIP MD 8CM,3973.2,3178.56,1103.36,3575.88,27
RC,0278,CLIP FEN PERM ST 12MM,1599.74,1279.8,444.25,1439.77,27
RC,0278,CLIP MINI CURV SU 5MM*VAT NLU*,1470.0,1176.0,408.22,1323.0,27
RC,0278,CLIP RES 11MM*DNR 6299825*,985.5,788.4,273.67,886.95,27
RC,0278,CLIP SPNG EXTL FIX STER,400.68,320.55,111.27,360.61,27
RC,0278,CLIP ST SUGITA 10MM*VAT NLU*,1516.2,1212.96,421.05,1364.58,27
RC,0278,CLIP TMPR STD CURV 7.4X10.4MM,1599.74,1279.8,444.25,1439.77,27
RC,0278,CLIP TUBAL LIGATION FILSHIE,387.84,310.28,107.7,349.06,27
RC,0278,CLIP YASARGIL STD CURV 4.*NLU*,1590.41,1272.33,441.66,1431.37,27
RC,0278,CMNT BONE HYDROSET HA 10CC,10048.22,8038.58,2790.39,9043.4,27
RC,0278,CMNT BONE HYDROSET HA 5CC,5685.93,4548.75,1578.98,5117.34,27
RC,0278,CNTRCPT FALLOP RING 8MM,387.88,310.31,107.71,349.09,27
RC,0278,CNTRCPT KT RING FALLOP WO TROC,756.5,605.2,210.08,680.85,27
RC,0278,CNTRSINK CANN 4.0MM,1283.48,1026.79,356.42,1155.13,27
RC,0278,CNTRSINK DENTAL SHAFT END,474.19,379.36,131.68,426.77,27
RC,0278,CNTRSINK HDLSS PRGN 3.5MM,862.88,690.31,239.62,776.59,27
RC,0278,COIL 10 HEL HYPERSOFT 1.5X1,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 1.5X2,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 1.5X3,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 1.5X4,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 2.5X4,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 2X2,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 2X4,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 3X4,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HEL HYPERSOFT 3X8,2728.0,2182.4,757.57,2455.2,27
RC,0278,COIL 10 HYPERSOFT 3D 1.5X2,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 1.5X3,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 1.5X4,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 1X2,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 1X3,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 2.5X4,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 2.5X6,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 2X2,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 2X3,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 2X4,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 3.5X8,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 3X4,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 3X6,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 4X8,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 5X10,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 5X15,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 5X20,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 10 HYPERSOFT 3D 6X20,3303.3,2642.64,917.33,2972.97,27
RC,0278,COIL 400 *DISC NO REPLC*,4452.0,3561.6,1236.32,4006.8,27
RC,0278,COIL 400 COMPLEX S12MMX40*CIP*,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL 400 COMPLEX SOFT 3MMX10CM,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 COMPLEX SOFT 3MMX6CM,6412.0,5129.6,1780.61,5770.8,27
RC,0278,COIL 400 COMPLEX SOFT 4MMX12CM,6571.6,5257.28,1824.93,5914.44,27
RC,0278,COIL 400 COMPLEX SOFT 4MMX4CM,6022.8,4818.24,1672.53,5420.52,27
RC,0278,COIL 400 COMPLEX SOFT 4MMX8CM,6465.2,5172.16,1795.39,5818.68,27
RC,0278,COIL 400 COMPLEX SOFT 5MMX13CM,6596.8,5277.44,1831.93,5937.12,27
RC,0278,COIL 400 COMPLEX SOFT 5MMX6CM,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 COMPLEX SOFT 5MMX9CM,6490.4,5192.32,1802.38,5841.36,27
RC,0278,COIL 400 COMPLEX SOFT 6MMX10CM,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 COMPLEX SOFT 6MMX15CM,6650.0,5320.0,1846.71,5985.0,27
RC,0278,COIL 400 COMPLEX SOFT 7MMX10CM,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 COMPLEX SOFT 7MMX15CM,6650.0,5320.0,1846.71,5985.0,27
RC,0278,COIL 400 COMPLEX SOFT 7MMX20CM,6784.4,5427.52,1884.03,6105.96,27
RC,0278,COIL 400 COMPLEX SOFT 8MMX15CM,6650.0,5320.0,1846.71,5985.0,27
RC,0278,COIL 400 COMPLEX SOFT 8MMX20CM,6784.4,5427.52,1884.03,6105.96,27
RC,0278,COIL 400 COMPLEX SOFT 9MMX25CM,6916.0,5532.8,1920.57,6224.4,27
RC,0278,COIL 400 COMPLEX SOFT10MMX20CM,6426.0,5140.8,1784.5,5783.4,27
RC,0278,COIL 400 COMPLEX SOFT10MMX30CM,6546.8,5237.44,1818.05,5892.12,27
RC,0278,COIL 400 COMPLEX SOFT11MMX35CM,6669.0,5335.2,1851.98,6002.1,27
RC,0278,COIL 400 COMPLEX SOFT12MMX35CM,6669.0,5335.2,1851.98,6002.1,27
RC,0278,COIL 400 COMPLEX SOFT13MMX35CM,6669.0,5335.2,1851.98,6002.1,27
RC,0278,COIL 400 COMPLEX SOFT14MMX40CM,6930.0,5544.0,1924.46,6237.0,27
RC,0278,COIL 400 COMPLEX SOFT16MMX45CM,6552.0,5241.6,1819.49,5896.8,27
RC,0278,COIL 400 COMPLEX STD 10MMX20CM,5922.0,4737.6,1644.54,5329.8,27
RC,0278,COIL 400 COMPLEX STD 10MMX30CM,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 COMPLEX STD 10MMX40CM,6650.0,5320.0,1846.71,5985.0,27
RC,0278,COIL 400 COMPLEX STD 11MMX35CM,6582.8,5266.24,1828.04,5924.52,27
RC,0278,COIL 400 COMPLEX STD 12MMX35CM,6582.8,5266.24,1828.04,5924.52,27
RC,0278,COIL 400 COMPLEX STD 12MMX45CM,6717.2,5373.76,1865.37,6045.48,27
RC,0278,COIL 400 COMPLEX STD 13MMX48CM,6756.4,5405.12,1876.25,6080.76,27
RC,0278,COIL 400 COMPLEX STD 14MMX50CM,6784.4,5427.52,1884.03,6105.96,27
RC,0278,COIL 400 COMPLEX STD 15MMX57CM,6876.8,5501.44,1909.69,6189.12,27
RC,0278,COIL 400 COMPLEX STD 16MMX60CM,6916.0,5532.8,1920.57,6224.4,27
RC,0278,COIL 400 COMPLEX STD 18MMX57CM,6876.8,5501.44,1909.69,6189.12,27
RC,0278,COIL 400 COMPLEX STD 20MMX60CM,6916.0,5532.8,1920.57,6224.4,27
RC,0278,COIL 400 COMPLEX STD 22MMX60CM,6916.0,5532.8,1920.57,6224.4,27
RC,0278,COIL 400 COMPLEX STD 24MMX57CM,6876.8,5501.44,1909.69,6189.12,27
RC,0278,COIL 400 COMPLEX STD 28MMX60CM,7163.0,5730.4,1989.17,6446.7,27
RC,0278,COIL 400 COMPLEX STD 32MMX60CM,7163.0,5730.4,1989.17,6446.7,27
RC,0278,COIL 400 COMPLEX STD 4MMX8CM,5619.6,4495.68,1560.56,5057.64,27
RC,0278,COIL 400 COMPLEX STD 5MMX10CM,5670.0,4536.0,1574.56,5103.0,27
RC,0278,COIL 400 COMPLEX STD 5MMX6CM,5569.2,4455.36,1546.57,5012.28,27
RC,0278,COIL 400 COMPLEX STD 6MMX10CM,5670.0,4536.0,1574.56,5103.0,27
RC,0278,COIL 400 COMPLEX STD 6MMX15CM,5796.0,4636.8,1609.55,5216.4,27
RC,0278,COIL 400 COMPLEX STD 7MMX10CM,5670.0,4536.0,1574.56,5103.0,27
RC,0278,COIL 400 COMPLEX STD 7MMX15CM,5796.0,4636.8,1609.55,5216.4,27
RC,0278,COIL 400 COMPLEX STD 7MMX20CM,6252.4,5001.92,1736.29,5627.16,27
RC,0278,COIL 400 COMPLEX STD 8MMX20CM,6252.4,5001.92,1736.29,5627.16,27
RC,0278,COIL 400 COMPLEX STD 8MMX30CM,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 COMPLEX STD 9MMX25CM,6384.0,5107.2,1772.84,5745.6,27
RC,0278,COIL 400 COMPLEX STD 9MMX35CM,6582.8,5266.24,1828.04,5924.52,27
RC,0278,COIL 400 COMPLEX XSFT 2MMX2CM,5107.2,4085.76,1418.27,4596.48,27
RC,0278,COIL 400 COMPLEX XSFT 2MMX3CM,5387.2,4309.76,1496.03,4848.48,27
RC,0278,COIL 400 COMPLEX XSFT 2MMX4CM,5667.2,4533.76,1573.78,5100.48,27
RC,0278,COIL 400 COMPLEX XSFT 3MMX3CM,5387.2,4309.76,1496.03,4848.48,27
RC,0278,COIL 400 COMPLEX XSFT 3MMX4CM,5667.2,4533.76,1573.78,5100.48,27
RC,0278,COIL 400 COMPLEX XSFT 3MMX5CM,5944.4,4755.52,1650.76,5349.96,27
RC,0278,COIL 400 COMPLEX XSFT 3MMX6CM,6224.4,4979.52,1728.52,5601.96,27
RC,0278,COIL 400 COMPLEX XSFT 3MMX8CM,6784.4,5427.52,1884.03,6105.96,27
RC,0278,COIL 400 COMPLEX XSFT 4MMX4CM,5667.2,4533.76,1573.78,5100.48,27
RC,0278,COIL 400 COMPLEX XSFT 4MMX6CM,6224.4,4979.52,1728.52,5601.96,27
RC,0278,COIL 400 COMPLEX XSFT 4MMX8CM,6784.4,5427.52,1884.03,6105.96,27
RC,0278,COIL 400 COMPLEX XSFT4MMX10CM,6817.2,5453.76,1893.14,6135.48,27
RC,0278,COIL 400 CURV XTRA SOFT 2MMX1C,4561.2,3648.96,1266.65,4105.08,27
RC,0278,COIL 400 CURV XTRA SOFT 2MMX2C,4841.2,3872.96,1344.4,4357.08,27
RC,0278,COIL 400 CURV XTRA SOFT 2MMX3C,5121.2,4096.96,1422.16,4609.08,27
RC,0278,COIL 400 CURV XTRA SOFT 2MMX4C,5401.2,4320.96,1499.91,4861.08,27
RC,0278,COIL 400 CURV XTRA SOFT 3MMX2C,4841.2,3872.96,1344.4,4357.08,27
RC,0278,COIL 400 CURV XTRA SOFT 3MMX3C,4852.4,3881.92,1347.51,4367.16,27
RC,0278,COIL 400 CURV XTRA SOFT 3MMX4C,5401.2,4320.96,1499.91,4861.08,27
RC,0278,COIL 400 CURV XTRA SOFT 3MMX5C,5381.6,4305.28,1494.47,4843.44,27
RC,0278,COIL 400 CURV XTRA SOFT 3MMX6C,5958.4,4766.72,1654.65,5362.56,27
RC,0278,COIL 400 CURV XTRA SOFT 3MMX8C,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 CURV XTRA SOFT 4MMX10,6930.0,5544.0,1924.46,6237.0,27
RC,0278,COIL 400 CURV XTRA SOFT 4MMX4C,5401.2,4320.96,1499.91,4861.08,27
RC,0278,COIL 400 CURV XTRA SOFT 4MMX6C,5644.8,4515.84,1567.56,5080.32,27
RC,0278,COIL 400 CURV XTRA SOFT 4MMX8C,6518.4,5214.72,1810.16,5866.56,27
RC,0278,COIL 400 J SOFT 10CM,6350.4,5080.32,1763.51,5715.36,27
RC,0278,COIL 400 J SOFT 15CM,6602.4,5281.92,1833.49,5942.16,27
RC,0278,COIL 400 J SOFT 25CM,6598.8,5279.04,1832.49,5938.92,27
RC,0278,COIL 400 J SOFT 7CM,5695.2,4556.16,1581.56,5125.68,27
RC,0278,COIL ANRSM WEB SL 10X5MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 10X6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 10X7MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 10X8MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 11X6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 11X7MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 11X8MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 11X9MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 4X3MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 5X3MM VIA 17,37608.6,30086.88,10443.91,33847.74,27
RC,0278,COIL ANRSM WEB SL 5X3MM VIA 21,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 5X4MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 6X2MM,37608.6,30086.88,10443.91,33847.74,27
RC,0278,COIL ANRSM WEB SL 6X3MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 6X4MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 6X5MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 7X2MM,37608.6,30086.88,10443.91,33847.74,27
RC,0278,COIL ANRSM WEB SL 7X3MM VIA 17,37608.6,30086.88,10443.91,33847.74,27
RC,0278,COIL ANRSM WEB SL 7X3MM VIA 21,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 7X4MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 7X5MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 8X3MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 8X4MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 8X5MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 8X6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 9X4MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 9X5MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 9X6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SL 9X7MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 10X8.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 11X9.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 4X2.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 5X3.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 6X4.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 7X5.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 8X6.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL ANRSM WEB SLS 9X7.6MM,34086.0,27268.8,9465.68,30677.4,27
RC,0278,COIL AXIUM 3D 4MMX10CM,2576.0,2060.8,715.36,2318.4,27
RC,0278,COIL AXIUM 3D 5MMX15CM,2576.0,2060.8,715.36,2318.4,27
RC,0278,COIL AXIUM PRIME 3D 4MMX10CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 4MMX6CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 4MMX8CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 5MMX10CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 5MMX15CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 5MMX8CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 6MMX10CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 6MMX15CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME 3D 6MMX20CM,2880.0,2304.0,799.78,2592.0,27
RC,0278,COIL AXIUM PRIME FRM 10MMX20CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 12MMX30CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 12MMX40CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 14MMX40CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 4MMX12CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 4MMX15CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 4MMX8CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 5MMX15CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 5MMX20CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 6MMX10CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 6MMX15CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 6MMX20CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 6MMX25CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 7MMX12CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 7MMX15CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 7MMX20CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 7MMX30CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 8MMX15CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 8MMX20CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 8MMX30CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME FRM 9MMX20CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL AXIUM PRIME HLX 4MMX10CM,1759.8,1407.84,488.7,1583.82,27
RC,0278,COIL AXIUM PRIME HLX 4MMX12CM,1759.8,1407.84,488.7,1583.82,27
RC,0278,COIL AXIUM PRIME HLX 4MMX6CM,1759.8,1407.84,488.7,1583.82,27
RC,0278,COIL AXIUM PRIME HLX 4MMX8CM,1759.8,1407.84,488.7,1583.82,27
RC,0278,COIL AXIUM PRIME HLX 6MMX12CM,1759.8,1407.84,488.7,1583.82,27
RC,0278,COIL AXIUM PRIME HLX 6MMX20CM,1759.8,1407.84,488.7,1583.82,27
RC,0278,COIL AZUR CX 0.018 10MMX32CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.018 12MMX38CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.018 14MMX34CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.018 16MMX39CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.018 20MMX40CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.018 2MMX2CM,2881.6,2305.28,800.22,2593.44,27
RC,0278,COIL AZUR CX 0.018 2MMX4CM,2881.6,2305.28,800.22,2593.44,27
RC,0278,COIL AZUR CX 0.018 3MMX4CM,2881.6,2305.28,800.22,2593.44,27
RC,0278,COIL AZUR CX 0.018 3MMX8CM,2881.6,2305.28,800.22,2593.44,27
RC,0278,COIL AZUR CX 0.018 4MMX13CM,2881.6,2305.28,800.22,2593.44,27
RC,0278,COIL AZUR CX 0.018 5MMX16CM,2881.6,2305.28,800.22,2593.44,27
RC,0278,COIL AZUR CX 0.018 6MMX20CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.018 8MMX28CM,2878.4,2302.72,799.33,2590.56,27
RC,0278,COIL AZUR CX 0.035 10MMX19CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR CX 0.035 13MMX24CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR CX 0.035 16MMX32CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR CX 0.035 20MMX39CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR CX 0.035 4MMX7CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR CX 0.035 8MMX12CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR CX 0.035 8MMX24CM,3407.6,2726.08,946.29,3066.84,27
RC,0278,COIL AZUR HYDROPACK 0.018 20CM,3234.0,2587.2,898.08,2910.6,27
RC,0278,COIL AZUR HYDROPACK 0.018 35CM,4527.6,3622.08,1257.31,4074.84,27
RC,0278,COIL AZUR HYDROPACK 0.018 50CM,4527.6,3622.08,1257.31,4074.84,27
RC,0278,COIL AZUR HYDROPACK 0.018 60CM,4527.6,3622.08,1257.31,4074.84,27
RC,0278,COIL COMANECI 17 22MM,11180.0,8944.0,3104.69,10062.0,27
RC,0278,COIL COMANECI 32MM,11180.0,8944.0,3104.69,10062.0,27
RC,0278,COIL COMANECI PETIT 24MM,11180.0,8944.0,3104.69,10062.0,27
RC,0278,COIL COMPLEX 18 10MMX34CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 11MMX37CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 12MMX40CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 13MMX43CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 14MMX47CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 15MMX50CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 16MMX55CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 18MMX60CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 20MMX65CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 22MMX65CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 24MMX65CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 6MMX20CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 7MMX24CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 8MMX27CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX 18 9MMX30CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL COMPLEX SOFT 2.5MMX5CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 2MMX3CM,3640.0,2912.0,1010.83,3276.0,27
RC,0278,COIL COMPLEX SOFT 2MMX4CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 2MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 2MMX8CM,3640.0,2912.0,1010.83,3276.0,27
RC,0278,COIL COMPLEX SOFT 3MMX10CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 3MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 3MMX8CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 4MMX13CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 4MMX7CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 5MMX17CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 5MMX9CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 6MMX11CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 6MMX20CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 7MMX13CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 7MMX24CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 8MMX16CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SOFT 8MMX27CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 10MMX27CM,3640.0,2912.0,1010.83,3276.0,27
RC,0278,COIL COMPLEX STD 10MMX34CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 5MMX17CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 6MMX11CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 6MMX20CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 7MMX13CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 7MMX24CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 8MMX16CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 8MMX27CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX STD 9MMX23CM,3640.0,2912.0,1010.83,3276.0,27
RC,0278,COIL COMPLEX STD 9MMX30CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 1MMX1CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 1MMX2CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 1MMX3CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 1MMX4CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 2MMX2CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 2MMX3CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 2MMX4CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 2MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 2MMX8CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 3MMX10CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 3MMX4CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 3MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 3MMX8CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 4MMX10CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 4MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 4MMX8CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 5MMX10CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 5MMX13CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT 5MMX8CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT1.5MMX2CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT1.5MMX3CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT1.5MMX4CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT2.5MMX3CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT2.5MMX4CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT2.5MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT3.5MMX6CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL COMPLEX SUP SOFT3.5MMX8CM,4670.4,3736.32,1296.97,4203.36,27
RC,0278,COIL CONCERTO 10MMX30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO 4MMX10CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO 5MMX20CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO 6MMX20CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO 7MMX30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO 9MMX30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO HEL 12MMX30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO HEL 14MMX30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO HEL 16MMX40CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO HEL 18MMX40CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO HEL 20MMX50CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL CONCERTO NYLON 8MMX30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL COSMOS 10 2.5X4,3064.6,2451.68,851.04,2758.14,27
RC,0278,COIL COSMOS 10 3X6,3064.6,2451.68,851.04,2758.14,27
RC,0278,COIL EMBOL AZUR 18P 5MMX6CM,1113.0,890.4,309.08,1001.7,27
RC,0278,COIL EMBOL AZUR 35D 10MMX20CM,4044.6,3235.68,1123.19,3640.14,27
RC,0278,COIL EMBOL AZUR 35D 12MMX15CM,3777.2,3021.76,1048.93,3399.48,27
RC,0278,COIL EMBOL AZUR 35D 15MMX20CM,4044.6,3235.68,1123.19,3640.14,27
RC,0278,COIL EMBOL AZUR 35D 4MMX10CM,3507.0,2805.6,973.89,3156.3,27
RC,0278,COIL EMBOL AZUR 35D 6MMX10CM,3507.0,2805.6,973.89,3156.3,27
RC,0278,COIL EMBOL AZUR 35D 6MMX15CM,3777.2,3021.76,1048.93,3399.48,27
RC,0278,COIL EMBOL AZUR 35D 8MMX15CM,3777.2,3021.76,1048.93,3399.48,27
RC,0278,COIL EMBOL AZUR 35P 10MMX20CM,1757.7,1406.16,488.11,1581.93,27
RC,0278,COIL EMBOL AZUR 35P 15MMX20CM,1757.7,1406.16,488.11,1581.93,27
RC,0278,COIL EMBOL AZUR 35P 16MMX20CM,1757.7,1406.16,488.11,1581.93,27
RC,0278,COIL EMBOL AZUR 35P 6MMX10CM,1535.1,1228.08,426.3,1381.59,27
RC,0278,COIL EMBOL AZUR 35P 6MMX14CM,1757.7,1406.16,488.11,1581.93,27
RC,0278,COIL EMBOL AZUR 35P 8MMX20CM,1757.7,1406.16,488.11,1581.93,27
RC,0278,COIL EMBOL COMPLEX FINISH2.0X2,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FINISH2.0X4,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FINISH2.0X6,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FINISH3.0X6,3626.0,2900.8,1006.94,3263.4,27
RC,0278,COIL EMBOL COMPLEX FINISH3.0X8,3626.0,2900.8,1006.94,3263.4,27
RC,0278,COIL EMBOL COMPLEX FRM 2.0X4,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FRM 3.0X4,4746.0,3796.8,1317.96,4271.4,27
RC,0278,COIL EMBOL COMPLEX FRM 3.0X6,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FRM 3.0X8,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FRM 4.0X10,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FRM 5.0X20,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX FRM 6.0X30,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX SOFT 4.0X15,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX SOFT 5.0X20,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL EMBOL COMPLEX UNO1.0X10.0,6986.0,5588.8,1940.01,6287.4,27
RC,0278,COIL EMBOL COMPLEX UNO1.5X10.0,6986.0,5588.8,1940.01,6287.4,27
RC,0278,COIL EMBOL COMPLEX UNO1.5X15.0,6986.0,5588.8,1940.01,6287.4,27
RC,0278,COIL EMBOL COMPLEX UNO2.0X12.0,6986.0,5588.8,1940.01,6287.4,27
RC,0278,COIL EMBOL COMPLEX UNO2.0X20.0,6747.0,5397.6,1873.64,6072.3,27
RC,0278,COIL EMBOL COMPLEXFINISH3.0X10,3626.0,2900.8,1006.94,3263.4,27
RC,0278,COIL EMBOL FREEFORMMINI1MMX3CM,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFORMMINI2MMX4CM,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI1.5MMX3,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI1.5MMX4,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI1MMX2.5,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI1MMX2CM,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI1MMX4CM,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI2MMX3CM,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL FREEFROMMINI2MMX6CM,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COIL EMBOL HEL FILL 5.0X20,3184.0,2547.2,884.2,2865.6,27
RC,0278,COIL EMBOL HELFINISH3.0X10,3626.0,2900.8,1006.94,3263.4,27
RC,0278,COIL EMBOL HELFINISH4.0X10,3626.0,2900.8,1006.94,3263.4,27
RC,0278,COIL EMBOL HELICAL UNO 1.0X10,6986.0,5588.8,1940.01,6287.4,27
RC,0278,COIL EMBOL HELICAL UNO 1.0X8.0,7787.0,6229.6,2162.45,7008.3,27
RC,0278,COIL EMBOL HELICAL UNO1.5X10.0,7787.0,6229.6,2162.45,7008.3,27
RC,0278,COIL EMBOL HELICAL UNO1.5X15.0,7787.0,6229.6,2162.45,7008.3,27
RC,0278,COIL EMBOL HELICAL UNO2.0X12.0,6986.0,5588.8,1940.01,6287.4,27
RC,0278,COIL EMBOL HELICAL UNO2.0X20.0,6747.0,5397.6,1873.64,6072.3,27
RC,0278,COIL EMBOL HELIFORMXSFTXL2MMX6,4723.6,3778.88,1311.74,4251.24,27
RC,0278,COIL EMBOL HELIFORMXSFTXL2MMX8,4723.6,3778.88,1311.74,4251.24,27
RC,0278,COIL EMBOL XTRASOFT3.5MMX7.5CM,5586.0,4468.8,1551.23,5027.4,27
RC,0278,COIL EMBOLD FIBERED DETACH 2X4,2861.6,2289.28,794.67,2575.44,27
RC,0278,COIL EMBOLD FIBERED DETACH 2X6,2861.6,2289.28,794.67,2575.44,27
RC,0278,COIL EMBOLD FIBERED DETACH 3X6,2861.6,2289.28,794.67,2575.44,27
RC,0278,COIL EMBOLD FIBERED DETACH 4X8,2861.6,2289.28,794.67,2575.44,27
RC,0278,COIL EMBOLD FIBERED DETACH 5X8,2861.6,2289.28,794.67,2575.44,27
RC,0278,COIL EMBOLD FIBERED DETACH3X12,3147.2,2517.76,873.98,2832.48,27
RC,0278,COIL EMBOLD FIBERED DETACH4X15,3147.2,2517.76,873.98,2832.48,27
RC,0278,COIL EMBOLD FIBERED DETACH5X15,3147.2,2517.76,873.98,2832.48,27
RC,0278,COIL EMBOLD FIBERED DETACH6X10,3147.2,2517.76,873.98,2832.48,27
RC,0278,COIL EMBOLD FIBERED DETACH6X20,3147.2,2517.76,873.98,2832.48,27
RC,0278,COIL EMBOLD FIBERED DETACH8X20,3147.2,2517.76,873.98,2832.48,27
RC,0278,COIL EMBOLD FIBEREDDETACH10X30,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH10X50,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH12X30,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH12X50,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH14X30,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH14X50,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH18X50,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH20X50,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH22X60,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD FIBEREDDETACH32X60,3934.0,3147.2,1092.47,3540.6,27
RC,0278,COIL EMBOLD PACKING DETACH15CM,3567.2,2853.76,990.61,3210.48,27
RC,0278,COIL EMBOLD PACKING DETACH30CM,4354.0,3483.2,1209.11,3918.6,27
RC,0278,COIL EMBOLD PACKING DETACH45CM,4354.0,3483.2,1209.11,3918.6,27
RC,0278,COIL EMBOLD PACKING DETACH60CM,4354.0,3483.2,1209.11,3918.6,27
RC,0278,COIL HELICAL SOFT 3MMX10CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SOFT 3MMX4CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 3MMX6CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 3MMX8CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SOFT 4MMX10CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SOFT 4MMX6CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 4MMX8CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 5MMX10CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SOFT 5MMX6CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 5MMX8CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 6MMX10CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SOFT 6MMX6CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SOFT 6MMX8CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL STD 10MMX30CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL STD 6MMX15CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL STD 6MMX20CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL STD 7MMX20CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL STD 7MMX30CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL STD 8MMX20CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL STD 8MMX30CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL STD 9MMX30CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1.5MMX1C,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SUP SOFT 1.5MMX2C,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1.5MMX3C,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1.5MMX4C,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1MMX1CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1MMX2CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1MMX3CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 1MMX4CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 2.5MMX3C,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SUP SOFT 2.5MMX4C,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SUP SOFT 2.5MMX6C,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 2MMX1CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SUP SOFT 2MMX2CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 2MMX3CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 2MMX4CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 2MMX6CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 2MMX8CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 3MMX10CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 3MMX4CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 3MMX6CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 3MMX8CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 4MMX10CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 4MMX6CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 4MMX8CM,3609.2,2887.36,1002.27,3248.28,27
RC,0278,COIL HELICAL SUP SOFT 5MMX10CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SUP SOFT 5MMX6CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HELICAL SUP SOFT 5MMX8CM,3516.8,2813.44,976.62,3165.12,27
RC,0278,COIL HYDROFRM 10-SR 3D 1.5X2,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 1.5X3,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 1.5X4,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 1X2,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 1X3,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 2.5X6,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 2.5X8,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 2X3,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 2X4,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 2X6,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 2X8,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 3X10,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 3X4,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 3X8,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 4X10,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 4X15,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL HYDROFRM 10-SR 3D 5X20,4830.0,3864.0,1341.29,4347.0,27
RC,0278,COIL IMWCE-35*VAT 6177085*,370.44,296.36,102.87,333.4,27
RC,0278,COIL IMWCE-35-2-3,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-35-3-3,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-35-3-4,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-35-4-3,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-35-5-3,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-35-5-5,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-35-5-8,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-38-2-3*VAT 6178369*,370.44,296.36,102.87,333.4,27
RC,0278,COIL IMWCE-38-5-8,479.23,383.39,133.08,431.31,27
RC,0278,COIL IMWCE-38-8-10,479.23,383.39,133.08,431.31,27
RC,0278,COIL INTRLK18 2D 14MM30CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 3MMX6CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 4MMX15CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 4MMX8CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 5MMX8CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 6MMX10CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 6MMX20CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK18 2D 8MMX20CM,1980.0,1584.0,549.85,1782.0,27
RC,0278,COIL INTRLK35 2D HEL 3MMX4CM,2160.0,1728.0,599.83,1944.0,27
RC,0278,COIL INZONE DETACHMENT SYS,1222.2,977.76,339.4,1099.98,27
RC,0278,COIL MCWE-18-0.5-0-HILAL-01,456.84,365.48,126.86,411.16,27
RC,0278,COIL MICROPLEX 2MMX4CM,2138.4,1710.72,593.83,1924.56,27
RC,0278,COIL MICROPLEX 3MMX7CM,2138.4,1710.72,593.83,1924.56,27
RC,0278,COIL MICROPLEX 4MMX10CM,2138.4,1710.72,593.83,1924.56,27
RC,0278,COIL MICROPLEX 5MMX12CM,2138.4,1710.72,593.83,1924.56,27
RC,0278,COIL MICROPLEX 6MMX15CM,2257.2,1805.76,626.82,2031.48,27
RC,0278,COIL MICROPLEX 7MMX18CM,2257.2,1805.76,626.82,2031.48,27
RC,0278,COIL MICROPLEX 8MMX20CM,2257.2,1805.76,626.82,2031.48,27
RC,0278,COIL MREYE IMWCE-35-10-8,479.23,383.39,133.08,431.31,27
RC,0278,COIL MREYE IMWCE-35-15-10,479.23,383.39,133.08,431.31,27
RC,0278,COIL MREYE IMWCE-35-5-6,479.23,383.39,133.08,431.31,27
RC,0278,COIL MREYE IMWCE-35-8-10,479.23,383.39,133.08,431.31,27
RC,0278,COIL MREYE IMWCE-35-8-8,479.23,383.39,133.08,431.31,27
RC,0278,COIL MWCE 18-5-5 NESTER-01,450.77,360.62,125.18,405.69,27
RC,0278,COIL MWCE-18-1.0-*USE 6298612*,239.12,191.3,66.4,215.21,27
RC,0278,COIL MWCE-18-1.0-0-HILAL-01,456.84,365.48,126.86,411.16,27
RC,0278,COIL MWCE-18-1.5-*USE 6298615*,468.0,374.4,129.96,421.2,27
RC,0278,COIL MWCE-18-14-10-NESTER-01,482.67,386.14,134.04,434.4,27
RC,0278,COIL MWCE-18-14-3-NESTER-01,482.67,386.14,134.04,434.4,27
RC,0278,COIL MWCE-18-14-4-NESTER-01,482.67,386.14,134.04,434.4,27
RC,0278,COIL MWCE-18-14-5-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-14-6-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-14-8-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-2.1-*USE 6298614*,850.5,680.4,236.18,765.45,27
RC,0278,COIL MWCE-18-3-2*USE 6298645*,372.6,298.08,103.47,335.34,27
RC,0278,COIL MWCE-18-3-2-NESTER-01,450.77,360.62,125.18,405.69,27
RC,0278,COIL MWCE-18-3-3*DISC 6298657*,372.6,298.08,103.47,335.34,27
RC,0278,COIL MWCE-18-3-3-NESTER-01,450.77,360.62,125.18,405.69,27
RC,0278,COIL MWCE-18-3.0-*USE 6298613*,877.5,702.0,243.68,789.75,27
RC,0278,COIL MWCE-18-4.0-*USE 6298614*,877.5,702.0,243.68,789.75,27
RC,0278,COIL MWCE-18-5-2-*DISC 6298646,372.6,298.08,103.47,335.34,27
RC,0278,COIL MWCE-18-5-2-NESTER-01,450.77,360.62,125.18,405.69,27
RC,0278,COIL MWCE-18-5-3-*USE 6298647*,372.6,298.08,103.47,335.34,27
RC,0278,COIL MWCE-18-5-3-NESTER-01,450.77,360.62,125.18,405.69,27
RC,0278,COIL MWCE-18-7-1*DISC 6298637*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-18-7-2*DISC 6298648*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-18-7-2-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-7-3-*USE 6298649*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-18-7-3-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-7-4-*USE 6298616*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-18-7-4-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-7-5-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-7-6*DISC 6298614*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-18-7-6-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18-7-8-*USE 6298613*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-18-7-8-NESTER-01,494.96,395.97,137.45,445.46,27
RC,0278,COIL MWCE-18S-10/4-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-18S-3/2*USE 6298618*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-18S-3/2-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-18S-4/2*USE 6298620*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-18S-4/2-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-18S-5/2-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-18S-6/2*USE 6298617*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-18S-6/2-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-18S-7/3*USE 6298623*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-18S-7/3-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-18S-8/4*USE 6298621*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-18S-8/4-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-35-10/5-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-35-14-1*USE 6298643*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-35-14-1*USE 6298654*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-35-14-10-NESTER-01,566.96,453.57,157.44,510.26,27
RC,0278,COIL MWCE-35-14-12-NESTER-01,566.96,453.57,157.44,510.26,27
RC,0278,COIL MWCE-35-14-14-NESTER-01,566.96,453.57,157.44,510.26,27
RC,0278,COIL MWCE-35-14-16 NESTER-01,566.96,453.57,157.44,510.26,27
RC,0278,COIL MWCE-35-14-18 NESTER-01,566.96,453.57,157.44,510.26,27
RC,0278,COIL MWCE-35-14-4 NESTER-01,482.67,386.14,134.04,434.4,27
RC,0278,COIL MWCE-35-14-6*USE 6298634*,391.2,312.96,108.64,352.08,27
RC,0278,COIL MWCE-35-14-6-NESTER-01,482.67,386.14,134.04,434.4,27
RC,0278,COIL MWCE-35-14-8-NESTER-01,482.67,386.14,134.04,434.4,27
RC,0278,COIL MWCE-35-20-10-NESTER-01,618.71,494.97,171.82,556.84,27
RC,0278,COIL MWCE-35-20-12-NESTER-01,618.71,494.97,171.82,556.84,27
RC,0278,COIL MWCE-35-20-14-NESTER-01,618.71,494.97,171.82,556.84,27
RC,0278,COIL MWCE-35-20-16-NESTER-01,618.71,494.97,171.82,556.84,27
RC,0278,COIL MWCE-35-20-18-NESTER-01,618.71,494.97,171.82,556.84,27
RC,0278,COIL MWCE-35-4/3-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-35-5/3-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-35-6/3-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-35-7-10-NESTER-01,477.77,382.22,132.68,429.99,27
RC,0278,COIL MWCE-35-7-3-NESTER-01,477.77,382.22,132.68,429.99,27
RC,0278,COIL MWCE-35-7-4-*USE 6298650*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-35-7-4-NESTER-01,477.77,382.22,132.68,429.99,27
RC,0278,COIL MWCE-35-7-6*DISC 6298651*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-35-7-6-NESTER-01,477.77,382.22,132.68,429.99,27
RC,0278,COIL MWCE-35-7-8*DISC 6298652*,361.2,288.96,100.31,325.08,27
RC,0278,COIL MWCE-35-7-8-NESTER-01,477.77,382.22,132.68,429.99,27
RC,0278,COIL MWCE-35-7/3-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE-35-8/4-TORNADO-01,500.27,400.22,138.92,450.24,27
RC,0278,COIL MWCE35-14-4N*USE 6298644*,391.2,312.96,108.64,352.08,27
RC,0278,COIL OCCL VORTX-35 4X4MM,360.96,288.77,100.24,324.86,27
RC,0278,COIL OCCL VORTX-35 5X4.5MM,360.96,288.77,100.24,324.86,27
RC,0278,COIL OCCL VORTX-35 7X5.5MM,360.96,288.77,100.24,324.86,27
RC,0278,COIL OPTIMA COMPLEX18 5MMX10CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 10MMX40CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 4.5MMX10CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 4.5MMX4.5CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 4MMX10CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 4MMX13CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 4MMX4CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 4MMX7CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 5MMX10CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 5MMX17CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 5MMX7CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 6MMX11CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 6MMX15CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 6MMX20CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 7MMX15CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 7MMX20CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 8MMX20CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 8MMX30CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SOFT 9MMX30CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 1MMX2CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 1MMX3CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 2MMX2CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 2MMX3CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 2MMX4CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 2MMX6CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 3MMX10CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 3MMX3CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT 3MMX7CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT1.5MMX2CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT1.5MMX3CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT1MMX1CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT2.5MMX5CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT3.5MMX5CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAX SUP SOFT3.5MMX8CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAXSUPSOFT2.5MMX2.5CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL OPTIMAXSUPSOFT3.5MMX3.5CM,6641.6,5313.28,1844.37,5977.44,27
RC,0278,COIL PIPELIN*DISC USE 6321659*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELIN*DISC USE 6321692*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELIN*DISC USE 6321696*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELIN*DISC USE 6321727*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELIN*DISC USE 6321733*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELIN*DISC USE 6321735*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE *DISC 6321649*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE *DISC 6321650*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL&DISC 6321703*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FL*DISC 6321648*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321651*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321655*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321656*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321661*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321663*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321664*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321665*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321670*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321671*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321672*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321673*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321681*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321682*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321683*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 63216849,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FL*DISC 6321689*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321690*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321691*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321697*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321698*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321699*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321700*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321701*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FL*DISC 6321704*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321705*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321706*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321707*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321708*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FL*DISC 6321714*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321715*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321716*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321717*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FL*DISC 6321723*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321724*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321725*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321726*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FL*DISC 6321729*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321730*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321731*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321732*,32400.0,25920.0,8997.48,29160.0,27
RC,0278,COIL PIPELINE FL*DISC 6321734*,35280.0,28224.0,9797.26,31752.0,27
RC,0278,COIL PIPELINE FLEX 2.50X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.50X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.50X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.50X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.50X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.50X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.75X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.75X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.75X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.75X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.75X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 2.75X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.00X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.00X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.00X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.25X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.25X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.25X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.25X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.25X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.25X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.25X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.25X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.25X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.50X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.50X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.50X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.50X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.50X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.50X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.50X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.50X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.50X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.75X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.75X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.75X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.75X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.75X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.75X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 3.75X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.75X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 3.75X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.00X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.00X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.00X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.00X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.00X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.00X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.00X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.00X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.25X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.25X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.25X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.25X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.25X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.25X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.25X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.25X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.50X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.50X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.50X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.50X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.50X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.50X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.50X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.50X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.50X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.75X10MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.75X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.75X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.75X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.75X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.75X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 4.75X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.75X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 4.75X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 5.00X12MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 5.00X14MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 5.00X16MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 5.00X18MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 5.00X20MM,34020.0,27216.0,9447.35,30618.0,27
RC,0278,COIL PIPELINE FLEX 5.00X25MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 5.00X30MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE FLEX 5.00X35MM,37044.0,29635.2,10287.12,33339.6,27
RC,0278,COIL PIPELINE VANTAGE2.50X10MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE2.50X12MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE2.50X14MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE2.50X16MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.50X18MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.50X20MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.75X12MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.75X14MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.75X16MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.75X18MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE2.75X20MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.00X12MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.00X14MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.00X16MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.00X18MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.00X20MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.25X12MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.25X14MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.25X16MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.25X18MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.25X20MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.50X12MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.50X14MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.50X16MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.50X18MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PIPELINE VANTAGE3.50X20MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE3.50X25MM,37082.4,29665.92,10297.78,33374.16,27
RC,0278,COIL PIPELINE VANTAGE5.00X25MM,42600.0,34080.0,11830.02,38340.0,27
RC,0278,COIL PLAT FBR 2X5MM,407.04,325.64,113.04,366.34,27
RC,0278,COIL PLAT FBR HEL 4X4MM,407.04,325.64,113.04,366.34,27
RC,0278,COIL PLT FBR LOOP 0.035 3X2.6,360.96,288.77,100.24,324.86,27
RC,0278,COIL PLT FBR LOOP 0.035 3X5.2,360.96,288.77,100.24,324.86,27
RC,0278,COIL PRIME XSFT 3D 1.5MMX2CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 1.5MMX3CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 1.5MMX4CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 1MMX2CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 1MMX3CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 1MMX4CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 2.5MMX4CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 2.5MMX6CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 2MMX2CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 2MMX3CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 2MMX4CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 3.5MMX10CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 3.5MMX6CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 3.5MMX8CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 3MMX4CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 3MMX6CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT 3D 3MMX8CM,4690.0,3752.0,1302.41,4221.0,27
RC,0278,COIL PRIME XSFT HLX 1.5MMX1CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 1.5MMX4CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 1MMX1CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 1MMX2CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 1MMX3CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 2.5MMX3CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 2.5MMX6CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 2.5MMX8CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 2MMX1CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 3MMX10CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 3MMX4CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL PRIME XSFT HLX 3MMX8CM,3290.0,2632.0,913.63,2961.0,27
RC,0278,COIL RUBY COMPLEX 12MMX40*CIP*,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX 14MMX40*CIP*,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX 4MMX15*CIP*,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX 4MMX30*CIP*,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX 5MMX20*CIP*,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX 6MMX12*CIP*,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX 7MMX40*CIP*,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX SOFT 2MMX1CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY COMPLEX SOFT 2MMX2CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY COMPLEX SOFT 2MMX4CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY COMPLEX SOFT 3MMX5CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY COMPLEX SOFT 4MMX6CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY COMPLEX SOFT3MMX15CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX SOFT4MMX15CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX SOFT6MMX20CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX SOFT6MMX30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX SOFT8MMX35CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX SOFT8MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD 3MMX12CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 3MMX20CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 3MMX5CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY COMPLEX STD 4MMX10CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 4MMX20CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 4MMX35CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD 5MMX12CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 5MMX30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD 6MMX20CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 6MMX30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD 7MMX25CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 8MMX25CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY COMPLEX STD 8MMX40CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD 9MMX30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD10MMX35CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD12MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD14MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD16MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD18MMX57CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD20MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD24MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD28MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD32MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD36MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEX STD40MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEXSFT16MMX50CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY COMPLEXSFT20MMX60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY LP 1MMX2CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY LP 1MMX5CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY LP 2MMX10CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY LP 2MMX2CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY LP 2MMX4CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY LP 3MMX10CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY LP 3MMX15CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY LP 3MMX4CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY LP 4MMX15CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY LP 4MMX30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY LP 4MMX6CM,2528.0,2022.4,702.03,2275.2,27
RC,0278,COIL RUBY PKNG LP 10CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY PKNG LP 15CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY PKNG LP 30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY PKNG LP 3CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY PKNG LP 6CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY PKNG XL 15CM,5600.0,4480.0,1555.12,5040.0,27
RC,0278,COIL RUBY PKNG XL 30CM,6760.0,5408.0,1877.25,6084.0,27
RC,0278,COIL RUBY PKNG XL 45CM,6760.0,5408.0,1877.25,6084.0,27
RC,0278,COIL RUBY PKNG XL 55CM,7800.0,6240.0,2166.06,7020.0,27
RC,0278,COIL RUBY PKNG XL 70CM,7800.0,6240.0,2166.06,7020.0,27
RC,0278,COIL RUBY POD 10MMX60CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 12MMX60CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 14MMX60CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 3MMX20CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 4MMX30CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 5MMX30CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 6MMX50CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD 8MMX60CM,5012.0,4009.6,1391.83,4510.8,27
RC,0278,COIL RUBY POD PKNG J-SOFT 15CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY POD PKNG J-SOFT 30CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY POD PKNG J-SOFT 45CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY POD PKNG J-SOFT 5CM,3168.0,2534.4,879.75,2851.2,27
RC,0278,COIL RUBY POD PKNG J-SOFT 60CM,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL RUBY POD XL 10MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY POD XL 12MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY POD XL 14MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY POD XL 16MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY POD XL 4MMX10CM,5684.0,4547.2,1578.45,5115.6,27
RC,0278,COIL RUBY POD XL 4MMX30CM,6838.0,5470.4,1898.91,6154.2,27
RC,0278,COIL RUBY POD XL 5MMX10CM,5684.0,4547.2,1578.45,5115.6,27
RC,0278,COIL RUBY POD XL 5MMX30CM,6838.0,5470.4,1898.91,6154.2,27
RC,0278,COIL RUBY POD XL 6MMX20CM,5684.0,4547.2,1578.45,5115.6,27
RC,0278,COIL RUBY POD XL 6MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY POD XL 8MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY POD XL 8MMX70CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY XL 20MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY XL 24MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY XL 28MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY XL 32MMX55CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBY XL 40MMX70CM,7878.0,6302.4,2187.72,7090.2,27
RC,0278,COIL RUBYCOMPLEX10MMX35CM*CIP*,3612.0,2889.6,1003.05,3250.8,27
RC,0278,COIL SMART PLUS STD 10MMX30CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART PLUS STD 12MMX45CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 2MMX3CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 3MMX4CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 3MMX6CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 3MMX8CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 4MMX10CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 4MMX6CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 4MMX8CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 5MMX10CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 5MMX15CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 5MMX6CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 6MMX15CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 7MMX15CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART SOFT 8MMX20CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 4MMX8CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 5MMX10CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 5MMX15CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 6MMX15CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 6MMX20CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 7MMX15CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 7MMX25CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 8MMX20CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART STD 8MMX30CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART WAVE XSFT 1MMX1CM,3164.0,2531.2,878.64,2847.6,27
RC,0278,COIL SMART WAVE XSFT 1MMX2CM,3164.0,2531.2,878.64,2847.6,27
RC,0278,COIL SMART WAVE XSFT 1MMX3CM,3164.0,2531.2,878.64,2847.6,27
RC,0278,COIL SMART WAVE XSFT 2MMX3CM,3164.0,2531.2,878.64,2847.6,27
RC,0278,COIL SMART WAVE XSFT 3MMX6CM,3164.0,2531.2,878.64,2847.6,27
RC,0278,COIL SMART WAVE XSFT 4MMX6CM,3164.0,2531.2,878.64,2847.6,27
RC,0278,COIL SMART XSFT 1.5MMX2CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 1.5MMX3CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 1MMX1.5CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 1MMX1CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 1MMX2CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 1MMX3CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 2.5MMX4CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 2MMX2CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 2MMX3CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 2MMX4CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 3MMX4CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 3MMX6CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 4MMX6CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL SMART XSFT 4MMX8CM,4760.0,3808.0,1321.85,4284.0,27
RC,0278,COIL TARGET 360 NANO 2MMX3CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET 3D 4MMX8CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET HEL 1MMX2CM,4329.36,3463.49,1202.26,3896.42,27
RC,0278,COIL TARGET HEL NANO 2MMX3CM,4329.36,3463.49,1202.26,3896.42,27
RC,0278,COIL TARGET HEL NANO 2MMX4CM,4329.36,3463.49,1202.26,3896.42,27
RC,0278,COIL TARGET HEL NANO 3MMX6CM,4329.36,3463.49,1202.26,3896.42,27
RC,0278,COIL TARGET SOFT 3MMX6CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET SOFT 4MMX15CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET SOFT 5MMX10CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET SOFT 6MMX15CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET TETRA 1.5MMX2.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 1.5MMX3.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.0MMX2.5CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.0MMX3.5CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.0MMX4.5CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.0MMX6.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.5MMX3.5CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.5MMX4.5CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 2.5MMX6.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.0MMX10.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.0MMX4.5CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.0MMX6.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.0MMX8.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.5MMX10.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.5MMX6.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 3.5MMX8.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 4.0MMX10.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 4.0MMX6.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 4.0MMX8.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET TETRA 4.5MMX10.0CM,6766.2,5412.96,1878.97,6089.58,27
RC,0278,COIL TARGET ULT 1MMX3CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET ULT 4MMX10CM,6670.44,5336.36,1852.38,6003.4,27
RC,0278,COIL TARGET XLSOFT 10MMX40CM,8475.48,6780.39,2353.64,7627.93,27
RC,0278,COIL TARGET XLSOFT 8MMX30CM,8475.48,6780.39,2353.64,7627.93,27
RC,0278,COIL VFC VERSATILE 1-3X3CM,2464.0,1971.2,684.25,2217.6,27
RC,0278,COIL VFC VERSATILE 10-15X30,5950.0,4760.0,1652.32,5355.0,27
RC,0278,COIL VFC VERSATILE 15-20X40,5950.0,4760.0,1652.32,5355.0,27
RC,0278,COIL VFC VERSATILE 3-6X10CM,2604.8,2083.84,723.35,2344.32,27
RC,0278,COIL VFC VERSATILE 3-6X15CM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,COIL VFC VERSATILE 3-6X6CM,2464.0,1971.2,684.25,2217.6,27
RC,0278,COIL VFC VERSATILE 6-10X20,5950.0,4760.0,1652.32,5355.0,27
RC,0278,COILEMBOLFREEFROMMINI2.5MMX4.5,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COILEMBOLFREEFROMMINI2.5MMX5.5,5524.4,4419.52,1534.13,4971.96,27
RC,0278,COLLAGEN BIOMAINTAINOUSIA20X30,635.81,508.65,176.56,572.23,27
RC,0278,CONFORMER EYE NO HL STER MD,345.6,276.48,95.97,311.04,27
RC,0278,CONN CATH FLEX NECK TI 2PC,679.5,543.6,188.7,611.55,27
RC,0278,CONN CATH SHNT ST 1.5CM,361.92,289.54,100.51,325.73,27
RC,0278,CONN CLSD SOLERA 4.75 4.75X35,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN CLSD SOLERA 4.75 5.5X25,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN CROSS CREO 5.5 29-33MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN CROSS CREO 5.5 32-40MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN CROSS CREO 5.5 38-50MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN CROSS CREO 6.0 38-50MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN CROSS SFX TI LAT 5.5 A2,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN CROSS SFX TI MEDL 5.5 A3,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN CROSS SFX TI MEDL 5.5 A4,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN CROSS SFX TI MEDL 5.5 A5,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN CROSS SFX TI MEDL 5.5 A6,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN CROSS SFX TI MEDL 5.5 A7,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN DOMINO VA 5.5X6.0MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN EXPD DEPU 6.35 20MM,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN EXPD DEPU 6.35 40MM,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN EXPD DEPU 6.35 60MM,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN LAT CLSD STER 13MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN LAT CLSD STER 19MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN LAT LNG 4.0MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN LAT MARINER 5.5X30MM,2120.4,1696.32,588.84,1908.36,27
RC,0278,CONN LAT MARINER 5.5X45MM,2120.4,1696.32,588.84,1908.36,27
RC,0278,CONN LAT MARINER 5.5X60MM,2120.4,1696.32,588.84,1908.36,27
RC,0278,CONN LAT OPEN 19MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN LAT OPEN ANG 19MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN LAT OPEN CLSD 12X5.5-6.35,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN LAT OPEN STER 13MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN LAT SHRT 3.5MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN LAT SOLERA 5.5/6.0 6.0X35,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN LAT SOLERA 5.5/6.0 6.0X70,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN MA SCREW EXT 4.75MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN MA SCREW EXT 45.5/6.0/6.3,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN MA SCREW EXTSTER3.2/3.5MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN MODLR HD CREO LAT5.5X6.35,5096.0,4076.8,1415.16,4586.4,27
RC,0278,CONN MODLRHDCREOSUPIOR5.5X6.35,5096.0,4076.8,1415.16,4586.4,27
RC,0278,CONN OC EYELET OFFSET,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN OC EYELET STD,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN OC LAT CLSD 10MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN OC LAT OPEN 10MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN OFFSET DEPU 6.35X5.5MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN OFFSET LAT EVEREST 35MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN OFFSET SIDE LAT YUKON10MM,1764.0,1411.2,489.86,1587.6,27
RC,0278,CONN PLUG SENSIGHT DBS,1260.0,1008.0,349.9,1134.0,27
RC,0278,CONN PRLL ROD TO ROD 4.0-4.0MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN PRLL ROD TO ROD 4.0-5.5MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN QUARTEX INLINE 4.0-4.0MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN QUARTEX INLINE 4.0-6.5MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN QUARTEX LAT 3.5MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN QUARTEX LAT 4.0MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN ROD LAT QUARTEX SHRT4.0MM,1890.0,1512.0,524.85,1701.0,27
RC,0278,CONN ROD TO ROD SEAS MD 4.0MM,2120.4,1696.32,588.84,1908.36,27
RC,0278,CONN SGL HD CREO 5.5X6.0-6.35,3052.0,2441.6,847.54,2746.8,27
RC,0278,CONN SHNT NYLON *DISC NO REPL*,362.88,290.31,100.77,326.59,27
RC,0278,CONN SHNT NYLON PUDENZ 3W*CIP*,543.29,434.64,150.87,488.96,27
RC,0278,CONN SPNL ROD TO ROD LG 4.0MM,2120.4,1696.32,588.84,1908.36,27
RC,0278,CONN T HD TO HD 21-27MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T HD TO HD 27-33MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T HD TO HD 33-39MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T HD TO HD 39-45MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T HD TO HD 45-51MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 21-27X3.5MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 21-27X4.0MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 27-33X3.5MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 27-33X4.0MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 39-45X3.5MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 45-51X3.5MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN T ROD TO ROD 45-51X4.0MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CONN TOP NOTCH DEPU 5.5X5.5MM,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN TOP NOTCHDEPU6.35X5.5MM,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN TRNVRS EVEREST 5.5/6MM LG,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN TRNVRS EVEREST 5.5/6MM MD,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN TRNVRS EVEREST 5.5/6MM XL,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN TRNVRS HD-TO-HD ANG XLNG,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN TRNVRS HD-TO-HD TI XLNG,2185.2,1748.16,606.83,1966.68,27
RC,0278,CONN VERTEX OPEN END 10MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CONN VERTEX OPEN END LAT 13MM,2134.8,1707.84,592.83,1921.32,27
RC,0278,CORE FORT 14MM 0D 18-20MM,13476.0,10780.8,3742.29,12128.4,27
RC,0278,CORE FORT 14MM 0D 18-24MM,13476.0,10780.8,3742.29,12128.4,27
RC,0278,CORE FORT 14MM 0D 20-24MM,13476.0,10780.8,3742.29,12128.4,27
RC,0278,CORE FORT 14MM 24-32MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORT 14MM 28-40MM,2106.0,1684.8,584.84,1895.4,27
RC,0278,CORE FORT 14MM 3.5D 19-20MM,13476.0,10780.8,3742.29,12128.4,27
RC,0278,CORE FORT 14MM 3.5D 20-22*NLU*,13941.6,11153.28,3871.58,12547.44,27
RC,0278,CORE FORT 14MM 49-71MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 0D 12X15-19MM,12660.0,10128.0,3515.68,11394.0,27
RC,0278,CORE FORTIFY 0D 12X16-19MM,12660.0,10128.0,3515.68,11394.0,27
RC,0278,CORE FORTIFY 12X18-23MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 12X19-25MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 12X21-29MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 12X25-37MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 12X33-53MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 12X48-71MM,12545.0,10036.0,3483.75,11290.5,27
RC,0278,CORE FORTIFY 20X23-28MM,13000.0,10400.0,3610.1,11700.0,27
RC,0278,CORE FORTIFY 20X26-34MM,13000.0,10400.0,3610.1,11700.0,27
RC,0278,CORE FORTIFY 20X31-44MM,13000.0,10400.0,3610.1,11700.0,27
RC,0278,CORE FORTIFY 20X41-64MM,13000.0,10400.0,3610.1,11700.0,27
RC,0278,CORE FORTIFY 20X62-92MM,13000.0,10400.0,3610.1,11700.0,27
RC,0278,CORE FORTIFY 3.5D 12X17-20MM,12660.0,10128.0,3515.68,11394.0,27
RC,0278,COV BUR HL GUARDIAN,2720.0,2176.0,755.34,2448.0,27
RC,0278,COV BUR HL PDLLA 5HL 17MM,2085.64,1668.52,579.18,1877.08,27
RC,0278,COV BUR MTXNEURO TI 12MM,777.24,621.8,215.84,699.52,27
RC,0278,COV BUR MTXNEURO TI 17MM,777.24,621.8,215.84,699.52,27
RC,0278,COV SCREW WRIST HUB CAP,643.5,514.8,178.7,579.15,27
RC,0278,CPLE FLOW MICROVASC GLD 3MM,3071.6,2457.28,852.98,2764.44,27
RC,0278,CPLE FLOW MICROVASC GRN 2MM,3071.6,2457.28,852.98,2764.44,27
RC,0278,CPLE FLOW MICROVASC ORG 4MM,3071.6,2457.28,852.98,2764.44,27
RC,0278,CPLE FLOW MICROVASC PUR 3.5MM,3071.6,2457.28,852.98,2764.44,27
RC,0278,CPLE FLOW MICROVASC RED 2.5MM,3071.6,2457.28,852.98,2764.44,27
RC,0278,CPLE MICROVASC BLU 1.5MM,1659.0,1327.2,460.7,1493.1,27
RC,0278,CPLE MICROVASC GLD 3MM,1659.0,1327.2,460.7,1493.1,27
RC,0278,CPLE MICROVASC GRN 2MM,1659.0,1327.2,460.7,1493.1,27
RC,0278,CPLE MICROVASC GRY 1MM,1659.0,1327.2,460.7,1493.1,27
RC,0278,CPLE MICROVASC ORG 4MM,1659.0,1327.2,460.7,1493.1,27
RC,0278,CPLE MICROVASC PUR 3.5MM,1659.0,1327.2,460.7,1493.1,27
RC,0278,CPLE MICROVASC RED 2.5M,1659.0,1327.2,460.7,1493.1,27
RC,0278,CRANI IMPLT CUST MD,30600.0,24480.0,8497.62,27540.0,27
RC,0278,CRANI IMPLT PEEK SYNT 501 CUST,23081.33,18465.07,6409.69,20773.2,27
RC,0278,CROSSLINK 58-70MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,CROSSLINK OC ROD/ROD MD,2185.2,1748.16,606.83,1966.68,27
RC,0278,CROSSLINK ROD-ROD STER LG,2185.2,1748.16,606.83,1966.68,27
RC,0278,CROSSLINK ROD-ROD STER SM,2185.2,1748.16,606.83,1966.68,27
RC,0278,CTRL PUMP AMS 800 IZ,19392.0,15513.6,5385.16,17452.8,27
RC,0278,DBM CORT PLIAFXSTRIP25X50X4MM,2836.4,2269.12,787.67,2552.76,27
RC,0278,DEL SYS MITRACLIP G4,72000.0,57600.0,19994.4,64800.0,27
RC,0278,DEL SYS MITRACLIP G5,79200.0,63360.0,21993.84,71280.0,27
RC,0278,DEV AORTIC HAART 200 19MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 200 21MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 200 23MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 200 25MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 300 19MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 300 21MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 300 23MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV AORTIC HAART 300 25MM,15600.0,12480.0,4332.12,14040.0,27
RC,0278,DEV CATERPILLAR ART EMBOL0.027,3080.0,2464.0,855.32,2772.0,27
RC,0278,DEV CATERPILLAR ART EMBOL0.038,3080.0,2464.0,855.32,2772.0,27
RC,0278,DEV CATERPILLAR ART EMBOL0.056,3080.0,2464.0,855.32,2772.0,27
RC,0278,DEV CLSR LAA WATCHMAN 21MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAA WATCHMAN 24MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAA WATCHMAN 27MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAA WATCHMAN 30MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAA WATCHMAN 33MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLX WATCHMAN20MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLX WATCHMAN24MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLX WATCHMAN27MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLX WATCHMAN31MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLX WATCHMAN35MM,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN20,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN24,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN27,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN31,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN35,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV CLSR LAAC FLXPROWATCHMAN40,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV PIPELINE EMBOL 4.5MM*DISC*,31920.0,25536.0,8864.18,28728.0,27
RC,0278,DEV PRCD 25 WATCHMAN,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV PRCD WATCHMAN FLEX PRO,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV PRCD WATCHMAN FLX,40800.0,32640.0,11330.16,36720.0,27
RC,0278,DEV PRCD WATCHMAN FLX PRO FXD,3200.0,2560.0,888.64,2880.0,27
RC,0278,DEV PRCD WATCHMAN FXD CURV,3200.0,2560.0,888.64,2880.0,27
RC,0278,DEV SOLITAIRE PLAT MINI,15660.0,12528.0,4348.78,14094.0,27
RC,0278,DEV SWVLK SL W FORK 3.5X8.5MM,1963.5,1570.8,545.26,1767.15,27
RC,0278,DEV SWVLK W CLSD 3.5X13.5MM,1963.5,1570.8,545.26,1767.15,27
RC,0278,DISTRAC ACTIV ARM RIGIDKL*NLU*,2996.0,2396.8,831.99,2696.4,27
RC,0278,DISTRAC ARM RIGID 43MM,3466.88,2773.51,962.75,3120.19,27
RC,0278,DISTRAC ARM RIGID KLS 33MM,3466.88,2773.51,962.75,3120.19,27
RC,0278,DISTRAC BC END U-JOINT CMF20MM,12948.19,10358.56,3595.71,11653.37,27
RC,0278,DISTRAC MAND MICRO STER 24HL30,18092.38,14473.91,5024.25,16283.14,27
RC,0278,DISTRAC MICRO II END MESH 25MM,18874.87,15099.9,5241.55,16987.38,27
RC,0278,DISTRAC MICRO ZURICH2 END 15MM,18775.8,15020.64,5214.04,16898.22,27
RC,0278,DIVERTER FLOW FRED21 2.5X18MM,31670.4,25336.32,8794.87,28503.36,27
RC,0278,DIVERTER FLOW FRED21 3.0X13MM,31670.4,25336.32,8794.87,28503.36,27
RC,0278,DIVERTER FLOW FRED27 4.0X18MM,28704.0,22963.2,7971.1,25833.6,27
RC,0278,DIVERTER FLOW FRED27 4.5X20MM,28704.0,22963.2,7971.1,25833.6,27
RC,0278,DIVERTER FLOW FRED27 4.5X25MM,28704.0,22963.2,7971.1,25833.6,27
RC,0278,DIVERTER FLOW FREDX21 2.5X18MM,31670.4,25336.32,8794.87,28503.36,27
RC,0278,DIVERTER FLOW FREDX21 2.5X25MM,31670.4,25336.32,8794.87,28503.36,27
RC,0278,DIVERTER FLOW FREDX27 4.5X34MM,28704.0,22963.2,7971.1,25833.6,27
RC,0278,DIVERTER FLOW FREDX27 5.5X32MM,28704.0,22963.2,7971.1,25833.6,27
RC,0278,DRIV DIRECT ACTIVATOR ZUR*NLU*,2996.0,2396.8,831.99,2696.4,27
RC,0278,DRSG MATRIDERM FLEX 1MM 52X74,7571.04,6056.84,2102.48,6813.94,27
RC,0278,EAR GLUTH ALTO TI ADJ PART,1724.31,1379.45,478.84,1551.88,27
RC,0278,EAR GLUTH ALTO TI ADJ TOTAL,1724.31,1379.45,478.84,1551.88,27
RC,0278,EMBOL SYS LIQ ONYX 18,5460.0,4368.0,1516.24,4914.0,27
RC,0278,EMBOL SYS LIQ ONYX 34,5460.0,4368.0,1516.24,4914.0,27
RC,0278,EMBOLIC OBSIDIO CONFORM SYR1ML,11180.0,8944.0,3104.69,10062.0,27
RC,0278,END CAP TI T25 10MM,502.74,402.2,139.61,452.47,27
RC,0278,END CAP TI T40 EXT 10MM,829.71,663.77,230.41,746.74,27
RC,0278,END CAP TI T40 EXT 15MM,829.71,663.77,230.41,746.74,27
RC,0278,END CAP TI T40 EXT 5MM,829.71,663.77,230.41,746.74,27
RC,0278,END CAP TI T40 EXT STER 0MM,969.57,775.66,269.25,872.61,27
RC,0278,END CAP TIB TI T40 EXT 0MM,644.49,515.6,178.97,580.04,27
RC,0278,END CAP TIB TIT40EXTSTERGRY0MM,829.71,663.77,230.41,746.74,27
RC,0278,ENDCAP OFFSET DYNANAIL +3MM,832.5,666.0,231.19,749.25,27
RC,0278,ENDO LAP BAND AP STD,11570.0,9256.0,3212.99,10413.0,27
RC,0278,ENDOL 21MMX10CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 26MMX10CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 31MMX11CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 31MMX15CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 34MMX10CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 34MMX15CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 37MMX15CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 37MMX20CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 40MMX15CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 45MMX10CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 45MMX15CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL 45MMX20CM*DISC NO REPL*,36446.4,29157.12,10121.17,32801.76,27
RC,0278,ENDOL AORTIC EXTNDR 23X23X49MM,9118.2,7294.56,2532.12,8206.38,27
RC,0278,ENDOL AORTIC EXTNDR 23X23X70MM,15069.6,12055.68,4184.83,13562.64,27
RC,0278,ENDOL AORTIC EXTNDR 25X25X49MM,9118.2,7294.56,2532.12,8206.38,27
RC,0278,ENDOL AORTIC EXTNDR 25X25X70MM,15069.6,12055.68,4184.83,13562.64,27
RC,0278,ENDOL AORTIC EXTNDR 28X28X49MM,9336.6,7469.28,2592.77,8402.94,27
RC,0278,ENDOL AORTIC EXTNDR 28X28X70MM,15271.2,12216.96,4240.81,13744.08,27
RC,0278,ENDOL AORTIC EXTNDR 32X32X49MM,9991.8,7993.44,2774.72,8992.62,27
RC,0278,ENDOL AORTIC EXTNDR 32X32X70MM,15271.2,12216.96,4240.81,13744.08,27
RC,0278,ENDOL AORTIC EXTNDR 36X36X49MM,10210.2,8168.16,2835.37,9189.18,27
RC,0278,ENDOL AORTIC EXTNDR 36X36X70MM,15573.6,12458.88,4324.79,14016.24,27
RC,0278,ENDOL ENDUR BIFUR 36X14X103MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDUR II 16X10X124MM,10865.4,8692.32,3017.32,9778.86,27
RC,0278,ENDOL ENDUR II 16X10X156MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X10X199MM,13093.92,10475.14,3636.18,11784.53,27
RC,0278,ENDOL ENDUR II 16X10X82MM,10592.4,8473.92,2941.51,9533.16,27
RC,0278,ENDOL ENDUR II 16X10X93MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ENDUR II 16X13X124MM,10865.4,8692.32,3017.32,9778.86,27
RC,0278,ENDOL ENDUR II 16X13X156MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X13X199MM,13093.92,10475.14,3636.18,11784.53,27
RC,0278,ENDOL ENDUR II 16X13X82MM,10592.4,8473.92,2941.51,9533.16,27
RC,0278,ENDOL ENDUR II 16X13X93MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ENDUR II 16X16X124MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ENDUR II 16X16X146MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X16X156MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X16X82MM,9773.4,7818.72,2714.07,8796.06,27
RC,0278,ENDOL ENDUR II 16X16X93MM,10155.6,8124.48,2820.21,9140.04,27
RC,0278,ENDOL ENDUR II 16X20X124MM,10865.4,8692.32,3017.32,9778.86,27
RC,0278,ENDOL ENDUR II 16X20X146MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X20X156MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X20X82MM,9773.4,7818.72,2714.07,8796.06,27
RC,0278,ENDOL ENDUR II 16X20X93MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ENDUR II 16X24X124MM,10865.4,8692.32,3017.32,9778.86,27
RC,0278,ENDOL ENDUR II 16X24X146MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X24X156MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X24X199MM,13093.92,10475.14,3636.18,11784.53,27
RC,0278,ENDOL ENDUR II 16X24X82MM,10592.4,8473.92,2941.51,9533.16,27
RC,0278,ENDOL ENDUR II 16X24X93MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ENDUR II 16X28X124MM,10865.4,8692.32,3017.32,9778.86,27
RC,0278,ENDOL ENDUR II 16X28X146MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X28X156MM,12902.4,10321.92,3583.0,11612.16,27
RC,0278,ENDOL ENDUR II 16X28X82MM,10592.4,8473.92,2941.51,9533.16,27
RC,0278,ENDOL ENDUR II 16X28X93MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ENDUR II SHRT23X14X103MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDUR II SHRT25X14X103MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDUR II SHRT28X14X103MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDUR II SHRT32X14X103MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 23X13X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 23X13X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 23X16X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 23X16X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 23X16X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 25X13X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 25X13X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 25X13X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 25X16X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 25X16X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 25X16X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X13X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X13X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X13X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X16X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X16X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X16X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X20X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 28X20X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 32X16X124MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 32X16X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 32X16X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 32X20X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 36X16X145MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT 36X16X166MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT AUI 23X14X102MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT AUI 25X14X102MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT AUI 28X14X102MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT AUI 32X14X102MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL ENDURANT AUI 36X14X102MM,20109.6,16087.68,5584.44,18098.64,27
RC,0278,ENDOL EXCLUDER 12MMX10CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 12MMX12CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 12MMX14CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 14.5MMX10CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 14.5MMX12CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 14.5MMX14CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 16MMX11.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 16MMX13.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 16MMX9.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 18MMX11.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 18MMX13.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 18MMX9.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 20MMX11.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 20MMX13.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 20MMX9.5CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 23MMX10CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 23MMX14CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 27MMX10CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 27MMX12CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 27MMX14CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER 32MMX12CM,10992.8,8794.24,3052.7,9893.52,27
RC,0278,ENDOL EXCLUDER ILIAC 10MMX10CM,24928.8,19943.04,6922.73,22435.92,27
RC,0278,ENDOL EXCLUDER ILIAC 12MMX10CM,24928.8,19943.04,6922.73,22435.92,27
RC,0278,ENDOL EXCLUDER ILIAC 14.5MMX10,24928.8,19943.04,6922.73,22435.92,27
RC,0278,ENDOL EXCLUDER INTRL ILIAC10X7,7516.6,6013.28,2087.36,6764.94,27
RC,0278,ENDOL EXCLUDER INTRL ILIAC12X7,7516.6,6013.28,2087.36,6764.94,27
RC,0278,ENDOL EXCLUDERINTRLILIAC14.5X7,7516.6,6013.28,2087.36,6764.94,27
RC,0278,ENDOL EXTNDR 32MMX4.5CM,7623.2,6098.56,2116.96,6860.88,27
RC,0278,ENDOL EXTNDR 36MMX4.5CM,7623.2,6098.56,2116.96,6860.88,27
RC,0278,ENDOL EXTNDR LP 10MMX7CM,7709.0,6167.2,2140.79,6938.1,27
RC,0278,ENDOL EXTNDR LP 12MMX7CM,7709.0,6167.2,2140.79,6938.1,27
RC,0278,ENDOL EXTNDR LP 16MMX7CM,7709.0,6167.2,2140.79,6938.1,27
RC,0278,ENDOL EXTNDR LP 23MMX3.3CM,7623.2,6098.56,2116.96,6860.88,27
RC,0278,ENDOL EXTNDR LP 26MMX3.3CM,7623.2,6098.56,2116.96,6860.88,27
RC,0278,ENDOL EXTNDR LP 28.5MMX3.3CM,7623.2,6098.56,2116.96,6860.88,27
RC,0278,ENDOL GORE TRUNK 35X14MMX14CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL ILIAC EXTNDR 10X10X82MM,10155.6,8124.48,2820.21,9140.04,27
RC,0278,ENDOL ILIAC EXTNDR 13X13X82MM,10155.6,8124.48,2820.21,9140.04,27
RC,0278,ENDOL ILIAC EXTNDR 20X20X82MM,10592.4,8473.92,2941.51,9533.16,27
RC,0278,ENDOL ILIAC EXTNDR 24X24X82MM,10756.2,8604.96,2987.0,9680.58,27
RC,0278,ENDOL ILIAC EXTNDR 28X28X82MM,10865.4,8692.32,3017.32,9778.86,27
RC,0278,ENDOL THORACIC CLSD 32X32X150,35773.92,28619.14,9934.42,32196.53,27
RC,0278,ENDOL THORACIC FLOW 32X32X200,39301.92,31441.54,10914.14,35371.73,27
RC,0278,ENDOL THORACIC FLOW 34X34X100,34261.92,27409.54,9514.54,30835.73,27
RC,0278,ENDOL THORACIC TPR 26X26X150,35773.92,28619.14,9934.42,32196.53,27
RC,0278,ENDOL TRUNK C3 3*DISC 6244021*,26373.6,21098.88,7323.95,23736.24,54
RC,0278,ENDOL TRUNK C3 31X14.5MMX13CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK C3 31X14.5MMX15CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK C3 31X14.5MMX17CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 2*DISC 6247964*,26373.6,21098.88,7323.95,23736.24,27
RC,0278,ENDOL TRUNK LP 2*DISC 6247971*,26373.6,21098.88,7323.95,23736.24,27
RC,0278,ENDOL TRUNK LP 2*DISC 6247972*,26373.6,21098.88,7323.95,23736.24,27
RC,0278,ENDOL TRUNK LP 2*DISC 6247980*,26373.6,21098.88,7323.95,23736.24,27
RC,0278,ENDOL TRUNK LP 23X12MMX18CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 23X14MMX12CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 23X14MMX14CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 23X14MMX16CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 23X14MMX18CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 26X12MMX18CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 26X14MMX12CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 26X14MMX14CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 26X14MMX16CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 26X14MMX18CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 28X12MMX18CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 28X14MMX12CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 28X14MMX14CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 28X14MMX16CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK LP 28X14MMX18CM,24540.0,19632.0,6814.76,22086.0,27
RC,0278,ENDOL TRUNK PL 2*DISC 6247963*,26373.6,21098.88,7323.95,23736.24,27
RC,0278,ENDOL ZENITH FLEX BIF 24X82MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 26X111MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 26X82MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 28X82MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 30X96MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 32X111MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 32X125MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 32X82MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITH FLEX BIF 36X95MM,23530.97,18824.78,6534.55,21177.87,27
RC,0278,ENDOL ZENITHALPHA2PROXPT34X161,41868.26,33494.61,11626.82,37681.43,27
RC,0278,ENDOPROS AORTIC EXT 20X4.5,10784.8,8627.84,2994.94,9706.32,27
RC,0278,ENDOPROS AORTIC EXT 23X4.5,10784.8,8627.84,2994.94,9706.32,27
RC,0278,ENDOPROS AORTIC EXT 26X4.5,10784.8,8627.84,2994.94,9706.32,27
RC,0278,ENDOPROS AORTIC EXT 28.5X4.5,10784.8,8627.84,2994.94,9706.32,27
RC,0278,ENDOPROS AORTIC EXT 32X4.5,10784.8,8627.84,2994.94,9706.32,27
RC,0278,ENDOPROS AORTIC EXT 36X4.5,10784.8,8627.84,2994.94,9706.32,27
RC,0278,ENDOPROS AORTIC EXTNDR 31X4.0,43080.0,34464.0,11963.32,38772.0,27
RC,0278,ENDOPROS THORACIC SIDE 10X8X6,18720.0,14976.0,5198.54,16848.0,27
RC,0278,ENDOPROS THORACIC SIDE 12X8X6,18720.0,14976.0,5198.54,16848.0,27
RC,0278,ENDOPROS THORACIC SIDE 15X8X6,18720.0,14976.0,5198.54,16848.0,27
RC,0278,ENDOPROS THORACICAORTIC26X8X10,76800.0,61440.0,21327.36,69120.0,27
RC,0278,ENDOPROS THORACICAORTIC28X8X15,76800.0,61440.0,21327.36,69120.0,27
RC,0278,ENDOPROS THORACICAORTIC31X8X15,76800.0,61440.0,21327.36,69120.0,27
RC,0278,ENDOPROS THORACICAORTIC34X8X15,76800.0,61440.0,21327.36,69120.0,27
RC,0278,ENDOPROS THORACICAORTIC37X8X15,76800.0,61440.0,21327.36,69120.0,27
RC,0278,ENDOPROS THORACICAORTIC45X8X15,76800.0,61440.0,21327.36,69120.0,27
RC,0278,ENDOPROS TRUNK 2*DISC NO REPL*,29745.6,23796.48,8260.35,26771.04,81
RC,0278,ENDOPROS TRUNK 20X12X12,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOPROS TRUNK 20X14.5X12,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOPROS TRUNK 23X14.5X12,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOPROS TRUNK 26X14.5X12,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOPROS TRUNK 28.5X14.5X12,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOPROS TRUNK 32X14.5X14,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOPROS TRUNK 36X14.5X14,28684.8,22947.84,7965.77,25816.32,27
RC,0278,ENDOSTAPLE W APPL APTUS3X45.MM,12084.0,9667.2,3355.73,10875.6,27
RC,0278,ENDPLT CORE SECURE-C 6D*NLU*,11700.0,9360.0,3249.09,10530.0,27
RC,0278,ENDPLT CORE SECURE-C 6D15X18MM,11440.0,9152.0,3176.89,10296.0,27
RC,0278,ENDPLT LWR FORTIFY 0D 12X14,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 0D 14X16,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 0D 15X18,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 0D 20X20,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 0D 21X23,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 0D 25X30,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 3.5D 12X14,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 3.5D 14X16,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 3.5D 15X18,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 4D 20X20,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 7D 12X14,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 7D 14X16,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY 7D 15X18,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT LWR FORTIFY-R 0D 14X16,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT LWR FORTIFY-R 3.5D14X16,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT LWR FORTIFY-R 7D 14X14,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT LWR NO SPIKE 0D 14X16,2656.0,2124.8,737.57,2390.4,27
RC,0278,ENDPLT LWR NO SPIKE 0D 22X40,2520.0,2016.0,699.8,2268.0,27
RC,0278,ENDPLT LWR NO SPIKE 3.5D 12X14,2656.0,2124.8,737.57,2390.4,27
RC,0278,ENDPLT UPP FORTIFY 0D 12X14,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 0D 15X18,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 0D 20X20,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 0D 21X23,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 0D 25X30,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 3.5D 12X14,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 3.5D 14X16,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 3.5D 15X18,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 4D 20X20,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 7D 12X14,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 7D 14X16,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY 8D 25X30,1701.0,1360.8,472.37,1530.9,27
RC,0278,ENDPLT UPP FORTIFY-R 0D 14X14,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT UPP FORTIFY-R 0D 14X16,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT UPP FORTIFY-R 3.5D14X14,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT UPP FORTIFY-R 3.5D14X16,2106.0,1684.8,584.84,1895.4,27
RC,0278,ENDPLT UPP FORTIFY-R 7D 14X16,12545.0,10036.0,3483.75,11290.5,27
RC,0278,ENDPLT UPP NO SPIKE 0D 14X16,2656.0,2124.8,737.57,2390.4,27
RC,0278,ENDPLT UPP NO SPIKE 0D 22X40,2520.0,2016.0,699.8,2268.0,27
RC,0278,ENDPLT UPP NO SPIKE 3.5D 12X14,2656.0,2124.8,737.57,2390.4,27
RC,0278,ENDPLT UPP NO SPIKE 4D 22X40,2520.0,2016.0,699.8,2268.0,27
RC,0278,EXPAND MAM CPX4+ SMTH TALL 350,5152.0,4121.6,1430.71,4636.8,27
RC,0278,EXPAND MAM XTR PROJ FULL 950CC,3780.0,3024.0,1049.71,3402.0,27
RC,0278,EXPAND TISS 2STAGE6X15CM 560CC,3948.0,3158.4,1096.36,3553.2,27
RC,0278,EXPAND TISS SMTH CURV 300CC,3108.0,2486.4,863.09,2797.2,27
RC,0278,EXPAND TISS SMTH RECT 480CC,3108.0,2486.4,863.09,2797.2,27
RC,0278,EXT SGL CARDANIC FOR ACTIVEARM,2949.41,2359.53,819.05,2654.47,27
RC,0278,EYE SPHERE HA W CONFORMER*NLU*,2496.0,1996.8,693.14,2246.4,27
RC,0278,EYE SPHERE PLST 14MM,345.6,276.48,95.97,311.04,27
RC,0278,EYE SPHERE PLST 16MM,345.6,276.48,95.97,311.04,27
RC,0278,EYE SPHERE PLST 20MM,345.6,276.48,95.97,311.04,27
RC,0278,EYELID IMPLT GLD SLIM 1.0GM,1339.8,1071.84,372.06,1205.82,27
RC,0278,EYELID IMPLT GLD*DISC 6325656*,1491.0,1192.8,414.05,1341.9,27
RC,0278,EYELID IMPLT GLD*DISC 6325657*,1365.0,1092.0,379.06,1228.5,27
RC,0278,EYELID IMPLT PLAT SLIM 1.8GM,1449.0,1159.2,402.39,1304.1,27
RC,0278,FABRIC CV SAUVAGE FILIMENT 1X4,289.75,231.8,80.46,260.78,27
RC,0278,FAST FIX ULT CURV,1275.33,1020.27,354.16,1147.8,27
RC,0278,FAST FIX ULT DEL CURV,1451.27,1161.02,403.02,1306.14,27
RC,0278,FINGER PIP SOFT*DISC NO REPL*,3184.27,2547.42,884.27,2865.84,27
RC,0278,FIX STERNAL ZIPFIX W NDLE PK20,422.3,337.84,117.27,380.07,27
RC,0278,FIX STERNAL ZIPFIX W NDLE PK5,423.26,338.61,117.54,380.93,27
RC,0278,FLTR GRAFT FOR RIA SYNT,3164.0,2531.2,878.64,2847.6,27
RC,0278,FOSSA TMJ CMPNT RT SM,12492.0,9993.6,3469.03,11242.8,27
RC,0278,FUSN DEV LTCAGE LUMB 14X20MM,6750.8,5400.64,1874.7,6075.72,27
RC,0278,GASTRIC BAND W DISECT REALIZE,9376.74,7501.4,2603.92,8439.07,27
RC,0278,GD CBL RIBFIX ADV,1243.2,994.56,345.24,1118.88,27
RC,0278,GD RECON MANDIBLE*NLU*,7410.0,5928.0,2057.76,6669.0,27
RC,0278,GD ROD SYNT SMTH 2.5X950MM,703.08,562.47,195.25,632.77,27
RC,0278,GD ROD SYNT SMTH STER 3X950MM,703.08,562.47,195.25,632.77,27
RC,0278,GD ROD W STOP 2.5MM,189.59,151.68,52.65,170.63,27
RC,0278,GDWIRE SYS OSTIAL PRO 127CM,2720.0,2176.0,755.34,2448.0,27
RC,0278,GDWIRE UNTHRD FIXOS 3.2X230MM,399.6,319.68,110.97,359.64,27
RC,0278,GRAFT ACL BEAR BRIDGE*NLU*,16178.4,12942.72,4492.74,14560.56,27
RC,0278,GRAFT ART HERO 6M*USE 6331792*,3108.0,2486.4,863.09,2797.2,27
RC,0278,GRAFT COLLAGEN CONFORM 20X30MM,712.76,570.21,197.93,641.48,27
RC,0278,GRAFT CONDUIT LLIF0D60/22 14MM,10868.0,8694.4,3018.04,9781.2,27
RC,0278,GRAFT CONDUIT V*DISC NO REPL*,6160.0,4928.0,1710.63,5544.0,27
RC,0278,GRAFT CONDUIT VA*DISC NO REPL*,6160.0,4928.0,1710.63,5544.0,54
RC,0278,GRAFT CONDUIT VAL*DISC NO REPL,6160.0,4928.0,1710.63,5544.0,27
RC,0278,GRAFT FEN SURGIBIND 3X7CM=21SQ,3013.5,2410.8,836.85,2712.15,27
RC,0278,GRAFT FEN SURGIBIND3X12CM=36SQ,3704.4,2963.52,1028.71,3333.96,27
RC,0278,GRAFT FEN SURGIBIND7X10CM=70SQ,8533.98,6827.19,2369.89,7680.58,27
RC,0278,GRAFT FISTULA BIODESIGN 0.6CM,3322.2,2657.76,922.57,2989.98,27
RC,0278,GRAFT GIA PERI STRIP 60CM,794.16,635.33,220.54,714.74,27
RC,0278,GRAFT PERICARDIAL PATCH10X15CM,3920.0,3136.0,1088.58,3528.0,27
RC,0278,GRAFT SURGIBIND 3X12CM=36SQ,3704.4,2963.52,1028.71,3333.96,27
RC,0278,GRAFT SURGIBIND 7X10CM=70SQ,8533.98,6827.19,2369.89,7680.58,27
RC,0278,GRAFT VASC PROCO*DISC NO REPL*,2940.0,2352.0,816.44,2646.0,27
RC,0278,GRAFT WND GRAFT GD MANO196SQCM,20210.4,16168.32,5612.43,18189.36,27
RC,0278,GRAFT WND SURGICLOSE MICRO19SQ,3087.0,2469.6,857.26,2778.3,27
RC,0278,GRAFT WND SURGICLOSE MICRO38SQ,5350.8,4280.64,1485.92,4815.72,27
RC,0278,GRAFT WND SURGICLOSE MICRO95SQ,11179.35,8943.48,3104.51,10061.42,27
RC,0278,HIP CENTRALIZER ECHO ZIMM 10MM,405.0,324.0,112.47,364.5,27
RC,0278,HIP HD G7 BIOLOX OPT CER 44MM,2880.0,2304.0,799.78,2592.0,27
RC,0278,HIP HL PLUG STRY,475.2,380.16,131.96,427.68,27
RC,0278,HIP RECLAIM TENSILE BAR DEPU,1404.9,1123.92,390.14,1264.41,27
RC,0278,HIP SCREW HL PLUG ZIMM,441.6,353.28,122.63,397.44,27
RC,0278,HIP SPACER DIST ACLD STRY 10MM,305.0,244.0,84.7,274.5,27
RC,0278,HIP SPACER DIST ACLD STRY 11MM,305.0,244.0,84.7,274.5,27
RC,0278,HIP SPACER DIST ACLD STRY 12MM,305.0,244.0,84.7,274.5,27
RC,0278,HIP SPACER DIST ACLD STRY 13MM,305.0,244.0,84.7,274.5,27
RC,0278,HIP SPACER DIST ACLD STRY 14MM,305.0,244.0,84.7,274.5,27
RC,0278,HIP SPACER DIST ACLD STRY 9MM,305.0,244.0,84.7,274.5,27
RC,0278,HIP SPACER FEM HD GV REMEDY54,7540.0,6032.0,2093.86,6786.0,27
RC,0278,HIP SPACER FEM HD GV REMEDYSM,7540.0,6032.0,2093.86,6786.0,27
RC,0278,HIP SPACER TPR SYNT 12/14 +0MM,562.5,450.0,156.21,506.25,27
RC,0278,HIP SPACER TPR SYNT 12/14 +3MM,562.5,450.0,156.21,506.25,27
RC,0278,HIP SPACER UNIPOLR DEPU +10,562.5,450.0,156.21,506.25,27
RC,0278,HIP SPACER UNIPOLR DEPU +5,562.5,450.0,156.21,506.25,27
RC,0278,HIP TROCH 4HL 4CBL 23X232MM,11460.8,9168.64,3182.66,10314.72,27
RC,0278,HNDL DETACHMENT 400 COIL,1071.0,856.8,297.42,963.9,27
RC,0278,HNDL SIZER INHANCE SHLDR SYS,318.33,254.67,88.4,286.5,27
RC,0278,HOOK EXT TAB RDCTN DISTANCE,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK EXT TAB TI NARW,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK INLINE QUARTEX,1604.4,1283.52,445.54,1443.96,27
RC,0278,HOOK INLINE QUARTEX LFT,1604.4,1283.52,445.54,1443.96,27
RC,0278,HOOK INLINE QUARTEX RT,1604.4,1283.52,445.54,1443.96,27
RC,0278,HOOK LAMINA TI TOP LOAD LNG/RT,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINA TI TOPLOADSHRT/LFT,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINAR 4.5MM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINAR 4.5MM LFT OFFSET,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINAR 4.5MM RT OFFSET,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINAR 6.0MM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINAR 6.0MM LFT OFFSET,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK LAMINAR 6.0MM RT OFFSET,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL EXT 4.75MM LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL EXT 4.75MM MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL EXT 4.75MM SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LAMINAR NRW 4.75LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LAMINAR NRW 4.75MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LAMINAR NRW 4.75SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LAMINAR RED 4.75LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LAMINAR RED 4.75MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LAMINAR RED 4.75SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LFT ANG 4.75MM LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LFT ANG 4.75MM MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LFT ANG 4.75MM SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LFT OFFSET 4.75 LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LFT OFFSET 4.75 MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL LFT OFFSET 4.75 SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL MIDSTEM 4.75MM LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL MIDSTEM 4.75MM MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL MIDSTEM 4.75MM SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL PED 4.75MM LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL PED 4.75MM MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL PED 4.75MM SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL RT ANG 4.75MM LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL RT ANG 4.75MM MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL RT ANG 4.75MM SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL RT OFFSET 4.75 LG,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL RT OFFSET 4.75 MD,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL RT OFFSET 4.75 SM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL UNIV 4.75X11.0MM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL UNIV 4.75X16.0MM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL UNIV 4.75X6.0MM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL UNIV 4.75X8.5MM,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL UNIV CLOSINGLG4.75,1944.0,1555.2,539.85,1749.6,27
RC,0278,HOOK SPNL UNIV CLOSINGSM4.75,1944.0,1555.2,539.85,1749.6,27
RC,0278,HUMR BONE STBL 22/13X160MM,12475.54,9980.44,3464.46,11227.99,27
RC,0278,IMPLT BLT SLACTIVE RC 4.1X10MM,1362.27,1089.82,378.3,1226.04,27
RC,0278,IMPLT BLT SLACTIVE RC 4.1X12MM,1362.27,1089.82,378.3,1226.04,27
RC,0278,IMPLT DENTAL STONE INTEGRATION,1680.0,1344.0,466.54,1512.0,27
RC,0278,IMPLT META SHRTENING PROX 2.7,3184.0,2547.2,884.2,2865.6,27
RC,0278,IMPLT META SHRTENING SLOT 3.5,3184.0,2547.2,884.2,2865.6,27
RC,0278,IMPLT TMJ CUST CHG010,22800.0,18240.0,6331.56,20520.0,27
RC,0278,INJ PORT REMOTE TISS EXPANDSTD,1113.0,890.4,309.08,1001.7,27
RC,0278,INST FIX RETR/EXT SCREW DH DF4,286.7,229.36,79.62,258.03,27
RC,0278,KNEE ARTICU LFT *DISC NO REPL*,2610.0,2088.0,724.8,2349.0,27
RC,0278,KNEE ARTICU RT 9*DISC NO REPL*,2610.0,2088.0,724.8,2349.0,27
RC,0278,KNEE FEM CRFLEX *DISC NO REPL*,4001.2,3200.96,1111.13,3601.08,54
RC,0278,KNEE FEM LPS FLEX OPT LFT SZC,8190.0,6552.0,2274.36,7371.0,27
RC,0278,KNEE FEM LPS FLEX OPT RT SZC,8190.0,6552.0,2274.36,7371.0,27
RC,0278,KNEE FEM LPSFLX FIX 5-6CD 10MM,3168.0,2534.4,879.75,2851.2,27
RC,0278,KNEE FEM LPSFLX FIX 5-6CD 12MM,3168.0,2534.4,879.75,2851.2,27
RC,0278,KNEE FEM LPSFLX FIX 5-6CD 14MM,3168.0,2534.4,879.75,2851.2,27
RC,0278,KNEE FEM LPSFLX FIX 5-6CD 20MM,3168.0,2534.4,879.75,2851.2,27
RC,0278,KNEE FEM OXFORD TWIN PEG XL,4760.0,3808.0,1321.85,4284.0,27
RC,0278,KNEE FLEX GSF NO*DISC NO REPL*,4001.2,3200.96,1111.13,3601.08,27
RC,0278,KNEE FLEX GSM NO*DISC NO REPL*,4001.2,3200.96,1111.13,3601.08,27
RC,0278,KNEE GD PIN PSN PSI 29*NLU*,2520.0,2016.0,699.8,2268.0,27
RC,0278,KNEE INSRT XLPE CRDDSZ5-6 13MM,2800.0,2240.0,777.56,2520.0,27
RC,0278,KNEE LPS-FLEX FIXED 7-10EF17MM,3168.0,2534.4,879.75,2851.2,27
RC,0278,KNEE LPS-FLEX FIXED 7-10EF20MM,3168.0,2534.4,879.75,2851.2,27
RC,0278,KNEE TIB BASE NEX PRECOAT SZ9,2620.8,2096.64,727.8,2358.72,27
RC,0278,KNEE TIB INSRT AS VNGD 10X63MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 10X67MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 12X67MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 12X79MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 14X67MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 14X83MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 16X71MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 16X83MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT AS VNGD 18X71MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT CRX3 11MM SZ2,3080.0,2464.0,855.32,2772.0,27
RC,0278,KNEE TIB INSRT CRX3 13MM SZ4,3080.0,2464.0,855.32,2772.0,27
RC,0278,KNEE TIB INSRT CRX3 9MM SZ8,3080.0,2464.0,855.32,2772.0,27
RC,0278,KNEE TIB INSRT CS X3 SZ3 16MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,KNEE TIB INSRT ZIMM LFT LG 5MM,2800.0,2240.0,777.56,2520.0,27
RC,0278,KNEE TIB INSRT ZIMM LFT LG 7MM,2800.0,2240.0,777.56,2520.0,27
RC,0278,KNEE TIB INSRT ZIMM RT LG 7MM,2800.0,2240.0,777.56,2520.0,27
RC,0278,KNEE TIB INSRT ZIMM RT MD 9MM,2800.0,2240.0,777.56,2520.0,27
RC,0278,KNEE TIB INSRT ZIMM RT MD*NLU*,2800.0,2240.0,777.56,2520.0,27
RC,0278,KNEE TIB LCCK BLU 10MM SZE/F,5694.92,4555.94,1581.48,5125.43,27
RC,0278,KNEE TIB LCCK BLU 14MM SZE/F,5694.92,4555.94,1581.48,5125.43,27
RC,0278,KNEE UL ARTICU RT SZ3/4/5 9MM,2610.0,2088.0,724.8,2349.0,27
RC,0278,KT ACC AMS 800,4746.0,3796.8,1317.96,4271.4,27
RC,0278,KT ACC MDTR PLUG/BOOT,621.0,496.8,172.45,558.9,27
RC,0278,KT BIOTENODESIS DISP,1362.9,1090.32,378.48,1226.61,27
RC,0278,KT BONE CMNT QUICKPACK 5CC,7425.6,5940.48,2062.09,6683.04,27
RC,0278,KT BONE CMNT QUICKPACK 8CC,11356.8,9085.44,3153.78,10221.12,27
RC,0278,KT CATH BLN INOUE 12FR 30*NLU*,7000.0,5600.0,1943.9,6300.0,27
RC,0278,KT CATH VENT PERITON ARES ABI,2937.6,2350.08,815.77,2643.84,27
RC,0278,KT CONN QK AMS 700,3150.0,2520.0,874.76,2835.0,27
RC,0278,KT ELBOW ARTICULATE ZIMM SZ5/6,2940.0,2352.0,816.44,2646.0,27
RC,0278,KT KNEE MCL INTRL BRC,3680.6,2944.48,1022.1,3312.54,27
RC,0278,KT LAP IMPLT PERITON DIAYS LNG,846.0,676.8,234.93,761.4,27
RC,0278,KT LAP IMPLT PERITON DIAYS STD,873.0,698.4,242.43,785.7,27
RC,0278,KT LEAD ANCHOR N300,562.5,450.0,156.21,506.25,27
RC,0278,KT LEAD CAP,213.5,170.8,59.29,192.15,27
RC,0278,KT MIPS SURGERY 4MM*NLU*,2196.0,1756.8,609.83,1976.4,27
RC,0278,KT PAIN PUMP SEG REV,1596.0,1276.8,443.21,1436.4,27
RC,0278,KT PORT RAPIDPORT EZ ACCESSSTD,2752.0,2201.6,764.23,2476.8,27
RC,0278,KT PUMP CATH 5.0*DISC 6330590*,67200.0,53760.0,18661.44,60480.0,27
RC,0278,KT PUMP ICATH LD*DISC 6330590*,67200.0,53760.0,18661.44,60480.0,27
RC,0278,KT PUMP IMPELLA *DISC 6340169*,60000.0,48000.0,16662.0,54000.0,27
RC,0278,KT REPAIR HAND/WRIST INTRL BRC,4604.6,3683.68,1278.7,4144.14,27
RC,0278,KT REV PUMP CONN MDTR,630.0,504.0,174.95,567.0,27
RC,0278,KT SHLDR INTERSPA*DNR 6221180*,9804.6,7843.68,2722.74,8824.14,27
RC,0278,KT TRACH DIL ULTRAPERC WO TB,821.16,656.93,228.04,739.04,27
RC,0278,KT TRIMAX PREP 18MM,2357.75,1886.2,654.75,2121.98,27
RC,0278,KWIRE FIX TROC TIP 1.6X203MM,540.0,432.0,149.96,486.0,27
RC,0278,KWIRE META SHRTENING1.30X80MM,256.2,204.96,71.15,230.58,27
RC,0278,KWIRE SGL TROC SMTHPRGN1.1X50,256.2,204.96,71.15,230.58,27
RC,0278,LEAD CAP CONN,183.79,147.04,51.04,165.41,27
RC,0278,LEAD PHASE III EXT 35CM,2545.2,2036.16,706.8,2290.68,27
RC,0278,LEAD STIM SCRL PNE AXON,244.0,195.2,67.76,219.6,27
RC,0278,LEAD TMPR PACING*DISC NO REPL*,630.0,504.0,174.95,567.0,27
RC,0278,MAND IMPLT TI BI*DISC 6333359*,5586.0,4468.8,1551.23,5027.4,27
RC,0278,MAND TMJ CMPNT STD LFT45MM,14899.2,11919.36,4137.51,13409.28,27
RC,0278,MB CNCLS PDR 250-1000MCRN.05CC,380.11,304.09,105.56,342.1,27
RC,0278,MESH 3D TI KLS 120MM 0.6MM,5869.72,4695.78,1630.02,5282.75,27
RC,0278,MESH 3D TI KLS 80MM 0.6MM,2826.66,2261.33,784.96,2543.99,27
RC,0278,MESH ANT PARASAG SZ6 0.6MM,7797.37,6237.9,2165.33,7017.63,27
RC,0278,MESH BIFRONTAL SZ1 0.6MM,7797.37,6237.9,2165.33,7017.63,27
RC,0278,MESH CONT TI SZ15 0.6MM,14395.2,11516.16,3997.55,12955.68,27
RC,0278,MESH ENV CARDIAC ABSORB TYRXLG,2864.0,2291.2,795.33,2577.6,27
RC,0278,MESH ENV CARDIAC ABSORB TYRXMD,2864.0,2291.2,795.33,2577.6,27
RC,0278,MESH PARIENTAL STER SZ11 RT0.6,15468.0,12374.4,4295.46,13921.2,27
RC,0278,MESH PARIENTAL SZ10 LFT 0.6MM,15355.2,12284.16,4264.14,13819.68,27
RC,0278,MESH PARIENTAL SZ11 RT 0.6MM,15355.2,12284.16,4264.14,13819.68,27
RC,0278,MESH PARIETAL 0.6MM LFT SZ4,8083.4,6466.72,2244.76,7275.06,27
RC,0278,MESH PARIETAL 0.6MM RT SZ4,7797.37,6237.9,2165.33,7017.63,27
RC,0278,MESH PARIETEX 3D KNITTED 5.2X3,514.76,411.81,142.95,463.28,27
RC,0278,MESH PSTR PARASAG SZ7 0.6MM,7797.37,6237.9,2165.33,7017.63,27
RC,0278,MESH PTERIONAL SZ2 LFT 0.6MM,7797.37,6237.9,2165.33,7017.63,27
RC,0278,MESH PTERIONAL SZ2 RT 0.6MM,7797.37,6237.9,2165.33,7017.63,27
RC,0278,MESH RAPIDSORB1.5MM0.5X50X50MM,2960.19,2368.16,822.04,2664.17,27
RC,0278,MESH RAPIDSORB1.5MM0.8X50X50MM,3091.2,2472.96,858.43,2782.08,27
RC,0278,MESH RECON MALLEA TI SLVR38X45,3084.48,2467.59,856.56,2776.03,27
RC,0278,MESH RECON MALLEATISLVR100X100,3584.0,2867.2,995.28,3225.6,27
RC,0278,MESH RECON RIGID TI BLU 38X45,3177.02,2541.62,882.26,2859.32,27
RC,0278,MESH RECON RIGID TI PNK 38X45,3084.48,2467.59,856.56,2776.03,27
RC,0278,MESH SUBOCCIPITAL LFT SZ80.6MM,8707.4,6965.92,2418.04,7836.66,27
RC,0278,MESH SUBOCCIPITAL SZ9 RT 0.6MM,8707.4,6965.92,2418.04,7836.66,27
RC,0278,MESH SYN WITTMAN 20X40CM,21120.0,16896.0,5865.02,19008.0,27
RC,0278,MESH VICRYL KNITTED 12X12,2552.26,2041.81,708.76,2297.03,27
RC,0278,MESH WOVEN VICRYL 6X6,1573.32,1258.66,436.91,1415.99,27
RC,0278,MICROCOIL MWCE-3*DISC 6298653*,361.2,288.96,100.31,325.08,27
RC,0278,MICROCOIL MWCE-3*DISC 6298654*,361.2,288.96,100.31,325.08,27
RC,0278,MICROCOIL MWCE-35*USE 6298643*,361.2,288.96,100.31,325.08,27
RC,0278,MICRSPHR EMBOSPHERE 40-120MCRN,1111.5,889.2,308.66,1000.35,27
RC,0278,MICRSPHR EMBOSPHERE100-300MCRN,1093.5,874.8,303.66,984.15,27
RC,0278,MICRSPHR EMBOSPHERE300-500MCRN,1093.5,874.8,303.66,984.15,27
RC,0278,MICRSPHR EMBOSPHERE500-700MCRN,1093.5,874.8,303.66,984.15,27
RC,0278,MICRSPHR EMBOSPHERE700-900MCRN,1093.5,874.8,303.66,984.15,27
RC,0278,MICRSPHR EMBOZENE GRN 700MCRN,1102.5,882.0,306.16,992.25,27
RC,0278,MICRSPHR EMBOZENE ORG 100MCRN,967.5,774.0,268.67,870.75,27
RC,0278,MICRSPHR EMBOZENE RED 500MCRN,967.5,774.0,268.67,870.75,27
RC,0278,MICRSPHR EMBOZENE YEL 250MCRN,967.5,774.0,268.67,870.75,27
RC,0278,MICRSPHR LC BEAD 300-500MCRN,5600.0,4480.0,1555.12,5040.0,27
RC,0278,MODEL FIB CLASC LP,4199.38,3359.51,1166.17,3779.44,27
RC,0278,MTX DURAL DURAGEN SGL UNIT 2X2,2100.0,1680.0,583.17,1890.0,27
RC,0278,MTX DURAL SYNTHECEL STER 1X3,1929.19,1543.36,535.74,1736.27,27
RC,0278,MTX DURAL SYNTHECEL STER 3.5X8,6160.76,4928.61,1710.84,5544.68,27
RC,0278,MTX DURAL SYNTHECEL STER 3X3,2742.56,2194.05,761.61,2468.3,27
RC,0278,MTX DURAL SYNTHECEL STER 4.5,4227.3,3381.84,1173.92,3804.57,27
RC,0278,MTX DUREPAIR DURA REGEN 3X3,3072.3,2457.84,853.18,2765.07,27
RC,0278,MTX DUREPAIR DURA REGEN 4X5,5080.32,4064.26,1410.8,4572.29,27
RC,0278,MTX DUREPAIR DURA REGEN 5X8,8424.0,6739.2,2339.34,7581.6,27
RC,0278,NAIL FEM GREATER STER RT10X380,5006.46,4005.17,1390.29,4505.81,27
RC,0278,NAIL FEM RECON LAT TILFT10X360,3378.26,2702.61,938.14,3040.43,27
RC,0278,NAIL SLV INSRT STER 8-13SPI,442.61,354.09,122.91,398.35,27
RC,0278,NAILEX LAT ENTRY TI LFT 9X280,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI LFT 9X340,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI LFT 9X380,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI RT 8.2X280,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI RT 8.2X320,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI RT 8.2X380,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI RT 9X340,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI RT 9X360,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TI RT 9X400,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TILFT 8.2X340,3555.05,2844.04,987.24,3199.55,27
RC,0278,NAILEX LAT ENTRY TILFT 8.2X400,3555.05,2844.04,987.24,3199.55,27
RC,0278,NDLE FAST FIX 360 ST,1856.4,1485.12,515.52,1670.76,27
RC,0278,NUT CORT M/DN ZIMM 5.5MM*DISC*,1075.2,860.16,298.58,967.68,27
RC,0278,NUT LK HD TO HD T CONN,324.0,259.2,89.97,291.6,27
RC,0278,NUT LK TI 7.5MM,305.0,244.0,84.7,274.5,27
RC,0278,NUT RING TURRET EXT PRSP,1092.0,873.6,303.25,982.8,27
RC,0278,NUT VERSALINK RING PRSP,1092.0,873.6,303.25,982.8,27
RC,0278,OCCL DUCT PDA AMPLZ 10X8MM,12720.0,10176.0,3532.34,11448.0,27
RC,0278,OCCL DUCT PDA AMPLZ 5X4MM,12720.0,10176.0,3532.34,11448.0,27
RC,0278,OCCL DUCT PDA AMPLZ 6X4MM,12720.0,10176.0,3532.34,11448.0,27
RC,0278,OCCL DUCT PDA AMPLZ 8X6MM,12720.0,10176.0,3532.34,11448.0,27
RC,0278,OCCL DUCT PDA PICCOLO 3X4MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL DUCT PDA PICCOLO 3X6MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL DUCT PDA PICCOLO 4X4MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL DUCT PDA PICCOLO 4X6MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL DUCT PDA PICCOLO 5X2MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL DUCT PDA PICCOLO 5X4MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL DUCT PDA PICCOLO 5X6MM,27120.0,21696.0,7531.22,24408.0,27
RC,0278,OCCL HEMORHAGE TFS,540.0,432.0,149.96,486.0,27
RC,0278,PATCH DURAGUARD 6X8CM,2523.1,2018.48,700.66,2270.79,27
RC,0278,PATCH PERICARDIAL SJM 5X10CM,1474.2,1179.36,409.39,1326.78,27
RC,0278,PATCH PERICARDIAL SJM 9X14CM,1919.4,1535.52,533.02,1727.46,27
RC,0278,PCTL PVA CONT 250-355MCRN BX2,724.5,579.6,201.19,652.05,27
RC,0278,PCTL PVA CONT 355-500MCRN BX5,765.0,612.0,212.44,688.5,27
RC,0278,PEG FULL THRD ZIMM 2.5X26MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG FULL THRD ZIMM 2.5X30MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG FULL THRD ZIMM 2.5X8MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG LK SMTH ZIMM2X28MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG VOLAR THRD TRMI 14MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR THRD TRMI 16MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR THRD TRMI 18MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR THRD TRMI 20MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR THRD TRMI 22MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR THRD TRMI 24MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR THRD TRMI 26MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR UNTHRD TRMI 14MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR UNTHRD TRMI 16MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR UNTHRD TRMI 18MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR UNTHRD TRMI 20MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG VOLAR UNTHRD TRMI 22MM,472.5,378.0,131.21,425.25,27
RC,0278,PEG WRIST LK CORT ACUM2.3X14MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG WRIST LK CORT ACUM2.3X16MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG WRIST LK CORT ACUM2.3X18MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG WRIST LK CORT ACUM2.3X20MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG WRIST LK CORT ACUM2.3X24MM,504.0,403.2,139.96,453.6,27
RC,0278,PEG WRIST LK CORT ACUM2.3X26MM,504.0,403.2,139.96,453.6,27
RC,0278,PELVIC BONE STBL SYS 9X120MM,11436.54,9149.24,3175.93,10292.89,27
RC,0278,PFIXWSCREWTHRD4.0X140*DISC*,468.0,374.4,129.96,421.2,27
RC,0278,PIN BTRS LCP 1.8X16MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP 1.8X18MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP 1.8X20MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP SS 1.8X14MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP SS 1.8X22MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP SS 1.8X24MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP SS 1.8X28MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP SS 1.8X30MM,509.22,407.38,141.41,458.3,27
RC,0278,PIN BTRS LCP TI 1.8X12MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X14MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X16MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X18MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X20MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X22MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X24MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X26MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X28MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS LCP TI 1.8X30MM,560.97,448.78,155.78,504.87,27
RC,0278,PIN BTRS SS 1.8X12MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X14MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X16MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X18MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X20MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X22MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X24MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X26MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X28MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS SS 1.8X30MM,278.96,223.17,77.47,251.06,27
RC,0278,PIN BTRS STARDR 1.8X8MM,435.98,348.79,121.07,392.38,27
RC,0278,PIN BTRS TI 1.8X14MM,308.45,246.76,85.66,277.61,27
RC,0278,PIN BTRS VA LK TI 1.8X10MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X12MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X14MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X16MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X18MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X20MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X22MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X24MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X26MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X28MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X30MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN BTRS VA LK TI 1.8X8MM,451.98,361.59,125.51,406.78,27
RC,0278,PIN CERCLAGE POSITION TI 4.5MM,682.29,545.84,189.47,614.06,27
RC,0278,PIN CERCLAGE THRD STER 3.5MM,682.29,545.84,189.47,614.06,27
RC,0278,PIN CERCLAGE THRD STER 4.5MM,682.29,545.84,189.47,614.06,27
RC,0278,PIN CERCLAGE TI STER 4.5MM,682.29,545.84,189.47,614.06,27
RC,0278,PIN CRIMP POSITION 5.0MM,1024.38,819.51,284.47,921.94,27
RC,0278,PIN DISTRAC CERV 12MM,756.0,604.8,209.94,680.4,27
RC,0278,PIN DISTRAC CERV QK START 14MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,PIN DISTRAC SECURE C 12MM,720.0,576.0,199.94,648.0,27
RC,0278,PIN DRILL TRIMIT 1.5X100MM,1617.0,1293.6,449.04,1455.3,27
RC,0278,PIN DRILL TRIMIT 2X100MM,1617.0,1293.6,449.04,1455.3,27
RC,0278,PIN FIX PROVISIONAL LNG 26MM,792.0,633.6,219.94,712.8,27
RC,0278,PIN NVGTN 3X100MM,745.47,596.38,207.02,670.92,27
RC,0278,PIN PREFIXATION MDTR,268.4,214.72,74.53,241.56,27
RC,0278,PIN QK DRILL HP DEPU,306.88,245.51,85.22,276.19,27
RC,0278,PIN TEMP FIX ORTHOLOC LG 1.4MM,366.12,292.9,101.67,329.51,27
RC,0278,PIN THRD BEND LCP 1.5MM,1030.05,824.04,286.04,927.05,27
RC,0278,PIN THRD HP HEADED DEPU,306.88,245.51,85.22,276.19,27
RC,0278,PIST BIGEAS OFFS*DISC NO REPL*,1684.2,1347.36,467.7,1515.78,27
RC,0278,PIST BIGEASY OFFSET 4.5MM*NLU*,1230.35,984.28,341.67,1107.32,27
RC,0278,PIST BIGEASY OFFSET LFT 5*NLU*,1230.35,984.28,341.67,1107.32,27
RC,0278,PIST BIGEASY OFFSET RT 5M*NLU*,1230.35,984.28,341.67,1107.32,27
RC,0278,PIST BIGEASY OFFSET4.75*NLU*,1684.2,1347.36,467.7,1515.78,27
RC,0278,PIST BIGEASYOFFSETLFT4.75*NLU*,1684.2,1347.36,467.7,1515.78,27
RC,0278,PLUG BONE CMNT ALLEN 24MM,473.42,378.74,131.47,426.08,27
RC,0278,PLUG BONE CMNT ARTISAN STRY LG,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT ARTISAN STRY MD,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT ARTISAN STRY SM,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT BIOSTOP G 10MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT BIOSTOP G 12MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT BIOSTOP G 14MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT BIOSTOP G 16MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT BIOSTOP G 18MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT BIOSTOP G 20MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT BIOSTOP G 8MM,387.45,309.96,107.59,348.71,27
RC,0278,PLUG BONE CMNT HIP SYNT SZ1,389.66,311.73,108.21,350.69,27
RC,0278,PLUG BONE CMNT HIP SYNT SZ6,389.66,311.73,108.21,350.69,27
RC,0278,PLUG BONE CMNT HIP ZIMM 26MM,2904.0,2323.2,806.44,2613.6,27
RC,0278,PLUG BONE CMNT HIP ZIMM 38MM,2904.0,2323.2,806.44,2613.6,27
RC,0278,PLUG BONE CMNT IM CANAL 2XL,577.13,461.71,160.27,519.42,27
RC,0278,PLUG BONE CMNT IM CANAL LG,577.13,461.71,160.27,519.42,27
RC,0278,PLUG BONE CMNT IM CANAL SM,577.13,461.71,160.27,519.42,27
RC,0278,PLUG BONE CMNT IM CANAL XL,577.13,461.71,160.27,519.42,27
RC,0278,PLUG BONE CMNT SHLDR 8-15MM,378.0,302.4,104.97,340.2,27
RC,0278,PLUG BONE CMNT STRY SZ1,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT STRY SZ2,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT STRY SZ3,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT STRY SZ4,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT STRY SZ5,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT STRY UNIV SM,305.0,244.0,84.7,274.5,27
RC,0278,PLUG BONE CMNT SWAN 12MM*DISC*,1117.2,893.76,310.25,1005.48,27
RC,0278,PLUG BONE CMNT SWAN14MM*DISC*,1117.2,893.76,310.25,1005.48,27
RC,0278,PLUG CONN LEAD ADPTR OSCO,364.5,291.6,101.22,328.05,27
RC,0278,PLUG II VASC 20X16MM,2822.4,2257.92,783.78,2540.16,27
RC,0278,PLUG II VASC 4X6MM,2822.4,2257.92,783.78,2540.16,27
RC,0278,PLUG II VASC 6X6MM,2822.4,2257.92,783.78,2540.16,27
RC,0278,PLUG OPH XSORB 0.3MM *NLU*,475.2,380.16,131.96,427.68,27
RC,0278,PLUG OPH XSORB 0.4MM *NLU*,475.2,380.16,131.96,427.68,27
RC,0278,PLUG READYSET SLIM MINI 0.4MM,183.0,146.4,50.82,164.7,27
RC,0278,PLUG SPNL POLARIS 4.75MM STD,399.6,319.68,110.97,359.64,27
RC,0278,PLUG THRD 3.5MM,467.71,374.17,129.88,420.94,27
RC,0278,PLUG VASC ART EMBOL AZUR LG,6648.6,5318.88,1846.32,5983.74,27
RC,0278,PLUG VASC AZUR MD,6055.0,4844.0,1681.47,5449.5,27
RC,0278,PLUG VASC AZUR SM,5461.4,4369.12,1516.63,4915.26,27
RC,0278,PLUG VASC MVP MACRO 7MM,4186.0,3348.8,1162.45,3767.4,27
RC,0278,PLUG VASC MVP MACRO 9MM,4186.0,3348.8,1162.45,3767.4,27
RC,0278,PLUG VASC MVP MICRO 3MM,4186.0,3348.8,1162.45,3767.4,27
RC,0278,PLUG VASC MVP MICRO 5MM,4186.0,3348.8,1162.45,3767.4,27
RC,0278,PORT APHERESIS POWERFLOW 9.6FR,2881.2,2304.96,800.11,2593.08,27
RC,0278,PORT GASTRIC BAND REPL REALIZE,2988.52,2390.82,829.91,2689.67,27
RC,0278,PRCD ACC 25 WATCHMAN,3200.0,2560.0,888.64,2880.0,27
RC,0278,PRCD ACC WATCHMAN TRUSEAL,3200.0,2560.0,888.64,2880.0,27
RC,0278,PREP FOR RECURRENT C DIFF 35ML,4746.0,3796.8,1317.96,4271.4,27
RC,0278,PROS TESTICULAR COLOPLAST MD,7514.0,6011.2,2086.64,6762.6,27
RC,0278,PROS VOICE FISTU*DISC NO REPL*,1680.0,1344.0,466.54,1512.0,27
RC,0278,PROS VOICE FISTUAL BI-FLG 25MM,1764.0,1411.2,489.86,1587.6,27
RC,0278,PROS VOICE FISTUAL BI-FLG 38MM,1764.0,1411.2,489.86,1587.6,27
RC,0278,PROTECT ULNA NERVE LG,294.26,235.41,81.72,264.83,27
RC,0278,PTCL EMBOL PVA 1*DISC 6160095*,532.44,425.96,147.86,479.2,27
RC,0278,PTCL EMBOL PVA 3*DISC 6160096*,532.44,425.96,147.86,479.2,27
RC,0278,PTCL EMBOL PVA 7*DISC 6181299*,532.44,425.96,147.86,479.2,27
RC,0278,PTCL EMBOL PVA50*DISC 6269818*,532.44,425.96,147.86,479.2,27
RC,0278,PTCL EMBOL PVA90*DISC 6328578*,523.17,418.54,145.28,470.85,27
RC,0278,PTCL PVA CONT 150-250MCRN BX5,688.5,550.8,191.2,619.65,27
RC,0278,PTCL PVA CONT 250-355MCRN BX5,765.0,612.0,212.44,688.5,27
RC,0278,PUMP KT IMPELLA 5.5 S2,105600.0,84480.0,29325.12,95040.0,27
RC,0278,PUMP KT IMPELLA CATH CP C9,64800.0,51840.0,17994.96,58320.0,27
RC,0278,PUMP KT IMPELLA RP FLEX SMART,64800.0,51840.0,17994.96,58320.0,27
RC,0278,PUMP PAIN ONQ 1-7/HR600ML*NLU*,1819.23,1455.39,505.2,1637.31,27
RC,0278,PUNCH CRKSCRW SWVLK 5.5MM,1960.2,1568.16,544.35,1764.18,27
RC,0278,RASP DORSAL WIN EXMD 12MM,1335.6,1068.48,370.9,1202.04,27
RC,0278,RETR DISC SHIM LVL3 SS GM,1470.0,1176.0,408.22,1323.0,27
RC,0278,RETR LAT DISC SHIM ALUM GM,1470.0,1176.0,408.22,1323.0,27
RC,0278,RING ANNULO DURAN ANCORE 33MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE B 23MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE B 25MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE B 27MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE B 29MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE B 31MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE B 33MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE R 23MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO DURANANCORE R 27MM,3780.0,3024.0,1049.71,3402.0,27
RC,0278,RING ANNULO MITRAL SADDLE 26MM,5026.0,4020.8,1395.72,4523.4,27
RC,0278,RING ANNULO MITRAL SADDLE 28MM,5026.0,4020.8,1395.72,4523.4,27
RC,0278,RING ANNULO MITRAL SADDLE 30MM,5026.0,4020.8,1395.72,4523.4,27
RC,0278,RING ANNULO MITRAL SADDLE 36MM,7787.0,6229.6,2162.45,7008.3,27
RC,0278,RING ANNULO PHYSIO FLEX 30MM,10920.0,8736.0,3032.48,9828.0,27
RC,0278,RING ANNULO TAILOR 25MM,3626.0,2900.8,1006.94,3263.4,27
RC,0278,RING ANNULO TAILOR 27MM,3626.0,2900.8,1006.94,3263.4,27
RC,0278,RING ANNULO TAILOR 29MM,3626.0,2900.8,1006.94,3263.4,27
RC,0278,RING ANNULO TAILOR 31MM,3626.0,2900.8,1006.94,3263.4,27
RC,0278,RING ANNULO TAILOR 33MM,3626.0,2900.8,1006.94,3263.4,27
RC,0278,RING ANNULO TAILOR 35MM,3626.0,2900.8,1006.94,3263.4,27
RC,0278,RING ANNULO TRIAD 26MM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,RING ANNULO TRIAD 28MM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,RING ANNULO TRIAD 30MM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,RING ANNULO TRIAD 32MM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,RING ANNULO TRIAD 34MM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,RING ANNULO TRIAD 36MM,5950.0,4760.0,1652.32,5355.0,27
RC,0278,RING CPLR TENSN12*DISC 6309835,787.5,630.0,218.69,708.75,27
RC,0278,RING CPSLR TENSI*DISC 6326639*,787.5,630.0,218.69,708.75,27
RC,0278,RING CPSLR TENSI*DISC NO REPL*,787.5,630.0,218.69,708.75,27
RC,0278,RING CPSLR TENSIO*DUP 6293503*,832.5,666.0,231.19,749.25,27
RC,0278,RING CPSLR TENSION 12MM,832.5,666.0,231.19,749.25,27
RC,0278,RING CPSLR TENSION 13MM,832.5,666.0,231.19,749.25,27
RC,0278,RING CPSLR TENSION JJVC 13MM,562.5,450.0,156.21,506.25,27
RC,0278,RING CPSLRTENSIONPRELOADLFT14C,1012.5,810.0,281.17,911.25,27
RC,0278,ROD ADJ 3.5X100,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD ADJ TI 3.5X100,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD CHROME ST 5.5X500MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CONT BULLET DENALI 5.5X100,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD CONT BULLET DENALI 5.5X60,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD CONT BULLET DENALI 5.5X70,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD CONT BULLET DENALI 5.5X80,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD CONT BULLET DENALI 5.5X85,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD CONT BULLET DENALI 5.5X95,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD CONT DENALI 5.5X110MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CONT DENALI 5.5X75MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CONT DENALI 5.5X95MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X100MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X110MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X120MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X30MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X35MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X40MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X45MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X50MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X55MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X60MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X70MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X80MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CP4 CURV TI 5.5X90MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD CURV CAPITOL 3.5X60MM,720.0,576.0,199.94,648.0,27
RC,0278,ROD CURV CREO TI 5.5X100MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X125MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X150MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X35MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X40MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X45MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X50MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X55MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X65MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X70MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X75MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X80MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X85MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X90MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV CREO TI 5.5X95MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD CURV QUARTEX 4.0X120MM,855.0,684.0,237.43,769.5,27
RC,0278,ROD CURV QUARTEX 4.0X60MM,855.0,684.0,237.43,769.5,27
RC,0278,ROD CURV SOLERA COCR 5.5X100MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X110MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X120MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X35MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X40MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X45MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X50MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD CURV SOLERA COCR 5.5X90MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD ELLIPSE ST 3.5X120MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ELLIPSE ST 3.5X140MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ELLIPSE ST 3.5X40MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ELLIPSE ST 3.5X80MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ELLIPSE TPR 3.5-5.5MM 350,1386.0,1108.8,384.89,1247.4,27
RC,0278,ROD EXPD COCR DEPU 300MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD EXPD COCR DEPU 480MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD EXPD COCRCONTDEPU5.5X455MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD HEX END ST CREO 5.5X300MM,990.0,792.0,274.92,891.0,27
RC,0278,ROD HEX END ST CREO 5.5X500MM,990.0,792.0,274.92,891.0,27
RC,0278,ROD LORD PREBENT VPR TI 100MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 110MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 120MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 150MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 35MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 40MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 45MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 50MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 55MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 60MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 65MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 70MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 75MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 80MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD LORD PREBENT VPR TI 90MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD MIS ST CREO TI 5.5X45MM,990.0,792.0,274.92,891.0,27
RC,0278,ROD MIS ST CREO TI 5.5X55MM,990.0,792.0,274.92,891.0,27
RC,0278,ROD MNTR DEPU 3.5-5.5X600MM,2268.0,1814.4,629.82,2041.2,27
RC,0278,ROD MTNR DEPU 3.5X120MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD MTNR DEPU 3.5X20MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD MTNR DEPU 3.5X300MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD MTNR DEPU 3.5X60MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD MTX CURV TI 5.5X40MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD OC ADJ 3.5X200MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC ADJ TI 3.5X200MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC PRE CURV 3.5X200MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC PRE CURV TI 3.5X200MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC PRE CUT TI 3.5X30MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OC PRE CUT TI 3.5X35MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OC PRE CUT TI 3.5X40MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OC PRE CUT TI 3.5X45MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OC PRE CUT TI 3.5X70MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OC QUARTEX 100 4.0X240MM,900.0,720.0,249.93,810.0,27
RC,0278,ROD OC STD TI 3.2X240MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OC TPR 3.5/4.75X420MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC TPR 3.5/5.5X420MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC TPR TI 3.5/4.75X420MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OC TPR TI 3.5/5.5X420MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD OCCIPITAL CURVVERTEX 270MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD OCCIPITAL ELLIPSE JOINTRT,2160.0,1728.0,599.83,1944.0,27
RC,0278,ROD OCCIPITAL ELLIPSEJOINTLFT,2160.0,1728.0,599.83,1944.0,27
RC,0278,ROD OCCIPITAL STR VERTEX 240MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PCT VERTEX 3.5X25MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PCT VERTEX 3.5X30MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PCT VERTEX 3.5X40MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PCT VERTEX 3.5X50MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PCT VERTEX 3.5X60MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PRE-LORDOSED W LN 35MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 40MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 45MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 50MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 55MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 60MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 65MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 70MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 75MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 85MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PRE-LORDOSED W LN 95MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD PREBENT CHROMALOY 120MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD PREBENT CHROMALOY 90MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD PREBENT COCR MDTR 30MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PREBENT OC FUSN 110D 4X240,846.0,676.8,234.93,761.4,27
RC,0278,ROD PRECUT INFINITY 3.5X25MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PRECUT INFINITY 3.5X80MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD PRECUT VERTEX 3.5X100MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD REAMING OFFSET 3X950M,672.75,538.2,186.82,605.48,27
RC,0278,ROD REAMING OFFSET STR 3X950MM,770.04,616.04,213.84,693.04,27
RC,0278,ROD REVERE CONT 5.5X450MM,675.0,540.0,187.45,607.5,27
RC,0278,ROD REVERE CURV 65MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD REVERE CURV 70MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD SPNL CASPIAN ST 3.5X120MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD SPNL CASPIAN ST 3.5X80MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD SPNL CONT COCR 5.5X450,1869.0,1495.2,519.02,1682.1,27
RC,0278,ROD ST CREO TI 5.5X100MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST CREO TI 5.5X125MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST CREO TI 5.5X150MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST CREO TI 5.5X55MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST CREO TI 5.5X65MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST CREO TI 5.5X75MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST CREO TI 5.5X85MM,810.0,648.0,224.94,729.0,27
RC,0278,ROD ST QUARTEX 4.0X120MM,855.0,684.0,237.43,769.5,27
RC,0278,ROD ST QUARTEX 4.0X240MM,855.0,684.0,237.43,769.5,27
RC,0278,ROD ST QUARTEX 4.0X40MM,855.0,684.0,237.43,769.5,27
RC,0278,ROD ST QUARTEX 4.0X80MM,855.0,684.0,237.43,769.5,27
RC,0278,ROD ST SOLERA COCR 5.5X500MM,1030.5,824.4,286.17,927.45,27
RC,0278,ROD ST SOLERA TI 5.5X500MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD ST TI EXPD DEPU 5.5X120MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD ST TI EXPD DEPU 5.5X300MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD ST TI EXPD DEPU 5.5X480MM,747.0,597.6,207.44,672.3,27
RC,0278,ROD STD TI 3.5X240MM,846.0,676.8,234.93,761.4,27
RC,0278,ROD THRD 3.0 SLFDR TIP 270MM,1165.0,932.0,323.52,1048.5,27
RC,0278,ROD TI SEXTANPREBT5.5X100*NLU*,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD TI SYMPY ST 4.0X120MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD TI SYMPY ST 4.0X240MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD TL UCLAMP ELLIPSE LFT3.5MM,3402.0,2721.6,944.74,3061.8,27
RC,0278,ROD TL UCLAMP ELLIPSE RT 3.5MM,3402.0,2721.6,944.74,3061.8,27
RC,0278,ROD TPR 3.5/6.0X420MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD TPR 3.5/6.0X600MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD TPR QUARTEX 4-5.5X350MM,1512.0,1209.6,419.88,1360.8,27
RC,0278,ROD TPR TI 3.5/6.0X420MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD TPR TI 3.5/6.0X600MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,ROD VOYAGER PERC 5.5X130MM,2016.0,1612.8,559.84,1814.4,27
RC,0278,ROD VPR DEPU ST 120MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD VPR DEPU ST 300MM,1163.4,930.72,323.08,1047.06,27
RC,0278,ROD VPR DEPU ST 480MM,1356.6,1085.28,376.73,1220.94,27
RC,0278,ROD Z EXPD DEPU 5.5X300MM,747.0,597.6,207.44,672.3,27
RC,0278,RODONTRABECMETAL10X80*DISC*,12334.4,9867.52,3425.26,11100.96,27
RC,0278,SADDLE PELVIC POLARIS LG4.75MM,747.0,597.6,207.44,672.3,27
RC,0278,SADDLE PELVIC POLARIS SM4.75MM,747.0,597.6,207.44,672.3,27
RC,0278,SCAF BIORESORB WICK ROTIUM 3X4,12987.0,10389.6,3606.49,11688.3,27
RC,0278,SCAF BONE GRAFT SYN GENEX 10CC,6630.0,5304.0,1841.15,5967.0,27
RC,0278,SCAF BONE GRAFT SYN GENEX 3CC,3200.0,2560.0,888.64,2880.0,27
RC,0278,SCAF BONE GRAFT SYN GENEX 5CC,3969.0,3175.2,1102.19,3572.1,27
RC,0278,SCAF BONE INFUSE 2XS 0.7CC,3298.4,2638.72,915.97,2968.56,27
RC,0278,SCAF BONE INFUSE LG 8.0CC,17052.0,13641.6,4735.34,15346.8,27
RC,0278,SCAF BONE INFUSE LGII 8.0CC,16396.8,13117.44,4553.39,14757.12,27
RC,0278,SCAF BONE INFUSE MD 5.6CC,15314.4,12251.52,4252.81,13782.96,27
RC,0278,SCAF BONE INFUSE SM 2.8CC,12118.6,9694.88,3365.34,10906.74,27
RC,0278,SCAF BONE INFUSE XS 1.4CC,6568.8,5255.04,1824.16,5911.92,27
RC,0278,SCAF BONE NORIAN DRILL FAST5CC,3366.72,2693.38,934.94,3030.05,27
RC,0278,SCAF BONE NORIAN DRILLABLE 3CC,2890.44,2312.36,802.68,2601.4,27
RC,0278,SCAF BONE NORIAN DRILLABLE 5CC,4818.24,3854.6,1338.03,4336.42,27
RC,0278,SCAF BONE NORIAN DRILLABLE10CC,6693.57,5354.86,1858.8,6024.21,27
RC,0278,SCAF BONE OSFERION 10X3X30X12,1960.2,1568.16,544.35,1764.18,27
RC,0278,SCAF BONE OSFERION 12X3X35X12,1960.2,1568.16,544.35,1764.18,27
RC,0278,SCAF BONE OSFERION 15X3X35X12,1960.2,1568.16,544.35,1764.18,27
RC,0278,SCAF BONE PRO-DENSE 10CC,9891.7,7913.36,2746.93,8902.53,27
RC,0278,SCAF BONE PRO-DENSE 12CC,10847.2,8677.76,3012.27,9762.48,27
RC,0278,SCAF BONE PRO-DENSE 15CC,12113.4,9690.72,3363.89,10902.06,27
RC,0278,SCAF BONE PRO-DENSE 20CC,13834.8,11067.84,3841.92,12451.32,27
RC,0278,SCAF BONE PRO-DENSE 7CC,7216.3,5773.04,2003.97,6494.67,27
RC,0278,SCAF BONE PRO-DENSE CLASC 10CC,9891.7,7913.36,2746.93,8902.53,27
RC,0278,SCAF BONE PRO-STIM CDK 15CC,16052.11,12841.69,4457.67,14446.9,27
RC,0278,SCAF BONE PUTTY FIBERGRAFT 2CC,2404.08,1923.27,667.61,2163.67,27
RC,0278,SCAF BONE PUTTY MONTAGE CT14GM,3917.2,3133.76,1087.81,3525.48,27
RC,0278,SCAF BONE STIMULAN 10CC,4302.2,3441.76,1194.72,3871.98,27
RC,0278,SCAF BONE STIMULAN RAPID 10CC,3780.0,3024.0,1049.71,3402.0,27
RC,0278,SCAF BONE STIMULAN RAPID 20CC,6426.0,5140.8,1784.5,5783.4,27
RC,0278,SCAF BONE STIMULAN RAPID 5CC,3024.0,2419.2,839.76,2721.6,27
RC,0278,SCAF BONE STRIP FORMAGRAFT LG,4567.36,3653.89,1268.36,4110.62,27
RC,0278,SCAF BONE SUB VITOSS 5CC,2911.04,2328.84,808.4,2619.94,27
RC,0278,SCAF BONE VITOSS BBTRAUMA2.5CC,2691.84,2153.48,747.52,2422.66,27
RC,0278,SCREW DENTAL TAD BTN TOP 1.4X8,783.0,626.4,217.44,704.7,27
RC,0278,SCREW RETAINED RB/WB 1.5X4.6MM,712.13,569.71,197.76,640.92,27
RC,0278,SCRWDRVR CMF DISTRAC,1827.0,1461.6,507.36,1644.3,27
RC,0278,SET CBL DALL MILES SS STRY,1344.42,1075.54,373.35,1209.98,27
RC,0278,SET CYL/PUMP INFRAPUBIC 0D11CM,29752.8,23802.24,8262.35,26777.52,27
RC,0278,SET CYL/PUMP INFRAPUBIC 0D14CM,29752.8,23802.24,8262.35,26777.52,27
RC,0278,SET SCREW EVEREST,405.0,324.0,112.47,364.5,27
RC,0278,SHIM SPNL PTP INTRADISCAL NARW,1155.0,924.0,320.74,1039.5,27
RC,0278,SHLDR HD VERSA-DIAL 50X21X57MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,SHLDR HD VERSA-DIAL 58X24X64MM,3200.0,2560.0,888.64,2880.0,27
RC,0278,SHLDR HUMR BEARING STD 44-41MM,2700.0,2160.0,749.79,2430.0,27
RC,0278,SHLDR INSRT RVRS REV 36MM +9C,2880.0,2304.0,799.78,2592.0,27
RC,0278,SHLDR LAT HUMR INSRT 36X9,2160.58,1728.47,599.99,1944.52,27
RC,0278,SHLDR SPACER MOLD PREMADE10-48,12240.0,9792.0,3399.05,11016.0,27
RC,0278,SHLDR STEM CMPRHNSV MINI 5MM,6760.0,5408.0,1877.25,6084.0,27
RC,0278,SHLDR TRAY RVRS 0MM +6,3200.0,2560.0,888.64,2880.0,27
RC,0278,SHNT CATH BARIUM KT BACTISEAL,2785.86,2228.69,773.63,2507.27,27
RC,0278,SHNT CATH SETEVDBACTISEALID1.5,2268.0,1814.4,629.82,2041.2,27
RC,0278,SHNT CATH VALV BACTISEAL 100MM,6728.96,5383.17,1868.63,6056.06,27
RC,0278,SHNT N CLIP SLV RT ANG,344.14,275.32,95.57,309.73,27
RC,0278,SHNT N CONN Y*DISC 6230665*,944.51,755.61,262.29,850.06,27
RC,0278,SHNT N STRATA ASSY REG,12854.35,10283.48,3569.65,11568.92,27
RC,0278,SHNT N STRATA SNAP ASSY,12862.97,10290.38,3572.05,11576.67,27
RC,0278,SHNT OMAYA FLT STD,1589.7,1271.76,441.46,1430.73,27
RC,0278,SHNT PLEURAL DENVER 15.5F*NLU*,4096.4,3277.12,1137.57,3686.76,27
RC,0278,SHNT RSVR RICKHAM PLST LG9.5MM,1816.04,1452.84,504.31,1634.44,27
RC,0278,SHNT RSVR RICKHAM PLSTSTD 6MM,1787.39,1429.92,496.36,1608.65,27
RC,0278,SHNT VALV ONLY CERTAS+ REG,12949.22,10359.38,3596.0,11654.3,27
RC,0278,SHNT VALV ONLY CERTAS+ SPH SM,13226.47,10581.18,3672.99,11903.82,27
RC,0278,SHT SIL NONREIN 0.005 1X1,286.2,228.96,79.48,257.58,27
RC,0278,SHT SIL NONREIN 0.030 4X8,594.0,475.2,164.95,534.6,27
RC,0278,SHT SIL REINF 0.007 6X8,1192.8,954.24,331.24,1073.52,27
RC,0278,SHT SIL REINF 0.010 6X8,1192.8,954.24,331.24,1073.52,27
RC,0278,SHT SIL REINF 0.020 6X8,1192.8,954.24,331.24,1073.52,27
RC,0278,SHT SIL REINF 0.030 6X8,1247.4,997.92,346.4,1122.66,27
RC,0278,SHT SIL REINF 0.040 6X8,1297.8,1038.24,360.4,1168.02,27
RC,0278,SINUS TARIS HYPROCURE SZ6,5572.0,4457.6,1547.34,5014.8,27
RC,0278,SINUS TARIS HYPROCURE SZ7,5572.0,4457.6,1547.34,5014.8,27
RC,0278,SLING GYN UPHOLD LITE,7181.54,5745.24,1994.31,6463.39,27
RC,0278,SLV ABSORB 4MM,723.87,579.1,201.02,651.48,27
RC,0278,SLV ABSORB 5MM,723.87,579.1,201.02,651.48,27
RC,0278,SLV SIL SUT MR-CONDITIONAL,305.0,244.0,84.7,274.5,27
RC,0278,SLV SUT EASYTRAK 2 LEADS,213.5,170.8,59.29,192.15,27
RC,0278,SLV SUT LEAD EFH-16,268.4,214.72,74.53,241.56,27
RC,0278,SLV SUT LEAD EFH-7F-W,268.4,214.72,74.53,241.56,27
RC,0278,SLV SUT LEAD EFH-8F-W,268.4,214.72,74.53,241.56,27
RC,0278,SPACER ACIS PROTI 10D LORD LG8,3360.0,2688.0,933.07,3024.0,27
RC,0278,SPACER ACIS PROTI 12D LORD LG7,3360.0,2688.0,933.07,3024.0,27
RC,0278,SPACER ACIS PROTI 12D LORD LG8,3360.0,2688.0,933.07,3024.0,27
RC,0278,SPACER ACIS PROTI 12D LORD MD8,3360.0,2688.0,933.07,3024.0,27
RC,0278,SPACER ACIS PROTI 15D LORD LG9,3360.0,2688.0,933.07,3024.0,27
RC,0278,SPACER ACIS PROTI 15D LORD MD7,3360.0,2688.0,933.07,3024.0,27
RC,0278,SPACER ALIF 15D 25X31 14-17MM,17004.0,13603.2,4722.01,15303.6,27
RC,0278,SPACER ALIF 15D 25X31 16-19MM,17004.0,13603.2,4722.01,15303.6,27
RC,0278,SPACER ALIF 15D 29X39 12-15MM,17004.0,13603.2,4722.01,15303.6,27
RC,0278,SPACER ALIF 8D 26X34 12-16MM,17004.0,13603.2,4722.01,15303.6,27
RC,0278,SPACER CANOPY LAMINOPLASTY 9MM,1908.0,1526.4,529.85,1717.2,27
RC,0278,SPACER COALTN 7D 14X16X7MM,6300.0,5040.0,1749.51,5670.0,27
RC,0278,SPACER COALTN 7D 14X16X8MM,6300.0,5040.0,1749.51,5670.0,27
RC,0278,SPACER COALTN MIS 7D15X18X10MM,7436.0,5948.8,2064.98,6692.4,27
RC,0278,SPACER COLONIAL LORDTPS12X14X7,2912.0,2329.6,808.66,2620.8,27
RC,0278,SPACER COLONIAL LORDTPS15X18X8,2912.0,2329.6,808.66,2620.8,27
RC,0278,SPACER COLONIAL TPS 7D 14X16X7,2912.0,2329.6,808.66,2620.8,27
RC,0278,SPACER COLONIAL TPS 7D 14X16X8,2912.0,2329.6,808.66,2620.8,27
RC,0278,SPACER ELSA 0D 20X10-17X40MM,20640.0,16512.0,5731.73,18576.0,27
RC,0278,SPACER ELSA 6D 20X8-15X40MM,20640.0,16512.0,5731.73,18576.0,27
RC,0278,SPACER HEDRON 4D 10X26X7MM,8320.0,6656.0,2310.46,7488.0,27
RC,0278,SPACER HEDRON 7D 10.5X18X10MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10.5X18X12MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10.5X18X6MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10.5X18X7MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10.5X18X8MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10.5X18X9MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10X16X5MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10X16X6MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10X16X7MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10X16X8MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 10X16X9MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 8X14X6MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 8X14X7MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 8X14X8MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 7D 8X14X9MM,4172.0,3337.6,1158.56,3754.8,27
RC,0278,SPACER HEDRON 8D 10X26X8MM,8320.0,6656.0,2310.46,7488.0,27
RC,0278,SPACER HEDRON C 7D 12X14 10MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 12X14 5MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 12X14 6MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 12X14 7MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 12X14 8MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 12X14 9MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 10MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 11MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 12MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 5MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 6MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 7MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 8MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 14X16 9MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 10MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 11MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 12MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 5MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 6MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 7MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 8MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON C 7D 15X18 9MM,3178.0,2542.4,882.53,2860.2,27
RC,0278,SPACER HEDRON IA 15D 26X34X13,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 15D 26X34X15,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 15D 29X39X13,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 15D 29X39X15,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 15D 29X39X17,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 15D 29X39X19,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 20D 29X39X19,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 8D 26X34X13,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 8D 26X34X15,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 8D 29X39X11,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 8D 29X39X13,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON IA 8D 29X39X15,15168.0,12134.4,4212.15,13651.2,27
RC,0278,SPACER HEDRON L 10D 22X50X13MM,12480.0,9984.0,3465.7,11232.0,27
RC,0278,SPACER HEDRON T 8D 10X28X10MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER HEDRON T 8D 10X28X8MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER HEDRON T 8D 10X28X9MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER HEDRON T 8D 11X33X10MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER HEDRON T 8D 11X33X11MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER HEDRON T 8D 11X33X12MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER HEDRON T 8D 11X33X9MM,10049.0,8039.2,2790.61,9044.1,27
RC,0278,SPACER IDENTITI II 10D 6X16X14,6580.0,5264.0,1827.27,5922.0,27
RC,0278,SPACER IDENTITI II 10D 7X18X16,6580.0,5264.0,1827.27,5922.0,27
RC,0278,SPACER IDENTITI II 10D6X22X55,15600.0,12480.0,4332.12,14040.0,27
RC,0278,SPACER IDENTITI II 10D6X22X60,15600.0,12480.0,4332.12,14040.0,27
RC,0278,SPACER IDENTITI II 7D 5X16X14,6580.0,5264.0,1827.27,5922.0,27
RC,0278,SPACER IDENTITI II 7D 6X14X12,6580.0,5264.0,1827.27,5922.0,27
RC,0278,SPACER IDENTITI POR 10D6X18X55,13800.0,11040.0,3832.26,12420.0,27
RC,0278,SPACER IDENTITI POR 10D6X22X55,13800.0,11040.0,3832.26,12420.0,27
RC,0278,SPACER IDENTITI POR 10D8X18X50,13800.0,11040.0,3832.26,12420.0,27
RC,0278,SPACER IDENTITI POR 7D7X16X14,3346.0,2676.8,929.18,3011.4,27
RC,0278,SPACER LORDOSIS 0-14D 9X30X8,15444.0,12355.2,4288.8,13899.6,27
RC,0278,SPACER RECTAL BARRIGEL 3ML,3906.0,3124.8,1084.7,3515.4,27
RC,0278,SPACER RECTAL RADI BARRIGEL,8060.0,6448.0,2238.26,7254.0,27
RC,0278,SPACER SABLE 0D 6-12 10X22MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 15D 12X30 10-17MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 15D 12X30 7-14MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 22D 10X30 10-18MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 8D 10X30 6-12MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 8D 10X30 9-16MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 8D 6-12 10X22MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SABLE 8D 8X22 9-15MM,14076.0,11260.8,3908.91,12668.4,27
RC,0278,SPACER SPNL ALIF 10D 5X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 10D 6X34X24MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 10D 7X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 10D 8X34X24MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 10D 9X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 10D10X34X24MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 10D12X34X24MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 5X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 6X34X24MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 6X42X30MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 7X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 8X34X24MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 8X42X30MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 15D 9X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIF 20D 6X38X28MM,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL ALIFLORD15D5X38X28,16800.0,13440.0,4665.36,15120.0,27
RC,0278,SPACER SPNL CATALYFT PL40SHRT7,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFT PL40SHRT9,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFT PLSHRT7MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL LNG 7MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL LNG 9MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL LNG11MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL40 LNG 7,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL40 LNG 9,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL40 LNG11,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPL40SHRT11,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CATALYFTPLSHRT11MM,13200.0,10560.0,3665.64,11880.0,27
RC,0278,SPACER SPNL CORE 0D16X30X21-29,30720.0,24576.0,8530.94,27648.0,27
RC,0278,SPACER SPNL FORTIFY 0D31X12X14,14004.0,11203.2,3888.91,12603.6,27
RC,0278,SPACER SPNL HLS TI 10MM,2100.0,1680.0,583.17,1890.0,27
RC,0278,SPACER SPNL LIF 10D 4X18X55MM,16200.0,12960.0,4498.74,14580.0,27
RC,0278,SPACER SPNL LIF 10D 6X22X50MM,16200.0,12960.0,4498.74,14580.0,27
RC,0278,SPACER SPNL LIF 10D 8X22X50MM,16200.0,12960.0,4498.74,14580.0,27
RC,0278,SPACER SPNL LIF 10D 8X22X60MM,16200.0,12960.0,4498.74,14580.0,27
RC,0278,SPACER SPNL LIF TI 10D 4X18X50,13800.0,11040.0,3832.26,12420.0,27
RC,0278,SPACER SPNL LTX 15D 6X18X45MM,17400.0,13920.0,4831.98,15660.0,27
RC,0278,SPACER SPNL LTX 15D 6X22X60MM,18000.0,14400.0,4998.6,16200.0,27
RC,0278,SPACER SPNL LTX TI 15D 6X18X45,19200.0,15360.0,5331.84,17280.0,27
RC,0278,SPACER SPNL LTX TI 15D 6X22X45,19200.0,15360.0,5331.84,17280.0,27
RC,0278,SPACER SPNL LTX TI 15D 6X22X50,19200.0,15360.0,5331.84,17280.0,27
RC,0278,SPACER SPNL LTX TI 15D 6X22X55,19200.0,15360.0,5331.84,17280.0,27
RC,0278,SPACER SPNL LTX TI 20D 6X22X55,19200.0,15360.0,5331.84,17280.0,27
RC,0278,SPACER SPNL PSTR TI 10D8X10X35,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNL PSTR TI 10D9X10X35,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNL PSTR TI 15D6X10X30,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNL PSTR TI 15D7X10X30,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNL PSTR TI 15D8X10X30,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNL PSTR TI 5D 7X10X25,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNL PSTR TI10D10X10X35,13320.0,10656.0,3698.96,11988.0,27
RC,0278,SPACER SPNLFORTIFY0-7D31X12X14,14004.0,11203.2,3888.91,12603.6,27
RC,0278,SPACER TENDON SWANSON 3X24CM,4689.44,3751.56,1302.26,4220.5,27
RC,0278,SPLT SURG NAIL LG 22MM*NLU*,244.0,195.2,67.76,219.6,27
RC,0278,SPLT SURG NAIL MD 14MM*NLU*,244.0,195.2,67.76,219.6,27
RC,0278,SPLT SURG NAIL SM 8MM*NLU*,244.0,195.2,67.76,219.6,27
RC,0278,SPNG SCLERAL BUCKLE TYPE 506,294.81,235.85,81.87,265.33,27
RC,0278,SPNL CLSR VITALITY 5.5-6MM,399.6,319.68,110.97,359.64,27
RC,0278,SPNL CONN LAT QUARTEX LNG 3.5,1890.0,1512.0,524.85,1701.0,27
RC,0278,SPNL CONN ROD MAS VERTEX LG,2185.2,1748.16,606.83,1966.68,27
RC,0278,SPNL CONN ROD MAS VERTEX SM,2185.2,1748.16,606.83,1966.68,27
RC,0278,SPNL CONN T QUARTEX 4.0X33-39,2100.0,1680.0,583.17,1890.0,27
RC,0278,SPNL CONN T QUARTEX 4.0X39-45,2100.0,1680.0,583.17,1890.0,27
RC,0278,SPNL CONN TRNVRS ADJ 36-41X6.0,2610.0,2088.0,724.8,2349.0,27
RC,0278,SPNL CONN TRNVRS ADJ 41-51X6.0,2610.0,2088.0,724.8,2349.0,27
RC,0278,SPNL DISC L INF ENDPLT 3D LG,10400.0,8320.0,2888.08,9360.0,27
RC,0278,SPNL DISC L INF ENDPLT 3D MD,10400.0,8320.0,2888.08,9360.0,27
RC,0278,SPNL DISC L PE INLAY LG 10MM,2520.0,2016.0,699.8,2268.0,27
RC,0278,SPNL DISC L PE INLAY MD 10MM,2520.0,2016.0,699.8,2268.0,27
RC,0278,SPNL DISC L SUPIOR ENDPLT 3DLG,10400.0,8320.0,2888.08,9360.0,27
RC,0278,SPNL DISC L SUPIOR ENDPLT 3DMD,10400.0,8320.0,2888.08,9360.0,27
RC,0278,SPNL SCRL IFUSE TORQ 10.0X65,9750.0,7800.0,2707.58,8775.0,27
RC,0278,SPNL SCRL IFUSE TORQ 11.5X70,9750.0,7800.0,2707.58,8775.0,27
RC,0278,SPNL SCRL IFUSE TORQ 11.5X75,9750.0,7800.0,2707.58,8775.0,27
RC,0278,SPNLCAGEMODULUSALIF15D6X342X28,20676.0,16540.8,5741.73,18608.4,27
RC,0278,SPNLCAGEMODULUSALIF15D6X422X32,20676.0,16540.8,5741.73,18608.4,27
RC,0278,SPNLCAGEMODULUSALIF20D10X42X32,20676.0,16540.8,5741.73,18608.4,27
RC,0278,STAPES MTX TI 0.4X4.0MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES MTX TI 0.4X4.25MM,1026.72,821.38,285.12,924.05,27
RC,0278,STAPES MTX TI 0.4X4.50MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES MTX TI 0.5X4.0MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES MTX TI 0.5X4.25MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES MTX TI 0.5X4.50MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES MTX TI 0.6X3.75MM,1083.6,866.88,300.92,975.24,27
RC,0278,STAPES MTX TI 0.6X4.0MM,1026.72,821.38,285.12,924.05,27
RC,0278,STAPES MTX TI 0.6X4.25MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES MTX TI 0.6X4.50MM,1117.2,893.76,310.25,1005.48,27
RC,0278,STAPES NIT MEGERIAN 0.6X4.50MM,2184.84,1747.88,606.73,1966.36,27
RC,0278,STAPES NIT MEGERIAN 0.6X4.75MM,2184.84,1747.88,606.73,1966.36,27
RC,0278,STAPLE BONE FIX MD,1075.2,860.16,298.58,967.68,27
RC,0278,STAPLE HAMMERLOCK 2 0D LG,2981.76,2385.41,828.03,2683.58,27
RC,0278,STAPLE HAMMERLOCK 2 0D MD,2981.76,2385.41,828.03,2683.58,27
RC,0278,STAPLE HAMMERLOCK 2 0D SM,2981.76,2385.41,828.03,2683.58,27
RC,0278,STAPLE HAMMERLOCK 2 10D LG,2981.76,2385.41,828.03,2683.58,27
RC,0278,STAPLE HAMMERLOCK 2 10D MD,2981.76,2385.41,828.03,2683.58,27
RC,0278,STAPLE HAMMERLOCK 2 10D SM,2981.76,2385.41,828.03,2683.58,27
RC,0278,STAPLE KT MOTOCL*DISC NO REPL*,4200.0,3360.0,1166.34,3780.0,27
RC,0278,STAPLE LIG SPIKED ARTX 6X20MM,417.12,333.7,115.83,375.41,27
RC,0278,STAPLE MOTOCLIP MAX 10X10,3161.84,2529.48,878.04,2845.66,27
RC,0278,STBL PECTUS ELNG BIOM SS,2467.2,1973.76,685.14,2220.48,27
RC,0278,STBL PECTUS ELNG BIOM TI,8054.8,6443.84,2236.82,7249.32,27
RC,0278,STIM EXT ACTIVA SC MDTR 60CM,2376.0,1900.8,659.82,2138.4,27
RC,0278,STNT AXIOS W ELECCAUT 10X10MM,9880.0,7904.0,2743.68,8892.0,27
RC,0278,STNT BICANALICULAR NUNCHAKU105,630.0,504.0,174.95,567.0,27
RC,0278,STNT COLLARETTE MONOKA WIDE4MM,378.0,302.4,104.97,340.2,27
RC,0278,STNT HYDRUS MICROSTENT 8MM,5040.0,4032.0,1399.61,4536.0,27
RC,0278,STNT LACRIFLOW CL OD1.0MM 90MM,832.5,666.0,231.19,749.25,27
RC,0278,STNT NEUROGUARD IEP 8X6X30MM,13188.0,10550.4,3662.31,11869.2,27
RC,0278,STNT NEUROGUARD IEP 8X6X40MM,13188.0,10550.4,3662.31,11869.2,27
RC,0278,STNT NEUROGUARD IEP 9X7X30MM,13188.0,10550.4,3662.31,11869.2,27
RC,0278,STNT NEUROGUARD IEP 9X7X40MM,13188.0,10550.4,3662.31,11869.2,27
RC,0278,STNT PTA RETRIEVABLE SPUR 3X65,10387.0,8309.6,2884.47,9348.3,27
RC,0278,STNT PTA RETRIEVABLE SPUR 4X60,10387.0,8309.6,2884.47,9348.3,27
RC,0278,STNT ROADSAVER 8X25MMX143CM,6720.0,5376.0,1866.14,6048.0,27
RC,0278,STNT SALIVARY DUCT 0.6MM,807.21,645.77,224.16,726.49,27
RC,0278,STNT SALIVARY DUCT 1.0MM,807.21,645.77,224.16,726.49,27
RC,0278,STNT SINUS FRNTL RAINS STD,260.84,208.68,72.44,234.76,27
RC,0278,STNT SURPASS ELITE 4.0X20MM,41812.92,33450.34,11611.45,37631.63,27
RC,0278,SYS ACUTE AC REPAIR ARTX,3465.0,2772.0,962.23,3118.5,27
RC,0278,SYS CLIP MINI 8.5-9.8MM 3MM,1832.4,1465.92,508.86,1649.16,27
RC,0278,SYS COVSL ST 34X34X90MM*DISC*,37285.92,29828.74,10354.3,33557.33,27
RC,0278,SYS COVSLTAPER37X31X207*DISC*,43333.92,34667.14,12033.83,39000.53,27
RC,0278,SYS DELTOID LIG RECON,6021.4,4817.12,1672.14,5419.26,27
RC,0278,SYS ENCORE HYOID/TONGUE,6825.0,5460.0,1895.3,6142.5,27
RC,0278,SYS IMPLT LIGAMENT RECON ARTX,3388.0,2710.4,940.85,3049.2,27
RC,0278,SYS LOAD EVOLUTFX 23/26/29MM,1638.0,1310.4,454.87,1474.2,27
RC,0278,SYS LOAD EVOLUTFX 34MM,1638.0,1310.4,454.87,1474.2,27
RC,0278,SYS MITRAL PASCAL PREC,73440.0,58752.0,20394.29,66096.0,27
RC,0278,SYS PARS QUAD REPAIR,5390.0,4312.0,1496.8,4851.0,27
RC,0278,SYS PASCAL ACE P10/P5 SM*DISC*,84000.0,67200.0,23326.8,75600.0,27
RC,0278,SYS PASCAL CLASP II TRIAL CL,84000.0,67200.0,23326.8,75600.0,27
RC,0278,SYS PASCAL GENI P10/P5*DISC*,84000.0,67200.0,23326.8,75600.0,27
RC,0278,SYS RECON MAND/MAXIL VSP TI,24855.12,19884.1,6902.27,22369.61,27
RC,0278,SYS SPACEOAR HYDROGEL 10ML,8580.0,6864.0,2382.67,7722.0,27
RC,0278,SYS SPACEOAR VUE HYDROGEL 10ML,12091.17,9672.94,3357.72,10882.05,27
RC,0278,SYS TENDON REPAIR COMBO KTCONX,4054.9,3243.92,1126.05,3649.41,27
RC,0278,SYS TENDON REPAIR IMPLT DEV,3177.34,2541.88,882.35,2859.61,27
RC,0278,TAB EXTNDR VOYAGER 5.5/6.0,2271.6,1817.28,630.82,2044.44,27
RC,0278,TAP CNCLS CANN 4.0X70MM,1478.4,1182.72,410.55,1330.56,27
RC,0278,TAVR AORTIC EVOLUT FX 23MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX 26MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX 29MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX 34MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX+ 23MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX+ 26MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX+ 29MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUT FX+ 34MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUTPRO+ 23MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUTPRO+ 26MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUTPRO+ 29MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR AORTIC EVOLUTPRO+ 34MM,72000.0,57600.0,19994.4,64800.0,27
RC,0278,TAVR COREVALVE E*DISC NO REPL*,72000.0,57600.0,19994.4,64800.0,108
RC,0278,TAVR SAPIEN ULT RESILIA 20MM,81600.0,65280.0,22660.32,73440.0,27
RC,0278,TAVR SAPIEN ULT RESILIA 23MM,81600.0,65280.0,22660.32,73440.0,27
RC,0278,TAVR SAPIEN ULT RESILIA 26MM,81600.0,65280.0,22660.32,73440.0,27
RC,0278,TAVR SAPIEN ULT RESILIA 29MM,81600.0,65280.0,22660.32,73440.0,27
RC,0278,TB SALIVARY BYPASS CL 10MM,976.5,781.2,271.17,878.85,27
RC,0278,TB SALIVARY BYPASS CL 12MM,1026.0,820.8,284.92,923.4,27
RC,0278,TB TRACHTHORACICSAFE-TCL14X119,877.5,702.0,243.68,789.75,27
RC,0278,TB VENT ARMSTRG FLPLGRN1.14EA1,212.4,169.92,58.98,191.16,27
RC,0278,TB VENT ARMSTRG*DISC 6344779*,217.04,173.64,60.27,195.34,27
RC,0278,TB VENT GOODE T SIL 1.14 EA1,251.44,201.16,69.82,226.3,27
RC,0278,TB VENT GOODE T SIL FIRM 1.14,217.04,173.64,60.27,195.34,27
RC,0278,TB VENT GOODE T SIL MOD 1.27,223.32,178.66,62.02,200.99,27
RC,0278,TB VENT HUMMINGBIRD INSRT +90,1677.9,1342.32,465.95,1510.11,27
RC,0278,TB VENT HUMMINGBIRD INSRT -90,1677.9,1342.32,465.95,1510.11,27
RC,0278,TB VENT MCRN FLG HL TI 1.00,194.1,155.28,53.9,174.69,27
RC,0278,TB VENT PEDS TINY MORETZ 0.76,279.5,223.6,77.62,251.55,27
RC,0278,TB VENT PEDS TINY TYTAN TI0.76,276.39,221.12,76.75,248.75,27
RC,0278,TB VENT SHEEHY FLPL 1.27,195.51,156.41,54.29,175.96,27
RC,0278,TB VENT TRIUNE PC SIL 1.35,190.32,152.26,52.85,171.29,27
RC,0278,TBVENTSHEEHYMICR*DISC 6299807*,231.13,184.91,64.18,208.02,27
RC,0278,THV CERTITUDE 23MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV CERTITUDE 26MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV CERTITUDE 29MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3 23MM*DISC 6316412,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3 ULT CERTITUDE26MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3 ULT COMMANDER20MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3 ULT COMMANDER23MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3 ULT COMMANDER26MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3 ULT COMMANDER29MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN 3*DISC 6316413*,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN ASCEN*DISC NO REPL*,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN XT NO*DISC 6282123*,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SAPIEN XT NO*DISC 6282125*,78000.0,62400.0,21660.6,70200.0,27
RC,0278,THV SYS SAPIEN 3 29MM,78000.0,62400.0,21660.6,70200.0,27
RC,0278,TOWER EXPAND 17X22MM 8MM,5292.0,4233.6,1469.59,4762.8,27
RC,0278,TRAY 1ST FRAC EXPRESS 10/*NLU*,7540.0,6032.0,2093.86,6786.0,27
RC,0278,TRAY CATH IC ELITE ST 12FR16CM,477.46,381.97,132.59,429.71,27
RC,0278,VALV AOR 19MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORT21MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORT23MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORT25MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORT27/29MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORTIC 21MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORTIC 23MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORTIC 25MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORTIC EPIC MAX STNT 21MM,12393.6,9914.88,3441.7,11154.24,27
RC,0278,VALV AORTIC EPIC MAX STNT 23MM,12393.6,9914.88,3441.7,11154.24,27
RC,0278,VALV AORTIC EPIC MAX STNT 25MM,12393.6,9914.88,3441.7,11154.24,27
RC,0278,VALV AORTIC EPIC MAX STNT19MM,12393.6,9914.88,3441.7,11154.24,27
RC,0278,VALV AORTIC EPIC*DISC 6325552*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC EPIC*DISC 6328172*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC EPIC*DISC 6328173*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC EPIC*DISC 6328174*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC HANCOCK 21MM,10010.0,8008.0,2779.78,9009.0,27
RC,0278,VALV AORTIC HANCOCK 23MM,10010.0,8008.0,2779.78,9009.0,27
RC,0278,VALV AORTIC HANCOCK 25MM,10010.0,8008.0,2779.78,9009.0,27
RC,0278,VALV AORTIC HANCOCK 27MM,10010.0,8008.0,2779.78,9009.0,27
RC,0278,VALV AORTIC MAGNA EASE 19MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,VALV AORTIC MAGNA EASE 21MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,VALV AORTIC MAGNA EASE 23MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,VALV AORTIC MAGNA EASE 25MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,VALV AORTIC MAGNA EASE 27MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,VALV AORTIC MAGNA EASE 29MM,14400.0,11520.0,3998.88,12960.0,27
RC,0278,VALV AORTIC ONX 19MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX 21MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX 23MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX 25MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX 27/29MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX ANATOM 19MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX ANATOM 21MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX ANATOM 23MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX ANATOM 25MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX ANATOM 27/29,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX CONFORM-X19MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX CONFORM-X21MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX CONFORM-X23MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONX CONFORM-X25MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC ONXCONFORM27/29MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV AORTIC PERCEVAL+ LG,20400.0,16320.0,5665.08,18360.0,27
RC,0278,VALV AORTIC PERCEVAL+ MD,20400.0,16320.0,5665.08,18360.0,27
RC,0278,VALV AORTIC PERCEVAL+ SM,20400.0,16320.0,5665.08,18360.0,27
RC,0278,VALV AORTIC PERCEVAL+ XL,20400.0,16320.0,5665.08,18360.0,27
RC,0278,VALV AORTIC SUP*DISC 6329477*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC SUPR*DISC 6329476*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC SUPR*DISC 6329478*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC SUPR*DISC 6329479*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC SUPR*DISC 6329480*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV AORTIC SUPRAEPICPLUS 19MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV AORTIC SUPRAEPICPLUS 21MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV AORTIC SUPRAEPICPLUS 23MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV AORTIC SUPRAEPICPLUS 25MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV AORTIC SUPRAEPICPLUS 27MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV AORTIC TRIF*DISC NO REPL*,12987.0,10389.6,3606.49,11688.3,162
RC,0278,VALV AORTIC VALSALVA ONX 19MM,15840.0,12672.0,4398.77,14256.0,27
RC,0278,VALV AORTIC VALSALVA ONX 21MM,15840.0,12672.0,4398.77,14256.0,27
RC,0278,VALV AORTIC VALSALVA ONX 23MM,15840.0,12672.0,4398.77,14256.0,27
RC,0278,VALV AORTIC VALSALVA ONX 25MM,15840.0,12672.0,4398.77,14256.0,27
RC,0278,VALV AORTIC VALSALVAONX27/29MM,15840.0,12672.0,4398.77,14256.0,27
RC,0278,VALV AORTIC19MM*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORTIC27/29*DISC NO REPL*,8034.0,6427.2,2231.04,7230.6,27
RC,0278,VALV AORTICINSPIRISRESILIA19MM,18240.0,14592.0,5065.25,16416.0,27
RC,0278,VALV AORTICINSPIRISRESILIA21MM,18240.0,14592.0,5065.25,16416.0,27
RC,0278,VALV AORTICINSPIRISRESILIA23MM,18240.0,14592.0,5065.25,16416.0,27
RC,0278,VALV AORTICINSPIRISRESILIA25MM,18240.0,14592.0,5065.25,16416.0,27
RC,0278,VALV AORTICINSPIRISRESILIA27MM,18240.0,14592.0,5065.25,16416.0,27
RC,0278,VALV AORTICINSPIRISRESILIA29MM,18240.0,14592.0,5065.25,16416.0,27
RC,0278,VALV CSF DELTA NEO LVL 1.0,4224.84,3379.88,1173.24,3802.36,27
RC,0278,VALV CSF DELTA REG LVL 1.0,4224.84,3379.88,1173.24,3802.36,27
RC,0278,VALV CSF DELTA SM LVL 0.5,4224.84,3379.88,1173.24,3802.36,27
RC,0278,VALV CSF DELTA SM LVL 1.0,4224.84,3379.88,1173.24,3802.36,27
RC,0278,VALV CSF DELTA SM LVL 1.5,4013.6,3210.88,1114.58,3612.24,27
RC,0278,VALV CSF FLOW CTRL CONT REG HP,2895.3,2316.24,804.02,2605.77,27
RC,0278,VALV CSF FLOW CTRL CONT REG LP,2895.3,2316.24,804.02,2605.77,27
RC,0278,VALV CSF FLOW CTRL CONT SM LOW,2869.44,2295.56,796.84,2582.5,27
RC,0278,VALV CSF FLOW CTRL CONT SM MD,2869.44,2295.56,796.84,2582.5,27
RC,0278,VALV ENDOBRONCHIAL ZEPHYR 4.0,6944.0,5555.2,1928.35,6249.6,27
RC,0278,VALV ENDOBRONCHIAL ZEPHYR 5.5,6944.0,5555.2,1928.35,6249.6,27
RC,0278,VALV ENDOBRONCHIAL ZEPHYRLP4.0,6944.0,5555.2,1928.35,6249.6,27
RC,0278,VALV ENDOBRONCHIAL ZEPHYRLP5.5,6944.0,5555.2,1928.35,6249.6,27
RC,0278,VALV INTUITY ELITE 19MM,28800.0,23040.0,7997.76,25920.0,27
RC,0278,VALV INTUITY ELITE 21MM,28800.0,23040.0,7997.76,25920.0,27
RC,0278,VALV INTUITY ELITE 23MM,28800.0,23040.0,7997.76,25920.0,27
RC,0278,VALV INTUITY ELITE 25MM,28800.0,23040.0,7997.76,25920.0,27
RC,0278,VALV INTUITY ELITE 27MM,28800.0,23040.0,7997.76,25920.0,27
RC,0278,VALV KONECT AVC 21MM,38400.0,30720.0,10663.68,34560.0,27
RC,0278,VALV KONECT AVC 23MM,38400.0,30720.0,10663.68,34560.0,27
RC,0278,VALV KONECT AVC 25MM,38400.0,30720.0,10663.68,34560.0,27
RC,0278,VALV KONECT AVC 27MM,38400.0,30720.0,10663.68,34560.0,27
RC,0278,VALV KONECT AVC 29MM,38400.0,30720.0,10663.68,34560.0,27
RC,0278,VALV MICRO RICKHAM 70MMH2O 2.5,3799.21,3039.37,1055.04,3419.29,27
RC,0278,VALV MITRAL EPIC*DISC 6325551*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV MITRAL EPIC*DISC 6325553*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV MITRAL EPIC*DISC 6328170*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV MITRAL EPIC*DISC 6328175*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV MITRAL EPIC*DISC 6328176*,11167.0,8933.6,3101.08,10050.3,27
RC,0278,VALV MITRAL EPICPLUSSTNTED25MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV MITRAL EPICPLUSSTNTED27MM,12935.0,10348.0,3592.05,11641.5,27
RC,0278,VALV MITRAL MECH EXPPOLYCUFF23,12708.0,10166.4,3529.01,11437.2,27
RC,0278,VALV MITRAL MECH EXPPOLYCUFF25,12708.0,10166.4,3529.01,11437.2,27
RC,0278,VALV MITRAL MECH EXPPOLYCUFF27,12708.0,10166.4,3529.01,11437.2,27
RC,0278,VALV MITRAL MECH EXPPOLYCUFF29,12708.0,10166.4,3529.01,11437.2,27
RC,0278,VALV MITRAL MECH EXPPOLYCUFF31,12708.0,10166.4,3529.01,11437.2,27
RC,0278,VALV MITRAL MECH EXPPOLYCUFF33,12708.0,10166.4,3529.01,11437.2,27
RC,0278,VALV MITRAL MOSAIC 29MM,12480.0,9984.0,3465.7,11232.0,27
RC,0278,VALV MITRAL MOSAIC 33MM,12480.0,9984.0,3465.7,11232.0,27
RC,0278,VALV MITRAL ONX 25/33MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV MITRAL ONX 25MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV MITRAL ONX 27/29MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV MITRAL ONX 31/33MM,12120.0,9696.0,3365.72,10908.0,27
RC,0278,VALV MITRAL OPTIFORM CARB SZ25,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV MITRAL OPTIFORM CARB SZ29,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV MITRAL OPTIFORM CARB SZ31,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV MITRAL OPTIFORM CARB SZ33,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV TOP HAT CARBOMEDICS 19MM,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV TOP HAT CARBOMEDICS 21MM,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV TOP HAT CARBOMEDICS 23MM,8314.8,6651.84,2309.02,7483.32,27
RC,0278,VALV TRICUSPID EVOQUE 44MM,103200.0,82560.0,28658.64,92880.0,27
RC,0278,VALV TRICUSPID EVOQUE 48MM,103200.0,82560.0,28658.64,92880.0,27
RC,0278,VALV TRICUSPID EVOQUE 52MM,103200.0,82560.0,28658.64,92880.0,27
RC,0278,VALV TRICUSPID EVOQUE 56MM,103200.0,82560.0,28658.64,92880.0,27
RC,0278,VALV TRICUSPID EVOQUE RSCH44MM,145500.0,116400.0,40405.35,130950.0,27
RC,0278,VALV TRICUSPID EVOQUE RSCH48MM,145500.0,116400.0,40405.35,130950.0,27
RC,0278,VALV TRICUSPID EVOQUE RSCH52MM,145500.0,116400.0,40405.35,130950.0,27
RC,0278,VALV TRICUSPID EVOQUE RSCH56MM,145500.0,116400.0,40405.35,130950.0,27
RC,0278,WDG COTTON BIOFM 20X14X4.5MM,5676.44,4541.16,1576.35,5108.8,27
RC,0278,WDG COTTON BIOFM 20X14X5.5MM,5676.44,4541.16,1576.35,5108.8,27
RC,0278,WDG COTTON RIPTIDE 20X15X8MM,6700.4,5360.32,1860.7,6030.36,27
RC,0278,WDG COTTON RIPTIDE 25X15X6MM,6700.4,5360.32,1860.7,6030.36,27
RC,0278,WDG COTTON RIPTIDE 25X15X8MM,6700.4,5360.32,1860.7,6030.36,27
RC,0278,WDG EVANS BIOFM TI 18X18X12MM,7719.4,6175.52,2143.68,6947.46,27
RC,0278,WDG EVANS BIOSYNC 20X20X10MM,6760.6,5408.48,1877.42,6084.54,27
RC,0278,WIRE FIX LRF DIMND 1.8X450MM,314.23,251.39,87.26,282.81,27
RC,0278,WIRE META SHRTENINGPILOTHL2.25,765.0,612.0,212.44,688.5,27
RC,0278,WRENCH TORQ PLUG*DISC 6304512*,305.0,244.0,84.7,274.5,27
RC,0360,ADJUST LAP BAND PORT,1955.0,1564.0,542.9,1759.5,27
RC,0360,CERCLAGE UTERINE CERVIX,3460.0,2768.0,960.84,3114.0,27
RC,0360,CESAREAN DELIVERY,5256.0,4204.8,1459.59,4730.4,27
RC,0360,OR CASE LEV 9 C-BIRTH WWO TUBAL,1807.0,1445.6,501.8,1626.3,27
RC,0360,OR CASE LEVEL 1,2314.0,1851.2,642.6,2082.6,27
RC,0360,OR CASE LEVEL 2,3375.0,2700.0,937.24,3037.5,27
RC,0360,OR CASE LEVEL 3,4419.0,3535.2,1227.16,3977.1,27
RC,0360,OR CASE LEVEL 7,16971.0,13576.8,4712.85,15273.9,27
RC,0360,OR CASE LEVEL 8 ROBOTIC,5004.0,4003.2,1389.61,4503.6,27
RC,0360,OR ROOM 15 MIN,1198.0,958.4,332.68,1078.2,27
RC,0360,PERFUSIONIST SUPV,2521.0,2016.8,700.08,2268.9,27
RC,0360,PP TUBAL LIGATION,4733.0,3786.4,1314.35,4259.7,27
RC,0370,ANES INHALATION AGENT,168.0,134.4,46.65,151.2,27
RC,0460,PUL REHAB DAILY VISIT,16.0,12.8,4.44,14.4,27
RC,0460,PULM REHAB INITIAL VISIT,76.0,60.8,21.11,68.4,27
RC,0511,BOTOX INJECTION,1300.0,1040.0,361.01,1170.0,27
RC,0634,Epoetin Alfa-epbx Inj 2000 Unit/ML,79.69,63.76,22.13,71.72,27
RC,0636,"Ceftazidime For IV Soln 1 GM,Ceftazidime For Inj 1 GM",21.0,16.8,5.83,18.9,27
RC,0636,Coagulation Factor IX (Recomb) (rIX-FP) For Inj 3500 Unit,21.0,16.8,5.83,18.9,27
RC,0636,Dexamethasone Sod Phosphate Preservative Free Inj 10 MG/ML,21.0,16.8,5.83,18.9,27
RC,0636,Dexamethasone Sodium Phosphate Inj 4 MG/ML,21.0,16.8,5.83,18.9,27
RC,0636,Glucagon HCl Diagnostic For Inj 1 MG (Base Equiv),395.01,316.01,109.69,355.51,27
RC,0636,Hepatitis A Vaccine Inj Susp 25 Unit/0.5ML,95.79,76.64,26.6,86.21,27
RC,0636,"Magnesium Sulfate Inj 4%,Magnesium Sulfate IV Soln 2 GM/50ML (40 MG/ML)",45.02,36.02,12.5,40.52,27
RC,0636,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML),21.0,16.8,5.83,18.9,27
RC,0636,"Tranexamic Acid Inj 100 MG/ML,Tranexamic Acid IV Soln 1000 MG/10ML (100 MG/ML)",162.78,130.23,45.2,146.5,27
RC,0636,Zoledronic Acid IV Soln 4 MG/100ML,171.825,137.465,45.18,162.86,54
RC,0637,Atenolol & Chlorthalidone Tab 50-25 MG,1.5,1.2,0.42,1.35,54
RC,0637,Bacitracin-Polymyxin B Ophth Oint,39.61,31.69,6.18,51.26,54
RC,0637,Brinzolamide Ophth Susp 1%,611.82,489.46,169.9,550.64,27
RC,0637,Carbidopa & Levodopa Cap ER 36.25-145 MG,5.81,4.65,1.61,5.23,27
RC,0637,Cefpodoxime Proxetil Tab 200 MG,12.47,9.98,3.46,11.22,27
RC,0637,Cinacalcet HCl Tab 30 MG (Base Equiv),27.775,22.220000000000002,0.42,48.65,81
RC,0637,Cinacalcet HCl Tab 60 MG (Base Equiv),2.795,2.24,0.53,3.3,54
RC,0637,Cinacalcet HCl Tab 90 MG (Base Equiv),3.25,2.6,0.76,9.92,81
RC,0637,Clonidine HCl Tab 0.2 MG,1.5,1.2,0.42,1.35,27
RC,0637,Dicyclomine HCl Tab 20 MG,1.5,1.2,0.42,1.35,27
RC,0637,Dorzolamide HCl Ophth Soln 2%,85.24,68.2,23.67,76.72,27
RC,0637,Estradiol Tab 0.5 MG,1.5,1.2,0.42,1.35,27
RC,0637,Ethosuximide Cap 250 MG,1.62,1.3,0.45,1.46,27
RC,0637,Imipramine HCl Tab 25 MG,1.5,1.2,0.42,1.35,27
RC,0637,Ivermectin Tab 3 MG,10.45,8.36,2.9,9.41,27
RC,0637,Latanoprost Ophth Soln 0.005%,16.47,13.18,4.57,14.82,27
RC,0637,Levothyroxine Sodium Tab 137 MCG,1.5,1.2,0.42,1.35,27
RC,0637,Methylphenidate HCl Tab ER Osmotic Release (OSM) 36 MG,15.77,12.62,4.38,14.19,27
RC,0637,Midodrine HCl Tab 10 MG,2.08,1.67,0.42,2.31,81
RC,0637,Moxifloxacin HCl Ophth Soln 0.5% (Base Equiv),434.4,347.52,120.63,390.96,27
RC,0637,Paliperidone Tab ER 24HR 1.5 MG,61.72,49.38,17.14,55.55,27
RC,0637,Phenol Swabs 89%,13.8,11.04,3.83,12.42,27
RC,0637,Pioglitazone HCl Tab 15 MG (Base Equiv),15.31,12.25,4.25,13.78,27
RC,0637,Promethazine w/ Codeine Syrup 6.25-10 MG/5ML,1.5,1.2,0.42,1.35,27
RC,0637,Propafenone HCl Cap ER 12HR 225 MG,3.72,2.98,1.03,3.35,27
RC,0637,Simvastatin Tab 10 MG,1.5,1.2,0.42,1.35,27
RC,0637,Timolol Maleate Ophth Gel Forming Soln 0.5%,362.56,290.05,100.68,326.3,27
RC,0637,Timolol Maleate Ophth Soln 0.5%,27.62,22.1,7.67,24.86,27
RC,0637,Tobramycin Ophth Soln 0.3%,8.02,6.42,2.23,7.22,27
RC,0637,Triazolam Tab 0.125 MG,3.4,2.72,0.94,3.06,27
RC,0689,TRAUMA ACTIVATION ALERT/ EVAL,2194.0,1755.2,609.27,1974.6,27
RC,0689,TRAUMA ACTIVATION FULL,8455.0,6764.0,2347.95,7609.5,27
RC,0689,TRAUMA ACTIVATION PARTIAL,6919.0,5535.2,1921.41,6227.1,27
RC,0710,ARTERIAL CATH PERCUTAN,898.0,718.4,249.37,808.2,27
RC,0710,CENTRAL LINE PLACEMENT,2209.0,1767.2,613.44,1988.1,27
RC,0710,EPID INFUSION LUMBAR SAC,1428.0,1142.4,396.56,1285.2,27
RC,0710,EPID INJ LUMBAR SACR,1497.0,1197.6,415.72,1347.3,27
RC,0710,EPIDURAL BLOOD PATCH,1961.0,1568.8,544.57,1764.9,27
RC,0710,INJ ANES OTHER PERIPHERAL NERVE OR BRANCH,1625.0,1300.0,451.26,1462.5,27
RC,0710,PACU LEVEL 1 Q15 MIN,127.0,101.6,35.27,114.3,27
RC,0710,PACU LEVEL 2 Q15 MIN,233.0,186.4,64.7,209.7,27
RC,0710,PACU LEVEL 3 Q15 MIN,330.0,264.0,91.64,297.0,27
RC,0710,PACU LEVEL 4 Q15 MIN,365.0,292.0,101.36,328.5,27
RC,0710,PACU LEVEL 5 Q15 MIN,406.0,324.8,112.75,365.4,27
RC,0710,PERIPHERAL NERVE BLOCK,1854.0,1483.2,514.86,1668.6,27
RC,0710,SYMPATHETIC NERVE BLOCK,1497.0,1197.6,415.72,1347.3,27
RC,0720,VAGINAL DELIVERY,3716.0,2972.8,1031.93,3344.4,27
RC,0729,D&C W DELIVERY,2029.0,1623.2,563.45,1826.1,27
RC,0761,TX RM ABORTION,2546.0,2036.8,707.02,2291.4,27
RC,0761,TX RM THER PROPH DIAG INJ IV P,325.0,260.0,90.25,292.5,27
RC,0761,TX RM TREATMENT ROOM,698.0,558.4,193.83,628.2,27
RC,0801,CRRT DAILY CHARGE,2025.0,1620.0,562.34,1822.5,27
RC,0801,HEMODIALYSIS IP,2025.0,1620.0,562.34,1822.5,27
RC,0802,PERITONEAL IP NON-ESRD,1250.0,1000.0,347.13,1125.0,27
RC,0803,CAPD IP,1005.0,804.0,279.09,904.5,27
RC,0804,CCPD IP,1005.0,804.0,279.09,904.5,27
RC,0811,LIVE DONOR KIDNEY ACQUIS,73966.0,59172.8,20540.36,66569.4,27
RC,0812,KIDNEY STANDARD ACQUIS,73966.0,59172.8,20540.36,66569.4,27
RC,0915,ALCOHOL & OR DRUG TX PER HR,293.0,234.4,81.37,263.7,27